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    • 74. 发明授权
    • Surgical stapling device
    • 手术吻合装置
    • US08118207B2
    • 2012-02-21
    • US12764383
    • 2010-04-21
    • David C. RacenetRalph StearnsJohn W. BeardsleyPhilip RoyLee Ann Olson
    • David C. RacenetRalph StearnsJohn W. BeardsleyPhilip RoyLee Ann Olson
    • A61B17/04
    • A61B17/068A61B17/0644A61B17/07207A61B17/105A61B34/71A61B2017/0688A61B2017/07214A61B2017/07278A61B2017/07285A61B2017/291A61B2017/2923A61B2017/2927A61B2017/2931A61B2017/320052A61B2090/0811
    • A surgical device is disclosed which includes a handle portion, a central body portion and a SULU. The SULU includes a proximal body portion, an intermediate pivot member and a tool assembly. The intermediate pivot member is pivotally secured to the proximal body portion about a first pivot axis and the tool assembly is pivotally secured to the intermediate pivot member about a second pivot axis which is orthogonal to the first pivot axis. The SULU includes a plurality of articulation links which are operably connected to the tool assembly by non-rigid links. The articulation links are adapted to releasably engage articulation links positioned in the central body portion. The body portion articulation links are connected to an articulation actuator which is supported for omni-directional movement to effect articulation of the tool assembly about the first and second axes. The handle portion includes a spindle and barrel assembly drive mechanism for advancing and retracting a drive member positioned in the tool assembly. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly.
    • 公开了一种手术装置,其包括手柄部分,中心主体部分和SULU。 SULU包括近端主体部分,中间枢转构件和工具组件。 中间枢转构件围绕第一枢转轴线枢转地固定到近端主体部分,并且工具组件围绕与第一枢转轴线正交的第二枢转轴线枢转地固定到中间枢转构件。 SULU包括多个铰接连杆,其通过非刚性连杆可操作地连接到工具组件。 铰接连杆适于可释放地接合位于中心主体部分中的铰接连杆。 主体部分铰接连杆连接到铰接致动器,该铰接致动器被支撑用于全方向运动,以实现工具组件围绕第一和第二轴的铰接。 手柄部分包括用于使位于工具组件中的驱动构件前进和后退的主轴和筒组件驱动机构。 在一个实施例中,工具组件包括具有多个订书钉和砧座组件的盒组件。
    • 75. 发明申请
    • SURGICAL INSTRUMENT AND LOADING UNIT FOR USE THEREWITH
    • 手术仪器和装载单元
    • US20100213238A1
    • 2010-08-26
    • US12759897
    • 2010-04-14
    • DAVID FARASCIONIJohn W. Beardsley
    • DAVID FARASCIONIJohn W. Beardsley
    • A61B17/068
    • A61B17/068A61B17/072A61B17/07207A61B18/1442A61B2017/07214A61B2017/07221A61B2017/07235A61B2017/07242A61B2017/07278A61B2017/2926A61B2017/2945A61B2018/1432
    • A surgical instrument is disclosed. The surgical instrument includes a handle assembly having a movable handle; an endoscopic portion extending distally from the handle and defining a longitudinal axis; a pair of jaw members; and a drive assembly. The jaw members are disposed adjacent a distal end of the endoscopic portion and extend generally distally therefrom. Each jaw member is longitudinally curved with respect to the longitudinal axis. At least one jaw member is movable with respect to the other between open and approximated positions. A first jaw member includes a channel having a longitudinally-extending slot therein. The drive assembly is advanced distally through at least a portion of the length of the jaw members in response to at least a partial actuation of the movable handle. A lower portion of the drive assembly is configured and dimensioned to travel at least partially within the longitudinally-extending slot of the channel.
    • 公开了一种外科器械。 手术器械包括具有可移动手柄的手柄组件; 内窥镜部分,其从手柄向远侧延伸并且限定纵向轴线; 一对下巴成员; 和驱动组件。 钳口构件邻近内窥镜部分的远端设置并且大致向远侧延伸。 每个钳口构件相对于纵向轴线纵向弯曲。 至少一个钳口构件可在开放位置和近似位置之间相对于另一个钳口构件移动。 第一钳口构件包括其中具有纵向延伸狭槽的通道。 响应于可移动手柄的至少部分致动,驱动组件通过钳口构件的长度的至少一部分向远侧推进。 驱动组件的下部构造和尺寸设计成至少部分地在通道的纵向延伸槽内行进。
    • 76. 发明申请
    • VARIABLE COMPRESSION SURGICAL FASTENER CARTRIDGE
    • 可变压缩手术紧固件盒
    • US20090255976A1
    • 2009-10-15
    • US12417696
    • 2009-04-03
    • Stanislaw MarczykJohn W. Beardsley
    • Stanislaw MarczykJohn W. Beardsley
    • A61B17/072
    • A61B17/07207A61B17/064A61B17/072A61B17/1155A61B2017/07235
    • A surgical fastener applying apparatus comprising a cartridge body including a tissue contacting surface including a plurality of fastener retention slots arranged in a plurality of rows including at least an inner row and an outer row, a plurality of surgical fasteners disposed in the inner and outer rows and configured such that a plurality of fasteners disposed in the inner row have a first diameter that is less than a second diameter of a plurality of surgical fasteners disposed in the outer row, and an anvil having an inner row and an outer row of depressions for forming the fasteners. A plurality of pushers are operably associated with the plurality of surgical fasteners, the pushers configured to eject an associated surgical fastener towards the respective depression in the anvil such that upon formation of a corresponding surgical fastener, the surgical fasteners ejected from the inner row provide a greater compressive force to tissue than the surgical fasteners ejected from the outer row.
    • 一种手术紧固件施加装置,其包括:药筒主体,其包括组织接触表面,所述组织接触表面包括布置成至少包括内排和外排的多行的多个紧固件保持槽;多个外科紧固件, 并且构造成使得设置在内排中的多个紧固件具有小于设置在外排中的多个外科紧固件的第二直径的第一直径,以及具有内排和外排凹陷的砧座, 形成紧固件。 多个推动器可操作地与多个手术紧固件相关联,推动器构造成朝向砧座中的相应凹部弹出相关联的手术紧固件,使得在形成相应的外科紧固件时,从内排排出的手术紧固件提供 比从外排排出的外科手术紧固件更大的对组织的压缩力。