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1. 发明授权

US5199419A Surgical retractor 失效
标题翻译：手术牵开器
公开(公告)号：US5199419A
公开(公告)日：1993-04-06
申请号：US740443
申请日：1991-08-05
申请人： Stanley H. Remiszewski , Paul A. Matula , H. Jonathan Tovey
发明人： Stanley H. Remiszewski , Paul A. Matula , H. Jonathan Tovey
IPC分类号： A61B17/3201 , A61B1/32 , A61B17/02 , A61B17/068 , A61B17/32
CPC分类号： A61B1/32 , A61B17/0218
摘要： A novel surgical retractor is provided including a handle assembly, a housing and a collapsible retractor assembly connected to a distal end of the housing. The handle assembly includes a stationary handle in cooperation with an actuating structure for manipulating the collapsible retractor assembly through the housing.The handle assembly may be configured in a variety of forms including palm grips, pistol grips, axial grips, ring grips, etc. The housing includes a tubular structure having an inner tube axially disposed within an outer tube. The outer tube is fixed in the stationary handle with the inner tube passing through the outer tube and connected to the actuating structure. Where desired, either the outer or inner tube may be rotatably attached to the stationary handle. The retractor assembly is attached to the distal end of the housing and includes a reciprocal yoke assembly interconnected with a plurality of collapsible interleaved retractor blades. One element of the yoke assembly is typically maintained stationary while the other is allowed to reciprocate axially to deploy the interleaved retractor blades into a fan configuration.
摘要翻译：提供了一种新颖的外科牵开器，其包括手柄组件，壳体和连接到壳体的远端的可收缩牵开器组件。手柄组件包括与用于操纵通过壳体的可收缩牵缩器组件的致动结构配合的固定手柄。手柄组件可以被配置成各种形式，包括手掌握柄，手枪把手，轴向夹具，环把手等。壳体包括管状结构，其具有轴向设置在外管内的内管。外管固定在固定手柄中，内管通过外管并连接到致动结构。在需要的情况下，外管或内管可以可旋转地附接到固定手柄。牵开器组件附接到壳体的远端，并且包括与多个可收缩交错的牵开器叶片互连的互动轭组件。轭组件的一个元件通常保持静止，而另一个元件允许轴向往复运动，以将交错的牵开器叶片部署成风扇构造。

2. 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。

3. 发明授权

US5562640A 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：US5562640A
公开(公告)日：1996-10-08
申请号：US333881
申请日：1994-11-03
申请人： William J. McCabe , H. Jonathan Tovey , Paul A. Matula
发明人： William J. McCabe , H. Jonathan Tovey , Paul A. Matula
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. The device includes at least one rotatable trumpet valve to provide for variable orientation of the device during use. Connection ports for irrigation fluid and a suction means are provided which communicate with a single lumen cannula which transports both the irrigation fluid and the suction pressure to the surgical site. The single lumen cannula is provided with a sleeve means to vary the pressure of the irrigation fluid to provide for high pressure application of the irrigation fluid to perform hydrodissection. A plurality of dissector tips and a novel means of securing the tips to the single lumen cannula are also disclosed.
摘要翻译：一种用于外科手术部位抽吸和灌洗的内镜手术器械。该装置包括至少一个可旋转喇叭阀，以在使用期间提供装置的可变定向。提供了用于冲洗流体和抽吸装置的连接端口，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。单腔套管设置有套筒装置，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。还公开了多个解剖器尖端和将尖端固定到单腔插管的新颖方式。

4. 发明申请

US20110282360A1 ROBOTIC ARMS DLUs FOR PERFORMING SURGICAL TASKS 有权
标题翻译：用于执行手术任务的机动车辆DLU
公开(公告)号：US20110282360A1
公开(公告)日：2011-11-17
申请号：US13191560
申请日：2011-07-27
申请人： H. Jonathan Tovey , Keith Ratcliff , Kenneth E. Toso , Peter W.J. Hinchliffe
发明人： H. Jonathan Tovey , Keith Ratcliff , Kenneth E. Toso , Peter W.J. Hinchliffe
IPC分类号： A61B19/00
CPC分类号： A61B19/2203 , A61B10/0233 , A61B17/0469 , A61B17/0491 , A61B17/062 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/1285 , A61B17/32053 , A61B17/3211 , A61B18/20 , A61B34/30 , A61B34/70 , A61B34/76 , A61B2017/0023 , A61B2017/00247 , A61B2017/00464 , A61B2017/00477 , A61B2017/00778 , A61B2017/06047 , A61B2017/0609 , A61B2018/00392 , A61B2034/305
摘要： Disposable loading units (DLUs) configured for mounting to a robotic arm for performing at least one surgical task are presented. Each DLU includes an attachment platform having at least one connector for engaging at least one connector on a distal end of the robotic arm for connecting the DLU to the robotic arm, a head portion connected to the attachment platform at one end and configured for housing an electromechanical actuation assembly therein, and at least one surgical tool member extending from the head portion and operatively associated with the electromechanical actuation assembly for controlling the operation and movement of the at least one surgical tool member. The at least one surgical tool member may include a cutting assembly, an aortic hole punch assembly, a lasing assembly, a coring assembly, or a vascular suturing assembly.
摘要翻译：呈现配置用于安装到机器人手臂以执行至少一个手术任务的一次性装载单元（DLU）。每个DLU包括具有至少一个连接器的附接平台，所述至少一个连接器用于接合机器人臂的远端上的至少一个连接器，用于将DLU连接到机器人手臂，头部部分在一端连接到附接平台并构造成用于容纳机电致动组件，以及从头部部分延伸并与机电致动组件可操作地相关联的至少一个手术工具构件，用于控制至少一个手术工具构件的操作和移动。所述至少一个手术工具构件可包括切割组件，主动脉孔冲孔组件，激光组件，取芯组件或血管缝合组件。

5. 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。

6. 发明授权

US6036667A Ultrasonic dissection and coagulation system 失效
标题翻译：超声解剖和凝血系统
公开(公告)号：US6036667A
公开(公告)日：2000-03-14
申请号：US911207
申请日：1997-08-14
申请人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
发明人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
IPC分类号： A61B17/3201 , A61B17/28 , A61B17/32 , A61B18/00 , A61B17/20
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。

7. 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。

8. 发明授权

US5607450A Articulating endoscopic surgical apparatus 失效
标题翻译：指肠内窥镜手术器械
公开(公告)号：US5607450A
公开(公告)日：1997-03-04
申请号：US359625
申请日：1994-12-20
申请人： Boris Zvenyatsky , Ernest Aranyi , H. Jonathan Tovey
发明人： Boris Zvenyatsky , Ernest Aranyi , H. Jonathan Tovey
IPC分类号： A61B17/02 , A61B17/28 , A61B18/14 , A61B10/00
CPC分类号： A61B17/29 , A61B17/0218 , A61B18/1442 , A61B2017/292 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936
摘要： A surgical instrument is provided for use in endoscopic or laparoscopic surgery. The instrument includes a handle portion and an endoscopic portion. The endoscopic portion has an elongated tubular section having opposed proximal and distal ends, the proximal end of which extends from the handle portion, and an articulating section which is pivotally connected to the tubular section adjacent the distal end thereof. Tool means depend from the articulating section and a linkage mechanism is associated with the endoscopic portion for pivoting the articulating section relative to the longitudinal axis of the tubular section, within a 90.degree. sector of rotation. In addition, the instrument includes means for rotating the endoscopic portion about its longitudinal axis.
摘要翻译：提供用于内窥镜或腹腔镜手术的手术器械。仪器包括手柄部分和内窥镜部分。内窥镜部分具有细长的管状部分，其具有相对的近端和远端，其近端从手柄部分延伸，以及铰接部分，其枢转地连接到邻近其远端的管状部分。工具装置取决于铰接部分，并且联动机构与内窥镜部分相关联，用于在90°旋转区域内相对于管状部分的纵向轴线枢转关节部分。此外，该仪器包括用于使内窥镜部分围绕其纵向轴线旋转的装置。

9. 发明授权

US5527313A Bipolar surgical instruments 失效
标题翻译：双极手术器械
公开(公告)号：US5527313A
公开(公告)日：1996-06-18
申请号：US418130
申请日：1995-04-06
申请人： Ian M. Scott , H. Jonathan Tovey
发明人： Ian M. Scott , H. Jonathan Tovey
IPC分类号： A61B17/28 , A61B18/00 , A61B18/14 , A61B17/39
CPC分类号： A61B17/2909 , A61B18/1442 , A61B18/1402 , A61B2017/2918 , A61B2018/00196 , A61B2018/0091 , A61B2018/00916 , A61B2018/126
摘要： A bipolar surgical instrument is disclosed comprising a handle and a tool for applying electrical energy to body tissue. In a preferred embodiment, the tool is forceps having jaws movable between open and closed positions in response to movement of the handle. A pair of electrical connection receptacles in the handle respectively connect to a pair of electrically isolated conducting paths. Each path contacts a forceps jaw for transmitting electrical energy to body tissue. The instrument has particular application to endoscopic and laparoscopic surgical procedures.
摘要翻译：公开了一种双极手术器械，其包括手柄和用于向身体组织施加电能的工具。在优选实施例中，工具是具有响应于手柄的移动而在打开位置和闭合位置之间移动的爪的镊子。手柄中的一对电连接插座分别连接到一对电隔离的导电路径。每条路径都接触到钳子，用于将电能传递到身体组织。该仪器特别适用于内窥镜和腹腔镜手术。

10. 发明授权

US5411519A Surgical apparatus having hinged jaw structure 失效
标题翻译：具有铰链颚结构的外科手术器械
公开(公告)号：US5411519A
公开(公告)日：1995-05-02
申请号：US949576
申请日：1992-09-23
申请人： H. Jonathan Tovey , Paul A. Scirica
发明人： H. Jonathan Tovey , Paul A. Scirica
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B17/2804 , A61B2017/2926
摘要： A surgical apparatus is provided which includes a handle portion, an endoscopic portion extending longitudinally from the handle portion, and a pair of articulating jaw members each having first and second relatively articulatable sections movable between a contracted position and a deployed position. A tubular member is associated with the endoscopic portion of the instrument and is movable along the longitudinal axis thereof between a proximal position spaced from the jaw members and a distal position substantially enclosing the jaw members and maintaining them in their contracted position.
摘要翻译：提供了一种手术装置，其包括手柄部分，从手柄部分纵向延伸的内窥镜部分，以及一对关节式卡爪部件，每个关节式卡爪部件具有可在收缩位置和展开位置之间移动的第一和第二相对铰接部分。管状构件与器械的内窥镜部分相关联，并且可沿着其纵向轴线在与钳口构件间隔开的近侧位置和基本上包围钳口构件的远端位置之间移动并将它们保持在收缩位置。

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