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11. 发明申请

US20110024476A1 Annular Adhesive Structure 有权
标题翻译：环形胶粘结构
公开(公告)号：US20110024476A1
公开(公告)日：2011-02-03
申请号：US12898927
申请日：2010-10-06
申请人： Michael J. Bettuchi , David N. Fowler , Frank J. Viola , Christopher J. Criscuolo , Danyel J. Tarinelli , Robert Capella , Kevin Sniffin , Ahmad Robert Hadba
发明人： Michael J. Bettuchi , David N. Fowler , Frank J. Viola , Christopher J. Criscuolo , Danyel J. Tarinelli , Robert Capella , Kevin Sniffin , Ahmad Robert Hadba
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B17/00491 , A61B17/07292 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/00557 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214
摘要： An apparatus for forming an anastomosis between adjacent intestinal sections of tissue is provided. The apparatus includes a circular surgical stapler having an anvil assembly with an anvil shaft and an anvil, the circular surgical stapler further having a tubular body portion with an annular knife and a body portion shaft selectively attachable to the anvil shaft; and a seal structure for deposition between the intestinal sections of tissue including a hub configured to engage attachment structure on at least one of the anvil shaft and the body portion shaft. The attachment structure is positioned so that the seal structure is located between the intestinal sections of tissue when the circular surgical stapler is disposed within the intestinal sections of tissue.
摘要翻译：提供了一种用于在组织的相邻肠段之间形成吻合的装置。该装置包括具有砧座组件和砧座轴和砧座的圆形手术吻合器，该圆形外科缝合器还具有一个具有环形刀的管状本体部分和可选择性地附接到砧座轴的主体部分轴; 以及用于在组织的肠部之间沉积的密封结构，包括被配置成将附接结构接合在砧座轴和主体部分轴中的至少一个上的轮毂。定位安装结构，使得当圆形手术吻合器设置在组织的肠部分内时，密封结构位于组织的肠段之间。

12. 发明授权

US07546940B2 Pivoting anvil assembly for surgical stapling device 有权
标题翻译：旋转砧座装置用于外科缝合装置
公开(公告)号：US07546940B2
公开(公告)日：2009-06-16
申请号：US11978345
申请日：2007-10-29
申请人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
发明人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The anvil assembly includes a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The anvil assembly of the stapling device also includes a retainer clip positioned on the anvil head. The retainer clip includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.
摘要翻译：公开了用于执行圆形吻合的外科缝合装置。外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。砧座组件包括可倾斜的砧座，该砧座将在装置被点火并且未被近似之后自动倾斜。钉钉装置的砧座组件还包括定位在砧头上的保持夹。保持夹包括至少一个弹性臂，定位成在缝合装置的未近似期间接合切割环。

13. 发明申请

US20070075117A1 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US20070075117A1
公开(公告)日：2007-04-05
申请号：US11515660
申请日：2006-09-05
申请人： Keith Milliman , Bruce Jankowski , Douglas Cuny , Kevin Sniffin , Anthony Dato , Richard Gresham
发明人： Keith Milliman , Bruce Jankowski , Douglas Cuny , Kevin Sniffin , Anthony Dato , Richard Gresham
IPC分类号： A61B17/04
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes an approximation mechanism including a rotatable knob, a screw having a helical channel and an anvil retainer. The helical channel includes a dwell portion for providing a tactile indication to a surgeon that the anvil retainer has been advanced to a position wherein the anvil assembly can be removed from the anvil retainer. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.
摘要翻译：公开了用于执行圆形吻合的外科缝合装置。外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。缝合装置包括近似机构，其包括可旋转旋钮，具有螺旋通道的螺钉和砧座保持器。所述螺旋通道包括用于向外科医生提供触觉指示的停留部分，所述砧座保持器已经前进到其中所述砧座组件能够从所述砧座保持器移除的位置。还公开了一种用于连接到砧组件的可拆卸的套针针，其包括位于安装突起的近侧的肋。肋被定位成使安装突起与砧组件的相关接合结构对准。

14. 发明授权

US07169158B2 Anastomosis instrument and method for performing same 失效
标题翻译：吻合仪器及其执行方法
公开(公告)号：US07169158B2
公开(公告)日：2007-01-30
申请号：US10399529
申请日：2001-10-18
申请人： Kevin Sniffin , Scott E. Manzo , Joseph P. Orban , Lisa W. Heaton , Peter W. J. Hinchliffe , Keith L. Milliman , David A. Nicholas
发明人： Kevin Sniffin , Scott E. Manzo , Joseph P. Orban , Lisa W. Heaton , Peter W. J. Hinchliffe , Keith L. Milliman , David A. Nicholas
IPC分类号： A61B17/04
CPC分类号： A61B17/11 , A61B17/0644 , A61B17/115 , A61B17/32053 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/2916
摘要： A tissue retaining ring for use with a plurality of surgical fasteners mounted within a disposable loading unit utilized during a vascular anastomosis inlcudes a genrally circular, semi-pliable material having a series of alternating loops and arcuate portions. Each of the loops defines an aperture therein which is dimensioned to receive a distal end of one of the plurality of surgical fasteners. When the instrument is fired, the surgical fasteners are simultaneously deformed through the tissue ring and through the tissue. The tissue retaining ring holds the tissue in place along the surgical fastener and reduces the chances of tissue slippage after deformation.
摘要翻译：安装在血管吻合术期间使用的一次性装载单元内的多个外科紧固件所使用的组织保持环包括具有一系列交替的环和弓形部分的基底圆形半柔性材料。每个环在其中限定孔，其尺寸被设计成接收多个外科紧固件之一的远端。当仪器被烧毁时，手术紧固件同时通过组织环并穿过组织变形。组织保持环沿着手术紧固件将组织保持在适当的位置，并且减小变形后组织滑动的机会。

15. 发明授权

US09173677B2 Apparatus and method for transvaginal surgery 有权
标题翻译：经阴道手术的装置和方法
公开(公告)号：US09173677B2
公开(公告)日：2015-11-03
申请号：US12830762
申请日：2010-07-06
申请人： Stanislaw Marczyk , Russell Pribanic , Kevin Sniffin
发明人： Stanislaw Marczyk , Russell Pribanic , Kevin Sniffin
IPC分类号： A61B1/32 , A61B17/34 , A61B17/00
CPC分类号： A61B17/3423 , A61B17/3431 , A61B2017/00278 , A61B2017/3445 , A61B2017/3454 , A61B2017/346 , A61B2017/3486 , A61B2017/3488
摘要： An access port for performing surgery transvaginally is provided. The access port includes an elongated flexible member having proximal and distal ends and a central portion therebetween, and a retention mechanism formed on the distal end of the elongated member. The retention mechanism includes a first configuration for inserting the distal end of the elongated member within an opening and a second configuration for selectively securing the elongated member within an opening. Also provided is a method of performing a transvaginal surgery. The method includes providing an access port including a retention mechanism configured to selectively retain the access port within the vagina of a patient, forming an incision in the wall of the vagina into the abdomen of the patient, inserting a distal end of the access port into the vagina and through the incision, and activating the retention mechanism to secure the distal end of the access port within the abdominal cavity of the patient.
摘要翻译：提供了一种经阴道镜进行手术的入口。进入端口包括细长的柔性构件，其具有近端和远端以及中间部分，以及形成在细长构件的远端上的保持机构。保持机构包括用于将细长构件的远端插入开口内的第一构造和用于选择性地将细长构件固定在开口内的第二构造。还提供了进行经阴道手术的方法。该方法包括提供一种进入端口，其包括保持机构，该保持机构构造成选择性地将入口端口保持在患者的阴道内，在阴道壁中形成切口进入患者腹部，将进入端口的远端插入阴道和通过切口，并且启动保持机构以将进入口的远端固定在患者的腹腔内。

16. 发明授权

US08348972B2 Surgical staple with augmented compression area 有权
标题翻译：具增压压缩面积的手术钉
公开(公告)号：US08348972B2
公开(公告)日：2013-01-08
申请号：US12144696
申请日：2008-06-24
申请人： Michael Soltz , Kevin Sniffin , Jennifer Broom , Henry E. Holsten
发明人： Michael Soltz , Kevin Sniffin , Jennifer Broom , Henry E. Holsten
IPC分类号： A61B17/08
CPC分类号： A61B17/068 , A61B17/0643 , A61B17/0644 , A61B17/072 , A61B17/07292
摘要： A multi-part surgical staple assembly is provided to provide uniform compression across stapled tissues. The staple assembly generally includes a staple, a staple plate positionable against a backspan of the staple for engagement with one side of a stapled tissue section and a platen for receipt of tissue penetrating tips of the staple and engageable with an opposite side of a stapled tissue section. The staple plate and platen are provided with holes to receive the legs of the staple. In one embodiment, the staple plate is provided with a biasing member to bias the staple plate away from the backspan of the staple and toward the stapled tissue.
摘要翻译：提供多部分手术缝合组件以提供穿过缝合组织的均匀压缩。钉组件通常包括钉，钉钉可定位成抵靠缝合钉的后跨，用于与缝合的组织部分的一侧接合，以及用于接收钉的组织穿透尖端的压板，并可与缝合组织的相对侧接合部分。钉板和压板设有孔，用于接收订书钉的腿部。在一个实施例中，订书钉板设置有偏置构件以将订书钉板偏离订书钉的后跨，并朝向装订的组织。

17. 发明授权

US08348122B2 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US08348122B2
公开(公告)日：2013-01-08
申请号：US11515660
申请日：2006-09-05
申请人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
发明人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes an approximation mechanism including a rotatable knob, a screw having a helical channel and an anvil retainer. The helical channel includes a dwell portion for providing a tactile indication to a surgeon that the anvil retainer has been advanced to a position wherein the anvil assembly can be removed from the anvil retainer. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.
摘要翻译：公开了用于执行圆形吻合的外科缝合装置。外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。缝合装置包括近似机构，其包括可旋转旋钮，具有螺旋通道的螺钉和砧座保持器。所述螺旋通道包括用于向外科医生提供触觉指示的停留部分，所述砧座保持器已经前进到其中所述砧座组件能够从所述砧座保持器移除的位置。还公开了一种用于连接到砧组件的可拆卸的套针针，其包括位于安装突起的近侧的肋。肋被定位成使安装突起与砧组件的相关接合结构对准。

18. 发明申请

US20120018487A1 Annular Adhesive Structure 有权
标题翻译：环形胶粘结构
公开(公告)号：US20120018487A1
公开(公告)日：2012-01-26
申请号：US13251327
申请日：2011-10-03
申请人： Michael J. Bettuchi , David N. Fowler , Frank J. Viola , Christopher J. Criscuolo , Danyel J. Tarinelli , Robert Capella , Kevin Sniffin , Ahmad Robert Hadba
发明人： Michael J. Bettuchi , David N. Fowler , Frank J. Viola , Christopher J. Criscuolo , Danyel J. Tarinelli , Robert Capella , Kevin Sniffin , Ahmad Robert Hadba
IPC分类号： A61B17/115
CPC分类号： A61B17/072 , A61B17/00491 , A61B17/07292 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/00557 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214
摘要： An apparatus for forming an anastomosis between adjacent intestinal sections of tissue is provided. The apparatus includes a circular surgical stapler having an anvil assembly with an anvil shaft and an anvil, the circular surgical stapler further having a tubular body portion with an annular knife and a body portion shaft selectively attachable to the anvil shaft; and a seal structure for deposition between the intestinal sections of tissue including a hub configured to engage attachment structure on at least one of the anvil shaft and the body portion shaft. The attachment structure is positioned so that the seal structure is located between the intestinal sections of tissue when the circular surgical stapler is disposed within the intestinal sections of tissue.
摘要翻译：提供了一种用于在组织的相邻肠段之间形成吻合的装置。该装置包括具有砧座组件和砧座轴和砧座的圆形手术吻合器，该圆形外科缝合器还具有一个具有环形刀的管状本体部分和可选择性地附接到砧座轴的主体部分轴; 以及用于在组织的肠部之间沉积的密封结构，包括被配置成将附接结构接合在砧座轴和主体部分轴中的至少一个上的轮毂。定位安装结构，使得当圆形手术吻合器设置在组织的肠部分内时，密封结构位于组织的肠段之间。

19. 发明授权

US08028884B2 Cartridge for applying varying amounts of tissue compression 有权
标题翻译：用于应用不同数量的组织压缩的墨盒
公开(公告)号：US08028884B2
公开(公告)日：2011-10-04
申请号：US12422501
申请日：2009-04-13
申请人： Kevin Sniffin , Michael Soltz
发明人： Kevin Sniffin , Michael Soltz
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/064 , A61B17/068 , A61B17/0686 , A61B17/07207 , A61B17/115 , A61B2017/07214 , A61B2017/07235 , A61B2017/07242
摘要： A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.
摘要翻译：外科缝合装置包括钉仓和砧座构件。钉仓包括设置成一排保留槽的多个外科紧固件。钉仓可以具有保持槽的环形或线性构造。钉仓的组织接触表面可以是锥形或阶梯状。所述砧座构件具有组织接触表面，所述组织接触表面包括布置成与所述保持槽基本对准的多个凹穴。此外，砧座构件的组织接触表面可补充钉仓的组织接触表面。

20. 发明申请

US20090192466A1 ENDOLUMINAL ACCESS DEVICE 有权
标题翻译：内镜访问装置
公开(公告)号：US20090192466A1
公开(公告)日：2009-07-30
申请号：US12358684
申请日：2009-01-23
申请人： Kevin Sniffin
发明人： Kevin Sniffin
IPC分类号： A61B17/34
CPC分类号： A61B17/3421 , A61B17/3423 , A61B2017/3445 , A61B2017/3449 , A61B2017/3456 , A61B2017/3466
摘要： A surgical access apparatus for providing access inside a body includes a housing having a first port, a tubular member extending distally from the housing and defining a longitudinal axis therealong, wherein the tubular member includes a lumen extending therethrough. a shaft insert disposed in the lumen of the tubular member, wherein the shaft insert forms first, second, and third passageways extending along the lumen of the tubular member, wherein each of the first, second, and third passageways is adapted to receive a surgical instrument; and a first seal assembly covering the first port of the housing and defining a first passage disposed in communication with the first passageway defined by the shaft insert in the tubular member, wherein the first seal assembly is adapted to form a seal around the surgical instrument inserted through the first passage of the first seal assembly.
摘要翻译：用于在主体内提供通路的手术进入装置包括具有第一端口的壳体，从壳体向远侧延伸并且在其上沿着纵向轴线延伸的管状构件，其中管状构件包括延伸穿过其中的内腔。设置在所述管状构件的内腔中的轴插入物，其中所述轴插入件形成沿着所述管状构件的内腔延伸的第一，第二和第三通道，其中所述第一，第二和第三通道中的每一个适于接收手术仪器; 以及第一密封组件，其覆盖所述壳体的所述第一端口并且限定第一通道，所述第一通道设置成与所述管状构件中的所述轴插入件限定的所述第一通道连通，其中所述第一密封组件适于在所述外科器械周围形成密封通过第一密封组件的第一通道。

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