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    • 64. 发明授权
    • Method for using a needle holder to assist in suturing
    • 使用针架来辅助缝合的方法
    • US5897563A
    • 1999-04-27
    • US947115
    • 1997-10-08
    • InBae YoonRonald J. BrinkerhoffDavid StefanchikJeffrey S. SwayzeBryan KnodelRudolph H. Nobis
    • InBae YoonRonald J. BrinkerhoffDavid StefanchikJeffrey S. SwayzeBryan KnodelRudolph H. Nobis
    • A61B17/04
    • A61B17/062A61B17/0469A61B17/0491
    • In accordance with the present invention there is provided a method for suturing tissue using a needle holder device, The device includes a handle for holding it, the handle has distal and proximal ends. The device also has right and left arms extending distally from the handle. The arms of the device have proximal ends attached to the handle and distal ends having grippers attached thereto for gripping and releasing a needle. The device includes at least one mechanism for moving the distal ends of the arms closely adjacent to one another and for passing the needle from one gripper to the other and thereafter for moving the distal ends of the arms further apart from one another. The right gripper is holding a needle having a suture attached thereto. The method first involves moving the distal ends of the arms apart from one another and manually inserting the needle into the tissue and back out again. Thereafter, the method involves actuating the mechanism so as to move the arms closely adjacent one another so that the left gripper holds the needle, the right gripper releases the needle. Then the method involves moving the distal ends of the arms further apart from one another. Lastly, the method involves removing the needle from the tissue.
    • 根据本发明,提供了一种使用针保持器装置缝合组织的方法。该装置包括用于保持其的手柄,手柄具有远端和近端。 该装置还具有从手柄向远侧延伸的右臂和左臂。 装置的臂具有附接到手柄的近端,并且远端具有附接到其上的夹持器,用于夹紧和释放针。 该装置包括至少一个用于使臂的远端彼此靠近移动并将针从一个夹持器传递到另一个并且此后用于将臂的远端彼此远离移动的至少一个机构。 右夹具保持具有附着于其上的缝合线的针。 该方法首先涉及将臂的远端彼此分开移动并手动将针插入组织并再次退出。 此后,该方法包括致动该机构以使臂彼此靠近地移动,使得左夹具保持针,右夹具释放针。 然后,该方法包括使臂的远端彼此远离地移动。 最后,该方法包括从组织中去除针。
    • 66. 发明授权
    • Endoscopic cutting apparatus
    • 内镜切割装置
    • US5304190A
    • 1994-04-19
    • US881003
    • 1992-05-08
    • Jerome E. ReckelhoffMark DavisonWilliam D. KellyRudolph H. Nobis
    • Jerome E. ReckelhoffMark DavisonWilliam D. KellyRudolph H. Nobis
    • A61B17/32A61B17/00
    • A61B17/320016
    • An endoscopic cutting apparatus for use in endoscopic surgical procedures. The apparatus has a frame having a proximal end and a distal end. A handle is attached to the proximal end of the frame. Hook means are mounted to the distal end of the frame for engaging tissue or blood vessels. The hook means has a track means. Cutting blade means are mounted to said frame and are movable within said track means to cut tissue or blood vessels engaged within said hook means. Actuating means are mounted to the frame to actuate the cutting means in order to cut tissue or blood vessels engages within said hook means. Optional rotation means are mounted to the frame to allow the hook means and cutting means to rotate with respect to the frame. Optional extension means extend and retract the hook means into and out of the distal end of the frame.
    • 一种用于内窥镜外科手术的内窥镜切割装置。 该装置具有一个具有近端和远端的框架。 手柄附接到框架的近端。 钩装置安装到框架的远端,用于接合组织或血管。 挂钩装置具有轨道装置。 切割刀片装置安装到所述框架并且可在所述轨道装置内移动以切割接合在所述钩装置内的组织或血管。 致动装置安装到框架上以致动切割装置,以便切割在所述钩装置内接合的组织或血管。 可选的旋转装置安装到框架上以允许钩装置和切割装置相对于框架旋转。 可选的延伸装置将钩装置伸出并缩回框架的远端。
    • 68. 发明授权
    • Multiple-load cartridge assembly for a linear surgical stapling
instrument
    • 用于线性外科缝合器械的多负载筒组件
    • US4612933A
    • 1986-09-23
    • US595291
    • 1984-03-30
    • Ronald J. BrinkerhoffRudolph H. Nobis
    • Ronald J. BrinkerhoffRudolph H. Nobis
    • A61B17/072A61B17/04
    • A61B17/072A61B2017/0725
    • A multiple-load cartridge assembly for use with a linear surgical stapling instrument of the type which, when actuated, simultaneously implants at least one row of staples in the tissue of a patient and forms or clinches the staples of the row against the instrument anvil. The cartridge assembly comprises a cartridge having a row of staple-containing forming pockets and a driver having a plurality of blades equal in number to the number of forming pockets and configured to drive the staples from the forming pockets through the tissue to be sutured and against the instrument anvil to be clinched, when the surgical stapling instrument is actuated. The cartridge has at least one row of storage pockets, equal in number to the forming pockets, and each containing at least one staple. An indexing mechanism is provided to shift the at least one staple in each storage pocket to the line of action between the driver and the anvil after the first actuation of the surgical stapling instrument, for at least another actuation of the surgical stapling instrument. A safety interlock within the cartridge assembly assures correct sequential operation of the cartridge assembly and prevents jamming thereof. An indicator visually shows the number of the load of staples ready to be implanted and formed.
    • 一种用于线性外科缝合器械的多重装载盒组件,其在被致动时同时在患者的组织中植入至少一排钉,并形成或者将该排钉钉住仪器砧座。 盒组件包括具有一排装订成形袋的盒,驱动器具有数量等于成形袋数量的多个叶片,并且构造成驱动订书钉从成形袋通过要缝合的组织并抵抗 当外科缝合器械被致动时,要钳制的仪器砧座。 盒具有至少一排存储袋,其数量与成形袋相同,并且每个包含至少一个订书钉。 提供了一种分度机构,用于在外科缝合器械的第一次致动之后将每个存储口袋中的至少一个钉子移动到驱动器和砧座之间的作用线,用于外科缝合器械的至少另一个致动。 盒组件内的安全联锁确保盒组件的正确顺序操作,并防止其卡住。 指示器可视地显示准备植入和形成的钉的负载数。
    • 69. 发明授权
    • Medical instrument handle and medical instrument having a handle
    • 医疗器械手柄和带手柄的医疗器械
    • US09138250B2
    • 2015-09-22
    • US11409709
    • 2006-04-24
    • Ifung LuRudolph H. Nobis
    • Ifung LuRudolph H. Nobis
    • A61B17/00A61B17/29A61B17/3205
    • A61B17/2909A61B17/32056A61B2017/003
    • A medical instrument handle includes a stem, a joystick assembly, and a medical-instrument-member first articulation cable. The stem has a proximal stem portion and a distal stem portion. The joystick assembly includes a platform, a proximal joystick portion and a distal joystick portion, wherein the distal joystick portion is articulatably connected to the proximal stem portion. The first articulation cable includes a proximal cable portion which is connected to the platform and which is substantially transversely constrained by the stem. Articulation of the joystick assembly with respect to the stem changes a distance between the platform and the stem as measured along the first articulation cable. A medical instrument includes a medical instrument handle and a medical end effector. Examples of medical end effectors include, without limitation, a medical grasper and a medical snare.
    • 医疗器械手柄包括杆,操纵杆组件和医疗器械构件第一铰接电缆。 茎具有近端茎部分和远端茎部分。 操纵杆组件包括平台,近端操纵杆部分和远端操纵杆部分,其中远侧操纵杆部分可铰接地连接到近侧杆部分。 第一铰接电缆包括近端电缆部分,该近端电缆部分连接到平台并且基本上横向地受到杆的约束。 操纵杆组件相对于杆的铰接改变了沿着第一铰接电缆测量的平台和杆之间的距离。 医疗器械包括医疗器械手柄和医疗末端执行器。 医疗终端执行器的示例包括但不限于医疗抓取器和医疗圈套。