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51. 发明授权

US5257713A Surgical fastening device 失效
标题翻译：手术紧固装置
公开(公告)号：US5257713A
公开(公告)日：1993-11-02
申请号：US931591
申请日：1992-08-18
申请人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
IPC分类号： A61B17/064 , A61B17/068 , A61B17/00
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/0684
摘要： A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. Structure is provided for advancing the fasteners distally by an actuating handle means working in concert with a pusher means. The fasteners exit the fastener housing at an angle to the longitudinal axis of the device to facilitate visualization and placement at the surgical site. A unique fastener may be formed in which the legs are in a substantially overlapping longitudinally-spaced relation.
摘要翻译：提供了用于将紧固件和/或增强材料放置在组织中的外科器械。提供用于通过与推动器装置协同工作的致动手柄装置向远侧推进紧固件的结构。紧固件以与设备的纵向轴线成一定角度离开紧固件壳体，以便于在手术部位的可视化和放置。可以形成独特的紧固件，其中腿部基本上重叠的纵向间隔的关系。

52. 发明授权

US5217472A Surgical fastening device 失效
标题翻译：外科手术装置
公开(公告)号：US5217472A
公开(公告)日：1993-06-08
申请号：US696511
申请日：1991-05-07
申请人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
IPC分类号： A61B17/068
CPC分类号： A61B17/068
摘要： A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. The fasteners exit the fastener housing at an angle to the longitudinal axis of the device to facilitate visualization and placement at the surgical site. A unique fastener may be formed in which the legs are in a substantially overlapping, longitudinally-spaced relation.

53. 发明申请

US20100100074A1 IMPLANTABLE CATHETHER AND METHOD OF USING SAME 有权
标题翻译：可植入的导管及其使用方法
公开(公告)号：US20100100074A1
公开(公告)日：2010-04-22
申请号：US12643562
申请日：2009-12-21
申请人： A. DAVID SMITH , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
发明人： A. DAVID SMITH , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
IPC分类号： A61M25/16 , A61B17/3209
CPC分类号： A61M25/0097 , A61M25/0009 , A61M25/0014 , A61M39/06 , A61M39/0606 , A61M39/10 , A61M2027/004 , A61M2039/062 , A61M2039/1027
摘要： A catheter for implantation into a patient having a catheter tube having a distal end, a means for trimming the distal end of the catheter tube after subcutaneous insertion of the tip of the catheter lumen into a desired position within the patient to form a trimmed end portion, and a means for selectively positioning each respective lumen of the trimmed end portion of the catheter tube into fluid communication with the respective first end of one attachment tube. The attachment tube is select fluid communication with a desired medical device.
摘要翻译：一种用于植入具有具有远端的导管的患者的导管，用于在将导管内腔的尖端皮下插入患者体内的期望位置之后修整导管管的远端的装置，以形成修剪的端部以及用于选择性地定位导管管的修剪端部的每个相应内腔与一个附接管的相应第一端流体连通的装置。附件管是与期望的医疗装置的选择性流体连通。

54. 发明授权

US07681772B2 Apparatus for applying surgical fasteners to body tissue 失效
标题翻译：用于将外科紧固件应用于身体组织的装置
公开(公告)号：US07681772B2
公开(公告)日：2010-03-23
申请号：US11978852
申请日：2007-10-30
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号： A61B17/10 , A61B17/04
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery includes an elongate member defining a longitudinal axis, a cartridge, an anvil, and a control member located in a proximal region of the elongate member. The cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. The anvil provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to body tissue. The control member is axially movable along the longitudinal axis to articulate the cartridge. The control member is also rotatable to rotate the cartridge.
摘要翻译：一种用于内窥镜应用外科手术钉的装置，其适于在腹腔镜疝手术中将外科手术网连接到身体组织，包括限定纵向轴线的细长构件，钉仓，砧座和位于细长构件的近侧区域中的控制构件。药筒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。砧座提供单独封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。控制构件沿着纵向轴线可轴向移动以使卡盒连接。控制构件也可旋转以旋转盒。

55. 发明申请

US20090314820A1 APPARATUS FOR APPLYING SURGICAL FASTENERS TO BODY TISSUE 失效
公开(公告)号：US20090314820A1
公开(公告)日：2009-12-24
申请号：US12547941
申请日：2009-08-26
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号： A61B17/068
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.

56. 发明授权

US07624903B2 Apparatus for applying surgical fastners to body tissue 失效
标题翻译：用于将外科止血器应用于身体组织的装置
公开(公告)号：US07624903B2
公开(公告)日：2009-12-01
申请号：US10753248
申请日：2004-01-08
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号： A61B17/10 , A61B17/04
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.
摘要翻译：公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。推动器系统还包括用于致动推动器的触发系统。触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

57. 发明授权

US5807349A Catheter having valve mechanism 失效
标题翻译：导管具有阀机构
公开(公告)号：US5807349A
公开(公告)日：1998-09-15
申请号：US813935
申请日：1997-03-10
申请人： Wayne C. Person , Dominick L. Mastri , William J. Vumback , Patrick D. Mozdzierz
发明人： Wayne C. Person , Dominick L. Mastri , William J. Vumback , Patrick D. Mozdzierz
IPC分类号： A61M25/00 , A61M5/00
CPC分类号： A61M25/007 , A61M25/0075
摘要： An improved catheter having a closed distal end and a valve adjacent the distal end which communicates the lumen of the catheter with the exterior of the catheter to permit the infusion or aspiration of fluids between the catheter and the vessel in which the catheter is positioned. The valve is preferably in a plane which is oriented at an angle to the longitudinal axis of the catheter, and is preferably in an area of reduced wall thickness to facilitate opening and closing.
摘要翻译：一种改进的导管，其具有封闭的远端和邻近远端的瓣膜，其将导管的内腔与导管的外部连通，以允许在导管和导管所在的血管之间输注或抽吸流体。阀优选地在与导管的纵向轴线成一定角度定向的平面中，并且优选地在减小壁厚的区域中以便于打开和关闭。

58. 发明授权

US5680981A Self-contained powered surgical apparatus 失效
标题翻译：自备动力手术器械
公开(公告)号：US5680981A
公开(公告)日：1997-10-28
申请号：US643395
申请日：1996-05-06
申请人： Carlo A. Mililli , Wayne P. Young , Stephan A. DeFonzo , Dominick L. Mastri , Henry Bolanos , Leonard Stern
发明人： Carlo A. Mililli , Wayne P. Young , Stephan A. DeFonzo , Dominick L. Mastri , Henry Bolanos , Leonard Stern
IPC分类号： A61B17/068
CPC分类号： A61B17/0684
摘要： A self-contained powered surgical stapling apparatus is provided which includes an elongate body, a fastener applying assembly including an anvil for forming a surgical fastener driven thereagainst, a motor assembly and power source for energizing the motor assembly disposed within the elongate body, and a pusher driven by the motor assembly for driving a surgical fastener toward the anvil to be formed thereby and fastened to body tissue. The apparatus is configured for utilization during conventional invasive surgical procedures as well as endoscopic or laparoscopic surgical procedures by providing a detachable extension shaft.
摘要翻译：提供了一种独立的动力手术吻合装置，其包括细长主体，紧固件施加组件，其包括用于形成驱动其的手术紧固件的砧座，用于激励设置在细长主体内的马达组件的马达组件和动力源，以及由马达组件驱动的推动器，用于驱动手术紧固件朝向由其形成的砧座，并固定到身体组织。该装置被配置为在常规的侵入性外科手术过程中利用，以及通过提供可拆卸的延伸轴来进行内窥镜或腹腔镜外科手术。

59. 发明授权

US5645553A Suture clip applier 失效
标题翻译：缝合夹施压器
公开(公告)号：US5645553A
公开(公告)日：1997-07-08
申请号：US440797
申请日：1995-05-15
申请人： Michael S. Kolesa , Dominick L. Mastri , Wayne P. Young , Henry Bolanos
发明人： Michael S. Kolesa , Dominick L. Mastri , Wayne P. Young , Henry Bolanos
IPC分类号： A61B17/00 , A61B17/04 , A61B17/128 , A61B17/08
CPC分类号： A61B17/0487 , A61B17/1285 , A61B17/0469 , A61B2017/00004 , A61B2017/0454 , A61B2017/0488
摘要： A suture fastening device which includes a first member having a base and first and second legs projecting in a lengthwise direction along the base. The legs are parallel to each other and are resiliently biased toward a spaced apart position in relation to each other. A second member is provided and includes an aperture for receiving the first and second legs of the first member. The first and second members are connected by a hinge portion. A suture is held in serpentine fashion by positioning the suture transversely across both legs and locking the first member to the second member by forcing the legs through the aperture.
摘要翻译：一种缝合线紧固装置，其包括具有基部的第一构件和沿着所述基部的沿长度方向突出的第一和第二腿。腿彼此平行并相对于彼此弹性偏压到间隔开的位置。提供第二构件，并且包括用于接收第一构件的第一和第二腿的孔。第一和第二构件通过铰链部连接。缝合线通过将缝合线横向横过两条腿定位并通过迫使腿穿过孔将第一构件锁定到第二构件而以蛇形方式保持。

60. 发明授权

US5423471A Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures 失效
标题翻译：用于在腹腔镜或内窥镜手术中应用两部分手术紧固件的装置
公开(公告)号：US5423471A
公开(公告)日：1995-06-13
申请号：US27865
申请日：1993-03-08
申请人： Dominick L. Mastri , Michael S. Kolesa , Leonard Stern
发明人： Dominick L. Mastri , Michael S. Kolesa , Leonard Stern
IPC分类号： A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28
CPC分类号： A61B17/07207 , A61B17/068 , A61B17/00234 , A61B2017/07214 , A61B2017/2927 , A61B2017/2929
摘要： Apparatus is disclosed for applying two-part surgical fasteners during endoscopic or laparoscopic procedures. The apparatus includes a handle assembly, an endoscopic portion which extends from the handle assembly, and a tool assembly pivotally associated with a distal end of the endoscopic portion for applying a two-part surgical fastener. A mechanism is provided for effectuating articulated pivotal movement of the fastener applying tool assembly within an angular sector of rotation to increase the operational range of the instrument.
摘要翻译：公开了用于在内窥镜或腹腔镜手术中应用两部分手术紧固件的装置。该装置包括手柄组件，从手柄组件延伸的内窥镜部分以及与内窥镜部分的远端枢转相关联的用于施加两部分外科紧固件的工具组件。提供了一种机构，用于在旋转的角度范围内实现紧固件施加工具组件的铰接的枢转运动，以增加仪器的操作范围。

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