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81. 发明授权

US5586986A Instrument for closing trocar puncture wounds 失效
标题翻译：关闭套管穿刺伤口的仪器
公开(公告)号：US5586986A
公开(公告)日：1996-12-24
申请号：US393541
申请日：1995-02-23
申请人： Peter W. J. Hinchliffe
发明人： Peter W. J. Hinchliffe
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/34
CPC分类号： A61B17/0469 , A61B17/0057 , A61B2017/00637 , A61B2017/00663 , A61B2017/047 , A61B2017/0472 , A61B2017/06057 , A61B2017/3492
摘要： A surgical instrument for applying sutures including an elongated housing having a proximal end and a distal end, means associated with the distal end of the elongated housing for carrying at least one needle, the needle carrier means being movable between a retracted position and an extended position, at least one needle positioned on the needle carrier means, and means associated with the needle carrier means for moving the needle carrier means to the extended position to deploy the at least one needle such that upon movement of the needle carrier means by the moving means, the needle carrier moves from the retracted position to the extended position whereby the at least one needle is caused to travel through a tissue engaging path in one continuous motion. Another embodiment of the surgical instrument of the present invention for applying sutures includes an elongated housing having a proximal end and a distal end and means associated with the distal end of the elongated housing, for carrying and deploying at least two needles at a predetermined distance from each other, the carrying and deploying means being rotatable out of a first plane corresponding to a retracted position and into a second plane corresponding to an extended position while maintaining the at least two needles at the predetermined distance from each other. The instrument preferably further includes at least one needle retaining means associated with the elongated housing for receiving and retaining the at least two needles. The needle retaining means may include a pair of needle receiving pockets disposed within the elongated housing. The needle receiving pockets may be filled with a compliant material or a latch mechanism.
摘要翻译：一种用于施加缝合线的手术器械，包括具有近端和远端的细长壳体，与所述细长壳体的远端相关联的装置，用于承载至少一个针，所述针托架装置可在缩回位置和延伸位置至少一针位于针托架上的装置，以及与针托架装置相关联的装置，用于将针托架装置移动到延伸位置以展开至少一个针，使得当针运送装置由运动装置移动时针架从缩回位置移动到延伸位置，由此使得至少一个针以连续的运动方式穿过组织接合路径。用于施加缝合线的本发明的外科器械的另一个实施例包括具有近端和远端的细长壳体和与细长壳体的远端相关联的装置，用于将预定距离的至少两根针头彼此相对，所述携带和展开装置能够相对于缩回位置的第一平面旋转，并且相应于延伸位置的第二平面旋转，同时将所述至少两个针保持彼此预定的距离。仪器最好还包括与细长壳体相关的至少一个针保持装置，用于接收和保持至少两个针。针保持装置可以包括设置在细长壳体内的一对针接收袋。针接收袋可以填充有柔顺材料或闩锁机构。

82. 发明授权

US5547463A Surgical hand support apparatus 失效
标题翻译：手术支持装置
公开(公告)号：US5547463A
公开(公告)日：1996-08-20
申请号：US319853
申请日：1994-10-07
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 , A61F5/00 , A61B1/00
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.
摘要翻译：外科手术支撑装置包括：支撑构件，其具有用于至少支撑患者的手的支撑表面;相对于支撑表面可移动的手指限制构件，其被定位成接合患者的手指;以及拇指限制构件到支撑表面以被定位成接合患者的拇指。快速释放机构与手指限制构件和拇指限制构件相关联，以将相应构件相对于支撑表面锁定在预定位置。该装置还可以包括腕部限制构件以接合病人的手腕。仪器支撑构件与腕部限制构件相关联，并且构造成支撑手术器械。还公开了一种用于执行腕管手术的方法，其中将患者的手保持在手部支撑件中，并且引导器械和气囊导管插入穿过仪器支撑构件。

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