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1. 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。

2. 发明授权

US5413272A Surgical fastening device 失效
标题翻译：手术紧固装置
公开(公告)号：US5413272A
公开(公告)日：1995-05-09
申请号：US121012
申请日：1993-09-14
申请人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
IPC分类号： A61B17/064 , A61B17/068 , A61B17/04
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/0684
摘要： A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. Structure is provided for advancing the fasteners distally by an actuating handle means working in concert with a pusher means. The fasteners exit the fastener housing at an angle to the longitudinal axis of the device to facilitate visualization and placement at the surgical site. A unique fastener may be formed in which the legs are in a substantially overlapping longitudinally-spaced relation.
摘要翻译：提供了用于将紧固件和/或增强材料放置在组织中的外科器械。提供用于通过与推动器装置协同工作的致动手柄装置向远侧推进紧固件的结构。紧固件以与设备的纵向轴线成一定角度离开紧固件壳体，以便于在手术部位的可视化和放置。可以形成独特的紧固件，其中腿部基本上重叠的纵向间隔的关系。

3. 发明授权

US5257713A Surgical fastening device 失效
标题翻译：手术紧固装置
公开(公告)号：US5257713A
公开(公告)日：1993-11-02
申请号：US931591
申请日：1992-08-18
申请人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
IPC分类号： A61B17/064 , A61B17/068 , A61B17/00
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/0684
摘要： A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. Structure is provided for advancing the fasteners distally by an actuating handle means working in concert with a pusher means. The fasteners exit the fastener housing at an angle to the longitudinal axis of the device to facilitate visualization and placement at the surgical site. A unique fastener may be formed in which the legs are in a substantially overlapping longitudinally-spaced relation.
摘要翻译：提供了用于将紧固件和/或增强材料放置在组织中的外科器械。提供用于通过与推动器装置协同工作的致动手柄装置向远侧推进紧固件的结构。紧固件以与设备的纵向轴线成一定角度离开紧固件壳体，以便于在手术部位的可视化和放置。可以形成独特的紧固件，其中腿部基本上重叠的纵向间隔的关系。

4. 发明授权

US5217472A Surgical fastening device 失效
标题翻译：外科手术装置
公开(公告)号：US5217472A
公开(公告)日：1993-06-08
申请号：US696511
申请日：1991-05-07
申请人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
IPC分类号： A61B17/068
CPC分类号： A61B17/068
摘要： A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. The fasteners exit the fastener housing at an angle to the longitudinal axis of the device to facilitate visualization and placement at the surgical site. A unique fastener may be formed in which the legs are in a substantially overlapping, longitudinally-spaced relation.

5. 发明授权

US5462558A Suture clip applier 失效
标题翻译：缝合夹施压器
公开(公告)号：US5462558A
公开(公告)日：1995-10-31
申请号：US297333
申请日：1994-08-29
申请人： Michael S. Kolesa , Dominick L. Mastri , Wayne P. Young , Henry Bolanos
发明人： Michael S. Kolesa , Dominick L. Mastri , Wayne P. Young , Henry Bolanos
IPC分类号： A61B17/00 , A61B17/04 , A61B17/128
CPC分类号： A61B17/0487 , A61B17/1285 , A61B17/0469 , A61B2017/00004 , A61B2017/0454 , A61B2017/0488
摘要： An apparatus for applying a suture clip to a suture includes (a) an endoscopic portion having at least one slot to position a suture transversely to the longitudinal axis of the endoscopic portion, a camming surface for closing a clip onto a suture positioned within the suture receiving means, a pusher for advancing a suture clip into the camming surface, and a tubular housing; and (b) a handle portion including a handle portion housing, and an actuation mechanism for actuating the pusher.
摘要翻译：用于将缝合夹施加到缝合线的装置包括（a）内窥镜部分，其具有至少一个狭缝以将缝合线横向于内窥镜部分的纵向轴线定位，用于将夹子闭合到定位在缝合线内的缝合线上的凸轮表面接收装置，用于将缝合夹推进到凸轮表面中的推动器，以及管状壳体; 和（b）包括把手部分壳体的手柄部分和用于致动推动器的致动机构。

6. 发明授权

US5300081A Surgical clip applier having clip advancement control 失效
标题翻译：具有夹子进给控制的手术夹具
公开(公告)号：US5300081A
公开(公告)日：1994-04-05
申请号：US959190
申请日：1992-10-09
申请人： Wayne P. Young , Dominick L. Mastri , Henry Bolanos
发明人： Wayne P. Young , Dominick L. Mastri , Henry Bolanos
IPC分类号： A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
摘要： An apparatus is disclosed for applying surgical clips which comprises a handle portion, a body portion which extends distally from the handle portion, jaw members positioned adjacent the distal end of the body portion for receiving and subsequently forming a clip, camming means which are operable from the handle portion for camming the jaw members closed to form a clip, storage means for storing a plurality of surgical clips in a position for individual advancement to the jaw members, clip advancement means for individually advancing the clips from the storage means into the jaw members, and control means for selecting between a first mode of operation in which the advancement of a clip from the storage means into the jaw members is initiated by the user and a second mode in which it is initiated independent of the user.
摘要翻译：公开了一种用于施加手术夹的装置，其包括手柄部分，从手柄部分向远侧延伸的主体部分，邻近主体部分的远端定位的钳口构件，用于接收和随后形成夹子，凸轮装置可从用于将钳口构件凸轮闭合以形成夹子的把手部分，用于将多个手术夹具存储在用于单独前进到钳口构件的位置的存储装置，用于将夹子从存储装置单独推进到钳口构件中的夹子前进装置以及控制装置，用于在第一操作模式之间进行选择，其中从存储装置将夹子推进到钳口构件中的第一操作模式由用户启动，并且第二模式是独立于用户启动的第二模式。

7. 发明授权

US5423858A Septoplasty fasteners and device for applying same 失效
标题翻译：缝合成型紧固件和应用它的装置
公开(公告)号：US5423858A
公开(公告)日：1995-06-13
申请号：US129910
申请日：1993-09-30
申请人： Henry Bolanos , Dominick L. Mastri , Wayne P. Young , Boris Zvenyatsky
发明人： Henry Bolanos , Dominick L. Mastri , Wayne P. Young , Boris Zvenyatsky
IPC分类号： A61B17/00 , A61B17/064 , A61B17/068 , A61B17/24 , A61B17/28 , A61F2/18 , A61L31/06 , A61B17/04
CPC分类号： A61B17/068 , A61B17/0057 , A61B17/0643 , A61L31/06 , A61B17/24 , A61B17/282 , A61B2017/00004 , A61B2017/00659 , A61B2017/0647 , A61F2/186 , Y10S411/922 , Y10T24/309 , Y10T24/42
摘要： A two-part fastener for use in septoplasty procedures includes a fastener portion having a base with shaft extending perpendicularly therefrom and a retainer having an aperture for engagement with the shaft. The fastener may include indexing means for positioning the retainer in engagement with the fastener portion at discrete spaced apart locations along the shaft. In another embodiment the shaft is slightly larger in diameter than the aperture in the retainer to effect a frictional engagement. Applicator instruments are also provided. In one embodiment the applicator includes two elongated members pivotally connected in the middle. In another embodiment the applicator includes an elongated body which holds a plurality of septoplasty fasteners. A pivotally connected lower jaw holds a supply of retainers. A pusher member drives the fastener through a curved firing chamber, through body tissue, and into engagement with the retainer.
摘要翻译：用于间隔成形术程序的两部分紧固件包括紧固件部分，其具有带有从其垂直延伸的轴的基部和具有用于与轴接合的孔的保持器。紧固件可以包括分度装置，用于将保持器定位成沿着轴在离散的间隔开的位置处与紧固件部分接合。在另一个实施例中，轴的直径略大于保持器中的孔以实现摩擦接合。还提供施放器乐器。在一个实施例中，施加器包括在中间枢转地连接的两个细长构件。在另一个实施例中，施放器包括一个细长体，其保持多个隔膜成形术紧固件。枢轴连接的下颌保持一定量的保持器。推动器构件通过弯曲的燃烧室驱动紧固件穿过身体组织并与保持器接合。

8. 发明申请

US20090105535A1 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装置
公开(公告)号：US20090105535A1
公开(公告)日：2009-04-23
申请号：US11978852
申请日：2007-10-30
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号： A61B17/10 , A61B1/018
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , 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 cartridge is removably supported on a pivotal support system 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 system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each 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. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.
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。钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并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。推动器系统还包括用于致动推动器的触发系统。触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。砧座装置提供单独地封闭每个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。墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

9. 发明授权

US5554167A Tissue piercing members 失效
标题翻译：组织穿刺成员
公开(公告)号：US5554167A
公开(公告)日：1996-09-10
申请号：US280686
申请日：1994-07-26
申请人： Wayne P. Young , Dominick L. Mastri , Henry Bolanos , George M. Chelednik
发明人： Wayne P. Young , Dominick L. Mastri , Henry Bolanos , George M. Chelednik
IPC分类号： A61B17/00 , A61B17/34 , A61B17/32 , A61M5/18
CPC分类号： A61B17/3417 , A61B2017/00473
摘要： A piercing tip for penetrating body tissue is provided which includes a conical body and a triangular cutting blade positioned within a slot formed in the conical body. The cutting blade includes a proximal mounting flange which extends outwardly from the conical body and is configured for mounting at the distal end of an obturator of a trocar assembly.
摘要翻译：提供用于穿透身体组织的穿刺尖端，其包括锥形体和位于形成在锥形体中的狭槽内的三角形切割刀片。切割刀片包括从锥形体向外延伸的近侧安装凸缘，并且构造成用于安装在套管针组件的填塞器的远端处。

10. 发明授权

US5474566A Self-contained powered surgical apparatus 失效
标题翻译：自备动力手术器械
公开(公告)号：US5474566A
公开(公告)日：1995-12-12
申请号：US238565
申请日：1994-05-05
申请人： Thomas W. Alesi , Wayne P. Young , Henry Bolanos , Carlo A. Mililli , Dominick L. Mastri , Leonard Stern
发明人： Thomas W. Alesi , Wayne P. Young , Henry Bolanos , Carlo A. Mililli , Dominick L. Mastri , Leonard Stern
IPC分类号： A61B17/128 , A61B17/00
CPC分类号： A61B17/1285
摘要： A self-contained powered surgical clip applier is provided which includes an elongate body defining a longitudinal axis and housing a plurality of surgical clips. The powered clip applier further includes a jaw assembly operatively associated with a distal end of the elongate body and actuable to move between an open position and a closed position, a motor assembly disposed within the elongate body, a power supply positioned within the elongate body for energizing the motor assembly, a clip pusher configured to individually advance surgical clips into the jaw assembly, and an actuation channel driven by the motor assembly and configured to translate through the elongate body to drive the clip pusher and actuate the jaw assembly.
摘要翻译：提供了一种独立的动力手术夹具，其包括限定纵向轴线并容纳多个手术夹具的细长主体。动力施夹器还包括钳口组件，其操作地与细长主体的远端相关联并可致动以在打开位置和关闭位置之间移动，设置在细长体内的马达组件，定位在细长体内的电源，用于对马达组件通电;夹子推动器，其构造成将手术夹子单独地推进到钳口组件中;以及致动通道，其由马达组件驱动并且构造成平移通过细长主体以驱动夹子推动器并致动钳口组件。

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