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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.

6. 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。

7. 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。

8. 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。

9. 发明申请

US20060255090A1 Surgical stapling apparatus 有权
公开(公告)号：US20060255090A1
公开(公告)日：2006-11-16
申请号：US11489212
申请日：2006-07-19
申请人： Keith Milliman , Frank Viola , Joseph Orban , Randolph Lehn
发明人： Keith Milliman , Frank Viola , Joseph Orban , Randolph Lehn
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/105 , A61B17/115 , A61B2017/0023 , A61B2017/00473 , A61B2017/00477 , A61B2017/07214 , A61B2017/07278 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/0806 , A61B2090/0808
摘要： A surgical stapling device particularly suited for endoscopic procedures is described. The device includes a handle assembly and an elongated body extending distally from the handle assembly. The distal end of the elongated body is adapted to engage a disposable loading unit. A control rod having a proximal end operatively connected to the handle assembly includes a distal end extending through the elongated body. A control rod locking member is provided to prevent movement of the control rod until the disposable loading unit is fully secured to the elongated body of the stapling device.

10. 发明授权

US06877647B2 Surgical stapling apparatus 失效
标题翻译：手术吻合装置
公开(公告)号：US06877647B2
公开(公告)日：2005-04-12
申请号：US10668941
申请日：2003-09-22
申请人： David T. Green , Keith Ratcliff , Keith Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
发明人： David T. Green , Keith Ratcliff , Keith Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
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 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/07285 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803
摘要： An 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 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。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。

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