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51. 发明申请

US20100185215A1 SURGICAL CLIP APPLIER RATCHET MECHANISM 有权
标题翻译：手术夹具应用机构
公开(公告)号：US20100185215A1
公开(公告)日：2010-07-22
申请号：US12748959
申请日：2010-03-29
申请人： Thomas W. Huitema , Robert L. Koch, JR.
发明人： Thomas W. Huitema , Robert L. Koch, JR.
IPC分类号： A61B17/122
CPC分类号： A61B17/10 , A61B17/1285 , A61B2017/00407 , A61B2017/2923 , A61B2090/032 , A61B2090/0811 , Y10S227/901
摘要： A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.
摘要翻译：提供外科手术夹具和在手术过程中将手术夹子应用于血管，导管，分流器等的方法。在一个示例性实施例中，提供了具有壳体的手术夹具，其具有可移动地联接到其上的触发器，以及从其延伸的细长轴，在其远端形成有相对的夹爪。触发器适于推进夹子以将夹子定位在钳口之间，并且将钳口从打开位置移动到关闭位置，以夹紧位于其间的夹子。

52. 发明申请

US20090209995A1 IMPLANTABLE ADJUSTABLE SPHINCTER SYSTEM 审中-公开
标题翻译：可植入可调节式喷雾系统
公开(公告)号：US20090209995A1
公开(公告)日：2009-08-20
申请号：US12030908
申请日：2008-02-14
申请人： Randal T. Byrum , Thomas W. Huitema , William L. Hassler, JR.
发明人： Randal T. Byrum , Thomas W. Huitema , William L. Hassler, JR.
IPC分类号： A61M29/00
CPC分类号： A61F5/0059 , A61F2002/044
摘要： An implantable adjustable sphincter system is comprised of a band configured to encircle a portion of an anatomical passageway, a manual pump, a reservoir in fluid communication with the pump, and a valve assembly in fluid communication with the band and the manual pump. The valve assembly is comprised of a first configuration and a second configuration, and is operable to be manually switched between configurations. The first configuration only permits fluid to flow from the band toward the reservoir. The second configuration only permits fluid to flow from the reservoir toward the band. The manual pump is in fluid communication with the valve assembly and the reservoir, and is manually operable to transfer fluid between the reservoir and the band when the valve assembly is in the second configuration.
摘要翻译：植入式可调节括约肌系统包括构造成环绕解剖通道的一部分的带，手动泵，与泵流体连通的储存器，以及与带和手动泵流体连通的阀组件。阀组件包括第一配置和第二配置，并且可操作以在配置之间手动切换。第一种配置只允许流体从带状物流向贮存器。第二种配置仅允许流体从储存器流向带。手动泵与阀组件和储存器流体连通，并且当阀组件处于第二配置时，可手动操作以在储存器和带之间传送流体。

53. 发明申请

US20090021818A1 MEDICAL SCANNING ASSEMBLY WITH VARIABLE IMAGE CAPTURE AND DISPLAY 审中-公开
标题翻译：医疗扫描装置与可变图像捕获和显示
公开(公告)号：US20090021818A1
公开(公告)日：2009-01-22
申请号：US11780950
申请日：2007-07-20
申请人： Michael P. Weir , Robert J. Dunki-Jacobs , Jere J. Brophy , Michael S. Cropper , Thomas W. Huitema , Ronald J. Kolata , Gary L. Long , Paul G. Ritchie , Jane A. Sheetz , Robert M. Trusty , Bradley E. White , David C. Youmans
发明人： Michael P. Weir , Robert J. Dunki-Jacobs , Jere J. Brophy , Michael S. Cropper , Thomas W. Huitema , Ronald J. Kolata , Gary L. Long , Paul G. Ritchie , Jane A. Sheetz , Robert M. Trusty , Bradley E. White , David C. Youmans
IPC分类号： G02B26/08 , H04N3/08
CPC分类号： G02B26/105 , A61B1/00096 , A61B1/00172 , A61B1/0019 , A61B5/0062 , A61B5/0084 , A61B5/7207 , H04N5/2256
摘要： A scanned beam imaging system including a housing suitable for insertion into a body and a radiation source configured to direct a beam of radiation into or through the housing and onto an area within the body. The scanned beam imaging system further includes an adjustable element inside the housing and positioned to reflect the beam of radiation or to receive the beam of radiation therethrough, wherein the adjustable element is physically adjustable to vary a property of the beam of radiation that is reflected thereby or received therethrough. The scanned beam imaging system further includes a collector configured to receive radiation returned from the area within the body.
摘要翻译：一种扫描光束成像系统，包括适于插入体内的壳体和被配置成将辐射束引导入或穿过壳体并进入体内的区域的辐射源。扫描光束成像系统还包括壳体内部的可调节元件并且被定位成反射辐射束或者接收通过其的辐射束，其中可调节元件物理上可调节以改变由此反射的辐射束的特性或通过其接收。扫描光束成像系统还包括收集器，其被配置为接收从身体内的区域返回的辐射。

54. 发明授权

US6007497A Surgical biopsy device 失效
标题翻译：手术活检装置
公开(公告)号：US6007497A
公开(公告)日：1999-12-28
申请号：US107845
申请日：1998-06-30
申请人： Thomas W. Huitema
发明人： Thomas W. Huitema
IPC分类号： A61B10/02 , A61B10/00 , A61M1/00 , A61B5/00
CPC分类号： A61B10/0275 , A61B10/0283 , A61B2010/0208 , A61B2217/005
摘要： A biopsy probe is provided for the collection of at least one soft tissue sample from a surgical patient. The probe comprises a frame having distal and proximal ends. The probe further comprises an elongated piercing element attached to the distal end of the frame. The piercing element has a sharpened distal end for piercing tissue, and a port located proximal to the sharpened distal end for receiving a portion of tissue mass positioned adjacent to the port. The probe further includes an elongated cutter having proximal and distal ends. The cutter is disposed coaxially and slideably relative to the piercing element and has a cutting blade on the distal end for cutting the portion of tissue protruding into the port of the piercing element when the cutter slides distally past the port, thereby depositing the portion of cut tissue within the cutter lumen of the cutter proximal to the cutting blade. In one embodiment, the probe further includes a tissue remover disposed in the cutter lumen of the cutter and having a structure on the distal end for obstructing the cutter lumen so that a tissue sample protruding into the port and severed by the cutter is prevented from moving proximally through the cutter lumen. In another embodiment, the probe further comprises a distal frame seal, a proximal frame seal, and a proximal cutter seal for substantially preventing the passage of fluids through a first, a second, and a third radial space, respectively, within the probe. In a preferred embodiment, a valve is provided on the proximal end of the tissue remover for the releaseable attachment to a reservoir.
摘要翻译：提供活检探针用于从外科患者收集至少一个软组织样品。探头包括具有远端和近端的框架。探头还包括附接到框架的远端的细长穿刺元件。刺穿元件具有用于刺穿组织的锋利的远端，以及位于锐化的远端附近的端口，用于接收邻近端口定位的组织块的一部分。探头还包括具有近端和远端的细长切割器。切割器相对于穿刺元件同轴且可滑动地设置，并且在远端上具有切割刀片，用于当切割器向远侧方向滑过端口时切割突出到穿孔元件的端口中的组织部分，从而沉积切割部分切割器的切割器内腔内的组织靠近切割刀片。在一个实施例中，探针还包括设置在切割器的切割器内腔中的组织移除器，并且具有在远端上的结构，用于阻塞切割器内腔，从而防止突出到端口中并被切割器切断的组织样本移动在近端穿过切割器腔。在另一个实施例中，探针还包括远端框架密封件，近端框架密封件和近端切割器密封件，用于基本上防止流体分别通过探针内的第一，第二和第三径向空间。在优选实施例中，在组织移除器的近端上设置阀，以便可释放地连接到储存器。

55. 发明授权

US5704534A Articulation assembly for surgical instruments 失效
标题翻译：手术器械联合装配
公开(公告)号：US5704534A
公开(公告)日：1998-01-06
申请号：US724727
申请日：1996-09-30
申请人： Thomas W. Huitema , Anil K. Nalagatla , Dale R. Schulze
发明人： Thomas W. Huitema , Anil K. Nalagatla , Dale R. Schulze
IPC分类号： A61B17/28 , A61B17/00 , A61B17/072 , A61B17/32 , A61B19/00
CPC分类号： A61B17/07207 , A61B2017/00309 , A61B2017/00327 , A61B2017/00535 , A61B2017/07214 , A61B2017/07228 , A61B2017/0725 , A61B2017/07285 , A61B2017/2905 , A61B2017/2913 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2932 , A61B2017/2933 , A61B2017/2943 , A61B2017/2946 , A61B2090/0801
摘要： An articulating surgical instrument which has an articulation transmission assembly for remotely articulating an end effector of the instrument is disclosed. Ratcheting rotation of a compressible deck within a detent housing of the assembly from a first locked position to a second locked position causes axial movement of an elongated transmission member for the articulation of the end effector from a first position to a second position angled from the first position. Also disclosed is a flexible neck assembly for articulating the end effector of the surgical instrument. Neck ribs, each having an interior plate and an exterior dish, extend from a central longitudinal rib separating a pair of flexible neck portions of the assembly. A pair of transmission band assemblies, each having an interior articulation band and an attached exterior reinforcement band, reciprocate in opposite directions within side slots of the neck ribs in response to actuation of the articulation transmission assembly. Reciprocation causes the flexible neck assembly to bend, effecting articulation. The shape of the neck ribs optimizes the radius of curvature when articulation is effected, and the reinforcement bands prevent buckling of the articulation bands.
摘要翻译：公开了一种关节式外科器械，其具有用于远程铰接仪器的末端执行器的关节传动组件。组合件的制动器壳体内的可压缩甲板从第一锁定位置到第二锁定位置的棘轮旋转引起细长传动构件的轴向运动，用于使末端执行器从第一位置到第二位置的关节运动，从第一位置到第二位置位置。还公开了一种用于铰接外科器械的末端执行器的柔性颈部组件。每个具有内部板和外部盘的颈部肋条从分离组件的一对柔性颈部的中央纵向肋延伸。响应于关节传动组件的致动，一对传动带组件，每个具有内部铰接带和附接的外部加强带，在颈肋的侧槽内沿相反方向往复运动。往复运动导致柔性颈部组件弯曲，进行铰接。当进行关节运动时，颈部肋骨的形状优化了曲率半径，并且加强带防止关节带的屈曲。

56. 发明授权

US5409498A Rotatable articulating endoscopic fastening instrument 失效
标题翻译：可旋转关节内窥镜固定仪
公开(公告)号：US5409498A
公开(公告)日：1995-04-25
申请号：US971653
申请日：1992-11-05
申请人： Charles K. Braddock , Thomas W. Huitema , David Stefanchik , Kenneth S. Wales
发明人： Charles K. Braddock , Thomas W. Huitema , David Stefanchik , Kenneth S. Wales
IPC分类号： A61B1/00 , A61B17/12 , A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/2927 , A61B2017/2929 , A61B2017/2934 , A61B2017/2936 , Y10S227/901
摘要： A new and improved endoscopic surgical instrument. The business head of the instrument is rotatable about its longitudinal axis and is also articulatable in and out of longitudinal alignment with the longitudinal axis of the instrument.
摘要翻译：一种新的改良内镜手术器械。仪器的商业头部可绕其纵向轴线旋转，并且也可与仪器的纵向轴线纵向对准并且与其伸出。

57. 发明授权

US4449416A Transmission control system 失效
标题翻译：变速箱控制系统
公开(公告)号：US4449416A
公开(公告)日：1984-05-22
申请号：US299318
申请日：1981-09-04
申请人： Thomas W. Huitema
发明人： Thomas W. Huitema
IPC分类号： F16H63/30 , F16H5/42 , B60K20/02 , F16D19/00 , G05G5/10
CPC分类号： F16H63/304 , F16H2063/3089 , Y10S74/07 , Y10T74/18616 , Y10T74/18792 , Y10T74/1926 , Y10T74/19437 , Y10T74/19479 , Y10T74/20183
摘要： A four speed, constant mesh transmission includes an input and an output shaft with four pairs of driver and driven gears respectively spaced on the two shafts. A pair of gear couplings are slidably disposed on the output shaft and splined for rotation therewith. Each gear coupling is selectively moved along the shaft for engagement with one of the driven gears by means of a pair of shift forks respectively engaged with the gear couplings. The two shift forks are slidably disposed on a guide rail which extends parallel to the input and output shafts of the transmission. Each shift fork includes a solenoid lock which may be selectively engaged with the guide rail for preventing sliding movement of the shift fork with respect thereto.
摘要翻译：四速恒定网状传动装置包括输入轴和输出轴，其具有分别在两个轴上间隔开的四对驱动齿轮和从动齿轮。一对齿轮联轴器可滑动地设置在输出轴上并花键盘以便与其一起旋转。每个齿轮联轴器选择性地沿着轴移动，用于通过分别与齿轮联接器啮合的一对换档拨叉与一个从动齿轮啮合。两个换档叉可滑动地设置在平行于变速器的输入和输出轴延伸的导轨上。每个换档叉包括螺线管锁，其可以与导轨选择性地接合，以防止换档拨叉相对于其滑动。

58. 发明授权

US09254180B2 Surgical instrument with staple reinforcement clip 有权
标题翻译：外科手术用夹具加固夹
公开(公告)号：US09254180B2
公开(公告)日：2016-02-09
申请号：US13233681
申请日：2011-09-15
申请人： Thomas W. Huitema , Jeffrey S. Swayze , Julianne M. Siegel , Wendy A. Kerr , Steven G. Hall
发明人： Thomas W. Huitema , Jeffrey S. Swayze , Julianne M. Siegel , Wendy A. Kerr , Steven G. Hall
IPC分类号： A61B17/068 , A61B17/064 , A61B19/00 , A61B17/072 , A61B17/122
CPC分类号： A61B90/04 , A61B17/07292 , A61B17/122 , A61B17/1227 , A61B90/00 , A61B2090/0427
摘要： An apparatus comprises a surgical instrument having a cutter and a stapler. The cutter is operable to sever a portion of tissue. The apparatus further comprises a plurality of staples where the stapler is operable to introduce the plurality of staples into tissue to form a staple line. The apparatus further comprises a reinforcement clip. The reinforcement clip is operable to be in selective communication with the staple line. The reinforcement clip comprises a crown, a leg portion, and a teeth portion. In some versions, the leg portion has a width operable to cover the area defined by the staple line. In some versions, the teeth portion is configured to anchor into tissue.
摘要翻译：一种装置包括具有切割器和订书机的手术器械。切割器可操作以切断一部分组织。该装置还包括多个订书钉，其中订书机可操作以将多个订书钉引入组织以形成订书钉线。该装置还包括加强夹。加强夹可操作以与订书钉线选择性地连通。加强夹包括冠部，腿部部分和齿部分。在一些形式中，腿部具有可操作以覆盖由缝合线限定的区域的宽度。在一些形式中，齿部构造成锚定到组织中。

59. 发明授权

US09028519B2 Motorized surgical instrument 有权
公开(公告)号：US09028519B2
公开(公告)日：2015-05-12
申请号：US13021876
申请日：2011-02-07
申请人： David C. Yates , Thomas W. Huitema , Frederick E. Shelton, IV , Brett E. Swensgard
发明人： David C. Yates , Thomas W. Huitema , Frederick E. Shelton, IV , Brett E. Swensgard
IPC分类号： A61B17/32 , A61B17/072 , A61B17/00 , A61B17/29
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00734 , A61B2017/07278 , A61B2017/2927 , A61B2017/320052
摘要： A surgical cutting and fastening instrument that is motorized. The instrument comprises in one embodiment a charge accumulator device, separate from a battery, that provides additional power to the motor under certain conditions. In addition, the motor may comprise multiple windings.

60. 发明授权

US08758391B2 Interchangeable tools for surgical instruments 有权
标题翻译：手术器械可互换工具
公开(公告)号：US08758391B2
公开(公告)日：2014-06-24
申请号：US12031611
申请日：2008-02-14
申请人： Jeffrey S. Swayze , Thomas W. Huitema , Glen A. Armstrong , Shailendra K. Parihar , Donna L. Korvick , Richard W. Timm , Frederick E. Shelton, IV , Kevin R. Doll , Bret W. Smith , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Charles J. Scheib , Eugene L. Timperman
发明人： Jeffrey S. Swayze , Thomas W. Huitema , Glen A. Armstrong , Shailendra K. Parihar , Donna L. Korvick , Richard W. Timm , Frederick E. Shelton, IV , Kevin R. Doll , Bret W. Smith , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Charles J. Scheib , Eugene L. Timperman
IPC分类号： A61B17/00
CPC分类号： A61B17/00234 , A61B10/00 , A61B17/00491 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/1285 , A61B17/29 , A61B17/295 , A61B17/320016 , A61B17/3205 , A61B17/3401 , A61B18/1206 , A61B18/1445 , A61B2017/0023 , A61B2017/00287 , A61B2017/003 , A61B2017/00464 , A61B2017/00473 , A61B2017/00734 , A61B2017/07214 , A61B2017/07221 , A61B2017/1157 , A61B2017/2905 , A61B2017/2926 , A61B2017/2939 , A61B2018/00595 , A61B2018/1226 , A61B2090/061 , A61B2090/0807 , A61M5/1782 , A61M5/28 , A61M5/3135 , A61M5/31581
摘要： A surgical tool system. Various embodiments of the surgical tool system may comprise surgical instrument that has a handle assembly that operably supports a drive system therein for generating drive motions upon actuation of a movable handle portion operably coupled to the handle assembly. An elongated body protrudes from the handle assembly and operably supports a control rod therein that interfaces with the drive system. The surgical tool system further includes at least two surgical tools selected from the group of surgical tools consisting of: manipulators, nippers, scissors, endocutters, tissue thickness measurement devices, staple appliers, clip appliers, syringes for applying glue, sealant, drugs or medicaments and cauterization devices wherein each of the surgical tool within the group of surgical tools at least has a housing that is removably couplable to the elongated body and a drive assembly that is removably couplable to the control rod for receiving the drive motions therefrom.
摘要翻译：手术工具系统手术工具系统的各种实施例可以包括手术器械，其具有手柄组件，该手柄组件可操作地支撑其中的驱动系统，用于在可操作地联接到手柄组件的可动手柄部分的致动时产生驱动运动。细长的主体从手柄组件突出并且可操作地支撑其中与驱动系统接合的控制杆。所述外科手术工具系统还包括至少两个手术工具，所述手术工具选自由以下组成的一组手术工具：手术器械，钳子，剪刀，内插套管，组织厚度测量装置，缝合施放器，夹具装置，用于施加胶水的注射器，密封剂，药物或药物和烧灼装置，其中该组手术工具组中的每个外科手术工具至少具有可拆卸地联接到细长主体的壳体和可移除地联接到控制杆的驱动组件，用于从其接收驱动运动。

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