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21. 发明申请

US20130012958A1 Surgical Device with Articulation and Wrist Rotation 审中-公开
标题翻译：手术装置与关节旋转
公开(公告)号：US20130012958A1
公开(公告)日：2013-01-10
申请号：US13543931
申请日：2012-07-09
申请人： Stanislaw Marczyk , Russell Pribanic , Kenneth W. Horton, JR.
发明人： Stanislaw Marczyk , Russell Pribanic , Kenneth W. Horton, JR.
IPC分类号： A61B19/00
CPC分类号： A61B17/2909 , A61B17/29 , A61B2017/00327 , A61B2017/291 , A61B2017/2929
摘要： A surgical instrument comprising a handle assembly, an elongated shaft, an end effector, a rotation mechanism, and an articulation mechanism is disclosed. The rotation mechanism is disposed in mechanical cooperation with the handle assembly and effects rotation of the end effector about the second longitudinal axis. The articulation mechanism is disposed in mechanical cooperation with the handle assembly and effects movement of the end effector from a first position where the first longitudinal axis is substantially aligned with the second longitudinal axis to a second position where the second longitudinal axis is displaced from the first longitudinal axis. The articulation mechanism comprises a first articulation control disposed in mechanical cooperation with the handle assembly, a first cable and a second cable. Actuation of the first articulation control in a first direction causes the first cable to move distally and causes the second cable to move proximally.
摘要翻译：公开了一种包括手柄组件，细长轴，端部执行器，旋转机构和关节运动机构的手术器械。旋转机构设置成与手柄组件机械配合，并且实现端部执行器围绕第二纵向轴线的旋转。关节运动机构与手柄组件机械协作地设置，并且实现末端执行器从第一纵向轴线基本上与第二纵向轴线对准的第一位置到第二位置的运动，第二纵向轴线与第一纵向轴线从第一纵向轴线纵轴。铰接机构包括与手柄组件机械配合设置的第一关节运动控制件，第一电缆和第二电缆。在第一方向上的第一关节运动控制的致动导致第一电缆向远侧移动并且使第二电缆向近侧移动。

22. 发明授权

US08342378B2 One handed stapler 有权
标题翻译：单手订书机
公开(公告)号：US08342378B2
公开(公告)日：2013-01-01
申请号：US12792244
申请日：2010-06-02
申请人： Stanislaw Marczyk , Russell Pribanic , Adam J. Ross , Michael A. Zemlok
发明人： Stanislaw Marczyk , Russell Pribanic , Adam J. Ross , Michael A. Zemlok
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/1155 , A61B2017/00367 , A61B2017/00398 , A61B2017/2929
摘要： The present disclosure is directed to a surgical instrument, which includes a handle assembly and an elongate member having two jaw members. The second jaw member is movable in relation to the first jaw member between an open position and a closed position. The first jaw member is supported by the elongate body and contains a plurality of fasteners. The elongate member extends distally from the handle assembly and defines both a longitudinal axis and a distal portion. A switch is placed about the handle assembly to allow the handle assembly to operate in multiple modes.
摘要翻译：本公开涉及一种外科器械，其包括手柄组件和具有两个钳口构件的细长构件。第二钳口构件可相对于第一钳口构件在打开位置和关闭位置之间移动。第一钳口构件由细长主体支撑并且包含多个紧固件。细长构件从手柄组件向远侧延伸并且限定纵向轴线和远端部分。开关放置在手柄组件周围以允许手柄组件以多种模式操作。

23. 发明申请

US20120253329A1 HAND HELD SURGICAL HANDLE ASSEMBLY, SURGICAL ADAPTERS FOR USE BETWEEN SURGICAL HANDLE ASSEMBLY AND SURGICAL END EFFECTORS, AND METHODS OF USE 有权
公开(公告)号：US20120253329A1
公开(公告)日：2012-10-04
申请号：US13484975
申请日：2012-05-31
申请人： Michael Zemlok , Ryan Williams , Stanislaw Marczyk , Nihir Patel , David Chowaniec
发明人： Michael Zemlok , Ryan Williams , Stanislaw Marczyk , Nihir Patel , David Chowaniec
IPC分类号： A61B17/00
CPC分类号： A61B17/072 , A61B17/115 , A61B17/285 , A61B17/29 , A61B90/70 , A61B2017/0023 , A61B2017/00371 , A61B2017/00398 , A61B2017/0046 , A61B2017/00464 , A61B2017/00473 , A61B2017/00734 , A61B2017/2901 , A61B2017/2903 , A61B2017/2948
摘要： Adapter assemblies are provided for selectively interconnecting a surgical end effector that is configured to perform at least a pair of functions and a surgical device that is configured to actuate the end effector, wherein the end effector includes a first axially translatable drive member and a second axially translatable drive member, and wherein the surgical device includes a first rotatable drive shaft and a second rotatable drive shaft.

24. 发明授权

US08231041B2 Variable compression surgical fastener cartridge 有权
标题翻译：可变压缩手术紧固件
公开(公告)号：US08231041B2
公开(公告)日：2012-07-31
申请号：US12417696
申请日：2009-04-03
申请人： Stanislaw Marczyk , John W. Beardsley
发明人： Stanislaw Marczyk , John W. Beardsley
IPC分类号： A61B17/04 , A61B17/10
CPC分类号： A61B17/07207 , A61B17/064 , A61B17/072 , A61B17/1155 , A61B2017/07235
摘要： A surgical fastener applying apparatus comprising a cartridge body including a tissue contacting surface including a plurality of fastener retention slots arranged in a plurality of rows including at least an inner row and an outer row, a plurality of surgical fasteners disposed in the inner and outer rows and configured such that a plurality of fasteners disposed in the inner row have a first diameter that is less than a second diameter of a plurality of surgical fasteners disposed in the outer row, and an anvil having an inner row and an outer row of depressions for forming the fasteners. A plurality of pushers are operably associated with the plurality of surgical fasteners, the pushers configured to eject an associated surgical fastener towards the respective depression in the anvil such that upon formation of a corresponding surgical fastener, the surgical fasteners ejected from the inner row provide a greater compressive force to tissue than the surgical fasteners ejected from the outer row.
摘要翻译：一种手术紧固件施加装置，其包括：药筒主体，其包括组织接触表面，所述组织接触表面包括布置成至少包括内排和外排的多行的多个紧固件保持槽;多个外科紧固件，并且构造成使得设置在内排中的多个紧固件具有小于设置在外排中的多个外科紧固件的第二直径的第一直径，以及具有内排和外排凹陷的砧座，形成紧固件。多个推动器可操作地与多个手术紧固件相关联，推动器构造成朝向砧座中的相应凹部弹出相关联的手术紧固件，使得在形成相应的外科紧固件时，从内排排出的手术紧固件提供比从外排排出的外科手术紧固件更大的对组织的压缩力。

25. 发明申请

US20120138659A1 Surgical Stapling Apparatus Having Articulation Mechanism 审中-公开
标题翻译：具有铰接机构的外科手术装置
公开(公告)号：US20120138659A1
公开(公告)日：2012-06-07
申请号：US13371836
申请日：2012-02-13
申请人： Stanislaw Marczyk , Russell Pribanic
发明人： Stanislaw Marczyk , Russell Pribanic
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/2915 , A61B2017/2916 , A61B2017/2927 , A61B2017/320052 , A61B2090/0811
摘要： An articulation mechanism for use with a surgical apparatus having an articulating tool assembly is described. The articulation mechanism includes a rotatable shaft which is fixedly secured to a disk defining a spiral groove or slot. A linearly movable translation member is provided and includes a pin which is received within the spiral groove such that rotation of the disk effects linear translation of the translation member. The configuration of the spiral groove can be selected to provide any desired ratio of angular rotation of the disk to linear advancement of the translation member. As such, the configuration of the spiral slot can be selected to provide a uniform rate of articulation of the tool assembly of the surgical apparatus or a variable rate of articulation.
摘要翻译：描述了一种与具有铰接工具组件的手术装置一起使用的关节运动机构。铰接机构包括可旋转的轴，其固定地固定到限定螺旋槽或槽的盘。提供线性移动的平移构件，并且包括容纳在螺旋槽内的销，使得盘的旋转影响平移构件的线性平移。可以选择螺旋槽的构造以提供盘的角度旋转与平移构件的线性前进的任何期望的比率。因此，可以选择螺旋槽的构造以提供外科手术装置的工具组件的相互连接的速度或可变的关节速率。

26. 发明申请

US20120055972A1 SURGICAL RETRACTION MECHANISM 有权
标题翻译：外科手术机制
公开(公告)号：US20120055972A1
公开(公告)日：2012-03-08
申请号：US13294415
申请日：2011-11-11
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00017 , A61B2017/00398 , A61B2017/2913 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/294 , A61B2017/2943 , A61B2090/0811
摘要： A retraction mechanism has been developed for use with a hand held surgical apparatus. The retraction mechanism includes a motor, a first speed reducing mechanism, a clutch mechanism incorporating a second speed reducing mechanism, and a shaft. The first speed reducing mechanism is configured to be driven by a motor. The second speed reducing mechanism has a locked state and an unlocked state. In addition, the clutch mechanism is disposed in mechanical cooperation with the first speed reducing mechanism. The shaft is configured to rotate upon activation of the motor the second speed reducing mechanism is in the locked state. The rotation of the shaft retracts a firing drive of the hand held surgical apparatus.
摘要翻译：已经开发了用于手持式手术装置的缩回机构。回缩机构包括电动机，第一减速机构，包含第二减速机构的离合器机构和轴。第一减速机构构造成由电动机驱动。第二减速机构具有锁定状态和解锁状态。此外，离合器机构与第一减速机构机械配合配置。轴构造成在电动机启动时旋转，第二减速机构处于锁定状态。轴的旋转缩回了手持式手术装置的点火驱动。

27. 发明申请

US20110218484A1 INTERNALLY PRESSURIZED MEDICAL DEVICES 有权
标题翻译：内部加压医疗器械
公开(公告)号：US20110218484A1
公开(公告)日：2011-09-08
申请号：US13020354
申请日：2011-02-03
申请人： Michael Zemlok , Russell Pribanic , Adam Ross , Stanislaw Marczyk
发明人： Michael Zemlok , Russell Pribanic , Adam Ross , Stanislaw Marczyk
IPC分类号： A61M13/00
CPC分类号： A61M13/00 , A61B17/07207 , A61B17/34 , A61B17/3474 , A61B2017/07271 , A61B2090/064 , A61M13/003 , A61M39/22 , A61M2205/3331
摘要： There are provided pressurized surgical instruments for use in pressurized surgical environments. The pressurized surgical instruments include pressurizing systems for maintaining a neutral or positive pressure flow within the surgical instrument during use. The pressurizing systems include a primary sensor for detecting the pressure of the surgical environment and a pressurizing mechanism for balancing the pressure of the surgical instrument with the surgical environment. The pressurizing mechanism includes a controller to receive and compare the signal sent from the primary sensor to the ambient or internal instrument pressure and a pressure delivery system to provide positive pressure to the interior of the surgical instrument in response to a signal received from the controller. The sources of pressure for the pressure delivery systems may be external or self contained within the surgical instrument.
摘要翻译：提供加压手术器械用于加压手术环境。加压手术器械包括用于在使用期间保持手术器械内的中性或正压力流的加压系统。加压系统包括用于检测手术环境的压力的主传感器和用于平衡外科器械的压力与外科手术环境的加压机构。加压机构包括控制器，用于接收和比较从主传感器发送到环境或内部仪器压力的信号，以及压力传送系统，以响应于从控制器接收的信号向外科器械的内部提供正压力。压力输送系统的压力来源可以是外部的或者自己包含在外科器械中。

28. 发明申请

US20110009704A1 Apparatus and Method for Transvaginal Surgery 有权
标题翻译：经阴道手术的装置与方法
公开(公告)号：US20110009704A1
公开(公告)日：2011-01-13
申请号：US12830762
申请日：2010-07-06
申请人： Stanislaw Marczyk , Russell Pribanic , Kevin Sniffin
发明人： Stanislaw Marczyk , Russell Pribanic , Kevin Sniffin
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3431 , A61B2017/00278 , A61B2017/3445 , A61B2017/3454 , A61B2017/346 , A61B2017/3486 , A61B2017/3488
摘要： An access port for performing surgery transvaginally is provided. The access port includes an elongated flexible member having proximal and distal ends and a central portion therebetween, and a retention mechanism formed on the distal end of the elongated member. The retention mechanism includes a first configuration for inserting the distal end of the elongated member within an opening and a second configuration for selectively securing the elongated member within an opening. Also provided is a method of performing a transvaginal surgery. The method includes providing an access port including a retention mechanism configured to selectively retain the access port within the vagina of a patient, forming an incision in the wall of the vagina into the abdomen of the patient, inserting a distal end of the access port into the vagina and through the incision, and activating the retention mechanism to secure the distal end of the access port within the abdominal cavity of the patient.
摘要翻译：提供了一种经阴道镜进行手术的入口。进入端口包括细长的柔性构件，其具有近端和远端以及中间部分，以及形成在细长构件的远端上的保持机构。保持机构包括用于将细长构件的远端插入开口内的第一构造和用于选择性地将细长构件固定在开口内的第二构造。还提供了进行经阴道手术的方法。该方法包括提供一种进入端口，其包括保持机构，该保持机构构造成选择性地将入口端口保持在患者的阴道内，在阴道壁中形成切口进入患者腹部，将进入端口的远端插入阴道和通过切口，并且启动保持机构以将进入口的远端固定在患者的腹腔内。

29. 发明授权

US07815090B2 Surgical instrument with articulating tool assembly 有权
标题翻译：具有关节工具组件的手术器械
公开(公告)号：US07815090B2
公开(公告)日：2010-10-19
申请号：US12345167
申请日：2008-12-29
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B17/068 , A61B2017/2927 , A61B2017/320052
摘要： A surgical stapling instrument including a handle portion, a body portion, an articulating tool assembly and an articulation mechanism is disclosed. The body portion extends distally from the handle portion. The articulation mechanism includes an articulation link for articulating the tool assembly, an articulation knob operatively coupled to the articulation link, wherein rotational motion of the articulation knob is translated into axial motion of the articulation link thereby articulating the articulating tool assembly.
摘要翻译：公开了一种包括手柄部分，主体部分，铰接工具组件和关节运动机构的外科缝合器械。主体部分从手柄部分向远侧延伸。所述关节运动机构包括用于铰接所述工具组件的铰接连杆，可操作地联接到所述关节运动连杆的关节运动旋钮，其中所述关节运动旋钮的旋转运动被转换成所述关节运动连杆的轴向运动，从而铰接所述关节运动工具组件。

30. 发明申请

US20100152664A1 TROCAR ENTRY INCORPORATING AN AIRBAG 失效
标题翻译：装有安全气囊的TROCAR ENTRY
公开(公告)号：US20100152664A1
公开(公告)日：2010-06-17
申请号：US12620829
申请日：2009-11-18
申请人： Michael Davis , Stanislaw Marczyk , Peter Hathaway , Brian Creston , Gregory G. Okoniewski
发明人： Michael Davis , Stanislaw Marczyk , Peter Hathaway , Brian Creston , Gregory G. Okoniewski
IPC分类号： A61B17/34 , A61M29/00
CPC分类号： A61B17/3494 , A61B2017/00022 , A61B2017/00026 , A61B2017/00106 , A61B2017/00544 , A61B2017/3484 , A61B2017/3486 , A61B2017/3492
摘要： A safety trocar assembly incorporating an airbag is provided to prevent overpenetration of the safety trocar assembly through an abdominal wall and into a body cavity. The safety trocar assembly includes an airbag cannula having an expandable airbag proximal of the distal end of the cannula. A sensing device is located at a distal end of the cannula for detecting changes in conditions at the distal end of the cannula. A trigger mechanism is provided on the cannula and operates to inflate the airbag in response to a change in condition detected by the sensing device.
摘要翻译：提供一种安装有安全气囊的安全套管针组件，以防止安全套管组件通过腹壁过度穿透并进入体腔。安全套管针组件包括气囊插管，其具有在插管远端附近的可扩张的气囊。感测装置位于套管的远端，用于检测插管远端处的状况变化。在套管上提供触发机构，并且响应于由感测装置检测到的状况改变而使安全气囊膨胀。

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