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11. 发明授权

US06558407B1 Breast stabilizer with instrument guide 失效
标题翻译：乳房稳定器与仪器指南
公开(公告)号：US06558407B1
公开(公告)日：2003-05-06
申请号：US09694854
申请日：2000-10-24
申请人： David Ivanko , Frank J. Viola
发明人： David Ivanko , Frank J. Viola
IPC分类号： A61B1700
CPC分类号： F16M13/04 , A61B90/11 , A61B90/17 , A61B90/50 , A61B2017/00544 , A61B2017/3407 , F16M11/041 , F16M11/18 , F16M11/40 , F16M2200/066
摘要： A breast stabilizing and support device has a generally oval base with a central opening therethrough, a variable diameter cord or band positioned concentrically within the central opening and adapted to be slid over the breast and tightened at the breast base to cause the breast to bulge firmly away from the base, and one or more articulated arms that are adapted to be attached to and adjustably positioned around the base for holding various instruments. The base is semi-rigid and compliant to form around the contours of the torso adjacent to the breast. Attached to the base and lying in the central opening is a loop of cord that is adjustable in diameter and adapted to surround and apply a radially inward, compressive force to the breast. One or more articulated arms have selectively lockable clamps at one end for securing the arms to the base at various positions. At another end the arms have attachment means such as jaws or clamps for securing one or more tools to the base and in position to perform operations on the breast tissue.
摘要翻译：乳房稳定和支撑装置具有通常为椭圆形的基部，具有穿过其的中心开口，可变直径的绳索或带，其同心地位于中心开口内并且适于在乳房上滑动并紧固在乳房基部处以使乳房牢固地隆起远离基座，以及一个或多个铰接臂，其适于附接到可调节地定位在基座周围以保持各种仪器。基部是半刚性的并且柔顺地围绕与乳房相邻的躯干的轮廓形成。附着在基座上并且位于中央开口处的是一条绳索环，其直径可调节并且适于围绕并向乳房施加径向向内的压缩力。一个或多个铰接臂在一端具有可选择性地锁定的夹具，用于在各种位置将臂固定到基座。在另一端，臂具有诸如钳口或夹具的附接装置，用于将一个或多个工具固定到基座并且在位置上对乳房组织执行操作。

12. 发明授权

US08505801B2 Surgical fastener applying apparatus 有权
公开(公告)号：US08505801B2
公开(公告)日：2013-08-13
申请号：US13329631
申请日：2011-12-19
申请人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank Viola
发明人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank Viola
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/105 , A61B2017/0725 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0801 , A61B2090/0814
摘要： The present disclosure relates to surgical fastener applying apparatus for sequentially applying a plurality of surgical fasteners to body tissue. The surgical fastener applying apparatus includes a replaceable cartridge assembly receivable in a distal end portion of a cartridge receiving half-section, the cartridge assembly including a safety lockout pivotably disposed along the upper surface of the cartridge assembly and movable from an unlocked orientation permitting assembly of an anvil half-section to the cartridge receiving half-section, to a locked orientation preventing assembly of the anvil half-section to the cartridge receiving-half section.

13. 发明授权

US08011552B2 Surgical fastener applying apparatus with controlled beam deflection 有权
标题翻译：具有受控束偏转的外科紧固件施加装置
公开(公告)号：US08011552B2
公开(公告)日：2011-09-06
申请号：US12726608
申请日：2010-03-18
申请人： David Ivanko
发明人： David Ivanko
IPC分类号： A61B17/04
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B2017/07214 , A61B2017/2926
摘要： A surgical fastener applying apparatus including an anvil half-section having a distal end and a longitudinal axis; a cartridge receiving half-section having a distal end and operatively couplable with the anvil half-section such that the distal ends of the half-sections are in juxtaposed relation; and a deflection control system operatively engaged with and reinforcing the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis.
摘要翻译：一种手术紧固件施加装置，包括具有远端和纵向轴线的砧座半部; 容纳半部具有远端并且可与砧座半部分可操作地连接的盒的盒，使得半部分的远端处于并列关系; 以及当横向于纵向轴线的方向向砧座半部的远端施加力时，与砧座半部的远端可操作地接合并加强其的偏转控制系统。

14. 发明授权

US07631794B2 Surgical fastener applying apparatus 有权
公开(公告)号：US07631794B2
公开(公告)日：2009-12-15
申请号：US12115612
申请日：2008-05-06
申请人： Csaba L. Rethy , Karl H. Ehrenfels , Roberto Pedros , David Ivanko , Randolph F. Lehn , Frank J. Viola
发明人： Csaba L. Rethy , Karl H. Ehrenfels , Roberto Pedros , David Ivanko , Randolph F. Lehn , Frank J. Viola
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/105 , A61B2017/0725 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0801 , A61B2090/0814
摘要： The present disclosure relates to surgical fastener applying apparatus for sequentially applying a plurality of surgical fasteners to body tissue. The surgical fastener applying apparatus includes a replaceable cartridge assembly receivable in a distal end portion of a cartridge receiving half-section, the cartridge assembly including a safety lockout pivotably disposed along the upper surface of the cartridge assembly and movable from an unlocked orientation permitting assembly of an anvil half-section to the cartridge receiving half-section, to a locked orientation preventing assembly of the anvil half-section to the cartridge receiving-half section.

15. 发明申请

US20070119901A1 Surgical fastener applying apparatus 审中-公开
标题翻译：手术紧固件施加装置
公开(公告)号：US20070119901A1
公开(公告)日：2007-05-31
申请号：US11699699
申请日：2007-01-29
申请人： Karl Ehrenfels , David Ivanko , Randolph Lehn , Roberto Pedros , Casaba Rethy , Frank Viola
发明人： Karl Ehrenfels , David Ivanko , Randolph Lehn , Roberto Pedros , Casaba Rethy , Frank Viola
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0801 , A61B2090/0814
摘要： An improved surgical fastener applying apparatus includes a cartridge half-section and an anvil half-section with the cartridge and anvil half-sections being relatively movable from an unclamped position to a fully clamped position. The apparatus includes a replaceable staple cartridge assembly having a plurality of surgical staples and a pivotably mounted safety lock-out. The safety lock-out is pivotable between an initial position in which a relative movement of the cartridge and anvil half-sections to the fully clamped position is permitted and a blocking position in which a relative movement of the cartridge and anvil half-sections to return them to their fully clamped position after the plurality of staples have been at least partially fired is prevented. The apparatus further includes a pivotably mounted firing lever for moving a pair of camming surfaces longitudinally. In addition, each of the presently disclosed cartridge and anvil half-sections of the fastener applying apparatus includes a clamping lever, which clamping levers are configured and adapted to enable the applying apparatus to be opened by either one of the cartridge half-section and the anvil half-section.
摘要翻译：一种改进的手术紧固件施加装置包括盒半部分和砧座半部分，其中药筒和砧座半部分可从未夹紧位置相对移动到完全夹紧位置。该装置包括具有多个外科缝钉和可枢转地安装的安全锁定的可更换钉仓组件。安全锁定可以在其中允许暗盒和砧座半部分相对于完全夹紧位置的相对移动被允许的初始位置和一个阻挡位置之间枢转，在该位置中盒和砧座半部分相对运动返回在多个订书钉已被至少部分烧制之后，它们到达其完全夹紧位置被阻止。该装置还包括一个可枢转安装的击发杆，用于纵向移动一对凸轮表面。此外，目前公开的每个紧固件施加装置的筒和砧半部分包括夹紧杆，该夹紧杆被构造成适于使施加装置能够通过盒半部和砧半部分。

16. 发明授权

US06436054B1 Biopsy system 失效
标题翻译：活检系统
公开(公告)号：US06436054B1
公开(公告)日：2002-08-20
申请号：US09448238
申请日：1999-11-24
申请人： Frank Viola , Csaba L. Rethy , David Ivanko , Scott Martinelli , Bruce Jankowski , Randolph Lehn , James Dale , Arthur Stickney , Karl Ehrenfels
发明人： Frank Viola , Csaba L. Rethy , David Ivanko , Scott Martinelli , Bruce Jankowski , Randolph Lehn , James Dale , Arthur Stickney , Karl Ehrenfels
IPC分类号： A61B1000
CPC分类号： A61B10/0275 , A61B10/0283 , A61B2010/0225
摘要： A biopsy system is provided including a housing and a biopsy instrument operatively associated with the housing and configured and dimensioned to remove a tissue sample from a patient. A firing module is included that is detachably engageable with the housing and operatively associated with the biopsy instrument to facilitate selective rapid advancement of at least a portion of the biopsy instrument toward a targeted location with the patient. The biopsy instrument includes a tissue receiving portion. The system may include an indexing assembly disposed within the housing and configured to cooperate with the biopsy instrument to selectively orient the tissue receiving portion. The indexing assembly may include a manual gearing assembly configured for selective orientation of the tissue receiving portion. The system may include a linear advancement control assembly disposed within the housing and configured to effect linear actuation of a tubular knife member. An optical sensor may be disposed adjacent a portion of the tubular knife member and oriented to detect the orientation of a lateral opening formed through the tubular knife member. A carriage may be slidably disposed within the housing and configured to releasably retain at least a portion of the biopsy instrument. A method of performing a surgical biopsy is disclosed.
摘要翻译：提供了一种活检系统，其包括壳体和与该壳体可操作地相关联的构造和尺寸以从患者去除组织样本的活检器械。包括能够与壳体可拆卸地接合并与活检器械可操作地相关联的击发模块，以促进至少一部分活组织检查器朝向患者的目标位置快速前进。活检器械包括组织接收部分。系统可以包括设置在壳体内并且被配置为与活检器械配合以便选择性地定向组织接收部分的分度组件。分度组件可以包括被配置用于组织接收部分的选择性取向的手动传动装置。该系统可以包括设置在壳体内并被配置为实现管状刀具的线性致动的线性前进控制组件。光学传感器可以设置在管状刀具部件的一部分附近并被定向成检测通过管状刀片形成的侧向开口的取向。托架可以可滑动地设置在壳体内并且构造成可释放地保持活检器械的至少一部分。公开了进行外科活检的方法。

17. 发明授权

US08074861B2 Surgical fastener applying apparatus 有权
标题翻译：手术紧固件施加装置
公开(公告)号：US08074861B2
公开(公告)日：2011-12-13
申请号：US12619829
申请日：2009-11-17
申请人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank Viola
发明人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank Viola
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B17/105 , A61B2017/0725 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0801 , A61B2090/0814
摘要： The present disclosure relates to surgical fastener applying apparatus for sequentially applying a plurality of surgical fasteners to body tissue. The surgical fastener applying apparatus includes a replaceable cartridge assembly receivable in a distal end portion of a cartridge receiving half-section, the cartridge assembly including a safety lockout pivotably disposed along the upper surface of the cartridge assembly and movable from an unlocked orientation permitting assembly of an anvil half-section to the cartridge receiving half-section, to a locked orientation preventing assembly of the anvil half-section to the cartridge receiving-half section.
摘要翻译：本公开涉及用于将多个外科紧固件顺序地应用于身体组织的手术紧固件施加装置。外科紧固件施加装置包括可接收在药筒接收半部分的远端部分中的可替换的药筒组件，药筒组件包括可沿着药筒组件的上表面枢转地设置并可从解锁定向移动的安全锁定，砧座半部分到药筒接收半部分，到砧座半部分到药筒接收半部分的锁定取向防止组件。

18. 发明授权

US07699205B2 Surgical fastener applying apparatus with controlled beam deflection 有权
标题翻译：具有受控束偏转的外科紧固件施加装置
公开(公告)号：US07699205B2
公开(公告)日：2010-04-20
申请号：US12358332
申请日：2009-01-23
申请人： David Ivanko
发明人： David Ivanko
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B2017/07214 , A61B2017/2926
摘要： A surgical fastener applying apparatus including an anvil half-section having a distal end and a longitudinal axis; a cartridge receiving half-section having a distal end and operatively couplable with the anvil half-section such that the distal ends of the half-sections are in juxtaposed relation; and a deflection control system operatively engaged with and reinforcing the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis.
摘要翻译：一种手术紧固件施加装置，包括具有远端和纵向轴线的砧座半部; 容纳半部具有远端并且可与砧座半部分可操作地连接的盒的盒，使得半部分的远端处于并列关系; 以及当横向于纵向轴线的方向向砧座半部的远端施加力时，与砧座半部的远端可操作地接合并加强其的偏转控制系统。

19. 发明授权

US07543729B2 Surgical fastener applying apparatus with controlled beam deflection 有权
标题翻译：具有受控束偏转的外科紧固件施加装置
公开(公告)号：US07543729B2
公开(公告)日：2009-06-09
申请号：US11933624
申请日：2007-11-01
申请人： David Ivanko
发明人： David Ivanko
IPC分类号： A61B17/00
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B2017/07214 , A61B2017/2926
摘要： A surgical fastener applying apparatus including an anvil half-section having a distal end and a longitudinal axis; a cartridge receiving half-section having a distal end and operatively couplable with the anvil half-section such that the distal ends of the half-sections are in juxtaposed relation; and a deflection control system operatively engaged with and reinforcing the distal end of the anvil half-section when a force is applied to the distal end of the anvil half-section in a direction transverse to the longitudinal axis.
摘要翻译：一种手术紧固件施加装置，包括具有远端和纵向轴线的砧座半部; 容纳半部具有远端并且可与砧座半部分可操作地连接的盒的盒，使得半部分的远端处于并列关系; 以及当横向于纵向轴线的方向向砧座半部的远端施加力时，与砧座半部的远端可操作地接合并加强其的偏转控制系统。

20. 发明申请

US20080142565A1 Surgical fastener applying apparatus 有权
公开(公告)号：US20080142565A1
公开(公告)日：2008-06-19
申请号：US12011419
申请日：2008-01-24
申请人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank J. Viola
发明人： Karl H. Ehrenfels , David Ivanko , Randolph F. Lehn , Roberto Pedros , Csaba L. Rethy , Frank J. Viola
IPC分类号： A61B17/10 , A61B17/04
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0801 , A61B2090/0814
摘要： An improved surgical fastener applying apparatus includes a cartridge half-section and an anvil half-section with the cartridge and anvil half-sections being relatively movable from an unclamped position to a fully clamped position. The apparatus includes a replaceable staple cartridge assembly having a plurality of surgical staples and a pivotably mounted safety lock-out. The safety lock-out is pivotable between an initial position in which a relative movement of the cartridge and anvil half-sections to the fully clamped position is permitted and a blocking position in which a relative movement of the cartridge and anvil half-sections to return them to their fully clamped position after the plurality of staples have been at least partially fired is prevented. The apparatus further includes a pivotably mounted firing lever for moving a pair of camming surfaces longitudinally. In addition, each of the presently disclosed cartridge and anvil half-sections of the fastener applying apparatus includes a clamping lever, which clamping levers are configured and adapted to enable the applying apparatus to be opened by either one of the cartridge half-section and the anvil half-section.

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