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41. 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。

42. 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。

43. 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。

44. 发明授权

US5554011A Medical fluid pump powered by a constant source of vacuum 失效
标题翻译：医用液体泵由恒定的真空源供电
公开(公告)号：US5554011A
公开(公告)日：1996-09-10
申请号：US330370
申请日：1994-10-27
申请人： Thomas O. Bales , Matthew S. Solar , Robert Sixto, Jr. , Kevin W. Smith
发明人： Thomas O. Bales , Matthew S. Solar , Robert Sixto, Jr. , Kevin W. Smith
IPC分类号： F01L23/00 , F02B75/02 , F04B9/12 , F04B43/073 , F04B17/00
CPC分类号： F04B9/1215 , F01L23/00 , F04B43/073 , F02B2075/025
摘要： A vacuum powered pump includes a spring biased piston or diaphragm in a vacuum chamber coupled to a source of vacuum. When vacuum is applied to the vacuum chamber, the piston or diaphragm is moved in a first direction against the spring. A delayed action valve is coupled to the vacuum chamber to allow ambient air to enter the chamber only after the piston or diaphragm has been moved a substantial distance in the first direction. When the delayed action valve opens, air enters the vacuum chamber and the force of the entering air together with the bias of the spring propels the piston or diaphragm in a second direction opposite the first direction. The delayed action valve automatically closes and the process repeats so long as a vacuum source is coupled to the vacuum chamber. The reciprocal movement of the piston or diaphragm effects a pulsatile pumping of fluid through a fluid chamber having at least one check valve.
摘要翻译：真空动力泵包括与真空源联接的真空室中的弹簧偏压活塞或隔膜。当真空被施加到真空室时，活塞或隔膜相对于弹簧在第一方向上移动。延迟动作阀联接到真空室以允许环境空气仅在活塞或隔膜已经在第一方向上移动相当大的距离之后才进入腔室。当延迟动作阀打开时，空气进入真空室，并且进入空气的力与弹簧的偏压一起沿与第一方向相反的第二方向推动活塞或隔膜。延迟动作阀自动关闭，并且只要真空源耦合到真空室，该过程就重复。活塞或隔膜的往复运动使液体通过具有至少一个止回阀的流体室脉动泵送。

45. 发明授权

US5350356A Endoscopic suction-irrigation instrument with insertable probe lockable in partially withdraw position 失效
标题翻译：内窥镜吸入式仪器，可插入探头可锁定在部分退避位置
公开(公告)号：US5350356A
公开(公告)日：1994-09-27
申请号：US959244
申请日：1992-10-09
申请人： Thomas O. Bales , Saul Gottlieb , Jurgen A. Kortenbach , Dana W. Ryan , Kevin W. Smith , Matthew S. Solar
发明人： Thomas O. Bales , Saul Gottlieb , Jurgen A. Kortenbach , Dana W. Ryan , Kevin W. Smith , Matthew S. Solar
IPC分类号： A61B17/22 , A61B17/32 , A61B18/00 , A61B18/14 , A61M1/00 , A61M3/02 , A61M5/14
CPC分类号： A61B17/3203 , A61B18/1442 , A61B18/1482 , A61M1/0045 , A61M1/0064 , A61M3/0233 , A61M5/1418 , A61B18/148 , A61B2017/22074 , A61B2017/32113 , A61B2018/00958 , A61M1/0062 , A61M2205/6081
摘要： An endoscopic instrument is described having a fluid chamber, a cannula, a shell, a first locking mechanism, and a probe with a second locking mechanism. The fluid chamber has proximal and distal ends. The hollow cannula is coupled to the distal end of the fluid chamber. The port is located at the proximal end of the fluid chamber. The shell houses the fluid chamber, the port, and the first locking mechanism. The probe extends through the port, through the fluid chamber, and through the hollow cannula. In a first fully inserted position, the distal end of the probe extends past the distal end of the cannula. When the probe is partially withdrawn from the shell, the first locking means releasingly engages the second locking means on the probe. Different spring loaded mechanism are described, including one mechanism which is overcome by pulling on the handle of the probe, and another mechanism which requires an active release mechanism.
摘要翻译：描述了具有流体室，套管，壳体，第一锁定机构和具有第二锁定机构的探针的内窥镜器械。流体室具有近端和远端。中空插管联接到流体室的远端。端口位于流体室的近端。壳体容纳流体室，端口和第一锁定机构。探头延伸穿过端口，通过流体室，并穿过中空套管。在第一完全插入位置，探针的远端延伸穿过套管的远端。当探针从壳体部分地退出时，第一锁定装置释放地接合探针上的第二锁定装置。描述了不同的弹簧加载机构，包括通过拉动探针的手柄来克服的一种机构，以及需要主动释放机构的另一种机构。

46. 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。

47. 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。

48. 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。

49. 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。

50. 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。

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