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    • 6. 发明授权
    • Biopsy and delivery device
    • 活检和输送装置
    • US07169114B2
    • 2007-01-30
    • US10858112
    • 2004-06-01
    • William R. Krause
    • William R. Krause
    • A61B10/00A61B6/00
    • A61B10/0266A61B10/0275A61B2010/0208
    • A device and method for the obtaining a tissue biopsy and the delivery of a material to provide hemostatis, therapeutic agents or marker material is described that can be used in conjunction with either an aspiration biopsy or a cutting needle biopsy device. The device has an application chamber through which the biopsy mechanism, either a cutting needle device or aspiration needle, passes through. The mechanism for an aspiration biopsy has a biopsy cannula of constant cross section over its entire length connected to an aspiration and collecting chamber and at least one application channel of constant or varying cross section connected to a dispensing chamber integrally connected with the aspiration chamber. The cutting biopsy mechanism has a mechanical or electromechanical mechanism to rapidly fire a stylet with a biopsy trough into the intended tissue and then fire a biopsy cannula over the stylet to sever and retain tissue that has protruded into the biopsy trough. At least one application channel is formed by a tube centrically slipped over the biopsy cannula wall. To enable the collection of tissue specimens, the distal segment of the application channel forms a close fitting and concentric sheath around the biopsy cannula. The versatility of the invention permits its use in many applications, including, for example, liver biopsies, breast biopsies, laparoscopic surgery, and lymphadenectomy procedures.
    • 描述了可以与抽吸活组织检查或切割针活检装置结合使用的用于获得组织活组织检查和递送材料以提供止血,治疗剂或标记材料的装置和方法。 该装置具有一个应用室,切割针装置或抽吸针穿过的活检机构穿过该应用室。 用于抽吸活组织检查的机构具有连接到抽吸和收集室的整个长度上具有恒定横截面的活检插管,以及连接到与抽吸室一体连接的分配室的恒定或变化横截面的至少一个施用通道。 切割活检机构具有机械或机电机构,以将活检槽的探针快速地射入预定的组织,然后在探针上方穿过活检插管以切断并保留突出到活检槽中的组织。 至少一个应用通道由穿过活检插管壁的中心的管形成。 为了能够收集组织标本,应用通道的远侧段在活检插管周围形成紧密并且同心的护套。 本发明的多功能性允许其在许多应用中使用,包括例如肝活检,乳房活组织检查,腹腔镜手术和淋巴结清扫手术。
    • 7. 发明授权
    • Surgical reamer cutter
    • 手术铰刀
    • US06258093B1
    • 2001-07-10
    • US09494108
    • 2000-01-28
    • Garland U. EdwardsWilliam R. Krause
    • Garland U. EdwardsWilliam R. Krause
    • A61B1900
    • A61B17/164A61B17/1615A61B17/1631
    • The invention provides a cutter head that reduces the cutting force and number of reamers required by increasing the depth of cut or cutting length. The cutting head uses at least one tooth placed along the length of flutes formed within the body of the cutting head. The grooves forming the flutes can follow a first helical path along the body length, maintaining a substantially constant path over a major portion of the entire length in relation to the axes or, alternatively, have a constantly changing path. A second pattern can follow a second, contiguous helical path that has a second radial orientation to the axis. The teeth can be formed from a sinusoidal wave form comprised of a continuous radius going from convex to concave, with each of the teeth having a predetermined pitch from the crest to the base. In another embodiment the crest of the teeth on the first flute is offset axially by a predetermined distance from the teeth on the adjacent flutes. The offset can be determined by dividing the pitch on each flute by the number of flutes. The cutting head can, in an alternate embodiment, have a notch within each of the flutes. The notch forms a pair of teeth, the crests of each of the teeth having either a substantially equal radius or a different radius, depending upon the placement of the notch.
    • 本发明提供一种刀头,其通过增加切割深度或切割长度来减少切割力和铰刀数量。 切割头使用沿着形成在切割头的主体内的凹槽的长度放置的至少一个齿。 形成凹槽的凹槽可以沿着主体长度的第一螺旋路径,在相对于轴线的整个长度的主要部分上保持基本上恒定的路径,或者备选地,具有不断变化的路径。 第二图案可以跟随具有与轴线的第二径向取向的第二连续螺旋路径。 齿可以由正弦波形形成,其由从凸到凹的连续半径构成,每个齿具有从顶部到基部的预定间距。 在另一个实施例中,第一凹槽上的齿的顶部与相邻凹槽上的齿轴向偏移预定的距离。 可以通过将每个凹槽上的间距除以凹槽数来确定偏移。 在替代实施例中,切割头可以在每个凹槽内具有凹口。 凹口形成一对齿,根据凹口的位置,每个齿的顶部具有基本相等的半径或不同的半径。
    • 9. 发明授权
    • Fracture alignment device
    • 骨折对位装置
    • US5003969A
    • 1991-04-02
    • US482805
    • 1990-02-21
    • Samir N. AzerNaser N. SalmanWilliam R. Krause
    • Samir N. AzerNaser N. SalmanWilliam R. Krause
    • A61B17/64A61F5/058
    • A61B17/6408A61F5/0585
    • A fracture alignment and retention device includes a plurality of spanning bars which are spaced about the extremity of the patient having a fractured long bone. Preferably, the spanning bars are located circumferentially about the extremity. At least three spanning bars are held in approximately 90 degree offset positions with respect to each other by two straps encircling the extremity. The straps are secured in place by a VELCRO-type fastener or other securing devices. Each spanning bar includes at least two pressure pads which are placed on the extremity on opposite sides of the fracture. Each pressure pad includes a threaded shaft which is threadably mounted at a central portion in a fixed bushing engaged in a slot defined in an uppermost surface of the spanning bar. One end of the shaft includes a knob and the opposite end is mounted on the pressure pad for causing movement of the pressure pad toward or away from the extremity in an axial direction along the shaft without rotation of the pressure pad. Rotation of knobs located at the end of the shaft controls the amount of pressure exerted against the extremity by the pressure pads and includes an indicator for noting relative positioning of a knob prior to and after turning of the knob.
    • 断裂对准和保持装置包括多个跨越条带的跨越条,所述跨越条围绕具有断裂的长骨的患者的末端间隔开。 优选地,跨越条围绕末端围绕定位。 至少三个跨越杆通过围绕末端的两个带相对于彼此保持在大约90度的偏移位置。 带子通过VELCRO型紧固件或其他固定装置固定在适当的位置。 每个跨越棒包括至少两个压力垫,其被放置在骨折的相对侧上的末端上。 每个压力垫包括螺纹轴,该螺纹轴螺纹地安装在固定衬套中的中心部分,该固定衬套接合在跨越杆的最上表面中的狭槽中。 轴的一端包括旋钮,并且相对端安装在压力垫上,用于使压力垫沿着轴的轴向方向朝向或远离末端移动,而不转动压力垫。 位于轴端部的旋钮的旋转控制通过压力垫施加在末端上的压力的量,并且包括用于在旋钮旋转之前和之后注意到旋钮的相对定位的指示器。
    • 10. 发明授权
    • Intramedullary rod system
    • 髓内杆系统
    • US4913137A
    • 1990-04-03
    • US153913
    • 1988-02-09
    • Samir N. AzerNaser N. SalmanWilliam R. Krause
    • Samir N. AzerNaser N. SalmanWilliam R. Krause
    • A61B17/17A61B17/72
    • A61B17/1725A61B17/72A61B17/7233A61B17/7283Y10S606/916
    • An intramedullary rod system includes a guide rod and a tubular hollow intramedullary rod having an interior surface shaped, at least in a portion, complementary to that of the guide rod. The guide rod is first inserted through the medullary canal and then removed after sliding the tubular intramedullary rod over the guide rod. The guide rod is then aligned outside of the leg parallel to the hollow intramedullary rod for engagement at a distal end by bifurcated prongs with a drill bolt with which bifurcated prongs of the hollow intramedullary rod is simultaneously engaged. Screw holes are thereby aligned between the guide rod and the intramedullary rod at the distal end of the bone without the use of targeting. The hollow intramedullary rod is aligned with the guide rod by a lateral guide for accurate insertion through the guide rod of screws at the distal end of the hollow intramedullary rod.
    • 髓内杆系统包括导杆和管状空心髓内杆,其具有至少部分地与导杆的内表面互补的内表面。 引导杆首先穿过髓管插入,然后将管状髓内杆滑动到导杆上之后取出。 引导杆然后对准腿部平行于中空髓内杆的外侧,用于通过具有钻螺栓的分叉叉头在远端处接合,中空髓内杆的分叉叉与其同时接合。 因此,螺钉孔在骨骼的远端处在引导杆和髓内杆之间对准,而不使用靶向。 中空髓内杆通过侧向引导件与导杆对齐,以通过中空髓内杆的远端处的螺钉导杆精确插入。