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    • 42. 发明申请
    • Curved cutter stapler with aligned tissue retention feature
    • 具有对齐组织保持功能的曲线切割订书机
    • US20050145672A1
    • 2005-07-07
    • US11014909
    • 2004-12-20
    • Richard SchwembergerWilliam KellyPeter WukusickFederico BilottiAntonio Longo
    • Richard SchwembergerWilliam KellyPeter WukusickFederico BilottiAntonio Longo
    • A61B17/115A61B17/00A61B17/072A61B19/00A61B17/04
    • A61B17/072A61B2017/0023A61B2017/07214A61B2017/07221A61B2090/038A61B2090/0814
    • A surgical instrument is adapted for applying a plurality of surgical fasteners to body tissue. The surgical instrument includes a frame having a proximal end and a distal end, with a handle positioned at the proximal end and an end effector positioned at the distal end. The end effector is shaped and dimensioned for supporting a cartridge housing and an anvil, the cartridge housing and anvil structure being relatively movable between a first spaced apart position and a second position in close approximation with one another. A firing mechanism is associated with the end effector and the cartridge housing for selective actuation of the fastening elements for treatment of an individual. A tissue retention feature is associated with the cartridge housing and anvil, the tissue retention feature maintaining tissue within the end effector during treatment and including a top tissue retention member and a bottom tissue retention member. The cartridge housing includes at least one staple line along a face of the cartridge housing defining the longitudinal extent of the surgical fasteners being applied via the cartridge module. The staple line includes a top and a bottom, and the top of the staple line is above the top tissue retention member and/or the bottom of the staple line is below the bottom tissue retention member.
    • 外科器械适于将多个外科紧固件应用于身体组织。 手术器械包括具有近端和远端的框架,手柄位于近端,并且末端执行器位于远端。 端部执行器的形状和尺寸用于支撑盒壳体和砧座,盒壳体和砧座结构可在彼此近似近似的第一间隔位置和第二位置之间相对移动。 击发机构与端部执行器和盒壳体相关联,用于选择性地致动用于个体治疗的紧固元件。 组织保持特征与药筒外壳和砧座相关联,组织保持特征在治疗期间维持末端执行器内的组织并且包括顶部组织保持构件和底部组织保持构件。 盒壳体包括沿着盒壳体的表面的至少一个缝合线,其限定通过盒模块施加的外科紧固件的纵向范围。 缝线包括顶部和底部,并且缝合线的顶部在顶部组织保持构件上方和/或缝合线的底部在底部组织保持构件下方。
    • 43. 发明授权
    • Method of use of a circular stapler for hemorrhoidal procedure
    • 用于痔疮手术的圆形吻合器的使用方法
    • US06083241A
    • 2000-07-04
    • US197806
    • 1998-11-23
    • Antonio LongoJohn R. BittnerRandall L. Hacker
    • Antonio LongoJohn R. BittnerRandall L. Hacker
    • A61B17/02A61B17/11A61B17/115A61B17/08
    • A61B17/115A61B17/0293A61B1/31A61B17/1155A61B2017/1142A61B2017/3452
    • A method for using a circular stapling instrument for the removal of hemorrhoids is disclosed. The circular stapling instrument has a stapling end effector having a stapling head assembly and an anvil assembly movable from an open position spaced away from the stapling head to a closed position adjacent to the stapling head. A first inner chamber and a second inner chamber communicate within the stapling head assembly wherein the second inner chamber has an open distal end when the anvil is in an open position. A substantially unobstructed passageway extends from an exterior casing surface of the stapling head assembly through the first inner chamber, through the second inner chamber, and through the open distal end of the second inner chamber. A suture is placed into the hemorrhoid of a patient and the open stapling end effector is placed into the anus of a patient. The open stapling end effector is positioned with the suture between the stapling head and the open anvil assembly and a surgical instrument is placed into the passageway to engage the suture through the open distal end of the second chamber. The suture is withdrawn out of the passageway with the surgical instrument. The suture is pulled by the surgeon to draw the hemorrhoids into the open distal end of the stapling end effector and into the first and second inner chambers. The open anvil is closed and the circular stapling instrument is fired to staple and cut the hemorrhoids. The circular stapling instrument and the hemorrhoids are then removed from the patient.
    • 公开了一种使用圆形缝合器械去除痔疮的方法。 圆形缝合器械具有装订端部执行器,其具有装订头部组件和砧座组件,该砧座组件可从与装订头部间隔开的打开位置移动到与缝合头相邻的关闭位置。 第一内室和第二内室在缝合头组件内连通,其中当砧座处于打开位置时,第二内室具有敞开的远端。 基本上无障碍的通道从缝合头组件的外部壳体表面延伸穿过第一内部腔室,穿过第二内部腔室,并且穿过第二内部腔室的敞开的远端。 将缝合线放置在患者的痔疮中,将开放的缝合末端执行器置于患者的肛门中。 打开的缝合端部执行器被定位成使得缝合线在缝合头和打开的砧组件之间,并且外科器械被放置在通道中以通过第二腔室的开口远端接合缝合线。 用手术器械将缝合线从通道中取出。 缝合线由外科医生拉动以将痔疮拉入装订末端执行器的开放远端并进入第一和第二内腔。 开放的砧座关闭,圆形缝合器械被烧制成钉和切割痔疮。 然后从患者中取出圆形吻合器械和痔疮。
    • 47. 发明申请
    • Surgical Stapling Instrument
    • 手术器械
    • US20100308101A1
    • 2010-12-09
    • US12830010
    • 2010-07-02
    • Federico BilottiAntonio Longo
    • Federico BilottiAntonio Longo
    • A61B17/068
    • A61B17/1114A61B17/072A61B17/115A61B17/1155A61B2017/07221
    • A surgical stapling instrument (1) comprises a body portion (2, 3), a handle (4) and a staple fastening assembly (8). The staple fastening assembly (8) includes a curved cartridge (10), which comprises at least one curved open row of staples, and a curved anvil (22), which is adapted to cooperate with the cartridge (10) for forming the ends of the staples exiting from the cartridge (10). The staple fastening assembly (8) is adapted to allow unobstructed access towards the concave inner faces of the cartridge (10) and the anvil (22). The cartridge (10) can be moved towards the anvil (22) from a spaced position for positioning tissue therebetween to a closed position for clamping the tissue. Preferably, a knife is contained within the cartridge (10) and is positioned such that there is at least one row of staples on at least one side of the knife.
    • 外科缝合器械(1)包括主体部分(2,3),手柄(4)和钉紧固组件(8)。 缝钉紧固组件(8)包括弯曲的盒(10),其包括至少一个弯曲的开放排的钉和弯曲的砧座(22),其适于与所述盒(10)协作以形成 订书钉从盒(10)离开。 缝合钉紧固组件(8)适于允许朝向盒(10)和砧座(22)的凹内表面畅通无阻。 药筒(10)可以从间隔位置移动到砧座(22),用于将组织定位到用于夹紧组织的关闭位置。 优选地,刀被容纳在盒(10)内并且被定位成使得在刀的至少一侧上存在至少一排钉。