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1. 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。

2. 发明授权

US5817109A 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：US5817109A
公开(公告)日：1998-10-06
申请号：US714972
申请日：1996-09-17
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 in laparoscopic hernia surgery. The apparatus includes a handle and a generally elongated endoscopic section connected to the handle 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. The staple storage magazine is pivotable between a first position in alignment with the longitudinal axis of the endoscopic section and a second position at an acute angle to the longitudinal axis. An elongated pusher system is provided for individually advancing at least one staple at a time distally. A trigger mechanism is provided to actuate the pusher.
摘要翻译：公开了一种用于在腹腔镜疝气手术中内窥镜应用外科缝钉的装置。该装置包括手柄和连接到手柄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合钉。订书钉存储盒可以在与内窥镜部分的纵向轴线对齐的第一位置和与纵向轴线成锐角的第二位置之间枢转。提供细长的推动器系统，用于在远端单独地推进至少一个钉。提供触发机构以致动推动器。

3. 发明授权

US5645551A Apparatus and method for applying surgical clips 失效
标题翻译：用于外科夹子的装置和方法
公开(公告)号：US5645551A
公开(公告)日：1997-07-08
申请号：US300254
申请日：1994-09-02
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： A61B17/128 , A61B17/04
CPC分类号： A61B17/1285 , Y10S227/901
摘要： An apparatus for applying surgical clips through an endoscopic tube includes an endoscopic portion housing a jaw blade, a pusher bar for feeding clips one at a time to the jaws, a channel bar for camming the jaw blades into closed position, and an array of surgical clips. The body of the apparatus comprises a frame housing an actuating mechanism and a transmission mechanism for transferring movement to the pusher bar and channel. The endoscopic portion is rotatable relative Go the frame. In one embodiment the apparatus is a single disposable unit. In an alternative embodiment the endoscopic portion is detachable and disposable whereas the non-endoscopic body portion is reusable.
摘要翻译：用于通过内窥镜管施加外科夹具的装置包括：内窥镜部分，其容纳颚式刀片;推动杆，用于一次一个地将镊子夹持夹持件;通道杆，用于将颌片刀片闭合到闭合位置;以及一组外科手术剪辑。设备的主体包括容纳致动机构的框架和用于将运动传递到推杆和通道的传动机构。内窥镜部分可相对于框架旋转。在一个实施例中，该装置是单个一次性单元。在替代实施例中，内窥镜部分是可拆卸的和一次性的，而非内窥镜主体部分是可重复使用的。

4. 发明授权

US5383881A Safety device for use with endoscopic instrumentation 失效
标题翻译：内窥镜仪器使用的安全装置
公开(公告)号：US5383881A
公开(公告)日：1995-01-24
申请号：US125519
申请日：1993-09-22
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： A61B17/128 , A61B17/34 , A61B19/00 , A61B17/04
CPC分类号： A61B17/1285 , A61B17/128
摘要： A safety device is provided for use with endoscopic instrumentation, particularly and endoscopic clip applier. The device includes a collar which is adapted to be disposed on the elongated shaft of the endoscopic instrument. A release means is provided as part of the trocar guide sleeve which is adapted to contact the collar and release it from engagement with the elongated shaft.
摘要翻译：提供了一种安全装置，用于内窥镜检查仪器，特别是内镜夹具。该装置包括适于设置在内窥镜器械的细长轴上的套环。提供释放装置作为套针引导套筒的一部分，其适于接触套环并将其从细长轴接合中解除。

5. 发明授权

US5100420A Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures 失效
标题翻译：用于腹腔镜或内镜手术中应用手术夹具的装置和方法
公开(公告)号：US5100420A
公开(公告)日：1992-03-31
申请号：US381265
申请日：1989-07-18
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , Y10S227/901
摘要： An apparatus for applying surgical clips through an endoscopic tube includes an endoscopic portion housing a jaw blade, a pusher bar for feeding clips one at a time to the jaws, a channel bar for camming the jaw blades into closed position, and an array of surgical clips. The body of the apparatus comprises a frame housing an actuating mechanism and a transmission mechanism for transferrring movement to the pusher bar and channel. The endoscopic portion is rotatable relative to the frame. In one embodiment the apparatus is single disposable unit. In an alternative embodiment the endoscopic portion is detachable and disposable whereas the non-endoscopic body portion is reusable.
摘要翻译：用于通过内窥镜管施加外科夹具的装置包括：内窥镜部分，其容纳颚式刀片;推动杆，用于一次一个地将镊子夹持夹持件;通道杆，用于将颌片刀片闭合到闭合位置;以及一组外科手术剪辑。该装置的主体包括容纳致动机构的框架和用于将移动传递到推杆和通道的传动机构。内窥镜部分可相对于框架旋转。在一个实施例中，该装置是单个一次性单元。在替代实施例中，内窥镜部分是可拆卸的和一次性的，而非内窥镜主体部分是可重复使用的。

6. 发明授权

US5084057A Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures 失效
标题翻译：在手术或内镜手术中应用手术夹具的装置和方法
公开(公告)号：US5084057A
公开(公告)日：1992-01-28
申请号：US530652
申请日：1990-05-30
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： G02B23/24 , A61B1/00 , A61B17/068 , A61B17/128
CPC分类号： A61B17/1285
摘要： A disposable apparatus is disclosed for applying surgical clips to body tissue in endoscopic surgical procedures. The apparatus includes a frame which is adapted to be gripped by hand, and an endoscopic section permanently connected to the handle and capable of storing surgical clips in preparation for clipping arteries or other body tissue. The apparatus includes means for advancing each clip sequentially to a pair of distal jaws and means for closing the jaws about the clip. When the jaws are closed, the clip advancing means is simultaneously positioned to advance the next clip. When all clips are spent the apparatus becomes automatically locked against further advancement of the clip advancing means as well as further closing of the clip closing jaws. The present apparatus also makes it possible to partially close a clip without interfering with the sequential movement of the clip advancing mechanism.

7. 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。

8. 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。

9. 发明授权

US5366479A Surgical staple for attaching an object to body tissue 失效
标题翻译：用于将物体附着到身体组织的外科手术钉
公开(公告)号：US5366479A
公开(公告)日：1994-11-22
申请号：US100613
申请日：1993-07-30
申请人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young
发明人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young
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 and surgical staple are disclosed for endoscope application of the surgical staples for attaching surgical mesh to body tissue in laparoscopic hernia surgery. The surgical staple is formed of a length of wire having a central portion having a middle portion and end portions extending therefrom in a first direction. Wire leg members extend in a direction generally perpendicular to the middle portion. Bridge portions are provided to connect each leg member to the end portions of the central portion. The bridge portions each have a straight portion substantially parallel to the middle portion and extending away from the end portions of the central portion. A first generally arcuate portion connected to the straight portions has a concave surface portion facing in a direction generally inwardly toward the opposing leg member. The first generally arcuate portions are connected to the leg members and at least a portion of each arcuate portion extends from the straight portions and generally in the first direction. A second arcuate portion on the leg members connects the leg member to the first arcuate portion. The free ends of the leg members are sharp to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue.
摘要翻译：公开了一种用于在腹腔镜疝手术中用于将手术网连接到身体组织的外科手术钉的内窥镜应用的装置和外科手术钉。外科缝合钉由具有中间部分的中心部分和从第一方向延伸的端部部分的线的长度形成。线腿构件沿大致垂直于中间部分的方向延伸。提供桥接部分以将每个腿部构件连接到中心部分的端部。桥接部分各自具有基本上平行于中间部分并且远离中心部分的端部延伸的直线部分。连接到直线部分的第一大致弓形部分具有面向相对腿部件的大致向内的方向的凹面部分。第一大致弓形的部分连接到腿部件，并且每个弓形部分的至少一部分从直的部分延伸并且大致沿第一方向延伸。腿部件上的第二弧形部分将腿部件连接到第一弧形部分。腿部构件的自由端锋利地穿过身体组织，以将网状物的一部分附着到身体组织上。

10. 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。

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