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1. 发明授权

US5331971A Endoscopic surgical instruments 失效
标题翻译：内镜手术器械
公开(公告)号：US5331971A
公开(公告)日：1994-07-26
申请号：US922023
申请日：1992-07-28
申请人： Thomas O. Bales , John W. Box , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , John W. Box , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B10/00 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/32 , A61B18/14 , A61B19/00
CPC分类号： A61B10/06 , A61B17/29 , A61B17/320016 , A61B18/1445 , A61B17/3201 , A61B2017/00398 , A61B2017/0046 , A61B2017/0088 , A61B2017/292 , A61B2017/2926 , A61B2017/2931 , A61B2017/2939 , A61B2017/2945 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1412 , A61B2018/1415 , A61B2018/1432 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , A61B2090/064 , A61M2205/6081
摘要： Surgical instruments for insertion through trocar tubes are disclosed. The instruments broadly include: a hollow tube; a clevis which is formed separately from the tube with the distal end of the hollow tube crimped around the proximal end of the clevis, and with the clevis including a pivot pin; at least one end effector element having a pivot hole through which the pivot pin of the clevis is pivotally engaged, and another through-hole; a push rod extending at least partially through the hollow tube and mechanically coupled to the end effector element; and a plastic actuator engaging the proximal end of the push rod and for imparting reciprocal motion to the push rod relative to the tube, where the reciprocal motion is translated at the clevis into pivotal motion of the end effector element. Preferably, staple-like connectors are used to mechanically couple the end effector element to the push rod, especially for double acting instruments. The end effector elements are preferably formed of investment cast bronze.
摘要翻译：公开了通过套管针插入的手术器械。仪器广泛包括：中空管; 与管分开形成的U形夹，其中空管的远端围绕U形夹的近端卷曲，并且U形夹包括枢轴销; 至少一个端部执行器元件具有枢轴孔，所述U形夹的枢销通过所述枢轴孔枢转地接合，以及另一个通孔; 至少部分地延伸穿过中空管并且机械地联接到末端执行器元件的推杆; 以及塑料致动器，其接合推杆的近端并且用于相对于管相对于推杆的往复运动，其中往复运动在U形夹下平移成端部执行器元件的枢转运动。优选地，钉状连接器用于将末端执行器元件机械地联接到推杆，特别是用于双重作用的仪器。末端执行器元件优选地由投资铸青铜形成。

2. 发明授权

US5192298A Disposable laparoscopic surgical instruments 失效
标题翻译：一次性腹腔镜手术器械
公开(公告)号：US5192298A
公开(公告)日：1993-03-09
申请号：US680392
申请日：1991-04-04
申请人： Kevin W. Smith , Charles R. Slater , Gregory J. Murphy , Thomas O. Bales , John W. Box , Frank A. Scarfone
发明人： Kevin W. Smith , Charles R. Slater , Gregory J. Murphy , Thomas O. Bales , John W. Box , Frank A. Scarfone
IPC分类号： A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B19/00
CPC分类号： A61B10/06 , A61B17/29 , A61B17/320016 , A61B18/1445 , H01L21/67126 , A61B10/02 , A61B17/30 , A61B17/3201 , A61B2010/0225 , A61B2017/0023 , A61B2017/00398 , A61B2017/0046 , A61B2017/0088 , A61B2017/292 , A61B2017/2926 , A61B2017/2931 , A61B2017/2939 , A61B2017/2945 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1253 , A61B2018/1412 , A61B2018/1415 , A61B2018/1432 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , A61B2090/064 , A61M2025/0098 , A61M2205/6081 , H01L21/6715 , Y10T403/32181 , Y10T403/32221 , Y10T74/18944 , Y10T74/20402
摘要： Disposable laparoscopic surgical instruments for insertion through trocar tubes are disclosed. The instruments broadly include: a hollow aluminum tube; an aluminum clevis which is formed separately from the aluminum tube with the distal end of the hollow aluminum tube crimped around the proximal end of the clevis, and with the clevis including a pivot pin; at least one end effector element having a pivot hole through which the pivot pin of the clevis is pivotally engaged, and another through-hole; an aluminum push rod extending at least partially through the hollow aluminum tube and mechanically coupled to the end effector element; and a plastic actuator engaging the proximal end of the push rod and for imparting reciprocal motion to the push rod relative to the aluminum tube, where the reciprocal motion is translated at the clevis into pivotal motion of the end effector element. Preferably, staple-like connectors are used to mechanically couple the end effector element to the push rod, especially for double acting instruments. The end effector elements are preferably formed of investment cast bronze.
摘要翻译：公开了一种用于通过套管针插入的腹腔镜手术器械。仪器广泛包括：中空铝管; 与铝管分开形成的铝制U型夹具，中空铝管的远端围绕U形夹的近端卷曲，并且U形夹包括枢轴销; 至少一个端部执行器元件具有枢轴孔，所述U形夹的枢销通过所述枢轴孔枢转地接合，以及另一个通孔; 铝推杆，其至少部分延伸穿过中空铝管并且机械地联接到末端执行器元件; 以及塑料致动器，其接合推杆的近端并且用于相对于铝管相对于推杆的往复运动，其中往复运动在U形夹下平移成端部执行器元件的枢转运动。优选地，钉状连接器用于将末端执行器元件机械地联接到推杆，特别是用于双重作用的仪器。末端执行器元件优选地由投资铸青铜形成。

3. 发明授权

US5293878A Endoscopic surgical instruments having stepped rotatable end effectors 失效
标题翻译：内窥镜手术器械具有阶梯式可旋转末端执行器
公开(公告)号：US5293878A
公开(公告)日：1994-03-15
申请号：US989984
申请日：1992-12-04
申请人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B10/00 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/32 , A61B18/14
CPC分类号： A61B17/29 , A61B17/320016 , A61B18/1445 , A61B10/06 , A61B17/3201 , A61B18/1442 , A61B2017/0023 , A61B2017/0046 , A61B2017/0088 , A61B2017/2837 , A61B2017/292 , A61B2017/2926 , A61B2017/2929 , A61B2017/293 , A61B2017/2939 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861
摘要： Medical instruments are provided having end effectors and end effector actuator apparatus which are rotatable relative to the end effectors. The instruments generally include a tube which is typically coupled to the end effectors via a clevis around which the end effectors pivot, a push rod extending through the tube and coupled to the end effectors, and an actuator apparatus engaging the tube and the push rod with the actuator apparatus including a handle which surrounds and rotatably engages the proximal end of the tube, and a lever arm which pivotally engages the handle and is coupled to the push rod such that pivotal movement of the lever arm relative to the handle effects axial movement of the push rod relative to the tube and pivotal movement of the end effectors. In order to alternatively fix or allow rotation of the actuator apparatus relative to the tube and end effectors, the tube is provided with a plurality of peripherally spaced apart recesses in a portion thereof, and the handle is provided with a resiliently biased contact element which is coupled to an electrode and which when seated in a recess restrains rotation of the outer tube about the longitudinal axis, but which can be unseated by a sufficient relative rotational force. To decouple rotation of the push rod from the lever arm, a generally spherical push rod engaging element is provided in a cylindrical bore of the lever arm.
摘要翻译：提供了具有能够相对于末端执行器旋转的末端执行器和末端执行器致动器装置的医疗器械。仪器通常包括管，其通常经由U形夹连接到端部执行器，末端执行器绕其枢转，延伸穿过管并连接到端部执行器的推杆以及与管和推杆接合的致动器装置，所述致动器装置包括围绕并可旋转地接合所述管的近端的手柄，以及与所述手柄枢转接合并且联接到所述推杆的杠杆臂，使得所述杠杆臂相对于所述手柄的枢转运动实现轴向运动推杆相对于管和端部执行器的枢转运动。为了交替地固定或允许致动器装置相对于管和端部执行器的旋转，管在其一部分中设置有多个周向间隔开的凹部，并且手柄设置有弹性偏置的接触元件，该接触元件是耦合到电极，并且当其位于凹部中时，限制外管围绕纵向轴线的旋转，但是可以通过足够的相对旋转力而脱离。为了将推杆与杠杆臂的旋转分离，大体上球形的推杆接合元件设置在杠杆臂的圆柱形孔中。

4. 发明授权

US5174300A Endoscopic surgical instruments having rotatable end effectors 失效
标题翻译：内镜手术器具具有可转动的末端执行器
公开(公告)号：US5174300A
公开(公告)日：1992-12-29
申请号：US833456
申请日：1992-02-07
申请人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B1/00 , A61B10/00 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/32 , A61B17/3201 , A61B18/14
CPC分类号： A61B17/2909 , A61B17/29 , A61B17/320016 , A61B18/1445 , A61B10/06 , A61B17/3201 , A61B18/1442 , A61B2017/0023 , A61B2017/0046 , A61B2017/0088 , A61B2017/2837 , A61B2017/292 , A61B2017/2926 , A61B2017/2939 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861
摘要： Medical instruments are provided having end effectors and end effector actuator apparatus which are rotatable relative to the end effectors. The instruments generally include a tube which is typically coupled to the end effectors via a clevis around which the end effectors pivot, a push rod extending through the tube and coupled to the end effectors, an actuator apparatus engaging the tube and the push rod and imparting reciprocal axial motion to the push rod relative to the tube, and end effectors. The actuator apparatus includes a sleeve, spring, handle, and lever arm. The sleeve is movable along the longitudinal axis of the tube against a biasing force of the spring, but is restrained from rotating about the tube. The sleeve has a locking element on its proximal end. The handle surrounds and rotatably engages the proximal end of the tube and has a locking element on its distal end which mates with the locking element of the sleeve and disengages therewith when the sleeve is advanced along the tube. Upon disengagement, the tube, push rod, and end effectors can be rotated. The lever arm pivotally engages the handle and is coupled to the push rod such that pivotal movement of the lever arm relative to the handle effects movement of the push rod relative to the tube and pivotal movement of the end effectors. To decouple rotation of the push rod from the lever arm, a generally spherical push rod engaging element is provided in a generally cylindrical bore of the lever arm.
摘要翻译：提供了具有能够相对于末端执行器旋转的末端执行器和末端执行器致动器装置的医疗器械。仪器通常包括管，其通常通过U形夹连接到端部执行器，末端执行器绕其枢转，推杆延伸穿过管并联接到端部执行器，致动器装置接合管和推杆并且赋予推杆相对于管的往复轴向运动，以及末端执行器。致动器装置包括套筒，弹簧，把手和杠杆臂。套筒可以克服弹簧的偏置力沿着管的纵向轴线移动，但是被限制绕管旋转。套管在其近端具有锁定元件。手柄环绕并可旋转地接合管的近端，并且在其远端上具有锁定元件，该锁定元件与套筒的锁定元件配合，并且当套筒沿管子前进时与其脱离。在分离时，管，推杆和末端执行器可以旋转。杠杆臂枢转地接合手柄并且联接到推杆，使得杠杆臂相对于手柄的枢转运动实现推杆相对于管的运动和末端执行器的枢转运动。为了将推杆与杠杆臂的旋转分离，大体上球形的推杆接合元件设置在杠杆臂的大致圆柱形的孔中。

5. 发明授权

US5256148A Verress needle with enhanced acoustical means 失效
标题翻译：具有增强声学手段的Verress针
公开(公告)号：US5256148A
公开(公告)日：1993-10-26
申请号：US867579
申请日：1992-04-13
申请人： Kevin W. Smith , Charles R. Slater , Frank A. Scarfone , Gregory J. Murphy , Thomas O. Bales, Jr. , Michael D. Bacon
发明人： Kevin W. Smith , Charles R. Slater , Frank A. Scarfone , Gregory J. Murphy , Thomas O. Bales, Jr. , Michael D. Bacon
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00 , A61M5/32
CPC分类号： A61B17/3496 , A61B17/3474 , A61B2017/00115 , A61B2090/08021 , A61B2090/0811
摘要： A Verres-type needle which has a sharpened outer needle and allows passage of a blunt inner needle within the outer needle. The Verress needle also contains a position indicator to indicate the position of the inner needle within the outer needle, so that the user knows whether the inner needle is in a protective or non-protective position. Further, a liquid level indicator demonstrates the path of liquid flow within the Verress-type needle. Finally, there is an acoustical enhancment mechanism, which allows the user to know whether the blunt inner needle has sprung forward within the abdominal cavity, to its most forward, protective position.
摘要翻译：一种Verres型针头，其具有锋利的外针并允许钝针内针穿过外针。 Verress针还包含一个位置指示器，指示内针在外针内的位置，以便用户知道内针是否处于保护或非保护位置。此外，液位指示器显示了Verress型针内的液体流动路径。最后，有一种声学增强机制，允许用户知道钝内针是否在腹腔内向前弹起到最前进的保护位置。

6. 发明授权

US5176702A Ratchet locking mechanism for surgical instruments 失效
标题翻译：手术器械的棘轮锁定机构
公开(公告)号：US5176702A
公开(公告)日：1993-01-05
申请号：US833840
申请日：1992-02-07
申请人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
发明人： Thomas O. Bales , Gregory J. Murphy , Frank A. Scarfone , Charles R. Slater , Kevin W. Smith
IPC分类号： A61B1/00 , A61B10/00 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/32 , A61B17/3201 , A61B18/14
CPC分类号： A61B17/2909 , A61B17/29 , A61B17/320016 , A61B18/1445 , A61B10/06 , A61B17/3201 , A61B2017/0023 , A61B2017/0046 , A61B2017/0088 , A61B2017/2837 , A61B2017/2926 , A61B2017/2929 , A61B2017/2939 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , Y10T74/2133 , Y10T74/2136 , Y10T74/214 , Y10T74/2152
摘要： Releasable ratchet mechanism for medical instruments such as endoscopic instruments are disclosed. The ratchet mechanism includes: a leaf spring with a locking barb which is located on a handle of the medical instrument; a ratchet on a lever arm of the medical instrument which lever arm is pivotally engaged to the handle; and a latch on the handle of the medical instrument. The latch on the handle engages and resiliently deforms the leaf spring to cause engagement of the locking barb in a groove of the ratchet when the latch is in a first position. When in a second position, the latch releases the locking barb from the ratchet groove. Preferably, the locking barb has an extending edge surface on an axis which is substantially parallel to the pivoting axis of the handle and lever arm, and the teeth of the ratchet have extending edge surfaces on axes substantially parallel to the extending edge surface of the locking barb. Also, preferably, the edge surfaces of said teeth of the ratchet are located along an arc of a cylinder having the handle/lever arm pivot axis as its center line.
摘要翻译：公开了诸如内窥镜仪器的医疗器械的可释放的棘轮机构。棘轮机构包括：具有锁定倒钩的板簧，其位于医疗器械的手柄上; 在所述医疗器械的杠杆臂上的棘轮，所述杠杆臂枢转地接合到所述手柄; 以及在医疗器械的手柄上的闩锁。当闩锁处于第一位置时，手柄上的闩锁接合并弹性地使片簧变形，从而使锁定倒钩接合在棘轮的槽中。当处于第二位置时，闩锁从棘轮槽释放锁定倒钩。优选地，锁定倒钩在轴线上具有基本上平行于手柄和杠杆臂的枢转轴线的延伸边缘表面，并且棘轮的齿具有基本上平行于锁定件的延伸边缘表面的轴上的延伸边缘表面倒钩此外，优选地，棘轮的所述齿的边缘表面沿着具有手柄/杠杆臂枢转轴线的圆柱的圆弧定位为其中心线。

7. 发明授权

US5139485A Verress needle with enhanced acoustical means 失效
标题翻译：具有增强声学手段的Verress针
公开(公告)号：US5139485A
公开(公告)日：1992-08-18
申请号：US695367
申请日：1991-05-03
申请人： Kevin W. Smith , Charles R. Slater , Frank A. Scarfone , Gregory J. Murphy , Thomas O. Bales, Jr. , Michael D. Bacon
发明人： Kevin W. Smith , Charles R. Slater , Frank A. Scarfone , Gregory J. Murphy , Thomas O. Bales, Jr. , Michael D. Bacon
IPC分类号： A61B1/00 , A61B17/00 , A61B17/34 , A61B19/00
CPC分类号： A61B17/3496 , A61B17/3474 , A61B2017/00115 , A61B2090/08021 , A61B2090/0811
摘要： A Verress-type needle which has a sharpened outer needle and allows passage of a blunt inner needle within the outer needle. The Verress needle also contains a position indicator to indicate the position of the inner needle within the outer needle, so that the user knows whether the inner needle is in a protective or non-protective position. Further, a liquid level indicator demonstrates the path of liquid flow within the Verress-type needle. Finally, there is an acoustical enhancement mechanism, which allows the user to know whether the blunt inner needle has sprung forward within the abdominal cavity, to its most forward, protective position.
摘要翻译：具有磨刀的外针并允许钝针内针穿过外针的Verress型针。 Verress针还包含一个位置指示器，指示内针在外针内的位置，以便用户知道内针是否处于保护或非保护位置。此外，液位指示器显示了Verress型针内的液体流动路径。最后，有一个声学增强机制，允许用户知道钝内针是否在腹腔内向前弹起到最前进的保护位置。

8. 发明授权

US5141519A Connecting elements for connecting push rod to end effectors in a disposable laparoscopic surgical instrument 失效
标题翻译：用于将推杆连接到一次性腹腔镜手术器械中的末端执行器的连接元件
公开(公告)号：US5141519A
公开(公告)日：1992-08-25
申请号：US680399
申请日：1991-04-04
申请人： Kevin W. Smith , Gregory J. Murphy , John W. Box , Frank A. Scarfone , Thomas O. Bales, Jr.
发明人： Kevin W. Smith , Gregory J. Murphy , John W. Box , Frank A. Scarfone , Thomas O. Bales, Jr.
IPC分类号： A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B19/00
CPC分类号： A61B10/06 , A61B17/29 , A61B17/320016 , A61B18/1445 , H01L21/67126 , A61B10/02 , A61B17/30 , A61B17/3201 , A61B2010/0225 , A61B2017/0023 , A61B2017/00398 , A61B2017/0046 , A61B2017/0088 , A61B2017/292 , A61B2017/2926 , A61B2017/2931 , A61B2017/2939 , A61B2017/2945 , A61B2018/00077 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/1253 , A61B2018/1412 , A61B2018/1415 , A61B2018/1432 , A61B2018/1455 , A61B2018/146 , A61B2018/1861 , A61B2090/064 , A61M2025/0098 , A61M2205/6081 , H01L21/6715 , Y10T403/32181 , Y10T403/32221 , Y10T74/18944 , Y10T74/20402
摘要： Connecting elements are disclosed for a laparoscopic surgical instrument. Each connecting element engages a reciprocally movable push rod having a first through-hole and a pivotally rotatable end effector having a second through-hole. The connecting element is preferably a resilient staple-like element having a first terminal portion configured to pivotally engage the first through-hole in the push rod, an oppositely extending second terminal portion configured to pivotally engage the second through-hole in the end effector, and a substantially U-shaped middle portion coupling the first and second terminal portions. Where a double acting surgical instrument is used, two connecting elements are required. For improved stability, the connecting elements of the double acting surgical instrument can be crossed.
摘要翻译：公开了用于腹腔镜手术器械的连接元件。每个连接元件接合具有第一通孔的可往复移动的推杆和具有第二通孔的可枢转地转动的端部执行器。连接元件优选地是弹性的钉状元件，其具有构造成枢转地接合推杆中的第一通孔的第一端子部分，相对延伸的第二端子部分，其被配置为枢转地接合末端执行器中的第二通孔，以及联接第一和第二端子部分的大致U形的中间部分。在使用双重作用的手术器械的情况下，需要两个连接元件。为了提高稳定性，双作用手术器械的连接元件可以交叉。

9. 发明授权

US5281197A Endoscopic hemostatic agent delivery system 失效
标题翻译：内镜止血剂递送系统
公开(公告)号：US5281197A
公开(公告)日：1994-01-25
申请号：US919893
申请日：1992-07-27
申请人： Juan J. Arias , Thomas O. Bales , David P. Gordon , Constance M. Ryan , Frank A. Scarfone , Kevin W. Smith , David Turkel
发明人： Juan J. Arias , Thomas O. Bales , David P. Gordon , Constance M. Ryan , Frank A. Scarfone , Kevin W. Smith , David Turkel
IPC分类号： A61B17/00 , A61M31/00
CPC分类号： A61M37/0069
摘要： An endoscopic tool for dispensing units of hemostatic agent broadly comprises a hollow tube which holds a plurality of individual units of the hemostatic agent, a valve at the distal end of the hollow tube which permits the hemostatic agent to pass therethrough but prevents foreign matter from contacting the hemostatic agent while in the tube, a plunger which extends into the hollow tube and contacts a proximal unit of the hemostatic agent, and a mechanism for moving the plunger distally in incremental movements to cause, upon each incremental movement, an individual unit of the hemostatic agent to be pushed through the valve. Typically, the mechanism for moving the plunger and the proximal end of the hollow tube are held in a handle. One mechanism for moving the plunger utilizes a portion of the plunger as a ratchet by forming a plurality of conical elements thereon, and utilizes a switch in the handle which has a V-spring coupled thereto as a pawl for advancing the conical elements. A second mechanism utilizes a regularly shaped notched cutout in the handle as the ratchet, and a vertical protrusion on the plunger which extends through the cutout as an engagement element. The notched cutout provides resilient stops, and the protrusion is shaped to allow it to be forced in a forward direction through each resilient stop and then to sit in another notch.
摘要翻译：用于分配止血剂单元的内窥镜工具广泛地包括保持止血剂的多个单独单元的中空管，在中空管的远端处的阀，其允许止血剂通过，但是防止异物接触止血剂在管中，延伸到中空管中并接触止血剂的近端单元的柱塞，以及用于以增量运动向远侧移动柱塞的机构，以在每次增量运动时使单独的单元止血剂被推过阀门。通常，将柱塞和中空管的近端移动的机构保持在手柄中。用于移动柱塞的一个机构通过在其上形成多个锥形元件而将柱塞的一部分用作棘轮，并且利用手柄中的开关，其中V形弹簧联接到其上作为用于推进锥形元件的棘爪。第二机构使用手柄中的规则形状的切口切口作为棘轮，并且在柱塞上的垂直突起作为接合元件延伸穿过切口。切口切口提供弹性止挡，并且突起成形为允许其通过每个弹性止动件沿向前的方向被迫，然后坐在另一个凹口中。

10. 发明授权

US5257632A Coaxial bone marrow biopsy coring and aspirating needle assembly and method of use thereof 失效
标题翻译：同轴骨髓活检取芯和抽吸针组件及其使用方法
公开(公告)号：US5257632A
公开(公告)日：1993-11-02
申请号：US942427
申请日：1992-09-09
申请人： David H. Turkel , Thomas O. Bales , Frank A. Scarfone , Milton L. Jackson, Jr.
发明人： David H. Turkel , Thomas O. Bales , Frank A. Scarfone , Milton L. Jackson, Jr.
IPC分类号： A61B10/00 , A61B10/02
CPC分类号： A61B10/025 , A61B2010/0258
摘要： A bone marrow biopsy needle assembly for obtaining a bone marrow core biopsy and a bone marrow aspirate biopsy in a single procedure includes an outer aspiration sheath which closely surrounds a coaxial inner hollow coring needle, and a trocar which extends through the coring needle. A handle arrangement is provided to allow insertion into the bone of the central trocar, the core biopsy needle and the outer aspiration sheath as an assembly, and to further allow stable manipulation of each component of the system without displacing the outer aspiration sheath. After insertion of the combined system through the cortical bone layer, the trocar is withdrawn. Further pushing and, if desired, twisting of the remaining assembly forces a bone marrow core biopsy into the inner, coring needle. The coring needle is then withdrawn and the bone marrow core biopsy is pushed out in a retrograde manner. An aspiration syringe is then coupled to a luer slip on the aspiration sheath handle, and a liquid sample of marrow aspirate is obtained. Thus, a solid core of bone marrow and liquid marrow aspirate are obtained through a single entry into bone, thereby minimizing bone trauma and patient discomfort.
摘要翻译：用于在单个过程中获得骨髓核活检和骨髓抽吸活组织检查的骨髓活检针组件包括紧密围绕同轴内空心取心针的外抽吸鞘和延伸穿过取芯针的套针针。提供了一种手柄装置，以允许插入到中心套管针，芯活检针和外抽吸鞘的骨中作为组件，并且进一步允许系统的每个部件的稳定操作而不使外抽吸鞘移位。将组合系统穿过皮质骨层插入后，套管针撤出。进一步推动，如果需要，剩余组件的扭转将骨髓核心活检进入内部取心针。然后取出取芯针，并以逆行方式推出骨髓核活检。然后将抽吸注射器连接到抽吸鞘手柄上的鲁尔滑块，并获得骨髓抽吸液体样本。因此，通过单次进入骨骼获得骨髓和液体骨髓抽吸物的固体核，从而最小化骨创伤和患者不适。

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