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11. 发明授权

US5700275A Articulating endoscopic surgical instrument 失效
标题翻译：内窥镜手术器械
公开(公告)号：US5700275A
公开(公告)日：1997-12-23
申请号：US637883
申请日：1996-04-25
申请人： Mace H. Bell , Henry R. Sienkiewicz
发明人： Mace H. Bell , Henry R. Sienkiewicz
IPC分类号： A61B17/00 , A61B17/28
CPC分类号： A61B17/2909 , A61B2017/00867 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929 , A61B2017/2933 , A61B2017/294
摘要： A surgical instrument is provided having a housing defining a longitudinal axis. A handle is operably conected to the housing and defines a longitudinal axis angularly disposed relative to the longitudinal axis of the housing. A fixed support is attached to the housing and defines a longitudinal axis angularly disposed relative to the longitudinal axis of the housing. The fixed support is radially offset with respect to the handle. A body portion extends distally from the housing, and a tool assembly operably associated with a distal end portion of the body portion is remotely actuable by the handle.
摘要翻译：提供了具有限定纵向轴线的壳体的手术器械。手柄可操作地连接到壳体并且限定相对于壳体的纵向轴线成角度地设置的纵向轴线。固定支撑件附接到壳体并且限定相对于壳体的纵向轴线成角度地设置的纵向轴线。固定支撑件相对于把手径向偏移。主体部分从壳体向远侧延伸，并且与主体部分的远端部分可操作地相关联的工具组件可由手柄远程致动。

12. 发明授权

US5549617A Apparatus and method for applying and adjusting an anchoring device 失效
公开(公告)号：US5549617A
公开(公告)日：1996-08-27
申请号：US392295
申请日：1995-02-21
申请人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo
发明人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo
IPC分类号： A61B17/00 , A61B17/04 , A61B17/132 , A61B17/28 , A61B17/82 , A61B19/02 , A61F2/00
CPC分类号： A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61F2/0036 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30 , A61F2/0045 , Y10T24/3973 , Y10T24/3996
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence are provided. The apparatus include an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the operative length of the suture, an articulating apparatus for applying the anchoring device during an endoscopic or laparoscopic procedure, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced.

13. 发明授权

US5376101A Suture retaining clip 失效
公开(公告)号：US5376101A
公开(公告)日：1994-12-27
申请号：US173904
申请日：1993-12-27
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
IPC分类号： A61B17/04 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0487 , A61B17/06 , A61B17/122 , A61B2017/045 , A61B2017/0454 , A61B2017/0464
摘要： A suture holding clip including legs each having a suture contacting surface. The legs can be closed to define an interface for holding a suture in a serpentine configuration. In another embodiment the suture holding clip is initially in a spider leg configuration with a spine and legs projecting from the spine and alternately angled to one or the other of two directions so as to define therebetween a lengthwise extending passage for the reception therethrough of a suture.

14. 发明授权

US5258010A Anvilless surgical apparatus for applying surgical fasteners 失效
标题翻译：用于外科紧固件的无缝手术装置
公开(公告)号：US5258010A
公开(公告)日：1993-11-02
申请号：US982025
申请日：1992-11-24
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Wayne C. Person
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Wayne C. Person
IPC分类号： A61B17/068 , A61B17/00
CPC分类号： A61B17/0682
摘要： An anvilless surgical apparatus is provided for applying surgical fasteners to secure grafting material to a desired layer of tissue. The apparatus includes a housing having a nose portion at a distal end and a handle at its proximal end. A surgical fastener cartridge is mounted in the nose portion and is adapted to receive a plurality of surgical fasteners in longitudinal alignment therein. The cartridge is generally oriented substantially perpendicular to the handle. A drive shaft is provided within the housing for driving the surgical fasteners through the grafting material and at least partially into the layer of underlying tissue. The drive shaft is actuable by the handle and general has a pusher rod movable between a distal fired position and a retracted proximal loaded position. A releasing mechanism is provided in the handle for releasing the pusher rod from its retracted proximal position to cause it to thrust forward with sufficient force to contact a crown portion of a surgical fastener to drive it directly through the grafting material and at least partially into the tissue without forming a surgical fastener.
摘要翻译：提供无孔手术装置用于施加手术紧固件以将移植材料固定到期望的组织层。该装置包括具有在远端处的鼻部和其近端处的手柄的壳体。手术紧固件盒安装在鼻部中并且适于在其中纵向对准地容纳多个外科紧固件。药筒通常基本上垂直于手柄定向。驱动轴设置在壳体内，用于通过移植材料驱动外科紧固件，并至少部分地进入下面的组织层。驱动轴可以由手柄致动，并且通常具有可在远侧点火位置和缩回的近侧装载位置之间移动的推杆。释放机构设置在手柄中，用于将推杆从其缩回的近侧位置释放，以使其以足够的力向前推动以接触手术紧固件的冠部，以将其直接驱动通过移植材料并且至少部分地进入组织而不形成手术紧固件。

15. 发明授权

US07891533B2 Surgical stapling apparatus 失效
标题翻译：手术吻合装置
公开(公告)号：US07891533B2
公开(公告)日：2011-02-22
申请号：US12269600
申请日：2008-11-12
申请人： David T Green , Keith Ratcliff , Keith Milliam , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
发明人： David T Green , Keith Ratcliff , Keith Milliam , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/00535 , A61B2017/00544 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/07285 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803
摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.
摘要翻译：提供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。该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

16. 发明申请

US20090065551A1 SURGICAL STAPLING APPARATUS 失效
标题翻译：手术装置
公开(公告)号：US20090065551A1
公开(公告)日：2009-03-12
申请号：US12269618
申请日：2008-11-12
申请人： David T. Green , Keith Ratcliff , Keith Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
发明人： David T. Green , Keith Ratcliff , Keith Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/00535 , A61B2017/00544 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/07285 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803
摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.
摘要翻译：提供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。该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

17. 发明申请

US20090065550A1 SURGICAL STAPLING APPARATUS 失效
公开(公告)号：US20090065550A1
公开(公告)日：2009-03-12
申请号：US12269600
申请日：2008-11-12
申请人： David T. Green , Keith Ratcliff , Keith Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
发明人： David T. Green , Keith Ratcliff , Keith Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/00535 , A61B2017/00544 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/07285 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803
摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

18. 发明授权

US5656012A Surgical retractor 失效
标题翻译：手术牵开器
公开(公告)号：US5656012A
公开(公告)日：1997-08-12
申请号：US319172
申请日：1994-10-06
申请人： Henry R. Sienkiewicz
发明人： Henry R. Sienkiewicz
IPC分类号： A61B17/02
CPC分类号： A61B17/0218
摘要： A surgical retractor is disclosed having a handle portion, an elongated body portion extending distally from the handle portion and including an outer tube, a fixed stabilizing member extending from a distal end of the outer tube and a pair of resilient bands pivotably connected to a distal end portion of the stabilizing member. An actuation mechanism is provided which is associated with the handle portion and proximal end portions of the bands for moving the bands between open and closed position. The surgical retractor further includes a sheath dimensioned to receive at least a portion of the stabilizing member and the bands.
摘要翻译：公开了一种手术牵开器，其具有把手部分，从手柄部分向远侧延伸的细长主体部分，并且包括外管，从外管远端延伸的固定稳定件，以及一对可旋转地连接到远端稳定构件的端部。提供致动机构，其与手柄部分和带的近端部分相关联，用于在打开和关闭位置之间移动带。手术牵开器还包括尺寸适于容纳稳定构件和带的至少一部分的护套。

19. 发明授权

US5507754A Apparatus and method for applying and adjusting an anchoring device 失效
标题翻译：用于施加和调整锚固装置的装置和方法
公开(公告)号：US5507754A
公开(公告)日：1996-04-16
申请号：US109779
申请日：1993-08-20
申请人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo
发明人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo
IPC分类号： A61B17/00 , A61B17/04 , A61B17/132 , A61B17/28 , A61B17/82 , A61B19/02 , A61F2/00
CPC分类号： A61F2/0036 , A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence is provided. The invention includes an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the length of the suture, an apparatus for applying the anchoring device, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced. The method involves securing a first anchor to a first structure, such as the vaginal wall, securing a second anchor to a second structure, such as Cooper's ligament, and drawing the suture relative to the cinching member to approximate the first and second anchors, and thereby move the first structure and the second structure into juxtaposition so as to approximate them.
摘要翻译：提供了用于升高，近似和/或限制内部器官或结构，更特别地用于治疗女性尿失禁的方法和装置。本发明包括一种锚定装置，其具有在其每个端部处具有锚固件的细长缝合线和其间用于调节缝合线的长度的紧固构件，用于施加锚定装置的装置以及用于相对于收紧构件拉伸缝合线的装置在它被放置之后。该方法包括将第一锚固件固定到第一结构，例如阴道壁，将第二锚固件固定到第二结构（例如库珀氏韧带），并且相对于收紧构件拉紧缝合线以近似第一和第二锚固件，以及从而将第一结构和第二结构移动到并置以便近似它们。

20. 发明授权

US5482197A Articulating surgical cartridge assembly 失效
标题翻译：铰接手术筒组件
公开(公告)号：US5482197A
公开(公告)日：1996-01-09
申请号：US245148
申请日：1994-05-17
申请人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
发明人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
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 , A61B2017/00548 , A61B2017/2903 , 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 a frame portion, an elongated portion extending from the frame portion, and an articulating cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly to increase the range of operability of the apparatus.
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。该装置包括框架部分，从框架部分延伸的细长部分，以及安装到细长部分的远端的铰接盒组件。砧构件可操作地与关节式支架组件相关联并且具有成形表面，外科紧固件在从套筒组件弹出时被驱动。设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。

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