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公开(公告)号：US4087207A
公开(公告)日：1978-05-02
申请号：US662503
申请日：1976-03-01
CPC分类号： E21B43/121 , Y10T137/7792
摘要： A method of achieving gas induced production of liquid from wells wherein the wells have a production tubing string extending to a production formation wherein such wells may have insufficient gas production for achieving continuous production of liquids from such wells. The method includes establishing a liquid accumulation chamber being located downstream of a gas accumulation chamber and being in communication with the tubing string, while the gas accumulation chamber is in communication with the production formation. Liquid from the production formation is produced by maintaining a condition of predetermined low flow of gas and liquid produced from the production formation. The method includes accumulating a predetermined quantity of liquid within the liquid accumulation chamber during the predetermined low flow condition, while simultaneously accumulating a quantity of gas within the gas accumulation chamber. Upon accumulation of the predetermined volume of liquid within the liquid accumulation chamber, a quantity of gas from the gas accumulation chamber is suddenly released into the liquid accumulation chamber, transporting a portion of the accumulated liquid from the liquid accumulation chamber upwardly through the tubing string for production thereof. Suitable apparatus for achieving the method of the present invention may include a flow control mechanism connected to the tubing string and cooperating with the tubing string to define the liquid accumulation chamber and the gas accumulation chamber. Movable orifice restrictor means may be connected to the flow control means and may be automatically movable between a first position establishing the condition of low flow and a second position establishing a condition of increased flow. The movable orifice restrictor means may be movable to the first position thereof by the mass flow rate of the flowing production fluid medium and may be movable to the second position thereof by urging means in response to accumulation of the predetermined quantity of liquid within the liquid accumulation chamber.
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公开(公告)号：US09402645B2
公开(公告)日：2016-08-02
申请号：US13596782
申请日：2012-08-28
CPC分类号： A61B17/32002 , A61B2017/2904 , A61B2017/291 , A61B2017/2923 , A61B2017/2924 , A61B2017/2927
摘要： 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.
摘要翻译： 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。
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公开(公告)号：US08277474B2
公开(公告)日：2012-10-02
申请号：US10854020
申请日：2004-05-26
IPC分类号： A61B17/32
CPC分类号： A61B17/32002 , A61B2017/2904 , A61B2017/291 , A61B2017/2923 , A61B2017/2924 , A61B2017/2927
摘要： 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.
摘要翻译： 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。
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4.发明授权Osteotome and handpiece adapter assembly and powered surgical handpiece assembly including an osteotome 失效骨块和手柄适配器组件和动力手术手柄组件，包括骨凿公开(公告)号：US06537280B2
公开(公告)日：2003-03-25
申请号：US09846236
申请日：2001-05-02
申请人： Fred B. Dinger , John T. Cleveland
发明人： Fred B. Dinger , John T. Cleveland
IPC分类号： A61B1700
CPC分类号： A61B17/1688 , A61B17/1604 , A61B17/1657 , A61B17/1659 , A61B17/32002 , A61B2017/0046 , A61B2017/00477 , A61B2017/320028
摘要： A surgical osteotome for being reciprocatively driven to cut anatomical tissue includes an elongate shaft having a proximal end and a distal end presenting a cutting element. The cutting element comprises an upper part and a lower part, with the lower part having inwardly angled lateral surfaces merging at a cutting edge. The upper part forms a blunt tip disposed distally of the cutting edge. A handpiece adapter assembly includes the osteotome removably coupled to a handpiece adapter. The handpiece adapter includes a motion converting mechanism for converting rotary motion of a powered surgical handpiece into reciprocating motion of the osteotome. A powered surgical handpiece assembly includes the osteotome, the handpiece adapter and a powered surgical handpiece having a rotatable drive shaft.
摘要翻译： 用于往复驱动以切割解剖组织的外科手术式骨切片机包括具有近端和呈现切割元件的远端的细长轴。 切割元件包括上部和下部，下部具有在切割边缘处汇合的向内倾斜的侧表面。 上部形成了朝向切削刃的远侧设置的钝头。 手持式适配器组件包括可移除地联接到手持式适配器的骨凿。 手持式适配器包括用于将动力手术机头的旋转运动转换成骨架的往复运动的运动转换机构。 动力手术手持组件包括骨架，手持式适配器和具有可旋转驱动轴的动力手术手柄。
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5.发明授权公开(公告)号：US06293957B1
公开(公告)日：2001-09-25
申请号：US09237404
申请日：1999-01-26
申请人： Gary Peters , John T. Cleveland
发明人： Gary Peters , John T. Cleveland
IPC分类号： A61B1732
CPC分类号： A61B17/32002 , A61B2217/005 , A61B2217/007
摘要： A method of performing sinus surgery utilizes a sinus debrider instrument having an outer tubular member, an inner member rotatably disposed within the outer member and carrying a tissue cutting surface at a distal end thereof, a suction passage through the instrument for removing cut tissue from a sinus and an annular space between the inner and outer members forming a fluid passage for supplying fluid to the tissue cutting surface. The method includes the steps of positioning the distal end of the instrument at an operative site within the sinus, cutting tissue at the operative site within the sinus by rotating the tissue cutting surface, removing the cut tissue from the sinus through the suction passage and supplying fluid to the tissue cutting surface through the fluid passage to facilitate the removal of cut tissue without introducing fluid to the operative site.
摘要翻译： 执行鼻窦手术的方法利用具有外部管状构件的窦性清除器器具，可旋转地设置在外部构件内并且在其远端处携带组织切割表面的内部构件，穿过该器械的吸入通道，用于从 鼻窦和内部和外部部件之间的环形空间，形成用于向组织切割表面供应流体的流体通道。 该方法包括以下步骤：将器械的远端定位在窦内的手术部位，通过旋转组织切割表面在窦内的手术部位切割组织，通过抽吸通道从窦中移除切割的组织， 流体通过流体通道到组织切割表面，以便于去除切割的组织而不将流体引入到手术部位。
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公开(公告)号：US06595996B2
公开(公告)日：2003-07-22
申请号：US09846234
申请日：2001-05-02
申请人： Fred B. Dinger , John T. Cleveland
发明人： Fred B. Dinger , John T. Cleveland
IPC分类号： A61B1716
CPC分类号： A61B17/1688 , A61B17/1604 , A61B17/1657 , A61B17/1659 , A61B17/32002 , A61B2017/0046 , A61B2017/00477 , A61B2017/320028
摘要： A method of making a cut in the nasal bone of a patient includes the steps of reciprocating a distal end of an osteotome via a powered surgical handpiece and moving the distal end of the osteotome, while it is being reciprocated, forwardly along the nasal bone of a patient in a predetermined path with a cutting edge of the osteotome in contact with the nasal bone to make a cut of desired length in the nasal bone along the predetermined path. The distal end of the osteotome may be moved so as to produce a straight cut and/or a curved cut in the nasal bone. The distal end of the osteotome may be reciprocated by converting rotary motion of the handpiece into reciprocating motion of the osteotome.
摘要翻译： 在患者的鼻骨中进行切割的方法包括以下步骤：通过动力手术手持件使骨块的远端往复运动，并且当骨盘的远端沿鼻骨往复运动时向前移动， 预定路径中的患者，其中所述骨凿的切割边缘与所述鼻骨接触以沿着所述预定路径在所述鼻骨中切割所需长度。 可以移动骨凿的远端以在鼻骨中产生直线切割和/或弯曲切口。 骨架的远端可以通过将手持件的旋转运动转换成骨架的往复运动来往复运动。
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公开(公告)号：US06451022B2
公开(公告)日：2002-09-17
申请号：US09846235
申请日：2001-05-02
申请人： Fred B. Dinger , John T. Cleveland
发明人： Fred B. Dinger , John T. Cleveland
IPC分类号： A61B1714
CPC分类号： A61B17/1688 , A61B17/1604 , A61B17/1657 , A61B17/1659 , A61B17/32002 , A61B2017/0046 , A61B2017/00477 , A61B2017/320028
摘要： A surgical handpiece adapter for converting rotary motion of a powered surgical handpiece into reciprocating motion to drive a cutting member includes a rear drive shaft for being removably coupled to a rotatable drive shaft of the handpiece, a front drive shaft for being removably coupled to the cutting member and a motion converting mechanism causing reciprocation of the front drive shaft and, therefore, the cutting member coupled thereto, in response to rotation of the rear drive shaft by the drive shaft of the handpiece. A handpiece adapter assembly is formed by an adapter and a cutting member coupled thereto, and a powered surgical handpiece assembly is formed by an adapter, a cutting member coupled to the adapter and a powered surgical handpiece coupled to the adapter. A cutting member includes a surgical suction rasp for being reciprocatively driven to cut anatomical tissue and having a tissue cutting surface and a suction passage with an inlet opening along the tissue cutting surface for removing anatomical debris from an operative site at which the rasp is used. A cutting member includes an osteotome for being reciprocatively power driven to cut anatomical tissue and having a cutting edge and a blunt tip extending distally of the cutting edge. A method of facial surgery includes the steps of reciprocating a distal end of a rasp to reshape the nasal bone of a patient and removing anatomical debris through a suction passage of the rasp while the nasal bone is being reshaped. Another method of facial surgery includes the steps of reciprocating a distal end of an osteotome via a powered surgical handpiece and moving the distal end of the osteotome, while it is being reciprocated, forwardly along the nasal bone of a patient in a predetermined path with a cutting edge of the osteotome in contact with the nasal bone to make a cut of desired length in the nasal bone along the predetermined path.
摘要翻译： 用于将动力手术机头的旋转运动转换成往复运动以驱动切割构件的外科手持式适配器包括用于可移除地联接到手持件的可旋转驱动轴的后驱动轴，用于可移除地联接到切割件的前驱动轴 构件和运动转换机构，其响应于后驱动轴由手持件的驱动轴的旋转而导致前驱动轴和因此联接到其上的切割构件的往复运动。 手柄适配器组件由适配器和连接到其上的切割构件形成，并且动力手术手持组件由适配器，联接到适配器的切割构件和联接到适配器的动力手术手柄形成。 切割构件包括用于往复驱动以切割解剖组织并具有组织切割表面的外科抽吸锉和具有沿着组织切割表面的入口开口的抽吸通道，用于从使用锉刀的操作部位去除解剖残片。 切割构件包括用于往复动力驱动以切割解剖组织并具有切割刃的切割器和在切割边缘向远侧延伸的钝头。 一种面部手术的方法包括以下步骤：使锉刀的远端往复运动以重塑患者的鼻骨，并且在鼻骨被重塑时通过锉刀的抽吸通道去除解剖碎屑。 面部手术的另一种方法包括以下步骤：通过动力手术手持件往复移动骨切割器的远端，并且在沿着预定路径的患者的鼻骨向前运动的同时移动骨块的远端，同时以 骨凿与鼻骨接触的切割边缘沿着预定路径在鼻骨中切割所需长度。
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公开(公告)号：US5467223A
公开(公告)日：1995-11-14
申请号：US168801
申请日：1993-12-16
CPC分类号： G02B21/24 , A61B46/10 , G02B21/0012 , Y10S359/90
摘要： The adapter member for a microscope cooperates with a universal microscope drape having a universal positioning member. The adapter member is detachably secured to the lens housing of a microscope in tandem with a lens unit located in the lens housing. The adapter member is free from connection with the lens unit and can be installed without disassembling the lens housing. In one embodiment of the invention, the adapter member is threaded to the lens housing and in another embodiment of the invention the adapter member is secured to the lens housing with set screws. The adapter member has a universal engagement portion that is engagable with the universal positioning member of the universal microscope drape. A different adapter member is provided for each differently manufactured microscope but each different adapter member has the same universal engagement portion. Thus the same microscope drape can be used to cover differently manufactured microscopes of the same general size and shape.
摘要翻译： 用于显微镜的适配器构件与具有通用定位构件的通用显微镜悬垂配合。 适配器构件与位于透镜壳体中的透镜单元串联地可拆卸地固定到显微镜的透镜壳体。 适配器构件不与透镜单元连接，并且可以在不拆卸透镜壳体的情况下安装。 在本发明的一个实施例中，适配器构件被拧到透镜壳体上，并且在本发明的另一个实施例中，适配器构件用固定螺钉固定到透镜壳体。 适配器构件具有可与通用显微镜罩的通用定位构件接合的通用接合部。 为每个不同制造的显微镜提供不同的适配器构件，但每个不同的适配器构件具有相同的通用接合部分。 因此，可以使用相同的显微镜盖布来覆盖具有相同尺寸和形状的不同制造的显微镜。
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公开(公告)号：US5254085A
公开(公告)日：1993-10-19
申请号：US762696
申请日：1991-09-19
CPC分类号： A47L7/0085 , A61C17/04 , A61M1/0062
摘要： The aspiration system with positive pressure includes a fluid flow network having a vacuum source at one end and a suction instrument at another end. Suction is regulated by a control valve that can be actuated by a foot pedal. Suction communication between the vacuum source and the suction instrument can be prevented by placing the control valve in the closed position. A positive pressure input device is included in the fluid flow network and is also actuatable by the foot pedal to provide an impulse of positive pressure at the suction instrument. The positive pressure impulse is provided when the aspiration process is being hindered by blockage of the suction inlet end of the suction instrument. A puff of positive pressure is used to expel material from the suction inlet end of the suction instrument. The use of a positive pressure impulse at the suction end of a suction instrument is also applicable to release material transported by the suction instrument from one location to another.
摘要翻译： 具有正压力的抽吸系统包括在一端具有真空源的流体流动网络和在另一端具有抽吸装置。 吸力由可由脚踏板驱动的控制阀调节。 可以通过将控制阀置于关闭位置来防止真空源和抽吸装置之间的吸入通信。 正压输入装置包括在流体流动网络中，并且还可由脚踏板致动，以在抽吸装置处提供正压脉冲。 当吸入过程被吸入装置的吸入口的阻塞阻碍时，提供正压脉冲。 使用正压的吹气从抽吸装置的吸入口排出材料。 在抽吸装置的吸入端使用正压冲击也适用于将抽吸装置输送的材料从一个位置释放到另一个位置。
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公开(公告)号：US4047695A
公开(公告)日：1977-09-13
申请号：US563190
申请日：1975-03-28
摘要： A low pressure drop adjustable choke has a variably adjustable tapered annular port for metering flow of a fluid. The annular port is defined by a tapered plug extending through a mating, correspondingly tapered seat. The area of the port is selectively varied by axial movement of the plug relative to the seat. The device is mechanically adjustable to a selected flow rate, which may be indicated on a precision indicator.
摘要翻译： 低压降可调扼流圈具有可变调节的锥形环形端口，用于计量流体的流量。 环形端口由延伸穿过配合的相应锥形座的锥形塞限定。 端口的区域通过插头相对于座椅的轴向移动而选择性地变化。 该装置可以机械地调节到选定的流量，这可以在精密指示器上指示。
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