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1. 发明授权

US5725537A Method of performing a vessel anastomosis using a surgical clip applier 失效
标题翻译：使用外科手术夹具进行血管吻合的方法
公开(公告)号：US5725537A
公开(公告)日：1998-03-10
申请号：US713733
申请日：1996-09-13
申请人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert J. Geiste , Frank C. Maffei
发明人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert J. Geiste , Frank C. Maffei
IPC分类号： A61B17/08 , A61B17/11 , A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/083 , A61B17/2909 , A61B2017/1107 , A61B2017/2913 , A61B2017/2916 , A61B2017/2929 , Y10S227/901
摘要： A surgical clip applier comprising a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to the jaws. A channel assembly is slidably mounted with respect to the housing and envelops the jaw blade assembly for camming the jaws closed upon closing of the handles. The clips may be fed to the jaws by a spring biased feed bar which operates upon closing of the handles, or may be urged by pusher bar which provides a biasing force to the clips to be retained by the jaws. The instrument may be used in conventional surgical procedures, or may be adapted for endoscopic and laparoscopic surgical procedures requiring the application of microsurgical clips.
摘要翻译：一种手术夹具，包括壳体，可枢转地连接到壳体的相对侧的一对手柄，以及固定地连接到壳体的钳口组件。颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于向钳口提供一系列夹子。通道组件相对于壳体可滑动地安装并且包封钳口刀片组件，用于在手柄闭合时闭合钳口。夹子可以通过弹簧偏置的进给杆进给到夹爪，该弹簧偏置的进给杆在关闭手柄时操作，或者可以被推杆推动，推杆对夹具保持偏压力。该仪器可以用于常规外科手术中，或可适用于需要应用显微手术夹的内窥镜和腹腔镜外科手术。

2. 发明授权

US5725538A Surgical clip applier 失效
标题翻译：手术夹子
公开(公告)号：US5725538A
公开(公告)日：1998-03-10
申请号：US713772
申请日：1996-09-13
申请人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert Geiste , Frank C. Maffei
发明人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert Geiste , Frank C. Maffei
IPC分类号： A61B17/08 , A61B17/11 , A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/083 , A61B17/2909 , A61B2017/1107 , A61B2017/2913 , A61B2017/2916 , A61B2017/2929 , Y10S227/901
摘要： A surgical clip applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to closing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar slidably mounted in said channel assembly for advancing clips along said clip carrier. A first spring member connected between said cam bar and said forming cam for sliding said cam bar in a proximal direction in response to closing of said handles together and further biasing said channel assembly in a proximal direction. Second spring member biasing said pusher bar in a distal direction to push a foremost clip in said clip carrier between said jaws in response to opening of said handles from each other. A clip retainer for preventing movement of said spring biased pusher bar is also provided.
摘要翻译：一种手术夹施加器，其包括壳体，可枢转地连接到所述壳体的相对侧的一对手柄，以及固定地连接到所述壳体的钳口刀片组件。颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于将一系列夹子供给到所述夹爪。通道组件可滑动地安装在壳体中并且包围所述钳口叶片组件。成形凸轮连接在所述手柄和所述通道组件之间，用于响应于所述把手的关闭而在远侧方向上滑动所述通道组件以将所述钳口朝向彼此移动。一种进给凸轮杆，其可滑动地安装在所述通道组件中，与所述夹子托架相重叠，所述杆在其远端具有鼻部。可滑动地安装在所述通道组件中的推杆，用于沿着夹子承载件推进夹子。连接在所述凸轮杆和所述成形凸轮之间的第一弹簧构件，用于响应于所述把手的关闭而沿近端方向滑动所述凸轮杆，并且进一步沿近侧方向偏置所述通道组件。第二弹簧构件在远侧方向上偏压所述推杆，以响应于所述把手彼此打开而在所述夹爪之间推动所述夹子承载件中的最前面的夹子。还提供了用于防止所述弹簧偏压推杆的移动的夹持器。

3. 发明授权

US5720756A Surgical clip applier 失效
标题翻译：手术夹子
公开(公告)号：US5720756A
公开(公告)日：1998-02-24
申请号：US713771
申请日：1996-09-13
申请人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert J. Geiste , Frank C. Maffei
发明人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert J. Geiste , Frank C. Maffei
IPC分类号： A61B17/08 , A61B17/11 , A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/083 , A61B17/2909 , A61B2017/1107 , A61B2017/2913 , A61B2017/2916 , A61B2017/2929 , Y10S227/901
摘要： A surgical clip applier comprising a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to the jaws. A channel assembly is slidably mounted with respect to the housing and envelops the jaw blade assembly for camming the jaws closed upon closing of the handles. The clips may be fed to the jaws by a spring biased feed bar which operates upon closing of the handles, or may be urged by pusher bar which provides a biasing force to the clips to be retained by the jaws. The instrument may be used in conventional surgical procedures, or may be adapted for endoscopic and laparoscopic surgical procedures requiting the application of microsurgical clips.
摘要翻译：一种手术夹具，包括壳体，可枢转地连接到壳体的相对侧的一对手柄，以及固定地连接到壳体的钳口组件。颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于向钳口提供一系列夹子。通道组件相对于壳体可滑动地安装并且包封钳口刀片组件，用于在手柄闭合时闭合钳口。夹子可以通过弹簧偏置的进给杆进给到夹爪，该弹簧偏置的进给杆在关闭手柄时操作，或者可以被推杆推动，推杆对夹具保持偏压力。该仪器可以用于常规外科手术中，或可适用于需要应用显微手术夹的内窥镜和腹腔镜外科手术。

4. 发明授权

US5501689A Plaque stapler 失效
标题翻译：斑块吻合器
公开(公告)号：US5501689A
公开(公告)日：1996-03-26
申请号：US191230
申请日：1994-02-03
申请人： David T. Green , Henry Bolanos , Daniel E. Alesi , Kenneth E. Toso
发明人： David T. Green , Henry Bolanos , Daniel E. Alesi , Kenneth E. Toso
IPC分类号： A61B17/068 , A61B17/22 , A61B17/04
CPC分类号： A61B17/0686 , A61B2017/22001 , A61B2017/320741
摘要： An apparatus for stapling the plaque lining of an artery or vein to the wall of the artery or vein, which comprises first and second opposed cooperative elongated members pivotably associated with one another. The first and second elongated members have distal ends, and proximal ends forming handles. The first elongated member forms an anvil portion at its distal end which is configured for placement into an open end of a vein and/or an artery. A staple cartridge assembly is disposed on the distal end of the second elongated member and includes a staple magazine containing a multiplicity of staples longitudinally and sequentially aligned with the staple magazine. Actuating means are provided which are supported by the staple cartridge assembly for movement in a given direction therealong to drive the staples in the staple magazine toward a staple exit end.
摘要翻译：一种用于将动脉或静脉的斑块衬里装订到动脉或静脉的壁的装置，其包括彼此可枢转地相关联的第一和第二相对的协作细长构件。第一和第二细长构件具有远端，近端形成手柄。第一细长构件在其远端处形成砧座部分，其构造成用于放置在静脉和/或动脉的开放端。钉仓组件设置在第二细长构件的远端上，并且包括缝合钉仓，其中包含多个缝钉，其纵向并顺序地与钉仓对齐。提供了致动装置，其由钉仓组件支撑，以沿给定的方向运动，以将钉仓中的钉驱动到钉出口端。

5. 发明授权

US5779718A Method of anastomosing a vessel using a surgical clip applier 失效
标题翻译：使用外科夹具施放器吻合血管的方法
公开(公告)号：US5779718A
公开(公告)日：1998-07-14
申请号：US714790
申请日：1996-09-13
申请人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert Geiste , Frank C. Maffei
发明人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert Geiste , Frank C. Maffei
IPC分类号： A61B17/08 , A61B17/11 , A61B17/128 , A61B17/28 , A61B17/04
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/083 , A61B17/2909 , A61B2017/1107 , A61B2017/2913 , A61B2017/2916 , A61B2017/2929 , Y10S227/901
摘要： A surgical clip applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to closing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar sidably mounted in said channel assembly for advancing clips along said clip carrier. A first spring member connected between said cam bar and said forming cam for sliding said cam bar in a proximal direction in response to closing of said handles together and further biasing said channel assembly in a proximal direction. Second spring member biasing said pusher bar in a distal direction to push a foremost clip in said clip carrier between said jaws in response to opening of said handles from each other. A clip retainer for preventing movement of said spring biased pusher bar is also provided.
摘要翻译：一种手术夹施加器，其包括壳体，可枢转地连接到所述壳体的相对侧的一对手柄，以及固定地连接到所述壳体的钳口刀片组件。颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于将一系列夹子供给到所述夹爪。通道组件可滑动地安装在壳体中并且包围所述钳口叶片组件。成形凸轮连接在所述手柄和所述通道组件之间，用于响应于所述把手的关闭而在远侧方向上滑动所述通道组件以将所述钳口朝向彼此移动。一种进给凸轮杆，其可滑动地安装在所述通道组件中，与所述夹子托架相重叠，所述杆在其远端具有鼻部。一个推杆可倾斜地安装在所述通道组件中，用于沿着夹子承载件推进夹子。连接在所述凸轮杆和所述成形凸轮之间的第一弹簧构件，用于响应于所述把手的关闭而沿近端方向滑动所述凸轮杆，并且进一步沿近侧方向偏置所述通道组件。第二弹簧构件在远侧方向上偏压所述推杆，以响应于所述把手彼此打开而在所述夹爪之间推动所述夹子承载件中的最前面的夹子。还提供了用于防止所述弹簧偏压推杆的移动的夹持器。

6. 发明授权

US5591178A Surgical clip applier 失效
标题翻译：手术夹子
公开(公告)号：US5591178A
公开(公告)日：1997-01-07
申请号：US527698
申请日：1995-09-13
申请人： David T. Green , Henry Bolanos , Daniel E. Alesi , Kenneth E. Toso
发明人： David T. Green , Henry Bolanos , Daniel E. Alesi , Kenneth E. Toso
IPC分类号： A61B17/11 , A61B17/128 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/1107
摘要： A surgical clip applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to dosing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar slidably mounted in said channel assembly for advancing clips along said clip carrier. A first spring means connected between said cam bar and said forming cam for sliding said cam bar in a proximal direction in response to closing of said handles together and further biasing said channel assembly in a proximal direction. Second spring means biasing said pusher bar in a distal direction to push a foremost clip in said clip carrier between said jaws in response to opening of said handles from each other. A clip retainer for preventing movement of said spring biased pusher bar is also provided.
摘要翻译：一种手术夹施加器，其包括壳体，可枢转地连接到所述壳体的相对侧的一对手柄，以及固定地连接到所述壳体的钳口刀片组件。颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于将一系列夹子供给到所述夹爪。通道组件可滑动地安装在壳体中并且包围所述钳口叶片组件。成形凸轮连接在所述把手和所述通道组件之间并且连接到所述通道组件，用于响应于所述手柄的配量而在远侧方向上滑动所述通道组件以将所述钳口朝向彼此移动。一种进给凸轮杆，其可滑动地安装在所述通道组件中，与所述夹子托架相重叠，所述杆在其远端具有鼻部。可滑动地安装在所述通道组件中的推杆，用于沿着夹子承载件推进夹子。连接在所述凸轮杆和所述成形凸轮之间的第一弹簧装置，用于响应于所述把手的关闭而沿近端方向滑动所述凸轮杆，并且进一步沿近侧方向偏置所述通道组件。第二弹簧装置响应于所述手柄彼此打开而偏置所述推杆在远侧方向上推动所述夹子支架中的最前端的夹子在所述夹爪之间。还提供了用于防止所述弹簧偏压推杆的移动的夹持器。

7. 发明授权

US5366134A Surgical fastening apparatus 失效
标题翻译：手术紧固装置
公开(公告)号：US5366134A
公开(公告)日：1994-11-22
申请号：US957246
申请日：1992-10-06
申请人： David T. Green , Henry Bolanos , Daniel E. Alesi , Kenneth E. Toso
发明人： David T. Green , Henry Bolanos , Daniel E. Alesi , Kenneth E. Toso
IPC分类号： A61B17/068 , A61B17/10 , A61B17/128
CPC分类号： A61B17/0686 , A61B17/105 , A61B17/128
摘要： A surgical fastening apparatus comprises first and second handles with an anvil jaw pivotally connected to at least one of the handles for movement from an open to a closed position in response to a first movement of a handle to clamp body tissue. Fastener pushing means are provided for advancing an individual fastener into contact with the anvil jaw in response to a subsequent movement of a handle. An indicator is provided to alert the user to the termination of the first movement; in a preferred embodiment this indicator is a second movement dwell period of the apparatus in which handle movement continues but the anvil jaw remains stationary and the fastener pushing means is not yet actuated. The apparatus further comprises means for preventing incomplete actuation of the fastener pushing means during the subsequent handle movement.
摘要翻译：手术紧固装置包括第一和第二把手，其具有砧座钳口，所述砧座钳口枢转地连接到至少一个把手，用于响应于手柄的第一移动以夹紧身体组织而从打开位置到关闭位置。提供紧固件推动装置，用于响应于随后的手柄的移动而使单个紧固件与砧座钳口接触。提供指示器以提醒用户终止第一运动; 在优选实施例中，该指示器是装置的第二运动停留时段，其中手柄运动继续，但是砧座保持静止并且紧固件推动装置尚未被致动。该装置还包括用于在随后的手柄移动期间防止紧固件推动装置不完全致动的装置。

8. 发明授权

US5653374A Self-contained powered surgical apparatus 失效
标题翻译：自备动力手术器械
公开(公告)号：US5653374A
公开(公告)日：1997-08-05
申请号：US639413
申请日：1996-04-29
申请人： Wayne P. Young , Daniel E. Alesi , Kenneth E. Toso , Henry Bolanos
发明人： Wayne P. Young , Daniel E. Alesi , Kenneth E. Toso , Henry Bolanos
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/07214 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933
摘要： A self-contained powered surgical stapling device is provided which includes an elongate body. A fastener applying assembly is operatively associated with a distal end of the elongate body and includes a cartridge housing a plurality of staples and an anvil actuable to move between an open position and a closed position. A motor assembly is disposed within the elongate body for driving an actuation assembly configured to translate through the fastener applying assembly to progressively close the anvil and sequentially eject staples from the cartridge.
摘要翻译：提供了一种独立的动力外科缝合装置，其包括细长体。紧固件施加组件与细长主体的远端可操作地相关联，并且包括容纳多个订书钉的钉仓和能够在打开位置和关闭位置之间移动的砧座。马达组件设置在细长主体内，用于驱动构造成平移通过紧固件施加组件的致动组件，以逐渐关闭砧座，并从钉仓顺序地弹出订书钉。

9. 发明授权

US5376101A Suture retaining clip 失效
公开(公告)号：US5376101A
公开(公告)日：1994-12-27
申请号：US173904
申请日：1993-12-27
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
IPC分类号： A61B17/04 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0487 , A61B17/06 , A61B17/122 , A61B2017/045 , A61B2017/0454 , A61B2017/0464
摘要： A suture holding clip including legs each having a suture contacting surface. The legs can be closed to define an interface for holding a suture in a serpentine configuration. In another embodiment the suture holding clip is initially in a spider leg configuration with a spine and legs projecting from the spine and alternately angled to one or the other of two directions so as to define therebetween a lengthwise extending passage for the reception therethrough of a suture.

10. 发明授权

US5330442A Suture retaining clip 失效
标题翻译：缝合夹
公开(公告)号：US5330442A
公开(公告)日：1994-07-19
申请号：US959182
申请日：1992-10-09
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Johnathan Tovey
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Johnathan Tovey
IPC分类号： A61B17/04 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0487 , A61B17/06 , A61B17/122 , A61B2017/045 , A61B2017/0454 , A61B2017/0464
摘要： A suture holding clip including legs each having a suture contacting surface. The legs can be closed to define an interface for holding a suture in a serpentine configuration. In another embodiment the suture holding clip is initially in a spider leg configuration with a spine and legs projecting from the spine and alternately angled to one or the other of two directions so as to define therebetween a lengthwise extending passage for the reception therethrough of a suture.
摘要翻译：一种缝线夹持夹，每个夹具具有缝线接触表面。可以关闭腿以限定用于将缝合线保持在蛇形结构中的界面。在另一个实施例中，缝合线保持夹最初处于蜘蛛腿构型中，其中脊柱和腿从脊柱突出并且交替地成角度到两个方向中的一个或另一个，以便在其间限定纵向延伸的通道，用于通过缝线。

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