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91. 发明授权

US4530455A Piston and driver 失效
标题翻译：活塞和司机
公开(公告)号：US4530455A
公开(公告)日：1985-07-23
申请号：US522645
申请日：1983-08-11
申请人： George F. Vornberger
发明人： George F. Vornberger
IPC分类号： B25C1/04 , F16J1/12 , B25C7/00
CPC分类号： F16J1/12 , B25C1/047
摘要： An improved piston and driver structure includes a synthetic piston body, a bifurcated piston insert and a driver secured within the insert by means of a pin and by means of frictional engagement of the driver by the piston insert when the insert is assembled to the piston body. The piston insert has an enlarged top for dissipating operating pressures over the piston body.
摘要翻译：改进的活塞和驱动器结构包括合成活塞体，分叉式活塞插入件和驱动器，其通过销固定在插入件内，并且当插入件组装到活塞体时通过活塞插入件与驱动器的摩擦接合。活塞插入件具有扩大的顶部，用于消除活塞体上的操作压力。

92. 发明授权

US4524896A Reversible staple feeder shoe and door system for the magazine of a staple driving tool 失效
标题翻译：可折叠主料进料器鞋和门系统用于订书钉驱动工具的仓库
公开(公告)号：US4524896A
公开(公告)日：1985-06-25
申请号：US546927
申请日：1983-10-31
申请人： Robert F. Morrell, Jr.
发明人： Robert F. Morrell, Jr.
IPC分类号： B25C5/16 , B25C5/02 , B25C5/06 , B27F7/00
CPC分类号： B25C5/16
摘要： A reversible feeder shoe and door system for the magazine of a staple driving tool enabling set-up of the tool for right or left handed loading. The tool magazine comprises an elongated rail terminating at its forward end at the guide body of the tool. A row of staples is slidably mounted in straddling fashion on the rail. A feeder shoe, having a substantially symmetrical inverted U-shaped body, is slidably mounted on the rail in straddling fashion behind the row of staples. A resilient member constantly urges the feeder shoe forwardly so that the forwardmost staple of the row is located in the guide body drive track. The magazine may include a U-shaped elongated body in which the track is mounted. An elongated door is provided, swingable between an open position exposing the rail top and a closed position overlying the rail top to prevent inadvertent dislodgement of the staples from the rail. The feeder shoe has an operating handle extending laterally from one of its sides and a lug extending laterally from the other of its sides. When the shoe is shifted to its rearwardmost position on the rail by the operating handle, the lug engages a portion of the door, opening the door and releasibly locking the door in its open position, the feeder shoe being also releasibly locked in its rearwardmost position for loading. The feeder shoe is reversible on the rail so that its operating handle can be grasped by the left or right hand of the operator. The door is reversible, being mountable in parallel spaced relationship to either side of the rail.
摘要翻译：一种用于钉仓驱动工具刀库的可逆进给器鞋门系统，能够对工具进行右手或左手装载。工具仓包括细长轨道，其末端在工具的引导体处的前端。一排订书针以横跨方式可滑动地安装在导轨上。具有基本上对称的倒U形主体的进给器滑块以跨接方式可滑动地安装在该排钉后面。弹性构件不断地将进给器向前推动，使得排的最前面的钉被定位在引导体驱动轨道中。杂志可以包括U形细长体，轨道安装在该U形细长体中。提供细长的门，其可在露出轨道顶部的打开位置和覆盖在轨道顶部上的关闭位置之间摆动，以防止钉从轨道上的意外移位。进料器鞋具有从其一侧侧向延伸的操作手柄和从另一侧横向延伸的凸耳。当鞋通过操作手柄移动到轨道上的最后位置时，凸耳接合门的一部分，打开门并将门可释放地锁定在其打开位置，进给器鞋也可释放地锁定在其最后位置装载。进料器鞋在轨道上是可逆的，使得其操作手柄能够被操作者的左手或右手抓住。门是可逆的，可以与轨道的任一侧以平行间隔的关系安装。

93. 发明授权

US4480640A Ligating device 失效
标题翻译：安装设备
公开(公告)号：US4480640A
公开(公告)日：1984-11-06
申请号：US142676
申请日：1980-04-22
申请人： Carl T. Becht
发明人： Carl T. Becht
IPC分类号： A61B17/12 , A61B17/128
CPC分类号： A61B17/128 , Y10T29/53783
摘要： There is disclosed a ligating device which includes a magazine housing containing a supply of ligating clips. The device has two handles and when these handles are squeezed together they clamp a ligating clip about a vessel to be ligated. When the handles are released, a linkage between one of the handles are released, a linkage between one of the handles and the magazine, feeds a succeeding ligating clip into position for use. Thus, the feed of clips in the device is entirely independent of any effort on the part of the surgeon using the device.
摘要翻译：公开了一种结扎装置，其包括容纳有连接夹的供应的料盒外壳。该装置具有两个把手，并且当这些把手被挤压在一起时，它们将围绕待连接的容器夹紧结扎夹子。当手柄被释放时，其中一个手柄之间的连杆被释放，其中一个把手和盒子之间的连接件将后续的结扎夹子送入使用位置。因此，装置中的夹子的进给完全独立于使用该装置的外科医生的任何努力。

94. 外观设计

USD273513S Linear surgical stapling instrument 失效
公开(公告)号：USD273513S
公开(公告)日：1984-04-17
申请号：US503230
申请日：1983-06-10
申请人： Lawrence E. Spreckelmeier
设计人： Lawrence E. Spreckelmeier

95. 发明授权

US4442964A Pressure sensitive and working-gap controlled surgical stapling instrument 失效
标题翻译：压敏和工作间隙控制手术吻合器械
公开(公告)号：US4442964A
公开(公告)日：1984-04-17
申请号：US327932
申请日：1981-12-07
申请人： Carl T. Becht
发明人： Carl T. Becht
IPC分类号： A61B17/072 , A61B17/04
CPC分类号： A61B17/072 , A61B2017/07228 , A61B2017/0725 , A61B2017/07264
摘要： A surgical stapling instrument for suturing tissues or organs. The instrument is of the type having a fixed anvil jaw, a movable staple cartridge-carrying jaw shiftable toward and away from the anvil jaw, and a staple driver actuator shiftable to actuate the staple driver of the staple cartridge to implant the staples of the cartridge in the tissue or organ located between the anvil jaw and the staple cartridge-carrying jaw. The instrument is provided with a clutch to control the gap between the fixed anvil jaw and the staple cartridge in response to the pressure being applied to the organ or tissue therebetween to preclude over-compression or under-compression thereof. The instrument is also provided with a latch to preclude shifting of the staple driver actuator to actuate the staple driver when the gap determined by the clutch is not within the limits of the proper working gap of the instrument required by the forming limits of the staples. The latch means further assures proper sequential operation of the instrument by the surgeon.
摘要翻译：用于缝合组织或器官的外科缝合器械。该仪器是具有固定的砧座的类型，可移动的钉仓支承夹爪可向砧座和砧座移动，以及可移动的钉子驱动器致动器，用于致动钉仓的订书针驱动器以植入钉仓在位于砧座钳口和装载有钉仓的钳口之间的组织或器官中。该仪器设置有离合器，以响应于施加到其间的器官或组织的压力来控制固定砧钳和钉仓之间的间隙，以防止其过压或欠压。当由离合器确定的间隙不在订书钉的成形限制所要求的仪器的适当工作间隙的限度内时，仪器还设置有闩锁，以防止订书钉驱动器致动器移动以致动订书钉驱动器。闩锁装置进一步确保外科医生对仪器的顺序操作。

96. 外观设计

USD272647S Surgical stapling instrument 失效
公开(公告)号：USD272647S
公开(公告)日：1984-02-14
申请号：US238926
申请日：1981-02-27
申请人： Thomas E. Warman , Lawrence E. Spreckelmeir
设计人： Thomas E. Warman , Lawrence E. Spreckelmeir

97. 发明授权

US4261244A Surgical staple 失效
标题翻译：手术钉
公开(公告)号：US4261244A
公开(公告)日：1981-04-14
申请号：US38579
申请日：1979-05-14
申请人： Carl T. Becht , Robert G. Rothfuss
发明人： Carl T. Becht , Robert G. Rothfuss
IPC分类号： A61B17/068 , A61B17/064 , F16B15/08 , A61B17/04 , A61B17/08 , F16B15/00
CPC分类号： A61B17/0644 , F16B15/08
摘要： A surgical staple for use in suturing the skin or fascia of a patient. The surgical staple has an elongated, substantially horizontal crown portion terminating in downwardly depending leg portions having points formed at their free ends. The staple, together with a plurality of identical surgical staples, is adapted to straddle and to be fed along a guide means of a surgical stapling instrument to the anvil thereof. The crown of the surgical staple is formed about the anvil by the surgical stapling instrument former which bends end portions of the surgical staple crown downwardly so that the staple leg portions are substantially coaxial with their points approaching each other. The surgical staple has a first pair of diametrically opposed flats extending respectively along the front and rear of the crown and leg portions. The surgical staple has a second pair of diametrically opposed flats, disposed at 90.degree. to the first pair of flats. One flat of the second pair extends along the upper surface of the staple crown portion and the outsides of the staple leg portions and the other flat of the second pair extends along the underside of the crown portion and along the insides of the leg portions. The flats of the first pair, cooperating with similar flats on adjacent surgical staples, assure proper feeding of the surgical staple along the surgical instrument guide means. The flats of the second pair, cooperating with the surgical stapling instrument former and anvil, prevent undesirable rotation of the staple crown portion during forming and implanting of the surgical staple.
摘要翻译：用于缝合患者皮肤或筋膜的外科手术钉。手术缝合钉具有细长的基本水平的冠部，其终止于向下悬垂的腿部，其具有在其自由端形成的点。缝钉与多个相同的外科缝合钉一起适于跨越并沿外科缝合器械的引导装置进给到其砧座。外科缝合钉的冠部通过外科缝合器械成形器围绕砧座形成，该外科缝合器械成形器向下弯曲外科缝钉冠的端部，使得钉腿部分与其彼此接近的点基本上同轴。外科缝合钉具有分别沿冠部和腿部的前后延伸的第一对直径相对的平面。手术缝合钉具有第二对直径相对的平面，与第一对平面成90度设置。第二对的一个平面沿着缝钉冠部的上表面延伸，并且钉脚部分的外侧和第二对的另一个平面沿着冠部的下侧并沿着腿部的内侧延伸。第一对的平面与相邻手术缝钉上的类似平面配合，确保沿着手术器械引导装置适当地进给外科缝合钉。与外科缝合器械成形器和砧座配合的第二对的平面在防止手术钉的成形和植入过程中防止了针头冠部的不期望的旋转。

98. 发明授权

US4180196A Anvil attachment for a surgical stapling instrument 失效
标题翻译：砧座附件用于外科缝合器械
公开(公告)号：US4180196A
公开(公告)日：1979-12-25
申请号：US822049
申请日：1977-08-05
申请人： J. Charles Hueil , Robert G. Rothfuss , Terry A. Boothby
发明人： J. Charles Hueil , Robert G. Rothfuss , Terry A. Boothby
IPC分类号： A61B17/11 , A61B17/068 , B25C5/02
CPC分类号： A61B17/0684
摘要： An anvil attachment for the nose portion of a surgical stapling instrument of the type utilizing a replaceable cartridge of surgical staples. The anvil attachment is generally "L-shaped". A first leg of the anvil attachment is adapted to lie along and to be affixed to the nose portion of the surgical instrument with the second leg of the anvil attachment extending laterally of the surgical instrument nose portion. Near the juncture of the first and second anvil attachment legs, the second anvil attachment leg is provided on its upper surface with an upstanding wedge-shaped lug which, in cooperation with an adjacent relief on the first anvil attachment leg, engages and maintains the lower end of the staple cartridge in proper position against the nose portion of the surgical stapling instrument. The second anvil attachment leg has a first anvil portion adjacent the wedge-shaped lug and providing a first anvil surface adapted to abut and support the crown of a staple during a staple forming operation. The second anvil attachment leg may have one or more narrower anvil portions adjacent the first anvil portion and providing other anvil surfaces adapted to abut and support the crowns of staples of lesser inside crown dimension during the forming thereof, whereby the anvil may be used with two or more cartridges containing two or more different sizes of staples.
摘要翻译：用于外科缝合器械的鼻部的砧座附件，该外科缝合器械采用外科缝钉的可更换筒。砧座附件通常为“L形”。砧座附件的第一腿适于沿着并固定到手术器械的鼻部，其中砧座附件的第二腿在外科器械鼻部的侧面延伸。在第一和第二砧座附接腿的接合处附近，第二砧座附接腿在其上表面上设置有直立的楔形凸耳，其与第一砧座附接腿上的相邻的凸起配合并且保持下部钉仓的端部适当位置抵靠外科缝合器械的鼻部。第二砧座连接腿具有邻近楔形凸耳的第一砧座部分，并且在缝合钉成形操作期间提供适于邻接并支撑订书钉的冠部的第一砧座表面。第二砧座附接支腿可以具有邻近第一砧座部分的一个或多个较窄的砧座部分，并且在其形成期间提供适于抵靠和支撑较小内冠尺寸的钉的冠部的其他砧座表面，由此砧座可与两个或更多的包含两种或更多种不同尺寸的钉的盒。

99. 发明授权

US4126258A Clamp nail driving tool 失效
标题翻译：夹钳打钉工具
公开(公告)号：US4126258A
公开(公告)日：1978-11-21
申请号：US823943
申请日：1977-08-12
申请人： Charles R. Martin , Francis J. Kramer , Thomas E. Warman
发明人： Charles R. Martin , Francis J. Kramer , Thomas E. Warman
IPC分类号： B27F7/04 , B25C5/06 , B25C5/16 , B25C7/00 , B27F7/34 , B25C1/00
CPC分类号： B25C5/16 , B27F7/34
摘要： A pneumatic tool for driving clamp nails, having a single nose piece making possible the driving of clamp nails into the outside corner of a miter joint, or the inside corner of a miter joint, and having a plate which may be adjusted to position the nose piece at any angle from 45.degree. to 30.degree. off the vertical centerline of the tool. When set at the 30.degree. angle, the nose piece is in the optimum position to drive a clamp nail into an inside right angled butt joint. A safety is provided having a configuration like the nose piece. The tool is provided with a magazine for a stick of clamp nails, and an adjustable rail in the magazine makes it adaptable to clamp nails of different sizes. The guide body through which the clamp nails are fed into position below the drive is provided with a configuration which makes it impossible to feed clamp nails if the stick is inserted into the magazine upside down.
摘要翻译：一种用于驱动夹爪的气动工具，具有单个鼻部件，其可以将夹具钉驱动到斜切接头的外角或斜角接头的内角部，并且具有可调节以将鼻子定位的板在与工具的垂直中心线成45度至30度的任意角度处。当设置在30°角度时，鼻片处于最佳位置，以将夹具钉驱动到内侧直角对接接头中。提供了具有像鼻片的构造的安全性。该工具提供有一个夹子钉的刀库，并且刀库中的可调节轨道使其适应于夹紧不同尺寸的钉子。夹具钉被引导到驱动器下方的位置的引导体具有一种构造，如果棒被颠倒地插入到刀库中，则不能进给夹爪。

100. 发明授权

US4043504A Staple cartridge and feed means for use with a surgical stapling instrument 失效
标题翻译：用于外科缝合器械的装订钉仓和进给装置
公开(公告)号：US4043504A
公开(公告)日：1977-08-23
申请号：US665294
申请日：1976-03-09
申请人： J. Charles Hueil , Robert G. Rothfuss
发明人： J. Charles Hueil , Robert G. Rothfuss
IPC分类号： A61B17/11 , A61B17/068 , B25C5/16 , B25C5/02
CPC分类号： A61B17/0684 , B25C5/1603
摘要： A staple cartridge and feed means for use with a surgical stapling instrument of the type having an anvil about which a staple is formed during emplacement thereof in the skin or fascia of a patient. The cartridge comprises a body having a vertical staple feeding track adapted to hold a stack of staples and a separate vertical staple forming track with a staple former reciprocable therein by the surgical stapling instrument. The staple forming track and the staple feeding track are in parallel relationship separated by a divider wall. A window, defined by the cartridge body and the divider wall, provides a horizontal path between the staple feeding track and the staple forming track and is so sized as to permit the passage therethrough of a single staple from the bottom of the staple stack. Horizontal feeder means normally prevent passage of the bottommost staple from the stack through the window into the staple driving track. The horizontal feeder means, actuable by the surgical stapling instrument, positively shifts the bottommost staple of the stack from the staple feeding track horizontally through the window to the staple forming track and cooperates with retainer springs to hold a shifted staple in position in the staple forming track to be implanted and formed about the anvil by the staple former.
摘要翻译：用于与具有砧座的类型的外科缝合器械一起使用的钉仓和进给装置，在其置于患者的皮肤或筋膜中时，形成钉。所述盒包括具有适于保持钉堆叠的垂直订书钉馈送轨道的本体和具有可由所述外科缝合器械在其中往复运动的缝合钉制成器的单独的垂直缝合钉形成轨道。订书钉成形轨道和订书钉馈送轨道由分隔壁隔开并联的关系。由盒主体和分隔壁限定的窗口在订书钉馈送轨道和订书钉形成轨道之间提供水平路径，并且其尺寸被设计成允许从订书钉堆叠的底部通过单个订书钉。水平进给装置通常防止最底层的订书钉从堆叠通过窗口进入订书钉驱动轨道。由外科缝合器械致动的水平进给器装置将堆叠的最下面的缝钉从缝钉馈送轨道水平地从窗口移动到缝合钉成形轨道，并与保持器弹簧配合，以将定位的缝合钉保持在钉成形中的适当位置通过缝钉成型机将轨道植入和围绕砧座形成。

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