公开(公告)号：US07367939B2

公开(公告)日：2008-05-06

申请号：US10867395

申请日：2004-06-14

申请人： Kevin W. Smith ,  Jose Luis Francese ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

发明人： Kevin W. Smith ,  Jose Luis Francese ,  Juergen A. Kortenbach ,  Robert Sixto, Jr.

IPC分类号： A61B1/00

CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

摘要： A flexible endoscopic dip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 柔性内窥镜浸渍器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US07070602B2

公开(公告)日：2006-07-04

申请号：US10010908

申请日：2001-12-06

申请人： Kevin W. Smith ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Charles R. Slater

发明人： Kevin W. Smith ,  Robert Sixto, Jr. ,  Juergen A. Kortenbach ,  Charles R. Slater

IPC分类号： A61B17/04

CPC分类号： G01B7/10 ,  A61B17/0644 ,  A61B17/122 ,  A61B17/1285 ,  A61B2017/2905 ,  A61B2017/2946 ,  A61B2017/320064 ,  Y10T24/44752

摘要： A flexible clip applier includes a flat wire wound outer tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A large pushing force to advance a clip is created by providing a compressive force to the outer tubular coil to increase its tensile limitation, and providing a force which is compressive to the clip-advancing wire and tensile to the tubular coil while maintaining the compressive force on the tubular coil.

公开(公告)号：US06824548B2

公开(公告)日：2004-11-30

申请号：US10010906

申请日：2001-12-06

申请人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr. ,  Charles R. Slater

发明人： Kevin W. Smith ,  Juergen A. Kortenbach ,  Robert Sixto, Jr. ,  Charles R. Slater

IPC分类号： A61B1704

CPC分类号： G01B7/10 ,  A61B17/0644 ,  A61B17/122 ,  A61B17/1285 ,  A61B2017/2905 ,  A61B2017/2946 ,  A61B2017/320064 ,  Y10T24/44752

摘要： A flexible clip applier includes a flat wire wound tubular coil, a pair of jaws at the end of the coil, end effector wires extending through the coil and coupled to the jaws, and a clip-advancing wire extending through the coil. A clip chamber is defined in the distal end of the coil. A clip pusher is provided at a distal end of the clip-advancing wire, and advances a clip into the jaws when the clip-advancing wire is moved distally. The jaws include channels in which a distalmost clip rides when the jaws are closed and the pusher is advanced, thereby causing the distalmost clip to be pushed over the tissue, and a distal anvil which operate to bend a portion of the clip to facilitate its retention on the clamped tissue. The device can push a clip with a force in excess of 1500 grams.

摘要翻译： 柔性施夹器包括扁平绕线管状线圈，线圈端部的一对钳口，延伸穿过线圈并连接到钳口的末端执行器线以及延伸穿过线圈的夹持线。 夹子室限定在线圈的远端。 夹子推进器设置在夹子前进线的远端处，并且当夹子前进的线向远侧移动时将夹子推进到夹爪中。 夹爪包括当夹爪闭合并且推动器前进时最远的夹子骑行的通道，从而使最远侧的夹子被推到组织上方，并且远端砧座用于弯曲夹子的一部分以便于其保持 在夹紧的组织上。 该装置可以用超过1500克的力推动夹子。