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1. 发明授权

US6146401A Expandable multifunctional instruments for creating spaces at obstructed sites endoscopically 失效
标题翻译：可扩展的多功能仪器，用于在内窥镜下产生阻塞部位的空间
公开(公告)号：US6146401A
公开(公告)日：2000-11-14
申请号：US124046
申请日：1998-07-29
申请人： InBae Yoon , Suzanne J. Yoon , Samuel C. Yoon
发明人： InBae Yoon , Suzanne J. Yoon , Samuel C. Yoon
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/12 , A61B17/22 , A61B17/28 , A61B17/32 , A61B17/34 , A61B17/42 , A61B18/14 , A61B19/00 , A61F2/958 , A61F13/38 , A61M29/00 , A61M29/02
CPC分类号： A61B17/00234 , A61B17/0218 , A61B17/0281 , A61B17/12099 , A61B17/12136 , A61B17/1219 , A61B17/3421 , A61B17/3439 , A61B17/3462 , A61B17/3498 , A61B17/4241 , A61F13/38 , A61M25/10 , A61M25/1011 , A61M29/02 , A61B17/12022 , A61B17/34 , A61B17/42 , A61B18/14 , A61B2017/00557 , A61B2017/22062 , A61B2017/2837 , A61B2017/2927 , A61B2017/320012 , A61B2017/320044 , A61B2017/3484 , A61B2017/3486 , A61B2017/3492 , A61B2090/0816 , A61B2090/306 , A61M2025/1093 , A61M25/1002
摘要： An expandable multifunctional instrument for creating a space at an obstructed site in anatomical tissue in the body including an elongate member having a distal end for being positioned at the obstructed site, a proximal end for being disposed externally of the body and an expandable member at the distal end of the elongate member. The expandable member includes a balloon movable fluidically from a non-expanded position to an expanded position at the obstructed site. The balloon assumes a preformed, predetermined configuration in the expanded position at the obstructed site to separate the anatomical tissue to create a space at the obstructed site.
摘要翻译：一种可扩展的多功能仪器，用于在身体的解剖组织中的阻塞位置处产生空间，该空间包括具有远端的细长构件，所述远端位于阻塞位置，用于设置在身体外部的近端和位于身体的可扩张构件细长构件的远端。可膨胀构件包括可从阻挡位置处的非扩张位置流动地扩展到扩张位置的气囊。气囊在阻塞位置处在扩张位置呈现预先形成的预定构造，以分离解剖组织以在阻塞部位产生空间。

2. 发明授权

US6066090A Branched endoscope system 失效
标题翻译：分支内窥镜系统
公开(公告)号：US6066090A
公开(公告)日：2000-05-23
申请号：US99792
申请日：1998-06-18
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B1/005 , A61B17/00 , A61B17/34 , A61B17/42
CPC分类号： A61B1/0051 , A61B1/00045 , A61B1/0008 , A61B1/00181 , A61B1/00183 , A61B1/042 , A61B17/3417 , A61B1/018 , A61B17/42 , A61B2017/003 , A61B2017/3445
摘要： An endoscope has two or more branches and each branch may include a source of illumination and a lens train, fiber optic bundle, or solid state image receiving device. Each branch end is independently manipulable or steerable and thus produces an image from a distinct point of view within the body (e.g., front and side views); the images are juxtaposed on a video monitor for simultaneous viewing by the surgeon. Each branch also includes an operating channel or cannula through which various surgical instruments are passed. A first branch may be used to pass an instrument to the situs of a surgical procedure and a second branch may be used to view that situs from a second, separate point of view. Additionally, the second branch may be used to introduce a second surgical instrument through the second branch cannula to approach the situs of the procedure from the angle of the second branch.
摘要翻译：内窥镜具有两个或更多个分支，并且每个分支可以包括照明源和透镜列，光纤束或固态图像接收装置。每个分支端是独立可操纵的或可操纵的，因此从身体内的不同视角（例如，前视图和侧视图）产生图像; 图像并置在视频监视器上，以便外科医生同时观看。每个分支还包括通过各种手术器械的操作通道或插管。可以使用第一分支将器械传递到外科手术的位置，并且可以使用第二分支从第二个分开的观点来观察该部位。另外，第二分支可以用于通过第二分支插管引入第二外科器械，以从第二分支的角度接近程序的位置。

3. 发明授权

US5993466A Suturing instrument with multiple rotatably mounted spreadable needle holders 失效
标题翻译：缝合器具多个可旋转安装的可展开的针架
公开(公告)号：US5993466A
公开(公告)日：1999-11-30
申请号：US877764
申请日：1997-06-17
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B1/018 , A61B17/00 , A61B17/04 , A61B17/28 , A61B17/34 , A61B18/14
CPC分类号： A61B18/1445 , A61B17/062 , A61B1/018 , A61B10/02 , A61B17/04 , A61B17/0469 , A61B17/32 , A61B2017/0042 , A61B2017/2923 , A61B2017/2929 , A61B2017/2945 , A61B2017/3445 , A61B2018/00208 , A61B2018/1253 , A61B2018/126 , A61B2018/1432 , A61B2018/145
摘要： An instrument for suturing anatomical tissue with a suture needle includes a housing, an elongate shaft having a proximal end mounted by the housing and a distal end with a peripheral edge, a first needle holder protruding from the distal end of the elongate shaft and having a needle holding member at a distal end operable to grasp and release a suture needle, and a second needle holder protruding from the distal end of the elongate shaft and having a needle holding member at a distal end operable to grasp and release a suture needle. Distal portions of the first and second needle holders extend laterally outward at an angle from first and second longitudinal axes of the elongate shaft to positions where at least a portion of the corresponding needle holding members are spaced laterally outward of the peripheral edge of the elongate shaft. In addition, the needle holders are rotatable about the first and second longitudinal axes of the elongate shaft to cause the corresponding needle holding members to move along first and second arcuate paths. When inserting the suturing instrument through a portal in an endoscopic procedure, the first and second needle holders are preferably movable to undeployed positions where their needle holding members are spaced laterally inward of the peripheral edge of the elongate shaft. When suturing, the needle holding members can be moved from their undeployed positions to deployed positions disposed laterally outward of the peripheral edge due to the angled configuration of the distal portions of the needle holders.
摘要翻译：用缝合针缝合解剖组织的仪器包括壳体，细长轴，其具有由壳体安装的近端和具有周边边缘的远端;第一针保持器，其从细长轴的远端突出并具有在远端的针保持构件可操作地抓住和释放缝合针，以及第二针保持器，其从细长轴的远端突出并且在远端具有可操作以抓握和释放缝合针的针保持构件。第一和第二针保持器的远端部分从细长轴的第一和第二纵向轴线以一定角度横向向外延伸到位置，其中相应的针保持构件的至少一部分在细长轴的周边的横向外侧隔开。此外，针保持器可以围绕细长轴的第一和第二纵向轴线旋转，以使相应的针保持构件沿着第一和第二弧形路径移动。当通过内窥镜程序通过入口插入缝合器械时，第一和第二针头保持器优选地可移动到未被展开的位置，其中针保持构件横向于细长轴的周边的内侧间隔开。当缝合时，由于针保持器的远端部的成角度的构造，针保持构件可以从其未展开的位置移动到设置在周边的横向外侧的展开位置。

4. 发明授权

US5989233A Endoscopic portal having a universal seal and methods for introducing instruments therethrough 失效
标题翻译：具有通用密封的内窥镜入口和用于引入器械的方法
公开(公告)号：US5989233A
公开(公告)日：1999-11-23
申请号：US972474
申请日：1997-11-18
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/34 , A61M25/00
CPC分类号： A61B17/3462 , A61B17/3421 , A61B17/3423 , A61B17/3498 , A61B2017/3441 , A61B2017/3464
摘要： An endoscopic portal for establishing communication with a body cavity for the introduction of instruments through the endoscopic portal includes a seal having a variable size passage for communication with the body cavity to permit instruments of varying sizes to be passed therethrough and a tubular expander aligned with the variable size passage. The seal is biased to a contracted position wherein the variable size passage has a first cross sectional size and is movable to an expanded position wherein the variable size passage has a second cross sectional size larger than the first cross sectional size. The tubular expander has a blunt end insertable in the variable size passage to move the seal from the contracted position to the expanded position such that an instrument having a cross sectional size larger than the first cross sectional size can be introduced through the expander and the seal into the body cavity without contacting the seal. Thereafter, the blunt end of the tubular expander is withdrawable from the variable size passage such that the seal engages the instrument in the variable size passage to form a seal therewith. A method of introducing an instrument in a body cavity according to the present invention comprises the steps of moving a blunt end of a tubular expander into a variable size seal to enlarge the variable size seal, introducing an instrument through the tubular expander into the body cavity such that a distal end of the instrument is moved through the seal without contacting the seal and withdrawing the blunt end of the tubular expander from the seal such that the seal sealingly engages the instrument.
摘要翻译：用于与体腔建立用于通过内窥镜入口引入器械的内窥镜入口的内窥镜入口包括具有可变尺寸通道的密封件，用于与体腔连通以允许不同尺寸的仪器通过其中，并且管状扩张器与可变尺寸通道。密封件被偏压到收缩位置，其中可变尺寸通道具有第一横截面尺寸并且可移动到扩展位置，其中可变尺寸通道具有大于第一横截面尺寸的第二横截面尺寸。管状膨胀器具有可插入可变尺寸通道中的钝端，以将密封件从收缩位置移动到扩张位置，使得具有大于第一横截面尺寸的横截面尺寸的器械可以通过膨胀器和密封件进入体腔而不接触密封。此后，管状膨胀机的钝端可从可变尺寸的通道中抽出，使得密封件与可变尺寸通道中的仪器接合以与其形成密封。根据本发明的将器械引入体腔的方法包括以下步骤：将管状膨胀器的钝端移动到可变尺寸的密封件中，以扩大可变尺寸密封件，将器械通过管状膨胀器引入体腔使得器械的远端移动通过密封件而不接触密封件并且从密封件中取出管状膨胀器的钝端，使得密封件密封地接合仪器。

5. 发明授权

US5882345A Expandable endoscopic portal 失效
标题翻译：可扩展内窥镜入口
公开(公告)号：US5882345A
公开(公告)日：1999-03-16
申请号：US651284
申请日：1996-05-22
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/03 , A61B17/34 , A61B19/00 , A61M25/04 , A61M25/06 , A61M29/00 , A61M25/00
CPC分类号： A61M29/02 , A61B17/3439 , A61M25/04 , A61B17/3423 , A61B17/3462 , A61B2017/3419 , A61B2017/3486 , A61B2017/3492 , A61B2090/3614 , A61B90/361 , A61M2025/0024 , A61M2025/0233 , A61M2025/1013 , A61M25/0662
摘要： An expandable endoscopic portal for providing a passage through a body cavity wall includes a cannula comprising an absorbent member having a distal end for positioning in the body cavity, a proximal end for positioning external of the body cavity and a passage between the distal and proximal ends for receiving instruments. The absorbent member has a compressed dry state prior to introduction through the cavity wall and an expanded wet state when supplied with fluid upon introduction of the distal end in the body cavity. The absorbent member is rigid in the dry state to facilitate passage through the cavity wall and is soft in the wet state. The absorbent member has an initial cross sectional size in the dry state for introduction through an opening in the cavity wall corresponding in size to the initial cross sectional size. The absorbent member in the wet state has a cross sectional size greater than the initial cross sectional size to dilate the opening and/or form a seal along the thickness of the cavity wall. Instruments of various cross sectional sizes can be introduced in the body cavity through the passage in sealing relation. A method of establishing a passage through a cavity wall includes introducing an elongate absorbent member in an opening in the cavity wall with the absorbent member in a dry state such that the absorbent member extends longitudinally through the cavity wall and hydrating the absorbent member to place the absorbent member in a wet state to cause the absorbent member to expand radially within the opening.
摘要翻译：用于提供通过体腔壁的通道的可扩展内窥镜入口包括套管，其包括具有用于定位在体腔中的远端的吸收构件，用于定位体腔外部的近端和远端和近端之间的通道用于接收仪器。吸收体在通过空腔壁引入之前具有压缩的干燥状态，并且当将末端引入体腔时被供应流体时，其具有膨胀的湿润状态。吸收体在干燥状态下是刚性的，以便于通过空腔壁并在潮湿状态下变软。吸收体具有在干燥状态下的初始横截面尺寸，用于通过空腔壁中的开口大小引导到初始横截面尺寸。处于潮湿状态的吸收件具有大于初始横截面尺寸的横截面尺寸，以沿着空腔壁的厚度扩张开口和/或形成密封件。各种横截面尺寸的仪器可以通过密封关系的通道引入体腔内。建立通过空腔壁的通道的方法包括将细长吸收构件引入空腔壁中的开口中，其中吸收构件处于干燥状态，使得吸收构件纵向延伸穿过空腔壁并使吸湿构件水合，吸湿部件处于湿状态，以使吸收部件在开口内径向膨胀。

6. 发明授权

US5882340A Penetrating instrument having an expandable anchoring portion for triggering protrusion of a safety member and/or retraction of a penetrating member 失效
标题翻译：穿透仪器具有可膨胀锚固部分，用于触发安全部件的突出和/或穿透部件的收回
公开(公告)号：US5882340A
公开(公告)日：1999-03-16
申请号：US887305
申请日：1997-07-02
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00 , A61M25/00
CPC分类号： A61B17/3417 , A61B17/3496 , A61B2017/00477 , A61B2017/00986 , A61B2017/3484 , A61B2090/08021 , A61B2090/0811
摘要： A penetrating instrument for penetrating a wall of an anatomical cavity to gain access to the anatomical cavity includes a fixed or retractable penetrating member having a distal end for penetrating the anatomical cavity wall, a portal sleeve or a distally biased safety member having a distal end movable between an extended position protecting the distal end of the penetrating member and a retracted position exposing the distal end of the penetrating member, and an expandable portion carried by the penetrating instrument and being movable from an expanded position to a contracted position during penetration of the cavity wall and from the contracted position to the expanded position upon introduction of the expandable portion in the anatomical cavity to anchor the portal sleeve relative to the anatomical cavity wall and/or to trigger extension of the safety member and/or retraction of the penetrating member.
摘要翻译：用于穿透解剖腔的壁以进入解剖腔的穿透器械包括具有用于穿透解剖腔壁的远端的固定或可缩回的穿透构件，入口套管或远侧偏置的安全构件，其具有可移动的远端在保护穿透构件的远端的延伸位置和暴露穿透构件的远端的缩回位置之间，以及由穿透器具承载的可膨胀部分，并且在穿透腔体期间可从展开位置移动到收缩位置并且在将可扩张部分引入解剖腔中时从收缩位置到缩小位置，以相对于解剖腔壁锚定门静脉套管和/或触发安全构件的延伸和/或穿透构件的缩回。

7. 发明授权

US5823947A Method of creating an operating space endoscopically at an obstructed site 失效
标题翻译：在阻塞部位内窥镜上创建操作空间的方法
公开(公告)号：US5823947A
公开(公告)日：1998-10-20
申请号：US882158
申请日：1997-06-25
申请人： InBae Yoon , Suzanne J. Yoon , Samuel C. Yoon
发明人： InBae Yoon , Suzanne J. Yoon , Samuel C. Yoon
IPC分类号： A61B1/32 , A61B17/00 , A61B17/02 , A61B17/12 , A61B17/22 , A61B17/28 , A61B17/32 , A61B17/34 , A61B17/42 , A61B18/14 , A61B19/00 , A61F2/958 , A61F13/38 , A61M29/00 , A61M29/02
CPC分类号： A61B17/00234 , A61B17/0218 , A61B17/0281 , A61B17/12099 , A61B17/12136 , A61B17/1219 , A61B17/3421 , A61B17/3439 , A61B17/3462 , A61B17/3498 , A61B17/4241 , A61F13/38 , A61M25/10 , A61M25/1011 , A61M29/02 , A61B17/12022 , A61B17/34 , A61B17/42 , A61B18/14 , A61B2017/00557 , A61B2017/22062 , A61B2017/2837 , A61B2017/2927 , A61B2017/320012 , A61B2017/320044 , A61B2017/3484 , A61B2017/3486 , A61B2017/3492 , A61B2090/0816 , A61B2090/306 , A61M2025/1093 , A61M25/1002
摘要： An expandable multifunctional instrument for creating a space at an obstructed site in the body includes an elongate member having a distal end for being introduced in the body, a proximal end for being disposed externally of the body and an expandable member for being positioned at the obstructed site. The expandable member is movable at the obstructed site from a non-expanded position to an expanded position to displace anatomical tissue to create a space at the obstructed site for performing various operative procedures. A method of creating a space at an obstructed site includes expanding an expandable member at the obstructed site and/or introducing fluid under pressure at the obstructed site to create a space where normally no space exists.
摘要翻译：一种用于在主体的阻塞部位产生空间的可扩展的多功能仪器，包括具有用于引入到本体中的远端的细长构件，用于设置在身体外部的近端和用于定位在被阻挡物现场。可扩张构件可在阻塞位置处从非扩张位置移动到扩展位置，以移位解剖组织，以在阻塞部位处产生用于执行各种操作程序的空间。在阻塞位置处产生空间的方法包括在阻塞的位置处扩张可膨胀构件和/或在压力下将阻塞的位置处的流体引入以产生通常不存在空间的空间。

8. 发明授权

US5810851A Suture spring device 失效
标题翻译：缝合弹簧装置
公开(公告)号：US5810851A
公开(公告)日：1998-09-22
申请号：US610951
申请日：1996-03-05
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/06 , A61B17/064 , A61B17/11 , A61B17/04
CPC分类号： A61B17/064 , A61B17/06 , A61B17/11 , A61B2017/06052 , A61B2017/06076 , A61B2017/0649
摘要： A guide is used to position a suture spring device in anatomical tissue in an elastically deformed, expanded state and is subsequently removed to permit the suture spring device to move from the elastically deformed, expanded state toward a relaxed, contracted state to apply a predetermined compression to the tissue engaged by the device. In one embodiment, the guide includes a hollow, tubular body of coiled configuration defining a plurality of connected coils or rings with a predetermined radius of curvature and a predetermined axial spacing therebetween. The suture spring device includes an elastic body which is of coiled configuration in the contracted state to define a single ring, a portion of a ring or a plurality of connected rings having a radius of curvature and/or axial spacing in the relaxed, contracted state which is smaller than the predetermined radius of curvature and/or axial spacing of the guide so that, when the suture spring device is disposed within the guide, it is maintained in an elastically deformed, expanded state for positioning in anatomical tissue.
摘要翻译：引导件用于将解剖组织中的缝线弹簧装置定位在弹性变形的膨胀状态中，并且随后被移除以允许缝合线弹簧装置从弹性变形的膨胀状态朝向松弛的收缩状态移动以施加预定的压缩到由装置接合的组织。在一个实施例中，引导件包括中空的管状体，其形成具有预定的曲率半径和在它们之间的预定的轴向间隔的多个连接的线圈或环。缝合弹簧装置包括弹性体，该弹性体在收缩状态下具有盘绕构型以限定单个环，环的一部分或多个连接的环，其在松弛的收缩状态中具有曲率半径和/或轴向间隔其小于所述引导件的预定曲率半径和/或轴向间隔，使得当所述缝合线弹簧装置设置在所述引导件内时，所述引导件保持在弹性变形的膨胀状态以用于定位在解剖组织中。

9. 发明授权

US5800342A Method of endotracheal intubation 失效
标题翻译：气管插管方法
公开(公告)号：US5800342A
公开(公告)日：1998-09-01
申请号：US768223
申请日：1996-12-17
申请人： Jai S. Lee , InBae Yoon
发明人： Jai S. Lee , InBae Yoon
IPC分类号： A61B1/267 , A61B1/303 , A61B1/32 , A61B1/04
CPC分类号： A61B1/2676 , A61B1/303 , A61B1/32 , A61B1/06 , A61B1/2673 , A61B2017/291
摘要： An endoscopic instrument for controlled introduction of tubular members in the body includes a blade assembly having a blade for being introduced in the body to retract or manipulate anatomical tissue for introduction of a tubular member at a site in the body, a tubular member assembly having a tubular member with a distal end for being introduced at the site in the body and a remote viewing assembly having a distal end for being positioned in the body to permit introduction of the tubular member at the site in the body to be confirmed visually at a location remote from the site in the body. The distal end of the tubular member and the distal end of the remote viewing device are movable along the blade to introduce the tubular member distal end at the site in the body. A method of introducing a tubular member at a site in the body includes the steps of inserting a blade of an instrument in the body, retracting anatomical tissue with the blade, moving a distal end of a tubular member of the instrument distally along the blade to introduce the distal end of the tubular member at the site in the body and visualizing introduction of the tubular member at the site in the body with a remote viewing device from a location remote from the site in the body.
摘要翻译：用于在体内受控引入管状构件的内窥镜仪器包括具有刀片的刀片组件，用于引入到主体中以缩回或操纵解剖组织以便在体内的部位引入管状构件;管状构件组件，其具有具有远端的管状构件，用于引导到身体中的位置;以及远程观察组件，其具有远端，用于定位在身体中，以允许将管状构件引入体内的位置，以在目视上确认位置远离身体的部位。管状构件的远端和远程观察装置的远端可沿刀片移动，以将管状构件远端引入体内的位置。将管状构件引入体内的部位的方法包括以下步骤：将器械的刀片插入体内，用刀片收回解剖组织，沿着刀片向远侧移动器械的管状构件的远端向将管状构件的远端引导到体内的位置，并从远离身体部位的位置用远程观察装置可视化地引导体内现场的管状构件。

10. 发明授权

US5779680A Retractable safety needle instrument with movable safety member 失效
标题翻译：带可动安全件的可伸缩安全针头乐器
公开(公告)号：US5779680A
公开(公告)日：1998-07-14
申请号：US371687
申请日：1995-01-13
申请人： InBae Yoon
发明人： InBae Yoon
IPC分类号： A61B17/00 , A61B17/34 , A61B19/00 , A61M5/178
CPC分类号： A61B17/3496 , A61B17/3417 , A61B2017/00477 , A61B2017/3484 , A61B2090/08021 , A61B2090/0811
摘要： A safety needle instrument for establishing a portal in the wall of an anatomical cavity includes a housing, a cannula either fixed to the housing or distally-biased and movable relative to the housing between an extended rest position and a proximally spaced retracted position, a needle disposed within the cannula and movable relative to the cannula between an extended position where a distal end of the needle protrudes distally from a distal end of the cannula and a retracted position proximally spaced from the extended position, a distally-biased safety shield disposed between the cannula and the needle and movable relative to the needle between an extended safety shield rest position protecting the needle distal end when the needle is retracted and a safety shield retracted position exposing the needle distal end when the needle is extended, a retracting mechanism for moving the needle from the needle extended position to the needle retracted position, a handle or knob for manually moving the needle from the needle retracted position to the needle extended position, a locking mechanism for locking the needle in the needle extended position, and a releasing mechanism responsive to penetration of the safety needle instrument into the anatomical cavity.
摘要翻译：用于在解剖腔体的壁中建立入口的安全针器械包括壳体，套管，其固定到壳体或远侧偏置并且可相对于壳体在延伸的静止位置和近端间隔缩回位置之间移动，针设置在套管内并且可相对于套管移动，其在针的远端从插管的远端向远侧突出的延伸位置和与伸出位置向近侧间隔的缩回位置之间移动，远侧偏置的安全屏蔽套管和针头，并且当针被缩回时保护针头末端的延伸的安全屏蔽静止位置和当针伸出时暴露针头末端的安全屏蔽缩回位置之间相对于针可移动;缩回机构，针从针延伸位置到针缩回位置，手柄或旋钮手动将针从针缩回位置移动到针延伸位置，用于将针锁定在针延伸位置的锁定机构，以及响应于安全针器械穿透到解剖腔中的释放机构。

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