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1. 发明申请

US20070187456A1 Angled surgical fastener apparatus 审中-公开
标题翻译：倾斜的外科紧固件装置
公开(公告)号：US20070187456A1
公开(公告)日：2007-08-16
申请号：US11786198
申请日：2007-04-10
申请人： Frank Viola , David Racenet , Ernest Aranyi , Richard Gresham , Paul Scirica , David Farascioni , Kenneth Whitfield , Philip Roy , Earl Zergiebel
发明人： Frank Viola , David Racenet , Ernest Aranyi , Richard Gresham , Paul Scirica , David Farascioni , Kenneth Whitfield , Philip Roy , Earl Zergiebel
IPC分类号： A61B17/10
CPC分类号： A61B17/072 , A61B17/2816 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929 , A61B2017/2932
摘要： A surgical fastening apparatus includes a handle, an elongated member extending distally from the handle and a fastener applier and anvil head disposed at the distal end of the elongated member. The elongated member defines a distal offset end portion upon which the fastener applier and the anvil head are mounted. The offset end portion is angularly oriented with respect to the axis of the instrument at a predetermined fixed angle (e.g., either 45°, 60° and 75° relative to the axis of the instrument) thereby positioning the fastener applier and the anvil head at the fixed angle. This feature facilitates positioning of the tissue with respect to the instrument and enhances visual access to the tissue when appropriately disposed within the fastener applier and the anvil head. Various mechanisms for effectuating the clamping of the tissue between the fastener holder and anvil, and the firing of the instrument are disclosed.
摘要翻译：手术紧固装置包括手柄，从手柄向远侧延伸的细长构件和设置在细长构件的远端处的紧固件敷贴器和砧头。细长构件限定远端偏移端部，紧固件施加器和砧头安装在该远端上。偏移端部以相对于仪器的轴线成一定角度地定向（例如，相对于仪器的轴线为45°，60°和75°），从而将紧固件施加器和砧座头定位在固定角度。该特征有助于组织相对于器械的定位，并且当适当地设置在紧固件施加器和砧座头部内时，增强了对组织的视觉访问。公开了用于实现紧固件保持器和砧座之间的组织夹紧的各种机构以及仪器的点火。

2. 发明申请

US20060163312A1 Angled surgical fastener apparatus 审中-公开
标题翻译：倾斜的外科紧固件装置
公开(公告)号：US20060163312A1
公开(公告)日：2006-07-27
申请号：US10528889
申请日：2003-10-06
申请人： Frank Viola , David Racenet , Ernest Aranyi , Richard Gresham , Paul Scirica , David Farascioni , Kenneth Whitfield , Philip Roy , Earl Zergiebel
发明人： Frank Viola , David Racenet , Ernest Aranyi , Richard Gresham , Paul Scirica , David Farascioni , Kenneth Whitfield , Philip Roy , Earl Zergiebel
IPC分类号： A61B17/10
CPC分类号： A61B17/072 , A61B17/2816 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929 , A61B2017/2932
摘要： A surgical fastening apparatus includes a handle, an elongated member extending distally from the handle and a fastener applier and anvil head disposed at the distal end of the elongated member. The elongated member defines a distal offset end portion upon which the fastener applier and the anvil head are mounted. The offset end portion is angularly oriented with respect to the axis of the instrument at a predetermined fixed angle (e.g., either 45°, 60° and 75° relative to the axis of the instrument) thereby positioning the fastener applier and the anvil head at the fixed angle. This feature facilitates positioning of the tissue with respect to the instrument and enhances visual access to the tissue when appropriately disposed within the fastener applier and the anvil head. Various mechanisms for effectuating the clamping of the tissue between the fastener holder and anvil, and the firing of the instrument are disclosed.
摘要翻译：手术紧固装置包括手柄，从手柄向远侧延伸的细长构件和设置在细长构件的远端处的紧固件敷贴器和砧头。细长构件限定远端偏移端部，紧固件施加器和砧头安装在该远端上。偏移端部以相对于仪器的轴线成一定角度地定向（例如，相对于仪器的轴线为45°，60°和75°），从而将紧固件施加器和砧座头定位在固定角度。该特征有助于组织相对于器械的定位，并且当适当地设置在紧固件施加器和砧座头部内时，增强了对组织的视觉访问。公开了用于实现紧固件保持器和砧座之间的组织夹紧的各种机构以及仪器的点火。

3. 发明申请

US20080041917A1 Surgical stapling device 有权
公开(公告)号：US20080041917A1
公开(公告)日：2008-02-21
申请号：US11894195
申请日：2007-08-20
申请人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Olson
发明人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Olson
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/105 , A61B34/71 , A61B2017/0688 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/291 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052 , A61B2090/0811
摘要： 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.

4. 发明申请

US20070108252A1 Surgical stapling device 有权
公开(公告)号：US20070108252A1
公开(公告)日：2007-05-17
申请号：US11652756
申请日：2007-01-12
申请人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Olson
发明人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Olson
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/105 , A61B34/71 , A61B2017/0688 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/291 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052 , A61B2090/0811
摘要： 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.

5. 发明申请

US20080105730A1 Tool assembly for a surgical stapling device 有权
标题翻译：用于外科缝合装置的工具组件
公开(公告)号：US20080105730A1
公开(公告)日：2008-05-08
申请号：US11998037
申请日：2007-11-28
申请人： David Racenet , Philip Roy , John Beardsley , Lee Olson , Ralph Steams , Clifford Emmons
发明人： David Racenet , Philip Roy , John Beardsley , Lee Olson , Ralph Steams , Clifford Emmons
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/068 , A61B17/0686 , A61B17/105 , A61B2017/003 , A61B2017/07214 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2939 , A61B2017/320052
摘要： A surgical stapling device including an independently rotatable tool assembly is disclosed. The tool assembly includes an anvil and a cartridge assembly which are movable in relation to each other between spaced and approximated positions.
摘要翻译：公开了一种包括独立旋转的工具组件的外科缝合装置。工具组件包括砧座和盒组件，其可在间隔和近似位置之间相对于彼此移动。

6. 发明申请

US20080035701A1 Surgical stapling device 有权
公开(公告)号：US20080035701A1
公开(公告)日：2008-02-14
申请号：US11894196
申请日：2007-08-20
申请人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Ann Olson
发明人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Ann Olson
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B34/71 , A61B2017/07278 , A61B2017/2927 , A61B2017/320052
摘要： 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.

7. 发明申请

US20050103819A1 Surgical stapling device with independent tip rotation 有权
标题翻译：具有独立尖端旋转的手术吻合装置
公开(公告)号：US20050103819A1
公开(公告)日：2005-05-19
申请号：US10968525
申请日：2004-10-18
申请人： David Racenet , Ralph Stearns , Philip Roy , John Beardsley , Lee Olson
发明人： David Racenet , Ralph Stearns , Philip Roy , John Beardsley , Lee Olson
IPC分类号： A61B17/03 , A61B17/04 , A61B17/072 , A61B17/28 , A61L20060101
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/07214 , A61B2017/07285 , A61B2017/2922 , A61B2017/2923 , A61B2017/2925 , A61B2017/2927 , A61B2017/2932 , A61B2017/2937 , A61B2017/2946
摘要： A surgical stapling device is disclosed which includes a handle assembly, an endoscopic body portion and a tool assembly. The tool assembly is rotatably and pivotally supported on a distal end of the endoscopic body portion. A tool assembly rotation mechanism is provided which includes a rotation knob, a substantially rigid tube and a flexible member interconnecting the rigid tube to the tool assembly. The substantially rigid tube translates rotation of the rotation knob to rotation of the flexible member and provides a channel for passage of other components of the surgical stapling device.
摘要翻译：公开了一种外科缝合装置，其包括手柄组件，内窥镜主体部分和工具组件。工具组件可旋转地且可枢转地支撑在内窥镜主体部分的远端上。提供了一种工具组件旋转机构，其包括旋转旋钮，基本刚性的管和将刚性管与工具组件互连的柔性构件。基本刚性的管将旋转旋钮的旋转平移到柔性构件的旋转，并提供用于通过外科缝合装置的其它部件的通道。

8. 发明申请

US20050006432A1 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US20050006432A1
公开(公告)日：2005-01-13
申请号：US10871342
申请日：2004-06-17
申请人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Olson
发明人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Olson
IPC分类号： A61B17/04 , A61B17/072 , A61B17/28 , A61B17/32 , A61B19/00
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/105 , A61B34/71 , A61B2017/0688 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/291 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052 , A61B2090/0811
摘要： 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.
摘要翻译：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。

9. 发明申请

US20080099530A1 Surgical stapler with universal articulation and tissue pre-calmp 有权
标题翻译：具有通用关节和组织预压的手术吻合器
公开(公告)号：US20080099530A1
公开(公告)日：2008-05-01
申请号：US11998035
申请日：2007-11-28
申请人： Lee Olson , Philip Roy , John Beardsley , Ralph Stearns , David Racenet , Clifford Emmons
发明人： Lee Olson , Philip Roy , John Beardsley , Ralph Stearns , David Racenet , Clifford Emmons
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2927 , A61B2017/2929 , A61B2017/2932 , A61B2017/2939 , A61B2017/320024 , A61B2017/320052
摘要： A tool assembly for a surgical stapling device includes a channel member for supporting a staple cartridge therein and an anvil to deform a plurality of staples ejected from the staple cartridge thereagainst. The tool assembly also includes a sled which is movable to force the staples from the cartridge against the anvil to staple tissue disposed between the anvil and the staple cartridge. A dynamic clamping member is included which has a pin which movably engages the anvil and a flange which movably engages the channel assembly. The dynamic clamping member is mounted to and movable with the sled. The pin and the flange of the dynamic clamping member cooperating to oppose the forces associated with clamping and stapling tissue and also to maintain a substantially uniform gap between the anvil and the staple cartridge during stapling of the tissue.
摘要翻译：用于外科缝合装置的工具组件包括用于在其中支撑钉仓的通道构件和用于使从其上的钉仓弹出的多个钉变形的砧座。工具组件还包括滑动件，该滑动件可移动以将订书钉从盒抵靠在砧座上，以将设置在砧座和钉仓之间的组织切割。包括动态夹紧构件，其具有可移动地接合砧座的销和可移动地接合通道组件的凸缘。动态夹紧构件安装在滑板上并与滑动件一起移动。动态夹紧构件的销和凸缘协作以抵抗与夹紧和缝合组织相关联的力，并且还在组织装订期间保持砧座与钉仓之间的基本上均匀的间隙。

10. 发明申请

US20070034670A1 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US20070034670A1
公开(公告)日：2007-02-15
申请号：US11543640
申请日：2006-10-03
申请人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Olson
发明人： David Racenet , Ralph Stearns , John Beardsley , Philip Roy , Lee Olson
IPC分类号： A61B17/04
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/105 , A61B34/71 , A61B2017/0688 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/291 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052 , A61B2090/0811
摘要： 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.
摘要翻译：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。主体部分关节连接件连接到关节运动致动器，其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线的铰接。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。

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