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1. 发明授权

US5800342A Method of endotracheal intubation 失效
标题翻译：气管插管方法
公开(公告)号：US5800342A
公开(公告)日：1998-09-01
申请号：US768223
申请日：1996-12-17
申请人： Jai S. Lee , InBae Yoon
发明人： Jai S. Lee , InBae Yoon
IPC分类号： A61B1/267 , A61B1/303 , A61B1/32 , A61B1/04
CPC分类号： A61B1/2676 , A61B1/303 , A61B1/32 , A61B1/06 , A61B1/2673 , A61B2017/291
摘要： An endoscopic instrument for controlled introduction of tubular members in the body includes a blade assembly having a blade for being introduced in the body to retract or manipulate anatomical tissue for introduction of a tubular member at a site in the body, a tubular member assembly having a tubular member with a distal end for being introduced at the site in the body and a remote viewing assembly having a distal end for being positioned in the body to permit introduction of the tubular member at the site in the body to be confirmed visually at a location remote from the site in the body. The distal end of the tubular member and the distal end of the remote viewing device are movable along the blade to introduce the tubular member distal end at the site in the body. A method of introducing a tubular member at a site in the body includes the steps of inserting a blade of an instrument in the body, retracting anatomical tissue with the blade, moving a distal end of a tubular member of the instrument distally along the blade to introduce the distal end of the tubular member at the site in the body and visualizing introduction of the tubular member at the site in the body with a remote viewing device from a location remote from the site in the body.
摘要翻译：用于在体内受控引入管状构件的内窥镜仪器包括具有刀片的刀片组件，用于引入到主体中以缩回或操纵解剖组织以便在体内的部位引入管状构件;管状构件组件，其具有具有远端的管状构件，用于引导到身体中的位置;以及远程观察组件，其具有远端，用于定位在身体中，以允许将管状构件引入体内的位置，以在目视上确认位置远离身体的部位。管状构件的远端和远程观察装置的远端可沿刀片移动，以将管状构件远端引入体内的位置。将管状构件引入体内的部位的方法包括以下步骤：将器械的刀片插入体内，用刀片收回解剖组织，沿着刀片向远侧移动器械的管状构件的远端向将管状构件的远端引导到体内的位置，并从远离身体部位的位置用远程观察装置可视化地引导体内现场的管状构件。

2. 发明授权

US5840013A Method of introducing a tubular member at a site in the body 失效
标题翻译：在体内部位引入管状部件的方法
公开(公告)号：US5840013A
公开(公告)日：1998-11-24
申请号：US768241
申请日：1996-12-17
申请人： Jai S. Lee , InBae Yoon
发明人： Jai S. Lee , InBae Yoon
IPC分类号： A61B1/267 , A61B1/303 , A61B1/32 , A61B1/04
CPC分类号： A61B1/2676 , A61B1/303 , A61B1/32 , A61B1/06 , A61B1/2673 , A61B2017/291
摘要： An endoscopic instrument for controlled introduction of tubular members in the body includes a blade assembly having a blade for being introduced in the body to retract or manipulate anatomical tissue for introduction of a tubular member at a site in the body, a tubular member assembly having a tubular member with a distal end for being introduced at the site in the body and a remote viewing assembly having a distal end for being positioned in the body to permit introduction of the tubular member at the site in the body to be confirmed visually at a location remote from the site in the body. The distal end of the tubular member and the distal end of the remote viewing device are movable along the blade to introduce the tubular member distal end at the site in the body. A method of introducing a tubular member at a site in the body includes the steps of inserting a blade of an instrument in the body, retracting anatomical tissue with the blade, moving a distal end of a tubular member of the instrument distally along the blade to introduce the distal end of the tubular member at the site in the body and visualizing introduction of the tubular member at the site in the body with a remote viewing device from a location remote from the site in the body.
摘要翻译：用于在体内受控引入管状构件的内窥镜仪器包括具有刀片的刀片组件，用于引入到主体中以缩回或操纵解剖组织以便在体内的部位引入管状构件;管状构件组件，其具有具有远端的管状构件，用于引导到身体中的位置;以及远程观察组件，其具有远端，用于定位在身体中，以允许将管状构件引入体内的位置，以在目视上确认位置远离身体的部位。管状构件的远端和远程观察装置的远端可沿刀片移动，以将管状构件远端引入体内的位置。将管状构件引入体内的部位的方法包括以下步骤：将器械的刀片插入体内，用刀片收回解剖组织，沿着刀片向远侧移动器械的管状构件的远端向将管状构件的远端引导到体内的位置，并从远离身体部位的位置用远程观察装置可视化地引导体内现场的管状构件。

3. 发明授权

US5645519A Endoscopic instrument for controlled introduction of tubular members in the body and methods therefor 失效
标题翻译：内窥镜仪器用于控制引导管状部件在体内及其方法
公开(公告)号：US5645519A
公开(公告)日：1997-07-08
申请号：US214527
申请日：1994-03-18
申请人： Jai S. Lee , InBae Yoon
发明人： Jai S. Lee , InBae Yoon
IPC分类号： A61B1/267 , A61B1/303 , A61B1/32 , A61B1/00
CPC分类号： A61B1/2676 , A61B1/303 , A61B1/32 , A61B1/06 , A61B1/2673 , A61B2017/291
摘要： An endoscopic instrument for controlled introduction of tubular members in the body includes a blade assembly having a blade for being introduced in the body to retract or manipulate anatomical tissue for introduction of a tubular member at a site in the body, a tubular member assembly having a tubular member with a distal end for being introduced at the site in the body and a remote viewing assembly having a distal end for being positioned in the body to permit introduction of the tubular member at the site in the body to be confirmed visually at a location remote from the site in the body. The distal end of the tubular member and the distal end of the remote viewing device are movable along the blade to introduce the tubular member distal end at the site in the body. A method of introducing a tubular member at a site in the body includes the steps of inserting a blade of an instrument in the body, retracting anatomical tissue with the blade, moving a distal end of a tubular member of the instrument distally along the blade to introduce the distal end of the tubular member at the site in the body and visualizing introduction of the tubular member at the site in the body with a remote viewing device from a location remote from the site in the body.
摘要翻译：用于在体内受控引入管状构件的内窥镜仪器包括具有刀片的刀片组件，用于引入到主体中以缩回或操纵解剖组织以便在体内的部位引入管状构件;管状构件组件，其具有具有远端的管状构件，用于引导到身体中的位置;以及远程观察组件，其具有远端，用于定位在身体中，以允许将管状构件引入体内的位置，以在目视上确认位置远离身体的部位。管状构件的远端和远程观察装置的远端可沿刀片移动，以将管状构件远端引入体内的位置。将管状构件引入体内的部位的方法包括以下步骤：将器械的刀片插入体内，用刀片收回解剖组织，沿着刀片向远侧移动器械的管状构件的远端向将管状构件的远端引导到体内的位置，并从远离身体部位的位置用远程观察装置可视化地引导体内现场的管状构件。

4. 发明授权

US06277089B1 Method for ablating portions of the uterus 失效
标题翻译：消融子宫部分的方法
公开(公告)号：US06277089B1
公开(公告)日：2001-08-21
申请号：US09052134
申请日：1998-03-31
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61M3500
CPC分类号： A61B17/0281 , A61B10/0045 , A61B17/00234 , A61B17/0057 , A61B17/0218 , A61B17/12022 , A61B17/12099 , A61B17/1214 , A61B17/12163 , A61B17/1219 , A61B17/3421 , A61B17/3439 , A61B17/3462 , A61B17/3478 , A61B17/3498 , A61B17/42 , A61B17/4241 , A61B18/14 , A61B90/00 , A61B90/39 , A61B2017/00557 , A61B2017/22062 , A61B2017/2837 , A61B2017/2927 , A61B2017/320012 , A61B2017/3484 , A61B2017/3486 , A61B2017/3492 , A61B2090/0815 , A61B2090/0816 , A61B2090/306 , A61F2002/30092 , A61F2210/0014 , A61M25/10 , A61M25/1002 , A61M25/1011 , A61M29/02 , A61M2025/1093 , Y10S604/904
摘要： A multifunctional device for use in an endoscopically performed operative procedure of the type where a narrow portal is established through the skin to provide access to an operative site and the multifunctional device is introduced to the operative site through the narrow portal. The multifunctional device is formed of an absorbent material, preferably expandable, having a substantially rigid dry state prior to introduction to the operative site and a soft, flexible wet state after absorbing fluids. The absorbent material can be formed with a spine therein of either a continuous or a discontinuous, segmented construction, and the spine can be branched and tubular or solid. The absorbent material can have portions or segments thereof expandable to different sizes to produce rounded protuberances to facilitate manipulation at the operative site and can have predetermined, non-straight configurations in the wet state, the predetermined configurations being controlled by the spine in the absorbent material or the method of forming the absorbent material. The multifunctional device can have a passage therethrough to accommodate laser, electrosurgical, biopsy or culturing instruments.
摘要翻译：用于内窥镜执行的操作程序的多功能装置，其中通过皮肤建立狭窄入口以提供对手术部位的接近并且多功能装置通过狭窄的入口被引入到手术部位。多功能装置由吸收材料制成，优选可膨胀，在引入手术部位之前具有基本上刚性的干燥状态，并且在吸收流体之后具有柔软，柔性的湿润状态。吸收材料可以用其中的连续或不连续，分段结构的脊柱形成，并且脊柱可以是分支的和管状的或固体的。吸收材料可以具有可扩展到不同尺寸的部分或部分以产生圆形突起，以便于在手术部位的操作，并且可以在湿润状态下具有预定的非直线构型，预定构型由吸收材料中的脊柱控制或形成吸收材料的方法。多功能装置可以具有穿过其中的通道以适应激光，电外科，活组织检查或培养仪器。

5. 发明授权

US06224614B1 Suturing instrument with angled needle holder and method for use thereof 失效
标题翻译：具有角度针架的缝合器具及其使用方法
公开(公告)号：US06224614B1
公开(公告)日：2001-05-01
申请号：US09334634
申请日：1999-06-17
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B1704
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/0491 , A61B2017/2929 , A61B2090/306
摘要： An instrument and method for suturing anatomical tissue with a suture needle includes a barrel having two needle holders therein which can be manipulated from a proximal end of the barrel to cause the needle to pass through tissue and to pass the needle from one needle holder to the other. The needle holders are operative to move the needle through a path in a plane not perpendicular to a longitudinal axis of the barrel. The angle of the plane with respect to the longitudinal axis can be adjusted.
摘要翻译：用缝合针缝合解剖组织的仪器和方法包括其中具有两个针头保持器的筒，其可以从筒的近端操纵以使针穿过组织并将针从一个针保持器传递到其他。针保持器可操作以使针穿过不垂直于筒的纵向轴线的平面中的路径。可以调整平面相对于纵向轴线的角度。

6. 发明授权

US6146401A Expandable multifunctional instruments for creating spaces at obstructed sites endoscopically 失效
标题翻译：可扩展的多功能仪器，用于在内窥镜下产生阻塞部位的空间
公开(公告)号：US6146401A
公开(公告)日：2000-11-14
申请号：US124046
申请日：1998-07-29
申请人： InBae Yoon , Suzanne J. Yoon , Samuel C. Yoon
发明人： InBae Yoon , Suzanne J. Yoon , Samuel C. Yoon
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/12 , A61B17/22 , A61B17/28 , A61B17/32 , A61B17/34 , A61B17/42 , A61B18/14 , A61B19/00 , A61F2/958 , A61F13/38 , A61M29/00 , A61M29/02
CPC分类号： A61B17/00234 , A61B17/0218 , A61B17/0281 , A61B17/12099 , A61B17/12136 , A61B17/1219 , A61B17/3421 , A61B17/3439 , A61B17/3462 , A61B17/3498 , A61B17/4241 , A61F13/38 , A61M25/10 , A61M25/1011 , A61M29/02 , A61B17/12022 , A61B17/34 , A61B17/42 , A61B18/14 , A61B2017/00557 , A61B2017/22062 , A61B2017/2837 , A61B2017/2927 , A61B2017/320012 , A61B2017/320044 , A61B2017/3484 , A61B2017/3486 , A61B2017/3492 , A61B2090/0816 , A61B2090/306 , A61M2025/1093 , A61M25/1002
摘要： An expandable multifunctional instrument for creating a space at an obstructed site in anatomical tissue in the body including an elongate member having a distal end for being positioned at the obstructed site, a proximal end for being disposed externally of the body and an expandable member at the distal end of the elongate member. The expandable member includes a balloon movable fluidically from a non-expanded position to an expanded position at the obstructed site. The balloon assumes a preformed, predetermined configuration in the expanded position at the obstructed site to separate the anatomical tissue to create a space at the obstructed site.
摘要翻译：一种可扩展的多功能仪器，用于在身体的解剖组织中的阻塞位置处产生空间，该空间包括具有远端的细长构件，所述远端位于阻塞位置，用于设置在身体外部的近端和位于身体的可扩张构件细长构件的远端。可膨胀构件包括可从阻挡位置处的非扩张位置流动地扩展到扩张位置的气囊。气囊在阻塞位置处在扩张位置呈现预先形成的预定构造，以分离解剖组织以在阻塞部位产生空间。

7. 发明授权

US6066090A Branched endoscope system 失效
标题翻译：分支内窥镜系统
公开(公告)号：US6066090A
公开(公告)日：2000-05-23
申请号：US99792
申请日：1998-06-18
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B1/005 , A61B17/00 , A61B17/34 , A61B17/42
CPC分类号： A61B1/0051 , A61B1/00045 , A61B1/0008 , A61B1/00181 , A61B1/00183 , A61B1/042 , A61B17/3417 , A61B1/018 , A61B17/42 , A61B2017/003 , A61B2017/3445
摘要： An endoscope has two or more branches and each branch may include a source of illumination and a lens train, fiber optic bundle, or solid state image receiving device. Each branch end is independently manipulable or steerable and thus produces an image from a distinct point of view within the body (e.g., front and side views); the images are juxtaposed on a video monitor for simultaneous viewing by the surgeon. Each branch also includes an operating channel or cannula through which various surgical instruments are passed. A first branch may be used to pass an instrument to the situs of a surgical procedure and a second branch may be used to view that situs from a second, separate point of view. Additionally, the second branch may be used to introduce a second surgical instrument through the second branch cannula to approach the situs of the procedure from the angle of the second branch.
摘要翻译：内窥镜具有两个或更多个分支，并且每个分支可以包括照明源和透镜列，光纤束或固态图像接收装置。每个分支端是独立可操纵的或可操纵的，因此从身体内的不同视角（例如，前视图和侧视图）产生图像; 图像并置在视频监视器上，以便外科医生同时观看。每个分支还包括通过各种手术器械的操作通道或插管。可以使用第一分支将器械传递到外科手术的位置，并且可以使用第二分支从第二个分开的观点来观察该部位。另外，第二分支可以用于通过第二分支插管引入第二外科器械，以从第二分支的角度接近程序的位置。

8. 发明授权

US5993466A Suturing instrument with multiple rotatably mounted spreadable needle holders 失效
标题翻译：缝合器具多个可旋转安装的可展开的针架
公开(公告)号：US5993466A
公开(公告)日：1999-11-30
申请号：US877764
申请日：1997-06-17
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B1/018 , A61B17/00 , A61B17/04 , A61B17/28 , A61B17/34 , A61B18/14
CPC分类号： A61B18/1445 , A61B17/062 , A61B1/018 , A61B10/02 , A61B17/04 , A61B17/0469 , A61B17/32 , A61B2017/0042 , A61B2017/2923 , A61B2017/2929 , A61B2017/2945 , A61B2017/3445 , A61B2018/00208 , A61B2018/1253 , A61B2018/126 , A61B2018/1432 , A61B2018/145
摘要： An instrument for suturing anatomical tissue with a suture needle includes a housing, an elongate shaft having a proximal end mounted by the housing and a distal end with a peripheral edge, a first needle holder protruding from the distal end of the elongate shaft and having a needle holding member at a distal end operable to grasp and release a suture needle, and a second needle holder protruding from the distal end of the elongate shaft and having a needle holding member at a distal end operable to grasp and release a suture needle. Distal portions of the first and second needle holders extend laterally outward at an angle from first and second longitudinal axes of the elongate shaft to positions where at least a portion of the corresponding needle holding members are spaced laterally outward of the peripheral edge of the elongate shaft. In addition, the needle holders are rotatable about the first and second longitudinal axes of the elongate shaft to cause the corresponding needle holding members to move along first and second arcuate paths. When inserting the suturing instrument through a portal in an endoscopic procedure, the first and second needle holders are preferably movable to undeployed positions where their needle holding members are spaced laterally inward of the peripheral edge of the elongate shaft. When suturing, the needle holding members can be moved from their undeployed positions to deployed positions disposed laterally outward of the peripheral edge due to the angled configuration of the distal portions of the needle holders.
摘要翻译：用缝合针缝合解剖组织的仪器包括壳体，细长轴，其具有由壳体安装的近端和具有周边边缘的远端;第一针保持器，其从细长轴的远端突出并具有在远端的针保持构件可操作地抓住和释放缝合针，以及第二针保持器，其从细长轴的远端突出并且在远端具有可操作以抓握和释放缝合针的针保持构件。第一和第二针保持器的远端部分从细长轴的第一和第二纵向轴线以一定角度横向向外延伸到位置，其中相应的针保持构件的至少一部分在细长轴的周边的横向外侧隔开。此外，针保持器可以围绕细长轴的第一和第二纵向轴线旋转，以使相应的针保持构件沿着第一和第二弧形路径移动。当通过内窥镜程序通过入口插入缝合器械时，第一和第二针头保持器优选地可移动到未被展开的位置，其中针保持构件横向于细长轴的周边的内侧间隔开。当缝合时，由于针保持器的远端部的成角度的构造，针保持构件可以从其未展开的位置移动到设置在周边的横向外侧的展开位置。

9. 发明授权

US5989233A Endoscopic portal having a universal seal and methods for introducing instruments therethrough 失效
标题翻译：具有通用密封的内窥镜入口和用于引入器械的方法
公开(公告)号：US5989233A
公开(公告)日：1999-11-23
申请号：US972474
申请日：1997-11-18
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/34 , A61M25/00
CPC分类号： A61B17/3462 , A61B17/3421 , A61B17/3423 , A61B17/3498 , A61B2017/3441 , A61B2017/3464
摘要： An endoscopic portal for establishing communication with a body cavity for the introduction of instruments through the endoscopic portal includes a seal having a variable size passage for communication with the body cavity to permit instruments of varying sizes to be passed therethrough and a tubular expander aligned with the variable size passage. The seal is biased to a contracted position wherein the variable size passage has a first cross sectional size and is movable to an expanded position wherein the variable size passage has a second cross sectional size larger than the first cross sectional size. The tubular expander has a blunt end insertable in the variable size passage to move the seal from the contracted position to the expanded position such that an instrument having a cross sectional size larger than the first cross sectional size can be introduced through the expander and the seal into the body cavity without contacting the seal. Thereafter, the blunt end of the tubular expander is withdrawable from the variable size passage such that the seal engages the instrument in the variable size passage to form a seal therewith. A method of introducing an instrument in a body cavity according to the present invention comprises the steps of moving a blunt end of a tubular expander into a variable size seal to enlarge the variable size seal, introducing an instrument through the tubular expander into the body cavity such that a distal end of the instrument is moved through the seal without contacting the seal and withdrawing the blunt end of the tubular expander from the seal such that the seal sealingly engages the instrument.
摘要翻译：用于与体腔建立用于通过内窥镜入口引入器械的内窥镜入口的内窥镜入口包括具有可变尺寸通道的密封件，用于与体腔连通以允许不同尺寸的仪器通过其中，并且管状扩张器与可变尺寸通道。密封件被偏压到收缩位置，其中可变尺寸通道具有第一横截面尺寸并且可移动到扩展位置，其中可变尺寸通道具有大于第一横截面尺寸的第二横截面尺寸。管状膨胀器具有可插入可变尺寸通道中的钝端，以将密封件从收缩位置移动到扩张位置，使得具有大于第一横截面尺寸的横截面尺寸的器械可以通过膨胀器和密封件进入体腔而不接触密封。此后，管状膨胀机的钝端可从可变尺寸的通道中抽出，使得密封件与可变尺寸通道中的仪器接合以与其形成密封。根据本发明的将器械引入体腔的方法包括以下步骤：将管状膨胀器的钝端移动到可变尺寸的密封件中，以扩大可变尺寸密封件，将器械通过管状膨胀器引入体腔使得器械的远端移动通过密封件而不接触密封件并且从密封件中取出管状膨胀器的钝端，使得密封件密封地接合仪器。

10. 发明授权

US5897563A Method for using a needle holder to assist in suturing 失效
标题翻译：使用针架来辅助缝合的方法
公开(公告)号：US5897563A
公开(公告)日：1999-04-27
申请号：US947115
申请日：1997-10-08
申请人： InBae Yoon , Ronald J. Brinkerhoff , David Stefanchik , Jeffrey S. Swayze , Bryan Knodel , Rudolph H. Nobis
发明人： InBae Yoon , Ronald J. Brinkerhoff , David Stefanchik , Jeffrey S. Swayze , Bryan Knodel , Rudolph H. Nobis
IPC分类号： A61B17/04
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/0491
摘要： In accordance with the present invention there is provided a method for suturing tissue using a needle holder device, The device includes a handle for holding it, the handle has distal and proximal ends. The device also has right and left arms extending distally from the handle. The arms of the device have proximal ends attached to the handle and distal ends having grippers attached thereto for gripping and releasing a needle. The device includes at least one mechanism for moving the distal ends of the arms closely adjacent to one another and for passing the needle from one gripper to the other and thereafter for moving the distal ends of the arms further apart from one another. The right gripper is holding a needle having a suture attached thereto. The method first involves moving the distal ends of the arms apart from one another and manually inserting the needle into the tissue and back out again. Thereafter, the method involves actuating the mechanism so as to move the arms closely adjacent one another so that the left gripper holds the needle, the right gripper releases the needle. Then the method involves moving the distal ends of the arms further apart from one another. Lastly, the method involves removing the needle from the tissue.
摘要翻译：根据本发明，提供了一种使用针保持器装置缝合组织的方法。该装置包括用于保持其的手柄，手柄具有远端和近端。该装置还具有从手柄向远侧延伸的右臂和左臂。装置的臂具有附接到手柄的近端，并且远端具有附接到其上的夹持器，用于夹紧和释放针。该装置包括至少一个用于使臂的远端彼此靠近移动并将针从一个夹持器传递到另一个并且此后用于将臂的远端彼此远离移动的至少一个机构。右夹具保持具有附着于其上的缝合线的针。该方法首先涉及将臂的远端彼此分开移动并手动将针插入组织并再次退出。此后，该方法包括致动该机构以使臂彼此靠近地移动，使得左夹具保持针，右夹具释放针。然后，该方法包括使臂的远端彼此远离地移动。最后，该方法包括从组织中去除针。

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