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71. 发明授权

US5653373A Arcuate apparatus for applying two-part surgical fasteners 失效
标题翻译：用于应用两部分手术紧固件的弧形装置
公开(公告)号：US5653373A
公开(公告)日：1997-08-05
申请号：US342323
申请日：1994-11-18
申请人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
发明人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
IPC分类号： A61B17/00 , A61B17/072 , A61B19/00 , A61B17/10
CPC分类号： A61B17/07207 , A61B2017/00446 , A61B2017/00451 , A61B2017/07221 , A61B2017/07278 , A61B2090/08021
摘要： Apparatus is disclosed for applying surgical fasteners to body tissue along an arcuate path. Each surgical fastener may be in the form of a two-part fastener having a pronged fastener portion for piercing body tissue, and an apertured retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. Alternatively, the fasteners may be in the form of deformable staples. The apparatus preferably includes an arcuately shaped member for holding a plurality of the fastener portions in generally aligned relation, a correspondingly arcuately shaped member spaced from the fastener portion holding member for gripping body tissue therebetween and for releasably holding a plurality of the retainers in generally aligned relation and positioned opposite the fasteners when the body tissue is positioned therebetween. A fastener driver is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue therebetween. A knife may be provided to cut the body tissue adjacent the fasteners as the fasteners are applied.
摘要翻译：公开了用于沿弓形路径将外科紧固件应用于身体组织的装置。每个外科紧固件可以是两部分紧固件的形式，其具有用于刺穿身体组织的插入式紧固件部分，以及有孔保持器，该保持器的尺寸和构造用于接合接合夹紧的紧固件部分，以与其夹紧以夹持其间的身体组织。或者，紧固件可以是可变形钉钉的形式。该装置优选地包括用于以大致对齐的关系保持多个紧固件部分的弧形构件，与紧固件部分保持构件间隔开的用于夹持身体组织的相应的弧形构件，并且用于可释放地将多个保持器保持在大致对齐关系并且当身体组织位于其间时与紧固件相对定位。提供了一种紧固件驱动器，用于将经插入的紧固件部分朝向有孔保持器顺序前进，以使紧固件部分在其间刺穿身体组织。当施加紧固件时，可以设置刀来切割邻近紧固件的身体组织。

72. 发明授权

US5489287A Apparatus and method for subcuticular stapling of body tissue 失效
标题翻译：身体组织皮下吻合装置及方法
公开(公告)号：US5489287A
公开(公告)日：1996-02-06
申请号：US195902
申请日：1994-02-10
申请人： David T. Green , Henry Bolanos
发明人： David T. Green , Henry Bolanos
IPC分类号： A61B17/03 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/28 , A61B17/68
CPC分类号： A61B17/064 , A61B17/04 , A61B17/068 , A61B17/282 , A61B17/68 , A61B2017/0641
摘要： A surgical apparatus is disclosed for attaching adjacent end portions of cutaneous body tissue wherein a pair of opposed jaws have means for moving the jaws toward and away from each other. Body tissue engaging means in the form of sharp tip members extend from each jaw and toward the other so as to engage the opposed portions of cutaneous tissue when the jaws are positioned thereagainst and moved toward each other. The jaws and the tips are arranged to cause the cutaneous tissue to assume an irregular shape at the interface whereby an elongated rod-like member, preferably rectangular in cross section, may be directed generally medially of the interface of the tissue to attach the opposed portions to thereby permit healing. The elongated member may have indentations to improve retention within the tissue. A tapered distal end of the elongated member has a pointed tip to facilitate penetration into the tissue.
摘要翻译：公开了用于附接皮肤组织的相邻端部的外科手术装置，其中一对相对的钳口具有用于将钳口彼此移动并远离彼此的装置。尖锐部件形式的身体组织接合装置从每个钳口延伸并且朝向另一个，从而当钳口相对于彼此定位并相互移动时，与皮肤组织的相对部分接合。钳口和尖端布置成使得皮肤组织在界面处呈现不规则形状，由此细长的棒状构件（优选为矩形截面）可以大致内侧地指向组织的界面，以将相对部分从而允许愈合。细长构件可以具有凹陷以改善组织内的保留。细长构件的锥形远端具有尖端以便于穿透到组织中。

73. 发明授权

US5484095A Apparatus for endoscopically applying staples individually to body tissue 失效
标题翻译：用于内窥镜地将缝钉单独施用于身体组织的装置
公开(公告)号：US5484095A
公开(公告)日：1996-01-16
申请号：US144160
申请日：1993-10-27
申请人： David T. Green , Henry Bolanos , Lisa W. Heaton , Mark E. Alari , Ghaleb A. Sater
发明人： David T. Green , Henry Bolanos , Lisa W. Heaton , Mark E. Alari , Ghaleb A. Sater
IPC分类号： A61B17/00 , A61B17/068 , A61B17/28 , A61B19/00
CPC分类号： A61B17/0686 , A61B17/00234 , A61B2017/2929 , A61B2090/0811
摘要： An apparatus is disclosed for endoscopic application of surgical staples for fastening body tissue, especially vascular tissue. The apparatus includes a frame and an elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge cooperates with the distal end of the endoscopic section and is selectively pivotal by the user. A staple firing mechanism advances an individual staple against an anvil for staple closure. Means are provided to prevent incomplete staple firing. Relative motion between the staple cartridge and the anvil clamps tissue to be stapled therebetween.The endoscopic section may be adapted for rotation about the longitudinal axis of the apparatus. Gaseous seal means located in the endoscopic section prevent escape of insufflating gas through the apparatus.
摘要翻译：公开了一种用于内窥镜施加用于紧固身体组织，特别是血管组织的外科缝钉的装置。该装置包括框架和连接到框架并从其向远侧延伸的细长内窥镜部分。订书钉存储盒与内窥镜部分的远端协作并且由用户选择性地枢转。订书钉击发机构使单个订书针抵靠砧座前进以进行订书钉封闭。提供装置以防止不完全的短纤维烧制。钉仓和砧座之间的相对运动将组织夹紧在其间。内窥镜部分可以适于围绕装置的纵向轴线旋转。位于内窥镜部分中的气体密封装置防止吹入气体通过该装置逸出。

74. 发明授权

US5417698A Apparatus for tightening elongated wound closure elements 失效
标题翻译：用于收紧细长伤口闭合元件的装置
公开(公告)号：US5417698A
公开(公告)日：1995-05-23
申请号：US959212
申请日：1992-10-09
申请人： David T. Green , Henry Bolanos , Thomas W. Alesi, Jr. , Kenneth E. Toso
发明人： David T. Green , Henry Bolanos , Thomas W. Alesi, Jr. , Kenneth E. Toso
IPC分类号： A61B17/88 , B25B25/00
CPC分类号： B25B25/00 , A61B17/8861
摘要： An instrument for tightening wound closure elements around body tissue, such as a human sternum following surgery. The instrument includes a first handle and a second handle pivotally attached to the first handle and movable between an open and a closed position. A retaining system is also provided to tighten wound closure material in response to movement of the second handle.
摘要翻译：用于在身体组织周围收紧伤口闭合元件的手段，例如手术后的人类胸骨。仪器包括第一手柄和枢转地附接到第一手柄并可在打开和关闭位置之间移动的第二手柄。还提供保持系统以响应于第二把手的移动来收紧伤口闭合材料。

75. 发明授权

US5409478A Handle for manipulating laparoscopic tool 失效
标题翻译：手术操作腹腔镜手术
公开(公告)号：US5409478A
公开(公告)日：1995-04-25
申请号：US039520
申请日：1993-03-29
申请人： Stephen W. Gerry , David T. Green , Henry Bolanos
发明人： Stephen W. Gerry , David T. Green , Henry Bolanos
IPC分类号： A61B17/28 , A61B17/00
CPC分类号： A61B17/2909 , A61B2017/292 , A61B2017/2929 , A61B2017/2946
摘要： A handle for a laparoscopic instrument is provided for manipulating a distal laparoscopic tool. The handle includes a casing, a pivot handle pivotally attached to the casing, and an actuating shaft mechanism extending outward from the casing. Attached at the distal end of the actuating shaft opposite the casing is the laparoscopic surgical tool. The actuating shaft mechanism is longitudinally movable in a first direction by a pivotal movement of the pivot handle for manipulating the laparoscopic tool. A detent carried by the casing allows movement of the shaft longitudinally in the first direction while restraining longitudinal movement of the shaft in a second opposite direction. A thumb wheel attached to the actuating shaft mechanism allows the actuating shaft mechanism to be rotated for further manipulating the laparoscopic tool.
摘要翻译：腹腔镜手术器具用于操纵远端腹腔镜手术器械。手柄包括壳体，可枢转地附接到壳体的枢转手柄以及从壳体向外延伸的致动轴机构。腹腔镜手术工具附着在与壳体相对的致动轴的远端。致动轴机构通过用于操纵腹腔镜工具的枢转手柄的枢转运动在第一方向上纵向移动。壳体承载的制动器允许轴沿第一方向纵向移动，同时限制轴沿第二相反方向的纵向移动。附接到致动轴机构的拇指轮允许致动轴机构旋转以进一步操纵腹腔镜工具。

76. 外观设计

USD353457S Endoscope surgical handle 失效
公开(公告)号：USD353457S
公开(公告)日：1994-12-13
申请号：US6957
申请日：1993-04-12
申请人： David A. Nicholas , David T. Green , Henry Bolanos , Paul O. Rawson
设计人： David A. Nicholas , David T. Green , Henry Bolanos , Paul O. Rawson

77. 发明授权

US5358506A Approximating apparatus for surgical jaw structure 失效
标题翻译：手术夹钳结构近似装置
公开(公告)号：US5358506A
公开(公告)日：1994-10-25
申请号：US27555
申请日：1993-03-05
申请人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
发明人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
IPC分类号： A61B17/28 , A61B17/30
CPC分类号： A61B17/29 , A61B17/30 , A61B17/2909 , A61B2017/2936 , A61B2017/2944
摘要： Approximating apparatus for surgical jaw structure is provided which effects substantially parallel approximation of first and second surgical jaw structure to permit substantially parallel working interaction therebetween. The approximating apparatus includes camming structure for engaging at least one movable jaw of the surgical jaw structure to bias that jaw toward or away from a second jaw structure in a substantially parallel manner. A tissue stop may be provided to more easily guide and protect tissue captured by the jaw structure.
摘要翻译：提供了用于手术颌结构的近似装置，其基本上平行近似第一和第二外科钳口结构，以允许它们之间基本上平行的工作相互作用。近似装置包括凸轮结构，用于接合外科钳口结构的至少一个活动夹爪，以基本上平行的方式将该钳口朝向或远离第二钳口结构偏置。可以提供组织止挡件以更容易地引导和保护由钳口结构捕获的组织。

78. 发明授权

US5355913A Surgical repair device 失效
标题翻译：手术修复装置
公开(公告)号：US5355913A
公开(公告)日：1994-10-18
申请号：US959273
申请日：1992-10-09
申请人： David T. Green , Henry Bolanos , Thomas W. Alesi, Jr. , Kenneth E. Toso
发明人： David T. Green , Henry Bolanos , Thomas W. Alesi, Jr. , Kenneth E. Toso
IPC分类号： A61B17/82 , A61B17/88 , A61B19/00 , B65B13/02 , B21F9/02
CPC分类号： A61B17/8861 , A61B17/823 , B65B13/027 , A61B17/82 , A61B2090/031
摘要： A surgical apparatus for tightening a strap loop to a predetermined tension about split tissue portions includes a frame, an advancing mechanism for tightening the strap loop, a linkage mechanism which severs excess strap material not used in securing the tissue portions together and a control mechanism for controlling operation of the apparatus. The advancing mechanism includes a tensioning lever and a gear mechanism. The gear mechanism includes a tensioning hub and a clutch which releases when the tension in the strap loop exceeds a predetermined value. The control mechanism includes a safety feature for preventing inadvertent activation of the linkage mechanism. A buckle and a method for use with the surgical apparatus is also disclosed. The invention is particularly contemplated for repair of the human sternum when the sternum has been split during surgical procedures.
摘要翻译：用于将带环缠绕到围绕分裂的组织部分的预定张力的手术装置包括框架，用于紧固带环的前进机构，切断不用于将组织部分固定在一起的多余条带材料的连接机构，以及用于控制设备的操作。前进机构包括张紧杆和齿轮机构。齿轮机构包括张紧轮毂和当带环中的张力超过预定值时释放的离合器。控制机构包括用于防止连动机构的意外激活的安全特征。还公开了一种带扣和用于手术装置的方法。本发明特别涉及在外科手术期间胸骨已经分裂时人体胸骨的修复。

79. 发明授权

US5352238A Apparatus for applying two-part surgical fasteners 失效
标题翻译：用于应用两部分手术紧固件的装置
公开(公告)号：US5352238A
公开(公告)日：1994-10-04
申请号：US962279
申请日：1992-10-16
申请人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
发明人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
IPC分类号： A61B17/00 , A61B17/072 , A61B19/00
CPC分类号： A61B17/07207 , A61B2017/00446 , A61B2017/00451 , A61B2090/08021
摘要： Apparatus for applying at least one row of two-part surgical fasteners to body tissue, each surgical fastener having a pronged fastener portion for piercing body tissue, and an aperture retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. The apparatus includes means for holding a plurality of the fastener portions in generally aligned relation, means spaced from the fastener portion holding means for gripping body tissue therebetween and for releasably holding a plurality of the retainers in generally aligned relation and positioned opposite the fasteners when the body tissue is positioned therebetween. Means is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue and to be received within the apertures of the retainers in engaged interference relation so as to cause the fastener portions and the retainers to be engaged while gripping the body tissue therebetween. In the preferred embodiment a knife edge is provided to cut the body tissue midway between opposed pairs of rows of the fasteners as the fasteners are applied. A method for applying two spaced apart pairs of rows of the fasteners to body tissue on the apparatus of the invention is also disclosed.
摘要翻译：用于将至少一排两部分手术紧固件施加到身体组织的装置，每个手术紧固件具有用于刺穿身体组织的带插脚的紧固件部分，以及孔保持器，所述孔保持器的尺寸和构造适于接合接合插入的紧固件部分，夹住其间的身体组织。该装置包括用于以大致对齐的关系保持多个紧固件部分的装置，与紧固件部分保持装置间隔开的装置，用于夹持其间的身体组织，并且用于可释放地将多个保持器以大致对齐的关系可释放地保持，身体组织位于它们之间。提供了用于将经插入的紧固件部分朝向有孔保持器顺序前进的装置，以使紧固件部分以接合的干涉关系刺穿身体组织并被容纳在保持器的孔内，以使紧固件部分和保持器成为在夹持其间的身体组织的同时接合。在优选实施例中，提供刀刃以在施加紧固件时在紧固件的相对的一对行之间的中间切割身体组织。还公开了一种在本发明的装置上将两个间隔开的紧固件对的行对施加到身体组织的方法。

80. 发明授权

US5344059A Surgical apparatus and anvil delivery system therefor 失效
标题翻译：手术器械及砧座输送系统
公开(公告)号：US5344059A
公开(公告)日：1994-09-06
申请号：US950435
申请日：1992-09-23
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Patrick Leahy
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Patrick Leahy
IPC分类号： A61B17/00 , A61B17/11 , A61B17/115 , A61B17/12 , A61B17/28
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/00473 , A61B2017/07257 , A61B2017/1125 , A61B2017/2927 , A61B2017/2931
摘要： A detachable anvil assembly for use with an apparatus for performing circular anastomosis of tubular organs includes an elongated anvil rod having proximal and distal end portions and an anvil head mounted to the distal end portion of the anvil rod. The distal end portion is pivotally mounted and is adapted to pivot approximately plus or minus ninety degrees relative to a longitudinal axis defined by the rod. An elongated delivery member detachably receives the anvil assembly and facilitates delivery of the anvil assembly to the operative site. The pivoting feature of the distal end reduces the transverse profile of the assembly which consequently facilitates introduction and advancement of the anvil assembly within the tubular organ.
摘要翻译：与用于执行管状器官的圆形吻合的装置一起使用的可拆卸的砧组件包括具有近端部分和远端部分的细长砧杆，以及安装到砧座杆的远端部分的砧座头部。远端部分枢转地安装并且适于相对于由杆限定的纵向轴线大约正负90度旋转。延长的传送构件可拆卸地接收砧座组件并且便于将砧组件传送到操作部位。远端的枢转特征减小了组件的横向轮廓，因此有助于砧座组件在管状器官内的引入和推进。

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