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    • 2. 发明授权
    • Endoscopic bipolar electrocautery instruments
    • 内镜双极电烙术
    • US5395369A
    • 1995-03-07
    • US91177
    • 1993-07-13
    • Michael S. McBrayerJurgen A. KortenbachCharles R. Slater
    • Michael S. McBrayerJurgen A. KortenbachCharles R. Slater
    • A61B17/28A61B18/00A61B18/14A61B19/00A61M1/00A61B17/36
    • A61B17/29A61B18/1445A61B18/1402A61B18/1815A61B2017/0088A61B2017/2901A61B2017/2926A61B2017/2931A61B2017/2934A61B2017/2939A61B2018/00083A61B2018/00107A61B2018/126A61B2018/1412A61B2018/146A61B2018/1861A61B2090/0813A61B2217/005
    • An endoscopic bipolar electrocautery instrument includes a proximal actuator coupled by a tube and push rod to a pair of distal graspers. The tube is covered with an insulating shrink wrap from its distal end up to an uncovered proximal portion. A stationary jaw with an integral clevis is mounted inside the distal end of the tube and electrically contacts the inner surface thereof. The clevis holds a pair of ceramic insulators between which a movable jaw is mounted on an insulated bushing with an axle pin. The movable jaw is electrically and mechanically coupled to the push rod which is covered with an insulating shrink wrap from a point just proximal of its connection with the movable jaw to a point near its proximal end. The uninsulated proximal end of the tube is mounted in a conductive bushing which rotates within a nonconductive handle. The proximal end of the push rod extends beyond the conductive bushing and a rubber insulator is fitted between the bushing and the push rod. A nonconductive actuating lever is hingedly attached to the handle and the push rod is rotatingly coupled thereto. A pair of Y-shaped electrical wiper contacts are insert molded in a nonconductive member mounted in the handle and respectively contact the bushing and uninsulated portion of the push rod on either side of the rubber insulator. A bipolar cable insert molded in the nonconductive member is coupled to these contacts and to a source of current.
    • 内窥镜双极电烙术包括通过管和近端致动器连接到一对远端抓持器。 该管被绝缘的收缩包裹物从其远端覆盖到未覆盖的近端部分。 具有整体式U形夹的固定颚安装在管的远端内部并与其内表面电接触。 U形夹具有一对陶瓷绝缘体,在该绝缘体之间可动夹爪安装在具有轴销的绝缘衬套上。 活动夹爪电动和机械地联接到推杆上,该推杆被绝缘收缩包裹物覆盖,该绝缘收缩包装从其与活动夹爪的连接的近侧点到其近端附近的点。 管的未绝缘近端安装在导电套管内,导电衬套在非导电手柄内旋转。 推杆的近端延伸超过导电衬套,并且橡胶绝缘体装配在衬套和推杆之间。 不导电的致动杆铰接地附接到手柄,并且推杆旋转地联接到其上。 一对Y形电气刮水器触点插入模制在安装在手柄中的非导电构件中,并分别接触橡胶绝缘体两侧的推杆的衬套和未绝缘部分。 模制在非导电构件中的双极电缆插入件连接到这些触点和电流源。
    • 8. 发明授权
    • Endoscopic multiple sample bioptome with enhanced biting action
    • 具有增强咬合作用的内窥镜多样本活检钳
    • US06561988B1
    • 2003-05-13
    • US09715268
    • 2000-11-20
    • Vincent TurturroMatthew A. PalmerCharles R. SlaterSaul Gottlieb
    • Vincent TurturroMatthew A. PalmerCharles R. SlaterSaul Gottlieb
    • A61B1000
    • A61B10/0266A61B10/02A61B10/06A61B17/30A61B2010/0225A61B2017/00398A61B2017/2905A61B2017/2926A61B2017/2931A61B2017/2933A61B2017/2939A61B2018/1253A61B2018/146A61B2090/064A61M2025/0098
    • An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to lie in planes which intersect the axis of the base member and to locate the jaws apart from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. The biting action is enhanced according to the invention by arranging the cutting edge of each jaw to lie in a plane which intersects the plane in which the distal portion of the jaw arm lies. The biting action is further enhanced by providing a closing cam on the outer surface of the jaws which is engaged by the cylinder when the jaws are closed. The arrangement of the cutting edges also presents a smooth surface to the interior of an endoscope and the closing cams prevent the sleeve from sliding completely over and off of the jaws.
    • 内窥镜多样本生物切割器包括中空的外部构件和从其延伸穿过的可轴向移动的内部构件。 外部构件和内部构件的近端联接到致动器,用于相对于另一个轴向移动。 外部构件的远端联接到具有尖锐远端边缘和钳口组件的圆柱体中的一个,而内部构件的远端联接到另一个。 钳口组件包括一对相对的,优选有齿的钳口杯,每个钳口由弹性臂联接到基座构件。 臂被弯曲以位于与基部构件的轴线相交的平面中并且将夹爪彼此分开定位。 基座部件安装在气缸内,夹爪组件和气缸相对于彼此的轴向运动将臂插入气缸中,并使咬合杯以咬合动作一起接合。 根据本发明,通过将每个钳口的切割边缘布置在与钳口臂的远端部分所在的平面相交的平面中,根据本发明增强了咬合动作。 通过在钳口的外表面上设置关闭凸轮来进一步增强咬合动作,当闭合钳口时,该闭合凸轮由气缸接合。 切割边缘的布置还呈现出内窥镜内部的光滑表面,并且闭合凸轮防止套筒完全滑过和夹紧夹爪。
    • 9. 发明授权
    • Endoscopic multiple sample bioptome with enhanced biting action
    • 具有增强咬合作用的内窥镜多样本活检钳
    • US5636639A
    • 1997-06-10
    • US412058
    • 1995-03-28
    • Vincent TurturroMatthew A. PalmerCharles R. SlaterSaul Gottlieb
    • Vincent TurturroMatthew A. PalmerCharles R. SlaterSaul Gottlieb
    • A61B10/06A61B10/00A61B10/02A61B17/00A61B17/28A61B17/30A61B19/00
    • A61B10/0266A61B10/06A61B10/02A61B17/30A61B2010/0225A61B2017/00398A61B2017/2905A61B2017/2926A61B2017/2931A61B2017/2933A61B2017/2939A61B2018/1253A61B2018/146A61B2090/064A61M2025/0098
    • An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to lie in planes which intersect the axis of the base member and to locate the jaws apart from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. The biting action is enhanced according to the invention by arranging the cutting edge of each jaw to lie in a plane which intersects the plane in which the distal portion of the jaw arm lies. The biting action is further enhanced by providing a closing cam on the outer surface of the jaws which is engaged by the cylinder when the jaws are closed. The arrangement of the cutting edges also presents a smooth surface to the interior of an endoscope and the closing cams prevent the sleeve from sliding completely over and off of the jaws.
    • 内窥镜多样本生物切割器包括中空的外部构件和从其延伸穿过的可轴向移动的内部构件。 外部构件和内部构件的近端联接到致动器,用于相对于另一个轴向移动。 外部构件的远端联接到具有尖锐远端边缘和钳口组件的圆柱体中的一个,而内部构件的远端联接到另一个。 钳口组件包括一对相对的,优选有齿的钳口杯,每个钳口由弹性臂联接到基座构件。 臂被弯曲以位于与基部构件的轴线相交的平面中并且将夹爪彼此分开定位。 基座部件安装在气缸内,夹爪组件和气缸相对于彼此的轴向运动将臂插入气缸中,并使钳口杯以咬合动作一起接合。 根据本发明,通过将每个钳口的切割边缘布置在与钳口臂的远端部分所在的平面相交的平面中,根据本发明增强了咬合动作。 通过在钳口的外表面上设置关闭凸轮来进一步增强咬合动作,当闭合钳口时,该闭合凸轮由气缸接合。 切割边缘的布置还呈现出内窥镜内部的光滑表面,并且闭合凸轮防止套筒完全滑过和夹紧夹爪。