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21. 发明授权

US5379754A Method using approximating apparatus for hernia repair 失效
标题翻译：使用近似装置进行疝修补的方法
公开(公告)号：US5379754A
公开(公告)日：1995-01-10
申请号：US922259
申请日：1992-07-30
申请人： H. Jonathan Tovey , Douglas J. Cuny , Michael Ciccolella
发明人： H. Jonathan Tovey , Douglas J. Cuny , Michael Ciccolella
IPC分类号： A61B5/107 , A61B19/00 , A61F2/00 , A61B1/00
CPC分类号： A61B5/1076 , A61B90/06 , A61F2/0063
摘要： A method for using an endoscopic apparatus for measuring the size of a hernia defect comprising a handle which is pivotally attached to a measuring rod. The hernia defect is measured by a plurality of calibrations positioned along the measuring rod. The measuring rod includes a blunt tip at its distal end and further is adaptable for 180' positioning relative to the handle.
摘要翻译：一种使用内窥镜装置测量疝缺损尺寸的方法，包括可旋转地附接到测量杆的手柄。通过沿测量棒定位的多个校准来测量疝气缺陷。测量杆在其远端处包括钝头，并且还适于相对于手柄180°定位。

22. 发明授权

US08663203B2 Robotic arms DLUs for performing surgical tasks 有权
标题翻译：用于执行手术任务的机器人手臂DLU
公开(公告)号：US08663203B2
公开(公告)日：2014-03-04
申请号：US11928053
申请日：2007-10-30
申请人： H. Jonathan Tovey , Keith Ratcliff , Kenneth E. Toso , Peter W. J. Hinchliffe
发明人： H. Jonathan Tovey , Keith Ratcliff , Kenneth E. Toso , Peter W. J. Hinchliffe
IPC分类号： A61B19/00
CPC分类号： A61B19/2203 , A61B10/0233 , A61B17/0469 , A61B17/0491 , A61B17/062 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/1285 , A61B17/32053 , A61B17/3211 , A61B18/20 , A61B34/30 , A61B34/70 , A61B34/76 , A61B2017/0023 , A61B2017/00247 , A61B2017/00464 , A61B2017/00477 , A61B2017/00778 , A61B2017/06047 , A61B2017/0609 , A61B2018/00392 , A61B2034/305
摘要： Disposable loading units (DLUs) configured for mounting to a robotic arm for performing at least one surgical task are presented. Each DLU includes an attachment platform having at least one connector for engaging at least one connector on a distal end of the robotic arm for connecting the DLU to the robotic arm, a head portion connected to the attachment platform at one end and configured for housing an electro-mechanical actuation assembly therein, and at least one surgical tool member extending from the head portion and operatively associated with the electro-mechanical actuation assembly for controlling the operation and movement of the at least one surgical tool member. The at least one surgical tool member may include a cutting assembly, an aortic hole punch assembly, a lasing assembly, a coring assembly, or a vascular suturing assembly.
摘要翻译：呈现配置用于安装到机器人手臂以执行至少一个手术任务的一次性装载单元（DLU）。每个DLU包括具有至少一个连接器的附接平台，所述至少一个连接器用于接合机器人臂的远端上的至少一个连接器，用于将DLU连接到机器人手臂，头部部分在一端连接到附接平台并构造成用于容纳机电致动组件，以及至少一个手术工具构件，其从头部部分延伸并且可操作地与电 - 机械致动组件相关联，用于控制至少一个外科手术工具构件的操作和移动。所述至少一个手术工具构件可包括切割组件，主动脉孔冲孔组件，激光组件，取芯组件或血管缝合组件。

23. 发明授权

US06764467B1 Fibrin mixture and dispenser assembly 失效
标题翻译：纤维蛋白混合物和分配器组件
公开(公告)号：US06764467B1
公开(公告)日：2004-07-20
申请号：US09595962
申请日：2000-06-19
申请人： Mark S. Roby , Ernie Aranyi , Richard Yagami , H. Jonathan Tovey
发明人： Mark S. Roby , Ernie Aranyi , Richard Yagami , H. Jonathan Tovey
IPC分类号： A61M500
CPC分类号： A61B17/00491 , A61B2017/00495 , A61J1/16 , A61J1/201 , A61J1/2013 , A61J1/2055 , A61J1/2058 , A61J1/2089
摘要： A fibrin mixture and dispenser assembly is provided for mixing a first protein component with sterile water to form a first protein solution and for dispensing the first protein solution. The first protein solution forms a biological adhesive when intermixed with a second protein solution. The second protein solution is preferably mixed and dispensed by a similar fibrin mixture and dispenser assembly. The two fibrin mixture and dispenser assemblies can be housed within a single housing. The assembly includes a piercer and a first tubular extension having grooves for providing fluid communication between a reservoir and a mixing chamber or a vial. The reservoir is also in fluid communication with a dispensing needle through a second tubular extension. The reservoir is configured to contain water which is introduced to the mixing chamber. The mixing chamber is configured to contain the first protein component. The water mixes with the first protein component within the mixing chamber to form the first protein solution. The solution is transferred to the reservoir and is dispensed via the dispensing needle. The first and second components are preferably fibrinogen and thrombin which intermix either prior to or on the application site to form a fibrin sealant.
摘要翻译：提供纤维蛋白混合物和分配器组件用于将第一蛋白质组分与无菌水混合以形成第一蛋白质溶液并用于分配第一蛋白质溶液。当与第二蛋白质溶液混合时，第一种蛋白质溶液形成生物粘合剂。第二蛋白质溶液优选地通过类似的纤维蛋白混合物和分配器组件混合和分配。两个纤维蛋白混合物和分配器组件可以容纳在单个壳体内。组件包括穿孔器和第一管状延伸部，其具有用于在贮存器和混合室或小瓶之间提供流体连通的凹槽。储存器还通过第二管状延伸部与分配针流体连通。储存器构造成包含被引入混合室的水。混合室配置成容纳第一蛋白质组分。水与混合室内的第一蛋白质组分混合以形成第一蛋白质溶液。将溶液转移到储存器中并通过分配针分配。第一和第二组分优选纤维蛋白原和凝血酶，其在施用部位之前或之上混合以形成纤维蛋白密封剂。

24. 发明授权

US06416462B1 Sheath and applicator for surgical instrument 有权
标题翻译：护套和敷料器用于手术器械
公开(公告)号：US06416462B1
公开(公告)日：2002-07-09
申请号：US09487093
申请日：2000-01-19
申请人： H. Jonathan Tovey , Eric C. Miller
发明人： H. Jonathan Tovey , Eric C. Miller
IPC分类号： A61B104
CPC分类号： A61B6/4057 , A61B1/00142 , A61B6/425 , A61B6/4258 , A61B6/4423 , A61B46/10 , A61B46/17
摘要： A sterile sheath and applicator apparatus for use with a surgical instrument, includes a flexible sheath member defining a longitudinal bore at least extending through the proximal end thereof dimensioned for reception of an elongated portion of a surgical instrument and an applicator mounted adjacent the proximal end of the sheath member for facilitating positioning of the sheath member about the elongated portion of the surgical instrument. The applicator includes a hollow tube portion defining an axial bore therethrough and a handle operatively connected to the tube portion. The tube portion is sufficient in length to support the sheath member in a folded condition thereof with a major portion of the length of the sheath member disposed about the tubular portion. The handle is dimensioned to be engaged by a surgeon and manipulated to extend the sheath member about the elongated portion of the instrument to an extended position with the elongated portion at least partially received within the longitudinal bore of the sheath member.
摘要翻译：一种与外科器械一起使用的无菌护套和涂抹器装置包括柔性护套构件，其限定至少延伸穿过其近端的纵向孔，其尺寸设计用于接收外科器械的细长部分和邻近近端的所述护套构件用于促进护套构件围绕手术器械的细长部分定位。施加器包括限定穿过其中的轴向孔的中空管部分和可操作地连接到管部分的手柄。管部分的长度足以在其折叠状态下支撑护套构件，护套构件的长度的大部分围绕管状部分设置。手柄的尺寸设计成被外科医生接合并被操纵以将护套构件围绕器械的细长部分延伸到延伸位置，其中细长部分至少部分地容纳在护套构件的纵向孔内。

25. 发明授权

US6063050A Ultrasonic dissection and coagulation system 有权
标题翻译：超声解剖和凝血系统
公开(公告)号：US6063050A
公开(公告)日：2000-05-16
申请号：US174276
申请日：1998-10-16
申请人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
发明人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
IPC分类号： A61B17/3201 , A61B17/28 , A61B17/32 , A61B18/00 , A61B17/20
CPC分类号： A61B17/320092 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2948 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.
摘要翻译：提供了一种外科用超声波解剖和凝血系统。该系统包括超声波仪器，控制模块和踏板致动器。超声波致动器具有壳体和从壳体延伸的细长主体部分。支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。振动耦合器将高频振动从超声波传感器传导到切割刀片。切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可以从打开位置移动，在打开位置，组织接触表面与切割表面紧密地并置对准以夹紧组织。夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。

26. 发明授权

US5674230A Surgical suturing apparatus with locking mechanisms 失效
标题翻译：具有锁定机构的手术缝合装置
公开(公告)号：US5674230A
公开(公告)日：1997-10-07
申请号：US527125
申请日：1995-09-12
申请人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
发明人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
IPC分类号： A61B17/04 , A61B17/06 , A61B17/28 , A61B17/10
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/0625 , A61B17/0491 , A61B17/06114 , A61B2017/0479 , A61B2017/0609 , A61B2017/292 , A61B2017/2936
摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.
摘要翻译：公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收手术针的一部分。第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进另一个。还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动以及与另一个钳口间隔开的第二位置。

27. 发明授权

US5647372A Specimen retrieval pouch and method for use 失效
标题翻译：标本检索袋和使用方法
公开(公告)号：US5647372A
公开(公告)日：1997-07-15
申请号：US307551
申请日：1994-09-16
申请人： H. Jonathan Tovey , Vinod Nagori , Marina Korishch
发明人： H. Jonathan Tovey , Vinod Nagori , Marina Korishch
IPC分类号： A61B17/00 , A61B10/00
CPC分类号： A61B17/00234 , A61B2017/00287 , Y10S128/24
摘要： A specimen removal pouch and applicator includes a pouch fabricated from a flexible membrane, a drawstring thread forming a running noose disposed circumferentially round the end of the pouch, an endoscopic tubular portion, and a pusher rod having an aperture for permitting the passage therethrough of a single thread. When the drawstring thread is pulled, the knot is stopped at the aperture and the noose is closed, thereby closing the mouth of the pouch. The pouch is detached from the apparatus.
摘要翻译：样品去除袋和涂抹器包括由柔性膜制成的袋，形成沿圆周方向设置在袋的端部的行进的螺旋的束带螺纹，内窥镜管状部分和具有允许其穿过其中的孔的推杆单线程当拉绳被拉动时，结被停止在孔处，并且塞子被关闭，从而封闭袋口。袋子与设备分离。

28. 发明授权

US5527330A Fluid cutting instrument 失效
标题翻译：流体切割仪
公开(公告)号：US5527330A
公开(公告)日：1996-06-18
申请号：US292632
申请日：1994-08-18
申请人： H. Jonathan Tovey
发明人： H. Jonathan Tovey
IPC分类号： A61B17/22 , A61M1/00 , A61B17/00
CPC分类号： A61B17/32037 , A61B2217/005 , A61M1/008
摘要： A cutting and suctioning instrument is disclosed for use in surgery which is adapted for coupling to an external high pressure fluid source and an external vacuum source, which comprises an irrigation tube configured for coupling to the external high pressure fluid source. The distal end of the irrigation tube forms a nozzle to direct the high pressure fluid in the form of a high pressure fluid stream. A suction tube is provided for coupling to the external vacuum source. The distal end is positioned opposite the nozzle of the irrigation tube and is configured to receive and suction away waste fluid and separated tissue. A method for cutting tissue is also disclosed.
摘要翻译：公开了一种用于手术中的切割和抽吸装置，其适于联接到外部高压流体源和外部真空源，该外部真空源包括被配置为联接到外部高压流体源的冲洗管。冲洗管的远端形成喷嘴以将高压流体以高压流体流的形式引导。提供吸入管以耦合到外部真空源。远端定位成与冲洗管的喷嘴相对，并且构造成接收和抽吸废流体和分离的组织。还公开了一种切割组织的方法。

29. 发明授权

US5454791A Trocar with tissue penetration pressure indicator 失效
标题翻译：套管针与组织穿透压力指示器
公开(公告)号：US5454791A
公开(公告)日：1995-10-03
申请号：US116788
申请日：1993-09-07
申请人： H. Jonathan Tovey , Sidney D. Autry
发明人： H. Jonathan Tovey , Sidney D. Autry
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00 , A61M5/178
CPC分类号： A61B17/3496 , A61B17/3494 , A61B17/3474 , A61B2017/00544 , A61B2017/00548 , A61B2090/0811
摘要： The present invention relates to a trocar and method for penetrating body tissue. The trocar includes an obturator assembly and a cannula assembly. The obturator assembly has an obturator shaft with a distal end portion adapted to penetrate body tissue and at least one channel extending between a proximal end portion of the shaft and the distal end portion. A pressure indicating system is positioned at the proximal end of the shaft and is provided to respond to the passage of gases through the channel and provide a visual indication when the distal end has penetrated the body tissue. A safety system is associated with the obturator shaft and responsive to gas pressure to shield the distal end portion of the shaft after penetration of the body tissue.
摘要翻译：本发明涉及穿刺身体组织的套针针和方法。套针包括一个闭孔器组件和一个插管组件。闭塞器组件具有闭塞轴，其具有适于穿透身体组织的远端部分和在轴的近端部分与远端部分之间延伸的至少一个通道。压力指示系统定位在轴的近端处，并且被设置成响应气体通过通道的通道，并且当远端已经穿透身体组织时提供视觉指示。安全系统与闭塞器轴相关联并且响应于气体压力以在身体组织穿透之后屏蔽轴的远端部分。

30. 发明授权

US5450842A Endoscopic surgical retractor 失效
标题翻译：内窥镜手术牵开器
公开(公告)号：US5450842A
公开(公告)日：1995-09-19
申请号：US20342
申请日：1993-02-19
申请人： H. Jonathan Tovey , Douglas J. Cuny
发明人： H. Jonathan Tovey , Douglas J. Cuny
IPC分类号： A61B17/02 , A61F2/00 , A61B19/00
CPC分类号： A61B17/0218 , A61F2002/30092 , A61F2210/0014
摘要： The invention described herein provides a surgical apparatus for use in endoscopic or laparoscopic procedures having a tubular body portion with a first substantially tractable section and a second substantially firm section, and a rod member disposed at least partially within the tractable section of the tubular body portion and movable between a deformed position and a preformed position wherein the first section defines structure which is dimensioned and configured for effectuating retraction.
摘要翻译：本文描述的本发明提供了一种用于内窥镜或腹腔镜手术的手术装置，其具有管状主体部分，该管状主体部分具有第一基本上易于处理的部分和第二基本上坚固的部分，以及杆部件至少部分地设置在管状主体部分的易处理部分内并且可在变形位置和预成型位置之间移动，其中第一部分限定了尺寸和构造用于实现缩回的结构。

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