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51. 发明申请

US20090138006A1 CORDLESS POWER-ASSISTED MEDICAL CAUTERIZATION AND CUTTING DEVICE 有权
标题翻译：无源功率辅助医疗切割和切割装置
公开(公告)号：US20090138006A1
公开(公告)日：2009-05-28
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容纳室，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。

52. 发明申请

US20090137878A1 Flexible, Selectively Rotatable Tissue Retractor and Method for Using the Retractor 有权
标题翻译：灵活的，可选择的可旋转组织牵引器和使用牵引器的方法
公开(公告)号：US20090137878A1
公开(公告)日：2009-05-28
申请号：US12329324
申请日：2008-12-05
申请人： Carlos Rivera , Matthew A. Palmer , Michael Kirk , Max Mendez
发明人： Carlos Rivera , Matthew A. Palmer , Michael Kirk , Max Mendez
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/29 , A61B2017/00349 , A61B2017/00818 , A61B2017/00827 , A61B2017/00867 , A61B2017/2905 , A61B2017/2926 , A61B2090/0811
摘要： A retractor for manipulating an object, the retractor includes a retractor body with proximal and distal ends, a retraction device with a head connected at the distal end of the retractor body and flexible needles of a shape memory material having a memory shape, the memory shape of the needles including a portion with an arcuate shape housed, at least partially, within the head. The retractor further includes an actuation device connected to the proximal end of the retractor body and operatively connected to the needles, the actuation device, upon actuation thereof, moving the needles out of the head and withdrawing the needles into the head and a rotation joint allowing the distal end of the retractor body and the retraction device to rotate independent of the proximal end of the retractor body.
摘要翻译：一种用于操纵物体的牵开器，所述牵开器包括具有近端和远端的牵开器主体，具有连接在所述牵开器主体的远端处的头的回缩装置和具有存储器形状的形状记忆材料的柔性针，包括具有弓形形状的部分，至少部分地容纳在头部内。牵开器还包括连接到牵开器主体的近端并且可操作地连接到针的致动装置，致动装置在其致动时将针移出头部并将针抽出到头部中，并且允许旋转关节允许牵开器主体的远端和收回装置独立于牵开器本体的近端旋转。

53. 发明授权

US07404508B2 Surgical stapling and cutting device 有权
标题翻译：手术缝合切割装置
公开(公告)号：US07404508B2
公开(公告)日：2008-07-29
申请号：US11540255
申请日：2006-09-29
申请人： Kevin W. Smith , Matthew A. Palmer , Korey Robert Kline , Derek Dee Deville
发明人： Kevin W. Smith , Matthew A. Palmer , Korey Robert Kline , Derek Dee Deville
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A medical device includes a control handle, an end effector, and a passive articulating joint connecting the end effector to the handle. The handle has a stapling actuator, an articulation joint actuator different from the stapling actuator, and a body through which the stapling and articulation joint actuators traverse. The end effector has an anvil, a stapler cartridge with staples, and an anvil-cartridge control device connected thereto and to the stapling actuator and staples when the stapling actuator is actuated. The stapling actuator passes through the articulating joint and flexes correspondingly to articulation of the articulating joint. The articulation joint actuator, when unactuated, holds the articulation joint and, thereby, the end effector, in a substantially fixed articulation position, and, when actuated, releases the articulation joint into its freely articulating state to permit free articulation of the end effector dependent upon external forces acting upon the end effector.
摘要翻译：医疗装置包括控制手柄，末端执行器和将端部执行器连接到手柄的被动铰接接头。手柄具有装订致动器，与装订致动器不同的关节运动执行器，以及装订和关节运动关节致动器穿过的主体。末端执行器具有砧座，具有订书钉的订书机盒和连接到其上的砧座控制装置，并且当装订致动器被致动时，钉砧致动器和订书钉。缝合致动器穿过铰接接头并相应于铰接接头的铰接而弯曲。当未致动时，关节运动关节致动器将关节运动关节保持在基本上固定的关节位置，并且在致动时将关节运动关节释放到其自由关节状态，以允许末端执行器依赖的自由关节外力作用在末端执行器上。

54. 发明申请

US20080172088A1 Adjustable Compression Staple and Method for Stapling with Adjustable Compression 有权
标题翻译：可调压缩装订和可调节压缩装订方法
公开(公告)号：US20080172088A1
公开(公告)日：2008-07-17
申请号：US11971998
申请日：2008-01-10
申请人： Kevin W. Smith , Matthew A. Palmer , Korey Robert Kline , Derek Dee Deville
发明人： Kevin W. Smith , Matthew A. Palmer , Korey Robert Kline , Derek Dee Deville
IPC分类号： A61B17/064 , F16B15/00
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A compression-self-adjusting staple includes a substantially U-shaped staple body and a compression device. The staple body has a bridge and two legs extending from the bridge at an angle thereto. Each of the legs has a base end integral with the bridge and a deformable distal end defining a stapling point shaped to pierce material to be stapled. The compression device is at least partly disposed between the legs and has a bias portion with a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and formed to resist movement of the compression surface towards the bridge with a force.
摘要翻译：压缩自调节钉包括基本上U形的订书钉主体和压缩装置。订书钉主体具有一桥和两个腿，其一角度从桥延伸。每个腿具有与桥一体的基端，并且可变形远端限定成形为刺穿待缝合材料的缝合点。压缩装置至少部分地设置在腿之间并且具有偏压部分，其具有可移动地设置在腿部之间的压缩表面和连接到桥梁和压缩表面的压缩电阻器，并且形成为抵抗压缩表面朝向桥梁的运动用力

55. 发明授权

US07341558B2 Pericardial retractor 失效
标题翻译：心包牵开器
公开(公告)号：US07341558B2
公开(公告)日：2008-03-11
申请号：US10666707
申请日：2003-09-19
申请人： Ralph de la Torre , William E. Cohn , Jose Luis Francese , Matthew A. Palmer
发明人： Ralph de la Torre , William E. Cohn , Jose Luis Francese , Matthew A. Palmer
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B17/0281 , A61B2017/0237
摘要： A surgical retractor includes a “swivel” having a string extending from one end and a string extending from the midpoint between the two ends. The swivel is delivered by pushing it out of a tube which is inserted through a small incision between the ribs of the patient. After the swivel is deployed, the tube is removed and the string which is attached to the center of the swivel is pulled to lift the pericardium. When the procedure is complete, the swivel is removed from the patient by pulling the string attached to the end of the swivel. According to one embodiment, the swivel is a cylinder with a blunt conical end. According to another embodiment, the swivel has a sharp end which is covered by a spring loaded collar.
摘要翻译：手术牵开器包括具有从一端延伸的绳和从两端之间的中点延伸的绳的“旋转”。通过将其从穿过患者肋骨之间的小切口插入的管中推出来将其转运。在旋转装置展开之后，将管子取出，并且将牵引到旋转中心的绳子被牵拉以提起心包。当程序完成时，通过拉动附接到旋转端的连接器的绳索将患者的旋转体移除。根据一个实施例，旋转件是具有钝锥形端的圆筒。根据另一个实施例，旋转件具有由弹簧加载的套环覆盖的尖端。

56. 发明授权

US07223272B2 Endoscopic clip applier with hermaphroditic jaws mounted on non-collinear axes 有权
标题翻译：内窥镜夹钳与非共线夹钳安装在非共线轴上
公开(公告)号：US07223272B2
公开(公告)日：2007-05-29
申请号：US10867483
申请日：2004-06-14
申请人： Jose Luis Francese , Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Matthew A. Palmer
发明人： Jose Luis Francese , Kevin W. Smith , Robert Sixto, Jr. , Juergen A. Kortenbach , Matthew A. Palmer
IPC分类号： A61B17/10 , A61B17/08
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803
摘要： A clip 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 adjacent to the jaw assembly and a clip pusher is 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 portion. The threaded portion engages a threaded member 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：施夹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。夹子存储器与钳口组件相邻，并且夹子推动器邻近夹子存储。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。曲柄联接到沿着一部分螺纹的第二控制构件。螺纹部分接合联接到推动器的螺纹构件，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。

57. 发明授权

US06451041B1 Apparatus for protecting a port site opening in the wall of a body cavity and reducing electrosurgical injuries 有权
标题翻译：用于保护在体腔壁上开口的端口部位并减少电外伤的装置
公开(公告)号：US06451041B1
公开(公告)日：2002-09-17
申请号：US09265481
申请日：1999-03-09
申请人： Stephen P. Moenning , Javier Castaneda , Matthew A. Palmer
发明人： Stephen P. Moenning , Javier Castaneda , Matthew A. Palmer
IPC分类号： A61B1734
CPC分类号： A61B17/3423 , A61B17/3417 , A61B17/3421 , A61B17/3431 , A61B18/14 , A61B90/40 , A61B2017/3419 , A61B2017/3482 , A61B2017/3484 , A61B2017/3492 , A61B2090/0815 , A61M25/02 , A61M2025/0233
摘要： A medical apparatus is disclosed. The medical apparatus includes a trocar assembly having a cannula and a trocar, wherein (1) the cannula has (i) a lumen defined therein and (ii) a length L1, (2) the trocar is positionable between a first trocar position and a second trocar position, (3) the trocar is positioned within the lumen of the cannula when the trocar is positioned at the first trocar position, and (4) the trocar is completely removed from the lumen of the cannula when the trocar is positioned at the second trocar position. The medical apparatus also includes a sleeve having (i) a passageway extending therethrough, (ii) a sealing member extending therefrom, and (iii) a length L2, wherein (1) the cannula is positionable between a first cannula position and a second cannula position, (2) the cannula is positioned within the passageway of the sleeve when the cannula is positioned at the first cannula position, (3) the cannula is completely removed from the passageway of the sleeve when the cannula is positioned at the second cannula position, and (4) the length L1 of the cannula is greater than the length L2 of the sleeve such that a portion of the cannula extends out of the passageway of the sleeve when the cannula is positioned at the first cannula position. An associated medical procedure which utilizes the medical apparatus is also disclosed.
摘要翻译：公开了一种医疗装置。该医疗设备包括具有插管和套针针的套管针组件，其中（1）插管具有（i）限定在其中的内腔和（ii）长度L1，（2）套管针可定位在第一套管针位置和第二套管针位置，（3）当套针针定位在第一套管针位置时，套针针位于插管的内腔内，以及（4）当套针针定位在套管针位置时套管针被完全从插管的内腔移除第二个套管针位置。医疗设备还包括一个套筒，其具有（i）从其中延伸穿过的通道，（ii）从其延伸的密封构件，和（iii）长度L2，其中（1）套管可定位在第一插管位置和第二套管之间位置，（2）当套管位于第一插管位置时，套管定位在套管的通道内，（3）当套管位于第二套管位置时，插管完全从套管的通道移除，和（4）套管的长度L1大于套筒的长度L2，使得套管位于第一插管位置时套管的一部分延伸出套管的通道外。还公开了利用医疗装置的相关医疗程序。

58. 发明授权

US06277138B1 Filter for embolic material mounted on expandable frame 失效
标题翻译：安装在可扩展框架上的栓塞材料的过滤器
公开(公告)号：US06277138B1
公开(公告)日：2001-08-21
申请号：US09376120
申请日：1999-08-17
申请人： Melvin E. Levinson , George I. Golik , Matthew A. Palmer
发明人： Melvin E. Levinson , George I. Golik , Matthew A. Palmer
IPC分类号： A61M2900
CPC分类号： A61F2/013 , A61F2002/015 , A61F2002/018 , A61F2230/0006 , A61F2230/0067
摘要： The filter device captures embolic material in a blood vessel and is placed in the blood vessel via a guide wire. The guide wire has a proximal end, a distal end and a stop near its distal end. The filter device includes an expandable frame of frame struts having a closed, radially compact form and an open, radially expanded form. The frame, in the radially expanded form, has frame struts forming a pair of facing frustoconical frame structures. Filter material is attached to one of the pair of frustoconical frame structures. In one embodiment, the filter material is a perforated membrane. The guide wire extends through the expandable frame and the expandable frame is freely movable over the guide wire (likewise, the guide wire is freely movable within the frame), both rotatably and longitudinally, except distally beyond the stop near the distal end of the guide wire. This mobility of the guide wire with respect to the expandable frame enables to guide wire to be guided by the operator through the blood vessel.
摘要翻译：过滤装置捕获血管中的栓塞物质，并通过导丝放置在血管中。引导线具有近端，远端和靠近其远端的止动件。过滤装置包括具有封闭的，径向致密的形式和开放的径向膨胀形式的框架支柱的可扩展框架。以径向膨胀形式的框架具有形成一对面对的截头圆锥框架结构的框架支柱。过滤材料连接到一对截头圆锥形框架结构中的一个。在一个实施例中，过滤材料是穿孔膜。引导线延伸穿过可扩展框架，并且可扩展框架可自由移动地在引导线上方（同样地，引导线可在框架内自由移动），两者都可旋转地和纵向地移动，除了远离引导件远端附近的止挡线。引导线相对于可扩张框架的移动性使得能够引导导线被操作者引导通过血管。

59. 发明授权

US5137288A Side loading wire grip 失效
标题翻译：侧面装载线把手
公开(公告)号：US5137288A
公开(公告)日：1992-08-11
申请号：US733218
申请日：1991-07-22
申请人： John J. Starkey , Fernando M. Viera , Matthew A. Palmer
发明人： John J. Starkey , Fernando M. Viera , Matthew A. Palmer
IPC分类号： A61B17/00 , A61M25/08 , A61M25/09
CPC分类号： A61M25/09041 , A61M25/09 , A61B2017/00469 , A61M2025/09116 , Y10T279/17299 , Y10T279/17504
摘要： A wire gripping handle for attaching to and detaching from wires defines a first tubular member, and a second tubular member which receives the first tubular member in generally coaxial relation. Both tubular members define a longitudinal slot so that, when the slots are aligned, a wire may be placed into the bores of the joined tubular members in lateral fashion. Then, upon relative rotation of the tubular members, a portion of one of them may be radially collapsed into gripping relation with the wire.
摘要翻译：用于附接到线和从线分离的线夹持手柄限定第一管状构件和以大体上同轴的关系容纳第一管状构件的第二管状构件。两个管状构件限定纵向狭槽，使得当狭槽对准时，线可以以侧向方式被放置到连接的管状构件的孔中。然后，当管状部件相对旋转时，其中一个部分的一部分可以径向地折叠成与线的夹紧关系。

60. 发明授权

US09681873B2 Electrical surgical stapling instrument with tissue compressive force control 有权
公开(公告)号：US09681873B2
公开(公告)日：2017-06-20
申请号：US12793962
申请日：2010-06-04
申请人： Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales, Jr. , Derek Dee Deville , Carlos Riveria
发明人： Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales, Jr. , Derek Dee Deville , Carlos Riveria
IPC分类号： A61B17/068 , A61B17/072 , A61B17/115 , A61B17/11 , A61B17/00 , A61B90/00
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 stapling instrument includes a handle having a stapler-closing device. A surgical stapling end effector is connected to the handle and has a pair of opposing stapling surfaces. At least one of the stapling surfaces is operable to move with respect to the other of the stapling surfaces upon actuation of the stapler-closing device to apply a compressive force to tissue therebetween. At least one variable member is operable to receive the compressive force applied to the tissue and to exhibit at least one of mechanical and electrical change associated with the received compressive force. The change influences a surgical procedure on the compressed tissue.

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