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1. 发明授权

US5542432A Endoscopic multiple sample bioptome 失效
公开(公告)号：US5542432A
公开(公告)日：1996-08-06
申请号：US189937
申请日：1994-02-01
申请人： Charles R. Slater , Matthew A. Palmer , Jurgen A. Kortenbach , Michael S. McBrayer , Saul Gottlieb
发明人： Charles R. Slater , Matthew A. Palmer , Jurgen A. Kortenbach , Michael S. McBrayer , Saul Gottlieb
IPC分类号： A61B10/06 , A61B10/00 , A61B10/02 , A61B17/00 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B19/00 , A61F2/00
CPC分类号： A61B10/06 , A61B10/0266 , A61B17/320016 , A61B10/02 , A61B17/30 , A61B18/14 , A61B2010/0225 , A61B2017/00398 , A61B2017/00867 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2937 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61F2002/30093 , A61F2210/0019 , A61M2025/0098 , A61M2205/6081 , Y10T29/49995
摘要： 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 urge the jaws away 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. When the outer member is coupled to the jaw assembly and the inner member is coupled to the cylinder, the distal end of the inner member is preferably coupled to the cylinder by a bent end which is welded to a hole in the cylinder wall. One of the jaws is preferably larger and has a pair of proximal wings. The wings and an upper edge portion of the larger jaw are bent radially inward and enter the smaller jaw when the jaws are closed.

2. 发明授权

US5352223A Endoscopic instruments having distally extending lever mechanisms 失效
标题翻译：内窥镜仪器具有远端延伸杆机构
公开(公告)号：US5352223A
公开(公告)日：1994-10-04
申请号：US91166
申请日：1993-07-13
申请人： Michael S. McBrayer , Jurgen A. Kortenbach , Saul Gottlieb
发明人： Michael S. McBrayer , Jurgen A. Kortenbach , Saul Gottlieb
IPC分类号： A61B17/28 , A61B18/14 , A61B17/36
CPC分类号： A61B17/2909 , A61B18/1402 , A61B2017/292
摘要： An endoscopic surgical instrument includes a proximal handle with a distally extending lever actuator. The handle and lever actuator are coupled by a tube and push rod to a pair of distal end effectors. The proximal end of the tube is mounted in a bushing having a flange which is freely rotatable within a flange receiving recess in the handle. The proximal end of the push rod extends proximally beyond the bushing and is coupled to the lever actuator by a ball and set screw coupling. The lever actuator preferably extends at least four inches distally from the proximal end of the handle and includes a finger ring near its distal end. The tube is preferably provided with a ferrule immediately distal of the handle for rotating the tube and push rod about the longitudinal axis of the instrument. The ferrule is preferably provided with a distal extension having an annular notch for locking engagement inside another endoscopic instrument. The lever actuator imparts a force to the end effectors which is magnified relative to the force applied to the actuator. The distal extension of the lever actuator and the finger ring allow the instrument to be operated with one finger while the instrument is grasped by the ferrule or mounted inside another endoscopic instrument.
摘要翻译：内窥镜手术器械包括具有远端延伸的杠杆致动器的近侧手柄。手柄和杠杆致动器通过管和推杆联接到一对远端执行器。管的近端安装在具有凸缘的衬套中，凸缘可在手柄中的凸缘容纳凹部内自由旋转。推杆的近端向近侧延伸超过衬套，并通过球和定位螺钉联接件联接到杠杆致动器。杠杆致动器优选地从手柄的近端向远端延伸至少四英寸，并且在其远端附近包括指环。管优选地设置有紧靠手柄远侧的套圈，用于旋转管并且推动杆围绕器械的纵向轴线。套圈优选设置有具有环形凹口的远侧延伸部，用于将锁定接合在另一内窥镜器械内。杠杆致动器向终端执行器施加力，相对于施加到致动器的力被放大。杠杆致动器和指环的远侧延伸部件允许仪器在一个手指操作时，同时仪器由套圈抓住或安装在另一个内窥镜仪器内。

4. 发明授权

US5569243A Double acting endoscopic scissors with bipolar cautery capability 失效
标题翻译：双功能内窥镜剪刀具有双极烧灼能力
公开(公告)号：US5569243A
公开(公告)日：1996-10-29
申请号：US284793
申请日：1994-08-02
申请人： Juergen A. Kortenbach , Michael S. McBrayer , Charles R. Slater , Saul Gottlieb
发明人： Juergen A. Kortenbach , Michael S. McBrayer , Charles R. Slater , Saul Gottlieb
IPC分类号： A61B17/32 , A61B17/28 , A61B18/00 , A61B18/04 , A61B18/14 , A61B19/00 , A61M1/00 , A61B17/36
CPC分类号： A61B17/29 , A61B18/1445 , A61B18/1402 , A61B18/1815 , A61B2017/0088 , A61B2017/2901 , A61B2017/2926 , A61B2017/2931 , A61B2017/2934 , A61B2017/2939 , A61B2017/2945 , A61B2018/00083 , A61B2018/00107 , A61B2018/126 , A61B2018/1412 , A61B2018/1432 , A61B2018/146 , A61B2018/1861 , A61B2090/0813 , A61B2217/005
摘要： A double acting bipolar endoscopic scissors includes a hollow tube with an integral clevis and a bipolar push rod extending therethrough. The tube is rotatably mounted in a handle member which is provided with a manual actuation lever. The bipolar push rod includes a pair of spaced apart rods which are insulated along substantially their entire lengths by polypropylene sheaths, and which are insert molded in a distal insulating collar near their distal ends, in a proximal insulating collar near their proximal ends, and in a plurality of non-conductive cylinders therebetween. The distal collar includes a flattened distal portion and the distal ends of the rods are bent approximately 90 degrees and exit the flattened portion. A pair of scissor blades are mounted in the clevis with an axle screw and a nut and are insulated from the clevis and the axle screw. One of the scissor blades has a ceramic coating on its face to insulate it from the other scissor blade. Proximal tangs of the scissor blades are coupled by links to the bent distal ends of the rods which extend from the flattened portion of the distal collar.
摘要翻译：双作用双极内窥镜剪刀包括具有整体U形夹的中空管和从其延伸穿过的双极推杆。该管可旋转地安装在设置有手动致动杆的把手构件中。双极推杆包括一对间隔开的杆，它们通过聚丙烯护套沿其基本上整个长度绝缘，并且在靠近其远端的近端绝缘套管中插入模制在靠近其远端的远侧绝缘套管中，并且在近端多个非导电圆柱体。远侧套环包括平坦化的远侧部分，杆的远端弯曲大约90度并离开平坦部分。一对剪刀刀片安装在U形夹中，带有车轴螺钉和螺母，并与U形夹和车轴螺丝绝缘。其中一个剪刀刀片在其表面上具有陶瓷涂层，使其与另一个剪刀刀片绝缘。剪刀片的近端柄通过连杆连接到杆的弯曲的远端，该远端从远端套环的扁平部分延伸。

5. 发明授权

US6099483A Jaw assembly for an endoscopic instrument 失效
标题翻译：用于内窥镜仪器的爪组件
公开(公告)号：US6099483A
公开(公告)日：2000-08-08
申请号：US952011
申请日：1998-02-06
申请人： Matthew A. Palmer , Charles R. Slater , Vincent A. Turturro , Matthew S. Solar , Saul Gottlieb , Jose L. Francese , John Jairo Damarati
发明人： Matthew A. Palmer , Charles R. Slater , Vincent A. Turturro , Matthew S. Solar , Saul Gottlieb , Jose L. Francese , John Jairo Damarati
IPC分类号： A61B10/06 , A61B10/00 , A61B10/02 , A61B17/00 , A61B17/28 , A61B17/30 , A61B18/14 , A61B19/00 , A61F2/00
CPC分类号： A61B10/06 , A61B10/0266 , A61B10/02 , A61B17/30 , A61B18/14 , A61B2010/0225 , A61B2017/00398 , A61B2017/00867 , A61B2017/2905 , A61B2017/292 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2937 , A61B2017/2939 , A61B2017/294 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61F2210/0019 , A61M2025/0098
摘要： An end effector assembly for an endoscopic instrument includes first and second end effectors, a screw and optionally a washer. The end effectors have arms which are biased away from each other. The screw has a threaded portion dimensioned to engage the distal end of the endoscopic instrument and a head portion with a pair of arm receiving grooves. In a presently preferred embodiment, the washer extends over arms of the end effectors which pass through grooves in the head of the screw. In this manner, the arms of the end effectors are captured between the screw and the washer. The grooves are preferably provided with upstanding pins which engage mounting holes in the arms of the end effectors.
摘要翻译： PCT No.PCT / US96 / 06925 Sec。 371日期1998年2月6日 102（e）日期1998年2月6日PCT提交1996年5月10日PCT公布。公开号WO96 / 35382 日期1996年11月14日用于内窥镜器械的末端执行器组件包括第一和第二端部执行器，螺钉和任选的垫圈。末端执行器具有偏离彼此的臂。螺钉具有螺纹部分，其尺寸适于接合内窥镜器械的远端，头部具有一对臂接收槽。在目前优选的实施例中，垫圈延伸穿过通过螺钉头部中的槽的端部执行器的臂。以这种方式，末端执行器的臂被捕获在螺钉和垫圈之间。槽优选地设置有直立的销，其接合末端执行器的臂中的安装孔。

6. 发明授权

US5746216A Endoscopic multiple sample bioptome with enhanced biting action 失效
公开(公告)号：US5746216A
公开(公告)日：1998-05-05
申请号：US771576
申请日：1996-12-20
申请人： Vincent Turturro , Matthew A. Palmer , Charles R. Slater , Saul Gottlieb
发明人： Vincent Turturro , Matthew A. Palmer , Charles R. Slater , Saul Gottlieb
IPC分类号： A61B10/06 , A61B10/00 , A61B10/02 , A61B17/00 , A61B17/28 , A61B17/30 , A61B19/00
CPC分类号： A61B10/0266 , A61B10/06 , A61B10/02 , A61B17/30 , A61B2010/0225 , A61B2017/00398 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61M2025/0098
摘要： 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.

7. 发明授权

US5647115A Method for forming a jaw assembly for an endoscopic bioptome 失效
标题翻译：用于形成用于内窥镜活检钳的钳组件的方法
公开(公告)号：US5647115A
公开(公告)日：1997-07-15
申请号：US459479
申请日：1995-06-02
申请人： Charles R. Slater , Matthew A. Palmer , Jurgen Andrew Kortenbach , Michael Sean McBrayer , Saul Gottlieb
发明人： Charles R. Slater , Matthew A. Palmer , Jurgen Andrew Kortenbach , Michael Sean McBrayer , Saul Gottlieb
IPC分类号： A61B10/06 , A61B10/00 , A61B10/02 , A61B17/00 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B19/00 , A61F2/00 , B23P15/00
CPC分类号： A61B10/06 , A61B10/0266 , A61B17/320016 , A61B10/02 , A61B17/30 , A61B18/14 , A61B2010/0225 , A61B2017/00398 , A61B2017/00867 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2937 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61F2002/30093 , A61F2210/0019 , A61M2025/0098 , A61M2205/6081 , Y10T29/49995
摘要： A jaw assembly of an endoscopic biotome is formed by cutting a hemispherical end of a spring metal cylinder with electrical discharge or laser machining equipment to provide opposed jaw cups. Metal is cut from the middle portion of the cylinder to form two tapered arms which terminate at a cylindrical portion of the open end of the cylinder. At least one of the two tapered arms is bent away from the other to form the jaw assembly.
摘要翻译：通过用放电或激光加工设备切割弹簧金属圆筒的半球形端部来形成内窥镜生物切割机的钳口组件，以提供相对的钳口杯。金属从圆柱体的中间部分切割成两个锥形臂，其终止于圆筒开口端的圆柱形部分。两个锥形臂中的至少一个从另一个锥形臂弯曲以形成钳口组件。

8. 发明授权

US06561988B1 Endoscopic multiple sample bioptome with enhanced biting action 失效
标题翻译：具有增强咬合作用的内窥镜多样本活检钳
公开(公告)号：US06561988B1
公开(公告)日：2003-05-13
申请号：US09715268
申请日：2000-11-20
申请人： Vincent Turturro , Matthew A. Palmer , Charles R. Slater , Saul Gottlieb
发明人： Vincent Turturro , Matthew A. Palmer , Charles R. Slater , Saul Gottlieb
IPC分类号： A61B1000
CPC分类号： A61B10/0266 , A61B10/02 , A61B10/06 , A61B17/30 , A61B2010/0225 , A61B2017/00398 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61M2025/0098
摘要： 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.
摘要翻译：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

US5636639A Endoscopic multiple sample bioptome with enhanced biting action 失效
标题翻译：具有增强咬合作用的内窥镜多样本活检钳
公开(公告)号：US5636639A
公开(公告)日：1997-06-10
申请号：US412058
申请日：1995-03-28
申请人： Vincent Turturro , Matthew A. Palmer , Charles R. Slater , Saul Gottlieb
发明人： Vincent Turturro , Matthew A. Palmer , Charles R. Slater , Saul Gottlieb
IPC分类号： A61B10/06 , A61B10/00 , A61B10/02 , A61B17/00 , A61B17/28 , A61B17/30 , A61B19/00
CPC分类号： A61B10/0266 , A61B10/06 , A61B10/02 , A61B17/30 , A61B2010/0225 , A61B2017/00398 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61M2025/0098
摘要： 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.
摘要翻译：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。

10. 发明授权

US5951488A Endoscopic multiple sample bioptome 失效
标题翻译：内窥镜多样本bioptome
公开(公告)号：US5951488A
公开(公告)日：1999-09-14
申请号：US758693
申请日：1996-12-03
申请人： Charles R. Slater , Matthew A. Palmer , Jurgen Andrew Kortenbach , Michael Sean McBrayer , Saul Gottlieb
发明人： Charles R. Slater , Matthew A. Palmer , Jurgen Andrew Kortenbach , Michael Sean McBrayer , Saul Gottlieb
IPC分类号： A61B10/06 , A61B10/00 , A61B10/02 , A61B17/00 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B19/00 , A61F2/00 , A61B5/00
CPC分类号： A61B10/06 , A61B10/0266 , A61B17/320016 , A61B10/02 , A61B17/30 , A61B18/14 , A61B2010/0225 , A61B2017/00398 , A61B2017/00867 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2937 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61F2002/30093 , A61F2210/0019 , A61M2025/0098 , A61M2205/6081 , Y10T29/49995
摘要： 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 urge the jaws away 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. When the outer member is coupled to the jaw assembly and the inner member is coupled to the cylinder, the distal end of the inner member is preferably coupled to the cylinder by a bent end which is welded to a hole in the cylinder wall. One of the jaws is preferably larger and has a pair of proximal wings. The wings and an upper edge portion of the larger jaw are bent radially inward and enter the smaller jaw when the jaws are closed.
摘要翻译：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。胳膊弯曲，迫使颌骨彼此远离。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。当外部构件联接到钳口组件并且内部构件联接到气缸时，内部构件的远端优选地通过焊接到气缸壁中的孔的弯曲端联接到气缸。其中一个钳口优选较大并且具有一对近侧翼。当钳口关闭时，较大钳口的翼和上边缘部分径向向内弯曲并进入较小的钳口。

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