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1. 发明授权

US5772099A Surgical fastening apparatus with alignment pin 失效
标题翻译：手术固定装置带对位销
公开(公告)号：US5772099A
公开(公告)日：1998-06-30
申请号：US625150
申请日：1996-04-01
申请人： Roy D. Gravener
发明人： Roy D. Gravener
IPC分类号： A61B17/072 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07214
摘要： An apparatus for applying surgical fasteners to body tissue includes an alignment pin assembly having an alignment pin and a corresponding retainer. In a preferred embodiment the alignment pin has a flange with a tissue abutment surface and a circumferential detent. The retainer is preferably a ring shaped member having a tissue abutment surface and which engages with the alignment. The pin and retainer are releasably held in proximity to the distal end of the apparatus within one or the other of the cartridge or anvil member of the apparatus and are simultaneously engaged with each other and applied to body tissue upon firing of the apparatus. Visual inspection of the body tissue after the operation provides an indication as to whether the apparatus was properly aligned during firing.
摘要翻译：用于将外科紧固件应用于身体组织的装置包括具有对准销和对应的保持器的对准销组件。在优选实施例中，对准销具有带有组织邻接表面和周向定位的凸缘。保持器优选地是具有组织邻接表面并与对准接合的环形构件。销和保持器被可释放地保持在装置的远端附近，在装置的盒或砧座构件的一个或另一个内，并且在装置的点火时同时彼此接合并施加到身体组织。操作后对身体组织的目视检查提供关于在烧制期间设备是否正确对准的指示。

2. 发明授权

US5542931A Valve assembly for introducing instruments into body cavities 失效
标题翻译：用于将仪器引入体腔的阀组件
公开(公告)号：US5542931A
公开(公告)日：1996-08-06
申请号：US268706
申请日：1994-06-30
申请人： Roy D. Gravener , Alex Ianniruberto , Michael Ciccolella
发明人： Roy D. Gravener , Alex Ianniruberto , Michael Ciccolella
IPC分类号： A61B17/34 , A61M39/06 , F16J15/16 , A61M5/178
CPC分类号： A61M39/0613 , A61B17/3462 , A61M39/06 , F16J15/168 , A61B2017/3464 , A61M2039/062 , A61M2039/0626 , A61M2039/0633 , A61M2039/066 , A61M2039/0673 , A61M2039/0686
摘要： A valve assembly adapted for introduction of surgical instruments into a patient's body includes a valve body formed of a flexibly resilient material which defines an aperture for reception of the instrument. The aperture is configured and dimensioned such that insertion of the instrument into the aperture will cause the resilient material of the valve body to resiliently engage the outer surface of the instrument in a substantially gas tight manner. The valve assembly includes a biasing member for closing the valve body to form a gas tight seal prior to inserting the instrument therethrough.
摘要翻译：适于将外科器械引入患者体内的阀组件包括由柔性弹性材料形成的阀体，其限定用于接收仪器的孔。孔被构造和定尺寸使得将仪器插入孔将导致阀体的弹性材料以基本上气密的方式弹性地接合仪器的外表面。阀组件包括用于在将仪器插入其中之前关闭阀体以形成气密封的偏置构件。

3. 发明授权

US4379457A Indicator for surgical stapler 失效
标题翻译：手术吻合器指示器
公开(公告)号：US4379457A
公开(公告)日：1983-04-12
申请号：US234720
申请日：1981-02-17
申请人： Roy D. Gravener , Alfred F. De Carlo , Douglas G. Noiles
发明人： Roy D. Gravener , Alfred F. De Carlo , Douglas G. Noiles
IPC分类号： A61B17/10 , A61B17/115 , A61B19/00 , A61B17/04 , A61B17/08
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/07257 , A61B2090/0811 , A61B2090/3616
摘要： An indicator for a surgical stapler viewable through a window adjacent the handle when the stapler magazine is within a spaced relation range to the stapler anvil; whereby, the staples are properly deformed and the stapled tissue is not inordinately crushed.
摘要翻译：当缝合钉仓位于与订书机砧座间隔开的距离范围内时，可通过靠近手柄的窗口看到外科缝合器的指示器; 由此，订书钉被适当地变形并且装订的纸巾不会被不适当地压碎。

4. 发明授权

US5722958A Valve assembly for introducing instruments into body cavities 失效
公开(公告)号：US5722958A
公开(公告)日：1998-03-03
申请号：US652195
申请日：1996-05-23
申请人： Roy D. Gravener , Alex Ianniruberto , Michael Ciccolella
发明人： Roy D. Gravener , Alex Ianniruberto , Michael Ciccolella
IPC分类号： A61B17/34 , A61M39/06 , F16J15/16 , A61M5/178
CPC分类号： A61M39/0613 , A61B17/3462 , A61M39/06 , F16J15/168 , A61B2017/3464 , A61M2039/062 , A61M2039/0626 , A61M2039/0633 , A61M2039/066 , A61M2039/0673 , A61M2039/0686
摘要： A valve assembly adapted for introduction of surgical instruments into a patient's body includes a valve body formed of a flexibly resilient material which defines an aperture for reception of the instrument. The aperture is configured and dimensioned such that insertion of the instrument into the aperture will cause the resilient material of the valve body to resiliently engage the outer surface of the instrument in a substantially gas tight manner. The valve assembly includes a biasing member for closing the valve body to form a gas tight seal prior to inserting the instrument therethrough.

5. 发明授权

US5501693A Surgical hemostatic clip 失效
标题翻译：手术止血夹
公开(公告)号：US5501693A
公开(公告)日：1996-03-26
申请号：US272380
申请日：1994-07-06
申请人： Roy D. Gravener
发明人： Roy D. Gravener
IPC分类号： A61B17/00 , A61B17/122 , A61B17/04
CPC分类号： A61B17/122 , A61B2017/00004
摘要： A hemostatic clip is provided for application to body tissue which includes a clip body defining first and second opposed leg portions and a connecting bail portion. The leg portions each have an elongated tissue contacting surface defined thereon. The tissue contacting surface on the first leg portion has a longitudinally extending tongue formed thereon. The tissue contacting surface on the second leg portion has a longitudinally extending groove formed therein. The tongue and groove are asymmetrically disposed with respect to one another such that, upon approximation of the first and second leg portions, the tongue and groove cooperate in such a manner as to securely clamp body tissue therebetween.
摘要翻译：提供用于施用于身体组织的止血夹，其包括限定第一和第二相对腿部的夹子主体和连接吊环部分。腿部各自具有限定在其上的细长的组织接触表面。第一腿部上的组织接触表面具有形成在其上的纵向延伸的舌状物。第二腿部上的组织接触表面具有形成在其中的纵向延伸的凹槽。舌部和凹槽相对于彼此不对称地设置，使得在第一和第二腿部部分近似时，榫舌和凹槽以这样的方式配合，以便将身体组织牢固地夹在其间。

6. 发明授权

US5795584A Post-surgical anti-adhesion device 失效
标题翻译：手术后抗粘连装置
公开(公告)号：US5795584A
公开(公告)日：1998-08-18
申请号：US385007
申请日：1995-02-07
申请人： Nagabhushanam Totakura , Ross R. Muth , Roy D. Gravener , Matthew Hain , Ilya S. Koyfman
发明人： Nagabhushanam Totakura , Ross R. Muth , Roy D. Gravener , Matthew Hain , Ilya S. Koyfman
IPC分类号： A61L31/06 , A61L31/14 , A61K9/70
CPC分类号： A61L31/148 , A61L31/06 , Y10S602/904
摘要： Surgical adhesion barriers and methods of using such surgical adhesion barriers are provided. Surgical adhesion barriers according to the present invention have at least one layer of a bioabsorbable material comprising copolymers and/or block copolymers derived from trimethylene carbonate. Alternatively, a multilayer surgical structure having one or more bioabsorbable layers superimposed on a non-absorbable layer is useful for minimizing or preventing formation of fibrous adhesions between a healing trauma site and adjacent surrounding tissue. Alternatively, a bioabsorbable non-woven fabric in adherent contact with at least one bioabsorbable layer of foam, film, mesh, web or woven fabric is also provided. One or more medicinal agents may be interposed between or disposed within any of the aforementioned layers.
摘要翻译：提供了外科粘连屏障和使用这种手术粘合屏障的方法。根据本发明的手术粘合屏障具有至少一层生物可吸收材料，其包含衍生自三亚甲基碳酸酯的共聚物和/或嵌段共聚物。或者，具有叠加在不可吸收层上的一个或多个生物可吸收层的多层手术结构可用于最小化或防止愈合创伤部位与相邻周围组织之间的纤维粘连的形成。或者，还提供了与泡沫，膜，网，网或机织织物的至少一个生物可吸收层粘附接触的生物可吸收性无纺织物。一种或多种药剂可插入或设置在任何上述层内。

7. 发明授权

US5554164A Curved knife for linear staplers 失效
标题翻译：用于线性订书机的弯刀
公开(公告)号：US5554164A
公开(公告)日：1996-09-10
申请号：US415026
申请日：1995-03-30
申请人： Donald F. Wilson , Randolph F. Lehn , Frank Dworak , Roy D. Gravener , Joseph E. Kus , Ralph A. Stearns
发明人： Donald F. Wilson , Randolph F. Lehn , Frank Dworak , Roy D. Gravener , Joseph E. Kus , Ralph A. Stearns
IPC分类号： A61B17/072 , A61B17/32 , A61B17/62 , A61B17/08 , B31B1/00
CPC分类号： A61B17/07207 , A61B17/32 , A61B2017/07214
摘要： A knife for use with surgical fastening instrument for applying fasteners to tissue, the knife including a nonlinear cutting edge having a first portion, a second portion, and an intermediate between said first and said second portion, said first portion being positioned at least as distal as said intermediate portion. The cutting edge is configured to completely sever selected tissue while minimizing the potential for "wisping" of uncut or partially cut tissue away from the cutting edge.
摘要翻译：一种用于与用于将紧固件紧固到组织上的外科紧固器械一起使用的刀，所述刀具包括具有第一部分，第二部分和所述第一部分和所述第二部分之间的中间部分的非线性切削刃，所述第一部分至少位于远端作为所述中间部分。切割边缘被配置为完全切割所选择的组织，同时最小化将切割或部分切割的组织远离切割边缘的“阻挡”的可能性。

8. 发明授权

US5360417A Valve assembly for introducing instruments into body cavities 失效
标题翻译：用于将仪器引入体腔的阀组件
公开(公告)号：US5360417A
公开(公告)日：1994-11-01
申请号：US167230
申请日：1993-12-14
申请人： Roy D. Gravener , Alex Lanniruberto , Michael Ciccolella
发明人： Roy D. Gravener , Alex Lanniruberto , Michael Ciccolella
IPC分类号： A61B17/34 , A61M39/06 , F16J15/16 , A61M31/00
CPC分类号： A61M39/0613 , A61B17/3462 , A61M39/06 , F16J15/168 , A61B2017/3464 , A61M2039/062 , A61M2039/0626 , A61M2039/0633 , A61M2039/066 , A61M2039/0673 , A61M2039/0686
摘要： A valve assembly adapted for introduction of surgical instruments into a patient's body includes a valve body formed of a flexibly resilient material which defines an aperture for reception of the instrument. The aperture is configured and dimensioned such that insertion of the instrument into the aperture will cause the resilient material of the valve body to resiliently engage the outer surface of the instrument in a substantially gas tight manner. The valve assembly includes a biasing member for closing the valve body to form a gas tight seal prior to inserting the instrument therethrough.
摘要翻译：适于将外科器械引入患者体内的阀组件包括由柔性弹性材料形成的阀体，其限定用于接收仪器的孔。孔被构造和定尺寸使得将仪器插入孔将导致阀体的弹性材料以基本上气密的方式弹性地接合仪器的外表面。阀组件包括用于在将仪器插入其中之前关闭阀体以形成气密封的偏置构件。

9. 发明授权

US4513746A Instrument for applying plastic-like surgical fastening devices 失效
标题翻译：用于应用塑料样手术紧固装置的仪器
公开(公告)号：US4513746A
公开(公告)日：1985-04-30
申请号：US310412
申请日：1981-10-09
申请人： Ernie Aranyi , Richard Ihasz , Roy D. Gravener , Hugh J. Tovey
发明人： Ernie Aranyi , Richard Ihasz , Roy D. Gravener , Hugh J. Tovey
IPC分类号： A61B17/10 , A61B17/04 , A61B17/064 , A61B17/072 , A61B17/08 , A61B17/11
CPC分类号： A61B17/0467 , A61B17/0643 , A61B17/072
摘要： An instrument, method and two-piece plastic-like fastener for surgically fastening tissue by:(A) placing the tissue between: (1) a retainer of an absorbable material, that is located distally of the tissue and that has a hole which extends longitudinally through it; (2) an elongated rigid piercing member that is located proximally of the tissue, that extends longitudinally, and that has means on its distal end for piercing the tissue; and (3) a fastener of an absorbable material, that is also located proximally of the tissue and that has a distally extending prong which, during distal movement of the fastener, can (a) move distally through an opening pierced in the tissue by the piercing member and (b) then move distally into the retainer hole to hold the retainer and fastener together;(B) then moving the piercing member distally so that its distal end pierces the tissue; and(C) then moving the fastener distally so that its prong moves through the opening pierced in the tissue and into the retainer hole to hold the retainer and fastener together.
摘要翻译：一种用于通过以下方式手术固定组织的仪器，方法和两片塑料状紧固件：（A）将组织放置在：（1）可吸收材料的保持器，其位于组织的远侧并且具有延伸的孔纵向穿过它; （2）细长的刚性刺穿构件，其位于组织的近侧，其纵向延伸，并且在其远端具有刺穿组织的装置; 和（3）可吸收材料的紧固件，其也位于组织的近侧并且具有远端延伸尖端，其在紧固件的远端运动期间可以（a）向远侧移动穿过组织中刺穿的开口穿孔构件和（b）然后向远端移动到保持孔中以将保持器和紧固件保持在一起; （B）然后使穿刺构件向远端移动，使得其远端刺穿组织; 和（C）然后使紧固件向远端移动，使得它的插脚移动通过刺穿在组织中的开口并进入保持孔，以将保持器和紧固件保持在一起。

10. 发明授权

US4489875A Self-centering surgical staple and stapler for applying the same 失效
标题翻译：自动定心外科缝合钉和吻合器用于施用
公开(公告)号：US4489875A
公开(公告)日：1984-12-25
申请号：US381865
申请日：1982-05-25
申请人： John O. Crawford , Roy D. Gravener
发明人： John O. Crawford , Roy D. Gravener
IPC分类号： A61B17/068 , A61B17/064 , A61B17/08 , A61B17/10
CPC分类号： A61B17/0644
摘要： An improved, self-centering surgical staple is disclosed. Engaging members are located on the base portion of the staple. During forming (bending) of the staple on the anvil, the engaging members engage the forming mechanisms (i.e., the shoulders of the anvil or the twin heads of the pusher) to center the staple on the anvil so that the legs will be embedded in the tissue at the same depth.
摘要翻译：公开了一种改进的自定心外科手术钉。接合构件位于订书钉的基部上。在砧座上的订书钉成形（弯曲）期间，接合构件接合成形机构（即，砧座的肩部或推动器的双头），以使订书钉在砧座上使得腿部将嵌入组织在相同的深度。

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