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1. 发明授权

US5295956A Endoscopic suction instrument having variable suction strength capabilities 失效
标题翻译：具有可变抽吸强度能力的内窥镜吸引仪器
公开(公告)号：US5295956A
公开(公告)日：1994-03-22
申请号：US959246
申请日：1992-10-09
申请人： Thomas O. Bales , Kirk W. Charles , Lionel Gillespie , Joe Kopp , David Turkel
发明人： Thomas O. Bales , Kirk W. Charles , Lionel Gillespie , Joe Kopp , David Turkel
IPC分类号： A61M1/00
CPC分类号： A61M1/0064 , A61M1/0045 , A61M1/0043 , Y10S604/902
摘要： An endoscopic suctioning instrument with variable suction is disclosed. The instrument has a hollow cannula having a proximal end and a distal end, and sliding sleeve having a proximal end and a distal end and a longitudinal axis, with the sliding sleeve being coaxial to and closely surrounding and slidingly engaging the hollow cannula. The sliding sleeve has a plurality of lateral holes at its distal end with the lateral holes being spaced along the longitudinal axis. A valve is provided for selectively coupling a suction source to the proximal end of the cannula, and a sleeve actuation mechanism is provided for sliding the sliding sleeve from a first position where the distal end of the sliding sleeve extends beyond the distal end of the cannula such that a first number of the lateral holes are unblocked by said cannula, to a second position where the distal end of the sliding sleeve extends beyond said distal end of the cannula such that fewer lateral holes are unblocked by said cannula, to a third position where the cannula blocks all of said lateral holes of the sliding sleeve. Various embodiments are described with different mechanisms for causing the sleeve to slide, including mechanisms linking the valve to the sleeve.
摘要翻译：公开了一种具有可变吸力的内窥镜吸引器具。仪器具有中空插管，其具有近端和远端，以及滑动套管，其具有近端和远端以及纵向轴线，其中滑动套管与中空插管同轴并且紧密地围绕并滑动地接合。滑动套筒在其远端具有多个侧孔，侧壁孔沿着纵向轴线间隔开。提供一个阀门，用于选择性地将抽吸源联接到套管的近端，并且提供套筒致动机构用于使滑动套筒从第一位置滑动，其中滑动套筒的远端延伸超过套管的远端使得第一数量的侧向孔被所述套管解锁，到第二位置，其中滑动套管的远端延伸超过套管的远端，使得较少的侧孔被所述套管解锁到第三位置其中套管阻塞滑动套管的所有侧向孔。使用用于使套筒滑动的不同机构来描述各种实施例，包括将阀连接到套筒的机构。

3. 发明授权

US5452335A Temperature cycle counter 失效
标题翻译：温度循环计数器
公开(公告)号：US5452335A
公开(公告)日：1995-09-19
申请号：US999228
申请日：1992-12-31
申请人： Charles R. Slater , Thomas O. Bales , Jurgen A. Kortenbach , George Nunez , David Turkel , David P. Gordon
发明人： Charles R. Slater , Thomas O. Bales , Jurgen A. Kortenbach , George Nunez , David Turkel , David P. Gordon
IPC分类号： A61B1/00 , A61B17/00 , A61B19/00 , G06M1/04 , G06M1/08 , G06M3/12 , G01K1/02
CPC分类号： G06M1/083 , A61B17/00234 , G06M1/041 , G06M3/12 , A61B2090/0803 , A61B2560/0276
摘要： An apparatus for counting the number of times a temperature cycle occurs includes an indicator having sequential indicia and a temperature responsive member for indicating a next one of the indicia. Mechanical, fluid mechanical and electronic versions of the invention are disclosed. In the mechanical version, the indicator can be a ratchet member having teeth, a pawl and a display surface containing indicia. A temperature responsive element such as a bimetallic member engages the teeth of the ratchet and advances the ratchet each time the apparatus is subjected to a preset temperature cycle. A housing with a window masks the display to indicate one of the indicia as advanced by the temperature responsive element. Preferred embodiments of the mechanical version include a ring-like ratchet member with interior teeth and an exterior display surface. The number of teeth is preferably one or more less than the number of indicia so that upon advancing the ratchet member to the last indicia, it can be advanced no further. The bimetallic element is mounted inside the ring and the housing covers the outer surface of the ring. A removable locking pin is provided to prevent movement of the ratchet member until activated.
摘要翻译：用于计算温度周期发生次数的装置包括具有顺序标记的指示器和用于指示下一个标记的温度响应构件。公开了本发明的机械，流体机械和电子版本。在机械版本中，指示器可以是具有齿，棘爪和包含标记的显示表面的棘轮构件。诸如双金属构件的温度响应元件接合棘轮的齿并且每当设备经受预设温度循环时使棘轮前进。具有窗口的壳体掩蔽显示器，以将温度响应元件中的一个标记指示为高级。机械版本的优选实施例包括具有内齿和外部显示表面的环形棘轮构件。优选地，齿数比标记的数量少一个或多个，从而在将棘轮构件推进到最后的标记之后，可以进一步推进。双金属元件安装在环内，壳体覆盖环的外表面。提供可拆卸的锁定销以防止棘轮构件的运动直到被激活。

4. 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。

5. 发明授权

US5359993A Apparatus for counting the number of times a medical instrument has been used 失效
标题翻译：用于计数医疗器械使用次数的装置
公开(公告)号：US5359993A
公开(公告)日：1994-11-01
申请号：US998951
申请日：1992-12-31
申请人： Charles R. Slater , Thomas O. Bales , Jurgen A. Kortenbach , George Nunez , David Turkel
发明人： Charles R. Slater , Thomas O. Bales , Jurgen A. Kortenbach , George Nunez , David Turkel
IPC分类号： A61B1/00 , A61B17/00 , A61B17/28 , A61B19/00 , G06M1/04 , G06M1/08 , G06M3/12 , G01K5/00
CPC分类号： A61B1/00062 , A61B17/00234 , G06M1/041 , G06M1/083 , G06M3/12 , A61B1/00055 , A61B2017/0046 , A61B2017/292 , A61B2090/0803 , A61B2560/0276
摘要： An apparatus for counting the number of times a medical instrument has been sterilized includes an indicator having sequential indicia and a heat responsive member for indicating a next one of the indicia. Mechanical, fluid mechanical and electronic versions of the invention are disclosed. In the mechanical version, the indicator can be a ratchet member having teeth, a pawl and a display surface containing indicia. A heat responsive element such as a bimetallic member engages the teeth of the ratchet and advances the ratchet each time the apparatus is subjected to the heat of sterilization. A housing with a window masks the display to indicate one of the indicia as advanced by the heat responsive element. Preferred embodiments of the mechanical version include a ring-like ratchet member with interior teeth and an exterior display surface. The number of teeth is preferably one or more less than the number of indicia so that upon advancing the ratchet member to the last indicia, it can be advanced no further. The bimetallic element is mounted inside the ring and the housing covers the outer surface of the ring. The housing may be formed from the ferrule of an endoscopic surgical instrument or may be formed as part of the handle of such an instrument. A removable locking pin is provided to prevent movement of the ratchet member during shipping and the locking pin may be coupled to packaging so that it is automatically removed when the surgical instrument is removed from its packaging.
摘要翻译：用于计数医疗器械已经消毒的次数的装置包括具有顺序标记的指示器和用于指示下一个标记的热响应构件。公开了本发明的机械，流体机械和电子版本。在机械版本中，指示器可以是具有齿，棘爪和包含标记的显示表面的棘轮构件。诸如双金属构件的热响应元件与棘轮的齿接合，并且每当设备经受灭菌热时每次使棘轮前进。具有窗口的壳体遮蔽显示器，以指示由热响应元件提前的一个标记。机械版本的优选实施例包括具有内齿和外部显示表面的环形棘轮构件。优选地，齿数比标记的数量少一个或多个，从而在将棘轮构件推进到最后的标记之后，可以进一步推进。双金属元件安装在环内，壳体覆盖环的外表面。壳体可以由内窥镜手术器械的套圈形成，或者可以形成为这种器械的手柄的一部分。提供可拆卸的锁定销以防止棘轮构件在运输期间的移动，并且锁定销可以联接到包装，使得当手术器械从其包装中移除时它被自动移除。

6. 发明授权

US5354291A Probe for endoscopic suction-irrigation instruments having a proximal port for receiving an additional probe therethrough 失效
标题翻译：用于具有用于接收穿过其中的附加探针的近端口的内窥镜式吸入器械的探头
公开(公告)号：US5354291A
公开(公告)日：1994-10-11
申请号：US959241
申请日：1992-10-09
申请人： Thomas O. Bales , Jurgen A. Kortenbach , Dana W. Ryan , Matthew S. Solar , Kevin W. Smith , David Turkel
发明人： Thomas O. Bales , Jurgen A. Kortenbach , Dana W. Ryan , Matthew S. Solar , Kevin W. Smith , David Turkel
IPC分类号： A61B17/22 , A61B17/28 , A61B18/14 , A61M1/00
CPC分类号： A61M1/0064 , A61M1/0045 , A61B17/29 , A61B18/14 , A61B2017/22072 , A61M1/0043 , A61M1/0084 , Y10S604/902
摘要： A probe for use with an endoscopic suction-irrigation instrument is disclosed which permits a second probe to be inserted therethrough. The suction-irrigation instrument has a cannula, a fluid chamber having at least one port for irrigation and suction and a proximal opening, and a first seal in the proximal end of the fluid chamber. The fluid chamber has a distal end communicating with the cannula. The probe has a proximal handle portion, a middle portion, and a hollow distal portion. The handle portion has an axial passageway and a second seal therein. The middle portion extends from the handle portion through the first seal at the end of the fluid chamber and through the fluid chamber. The middle portion has an outer diameter shaped to contact the first seal such that the proximal end of the fluid chamber is sealed. The middle portion is also shaped to be smaller than the inner diameter of the fluid chamber, and the middle portion is provided with a second axial internal passageway extending therethrough. The distal portion extends at least partially through the cannula and has an outer diameter smaller than the inner diameter of the cannula. A second probe may be inserted through the second seal of the first probe, through the axial passageway in the handle portion, through the internal passageway in the middle portion, and out through the distal portion and the cannula.
摘要翻译：公开了一种用于内窥镜式吸入器械的探针，其允许第二探针插入其中。吸入式冲洗器具有插管，具有用于冲洗和抽吸的至少一个端口和近端开口的流体室，以及在流体室的近端中的第一密封。流体室具有与插管连通的远端。探针具有近侧手柄部分，中部部分和中空远端部分。手柄部分具有轴向通道和第二密封件。中间部分从手柄部分在流体室的端部延伸穿过第一密封件并且通过流体室。中部具有成形为接触第一密封件的外径，使得流体室的近端被密封。中间部分的形状也小于流体室的内径，并且中间部分设置有延伸穿过其的第二轴向内部通道。远端部分至少部分地延伸穿过套管并且具有小于套管内径的外径。第二探针可以穿过第一探针的第二密封件，通过手柄部分中的轴向通道，穿过中部的内部通道插入，并穿过远端部分和套管。

7. 发明授权

US07727248B2 Surgical clip 有权
标题翻译：手术夹
公开(公告)号：US07727248B2
公开(公告)日：2010-06-01
申请号：US10867412
申请日：2004-06-14
申请人： Kevin W. Smith , Jose Luis Francese , Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales , Carlos Rivera , Matthew A. Palmer
发明人： Kevin W. Smith , Jose Luis Francese , Robert Sixto, Jr. , Juergen A. Kortenbach , Thomas O. Bales , Carlos Rivera , Matthew A. Palmer
IPC分类号： A61B17/08
CPC分类号： A61B17/1285 , A61B17/122 , A61B2017/2905 , A61B2017/320064 , Y10T24/44752
摘要： A surgical clip has a base portion and two generally parallel, spaced arms extending from the base portion and defining an opening therebetween. The arms terminate distally in fingers which are of reduced width and thickness relative to the arms and which are adapted to be bent towards and past each other. A transition section from each arm to the finger provides curved structures which extending away from each other and providing a wider mouth for the opening between the arms. The arms also have a proximal section with an undercut which helps in flexure of the arms. The base is an extended structure having a rounded proximal end with outwardly extending shoulders which are arranged to be engaged by the curved structures of the mouth of another clip.
摘要翻译：手术夹具具有从基部延伸并在其间限定开口的基部和两个大致平行的间隔开的臂。臂在远离手指的位置处终止，手指相对于手臂减小了宽度和厚度，并且它们适于朝彼此弯曲并且彼此相交。从每个臂到手指的过渡部分提供了彼此延伸的弯曲结构，并为臂之间的开口提供更宽的口。臂还具有带有底切的近端部分，其有助于臂的挠曲。底座是具有圆形近端的延伸结构，其具有向外延伸的肩部，其被布置成与另一个夹子的口部的弯曲结构接合。

8. 发明申请

US20100004668A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device and Method 有权
标题翻译：无绳手持式超声波炊具切割装置及方法
公开(公告)号：US20100004668A1
公开(公告)日：2010-01-07
申请号：US12547975
申请日：2009-08-26
申请人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
发明人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/0023 , A61B2017/0046 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a removable battery, and an ultrasonic-signal-generator assembly, includes a handle body with a portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, a transducer attachment dock exposed to the environment and shaped to place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock, and an ultrasonic-signal-generator assembly dock exposed to the environment. The ultrasonic-signal-generator assembly dock is shaped to substantially simultaneously selectively removably secure the ultrasonic-signal-generator assembly to the handle body, place an end of the ultrasonic transducer within the transducer attachment dock, and electrically couple the ultrasonic-signal-generator assembly to the at least two battery contacts.
摘要翻译：可连接到超声波换能器，超声波导，可拆卸电池和超声波信号发生器组件的一次性超声手术手柄包括具有限定电池保持室的部分的手柄主体，电池保持室至少具有两个电池触点，暴露于环境并成形为接受其中的波导的波导附件基座，暴露于环境的换能器附接基座并成形为当波导设置在波导附件内时将超声换能器与波导同轴对准码头和一个暴露于环境的超声波信号发生器装配码头。超声波信号发生器组件坞被成形为基本上同时选择性地可移除地将超声信号发生器组件固定到手柄本体，将超声换能器的一端放置在换能器附件底座内，并将超声信号发生器组装到至少两个电池触点。

9. 发明申请

US20090143805A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device 有权
标题翻译：无绳手持式超声波烙铁切割装置
公开(公告)号：US20090143805A1
公开(公告)日：2009-06-04
申请号：US12270146
申请日：2008-11-13
申请人： Matthew A. Palmer , Kevin W. Smith , Thomas O. Bales , Derek Dee Deville
发明人： Matthew A. Palmer , Kevin W. Smith , Thomas O. Bales , Derek Dee Deville
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/0023 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic waveguide, a battery, and an ultrasonic-movement-generator assembly includes a first handle body portion defining therein an aseptically sealable battery-holding compartment shaped to receive the battery therein, a second handle body portion connected to the first handle body portion, and an electrical couple. The second handle body portion has a waveguide attachment dock exposed to the environment and an ultrasonic-movement-generator assembly dock exposed to the environment and shaped to connect the ultrasonic waveguide in the waveguide attachment dock to the ultrasonic-movement-generator assembly through the second handle body portion. The electrical couple is operable to connect a battery within the battery-holding compartment to the ultrasonic-movement-generator-assembly when the ultrasonic-movement-generator assembly is docked at the ultrasonic-movement-generator assembly dock.
摘要翻译：可连接到超声波波导，电池和超声波运动发生器组件的一次性超声手术手柄包括：第一手柄主体部分，其中限定有形成为在其中容纳电池的无菌密封的电池容纳室，连接到第二手柄主体部分到第一手柄主体部分，以及电耦合。第二手柄主体部分具有暴露于环境的波导附件基座和暴露于环境的超声波运动发生器组件基座，并且成形为将波导附件底座中的超声波波导通过第二手柄发生器组件连接到超声波运动发生器组件手柄主体部分。当超声波运动发生器组件对准在超声波运动发生器组装座时，电耦合可操作以将电池保持室内的电池连接到超声波运动发生器组件。

10. 发明申请

US20090143801A1 Cordless Hand-Held Ultrasonic Cautery Cutting Device 有权
标题翻译：无绳手持式超声波烙铁切割装置
公开(公告)号：US20090143801A1
公开(公告)日：2009-06-04
申请号：US12266320
申请日：2008-11-06
申请人： Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales
发明人： Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： A disposable ultrasonic surgical handle includes a disposable handle body that has a first handle body portion defining a handgrip and a second handle body portion connected to the first handle body portion, where the second handle body portion has a waveguide attachment dock exposed to the environment and having a first couple operable to connect an ultrasonic waveguide thereto and an aseptically sealable powered-ultrasonic-motion-generator assembly dock shaped to connect the ultrasonic waveguide in the attachment dock to an assembly within the assembly dock through the second handle body portion. The disposable ultrasonic surgical handle also includes a disposable compartment door movably connected to the second handle body portion to selectively expose the assembly dock to the environment, where the handle has an open position exposing the assembly dock to the environment and permitting entry and removal of the powered-ultrasonic-motion-generator assembly respectively into and from the assembly dock and a closed position aseptically sealing the assembly dock from the environment.
摘要翻译：一次性超声波手术手柄包括一次性手柄本体，其具有限定手柄的第一手柄主体部分和连接到第一手柄主体部分的第二手柄主体部分，其中第二手柄本体部分具有暴露于环境的波导附件支架，具有可操作以将超声波波导连接到其上的第一对和无菌可密封的动力超声波运动发生器组件座，其形状适于将附接基座中的超声波导连接到组装座内的通过第二手柄主体部分的组件。一次性超声手术手柄还包括可移动地连接到第二手柄主体部分的一次性隔间门，以选择性地将组装基座暴露于环境中，其中手柄具有将组件基座暴露于环境的开放位置，并允许进入和移除动力 - 超声波运动发生器组件分别进入和离开装配坞，并且闭合位置无菌地将组装基座与环境密封。

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