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1. 发明申请

US20110208215A1 DEVICES, METHODS, AND KITS FOR FORMING TRACTS IN TISSUE 审中-公开
标题翻译：用于形成组织牵引的装置，方法和工具
公开(公告)号：US20110208215A1
公开(公告)日：2011-08-25
申请号：US12888309
申请日：2010-09-22
申请人： D. Bruce Modesitt , Joseph F. Paraschac , Dan J. Hammersmark , David C. Auth , Brian Andrew Ellingwood
发明人： D. Bruce Modesitt , Joseph F. Paraschac , Dan J. Hammersmark , David C. Auth , Brian Andrew Ellingwood
IPC分类号： A61B17/00 , A61B17/34
CPC分类号： A61B17/3415
摘要： Tissue tract-forming devices, methods, and kits are disclosed. In some variations, a method for forming a tract in a tissue wall having an interior surface and an exterior surface may comprise advancing an anchor member through the tissue wall and into a lumen defined by the tissue wall, the anchor member comprising a proximal portion, a distal portion, and an intermediate portion therebetween, wherein the proximal and intermediate portions are angled with respect to each other and the intermediate and distal portions are angled with respect to each other, positioning the anchor member so that the intermediate portion contacts the interior surface of the tissue wall and the distal portion is angled toward the interior surface of the tissue wall, and advancing a tissue-piercing member into the tissue wall while the intermediate portion is in contact with the interior surface of the tissue wall, to form a tract in the tissue wall.
摘要翻译：公开了组织束形成装置，方法和试剂盒。在一些变型中，用于在具有内表面和外表面的组织壁中形成管道的方法可以包括使锚固构件前进穿过组织壁并进入由组织壁限定的内腔，锚定构件包括近端部分，远端部分和其间的中间部分，其中近端部分和中间部分相对于彼此成角度，并且中间部分和远端部分相对于彼此成角度，定位锚固部件，使得中间部分接触内表面组织壁和远端部分朝向组织壁的内表面成角度，并且当中间部分与组织壁的内表面接触时将组织刺穿构件推进到组织壁中，以形成管道在组织壁。

2. 发明申请

US20110230906A1 DEVICES, METHODS AND KITS FOR FORMING TRACTS IN TISSUE 审中-公开
标题翻译：用于形成组织中的牵引的装置，方法和工具
公开(公告)号：US20110230906A1
公开(公告)日：2011-09-22
申请号：US13004848
申请日：2011-01-11
申请人： D. Bruce Modesitt , George D. Hermann , Michael Drews , Joseph F. Paraschac , Brian Andrew Ellingwood , Dan J. Hammersmark
发明人： D. Bruce Modesitt , George D. Hermann , Michael Drews , Joseph F. Paraschac , Brian Andrew Ellingwood , Dan J. Hammersmark
IPC分类号： A61B17/34
CPC分类号： A61B17/3403 , A61B1/018 , A61B1/04 , A61B1/042 , A61B1/05 , A61B1/313 , A61B1/3132 , A61B1/3137 , A61B17/3421 , A61B17/3494 , A61B34/20 , A61B90/361 , A61B2017/00022 , A61B2017/00026 , A61B2017/00057 , A61B2017/00084 , A61B2017/00106 , A61B2017/00278 , A61B2017/00867 , A61B2017/3413 , A61B2017/3425 , A61B2017/3488 , A61B2018/00005 , A61B2034/2063 , A61B2090/064 , A61B2090/065 , A61B2090/378 , A61B2090/3786 , A61M5/427
摘要： Described here are methods, devices and kits for locating tissue and/or forming one or more tracts in tissue. In some variations, tissue may be located (e.g., using one or more optical sensors, ultrasound sensors, thermal sensors, or the like) and one or more tracts may be formed through the tissue after it has been located. In certain variations, the same device may be used both to locate tissue and to form one or more tracts in the tissue. In some variations, a tissue-piercing member for forming one or more tracts in tissue may comprise a first elongated portion and a second elongated portion, and an angle therebetween.
摘要翻译：这里描述了用于定位组织和/或在组织中形成一个或多个束的方法，装置和试剂盒。在一些变型中，可以定位组织（例如，使用一个或多个光学传感器，超声波传感器，热传感器等），并且可以在组织定位之后通过组织形成一个或多个束。在某些变型中，可以使用相同的装置来定位组织并在组织中形成一个或多个束。在一些变型中，用于在组织中形成一个或多个束的组织刺穿构件可以包括第一细长部分和第二细长部分以及它们之间的角度。

3. 发明申请

US20090105744A1 METHODS FOR FORMING TRACTS IN TISSUE 审中-公开
标题翻译：在组织中形成牵引的方法
公开(公告)号：US20090105744A1
公开(公告)日：2009-04-23
申请号：US11873957
申请日：2007-10-17
申请人： D. Bruce Modesitt , Dan J. Hammersmark , Joseph F. Paraschac
发明人： D. Bruce Modesitt , Dan J. Hammersmark , Joseph F. Paraschac
IPC分类号： A61B1/32 , A61B17/03
CPC分类号： A61B17/0057 , A61B2017/00676 , A61B2017/3488
摘要： Described here are methods for forming one or more tracts in tissue. The tracts may be formed in any suitable or desirable tissue, and may seal relatively quickly without the need for a supplemental closure device. In some variations, the methods comprise advancing a tissue-locating member adjacent to a tissue wall, deforming at least a portion of the tissue wall with the tissue-locating member, and advancing a tissue-piercing member through the deformed tissue to form the tract, where the tract provides access for one or more tools. Also described here are methods of forming tracts through rotated or tented tissue. Any of the methods described here may also be used with tissue having at least one irregular surface.
摘要翻译：这里描述了在组织中形成一个或多个束的方法。这些束可以形成在任何合适的或期望的组织中，并且可以相对快速地密封，而不需要补充关闭装置。在一些变型中，所述方法包括使组织定位构件前进到邻近组织壁，使组织壁的至少一部分与组织定位构件变形，以及使组织刺穿构件穿过变形的组织以形成道，其中该道提供对一个或多个工具的访问。这里还描述了通过旋转或帐篷组织形成束的方法。这里描述的任何方法也可以与具有至少一个不规则表面的组织一起使用。

4. 发明申请

US20120053609A1 METHODS FOR FORMING TRACTS IN TISSUE 审中-公开
标题翻译：在组织中形成牵引的方法
公开(公告)号：US20120053609A1
公开(公告)日：2012-03-01
申请号：US13289997
申请日：2011-11-04
申请人： D. Bruce Modesitt , Dan J. Hammersmark , Joseph F. Paraschac
发明人： D. Bruce Modesitt , Dan J. Hammersmark , Joseph F. Paraschac
IPC分类号： A61B17/34
CPC分类号： A61B17/0057 , A61B2017/00676 , A61B2017/3488
摘要： Described here are methods for forming one or more tracts in tissue. The tracts may be formed in any suitable or desirable tissue, and may seal relatively quickly without the need for a supplemental closure device. In some variations, the methods comprise advancing a tissue-locating member adjacent to a tissue wall, deforming at least a portion of the tissue wall with the tissue-locating member, and advancing a tissue-piercing member through the deformed tissue to form the tract, where the tract provides access for one or more tools. Also described here are methods of forming tracts through rotated or tented tissue. Any of the methods described here may also be used with tissue having at least one irregular surface.
摘要翻译：这里描述了在组织中形成一个或多个束的方法。这些束可以形成在任何合适的或期望的组织中，并且可以相对快速地密封，而不需要补充关闭装置。在一些变型中，所述方法包括使组织定位构件前进到邻近组织壁，使组织壁的至少一部分与组织定位构件变形，以及使组织刺穿构件穿过变形的组织以形成道，其中该道提供对一个或多个工具的访问。这里还描述了通过旋转或帐篷组织形成束的方法。这里描述的任何方法也可以与具有至少一个不规则表面的组织一起使用。

5. 发明授权

US6050999A Corneal implant introducer and method of use 失效
标题翻译：角膜植入物导引器及其使用方法
公开(公告)号：US6050999A
公开(公告)日：2000-04-18
申请号：US993594
申请日：1997-12-18
申请人： Joseph F. Paraschac , John A. Scholl , Thomas A. Silvestrini
发明人： Joseph F. Paraschac , John A. Scholl , Thomas A. Silvestrini
IPC分类号： A61F2/14 , A61F9/013 , A61F9/00
CPC分类号： A61F2/148 , A61F9/013 , Y10S623/906
摘要： A device for introducing a corneal implant into a cornea of a human eye. The device includes a body, a member coupled thereto, and a guide portion. The body has a distal end and a proximal end. The guide portion is disposed at the distal end of the body and forms a channel. The guide portion is configured for laterally supporting the implant when positioned in the channel and the member is arranged to axially support the implant when positioned in the channel.
摘要翻译：用于将角膜植入物引入人眼角膜的装置。该装置包括主体，与其连接的构件和引导部。身体具有远端和近端。引导部分设置在身体的远端并形成通道。引导部分构造成在定位在通道中时横向地支撑植入物，并且该构件布置成当定位在通道中时轴向地支撑植入物。

6. 发明授权

US6017356A Method for using a trocar for penetration and skin incision 失效
标题翻译：使用套针针穿透和皮肤切口的方法
公开(公告)号：US6017356A
公开(公告)日：2000-01-25
申请号：US933797
申请日：1997-09-19
申请人： Christopher J. Frederick , Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
发明人： Christopher J. Frederick , Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
IPC分类号： A61B17/34
CPC分类号： A61B17/3417 , A61B17/3211 , A61B17/3496 , A61B2017/346
摘要： A method for establishing a surgical port for endoscopic or arthroscopic surgery is disclosed. A trocar is initially provided, and the obturator of the trocar includes a flat cutting blade, a shield that moves proximally and distally from a precock position to an extended position, a precock lever to move the shield proximally to expose the flat cutting blade, and a shield retaining assembly to constrain the shield in the proximal position. "Precocking" the trocar of the present invention moves the shield from the distal position wherein the flat blade is covered, to a proximal position wherein the flat blade is exposed, and the shield is constrained by the shield retaining assembly. Once the flat cutting blade is exposed, the skin of the patient is incised with the flat cutting blade of the obturator. The flat blade of the trocar is inserted into the incision and a penetrating force is applied so that the flat blade penetrates into the internal body cavity of the patient. The obturator assembly is removed from the cannula assembly so that the surgical access port is provided into the internal body cavity of the patient. This method eliminates the need for a separate surgical sharp to initially incise the skin before penetration is effected.
摘要翻译：公开了一种建立内窥镜或关节镜手术的手术口的方法。套管针最初设有套管针，套管针的封闭器包括一个平切割刀片，一个护板，其近端和远端从一个预制座位移动到一个延伸位置;一个防护杆，用于向近侧移动护罩以露出平切刀; 屏蔽保持组件，以在近侧位置限制屏蔽。本发明的套管针的“预敷”将屏蔽件从扁平刀片被覆盖的远端位置移动到平坦刀片暴露的近侧位置，并且屏蔽件被屏蔽保持组件约束。一旦平面切割刀片被暴露，患者的皮肤就会被闭塞器的平面切割刀片切开。将套针针的扁平刀片插入切口中，并施加穿透力，使得扁平刀片穿透患者体内腔体。将闭塞器组件从套管组件移除，使得外科进入口被提供到患者的内部体腔中。该方法不需要单独的外科手术，以便在穿透之前最初切开皮肤。

7. 发明授权

US5797938A Self protecting knife for curved jaw surgical instruments 失效
标题翻译：弯曲夹钳外科器械自保刀
公开(公告)号：US5797938A
公开(公告)日：1998-08-25
申请号：US751898
申请日：1996-11-18
申请人： Joseph F. Paraschac , Kenneth S. Wales , Rudolph H. Nobis , Kip Rupp
发明人： Joseph F. Paraschac , Kenneth S. Wales , Rudolph H. Nobis , Kip Rupp
IPC分类号： A61B17/00 , A61B1/00 , A61B17/32 , A61B17/3211 , A61B18/12 , A61B18/14
CPC分类号： A61B18/1447 , A61B18/1445 , A61B17/32 , A61B17/320016 , A61B18/1402 , A61B2017/2945 , A61B2018/126 , A61B2018/1432
摘要： An electrosurgical hemostatic instrument including a curved end effector. A preferred embodiment of the invention provides a bipolar endoscopic clamping, coagulation and cutting device. In this device, a substantially straight, axially flexible knife is used to cut tissue grasped by the jaws of the end effector. The end effector includes a knife channel which is wider than the knife. The knife may include sacrificial contact points adapted to contact the walls of the knife channel as the knife moves through the channel, protecting the cutting edges of the knife blade from damage.
摘要翻译：一种电外科止血器具，包括一个弯曲的末端执行器。本发明的优选实施例提供了一种双极性内窥镜夹持，凝结和切割装置。在该装置中，使用基本上直的轴向柔性刀来切割由末端执行器的夹爪抓持的组织。末端执行器包括比刀更宽的刀通道。刀可以包括当刀移动通过通道时适于接触刀槽的壁的牺牲接触点，保护刀片的切割刃免受损坏。

8. 依法登记的发明

USH1745H Electrosurgical clamping device with insulation limited bipolar electrode 失效
标题翻译：具有绝缘限制双极电极的电外科夹紧装置
公开(公告)号：USH1745H
公开(公告)日：1998-08-04
申请号：US537065
申请日：1995-09-29
申请人： Joseph F. Paraschac
发明人： Joseph F. Paraschac
IPC分类号： A61B18/12 , A61B17/28 , A61B17/32 , A61B18/14 , A61B17/36
CPC分类号： A61B18/1447 , A61B17/29 , A61B17/32 , A61B17/320016 , A61B18/1402 , A61B2017/2926 , A61B2017/2945 , A61B2018/00107 , A61B2018/1422 , A61B2018/1432
摘要： An electrosurgical hemostatic instrument is provided in which the coagulation status of tissue engaged by two elements delivering an electrosurgical energy to tissue may be observed, and in which damage from thermal spread may be minimized. A preferred embodiment of the invention provides a bipolar endoscopic clamping, coagulation and cutting device. In this device, the outer conductive surface of the tissue engaging elements is substantially covered by an insulative coating which confines current flow to the clamped tissue and limited regions around the tissue engaging elements. Coagulation may be observed by watching the region around the tissue engaging elements. Coagulation around the tissue engaging elements may be controlled by selectively coating the outside of the elements with insulation to control current flow from the surface of the engaging elements.
摘要翻译：提供了一种电外科止血仪器，其中可以观察到由两个向组织传递电外科能量的组织的凝固状态，并且可以将热膨胀的损伤最小化。本发明的优选实施例提供了一种双极性内窥镜夹持，凝结和切割装置。在该装置中，组织接合元件的外部导电表面基本上被绝缘涂层覆盖，绝缘涂层将电流流动限制在被夹持的组织和组织接合元件周围的限制区域。可以通过观察组织接合元件周围的区域来观察凝血。可以通过用绝缘体选择性地涂覆元件的外部来控制来自接合元件的表面的电流的流动来控制组织接合元件周围的凝结。

9. 发明授权

US5702408A Articulating surgical instrument 失效
标题翻译：铰接手术器械
公开(公告)号：US5702408A
公开(公告)日：1997-12-30
申请号：US684282
申请日：1996-07-17
申请人： Kenneth S. Wales , Joseph F. Paraschac , David Stefanchik
发明人： Kenneth S. Wales , Joseph F. Paraschac , David Stefanchik
IPC分类号： A61B17/072 , A61B17/28 , A61B17/10
CPC分类号： A61B17/07207 , A61B2017/2901 , A61B2017/2927 , A61B2017/2929
摘要： A four-bar linkage for an articulation assembly adapted for use with a surgical instrument is disclosed. The first link is in the form of an actuation lever which pivots transversely to the longitudinal axis of the instrument. The second and third links are operatively connected to the first link. The fourth link is in the form of an end effector for the instrument, and it is rotatably attached to the second and third links for movement transverse to the longitudinal axis. When the first link is pivotally rotated, a driver assembly causes the second and third links to move in tandem generally parallel to the longitudinal axis of the instrument in opposite directions. Consequently, the end effector rotates in the same direction as that of the actuation lever from an unarticulated position to an articulated position. The four-bar linkage is simple and efficient, and eliminates the need for a conventional central pivot for the articulation joint. By making the linkage the primary structural support of the end effector, clearance can be provided centrally between the second and third links to allow for the passage of additional linkages and members which are needed to actuate the end effector to carry out various surgical functions.
摘要翻译：公开了一种用于与外科器械一起使用的关节运动组件的四杆连杆机构。第一连杆是致动杆的形式，该致动杆横向于仪器的纵向轴线枢转。第二和第三连杆可操作地连接到第一连杆。第四连杆是用于仪器的端部执行器的形式，并且其可旋转地附接到第二和第三连杆件以横向于纵向轴线移动。当第一连杆枢轴转动时，驱动器组件使得第二和第三连杆在大致平行于仪器的纵向轴线的方向上以相反方向移动。因此，末端执行器沿与驱动杆的方向相同的方向从未分配位置旋转到铰接位置。四杆联动是简单和有效的，并且不需要用于关节接头的常规中心枢轴。通过使连杆机构作为末端执行器的主要结构支撑件，间隙可以设置在第二和第三连杆之间的中心，以允许额外的连杆和构件的通过，这些连杆和构件是致动末端执行器以执行各种外科功能所需要的。

10. 发明授权

US5468250A Endoscopic mechanism with friction maintaining handle 失效
标题翻译：具有摩擦维持手柄的内窥镜机构
公开(公告)号：US5468250A
公开(公告)日：1995-11-21
申请号：US041798
申请日：1993-04-01
申请人： Joseph F. Paraschac , Edward J. Biehle, IV
发明人： Joseph F. Paraschac , Edward J. Biehle, IV
IPC分类号： A61B17/28 , A61B19/00 , A61B17/00
CPC分类号： A61B17/29 , A61B2017/2915 , A61B2017/2916 , A61B2017/2917 , A61B2017/292 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B34/70
摘要： Described herein is an endoscopic instrument such as a dissector, scissor or grasper in which there is provided a shaft which defines a longitudinal axis of the instrument. This shaft is able to rotate about the handle portion of the instrument. This mechanism also provides for articulation of the end effectors with respect to the longitudinal axis of the shaft. This articulation is accomplished by causing angulation of the end effector with respect to the shaft. Because driving the cable is accomplished around any such angle, the end effectors continue to be able to operate. There is disclosed herein a locking mechanism which allows the rotational aspect of the device to operate to rotate the entire articulating mechanism. Also, a unique handle is disclosed.
摘要翻译：本文描述了内窥镜器械，例如解剖器，剪刀或抓紧器，其中设置有限定器械的纵向轴线的轴。该轴能够围绕仪器的手柄部分旋转。该机构还提供端部执行器相对于轴的纵向轴线的铰接。这种关节是通过使端部执行器相对于轴的角度而实现的。因为驱动电缆是围绕任何这样的角度完成的，所以末端执行器继续能够操作。这里公开了一种锁定机构，其允许装置的旋转方面操作以使整个关节机构旋转。此外，公开了一种独特的手柄。

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