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1. 发明授权

US5643294A Surgical apparatus having an increased range of operability 失效
标题翻译：具有增加的可操作性范围的手术装置
公开(公告)号：US5643294A
公开(公告)日：1997-07-01
申请号：US623984
申请日：1996-03-28
申请人： H. Jonathan Tovey , Boris Zvenyatsky , Ernie Aranyi
发明人： H. Jonathan Tovey , Boris Zvenyatsky , Ernie Aranyi
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929
摘要： A surgical instrument is provided for performing a variety of endoscopic or laproscopic procures. The instrument includes a handle assembly, a tubular body extending from the handle assembly and defining a longitudinal axis, a tool assembly associated with a distal end of the tubular body including a tool base and tool members, a first mechanism for effectuating remote articulation of the tool assembly with respect to the longitudinal axis of the tubular body, a second mechanism for effectuating remote rotation of the tool assembly about the longitudinal axis of the tubular body, and a third mechanism for effectuating remote rotation of the tool members relative to the tool base.
摘要翻译：提供用于执行各种内窥镜或腹腔镜采购的手术器械。该仪器包括手柄组件，从手柄组件延伸并限定纵向轴线的管状主体，与管状主体的远端相关联的工具组件，包括工具基座和工具构件，第一机构，用于实现远程铰接相对于管状体的纵向轴线的工具组件，用于实现工具组件围绕管状体的纵向轴线的远程旋转的第二机构，以及用于实现工具构件相对于工具基座的远程旋转的第三机构。

2. 发明授权

US06280407B1 Ultrasonic dissection and coagulation system 有权
标题翻译：超声解剖和凝血系统
公开(公告)号：US06280407B1
公开(公告)日：2001-08-28
申请号：US09521440
申请日：2000-03-07
申请人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranyi
发明人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranyi
IPC分类号： A61B1720
CPC分类号： A61B17/320092 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2948 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is spaced form the cutting surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.
摘要翻译：提供了一种外科用超声波解剖和凝血系统。该系统包括超声波仪器，控制模块和踏板致动器。超声波致动器具有壳体和从壳体延伸的细长主体部分。支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。振动耦合器将高频振动从超声波传感器传导到切割刀片。切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可从其中组织接触表面从切割表面间隔开的打开位置移动到夹紧位置，在该夹紧位置中，组织接触表面与切割表面以夹紧组织。夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。

3. 发明授权

US5792150A Apparatus for applying surgical clips with improved jaw and closure mechanisms 失效
标题翻译：用于用改进的颌和闭合机构应用手术夹具的装置
公开(公告)号：US5792150A
公开(公告)日：1998-08-11
申请号：US476607
申请日：1995-06-07
申请人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
发明人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
IPC分类号： A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure. The apparatus includes a ratchet mechanism for permitting incremental closure of a pair of jaw members. A slide member is associated with the ratchet mechanism to prevent a movable handle from opening during a closing stroke until the closing stroke is completed.
摘要翻译：提供了一种用于施加外科夹具的装置，其包括在外科手术期间将部分闭合的夹子施加到管道或分流器的设备。该装置包括用于允许一对钳口构件的增量关闭的棘轮机构。滑动构件与棘轮机构相关联，以防止可动手柄在关闭行程期间打开，直到闭合行程完成。

4. 发明授权

US5100042A Surgical fastener apparatus 失效
公开(公告)号：US5100042A
公开(公告)日：1992-03-31
申请号：US488182
申请日：1990-03-05
申请人： Roy Gravener , Ernie Aranyi , Boris Zvenyatsky
发明人： Roy Gravener , Ernie Aranyi , Boris Zvenyatsky
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B2017/07214 , Y10T29/49945
摘要： An instrument for cutting body tissue and applying a plurality of two part surgical fasteners to the body tissue on each side of the cut. The instrument includes a U-shaped distal portion, and a body having a longitudinal portion for enclosing an axial drive means for pushing fasteners into position in the body tissue. The axial drive means is off-centered from the fastener pushing means in the fastener cartridge at the U-shaped distal portion. A trigger operated diverter is provided with a unique system of force conversion and transmission for converting a single off-centered axial drive force to a uniformly distributed drive force for pushing the fastener pushers, and the knife assembly.

5. 发明授权

US5607436A Apparatus for applying surgical clips 失效
标题翻译：用于外科夹子的装置
公开(公告)号：US5607436A
公开(公告)日：1997-03-04
申请号：US134347
申请日：1993-10-08
申请人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
发明人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
IPC分类号： A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure such as cholecystectomy procedures. The apparatus includes means for effecting a partial closing stroke of the handle mechanism to correspond to a partial closure of the jaw members, and permits a partial opening stroke to release the partially closed clip in the jaw mechanism. Other features of the invention include means for preventing over advancement of a clip to the jaw mechanism, means for cradling the clip as it is advanced from the clip supply to the jaw mechanism, means for preventing splaying of the jaws in the event of a clip-over-clip application, and a novel rotation collar. The instrument of the present invention provides the surgeon with visual, audible, and tactile indication of the positioning of the jaw members to effect the application of a partially closed clip.
摘要翻译：提供了一种用于施加外科夹具的装置，其包括用于在诸如胆囊切除手术的外科手术过程中将部分闭合的夹子施加到管道或分流器的部件。该装置包括用于实现手柄机构的部分闭合行程以对应于钳口构件的部分闭合的装置，并且允许部分打开行程以释放夹钳机构中的部分闭合的夹子。本发明的其他特征包括用于防止夹子向钳口机构过度推进的装置，用于当夹子从夹子供应件向夹爪机构前进时将夹子夹紧的装置，用于在夹子的情况下防止夹爪突出的装置旋转轴环。本发明的仪器为外科医生提供了夹钳构件的定位的视觉，听觉和触觉指示，以实现部分闭合的夹子的应用。

6. 发明授权

US5607391A Endoscopic surgical instrument for aspiration and irrigation 失效
标题翻译：内窥镜手术器械用于吸入和灌洗
公开(公告)号：US5607391A
公开(公告)日：1997-03-04
申请号：US306277
申请日：1994-09-14
申请人： John F. Klinger , Paul A. Matula , H. Jonathan Tovey , Ernie Aranyi
发明人： John F. Klinger , Paul A. Matula , H. Jonathan Tovey , Ernie Aranyi
IPC分类号： A61B17/3211 , A61B17/00 , A61B17/02 , A61B17/32 , A61B17/34 , A61B18/14 , A61B18/24 , A61M1/00 , A61M25/00
CPC分类号： A61B17/3203 , A61B17/0218 , A61M1/0064 , A61B17/00234 , A61B17/3213 , A61B18/14 , A61B18/1482 , A61B18/24 , A61B2017/00464 , A61B2017/320044 , A61B2017/3445 , A61M1/0031
摘要： An endoscopic surgical instrument for aspiration and irrigation of a surgical site is disclosed. Connection ports for irrigation fluid and a suction source are provided which communicate with a single lumen cannula which transports both the irrigation fluid and the suction pressure to the surgical site. A valve mechanism having a novel valve stem and valve arrangement is also disclosed for providing higher pressure capabilities for the instrument. In one embodiment, the single lumen cannula is provided with a sliding sleeve to vary the pressure of the irrigation fluid to provide for high pressure application of the irrigation fluid to perform hydrodissection. The aspiration-irrigation instrument may also include electrocautery capabilities and a detachable cannula assembly for interchanging cannulas having different working tool members. In one embodiment, a sliding outer sleeve is also provided for selectively exposing the working tool members. An insertion port for reception of a surgical instrument which may be utilized with the suction and irrigation device during surgical procedures is also disclosed.
摘要翻译：公开了一种用于外科手术部位的抽吸和灌洗的内窥镜手术器械。提供了用于冲洗流体和抽吸源的连接端口，其与单个内腔套管连通，所述套管将冲洗流体和吸入压力都输送到手术部位。还公开了一种具有新颖的阀杆和阀装置的阀机构，用于为仪器提供更高的压力能力。在一个实施例中，单腔套管设置有滑动套管以改变冲洗流体的压力，以提供冲洗流体的高压施加以执行加压切割。抽吸 - 冲洗仪器还可以包括电灼功能和用于互换具有不同工作工具构件的插管的可拆卸插管组件。在一个实施例中，还提供滑动外套筒以选择性地暴露工作工具构件。还公开了用于接收外科手术器械的插入口，其可以在外科手术期间与吸入和冲洗装置一起使用。

7. 发明授权

US5403342A Articulating endoscopic surgical apparatus 失效
标题翻译：指肠内窥镜手术器械
公开(公告)号：US5403342A
公开(公告)日：1995-04-04
申请号：US080830
申请日：1993-06-21
申请人： H. Jonathan Tovey , Ernie Aranyi , Thomas D. Guy , Joseph Pasqualucci , H. Allan Alward , Michael Smith
发明人： H. Jonathan Tovey , Ernie Aranyi , Thomas D. Guy , Joseph Pasqualucci , H. Allan Alward , Michael Smith
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B17/2909 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936
摘要： A surgical instrument is provided for performing a variety of endoscopic or laparoscopic procedures including the electrocauterization of tissue. The instrument includes a handle assembly, a tubular body extending from the handle assembly therein defining a longitudinal axis, a tool assembly associated with a distal end of the tubular body including a tool base and tool members, an electrical connector electrically associated with the tool members, electrical insulation being provided in association with electrical conducting components, a first mechanism for effectuating remote articulation of the tool assembly with respect to the longitudinal axis of the tubular body, and a second mechanism for effectuating remote rotation of the tool assembly about the longitudinal axis of the tubular body.
摘要翻译：提供外科器械用于执行各种内窥镜或腹腔镜手术，包括组织的电灼。所述器械包括手柄组件，从所述手柄组件在其中延伸限定纵向轴线的管状体，与所述管状主体的远端相关联的工具组件，所述工具组件包括工具基座和工具构件，与所述工具构件电连接的电连接器电气绝缘与导电部件相关联地设置，用于实现工具组件相对于管状体的纵向轴线的远程铰接的第一机构，以及用于实现工具组件围绕纵向轴线的远程旋转的第二机构的管状体。

8. 发明授权

US5782859A Articulating endoscopic surgical apparatus 失效
公开(公告)号：US5782859A
公开(公告)日：1998-07-21
申请号：US777115
申请日：1996-12-30
申请人： David A. Nicholas , Ernie Aranyi , Boris Zvenyatsky , Paul A. Matula , Stanley H. Remiszewski , David T. Green , Henry Bolanos
发明人： David A. Nicholas , Ernie Aranyi , Boris Zvenyatsky , Paul A. Matula , Stanley H. Remiszewski , David T. Green , Henry Bolanos
IPC分类号： A61B17/02 , A61B17/28 , A61B17/32 , A61B18/14 , A61B10/00
CPC分类号： A61B17/320016 , A61B17/0218 , A61B17/29 , A61B18/1445 , A61B18/1442 , A61B2017/2902 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936
摘要： A surgical instrument is provided for use in endoscopic or laparoscopic procedures. The instrument includes a handle portion, an endoscopic portion extending from the handle portion, an articulating section pivotably connected to a distal end portion of the endoscopic portion, and a retractor assembly operatively associated with the articulating section. Structure is provided for manipulating the articulating section relative to the longitudinal axis of the endoscopic portion within an angular degree of rotation. An injection port may also be provided to deliver fluids through the endoscopic portion to the operative site.

9. 发明授权

US5344060A Surgical fastener apparatus 失效
标题翻译：手术紧固装置
公开(公告)号：US5344060A
公开(公告)日：1994-09-06
申请号：US111026
申请日：1993-08-24
申请人： Roy Gravener , Ernie Aranyi , Boris Zvenyatsky
发明人： Roy Gravener , Ernie Aranyi , Boris Zvenyatsky
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B2017/07214 , Y10T29/49945
摘要： An instrument for cutting body tissue and applying a plurality of two part surgical fasteners to the body tissue on each side of the cut. The instrument includes a U-shaped distal portion, and a body having a longitudinal portion for enclosing an axial drive means for pushing fasteners into position in the body tissue. The axial drive means is off-centered from the fastener pushing means in the fastener cartridge at the U-shaped distal portion. A trigger operated diverter is provided with a unique system of force conversion and transmission for converting a single off-centered axial drive force to a uniformly distributed drive force for pushing the fastener pushers, and the knife assembly.
摘要翻译：一种用于切割身体组织并将多个两部分手术紧固件应用于切口两侧的身体组织的仪器。仪器包括U形远端部分和具有纵向部分的主体，该纵向部分用于封闭用于将紧固件推入身体组织中的适当位置的轴向驱动装置。轴向驱动装置在U形远端部分处的紧固件卡盘中的紧固件推动装置偏心。触发操作的转向器具有独特的力转换和传动系统，用于将单个偏心轴向驱动力转换成用于推动紧固件推动器和刀组件的均匀分布的驱动力。

10. 发明授权

US06764467B1 Fibrin mixture and dispenser assembly 失效
标题翻译：纤维蛋白混合物和分配器组件
公开(公告)号：US06764467B1
公开(公告)日：2004-07-20
申请号：US09595962
申请日：2000-06-19
申请人： Mark S. Roby , Ernie Aranyi , Richard Yagami , H. Jonathan Tovey
发明人： Mark S. Roby , Ernie Aranyi , Richard Yagami , H. Jonathan Tovey
IPC分类号： A61M500
CPC分类号： A61B17/00491 , A61B2017/00495 , A61J1/16 , A61J1/201 , A61J1/2013 , A61J1/2055 , A61J1/2058 , A61J1/2089
摘要： A fibrin mixture and dispenser assembly is provided for mixing a first protein component with sterile water to form a first protein solution and for dispensing the first protein solution. The first protein solution forms a biological adhesive when intermixed with a second protein solution. The second protein solution is preferably mixed and dispensed by a similar fibrin mixture and dispenser assembly. The two fibrin mixture and dispenser assemblies can be housed within a single housing. The assembly includes a piercer and a first tubular extension having grooves for providing fluid communication between a reservoir and a mixing chamber or a vial. The reservoir is also in fluid communication with a dispensing needle through a second tubular extension. The reservoir is configured to contain water which is introduced to the mixing chamber. The mixing chamber is configured to contain the first protein component. The water mixes with the first protein component within the mixing chamber to form the first protein solution. The solution is transferred to the reservoir and is dispensed via the dispensing needle. The first and second components are preferably fibrinogen and thrombin which intermix either prior to or on the application site to form a fibrin sealant.
摘要翻译：提供纤维蛋白混合物和分配器组件用于将第一蛋白质组分与无菌水混合以形成第一蛋白质溶液并用于分配第一蛋白质溶液。当与第二蛋白质溶液混合时，第一种蛋白质溶液形成生物粘合剂。第二蛋白质溶液优选地通过类似的纤维蛋白混合物和分配器组件混合和分配。两个纤维蛋白混合物和分配器组件可以容纳在单个壳体内。组件包括穿孔器和第一管状延伸部，其具有用于在贮存器和混合室或小瓶之间提供流体连通的凹槽。储存器还通过第二管状延伸部与分配针流体连通。储存器构造成包含被引入混合室的水。混合室配置成容纳第一蛋白质组分。水与混合室内的第一蛋白质组分混合以形成第一蛋白质溶液。将溶液转移到储存器中并通过分配针分配。第一和第二组分优选纤维蛋白原和凝血酶，其在施用部位之前或之上混合以形成纤维蛋白密封剂。

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