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91. 发明申请

US20090227827A1 Vaginal applicator for brachytherapy treatment of vaginal and endometrial disease 审中-公开
标题翻译：用于近距离放射治疗阴道和子宫内膜疾病的阴道涂抹器
公开(公告)号：US20090227827A1
公开(公告)日：2009-09-10
申请号：US12075120
申请日：2008-03-05
申请人： Heike Hausen , Thomas W. Rusch , James E. Jervis
发明人： Heike Hausen , Thomas W. Rusch , James E. Jervis
IPC分类号： A61M36/10
CPC分类号： A61N5/1016
摘要： A vaginal brachytherapy applicator has an insertable tip section, preferably rigid or at least firm enough to retain its shape when inserted, and a tubular handle section extending proximally from the tip section. A common lumen extends from the handle into and through most of the length of the tip section. In one embodiment the tip section is made of a flexible open-celled foam material with a substantially impermeable outer skin, and in this case the tip section can be contracted, or stretched lengthwise to reduce its diameter, for ease of insertion, then re-expanded to its nominal and working configuration prior to insertion of a radiation source into the lumen and irradiation of tissue surrounding the tip section.
摘要翻译：阴道近距离放射治疗器具有可插入的尖端部分，优选刚性或至少足够坚固以在插入时保持其形状，以及从尖端部分向近侧延伸的管状手柄部分。共同的内腔从手柄延伸并穿过尖端部分的大部分长度。在一个实施例中，尖端部分由具有基本上不可渗透的外皮的柔性开孔泡沫材料制成，并且在这种情况下，尖端部分可以收缩或纵向拉伸以减小其直径，以便于插入，在将辐射源插入管腔中并且在末梢部分周围的组织的照射之前扩展到其标称和工作配置。

92. 发明申请

US20080154085A1 Method for Adaptive Radiation Treatment of Breast Tissue Surrounding a Cancer Resection Cavity of Arbitrary Shape 有权
标题翻译：用于任意形状的癌症切除腔周围的乳腺组织的适应性辐射治疗方法
公开(公告)号：US20080154085A1
公开(公告)日：2008-06-26
申请号：US11932974
申请日：2007-10-31
申请人： James E. Jervis , Paul A. Lovoi
发明人： James E. Jervis , Paul A. Lovoi
IPC分类号： A61N5/10
CPC分类号： A61N5/1015 , A61N5/103 , A61N5/1048
摘要： Radiation treatment methods for breast cancer following resection, both intraoperative and post operative, involve mapping preferably using an electronic x-ray source, and can include rotation of a direction source. By using a very rapid, near-instantaneous method of pathology of tissue margins following resection, the invention carries out intraoperative radiation treatment, preferably with the patient remaining anesthetized. Whether or not radiation is intraoperative, the invention preferably includes a mapping procedure using an electronic source that is progressed through the resection cavity while radiation dose is sensed at one or more points, to determine the shape of the resection cavity.
摘要翻译：切除术后，术中和术后两者的乳腺癌的放射治疗方法都涉及优选使用电子X射线源进行测绘，并且可包括方向源的旋转。通过使用切除术后组织边缘的非常快速，近瞬时的病理学方法，本发明进行术中放射治疗，优选在患者保持麻醉的情况下进行。无论辐射是否在术中，本发明优选地包括使用电子源的映射程序，该电子源在一个或多个点处感测放射剂量时进入切除腔，以确定切除腔的形状。

93. 发明授权

US07001405B2 Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 失效
标题翻译：用腹腔镜可视化开发腹腔镜手术解剖空间的装置和方法
公开(公告)号：US07001405B2
公开(公告)日：2006-02-21
申请号：US10449980
申请日：2003-05-30
申请人： Maciej J. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
发明人： Maciej J. Kieturakis , Helmut Kayan , Jan M. Echeverry , Thomas A. Howell , Kenneth H. Mollenauer , James E. Jervis
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/0212 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： A laparoscopic apparatus for tunneling dissection including a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to form together a blunt tipped obturator. The tunneling member has a bore sized allow the insertion of a conventional laparoscope therein to provide observation during surgical procedures. After the anatomic space has been created, the device and laparoscope are withdrawn through the incision. The anatomic working space may be insufflated with an insufflation gas if required for the particular procedure. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon, forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member to form a semi-rigid blunt tipped obturator.
摘要翻译：一种用于隧道解剖的腹腔镜装置，包括中空隧道构件和设置在隧道构件的远端处的可膨胀气囊，以一起形成钝头填塞物。隧道构件具有允许在其中插入常规腹腔镜的孔径以在外科手术期间提供观察。解剖空间创建完毕后，通过切口取出装置和腹腔镜。如果特定程序需要，解剖工作空间可以用吹入气体吹入。通过将隧道构件插入球囊的内部来准备该装置，将球囊形成围绕隧道构件的大致圆柱形的辊，并且优选地，通过使用整体气囊盖，将球囊固定到隧道构件形成半刚性钝头盖封闭体。

94. 发明授权

US06540764B1 Apparatus and method for dissecting tissue layers 失效
标题翻译：用于解剖组织层的装置和方法
公开(公告)号：US06540764B1
公开(公告)日：2003-04-01
申请号：US09229409
申请日：1999-01-06
申请人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , Thomas A. Howell , James E. Jervis , Helmut Kayan , Janine C. Robinson
发明人： Maciej J. Kieturakis , Kenneth H. Mollenauer , Jan M. Echeverry , Thomas A. Howell , James E. Jervis , Helmut Kayan , Janine C. Robinson
IPC分类号： A61B1700
CPC分类号： A61M25/1002 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/02 , A61B90/361 , A61B2017/00557 , A61B2017/00902 , A61B2017/0225 , A61B2017/320044 , A61B2017/320048 , A61B2017/320056 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61F2250/0003 , A61M25/0668 , A61M25/1027 , A61M29/02 , A61M2025/1004
摘要： An expansible tunneling apparatus and assosiated methods for creating an anatomic working space for a surgical procedure such as a hernia repair. Various embodiments of one and two piece apparatus that permit laparoscopic observation both during tunneling and during subsequent balloon dissection are disclosed. In a disclosed one piece embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope that is inserted into the tubular member to permit observation of the procedure both during tunneling to a desired location and during subsequent balloon inflation. An elongated neck of the balloon is secured to the tunneling member. The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated through a balloon inflation lumen to cause the balloon to dissect tissue and create an operating space. The operating space may then be insulated with gas to form a working space for repairing a hernia.
摘要翻译：一种可扩展的隧道装置和用于创建外科手术如疝修复的解剖工作空间的协调方法。公开了在隧道掘进期间和随后的气球解剖期间允许腹腔镜观察的一个和两个装置的各种实施例。在公开的单件实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。在管状构件的远端形成唇缘以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧道到期望的位置期间和随后的球囊膨胀期间观察手术过程。气囊的细长的颈部固定在隧道构件上。细长的颈部允许管状构件在充气之后从气囊中略微抽出以便于观察。在气囊已经前进到身体中的所需位置之后，其通过球囊膨胀腔充气以使得气囊解剖组织并创建操作空间。然后可以用气体将操作空间绝缘以形成修复疝气的工作空间。

95. 发明授权

US06447523B1 Method of manipulating matter in a mammalian body 失效
标题翻译：在哺乳动物体内操作物质的方法
公开(公告)号：US06447523B1
公开(公告)日：2002-09-10
申请号：US08914081
申请日：1997-08-18
申请人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyke , James E. Jervis
发明人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyke , James E. Jervis
IPC分类号： A61B1722
CPC分类号： A61B10/02 , A61B10/06 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/0625 , A61B17/08 , A61B17/10 , A61B17/12013 , A61B17/221 , A61B17/29 , A61B17/30 , A61B17/320016 , A61B17/3201 , A61B17/32056 , A61B17/3421 , A61B18/082 , A61B18/10 , A61B2017/00287 , A61B2017/00349 , A61B2017/00353 , A61B2017/0038 , A61B2017/00455 , A61B2017/00867 , A61B2017/0409 , A61B2017/06052 , A61B2017/06171 , A61B2017/22072 , A61B2017/2212 , A61B2017/2215 , A61B2017/2905 , A61B2017/2927 , A61B2017/2936 , A61B2017/2937 , A61B2017/2943 , A61B2017/303 , A61B2017/320064 , A61B2017/32113 , A61B2018/00642 , A61B2018/00791 , A61B2018/1407 , A61B2090/0811 , A61F2002/30093 , A61F2210/0019 , B25B9/00 , B26B13/26
摘要： The present invention accordingly provides a device or apparatus for manipulating matter in a confined or inaccessible space, comprising manipulator means at least partly constructed of one or more bent or twisted elongate shape memory alloy members having pseudoelasticity at the intended manipulation temperature, and a hollow housing (preferably of elongate tubular form) or cannula capable of holding at least the shape memory alloy member(s) in a relatively straightened state, and actuating means for extending the shape memory alloy member(s) from the housing to manipulate matter within the said space and for withdrawing the shape memory alloy member(s) into the housing, the arrangement being such that the shape-memory alloy member(s) bend(s) or twist(s) pseudoelastically in a lateral or helical sense to manipulate the matter on extending from the housing at the said manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the said temperature. Preferably the invention provides such a device or apparatus which is of elongate form for surgical manipulation of matter within a living body, and which has the manipulator means at its distal end with the shape memory alloy member(s) having pseudoelasticity at the temperature to be encountered within that body, and wherein the actuating means is operable from the proximal end of the device.
摘要翻译：因此，本发明提供了一种用于在有限或不可接近的空间中操纵物质的装置或装置，包括至少部分地由在预期操作温度下具有假弹性的一个或多个弯曲或扭转的细长形状记忆合金构件构造的操纵器装置，以及中空壳体（优选为细长管状形式）或能够至少保持形状记忆合金构件处于相对矫直状态的套管;以及致动装置，用于将形状记忆合金构件从壳体延伸到操纵所述形状记忆合金构件内的物质空间并且用于将形状记忆合金构件拉出到壳体中，该布置使得形状记忆合金构件以侧向或螺旋的方式假弹性地弯曲或扭曲以操纵该物质在所述操作温度下从壳体延伸，并且在所述温度下退回到壳体中时变得相对矫直。优选地，本发明提供了一种这样的装置或装置，其具有用于外科手术操作生物体内的物质的细长形式，并且在其远端处具有操纵器装置，其形状记忆合金构件在温度下具有假弹性在该身体内遇到，并且其中致动装置可从装置的近端操作。

96. 发明授权

US06364892B1 Ballon dissector with improved visualization 失效
标题翻译： Ballon分离器具有改进的可视化
公开(公告)号：US06364892B1
公开(公告)日：2002-04-02
申请号：US09364686
申请日：1999-07-30
申请人： James E. Jervis
发明人： James E. Jervis
IPC分类号： A61B1700
CPC分类号： A61M25/0194 , A61B17/00234 , A61B17/02 , A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/0225 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M25/1038 , A61M29/02 , A61M2025/1081
摘要： An expansible tunneling apparatus and associated methods for creating an anatomic working space for a surgical procedure. Various embodiments of one and two piece apparatus that permit laparoscopic observation both during tunneling and during subsequent balloon dissection are disclosed. In a disclosed one piece embodiment, a tubular member has a bore extending therethrough and an open distal end. A lip is formed in the distal end of the tubular member to capture the distal tip of a laparoscope that is inserted into the tubular member to permit observation of the procedure both during tunneling to a desired location and during subsequent balloon inflation. An elongated neck of the balloon is secured to the tunneling member. The elongated neck permits the tubular member to be withdrawn slightly from the balloon after inflation to facilitate observation. After the balloon has been advanced to the desired location in the body it is inflated through a balloon inflation lumen to cause the balloon to dissect tissue and create an operating space. Various balloon constructions and a reusable design are also disclosed.
摘要翻译：一种可扩展的隧道装置和相关联的方法，用于创建外科手术的解剖工作空间。公开了在隧道掘进期间和随后的气球解剖期间允许腹腔镜观察的一个和两个装置的各种实施例。在公开的单件实施例中，管状构件具有延伸穿过其中的孔和敞开的远端。在管状构件的远端形成唇缘以捕获插入到管状构件中的腹腔镜的远侧末端，以允许在隧道到期望的位置期间和随后的球囊膨胀期间观察手术过程。气囊的细长的颈部固定在隧道构件上。细长的颈部允许管状构件在充气之后从气囊中略微抽出以便于观察。在气囊已经前进到身体中的所需位置之后，其通过球囊膨胀腔充气以使得气囊解剖组织并创建操作空间。还公开了各种气球结构和可重复使用的设计。

97. 发明授权

US06264604B1 Apparatus and method for developing an anatomic space for laparoscopic procedures with laparoscopic visualization 有权
标题翻译：用腹腔镜可视化开发腹腔镜手术解剖空间的装置和方法
公开(公告)号：US06264604B1
公开(公告)日：2001-07-24
申请号：US09159925
申请日：1998-09-24
申请人： Maciej J. Kieturakis , Helmut Kayan , Kenneth H. Mollenauer , Jan Maurice Echeverry , George D. Hermann , Thomas A. Howell , Michelle Y. Monfort , Shigeru Tanaka , James E. Jervis
发明人： Maciej J. Kieturakis , Helmut Kayan , Kenneth H. Mollenauer , Jan Maurice Echeverry , George D. Hermann , Thomas A. Howell , Michelle Y. Monfort , Shigeru Tanaka , James E. Jervis
IPC分类号： A61B132
CPC分类号： A61B17/0218 , A61B17/320016 , A61B17/3421 , A61B17/3439 , A61B18/08 , A61B90/361 , A61B2017/00557 , A61B2017/0212 , A61B2017/320044 , A61B2017/320048 , A61B2090/0813 , A61F2/0063 , A61F2002/0072 , A61M25/0668 , A61M25/1002 , A61M29/02
摘要： A laparoscopic apparatus for tunneling dissection including a hollow tunneling member and an inflatable balloon disposed at the distal end of the tunneling member to form together a blunt tipped obturator. The tunneling member has a bore sized allow the insertion of a conventional laparoscope therein to provide observation during surgical procedures. The laparoscope provides direct observation of dissection through the open distal end of the tunneling member. Observation is provided both when the device is used to tunnel between tissue layers to a region of interest within the body of a patient, and during subsequent balloon inflation when the tissue layers are dissected to cause separation of the tissue layers and the creation of an anatomical working space. After the anatomic space has been created, the device and laparoscope are withdraw through the incision. If needed, a trocar can be inserted into the incision to provide access back to the previously created space where the surgical procedure is to be performed. The anatomic working space may be insufflated with an insufflation gas if required for the particular procedure. The apparatus is prepared for use by inserting the tunneling member into the interior of the balloon, forming the balloon into a generally cylindrical roll about the tunneling member, and preferably, through the use of an integral balloon cover, securing the balloon roll to the tunneling member to form a semi-rigid blunt tipped obturator.
摘要翻译：一种用于隧道解剖的腹腔镜装置，包括中空隧道构件和设置在隧道构件的远端处的可膨胀气囊，以一起形成钝头填塞物。隧道构件具有允许在其中插入常规腹腔镜的孔径以在外科手术期间提供观察。腹腔镜可以通过隧道构件的开放远端直接观察解剖。当设备用于在组织层之间隧穿到患者身体内的感兴趣区域时，以及在随后的球囊充气期间，当组织层被解剖以引起组织层的分离和创建解剖学工作空间。解剖空间创建完毕后，装置和腹腔镜通过切口退出。如果需要，可以将套针针插入切口中以提供对先前创建的外科手术进行空间的访问。如果特定程序需要，解剖工作空间可以用吹入气体吹入。通过将隧道构件插入球囊的内部来准备该装置，将球囊形成围绕隧道构件的大致圆柱形的辊，并且优选地，通过使用整体气囊盖，将球囊固定到隧道构件形成半刚性钝头盖封闭体。

98. 发明授权

US06228098B1 Apparatus and method for surgical fastening 失效
标题翻译：手术紧固装置及方法
公开(公告)号：US06228098B1
公开(公告)日：2001-05-08
申请号：US09113827
申请日：1998-07-10
申请人： Helmut L. Kayan , James E. Jervis
发明人： Helmut L. Kayan , James E. Jervis
IPC分类号： A61B1700
CPC分类号： A61B17/0684 , A61B17/068
摘要： Apparatus and method for applying fasteners during endoscopic surgery includes a handle portion, a triggering mechanism and a fastener application. The fastener applicator is detachable from the handle portion by virtue of a rotational locking system and may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. The fastener may be formed around a single point on an anvil. The fastener applicator having only one actuated part in its applicator mechanism, and makes use of biased springs controlled by the position of the actuated part for the remaining part of the mechanism. Another embodiment of the invention deploys a plunger/ratchet assembly and pawl within the handle portion of the apparatus to ensure that the apparatus applicator mechanism will not reverse in the middle of a triggered application stroke. A method of applying a fastener includes the following steps: moving a fastener from a storage channel, where it has been vertically stacked, to a driving channel by a biased fastener positioning spring as a slide is retracted; advancing the slide until the slide engages the fastener in the diving channel and drives the fastener over an anvil to form the fastener. During advancement of the slide a biased stop spring is forced back into a recess thereby allowing the next fastener to move forward in the storage channel in response to the force of a biased pusher spring; retracting the slide thereby freeing the biased ejector springs to kick the formed fastener off the end of the anvil; and further retracting the slide until the fastener positioning spring is once again free to move the distal-most fastener from the storage channel into the driving channel.
摘要翻译：在内窥镜手术中应用紧固件的装置和方法包括手柄部分，触发机构和紧固件应用。紧固件施加器通过旋转锁定系统可从手柄部分拆卸，并且可以用新的紧固件施加器代替，该紧固件施加器具有垂直堆叠的紧固件的新鲜负荷。紧固件可以围绕砧座上的单个点形成。紧固件施加器在其施加器机构中仅具有一个致动部件，并且利用由该致动部件的位置控制的偏置弹簧用于机构的剩余部分。本发明的另一个实施例将柱塞/棘轮组件和棘爪部署在装置的手柄部分内，以确保装置施加器机构在触发的施加冲程的中间不会反转。一种施加紧固件的方法包括以下步骤：当滑架缩回时，通过偏置的紧固件定位弹簧将紧固件从垂直堆叠的存储通道移动到驱动通道; 推进滑块直到滑块接合在潜水通道中的紧固件并且将紧固件驱动在砧座上以形成紧固件。在滑块的前进期间，偏置的止动弹簧被迫回到凹部中，从而允许下一个紧固件响应于偏压的推动弹簧的力而在储存通道中向前移动; 缩回滑块，从而释放偏置的顶出弹簧，将形成的紧固件从砧座的端部踢出; 并进一步缩回滑块，直到紧固件定位弹簧再次自由地将最远的紧固件从存储通道移动到驱动通道中。

99. 发明授权

US5871498A Expansible apparatus with back-loaded cannula 失效
标题翻译：具有背装式插管的可膨胀装置
公开(公告)号：US5871498A
公开(公告)日：1999-02-16
申请号：US717794
申请日：1996-09-23
申请人： James E. Jervis , Helmut Kayan
发明人： James E. Jervis , Helmut Kayan
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B17/34 , A61F2/00 , A61M25/00 , A61B19/00
CPC分类号： A61B17/0218 , A61B2017/00557 , A61B2017/320044 , A61B90/02 , A61F2/0063 , A61F2002/0072
摘要： The present invention relates to an expansible tunneling apparatus suitable for tissue dissection. The apparatus is provided with a cannula-loading shaft at its proximal end such that a cannula chosen from a range of different cannulas may be loaded over the cannula-loading shaft and installed in an anatomic space created by the expansible tunneling apparatus. The apparatus is also provided with an inflatable member such as a balloon to accomplish the dissection and a sleeve covering the balloon which are removed from the apparatus before the cannula is loaded on the cannula loading shaft.
摘要翻译：本发明涉及适用于组织剥离的可扩展隧道装置。该设备在其近端处设置有插管加载轴，使得从一定范围的不同插管中选择的套管可以装载在套管装载轴上并且安装在由可膨胀的隧道装置产生的解剖空间中。该装置还设置有可充气构件，例如气囊，以完成解剖，以及覆盖气囊的套筒，其在将套管装载到套管装载轴之前从装置移除。

100. 发明授权

US5820628A Device or apparatus for manipulating matter 失效
标题翻译：用于操纵物品的装置或装置
公开(公告)号：US5820628A
公开(公告)日：1998-10-13
申请号：US474200
申请日：1995-06-07
申请人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis , Reza Zadno
发明人： Lee M. Middleman , Walter R. Pyka , Michael Buhler , Philippe Poncet , Karl Van Dyk , James E. Jervis , Reza Zadno
IPC分类号： A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/02 , A61B17/04 , A61B17/06 , A61B17/08 , A61B17/10 , A61B17/12 , A61B17/22 , A61B17/28 , A61B17/30 , A61B17/32 , A61B17/34 , A61B18/08 , A61B18/14 , A61F2/00 , A61F2/16 , B25B9/00 , B26B13/26
CPC分类号： A61B10/02 , A61B17/00234 , A61B17/0218 , A61B17/0469 , A61B17/0625 , A61B17/08 , A61B17/10 , A61B17/12013 , A61B17/221 , A61B17/29 , A61B17/295 , A61B17/320016 , A61B17/32056 , A61B18/082 , B25B9/00 , B26B13/26 , A61B10/06 , A61B17/30 , A61B17/3201 , A61B17/3421 , A61B18/10 , A61B2017/00287 , A61B2017/00349 , A61B2017/00353 , A61B2017/0038 , A61B2017/00455 , A61B2017/00867 , A61B2017/0409 , A61B2017/06052 , A61B2017/06171 , A61B2017/22072 , A61B2017/2905 , A61B2017/2927 , A61B2017/2936 , A61B2017/2937 , A61B2017/2943 , A61B2017/303 , A61B2017/320064 , A61B2017/32113 , A61B2018/00642 , A61B2018/00791 , A61B2018/1407 , A61F2002/30093 , A61F2210/0019
摘要： A device or apparatus for manipulating matter in a confined or inaccessible space, comprises a manipulator at least partly constructed of one or more bent or twisted elongate metallic members having pseudoelasticity at the intended manipulation temperature, and a hollow housing (preferably of elongate tubular form) or cannula capable of holding at least the metallic member(s) in a relatively straightened state, and an actuator for extending the metallic member(s) from the housing to manipulate matter within the space and for withdrawing the metallic member(s) into the housing, the arrangement being such that the metallic member(s) bend(s) or twist(s) pseudoelastically in a lateral or helical sense to manipulate the matter on extending from the housing at the manipulation temperature, and become(s) relatively straightened on withdrawal into the housing at the temperature. Preferably the device or apparatus is of elongate form for surgical manipulation of matter within a living body, and has the manipulator at its distal end with the metallic member(s) having pseudoelasticity at the temperature to be encountered within the body, and wherein the actuator is operable from the proximal end of the device.
摘要翻译：用于在密闭或不可接近的空间中操纵物体的装置或装置包括至少部分地由在预期操作温度下具有假弹性的一个或多个弯曲或扭转的细长金属构件构造的操纵器，以及中空壳体（优选地为细长管状形式）或能够至少保持金属构件处于相对矫直状态的插管;以及致动器，用于将金属构件从壳体延伸以在该空间内操纵物件，并将金属构件抽出到壳体，该布置使得金属构件以侧向或螺旋的方式假性弹性地弯曲或扭曲，以在操作温度下从壳体延伸而操纵该物质，并且变得相对矫直在温度下退回房屋。优选地，所述装置或装置是用于在生物体内的物质的外科手术操作的细长形式，并且在其远端处具有操纵器，金属构件在体内遇到的温度具有假弹性，并且其中致动器可从设备的近端操作。

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