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51. 发明授权

US5819918A Retainer package for resilient filaments 失效
标题翻译：用于弹性丝的保持器包
公开(公告)号：US5819918A
公开(公告)日：1998-10-13
申请号：US709962
申请日：1996-09-09
申请人： Christopher Scanlon
发明人： Christopher Scanlon
IPC分类号： A61B17/06
CPC分类号： A61B17/06138 , A61B2017/06142 , A61B2017/06147
摘要： A resilient filament retaining package includes a plurality of panel members foldably connected to each other along transverse sides thereof and arranged to fold upon each other to form a plurality of superposed compartments defined between pairs of adjacent panel members. Each compartment is dimensioned to contain at least one flexible resilient filament portion therein in a coiled configuration. Receiving port apertures are provided in the forward panel member of each compartment and are intended to assist in loading individual filament portions in each compartment. The apertures are in general concentric alignment with each other such that each compartment may be accessed for loading purposes from a front side of the folded retainer package. A backing panel having a needle securing park may be attached to the folded package. A method for loading the package is also disclosed. The package can be particularly useful for retaining surgical sutures.
摘要翻译：弹性丝保持包装包括多个面板构件，其多个面板构件沿着其横向侧面可折叠地彼此连接并且布置成彼此折叠以形成在相邻面板构件对之间限定的多个重叠隔间。每个隔室的尺寸设计成在其中包含至少一个柔性弹性细丝部分，其中具有螺旋形构造。接收端口孔设置在每个隔室的前面板构件中，并且旨在有助于将每个隔室中的单个细丝部分加载。孔通常彼此同心对齐，使得每个隔室可以从折叠的保持器包装的前侧进入以用于装载目的。具有针固定公园的背板可以附接到折叠的包装。还公开了一种用于装载包装的方法。该包装对于保留外科缝合线尤其有用。

52. 发明授权

US5817109A Apparatus and method for applying surgical staples to attach an object to body tissue 失效
标题翻译：用于施加手术钉以将物体附着到身体组织的装置和方法
公开(公告)号：US5817109A
公开(公告)日：1998-10-06
申请号：US714972
申请日：1996-09-17
申请人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
发明人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/28 , A61B19/00 , A61F2/00
CPC分类号： A61B17/0686 , A61B17/0684 , A61B17/00234 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples in laparoscopic hernia surgery. The apparatus includes a handle and a generally elongated endoscopic section connected to the handle and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section. The staple storage magazine is pivotable between a first position in alignment with the longitudinal axis of the endoscopic section and a second position at an acute angle to the longitudinal axis. An elongated pusher system is provided for individually advancing at least one staple at a time distally. A trigger mechanism is provided to actuate the pusher.
摘要翻译：公开了一种用于在腹腔镜疝气手术中内窥镜应用外科缝钉的装置。该装置包括手柄和连接到手柄并从其向远端延伸的大致细长的内窥镜部分。提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝合钉。订书钉存储盒可以在与内窥镜部分的纵向轴线对齐的第一位置和与纵向轴线成锐角的第二位置之间枢转。提供细长的推动器系统，用于在远端单独地推进至少一个钉。提供触发机构以致动推动器。

53. 发明授权

US5813977A Surgical hand support apparatus 失效
公开(公告)号：US5813977A
公开(公告)日：1998-09-29
申请号：US696418
申请日：1996-08-13
申请人： Peter W. J. Hinchliffe , Dawn J. Pappalardo , Scott Larsen , Ian J. Tovey , Christopher McDonnell
发明人： Peter W. J. Hinchliffe , Dawn J. Pappalardo , Scott Larsen , Ian J. Tovey , Christopher McDonnell
IPC分类号： A61B17/32 , A61B19/00 , A61F5/37 , A61G13/12 , A61B1/06
CPC分类号： A61F5/3761 , A61B90/00 , A61G13/0045 , A61G13/124 , A61B17/320036
摘要： A surgical hand support apparatus includes a support member having a supporting surface for supporting at least the hand of a patient, a finger restraining member moveable relative to the supporting surface to be positioned to engage the fingers of the patient and a thumb restraining member moveable relative to the supporting surface to be positioned to engage the thumb of the patient. A quick release mechanism is associated with the finger restraining member and the thumb restraining member to lock the respective members at predetermined positions relative to the supporting surface. The apparatus may also include a wrist restraining member to engage the patient's wrist. An instrument support member is associated with the wrist restraining member and is configured to support a surgical instrument. A method is also disclosed for performing carpal tunnel surgery wherein the patient's hand is held in the hand support and a guiding instrument and balloon catheter are inserted through the instrument support member.

54. 发明授权

US5807349A Catheter having valve mechanism 失效
标题翻译：导管具有阀机构
公开(公告)号：US5807349A
公开(公告)日：1998-09-15
申请号：US813935
申请日：1997-03-10
申请人： Wayne C. Person , Dominick L. Mastri , William J. Vumback , Patrick D. Mozdzierz
发明人： Wayne C. Person , Dominick L. Mastri , William J. Vumback , Patrick D. Mozdzierz
IPC分类号： A61M25/00 , A61M5/00
CPC分类号： A61M25/007 , A61M25/0075
摘要： An improved catheter having a closed distal end and a valve adjacent the distal end which communicates the lumen of the catheter with the exterior of the catheter to permit the infusion or aspiration of fluids between the catheter and the vessel in which the catheter is positioned. The valve is preferably in a plane which is oriented at an angle to the longitudinal axis of the catheter, and is preferably in an area of reduced wall thickness to facilitate opening and closing.
摘要翻译：一种改进的导管，其具有封闭的远端和邻近远端的瓣膜，其将导管的内腔与导管的外部连通，以允许在导管和导管所在的血管之间输注或抽吸流体。阀优选地在与导管的纵向轴线成一定角度定向的平面中，并且优选地在减小壁厚的区域中以便于打开和关闭。

55. 发明授权

US5803902A Surgical retractor 失效
标题翻译：手术牵开器
公开(公告)号：US5803902A
公开(公告)日：1998-09-08
申请号：US710747
申请日：1996-09-20
申请人： Henry R. Sienkiewicz , Robert C. Savage , Stanley J. Malinowski , Douglas M. Dunklee , Henry Holsten
发明人： Henry R. Sienkiewicz , Robert C. Savage , Stanley J. Malinowski , Douglas M. Dunklee , Henry Holsten
IPC分类号： A61B17/02
CPC分类号： A61B17/0218
摘要： A surgical retractor is disclosed having a handle portion, an elongated body portion extending distally from the handle portion and including an outer tube, a stabilizing member extending from a distal end of the outer tube and a pair of resilient bands pivotably connected to a distal end portion of the stabilizing member. An actuation mechanism is provided which is associated with the handle portion and the resilient bands for moving the bands between open and closed position. The surgical retractor further includes a sheath dimensioned to receive at least a portion of the stabilizing member and the bands. A surgical kit is also provided having a package configured to receive a surgical instrument, a base member for sealing the package, a surgical instrument having proximal and distal ends and having a mechanism for performing a surgical procedure located at the distal end, and a static barrier for enclosing the mechanism of the surgical retractor.
摘要翻译：公开了一种手术牵开器，其具有把手部分，从手柄部分向远侧延伸的细长主体部分，并且包括外管，从外管远端延伸的稳定部件和可枢转地连接到远端的一对弹性带稳定构件的一部分。提供致动机构，其与手柄部分和弹性带相关联，用于在打开和关闭位置之间移动带。手术牵开器还包括尺寸适于容纳稳定构件和带的至少一部分的护套。还提供一种手术套件，其具有被配置为接收外科器械的包装，用于密封包装的基部构件，具有近端和远端并具有用于执行位于远端的外科手术的机构的手术器械，以及静态用于封闭手术牵开器的机构的屏障。

56. 发明授权

US5800333A Afterloader provided with remote control unit 失效
标题翻译：卸载机配有遥控器
公开(公告)号：US5800333A
公开(公告)日：1998-09-01
申请号：US603272
申请日：1996-02-20
申请人： Samuel F. Liprie
发明人： Samuel F. Liprie
IPC分类号： A61M36/04 , A61N5/10 , A61N5/00
CPC分类号： A61N5/1007 , A61N2005/1008
摘要： A remote control device used with an afterloader for advancing and retracting a dummy wire as well as a treatment wire into and out of a patient which is to be treated with a radioactive element or elements. The remote unit is provided with displays for showing the advancement of a treatment or dummy wire as well as indicating a treatment time. A sensor is provided to indicate that a transport tube through which a treatment or dummy wire will be advanced into the patient is properly connected to the afterloader.
摘要翻译：一种远程控制装置，与后置载荷器一起使用，用于将虚拟线材以及处理线推进和退回到待用放射性元素处理的患者中。远程单元设置有用于显示治疗或虚拟线的进展以及指示治疗时间的显示器。提供传感器以指示将治疗或虚拟线材推进到患者体内的运输管线适当地连接到后加载器。

57. 发明授权

US5797959A Surgical apparatus with articulating jaw structure 失效
标题翻译：具有关节颌骨结构的手术器械
公开(公告)号：US5797959A
公开(公告)日：1998-08-25
申请号：US910767
申请日：1997-08-13
申请人： Salvatore Castro , Richard A. McGarry
发明人： Salvatore Castro , Richard A. McGarry
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/294 , A61B2017/2945
摘要： A surgical apparatus is provided which includes a handle portion and an elongated body portion extending distally from the handle portion and defining a longitudinal axis. A tool assembly is operatively associated with a distal end portion of the body portion and includes a first jaw assembly having a proximal jaw portion and a distal jaw portion and a second jaw assembly having a proximal jaw portion and a distal jaw portion. The distal and proximal jaw portions of each jaw assembly are pivotably connected to one another and are movable between first and second articulated positions. A jaw actuation mechanism is provided including an actuation member and having first and second cooperating actuating legs. Each leg is operatively connected to a respective distal portion of the first and second jaw assemblies to effectuate simultaneous pivotable movement of the distal jaw portions relative to the proximal jaw portions of the tool assembly. A jaw control mechanism operatively connects the handle portion and the tool assembly and is configured to effect movement of the tool assembly between an open position and a closed position.
摘要翻译：提供了一种手术装置，其包括手柄部分和从手柄部分向远侧延伸并限定纵向轴线的细长主体部分。工具组件与主体部分的远端部分可操作地相关联，并且包括具有近端颚部和远侧颚部的第一颚组件和具有近端颚部和远侧颚部的第二颚组件。每个钳夹组件的远端和近端钳口部分可枢转地彼此连接并且可在第一和第二铰接位置之间移动。提供了一种钳口致动机构，其包括致动构件并且具有第一和第二协作致动腿。每个腿部可操作地连接到第一和第二钳口组件的相应远端部分，以实现远端钳口部分相对于工具组件的近端钳口部分的同时可枢转运动。钳口控制机构可操作地连接手柄部分和工具组件，并且构造成实现工具组件在打开位置和关闭位置之间的移动。

58. 发明授权

US5776110A Thoracic port 失效
标题翻译：胸腔口
公开(公告)号：US5776110A
公开(公告)日：1998-07-07
申请号：US592140
申请日：1996-01-26
申请人： Thomas D. Guy , Alim Alli
发明人： Thomas D. Guy , Alim Alli
IPC分类号： A61B17/02 , A61B17/34 , A61M5/00
CPC分类号： A61B17/0206 , A61B2017/3427 , A61B2017/3482 , Y10S128/26
摘要： A port includes a body having a hollow portion defining an axial bore, a flange circumferentially disposed around a proximal end of the hollow portion and two spaced apart legs extending distally from the hollow portion, each leg having a distal end with a wing portion extending laterally therefrom. The thoracic port is inserted into the intercostal space between two ribs and turned to a locking position wherein the legs may advantageously bias the ribs to a more spaced apart configuration and the wings abut the distal surface of the ribs to prevent inadvertent withdrawal of the port.
摘要翻译：端口包括具有限定轴向孔的中空部分的本体，围绕中空部分的近端周向设置的凸缘和从中空部分向远侧延伸的两个间隔开的腿，每个腿具有远端，翼部侧向延伸由此。胸廓插入插入两肋之间的肋间空间并转向锁定位置，其中腿可以有利地将肋偏置成更间隔的构造，并且翼抵靠肋的远端表面以防止端口的无意的撤回。

59. 发明授权

US5772099A Surgical fastening apparatus with alignment pin 失效
标题翻译：手术固定装置带对位销
公开(公告)号：US5772099A
公开(公告)日：1998-06-30
申请号：US625150
申请日：1996-04-01
申请人： Roy D. Gravener
发明人： Roy D. Gravener
IPC分类号： A61B17/072 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07214
摘要： An apparatus for applying surgical fasteners to body tissue includes an alignment pin assembly having an alignment pin and a corresponding retainer. In a preferred embodiment the alignment pin has a flange with a tissue abutment surface and a circumferential detent. The retainer is preferably a ring shaped member having a tissue abutment surface and which engages with the alignment. The pin and retainer are releasably held in proximity to the distal end of the apparatus within one or the other of the cartridge or anvil member of the apparatus and are simultaneously engaged with each other and applied to body tissue upon firing of the apparatus. Visual inspection of the body tissue after the operation provides an indication as to whether the apparatus was properly aligned during firing.
摘要翻译：用于将外科紧固件应用于身体组织的装置包括具有对准销和对应的保持器的对准销组件。在优选实施例中，对准销具有带有组织邻接表面和周向定位的凸缘。保持器优选地是具有组织邻接表面并与对准接合的环形构件。销和保持器被可释放地保持在装置的远端附近，在装置的盒或砧座构件的一个或另一个内，并且在装置的点火时同时彼此接合并施加到身体组织。操作后对身体组织的目视检查提供关于在烧制期间设备是否正确对准的指示。

60. 发明授权

US5752644A Disposable loading unit for surgical stapler 失效
公开(公告)号：US5752644A
公开(公告)日：1998-05-19
申请号：US501197
申请日：1995-07-11
申请人： Henry Bolanos , Alli Alim , Richard C. McClure , Keith L. Milliman
发明人： Henry Bolanos , Alli Alim , Richard C. McClure , Keith L. Milliman
IPC分类号： A61B17/072 , A61B17/32
CPC分类号： A61B17/07207 , A61B17/320016 , A61B2017/0023 , A61B2017/07278 , A61B2017/07285 , A61B2017/32113
摘要： A disposable loading unit is disclosed for use in conjunction with a surgical stapling apparatus configured to sequentially apply a plurality of surgical fasteners to body tissue. The apparatus includes an actuation assembly for effectuating a fastener applying operation, and a housing for receiving and releasably supporting the disposable loading unit. The disposable loading unit includes a staple cartridge body having a longitudinal pathway extending therethrough and a plurality of spaced apart retention slots defined therein each supporting a respective surgical fastener, a plurality of fastener ejection members disposed adjacent the plurality of spaced apart retention slots and communicating with the longitudinal pathway, and an actuator supported within the staple cartridge body and configured to engage the actuation assembly of the apparatus and translate through the longitudinal pathway to contact the fastener ejection members and thereby sequentially eject the surgical fasteners from their respective retention slots.

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