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11. 发明授权

US5040715A Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效
标题翻译：用于在腹腔镜或内镜手术中放置钉的装置和方法
公开(公告)号：US5040715A
公开(公告)日：1991-08-20
申请号：US358646
申请日：1989-05-26
申请人： David T. Green , Henry Bolanos , Daniel E. Alesi , Keith Ratcliff , Charles R. Sherts
发明人： David T. Green , Henry Bolanos , Daniel E. Alesi , Keith Ratcliff , Charles R. Sherts
IPC分类号： A61B17/068 , A61B1/303 , A61B1/307 , A61B1/31 , A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.

12. 发明授权

US5562690A Apparatus and method for performing compressional anastomoses 失效
标题翻译：用于执行压缩吻合的装置和方法
公开(公告)号：US5562690A
公开(公告)日：1996-10-08
申请号：US150923
申请日：1993-11-12
申请人： David T. Green , Charles R. Sherts , Keith Ratcliff
发明人： David T. Green , Charles R. Sherts , Keith Ratcliff
IPC分类号： A61B17/00 , A61B17/11
CPC分类号： A61B17/11 , A61B17/00234
摘要： A compression device for the anastomosis of a tubular hollow organ, having a first collapsible member movable between an expanded configuration and a collapsed configuration, said first collapsible member having a first end and a second end; a second collapsible member movable between an expanded configuration and a collapsed configuration, said second collapsible member adapted to be joined with said first end of said first collapsible member; and a third collapsible member adapted to be joined with said second end of said second collapsible member; wherein at least one of said first, second or third collapsible members comprises at least one resilient hinge portion disposed thereon which is parallel to the longitudinal axis of said device to facilitate the collapsibility thereof. Also provided are surgical instruments for carrying and placing the compression device components and a device for approximating surgical devices. A method for forming a compression anastomosis, is also provided.
摘要翻译：一种用于管状中空器官的吻合的压缩装置，具有可在膨胀构型和折叠构型之间移动的第一可折叠构件，所述第一可折叠构件具有第一端和第二端; 第二可折叠构件，其可在展开构型和折叠构造之间移动，所述第二可折叠构件适于与所述第一可折叠构件的所述第一端连接; 以及适于与所述第二可折叠构件的所述第二端连接的第三可折叠构件; 其中所述第一，第二或第三可折叠构件中的至少一个包括设置在其上的至少一个弹性铰链部分，其平行于所述装置的纵向轴线以促进其可折叠。还提供了用于携带和放置压缩装置部件的外科器械和用于近似手术装置的装置。还提供了形成压缩吻合的方法。

13. 发明授权

US5938668A Surgical suturing apparatus 失效
标题翻译：手术缝合装置
公开(公告)号：US5938668A
公开(公告)日：1999-08-17
申请号：US726111
申请日：1996-10-04
申请人： Paul A. Scirica , Charles R. Sherts , Richard Yagami , David Farascioni
发明人： Paul A. Scirica , Charles R. Sherts , Richard Yagami , David Farascioni
IPC分类号： A61B17/04 , A61B17/06 , A61B17/28
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/062 , A61B17/0491 , A61B2017/06019 , A61B2017/06042 , A61B2017/0609 , A61B2017/2936
摘要： The surgical suturing apparatus is configured to pass a surgical suturing needle having an associated length of suture material attached thereto between opposed pairs of jaws. The surgical suturing apparatus generally includes a housing having an elongated tubular portion extending distally therefrom. A pair of jaws extend distally from the elongated tubular portion and are each individually longitudinally movable with respect to the elongated tubular portion and with respect to each other. Each of the jaw structures includes a jaw and a securing mechanism for tightly holding the surgical needle within the jaw. Parts of the securing mechanism engaging the needle also move longitudinally with respect to the associated jaw and the elongated tubular portion. Various control structures are provided to advance the securing mechanism relative to its associated jaw to secure the surgical needle therein and to move the entire jaw structure longitudinally with respect to the suturing apparatus.
摘要翻译：手术缝合装置被配置为通过具有相邻长度的缝合材料的手术缝合针，所述缝合材料在相对的钳口对之间附接到其上。外科缝合设备通常包括具有从其向远端延伸的细长管状部分的壳体。一对钳口从细长的管状部分向远端延伸，并且各自可以相对于细长的管状部分和彼此相对地纵向移动。每个钳口结构包括钳口和用于将手术针紧紧地夹持在钳夹内的固定机构。接合针的固定机构的部分还相对于相关联的钳口和细长的管状部分纵向移动。提供各种控制结构以相对于其相关联的钳口推进固定机构，以将外科手术针固定在其中并使整个钳口结构相对于缝合装置纵向移动。

14. 发明授权

US5358506A Approximating apparatus for surgical jaw structure 失效
标题翻译：手术夹钳结构近似装置
公开(公告)号：US5358506A
公开(公告)日：1994-10-25
申请号：US27555
申请日：1993-03-05
申请人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
发明人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
IPC分类号： A61B17/28 , A61B17/30
CPC分类号： A61B17/29 , A61B17/30 , A61B17/2909 , A61B2017/2936 , A61B2017/2944
摘要： Approximating apparatus for surgical jaw structure is provided which effects substantially parallel approximation of first and second surgical jaw structure to permit substantially parallel working interaction therebetween. The approximating apparatus includes camming structure for engaging at least one movable jaw of the surgical jaw structure to bias that jaw toward or away from a second jaw structure in a substantially parallel manner. A tissue stop may be provided to more easily guide and protect tissue captured by the jaw structure.
摘要翻译：提供了用于手术颌结构的近似装置，其基本上平行近似第一和第二外科钳口结构，以允许它们之间基本上平行的工作相互作用。近似装置包括凸轮结构，用于接合外科钳口结构的至少一个活动夹爪，以基本上平行的方式将该钳口朝向或远离第二钳口结构偏置。可以提供组织止挡件以更容易地引导和保护由钳口结构捕获的组织。

15. 发明授权

US5336232A Approximating apparatus for surgical jaw structure and method of using the same 失效
标题翻译：手术夹钳结构近似装置及其使用方法
公开(公告)号：US5336232A
公开(公告)日：1994-08-09
申请号：US7410
申请日：1993-01-22
申请人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
发明人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
IPC分类号： A61B17/28 , A61B17/30
CPC分类号： A61B17/29 , A61B17/30 , A61B17/2909 , A61B2017/2936 , A61B2017/2944
摘要： Approximating apparatus for surgical jaw structure is provided which effects substantially parallel approximation of first and second surgical jaw structure to permit substantially parallel working interaction therebetween. The approximating apparatus includes camming structure for engaging at least one movable jaw of the surgical jaw structure to bias that jaw toward or away from a second jaw structure in a substantially parallel manner.
摘要翻译：提供了用于手术颌结构的近似装置，其基本上平行近似第一和第二外科钳口结构，以允许它们之间基本上平行的工作相互作用。近似装置包括凸轮结构，用于接合外科钳口结构的至少一个活动夹爪，以基本上平行的方式将该钳口朝向或远离第二钳口结构偏置。

16. 发明授权

US06592593B1 Endovascular fastener applicator 有权
标题翻译：血管内紧固件敷料器
公开(公告)号：US06592593B1
公开(公告)日：2003-07-15
申请号：US09787135
申请日：2001-06-04
申请人： Juan Carlos Parodi , Keith Ratcliff , Frank M. Rende , Charles R. Sherts
发明人： Juan Carlos Parodi , Keith Ratcliff , Frank M. Rende , Charles R. Sherts
IPC分类号： A61F1100
CPC分类号： A61B17/0682 , A61B17/064 , A61B2017/0649 , A61F2/07 , A61F2/848 , A61F2002/075
摘要： An endo-vascular fastener applicator is provided for endo-luminal fastening of a prosthetic to a vessel with a fastener. The applicator includes a tubular body that is configured for positioning within a vessel, an expandable portion disposed adjacent the distal end of the tubular body and deployed to support a prosthetic in contact with an inner surface of a vessel, and a drive assembly for advancing a fastener into the prosthetic. A delivery tube may be included that is disposed for movement within the tubular body, and which defines a channel for movement of the drive assembly there within. The delivery tube may include an applicator head. The applicator head may include an injection mount that is disposed for movement relative to a prosthetic.
摘要翻译：提供内血管紧固件施加器用于使用紧固件将假体内腔内紧固到血管。施用器包括被配置用于定位在容器内的管状主体，邻近管状体的远端设置并展开以支撑与容器的内表面接触的假体的可扩张部分，以及用于推进紧固件进入假肢。可以包括设置用于在管状体内移动的输送管，并且其限定用于其内部的驱动组件的运动的通道。输送管可以包括施用器头。施用器头可以包括设置成相对于假体运动的注射支架。

17. 发明授权

US5431322A Self contained gas powered surgical apparatus 失效
标题翻译：自备气体手术器械
公开(公告)号：US5431322A
公开(公告)日：1995-07-11
申请号：US146804
申请日：1993-11-02
申请人： David T. Green , Henry Bolanos , Keith Ratcliff , Jeffrey J. Blewett , Randolph F. Lehn , Charles R. Sherts , Graham W. Bryan , Salvatore Castro , Gary S. Kappel
发明人： David T. Green , Henry Bolanos , Keith Ratcliff , Jeffrey J. Blewett , Randolph F. Lehn , Charles R. Sherts , Graham W. Bryan , Salvatore Castro , Gary S. Kappel
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes an anvil member and a surgical fastener cartridge member mounted to the distal end of an elongated endoscopic portion. A tubular collar of the endoscopic portion moves distally to engage the anvil member and bias the anvil member and the cartridge member into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and the cartridge member. A self contained pneumatic system is disposed in the surgical apparatus and is actuable to eject and/or form the surgical fasteners in the clamped body tissue. The apparatus further comprises a locking mechanism for preventing firing of the instrument after it has been fired a predetermined number of times. A counter for displaying the number of times the apparatus has been fired may be provided. A firing interlock is also shown which prevents accidental actuation of the firing trigger. A clamping interlock is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument.
摘要翻译：提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。该装置包括安装到细长内窥镜部分的远端的砧构件和手术紧固件仓构件。内窥镜部分的管状颈部向远侧移动以接合砧座构件并将砧座构件和暗盒构件偏压成协调对准，从而将要紧固的身体组织夹紧在砧座构件和筒构件之间。自包含气动系统设置在手术设备中并且可致动以在夹持的身体组织中弹出和/或形成外科紧固件。该设备还包括一个锁定机构，用于防止仪器在其被点火预定次数之后发射。可以提供用于显示设备被触发次数的计数器。还示出了防止触发触发器的意外致动的触发互锁。示出了夹紧互锁，其防止当钳口不对准或不适当地插入仪器时近似钳口。

18. 发明授权

US5792149A Clamp applicator 失效
标题翻译：夹具敷贴器
公开(公告)号：US5792149A
公开(公告)日：1998-08-11
申请号：US725362
申请日：1996-10-03
申请人： Charles R. Sherts , Richard Yagami
发明人： Charles R. Sherts , Richard Yagami
IPC分类号： A61B17/122 , A61B17/128 , A61B17/10
CPC分类号： A61B17/1227 , A61B17/1285
摘要： A clamp applicator is disclosed having a housing, a clamp support member extending distally from the housing, an actuator assembly and a locking device. The actuator assembly is movable with respect to the clamp support member into engagement with a clamp supported at the distal end of the clamp support member to bias the clamp to an open position. A locking device is provided to retain the actuator assembly in a position to maintain the clamp in the open position.
摘要翻译：公开了一种夹具施加器，其具有壳体，从壳体向远侧延伸的夹持支撑构件，致动器组件和锁定装置。致动器组件可相对于夹持支撑构件移动，与夹持支撑构件的远端处的夹具接合，以将夹具偏压到打开位置。提供锁定装置以将致动器组件保持在将夹具保持在打开位置的位置。

19. 发明授权

US5407374A Step-in water ski binding 失效
标题翻译：步入式滑水装订
公开(公告)号：US5407374A
公开(公告)日：1995-04-18
申请号：US155593
申请日：1993-11-22
申请人： James M. Sullivan , Charles R. Sherts
发明人： James M. Sullivan , Charles R. Sherts
IPC分类号： B63B35/81 , A63C15/06
CPC分类号： B63B35/812
摘要： A water ski has an automatic step-in binding which remains open while a skier is being pulled from the water and closes when the skier steps into the binding after being pulled from the water. The rear closure of the step-in binding pivots around an axis at the heel when the skier enters the binding, and is engaged by a latch which secures the rear closure in a closed position. Alternatively, the rear closure of the step-in binding includes a heelpiece which moves slidably along a track. The heelpiece is moved slidably along the track by a spring which is released when the skier steps into the binding by a trigger assembly and trigger lip.
摘要翻译：滑水者具有自动步进装订功能，当滑水者从水中被拉出时保持打开状态，并且在滑水者从水中拉出之后进入装订状态时关闭。当滑雪者进入装订装置时，踏板装订的后盖围绕跟部的轴线枢转，并且通过将后部闭合件固定在关闭位置的闩锁接合。或者，踏入装订的后盖包括沿着轨道可滑动地移动的高跟部件。鞋跟通过弹簧可滑动地沿着轨道移动，弹簧当滑雪者通过扳机组件进入装订并触发唇部时释放。

20. 发明授权

US5941899A Channel-bodied surgical needle and method of manufacture 失效
标题翻译：通道外科手术针及其制造方法
公开(公告)号：US5941899A
公开(公告)日：1999-08-24
申请号：US109654
申请日：1998-07-02
申请人： Richard N. Granger , Charles R. Sherts
发明人： Richard N. Granger , Charles R. Sherts
IPC分类号： A61B17/06 , A61B17/04
CPC分类号： A61B17/06066 , A61B2017/06047 , A61B2017/0609 , A61B2017/061
摘要： Channel-bodied surgical needles and surgical incision members are disclosed having a generally U-shaped cross-sectional body portion and a penetrating tip portion formed on at least one end thereof. Preferably, penetrating tip portions are formed at both ends of the channel-bodied portion. The surgical needle and/or surgical incision member may additionally includes apparatus engagement structure formed adjacent either end of the body portion and engagable with a suitable surgical suturing apparatus. The channel-bodied surgical needle and/or surgical incision member may additionally include securement structure for attachment of a length of suture material thereto. There is also disclosed apparatus for forming a channel-shaped body portion and the suture attachment structure. Additionally, methods for suturing tissue sections, particularly vascular tissue sections, with the channel-bodied surgical needle and the channel-bodied surgical incision members, are disclosed. Also, methods for forming the channel-bodied surgical needle and channel-bodied surgical incision member are disclosed.
摘要翻译：公开了通道体外科手术针和外科切口部件，其具有大致呈U形的截面主体部分和形成在其至少一端上的穿透尖端部分。优选地，在通道部分的两端形成穿透尖端部分。手术针和/或手术切口部件还可以包括邻近主体部分的任一端形成并且可与适合的手术缝合装置接合的装置接合结构。通道外科手术针和/或手术切口部件还可以包括用于将一定长度的缝合材料附接到其上的固定结构。还公开了用于形成通道形主体部分和缝合线附接结构的装置。此外，公开了用于缝合组织切片，特别是血管组织切片的方法，其具有通道体外科手术针和通道外科切口部件。此外，公开了形成通道体外科手术针和通道外科切口部件的方法。

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