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41. 发明授权

US07942885B2 Surgical clip applier having clip chamber with clip chain 有权
标题翻译：具有夹子链的夹子室的手术夹具
公开(公告)号：US07942885B2
公开(公告)日：2011-05-17
申请号：US11531720
申请日：2006-09-14
申请人： Robert Sixto, Jr. , Juergen A. Kortenbach
发明人： Robert Sixto, Jr. , Juergen A. Kortenbach
IPC分类号： A61B17/10
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip applier includes a clip chamber defined at the distal end of the instrument. A clip chain of at least two clips is provided in the clip chamber. The clip chain is coupled such that both relatively distal and proximal movement of the proximalmost clip of the clip chain within the chamber results in longitudinal translation of clips within the chamber.
摘要翻译：手术夹具包括限定在器械远端的夹子室。至少两个夹子的夹子链设置在夹子室中。夹子链被联接成使得夹子链的最近端的夹子的相对远端和近端运动在腔室内导致夹子在腔室内的纵向平移。

42. 发明授权

US07367939B2 Rotational, translational and torqueing control members for an endoscopic instrument 有权
标题翻译：用于内窥镜仪器的旋转，平移和扭矩控制构件
公开(公告)号：US07367939B2
公开(公告)日：2008-05-06
申请号：US10867395
申请日：2004-06-14
申请人： Kevin W. Smith , Jose Luis Francese , Juergen A. Kortenbach , Robert Sixto, Jr.
发明人： Kevin W. Smith , Jose Luis Francese , Juergen A. Kortenbach , Robert Sixto, Jr.
IPC分类号： A61B1/00
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A flexible endoscopic dip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译：柔性内窥镜浸渍器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。曲柄联接到沿着远端部分螺纹的第二控制构件。螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

43. 发明授权

US07070602B2 Method of applying surgical clips to tissue 有权
公开(公告)号：US07070602B2
公开(公告)日：2006-07-04
申请号：US10010908
申请日：2001-12-06
申请人： Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Charles R. Slater
发明人： Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Charles R. Slater
IPC分类号： A61B17/04
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A flexible clip applier includes a flat wire wound outer tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A large pushing force to advance a clip is created by providing a compressive force to the outer tubular coil to increase its tensile limitation, and providing a force which is compressive to the clip-advancing wire and tensile to the tubular coil while maintaining the compressive force on the tubular coil.

44. 发明授权

US06824548B2 Flexible surgical clip applier 有权
标题翻译：灵活的手术夹具
公开(公告)号：US06824548B2
公开(公告)日：2004-11-30
申请号：US10010906
申请日：2001-12-06
申请人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr. , Charles R. Slater
发明人： Kevin W. Smith , Juergen A. Kortenbach , Robert Sixto, Jr. , Charles R. Slater
IPC分类号： A61B1704
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A flexible clip applier includes a flat wire wound tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A clip chamber is defined in the distal end of the coil. A clip pusher is provided at a distal end of the clip-advancing wire, and advances a clip into the jaws when the clip-advancing wire is moved distally. The jaws include channels in which a distalmost clip rides when the jaws are closed and the pusher is advanced, thereby causing the distalmost clip to be pushed over the tissue, and a distal anvil which operate to bend a portion of the clip to facilitate its retention on the clamped tissue. The device can push a clip with a force in excess of 1500 grams.
摘要翻译：柔性施夹器包括扁平绕线管状线圈，线圈端部的一对钳口，延伸穿过线圈并连接到钳口的末端执行器线以及延伸穿过线圈的夹持线。夹子室限定在线圈的远端。夹子推进器设置在夹子前进线的远端处，并且当夹子前进的线向远侧移动时将夹子推进到夹爪中。夹爪包括当夹爪闭合并且推动器前进时最远的夹子骑行的通道，从而使最远侧的夹子被推到组织上方，并且远端砧座用于弯曲夹子的一部分以便于其保持在夹紧的组织上。该装置可以用超过1500克的力推动夹子。

45. 发明授权

US08348980B2 Method and plate for fusing the medial column bones of the foot 有权
标题翻译：用于融合脚的内侧柱骨的方法和板
公开(公告)号：US08348980B2
公开(公告)日：2013-01-08
申请号：US12579960
申请日：2009-10-15
申请人： Priya Prasad , Mark S. Myerson , Roy W. Sanders , Craig S. Tsukayama , Robert Sixto, Jr.
发明人： Priya Prasad , Mark S. Myerson , Roy W. Sanders , Craig S. Tsukayama , Robert Sixto, Jr.
IPC分类号： A61B17/66
CPC分类号： A61B17/1728 , A61B17/1775 , A61B17/8014 , A61B17/8057 , A61B17/8061
摘要： A method for joining together a first, a second and a third bone part of a surgical patient includes obtaining a bone plate having a first, a second and a third portion arranged along a longitudinal axis. The first portion contains a first slot for receiving a first compressing screw. The second portion is adjacent to the first portion and contains a second slot for receiving a second compressing screw. The third portion is adjacent to the second portion and contains a threaded hole for receiving a locking screw. The method further includes positioning the first, second and third portions over the first, second and third bone parts. The method further includes inserting the locking screw into the threaded hole and into the third bone part, inserting the second compressing screw into the second slot and into the second bone part, and inserting the first compressing screw into the first slot and into the first bone part, thereby urging the first, second and third bone parts together.
摘要翻译：用于将外科患者的第一，第二和第三骨部分连接在一起的方法包括获得具有沿着纵向轴线布置的第一，第二和第三部分的骨板。第一部分包含用于接收第一压缩螺钉的第一槽。第二部分与第一部分相邻并且包含用于接收第二压缩螺钉的第二狭槽。第三部分与第二部分相邻并且包含用于接收锁定螺钉的螺纹孔。该方法还包括将第一，第二和第三部分定位在第一，第二和第三骨部分上。该方法还包括将锁定螺钉插入螺纹孔并进入第三骨部分，将第二压缩螺钉插入第二槽并进入第二骨部，并将第一压紧螺钉插入第一槽并进入第一骨从而将第一，第二和第三骨骼部分一起推动。

46. 发明授权

US07867261B2 Bone plate with variable torsional stiffness at fixed angle holes 有权
标题翻译：在固定角度孔处具有可变扭转刚度的骨板
公开(公告)号：US07867261B2
公开(公告)日：2011-01-11
申请号：US11557429
申请日：2006-11-07
申请人： Robert Sixto, Jr. , Jose Luis Francese , Jorge L. Orbay
发明人： Robert Sixto, Jr. , Jose Luis Francese , Jorge L. Orbay
IPC分类号： A61B17/80
CPC分类号： A61B17/80 , A61B17/8085 , A61B2017/00004
摘要： A bone plate includes at least one torsional modification feature (TMF). Each TMF is structured to decrease the torsional rigidity of the plate relative to longitudinally opposite portions, but may be modified to increase the torsional rigidity thereat. Each TMF is defined by beams contiguous with the lateral sides of the plate, and an opening extending laterally therebetween. In a preferred embodiment, opposed projections extend into the opening to define threaded discontinuous wall portions for receiving an insert, such as a set screw. In one embodiment, bioabsorbable and/or bioactive inserts may be used to temporarily increase the torsional rigidity of the plate during initial fixation and thereafter have reduced torsional rigidity to mimic normal callus. The plate is preferably used with fixed angle fasteners that may be subject to high torsional loads post-operatively.
摘要翻译：骨板包括至少一个扭转修改特征（TMF）。每个TMF被构造成降低板相对于纵向相对部分的扭转刚度，但是可以被修改以增加其上的扭转刚度。每个TMF由与板的侧面相邻的梁以及横向延伸的开口限定。在优选实施例中，相对的突出部延伸到开口中以限定用于接收插入件（例如固定螺钉）的螺纹不连续壁部分。在一个实施方案中，可以使用生物可吸收和/或生物活性插入物来暂时增加初始固定期间板的扭转刚度，此后具有降低的扭转刚度以模拟正常愈伤组织。该板最好与固定角紧固件一起使用，固定角紧固件可能在操作后经受高扭转载荷。

47. 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。

48. 发明申请

US20070027458A1 Surgical Clip Applier Having Clip Chamber with Clip Chain 有权
标题翻译：手术夹具有夹子夹的夹子夹
公开(公告)号：US20070027458A1
公开(公告)日：2007-02-01
申请号：US11531720
申请日：2006-09-14
申请人： Robert Sixto, Jr. , Juergen Kortenbach
发明人： Robert Sixto, Jr. , Juergen Kortenbach
IPC分类号： A61B17/10
CPC分类号： G01B7/10 , A61B17/0644 , A61B17/122 , A61B17/1285 , A61B2017/2905 , A61B2017/2946 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip applier includes a clip chamber defined at the distal end of the instrument. A clip chain of at least two clips is provided in the clip chamber. The clip chain is coupled such that both relatively distal and proximal movement of the proximalmost clip of the clip chain within the chamber results in longitudinal translation of clips within the chamber.
摘要翻译：手术夹具包括限定在器械远端的夹子室。至少两个夹子的夹子链设置在夹子室中。夹子链被联接成使得夹子链的最近端的夹子的相对远端和近端运动在腔室内导致夹子在腔室内的纵向平移。

49. 发明授权

US06494881B1 Apparatus and method for electrode-surgical tissue removal having a selectively insulated electrode 失效
标题翻译：具有选择性绝缘电极的电手术组织去除的装置和方法
公开(公告)号：US06494881B1
公开(公告)日：2002-12-17
申请号：US08940665
申请日：1997-09-30
申请人： Thomas O. Bales , Michael W. Calhoun , Robert Sixto, Jr. , John E. Abele
发明人： Thomas O. Bales , Michael W. Calhoun , Robert Sixto, Jr. , John E. Abele
IPC分类号： A61B1818
CPC分类号： A61B18/149 , A61B18/042 , A61B2017/0088 , A61B2018/00083 , A61B2018/00107 , A61B2018/00136 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/1213 , A61B2018/126 , A61B2018/1417 , A61B2218/002 , A61B2218/007
摘要： An electro-surgical device for performing tissue resection and cauterization includes an elongated body, a pair of arms extending from a distal end of the elongated body, and an electrode in communication with the pair of arms. The elongated body is adapted to be coupled to a source of energy at a proximal end. The electrode has a first region coated with an insulative coating and a second region for focusing energy emission. The coating can be a diamond-like carbon coating or other coating exhibiting resistance to cracking at high temperatures and high voltages. The coating can be deposited on a base section of a loop electrode while the end sections remain free of the coating. Alternatively, the coating can be unevenly deposited on the electrode. In other embodiments, the electrode can comprise a rollerball and the insulative coating can be deposited on selected or random portions of the rollerball. The insulative coating prevents energy loss to fluid and tissue during the operation, thus allowing resection and cauterization to be efficiently performed.
摘要翻译：用于进行组织切除和烧灼的电外科装置包括细长主体，从细长主体的远端延伸的一对臂以及与该对臂连通的电极。细长体适于在近端耦合到能量源。电极具有涂覆有绝缘涂层的第一区域和用于聚焦能量发射的第二区域。涂层可以是类金刚石碳涂层或其它在高温和高电压下具有抗开裂性能的涂层。涂层可以沉积在环形电极的基部上，而端部保持不受涂层的影响。或者，涂层可能不均匀地沉积在电极上。在其他实施例中，电极可以包括一个滚球，并且绝缘涂层可以沉积在滚球的选定的或随机的部分上。绝缘涂层在操作期间防止对流体和组织的能量损失，从而允许有效地进行切除和烧灼。

50. 发明授权

US5893846A Ceramic coated endoscopic scissor blades and a method of making the same 失效
标题翻译：陶瓷涂层内窥镜剪刀刀片及其制造方法
公开(公告)号：US5893846A
公开(公告)日：1999-04-13
申请号：US647827
申请日：1996-05-15
申请人： Thomas O. Bales , Robert Sixto, Jr. , Michael Sean McBrayer
发明人： Thomas O. Bales , Robert Sixto, Jr. , Michael Sean McBrayer
IPC分类号： A61B18/14 , A61B17/38
CPC分类号： A61B18/1445 , A61B2018/00107
摘要： A process for providing an endoscopic scissors blade with the necessary roughness to receive a ceramic coating, without first requiring that the blade surfaces be roughened by gritblasting, includes obtaining an investment mold with an interior textured surface. The investment mold is textured by first texturing an injection mold cavity by etching, gritblasting, or electric-discharge machining the inside surface of the injection mold cavity to produce a desired roughness. A blade pattern (wax) is then formed in the injection mold with a resulting textured surface, and using the textured blade pattern, the investment mold with the textured interior cavity is generated. When metal is injected into the investment mold using a lost wax process, the resulting cast blades will have the necessary roughness for permitting a ceramic to be bonded thereto without the need for any additional roughening. Thus, the so-formed blades are coated with a ceramic material. Such scissors blades are used in an endoscopic surgical scissors instrument and are especially useful as the scissor blades of a bipolar cautery endoscopic scissors instrument.
摘要翻译：提供具有必要粗糙度以接收陶瓷涂层的内窥镜剪刀刀片的方法，而不首先要求刀片表面通过喷砂进行粗糙化，包括获得具有内部纹理表面的投射模具。通过首先通过蚀刻，喷砂或注射模腔的内表面的放电加工来形成注塑模腔，从而产生所需的粗糙度，从而对投资模具进行纹理化。然后在注射模具中形成刀片图案（蜡），其中形成有纹理的表面，并且使用纹理的刀片图案，产生具有织构化内腔的投资模具。当使用失蜡工艺将金属注入投资模具时，所得到的铸造刀片将具有必要的粗糙度，以允许将陶瓷粘合到其上而不需要任何额外的粗糙化。因此，如此形成的叶片被涂覆有陶瓷材料。这种剪刀刀片用于内窥镜手术剪刀仪器中，并且特别适用于双极烧灼内窥镜剪刀仪器的剪刀片。

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