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91. 发明授权

US5312332A Endoscopic surgical methods utilizing a suction-irrigation instrument with a port for endoscopic manipulating instruments 失效
标题翻译：内窥镜手术方法利用具有用于内窥镜操纵仪器的端口的吸入式装置
公开(公告)号：US5312332A
公开(公告)日：1994-05-17
申请号：US51000
申请日：1993-04-21
申请人： Thomas O. Bales , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B10/00 , A61B10/06 , A61B17/00 , A61B17/34 , A61B18/14 , A61M1/00
CPC分类号： A61B17/00234 , A61B10/06 , A61B17/3421 , A61B18/14 , A61B2090/0817 , A61B2217/005 , A61B2217/007
摘要： Methods of endoscopic surgery are disclosed. The methods utilize a suction/irrigation endoscopic instrument and a second endoscopic instrument. The suction/irrigation endoscopic instrument has a cannula, a fluid chamber in communication with the cannula, and an automatic valve at the proximal end of the fluid chamber. The second endoscopic instrument has end effectors and actuating means, and the end effectors of the second endoscopic instrument is inserted through the automatic valve, through the fluid chamber, and through the cannula. The methods involve inserting the suction/irrigation instrument through a trocar tube, and then inserting the second endoscopic instrument therethrough. The automatic valve insures that there is no leakage when the second instrument is inserted. The second endoscopic instrument may rotated inside, or may be partially withdrawn into the suction/irrigation instrument. Upon removing the second endoscopic instrument, the valve of the suction/irrigation instrument automatically closes so that there is no leakage. If desired, the suction/irrigation instrument may be provided with a cautery current at the cannula, and the second endoscopic instrument may be provided with a bump which contacts the cannula as a cautery pick-up.
摘要翻译：公开了内窥镜手术的方法。该方法利用抽吸/灌洗内窥镜仪器和第二内窥镜仪器。吸入/冲洗内窥镜器具具有插管，与插管连通的流体室，以及在流体室的近端处的自动阀。第二内窥镜仪器具有末端执行器和致动装置，并且第二内窥镜器械的末端执行器通过自动阀，通过流体腔室并穿过套管插入。所述方法包括通过套管针插入吸入/冲洗器械，然后将第二内窥镜器械插入其中。自动阀确保插入第二台仪器时没有泄漏。第二内窥镜器械可以在内部旋转，或者可以部分地抽吸到抽吸/冲洗仪器中。在移除第二内窥镜仪器后，吸入/冲洗仪器的阀门自动关闭，因此不会有泄漏。如果需要，吸入/冲洗器械可以在套管处设置有烧焦电流，并且第二内窥镜器械可以设置有作为灼烧拾取器接触套管的凸块。

92. 发明授权

US5256148A Verress needle with enhanced acoustical means 失效
标题翻译：具有增强声学手段的Verress针
公开(公告)号：US5256148A
公开(公告)日：1993-10-26
申请号：US867579
申请日：1992-04-13
申请人： Kevin W. Smith , Charles R. Slater , Frank A. Scarfone , Gregory J. Murphy , Thomas O. Bales, Jr. , Michael D. Bacon
发明人： Kevin W. Smith , Charles R. Slater , Frank A. Scarfone , Gregory J. Murphy , Thomas O. Bales, Jr. , Michael D. Bacon
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00 , A61M5/32
CPC分类号： A61B17/3496 , A61B17/3474 , A61B2017/00115 , A61B2090/08021 , A61B2090/0811
摘要： A Verres-type needle which has a sharpened outer needle and allows passage of a blunt inner needle within the outer needle. The Verress needle also contains a position indicator to indicate the position of the inner needle within the outer needle, so that the user knows whether the inner needle is in a protective or non-protective position. Further, a liquid level indicator demonstrates the path of liquid flow within the Verress-type needle. Finally, there is an acoustical enhancment mechanism, which allows the user to know whether the blunt inner needle has sprung forward within the abdominal cavity, to its most forward, protective position.
摘要翻译：一种Verres型针头，其具有锋利的外针并允许钝针内针穿过外针。 Verress针还包含一个位置指示器，指示内针在外针内的位置，以便用户知道内针是否处于保护或非保护位置。此外，液位指示器显示了Verress型针内的液体流动路径。最后，有一种声学增强机制，允许用户知道钝内针是否在腹腔内向前弹起到最前进的保护位置。

93. 发明授权

US5176702A Ratchet locking mechanism for surgical instruments 失效
标题翻译：手术器械的棘轮锁定机构
公开(公告)号：US5176702A
公开(公告)日：1993-01-05
申请号：US833840
申请日：1992-02-07
申请人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B1/00 , A61B10/00 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/32 , A61B17/3201 , A61B18/14
CPC分类号： A61B17/2909 , A61B17/29 , A61B17/320016 , A61B18/1445 , A61B10/06 , A61B17/3201 , A61B2017/0023 , A61B2017/0046 , A61B2017/0088 , A61B2017/2837 , A61B2017/2926 , A61B2017/2929 , A61B2017/2939 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , Y10T74/2133 , Y10T74/2136 , Y10T74/214 , Y10T74/2152
摘要： Releasable ratchet mechanism for medical instruments such as endoscopic instruments are disclosed. The ratchet mechanism includes: a leaf spring with a locking barb which is located on a handle of the medical instrument; a ratchet on a lever arm of the medical instrument which lever arm is pivotally engaged to the handle; and a latch on the handle of the medical instrument. The latch on the handle engages and resiliently deforms the leaf spring to cause engagement of the locking barb in a groove of the ratchet when the latch is in a first position. When in a second position, the latch releases the locking barb from the ratchet groove. Preferably, the locking barb has an extending edge surface on an axis which is substantially parallel to the pivoting axis of the handle and lever arm, and the teeth of the ratchet have extending edge surfaces on axes substantially parallel to the extending edge surface of the locking barb. Also, preferably, the edge surfaces of said teeth of the ratchet are located along an arc of a cylinder having the handle/lever arm pivot axis as its center line.
摘要翻译：公开了诸如内窥镜仪器的医疗器械的可释放的棘轮机构。棘轮机构包括：具有锁定倒钩的板簧，其位于医疗器械的手柄上; 在所述医疗器械的杠杆臂上的棘轮，所述杠杆臂枢转地接合到所述手柄; 以及在医疗器械的手柄上的闩锁。当闩锁处于第一位置时，手柄上的闩锁接合并弹性地使片簧变形，从而使锁定倒钩接合在棘轮的槽中。当处于第二位置时，闩锁从棘轮槽释放锁定倒钩。优选地，锁定倒钩在轴线上具有基本上平行于手柄和杠杆臂的枢转轴线的延伸边缘表面，并且棘轮的齿具有基本上平行于锁定件的延伸边缘表面的轴上的延伸边缘表面倒钩此外，优选地，棘轮的所述齿的边缘表面沿着具有手柄/杠杆臂枢转轴线的圆柱的圆弧定位为其中心线。

94. 发明授权

US5139485A Verress needle with enhanced acoustical means 失效
标题翻译：具有增强声学手段的Verress针
公开(公告)号：US5139485A
公开(公告)日：1992-08-18
申请号：US695367
申请日：1991-05-03
申请人： Kevin W. Smith , Charles R. Slater , Frank A. Scarfone , Gregory J. Murphy , Thomas O. Bales, Jr. , Michael D. Bacon
发明人： Kevin W. Smith , Charles R. Slater , Frank A. Scarfone , Gregory J. Murphy , Thomas O. Bales, Jr. , Michael D. Bacon
IPC分类号： A61B1/00 , A61B17/00 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3496 , A61B17/3474 , A61B2017/00115 , A61B2090/08021 , A61B2090/0811
摘要： A Verress-type needle which has a sharpened outer needle and allows passage of a blunt inner needle within the outer needle. The Verress needle also contains a position indicator to indicate the position of the inner needle within the outer needle, so that the user knows whether the inner needle is in a protective or non-protective position. Further, a liquid level indicator demonstrates the path of liquid flow within the Verress-type needle. Finally, there is an acoustical enhancement mechanism, which allows the user to know whether the blunt inner needle has sprung forward within the abdominal cavity, to its most forward, protective position.
摘要翻译：具有磨刀的外针并允许钝针内针穿过外针的Verress型针。 Verress针还包含一个位置指示器，指示内针在外针内的位置，以便用户知道内针是否处于保护或非保护位置。此外，液位指示器显示了Verress型针内的液体流动路径。最后，有一个声学增强机制，允许用户知道钝内针是否在腹腔内向前弹起到最前进的保护位置。

95. 发明授权

US09456911B2 Highly flexible stent and method of manufacture 有权
标题翻译：高度灵活的支架和制造方法
公开(公告)号：US09456911B2
公开(公告)日：2016-10-04
申请号：US12226030
申请日：2007-02-09
申请人： Thomas O. Bales, Jr. , Scott L. Jahrmarkt , Charles R. Slater , Peter K. Kratsch
发明人： Thomas O. Bales, Jr. , Scott L. Jahrmarkt , Charles R. Slater , Peter K. Kratsch
IPC分类号： A61F2/915 , A61F2/88 , A61F2/91
CPC分类号： A61F2/88 , A61F2/844 , A61F2/91 , A61F2/915 , A61F2002/91508 , A61F2002/91541 , A61F2002/91558 , A61F2002/91575 , A61F2002/91583 , A61F2310/00023
摘要： Preferred embodiments of a stent with a high degree of flexibility are shown and described. The stent can include a continuous helical winding and at least one bridge. The continuous helical winding has a plurality of circumferential sections that circumscribe a longitudinal axis from a first end to a second end to define a tube. The circumferential sections are spaced apart along the axis. The at least one bridge is configured to connect one circumferential section to an axially-spaced adjacent circumferential section. The at least one bridge extends on a plane generally orthogonal with respect to the axis.
摘要翻译：显示和描述了具有高度柔性的支架的优选实施例。支架可以包括连续的螺旋绕组和至少一个桥。连续的螺旋绕组具有多个周向部分，其将纵向轴线从第一端限定到第二端以限定管。周向部分沿轴线间隔开。所述至少一个桥被构造成将一个圆周部分连接到轴向间隔开的相邻圆周部分。所述至少一个桥在大致垂直于所述轴线正交的平面上延伸。

96. 发明授权

US08834501B2 Scissors assembly 有权
标题翻译：剪刀装配
公开(公告)号：US08834501B2
公开(公告)日：2014-09-16
申请号：US13299467
申请日：2011-11-18
申请人： Charles R. Slater
发明人： Charles R. Slater
IPC分类号： A61B17/3201 , A61B17/32
CPC分类号： A61B17/320016 , A61B17/3201
摘要： An endoscopic scissor instrument includes an elongate hollow member, an actuator that moves axially through the hollow member, and first and second scissor blades with respective cutting surfaces. At least one of the scissor blades is rotatably coupled to the hollow member adjacent its distal end. At least one of the scissor blades includes a base supporting a resilient leaf-spring portion that includes a respective cutting edge. The resilient leaf-spring portion extends from the base in a cantilevered arrangement and generates a spring force acting on the respective cutting edge such that in a loaded state there is an automatic preload force imparted between the cutting edges of the scissor blades to maintain a consistent and continuous mating force between the two opposed sharpened cutting edges preferably over the complete range of rotational movement of the scissor blades.
摘要翻译：内窥镜剪刀器具包括细长的中空构件，轴向移动穿过中空构件的致动器以及具有相应切割表面的第一和第二剪刀片。至少一个剪刀叶片可靠地连接到中空构件的远端。至少一个剪刀片包括支撑包括相应切割刃的弹性片弹簧部分的底座。弹性片弹簧部分从基部以悬臂布置的方式延伸并产生作用在相应切削刃上的弹簧力，使得在加载状态下，在剪刀叶片的切割刃之间施加自动预加载力以保持一致并且两个相对的锋利切削刃之间的连续配合力优选地在剪刀叶片的完全旋转运动范围内。

97. 发明授权

US08690909B2 Endoscopic instrument with bi-laterally widened cam-slot at end effector 有权
标题翻译：内窥镜仪器在末端执行器处具有双向加宽的凸轮槽
公开(公告)号：US08690909B2
公开(公告)日：2014-04-08
申请号：US12471041
申请日：2009-05-22
申请人： Charles R. Slater
发明人： Charles R. Slater
IPC分类号： A61B17/00
CPC分类号： A61B17/295 , A61B17/3201 , A61B2017/2825 , A61B2017/2936 , A61B2017/320064
摘要： An endoscopic instrument includes a tubular member having a proximal end and a distal end, a clevis at the distal end of the tubular member, and an end effector assembly mounted on the clevis. A control member extends through the tubular member and includes a cam-pin coupled to the distal end thereof. The end effectors are controlled with a cam-pin and cam-slot arrangement, with the end effectors including the cam-slot and such cam-slot having a proximal end slot bilaterally widened to permit the cam-pin additional movement therein. When the cam-pin is retracted to move the end effectors into a closed positions and then further retracted into the bilaterally widened area, the end effectors can rotate together in the same direction to facilitate movement through a rigid bend in an endoscope.
摘要翻译：内窥镜器具包括具有近端和远端的管状构件，在管状构件的远端处的U形夹以及安装在U形夹上的端部执行器组件。控制构件延伸穿过管状构件并且包括联接到其远端的凸轮销。末端执行器用凸轮销和凸轮槽布置来控制，其中末端执行器包括凸轮槽，并且这种凸轮槽具有双向加宽的近端狭槽，以允许凸轮销在其中附加运动。当凸轮销缩回以将末端执行器移动到关闭位置并且然后进一步缩回到双边加宽区域中时，末端执行器可以沿相同方向一起旋转，以便于通过内窥镜中的刚性弯曲而移动。

98. 发明申请

US20120065466A1 Endoscopic Instrument 有权
标题翻译：内窥镜仪器
公开(公告)号：US20120065466A1
公开(公告)日：2012-03-15
申请号：US13320670
申请日：2010-05-21
申请人： Charles R. Slater
发明人： Charles R. Slater
IPC分类号： A61B1/00
CPC分类号： A61B17/295 , A61B17/3201 , A61B2017/2825 , A61B2017/2902 , A61B2017/2936 , A61B2017/294 , A61B2017/320064
摘要： An endoscopic instrument includes a control wire having a push rod at its distal end and an end effector assembly having first and second effector elements such as scissors blades mounted on a clevis. The effector elements are operated by a cam-pin on the push rod riding in cam-slots defined in the effector elements. According to one aspect of the invention, the effector elements are symmetrically opened even when the push rod is canted relative to the clevis. According to another aspect of the invention, the effector elements can be rotated into a closed configuration that minimizes the distal dimension across the effector elements. In addition, the effector elements, when in the closed configuration, can rotate together to facilitate insertion of the end effector into an entry portion of an endoscope.
摘要翻译：内窥镜仪器包括在其远端具有推杆的控制线和具有第一和第二效应器元件的端部执行器组件，诸如安装在U形夹上的剪刀刀片。效应器元件由推动杆上的凸轮销操作，该凸轮销位于限定在效应器元件中的凸轮槽中。根据本发明的一个方面，即使当推杆相对于U形夹倾斜时，效应元件也对称地开启。根据本发明的另一方面，效应器元件可以旋转成闭合构造，其使跨越效应器元件的远侧尺寸最小化。此外，当处于关闭构造时，效应元件可以一起旋转以便于端部执行器插入到内窥镜的进入部分中。

99. 发明申请

US20110144678A1 Endoscopic Scissors Instrument 审中-公开
标题翻译：内窥镜剪刀仪器
公开(公告)号：US20110144678A1
公开(公告)日：2011-06-16
申请号：US12638308
申请日：2009-12-15
申请人： Charles R. Slater
发明人： Charles R. Slater
IPC分类号： A61B17/3201 , A61B17/94
CPC分类号： A61B17/3201 , A61B17/320016 , A61B2017/2936 , A61B2017/2947
摘要： An endoscopic scissor instrument includes an elongate hollow member and first and second scissor blades each having longitudinally angled distal features. At least one scissor blade is rotatably mounted in a clevis adjacent the distal end of the hollow member. The clevis includes a pivot mechanism and spring bias means, disposed adjacent the pivot mechanism on at least one external side of the first and second scissor blades, for biasing transverse movement of the scissor blades toward one another. The spring bias means of the clevis and the angling of the distal features of the scissor blades serves to generate spring forces acting on the respective cutting edges such that there is an automatic preloading force imparted between the cutting edges of the scissors' blades.
摘要翻译：内窥镜剪刀器具包括细长的中空构件和每个具有纵向倾斜的远侧特征的第一和第二剪刀片。至少一个剪刀片可旋转地安装在邻近中空构件的远端的U形夹中。所述U形夹包括枢转机构和弹簧偏压装置，所述枢转机构和弹簧偏压装置邻近所述枢转机构设置在所述第一和第二剪刀叶片的至少一个外侧上，用于偏压所述剪刀片朝向彼此的横向移动。夹钳的弹簧偏压装置和剪刀叶片的远端特征的角度用于产生作用在相应切削刃上的弹簧力，使得在剪刀刀片的切割刃之间施加自动预加载力。

100. 发明申请

US20110071555A1 Method for Applying Surgical Clips Particularly Useful in the Endoluminal Treatment of Gastroesophageal Reflux Disease (GERD) 审中-公开
公开(公告)号：US20110071555A1
公开(公告)日：2011-03-24
申请号：US12748944
申请日：2010-03-29
申请人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles R. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
发明人： Michael Sean McBrayer , Thomas O. Bales, JR. , Charles R. Slater , Juergen A. Kortenbach , Robert Sixto, JR.
IPC分类号： A61B17/00
CPC分类号： A61B17/122 , A61B10/06 , A61B17/0644 , A61B17/068 , A61B17/1285 , A61B18/1445 , A61B90/50 , A61B2017/00296 , A61B2017/00827 , A61B2017/0647 , A61B2017/2905 , A61B2017/2919 , A61B2017/2926 , A61B2017/320064 , A61B2018/00577 , A61B2018/1253 , A61B2018/126
摘要： Surgical clips, which are particularly useful in the transoral invagination and fundoplication of the stomach to the esophagus, and methods of applying the surgical clips to living tissue are disclosed. The clips include first and second arms joined by a bridge to form a substantially U-shape, and which are provided with a first structure adapted to prevent a movement of the clip in a direction perpendicular to a longitudinal axis of the clip after the clip is applied to tissue. In addition, the clips preferably also include a second structure adapted to prevent rotation of the clip about the longitudinal axis of the clip after the clip is applied to tissue.

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