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1. 发明申请

US20050192598A1 System and method for actuating a laparoscopic surgical instrument 有权
标题翻译：用于致动腹腔镜手术器械的系统和方法
公开(公告)号：US20050192598A1
公开(公告)日：2005-09-01
申请号：US11059806
申请日：2005-02-17
申请人： Gary Johnson , Russell Ahlberg , David Okihisa , Gregory Bak-Boychuk
发明人： Gary Johnson , Russell Ahlberg , David Okihisa , Gregory Bak-Boychuk
IPC分类号： A61B17/04 , A61B17/28 , A61B17/32
CPC分类号： A61B17/3201 , A61B17/1608 , A61B17/29 , A61B17/32 , A61B17/320016 , A61B2017/2932 , A61B2017/2934 , A61B2017/2936
摘要： The invention is directed to a pin and slot design where the driving slots are moved from the tips to the actuation rod in one aspect of the invention. As a result, the back end of each blade or tip can be dramatically reduced in area so that during full deflection, very little or no part of the blade or tip extends beyond the outside diameter of the shaft. This ensures that nothing catches on the blades or tips during grasper use and the shrink tubing found on the scissors would not be deformed. This can be done because the area for the slots is not needed. Moreover, the usable area for the drive slots on the blade or tip of the actuation rod is maximized to the overall diameter of the outer tube or shaft which provides additional leverage to the blades or tips. In addition, the depth of each slot can be varied such that during actuation, increased tension can be put on the blades or tips throughout the cut. More specifically, the surgical instrument of the invention comprises an elongate tube extending along an axis including an actuation rod coaxially slidable within the elongate tube, a first tip including a first pin formed on a proximal end surface of the first tip, and a second tip including a second pin formed on a proximal end surface of the second tip, the second tip pivotally connected to the first tip at a common pivot pin operably connected to the elongate tube to open and close the tips in response to movement of the actuation rod. The actuation rod has a slot to accept the pins of the first and second tips, the slot has camming surfaces for the pins to slide within the slot, and the proximal ends of the tips extend minimally outside the diameter of the elongate tube during actuation of the tips.
摘要翻译：本发明涉及一种销和槽设计，其中驱动槽在本发明的一个方面中从尖端移动到致动杆。结果，每个叶片或尖端的后端可以大大减小面积，使得在完全偏转期间，叶片或尖端的很少或没有一部分延伸超过轴的外径。这样可以确保在抓紧器使用过程中没有抓住刀片或尖端，并且剪刀上发现的收缩管不会变形。这可以做到，因为不需要插槽的区域。此外，用于驱动槽上的驱动槽或致动杆顶端的可用面积最大化到外管或轴的总直径，这为叶片或尖端提供额外的杠杆作用。此外，每个槽的深度可以变化，使得在致动期间，可以在整个切割中的刀片或尖端上增加张力。更具体地说，本发明的手术器械包括沿着轴延伸的细长管，该细长管包括在细长管中同轴滑动的致动杆，包括形成在第一末端的近端表面上的第一销的第一末端和第二末端包括形成在所述第二末端的近端表面上的第二销，所述第二末端以可操作地连接到所述细长管的共同枢轴销枢转地连接到所述第一末端，以响应于所述致动杆的移动来打开和关闭所述末端。所述致动杆具有用于接纳所述第一和第二尖端的销的槽，所述槽具有用于所述销在所述槽内滑动的凸轮表面，并且所述尖端的近端在致动期间最小地延伸到所述细长管的直径的外侧提示。

2. 发明申请

US20050101991A1 Overmolded grasper jaw 有权
标题翻译：包覆成型抓爪下巴
公开(公告)号：US20050101991A1
公开(公告)日：2005-05-12
申请号：US10986993
申请日：2004-11-12
申请人： Russell Ahlberg , Scott Taylor , David Okihisa , Gregory Bak-Boychuk , Emil Karapetian , John Stout
发明人： Russell Ahlberg , Scott Taylor , David Okihisa , Gregory Bak-Boychuk , Emil Karapetian , John Stout
IPC分类号： A61B17/28 , A61B17/04 , A61B17/10 , A61B17/42 , A61B17/44
CPC分类号： A61B17/282 , A61B17/29 , A61B2017/2825 , A61B2017/2902 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2943
摘要： The invention is directed to a surgical instrument comprising an elongate tube extending along an axis including a camming rod and an actuation mechanism operably connected to the camming rod, the camming rod having a camming pin and a camming projection; a first jaw spine having a first cam slot, a first interior camming surface, and a first exterior camming surface; and a second jaw spine having a second cam slot, a second interior camming surface, and a second exterior camming surface, the second jaw spine pivotally connected to the first jaw spine at a common pivot pin operably connected to the elongate tube to open and close the jaw spines in response to movement of the actuation mechanism. The camming pin rides along the first and second interior camming surfaces and operates to close the jaw spines when the camming rod is moved proximally. When the camming rod moves distally, the camming projection rides on the first and second exterior camming surfaces formed on the proximal sides of the respective first and second jaw spines and operates to open the jaw spines. A feature of the invention is one camming surface on each jaw spine can facilitate closing the jaw spines while the other camming surface on each jaw spine can facilitate opening the jaw spines. These two camming surfaces on each jaw spine can be widely separated. The jaw spines can be formed of a metallic material and are overmolded with an atraumatic plastic material. By overmolding the plastic onto the metal spine, an atraumatic outer surface can be formed of the plastic material along with a high degree of detail.
摘要翻译：本发明涉及一种外科器械，其包括沿轴线延伸的细长管，所述细长管包括可操作地连接到所述凸轮杆的凸轮杆和致动机构，所述凸轮杆具有凸轮销和凸轮凸轮; 具有第一凸轮槽，第一内部凸轮表面和第一外部凸轮表面的第一颚骨脊; 以及具有第二凸轮槽，第二内部凸轮表面和第二外部凸轮表面的第二夹爪，所述第二夹爪枢转地连接到与所述细长管可操作地连接以打开和关闭的公共枢轴的所述第一夹爪颚爪响应于致动机构的移动而刺入。凸轮销沿着第一和第二内部凸轮表面骑行，并且当凸轮杆向近侧移动时操作以闭合颚骨棘爪。当凸轮杆向远侧移动时，凸轮突起可骑在形成在相应的第一和第二爪脊的近侧上的第一和第二外部凸轮表面上，并且操作以打开颚骨。本发明的特征是每个颚骨上的一个凸轮表面可以有助于闭合颚骨棘爪，而每个颌骨上的另一个凸轮表面可以有助于打开颚骨。每个颚骨上的这两个凸轮表面可以被广泛地分开。颚棘可以由金属材料形成，并用无创伤的塑料材料包覆成型。通过将塑料包覆成型到金属脊上，无损伤的外表面可以由塑料材料以高度的细节形成。

3. 发明申请

US20050149087A1 Multiple-angle scissor blade 审中-公开
标题翻译：多角度剪刀片
公开(公告)号：US20050149087A1
公开(公告)日：2005-07-07
申请号：US10976505
申请日：2004-10-29
申请人： Russell Ahlberg , Gary Johnson , David Okihisa
发明人： Russell Ahlberg , Gary Johnson , David Okihisa
IPC分类号： A61B17/32
CPC分类号： A61B17/3201 , A61B17/320016 , B24B3/52 , B26B13/06 , B26B13/08
摘要： The invention is directed to a pair of laparoscopic scissors, comprising a pair of blades connected at a pivot, each of the blades having a length, a tip portion, a body portion, an outer surface, an inner surface and a cutting edge, the cutting edge forming an angle with the outer surface along the length of the blade such that tension during a cutting operation at the tip portion is about the same as tension at the body portion during the cutting operation. The angle formed may be greater at the tip portion which continuously decreases over the length of the blade. The tip portion may have a first body thickness and the body portion may have a second body thickness different from the first body thickness. During the cutting operation, the blades progressively move over each other to provide a point contact along the cutting edges. The blades may be thickened in a number of locations and combinations including: (1) one blade could be thicker than the other to force the opposing blade to flex; (2) both blades could be thicker at the body portions to give more strength when cutting staples; (3) each blade could be thickened on one side or the other to stiffen certain locations; and (4) the tips of each blade could be thicker than the body portions to provide increased tension at the tips. In another aspect of the invention, a process of manufacturing the pair of scissors of the invention is disclosed, comprising the steps of form grinding the blades into a desired shape from a pre-hardened block of material, and sharpening the cutting edges of the blades. The blades may also be formed through other processes including wire EDM, laser cutting, waterjet cutting, machining, cast or metal injection molding, and other independent profile manufacturing processes. The manufacturing process of the invention is beneficial in that each profile can be accurately controlled, and the parts will be exact every time.
摘要翻译：本发明涉及一对腹腔镜剪刀，包括一对在枢轴处连接的刀片，每个刀片具有长度，尖端部分，主体部分，外表面，内表面和切割边缘，切割刃沿着刀片的长度与外表面形成一角度，使得在切割操作期间在尖端部分的切割操作期间的张力与主体部分处的张力大致相同。形成的角度可能在尖端部分处大于叶片长度上连续减小的角度。尖端部分可以具有第一本体厚度，并且主体部分可以具有不同于第一主体厚度的第二主体厚度。在切割操作期间，叶片逐渐地彼此移动以沿着切割边缘提供点接触。叶片可以在多个位置和组合中增厚，包括：（1）一个叶片可以比另一个叶片更厚以迫使相对的叶片弯曲; （2）当切割订书钉时，两个叶片在主体部分可以较厚，以提供更大的强度; （3）每个叶片可以在一侧或另一侧增厚以加固某些位置; 和（4）每个叶片的尖端可以比主体部分更厚，以在尖端处提供增加的张力。在本发明的另一方面，公开了一种制造本发明的一对剪刀的方法，包括以下步骤：从预硬化的材料块将刀片成型为期望的形状，并且磨削刀片的切割刃。刀片也可以通过包括线切割，激光切割，水刀切割，机械加工，铸造或金属注射成型以及其它独立轮廓制造工艺的其它工艺形成。本发明的制造方法的优点在于，可以精确地控制每个轮廓，并且每个部件将每次都精确。

4. 发明申请

US20050065537A1 Surgicals metals with improved hardness and methods for making same 审中-公开
标题翻译：手术金属具有改善的硬度和制作方法
公开(公告)号：US20050065537A1
公开(公告)日：2005-03-24
申请号：US10479351
申请日：2002-05-30
申请人： Vincent Tangherlini , Russell Ahlberg , Arkadiusza Strokosz , Gary Johnson , Matthew Wixey , Linda Phinuwong
发明人： Vincent Tangherlini , Russell Ahlberg , Arkadiusza Strokosz , Gary Johnson , Matthew Wixey , Linda Phinuwong
IPC分类号： A61B17/12 , A61B17/06 , A61B17/064 , A61B17/08 , A61B17/122 , A61B17/128 , A61B17/82 , A61L31/00 , A61L31/02 , C23C8/10
CPC分类号： C23C8/10 , A61B17/06066 , A61B17/064 , A61B17/0644 , A61B17/083 , A61B17/122 , A61B17/128 , A61B17/1285 , A61B17/82 , A61L31/022
摘要： A surgical device includes a structural portion which is formed of a first element, such as titanium, which has an outer surface and an inner core. A second element, such as oxygen, is combined with the first element without creating a shear plane, to create a concentration of the second element in the first element which varies from the outer surface to the inner core. In an associated method, the second element is driven into the first element under other than ambient conditions to develop a concentration gradient of the second element between the outer surface and the inner core of the first element.
摘要翻译：手术装置包括由诸如钛的第一元件形成的结构部分，其具有外表面和内核。诸如氧的第二元件与第一元件组合而不产生剪切平面，以产生第一元件中从外表面到内芯变化的浓度。在相关联的方法中，第二元件在环境条件之外被驱动到第一元件中，以在第一元件的外表面和内芯之间形成第二元件的浓度梯度。

5. 发明申请

US20060264998A1 ACCESS DEVICE MAINTENANCE APPARATUS AND METHOD 审中-公开
标题翻译：访问设备维护设备和方法
公开(公告)号：US20060264998A1
公开(公告)日：2006-11-23
申请号：US11460942
申请日：2006-07-28
申请人： Gary Johnson , Russell Ahlberg
发明人： Gary Johnson , Russell Ahlberg
IPC分类号： A61M29/00
CPC分类号： A61B17/3498
摘要： A trocar includes a valve housing and cannula which define a working channel. A valve disposed in the valve housing along the working channel includes a gel material which defines a slit that functions as a zero seal in the absence of an instrument, and an instrument seal in the presence of an instrument. The slit is formed by mating gel components which are preferably separated during storage of the device. This separation can be facilitated by a pull strip which can be pre-lubricated and inserted into the slit for ultimate removal prior to activation of the trocar.
摘要翻译：套管针包括限定工作通道的阀体和套管。沿着工作通道设置在阀壳体中的阀包括凝胶材料，其限定在没有仪器的情况下用作零密封的狭缝和在仪器存在下的仪器密封。狭缝通过配合凝胶组分形成，凝胶组分优选在装置储存期间分离。这种分离可以通过拉带来促进，拉带可以预先润滑并插入狭缝中，以在套管针激活之前最终去除。

6. 发明申请

US20050256529A1 Clip applier cartridge with internal ratchet 审中-公开
标题翻译：夹子应用器筒带内部棘轮
公开(公告)号：US20050256529A1
公开(公告)日：2005-11-17
申请号：US10518436
申请日：2003-07-21
申请人： Haruyasu Yawata , Russell Ahlberg , Edward Dolendo
发明人： Haruyasu Yawata , Russell Ahlberg , Edward Dolendo
IPC分类号： A61B17/12 , A61B20060101 , A61B17/00 , A61B17/04 , A61B17/068 , A61B17/08 , A61B17/10 , A61B17/128
CPC分类号： A61B17/1285 , A61B17/068 , A61B17/0682 , A61B17/08 , A61B17/083 , A61B17/10 , A61B17/105 , A61B17/128 , A61B2017/0046
摘要： A clip applier for applying a surgical clip in a patient comprising a disposable cartridge and a reusable actuating mechanism. The cartridge includes an elongate tube having a proximal end and a distal end, a pair of opposing jaw members extending outwardly from the distal end of the elongate tube, and a one-way ratchet mechanism providing a full actuating stroke. The actuating mechanism is coupled to the proximal end of the elongate tube to move the jaw members between an open position and a closed position. The ratchet mechanism may be formed from injection molded plastic. The cartridge further comprises a push member for advancing the clip into the jaw members, a biasing spring for maintaining the push member against the clip, and a drive coupling operatively connected to a sliding ratchet pawl for engaging with mating teeth formed on an inner surface of the elongate tube, wherein the ratchet pawl includes a cantilever arm that engages with the mating teeth, and wherein the drive coupling provides a central connection of the ratchet pawl allowing pivoting and improved seating of the mating teeth. A method of applying a surgical clip to an object in a patient using the clip applier of the invention includes the steps of positioning the clip applier within the patient such that the jaw members are adjacent to the object to be clipped, closing the jaw members and the clip over the object, and removing the clip applier from the patient. The method may further comprise the steps of orienting the clip applier such that the jaw members pass over the object, manipulating the jaw members to move the object to a compressed state within the jaw members, advancing the clip over the object to maintain the object in the compressed state, and retracting a feeder to allow the next clip to be fed into the jaw members.
摘要翻译：一种用于在包括一次性药筒和可重复使用的致动机构的患者中施加手术夹子的施夹器。药筒包括具有近端和远端的细长管，从细长管的远端向外延伸的一对相对的钳口构件，以及提供完全致动行程的单向棘轮机构。致动机构联接到细长管的近端，以使夹爪构件在打开位置和关闭位置之间移动。棘轮机构可以由注模塑料形成。墨盒还包括用于将夹子推进到夹爪构件中的推动构件，用于将推动构件保持抵靠夹子的偏置弹簧，以及可操作地连接到滑动棘爪的驱动联接器，用于与形成在夹子的内表面上的配合齿接合所述细长管，其中所述棘爪包括与所述配合齿接合的悬臂，并且其中所述驱动联接器提供所述棘爪的中心连接，从而允许所述配合齿的枢转和改进的安置。使用本发明的施放器将外科夹子应用于患者物体的方法包括以下步骤：将夹具施放器定位在患者体内，使得钳口构件邻近要夹紧的物体，闭合钳口构件和夹在物体上，并从患者身上移除夹子施放器。该方法还可以包括以下步骤：使夹持器定向成使得钳口构件越过物体，操纵钳口构件以将物体移动到夹钳构件内的压缩状态，将夹子推进到物体上以将物体保持在压缩状态，并且缩回供给器以允许下一个夹子被馈送到钳口构件中。

7. 发明申请

US20050033246A1 Surgical device with tack-free gel and method of manufacture 审中-公开
标题翻译：具有无粘性凝胶的手术装置及其制造方法
公开(公告)号：US20050033246A1
公开(公告)日：2005-02-10
申请号：US10913565
申请日：2004-08-05
申请人： Russell Ahlberg , Payam Adlparvar , Scott Taylor , Matthew Wixey , Daniel Martinez , John Brustad
发明人： Russell Ahlberg , Payam Adlparvar , Scott Taylor , Matthew Wixey , Daniel Martinez , John Brustad
IPC分类号： A61B17/00 , A61B17/22 , A61B17/34 , B29C39/00 , B29C39/12 , A61M25/00
CPC分类号： A61M3/0279 , A61B17/3423 , A61B17/3462 , A61B17/3498 , A61B2017/00469 , A61B2017/22067 , B29C37/0067 , B29C39/006 , B29C39/025 , B29C39/123
摘要： A process of making a tack-free gel is disclosed comprising the steps of providing a mold defining a mold cavity, the mold cavity comprising a plastic material; pouring or injecting a molten gel having a high molding temperature into the mold cavity; and forming the tack-free gel as a thin layer of plastic of the mold cavity is melted over the gel. The forming step further comprises cooling the gel from the molten state to a solidified state. The melting temperature of the plastic material is lower than the molding temperature of the gel; and the higher the temperature differential, the greater the melting of the plastic material and the thicker the layer of the plastic material on the surface of the gel. The mold may be formed of low-density polyethylene (LDPE). With the process of the invention, the heat of the molten gel at its molding temperature is transferred to the surface of the LDPE mold so as to melt a thin layer of the LDPE. The mold may comprise a mold base having a plurality of mold holes forming a plurality of mold cavities, each of the mold holes comprising an axial pin to mold an axial hole through a center of the gel, an LDPE cylinder providing a predetermined inside diameter for the mold, and an LDPE disc mounted on the axial pin and disposed at the bottom of each mold cavity in the mold base. The process may further comprise the step of dabbing the gel in a low-friction powder such as polytetrafluoroethylene (PTFE) and a lubricant. The mold may further comprise a mold top disposed axially of the mold base and comprises a plurality of holes forming a plurality of cavities, each of the mold top holes is adapted to receive the LDPE cylinder, and a second LDPE disc disposed at the top of each mold cavity of the mold top.
摘要翻译：公开了制造无粘性凝胶的方法，包括以下步骤：提供限定模腔的模具，所述模腔包括塑料材料; 将具有高成型温度的熔融凝胶注入或注入模腔中; 并且将形成无粘性凝胶作为模腔的塑料薄层在凝胶上熔化。形成步骤还包括将凝胶从熔融状态冷却至固化状态。塑料材料的熔化温度低于凝胶的成型温度; 并且温差越高，塑料材料的熔化越大，并且凝胶表面上的塑料材料层越厚。模具可以由低密度聚乙烯（LDPE）形成。通过本发明的方法，熔融凝胶在其成型温度下的热量转移到LDPE模具的表面，以熔化LDPE的薄层。模具可以包括具有形成多个模具腔的多个模具孔的模具基座，每个模具孔包括轴向销，以模制通过凝胶的中心的轴向孔，提供预定内径的LDPE圆筒，模具和安装在轴向销上并设置在模具基座中的每个模具腔的底部的LDPE盘。该方法还可以包括在诸如聚四氟乙烯（PTFE）和润滑剂的低摩擦粉末中浸渍凝胶的步骤。模具还可包括设置在模具基座的轴向上的模具顶部，并且包括形成多个空腔的多个孔，每个模具顶部孔适于接纳LDPE圆筒，并且设置在第二LDPE圆盘的顶部模具顶部的每个模腔。

8. 发明申请

US20070244497A1 LAPAROSCOPIC SCISSOR BLADES 有权
标题翻译： LAPAROSCOPIC SCISSOR刀片
公开(公告)号：US20070244497A1
公开(公告)日：2007-10-18
申请号：US11735798
申请日：2007-04-16
申请人： Russell Ahlberg , Charles Hart , Steven Kessler
发明人： Russell Ahlberg , Charles Hart , Steven Kessler
IPC分类号： A61B17/3201
CPC分类号： A61B17/3201 , A61B17/320016 , B24B3/52 , B26B13/06 , B26B13/08
摘要： A laparoscopic scissor with a shaft for use through an access port, such as a trocar cannula, with one or more parabolic, cubic, quadratic or higher order cutting blades extending from the shaft is provided.
摘要翻译：提供了一种具有轴的腹腔镜剪刀，其通过诸如套管针套管的进入口使用，具有从轴延伸的一个或多个抛物线，立方，二次或更高次级的切割刀片。

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