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1. 发明授权

US07204811B2 Proximal actuation handle for a biopsy forceps instrument having irrigation and aspiration capabilities 有权
标题翻译：用于具有灌注和抽吸能力的活检钳的近端致动手柄
公开(公告)号：US07204811B2
公开(公告)日：2007-04-17
申请号：US10885021
申请日：2004-07-07
申请人： Juergen Andrew Kortenbach , Vincent Turturro
发明人： Juergen Andrew Kortenbach , Vincent Turturro
IPC分类号： A61B10/00
CPC分类号： A61B10/0266 , A61B10/0283 , A61B10/06 , A61B2010/0225 , A61B2017/00867 , A61B2017/2927 , A61B2017/2939 , A61B2017/294 , A61B2090/035 , A61B2217/005 , A61B2217/007 , A61M1/0084
摘要： An embodiment of the invention includes an assembly for collecting tissue samples. The assembly includes a sample tray holder having a first connector configured to be placed in communication with a first aspiration tube, a second connector configured to be placed in communication with a second aspiration tube, and a sample tray defining a plurality of sample chambers. Each of the plurality of sample chambers includes a first opening configured to be placed in communication with the first connector, a second opening configured to be placed in communication with the second connector, and a sample catch member disposed between the first and second openings, the sample catch member configured to permit a fluid to pass therethrough.
摘要翻译：本发明的实施例包括用于收集组织样本的组件。该组件包括具有构造成与第一抽吸管连通的第一连接器的第一连接器，配置成与第二抽吸管连通的第二连接器和限定多个样品室的样本托盘。多个样本室中的每一个包括被构造成与第一连接器连通的第一开口，被配置为与第二连接器连通的第二开口，以及设置在第一和第二开口之间的样本捕获构件，构造成允许流体通过的样品捕获构件。

2. 发明授权

US06832990B2 Biopsy instrument having aspiration capabilities 失效
标题翻译：活检仪具有吸气能力
公开(公告)号：US06832990B2
公开(公告)日：2004-12-21
申请号：US10228278
申请日：2002-08-27
申请人： Juergen Andrew Kortenbach , Vincent Turturro
发明人： Juergen Andrew Kortenbach , Vincent Turturro
IPC分类号： A61B1000
CPC分类号： A61B10/0266 , A61B10/0283 , A61B10/06 , A61B2010/0225 , A61B2017/00867 , A61B2017/2927 , A61B2017/2939 , A61B2017/294 , A61B2090/035 , A61B2217/005 , A61B2217/007 , A61M1/0084
摘要： According to an aspect, the invention includes a biopsy instrument for retrieving a tissue sample from a patient that may include a tubular member having an aspiration conduit, a distal end effector assembly coupled to the distal end of the tubular member and adapted to detach the tissue sample from the patient, and a proximal actuation handle coupled to the proximal end of the tubular member. The biopsy instrument may further include a sample catch assembly coupled to the aspiration conduit and adapted to receive the tissue sample from the aspiration conduit, the sample catch assembly including a chamber and a sample catch member adapted to separate the tissue sample from the fluid, the sample chamber having a first opening to receive the fluid, a second opening to discharge the fluid from the chamber, and a third opening to removably receive the sample catch member.
摘要翻译：根据本发明的一个方面，本发明包括一种用于从患者中取出组织样本的活检器械，其可包括具有抽吸导管的管状构件，所述远端末端执行器组件联接到所述管状构件的远端并适于分离所述组织来自患者的样品，以及耦合到管状构件的近端的近侧致动手柄。活检器械还可以包括联接到抽吸导管并适于从抽吸导管接收组织样本的样本捕捉组件，样本捕获组件包括适于将组织样本与流体分离的室和样品捕获构件，样品室具有用于接收流体的第一开口，用于从腔室排出流体的第二开口，以及可拆卸地容纳样品捕获构件的第三开口。

3. 发明授权

US07833167B2 Proximal actuation handle for a biopsy forceps instrument having irrigation and aspiration capabilities 失效
标题翻译：用于具有灌注和抽吸能力的活检钳的近端致动手柄
公开(公告)号：US07833167B2
公开(公告)日：2010-11-16
申请号：US11725549
申请日：2007-03-20
申请人： Juergen Andrew Kortenbach , Vincent Turturro
发明人： Juergen Andrew Kortenbach , Vincent Turturro
IPC分类号： A61B10/00
CPC分类号： A61B10/0266 , A61B10/0283 , A61B10/06 , A61B2010/0225 , A61B2017/00867 , A61B2017/2927 , A61B2017/2939 , A61B2017/294 , A61B2090/035 , A61B2217/005 , A61B2217/007 , A61M1/0084
摘要： An embodiment of the invention includes a medical device. The device includes a proximal handle coupled to the proximal end of an elongated member, and a distal assembly coupled to the distal end of the elongated member. The device also includes a collar coupled to the distal assembly proximate to the distal assembly. The collar is adapted to couple the distal assembly to a medical instrument.
摘要翻译：本发明的实施例包括医疗装置。该装置包括联接到细长构件的近端的近侧手柄和联接到细长构件的远端的远端组件。该装置还包括联接到远端组件的套环，该套环靠近远端组件。套环适于将远端组件耦合到医疗器械。

4. 发明授权

US6142956A Proximal actuation handle for a biopsy forceps instrument having irrigation and aspiration capabilities 失效
公开(公告)号：US6142956A
公开(公告)日：2000-11-07
申请号：US794352
申请日：1997-02-03
申请人： Juergen Andrew Kortenbach , Vincent Turturro
发明人： Juergen Andrew Kortenbach , Vincent Turturro
IPC分类号： A61B10/02 , A61B1/00 , A61B10/00 , A61B10/06 , A61B17/28 , A61B19/00 , A61M1/00 , A61M27/00 , A61B5/00
CPC分类号： A61B10/0266 , A61B10/06 , A61B10/0283 , A61B2010/0225 , A61B2017/00867 , A61B2017/2927 , A61B2017/2939 , A61B2017/294 , A61B2090/035 , A61B2217/005 , A61B2217/007 , A61M1/0084
摘要： A biopsy forceps instrument is provided having a proximal actuation handle, a flexible multi-lumen tubular member, at least one control member extending through a lumen, an irrigation means, an aspiration means, and a distal assembly. The proximal actuation handle includes a shaft and a spool slidably mounted on the shaft. The actuation handle is coupled to the proximal ends of both the flexible tubular member and the control member. Lumens of the tubular member form irrigation and aspiration conduits. The distal assembly includes a hollow jaw cup coupled to the aspiration conduit and a hollow movable jaw coupled adjacent the irrigation conduit. The movable jaw is coupled to the control member, such that actuation of the actuation handle moves the movable jaw relative to the jaw cup. Moving the hollow jaws into a closed position provides a substantially fluidtight coupling between the irrigation and aspiration conduits. The actuation handle is also provided with an assembly to control irrigation to and aspiration from the distal assembly. A proximal sample chamber having a removable screen is provided for filtering tissue samples aspirated from the distal assembly. The jaws are activated to cut a tissue sample and the irrigation and aspiration means are activated to move the sample into the sample chamber for retrieving the sample without removing the instrument from a patient.

5. 发明授权

US5897507A Biopsy forceps instrument having irrigation and aspiration capabilities 失效
标题翻译：活检钳具有灌溉和抽吸能力
公开(公告)号：US5897507A
公开(公告)日：1999-04-27
申请号：US756260
申请日：1996-11-25
申请人： Juergen Andrew Kortenbach , Vincent Turturro , Michael Sean McBrayer , Peter Kratsch
发明人： Juergen Andrew Kortenbach , Vincent Turturro , Michael Sean McBrayer , Peter Kratsch
IPC分类号： A61B10/06 , A61B10/00 , A61B10/02 , A61B17/28 , A61B19/00 , A61M1/00
CPC分类号： A61B10/0266 , A61B10/06 , A61B2010/0225 , A61B2017/2939 , A61B2017/294 , A61B2090/035 , A61B2217/005 , A61B2217/007
摘要： A biopsy forceps instrument is provided having a proximal actuation handle, a flexible multi-lumen tubular member, at least one control member extending through a lumen, an irrigation means, an aspiration means, and a distal assembly. The proximal actuation handle includes a shaft and a spool slidably mounted on the shaft. The actuation handle is coupled to the proximal ends of both the flexible tubular member and the control member. Lumens of the tubular member form irrigation and aspiration conduits. The distal assembly includes a hollow jaw cup coupled to the aspiration conduit and a hollow movable jaw coupled adjacent the irrigation conduit. The movable jaw is coupled to the control member, such that actuation of the actuation handle moves the movable jaw relative to the jaw cup. Moving the hollow jaws into a closed position provides a substantially fluidtight coupling between the irrigation and aspiration conduits. The actuation handle is also provided with an assembly to control irrigation to and aspiration from the distal assembly. A proximal sample chamber having a removable screen is provided for filtering tissue samples aspirated from the distal assembly. The jaws are activated to cut a tissue sample and the irrigation and aspiration means are activated to move the sample into the sample chamber for retrieving the sample without removing the instrument from a patient.
摘要翻译：提供活检钳具有近侧致动手柄，柔性多腔管状构件，延伸穿过内腔的至少一个控制构件，冲洗装置，抽吸装置和远端组件。近侧致动手柄包括轴和可滑动地安装在轴上的线轴。致动手柄联接到柔性管状构件和控制构件的近端。管状部件的流明形成灌溉和抽吸管道。远端组件包括联接到抽吸导管的中空钳口杯和邻近冲洗管道连接的中空活动钳口。可移动钳口联接到控制构件，使得致动手柄的致动使可移动钳口相对于钳口杯移动。将空心钳口移动到关闭位置提供灌溉和抽吸管道之间基本上流体密封的联接。致动手柄还设置有用于控制来自远端组件的抽吸和抽吸的组件。提供具有可拆卸屏幕的近端样品室用于过滤从远端组件吸出的组织样本。激活钳口以切割组织样品，并且激活冲洗和抽吸装置以将样品移动到样品室中以取出样品，而不从患者移除仪器。

6. 发明授权

US06544194B1 Proximal actuation handle for a biopsy forceps instrument having irrigation and aspiration capabilities 有权
标题翻译：用于具有灌注和抽吸能力的活检钳的近端致动手柄
公开(公告)号：US06544194B1
公开(公告)日：2003-04-08
申请号：US09599403
申请日：2000-06-22
申请人： Juergen Andrew Kortenbach , Vincent Turturro
发明人： Juergen Andrew Kortenbach , Vincent Turturro
IPC分类号： A61B1000
CPC分类号： A61B10/0266 , A61B10/0283 , A61B10/06 , A61B2010/0225 , A61B2017/00867 , A61B2017/2927 , A61B2017/2939 , A61B2017/294 , A61B2090/035 , A61B2217/005 , A61B2217/007 , A61M1/0084
摘要： A biopsy forceps instrument is provided having a proximal actuation handle, a flexible multi-lumen tubular member, at least one control member extending through a lumen, an irrigation means, an aspiration means, and a distal assembly. The proximal actuation handle includes a shaft and a spool slidably mounted on the shaft. The actuation handle is coupled to the proximal ends of both the flexible tubular member and the control member. Lumens of the tubular member form irrigation and aspiration conduits. The distal assembly includes a hollow jaw cup coupled to the aspiration conduit and a hollow movable jaw coupled adjacent the irrigation conduit. The movable jaw is coupled to the control member, such that actuation of the actuation handle moves the movable jaw relative to the jaw cup. Moving the hollow jaws into a closed position provides a substantially fluidtight coupling between the irrigation and aspiration conduits. The actuation handle is also provided with an assembly to control irrigation to and aspiration from the distal assembly. A proximal sample chamber having a removable screen is provided for filtering tissue samples aspirated from the distal assembly. The jaws are activated to cut a tissue sample and the irrigation and aspiration means are activated to move the sample into the sample chamber for retrieving the sample without removing the instrument from a patient.
摘要翻译：提供活检钳具有近侧致动手柄，柔性多腔管状构件，延伸穿过内腔的至少一个控制构件，冲洗装置，抽吸装置和远端组件。近侧致动手柄包括轴和可滑动地安装在轴上的线轴。致动手柄联接到柔性管状构件和控制构件的近端。管状部件的流明形成灌溉和抽吸管道。远端组件包括联接到抽吸导管的中空钳口杯和邻近冲洗管道连接的中空活动钳口。可移动钳口联接到控制构件，使得致动手柄的致动使可移动钳口相对于钳口杯移动。将空心钳口移动到关闭位置提供灌溉和抽吸管道之间基本上流体密封的联接。致动手柄还设置有用于控制来自远端组件的抽吸和抽吸的组件。提供具有可拆卸屏幕的近端样品室用于过滤从远端组件吸出的组织样本。激活钳口以切割组织样品，并且激活冲洗和抽吸装置以将样品移动到样品室中以取出样品，而不从患者移除仪器。

7. 发明授权

US06174292B1 Biopsy forceps instrument having irrigation and aspiration capabilities 有权
标题翻译：活检钳具有灌溉和抽吸能力
公开(公告)号：US06174292B1
公开(公告)日：2001-01-16
申请号：US09256317
申请日：1999-02-24
申请人： Juergen Andrew Kortenbach , Vincent Turturro , Michael Sean McBrayer , Peter Kratsch
发明人： Juergen Andrew Kortenbach , Vincent Turturro , Michael Sean McBrayer , Peter Kratsch
IPC分类号： A61B1000
CPC分类号： A61B10/0266 , A61B10/06 , A61B2010/0225 , A61B2017/2939 , A61B2017/294 , A61B2090/035 , A61B2217/005 , A61B2217/007
摘要： A biopsy forceps instrument is provided having a proximal actuation handle, a flexible multi-lumen tubular member, at least one control member extending through a lumen, an irrigation means, an aspiration means, and a distal assembly. The proximal actuation handle includes a shaft and a spool slidably mounted on the shaft. The actuation handle is coupled to the proximal ends of both the flexible tubular member and the control member. Lumens of the tubular member form irrigation and aspiration conduits. The distal assembly includes a hollow jaw cup coupled to the aspiration conduit and a hollow movable jaw coupled adjacent the irrigation conduit. The movable jaw is coupled to the control member, such that actuation of the actuation handle moves the movable jaw relative to the jaw cup. Moving the hollow jaws into a closed position provides a substantially fluidtight coupling between the irrigation and aspiration conduits. The actuation handle is also provided with an assembly to control irrigation to and aspiration from the distal assembly. A proximal sample chamber having a removable screen is provided for filtering tissue samples aspirated from the distal assembly. The jaws are activated to cut a tissue sample and the irrigation and aspiration means are activated to move the sample into the sample chamber for retrieving the sample without removing the instrument from a patient.
摘要翻译：提供活检钳具有近侧致动手柄，柔性多腔管状构件，延伸穿过内腔的至少一个控制构件，冲洗装置，抽吸装置和远端组件。近侧致动手柄包括轴和可滑动地安装在轴上的线轴。致动手柄联接到柔性管状构件和控制构件的近端。管状部件的流明形成灌溉和抽吸管道。远端组件包括联接到抽吸导管的中空钳口杯和邻近冲洗管道连接的中空活动钳口。可移动钳口联接到控制构件，使得致动手柄的致动使可移动钳口相对于钳口杯移动。将空心钳口移动到关闭位置提供灌溉和抽吸管道之间基本上流体密封的联接。致动手柄还设置有用于控制来自远端组件的抽吸和抽吸的组件。提供具有可拆卸屏幕的近端样品室用于过滤从远端组件吸出的组织样本。激活钳口以切割组织样品，并且激活冲洗和抽吸装置以将样品移动到样品室中以取出样品，而不从患者移除仪器。

8. 发明授权

US08409220B2 Flexible endoscopic surgical instrument for invagination and fundoplication 有权
标题翻译：灵活的内窥镜手术器械用于内陷和眼底应用
公开(公告)号：US08409220B2
公开(公告)日：2013-04-02
申请号：US12706320
申请日：2010-02-16
申请人： Juergen Andrew Kortenbach
发明人： Juergen Andrew Kortenbach
IPC分类号： A61B17/10
CPC分类号： A61F5/0086 , A61B1/00087 , A61B1/00179 , A61B1/273 , A61B17/00234 , A61B17/0643 , A61B17/068 , A61B17/10 , A61B17/29 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , A61B2017/2923
摘要： An endoscopic surgical instrument includes a flexible tube, a grasping and fastening end effector coupled to the distal end of the tube, and a manual actuator coupled to the proximal end of the tube. The manual actuator is coupled to the end effector by a plurality of flexible cables which extend through the tube. The tube contains a lumen for receiving a manipulable endoscope and the end effector includes a passage for the distal end of the endoscope. The end effector has a store for a plurality of male fastener parts, a store for a plurality of female fastener parts, a rotatable grasper, a rotatable fastener head for aligning a female fastener part and a male fastener part with tissues therebetween, and a firing member for pressing a male fastener part through tissues grasped by the grasper and into a female fastener part. According to a presently preferred embodiment, the overall diameters of the flexible tube and the end effector (when rotated to the open position) do not exceed approximately 20 mm so that the instrument may be delivered transorally to the fundus of the stomach. The manual actuator is provided with a lock-out feature which prevents firing male fastener parts before the fastener head is closed. The instrument is advantageously utilized in a fundoplication procedure.
摘要翻译：内窥镜手术器械包括柔性管，连接到管的远端的抓握和紧固端部执行器，以及联接到管的近端的手动致动器。手动致动器通过延伸穿过管的多根柔性电缆连接到端部执行器。管包含用于接收可操纵内窥镜的内腔，并且末端执行器包括用于内窥镜的远端的通道。端部执行器具有用于多个阳紧固件部件的储存器，用于多个阴紧固件部件的储存器，可旋转抓紧器，用于使阴紧固件部件与阳紧固件部件与其间的组织对准的可旋转紧固头部，用于通过由抓紧器抓握的组织将男性紧固件部件按压到阴扣件部件中。根据目前优选的实施例，柔性管和端部执行器（当旋转到打开位置时）的总直径不超过约20mm，使得器械可以经由胃输送到胃底。手动致动器设置有锁定特征，其在紧固件头部闭合之前防止击发阳性紧固件部件。该仪器有利地用于基底术过程。

9. 发明授权

US06296635B1 Endoscopic robotic surgical tools and methods 有权
标题翻译：内窥镜机器人手术工具及方法
公开(公告)号：US06296635B1
公开(公告)日：2001-10-02
申请号：US09312501
申请日：1999-05-17
申请人： Kevin W. Smith , Juergen Andrew Kortenbach , Charles R. Slater , Anthony I. Mazzeo , Theodore C. Slack, Jr. , Thomas O. Bales
发明人： Kevin W. Smith , Juergen Andrew Kortenbach , Charles R. Slater , Anthony I. Mazzeo , Theodore C. Slack, Jr. , Thomas O. Bales
IPC分类号： A61B1818
CPC分类号： B25J15/02 , A61B17/00234 , A61B34/70 , A61B34/71 , A61B34/76 , A61B2017/00477 , A61B2034/2059 , B25J3/04 , B25J9/06 , B25J9/104
摘要： The methods and devices of the invention include an encoder, an endoscopic robotic instrument, and an encoder/robotic instrument interface. A preferred embodiment of the encoder has a chest/shoulder plate provided with telescoping tubes and joints. Each joint is provided with a direct drive potentiometer to monitor movement and provide a corresponding signal. The chest plate is preferably adaptable to a large range of human-chest sizes and the telescopic segments are strapped to the arms of the practitioner at the elbows. A pistol grip is provided at the wrist end of the telescopic segments. According to the presently preferred embodiment, the encoder encodes flexion and rotation at the shoulder, elbow and wrist of each arm in addition to gripping at each hand. The encoding device is coupled to a circuit which operates a servo system. The servo system includes a series of servo motors. A series of pulleys corresponding to the number of servo motors are arranged in a housing. The robotic instrument preferably comprises two arms mounted at the distal end of a multi-lumen tube. Each arm has rotational and flexional joints corresponding to the shoulder, elbow, and wrist of the practitioner. Tendons are coupled to the pulleys of the servo motors and are fed through the multi-lumen tube to the joints of the two arms.
摘要翻译：本发明的方法和装置包括编码器，内窥镜机器人仪器和编码器/机器人仪器接口。编码器的优选实施例具有设置有伸缩管和接头的胸/肩板。每个接头都配有一个直接驱动电位器来监控运动并提供相应的信号。胸板优选适应于大范围的人胸部尺寸，并且伸缩部分在肘部处被绑在医师的手臂上。在伸缩段的腕端设有手枪把手。根据目前优选的实施例，编码器除了在每只手握持之外还编码每个臂的肩部，肘部和手腕的屈曲和旋转。编码装置耦合到操作伺服系统的电路。伺服系统包括一系列伺服电机。与伺服马达的数量对应的一系列滑轮布置在壳体中。机器人装置优选地包括安装在多腔管的远端处的两个臂。每个臂具有对应于从业者的肩部，肘部和手腕的旋转和弯曲关节。肌腱联接到伺服电动机的皮带轮，并通过多腔管馈送到两个臂的关节。

10. 发明授权

US5741285A Endoscopic instrument having non-bonded, non-welded rotating actuator handle and method for assembling the same 失效
标题翻译：内窥镜仪器具有非接合，非焊接旋转致动器手柄及其组装方法
公开(公告)号：US5741285A
公开(公告)日：1998-04-21
申请号：US667375
申请日：1996-06-21
申请人： Michael Sean McBrayer , Charles R. Slater , Juergen Andrew Kortenbach , Saul Gottlieb
发明人： Michael Sean McBrayer , Charles R. Slater , Juergen Andrew Kortenbach , Saul Gottlieb
IPC分类号： A61B17/32 , A61B17/28 , A61B18/00 , A61B18/04 , A61B18/14 , A61B19/00 , A61M1/00 , A61B17/00
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： An actuator for an endoscopic instrument includes a handle having a through bore with a distal keyway and a lever which is pivotally coupled to the handle. A proximal tube sleeve is insert molded or press fit to the proximal end of the instrument tube. The tube sleeve has a pair of ramped thread-like projections and a pair of distally facing wedge-like projections all of which pass through the keyway in the handle. A proximal stop ring on the tube sleeve prevents the tube sleeve from passing completely through the handle. A ferrule having a pair of interior threadlike projections threadably engages the tube sleeve and is frictionally engaged by the wedge-like projections. A ferrule locking cap having a proximal inner groove and a distal flange fits in the annular space between the tube sleeve and the ferrule. The proximal groove engages a locking ring on the tube sleeve and splines on the tube sleeve and the ferrule frictionally engage the cap. The tube sleeve and the ferrule engage the cap with some friction so that the tube may be rotated relative to the handle but will not rotate relative to the ferrule.
摘要翻译：用于内窥镜器具的致动器包括具有带有远侧键槽的通孔的手柄和可枢转地联接到手柄的杠杆。近端管套筒被插入模制或压配合到仪器管的近端。管套具有一对倾斜的螺纹状突起和一对向远侧面对的楔形突起，所有这些突起都穿过手柄中的键槽。管套上的近端止动环防止管套完全通过手柄。具有一对内螺纹状突出部的套圈可与管套螺纹接合并且被楔形突起摩擦接合。具有近侧内槽和远侧凸缘的套圈锁定帽适合于管套和套圈之间的环形空间。近侧槽与管套上的锁定环接合并且在管套上形成花键，并且套圈摩擦地接合盖。管套管和套管以一定的摩擦接合盖，使得管可以相对于手柄旋转，但不会相对于套圈旋转。

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