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1. 发明授权

US5497933A 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：US5497933A
公开(公告)日：1996-03-12
申请号：US133978
申请日：1993-10-08
申请人： Stephan A. DeFonzo , Wayne P. Young , Samson L. Pennatto , Andrew Komlosi
发明人： Stephan A. DeFonzo , Wayne P. Young , Samson L. Pennatto , Andrew Komlosi
IPC分类号： 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
摘要： An apparatus is disclosed for endoscopic application of surgical staples to body tissue in laparoscopic hernia surgery, preferably with surgical mesh. The apparatus includes a staple storage cartridge supported on a pivotal support system at the distal end of the endoscopic section. An elongated pusher system extends from the frame to the endoscopic section and individually advances the staples distally. A pair of legs project distally from the pusher plate to engage the staple during closure to prevent unwanted roll or deformation of the staple. A trigger system actuates the pusher. An anvil structure having rounded anvil legs to match the configuration of the staples provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue to attach the portion of the mesh to the body tissue. The staple storage cartridge may be pivoted with respect to the longitudinal axis of the endoscopic section from 0.degree. to about 20.degree., 45.degree., and 65.degree. and the cartridge may be rotated about its own axis independent of the endoscopic section. The distalmost tip of the instrument includes two distally extending members which engage the body tissue to stabilize the orientation of the instrument during application of staples.
摘要翻译：公开了一种用于在腹腔镜疝手术中内窥镜施用外科缝合至身体组织的装置，优选地使用外科手术网。该装置包括支撑在内窥镜部分的远端处的枢转支撑系统上的订书钉存储盒。细长的推动器系统从框架延伸到内窥镜部分并且单独地向前移动钉。一对腿从推动板向远端突出以在关闭期间接合钉，以防止不期望的卷轴或变形钉。触发系统启动推杆。具有圆形砧座腿以匹配钉的构造的砧座结构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穿透身体组织以将网的该部分附接到身体组织。订书钉存储盒可以相对于内窥镜部分的纵向轴线从0°至大约20°，45°和65°枢转，并且筒可以独立于内窥镜部分围绕其自身的轴线旋转。仪器的最远端是包括两个远端延伸的构件，它们与身体组织接合，以在施加钉时稳定仪器的取向。

2. 发明授权

US5560532A Apparatus and method for applying surgical staples to body tissue 失效
标题翻译：将外科缝钉应用于身体组织的装置和方法
公开(公告)号：US5560532A
公开(公告)日：1996-10-01
申请号：US134402
申请日：1993-10-08
申请人： Stephan A. DeFonzo , Samson L. Pennatto , Andrew Komlosi
发明人： Stephan A. DeFonzo , Samson L. Pennatto , Andrew Komlosi
IPC分类号： A61B17/064 , A61B17/068 , A61B17/28
CPC分类号： A61B17/0684 , A61B17/0644 , A61B2017/2927 , A61B2017/2929
摘要： Apparatus is disclosed for applying at least one surgical fastener to body tissue, having a frame and a tubular member connected to the frame and extending distally therefrom. The tubular member has a generally longitudinal axis, a proximal end portion, and a distal end portion. At least one surgical fastener is supported by the tubular member, and a mechanism is provided for advancing the at least one surgical fastener distally for positioning adjacent the body tissue. An articulating structure is included for pivotally rotating the distal end portion to predetermined angles with respect to the generally longitudinal axis, where the articulating structure includes a rotatable mechanism rotatable about an axis generally transverse to the longitudinal axis.
摘要翻译：公开了用于将至少一个手术紧固件应用于身体组织的装置，其具有连接到框架并从其向远侧延伸的框架和管状构件。管状构件具有大致纵向轴线，近端部分和远端部分。至少一个手术紧固件由管状构件支撑，并且设置有用于使至少一个外科紧固件向前延伸以用于邻近身体组织定位的机构。包括用于将远端部分相对于大致纵向轴线枢转地旋转到预定角度的铰接结构，其中所述铰接结构包括可围绕大致横向于纵向轴线的轴线旋转的可旋转机构。

3. 发明授权

US06981966B2 Valve assembly for introducing instruments into body cavities 失效
公开(公告)号：US06981966B2
公开(公告)日：2006-01-03
申请号：US10444378
申请日：2003-05-23
申请人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
IPC分类号： A61M5/178
CPC分类号： A61M25/04 , A61B17/34 , A61B2017/3464 , A61B2017/3484 , A61F2002/30093 , A61F2210/0019 , A61M39/06 , A61M2039/0626 , A61M2039/0633 , A61M2039/064 , A61M2039/0653 , A61M2039/0686
摘要： A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.

4. 发明授权

US5628446A Self-contained powered surgical apparatus 失效
标题翻译：自备动力手术器械
公开(公告)号：US5628446A
公开(公告)日：1997-05-13
申请号：US643396
申请日：1996-05-06
申请人： Robert J. Geiste , Stephan A. DeFonzo , Dominick L. Mastri , Wayne P. Young , Carlo A. Mililli
发明人： Robert J. Geiste , Stephan A. DeFonzo , Dominick L. Mastri , Wayne P. Young , Carlo A. Mililli
IPC分类号： A61B17/068 , A61B17/28
CPC分类号： A61B17/0684 , A61B2017/2905 , A61B2017/2936
摘要： A self-contained powered surgical apparatus is provided which includes an elongate body defining a longitudinal axis and housing a plurality of surgical fasteners disposed within a feed track, an anvil positioned at a distal end of the elongate body adjacent a terminal end of the feed path for forming surgical fasteners, a fastener pusher mounted for longitudinal movement within the elongate body to individually urge surgical fasteners toward the anvil, a barrel cam assembly disposed within the elongate body for effectuating reciprocatory longitudinal movement of the fastener pusher, a motor assembly disposed within the elongate body for driving the barrel cam assembly, and a power source disposed within the elongate body for energizing the motor assembly.
摘要翻译：提供了一种独立的动力手术装置，其包括限定纵向轴线的细长主体并且容纳布置在进给轨道内的多个外科紧固件，定位在细长主体的远端处的砧座，邻近进给路径的终端用于形成外科紧固件的紧固件推动器，其安装成用于在细长体内纵向运动以单独地向砧座推动手术紧固件;设置在细长体内的镜筒凸轮组件，用于实现紧固件推动器的往复纵向移动;马达组件，用于驱动筒形凸轮组件的细长主体，以及设置在细长主体内用于激励电动机组件的动力源。

5. 发明授权

US5462555A Umbilical cord clip and applicator 失效
标题翻译：脐带夹和敷贴器
公开(公告)号：US5462555A
公开(公告)日：1995-10-31
申请号：US175816
申请日：1993-12-30
申请人： Henry Bolanos , Ghaleb A. Sater , Stephan A. DeFonzo , Wayne P. Young
发明人： Henry Bolanos , Ghaleb A. Sater , Stephan A. DeFonzo , Wayne P. Young
IPC分类号： A61B17/122 , A61B17/128 , A61B17/32 , A61B17/12
CPC分类号： A61B17/122 , A61B17/128 , A61B17/32
摘要： An umbilical cord clip and applicator is disclosed for clamping a maternal side of an umbilical cord, applying an umbilical cord clip to a fetal side of the umbilical cord and severing the cord intermediate the clamped maternal and fetal sides of the umbilical cord. The applicator includes a first arm having a first clamping surface, a second arm movably affixed to the first arm and having a second clamping surface and structure associated with at least one the first and second arms for mounting an umbilical cord clip thereon. The applicator also includes a recessed severing mechanism operatively associated with the first and second arms and disposed intermediate the first and second clamping surfaces and the mounting structure. The severing mechanism is automatically actuable upon closure of the first and second arms about an umbilical cord to sever the cord at a location between the first and second clamping surfaces and the clip. The umbilical cord clip includes a first leg having a first clamping surface and a second leg movably affixed to the first leg and having a second clamping surface. A lock device is associated with the first and second legs for maintaining the first and second legs in a closed position about the umbilical cord. Attachment structure is also associated with at least one of the first and second legs. The attachment structure is releasably engagable with the mounting structure on the applicator to hold the umbilical cord clip on the applicator.
摘要翻译：公开了一种用于夹紧脐带的母体侧的脐带夹和施用器，将脐带夹施加到脐带的胎侧，并切断在脐带的母体和胎侧的中间的绳索。施加器包括具有第一夹紧表面的第一臂，可移动地固定到第一臂的第二臂，并且具有与至少一个第一和第二臂相关联的第二夹紧表面和结构，用于在其上安装脐带夹。施加器还包括与第一和第二臂可操作地相关联并设置在第一和第二夹紧表面和安装结构之间的凹入的切割机构。当第一和第二臂围绕脐带关闭时，切断机构可以自动启动，以在第一和第二夹紧表面和夹子之间的位置切断绳索。脐带夹包括具有第一夹紧表面的第一腿部和可移动地固定到第一腿部并且具有第二夹紧表面的第二腿部。锁定装置与第一和第二腿相关联，用于将第一和第二腿保持在围绕脐带的关闭位置。附接结构还与第一和第二腿中的至少一个相关联。附接结构可释放地与施加器上的安装结构接合，以将脐带夹固定在施用器上。

6. 发明授权

US06569120B1 Seal assembly 失效
标题翻译：密封组件
公开(公告)号：US06569120B1
公开(公告)日：2003-05-27
申请号：US08814757
申请日：1997-03-07
申请人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
IPC分类号： A61M5178
CPC分类号： A61M39/06 , A61B17/34 , A61B2017/3464 , A61B2017/3484 , A61F2002/30093 , A61F2210/0019 , A61M25/04 , A61M2039/0626 , A61M2039/0633 , A61M2039/064 , A61M2039/0653 , A61M2039/0686 , Y10T137/7885 , Y10T137/7891
摘要： A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.
摘要翻译：提供了一种阀组件，用于允许将外科器械引入患者体内，同时提供关于器械的实质密封。阀组件包括密封垫圈组件，其在仪器插入之前提供流体密封密封，并且构造和尺寸设计用于容纳仪器并在插入仪器之后提供实质上的流体密封。阀组件还可包括可变形的密封件，其具有用于容纳该器械的基本上中心的孔。当仪器通过时，密封构件围绕仪器提供实质的密封，阻止流体和气体通过阀组件的流出。

7. 发明授权

US5680981A Self-contained powered surgical apparatus 失效
标题翻译：自备动力手术器械
公开(公告)号：US5680981A
公开(公告)日：1997-10-28
申请号：US643395
申请日：1996-05-06
申请人： Carlo A. Mililli , Wayne P. Young , Stephan A. DeFonzo , Dominick L. Mastri , Henry Bolanos , Leonard Stern
发明人： Carlo A. Mililli , Wayne P. Young , Stephan A. DeFonzo , Dominick L. Mastri , Henry Bolanos , Leonard Stern
IPC分类号： A61B17/068
CPC分类号： A61B17/0684
摘要： A self-contained powered surgical stapling apparatus is provided which includes an elongate body, a fastener applying assembly including an anvil for forming a surgical fastener driven thereagainst, a motor assembly and power source for energizing the motor assembly disposed within the elongate body, and a pusher driven by the motor assembly for driving a surgical fastener toward the anvil to be formed thereby and fastened to body tissue. The apparatus is configured for utilization during conventional invasive surgical procedures as well as endoscopic or laparoscopic surgical procedures by providing a detachable extension shaft.
摘要翻译：提供了一种独立的动力手术吻合装置，其包括细长主体，紧固件施加组件，其包括用于形成驱动其的手术紧固件的砧座，用于激励设置在细长主体内的马达组件的马达组件和动力源，以及由马达组件驱动的推动器，用于驱动手术紧固件朝向由其形成的砧座，并固定到身体组织。该装置被配置为在常规的侵入性外科手术过程中利用，以及通过提供可拆卸的延伸轴来进行内窥镜或腹腔镜外科手术。

8. 发明申请

US20140142622A1 VASCULAR HOLE CLOSURE DEVICE 有权
标题翻译：血管孔封闭装置
公开(公告)号：US20140142622A1
公开(公告)日：2014-05-22
申请号：US14082163
申请日：2013-11-17
申请人： Richard T. Briganti , James F. McGuckin, JR. , Walter H. Peters , James S. Tarmin , Stephan A. DeFonzo
发明人： Richard T. Briganti , James F. McGuckin, JR. , Walter H. Peters , James S. Tarmin , Stephan A. DeFonzo
IPC分类号： A61B17/00
CPC分类号： A61B17/0057 , A61B17/064 , A61B2017/00637 , A61B2017/00659 , A61B2017/00867
摘要： A device for closing an aperture in a vessel wall comprising an elongated member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture. The elongated member has a dimension to prevent egress of fluid through the aperture. A material forms two curved legs having ends positionable external of the vessel. The legs curve in different directions and a retention portion is formed in the material to retain the legs during placement of the elongated member inside the vessel.
摘要翻译：一种用于封闭容器壁中的孔的装置，包括具有纵向轴线的细长构件并且可抵靠孔的内部开口定位在容器的内部。细长构件具有防止流体通过孔流出的尺寸。材料形成具有位于容器外部的端部的两个弯曲腿。腿部在不同方向上弯曲，并且在将细长构件放置在容器内部期间，在材料中形成保持部分以保持腿部。

9. 发明授权

US08162972B2 Vein filter 有权
标题翻译：静脉过滤器
公开(公告)号：US08162972B2
公开(公告)日：2012-04-24
申请号：US12770508
申请日：2010-04-29
申请人： James F. McGuckin, Jr. , James E. Bressler , John H. Thinnes, Jr. , Stephan A. DeFonzo , Lindsay L. Carter
发明人： James F. McGuckin, Jr. , James E. Bressler , John H. Thinnes, Jr. , Stephan A. DeFonzo , Lindsay L. Carter
IPC分类号： A61F2/01
CPC分类号： A61F2/01 , A61B2017/2215 , A61F2/848 , A61F2002/011 , A61F2002/016 , A61F2002/018 , A61F2002/8483 , A61F2220/0016 , A61F2230/005 , A61F2230/008 , A61F2250/0059
摘要： A vessel filter having a first region and a second region, the filter movable between a collapsed position for delivery to the vessel and an expanded position for placement within the vessel. The first region has a filter portion having a converging region to direct particles toward the center of the filter and includes a plurality of spaced apart filter struts. The struts each have a strut height defined as a distance between a first wall and a second wall. A plurality of hooks are at the second region, the hooks having a vessel penetrating tip and a width greater than the width of the strut from which it extends such that the penetrating tip portion of the hook extends beyond the first wall.
摘要翻译：一种具有第一区域和第二区域的容器过滤器，所述过滤器可在用于输送到容器的折叠位置和用于放置在容器内的膨胀位置之间移动。第一区域具有过滤器部分，该过滤器部分具有会聚区域，以将颗粒引向过滤器的中心并且包括多个间隔开的过滤器支柱。支柱各自具有被定义为第一壁和第二壁之间的距离的支柱高度。多个钩在第二区域处，钩具有穿透尖端的容器，并且其宽度大于其延伸的支柱的宽度，使得钩的穿透尖端部分延伸超过第一壁。

10. 发明授权

US5782753A Surgical retractor 失效
标题翻译：手术牵开器
公开(公告)号：US5782753A
公开(公告)日：1998-07-21
申请号：US546008
申请日：1995-10-20
申请人： Stephan A. DeFonzo , David M. Farascioni , Corbett W. Stone
发明人： Stephan A. DeFonzo , David M. Farascioni , Corbett W. Stone
IPC分类号： A61B17/00 , A61B17/02 , A61B19/00
CPC分类号： A61B17/00008 , A61B17/0281 , A61B2017/00969 , A61B2090/306 , A61B90/30
摘要： A surgical retractor comprising a base adapted to lie on the patient's skin, a handle slidably mounted with respect to the base, a tissue retracting blade extending from the handle, and a locking member movable from at least a first position to a second position to retain the tissue retracting blade in a selected position. A method for accessing the saphenous vein to facilitate harvesting the vein is also disclosed comprising the steps of making a small incision in the leg of a patient, positioning a retractor on a patient's leg such that a retractor blade extends into the incision and a base lies on the surface of the patient's leg and pulling the retractor blade away from the patient to lift the tissue away from the underlying saphenous vein.
摘要翻译：一种手术牵开器，包括适于躺在患者皮肤上的底座，相对于基座可滑动地安装的手柄，从手柄延伸的组织缩回刀片以及可从至少第一位置移动到第二位置的锁定构件，组织缩回刀片处于选定位置。还公开了一种用于接近隐静脉以方便收获静脉的方法，包括以下步骤：在患者的腿部中进行小切口，将牵开器定位在患者的腿上，使得牵开器刀片延伸到切口中，并且基部位于在患者腿部的表面上并将牵开器刀片远离病人，以将组织从下面的隐静脉提起。

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