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1. 发明授权

US5871488A Surgical suturing apparatus with locking mechanisms 失效
标题翻译：具有锁定机构的手术缝合装置
公开(公告)号：US5871488A
公开(公告)日：1999-02-16
申请号：US862055
申请日：1997-05-22
申请人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
发明人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
IPC分类号： A61B17/04 , A61B17/06 , A61B17/28 , A61B17/10
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/0625 , A61B17/0491 , A61B17/06114 , A61B2017/0479 , A61B2017/0609 , A61B2017/292 , A61B2017/2936
摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.
摘要翻译：公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收手术针的一部分。第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进另一个。还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动以及与另一个钳口间隔开的第二位置。

2. 发明授权

US5693071A Tapered surgical needles and surgical incision members 失效
标题翻译：锥形手术针和手术切口成员
公开(公告)号：US5693071A
公开(公告)日：1997-12-02
申请号：US590225
申请日：1996-01-23
申请人： Michael Gorecki , George R. Proto , Paul A. Scirica , Stephen W. Zlock
发明人： Michael Gorecki , George R. Proto , Paul A. Scirica , Stephen W. Zlock
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0625 , A61B17/0469 , A61B17/0483 , A61B17/0491 , A61B17/06004 , A61B2017/0609
摘要： A surgical needle is provided including a body portion defining first and second longitudinal ends, the body portion includes a central portion having a first cross-sectional area and end portions adjacent the central portion having a smaller second cross-sectional area. A tissue penetrating portion is provided adjacent at least one end portion. Transition portions are provided intermediate the central portion and the end portions and taper from the first cross-sectional area to the second cross-sectional area. Suture attachment structure is formed in the central portion and a suture is attached to the suture attachment structure. A method of suturing is also provided wherein the surgical needle may be passed through tough tissue while minimizing bending of the surgical needle.
摘要翻译：提供了一种手术针，其包括限定第一和第二纵向端部的主体部分，主体部分包括具有第一横截面积的中心部分和与中心部分相邻的端部具有较小的第二横截面积。组织穿透部分邻近至少一个端部设置。过渡部分设置在中心部分和端部部分之间，并且从第一横截面区域到第二横截面区域逐渐变细。缝合线附着结构形成在中心部分并且缝合线附接到缝合线附接结构。还提供了一种缝合方法，其中手术针可以穿过韧性组织，同时最小化手术针的弯曲。

3. 发明授权

US5674230A Surgical suturing apparatus with locking mechanisms 失效
标题翻译：具有锁定机构的手术缝合装置
公开(公告)号：US5674230A
公开(公告)日：1997-10-07
申请号：US527125
申请日：1995-09-12
申请人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
发明人： H. Jonathan Tovey , Corbett W. Stone , Stephen W. Zlock , David A. Nicholas , Paul A. Scirica , Philip Richardson , Margaret Pamela Richardson
IPC分类号： A61B17/04 , A61B17/06 , A61B17/28 , A61B17/10
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/0625 , A61B17/0491 , A61B17/06114 , A61B2017/0479 , A61B2017/0609 , A61B2017/292 , A61B2017/2936
摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.
摘要翻译：公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收手术针的一部分。第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进另一个。还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动以及与另一个钳口间隔开的第二位置。

4. 发明授权

US5908428A Stitching devices for heart valve replacement surgery 失效
标题翻译：用于心脏瓣膜置换手术的缝合装置
公开(公告)号：US5908428A
公开(公告)日：1999-06-01
申请号：US932569
申请日：1997-09-19
申请人： Paul A. Scirica , Stephen W. Zlock
发明人： Paul A. Scirica , Stephen W. Zlock
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0625 , A61B17/0469 , A61B17/0485 , A61B17/0491 , A61B2017/0404 , A61B2017/0458 , A61B2017/0464 , A61B2017/0472 , A61B2017/0479 , A61B2017/06009 , A61B2017/06047 , A61B2017/0609
摘要： There are provided surgical suturing apparatus or stitching devices particularly suited for use in suturing artificial heart valves to heart tissue during heart valve replacement surgery. The disclosed apparatus include a stationary jaw oriented at a predetermined angle relative to the apparatus to facilitate suturing through the artificial valve in a direction generally parallel to the axis of the valve. One embodiment of the stitching device utilizes a pair of surgical needles or incision members joined by a single length of suture material. There are also disclosed disposable loading units for providing suture - needle assemblies to the suturing apparatus. Also disclosed are methods of suturing an artificial heart valve to heart tissue using the disclosed apparatus.
摘要翻译：提供了特别适合用于在心脏瓣膜置换手术期间将人造心脏瓣膜缝合到心脏组织的外科缝合装置或缝合装置。所公开的装置包括相对于装置以预定角度定向的固定夹爪，以便于在大致平行于阀的轴线的方向上通过人造瓣膜缝合。缝合装置的一个实施例使用通过单个长度的缝合材料连接的一对外科用针或切口构件。还公开了一种用于将缝线 - 针组件提供给缝合装置的一次性装载单元。还公开了使用所公开的装置将人造心脏瓣膜缝合到心脏组织的方法。

5. 发明授权

US08794496B2 Rotating knob locking mechanism for surgical stapling device 有权
标题翻译：旋转手柄锁定机构用于外科缝合装置
公开(公告)号：US08794496B2
公开(公告)日：2014-08-05
申请号：US11520343
申请日：2006-09-11
申请人： Paul A. Scirica
发明人： Paul A. Scirica
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/2923 , A61B2017/2927 , A61B2017/293 , A61B2017/2946
摘要： A surgical stapling device having a rotating knob locking mechanism, and a method of using the surgical stapling device is disclosed. The surgical stapling device includes a housing, an actuation member, an elongated body portion rotatably supported on the housing, and a locking mechanism for preventing the rotation of the elongate body portion, the locking mechanism being automatically engaged upon actuation of the actuation member. The stapling device further includes a knob for rotating the elongated body portion. The locking mechanism includes a pivotably mounted member configured to engage the knob. The stapling device may further include an articulating tool assembly and an articulation lever for articulating the tool assembly. The articulation lever may be disposed on the knob for rotating the elongated body portion.
摘要翻译：公开了一种具有旋转锁定机构的外科缝合装置和使用该外科缝合装置的方法。外科缝合装置包括壳体，致动构件，可旋转地支撑在壳体上的细长主体部分和用于防止细长主体部分旋转的锁定机构，锁定机构在致动构件的致动时自动接合。装订装置还包括用于旋转细长主体部分的旋钮。锁定机构包括构造成接合旋钮的可枢转安装的构件。缝合装置还可以包括铰接工具组件和用于铰接工具组件的铰接杆。铰接杆可以设置在旋钮上以旋转细长主体部分。

6. 发明授权

US08758370B2 Suture loading assembly 有权
标题翻译：缝合装载装置
公开(公告)号：US08758370B2
公开(公告)日：2014-06-24
申请号：US10726031
申请日：2003-12-01
申请人： Oleg Shikhman , Paul A. Scirica
发明人： Oleg Shikhman , Paul A. Scirica
IPC分类号： A61B17/04
CPC分类号： A61B17/0485 , A61B17/0057 , A61B17/0467 , A61B17/0487 , A61B2017/0454 , A61B2017/0464 , A61B2017/0488
摘要： A suture loading assembly for threading suture material through a device comprises a body, an attaching member extending from the body for attaching the body to the device, and a flexible loop extending from a distal end of the body and threadable through a ferrule in the distal end of the device.
摘要翻译：用于穿过装置穿线缝合材料的缝合线装载组件包括主体，从主体延伸以将主体附接到装置的附接构件，以及从主体的远端延伸并可穿过远端的套圈的柔性环设备结束。

7. 发明授权

US08424737B2 Rotating knob locking mechanism for surgical stapling device 有权
标题翻译：旋转手柄锁定机构用于外科缝合装置
公开(公告)号：US08424737B2
公开(公告)日：2013-04-23
申请号：US12478364
申请日：2009-06-04
申请人： Paul A. Scirica
发明人： Paul A. Scirica
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/2923 , A61B2017/2927 , A61B2017/293 , A61B2017/2946
摘要： A surgical stapling device having a rotating knob locking mechanism, and a method of using the surgical stapling device is disclosed. The surgical stapling device includes a housing, an actuation member, an elongated body portion rotatably supported on the housing, and a locking mechanism for preventing the rotation of the elongate body portion, the locking mechanism being automatically engaged upon actuation of the actuation member. The stapling device further includes a knob for rotating the elongated body portion. The locking mechanism includes a pivotably mounted member configured to engage the knob. The stapling device may further include an articulating tool assembly and an articulation lever for articulating the tool assembly. The articulation lever may be disposed on the knob for rotating the elongated body portion.
摘要翻译：公开了一种具有旋转锁定机构的外科缝合装置和使用该外科缝合装置的方法。外科缝合装置包括壳体，致动构件，可旋转地支撑在壳体上的细长主体部分和用于防止细长主体部分旋转的锁定机构，锁定机构在致动构件的致动时自动接合。装订装置还包括用于旋转细长主体部分的旋钮。锁定机构包括构造成接合旋钮的可枢转安装的构件。缝合装置还可以包括铰接工具组件和用于铰接工具组件的铰接杆。铰接杆可以设置在旋钮上以旋转细长主体部分。

8. 发明申请

US20120325891A1 Surgical Instrument and Loading Unit for Use Therewith 有权
标题翻译：手术器械及其装载单元
公开(公告)号：US20120325891A1
公开(公告)日：2012-12-27
申请号：US13589234
申请日：2012-08-20
申请人： David Farascioni , Dino Kasvikis , Paul A. Scirica , Danyel Racenet , Michael Robbins
发明人： David Farascioni , Dino Kasvikis , Paul A. Scirica , Danyel Racenet , Michael Robbins
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B18/1442 , A61B2017/0023 , A61B2017/07214 , A61B2017/07221 , A61B2017/07235 , A61B2017/07242 , A61B2017/07278 , A61B2017/07285 , A61B2017/2945 , A61B2018/1432
摘要： A surgical instrument is disclosed. The surgical instrument includes a handle assembly, a drive assembly, an endoscopic portion, a pair of jaw members, a dynamic clamping member, and a tissue stop. The drive assembly is disposed in mechanical cooperation with a movable handle of the handle assembly. The endoscopic portion defines a first longitudinal axis. The jaw members are each longitudinally curved with respect to the longitudinal axis. The dynamic clamping member is disposed in mechanical cooperation with a distal portion of the drive assembly and includes an upper beam, a lower beam, and a vertical beam having a cutting edge on a distal portion thereof. At least a portion of the dynamic clamping member is longitudinally curved with respect to the longitudinal axis. The tissue stop is disposed adjacent a distal portion of the first jaw member and configured to impede tissue from distally escaping the jaw members.
摘要翻译：公开了一种外科器械。手术器械包括手柄组件，驱动组件，内窥镜部分，一对钳口构件，动态夹紧构件和组织止挡件。驱动组件与手柄组件的可移动手柄机械配合设置。内窥镜部分限定第一纵向轴线。钳口构件各自相对于纵向轴线纵向弯曲。动态夹紧构件与驱动组件的远端部分机械配合设置，并且包括上梁，下梁和在其远端部分上具有切割边缘的垂直梁。动态夹紧构件的至少一部分相对于纵向轴线纵向弯曲。所述组织止挡件邻近所述第一钳口构件的远端部分设置，并且构造成阻止组织远离所述钳口构件。

9. 发明申请

US20110264137A1 Surgical instrument and loading unit for use therewith 有权
标题翻译：手术器械和与其一起使用的装载单元
公开(公告)号：US20110264137A1
公开(公告)日：2011-10-27
申请号：US13177708
申请日：2011-07-07
申请人： David Farascioni , Dino Kasvikis , Paul A. Scirica , Danyel Racenet , Michael Robbins
发明人： David Farascioni , Dino Kasvikis , Paul A. Scirica , Danyel Racenet , Michael Robbins
IPC分类号： A61B17/28
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B18/1442 , A61B2017/0023 , A61B2017/07214 , A61B2017/07221 , A61B2017/07235 , A61B2017/07242 , A61B2017/07278 , A61B2017/07285 , A61B2017/2945 , A61B2018/1432
摘要： A surgical instrument is disclosed. The surgical instrument includes a handle assembly, a drive assembly, an endoscopic portion, a pair of jaw members, a dynamic clamping member, and a tissue stop. The drive assembly is disposed in mechanical cooperation with a movable handle of the handle assembly. The endoscopic portion defines a first longitudinal axis. The jaw members are each longitudinally curved with respect to the longitudinal axis. The dynamic clamping member is disposed in mechanical cooperation with a distal portion of the drive assembly and includes an upper beam, a lower beam, and a vertical beam having a cutting edge on a distal portion thereof. At least a portion of the dynamic clamping member is longitudinally curved with respect to the longitudinal axis. The tissue stop is disposed adjacent a distal portion of the first jaw member and configured to impede tissue from distally escaping the jaw members.
摘要翻译：公开了一种外科器械。手术器械包括手柄组件，驱动组件，内窥镜部分，一对钳口构件，动态夹紧构件和组织止挡件。驱动组件与手柄组件的可移动手柄机械配合设置。内窥镜部分限定第一纵向轴线。钳口构件各自相对于纵向轴线纵向弯曲。动态夹紧构件与驱动组件的远端部分机械配合设置，并且包括上梁，下梁和在其远端部分上具有切割边缘的垂直梁。动态夹紧构件的至少一部分相对于纵向轴线纵向弯曲。所述组织止挡件邻近所述第一钳口构件的远端部分设置，并且构造成阻止组织远离所述钳口构件。

10. 发明授权

US07967180B2 Surgical stapling apparatus with locking mechanism 有权
标题翻译：具有锁定机构的手术吻合装置
公开(公告)号：US07967180B2
公开(公告)日：2011-06-28
申请号：US12647626
申请日：2009-12-28
申请人： Paul A. Scirica
发明人： Paul A. Scirica
IPC分类号： A61B17/68
CPC分类号： A61B17/07207 , A61B17/072 , A61B2017/0023 , A61B2017/0046 , A61B2017/07214
摘要： The present disclosure provides for a loading unit for use with and/or supportable on a distal end of a surgical stapling apparatus. The loading unit includes a housing portion including a distal end and a proximal end, a drive assembly slidably supported within the housing portion of the loading unit, and a locking mechanism pivotally supported on the housing portion of the loading unit, the locking mechanism having a first position wherein the locking mechanism engages a portion of the drive assembly and maintains the position, preferably the axial position, of the drive assembly relative to the housing portion of the loading unit, and the locking mechanism having a second position wherein the locking mechanism disengages the drive assembly and enables the drive assembly to move relative to the housing portion.
摘要翻译：本公开提供了用于与外科缝合装置的远端一起使用和/或可支撑的装载单元。装载单元包括：包括远端和近端的壳体部分，可滑动地支撑在装载单元的壳体部分内的驱动组件和枢转地支撑在装载单元的壳体部分上的锁定机构，所述锁定机构具有第一位置，其中锁定机构接合驱动组件的一部分并且保持驱动组件相对于装载单元的壳体部分的位置，优选地轴向位置，并且锁定机构具有第二位置，其中锁定机构脱离驱动组件并使驱动组件相对于壳体部分移动。

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