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    Method of endoscopically removing tissue
    1.
    发明授权
    Method of endoscopically removing tissue 有权
    内窥镜去除组织的方法

    公开(公告)号：US09402645B2

    公开(公告)日：2016-08-02

    申请号：US13596782

    申请日：2012-08-28

    Applicant: Gerould W. Norman ,  Dale E. Slenker ,  Kenneth M. Adams ,  John T. Cleveland

    Inventor： Gerould W. Norman ,  Dale E. Slenker ,  Kenneth M. Adams ,  John T. Cleveland

    IPC: A61B17/32 ,  A61B17/29

    CPC classification number: A61B17/32002 ,  A61B2017/2904 ,  A61B2017/291 ,  A61B2017/2923 ,  A61B2017/2924 ,  A61B2017/2927

    Abstract: A method of endoscopically removing tissue including providing a surgical cutting instrument including a first elongated member having a cutting tip, a second tubular member forming a cutting window, and a handpiece. The first elongated member is co-axially disposed within the second tubular member such that the cutting tip is exposed at the cutting window and combines to define a cutting implement. The first and second members are coupled to the handpiece. The method includes grasping the handpiece, deploying the instrument such that the cutting implement is adjacent a target site with the cutting window positioned at a first spatial orientation relative to the handpiece, rotating the cutting window relative to the handpiece such that the cutting window is positioned at a second spatial orientation, and moving the first elongated member relative to the second tubular member such that the cutting tip removes tissue from the target site.

    Abstract translation: 一种内窥镜去除组织的方法，包括提供外科切割器械，其包括具有切割尖端的第一细长构件，形成切割窗口的第二管状构件和手持件。 第一细长构件共同地设置在第二管状构件内，使得切割尖端在切割窗处露出并组合以限定切割工具。 第一和第二构件联接到手持件。 该方法包括握持手持件，展开仪器，使得切割工具相邻于目标位置，其中切割窗口相对于手持件定位在第一空间方位，使切割窗相对于手持件旋转，使得切割窗口定位 并且相对于第二管状构件移动第一细长构件，使得切割尖端从目标部位移除组织。

    Surgical cutting instrument
    3.
    发明授权
    Surgical cutting instrument 有权
    手术切割仪器

    公开(公告)号：US08277474B2

    公开(公告)日：2012-10-02

    申请号：US10854020

    申请日：2004-05-26

    Applicant: Gerould W. Norman ,  Dale E. Slenker ,  Kenneth M. Adams ,  John T. Cleveland

    Inventor： Gerould W. Norman ,  Dale E. Slenker ,  Kenneth M. Adams ,  John T. Cleveland

    IPC: A61B17/32

    CPC classification number: A61B17/32002 ,  A61B2017/2904 ,  A61B2017/291 ,  A61B2017/2923 ,  A61B2017/2924 ,  A61B2017/2927

    Abstract: A surgical cutting instrument including a first elongated member, a second tubular member, a handpiece, a first hub, a second hub, and an actuator assembly. The first tubular member has cutting tip and is co-axially disposed within the second tubular member such that the cutting tip is exposed at a cutting window. The first hub is mounted to the first tubular member and is moveably coupled to the handpiece. The second hub is mounted to the second tubular member and defines a hub axis. The actuator assembly rotatably couples the second hub to the handpiece and includes an actuator. Movement of the actuator is translated to rotational movement of the second hub so as to effectuate spatial rotation of the cutting window. In this regard, the actuator movement is not co-axial with the hub axis.

    Abstract translation: 一种外科切割器械，包括第一细长构件，第二管状构件，手持件，第一毂，第二毂和致动器组件。 第一管状构件具有切割尖端并且同轴地设置在第二管状构件内，使得切割尖端在切割窗处露出。 第一毂被安装到第一管状构件上并且可移动地联接到手持件。 第二轮毂安装到第二管状构件并且限定轮毂轴线。 致动器组件将第二轮毂可旋转地联接到手持件并且包括致动器。 致动器的移动被转换为第二轮毂的旋转运动，以便实现切割窗的空间旋转。 在这方面，致动器运动不与轮毂轴线同轴。

    METHOD OF ENDOSCOPICALLY REMOVING TISSUE
    4.
    发明申请
    METHOD OF ENDOSCOPICALLY REMOVING TISSUE 审中-公开
    内分泌去除组织的方法

    公开(公告)号：US20130012972A1

    公开(公告)日：2013-01-10

    申请号：US13596782

    申请日：2012-08-28

    Applicant: Gerould W. Norman ,  Dale E. Slenker ,  Kenneth M. Adams ,  John T. Cleveland

    Inventor： Gerould W. Norman ,  Dale E. Slenker ,  Kenneth M. Adams ,  John T. Cleveland

    IPC: A61B17/32

    CPC classification number: A61B17/32002 ,  A61B2017/2904 ,  A61B2017/291 ,  A61B2017/2923 ,  A61B2017/2924 ,  A61B2017/2927

    Abstract: A method of endoscopically removing tissue including providing a surgical cutting instrument including a first elongated member having a cutting tip, a second tubular member forming a cutting window, and a handpiece. The first elongated member is co-axially disposed within the second tubular member such that the cutting tip is exposed at the cutting window and combines to define a cutting implement. The first and second members are coupled to the handpiece. The method includes grasping the handpiece, deploying the instrument such that the cutting implement is adjacent a target site with the cutting window positioned at a first spatial orientation relative to the handpiece, rotating the cutting window relative to the handpiece such that the cutting window is positioned at a second spatial orientation, and moving the first elongated member relative to the second tubular member such that the cutting tip removes tissue from the target site.

    Abstract translation: 一种内窥镜去除组织的方法，包括提供外科切割器械，其包括具有切割尖端的第一细长构件，形成切割窗口的第二管状构件和手持件。 第一细长构件共同地设置在第二管状构件内，使得切割尖端在切割窗处露出并组合以限定切割工具。 第一和第二构件联接到手持件。 该方法包括握持手持件，展开仪器，使得切割工具相邻于目标位置，其中切割窗口相对于手持件定位在第一空间方位，使切割窗相对于手持件旋转，使得切割窗口定位 并且相对于第二管状构件移动第一细长构件，使得切割尖端从目标部位移除组织。

    Systems and methods for biofilm removal, including a biofilm removal endoscope for use therewith
    5.
    发明授权
    Systems and methods for biofilm removal, including a biofilm removal endoscope for use therewith 有权
    用于生物膜去除的系统和方法，包括与其一起使用的生物膜去除内窥镜

    公开(公告)号：US08206349B2

    公开(公告)日：2012-06-26

    申请号：US11680781

    申请日：2007-03-01

    Applicant: Dale E. Slenker ,  Cecil O. Lewis ,  Gerould W. Norman ,  John R. Prisco

    Inventor： Dale E. Slenker ,  Cecil O. Lewis ,  Gerould W. Norman ,  John R. Prisco

    IPC: A61B1/04

    CPC classification number: A61B17/3203 ,  A61B1/00091 ,  A61B1/012 ,  A61B1/0125 ,  A61B1/015 ,  A61B1/12 ,  A61B1/227 ,  A61B1/233 ,  A61M1/0039

    Abstract: Systems and methods of removing bacterial biofilm from a target site using a biofilm removal endoscope. The endoscope has an insertion portion including an imaging channel terminating at a viewing window and an irrigation channel terminating at a nozzle. The imaging and irrigation channels are permanently affixed relative to one another. The insertion portion is inserted into the patient, with a working end thereof being disposed proximate the target site. The target site is imaged and a flow of fluid is dispensed via the nozzle to mechanically remove bacterial biofilm from the target site.

    Abstract translation: 使用生物膜去除内窥镜从靶位点去除细菌生物膜的系统和方法。 内窥镜具有包括终端于观察窗口的成像通道和终止于喷嘴的冲洗通道的插入部分。 成像和灌溉通道相对于彼此永久地固定。 插入部分被插入患者体内，其工作端设置在目标部位附近。 成像目标部位，并通过喷嘴分配流体流，以从目标部位机械去除细菌生物膜。

    SYSTEMS AND METHODS FOR BIOFILM REMOVAL, INCLUDING A BIOFILM REMOVAL ENDOSCOPE FOR USE THEREWITH
    6.
    发明申请
    SYSTEMS AND METHODS FOR BIOFILM REMOVAL, INCLUDING A BIOFILM REMOVAL ENDOSCOPE FOR USE THEREWITH 有权
    用于生物膜去除的系统和方法，包括用于其中的生物膜去除内窥镜

    公开(公告)号：US20080214891A1

    公开(公告)日：2008-09-04

    申请号：US11680781

    申请日：2007-03-01

    Applicant: Dale E. Slenker ,  Cecil O. Lewis ,  Gerould W. Norman ,  John R. Prisco

    Inventor： Dale E. Slenker ,  Cecil O. Lewis ,  Gerould W. Norman ,  John R. Prisco

    IPC: A61B1/04

    CPC classification number: A61B17/3203 ,  A61B1/00091 ,  A61B1/012 ,  A61B1/0125 ,  A61B1/015 ,  A61B1/12 ,  A61B1/227 ,  A61B1/233 ,  A61M1/0039

    Abstract: Systems and methods of removing bacterial biofilm from a target site using a biofilm removal endoscope. The endoscope has an insertion portion including an imaging channel terminating at a viewing window and an irrigation channel terminating at a nozzle. The imaging and irrigation channels are permanently affixed relative to one another. The insertion portion is inserted into the patient, with a working end thereof being disposed proximate the target site. The target site is imaged and a flow of fluid is dispensed via the nozzle to mechanically remove bacterial biofilm from the target site.

    Abstract translation: 使用生物膜去除内窥镜从靶位点去除细菌生物膜的系统和方法。 内窥镜具有包括终端于观察窗口的成像通道和终止于喷嘴的冲洗通道的插入部分。 成像和灌溉通道相对于彼此永久地固定。 插入部分被插入患者体内，其工作端设置在目标部位附近。 成像目标部位，并通过喷嘴分配流体流，以从靶位置机械去除细菌生物膜。

    SURGICAL INSTRUMENT, SYSTEM, AND METHOD FOR FRONTAL SINUS IRRIGATION
    8.
    发明申请
    SURGICAL INSTRUMENT, SYSTEM, AND METHOD FOR FRONTAL SINUS IRRIGATION 有权
    手术仪器，系统和方法正在进行灌注

    公开(公告)号：US20090270796A1

    公开(公告)日：2009-10-29

    申请号：US12111804

    申请日：2008-04-29

    Applicant: Isaac C. Perry ,  John R. Prisco ,  Dale E. Slenker

    Inventor： Isaac C. Perry ,  John R. Prisco ,  Dale E. Slenker

    IPC: A61M1/00 ,  A61M31/00 ,  A61B1/00

    CPC classification number: A61M3/0279 ,  A61B1/233 ,  A61M3/0216 ,  A61M3/0233 ,  A61M3/025 ,  A61M3/0258 ,  A61M31/00 ,  A61M2206/16 ,  A61M2210/0618 ,  A61M2210/0681

    Abstract: A surgical instrument for irrigating a frontal sinus target site of a patient including a handle, an introducer, an irrigation channel, a nozzle, and an actuator assembly. The introducer extends from the handle and defines a proximal segment and a distal segment. At least a portion of the proximal segment is linear and at least a portion of the distal segment is relatively curved. The nozzle is fluidly connected to the irrigation channel, and is rotatably maintained at a distal end of the introducer. The actuator assembly includes an actuator maintained by the handle and connected to the nozzle. Movement of the actuator causes the nozzle to rotate relative to the introducer. The introducer can be sized and shaped in accordance with a size and shape of the nasal passageway/frontal sinus of a human adult.

    Abstract translation: 一种用于冲洗患者的额窦靶部位的手术器械，包括手柄，导引器，冲洗通道，喷嘴和致动器组件。 导引器从手柄延伸并且限定近端段和远端段。 近端段的至少一部分是线性的，远端段的至少一部分是相对弯曲的。 喷嘴流体地连接到冲洗通道，并且可旋转地保持在导引器的远端。 致动器组件包括由手柄保持并连接到喷嘴的致动器。 致动器的运动导致喷嘴相对于导引器旋转。 导引器可以根据人类成年人的鼻通道/额窦的大小和形状来定尺寸和成形。

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