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31. 发明授权

US5312332A Endoscopic surgical methods utilizing a suction-irrigation instrument with a port for endoscopic manipulating instruments 失效
标题翻译：内窥镜手术方法利用具有用于内窥镜操纵仪器的端口的吸入式装置
公开(公告)号：US5312332A
公开(公告)日：1994-05-17
申请号：US51000
申请日：1993-04-21
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 , A61B10/06 , A61B17/00 , A61B17/34 , A61B18/14 , A61M1/00
CPC分类号： A61B17/00234 , A61B10/06 , A61B17/3421 , A61B18/14 , A61B2090/0817 , A61B2217/005 , A61B2217/007
摘要： Methods of endoscopic surgery are disclosed. The methods utilize a suction/irrigation endoscopic instrument and a second endoscopic instrument. The suction/irrigation endoscopic instrument has a cannula, a fluid chamber in communication with the cannula, and an automatic valve at the proximal end of the fluid chamber. The second endoscopic instrument has end effectors and actuating means, and the end effectors of the second endoscopic instrument is inserted through the automatic valve, through the fluid chamber, and through the cannula. The methods involve inserting the suction/irrigation instrument through a trocar tube, and then inserting the second endoscopic instrument therethrough. The automatic valve insures that there is no leakage when the second instrument is inserted. The second endoscopic instrument may rotated inside, or may be partially withdrawn into the suction/irrigation instrument. Upon removing the second endoscopic instrument, the valve of the suction/irrigation instrument automatically closes so that there is no leakage. If desired, the suction/irrigation instrument may be provided with a cautery current at the cannula, and the second endoscopic instrument may be provided with a bump which contacts the cannula as a cautery pick-up.
摘要翻译：公开了内窥镜手术的方法。该方法利用抽吸/灌洗内窥镜仪器和第二内窥镜仪器。吸入/冲洗内窥镜器具具有插管，与插管连通的流体室，以及在流体室的近端处的自动阀。第二内窥镜仪器具有末端执行器和致动装置，并且第二内窥镜器械的末端执行器通过自动阀，通过流体腔室并穿过套管插入。所述方法包括通过套管针插入吸入/冲洗器械，然后将第二内窥镜器械插入其中。自动阀确保插入第二台仪器时没有泄漏。第二内窥镜器械可以在内部旋转，或者可以部分地抽吸到抽吸/冲洗仪器中。在移除第二内窥镜仪器后，吸入/冲洗仪器的阀门自动关闭，因此不会有泄漏。如果需要，吸入/冲洗器械可以在套管处设置有烧焦电流，并且第二内窥镜器械可以设置有作为灼烧拾取器接触套管的凸块。

32. 发明授权

US5176702A Ratchet locking mechanism for surgical instruments 失效
标题翻译：手术器械的棘轮锁定机构
公开(公告)号：US5176702A
公开(公告)日：1993-01-05
申请号：US833840
申请日：1992-02-07
申请人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B1/00 , A61B10/00 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/32 , A61B17/3201 , A61B18/14
CPC分类号： A61B17/2909 , A61B17/29 , A61B17/320016 , A61B18/1445 , A61B10/06 , A61B17/3201 , A61B2017/0023 , A61B2017/0046 , A61B2017/0088 , A61B2017/2837 , A61B2017/2926 , A61B2017/2929 , A61B2017/2939 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , Y10T74/2133 , Y10T74/2136 , Y10T74/214 , Y10T74/2152
摘要： Releasable ratchet mechanism for medical instruments such as endoscopic instruments are disclosed. The ratchet mechanism includes: a leaf spring with a locking barb which is located on a handle of the medical instrument; a ratchet on a lever arm of the medical instrument which lever arm is pivotally engaged to the handle; and a latch on the handle of the medical instrument. The latch on the handle engages and resiliently deforms the leaf spring to cause engagement of the locking barb in a groove of the ratchet when the latch is in a first position. When in a second position, the latch releases the locking barb from the ratchet groove. Preferably, the locking barb has an extending edge surface on an axis which is substantially parallel to the pivoting axis of the handle and lever arm, and the teeth of the ratchet have extending edge surfaces on axes substantially parallel to the extending edge surface of the locking barb. Also, preferably, the edge surfaces of said teeth of the ratchet are located along an arc of a cylinder having the handle/lever arm pivot axis as its center line.
摘要翻译：公开了诸如内窥镜仪器的医疗器械的可释放的棘轮机构。棘轮机构包括：具有锁定倒钩的板簧，其位于医疗器械的手柄上; 在所述医疗器械的杠杆臂上的棘轮，所述杠杆臂枢转地接合到所述手柄; 以及在医疗器械的手柄上的闩锁。当闩锁处于第一位置时，手柄上的闩锁接合并弹性地使片簧变形，从而使锁定倒钩接合在棘轮的槽中。当处于第二位置时，闩锁从棘轮槽释放锁定倒钩。优选地，锁定倒钩在轴线上具有基本上平行于手柄和杠杆臂的枢转轴线的延伸边缘表面，并且棘轮的齿具有基本上平行于锁定件的延伸边缘表面的轴上的延伸边缘表面倒钩此外，优选地，棘轮的所述齿的边缘表面沿着具有手柄/杠杆臂枢转轴线的圆柱的圆弧定位为其中心线。

33. 发明授权

US4682596A Electrosurgical catheter and method for vascular applications 失效
标题翻译：电外科导管及血管应用方法
公开(公告)号：US4682596A
公开(公告)日：1987-07-28
申请号：US612879
申请日：1984-05-22
申请人： Thomas O. Bales , Kevin W. Smith
发明人： Thomas O. Bales , Kevin W. Smith
IPC分类号： A61B17/00 , A61B17/22 , A61B18/14 , A61M1/00
CPC分类号： A61B18/1492 , A61B18/1402 , A61B2017/00247 , A61B2017/00292 , A61B2017/22001 , A61B2018/00166 , A61B2018/00392 , A61B2018/00404 , A61B2018/00577 , A61B2018/00761 , A61B2018/00886 , A61M25/09
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.
摘要翻译：用于解决动脉粥样硬化斑块积聚和/或侵蚀血管中的不想要的组织的方法包括以下步骤：将电极插入并沿着血管的内腔; 通过血管手动操作所述电极; 将所述电极定位在动脉粥样硬化斑块积聚部位或血管中的不想要的组织部位附近; 向所述电极提供预定的高频，高压电流; 将所述预定电流保持预定时间段; 并且不时地感测到现场的斑块或不想要的组织的量。电外科斑块分辨或组织侵蚀装置适于插入血管内腔内并沿着血管内腔进行操作，并通过其操作到所需位置，在该位置操作该装置以根据下述方法分解动脉粥样硬化斑块积聚或侵蚀血管中的组织：重新建立通过血管的所需血液流动或从其中去除组织的方法。该装置包括具有远端和近端的细长柔性中空管状体。中空的末端构件安装在柔性中空管状体的远端处，并且电极与中空尖端构件相关联，用于分解牙斑或侵蚀组织。用于向电极提供高频，高压电流的电源电路被耦合到电极。该装置还提供了用于随时检测血管位置的斑块或组织的量的机构。

34. 发明授权

US08758342B2 Cordless power-assisted medical cauterization and cutting device 有权
标题翻译：无绳电动辅助医疗烧灼切割装置
公开(公告)号：US08758342B2
公开(公告)日：2014-06-24
申请号：US12324873
申请日：2008-11-27
申请人： Thomas O. Bales , Kevin W. Smith , Korey Kline , Matthew A. Palmer , Derek Dee Deville
发明人： Thomas O. Bales , Kevin W. Smith , Korey Kline , Matthew A. Palmer , Derek Dee Deville
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1206 , A61B2017/00734 , A61B2018/00958 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455
摘要： A cordless cautery and cutting surgical device includes a modular battery and a surgical handle operable to removably hold the battery thereto. The handle has a cordless radio-frequency-signal-generation assembly and a surgical bipolar end effector having jaws and a cutting blade therebetween. The signal-generation assembly selectively supplies radio-frequency signal to the end effector when powered for electrocautery of tissue between the jaws. The handle defines therein an aseptically sealable battery-holding compartment selectively exposed to the environment and removably holding therein the battery. A motor assembly is disposed in the handle and is electrically connected to the battery and/or the signal-generation assembly and is powered and controlled thereby. The motor assembly physically couples to the blade and/or at least one jaw for moving the blade/jaw(s). The second connector part electrically connects the battery to the signal-generation assembly and/or the motor assembly when the battery is removably disposed in the compartment.
摘要翻译：无绳电烧和切割手术装置包括模块化电池和可操作地将电池可拆卸地保持在其上的外科手柄。手柄具有无绳射频信号发生组件和手术双极端部执行器，其具有钳口和切割刀片。当用于钳口之间的组织的电烙术供电时，信号发生组件选择性地向末端执行器提供射频信号。手柄在其中限定了选择性地暴露于环境的可无菌密封的电池保持室，并且可拆卸地将电池保持在其中。马达组件设置在手柄中并且电连接到电池和/或信号发生组件，并由此驱动和控制。电动机组件物理耦合到叶片和/或至少一个用于移动叶片/钳口的钳口。当电池可拆卸地设置在隔室中时，第二连接器部件将电池电连接到信号发生组件和/或电动机组件。

35. 发明授权

US08573462B2 Electrical surgical instrument with optimized power supply and drive 有权
标题翻译：电动手术仪器具有优化的电源和驱动
公开(公告)号：US08573462B2
公开(公告)日：2013-11-05
申请号：US11705334
申请日：2007-02-12
申请人： Kevin W. Smith , Thomas O. Bales , Derek Dee Deville , Carlos Rivera , Matthew A. Palmer
发明人： Kevin W. Smith , Thomas O. Bales , Derek Dee Deville , Carlos Rivera , Matthew A. Palmer
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B17/068 , A61B17/07207 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B90/03 , A61B2017/00017 , A61B2017/00115 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2090/032 , A61B2090/064 , G06F19/00
摘要： A surgical instrument includes an end effector having an actuator effecting a surgical procedure when actuated, an electric motor operating the actuator, and a power supply actuating the actuator when power is supplied to the motor. The power supply has a battery cell with a given rated power for an operating period of over 15 seconds and for a total aggregate operating time of over 300 seconds. The motor and power supply are configured to utilize the battery cell at a power greater than the given rated power. The motor characteristics are selected to utilize the battery cell for periods of operation of less than 16 seconds and for a total aggregate operating time of less than 300 seconds. A one-handed handle contains all of the power supply, at least part of an anvil control assembly, and at least part of an electrically-powered stapler/cutter control assembly.
摘要翻译：手术器械包括末端执行器，其具有致动器执行外科手术的致动器，操作致动器的电动机以及当向马达供电时致动致动器的电源。电源具有一个额定功率的电池，工作时间超过15秒，总工作时间超过300秒。电动机和电源被配置为以大于给定额定功率的功率利用电池单元。选择电动机特性以利用电池单元小于16秒的操作周期，并且总的总操作时间小于300秒。单手柄包含所有电源，至少一部分砧座控制组件，以及电动订书机/切割器控制组件的至少一部分。

36. 发明授权

US08444662B2 Cordless hand-held ultrasonic cautery cutting device 有权
标题翻译：无绳手持式超声波烧灼切割装置
公开(公告)号：US08444662B2
公开(公告)日：2013-05-21
申请号：US12269544
申请日：2008-11-12
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 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic surgical assembly includes an ultrasonic waveguide and a cordless ultrasonic-movement-generation assembly that has a selectively removable securing connector and an output couple operable to impart ultrasonic movement to the ultrasonic waveguide when the waveguide is connected thereto. The assembly also includes a removable battery and a surgical handle that has a first handle body portion defining therein an aseptically sealable battery-holding compartment selectively exposed to the environment, aseptically removably holding therein the battery and electrically connecting the battery therein to the ultrasonic-movement-generation assembly. A second handle body portion is connected to the first handle body portion and has a waveguide attachment dock that is exposed to the environment and has a first couple operable to connect the waveguide thereto and an ultrasonic-movement-generation assembly dock that is exposed to the environment and shaped to removably secure the second handle body portion to the securing connector and connect the ultrasonic waveguide in the attachment dock to the output couple through the second handle body portion.
摘要翻译：超声外科组件包括超声波波导和无绳超声波移动发生组件，其具有可选择性地移除的固定连接器和可操作以在波导连接到超声波波导时向超声波波导施加超声波运动的输出耦合。组件还包括可移除电池和外科手柄，其具有在其中限定有选择性地暴露于环境的无菌密封电池保持室的第一手柄主体部分，无菌地可移除地保持其中的电池并将其中的电池电连接到超声波运动生成装配。第二手柄主体部分连接到第一手柄主体部分并且具有暴露于环境的波导附件底座，并且具有可操作以将波导连接到其上的第一耦合件和暴露于该第二手柄主体部分的超声波移动发生组装基座并且成形为将第二把手主体部分可移除地固定到固定连接器，并且通过第二把手主体部分将连接座中的超声波导连接到输出对。

37. 发明授权

US08419757B2 Cordless hand-held ultrasonic cautery cutting device 有权
标题翻译：无绳手持式超声波烧灼切割装置
公开(公告)号：US08419757B2
公开(公告)日：2013-04-16
申请号：US12266101
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： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic surgical assembly includes a reusable cordless ultrasonic transducer and a disposable handle body that defines a battery-holding compartment therewithin, having an ultrasonic surgical waveguide, and operable to removably couple the transducer to the waveguide, the transducer being removably couplable to the handle body.
摘要翻译：超声外科组件包括可重复使用的无绳超声波换能器和一次性手柄本体，其在其中限定电池保持室，具有超声手术波导，并且可操作地将换能器可拆卸地耦合到波导，换能器可拆卸地联接到手柄本体。

38. 发明授权

US08403948B2 Cordless hand-held ultrasonic cautery cutting device 有权
标题翻译：无绳手持式超声波烧灼切割装置
公开(公告)号：US08403948B2
公开(公告)日：2013-03-26
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。

39. 发明授权

US08061014B2 Method of assembling a cordless hand-held ultrasonic cautery cutting device 有权
标题翻译：组装无绳手持式超声波烧灼切割装置的方法
公开(公告)号：US08061014B2
公开(公告)日：2011-11-22
申请号：US12547898
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： H04R31/00
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734 , B06B3/00 , H04R31/00 , Y10T29/49005 , Y10T29/49169
摘要： A method for assembling an ultrasonic surgical assembly includes the steps of substantially simultaneously removably coupling an ultrasonic-driving-wave-signal generating circuit to an ultrasonic surgical handle body and removably inserting an ultrasonic-movement-producing distal end of a rotatably free ultrasonic transducer into the ultrasonic surgical handle body. An ultrasonic waveguide is inserted into the ultrasonic surgical handle body opposite the ultrasonic-movement-producing distal end. The ultrasonic waveguide is rotated with respect to the ultrasonic transducer to fixedly couple the ultrasonic waveguide to the ultrasonic-movement-producing distal end of the ultrasonic transducer.
摘要翻译：一种用于组装超声外科手术组件的方法包括以下步骤：将超声波驱动波信号产生电路基本上同时可移除地耦合到超声手术手柄本体，并将可旋转自由的超声波换能器的超声波移动产生远端可移除地插入到超声手术手柄。将超声波波导插入与超声波产生运动的远端相对的超声手术手柄体内。超声波波导相对于超声波换能器旋转，将超声波波导固定地连接到超声波换能器的超声波移动产生远端。

40. 发明申请

US20090143803A1 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：US20090143803A1
公开(公告)日：2009-06-04
申请号：US12269544
申请日：2008-11-12
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 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic surgical assembly includes an ultrasonic waveguide and a cordless ultrasonic-movement-generation assembly that has a selectively removable securing connector and an output couple operable to impart ultrasonic movement to the ultrasonic waveguide when the waveguide is connected thereto. The assembly also includes a removable battery and a surgical handle that has a first handle body portion defining therein an aseptically sealable battery-holding compartment selectively exposed to the environment, aseptically removably holding therein the battery and electrically connecting the battery therein to the ultrasonic-movement-generation assembly. A second handle body portion is connected to the first handle body portion and has a waveguide attachment dock that is exposed to the environment and has a first couple operable to connect the waveguide thereto and an ultrasonic-movement-generation assembly dock that is exposed to the environment and shaped to removably secure the second handle body portion to the securing connector and connect the ultrasonic waveguide in the attachment dock to the output couple through the second handle body portion.
摘要翻译：超声外科组件包括超声波波导和无绳超声波移动发生组件，其具有可选择性地移除的固定连接器和可操作以在波导连接到超声波波导时向超声波波导施加超声波运动的输出耦合。组件还包括可移除电池和外科手柄，其具有在其中限定有选择性地暴露于环境的无菌密封电池保持室的第一手柄主体部分，无菌地可移除地保持其中的电池并将其中的电池电连接到超声波运动生成装配。第二手柄主体部分连接到第一手柄主体部分并且具有暴露于环境的波导附件底座，并且具有可操作以将波导连接到其上的第一耦合件和暴露于该第二手柄主体部件的超声波移动发生组装基座并且成形为将第二把手主体部分可移除地固定到固定连接器，并且通过第二把手主体部分将连接座中的超声波导连接到输出对。

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