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1. 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。

2. 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。

3. 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。

4. 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。

5. 发明授权

US07546940B2 Pivoting anvil assembly for surgical stapling device 有权
标题翻译：旋转砧座装置用于外科缝合装置
公开(公告)号：US07546940B2
公开(公告)日：2009-06-16
申请号：US11978345
申请日：2007-10-29
申请人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
发明人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed 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 anvil assembly includes a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The anvil assembly of the stapling device also includes a retainer clip positioned on the anvil head. The retainer clip includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.
摘要翻译：公开了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。砧座组件包括可倾斜的砧座，该砧座将在装置被点火并且未被近似之后自动倾斜。钉钉装置的砧座组件还包括定位在砧头上的保持夹。保持夹包括至少一个弹性臂，定位成在缝合装置的未近似期间接合切割环。

6. 发明授权

US08348122B2 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US08348122B2
公开(公告)日：2013-01-08
申请号：US11515660
申请日：2006-09-05
申请人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
发明人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed 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 head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes an approximation mechanism including a rotatable knob, a screw having a helical channel and an anvil retainer. The helical channel includes a dwell portion for providing a tactile indication to a surgeon that the anvil retainer has been advanced to a position wherein the anvil assembly can be removed from the anvil retainer. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.
摘要翻译：公开了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。头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。缝合装置包括近似机构，其包括可旋转旋钮，具有螺旋通道的螺钉和砧座保持器。所述螺旋通道包括用于向外科医生提供触觉指示的停留部分，所述砧座保持器已经前进到其中所述砧座组件能够从所述砧座保持器移除的位置。还公开了一种用于连接到砧组件的可拆卸的套针针，其包括位于安装突起的近侧的肋。肋被定位成使安装突起与砧组件的相关接合结构对准。

7. 发明申请

US20130072955A1 SURGICAL STAPLING DEVICE 审中-公开
标题翻译：外科手术装置
公开(公告)号：US20130072955A1
公开(公告)日：2013-03-21
申请号：US13618450
申请日：2012-09-14
申请人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
发明人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed 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. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.
摘要翻译：公开了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。还公开了一种用于连接到砧组件的可拆卸的套针针，其包括位于安装突起的近侧的肋。肋被定位成使安装突起与砧组件的相关接合结构对准。

8. 发明授权

US07303106B2 Surgical stapling device with visual indicator 有权
标题翻译：带视觉指示器的手术吻合装置
公开(公告)号：US07303106B2
公开(公告)日：2007-12-04
申请号：US10528975
申请日：2003-10-06
申请人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
发明人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed 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 head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes a bulbous indicator which preferably extends above a top surface of the handle assembly of the device. The indicator includes indicia to identify to a surgeon that the device has been approximated and is in a fire-ready position. Preferably, the indicator includes a cover which is formed of a magnification material to prominently display the indicia. The anvil assembly of the stapling device preferably includes a retainer clip positioned on the anvil head. The retainer clip preferably includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.
摘要翻译：公开了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。头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。缝合装置包括球茎指示器，其优选地在装置的手柄组件的顶表面上方延伸。指示器包括用于向外科医生识别装置已被近似并处于就绪位置的标记。优选地，指示器包括由显着地显示标记的放大材料形成的盖。装订装置的砧座组件优选地包括定位在砧头上的保持夹。保持夹优选地包括至少一个弹性臂，其定位成在缝合装置的非近似期间接合切割环。

9. 发明授权

US08393513B2 Surgical stapling apparatus including an anvil and cartridge each having cooperating mating surfaces 有权
标题翻译：包括具有配合配合表面的砧和筒的外科缝合装置
公开(公告)号：US08393513B2
公开(公告)日：2013-03-12
申请号：US12008298
申请日：2008-01-09
申请人： Bruce K. Jankowski
发明人： Bruce K. Jankowski
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B17/1155 , A61B17/282 , A61B17/32 , A61B2017/07214 , A61B2017/07271
摘要： Surgical stapling apparatus are disclosed including an anvil having a working surface with a shaped topography, and a staple cartridge, in juxtaposition with the anvil. The staple cartridge includes a working surface with shaped topography which is complementary to the shaped topography of the working surface of the shaped anvil. When the anvil and the staple cartridge are approximated with or toward one another, at least a portion of the working surface of the anvil cooperates with at least a portion of the working surface of the staple cartridge to enhance alignment of the staple cartridge and the anvil in at least one of a transverse and longitudinal direction.
摘要翻译：公开了一种手术吻合装置，其包括具有形状形状的工作表面的砧和与砧座并置的钉仓。钉仓包括具有形状的形状的工作表面，其与成形砧的工作表面的形状形状互补。当砧座和钉仓与彼此近似或相对时，砧座的工作表面的至少一部分与钉仓的工作表面的至少一部分协作以增强钉仓和砧座的对准在横向和纵向方向中的至少一个方向上。

10. 发明授权

US07846149B2 Instrument introducer 失效
标题翻译：仪器介绍员
公开(公告)号：US07846149B2
公开(公告)日：2010-12-07
申请号：US10510942
申请日：2003-04-10
申请人： Bruce K. Jankowski
发明人： Bruce K. Jankowski
IPC分类号： A61B17/00
CPC分类号： A61B17/115 , A61B1/31 , A61B17/1155 , A61B17/3421 , A61B17/3462 , A61B17/3498 , A61B17/685 , A61B90/40 , A61B2017/00296 , A61B2017/3441 , A61B2017/3452 , A61B2090/037 , A61B2090/08021
摘要： Instrument introducers are disclosed which facilitate the insertion of a surgical instrument into a cavity or a body of a patient. In one embodiment, the instrument introducer includes a hollow elongate cylindrical body including a distal end portion terminating in a distal edge and a proximal end portion, the cylindrical body defining a central longitudinal axis, and an elastomeric cap secured to the distal end portion of the cylindrical body, the cap including a distal end wall having an outer terminal edge and an annular side wall depending from the outer terminal edge thereof. The distal end wall includes an aperture formed therein, wherein a center of the aperture is coaxially aligned with the central longitudinal axis.
摘要翻译：公开了便于将外科器械插入患者的空腔或身体的器械引导器。在一个实施例中，仪器导入器包括中空的细长圆柱形主体，其包括终止于远端边缘的远端部分和近端部分，圆柱体限定中心纵向轴线，弹性体盖固定到所述盖包括具有外端边缘的远端壁和从其外端边缘悬垂的环形侧壁。远端壁包括形成在其中的孔，其中孔的中心与中心纵向轴线同轴对准。

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