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11. 发明申请

US20080269566A1 ENDOSCOPIC DEVICE 有权
标题翻译：内窥镜装置
公开(公告)号：US20080269566A1
公开(公告)日：2008-10-30
申请号：US11742110
申请日：2007-04-30
申请人： John P. Measamer
发明人： John P. Measamer
IPC分类号： A61B17/94
CPC分类号： A61B17/00234
摘要： An endoscopic instrument for performing surgical procedures. The instrument includes an elongate member having a distal end for insertion into a patient's body and a proximal end opposite the distal end. The member has a distal portion adjacent the distal end and a central portion adjacent the distal portion. The distal portion has a first mechanical stiffness of a stiffness type selected from a tensile stiffness, a compressive stiffness and/or a bending stiffness. The central portion has a second mechanical stiffness of the stiffness type of the first mechanical stiffness. The first mechanical stiffness is different from the second mechanical stiffness.
摘要翻译：用于进行外科手术的内窥镜器械。仪器包括具有用于插入患者体内的远端和与远端相对的近端的细长构件。该构件具有邻近远端的远侧部分和与远端部分相邻的中心部分。远侧部分具有从拉伸刚度，压缩刚度和/或弯曲刚度中选择的刚度类型的第一机械刚度。中心部分具有刚度类型的第一机械刚度的第二机械刚度。第一机械刚度与第二机械刚度不同。

12. 发明授权

US06168605A Curved laparoscopic scissor having arcs of curvature 有权
标题翻译：弯曲腹腔镜剪刀具有曲率弧
公开(公告)号：US06168605A
公开(公告)日：2001-01-02
申请号：US09350079
申请日：1999-07-08
申请人： John P. Measamer , Robert L. Koch, Jr. , Narinderjit S. Sambi
发明人： John P. Measamer , Robert L. Koch, Jr. , Narinderjit S. Sambi
IPC分类号： A61B1732
CPC分类号： A61B17/3201 , A61B17/320016
摘要： A laparoscopic surgical scissors for cutting tissue is disclosed. The laparoscopic surgical scissors has a handle body assembly having an actuation member moveable toward and away from the handle body assembly. An elongated shaft having a proximal and a distal end that define a longitudinal axis is connected to the handle body assembly at the proximal end of said shaft. A pair of cutting blades have a first blade member and a second blade member that are co-operably connected about a common pivot member adjacent to the distal end of the elongated shaft. The common pivot member defines a common pivot axis perpendicular to the elongated shaft. The first blade member has a first cutting edge and the second blade member has a second cutting edge facing the first cutting edge. The blade members have a single point of blade contact translating proximally and distally as the blade members open and close in response to movement of the actuation member away from and toward the handle body assembly. Each of the blade members defines a curvature along the shaft longitudinal axis and each of the curvatures has a proximal end and a distal end. A proximal arc of curvature and a distal arc of curvature define the curvature of each of the blade members.
摘要翻译：公开了一种用于切割组织的腹腔镜手术剪刀。腹腔镜手术剪刀具有手柄本体组件，其具有可朝向和远离手柄本体组件移动的致动构件。具有限定纵向轴线的近端和远端的细长轴在所述轴的近端处连接到手柄主体组件。一对切割刀片具有第一刀片构件和第二刀片构件，该第一刀片构件和第二刀片构件围绕与细长轴的远端相邻的公共枢轴构件可共同操作地连接。公共枢转构件限定垂直于细长轴的公共枢轴。第一刀片构件具有第一切削刃，并且第二刀片构件具有面向第一切削刃的第二切削刃。当叶片构件响应于致动构件远离和朝向手柄本体组件的移动而打开和关闭时，叶片构件具有向近侧和远侧平移的单个刀片接触点。每个叶片构件沿着轴纵向轴线限定曲率，并且每个曲率具有近端和远端。近端曲率弧和远端曲率弧限定了每个叶片构件的曲率。

13. 发明授权

US5904699A Trocar for penetration and skin incision 失效
标题翻译：套管针穿透和皮肤切口
公开(公告)号：US5904699A
公开(公告)日：1999-05-18
申请号：US934508
申请日：1997-09-19
申请人： Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
发明人： Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
IPC分类号： A61B17/32 , A61B17/34
CPC分类号： A61B17/3496 , A61B17/32093 , A61B17/3211 , A61B17/3417 , A61B2017/346
摘要： A trocar which has an obturator assembly for establishment of a surgical port for endoscopic or arthroscopic surgery is disclosed. The obturator includes a flat cutting blade, a shield that moves proximally and distally, a precock lever to move the shield proximally to expose the flat cutting blade, and a shield retaining assembly to constrain the shield in the proximal position. "Precocking" the trocar moves the shield from the distal position wherein the flat blade is covered, to a proximal position wherein the flat blade is exposed, and the shield is constrained by the shield retaining assembly. The exposed flat cutting blade of the precocked trocar can be used to incise or pierce tissue, thus avoiding the need to use a separate surgical sharp.
摘要翻译：公开了一种套管针，其具有用于建立用于内窥镜或关节镜手术的外科手术口的闭塞器组件。闭塞器包括平切刀片，向近侧和远端移动的护罩，用于将护罩向近侧移动以露出平切刀片的防护杆，以及用于将护罩约束在近侧位置的护罩保持组件。 “套管”套管针将护罩从扁平刀片被覆盖的远端位置移动到平坦刀片暴露的近侧位置，并且屏蔽被护罩保持组件约束。预制套管针的裸露平切刀可用于切割或刺穿组织，从而避免需要使用单独的外科手术。

14. 发明授权

US5601575A Needle driving device 失效
标题翻译：针驱动装置
公开(公告)号：US5601575A
公开(公告)日：1997-02-11
申请号：US319182
申请日：1994-10-06
申请人： John P. Measamer , Robert F. Welch , Brett Swensgard
发明人： John P. Measamer , Robert F. Welch , Brett Swensgard
IPC分类号： A61B17/04 , A61B17/28
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/29 , A61B17/062 , A61B2017/2924
摘要： The invention described herein is a device for tying knots intracorporeally during laparoscopic surgery. It is intended to simplify the process of tying intracorporeal knots to the point that the average laparoscopist can quickly learn to suture laparoscopically with confidence. The unique features of this invention include: a driven shuttle; integral grasper or needle driver; the system is reloadable; and the system may have a detachable end effector. The system also may have a multi function handle, and incorporates an integral needle driver mechanism.
摘要翻译：本文描述的发明是用于在腹腔镜手术期间体外结扎结节的装置。旨在简化将体内结结扎的过程，以便平均腹腔镜能够自信地快速学习腹腔镜缝合。本发明的独特特征包括：从动梭; 整体抓紧器或针驱动器; 该系统是可重新加载的; 并且系统可以具有可拆卸的端部执行器。该系统还可以具有多功能手柄，并且包括整体针驱动器机构。

15. 发明申请

US20080300624A1 Tissue Stabilizer and Fastener 审中-公开
标题翻译：组织稳定剂和紧固件
公开(公告)号：US20080300624A1
公开(公告)日：2008-12-04
申请号：US11755475
申请日：2007-05-30
申请人： Richard F. Schwemberger , John P. Measamer , Michael S. Cropper , Richard C. Smith
发明人： Richard F. Schwemberger , John P. Measamer , Michael S. Cropper , Richard C. Smith
IPC分类号： A61B17/03
CPC分类号： A61B17/064 , A61B17/0643 , A61B17/068 , A61B2017/00349 , A61B2017/00827 , A61B2017/0645 , A61B2017/0649
摘要： A surgical instrument for applying a fastener to tissue of a patient. The instrument includes an elongate shaft having a working end and a grip end opposite the working end. The instrument includes opposing stationary jaws mounted on the working end of the elongate shaft defining a gap between the jaws. The gap is sized and shaped for receiving tissue. At least one of the jaws includes a fastener ejector directed toward the gap for introducing a fastener into tissue received in the gap to selectively fasten the tissue with the fastener. The instrument includes a mechanism operatively connected to the fastener ejector for introducing the fastener into the tissue thereby applying the fastener to the tissue of the patient.
摘要翻译：一种用于将紧固件施加到患者组织的手术器械。仪器包括细长轴，其具有工作端和与工作端相对的握持端。仪器包括安装在细长轴的工作端上的相对的固定爪，其限定夹爪之间的间隙。该间隙的尺寸和形状用于接收组织。夹爪中的至少一个包括朝向间隙的紧固件喷射器，用于将紧固件引入容纳在间隙中的组织中，以选择性地使用紧固件紧固组织。仪器包括可操作地连接到紧固件喷射器的机构，用于将紧固件引入组织中，从而将紧固件施加到患者的组织。

16. 发明申请

US20080140095A1 SAFETY FASTENER FOR TISSUE APPOSITION 有权
标题翻译：安全紧固件组织检查
公开(公告)号：US20080140095A1
公开(公告)日：2008-06-12
申请号：US11567259
申请日：2006-12-06
申请人： Richard C. Smith , John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
发明人： Richard C. Smith , John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
IPC分类号： A61B17/122
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/07292 , A61B2017/00827 , A61B2017/07214 , Y10T24/4607 , Y10T24/463 , Y10T24/4679
摘要： Methods and devices for fastening tissue are provided. In one exemplary embodiment, a tissue fastener is provided and includes a male fastening member having a base plate with at least one post extending therefrom and having a tissue-piercing tip. A protective member is coupled to the male fastening member and is movable between an open position in which the tissue-piercing tip is enclosed within the protective member such that the tissue-piercing tip is prevented from penetrating tissue, and a compressed position in which the tissue-piercing tip is exposed to penetrate tissue. A female fastening member is configured to mate to the male fastening member and to engage tissue therebetween.
摘要翻译：提供了用于紧固组织的方法和装置。在一个示例性实施例中，提供了组织紧固件，并且包括具有基板的阳紧固构件，所述基座板具有从其延伸的至少一个支柱并具有组织穿刺尖端。保护构件联接到阳性紧固构件，并且可在打开位置之间移动，在打开位置中组织穿刺尖端封闭在保护构件内，使得组织穿刺尖端防止穿透组织，并且压缩位置组织穿刺尖端暴露于穿透组织。母紧固构件配置成与雄扣接构件配合并且在其间接合组织。

17. 发明授权

US6117158A Ratchet release mechanism for hand held instruments 有权
标题翻译：手持式仪器的棘轮释放机构
公开(公告)号：US6117158A
公开(公告)日：2000-09-12
申请号：US349028
申请日：1999-07-07
申请人： John P. Measamer , Robert L. Koch, Jr. , Robert F. Welch , Anthony T. Nguyen
发明人： John P. Measamer , Robert L. Koch, Jr. , Robert F. Welch , Anthony T. Nguyen
IPC分类号： A61B17/28
CPC分类号： A61B17/2909 , A61B2017/2946
摘要： A hand held surgical instrument for grasping and clamping tissue is disclosed. The surgical instrument has a handle body assembly and an elongated shaft. The shaft is connected to the handle body assembly at a proximal end and has an end effector at a distal end. The end effector is operably coupled to an actuation member extending from the handle body. The actuation member is moveable toward and away from the handle body to open and close the end effector. A locking tab is located on the handle body assembly and is moveable between a locked position and an unlocked position. A locking rod is movably engaged with a hole in the locking tab. When the locking tab is in the unlocked position, the actuation member is free to move towards and away from the handle body assembly to open and close the end effector. When the locking tab is in the locked position, movement to open the actuation member is prevented. The handle body assembly also has release trigger extending from the handle body assembly and operably coupled to the locking tab. The release trigger is moveable from a first position spaced away from the handle body to a second position adjacent to the handle body. The release trigger is normally biased toward the first position and is reciprocable, when initially squeezed toward the handle body assembly from the first position, to the second position, and subsequently released from the second position back to the first position. Consecutive reciprocations of the release trigger alternates the locking tab between the locked position and the unlocked position.
摘要翻译：公开了一种用于抓紧和夹紧组织的手持式手术器械。手术器械具有手柄本体组件和细长轴。轴在近端处连接到手柄本体组件，并且在远端具有末端执行器。端部执行器可操作地联接到从把手主体延伸的致动构件。致动构件能够朝向和远离把手主体移动以打开和关闭末端执行器。锁定突片位于手柄主体组件上，并且可在锁定位置和解锁位置之间移动。锁定杆可移动地与锁定片中的孔啮合。当锁定突片处于解锁位置时，致动构件自由地朝向和远离手柄主体组件移动以打开和关闭末端执行器。当锁定突片处于锁定位置时，防止了打开致动构件的运动。手柄本体组件还具有从手柄本体组件延伸并可操作地联接到锁定片的释放触发器。释放触发器可从与把手主体间隔开的第一位置移动到与把手主体相邻的第二位置。释放触发器通常朝向第一位置偏置，并且当最初从第一位置朝向把手本体组件挤压到第二位置时可往复运动，并且随后从第二位置释放回第一位置。释放触发器的连续往复运动将锁定卡舌交替在锁定位置和解锁位置之间。

18. 发明授权

US08814901B2 Surgical fastener 有权
标题翻译：手术紧固件
公开(公告)号：US08814901B2
公开(公告)日：2014-08-26
申请号：US11745835
申请日：2007-05-08
申请人： Michael S. Cropper , Richard C. Smith , John P. Measamer , Richard F. Schwemberger
发明人： Michael S. Cropper , Richard C. Smith , John P. Measamer , Richard F. Schwemberger
IPC分类号： A61B17/08
CPC分类号： A61B17/0643 , A61B17/068 , A61B2017/00818
摘要： A surgical fastener for fastening tissue. The fastener includes a first piece of sheet material formed to have a generally planar base and an elongate needle portion extending upward from the base. The fastener includes a second piece of sheet material formed to have a generally planar base and an elongate needle portion extending upward from the base. The second piece of sheet material is pivotally connected to the first piece of sheet material.
摘要翻译：用于紧固组织的手术紧固件。紧固件包括形成为具有大致平坦的基部和从基部向上延伸的细长针部的第一片片材料。紧固件包括形成为具有大致平坦的基部和从基部向上延伸的细长针部的第二片片材料。第二片材材料可枢转地连接到第一片材。

19. 发明申请

US20090030446A1 Tissue Manipulator 审中-公开
标题翻译：组织机器人
公开(公告)号：US20090030446A1
公开(公告)日：2009-01-29
申请号：US11782696
申请日：2007-07-25
申请人： John P. Measamer
发明人： John P. Measamer
IPC分类号： A61B17/28
CPC分类号： A61B17/22031 , A61B17/0218 , A61B17/221 , A61B2017/00349 , A61B2017/00867
摘要： A needle for use in tissue manipulation is described. The needle can have first and second piercing arms joined by a resilient biasing member, such as a spring. The needle can be formed of a super elastic material, and can be deformed from a stored, unstressed configuration to a stressed, deployed configuration.
摘要翻译：描述了用于组织操作的针。该针可以具有通过诸如弹簧的弹性偏置构件连接的第一和第二刺穿臂。针可以由超弹性材料形成，并且可以从存储的，不受应力的构型变形到受压部署构型。

20. 发明申请

US20080300627A1 Surgical Instrument 有权
标题翻译：手术器械
公开(公告)号：US20080300627A1
公开(公告)日：2008-12-04
申请号：US11755454
申请日：2007-05-30
申请人： John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
发明人： John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
IPC分类号： A61B17/068
CPC分类号： A61B17/0643 , A61B17/068 , A61B2017/00827
摘要： A surgical instrument for applying a fastener to tissue. The fastener includes a male component including a base having a hole, a needle receivable in the hole, and a female component including a base and a recess for receiving the needle. The instrument includes a shaft, a first jaw pivotally mounted on the shaft including a receiver for holding the base one component, and a second jaw statically mounted on the shaft including a receiver for releasably holding the base the other component. The first jaw is moveable between an open position and a closed position. The first and/or second jaw includes a channel for slideably receiving a needle. The instrument includes a mechanism for moving the first jaw between the open and closed positions and an ejector for driving the needle through the hole in the male component, through tissue and into the recess of the female component.
摘要翻译：一种用于将紧固件施加到组织的手术器械。紧固件包括：阳部件，其包括具有孔的基部，可接收在孔中的针，以及包括基部和用于接收针的凹部的阴部件。该仪器包括轴，枢转地安装在轴上的第一夹爪，包括用于保持基部一个部件的接收器，以及静态安装在轴上的第二钳口，其包括用于可释放地将基座保持在另一个部件上的接收器。第一钳口可在打开位置和关闭位置之间移动。第一和/或第二钳口包括用于可滑动地接收针的通道。该仪器包括用于在打开和关闭位置之间移动第一钳口的机构和用于通过组件通过组件并进入阴部件的凹部中的用于驱动针穿过阳部件中的孔的喷射器。

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