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1. 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。

2. 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。

3. 发明授权

US5755726A 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：US5755726A
公开(公告)日：1998-05-26
申请号：US691887
申请日：1996-08-01
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 , A61B17/10
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视觉，听觉和触觉指示夹爪构件的定位以实现部分闭合的夹子的应用。

4. 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。

5. 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。

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

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。

9. 发明授权

US06527749B1 Two component dispenser system 失效
标题翻译：双组分分配器系统
公开(公告)号：US06527749B1
公开(公告)日：2003-03-04
申请号：US09595961
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 , A61B2017/2837
摘要： An applicator is provided for dispensing a first and a second protein solution to form a biological adhesive where the solutions can be deflected by a deflection assembly during dispensing for the adhesive to cover a broad or limited area. The applicator includes a housing having a housing head for enclosing therein a first reservoir containing a first component, and a second reservoir containing a second component. The first and second components are preferably fibrinogen and thrombin which intermix with water to form the first and second protein solutions, respectively. The housing further includes an elongated body portion defining a longitudinal axis for enclosing therein a conduit assembly having a first and a second conduit in communication with the first and second reservoir, respectively. The solutions intermix on an application site to form a fibrin sealant. In an alternate embodiment, the applicator includes two valves. A first valve opens and closes the proximal ends of two conduit assemblies for introducing water or other substance to the reservoirs. A second valve opens and closes the distal ends of the two conduit assemblies to permit and prevent the dispensing of the protein solutions.
摘要翻译：提供施用器用于分配第一和第二蛋白质溶液以形成生物粘合剂，其中在分配粘合剂以覆盖宽的或有限的区域期间，溶液可被偏转组件偏转。施加器包括壳体，该壳体具有壳体头部，用于在其中封装包含第一部件的第一储存器和包含第二部件的第二储存器。第一和第二组分优选分别与水混合以形成第一和第二蛋白质溶液的纤维蛋白原和凝血酶。壳体还包括限定纵向轴线的细长主体部分，用于在其中封闭具有分别与第一和第二储存器连通的第一和第二导管的导管组件。溶液在应用场所混合形成纤维蛋白密封胶。在替代实施例中，施加器包括两个阀。第一阀打开和关闭两个导管组件的近端，用于将水或其他物质引入储存器。第二阀打开和关闭两个导管组件的远端以允许和防止蛋白质溶液的分配。

10. 发明授权

US5489292A Endoscopic surgical instrument with grip enhancing means 失效
标题翻译：具有抓地力手段的内窥镜手术器械
公开(公告)号：US5489292A
公开(公告)日：1996-02-06
申请号：US346345
申请日：1994-11-29
申请人： H. Jonathan Tovey , Ernie Aranyi , Stanley P. Nelson
发明人： H. Jonathan Tovey , Ernie Aranyi , Stanley P. Nelson
IPC分类号： A61B17/00 , A61B17/28 , A61B18/14
CPC分类号： A61B17/29 , A61B17/282 , A61B18/1445 , A61B18/1815 , A61B2017/0046 , A61B2017/2837 , A61B2017/292 , A61B2017/2926 , A61B2017/2929 , A61B2017/2936 , A61B2017/2945 , A61B2018/1253 , A61B2018/1432
摘要： An endoscopic surgical instrument having a handle assembly, a body portion, and a tool mechanism in which a pivoting handle pivots about a stationary handle to open and close the tool mechanism. In one embodiment, the tool mechanism including a pair of tissue gripping members having a plurality of rib members extending in a lengthwise direction, and at least one indentation having a longitudinal dimension at least greater than a transverse dimension between the rib members. The instrument includes a rotatable body portion, in which a rotation knob is provided on the instrument at the stationary handle so that the user may rotate the body portion, and consequently the tool mechanism, using a single hand. Furthermore, an electrocautery connection is provided which is positioned out of the line of sight of the surgeon, so that the surgeon may have an unobstructed view to the surgical site. The pivoting handle is provided with a rotatable connection point for connecting the slidable rod member to essentially eliminate radial deflection of the rod within the outer tube during opening and closing of the handles.
摘要翻译：一种具有手柄组件，主体部分和工具机构的内窥镜手术器械，枢转手柄围绕静止手柄枢转以打开和关闭工具机构。在一个实施例中，工具机构包括一对组织夹持构件，其具有沿长度方向延伸的多个肋构件，以及至少一个具有至少大于肋构件之间的横向尺寸的纵向尺寸的凹陷。仪器包括一个可转动的主体部分，其中旋转旋钮设置在固定手柄上的乐器上，使得使用者可以使用单手旋转主体部分，从而旋转工具机构。此外，提供了一种定位在外科医生视线之外的电烙术连接，使得外科医生可以对外科手术部位具有无阻碍的视野。枢转手柄设置有可旋转的连接点，用于连接可滑动杆构件，以在打开和关闭手柄期间基本上消除杆在外管内的径向偏转。

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