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1. 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。

2. 发明授权

US08663246B2 Anastomosis instrument and method for performing same 有权
标题翻译：吻合仪器及其执行方法
公开(公告)号：US08663246B2
公开(公告)日：2014-03-04
申请号：US12245195
申请日：2008-10-03
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 method of deforming a plurality of surgical fasteners is provided. The method includes the step of providing a surgical instrument having a loading unit supporting the plurality of surgical fasteners in an array, the surgical instrument having a handle, a distal link, an intermediate link, and a proximal link. The method further includes the steps of moving the handle in a direction to pivot the intermediate link to a position in which the distal link, intermediate link, and proximal link have a fully-extended position, compressing a spring disposed adjacent the proximal link, deforming the surgical fasteners, moving the handle further in the direction, pivoting the intermediate link to another position in which the distal link, intermediate link, and proximal link have a deflected position and releasing the surgical fasteners from the loading unit.
摘要翻译：提供了一种使多个外科紧固件变形的方法。该方法包括提供具有负载单元的步骤，所述装置单元支撑阵列中的多个外科紧固件，所述外科器械具有手柄，远端连杆，中间连杆和近端连杆。该方法还包括以下步骤：使手柄沿着使中间连杆枢转到远端连杆，中间连杆和近端连杆具有完全伸出位置的位置的方向移动，压缩邻近近端连杆设置的弹簧，变形所述手术紧固件使所述手柄沿所述方向进一步移动，将所述中间连杆枢转到另一位置，其中所述远端连杆，中间连杆和近端连杆具有偏转位置，并且将所述手术紧固件从所述装载单元释放。

3. 发明申请

US20090036904A1 Anastomosis Instrument and Method for Performing Same 有权
标题翻译：吻合仪器及其执行方法
公开(公告)号：US20090036904A1
公开(公告)日：2009-02-05
申请号：US12245195
申请日：2008-10-03
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： A61B17/11
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。

4. 发明授权

US08202278B2 Sterile surgical drape 有权
标题翻译：无菌手术悬垂
公开(公告)号：US08202278B2
公开(公告)日：2012-06-19
申请号：US12760779
申请日：2010-04-15
申请人： Joseph P. Orban, III , Lisa W. Heaton , S. Christopher Anderson , Thomas G. Cooper
发明人： Joseph P. Orban, III , Lisa W. Heaton , S. Christopher Anderson , Thomas G. Cooper
IPC分类号： A61B19/02
CPC分类号： A61B34/35 , A61B34/30 , A61B34/37 , A61B34/71 , A61B34/76 , A61B46/10 , A61B90/361 , A61B90/50 , A61B2017/00477 , A61B2034/305 , Y10T29/49826 , Y10T428/13
摘要： A sterile drape, system, and method for draping portions of a telerobotic surgical system are provided. In one embodiment, a sterile drape includes an exterior surface adjacent to a sterile field for performing a surgical procedure, and an interior surface forming a cavity for receiving the non-sterile portion of a robotic surgical system, such as a manipulator. The drape further includes an integral cuff including a permanently turned-up fold of the exterior and interior surfaces at an open end of the cavity and a marker on the permanently turned-up fold designating a sterile side and a non-sterile side of the drape.
摘要翻译：提供了一种用于悬挂远程外科手术系统的部分的无菌悬垂布，系统和方法。在一个实施例中，无菌悬垂包括邻近用于进行外科手术的无菌区域的外表面，以及形成用于接收诸如操纵器的机器人手术系统的非无菌部分的空腔的内表面。该悬垂布进一步包括一体式的袖带，其包括在空腔的开口端处的外表面和内表面的永久折叠折叠，以及在永久折叠折叠上的标记，其指定悬垂布的无菌侧和非无菌侧。

5. 发明授权

US06817509B2 Surgical stapler 有权
标题翻译：手术吻合器
公开(公告)号：US06817509B2
公开(公告)日：2004-11-16
申请号：US10714733
申请日：2003-11-17
申请人： Robert J. Geiste , Mitchell J. Palmer , Lisa W. Heaton , Robert C. Savage , Jon Wilson
发明人： Robert J. Geiste , Mitchell J. Palmer , Lisa W. Heaton , Robert C. Savage , Jon Wilson
IPC分类号： A61B17068
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2050/005 , A61B2090/0814
摘要： A surgical stapler is disclosed including a first body portion supporting an anvil plate defining a fastener forming surface, and a second body portion releasably mating with the first body portion. A disposable loading unit is removably supported in the second body portion and includes a cartridge defining a plurality of slots, a plurality of surgical fasteners disposed in the slots, a plurality of ejectors positioned adjacent the surgical fasteners, and a wedged actuator for sequentially interacting with the ejectors. An elongated actuation member is mounted for longitudinal movement within the second body portion and is releasably engageable with the wedged actuator. A locking mechanism having a locking member and a biasing member is included in the second body portion.
摘要翻译：公开了一种外科缝合器，包括支撑限定紧固件形成表面的砧板的第一主体部分和与第一主体部分可释放地配合的第二主体部分。一次性装载单元可移除地支撑在第二主体部分中并且包括限定多个狭槽的盒，设置在狭槽中的多个外科紧固件，邻近外科紧固件定位的多个喷射器，以及用于顺序地与喷射器。安装细长的致动构件用于在第二主体部分内纵向移动，并且可释放地与楔入的致动器接合。具有锁定构件和偏置构件的锁定机构包括在第二主体部分中。

6. 发明授权

US06213957B1 Apparatus and method for removing tissue 失效
标题翻译：用于去除组织的装置和方法
公开(公告)号：US06213957B1
公开(公告)日：2001-04-10
申请号：US09158632
申请日：1998-09-22
申请人： Keith L. Milliman , Lisa W. Heaton
发明人： Keith L. Milliman , Lisa W. Heaton
IPC分类号： A61B1000
CPC分类号： A61B10/0266 , A61B17/34 , A61B17/3417 , A61B17/3496 , A61B2010/0208 , A61B2017/008 , A61B2017/320024 , A61B2017/32004 , A61B2017/320044
摘要： A surgical apparatus for removing tissue, which includes (i) an elongated body defining an opening at a distal end and forming a tissue receiving cavity in communication with the opening (ii) a blunt dilator at least partially disposed in the tissue receiving cavity and (iii) a cutting member operatively movable transverse to the elongated body in proximity to the opening.
摘要翻译：一种用于去除组织的手术装置，其包括（i）在远端限定开口的细长主体并形成与开口连通的组织接收腔（ii）至少部分地设置在组织容纳腔中的钝性扩张器， iii）切割构件，其可操作地在所述开口附近与所述细长主体横向移动。

7. 发明授权

US06202914B1 Surgical stapler 有权
标题翻译：手术吻合器
公开(公告)号：US06202914B1
公开(公告)日：2001-03-20
申请号：US09366583
申请日：1999-08-04
申请人： Robert J. Geiste , Mitchell J. Palmer , Lisa W. Heaton , Robert C. Savage , Jon Wilson
发明人： Robert J. Geiste , Mitchell J. Palmer , Lisa W. Heaton , Robert C. Savage , Jon Wilson
IPC分类号： A61B17068
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2050/005 , A61B2090/0814
摘要： A surgical stapler is disclosed which includes a first body portion supporting an anvil plate defining a fastener forming surface, and a second body portion configured to releasably mate with the first body portion. A disposable loading unit is removably supported in the second body portion and includes a cartridge defining a plurality of slots, a plurality of surgical fasteners disposed in the slots, a plurality of ejectors positioned adjacent the surgical fasteners, and a wedged actuator configured to enter into and translate through the cartridge to sequentially interact with the ejectors. An elongated actuation member is mounted for longitudinal movement within the second body portion and is releasably engagable with the wedged actuator, whereby longitudinal movement of the actuation member causes the wedged actuator to interact with the ejectors, driving the surgical fasteners from the cartridge to be formed against the anvil plate.
摘要翻译：公开了一种外科缝合器，其包括支撑限定紧固件形成表面的砧板的第一主体部分和被配置为可释放地与第一主体部分配合的第二主体部分。一次性装载单元可移除地支撑在第二主体部分中并且包括限定多个狭槽的盒，设置在槽中的多个外科紧固件，邻近手术紧固件定位的多个喷射器，以及被构造成进入并通过墨盒翻转以顺序地与喷射器相互作用。安装细长的致动构件用于在第二主体部分内纵向移动并且可释放地与楔入的致动器接合，由此致动构件的纵向运动导致楔形致动器与喷射器相互作用，从待形成的筒驱动外科紧固件反对砧板。

8. 发明授权

US5478003A Surgical apparatus 失效
标题翻译：手术器械
公开(公告)号：US5478003A
公开(公告)日：1995-12-26
申请号：US133549
申请日：1993-10-08
申请人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
发明人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , A61B2017/07278 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2090/038 , A61B2090/0803
摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.
摘要翻译：提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

9. 发明授权

US5312023A Self contained gas powered surgical apparatus 失效
标题翻译：自备气体手术器械
公开(公告)号：US5312023A
公开(公告)日：1994-05-17
申请号：US024533
申请日：1993-03-01
申请人： David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
发明人： David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/10 , A61B17/12 , A61B17/28 , A61B17/32 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , A61B2017/2903 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.
摘要翻译：提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

10. 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。

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