公开(公告)号：US20100087798A1

公开(公告)日：2010-04-08

申请号：US12565620

申请日：2009-09-23

Applicant: RONALD DAVID ADAMS ,  WILLIAM HARWICK GRUBER

Inventor： RONALD DAVID ADAMS ,  WILLIAM HARWICK GRUBER

IPC: A61M31/00

CPC classification number: A61K9/0034 ,  A61B1/303 ,  A61B17/22004 ,  A61B17/22012 ,  A61B17/2202 ,  A61B17/320758 ,  A61B17/320783 ,  A61B17/42 ,  A61B17/4241 ,  A61B18/02 ,  A61B18/14 ,  A61B18/20 ,  A61B34/73 ,  A61B90/361 ,  A61B90/39 ,  A61B2017/00075 ,  A61B2017/00685 ,  A61B2017/00876 ,  A61B2017/22067 ,  A61B2017/22069 ,  A61B2017/320775 ,  A61B2017/4216 ,  A61B2017/4225 ,  A61B2017/4233 ,  A61B2034/2051 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/304 ,  A61B2090/309 ,  A61B2090/373 ,  A61B2090/378 ,  A61B2090/3954 ,  A61F6/204 ,  A61F6/208 ,  A61F6/225 ,  A61M29/02 ,  A61M31/00 ,  A61M2025/105

Abstract: Systems, methods, apparatus and devices for performing improved gynecologic and urologic procedures using a flowable distension media are disclosed. The system and devices provide simplified use and reduced risk of adverse events. Patient benefit is achieved through improved outcomes, reduced pain, especially peri-procedural pain, and reduced recovery times. The various embodiments enable procedures to be performed outside the hospital setting, such as in a doctor's office or clinic.

Abstract translation: 公开了使用可流动膨胀介质进行改进的妇科和泌尿手术的系统，方法，装置和装置。 系统和设备提供简单的使用和降低不良事件的风险。 通过改善结果，减轻疼痛，特别是围手术期疼痛，减少恢复时间，实现患者收益。 各种实施例使得在医院设置之外执行程序，例如在医生的办公室或诊所中。

公开(公告)号：US4877028A

公开(公告)日：1989-10-31

申请号：US223682

申请日：1988-07-25

Applicant: Jeffrey Sandhaus

Inventor： Jeffrey Sandhaus

IPC: A61F6/20

CPC classification number: A61F6/204

Abstract: Apparatus for accomplishing the permanent placement of a lockable clip around a target vessel to interrupt the continuity of the same in a rapid, safe and minimally invasive manner. The apparatus includes a trocar obturator and a hollow member in which the open locking clip is enclosed for delivery to a position proximate to the vas whereupon the trocar obturator is retracted such that the clip is locked onto the vessel to effect occlusion.

Abstract translation: 用于实现可锁定夹子围绕目标血管永久性放置以便以快速，安全和微创方式中断其连续性的装置。 该装置包括套管针闭塞器和中空构件，其中打开的锁定夹被封闭，以将其传送到接近血管的位置，于是套管针闭塞器缩回，使得夹子锁定在容器上以实现闭塞。

公开(公告)号：US4817602A

公开(公告)日：1989-04-04

申请号：US822376

申请日：1986-01-27

Applicant: Dan Beraha

Inventor： Dan Beraha

IPC: A61B17/32 ,  A61F6/20 ,  A61B17/12

CPC classification number: A61F6/206 ,  A61F6/204 ,  A61B17/32

Abstract: A disposable vasectomy instrument is provided having a body portion and an insertable module. The body portion includes a jaw portion having a lower fixed jaw and an upper movable jaw into which the module is inserted. The module includes a cutting block having two spaced apart blades and a pair of ligature clips disposed on either side of the blades. The movable jaw is controlled by the operator to simultaneously move the blades forward and close the ligature clips. The physician isolates the vas deferense, engages it within the ligature clips and adjacent the blades. The movable jaw is operated, cutting out a segment of the vas deferens and closing the ligature clips on each severed end of the vas deferens. A separate module is provided for each vas deferens of the patient.

Abstract translation: 提供一次性输精管切除仪器，其具有主体部分和可插入模块。 主体部分包括具有下固定夹爪和上活动夹爪的夹爪部分，模块插入其中。 模块包括具有两个间隔开的叶片的切割块和设置在叶片两侧的一对连接夹。 可移动的钳口由操作者控制，以同时向前移动刀片并关闭扎带夹。 医师隔离血管扩张，将其接合在扎带夹内并与叶片相邻。 操作可动钳口，切出输精管的一部分，并关闭输精管每个切断端的连接夹。 为患者的每个输精管提供单独的模块。

公开(公告)号：US4394864A

公开(公告)日：1983-07-26

申请号：US254393

申请日：1981-04-15

Applicant: Jeffrey Sandhaus

Inventor： Jeffrey Sandhaus

IPC: A61F6/20 ,  A61B17/12 ,  A61B17/28

CPC classification number: A61F6/204 ,  A61F6/206

Abstract: Apparatus for accomplishing the permanent placement of a silicone locking clip having dentate edges around the vas deferens to interrupt the continuity of the same in a rapid, safe and minimally invasive manner. The apparatus includes a trocar-type instrument in which the locking clip is enclosed for delivery to a position proximate to the vas whereupon the jaw members of the trocar-type instrument are opened whereby the clip is opened to an extent such that the vas is receivable therein whereupon the jaw members are closed to lock the clip onto the vas to occlude the same.

Abstract translation: 用于完成在输精管周围具有齿状边缘的永久性放置永久性放置的装置，以快速，安全和微创的方式中断其连续性。 该装置包括套管针式仪器，其中锁定夹被封闭以便输送到接近血管的位置，于是套管针式仪器的钳口构件打开，由此夹子打开到可接收血管的程度 其中闭合钳口构件以将夹子锁定在血管上以阻塞其上。

公开(公告)号：US4273129A

公开(公告)日：1981-06-16

申请号：US50454

申请日：1979-06-20

Applicant: Manfred Boebel

Inventor： Manfred Boebel

IPC: A61B17/12 ,  A61F6/20

CPC classification number: A61B17/12 ,  A61F6/204

Abstract: This invention relates to forceps for applying a clip to a Fallopian tube. The clip is in one piece and made of a somewhat flexible plastics material. It has two separable arms which are connected by a flexible strip: one of these arms has a catch recess in a free end thereof to face the strip, into which recess the end of one of said spring arms is pressable by elastic deformation.According to the invention the forceps have an outer shaft to receive the clip open in a distal cut-out with the straight arm extended; the forceps additionally comprise two proximal handle members for opening and closing and consisting of a pivotally arranged two-armed closing lever. One arm of this closing lever has a distal flat face flush with the outer shaft so the forceps may be inserted through an outer trocar tube. Abutting against the straight clip arm and proximally in front of it is a projection; the other arm of the two-armed lever is pivotally connected to a rod which is axially stopped with respect to the pivot bearing of the closing lever by a proximal handle members and is distally movable and then is distally movable with the pivot bearing so that the projection of the closing lever becomes aligned against the straight clip arm and so that, by leaving the closing lever bearing in position, the rod is proximally movable to close the clip.

Abstract translation: 本发明涉及用于将夹子施加到输卵管的镊子。 夹子是一体的，由柔软的塑料制成。 它具有两个可分开的臂，它们通过柔性带连接：这些臂中的一个臂在其自由端具有一个与该条带相对的卡止凹槽，弹簧臂中的一个弹性臂的端部通过弹性变形被压入该凹槽中。 根据本发明，钳子具有外轴，以在直臂延伸的远端切口中接收夹子; 镊子还包括用于打开和关闭的两个近侧手柄构件，并且由可枢转布置的双臂关闭杆组成。 该关闭杆的一个臂具有与外轴平齐的远侧平面，因此镊子可以穿过外套针管插入。 靠近直夹臂并在其前方向近侧突出; 双臂杆的另一个臂枢转地连接到杆，该杆通过近侧手柄构件相对于关闭杆的枢转轴承轴向停止，并且可远离地移动，然后使其与枢转轴承向远侧移动，使得 关闭杆的突出部分与直的夹臂对准，从而通过使闭合杆支承件保持在适当位置，杆向近侧可移动以关闭夹子。

公开(公告)号：US3882854A

公开(公告)日：1975-05-13

申请号：US39086173

申请日：1973-08-23

Applicant: RESEARCH CORP

Inventor： HULKA JAROSLAV FABIAN ,  CLEMENS GEORGE SELDEN

IPC: A61B1/303 ,  A61B17/128 ,  A61F6/20 ,  A61B17/12 ,  A61B17/08 ,  A61B17/10

CPC classification number: A61B1/303 ,  A61B17/1285 ,  A61F6/204

Abstract: A surgical clip, particularly adapted to produce necrosis in Fallopian tube tissue, consists of jaws hinged adjacent one end and a U-shaped spring which holds the jaws open in one position and exerts a closing pressure on the jaws in another position. The clip is particularly adapted to be applied to tube tissue, through a laparoscope designed to have a pair of slidable actuators one of which closes the clip jaws and assists in retaining the clip in proper location at the distal end of the laparoscope and the other actuator is adapted to position the Ushaped spring in the jaw closing position.

Abstract translation: 特别适合于在输卵管组织中产生坏死的手术夹子由在一端铰接的夹爪和U形弹簧构成，U形弹簧将夹钳保持在一个位置，并在另一位置上对钳口施加闭合压力。 该夹子特别适用于通过腹腔镜应用于管组织，该腹腔镜设计成具有一对可滑动的致动器，其中一个致动器闭合夹爪，并有助于将夹子保持在腹腔镜远端的适当位置，另一个致动器 适于将U形弹簧定位在钳口关闭位置。

公开(公告)号：US20160106467A1

公开(公告)日：2016-04-21

申请号：US14879568

申请日：2015-10-09

Applicant: Cook Medical Technologies LLC

Inventor： John M. O'Brien ,  Jorge Jiminez-Rios ,  Lyle Hundley ,  Kate Duncan ,  Melissa Dale ,  Matthew J. Terwiske

IPC: A61B17/44

CPC classification number: A61B17/442 ,  A61B17/12 ,  A61B17/42 ,  A61B2017/4216 ,  A61B2017/4225 ,  A61F6/202 ,  A61F6/204

Abstract: A medical device for interacting with a patient's cervix is provided. The device includes a grasper configured to allow gripping and compression of a patient's cervix when disposed proximate a patient's cervix and an elongate catheter comprising a distal portion that is selectively releasably connectable to the grasper. The grasper is adapted to interact with at least a portion of a patient's cervix when deployed, and a flexible member that extends from a first end portion of the grasper, with a proximal end portion retained by the grasper and an opposite distal end portion extending away from the grasper to a distal tip.

Abstract translation: 提供了用于与患者子宫颈相互作用的医疗装置。 该装置包括构造成当设置在患者的子宫颈附近时能够夹持和压缩患者子宫颈的抓紧器，以及包括可选择性地可释放地连接到抓紧器的远侧部分的细长导管。 抓紧器适于在部署时与患者的子宫颈的至少一部分相互作用，以及柔性构件，其从抓紧器的第一端部延伸，其中近端部分由抓紧器保持，并且相对的远端部分延伸远离 从抓紧器到远端。

公开(公告)号：US20150359538A1

公开(公告)日：2015-12-17

申请号：US14738985

申请日：2015-06-15

Applicant: New Life Innovations LLC

Inventor： Stanley D. Yeatts, II

IPC: A61B17/122 ,  A61B17/128

CPC classification number: A61B17/122 ,  A61B17/128 ,  A61B2017/1225 ,  A61B2017/320052 ,  A61F6/204 ,  A61F6/206

Abstract: A device for clamping and severing a compressible structure includes a clamp assembly and a cutting assembly. The clamp assembly has first second identical clamps coupled together to define a gap therebetween with posts spanning the gap. Each clamp has a pair of arms hingedly coupled to one another at first ends thereof and lockable to one another at second ends thereof. The clamp assembly defines an open position when the second ends of the arms are separated from one another and a clamped position when the second ends of the arms are locked to one another. The cutting assembly supports the clamp assembly in its open position and places the clamp assembly in its clamped position. The cutting assembly includes a convexly-curved cutting blade that passes through the clamp assembly's gap when the clamp assembly is in its closed position to cut through the posts spanning the gap.

Abstract translation: 用于夹紧和切断可压缩结构的装置包括夹具组件和切割组件。 夹具组件具有联接在一起的第一第二相同夹具，以在其间形成跨过间隙的柱之间的间隙。 每个夹具具有一对臂，其在其第一端铰链地彼此铰接，并且在其第二端可彼此锁定。 当臂的第二端彼此分离并且当臂的第二端彼此锁定时，夹紧组件限定打开位置。 切割组件将夹具组件支撑在其打开位置，并将夹具组件放置在其夹紧位置。 切割组件包括凸形弯曲的切割刀片，当夹具组件处于其关闭位置时，该切割刀片穿过夹具组件的间隙，以穿过横跨间隙的柱。

公开(公告)号：US20130144313A1

公开(公告)日：2013-06-06

申请号：US13689499

申请日：2012-11-29

Applicant: Alfred E. Mann Institute for Biomedical Engineering at the University of Southern California

Inventor： Ricardo G. Hahn ,  Afshin Nadershahi ,  Sudeep Deshpande

IPC: A61F6/20 ,  A61B17/128 ,  A61B17/28

CPC classification number: A61B17/282 ,  A61B17/128 ,  A61B2017/00265 ,  A61B2017/2837 ,  A61F6/202 ,  A61F6/204 ,  A61F6/206

Abstract: This application presents a bifurcated, optimally-angled surgical forceps. In one example, this surgical forceps may enable a more natural maneuver for initial clamping of the vas deferens through the scrotal skin. This may be more comfortable for users and easier to maintain, and may provide greater tactile surface contact between the thumb and vas deferens. This device also may provide the surgeon with an entire segment of vas deferens upon which the vasectomy may be performed, thus reducing the need for frequent repositioning of instruments. The device may also be applied to other surgical procedures that may benefit from the features of the device and where a section of a tubular anatomical structure may need clamping at two points along its length. Examples include blood and lymphatic vessels, ducts of the digestive system, and large nerves or nerve bundles.

公开(公告)号：US5788716A

公开(公告)日：1998-08-04

申请号：US782278

申请日：1997-01-13

Applicant: Myles S. Kobren ,  Joseph C. Segen

Inventor： Myles S. Kobren ,  Joseph C. Segen

IPC: A61B17/122 ,  A61B17/128 ,  A61B17/42 ,  A61F6/20 ,  A61B17/04

CPC classification number: A61F6/204 ,  A61B17/122 ,  A61B17/1285 ,  A61B2017/4233

Abstract: A laparoscopic surgical instrument to perform tubular ligation of the Fallopian tube includes a handle grip to be held by the surgeon. A finger grip is used to slide a body member on a rod fixed to the handle and to squeeze a staple onto the Fallopian tube. A forceps, operated by a button on the handle, pulls up the Fallopian tube and holds a segment of the tube, as a biopsy sample, after it has been severed.

Abstract translation: 用于执行输卵管的管状结扎的腹腔镜手术器械包括由外科医生保持的手柄。 使用手指把手将身体部件滑动到固定在手柄上的杆上，并将钉子挤压到输卵管上。 由手柄上的按钮操作的镊子在切断之后拉起输卵管并保持管的一段作为活检样本。