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51. 发明授权

US06736829B1 Toggle anchor and tool for insertion thereof 有权
公开(公告)号：US06736829B1
公开(公告)日：2004-05-18
申请号：US09710215
申请日：2000-11-10
申请人： Lehmann K. Li , Ernie Corrao
发明人： Lehmann K. Li , Ernie Corrao
IPC分类号： A61B1704
CPC分类号： A61B17/0401 , A61B2017/0406 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/0435 , A61F2/0811 , A61F2002/0852 , A61F2002/0882 , A61F2002/0888
摘要： A method for delivering an anchor member into biological tissue comprising: accessing and preparing an insertion site for the anchor member; holding the anchor member at a distal end of an insertion tool; providing the anchor member to the site with the insertion tool; causing a rotational movement of the anchor member about a first axis perpendicular to a longitudinal axis of the insertion tool whereby the anchor member engages the tissue at the site by moving about the first axis from a first position substantially aligned with the longitudinal axis to a second position at an angle relative to the longitudinal axis; and withdrawing the insertion tool from the site, leaving the anchor member secured at the site.

52. 发明授权

US06355053B1 Anchor, tool and method and apparatus for emplacing anchor in a borehole 失效
标题翻译：锚杆，锚杆在钻孔中的锚杆，工具及方法及装置
公开(公告)号：US06355053B1
公开(公告)日：2002-03-12
申请号：US09605494
申请日：2000-06-28
申请人： Lehmann K. Li
发明人： Lehmann K. Li
IPC分类号： A61B1704
CPC分类号： A61F2/08 , A61B2017/0409 , A61B2017/0417 , A61B2017/0458 , A61B2017/0496 , A61F2/0805 , A61F2/0811 , A61F2002/0829 , A61F2002/0852 , A61F2002/087 , A61F2002/0882 , A61F2002/0888 , Y10S606/916
摘要： A method for emplacing a medical anchor in a borehole in biological tissue, the method comprising the steps of providing a borehole in the biological tissue, inserting the anchor into the borehole with a tool such that the anchor is affixed to the tool and in approximate alignment with the borehole, manipulating the tool, the step of manipulating the tool causing the anchor to pivot about an axis perpendicular to the borehole and further comprising rotating the anchor in the borehole about the axis of the borehole, thereby causing the anchor to move outwardly in the borehole to engage a wall of the borehole and cut into the wall of the borehole and secure the anchor in a final position in the borehole such that the anchor is disposed approximately perpendicular to the axis of the borehole; and removing the tool from the borehole by moving the tool proximally in the borehole, thereby separating the anchor from the tool and leaving the anchor secured in the borehole.
摘要翻译：一种用于将生物组织中的钻孔中的医疗锚定点放置的方法，所述方法包括以下步骤：在生物组织中提供钻孔，使用工具将锚固件插入钻孔中，使得锚固件固定到工具上并且大致对准钻孔，操纵工具，操纵工具的步骤，使锚固件围绕垂直于钻孔的轴线枢转，还包括围绕钻孔的轴线旋转钻孔中的锚固件，从而使锚固件向外移动钻孔，以接合钻孔的壁并切入钻孔的壁并将锚定件固定在钻孔中的最终位置，使得锚固件大致垂直于钻孔的轴线设置; 并且通过在钻孔中向近侧移动工具从钻孔中移除工具，从而将锚与工具分离并将锚定件固定在钻孔中。

53. 发明授权

US06319269B1 Fixation device and method for installing same 失效
标题翻译：固定装置及其安装方法
公开(公告)号：US06319269B1
公开(公告)日：2001-11-20
申请号：US09033427
申请日：1998-03-02
申请人： Lehmann K. Li
发明人： Lehmann K. Li
IPC分类号： A61B1704
CPC分类号： F16B13/08 , A61B17/0401 , A61B17/2909 , A61B2017/00862 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/042 , A61B2017/0424 , A61B2017/0445 , A61B2017/0453 , A61B2090/037 , A61F2/0805 , A61F2/0811 , A61F2/30723 , A61F2/82 , A61F2/848 , A61F2002/0835 , A61F2002/0864 , A61F2002/0882 , Y10S606/916 , Y10T24/42
摘要： A fixation device and apparatus for inserting the fixation device securely into a bore in an element, e.g. bone. The apparatus is a hand held device having an actuating mechanism and a longitudinally extending member coupled to the hand held device adapted to hold the fixation device at a distal end. The fixation device has a plurality of engaging members adapted to be moved outwardly when the fixation device is inserted into the bore to secure the fixation device in the bore. The extending member has an operating member coupled to the fixation device for exerting a force on the fixation device tending to cause the engaging members to extend outwardly to engage the wall of the bore. The operating member is releasably coupled to the fixation device so that once the fixation device is installed, the hand-held insertion apparatus can be removed. In one embodiment, the fixation device is releasably held by a forceps of the hand held device. In another embodiment, the fixation device is releasably held by a coupling member having a frangible connection adapted to break upon experiencing a preset tensile stress.
摘要翻译：一种固定装置和装置，用于将固定装置牢固地插入到元件的孔中，例如，骨。该装置是具有致动机构和连接到手持装置的纵向延伸构件的手持装置，其适于将固定装置保持在远端。固定装置具有多个接合构件，其适于当固定装置插入孔中时向外移动，以将固定装置固定在孔中。延伸构件具有联接到固定装置的操作构件，用于在固定装置上施加力，倾向于使接合构件向外延伸以接合孔的壁。操作构件可释放地联接到固定装置，使得一旦安装了固定装置，就可以移除手持式插入装置。在一个实施例中，固定装置由手持装置的镊子可释放地保持。在另一个实施例中，固定装置可释放地由具有适于在经历预设拉伸应力时破裂的易碎连接的联接构件保持。

54. 发明授权

US5690649A Anchor and anchor installation tool and method 失效
标题翻译：锚和锚安装工具及方法
公开(公告)号：US5690649A
公开(公告)日：1997-11-25
申请号：US567490
申请日：1995-12-05
申请人： Lehmann K. Li
发明人： Lehmann K. Li
IPC分类号： A61B17/00 , A61B17/04 , A61B17/064 , A61B19/00 , A61B17/10
CPC分类号： A61B17/0642 , A61B17/0401 , A61B2017/0023 , A61B2017/0409 , A61B2017/0424 , A61B2017/0454 , A61B2017/0647 , A61B2090/037
摘要： Apparatus for inserting an anchor into a bore in a medium, the anchor being adapted to engage the walls of the bore for securing the anchor into the medium. The bore is sized slightly larger than the outside diameter of the anchor in its undeployed condition. The apparatus includes a first manually graspable member having a distal end and a proximal end, the distal end being adapted to releasably receive the anchor. The manually graspable member has a central opening therethrough, the proximal end of the manually graspable member having a pivotable handle extending therefrom. A second member is movable longitudinally in the central opening and is attached to the pivotable handle and to the anchor. A release member couples the anchor to the second member. The pivotable handle is pivotable with respect to the first member and exerts a force longitudinally on the second member to move the second member longitudinally in the first member. This movement exerts a force on the anchor connected thereto to deform the anchor to cause the anchor to engage the walls of the medium thereby to secure the anchor in the medium. The force exerted on the second member further acts on the release member to separate the anchor from the second member when the anchor has deformed to engage the walls of the bore.
摘要翻译：用于将锚固件插入介质中的孔中的装置，所述锚适于接合所述孔的壁以将所述锚固定到所述介质中。在其未被部署的状态下，孔的尺寸略大于锚的外径。该装置包括具有远端和近端的第一手动可抓握构件，该远端适于可释放地接收锚。手动可抓握构件具有穿过其的中心开口，手动可抓握构件的近端具有从其延伸的可枢转手柄。第二构件可在中心开口中纵向移动并且附接到可枢转手柄和锚固件。释放构件将锚固件连接到第二构件。可枢转手柄相对于第一构件可枢转并且在第二构件上纵向施加力以在第一构件中纵向移动第二构件。该运动在连接到其上的锚上施加力以使锚固体变形以使锚固体接合介质的壁，从而将锚固定在介质中。当锚具已经变形以接合孔的壁时，施加在第二构件上的力进一步作用在释放构件上以将锚与第二构件分离。

55. 发明授权

US5645589A Anchor and method for securement into a bore 失效
标题翻译：固定在孔中的锚和方法
公开(公告)号：US5645589A
公开(公告)日：1997-07-08
申请号：US294067
申请日：1994-08-22
申请人： Lehmann K. Li
发明人： Lehmann K. Li
IPC分类号： F16B13/04 , A61B17/04 , A61B17/28 , A61B17/56 , A61B19/00 , A61F2/01 , A61F2/02 , A61F2/08 , A61F2/30 , A61F2/82 , F16B4/00 , F16B13/08 , A61F2/28
CPC分类号： F16B13/08 , A61B17/0401 , A61F2/0811 , A61B17/2909 , A61B2017/00862 , A61B2017/0403 , A61B2017/0409 , A61B2017/0412 , A61B2017/0414 , A61B2017/042 , A61B2017/0424 , A61B2017/0445 , A61B2090/037 , A61F2/0805 , A61F2/30723 , A61F2/82 , A61F2/848 , A61F2002/0835 , A61F2002/0864 , A61F2002/0882 , Y10S606/908 , Y10S606/91
摘要： An anchor and method for securement into a bore in a medium. The anchor has a first generally hollow cylindrical section having a first plurality of spaced longitudinally directed fingers and a second generally hollow cylindrical section having a second plurality of spaced longitudinally directed fingers. The first and second sections are arranged opposed to each other with the fingers of each section being interdigitated with the fingers of the other section. The first and second sections are adapted to receive a compression force moving the two sections relatively toward each other, whereby at least some of the fingers move outwardly so as to secure the two sections in the bore in the medium.
摘要翻译：用于固定在介质中的孔中的锚和方法。锚具有具有第一多个间隔开的纵向指状的第一大致中空的圆柱形部分和具有第二多个间隔开的纵向指状的第二大致中空的圆柱形部分。第一和第二部分彼此相对配置，每个部分的手指与另一部分的手指相互指指。第一和第二部分适于接收使两个部分相对于彼此移动的压缩力，由此至少一些手指向外移动，以将两个部分固定在介质中的孔中。

56. 发明授权

US5443472A Morcellator system 失效
标题翻译： Morcellator系统
公开(公告)号：US5443472A
公开(公告)日：1995-08-22
申请号：US135750
申请日：1993-10-13
申请人： Lehmann K. Li
发明人： Lehmann K. Li
IPC分类号： A61B17/00 , A61B17/22 , A61B17/32
CPC分类号： A61B17/320016 , A61B17/00234 , A61B17/221 , A61B17/320783 , A61B2017/00287 , A61B2017/320775
摘要： A morcellator system for use in removing relatively large pieces of tissue from the body during laparoscopic surgery. The system generally comprises a morcellator device for dissecting a large piece of tissue into smaller pieces of tissue and extracting them from the surgical site, and a tissue containment device for capturing the large piece of tissue and immobilizing it so that it may be dissected by the morcellator.
摘要翻译：一种用于在腹腔镜手术期间从体内去除相对较大的组织的分离器系统。该系统通常包括用于将大块组织切割成更小的组织并从手术部位提取的组织装置，以及用于捕获大块组织并将其固定的组织容纳装置，使得其可被 morcellator。

57. 发明授权

US5250054A Intracorporeal knot tying apparatus and method 失效
标题翻译：体内打结装置及方法
公开(公告)号：US5250054A
公开(公告)日：1993-10-05
申请号：US877462
申请日：1992-05-01
申请人： Lehmann K. Li
发明人： Lehmann K. Li
IPC分类号： A61B17/00 , A61B17/04 , A61B17/28
CPC分类号： A61B17/0469 , A61B2017/00331 , A61B2017/00349 , A61B2017/2905
摘要： Apparatus and method for tying knots in suture at a interior surgical site. The apparatus comprises an elongated hollow member having a distal portion extending at an acute angle to the major longitudinal axis of the hollow member and terminating in a distal end surface, and a rod being partly flexible along its length and having a J-shaped hook at its distal end, wherein the hook is sized to grapple the suture which is to be manipulated by said device. The rod is received within the interior of the hollow member and adapted to reciprocate relative to the hollow member so that the hook can be moved between (i) an extended position wherein the mouth of the hook is spaced from the distal end surface of the hollow member by more than the thickness of the suture, whereby the suture can be grappled by the hook, (ii) an intermediate position wherein the mouth of the hook is spaced from the distal end surface of the hollow member by less than the thickness of the suture, but the interior base of the hook is spaced from the distal end surface of the hollow member by more than the thickness of the suture, whereby a suture grappled by the hook will be slidably captured to the hollow member, and (iii) a withdrawn position wherein the interior base of the hook is spaced from the distal end surface of the hollow member by less than the thickness of the suture, whereby a suture grappled by the hook will be fixedly captured to the hollow member.
摘要翻译：在内部手术部位缝合结的装置和方法。该装置包括细长的中空构件，其具有与中空构件的主纵向轴线成锐角延伸并且终止于远端表面的远端部分，并且杆沿着其长度部分是柔性的并且具有J形钩其远端，其中所述钩的尺寸设计成抓住要由所述装置操纵的缝合线。杆被容纳在中空构件的内部并且适于相对于中空构件往复运动，使得钩可以在（i）延伸位置之间移动，其中钩的口与中空部的远端表面间隔开的缝合线的厚度大于缝合线的厚度，由此缝合线可以被钩钩住;（ii）中间位置，其中钩的口与中空构件的远端表面间隔小于但是钩的内部基部与中空构件的远端表面间隔超过缝合线的厚度，由此由钩钩住的缝线将可滑动地捕获到中空构件，并且（iii）一个撤回位置，其中钩的内部基座与中空构件的远端表面间隔开小于缝合线的厚度，由此由钩钩住的缝合线将被固定地捕获到中空构件。

58. 发明授权

US4754758A Surgical closure device 失效
标题翻译：手术闭合装置
公开(公告)号：US4754758A
公开(公告)日：1988-07-05
申请号：US851761
申请日：1986-04-14
申请人： Lehmann K. Li
发明人： Lehmann K. Li
IPC分类号： A61B17/08 , A61B17/04 , A61B17/064
CPC分类号： A61B17/04 , A61B17/0643 , A61B2017/0641
摘要： A surgical closure device having two mating members is disclosed. The first member comprises a plurality of pins, an indentation ajacent the proximal end of each pin, and at least one synthetic tissue compatible first fiber connecting the distal end of each adjacent pin. The second member comprises at least one synthetic tissue compatible second fiber having a plurality of knots essentially equal in number to the plurality of pins. A method of closing a wound of living tissue using the surgical closure device is also disclosed.
摘要翻译：公开了具有两个配合构件的手术闭合装置。第一构件包括多个销，位于每个销的近端的凹槽以及连接每个相邻销的远端的至少一个合成组织相容的第一纤维。第二构件包括至少一个合成组织相容的第二纤维，其具有与多个销基本相等的多个结。还公开了使用手术闭合装置封闭生物体组织的伤口的方法。

59. 发明授权

US4634035A Skin stapler 失效
标题翻译：皮肤吻合器
公开(公告)号：US4634035A
公开(公告)日：1987-01-06
申请号：US588275
申请日：1984-03-12
申请人： Lehmann K. Li , Michael Marra
发明人： Lehmann K. Li , Michael Marra
IPC分类号： A61B17/068 , A61B17/00
CPC分类号： A61B17/0684
摘要： The prior art discloses a surgical stapler having means for forming a staple, and means for activating the forming means. The forming means have an anvil surface terminating in a movable flange and a track movably containing a forming blade. The improved stapler of this invention comprises the activating means cooperatively attached to the forming means, and the anvil surface having a boss and the forming blade having an opening. The anvil surface boss has an arcuate motion dependent on the linear motion of the forming blade opening. Alternatively, the improved stapler also comprises a formed staple stripping surface adjacent at least two opposing sides of the anvil flange.
摘要翻译：现有技术公开了一种具有用于形成钉的装置的外科缝合器和用于启动成形装置的装置。成形装置具有端接在可移动凸缘中的砧座表面和可移动地容纳成形刀片的轨道。本发明的改进的订书机包括协同地附接到成形装置的激活装置，并且砧座表面具有凸台和成形刀片具有开口。砧座表面凸台具有取决于成形刀片开口的线性运动的弓形运动。或者，改进的订书机还包括邻近砧座凸缘的至少两个相对侧的成形的订书钉剥离表面。

60. 外观设计

USD272226S Staple extracting instrument 失效
公开(公告)号：USD272226S
公开(公告)日：1984-01-17
申请号：US245561
申请日：1981-03-19
申请人： Lehmann K. Li , Jay E. Campbell , Richard H. Reichmann
设计人： Lehmann K. Li , Jay E. Campbell , Richard H. Reichmann

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