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21. 发明授权

US5062563A Fascia stapler 失效
标题翻译： FASCIA STAPLER
公开(公告)号：US5062563A
公开(公告)日：1991-11-05
申请号：US335822
申请日：1989-04-10
申请人： David T. Green , Wayne P. Young , Henry Bolanos , Robert J. Geiste , Keith Ratcliff , Daniel E. Alesi
发明人： David T. Green , Wayne P. Young , Henry Bolanos , Robert J. Geiste , Keith Ratcliff , Daniel E. Alesi
IPC分类号： A61B17/068
CPC分类号： A61B17/068
摘要： The fascia stapler has a pistol-shaped housing from which two-piece clips can be ejected for closing an incision. The retainers for the clips and the straps for the clips are held in respective cartridges within the nose of the housing and can be ejected individually upon actuation of the stapler. A pusher assembly within the housing causes an individual strap to be expelled for passage through one end of a strap, piercing through the tissue and securement in the other end of the strap. Approximators with tissue engaging teeth are also used to bunch up the tissue about the incision during a stapling operation.

22. 发明授权

US5389102A Apparatus and method for subcuticular stapling of body tissue 失效
标题翻译：身体组织皮下吻合装置及方法
公开(公告)号：US5389102A
公开(公告)日：1995-02-14
申请号：US959242
申请日：1992-10-09
申请人： David T. Green , Henry Bolanos , Maria Lopez-Isa , Marc J. Theroux , John C. Robertson , Joseph M. Paul , Stephen W. Gerry , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Maria Lopez-Isa , Marc J. Theroux , John C. Robertson , Joseph M. Paul , Stephen W. Gerry , Wayne P. Young
IPC分类号： A61B17/04 , A61B17/064 , A61B17/068 , A61B17/28 , A61B17/68
CPC分类号： A61B17/04 , A61B17/064 , A61B17/068 , A61B17/282 , A61B17/68
摘要： A surgical apparatus for attaching two portions of cutaneous body tissue includes a pair of opposed elongated members having jaws which have tissue gripping members thereon at one end and which are movable toward each other to a closed position to engage two body tissue portions positioned within the members to move the body tissue portions into close approximation. Manually gripping systems of several alternative configurations are provided to actuate a mechanical transmission system to close the jaws. In a preferred embodiment, a fork is movable from a first position to a second position by manually operable devices to move the jaws toward each other. A pair of cam faces is located adjacent the opposite ends of the jaws. As the fork moves to its second position, the tines of the fork engage against the cam faces to move the opposed jaws to their closed position. A plurality of rod-like fasteners are carded in a stacked configuration proximally of the jaws such that when the jaws are in their closed position and the two body tissue portions are held in close approximation. Each rod-like fastener is movable to a position in ingress to penetrate the body tissue portions to attach the body tissue portions together. In another preferred embodiment, the elongated members are biased outwardly by a coil spring and a unique plate-like fastener drive member is provided to facilitate driving a fastener after the jaws are closed. A fastener cartridge is provided with fasteners stacked in a sloped fashion and having a coil spring to bias the fasteners toward the ejection position. Another embodiment includes a rack and gear teeth arrangement for approximating the jaws and for firing the fasteners. The rack and gear teeth function somewhat like a linear analog of a set of rotary gears. A method of attaching cutaneous body tissue portions is also disclosed.
摘要翻译：用于附接皮肤体组织的两部分的手术装置包括一对相对的细长构件，其具有在其一端具有组织夹持构件的钳口，并且可相对于彼此移动到关闭位置以接合位于构件内的两个身体组织部分将身体组织部分移动到近似。提供了几种替代配置的手动夹紧系统来致动机械传动系统以闭合钳口。在优选实施例中，叉可以通过手动操作的装置从第一位置移动到第二位置，以将夹爪朝向彼此移动。一对凸轮面邻近钳口的相对端定位。当叉移动到其第二位置时，叉的齿与凸轮面接合，以将相对的夹爪移动到其关闭位置。多个杆状紧固件被卡在卡爪的近侧的堆叠构造中，使得当夹爪处于其关闭位置并且两个身体组织部分保持紧密接近时。每个杆状紧固件可移动到入口位置以穿透身体组织部分以将身体组织部分附接在一起。在另一优选实施例中，细长构件被螺旋弹簧向外偏压，并且提供了独特的板状紧固件驱动构件，以便于在夹爪关闭之后驱动紧固件。紧固件卡盒设置有以倾斜方式堆叠的紧固件，并且具有螺旋弹簧以将紧固件偏压到喷射位置。另一个实施例包括用于近似钳口和用于击发紧固件的齿条和齿轮齿布置。齿条和齿轮齿有点像一组旋转齿轮的线性模拟。还公开了附着皮肤组织部分的方法。

23. 发明授权

US5725537A Method of performing a vessel anastomosis using a surgical clip applier 失效
标题翻译：使用外科手术夹具进行血管吻合的方法
公开(公告)号：US5725537A
公开(公告)日：1998-03-10
申请号：US713733
申请日：1996-09-13
申请人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert J. Geiste , Frank C. Maffei
发明人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert J. Geiste , Frank C. Maffei
IPC分类号： A61B17/08 , A61B17/11 , A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/083 , A61B17/2909 , A61B2017/1107 , A61B2017/2913 , A61B2017/2916 , A61B2017/2929 , Y10S227/901
摘要： A surgical clip applier comprising a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to the jaws. A channel assembly is slidably mounted with respect to the housing and envelops the jaw blade assembly for camming the jaws closed upon closing of the handles. The clips may be fed to the jaws by a spring biased feed bar which operates upon closing of the handles, or may be urged by pusher bar which provides a biasing force to the clips to be retained by the jaws. The instrument may be used in conventional surgical procedures, or may be adapted for endoscopic and laparoscopic surgical procedures requiring the application of microsurgical clips.
摘要翻译：一种手术夹具，包括壳体，可枢转地连接到壳体的相对侧的一对手柄，以及固定地连接到壳体的钳口组件。颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于向钳口提供一系列夹子。通道组件相对于壳体可滑动地安装并且包封钳口刀片组件，用于在手柄闭合时闭合钳口。夹子可以通过弹簧偏置的进给杆进给到夹爪，该弹簧偏置的进给杆在关闭手柄时操作，或者可以被推杆推动，推杆对夹具保持偏压力。该仪器可以用于常规外科手术中，或可适用于需要应用显微手术夹的内窥镜和腹腔镜外科手术。

24. 发明授权

US5658312A Skin fastener 失效
标题翻译：皮肤紧固件
公开(公告)号：US5658312A
公开(公告)日：1997-08-19
申请号：US426434
申请日：1995-04-20
申请人： David T. Green , Henry Bolanos , Wayne Person
发明人： David T. Green , Henry Bolanos , Wayne Person
IPC分类号： A61B17/00 , A61B17/064 , A61B17/08
CPC分类号： A61B17/064 , A61B2017/00004
摘要： A fastener for securing adjacent layers of body tissue to each other and being configured and composed of a material so as to emerge from the body tissue after a limited period of time. The fastener includes a backspan and at least two prongs extending from the backspan. Each prong has a tapered tip culminating in a sharp point. The prongs each include a shaft having a cylindrical portion of uniform diameter. In one embodiment, the prong includes a serrated portion having a plurality of notches spaced apart so as to define ridge portions therebetween.
摘要翻译：一种紧固件，用于将身体组织的相邻层彼此固定，并且由材料构造和组成，以便在有限的时间段之后从身体组织出来。紧固件包括一个后跨和至少两个从后背跨伸的叉。每个尖头都有一个锥形尖端，最终达到尖峰。这些插脚各自包括具有均匀直径的圆柱形部分的轴。在一个实施例中，插脚包括具有间隔开的多个凹口的锯齿部分，以便在它们之间限定脊部。

25. 发明授权

US5573541A Apparatus and method for subcuticular stapling of body tissue 失效
标题翻译：身体组织皮下吻合装置及方法
公开(公告)号：US5573541A
公开(公告)日：1996-11-12
申请号：US383718
申请日：1995-02-03
申请人： David T. Green , Henry Bolanos
发明人： David T. Green , Henry Bolanos
IPC分类号： A61B17/04 , A61B17/064 , A61B17/068 , A61B17/28 , A61B17/68
CPC分类号： A61B17/04 , A61B17/064 , A61B17/068 , A61B17/282 , A61B17/68
摘要： A surgical apparatus for attaching two portions of cutaneous body tissue includes a pair of opposed elongated members having jaws which have tissue gripping members thereon at one end and which are movable toward each other to a closed position to engage two body tissue portions positioned within the members to move the body tissue portions into close approximation. Manually gripping systems of several alternative configurations are provided to actuate a mechanical transmission system to close the jaws. In a preferred embodiment, a fork is movable from a first position to a second position by manually operable devices to move the jaws toward each other. A pair of cam faces is located adjacent the opposite ends of the jaws. As the fork moves to its second position, the tines of the fork engage against the cam faces to move the opposed jaws to their closed position. A plurality of rod-like fasteners are carried in a stacked configuration proximally of the jaws such that when the jaws are in their closed position and the two body tissue portions are held in close approximation. Each rod-like fastener is movable to a position in ingress to penetrate the body tissue portions to attach the body tissue portions together. In another preferred embodiment, the elongated members are biased outwardly by a coil spring and a unique plate-like fastener drive member is provided to facilitate driving a fastener after the jaws are closed. A fastener cartridge is provided with fasteners stacked in a sloped fashion and having a coil spring to bias the fasteners toward the ejection position. Another embodiment includes a rack and gear teeth arrangement for approximating the jaws and for firing the fasteners. The rack and gear teeth function somewhat like a linear analog of a set of rotary gears. A method of attaching cutaneous body tissue portions is also disclosed.
摘要翻译：用于附接皮肤体组织的两部分的手术装置包括一对相对的细长构件，其具有在其一端具有组织夹持构件的钳口，并且可相对于彼此移动到关闭位置以接合位于构件内的两个身体组织部分将身体组织部分移动到近似。提供了几种替代配置的手动夹紧系统来致动机械传动系统以闭合钳口。在优选实施例中，叉可以通过手动操作的装置从第一位置移动到第二位置，以将夹爪朝向彼此移动。一对凸轮面邻近钳口的相对端定位。当叉移动到其第二位置时，叉的齿与凸轮面接合，以将相对的夹爪移动到其关闭位置。多个杆状紧固件以钳口的近侧的堆叠构造承载，使得当钳口处于其关闭位置并且两个身体组织部分被紧密地保持时。每个杆状紧固件可移动到入口位置以穿透身体组织部分以将身体组织部分附接在一起。在另一优选实施例中，细长构件被螺旋弹簧向外偏压，并且提供了独特的板状紧固件驱动构件，以便于在夹爪关闭之后驱动紧固件。紧固件卡盒设置有以倾斜方式堆叠的紧固件，并且具有螺旋弹簧以将紧固件偏压到喷射位置。另一个实施例包括用于近似钳口和用于击发紧固件的齿条和齿轮齿布置。齿条和齿轮齿有点像一组旋转齿轮的线性模拟。还公开了附着皮肤组织部分的方法。

26. 发明授权

US5514157A Articulating endoscopic surgical apparatus 失效
公开(公告)号：US5514157A
公开(公告)日：1996-05-07
申请号：US413493
申请日：1995-03-31
申请人： David A. Nicholas , Ernie Aranyi , Boris Zvenyatsky , Paul A. Matula , Stanley H. Remiszewski , David T. Green , Henry Bolanos
发明人： David A. Nicholas , Ernie Aranyi , Boris Zvenyatsky , Paul A. Matula , Stanley H. Remiszewski , David T. Green , Henry Bolanos
IPC分类号： A61B17/02 , A61B17/28 , A61B17/32 , A61B18/14 , A61B1/00
CPC分类号： A61B17/320016 , A61B17/0218 , A61B17/29 , A61B18/1445 , A61B18/1442 , A61B2017/2902 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936
摘要： A surgical instrument is provided for use in endoscopic or laparoscopic procedures. The instrument includes a handle portion, an endoscopic portion extending from the handle portion, an articulating section pivotably connected to a distal end portion of the endoscopic portion, and a retractor assembly operatively associated with the articulating section. Structure is provided for manipulating the articulating section relative to the longitudinal axis of the endoscopic portion within an angular degree of rotation. An injection port may also be provided to deliver fluids through the endoscopic portion to the operative site.

27. 发明授权

US5462215A Locking device for an apparatus for applying surgical fasteners 失效
标题翻译：用于外科手术紧固件的装置的锁定装置
公开(公告)号：US5462215A
公开(公告)日：1995-10-31
申请号：US352976
申请日：1994-12-09
申请人： Frank J. Viola , David T. Green , Henry Bolanos
发明人： Frank J. Viola , David T. Green , Henry Bolanos
IPC分类号： A61B17/072 , A61B17/068
CPC分类号： A61B17/072 , A61B2017/07214
摘要： A locking device for a surgical stapling or fastening instrument for applying surgical fasteners to tissue. The locking device is positioned on the jaw mechanism of the fastening instrument and engages a cartridge when the cartridge includes fasteners, and pivots through the cartridge after the fasteners have been fired to prevent the cartridge carrying jaw from being approximated into a firing position when the cartridge is empty.
摘要翻译：一种用于将手术紧固件应用于组织的外科缝合或紧固器具的锁定装置。锁定装置定位在紧固件的钳口机构上并且当药筒包括紧固件时接合药筒，并且在紧固件被点火之后枢转穿过药筒，以防止药筒承载钳口被近似成打火位置是空的。

28. 发明授权

US5431638A Energy dissipation device 失效
标题翻译：消能装置
公开(公告)号：US5431638A
公开(公告)日：1995-07-11
申请号：US80264
申请日：1993-06-21
申请人： Walter S. Hennig , David T. Green , Henry Bolanos , Daniel Shichman , Charles E. Gorman
发明人： Walter S. Hennig , David T. Green , Henry Bolanos , Daniel Shichman , Charles E. Gorman
IPC分类号： A61B17/34 , A61B18/14 , A61B19/00 , A61M13/00 , A61M5/00 , A61M25/00
CPC分类号： A61B18/1487 , A61B17/3421 , A61B17/3474 , A61B18/1233 , A61B18/1402 , A61B2017/00902 , A61M13/003 , A61M2205/0233 , Y10S128/908
摘要： An accessory device for dissipating electrical energy from a surgical device is provided. The electrical energy is induced on the surgical device when a charge-inducing instrument, e.g. an unipolar electrocautery device, is energized in proximity thereto. The induced energy is dissipated by conveying the energy along an electrically conductive coating adhered to a housing of the device to an energy dissipation region.
摘要翻译：提供了用于从外科装置消散电能的辅助装置。当电荷诱导仪器（例如电极）被感应时，在外科手术装置上感应出电能。单极电灼装置在其附近通电。通过沿着附着到器件的外壳的导电涂层将能量传送到能量耗散区域来消耗感应能量。

29. 发明授权

US5368599A Surgical fastening apparatus with suture array 失效
标题翻译：缝合线阵列的外科紧固装置
公开(公告)号：US5368599A
公开(公告)日：1994-11-29
申请号：US958392
申请日：1992-10-08
申请人： Leon C. Hirsch , David T. Green , Henry Bolanos , Wayne P. Young , Dominick L. Mastri , Lisa W. Heaton , Mark E. Alari
发明人： Leon C. Hirsch , David T. Green , Henry Bolanos , Wayne P. Young , Dominick L. Mastri , Lisa W. Heaton , Mark E. Alari
IPC分类号： A61B17/00 , A61B17/04 , A61B17/064 , A61B17/072 , A61B17/42 , A61B19/00
CPC分类号： A61B17/072 , A61B17/04 , A61B17/0401 , A61B17/064 , A61B17/0643 , A61B17/42 , A61B2017/00004 , A61B2017/0454 , A61B2017/0458 , A61B2017/07214 , A61B2090/3937
摘要： An apparatus for simultaneously applying to body tissue at least one surgical suture in conjunction with a plurality of surgical fasteners arranged end to end in rows. The apparatus preferably includes a knife for making an incision in the body tissue sealed in each side by at least one row of fasteners. The fasteners are two-part fasteners fabricated from bioabsorbable material. The incision is closed by pulling the ends of the suture(s).
摘要翻译：一种用于同时向身体组织施加至少一个外科缝合线的装置，其结合多个排列成行的端部排列的外科紧固件。该装置优选地包括用于通过至少一排紧固件在每侧密封的身体组织中进行切口的刀。紧固件是由生物可吸收材料制成的两部分紧固件。通过拉动缝合线的端部来关闭切口。

30. 发明授权

US5330442A Suture retaining clip 失效
标题翻译：缝合夹
公开(公告)号：US5330442A
公开(公告)日：1994-07-19
申请号：US959182
申请日：1992-10-09
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Johnathan Tovey
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Johnathan Tovey
IPC分类号： A61B17/04 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0487 , A61B17/06 , A61B17/122 , A61B2017/045 , A61B2017/0454 , A61B2017/0464
摘要： A suture holding clip including legs each having a suture contacting surface. The legs can be closed to define an interface for holding a suture in a serpentine configuration. In another embodiment the suture holding clip is initially in a spider leg configuration with a spine and legs projecting from the spine and alternately angled to one or the other of two directions so as to define therebetween a lengthwise extending passage for the reception therethrough of a suture.
摘要翻译：一种缝线夹持夹，每个夹具具有缝线接触表面。可以关闭腿以限定用于将缝合线保持在蛇形结构中的界面。在另一个实施例中，缝合线保持夹最初处于蜘蛛腿构型中，其中脊柱和腿从脊柱突出并且交替地成角度到两个方向中的一个或另一个，以便在其间限定纵向延伸的通道，用于通过缝线。

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