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1. 发明授权

US07635385B2 Anastomosis instrument and method for performing same 失效
公开(公告)号：US07635385B2
公开(公告)日：2009-12-22
申请号：US11429583
申请日：2006-05-05
申请人： Keith Milliman , Kevin Sniffen , David A. Nicholas , Scott E. Manzo , Peter Hinchliffe
发明人： Keith Milliman , Kevin Sniffen , David A. Nicholas , Scott E. Manzo , Peter Hinchliffe
IPC分类号： A61F2/06
CPC分类号： A61B17/1285 , A61B17/0293 , A61B17/08 , A61B17/083 , A61B17/11 , A61B17/1152 , A61B17/122 , A61B2017/1107 , A61B2017/1135 , A61B2017/2916
摘要： A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends, a handle and a disposable loading unit removably mounted to the distal end of the housing. The loading unit includes upper and lower fastener support members having a passage defined therethrough for receiving an end of the second blood vessel and configured to releasably support a plurality of surgical fasteners. The loading unit also includes a retractable anvil located at a distal end of the loading unit, the anvil being movable relative to the fastener support member in response to actuation of the handle to simultaneously deform the of surgical fasteners.

2. 发明申请

US20100087841A1 ANASTOMOSIS INSTRUMENT AND METHOD FOR PERFORMING SAME 审中-公开
标题翻译：分析仪器及其执行方法
公开(公告)号：US20100087841A1
公开(公告)日：2010-04-08
申请号：US12633928
申请日：2009-12-09
申请人： Keith Milliman , Kevin Sniffen , David A. Nicholas , Scott E. Manzo , Peter Hinchliffe
发明人： Keith Milliman , Kevin Sniffen , David A. Nicholas , Scott E. Manzo , Peter Hinchliffe
IPC分类号： A61B17/11
CPC分类号： A61B17/1285 , A61B17/0293 , A61B17/08 , A61B17/083 , A61B17/11 , A61B17/1152 , A61B17/122 , A61B2017/1107 , A61B2017/1135 , A61B2017/2916
摘要： A surgical instrument for anastomosis of first and second blood vessels is provided. The surgical instrument includes a housing having distal and proximal ends and a handle and a disposable loading unit removably mounted to the distal end of the housing. The housing includes upper and lower fastener support members having a passage defined therethrough configured to receive an end of the second blood vessel and configured to releasably support a plurality of substantially L-shaped surgical fasteners and a retractable anvil located at a distal end of the loading unit, the anvil being movable relative to the fastener support members in response to actuation of the handle to simultaneously deform the surgical fasteners.
摘要翻译：提供了一种用于吻合第一和第二血管的手术器械。手术器械包括具有远端和近端的壳体和手柄以及可移除地安装到壳体的远端的一次性加载单元。壳体包括上和下紧固件支撑构件，其具有限定穿过的通道，构造成容纳第二血管的端部并且构造成可释放地支撑多个基本上L形的外科紧固件和位于装载物远端的可缩回砧座单元，所述砧座响应于所述手柄的致动而相对于所述紧固件支撑构件可移动，以同时使所述外科紧固件变形。

3. 发明授权

US07204843B2 Anastomosis instrument and method for performing same 失效
标题翻译：吻合仪器及其执行方法
公开(公告)号：US07204843B2
公开(公告)日：2007-04-17
申请号：US10388969
申请日：2003-03-13
申请人： Keith Milliman , Kevin Sniffen , David A. Nicolas , Scott E. Manzo , Peter Hinchliffe
发明人： Keith Milliman , Kevin Sniffen , David A. Nicolas , Scott E. Manzo , Peter Hinchliffe
IPC分类号： A61B17/04
CPC分类号： A61B17/1285 , A61B17/0293 , A61B17/08 , A61B17/083 , A61B17/11 , A61B17/1152 , A61B17/122 , A61B2017/1107 , A61B2017/1135 , A61B2017/2916
摘要： A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends, a handle and a disposable loading unit removably mounted to the distal end of the housing. The loading unit includes upper and lower fastener support members having a passage defined therethrough for receiving an end of the second blood vessel and configured to releasably support a plurality of surgical fasteners. The loading unit also includes a retractable anvil located at a distal end of the loading unit, the anvil being movable relative to the fastener support member in response to actuation of the handle to simultaneously deform the of surgical fasteners.
摘要翻译：用于吻合第一和第二血管的手术器械包括具有远端和近端的壳体，手柄和可移除地安装到壳体的远端的一次性加载单元。装载单元包括上和下紧固件支撑构件，其具有通过其限定的通道，用于接收第二血管的端部并且构造成可释放地支撑多个外科紧固件。装载单元还包括位于加载单元的远端处的可伸缩砧座，砧座响应于手柄的致动而相对于紧固件支撑构件可移动，以同时使外科紧固件变形。

4. 发明申请

US20060206124A1 Anastomosis instrument and method for performing same 失效
公开(公告)号：US20060206124A1
公开(公告)日：2006-09-14
申请号：US11429583
申请日：2006-05-05
申请人： Keith Milliman , Kevin Sniffen , David Nicholas , Scott Manzo , Peter Hinchliffe
发明人： Keith Milliman , Kevin Sniffen , David Nicholas , Scott Manzo , Peter Hinchliffe
IPC分类号： A61B17/08
CPC分类号： A61B17/1285 , A61B17/0293 , A61B17/08 , A61B17/083 , A61B17/11 , A61B17/1152 , A61B17/122 , A61B2017/1107 , A61B2017/1135 , A61B2017/2916
摘要： A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends, a handle and a disposable loading unit removably mounted to the distal end of the housing. The loading unit includes upper and lower fastener support members having a passage defined therethrough for receiving an end of the second blood vessel and configured to releasably support a plurality of surgical fasteners. The loading unit also includes a retractable anvil located at a distal end of the loading unit, the anvil being movable relative to the fastener support member in response to actuation of the handle to simultaneously deform the of surgical fasteners.

5. 发明申请

US20080142566A1 Surgical stapling device for performing circular anastomoses 有权
标题翻译：用于执行圆形吻合的外科缝合装置
公开(公告)号：US20080142566A1
公开(公告)日：2008-06-19
申请号：US11803817
申请日：2007-05-16
申请人： Richard D. Gresham , Scott E. Manzo , Ernest Aranyi , Robert J. Geiste , Bruce K. Jankowski , Keith Milliman
发明人： Richard D. Gresham , Scott E. Manzo , Ernest Aranyi , Robert J. Geiste , Bruce K. Jankowski , Keith Milliman
IPC分类号： A61B17/115
CPC分类号： A61B17/1155 , A61B17/115 , A61B17/34 , A61B2017/00128 , A61B2017/07257 , A61B2017/2905
摘要： This application is directed to a surgical stapling device for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The handle portion includes a rotatable approximation knob for approximating the anvil and shell assemblies and a firing trigger for actuating a firing mechanism for ejecting staples positioned within the shell assembly. The firing trigger forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies. The head portion also includes a retractable trocar assembly which is slidably positioned within an anvil retainer and is automatically advanced and retracted upon attachment and detachment of the anvil assembly onto the anvil retainer. A lockout tube is provided and is positioned about an anvil retainer for releasably engaging an anvil assembly. The lockout tube prevents inadvertent detachment of the anvil assembly from the anvil retainer. The surgical stapling device also includes a firing lockout assembly which prevents actuation of the firing trigger until an anvil has been attached to the device and the anvil has been approximated. In one preferred embodiment, the firing lockout assembly includes a trigger lock and a safety bracket which prevents movement of the trigger lock from a locked to an unlocked position until an anvil has been attached to the device and approximated and returns the trigger lock to a locked position after the device has been fired. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.
摘要翻译：该应用涉及用于执行圆形吻合的外科缝合装置。外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。手柄部分包括用于近似砧座和壳体组件的可旋转近似旋钮，以及用于致动用于排出位于壳体组件内的缝钉的击发机构的击发触发器。击发触发器形成两个连杆的一个连杆，用于致动击发机构。砧座组件包括可倾斜的砧座，该砧座将在装置点火之后自动倾斜并且使砧座和壳体组件不接近。头部还包括可伸缩套管针组件，其可滑动地定位在砧座保持器内，并且在将砧组件附接和拆卸到砧座保持器上时自动前进和缩回。锁定管被设置并且围绕砧座保持器定位以可释放地接合砧座组件。锁定管防止砧组件从砧座保持器的意外脱离。外科缝合装置还包括击发锁定组件，其防止触发触发器的致动，直到砧已经附接到装置并且砧已被近似。在一个优选实施例中，击发锁定组件包括触发锁和安全支架，其防止触发锁从锁定位置移动到解锁位置，直到砧座已经附接到装置并近似并且将触发器锁定回锁定设备启动后的位置。还提供了一种触觉指示机构，用于通知外科医生该装置已经被点燃，并且通知外科医生砧座头未被近距离足以允许砧头倾斜的距离。

6. 发明授权

US06945444B2 Surgical stapling device for performing circular anastomoses 有权
标题翻译：用于执行圆形吻合的外科缝合装置
公开(公告)号：US06945444B2
公开(公告)日：2005-09-20
申请号：US10472402
申请日：2002-04-03
申请人： Richard D. Gresham , Scott E. Manzo , Ernest Aranyi , Robert J. Geiste , Bruce K. Jankowski , Keith Milliman
发明人： Richard D. Gresham , Scott E. Manzo , Ernest Aranyi , Robert J. Geiste , Bruce K. Jankowski , Keith Milliman
IPC分类号： A61B17/00 , A61B17/115 , A61B17/34 , A61B17/068
CPC分类号： A61B17/1155 , A61B17/115 , A61B17/34 , A61B2017/00128 , A61B2017/07257 , A61B2017/2905
摘要： This application is directed to a surgical stapling device for performing circular anastomoses. The stapling device includes a retractable trocar which is slidably supported by an anvil retainer and movable from a retracted position located within the anvil retainer to an advanced position extending from the anvil retainer. The trocar defines a sensor and is operatively connected to an indicator assembly. The indicator assembly is operatively associated with an anvil assembly such that the indicator will not move from a fire-not ready position to a fire-ready position until an anvil assembly has been mounted to the anvil retainer.
摘要翻译：该应用涉及用于执行圆形吻合的外科缝合装置。缝合装置包括可伸缩套针，其可滑动地由砧座保持器支撑并且可以从位于砧座保持器内的缩回位置移动到从砧座保持器延伸的前进位置。套管针定义传感器并且可操作地连接到指示器组件。指示器组件与砧座组件操作地相关联，使得指示器将不会从未准备就绪的位置移动到就绪位置，直到砧座组件已经安装到砧座保持器。

7. 发明授权

US08464924B2 Surgical stapling device for performing circular anastomoses 有权
标题翻译：用于执行圆形吻合的外科缝合装置
公开(公告)号：US08464924B2
公开(公告)日：2013-06-18
申请号：US11803817
申请日：2007-05-16
申请人： Richard D. Gresham , Scott E. Manzo , Ernest Aranyi , Robert J. Geiste , Bruce K. Jankowski , Keith Milliman
发明人： Richard D. Gresham , Scott E. Manzo , Ernest Aranyi , Robert J. Geiste , Bruce K. Jankowski , Keith Milliman
IPC分类号： A61B17/06816
CPC分类号： A61B17/1155 , A61B17/115 , A61B17/34 , A61B2017/00128 , A61B2017/07257 , A61B2017/2905
摘要： This application is directed to a surgical stapling device for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The handle portion includes a rotatable approximation knob for approximating the anvil and shell assemblies and a firing trigger for actuating a firing mechanism for ejecting staples positioned within the shell assembly. The firing trigger forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies. The head portion also includes a retractable trocar assembly which is slidably positioned within an anvil retainer and is automatically advanced and retracted upon attachment and detachment of the anvil assembly onto the anvil retainer, and a lockout tube.
摘要翻译：该应用涉及用于执行圆形吻合的外科缝合装置。外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。手柄部分包括用于近似砧座和壳体组件的可旋转近似旋钮，以及用于致动用于排出位于壳体组件内的缝钉的击发机构的击发触发器。击发触发器形成两个连杆的一个连杆，用于致动击发机构。砧座组件包括可倾斜的砧座，该砧座将在装置点火之后自动倾斜并且使砧座和壳体组件不接近。头部还包括可伸缩的套针套组件，其可滑动地定位在砧座保持器内，并且在将砧组件安装和拆卸到砧座保持器上时自动前进和缩回，以及锁定管。

8. 发明授权

US07234624B2 Surgical stapling device for performing circular anastomoses 有权
标题翻译：用于执行圆形吻合的外科缝合装置
公开(公告)号：US07234624B2
公开(公告)日：2007-06-26
申请号：US11208667
申请日：2005-08-22
申请人： Richard D. Gresham , Scott E. Manzo , Ernest Aranyi , Robert J. Geiste , Bruce K. Jankowski , Keith Milliman
发明人： Richard D. Gresham , Scott E. Manzo , Ernest Aranyi , Robert J. Geiste , Bruce K. Jankowski , Keith Milliman
IPC分类号： A61B17/00 , A61B17/34
CPC分类号： A61B17/1155 , A61B17/115 , A61B17/34 , A61B2017/00128 , A61B2017/07257 , A61B2017/2905
摘要： This application is directed to a surgical stapling device for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The handle portion includes a rotatable approximation knob for approximating the anvil and shell assemblies and a firing trigger for actuating a firing mechanism for ejecting staples positioned within the shell assembly. The firing trigger forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies. The head portion also includes a retractable trocar assembly which is slidably positioned within an anvil retainer and is automatically advanced and retracted upon attachment and detachment of the anvil assembly onto the anvil retainer. A lockout tube is provided and is positioned about an anvil retainer for releasably engaging an anvil assembly. The lockout tube prevents inadvertent detachment of the anvil assembly from the anvil retainer. The surgical stapling device also includes a firing lockout assembly which prevents actuation of the firing trigger until an anvil has been attached to the device and the anvil has been approximated. In one preferred embodiment, the firing lockout assembly includes a trigger lock and a safety bracket which prevents movement of the trigger lock from a locked to an unlocked position until an anvil has been attached to the device and approximated and returns the trigger lock to a locked position after the device has been fired. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.
摘要翻译：该应用涉及用于执行圆形吻合的外科缝合装置。外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。手柄部分包括用于近似砧座和壳体组件的可旋转近似旋钮，以及用于致动用于排出位于壳体组件内的缝钉的击发机构的击发触发器。击发触发器形成两个连杆的一个连杆，用于致动击发机构。砧座组件包括可倾斜的砧座，该砧座将在装置点火之后自动倾斜并且使砧座和壳体组件不接近。头部还包括可伸缩套管针组件，其可滑动地定位在砧座保持器内，并且在将砧组件附接和拆卸到砧座保持器上时自动前进和缩回。锁定管被设置并且围绕砧座保持器定位以可释放地接合砧座组件。锁定管防止砧组件从砧座保持器的意外脱离。外科缝合装置还包括击发锁定组件，其防止触发触发器的致动，直到砧已经附接到装置并且砧已被近似。在一个优选实施例中，击发锁定组件包括触发锁和安全支架，其防止触发锁从锁定位置移动到解锁位置，直到砧座已经附接到装置并近似并且将触发器锁定回锁定设备启动后的位置。还提供了一种触觉指示机构，用于通知外科医生该装置已经被点燃，并且通知外科医生砧座头未被近距离足以允许砧头倾斜的距离。

9. 发明授权

US07438718B2 Anastomosis instrument and method for performing same 失效
标题翻译：吻合仪器及其执行方法
公开(公告)号：US07438718B2
公开(公告)日：2008-10-21
申请号：US10480964
申请日：2002-01-08
申请人： Keith Milliman , Kevin Sniffen , Joseph P Orban, III , Lisa W. Heaton
发明人： Keith Milliman , Kevin Sniffen , Joseph P Orban, III , Lisa W. Heaton
IPC分类号： A61B17/10 , A61B17/08 , A61B17/04
CPC分类号： A61B17/1152 , A61B17/11 , A61B17/32053 , A61B2017/1107 , A61B2017/1135
摘要： A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends and an actuator disposed therebetween. The actuator includes a handle and a link assembly, the link assembly being movable through a firing stroke in response to movement of the handle. The instrument also includes a disposable loading unit releasably attached to the distal end of the housing in mechanical cooperation with the actuator. The disposable loading unit supports a plurality of surgical fasteners, which deform upon movement of the actuator and the link assembly through the firing stroke.
摘要翻译：用于吻合第一和第二血管的手术器械包括具有远端和近端的壳体和设置在其间的致动器。致动器包括手柄和连杆组件，所述连杆组件能够响应于手柄的移动而能够通过击发冲程移动。仪器还包括与致动器机械协作地可释放地附接到壳体的远端的一次性装载单元。一次性加载单元支撑多个手术紧固件，其在致动器和连杆组件通过击发冲程的运动时变形。

10. 发明申请

US20050010241A1 Anastomosis instrument and method for performing same 审中-公开
标题翻译：吻合仪器及其执行方法
公开(公告)号：US20050010241A1
公开(公告)日：2005-01-13
申请号：US10616468
申请日：2003-07-09
申请人： Keith Milliman , Kevin Sniffen , Joseph Orban , Lisa Heaton
发明人： Keith Milliman , Kevin Sniffen , Joseph Orban , Lisa Heaton
IPC分类号： A61B17/11 , A61B17/115 , A61B17/32 , A61B17/00
CPC分类号： A61B17/1152 , A61B17/11 , A61B17/32053 , A61B2017/1107 , A61B2017/1135
摘要： A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends and an actuator disposed therebetween. The actuator includes a handle and a link assembly, the link assembly being movable through a firing stroke in response to movement of he handle. The instrument also includes a disposable loading unit releasably attached to the distal end of the housing in mechanical cooperation with the actuator. The disposable loading unit supports a plurality of surgical fasteners, which deform upon movement of the actuator and the link assembly through the firing stroke.
摘要翻译：用于吻合第一和第二血管的手术器械包括具有远端和近端的壳体和设置在其间的致动器。所述致动器包括手柄和连杆组件，所述连杆组件能够响应于所述手柄的移动而通过击发冲程移动。仪器还包括与致动器机械协作地可释放地附接到壳体的远端的一次性装载单元。一次性加载单元支撑多个手术紧固件，其在致动器和连杆组件通过击发冲程的运动时变形。

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