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1. 发明申请

WO2009124097A1 ELECTROSURGICAL SYSTEM 审中-公开
标题翻译：电磁系统
公开(公告)号：WO2009124097A1
公开(公告)日：2009-10-08
申请号：PCT/US2009/039046
申请日：2009-03-31
申请人： APPLIED MEDICAL RESOURCES CORPORATION , FALKENSTEIN, Zoran , CAPPELLO, Christopher, J. , JOHNSON, Gary, M. , GIANNESCHI, Benjamin, A. , TRAN, Oliva, J. , WIXEY, Matthew, A. , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , YAWATA, Haruyasu , BRUSTAD, John, R. , COHEN, Adam, J. , HILAL, Nabil , BECERRA, Matthew, M. , PINGLETON, Edward, D. , HILAL, Said, S. , HART, Charles, C. , WIKOFF, Chris, R.
发明人： FALKENSTEIN, Zoran , CAPPELLO, Christopher, J. , JOHNSON, Gary, M. , GIANNESCHI, Benjamin, A. , TRAN, Oliva, J. , WIXEY, Matthew, A. , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , YAWATA, Haruyasu , BRUSTAD, John, R. , COHEN, Adam, J. , HILAL, Nabil , BECERRA, Matthew, M. , PINGLETON, Edward, D. , HILAL, Said, S. , HART, Charles, C. , WIKOFF, Chris, R.
IPC分类号： A61B17/285
CPC分类号： A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要： Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated. An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
摘要翻译：提供相位终点确定以自动停止向组织施加能量。在施加能量之前，通过测量待处理组织的介电常数和电导率的乘积来确定相位终点确定。电外科系统可以包括电外科发生器，反馈电路或控制器以及电外科手术工具。反馈电路可以通过确定待治疗的组织的相位终点来提供电外科终点。电外科系统可以包括多个用于不同电外科手术的电外科工具，并且可以包括各种用户界面特征和音频/视觉性能指标。电外科系统还可以为传统的双极电外科手术工具和直流手术器械提供电力。

2. 发明申请

WO2008128186A1 METHOD AND APPARATUS FOR TISSUE MORCELLATION 审中-公开
标题翻译：用于组织移植的方法和装置
公开(公告)号：WO2008128186A1
公开(公告)日：2008-10-23
申请号：PCT/US2008/060243
申请日：2008-04-14
申请人： APPLIED MEDICAL RESOURCES CORPORATION , PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , BECERRA, Matthew, M. , WIXEY, Matthew, A. , YAWATA, Haruyasu , JOHNSON, Gary, M. , FALKENSTEIN, Zoran , BRUSTAD, John, R. , HART, Charles, C.
发明人： PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , BECERRA, Matthew, M. , WIXEY, Matthew, A. , YAWATA, Haruyasu , JOHNSON, Gary, M. , FALKENSTEIN, Zoran , BRUSTAD, John, R. , HART, Charles, C.
IPC分类号： A61B17/32 , A61B17/14
CPC分类号： A61B17/32002 , A61B17/29 , A61B17/32053 , A61B90/361 , A61B2017/00902 , A61B2017/2948 , A61B2017/320024 , A61B2017/320775
摘要： The invention relates to a tissue morcellator for minimally invasive surgery. The morcellator has a metallic cutting ring mounted on a visually transparent hollow cylinder, which in combination with a visually transparent outer morcellator tube enables a surgeon to visualize the inside of the morcellator shaft for detection of loose tissue fragments in the device, A tenaculum used with the morceilation device has a spacer for preventing contact with the blade. The cutting tube can oscillate, rather than rotate, along the longitudinal axis of the cutting tube. The morcellator utilizes an extendable tissue guide on the outer tube of the morcellator shaft for preventing the tissue from rotating along the longitudinal axis of the morcellator tube. This allows the tissue to be continuously rotated into the morcellator device for continuous peel. The tissue guide can also be fully retracted to allow for coring of the bulk tissue.
摘要翻译：本发明涉及用于微创手术的组织移植器。旋转器具有安装在视觉上透明的中空圆柱体上的金属切割环，其与视觉上透明的外部致动器管组合，使得外科医生能够将morcellator轴的内部可视化，以检测装置中的松散的组织碎片。该光泽装置具有用于防止与叶片接触的间隔件。切割管可以沿着切割管的纵向轴线而摆动而不是旋转。 morcellator在morcellator轴的外管上使用可延伸的组织引导件，用于防止组织沿着morcellator管的纵向轴线旋转。这允许组织连续地旋转到morcellator装置中用于连续剥离。组织引导件也可以完全缩回以允许大块组织的取芯。

3. 发明申请

WO2012154845A1 WOUND RETRACTOR 审中-公开
标题翻译：绕线器
公开(公告)号：WO2012154845A1
公开(公告)日：2012-11-15
申请号：PCT/US2012/037111
申请日：2012-05-09
申请人： APPLIED MEDICAL RESOURCES CORPORATION , ALBRECHT, Jeremy, J. , HART, Charles, C. , NGUYEN, Eric , YAWATA, Haruyasu , HILAL, Nabil
发明人： ALBRECHT, Jeremy, J. , HART, Charles, C. , NGUYEN, Eric , YAWATA, Haruyasu , HILAL, Nabil
IPC分类号： A61B17/02 , A61B17/34
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B2017/0225 , A61B2017/0287
摘要： A retraction device for retracting an incision in a body wall includes a sheath that traverses through the incision from outside the body to a body cavity inside the body. The retraction device may include a deployable, adjustable frame that supports the sheath and that, together with the sheath, retracts the incision. The retraction device may include an outer ring and an inner ring coupled to opposing ends of the sheath and further include means to place the sheath in tension between the inner and outer rings, thereby retracting the incision.
摘要翻译：用于缩回体壁中的切口的缩回装置包括从身体外部穿过切口穿过体内的体腔的护套。缩回装置可以包括可展开的可调节框架，其支撑护套，并且与护套一起缩回切口。缩回装置可以包括外环和耦合到护套的相对端的内环，并且还包括用于将护套放置在内环和外环之间的张力的装置，从而缩回切口。

4. 发明申请

WO2004008944A2 CLIP APPLIER CARTRIDGE WITH INTERNAL RATCHET 审中-公开
标题翻译： CLIP APPLIER CARTRIDGE WITH INTERNAR RATCHET
公开(公告)号：WO2004008944A2
公开(公告)日：2004-01-29
申请号：PCT/US2003/022752
申请日：2003-07-21
申请人： APPLIED MEDICAL RESOURCES CORPORATION , YAWATA, Haruyasu , AHLBERG, Russel, E. , DOLENDO, Edward, E.
发明人： YAWATA, Haruyasu , AHLBERG, Russel, E. , DOLENDO, Edward, E.
IPC分类号： A61B
CPC分类号： A61B17/1285 , A61B17/068 , A61B17/0682 , A61B17/08 , A61B17/083 , A61B17/10 , A61B17/105 , A61B17/128 , A61B2017/0046
摘要： A clip applier for applying a surgical clip in a patient comprising a disposable cartridge and a reusable actuating mechanism. The cartridge includes an elongate tube having a proximal end and a distal end, a pair of opposing jaw members extending outwardly from the distal end of the elongate tube, and a one-way ratchet mechanism providing a full actuating stroke. The actuating mechanism is coupled to the proximal end of the elongate tube to move the jaw members between an open position and a closed position. The ratchet mechanism may be formed from injection molded plastic. The cartridge further comprises a push member for advancing the clip into the jaw members, a biasing spring for maintaining the push member against the clip, and a drive coupling operatively connected to a sliding ratchet pawl for engaging with mating teeth formed on an inner surface of the elongate tube, wherein the ratchet pawl includes a cantilever arm that engages with the mating teeth, and wherein the drive coupling provides a central connection of the ratchet pawl allowing pivoting and improved seating of the mating teeth. A method of applying a surgical clip to an object in a patient using the clip applier of the invention includes the steps of positioning the clip applier within the patient such that the jaw members are adjacent to the object to be clipped, closing the jaw members and the clip over the object, and removing the clip applier from the patient. 'The method may further comprise the steps of orienting the clip applier such that the jaw members pass over the object, manipulating the jaw members to move the object to a compressed state within the jaw members, advancing the clip over the object to maintain the object in the compressed state, and retracting a feeder to allow the next clip to be fed into the jaw members.
摘要翻译：一种用于在包括一次性药筒和可重复使用的致动机构的患者中施用手术夹子的施夹器。药筒包括具有近端和远端的细长管，从细长管的远端向外延伸的一对相对的钳口构件，以及提供完全致动行程的单向棘轮机构。致动机构联接到细长管的近端，以使夹爪构件在打开位置和关闭位置之间移动。棘轮机构可以由注模塑料形成。墨盒还包括用于将夹子推进到夹爪构件中的推动构件，用于将推动构件保持抵靠夹子的偏置弹簧，以及可操作地连接到滑动棘爪的驱动联接器，用于与形成在夹子的内表面上的配合齿接合所述细长管，其中所述棘爪包括与所述配合齿接合的悬臂，并且其中所述驱动联接器提供所述棘爪的中心连接，从而允许所述配合齿的枢转和改进的安置。使用本发明的施放器将外科夹子应用于患者物体的方法包括以下步骤：将夹具施放器定位在患者体内，使得钳口构件邻近要夹持的物体，闭合钳口构件和夹在物体上，并从患者身上移除夹子施放器。该方法可以进一步包括以下步骤：定位夹子施加器，使得钳口构件通过物体，操纵钳口构件以将物体移动到夹钳构件内的压缩状态，将夹子推进到物体上以保持物体处于压缩状态，并且缩回供料器以允许将下一个夹子送入钳口件中。

5. 发明申请

WO2007134341A2 STEERABLE SHEATH ACTUATOR 审中-公开
标题翻译：可转动的执行机构
公开(公告)号：WO2007134341A2
公开(公告)日：2007-11-22
申请号：PCT/US2007/069166
申请日：2007-05-17
申请人： APPLIED MEDICAL RESOURCES CORPORATION , SAKAKINE, Ghassan , YAWATA, Haruyasu
发明人： SAKAKINE, Ghassan , YAWATA, Haruyasu
IPC分类号： C22C1/02
CPC分类号： A61M25/0662 , A61M25/0045 , A61M25/0136 , A61M25/0138 , A61M25/0147
摘要： Provided is an actuator for a steerable sheath that provides some or all of the following features: operability with one hand, ergonomic and comfortable to use, accuracy during sheath tip positioning, positive locking mechanism to maintain sheath tip position, and a fastening device to secure the actuator to a surgical drape or other object
摘要翻译：提供了一种用于可转向护套的致动器，其提供以下特征中的一些或全部：一只手的可操作性，符合人体工程学且舒适的使用，鞘末端定位期间的精度，用于保持护套尖端位置的正锁定机构以及用于固定的紧固装置致动器到手术罩或其他物体

6. 发明申请

WO2004093943A2 SURGICAL CLAMP WITH IMPROVED TRACTION 审中-公开
标题翻译：手术钳具有改进的牵引力
公开(公告)号：WO2004093943A2
公开(公告)日：2004-11-04
申请号：PCT/US2004/008349
申请日：2004-03-17
申请人： APPLIED MEDICAL RESOURCES CORPORATION
发明人： HART, Charles, C. , YAWATA, Haruyasu , FISHBURN, Robert , GADBERRY, Donald, L. , CHI-SING, Eduardo
IPC分类号： A61M
CPC分类号： A61B17/122 , A61B17/28 , A61B2017/2808 , A61B2017/2825 , A61B2017/2829
摘要： A surgical clamp includes opposing jaws and a covering enhancing traction between the jaws and a body conduit. A multiplicity of fibers oriented to extend longitudinally between the clamp and conduit may be composed of filaments and either to woven or non-woven to form a fabric. A variety of weaves are contemplated to provide different textures, each having its own traction characteristics. The nature of the weave can control characteristics such as smoothness, absorption, and texture. The fibers or filaments may be formed from any solid or semi-solid material, adding its own characteristics to the resulting fabric insert or clamp.

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