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    • 3. 发明授权
    • System for holding surgical fasteners
    • 手术紧固件系统
    • US07452368B2
    • 2008-11-18
    • US10941238
    • 2004-09-15
    • Jessica LiberatoreMark HowanskyGene W. KammererJames J. Rudnick
    • Jessica LiberatoreMark HowanskyGene W. KammererJames J. Rudnick
    • A61D1/00
    • A61B17/1222A61B17/064A61B2017/0053A61B2017/0419A61B2050/3013A61B2050/3015
    • A system for holding surgical fasteners each having a first anchor, a second anchor and a connector extending therebetween upwardly from the first and second anchors, and a method for loading the same into an applicator. The system includes a shuttle having first and second channels dimensioned to slidably receive therein the first and second anchors, and having first and second grooves respectively forming openings into the channels along a portion of a length of the channels. When the first and second anchors are received within the first and second channels, the connector of the surgical fastener extends out of the shuttle through the first and second grooves. The system also includes a cartridge having at least a first channel dimensioned to slidably receive the shuttle therein, and having a first projection extending into the first channel. When the shuttle and loaded fastener are received within the cartridge channel, the connector of the surgical fastener abuts the first projection to thereby limit movement of the fastener toward a distal end of the cartridge.
    • 一种用于保持手术紧固件的系统,每个具有第一锚固件,第二锚固件和从第一和第二锚固件向上延伸的连接器,以及用于将其装载到施用器中的方法。 该系统包括具有第一和第二通道的梭子,其尺寸设计成可滑动地容纳第一和第二锚固件,并且具有沿着通道长度的一部分分别在通道中形成开口的第一和第二槽。 当第一和第二锚固件被容纳在第一和第二通道内时,手术紧固件的连接器从梭子穿过第一和第二凹槽延伸出来。 该系统还包括具有至少第一通道的盒,其尺寸被设计成可滑动地容纳梭子,并且具有延伸到第一通道中的第一突出部。 当穿梭和加载的紧固件被容纳在药筒通道内时,手术紧固件的连接器与第一突起抵接,从而限制紧固件朝向药筒的远端的运动。
    • 8. 发明授权
    • Surgical mesh applicator
    • 手术网眼敷贴器
    • US5397332A
    • 1995-03-14
    • US116160
    • 1993-09-02
    • Gene W. KammererM. Joshua TolkoffRobert C. AllmanGeorge R. Muise
    • Gene W. KammererM. Joshua TolkoffRobert C. AllmanGeorge R. Muise
    • A61B1/00A61B17/00A61B17/12A61B17/34A61F2/00
    • A61F2/0063A61B17/0057A61B17/00234A61B17/3421A61F2002/0072
    • An applicator for applying a sheet of surgical material, e.g., a surgical mesh, to internal body tissue includes a delivery tube, a deployment tube slidably received within the delivery tube, and a shaft or irrigation tube slidably received within the deployment tube. An expandable spreader tip is connected between the distal ends of the shaft and the deployment tube. The spreader tip is collapsed and inserted in the delivery tube with the surgical mesh. The applicator is inserted through a trocar tube into a body cavity and the spreader tip is exposed by retracting the delivery tube relative to the deployment tube and shaft. The applicator has a first actuator for urging the spreader tip and surgical mesh into engagement with the tissue as the deployment tube is retracted and a second actuator for advancing the deployment tube relative to the shaft to expand the spreader tip to apply the surgical mesh to the tissue. The spreader tip includes a plurality of flexible strips each having its opposite ends pivotally connected to the distal ends of the shaft and the deployment tube. The applicator includes a return spring to bias the deployment tube proximally relative to the shaft to normally maintain the spreader tip collapsed.
    • 用于将诸如外科手术网的外科材料片施加到内部身体组织的施加器包括输送管,可滑动地容纳在输送管内的展开管,以及可滑动地容纳在展开管内的轴或冲洗管。 可扩张的扩张器尖端连接在轴的远端和展开管之间。 扩张器尖端被塌缩并且用外科手术网插入到输送管中。 将敷料器通过套针管插入体腔中,通过相对于展开管和轴缩回输送管而使撒布机尖端露出。 施放器具有第一致动器,用于当展开管缩回时用于推动展开尖端和外科手术网与组织接合;以及第二致动器,用于相对于轴推进展开管,以使扩张器尖端膨胀以将外科手术网施加到 组织。 吊具末端包括多个柔性条带,每个柔性条带的相对端枢转地连接到轴的远端和展开管。 施加器包括复位弹簧,用于相对于轴向近侧偏压展开管,以正常地保持扩张器尖端收缩。