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131. 发明授权

US08281973B2 Surgical stapling device 有权
标题翻译：手术吻合装置
公开(公告)号：US08281973B2
公开(公告)日：2012-10-09
申请号：US10490790
申请日：2002-10-04
申请人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
发明人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/068 , A61B90/03 , A61B2017/00115 , A61B2017/0046 , A61B2017/2927 , A61B2090/034 , A61B2090/0808
摘要： A surgical stapling device few sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The device is adapted to receive disposable loading units having staples in linear rows whose surgical stapling length can be Between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot axis and extends between the proximal body portion and the mounting assembly.
摘要翻译：提供了几个顺序地将多个紧固件应用于身体组织并同时切开组织的外科缝合装置。该装置适于容纳具有线性排的钉的一次性装载单元，其外科缝合长度可以在约30mm至60mm之间。一次性装载单元包括近端主体部分，安装组件和工具组件。安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。支撑构件或吹出板组件定位在枢转轴线的相对侧上并且在近端主体部分和安装组件之间延伸。

132. 发明申请

US20120241494A1 SURGICAL STAPLING APPARATUS WITH POWERED RETRACTION 有权
标题翻译：带回收的手术装置
公开(公告)号：US20120241494A1
公开(公告)日：2012-09-27
申请号：US13489517
申请日：2012-06-06
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B2017/00398 , A61B2017/2923 , A61B2017/2943
摘要： A surgical stapling apparatus comprises a handle assembly, an actuation shaft having a connector, and a retraction mechanism positioned within the handle assembly. The retraction mechanism includes a motor coupled to a transmission shaft, a first gear rotatably mounted on the transmission shaft, the first gear configured to engage a second gear, a clutch operatively attached to the second gear, a main shaft rotatably connected to the clutch, and a pulley coupled to the main shaft, the pulley being operatively attached to the connector. The connector and the pulley may be attached via a cable. The retraction mechanism may include a spring motor for maintaining the cable in tension. The spring motor may have a spring element wrapped around and interconnecting at least two arbors.
摘要翻译：外科缝合装置包括手柄组件，具有连接器的致动轴和定位在手柄组件内的收缩机构。所述回缩机构包括联接到传动轴的马达，可旋转地安装在所述传动轴上的第一齿轮，构造成接合第二齿轮的第一齿轮，可操作地附接到所述第二齿轮的离合器，可旋转地连接到所述离合器的主轴，以及联接到所述主轴的滑轮，所述滑轮可操作地附接到所述连接器。连接器和滑轮可以通过电缆连接。回缩机构可以包括用于将电缆保持在张力中的弹簧电动机。弹簧马达可以具有缠绕在并且连接至少两个乔木的弹簧元件。

133. 发明授权

US08192448B2 Natural orifice bariatric procedure and apparatus for use therewith 有权
标题翻译：天然孔减肥手术及其使用的装置
公开(公告)号：US08192448B2
公开(公告)日：2012-06-05
申请号：US12272846
申请日：2008-11-18
申请人： Marc Bessler , Robert DeSantis , Stanislaw Marczyk
发明人： Marc Bessler , Robert DeSantis , Stanislaw Marczyk
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/2812 , A61F5/0076 , A61F5/0083
摘要： A method of performing a bariatric procedure through a natural body orifice is disclosed. The method comprises the step of providing a surgical instrument, comprising a handle portion, an elongated portion extending distally from the handle portion, and an end effector disposed adjacent a distal end of the elongated portion. The method also comprises the steps of inserting the surgical instrument through a natural body orifice of a patient such that the end effector is adjacent a portion of the patient's stomach, and using the surgical instrument to perform a surgical task.
摘要翻译：公开了一种通过自然身体孔进行减肥手术的方法。该方法包括提供外科器械的步骤，该手术器械包括手柄部分，从手柄部分向远端延伸的细长部分和邻近细长部分的远端设置的端部执行器。该方法还包括以下步骤：将外科器械插入患者的天然身体孔口，使得末端执行器邻近患者胃的一部分，并且使用手术器械执行手术任务。

134. 发明申请

US20120024933A1 Surgical Stapling Apparatus With Powered Retraction 有权
标题翻译：带动力回缩的外科手术装置
公开(公告)号：US20120024933A1
公开(公告)日：2012-02-02
申请号：US13196126
申请日：2011-08-02
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B2017/00398 , A61B2017/2923 , A61B2017/2943
摘要： A surgical stapling apparatus comprises a handle assembly, an actuation shaft having a connector, and a retraction mechanism positioned within the handle assembly. The retraction mechanism includes a motor coupled to a transmission shaft, a first gear rotatably mounted on the transmission shaft, the first gear configured to engage a second gear, a clutch operatively attached to the second gear, a main shaft rotatably connected to the clutch, and a pulley coupled to the main shaft, the pulley being operatively attached to the connector. The connector and the pulley may be attached via a cable. The retraction mechanism may include a spring motor for maintaining the cable in tension. The spring motor may have a spring element wrapped around and interconnecting at least two arbors.
摘要翻译：外科缝合装置包括手柄组件，具有连接器的致动轴和位于手柄组件内的收缩机构。所述回缩机构包括联接到传动轴的马达，可旋转地安装在所述传动轴上的第一齿轮，构造成接合第二齿轮的第一齿轮，可操作地附接到所述第二齿轮的离合器，可旋转地连接到所述离合器的主轴，以及联接到所述主轴的滑轮，所述滑轮可操作地附接到所述连接器。连接器和滑轮可以通过电缆连接。回缩机构可以包括用于将电缆保持在张力中的弹簧电动机。弹簧马达可以具有缠绕在并且连接至少两个乔木的弹簧元件。

135. 发明申请

US20120012639A1 Surgical Stapling Device 有权
公开(公告)号：US20120012639A1
公开(公告)日：2012-01-19
申请号：US13225937
申请日：2011-09-06
申请人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
发明人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/068 , A61B90/03 , A61B2017/00115 , A61B2017/0046 , A61B2017/2927 , A61B2090/034 , A61B2090/0808
摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly.

136. 发明授权

US08092493B2 Surgical stapling apparatus with powered articulation 有权
公开(公告)号：US08092493B2
公开(公告)日：2012-01-10
申请号：US13186707
申请日：2011-07-20
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B2017/00398 , A61B2017/00734 , A61B2017/2927 , A61B2017/2929 , A61B2090/031
摘要： The surgical stapling apparatus includes a handle assembly, an elongated body extending distally from the handle assembly, and an articulation mechanism for articulating a tool assembly. The articulation mechanism includes a first gear rotatably mounted on a transmission shaft and configured to engage a second gear, a clutch interconnecting the second gear and a main shaft; and a yoke shaft coupled to the main shaft and adapted to linearly advance a J-channel, the J-channel operatively connected to an articulation link. A motor assembly may rotate the transmission shaft of the articulation mechanism. Alternatively, the articulation mechanism may include an articulation knob. Users may manually rotate the articulation knob to articulate the tool assembly of the surgical stapling apparatus.

137. 发明授权

US08011551B2 Retraction mechanism with clutch-less drive for use with a surgical apparatus 有权
标题翻译：具有无离合器驱动的缩回机构，用于手术器械
公开(公告)号：US08011551B2
公开(公告)日：2011-09-06
申请号：US12486122
申请日：2009-06-17
申请人： Stanislaw Marczyk , Joseph Bender-Zanoni
发明人： Stanislaw Marczyk , Joseph Bender-Zanoni
IPC分类号： A61B17/04
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00398 , A61B2017/2923 , A61B2017/2943
摘要： A retraction mechanism allows the full distal retraction of the firing drive from various positions. The retraction mechanism has been developed for use with a hand held surgical apparatus. An embodiment of the retraction mechanism includes a drive member, a first pulley, a second pulley, and a firing drive. The drive mechanism is configured to be driven by a motor. The first pulley is configured to rotate when the motor drives the drive mechanism. The second pulley is movable relative to the first pulley between a proximal position and a distal position. The firing drive is movable relative to the first pulley between proximal and distal positions. In operation, the first pulley rotates in a first direction in response to a distal translation of the firing drive and wherein the firing drive moves proximally upon rotation of the first pulley in a second direction.
摘要翻译：撤回机构允许击发驱动器从各种位置的完全远端缩回。已经开发了用于手持式手术装置的缩回机构。退回机构的一个实施例包括驱动构件，第一滑轮，第二滑轮和击发驱动装置。驱动机构构造成由马达驱动。当电动机驱动驱动机构时，第一滑轮被配置为旋转。第二滑轮相对于第一滑轮在近端位置和远端位置之间是可移动的。射击驱动器可相对于第一滑轮在近端位置和远端位置之间移动。在操作中，响应于击发驱动器的远端平移，第一滑轮沿第一方向旋转，并且其中，当第一滑轮沿第二方向旋转时，起动驱动器向近侧运动。

138. 发明授权

US08006885B2 Surgical stapling apparatus with powered retraction 有权
标题翻译：具有动力回缩的手术吻合装置
公开(公告)号：US08006885B2
公开(公告)日：2011-08-30
申请号：US11784804
申请日：2007-04-09
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/68
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B2017/00398 , A61B2017/2923 , A61B2017/2943
摘要： A surgical stapling apparatus comprises a handle assembly, an actuation shaft having a connector, and a retraction mechanism positioned within the handle assembly. The retraction mechanism includes a motor coupled to a transmission shaft, a first gear rotatably mounted on the transmission shaft, the first gear configured to engage a second gear, a clutch operatively attached to the second gear, a main shaft rotatably connected to the clutch, and a pulley coupled to the main shaft, the pulley being operatively attached to the connector. The connector and the pulley may be attached via a cable. The retraction mechanism may include a spring motor for maintaining the cable in tension. The spring motor may have a spring element wrapped around and interconnecting at least two arbors.
摘要翻译：外科缝合装置包括手柄组件，具有连接器的致动轴和位于手柄组件内的收缩机构。所述回缩机构包括联接到传动轴的马达，可旋转地安装在所述传动轴上的第一齿轮，构造成接合第二齿轮的第一齿轮，可操作地附接到所述第二齿轮的离合器，可旋转地连接到所述离合器的主轴，以及联接到所述主轴的滑轮，所述滑轮可操作地附接到所述连接器。连接器和滑轮可以通过电缆连接。回缩机构可以包括用于将电缆保持在张力中的弹簧电动机。弹簧马达可以具有缠绕在并且连接至少两个乔木的弹簧元件。

139. 发明申请

US20110163148A1 Surgical Stapling Device 有权
标题翻译：外科手术装置
公开(公告)号：US20110163148A1
公开(公告)日：2011-07-07
申请号：US13008284
申请日：2011-01-18
申请人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
发明人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/068 , A61B90/03 , A61B2017/00115 , A61B2017/0046 , A61B2017/2927 , A61B2090/034 , A61B2090/0808
摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly. An axial drive assembly is slidably positioned between the support members and is translatable through the cartridge assembly to eject staples from the cartridge assembly. The support members prevent outward buckling of the axial drive assembly during actuation of the device especially when the tool assembly is articulated. Preferably, a protrusion is provided in the proximal body portion of the disposable loading unit at a position to frictionally engage an articulation link. Engagement between the protrusion and the articulation link retains the articulation link at a fixed position within the proximal body portion to maintain the tool assembly in a desired orientation until a predetermined axial force is applied to the articulation link. The disposable loading unit also preferably includes a locking member which is operably connected to the axial drive assembly. The locking member provides an audible and/or tactile indication that the device has been actuated.
摘要翻译：提供了一种用于将多个紧固件顺次施加到身体组织并同时切开组织的外科缝合装置。外科缝合装置适于容纳具有线性行的钉的一次性装载单元，其长度可以在约30mm至60mm之间。一次性装载单元包括近端主体部分，安装组件和工具组件。安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。支撑构件或吹出板组件定位在枢轴avis的相对侧上并且在近侧主体部分和安装组件之间延伸。轴向驱动组件可滑动地定位在支撑构件之间并且可平移通过盒组件以从钉仓组件弹出订书钉。支撑构件在装置的致动期间防止轴向驱动组件的向外弯曲，特别是当工具组件铰接时。优选地，在一次性加载单元的近端主体部分中，在与摩擦接合铰接连杆的位置处设置突起。突起和关节运动连杆之间的接合将关节连接件保持在近端主体部分内的固定位置处，以将工具组件保持在期望的方向，直到预定的轴向力施加到关节连杆。一次性加载单元还优选地包括可操作地连接到轴向驱动组件的锁定构件。锁定构件提供该装置已被致动的声音和/或触觉指示。

140. 发明申请

US20110084114A1 Pair of Double Staple Pusher in Triple Row Stapler 有权
标题翻译：双排订书机双订书机
公开(公告)号：US20110084114A1
公开(公告)日：2011-04-14
申请号：US12895948
申请日：2010-10-01
申请人： Stanislaw Marczyk , Lee Olson
发明人： Stanislaw Marczyk , Lee Olson
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/068 , A61B17/072 , A61B17/115 , A61B2017/07214 , A61B2017/07228 , A61B2017/07264 , A61B2017/07278
摘要： A staple cartridge includes outer and inner rows of retention slots that are adapted and configured to retain staples. The staple cartridge further includes a staple pusher including a plurality of pusher plates. A staple pusher includes pusher plates that are laterally spaced apart to engage staples within the outer rows of at least three rows of retention slots.
摘要翻译：钉仓包括外排和内排的保持槽，其适于和构造成保持钉。订书钉盒还包括包括多个推动板的订书钉推动器。缝合钉推动器包括横向间隔开的推动器板，以在至少三排保持槽的外排内啮合钉。

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