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    • 7. 发明授权
    • Endoscopic hemostatic agent delivery system
    • 内镜止血剂递送系统
    • US5281197A
    • 1994-01-25
    • US919893
    • 1992-07-27
    • Juan J. AriasThomas O. BalesDavid P. GordonConstance M. RyanFrank A. ScarfoneKevin W. SmithDavid Turkel
    • Juan J. AriasThomas O. BalesDavid P. GordonConstance M. RyanFrank A. ScarfoneKevin W. SmithDavid Turkel
    • A61B17/00A61M31/00
    • A61M37/0069
    • An endoscopic tool for dispensing units of hemostatic agent broadly comprises a hollow tube which holds a plurality of individual units of the hemostatic agent, a valve at the distal end of the hollow tube which permits the hemostatic agent to pass therethrough but prevents foreign matter from contacting the hemostatic agent while in the tube, a plunger which extends into the hollow tube and contacts a proximal unit of the hemostatic agent, and a mechanism for moving the plunger distally in incremental movements to cause, upon each incremental movement, an individual unit of the hemostatic agent to be pushed through the valve. Typically, the mechanism for moving the plunger and the proximal end of the hollow tube are held in a handle. One mechanism for moving the plunger utilizes a portion of the plunger as a ratchet by forming a plurality of conical elements thereon, and utilizes a switch in the handle which has a V-spring coupled thereto as a pawl for advancing the conical elements. A second mechanism utilizes a regularly shaped notched cutout in the handle as the ratchet, and a vertical protrusion on the plunger which extends through the cutout as an engagement element. The notched cutout provides resilient stops, and the protrusion is shaped to allow it to be forced in a forward direction through each resilient stop and then to sit in another notch.
    • 用于分配止血剂单元的内窥镜工具广泛地包括保持止血剂的多个单独单元的中空管,在中空管的远端处的阀,其允许止血剂通过,但是防止异物接触 止血剂在管中,延伸到中空管中并接触止血剂的近端单元的柱塞,以及用于以增量运动向远侧移动柱塞的机构,以在每次增量运动时使单独的单元 止血剂被推过阀门。 通常,将柱塞和中空管的近端移动的机构保持在手柄中。 用于移动柱塞的一个机构通过在其上形成多个锥形元件而将柱塞的一部分用作棘轮,并且利用手柄中的开关,其中V形弹簧联接到其上作为用于推进锥形元件的棘爪。 第二机构使用手柄中的规则形状的切口切口作为棘轮,并且在柱塞上的垂直突起作为接合元件延伸穿过切口。 切口切口提供弹性止挡,并且突起成形为允许其通过每个弹性止动件沿向前的方向被迫,然后坐在另一个凹口中。
    • 9. 发明授权
    • Endoscopic robotic surgical tools and methods
    • 内窥镜机器人手术工具及方法
    • US5954692A
    • 1999-09-21
    • US890366
    • 1997-07-09
    • Kevin W. SmithJuergen Andrew KortenbachCharles R. SlaterAnthony I. MazzeoTheodore C. Slack, Jr.Thomas O. Bales
    • Kevin W. SmithJuergen Andrew KortenbachCharles R. SlaterAnthony I. MazzeoTheodore C. Slack, Jr.Thomas O. Bales
    • A61B1/00A61B17/00A61B19/00B25J3/04B25J9/06B25J9/10B25J15/02A61M37/00
    • B25J15/02A61B34/70A61B34/71A61B34/76B25J3/04B25J9/06B25J9/104A61B17/00234A61B2017/00477A61B2034/2059
    • 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.
    • 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。