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    • 1. 发明公开
    • Endoscopic surgical clip applier
    • 内窥镜手术施夹器
    • EP2345378A1
    • 2011-07-20
    • EP10014391.6
    • 2009-08-25
    • Tyco Healthcare Group LP
    • Sorrentino, GregoryWhitfield, Kenneth H.
    • A61B17/128
    • A61B17/105A61B1/3132A61B17/00234A61B17/072A61B17/083A61B17/10A61B17/12A61B17/1222A61B17/1285A61B17/29A61B90/08A61B2017/00115A61B2017/00221A61B2017/00407A61B2017/00734A61B2017/2902A61B2017/2932A61B2017/2943A61B2090/0803A61B2090/0811A61B2090/0814
    • An apparatus for application of surgical clips to body tissue, the apparatus comprising: a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a clip follower slidably supported in the shaft assembly for urging the plurality of surgical clips in a distal direction, the clip follower including a first tab projecting from a first surface thereof and a second tab projecting from a second surface thereof, wherein the first tab of the clip follower engages an advancer plate as the advancer plate is moved distally such that the clip follower is moved distally to advance the plurality of surgical clips, and wherein the second tab of the clip follower engages a feature as the advancer plate is moved proximally such that the clip follower remains stationary.
    • 一种用于将手术夹子施加到身体组织上的装置,所述装置包括:手柄组件; 轴组件,所述轴组件包括从所述手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹子; 邻近所述轴组件的远端部分安装的钳口,所述钳口可在打开间隔状态和闭合接近状态之间移动; 以及可滑动地支撑在所述轴组件中用于沿远端方向推动所述多个手术夹的夹子输出器,所述夹子输出器包括从其第一表面突出的第一突出部和从其第二表面突出的第二突出部,其中所述第一突出部 随着推进器板向远侧移动使得夹子输出器向远侧移动以推进多个手术夹子,并且其中当推进器板向近侧移动时夹子输出器的第二突出部接合特征 使夹子从动件保持静止。
    • 2. 发明公开
    • Endoscopic surgical clip applier
    • Endoskopischer chirurgischer Klammerapplikator
    • EP2319431A1
    • 2011-05-11
    • EP10014390.8
    • 2009-08-25
    • Tyco Healthcare Group LP
    • Sorrentino, GregoryWhitfield, Kenneth H.
    • A61B17/128
    • A61B17/105A61B1/3132A61B17/00234A61B17/072A61B17/083A61B17/10A61B17/12A61B17/1222A61B17/1285A61B17/29A61B90/08A61B2017/00115A61B2017/00221A61B2017/00407A61B2017/00734A61B2017/2902A61B2017/2932A61B2017/2943A61B2090/0803A61B2090/0811A61B2090/0814
    • An apparatus for application of surgical clips to body tissue, the apparatus comprising: a handle assembly including a trigger and a drive bar reciprocally translatable by the trigger upon an actuation thereof; a shaft assembly extending distally from the handle assembly and defining a longitudinal axis, the shaft assembly including: a housing; a plurality of surgical clips disposed within the housing; a jaw mounted adjacent a distal end portion of the housing, the jaw being movable between an open spaced-apart condition and a closed approximated condition; a pusher bar reciprocally disposed within the housing, the pusher bar being configured to load a distalmost surgical clip into the jaws while the jaws are in the open condition and remain in contact with the loaded surgical clip during an approximation of the jaws; an advance plate reciprocally disposed within the housing, adjacent to the pusher bar, the advancer plate including at least one fin engageable by a shoulder of the pusher bar, wherein the shoulder of the pusher bar engages the at least one fin of the advancer plate during a distal and a proximal movement of the pusher bar to effectuate one of a distal and proximal movement of the advancer plate; a clip carrier disposed within the housing adjacent the advancer plate, wherein the clip carrier is configured to retain the plurality of surgical clips; a clip follower slidably supported in the clip carrier at a location proximal of the plurality of surgical clips, the clip follower being configured to urge the plurality of surgical clips in a distal direction, the clip follower including a first tab projecting from a first surface thereof and a second tab projecting from a second surface thereof, wherein the first tab of the clip follower engages the advancer plate as the advancer plate is moved distally such that the clip follower is moved distally to advance the plurality of surgical clips, and wherein the second tab of the clip follower engages the clip follower as the advancer plate is moved proximally such that the clip follower remains stationary; a drive channel reciprocally disposed within the housing adjacent the clip carrier, wherein the drive bar selectively engages the drive channel to effect translation of the drive channel, wherein a distal end of the drive channel engages a surface of the jaws upon distal advancement thereof to effectuate approximation of the jaws; and a wedge plate reciprocally disposed within the housing adjacent the drive channels, the wedge plate being movable between a position where a distal end thereof is disposed in the jaws and a position where the distal end thereof is free from said jaws.
    • 一种用于将外科夹子应用于身体组织的装置,所述装置包括:手柄组件,其包括触发器和在所述触发器致动时由所述触发器可往复平移的驱动杆; 轴组件,其从所述把手组件向远侧延伸并且限定纵向轴线,所述轴组件包括:壳体; 设置在所述壳体内的多个手术夹具; 邻近所述壳体的远端部分安装的钳口,所述钳口可在开放间隔开的状态和闭合近似状态之间移动; 推动杆,其往复地设置在所述壳体内,所述推杆构造成在所述钳口处于打开状态的同时将最远侧的手术夹子加载到所述钳口中,并且在所述钳口近似期间保持与所述加载的手术夹子接触; 推进板,其彼此相对地布置在壳体内,邻近推杆,推进板包括至少一个可由推杆的肩部接合的翼片,其中推杆的肩部与推进板的至少一个翼片接合, 推杆的远端和近端运动,以实现推进板的远端和近侧运动之一; 设置在邻近推进板的壳体内的夹子架,其中夹子承载器构造成保持多个外科夹具; 夹子从动件,其可滑动地支撑在所述夹子载体中的所述多个外科夹具的近端的位置处,所述夹子从动件构造成沿远侧方向推动所述多个外科夹具,所述夹子从动件包括从其第一表面突出的第一突出部 以及从其第二表面突出的第二突出部,其中当推进板向远侧移动时,夹子从动件的第一突出部接合推进板,使得夹子从动件向远侧移动以推进多个外科夹具,并且其中第二 当推进板向近侧移动时,夹子从动件的接头与夹持器接合,使得夹子从动件保持静止; 驱动通道,其彼此相对地设置在所述壳体中,邻近所述夹子承载件,其中所述驱动杆选择性地接合所述驱动通道以实现所述驱动通道的平移,其中所述驱动通道的远端在其远侧前进时接合所述钳口的表面以实现 钳口近似; 以及与所述驱动通道相邻地设置在所述壳体内的楔形板,所述楔形板可在其远端设置在所述夹爪中的位置和其远端远离所述夹爪的位置之间移动。
    • 3. 发明公开
    • Endoscopic surgical clip applier
    • Endoskopischer Operationsklemmen-Applikator
    • EP2229895A1
    • 2010-09-22
    • EP10250497.4
    • 2010-03-17
    • Tyco Healthcare Group LP
    • Whitfield, Kenneth H.Sorrentino, Gregory
    • A61B17/128A61B19/00
    • A61B17/1285A61B2017/00221A61B2090/0803
    • An apparatus for application of surgical clips to body tissue has a handle portion and a body extending distally from the handle portion and defining a longitudinal axis. The apparatus also has a plurality of surgical clips disposed within the body, and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, and a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position. The apparatus still further has an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position.
    • 用于将手术夹子应用于身体组织的装置具有手柄部分和从手柄部分向远侧延伸并限定纵向轴线的主体。 该装置还具有设置在主体内的多个手术夹具,以及邻近主体的远端部分安装的钳口组件。 钳口组件包括可在间隔开和近似位置之间移动的第一和第二钳口部分。 该装置还具有可在第一和第二钳口部分之间纵向移动的楔形板,以及夹持器推动器,其构造成在钳口部分处于间隔开的位置时单独地将手术夹子前进到钳口组件。 该装置还具有致动器,该致动器至少部分地设置在主体内并且响应于手柄部分的致动而可纵向移动,以及邻近第一和第二钳口部分定位的钳口闭合构件以将钳口部分移动到近似位置。
    • 5. 发明公开
    • Single stroke endoscopic surgical clip applier
    • 单程内窥镜手术施夹器
    • EP2158851A1
    • 2010-03-03
    • EP09252049.3
    • 2009-08-25
    • Tyco Healthcare Group LP
    • Sorrentino, GregoryWhitfield, Kenneth H.
    • A61B17/128
    • A61B17/1285
    • An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
    • 提供了一种用于将手术夹子应用于身体组织的设备,并且该设备包括手柄组件; 轴组件,所述轴组件包括从所述手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹子; 邻近所述轴组件的远端部分安装的钳口,所述钳口可在打开间隔状态和闭合接近状态之间移动; 以及推杆,所述推杆可往复运动地设置在所述轴组件的所述壳体内并且可拆卸地连接到所述轴组件的所述壳体,所述推杆构造成在远侧运动期间将最远侧手术夹装载到所述钳口中并保持连接到所述壳体 并且在钳口近似期间处于远侧前进位置。
    • 6. 发明公开
    • Endoscopic surgical clip applier with clip retention
    • 内窥镜手术施夹器夹保持
    • EP2529676A1
    • 2012-12-05
    • EP12181636.7
    • 2009-08-25
    • Tyco Healthcare Group, LP
    • Sorrentino, GregoryWhitfield, Kenneth H.
    • A61B17/128
    • A61B17/105A61B1/3132A61B17/00234A61B17/072A61B17/083A61B17/10A61B17/12A61B17/1222A61B17/1285A61B17/29A61B90/08A61B2017/00115A61B2017/00221A61B2017/00407A61B2017/00734A61B2017/2902A61B2017/2932A61B2017/2943A61B2090/0803A61B2090/0811A61B2090/0814
    • An apparatus for application of surgical clips to body tissue, the apparatus comprising: a handle assembly (102) including a trigger (108) and a drive bar (140) reciprocally translatable by the trigger upon an actuation thereof; a shaft assembly (104) extending distally from the handle assembly and defining a longitudinal axis, the shaft assembly including: a housing (103); a plurality of surgical clips disposed within the housing; a jaw (106) mounted adjacent a distal end portion of the housing, the jaw being movable between an open spaced-apart condition and a closed approximated condition; a pusher bar (156) disposed within the housing for reciprocal movement between proximal and distal positions, the pusher bar being configured to load a distal-most surgical clip into the jaws while the jaws are in the open condition and remain in the distal position during an approximation of the jaws; an advancer plate (162) disposed within the housing for reciprocal movement between proximal and distal positions, wherein the advancer plate is engaged by the pusher bar during a distal and a proximal movement of the pusher bar to effectuate one of a distal and proximal movement of the advancer plate; and a wedge plate (172) disposed within the housing for reciprocal movement between proximal and distal positions, wherein a distal end of the wedge plate is disposed in the jaws when in the distal position and a the distal end thereof is free from the jaws when in the proximal position, characterized in that the pusher bar includes: a first spring clip (157a) supported thereon for detachably connecting to a stationary feature of the housing for maintaining the pusher bar in the distal position.
    • 一种用于将手术夹子施加到身体组织上的装置,所述装置包括:包括触发器(108)和驱动杆(140)的手柄组件(102),所述触发器在其致动时可由所述触发器往复地平移; 轴组件(104),所述轴组件从所述手柄组件向远侧延伸并且限定纵向轴线,所述轴组件包括:外壳(103);以及外壳 布置在壳体内的多个手术夹子; 邻近所述壳体的远端部分安装的钳口(106),所述钳口可在打开间隔状态和闭合近似状态之间移动; 推杆(156),其设置在所述壳体内用于在近端位置与远端位置之间往复运动,所述推杆构造成在所述钳口处于所述打开状态时将最远侧手术夹装载到所述钳口中并且在所述钳口处于所述远侧位置期间保持在所述远侧位置 近似于颌骨; 推进器板(162),所述推进器板设置在所述壳体内用于在近侧位置和远侧位置之间往复运动,其中所述推进器板在所述推杆的远侧和近侧运动期间与所述推杆接合,以实现远侧和近侧运动 推进器板; 和布置在所述壳体内的楔形板(172),用于在近侧位置和远侧位置之间往复运动,其中,当所述楔形板的远端处于所述远侧位置时,所述楔形板的远侧端部布置在所述钳口中,并且当所述楔形板的远侧端部远离所述钳口时 在近侧位置,其特征在于,所述推杆包括:第一弹簧夹(157a),所述第一弹簧夹支撑在所述第一弹簧夹上以可拆卸地连接到所述壳体的固定特征,以将所述推杆保持在所述远侧位置。
    • 7. 发明公开
    • Endoscopic surgical clip applier with clip retention
    • Endoskopische chirurgische Klammer mit Klammerhalter
    • EP2481361A1
    • 2012-08-01
    • EP12162288.0
    • 2009-08-25
    • Tyco Healthcare Group, LP
    • Sorrentino, GregoryWhitfield, Kenneth H.
    • A61B17/128
    • A61B17/105A61B1/3132A61B17/00234A61B17/072A61B17/083A61B17/10A61B17/12A61B17/1222A61B17/1285A61B17/29A61B90/08A61B2017/00115A61B2017/00221A61B2017/00407A61B2017/00734A61B2017/2902A61B2017/2932A61B2017/2943A61B2090/0803A61B2090/0811A61B2090/0814
    • An apparatus for application of surgical clips to body tissue, the apparatus comprising: a handle assembly (102) including a trigger (108) and a drive bar (140) reciprocally translatable by the trigger upon an actuation thereof; a shaft assembly (104) extending distally from the handle assembly and defining a longitudinal axis, the shaft assembly including: a housing (103); a plurality of surgical clips disposed within the housing; a jaw (106) mounted adjacent a distal end portion of the housing, the jaw being movable between an open spaced-apart condition and a closed approximated condition; a pusher bar (156) disposed within the housing for reciprocal movement between proximal and distal positions, the pusher bar being configured to load a distal-most surgical clip into the jaws while the jaws are in the open condition and remain in the distal position during an approximation of the jaws; an advancer plate (162) disposed within the housing for reciprocal movement between proximal and distal positions, wherein the advancer plate is engaged by the pusher bar during a distal and a proximal movement of the pusher bar to effectuate one of a distal and proximal movement of the advancer plate; and a wedge plate (172) disposed within the housing for reciprocal movement between proximal and distal positions, wherein a distal end of the wedge plate is disposed in the jaws when in the distal position and a the distal end thereof is free from the jaws when in the proximal position, characterized in that the pusher bar includes: a first spring clip (157a) supported thereon for detachably connecting to a stationary feature of the housing for maintaining the pusher bar in the distal position.
    • 一种用于将外科夹子应用于身体组织的装置,所述装置包括:手柄组件(102),其包括触发器(108)和驱动杆(140),所述驱动杆在其致动时由所述触发器可往复地平移; 轴组件(104),其从所述手柄组件向远侧延伸并且限定纵向轴线,所述轴组件包括:壳体(103); 设置在所述壳体内的多个手术夹具; 邻近所述壳体的远端部分安装的钳口(106),所述钳口可在开放间隔开的状态和闭合的近似状态之间移动; 设置在所述壳体内用于在近端位置和远端位置之间往复移动的推杆(156),所述推杆构造成在所述钳口处于打开状态并将其保持在远侧位置时将最远端手术夹子装载到所述钳口中 颚的近似值; 设置在所述壳体内用于在近端位置和远端位置之间往复运动的推进板(162),其中所述推进板在所述推杆的远端和近侧运动期间被所述推杆接合以实现所述推杆的远端和近侧运动之一 推进板; 以及设置在所述壳体内用于在近端位置和远端位置之间往复移动的楔形板(172),其中当处于所述远侧位置时,所述楔形板的远端设置在所述夹爪中,并且其远端远离所述夹爪, 在近侧位置,其特征在于,推杆包括:支撑在其上的第一弹簧夹(157a),用于可拆卸地连接到壳体的固定特征,用于将推杆保持在远侧位置。
    • 8. 发明公开
    • Single Stroke Endoscopic Surgical Clip Applier
    • Endoskopischer chirurgischer Einzelhubklammerapplikator
    • EP2478851A2
    • 2012-07-25
    • EP12164955.2
    • 2009-08-25
    • Tyco Healthcare Group, LP
    • Sorrentino, GregoryWhitfield, Kenneth
    • A61B17/128
    • A61B17/1285
    • An apparatus for application of surgical clips to body tissue, the apparatus comprising: a handle assembly including a trigger and a drive bar reciprocally translatable by the trigger upon an actuation thereof; a shaft assembly extending distally from the handle assembly and defining a longitudinal axis, the shaft assembly including: a housing; a plurality of surgical clips disposed within the housing; a jaw mounted adjacent a distal end portion of the housing, the jaw being movable between an open spaced-apart condition and a closed approximated condition; a pusher bar disposed within the housing for reciprocal movement between a proximal position and a distal position defining a stroke having a length, the pusher bar being configured to load a distal-most surgical clip into the jaws upon a movement from the proximal position to the distal position; an advancer plate disposed within the housing for reciprocal movement between a proximal position and a distal position, wherein the advancer plate is engaged by the pusher bar during a distal and a proximal movement of the pusher bar to effectuate one of a distal and proximal movement of the advancer plate; and a wedge plate reciprocally disposed within the housing, the wedge plate being movable between a position where a distal end thereof is disposed in the jaws and a position where the distal end thereof is free from said jaws, characterized in that the apparatus further includes a connector plate reciprocally disposed within the housing, wherein the drive bar actuatable by the handle assembly is connected to the connector plate for effecting movement of the connector plate, and wherein the connector plate detachably connects to each of the pusher bar and the wedge plate during at least a portion of a firing stroke of the apparatus such that during an initial distal movement of the connector plate the pusher bar is distally advanced and during a further distal movement of the connector plate the connector plate is disconnected from the pusher bar, and wherein the pusher bar includes a spring clip supported thereon for detachably connecting to a first feature provided on the connector plate, and the wedge plate includes a spring clip supported thereon for detachably connecting to a second feature provided on the connector plate.
    • 一种用于将外科夹子应用于身体组织的装置,所述装置包括:手柄组件,其包括触发器和在所述触发器致动时由所述触发器可往复平移的驱动杆; 轴组件,其从所述把手组件向远侧延伸并且限定纵向轴线,所述轴组件包括:壳体; 设置在所述壳体内的多个手术夹具; 邻近所述壳体的远端部分安装的钳口,所述钳口可在开放间隔开的状态和闭合近似状态之间移动; 设置在所述壳体内用于在限定具有一定长度的行程的近端位置和远端位置之间的往复运动的推杆,所述推杆构造成在从所述近端位置移动到所述近端位置时将最远端手术夹子装载到所述钳口中 远端位置 设置在所述壳体内用于在近端位置和远端位置之间往复移动的推进板,其中所述推进板在所述推杆的远端和近侧运动期间被所述推杆接合以实现所述推杆的远端和近侧运动之一, 推进板; 以及楔形板,其往复地设置在所述壳体内,所述楔形板可在其远端设置在所述夹爪中的位置和其远端远离所述钳口的位置之间移动,其特征在于,所述装置还包括: 连接板相互设置在壳体内,其中可由手柄组件驱动的驱动杆连接到连接板,用于实现连接板的运动,并且其中连接板在过程中可拆卸地连接到每个推杆和楔形板 所述装置的发射行程的至少一部分使得在所述连接器板的初始远端移动期间所述推杆向远侧前进,并且在所述连接器板的另一远端移动期间,所述连接器板与所述推杆断开,并且其中 推杆包括支撑在其上的弹簧夹,用于可拆卸地连接到设置在连接器p上的第一特征 并且楔形板包括支撑在其上的弹簧夹,用于可拆卸地连接到设置在连接器板上的第二特征。