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    • 3. 发明授权
    • Temperature cycle counter
    • 温度循环计数器
    • US5452335A
    • 1995-09-19
    • US999228
    • 1992-12-31
    • Charles R. SlaterThomas O. BalesJurgen A. KortenbachGeorge NunezDavid TurkelDavid P. Gordon
    • Charles R. SlaterThomas O. BalesJurgen A. KortenbachGeorge NunezDavid TurkelDavid P. Gordon
    • A61B1/00A61B17/00A61B19/00G06M1/04G06M1/08G06M3/12G01K1/02
    • G06M1/083A61B17/00234G06M1/041G06M3/12A61B2090/0803A61B2560/0276
    • An apparatus for counting the number of times a temperature cycle occurs includes an indicator having sequential indicia and a temperature responsive member for indicating a next one of the indicia. Mechanical, fluid mechanical and electronic versions of the invention are disclosed. In the mechanical version, the indicator can be a ratchet member having teeth, a pawl and a display surface containing indicia. A temperature responsive element such as a bimetallic member engages the teeth of the ratchet and advances the ratchet each time the apparatus is subjected to a preset temperature cycle. A housing with a window masks the display to indicate one of the indicia as advanced by the temperature responsive element. Preferred embodiments of the mechanical version include a ring-like ratchet member with interior teeth and an exterior display surface. The number of teeth is preferably one or more less than the number of indicia so that upon advancing the ratchet member to the last indicia, it can be advanced no further. The bimetallic element is mounted inside the ring and the housing covers the outer surface of the ring. A removable locking pin is provided to prevent movement of the ratchet member until activated.
    • 用于计算温度周期发生次数的装置包括具有顺序标记的指示器和用于指示下一个标记的温度响应构件。 公开了本发明的机械,流体机械和电子版本。 在机械版本中,指示器可以是具有齿,棘爪和包含标记的显示表面的棘轮构件。 诸如双金属构件的温度响应元件接合棘轮的齿并且每当设备经受预设温度循环时使棘轮前进。 具有窗口的壳体掩蔽显示器,以将温度响应元件中的一个标记指示为高级。 机械版本的优选实施例包括具有内齿和外部显示表面的环形棘轮构件。 优选地,齿数比标记的数量少一个或多个,从而在将棘轮构件推进到最后的标记之后,可以进一步推进。 双金属元件安装在环内,壳体覆盖环的外表面。 提供可拆卸的锁定销以防止棘轮构件的运动直到被激活。
    • 5. 发明授权
    • Apparatus for counting the number of times a medical instrument has been
used
    • 用于计数医疗器械使用次数的装置
    • US5359993A
    • 1994-11-01
    • US998951
    • 1992-12-31
    • Charles R. SlaterThomas O. BalesJurgen A. KortenbachGeorge NunezDavid Turkel
    • Charles R. SlaterThomas O. BalesJurgen A. KortenbachGeorge NunezDavid Turkel
    • A61B1/00A61B17/00A61B17/28A61B19/00G06M1/04G06M1/08G06M3/12G01K5/00
    • A61B1/00062A61B17/00234G06M1/041G06M1/083G06M3/12A61B1/00055A61B2017/0046A61B2017/292A61B2090/0803A61B2560/0276
    • An apparatus for counting the number of times a medical instrument has been sterilized includes an indicator having sequential indicia and a heat responsive member for indicating a next one of the indicia. Mechanical, fluid mechanical and electronic versions of the invention are disclosed. In the mechanical version, the indicator can be a ratchet member having teeth, a pawl and a display surface containing indicia. A heat responsive element such as a bimetallic member engages the teeth of the ratchet and advances the ratchet each time the apparatus is subjected to the heat of sterilization. A housing with a window masks the display to indicate one of the indicia as advanced by the heat responsive element. Preferred embodiments of the mechanical version include a ring-like ratchet member with interior teeth and an exterior display surface. The number of teeth is preferably one or more less than the number of indicia so that upon advancing the ratchet member to the last indicia, it can be advanced no further. The bimetallic element is mounted inside the ring and the housing covers the outer surface of the ring. The housing may be formed from the ferrule of an endoscopic surgical instrument or may be formed as part of the handle of such an instrument. A removable locking pin is provided to prevent movement of the ratchet member during shipping and the locking pin may be coupled to packaging so that it is automatically removed when the surgical instrument is removed from its packaging.
    • 用于计数医疗器械已经消毒的次数的装置包括具有顺序标记的指示器和用于指示下一个标记的热响应构件。 公开了本发明的机械,流体机械和电子版本。 在机械版本中,指示器可以是具有齿,棘爪和包含标记的显示表面的棘轮构件。 诸如双金属构件的热响应元件与棘轮的齿接合,并且每当设备经受灭菌热时每次使棘轮前进。 具有窗口的壳体遮蔽显示器,以指示由热响应元件提前的一个标记。 机械版本的优选实施例包括具有内齿和外部显示表面的环形棘轮构件。 优选地,齿数比标记的数量少一个或多个,从而在将棘轮构件推进到最后的标记之后,可以进一步推进。 双金属元件安装在环内,壳体覆盖环的外表面。 壳体可以由内窥镜手术器械的套圈形成,或者可以形成为这种器械的手柄的一部分。 提供可拆卸的锁定销以防止棘轮构件在运输期间的移动,并且锁定销可以联接到包装,使得当手术器械从其包装中移除时它被自动移除。
    • 6. 发明授权
    • Methods and apparatus for recording the source and orientation of as
well as for storing and identifying multiple biopsy samples
    • 用于记录来源和取向以及存储和鉴定多个活检样本的方法和装置
    • US5524634A
    • 1996-06-11
    • US277255
    • 1994-07-19
    • David TurkelSarah E. Gillim
    • David TurkelSarah E. Gillim
    • G01N33/48A61B10/00A61B10/02A61B19/00A61B19/02G01N1/04
    • A61B10/0096A61B90/90A61B90/94A61B10/0291A61B2010/0074A61B2050/002A61B2050/005A61B2050/3008
    • Apparatus and methods are disclosed for recording the source and orientation of biopsy samples typically taken with a multiple biopsy sample instrument. The apparatus includes a multiple compartment fixative cup and a multiple copy record keeping label form. The fixative cup is preferably cylindrical and has several compartments defined by sector walls as well as by concentric cylindrical walls. The multiple copy record keeping label form preferably includes a circular label with indicia corresponding to the sector walls of the fixative cup and at least one carbon or carbonless copy form. The preferred method of the invention includes the steps of obtaining biopsy samples and marking the corresponding location on the label form with an indication of order. After the several biopsy samples have been taken, and their locations marked on the label form, the biopsy samples are removed from the body and placed in order in the appropriate compartments in the fixative cup. The cup is then covered and the label is removed from the label form and applied to the fixative cup. The carbon or carbonless copy of the label is placed in the chart or file of the patient.
    • 公开了用于记录通常用多次活检样本仪器取样的活检样本的来源和方向的装置和方法。 该装置包括多室固定杯和多重复印记录保存标签形式。 固定杯优选地是圆柱形的并且具有由扇形壁以及同心圆柱形壁限定的几个隔室。 多份记录保存标签形式优选地包括具有与固定杯的扇形壁对应的标记的圆形标签和至少一种碳或无碳复制形式。 本发明的优选方法包括以下步骤:获得活组织检查样品并用标记指示标记标签上的相应位置。 在采集了几个活检样本,并将其位置标记在标签形式上后,将活检样品从体内取出并依次放置在固定杯中的适当隔室中。 然后覆盖杯子,并将标签从标签形式中取出并施加到定影杯上。 标签的碳或无碳复制品放置在患者的图表或文件中。
    • 7. 发明授权
    • Electrocautery probe with variable morphology electrode
    • 具有可变形态电极的电烙术探针
    • US5354296A
    • 1994-10-11
    • US36458
    • 1993-03-24
    • David Turkel
    • David Turkel
    • A61B17/42A61B18/14A61B17/36
    • A61B18/1485A61B2017/4216
    • Several embodiments of an electrocautery probe with a variable morphology electrode are disclosed. In one embodiment, the probe has two arms and the electrode is attached to distal ends of the arms. Movement of the distal ends of the arms relative to each other changes the morphology of the electrode. Several electrode embodiments and several ways of moving the distal ends are also disclosed. In another embodiment the electrocautery probe with a variable morphology electrode includes a hollow probe arm within which the electrode is mounted for movement relative to the hollow probe arm. Movement of the electrode relative to the hollow probe arm changes the morphology of the electrode. Several electrode embodiments for use with the hollow probe arm are disclosed.
    • 公开了具有可变形态电极的电灼探针的几个实施例。 在一个实施例中,探针具有两个臂并且电极附接到臂的远端。 臂的远端相对于彼此的运动改变了电极的形态。 还公开了若干电极实施例和移动远端的若干方式。 在另一个实施例中,具有可变形态电极的电灼探针包括中空探针臂,电极被安装在该中空探针臂中以相对于中空探针臂移动。 电极相对于中空探针臂的运动改变了电极的形态。 公开了与中空探针臂一起使用的几个电极实施例。
    • 8. 发明授权
    • Endoscopic suction instrument having variable suction strength
capabilities
    • 具有可变抽吸强度能力的内窥镜吸引仪器
    • US5295956A
    • 1994-03-22
    • US959246
    • 1992-10-09
    • Thomas O. BalesKirk W. CharlesLionel GillespieJoe KoppDavid Turkel
    • Thomas O. BalesKirk W. CharlesLionel GillespieJoe KoppDavid Turkel
    • A61M1/00
    • A61M1/0064A61M1/0045A61M1/0043Y10S604/902
    • An endoscopic suctioning instrument with variable suction is disclosed. The instrument has a hollow cannula having a proximal end and a distal end, and sliding sleeve having a proximal end and a distal end and a longitudinal axis, with the sliding sleeve being coaxial to and closely surrounding and slidingly engaging the hollow cannula. The sliding sleeve has a plurality of lateral holes at its distal end with the lateral holes being spaced along the longitudinal axis. A valve is provided for selectively coupling a suction source to the proximal end of the cannula, and a sleeve actuation mechanism is provided for sliding the sliding sleeve from a first position where the distal end of the sliding sleeve extends beyond the distal end of the cannula such that a first number of the lateral holes are unblocked by said cannula, to a second position where the distal end of the sliding sleeve extends beyond said distal end of the cannula such that fewer lateral holes are unblocked by said cannula, to a third position where the cannula blocks all of said lateral holes of the sliding sleeve. Various embodiments are described with different mechanisms for causing the sleeve to slide, including mechanisms linking the valve to the sleeve.
    • 公开了一种具有可变吸力的内窥镜吸引器具。 仪器具有中空插管,其具有近端和远端,以及滑动套管,其具有近端和远端以及纵向轴线,其中滑动套管与中空插管同轴并且紧密地围绕并滑动地接合。 滑动套筒在其远端具有多个侧孔,侧壁孔沿着纵向轴线间隔开。 提供一个阀门,用于选择性地将抽吸源联接到套管的近端,并且提供套筒致动机构用于使滑动套筒从第一位置滑动,其中滑动套筒的远端延伸超过套管的远端 使得第一数量的侧向孔被所述套管解锁,到第二位置,其中滑动套管的远端延伸超过套管的远端,使得较少的侧孔被所述套管解锁到第三位置 其中套管阻塞滑动套管的所有侧向孔。 使用用于使套筒滑动的不同机构来描述各种实施例,包括将阀连接到套筒的机构。
    • 10. 发明授权
    • Arthroscopic surgical instruments
    • 关节镜手术器械
    • US5395375A
    • 1995-03-07
    • US978249
    • 1992-11-18
    • David TurkelKevin Hahnen
    • David TurkelKevin Hahnen
    • A61B10/00A61B10/06A61B17/28A61B17/32A61B18/14A61B19/00A61M1/00A61B17/56
    • A61B17/1608A61B10/06A61B2017/0088A61B2017/2902A61B2017/2926A61B2017/2931A61B2017/2934A61B2017/2939A61B2018/00077A61B2018/00083A61B2018/00107A61B2018/00148A61B2090/037A61B2090/0813A61B2217/005
    • A disposable arthroscopic surgical instrument includes a hollow tube with a manual actuator coupled to its proximal end and an end effector coupled to its distal end. The actuator and the end effector are coupled by a push rod which passes through the hollow tube and the push rod includes a frangible link so that the push rod will break when a predetermined force is applied to the end effector by the actuator. The frangible link is a flattened portion of the cylindrical push rod having a strength reducing throughbore. An end effector having a stationary jaw and a movable jaw is also disclosed. The stationary jaw is coupled to the distal end of the tube and has a throughbore for receiving the push rod. The movable jaw is coupled to push rod and is pivotally coupled to the stationary jaw by arcuate engaging surfaces on both jaws. The movable jaw preferably includes a pair of arcuate grooves while the stationary jaw has a pair of arcuate flanges which engage the grooves on the movable jaw. The movable jaw is also provided with a knife-like edge and the stationary jaw is provided with a receiving opening into which the movable jaw fits when the jaws are in a closed position.
    • 一次性关节镜手术器械包括具有联接到其近端的手动致动器的中空管和连接到其远端的端部执行器。 致动器和末端执行器通过穿过中空管的推杆联接,并且推杆包括易碎连杆,使得当通过致动器将预定的力施加到末端执行器时,推杆将断裂。 易碎连杆是具有强度降低透孔的圆柱形推杆的扁平部分。 还公开了具有固定夹爪和活动夹爪的端部执行器。 固定颚连接到管的远端,并具有用于接收推杆的通孔。 活动夹爪连接到推杆,并通过两个钳口上的弧形接合表面枢转地联接到固定夹爪。 可移动夹爪优选地包括一对弓形凹槽,而固定夹具具有与可移动夹爪上的凹槽接合的一对弓形凸缘。 活动夹爪还设置有刀状边缘,并且固定夹爪设置有接收开口,当钳口处于关闭位置时,可移动钳口配合到该容纳开口中。