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公开(公告)号:US08758236B2
公开(公告)日:2014-06-24
申请号:US13467825
申请日:2012-05-09
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。
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公开(公告)号:US08579894B2
公开(公告)日:2013-11-12
申请号:US12416751
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
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: An electrosurgical tool can be used to fuse tissue. The electrosurgical tool can include a jaw assembly, an elongate shaft, and a handle assembly. Actuation of the handle assembly can actuate the jaw assembly. The elongate shaft can be rotatable without disrupting electrical connection to the jaw assembly. The electrosurgical tool can include a cutting blade to separate fused tissue. The electrosurgical tool can also include a jaw assembly configuration or an exterior cutting electrode to improve surgical access with the tool.
摘要翻译: 可以使用电外科工具来熔合组织。 电外科手术工具可以包括钳口组件,细长轴和手柄组件。 手柄组件的致动可以致动钳口组件。 细长轴可以旋转而不中断与钳口组件的电连接。 电外科手术工具可以包括用于分离熔融组织的切割刀片。 电外科手术工具还可以包括钳口组件配置或外部切割电极,以利用该工具改善手术进入。
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公开(公告)号:US08568411B2
公开(公告)日:2013-10-29
申请号:US12416128
申请日:2009-03-31
申请人: Zoran Falkenstein , Kennii Pravongviengkham , Haruyasu Yawata , Boun Pravong , Matthew A. Becerra , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Kennii Pravongviengkham , Haruyasu Yawata , Boun Pravong , Matthew A. Becerra , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
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: An electrosurgical tool can be used for tissue dissection. The tool can include several electrodes positioned on a jaw assembly. The electrodes can be selectively connected to a power source in a cutting arrangement or a coagulation arrangement. Switching from the cutting arrangement to the coagulation arrangement can be provided by opening and closing a handle to actuate the jaw assembly.
摘要翻译: 电外科手术可用于组织剥离。 工具可以包括位于钳口组件上的多个电极。 电极可以选择性地连接到切割装置或凝结装置中的电源。 可以通过打开和关闭手柄来致动钳口组件来提供从切割装置到凝结装置的切换。
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公开(公告)号:US20080255597A1
公开(公告)日:2008-10-16
申请号:US12102719
申请日:2008-04-14
申请人: Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
发明人: Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
IPC分类号: A61B17/32
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 morcellation 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结合,使得外科医生能够将morcellator轴的内部可视化,以检测装置中松散的组织碎片。 与切割装置一起使用的搭扣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。
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公开(公告)号:US08915910B2
公开(公告)日:2014-12-23
申请号:US12416765
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
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。
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公开(公告)号:US08551088B2
公开(公告)日:2013-10-08
申请号:US12416695
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
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.
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。
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公开(公告)号:US20090248013A1
公开(公告)日:2009-10-01
申请号:US12416765
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/14
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。
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公开(公告)号:US20090248007A1
公开(公告)日:2009-10-01
申请号:US12416668
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Capello , Gary M. Johnson , Benjamin A. Giannescho , Olivia J. Tran , Matthew A. Wixey , Kennii Provongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Capello , Gary M. Johnson , Benjamin A. Giannescho , Olivia J. Tran , Matthew A. Wixey , Kennii Provongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
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: 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: 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。
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公开(公告)号:US20050256529A1
公开(公告)日:2005-11-17
申请号:US10518436
申请日:2003-07-21
申请人: Haruyasu Yawata , Russell Ahlberg , Edward Dolendo
发明人: Haruyasu Yawata , Russell Ahlberg , Edward Dolendo
IPC分类号: A61B17/12 , A61B20060101 , A61B17/00 , A61B17/04 , A61B17/068 , A61B17/08 , A61B17/10 , A61B17/128
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加手术夹子的施夹器。 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紧的物体,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。 该方法还可以包括以下步骤:使夹持器定向成使得钳口构件越过物体,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将物体保持在 压缩状态,并且缩回供给器以允许下一个夹子被馈送到钳口构件中。
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公开(公告)号:US5074784A
公开(公告)日:1991-12-24
申请号:US426043
申请日:1989-10-24
IPC分类号: A61C7/36
CPC分类号: A61C7/36
摘要: An orthodontic tensioning device and method of assembly. The device comprises at least one elastic tensioning member and a second tensioning member made of a non-elastic material provided for cooperation with the elastic tensioning member so as to provide a predetermined tensioning member.
摘要翻译: 正畸拉伸装置及组装方法。 该装置包括至少一个弹性张紧构件和由非弹性材料制成的第二张紧构件,该弹性构件设置用于与弹性张紧构件协作以便提供预定的张紧构件。
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