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21. 发明授权

US5954692A Endoscopic robotic surgical tools and methods 失效
标题翻译：内窥镜机器人手术工具及方法
公开(公告)号：US5954692A
公开(公告)日：1999-09-21
申请号：US890366
申请日：1997-07-09
申请人： Kevin W. Smith , Juergen Andrew Kortenbach , Charles R. Slater , Anthony I. Mazzeo , Theodore C. Slack, Jr. , Thomas O. Bales
发明人： Kevin W. Smith , Juergen Andrew Kortenbach , Charles R. Slater , Anthony I. Mazzeo , Theodore C. Slack, Jr. , Thomas O. Bales
IPC分类号： A61B1/00 , A61B17/00 , A61B19/00 , B25J3/04 , B25J9/06 , B25J9/10 , B25J15/02 , A61M37/00
CPC分类号： B25J15/02 , A61B34/70 , A61B34/71 , A61B34/76 , B25J3/04 , B25J9/06 , B25J9/104 , A61B17/00234 , A61B2017/00477 , A61B2034/2059
摘要： The methods and devices of the invention include an encoder, an endoscopic robotic instrument, and an encoder/robotic instrument interface. A preferred embodiment of the encoder has a chest/shoulder plate provided with telescoping tubes and joints. Each joint is provided with a direct drive potentiometer to monitor movement and provide a corresponding signal. The chest plate is preferably adaptable to a large range of human chest sizes and the telescopic segments are strapped to the arms of the practitioner at the elbows. A pistol grip is provided at the wrist end of the telescopic segments. According to the presently preferred embodiment, the encoder encodes flexion and rotation at the shoulder, elbow and wrist of each arm in addition to gripping at each hand. The encoding device is coupled to a circuit which operates a servo system. The servo system includes a series of servo motors. A series of pulleys corresponding to the number of servo motors are arranged in a housing. The robotic instrument preferably comprises two arms mounted at the distal end of a multi-lumen tube. Each arm has rotational and flexional joints corresponding to the shoulder, elbow, and wrist of the practitioner. Tendons are coupled to the pulleys of the servo motors and are fed through the multi-lumen tube to the joints of the two arms.
摘要翻译：本发明的方法和装置包括编码器，内窥镜机器人仪器和编码器/机器人仪器接口。编码器的优选实施例具有设置有伸缩管和接头的胸/肩板。每个接头都配有一个直接驱动电位器来监控运动并提供相应的信号。胸板优选适应于大范围的人胸部尺寸，并且伸缩部分在肘部处被绑在医师的手臂上。在伸缩段的腕端设有手枪把手。根据目前优选的实施例，编码器除了在每只手握持之外还编码每个臂的肩部，肘部和手腕的屈曲和旋转。编码装置耦合到操作伺服系统的电路。伺服系统包括一系列伺服电机。与伺服马达的数量对应的一系列滑轮布置在壳体中。机器人装置优选地包括安装在多腔管的远端处的两个臂。每个臂具有对应于从业者的肩部，肘部和手腕的旋转和弯曲关节。肌腱联接到伺服电动机的皮带轮，并通过多腔管馈送到两个臂的关节。

22. 发明授权

US5666965A Radial jaw biopsy forceps 失效
标题翻译：径向钳活检钳
公开(公告)号：US5666965A
公开(公告)日：1997-09-16
申请号：US458215
申请日：1995-06-02
申请人： Thomas O. Bales , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B19/00
CPC分类号： A61B10/06 , A61B17/29 , A61B17/320016 , A61B18/1445 , H01L21/67126 , A61B10/02 , A61B17/30 , A61B17/3201 , A61B2010/0225 , A61B2017/0023 , A61B2017/00398 , A61B2017/0046 , A61B2017/0088 , A61B2017/292 , A61B2017/2926 , A61B2017/2931 , A61B2017/2939 , A61B2017/2945 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1253 , A61B2018/1412 , A61B2018/1415 , A61B2018/1432 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , A61B2090/064 , A61M2025/0098 , A61M2205/6081 , H01L21/6715 , Y10T403/32181 , Y10T403/32221 , Y10T74/18944 , Y10T74/20402
摘要： A biological forceps device for the taking of tissue samples from a body, comprising a flexible main coil attached at its distal end to a pair of homologous cast jaws. The jaws have radially arranged teeth on their distalmost end. The jaws are opened and closed by attachment to a pair of pull wires which extend through the main coil, into a handle at its proximal end. The handle has a spool which slides about a central shaft attached to the main coil. The spool is attached to the pull wires, so that movement of the spool with respect to the central shaft, effectuates a force on the proximal ends of the levered jaws, to open and close them, appropriately.
摘要翻译：一种用于从身体采集组织样本的生物镊子装置，包括在其远端处附接到一对同源颚爪的柔性主线圈。钳口在其最远端具有径向排列的齿。夹爪通过连接到延伸穿过主线圈的一对拉线打开和关闭，在其近端处于手柄中。手柄具有绕连接到主线圈的中心轴滑动的线轴。线轴被连接到拉线，使得线轴相对于中心轴的运动在适当地对杠杆钳口的近端施加力以打开和闭合它们。

23. 再颁专利

USRE33925E Electrosurgical catheter aned method for vascular applications 失效
公开(公告)号：USRE33925E
公开(公告)日：1992-05-12
申请号：US281063
申请日：1988-12-08
申请人： Thomas O. Bales , Kevin W. Smith
发明人： Thomas O. Bales , Kevin W. Smith
IPC分类号： A61B17/00 , A61B18/14 , A61M1/00
CPC分类号： A61B18/1492 , A61B2017/00247 , A61B2017/00292 , A61B2018/00392 , A61B2018/00761 , A61B2018/00886
摘要： The method for resolving atherosclerotic plaque buildup and/or eroding unwanted tissue in a blood vessel includes the steps of: inserting an electrode in and along the lumen of a blood vessel; manually manipulating said electrode through the blood vessel; positioning said electrode proximate to atherosclerotic plaque buildup site or unwanted tissue site in the blood vessel; supplying a predetermined high-frequency, high-voltage electrical current to said electrode; maintaining said predetermined current for a predetermined time period; and sensing from time to time, the amount of plaque or unwanted tissue at the site.The electrosurgical plaque-resolving or tissue-eroding device is adapted to be inserted within and along the lumen of a blood vessel and manipulated therethrough to a desired position where the device is operated to resolve atherosclerotic plaque buildup or erode tissue in the blood vessel according to the method to re-establish desired blood flow through the blood vessel or to remove tissue therefrom. The device comprises an elongate flexible hollow tubular body having a distal end and a proximal end. A hollow tip member is mounted at the distal end of the flexible hollow tubular body and an electrode is associated with the hollow tip member for resolving plaque or eroding tissue. A power supply circuit for supplying a high-frequency, high-voltage electrical current to the electrode is coupled to the electrode. A mechanism for sensing, from time to time, the amount of plaque or tissue at the site in the blood vessel is also provided with the device.

24. 发明授权

US07727248B2 Surgical clip 有权
标题翻译：手术夹
公开(公告)号：US07727248B2
公开(公告)日：2010-06-01
申请号：US10867412
申请日：2004-06-14
申请人： Kevin W. Smith , Jose Luis Francese , Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales , Carlos Rivera , Matthew A. Palmer
发明人： Kevin W. Smith , Jose Luis Francese , Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales , Carlos Rivera , Matthew A. Palmer
IPC分类号： A61B17/08
CPC分类号： A61B17/1285 , A61B17/122 , A61B2017/2905 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip has a base portion and two generally parallel, spaced arms extending from the base portion and defining an opening therebetween. The arms terminate distally in fingers which are of reduced width and thickness relative to the arms and which are adapted to be bent towards and past each other. A transition section from each arm to the finger provides curved structures which extending away from each other and providing a wider mouth for the opening between the arms. The arms also have a proximal section with an undercut which helps in flexure of the arms. The base is an extended structure having a rounded proximal end with outwardly extending shoulders which are arranged to be engaged by the curved structures of the mouth of another clip.
摘要翻译：手术夹具具有从基部延伸并在其间限定开口的基部和两个大致平行的间隔开的臂。臂在远离手指的位置处终止，手指相对于手臂减小了宽度和厚度，并且它们适于朝彼此弯曲并且彼此相交。从每个臂到手指的过渡部分提供了彼此延伸的弯曲结构，并为臂之间的开口提供更宽的口。臂还具有带有底切的近端部分，其有助于臂的挠曲。底座是具有圆形近端的延伸结构，其具有向外延伸的肩部，其被布置成与另一个夹子的口部的弯曲结构接合。

25. 发明申请

US20100004668A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device and Method 有权
标题翻译：无绳手持式超声波炊具切割装置及方法
公开(公告)号：US20100004668A1
公开(公告)日：2010-01-07
申请号：US12547975
申请日：2009-08-26
申请人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
发明人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/0023 , A61B2017/0046 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a removable battery, and an ultrasonic-signal-generator assembly, includes a handle body with a portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, a transducer attachment dock exposed to the environment and shaped to place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock, and an ultrasonic-signal-generator assembly dock exposed to the environment. The ultrasonic-signal-generator assembly dock is shaped to substantially simultaneously selectively removably secure the ultrasonic-signal-generator assembly to the handle body, place an end of the ultrasonic transducer within the transducer attachment dock, and electrically couple the ultrasonic-signal-generator assembly to the at least two battery contacts.
摘要翻译：可连接到超声波换能器，超声波导，可拆卸电池和超声波信号发生器组件的一次性超声手术手柄包括具有限定电池保持室的部分的手柄主体，电池保持室至少具有两个电池触点，暴露于环境并成形为接受其中的波导的波导附件基座，暴露于环境的换能器附接基座并成形为当波导设置在波导附件内时将超声换能器与波导同轴对准码头和一个暴露于环境的超声波信号发生器装配码头。超声波信号发生器组件坞被成形为基本上同时选择性地可移除地将超声信号发生器组件固定到手柄本体，将超声换能器的一端放置在换能器附件底座内，并将超声信号发生器组装到至少两个电池触点。

26. 发明申请

US20090143805A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device 有权
标题翻译：无绳手持式超声波烙铁切割装置
公开(公告)号：US20090143805A1
公开(公告)日：2009-06-04
申请号：US12270146
申请日：2008-11-13
申请人： Matthew A. Palmer , Kevin W. Smith , Thomas O. Bales , Derek Dee Deville
发明人： Matthew A. Palmer , Kevin W. Smith , Thomas O. Bales , Derek Dee Deville
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/0023 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic waveguide, a battery, and an ultrasonic-movement-generator assembly includes a first handle body portion defining therein an aseptically sealable battery-holding compartment shaped to receive the battery therein, a second handle body portion connected to the first handle body portion, and an electrical couple. The second handle body portion has a waveguide attachment dock exposed to the environment and an ultrasonic-movement-generator assembly dock exposed to the environment and shaped to connect the ultrasonic waveguide in the waveguide attachment dock to the ultrasonic-movement-generator assembly through the second handle body portion. The electrical couple is operable to connect a battery within the battery-holding compartment to the ultrasonic-movement-generator-assembly when the ultrasonic-movement-generator assembly is docked at the ultrasonic-movement-generator assembly dock.
摘要翻译：可连接到超声波波导，电池和超声波运动发生器组件的一次性超声手术手柄包括：第一手柄主体部分，其中限定有形成为在其中容纳电池的无菌密封的电池容纳室，连接到第二手柄主体部分到第一手柄主体部分，以及电耦合。第二手柄主体部分具有暴露于环境的波导附件基座和暴露于环境的超声波运动发生器组件基座，并且成形为将波导附件底座中的超声波波导通过第二手柄发生器组件连接到超声波运动发生器组件手柄主体部分。当超声波运动发生器组件对准在超声波运动发生器组装座时，电耦合可操作以将电池保持室内的电池连接到超声波运动发生器组件。

27. 发明申请

US20090143801A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device 有权
标题翻译：无绳手持式超声波烙铁切割装置
公开(公告)号：US20090143801A1
公开(公告)日：2009-06-04
申请号：US12266320
申请日：2008-11-06
申请人： Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales
发明人： Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： A disposable ultrasonic surgical handle includes a disposable handle body that has a first handle body portion defining a handgrip and a second handle body portion connected to the first handle body portion, where the second handle body portion has a waveguide attachment dock exposed to the environment and having a first couple operable to connect an ultrasonic waveguide thereto and an aseptically sealable powered-ultrasonic-motion-generator assembly dock shaped to connect the ultrasonic waveguide in the attachment dock to an assembly within the assembly dock through the second handle body portion. The disposable ultrasonic surgical handle also includes a disposable compartment door movably connected to the second handle body portion to selectively expose the assembly dock to the environment, where the handle has an open position exposing the assembly dock to the environment and permitting entry and removal of the powered-ultrasonic-motion-generator assembly respectively into and from the assembly dock and a closed position aseptically sealing the assembly dock from the environment.
摘要翻译：一次性超声波手术手柄包括一次性手柄本体，其具有限定手柄的第一手柄主体部分和连接到第一手柄主体部分的第二手柄主体部分，其中第二手柄本体部分具有暴露于环境的波导附件支架，具有可操作以将超声波波导连接到其上的第一对和无菌可密封的动力超声波运动发生器组件座，其形状适于将附接基座中的超声波导连接到组装座内的通过第二手柄主体部分的组件。一次性超声手术手柄还包括可移动地连接到第二手柄主体部分的一次性隔间门，以选择性地将组装基座暴露于环境中，其中手柄具有将组件基座暴露于环境的开放位置，并允许进入和移除动力 - 超声波运动发生器组件分别进入和离开装配坞，并且闭合位置无菌地将组装基座与环境密封。

28. 发明申请

US20090143799A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device 审中-公开
标题翻译：无绳手持式超声波烙铁切割装置
公开(公告)号：US20090143799A1
公开(公告)日：2009-06-04
申请号：US12266226
申请日：2008-11-06
申请人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
发明人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
IPC分类号： A61B17/32
CPC分类号： A61N7/02 , A61B17/1285 , A61B17/320092 , A61B2017/00017 , A61B2017/0023 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2017/320097 , A61B2017/320098 , A61B2018/00595 , Y10T29/49826
摘要： A disposable ultrasonic surgical handle includes a disposable handle body defining a battery-holding compartment shaped to receive a battery therein and operable to couple a proximal end of an ultrasonic waveguide to an ultrasonic transducer therethrough. The body has a transducer dock exposed to the environment and interchangeably housing the transducer and a waveguide attachment dock shaped to align and attach the proximal end of the waveguide to the transducer and hold them at the body when the respectively docked at the transducer and attachment docks. A disposable driving-wave generation circuit in the handle body electrically contacts the battery and the transducer when the battery and the transducer are disposed respectively in the battery-holding compartment and the transducer dock. The circuit generates an output waveform sufficient to cause ultrasonic movement along the waveguide by exciting the transducer when the transducer is coupled to the waveguide.
摘要翻译：一次性超声波手术手柄包括一次性手柄主体，其限定电池保持室，其形状为在其中容纳电池并且可操作以将超声波导的近端耦合到超声换能器。身体具有暴露于环境的换能器基座并且可互换地容纳换能器和波导附件基座，其形状用于将波导的近端对准和附接到换能器并将其保持在身体处，当分别对接在换能器和附接基座。当电池和换能器分别设置在电池保持室和换能器座中时，手柄体中的一次性驱动波发生电路与电池和换能器电接触。当换能器耦合到波导时，该电路产生足以引起超声波沿波导移动的输出波形。

29. 发明授权

US06585694B1 Knob-controlled endoscopic needle device 失效
标题翻译：旋钮控制内窥镜针装置
公开(公告)号：US06585694B1
公开(公告)日：2003-07-01
申请号：US09656599
申请日：2000-09-07
申请人： Kevin W. Smith , Juergen A. Kortenbach , Thomas O. Bales
发明人： Kevin W. Smith , Juergen A. Kortenbach , Thomas O. Bales
IPC分类号： A61M500
CPC分类号： A61M25/0084 , A61B2090/062 , A61M5/46 , A61M2025/0089
摘要： An endoscopic needle device includes an inner fluid conduit, an outer sheath extending over the length of the conduit, a longitudinally stiff wire extending through the conduit, and a needle fixedly attached to the distal end of the conduit. The distal end of the wire is coupled to one or both of the needle and the distal end of the conduit. The needle includes a proximal opening such that the hollow of the needle is in fluid communication with a lumen of conduit. A proximal handle includes a stationary member and a movable member longitudinally movable relative to the stationary member. The proximal end of the outer sheath is coupled to the stationary member, and the stationary member includes structure to mount the handle to a port of an endoscope. The movable member includes a passageway, and the proximal end of the conduit is coupled to the distal end of the movable member, and a port is provided at the proximal end of the movable member. A syringe may be coupled to the port and operated to inject a fluid which travels through the passageway, the lumen of the conduit, and the needle. In addition, the proximal end of the wire is coupled to the movable member. The handle assembly also includes a knob rotatably coupled to the stationary member, wherein rotation of the knob results in reciprocal movement of the movable member relative to the stationary, and consequently the needle relative to the distal end of the outer sheath.
摘要翻译：内窥镜针装置包括内部流体导管，在导管的长度上延伸的外护套，延伸穿过导管的纵向刚性线，以及固定连接到导管远端的针。线的远端连接到针和导管的远端中的一个或两个。针包括近端开口，使得针的中空与导管的内腔流体连通。近侧手柄包括固定构件和可相对于固定构件纵向移动的可移动构件。外护套的近端联接到固定构件，并且固定构件包括将手柄安装到内窥镜的端口的结构。可动构件包括通道，并且导管的近端联接到可移动构件的远端，并且端口设置在可动构件的近端处。注射器可以联接到端口并且被操作以注射穿过通道，导管的内腔和针的流体。此外，线的近端联接到可动构件。手柄组件还包括可旋转地联接到固定构件的旋钮，其中旋钮的旋转导致可动构件相对于静止件的相互运动，并且因此导致相对于外护套的远端的针。

30. 发明授权

US06200258B1 Radioactive therapeutic seed having selective marker configuration 失效
标题翻译：具有选择标记物配置的放射性治疗种子
公开(公告)号：US06200258B1
公开(公告)日：2001-03-13
申请号：US09371243
申请日：1999-08-10
申请人： Charles R. Slater , Thomas O. Bales , Kevin W. Smith
发明人： Charles R. Slater , Thomas O. Bales , Kevin W. Smith
IPC分类号： A61N500
CPC分类号： A61N5/1027 , A61N2005/1024
摘要： Radioactive therapeutic seeds include a carrier structure bearing a radioactive isotope and a radiopaque marker. According to embodiments of the invention, the seeds include a central plug provided with an axial marker and a relatively transverse bore extending through the marker. A second marker may be positioned in the bore, thereby radiographically distinguishing a seed provided with the second marker relative to a seed not provided with the second marker. According to another embodiment of the invention, the isotope is deposited on the outer surface of a hollow radiolucent tube. A biologically-compatible, radiolucent, surface-sealing layer seals the external surface of the tube. A radiopaque marker wire of selected length is positioned in the hollow of the tube. Seeds may be radiographically distinguished from one another by providing seeds with marker wires of different lengths. Each embodiment permits at least two groups of seeds to be radiographically distinguished from one another by the use of differing marker configurations. Each embodiment is further capable of being selectively marked by the physician prior to implantation of the seeds, or by the manufacturer for delivery to the physician in radiographically distinguishable sets. As a result, seeds having different levels of radiation emission can be distinguished in vivo and their effect monitored by the physician.
摘要翻译：放射治疗种子包括具有放射性同位素和不透射线标记的载体结构。根据本发明的实施例，种子包括设置有轴向标记的中心塞和延伸穿过标记的相对横向的孔。可以将第二标记物定位在孔中，从而与提供有第二标记的种子相对于未设置有第二标记的种子进行射线照相。根据本发明的另一个实施方案，同位素沉积在中空的射线可透管的外表面上。生物相容的射线可透过的表面密封层密封管的外表面。所选长度的不透射线标记线位于管的中空中。种子可以通过向不同长度的标记线提供种子而被放射学地区分开。每个实施例允许至少两组种子通过使用不同的标记物构造彼此放射学地区分开。每个实施例还能够在植入种子之前被医生选择性地标记，或者由制造商在放射学可区分的组中递送给医师。结果，具有不同水平的辐射发射的种子可以在体内被区分，并且其效果由医师监测。

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