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11. 发明授权

US5728112A Combined tissue clamping and suturing instrument 失效
标题翻译：组合夹紧和缝合仪器
公开(公告)号：US5728112A
公开(公告)日：1998-03-17
申请号：US532455
申请日：1995-09-22
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/04 , A61B17/28 , A61B7/04
CPC分类号： A61B17/04 , A61B17/285 , B01J2219/00702
摘要： A surgical instrument includes a pair of pivotally connected arms defining a pair of opposed jaws, a hollow suture needle mounted on a first of the jaws and provided with a slot, and a length of suture material extending through the hollow needle. The hollow needle has a first open end mounted on the first jaw and a second open end defining a tissue penetrating point, the first and second open ends being connected by the slot. A groove is preferably formed along an outer surface of the first jaw so that a portion of the suture material can be disposed within the groove and, when provided, the groove preferably communicates with the first open end of the hollow suture needle. The slot and groove each have a width to prevent the suture material from inadvertently falling out while permitting deliberate removal of the suture material via the slot or groove by application of force so that suturing of anatomical tissue can be performed with tissue held between jaws of the instrument. In a preferred embodiment, an opening is formed in the second jaw in opposed relation to the hollow suture needle such that, when the jaws are closed, the hollow suture needle will protrude from the opening and suture material disposed in the needle can be grasped and removed from the instrument without opening the jaws.
摘要翻译：手术器械包括一对枢转连接的臂，限定一对相对的钳口，中空缝合针安装在第一钳口上并设置有狭槽，并且一定长度的缝合材料延伸穿过中空针。中空针具有安装在第一钳口上的第一开口端和限定组织穿透点的第二开口端，第一和第二开口端由槽连接。优选地，沿着所述第一钳口的外表面形成槽，使得所述缝合材料的一部分可以设置在所述槽内，并且当设置时所述槽优选地与所述中空缝合针的第一开口端连通。槽和槽各自具有宽度，以防止缝合材料无意中脱落，同时通过施加力来有选择地通过狭槽或凹槽去除缝合材料，从而可以用夹持在夹具的钳口之间的组织进行缝合解剖组织仪器。在优选实施例中，在第二钳口中形成与中空缝合针相对的开口，使得当夹爪闭合时，中空缝合针将从开口突出，并且可以抓住设置在针中的缝合材料，从仪器中取出而不打开夹爪。

12. 发明授权

US5725542A Multifunctional spring clips and cartridges and applicators therefor 失效
标题翻译：多功能弹簧夹和墨盒及其用途
公开(公告)号：US5725542A
公开(公告)日：1998-03-10
申请号：US807083
申请日：1997-02-27
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/04 , A61B17/06 , A61B17/12 , A61B17/122 , A61B17/128 , A61B17/08
CPC分类号： A61B17/1285 , A61B17/0487 , A61B17/12 , A61B17/1227 , A61B17/06 , A61B2017/0454 , A61B2017/0464 , A61B2017/0488
摘要： A multifunctional spring clip for use in endoscopic and open operative procedures includes a body having opposed portions and a base connecting the opposed portions. Each opposed portion includes an outer segment and an inner segment connected to the outer segment and carrying a grasping surface. The clip is normally disposed in a grasping position wherein the grasping surfaces are biased toward one another, is movable from the grasping position to a receiving position wherein the grasping surfaces are moved away from one another to receive a structure therebetween and is movable from the receiving position toward the grasping position due to the bias to grasp the structure between the grasping surfaces. An applicator for the multifunctional spring clip includes a distal end carrying forceps for engaging the opposed portions of the clip. The forceps engage the clip in the grasping position and are movable from a closed position to an open position to move the clip from the grasping position to the receiving position to receive the structure between the grasping surfaces. The forceps are movable from the open position to the closed position to permit the clip to move from the receiving position toward the grasping position to grip the structure between the grasping surfaces. A cartridge storing a plurality of multifunctional spring clips is insertable in the applicator for selectively releasing one of the clips from the cartridge into engagement with the forceps.
摘要翻译：用于内窥镜和开放操作程序的多功能弹簧夹包括具有相对部分的主体和连接相对部分的底座。每个相对部分包括外部段和连接到外部段并且承载抓握表面的内部段。夹具通常设置在抓握位置，其中抓握表面彼此偏压，可从抓握位置移动到接收位置，其中抓握表面彼此远离地移动以在其间接收结构，并且可从接收器移动由于偏置以抓住抓握表面之间的结构而朝向把持位置的位置。用于多功能弹簧夹的施加器包括用于接合夹子的相对部分的钳子的远端。镊子将夹子接合在把持位置并且可以从关闭位置移动到打开位置，以将夹子从把持位置移动到接收位置，以接收抓握表面之间的结构。镊子可以从打开位置移动到关闭位置，以允许夹子从接收位置朝向把持位置移动以夹紧抓握表面之间的结构。存储多个多功能弹簧夹的盒可插入施用器中，用于将夹子中的一个从盒中选择性地释放成与镊子接合。

13. 发明授权

US5713870A Retractable safety penetrating instrument with laterally extendable spring strip 失效
标题翻译：具有横向延伸弹簧条的伸缩式安全穿透仪
公开(公告)号：US5713870A
公开(公告)日：1998-02-03
申请号：US424784
申请日：1995-04-19
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00 , A61M5/32
CPC分类号： A61B17/3417 , A61B17/3496 , A61B2017/00477 , A61B2017/3458 , A61B2017/3484 , A61B2090/08021 , A61B2090/0811 , A61B2090/3614
摘要： A safety penetrating instrument for penetrating an anatomical cavity wall to gain access to an anatomical cavity includes a cannula, a penetrating member disposed in the cannula and movable relative to the cannula between a penetrating position where the tissue penetrating distal end of the penetrating member protrudes distally from the distal end of the cannula and a protected position where the penetrating member distal end is proximally spaced from the distal end of the cannula, a retracting mechanism for moving the penetrating member proximally from the penetrating position to the protected position and for permitting the penetrating member to move distally to the penetrating position, a locking mechanism for locking the penetrating member in the penetrating position, a spring strip mounted by the penetrating member and having an extendable portion movable inwardly in a lateral direction transverse to a longitudinal axis of the penetrating member from an extended position to a retracted position during penetration of the anatomical cavity wall and outwardly in the lateral direction from the retracted position to the extended position upon introduction of the extendable portion in the anatomical cavity, and a releasing mechanism responsive to movement of the extendable portion from the retracted position to the extended position for triggering release of the locking mechanism to permit the retracting mechanism to move the penetrating member to the protected position.
摘要翻译：用于穿透解剖腔壁以进入解剖腔的安全穿透仪器包括套管，穿透构件，其布置在插管中并且可相对于插管移动，其穿透位置穿透部件穿透远端远端突出的远端从所述套管的远端和所述穿透构件远端与所述套管的远端向近侧间隔开的受保护位置，用于使所述穿透构件从所述穿透位置向近侧移动到所述受保护位置并且用于允许穿透构件向远侧移动到穿透位置，用于将穿透构件锁定在穿透位置的锁定机构，由穿透构件安装的弹簧条，并且具有可沿横向于穿透构件的纵向轴线的横向方向向内移动的可延伸部分从扩展位置到重新生成在解剖腔壁的穿透期间的作用位置，并且在将可伸展部分引入解剖空腔中时，在从缩回位置到延伸位置的横向方向上向外延伸，以及释放机构，其响应于可延伸部分从缩回位置移动到用于触发释放锁定机构以延伸回缩机构将穿透构件移动到受保护位置的延伸位置。

14. 发明授权

US5688286A Safety trocar penetrating instrument with safety shield having resilient distal end 失效
标题翻译：带安全护罩的安全套管针穿透仪具有弹性的远端
公开(公告)号：US5688286A
公开(公告)日：1997-11-18
申请号：US760232
申请日：1996-12-04
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B10/00 , A61B10/02 , A61B17/34 , A61B19/00
CPC分类号： A61B10/0233 , A61B17/3417 , A61B17/3496 , A61B2017/3458 , A61B2017/349 , A61B2090/08021
摘要： A safety trocar penetrating instrument particularly useful in least invasive surgery includes a portal sleeve, a trocar disposed in the portal sleeve and having a sharp, solid, angled tissue penetrating distal end and a safety shield disposed in the portal sleeve and receiving the trocar, the safety shield being movable relative to the trocar between an extended position wherein a distal end of the safety shield protects the sharp tip and a retracted position exposing the sharp tip. The configuration of the distal ends of the trocar and the safety shield in the retracted position present a substantially continuous, angled surface for penetrating tissue. A hub receiving proximal ends of the trocar and safety shield includes a locking mechanism allowing the safety shield to be automatically or optionally locked in the extended position and permitting selective, releasable or automatic locking of the safety shield in the retracted position.
摘要翻译：特别适用于最小侵入性手术的安全套针穿刺器具包括入口套管，套管针，其设置在入口套管中，并且具有穿透远端的尖锐，固体，成角度的组织，以及设置在门静脉套管中并接收套管针的安全护罩，安全护罩能够相对于套管针在延伸位置之间移动，其中安全护罩的远端保护锋利的尖端和暴露尖锐尖端的缩回位置。套管针的远端和处于缩回位置的安全护罩的构型呈现用于穿透组织的基本上连续的成角度的表面。容纳套管针和安全护罩的近端的轮毂包括锁定机构，该锁定机构允许安全防护罩被自动地或可选地锁定在延伸位置，并允许安全护罩在缩回位置的选择性的，可释放的或自动的锁定。

15. 发明授权

US5676657A Endoscopic portal having multiluminal trumpet valve 失效
标题翻译：内窥镜入口具有多腔喇叭阀
公开(公告)号：US5676657A
公开(公告)日：1997-10-14
申请号：US618326
申请日：1996-03-19
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/34 , A61M5/178
CPC分类号： A61B17/3462 , A61B17/3498
摘要： An endoscopic portal for establishing communication with a body cavity for the introduction of instruments therethrough includes a sleeve for providing a passage through a cavity wall and a valve biased to a normal closed position preventing the passage of instruments and fluids through the sleeve. The sleeve includes a distal end for being disposed in a body cavity, a proximal end for being disposed externally of the body cavity and a lumen between the distal and proximal ends. The valve includes a cylindrical valve body extending in a transverse direction across the lumen and having a plurality of diametric valve passages therethrough of different cross sectional sizes. The valve body is biased to the normal closed position wherein the valve body blocks communication through the lumen and wherein the valve passages are not disposed within the lumen. The valve body is movable axially from the normal closed position to position the valve passages within the lumen, and the valve body is rotatable about an axis transverse to the longitudinal axis of the sleeve to align a selected one of the valve passages axially with the lumen such that an instrument having a cross sectional size corresponding to the cross sectional size of the selected valve passage can be introduced through the lumen to extend through the valve body in sealing relation.
摘要翻译：用于建立与体腔连通以引入仪器的内窥镜入口包括用于提供通过空腔壁的通道的套筒和偏置到正常关闭位置的阀，以防止仪器和流体通过套筒。套筒包括用于设置在体腔中的远端，用于设置在体腔外部的近端和在远端和近端之间的内腔。阀包括圆柱形阀体，该圆柱形阀体沿横向延伸穿过管腔并且具有穿过其中的不同横截面尺寸的多个直径阀通道。阀体被偏置到正常关闭位置，其中阀体阻挡通过内腔的连通，并且其中阀通道不设置在内腔内。阀体可从正常关闭位置轴向移动，以将阀通道定位在内腔内，并且阀体可绕垂直于套管纵向轴线的轴线旋转，以将选定的一个阀通道与管腔轴向对准使得具有对应于所选阀通道的横截面尺寸的横截面尺寸的仪器可以通过内腔引入以在密封关系中延伸穿过阀体。

16. 发明授权

US5645076A Automatic retractable safety penetrating instrument 失效
公开(公告)号：US5645076A
公开(公告)日：1997-07-08
申请号：US406217
申请日：1995-03-15
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B10/00 , A61B10/02 , A61B17/00 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3417 , A61B17/3496 , A61B17/3474 , A61B17/3498 , A61B2017/00477 , A61B2017/3454 , A61B2017/3484 , A61B2090/08021 , A61B2090/0811
摘要： An automatic retractable safety penetrating instrument for introduction of sleeves, such as portal sleeves, cannulas and catheters, into anatomical cavities by means of penetrating members, such as solid tip trocars, other solid configuration obturators and cannulated penetrating members, such as needles, include locking and releasing mechanisms for automatic retraction of the penetrating member into the sleeve upon the sleeve entering the anatomical cavity. Various locking and releasing mechanisms are utilized for disposition in the penetrating member hub, in the shaft of the penetrating member or partially in the shaft and the hub, and the penetrating member can be made of telescoping distal and shaft sections to minimize the length of the penetrating member hub.

17. 发明授权

US5637097A Penetrating instrument having an expandable anchoring portion 失效
标题翻译：具有可扩张锚固部分的渗透仪器
公开(公告)号：US5637097A
公开(公告)日：1997-06-10
申请号：US433904
申请日：1995-05-02
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3496 , A61B17/3417 , A61B2017/00477 , A61B2017/3484 , A61B2090/08021 , A61B2090/0811
摘要： A penetrating instrument for penetrating a wall of an anatomical cavity to gain access to the anatomical cavity includes a fixed or retractable penetrating member having a distal end for penetrating the anatomical cavity wall, a portal sleeve fixed relative to the penetrating member or movable between an extended position protecting the distal end of the penetrating member and a retracted position exposing the distal end of the penetrating member, and an expandable portion carried by the portal sleeve and movable from an expanded position to a contracted position during penetration of the cavity wall and from the contracted position to the expanded position upon introduction of the expandable portion in the anatomical cavity to anchor the portal sleeve relative to the anatomical cavity wall.
摘要翻译：用于穿透解剖腔体的壁以进入解剖腔的穿透仪器包括具有用于穿透解剖腔壁的远端的固定或可缩回的穿透构件，相对于穿透构件固定或可在延伸保护穿透构件的远端的位置和暴露穿透构件的远端的缩回位置，以及由入口套筒承载的可扩张部分，并且可在空腔壁穿透期间从膨胀位置移动到收缩位置，在将可扩张部分引入解剖空腔中以将门静脉套相对于解剖腔壁锚固以将其缩小到展开位置。

18. 发明授权

US5632717A Penetrating endoscope 失效
标题翻译：穿透内窥镜
公开(公告)号：US5632717A
公开(公告)日：1997-05-27
申请号：US368215
申请日：1995-01-03
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B1/012 , A61B1/313 , A61B17/32 , A61B17/34 , A61B1/00
CPC分类号： A61B1/00087 , A61B1/00082 , A61B1/00135 , A61B1/012 , A61B1/3132 , A61B17/320016 , A61B17/32002 , A61B17/3496 , A61B17/3211 , A61B17/3476 , A61B2017/320004 , A61B2017/32006 , A61B2017/3445
摘要： An endoscope includes an endoscope tube, illumination and viewing systems disposed within the endoscope tube in a manner to define a blunt distal end, and a penetrating member coupled with an operating mechanism for moving the penetrating member between a retracted position where a distal end of the penetrating member is proximally spaced from the blunt distal end of the endoscope and an extended position where the distal end of the penetrating member protrudes beyond the blunt distal end of the endoscope. The penetrating member can be a blade, one or more needles or any other type of instrument suitable for penetrating anatomical tissue. Upon being extended, the penetrating member can be held in the extended position, automatically retracted and/or reciprocatingly moved as desired.
摘要翻译：内窥镜包括内窥镜管，照明和观察系统，其以限定钝的远端的方式设置在内窥镜管内;以及穿透构件，其与用于将穿透构件移动到缩回位置的操作机构联接，穿刺构件与内窥镜的钝的远端向近侧间隔开，并且穿透构件的远端突出超过内窥镜的钝的远端的延伸位置。穿透构件可以是叶片，一个或多个针或适于穿透解剖组织的任何其它类型的器械。在延伸时，穿透构件可以保持在伸出位置，根据需要自动缩回和/或往复运动。

19. 发明授权

US5607439A Safety penetrating instrument with penetrating member moving during penetration and triggered safety member protrusion 失效
标题翻译：安全穿透仪器，穿透构件在穿透期间移动并触发安全构件突出
公开(公告)号：US5607439A
公开(公告)日：1997-03-04
申请号：US315506
申请日：1994-09-30
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B10/00 , A61B10/02 , A61B17/32 , A61B17/34 , A61B19/00 , A61M5/32 , A61M5/00
CPC分类号： A61B17/3417 , A61B10/0233 , A61B17/3496 , A61B2017/320044 , A61B2017/3454 , A61B2090/08021 , A61M5/3243
摘要： A safety penetrating instrument for penetrating an anatomical cavity wall to gain access to an anatomical cavity includes a cannula, a penetrating member having a distal end for penetrating an anatomical cavity wall to gain access to an anatomical cavity, and a safety member in the form of a safety shield or probe. The penetrating member is mounted on a bias member for biasing the penetrating member distally toward a rest position while allowing proximal movement of the penetrating member away from the rest position. Both the safety member and the cannula have distal ends movable between respective extended positions disposed distally of the penetrating member distal end to protect the penetrating member distal end and respective retracted positions disposed proximally of the penetrating member distal end to expose the penetrating member distal end. Extending mechanisms move the safety member and cannula distally to their respective extended positions and permit the safety member and cannula to move proximally to their respective retracted positions. The safety member and cannula are locked in the retracted positions to prevent movement to the extended positions during penetration of the anatomical cavity wall and are released responsive to movement of the penetrating member distally toward the rest position upon penetration into the anatomical cavity.
摘要翻译：用于穿透解剖腔壁以进入解剖腔的安全穿透仪器包括插管，具有用于穿透解剖腔壁以进入解剖腔的远端的穿透构件，以及安全构件，其形式为安全护罩或探头。穿透构件安装在偏置构件上，用于将穿透构件朝向静止位置向远侧偏置，同时允许穿透构件远离静止位置的近端运动。安全构件和套管都具有可在贯穿构件远端远端设置的相应延伸位置之间移动的远端，以保护穿透构件远端以及设置在穿透构件远端的近侧的相应缩回位置，以暴露穿透构件远端。延伸机构将安全构件和插管向远侧移动到其相应的延伸位置，并允许安全构件和插管向近端移动到它们各自的缩回位置。安全构件和套管被锁定在缩回位置，以防止在解剖腔壁渗透期间移动到延伸位置，并且当穿透构件穿透到解剖腔中时，穿透构件向远侧朝向静止位置移动。

20. 发明授权

US5591189A Safety penetrating instrument with safety member moving during penetration and triggered safety member protrusion 失效
标题翻译：安全穿透仪器，安全件在穿透过程中移动并触发安全部件突出
公开(公告)号：US5591189A
公开(公告)日：1997-01-07
申请号：US301897
申请日：1994-09-07
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B10/00 , A61B10/02 , A61B17/32 , A61B17/34 , A61B19/00 , A61M5/32 , A61M5/00
CPC分类号： A61B17/3417 , A61B10/0233 , A61B17/3496 , A61B2017/320044 , A61B2017/3454 , A61B2090/08021 , A61M5/3243
摘要： A safety penetrating instrument for penetrating an anatomical cavity wall to gain access to an anatomical cavity includes a penetrating member having a distal end for penetrating the anatomical cavity wall, a distally-biased safety member having a distal end movable between an extended position where the safety member distal end protrudes distally from the penetrating member distal end to protect the distal end of the penetrating member and a retracted position where the safety member distal end is disposed proximally of the penetrating member distal end to expose the penetrating member distal end, an extending mechanism for moving the safety member to the extended position and for permitting the safety member to move proximally toward the retracted position, a handle for manually moving the safety member proximally to the retracted position and a lock for locking the safety member in the retracted position to prevent movement of the safety member to the extended position during penetration of the anatomical cavity wall. The safety member can be one or both of a cannula and a safety shield or probe with the safety shield or probe being movable proximally from the retracted position during penetration of the anatomical cavity wall and distally toward the retracted position in response to introduction in the anatomical cavity. The safety penetrating instrument is responsive to movement of the safety shield or probe distally to trigger release of the lock to permit the extending mechanism to move the safety member to the extended position.
摘要翻译：用于穿透解剖腔壁以进入解剖腔的安全穿透仪器包括具有用于穿透解剖腔壁的远端的穿透构件，远端偏置的安全构件，其具有可在安全性构件远端从穿透构件远端向远侧突出以保护穿透构件的远端，并且安全构件远端设置在穿透构件远端的近侧以露出穿透构件远端的缩回位置，延伸机构用于将安全构件移动到延伸位置并允许安全构件朝近端移动，用于将安全构件手动地移动到缩回位置的把手和用于将安全构件锁定在缩回位置的锁，以防止在穿透过程中安全部件移动到延伸位置解剖腔壁。安全构件可以是插管和安全屏蔽或探针中的一个或两个，其中安全屏蔽或探针可在解剖腔壁穿透期间从缩回位置向近侧移动，并且响应于在解剖学上的引入而向远侧朝向缩回位置腔。安全穿透仪器响应于安全护罩或探头向远侧的移动，以触发锁定释放，以允许延伸机构将安全部件移动到延伸位置。

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