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51. 发明授权

US08114010B2 Gastric restrictor assembly and method of use 有权
标题翻译：胃限流器组装及使用方法
公开(公告)号：US08114010B2
公开(公告)日：2012-02-14
申请号：US12707017
申请日：2010-02-17
申请人： Henry E. Holsten , Frank Viola
发明人： Henry E. Holsten , Frank Viola
IPC分类号： A61F2/00
CPC分类号： A61F5/0079 , A61B17/072 , A61B2017/07214 , A61B2017/081 , A61F5/0086
摘要： A gastric restrictor assembly for positioning within the digestive tract, e.g., stomach, of a patient to treat obesity is disclosed. The gastric restrictor assembly includes an attachment mechanism for attaching the assembly within a body lumen and a valve assembly for adjusting the diameter of a throughbore defined by valve assembly. The gastric restrictor includes first and second actuators which can be actuated transorally for operating the attachment mechanism and the valve assembly.
摘要翻译：公开了用于定位在患者的消化道（例如胃）内用于治疗肥胖的胃限制器组件。胃限流器组件包括用于将组件附接到体腔内的附接机构和用于调节由阀组件限定的通孔的直径的阀组件。胃限制器包括可以经由远端致动以操作附接机构和阀组件的第一和第二致动器。

52. 发明授权

US08033440B2 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US08033440B2
公开(公告)日：2011-10-11
申请号：US12732366
申请日：2010-03-26
申请人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
发明人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B17/068 , A61B90/03 , A61B2017/00115 , A61B2017/0046 , A61B2017/2927 , A61B2090/034 , A61B2090/0808
摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly.
摘要翻译：提供了一种用于将多个紧固件顺次施加到身体组织并同时切开组织的外科缝合装置。外科缝合装置适于容纳具有线性行的钉的一次性装载单元，其长度可以在约30mm至60mm之间。一次性装载单元包括近端主体部分，安装组件和工具组件。安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。支撑构件或吹出板组件定位在枢轴avis的相对侧上并且在近侧主体部分和安装组件之间延伸。

53. 发明授权

US07934628B2 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US07934628B2
公开(公告)日：2011-05-03
申请号：US12036659
申请日：2008-02-25
申请人： Thomas Wenchell , Stanislaw Marcyzk , Kenneth H. Whifield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
发明人： Thomas Wenchell , Stanislaw Marcyzk , Kenneth H. Whifield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
IPC分类号： A61B17/064
CPC分类号： A61B17/07207 , A61B17/068 , A61B90/03 , A61B2017/00115 , A61B2017/0046 , A61B2017/2927 , A61B2090/034 , A61B2090/0808
摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot axis and extends between the proximal body portion and the mounting assembly. An axial drive assembly is slidably positioned between the support members and is translatable through the cartridge assembly to eject staples from the cartridge assembly. The support members prevent outward buckling of the axial drive assembly during actuation of the device especially when the tool assembly is articulated. Preferably, a protrusion is provided in the proximal body portion of the disposable loading unit at a position to frictionally engage an articulation link. Engagement between the protrusion and the articulation link retains the articulation link at a fixed position within the proximal body portion to maintain the tool assembly in a desired orientation until a predetermined axial force is applied to the articulation link. The disposable loading unit also preferably includes a locking member which is operably connected to the axial drive assembly. The locking member provides an audible and/or tactile indication that the device has been actuated.
摘要翻译：提供了一种用于将多个紧固件顺次施加到身体组织并同时切开组织的外科缝合装置。外科缝合装置适于容纳具有线性行的钉的一次性装载单元，其长度可以在约30mm至60mm之间。一次性装载单元包括近端主体部分，安装组件和工具组件。安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。支撑构件或吹出板组件定位在枢转轴线的相对侧上并且在近端主体部分和安装组件之间延伸。轴向驱动组件可滑动地定位在支撑构件之间并且可平移通过盒组件以从钉仓组件弹出订书钉。支撑构件在装置的致动期间防止轴向驱动组件的向外弯曲，特别是当工具组件铰接时。优选地，在一次性加载单元的近端主体部分中，在与摩擦接合铰接连杆的位置处设置突起。突起和关节运动连杆之间的接合将关节连接件保持在近端主体部分内的固定位置处，以将工具组件保持在期望的方向，直到预定的轴向力施加到关节连杆。一次性加载单元还优选地包括可操作地连接到轴向驱动组件的锁定构件。锁定构件提供该装置已被致动的声音和/或触觉指示。

54. 发明申请

US20090020584A1 SURGICAL STAPLE WITH AUGMENTED COMPRESSION AREA 有权
标题翻译：具有增强压缩面积的外科手术
公开(公告)号：US20090020584A1
公开(公告)日：2009-01-22
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： A61B17/068
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。

55. 发明授权

US08113408B2 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US08113408B2
公开(公告)日：2012-02-14
申请号：US13008284
申请日：2011-01-18
申请人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
发明人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
IPC分类号： A61B17/0025
CPC分类号： A61B17/07207 , A61B17/068 , A61B90/03 , A61B2017/00115 , A61B2017/0046 , A61B2017/2927 , A61B2090/034 , A61B2090/0808
摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly. An axial drive assembly is slidably positioned between the support members and is translatable through the cartridge assembly to eject staples from the cartridge assembly. The support members prevent outward buckling of the axial drive assembly during actuation of the device especially when the tool assembly is articulated. Preferably, a protrusion is provided in the proximal body portion of the disposable loading unit at a position to frictionally engage an articulation link. Engagement between the protrusion and the articulation link retains the articulation link at a fixed position within the proximal body portion to maintain the tool assembly in a desired orientation until a predetermined axial force is applied to the articulation link. The disposable loading unit also preferably includes a locking member which is operably connected to the axial drive assembly. The locking member provides an audible and/or tactile indication that the device has been actuated.
摘要翻译：提供了一种用于将多个紧固件顺次施加到身体组织并同时切开组织的外科缝合装置。外科缝合装置适于容纳具有线性行的钉的一次性装载单元，其长度可以在约30mm至60mm之间。一次性装载单元包括近端主体部分，安装组件和工具组件。安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。支撑构件或吹出板组件定位在枢轴avis的相对侧上并且在近侧主体部分和安装组件之间延伸。轴向驱动组件可滑动地定位在支撑构件之间并且可平移通过盒组件以从钉仓组件弹出订书钉。支撑构件在装置的致动期间防止轴向驱动组件的向外弯曲，特别是当工具组件铰接时。优选地，在一次性加载单元的近端主体部分中，在与摩擦接合铰接连杆的位置处设置突起。突起和关节运动连杆之间的接合将关节连接件保持在近端主体部分内的固定位置处，以将工具组件保持在期望的方向，直到预定的轴向力施加到关节连杆。一次性加载单元还优选地包括可操作地连接到轴向驱动组件的锁定构件。锁定构件提供该装置已被致动的声音和/或触觉指示。

56. 发明申请

US20100312146A1 TISSUE TENSION DETECTION SYSTEM 有权
标题翻译：组织张力检测系统
公开(公告)号：US20100312146A1
公开(公告)日：2010-12-09
申请号：US12857803
申请日：2010-08-17
申请人： Henry E. Holsten
发明人： Henry E. Holsten
IPC分类号： A61B5/103
CPC分类号： A61B17/0682 , A61B17/04 , A61B17/11 , A61B2017/1107 , A61B2090/064
摘要： An apparatus for indicating the amount of tension applied to separate internal organ sections includes a housing, a shaft extending from the housing, and a fastener applier. The fastener applier is supported on the shaft. The fastener applier includes an anvil assembly and a cartridge assembly. The anvil assembly is positionable between first and second positions relative to the cartridge assembly. The anvil assembly and the cartridge assembly include a tissue detection device positioned to contact separate internal organ sections to generate a signal indicative of an amount of tension between the organ sections as the anvil assembly moves between the first and second positions. The tissue detection device is operably coupled to a gauge configured and dimensioned to generate an output based upon the signal. The output indicates the amount of tension between the organ sections.
摘要翻译：用于指示施加到分离的内部器官部分的张力的量的装置包括壳体，从壳体延伸的轴和紧固件施加器。紧固件施加器支撑在轴上。紧固件施加器包括砧组件和筒组件。砧组件可相对于盒组件定位在第一和第二位置之间。砧组件和药筒组件包括组织检测装置，该组织检测装置定位成接触单独的内部器官部分，以产生指示器官部分之间的张力的信号，因为砧组件在第一和第二位置之间移动。组织检测装置可操作地耦合到配置和尺寸的计量器，以基于该信号产生输出。输出表示器官部分之间的张力。

57. 发明申请

US20100200639A1 SURGICAL STAPLING DEVICE 有权
标题翻译：外科手术装置
公开(公告)号：US20100200639A1
公开(公告)日：2010-08-12
申请号：US12732366
申请日：2010-03-26
申请人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
发明人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/068 , A61B90/03 , A61B2017/00115 , A61B2017/0046 , A61B2017/2927 , A61B2090/034 , A61B2090/0808
摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly. An axial drive assembly is slidably positioned between the support members and is translatable through the cartridge assembly to eject staples from the cartridge assembly. The support members prevent outward buckling of the axial drive assembly during actuation of the device especially when the tool assembly is articulated. Preferably, a protrusion is provided in the proximal body portion of the disposable loading unit at a position to frictionally engage an articulation link. Engagement between the protrusion and the articulation link retains the articulation link at a fixed position within the proximal body portion to maintain the tool assembly in a desired orientation until a predetermined axial force is applied to the articulation link. The disposable loading unit also preferably includes a locking member which is operably connected to the axial drive assembly. The locking member provides an audible and/or tactile indication that the device has been actuated.
摘要翻译：提供了一种用于将多个紧固件顺次施加到身体组织并同时切开组织的外科缝合装置。外科缝合装置适于容纳具有线性行的钉的一次性装载单元，其长度可以在约30mm至60mm之间。一次性装载单元包括近端主体部分，安装组件和工具组件。安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。支撑构件或吹出板组件定位在枢轴avis的相对侧上并且在近端主体部分和安装组件之间延伸。轴向驱动组件可滑动地定位在支撑构件之间并且可平移通过盒组件以从钉仓组件弹出订书钉。支撑构件在装置的致动期间防止轴向驱动组件的向外弯曲，特别是当工具组件铰接时。优选地，在一次性加载单元的近端主体部分中，在与摩擦接合铰接连杆的位置处设置突起。突起和关节运动连杆之间的接合将关节连接件保持在近端主体部分内的固定位置处，以将工具组件保持在期望的方向，直到预定的轴向力施加到关节连杆。一次性加载单元还优选地包括可操作地连接到轴向驱动组件的锁定构件。锁定构件提供该装置已被致动的声音和/或触觉指示。

58. 发明授权

US5830221A Coil fastener applier 失效
标题翻译：线圈紧固件施工机
公开(公告)号：US5830221A
公开(公告)日：1998-11-03
申请号：US717492
申请日：1996-09-20
申请人： Jeffrey A. Stein , William J. Allen , Richard L. Markus , Alan B. Bachman , Deborah M. Bryan , Henry E. Holsten , Stephen A. DeFonzo , Robert C. Savage
发明人： Jeffrey A. Stein , William J. Allen , Richard L. Markus , Alan B. Bachman , Deborah M. Bryan , Henry E. Holsten , Stephen A. DeFonzo , Robert C. Savage
IPC分类号： A61B17/064 , A61B17/068 , A61B17/28 , A61F2/00 , A61B17/08
CPC分类号： A61B17/068 , A61B17/064 , A61B2017/0649 , A61B2017/2923 , A61B2017/2946 , A61F2/0063 , Y10S227/901
摘要： There is provided a surgical coil fastener applier for use in applying helical coil fasteners in surgical procedures, such as hernia repair, to affix surgical mesh to tissue. The coil fastener applier includes a housing having a handle extending therefrom and a trigger pivotally mounted on the housing. An elongated tubular portion extends from the housing and includes a drive rod rotatably supported therein and slidably supporting a plurality of coil fasteners thereon. A drive assembly is provided within the housing to rotate the drive rod and coil fasteners. The drive assembly includes an anti-reverse mechanism to allow rotation of the drive rod in only one direction. An actuation assembly is provided within the housing to convert the motion of the trigger into rotary motion for supply to the drive assembly. The drive assembly includes structure to limit the amount of rotary motion supplied to the drive assembly. The drive assembly further includes a ratchet and pawl mechanism to prevent a partial cycling of the coil fastener applier. Also provided are various coil fasteners for use with the coil fastener applier.
摘要翻译：提供了一种用于在诸如疝修补术的外科手术中应用螺旋线圈紧固件的外科用线圈紧固件敷贴器，以将外科手术网固定到组织上。线圈紧固件施加器包括具有从其延伸的手柄的壳体和枢转地安装在壳体上的触发器。细长的管状部分从壳体延伸并且包括可旋转地支撑在其中并且可滑动地支撑多个线圈紧固件的驱动杆。驱动组件设置在壳体内以旋转驱动杆和线圈紧固件。驱动组件包括防反转机构，以允许驱动杆在仅一个方向上旋转。致动组件设置在壳体内以将触发器的运动转换成旋转运动，以供给驱动组件。驱动组件包括限制提供给驱动组件的旋转运动量的结构。驱动组件还包括棘轮和棘爪机构，以防止线圈紧固件施加器的部分循环。还提供了与线圈紧固件施加器一起使用的各种线圈紧固件。

59. 发明授权

US08418904B2 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US08418904B2
公开(公告)日：2013-04-16
申请号：US13347973
申请日：2012-01-11
申请人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
发明人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/068 , A61B90/03 , A61B2017/00115 , A61B2017/0046 , A61B2017/2927 , A61B2090/034 , A61B2090/0808
摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly.
摘要翻译：提供了一种用于将多个紧固件顺次施加到身体组织并同时切开组织的外科缝合装置。外科缝合装置适于容纳具有线性行的钉的一次性装载单元，其长度可以在约30mm至60mm之间。一次性装载单元包括近端主体部分，安装组件和工具组件。安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。支撑构件或吹出板组件定位在枢轴avis的相对侧上并且在近侧主体部分和安装组件之间延伸。

60. 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。

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