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    • 1. 发明授权
    • Surgical suturing apparatus with locking mechanisms
    • 具有锁定机构的手术缝合装置
    • US5871488A
    • 1999-02-16
    • US862055
    • 1997-05-22
    • H. Jonathan ToveyCorbett W. StoneStephen W. ZlockDavid A. NicholasPaul A. SciricaPhilip RichardsonMargaret Pamela Richardson
    • H. Jonathan ToveyCorbett W. StoneStephen W. ZlockDavid A. NicholasPaul A. SciricaPhilip RichardsonMargaret Pamela Richardson
    • A61B17/04A61B17/06A61B17/28A61B17/10
    • A61B17/2909A61B17/0469A61B17/0625A61B17/0491A61B17/06114A61B2017/0479A61B2017/0609A61B2017/292A61B2017/2936
    • An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.
    • 公开了一种用于操纵外科用针的装置,包括主体部分,第一针接收钳口,其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口,其安装成在远端 所述主体部分的端部并且具有第二针接合构件,所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动,其中所述第一和第二针接收爪中的每一个具有用于接收 手术针的一部分。 第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。 该装置还包括可旋转地安装在主体部分内的轮,其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧,使得轮的旋转同时缩回针接合构件中的一个并且前进 另一个。 还公开了一种使用具有控制机构,第一钳口和第二钳口的外科器械在体腔内操作手术针的方法,其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动 以及与另一个钳口间隔开的第二位置。
    • 2. 发明授权
    • Surgical suturing apparatus with locking mechanisms
    • 具有锁定机构的手术缝合装置
    • US5674230A
    • 1997-10-07
    • US527125
    • 1995-09-12
    • H. Jonathan ToveyCorbett W. StoneStephen W. ZlockDavid A. NicholasPaul A. SciricaPhilip RichardsonMargaret Pamela Richardson
    • H. Jonathan ToveyCorbett W. StoneStephen W. ZlockDavid A. NicholasPaul A. SciricaPhilip RichardsonMargaret Pamela Richardson
    • A61B17/04A61B17/06A61B17/28A61B17/10
    • A61B17/2909A61B17/0469A61B17/0625A61B17/0491A61B17/06114A61B2017/0479A61B2017/0609A61B2017/292A61B2017/2936
    • An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.
    • 公开了一种用于操纵外科用针的装置,包括主体部分,第一针接收钳口,其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口,其安装成在远端 所述主体部分的端部并且具有第二针接合构件,所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动,其中所述第一和第二针接收爪中的每一个具有用于接收 手术针的一部分。 第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。 该装置还包括可旋转地安装在主体部分内的轮,其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧,使得轮的旋转同时缩回针接合构件中的一个并且前进 另一个。 还公开了一种使用具有控制机构,第一钳口和第二钳口的外科器械在体腔内操作手术针的方法,其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动 以及与另一个钳口间隔开的第二位置。
    • 9. 发明授权
    • Locking mechanism for endoscopic or laparoscopic surgical instruments
    • 内窥镜或腹腔镜手术器械的锁定机构
    • US5431675A
    • 1995-07-11
    • US323419
    • 1994-10-13
    • David A. NicholasDavid T. GreenHenry BolanosH. Jonathan ToveyPaul O. Rawson
    • David A. NicholasDavid T. GreenHenry BolanosH. Jonathan ToveyPaul O. Rawson
    • A61B17/04A61B17/11A61B17/28B25B7/12B25B7/14A61B17/32
    • A61B17/2909A61B17/062A61B17/2833B25B7/12B25B7/14A61B2017/1125A61B2017/2922A61B2017/2946
    • A surgical instrument according to an embodiment of the present invention includes a housing portion and an endoscopic portion having a proximal end and a distal end, the endoscopic portion including a pair of coaxial members attached at the proximal end to the housing portion. The endoscopic portion also includes an inner rod member slidable within an outer tube member. The endoscopic portion terminates at the distal end in a pair of jaw members disposed in opposing relation and relatively pivotal about a common point between at least an open position and a closed position. A jaw control mechanism is associated with the housing portion, and includes at least one actuating member movably mounted in the housing portion. The actuation member has at least one gripping portion thereon such that an operator of the instrument can better manipulate the actuating member with a single hand. A linking member is pivotally connected to the actuating member and the inner rod member. A notch portion is disposed on the rod member such that when the actuating member is moved in relation to the housing portion in a first direction to a first position the engaging portion engages the notch, locking the jaws in a closed position. The surgical instrument also includes means for preventing the inner rod member from moving from the first position whereby coaxial reciprocating forces are created in the inner rod member when the locking means are moved to the first position.
    • 根据本发明的实施例的外科器械包括:壳体部分和具有近端和远端的内窥镜部分,所述内窥镜部分包括一对同轴部件,所述同轴部件在近端附接到所述壳体部分。 内窥镜部分还包括可在外管构件内滑动的内杆构件。 内窥镜部分在远端处终止于相对的关系中设置的一对钳口构件,并且在至少打开位置和关闭位置之间的共同点相对枢转。 夹爪控制机构与壳体部分相关联,并且包括可移动地安装在壳体部分中的至少一个致动构件。 致动构件在其上具有至少一个把持部分,使得仪器的操作者可以用单手更好地操纵致动构件。 连接构件枢转地连接到致动构件和内杆构件。 凹口部分设置在杆构件上,使得当致动构件相对于壳体部分沿第一方向移动到第一位置时,接合部分接合凹口,将夹爪锁定在关闭位置。 手术器械还包括用于防止内杆构件从第一位置移动的装置,由此当锁定装置移动到第一位置时,在内杆构件中产生同轴的往复力。