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2. 发明授权

US5350356A Endoscopic suction-irrigation instrument with insertable probe lockable in partially withdraw position 失效
标题翻译：内窥镜吸入式仪器，可插入探头可锁定在部分退避位置
公开(公告)号：US5350356A
公开(公告)日：1994-09-27
申请号：US959244
申请日：1992-10-09
申请人： Thomas O. Bales , Saul Gottlieb , Jurgen A. Kortenbach , Dana W. Ryan , Kevin W. Smith , Matthew S. Solar
发明人： Thomas O. Bales , Saul Gottlieb , Jurgen A. Kortenbach , Dana W. Ryan , Kevin W. Smith , Matthew S. Solar
IPC分类号： A61B17/22 , A61B17/32 , A61B18/00 , A61B18/14 , A61M1/00 , A61M3/02 , A61M5/14
CPC分类号： A61B17/3203 , A61B18/1442 , A61B18/1482 , A61M1/0045 , A61M1/0064 , A61M3/0233 , A61M5/1418 , A61B18/148 , A61B2017/22074 , A61B2017/32113 , A61B2018/00958 , A61M1/0062 , A61M2205/6081
摘要： An endoscopic instrument is described having a fluid chamber, a cannula, a shell, a first locking mechanism, and a probe with a second locking mechanism. The fluid chamber has proximal and distal ends. The hollow cannula is coupled to the distal end of the fluid chamber. The port is located at the proximal end of the fluid chamber. The shell houses the fluid chamber, the port, and the first locking mechanism. The probe extends through the port, through the fluid chamber, and through the hollow cannula. In a first fully inserted position, the distal end of the probe extends past the distal end of the cannula. When the probe is partially withdrawn from the shell, the first locking means releasingly engages the second locking means on the probe. Different spring loaded mechanism are described, including one mechanism which is overcome by pulling on the handle of the probe, and another mechanism which requires an active release mechanism.
摘要翻译：描述了具有流体室，套管，壳体，第一锁定机构和具有第二锁定机构的探针的内窥镜器械。流体室具有近端和远端。中空插管联接到流体室的远端。端口位于流体室的近端。壳体容纳流体室，端口和第一锁定机构。探头延伸穿过端口，通过流体室，并穿过中空套管。在第一完全插入位置，探针的远端延伸穿过套管的远端。当探针从壳体部分地退出时，第一锁定装置释放地接合探针上的第二锁定装置。描述了不同的弹簧加载机构，包括通过拉动探针的手柄来克服的一种机构，以及需要主动释放机构的另一种机构。

3. 发明授权

US5429596A Endoscopic electrosurgical suction-irrigation instrument 失效
标题翻译：内窥镜电外科吸灌仪
公开(公告)号：US5429596A
公开(公告)日：1995-07-04
申请号：US247335
申请日：1994-05-23
申请人： Juan J. Arias , Thomas O. Bales , Jurgen A. Kortenbach , Dana W. Ryan , Charles R. Slater , Kevin W. Smith , Matthew S. Solar
发明人： Juan J. Arias , Thomas O. Bales , Jurgen A. Kortenbach , Dana W. Ryan , Charles R. Slater , Kevin W. Smith , Matthew S. Solar
IPC分类号： A61B17/32 , A61B18/00 , A61B18/14 , A61M1/00 , A61M3/02 , A61M5/14
CPC分类号： A61B17/3203 , A61B18/1442 , A61B18/1482 , A61M1/0043 , A61M1/0045 , A61M1/0064 , A61M3/0233 , A61M5/1418 , A61B10/02 , A61B18/148 , A61B2017/32113 , A61B2018/00958 , A61M1/0062 , A61M2205/6081
摘要： An endoscopic electrosurgical suction-irrigation instrument with insertable probes and attachments is disclosed. The instrument has a fluid chamber sealed at its proximal end with a slit valve for receiving the probes and connected at its distal end to a cannula through which the inserted probes extend. The fluid chamber is selectively provided with suction and/or irrigation and includes an electrical contact for supplying voltage to an inserted electrosurgical probe. Depending on the probe configuration suction and/or irrigation is provided in an annular space between the probe and the cannula or through the probe. Valves, connectors and switches for use with the instrument are also disclosed.
摘要翻译：公开了具有可插入探针和附件的内窥镜电外科吸入式灌洗仪。仪器具有在其近端处密封的流体室，其具有用于接收探针并且在其远端处连接到插入的探针延伸穿过的插管的狭缝阀。流体室选择性地具有抽吸和/或冲洗，并且包括用于向插入的电外科探针提供电压的电接触。根据探针结构，在探针和套管之间的环形空间中或通过探针提供吸力和/或冲洗。还公开了用于仪器的阀，连接器和开关。

4. 发明授权

US5314406A Endoscopic electrosurgical suction-irrigation instrument 失效
标题翻译：内窥镜电外科吸灌仪
公开(公告)号：US5314406A
公开(公告)日：1994-05-24
申请号：US959280
申请日：1992-10-09
申请人： Juan J. Arias , Thomas O. Bales , Jurgen A. Kortenbach , Dana W. Ryan , Charles R. Slater , Kevin W. Smith , Matthew S. Solar
发明人： Juan J. Arias , Thomas O. Bales , Jurgen A. Kortenbach , Dana W. Ryan , Charles R. Slater , Kevin W. Smith , Matthew S. Solar
IPC分类号： A61B17/32 , A61B18/00 , A61B18/14 , A61M1/00 , A61M3/02 , A61M5/14 , A61M1/30
CPC分类号： A61B17/3203 , A61B18/1442 , A61B18/1482 , A61M1/0043 , A61M1/0045 , A61M1/0064 , A61M3/0233 , A61M5/1418 , A61B10/02 , A61B18/148 , A61B2017/32113 , A61B2018/00958 , A61M1/0062 , A61M2205/6081
摘要： An endoscopic electrosurgical suction-irrigation instrument with insertable probes and attachments is disclosed. The instrument has a fluid chamber sealed at its proximal end with a slit valve for receiving the probes and connected at its distal end to a cannula through which the inserted probes extend. The fluid chamber is selectively provided with suction and/or irrigation and includes an electrical contact for supplying voltage to an inserted electrosurgical probe. Depending on the probe configuration suction and/or irrigation is provided in an annular space between the probe and the cannula or through the probe. Valves, connectors and switches for use with the instrument are also disclosed.
摘要翻译：公开了具有可插入探针和附件的内窥镜电外科吸入式灌洗仪。仪器具有在其近端处密封的流体室，其具有用于接收探针并且在其远端处连接到插入的探针延伸穿过的插管的狭缝阀。流体室选择性地具有抽吸和/或冲洗，并且包括用于向插入的电外科探针提供电压的电接触。根据探针结构，在探针和套管之间的环形空间中或通过探针提供吸力和/或冲洗。还公开了用于仪器的阀，连接器和开关。

5. 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。

6. 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。

7. 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。

8. 发明授权

US5542432A Endoscopic multiple sample bioptome 失效
公开(公告)号：US5542432A
公开(公告)日：1996-08-06
申请号：US189937
申请日：1994-02-01
申请人： Charles R. Slater , Matthew A. Palmer , Jurgen A. Kortenbach , Michael S. McBrayer , Saul Gottlieb
发明人： Charles R. Slater , Matthew A. Palmer , Jurgen A. Kortenbach , Michael S. McBrayer , Saul Gottlieb
IPC分类号： A61B10/06 , A61B10/00 , A61B10/02 , A61B17/00 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B19/00 , A61F2/00
CPC分类号： A61B10/06 , A61B10/0266 , A61B17/320016 , A61B10/02 , A61B17/30 , A61B18/14 , A61B2010/0225 , A61B2017/00398 , A61B2017/00867 , A61B2017/2905 , A61B2017/2926 , A61B2017/2931 , A61B2017/2933 , A61B2017/2937 , A61B2017/2939 , A61B2018/1253 , A61B2018/146 , A61B2090/064 , A61F2002/30093 , A61F2210/0019 , A61M2025/0098 , A61M2205/6081 , Y10T29/49995
摘要： An endoscopic multiple sample bioptome includes a hollow outer member and an axially displaceable inner member extending therethrough. The proximal ends of the outer and inner members are coupled to an actuator for axially displacing one relative to the other. The distal end of the outer member is coupled to one of a cylinder having a sharp distal edge and a jaw assembly, while the distal end of the inner member is coupled to the other. The jaw assembly includes a pair of opposed, preferably toothed jaw cups each of which is coupled by a resilient arm to a base member. The arms are bent to urge the jaws away from each other. The base member is mounted inside the cylinder and axial movement of the jaw assembly and cylinder relative to each other draws the arms into the cylinder and brings the jaw cups together in a biting action. When the outer member is coupled to the jaw assembly and the inner member is coupled to the cylinder, the distal end of the inner member is preferably coupled to the cylinder by a bent end which is welded to a hole in the cylinder wall. One of the jaws is preferably larger and has a pair of proximal wings. The wings and an upper edge portion of the larger jaw are bent radially inward and enter the smaller jaw when the jaws are closed.

9. 发明授权

US08006889B2 Method and device for full thickness resectioning of an organ 有权
标题翻译：器官全面切除的方法和装置
公开(公告)号：US08006889B2
公开(公告)日：2011-08-30
申请号：US13009070
申请日：2011-01-19
申请人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matthew S. Solar , Gerhard F. Buess , Marc O. Schurr
发明人： Ronald D. Adams , Roy H. Sullivan, III , Lauren O. Main , Peter K. Kratsch , George A. Nunez , Jurgen A. Kortenbach , Matthew S. Solar , Gerhard F. Buess , Marc O. Schurr
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B1/00087 , A61B17/07207 , A61B17/29 , A61B17/295 , A61B2017/00353 , A61B2017/07214 , A61B2017/07221 , A61B2017/2905 , A61B2017/2927 , A61B2090/038 , A61B2090/306
摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.
摘要翻译：全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙组织接收位置比装订位置大。提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织并且刀切割在间隙内接收的组织的一部分。保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

10. 发明授权

US5313935A Apparatus for counting the number of times a surgical instrument has been used 失效
标题翻译：用于计数外科器械已使用次数的装置
公开(公告)号：US5313935A
公开(公告)日：1994-05-24
申请号：US107456
申请日：1993-08-17
申请人： Jurgen A. Kortenbach , George Nunez , Charles R. Slater
发明人： Jurgen A. Kortenbach , George Nunez , Charles R. Slater
IPC分类号： A61B1/00 , A61B17/00 , A61B17/28 , A61B18/14 , A61B19/00 , G06M1/04 , G06M3/12
CPC分类号： A61B1/00062 , A61B1/00105 , A61B17/00234 , G06M1/041 , G06M3/12 , A61B1/00055 , A61B18/14 , A61B2017/0046 , A61B2017/292 , A61B2018/00178 , A61B2018/1412 , A61B2018/1415 , A61B2018/1455 , A61B2018/1861 , A61B2090/0803 , A61B2560/0276
摘要： An improved use counter for endoscopic instruments is mounted in the ferrule of the distal portion of an endoscopic instrument having separable proximal and distal portions. The counter includes a ratchet wheel having inner and outer teeth and a bimetallic coil having a fixed end and a free end. The fixed end of the bimetallic coil is attached to a hub portion of the ferrule and the free end of the bimetallic coil engages the inner teeth of the ratchet wheel. An inwardly extending tooth in the ferrule engages the outer teeth of the ratchet wheel to prevent backward movement of the ratchet wheel. The outer surface of the ratchet wheel is also provided with incremental indicia viewable through a window in the ferrule. As the bimetallic coil is heated and cooled when the instrument is sterilized, the free end of the coil engages and advances one tooth of the ratchet wheel. Movement of the free end is preferably limited by stops. A spring biased locking and disabling pin is mounted in the ferrule and engages a stepped width portion of the ratchet wheel. The pin prevents advancement of the ratchet wheel during shipping and disables the instrument after a predetermined number of sterilizations.
摘要翻译：用于内窥镜器械的改进的使用计数器安装在具有可分离的近端部分和远端部分的内窥镜器械的远端部分的套圈中。计数器包括具有内齿和外齿的棘轮和具有固定端和自由端的双金属线圈。双金属线圈的固定端附接到套圈的毂部，双金属线圈的自由端与棘轮的内齿啮合。套圈内的向内延伸的齿接合棘轮的外齿，以防止棘轮向后移动。棘轮的外表面还具有通过套圈中的窗口可见的增量标记。当双金属线圈在仪器灭菌时被加热和冷却，线圈的自由端接合并前进棘轮的一个齿。自由端的移动优选地通过停止来限制。弹簧偏置的锁定和禁用销安装在套圈中并与棘轮的台阶宽度部分接合。销钉防止在运输过程中棘轮的前进，并在预定数量的灭菌之后禁用该仪器。

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