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1. 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。

2. 发明授权

US5368599A Surgical fastening apparatus with suture array 失效
标题翻译：缝合线阵列的外科紧固装置
公开(公告)号：US5368599A
公开(公告)日：1994-11-29
申请号：US958392
申请日：1992-10-08
申请人： Leon C. Hirsch , David T. Green , Henry Bolanos , Wayne P. Young , Dominick L. Mastri , Lisa W. Heaton , Mark E. Alari
发明人： Leon C. Hirsch , David T. Green , Henry Bolanos , Wayne P. Young , Dominick L. Mastri , Lisa W. Heaton , Mark E. Alari
IPC分类号： A61B17/00 , A61B17/04 , A61B17/064 , A61B17/072 , A61B17/42 , A61B19/00
CPC分类号： A61B17/072 , A61B17/04 , A61B17/0401 , A61B17/064 , A61B17/0643 , A61B17/42 , A61B2017/00004 , A61B2017/0454 , A61B2017/0458 , A61B2017/07214 , A61B2090/3937
摘要： An apparatus for simultaneously applying to body tissue at least one surgical suture in conjunction with a plurality of surgical fasteners arranged end to end in rows. The apparatus preferably includes a knife for making an incision in the body tissue sealed in each side by at least one row of fasteners. The fasteners are two-part fasteners fabricated from bioabsorbable material. The incision is closed by pulling the ends of the suture(s).
摘要翻译：一种用于同时向身体组织施加至少一个外科缝合线的装置，其结合多个排列成行的端部排列的外科紧固件。该装置优选地包括用于通过至少一排紧固件在每侧密封的身体组织中进行切口的刀。紧固件是由生物可吸收材料制成的两部分紧固件。通过拉动缝合线的端部来关闭切口。

3. 发明授权

US5862972A Gas powered apparatus for applying surgical fasteners to body tissue 失效
标题翻译：用于将外科紧固件应用于身体组织的燃气动力设备
公开(公告)号：US5862972A
公开(公告)日：1999-01-26
申请号：US566251
申请日：1995-12-01
申请人： David T. Green , Henry Bolanos , Lisa W. Heaton , Thomas A. Pelletier
发明人： David T. Green , Henry Bolanos , Lisa W. Heaton , Thomas A. Pelletier
IPC分类号： A61B17/00 , A61B17/068
CPC分类号： A61B17/0684 , A61B17/00234 , A61B2017/00544
摘要： An endoscopic surgical stapling apparatus is disclosed. The apparatus comprises a frame and a generally elongated endoscopic section connected to the frame and extending distally therefrom. The endoscopic section includes a mechanism for storing a plurality of staples, a mechanism for advancing the staples for positioning adjacent body tissue and a mechanism for at least partially closing each staple. A low pressure pneumatic system disposed in the frame provides the forces to at least partially activate the staple advancing mechanism. The apparatus has particular application in attaching mesh to body tissue as in laparoscopic hernia repair.
摘要翻译：公开了一种内镜手术吻合装置。该装置包括框架和连接到框架并从其向远侧延伸的大致细长的内窥镜部分。内窥镜部分包括用于存储多个钉的机构，用于推进订书钉用于定位邻近身体组织的机构和用于至少部分地封闭每个钉的机构。设置在框架中的低压气动系统提供力以至少部分地启动订书钉推进机构。该装置特别适用于在腹腔镜疝修补中将网状物附着于身体组织。

4. 发明授权

US5558266A Apparatus for applying surgical fasteners 失效
公开(公告)号：US5558266A
公开(公告)日：1996-09-24
申请号：US234712
申请日：1994-04-28
申请人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , John C. Robertson
发明人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , John C. Robertson
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/072 , A61B2017/0725
摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of a retaining mechanism and a linkage structure which is actuable to linearly urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance towards each other.

5. 发明授权

US5509596A Apparatus for applying surgical fasteners 失效
标题翻译：用于外科紧固件的装置
公开(公告)号：US5509596A
公开(公告)日：1996-04-23
申请号：US179776
申请日：1994-01-10
申请人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , Frank J. Viola
发明人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , Frank J. Viola
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B2017/0725
摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of an advancing mechanism and a retaining mechanism which is actuable to urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance from each other.
摘要翻译：一种用于将手术紧固件应用于具有可调闭合机构的组织的手术吻合或紧固器械，以线性近似仪器的钳口构件之间的距离。可调闭合机构由前进机构和保持机构组成，其可致动以将夹爪构件朝向彼此推动。还提供了一种联接装置，其仅在钳口构件彼此近似预定距离时才允许订书钉或紧固件的点火。

6. 发明授权

US5645551A Apparatus and method for applying surgical clips 失效
标题翻译：用于外科夹子的装置和方法
公开(公告)号：US5645551A
公开(公告)日：1997-07-08
申请号：US300254
申请日：1994-09-02
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： A61B17/128 , A61B17/04
CPC分类号： A61B17/1285 , Y10S227/901
摘要： An apparatus for applying surgical clips through an endoscopic tube includes an endoscopic portion housing a jaw blade, a pusher bar for feeding clips one at a time to the jaws, a channel bar for camming the jaw blades into closed position, and an array of surgical clips. The body of the apparatus comprises a frame housing an actuating mechanism and a transmission mechanism for transferring movement to the pusher bar and channel. The endoscopic portion is rotatable relative Go the frame. In one embodiment the apparatus is a single disposable unit. In an alternative embodiment the endoscopic portion is detachable and disposable whereas the non-endoscopic body portion is reusable.
摘要翻译：用于通过内窥镜管施加外科夹具的装置包括：内窥镜部分，其容纳颚式刀片;推动杆，用于一次一个地将镊子夹持夹持件;通道杆，用于将颌片刀片闭合到闭合位置;以及一组外科手术剪辑。设备的主体包括容纳致动机构的框架和用于将运动传递到推杆和通道的传动机构。内窥镜部分可相对于框架旋转。在一个实施例中，该装置是单个一次性单元。在替代实施例中，内窥镜部分是可拆卸的和一次性的，而非内窥镜主体部分是可重复使用的。

7. 发明授权

US5289963A Apparatus and method for applying surgical staples to attach an object to body tissue 失效
标题翻译：用于施加手术钉以将物体附着到身体组织的装置和方法
公开(公告)号：US5289963A
公开(公告)日：1994-03-01
申请号：US782290
申请日：1991-10-18
申请人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
发明人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/28 , A61B19/00 , A61F2/00
CPC分类号： A61B17/0686 , A61B17/0684 , A61B17/00234 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger mecanism to actuate the pusher. Anvil means provides for closing the staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. The invention also relates to a system for attaching surgical mesh to body tissue, a method for endoscopically attaching surgical mesh to body tissue. The staple for endoscopically attaching the surgical mesh to body tissue and a kit for accomplishing such attachment.
摘要翻译：公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝钉，每个钉构造成适于将网状物附接到身体组织。提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。推动器系统还包括致动推动器的触发器技术。砧座装置提供用于封闭钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。本发明还涉及一种用于将外科手术网连接到身体组织的系统，用于将外科手术网内窥镜附接到身体组织的方法。用于内窥镜地将外科手术网连接到身体组织的钉子和用于完成这种附接的套件。

8. 发明授权

US5706997A Apparatus for applying surgical fasteners 失效
标题翻译：用于外科紧固件的装置
公开(公告)号：US5706997A
公开(公告)日：1998-01-13
申请号：US474504
申请日：1995-06-07
申请人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , Frank J. Viola
发明人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , Frank J. Viola
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B2017/0725
摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of an advancing mechanism and a retaining mechanism, wherein the actuating mechanism is actuable to urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance from each other.
摘要翻译：一种用于将手术紧固件应用于具有可调闭合机构的组织的手术吻合或紧固器械，以线性近似仪器的钳口构件之间的距离。可调闭合机构由前进机构和保持机构组成，其中致动机构可致动以将钳口构件朝向彼此推动。还提供了一种联接装置，其仅在钳口构件彼此近似预定距离时才允许订书钉或紧固件的点火。

9. 发明授权

US5817109A Apparatus and method for applying surgical staples to attach an object to body tissue 失效
标题翻译：用于施加手术钉以将物体附着到身体组织的装置和方法
公开(公告)号：US5817109A
公开(公告)日：1998-10-06
申请号：US714972
申请日：1996-09-17
申请人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
发明人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/28 , A61B19/00 , A61F2/00
CPC分类号： A61B17/0686 , A61B17/0684 , A61B17/00234 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples in laparoscopic hernia surgery. The apparatus includes a handle and a generally elongated endoscopic section connected to the handle and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section. The staple storage magazine is pivotable between a first position in alignment with the longitudinal axis of the endoscopic section and a second position at an acute angle to the longitudinal axis. An elongated pusher system is provided for individually advancing at least one staple at a time distally. A trigger mechanism is provided to actuate the pusher.
摘要翻译：公开了一种用于在腹腔镜疝气手术中内窥镜应用外科缝钉的装置。该装置包括手柄和连接到手柄并从其向远端延伸的大致细长的内窥镜部分。提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝合钉。订书钉存储盒可以在与内窥镜部分的纵向轴线对齐的第一位置和与纵向轴线成锐角的第二位置之间枢转。提供细长的推动器系统，用于在远端单独地推进至少一个钉。提供触发机构以致动推动器。

10. 发明授权

US5383881A Safety device for use with endoscopic instrumentation 失效
标题翻译：内窥镜仪器使用的安全装置
公开(公告)号：US5383881A
公开(公告)日：1995-01-24
申请号：US125519
申请日：1993-09-22
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： A61B17/128 , A61B17/34 , A61B19/00 , A61B17/04
CPC分类号： A61B17/1285 , A61B17/128
摘要： A safety device is provided for use with endoscopic instrumentation, particularly and endoscopic clip applier. The device includes a collar which is adapted to be disposed on the elongated shaft of the endoscopic instrument. A release means is provided as part of the trocar guide sleeve which is adapted to contact the collar and release it from engagement with the elongated shaft.
摘要翻译：提供了一种安全装置，用于内窥镜检查仪器，特别是内镜夹具。该装置包括适于设置在内窥镜器械的细长轴上的套环。提供释放装置作为套针引导套筒的一部分，其适于接触套环并将其从细长轴接合中解除。

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