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31. 发明授权

US06582397B2 Needle safety device with antiremoval protection 有权
公开(公告)号：US06582397B2
公开(公告)日：2003-06-24
申请号：US09883360
申请日：2001-06-19
申请人： Daniel E. Alesi , Roddi J. Simpson
发明人： Daniel E. Alesi , Roddi J. Simpson
IPC分类号： A61M500
CPC分类号： A61M5/3216 , A61M2005/3217
摘要： A needle safety device has a collar and a housing pivotally connected thereto. Cooperating locking members are provided at the collar and the respective lower sections of the housing so that, once the housing is pivoted to be in alignment with the collar, the locking members would coactingly mate with each other to thereby retain the housing to the collar. To ensure that the coacting locking members could not be sabotaged by the sidewalls of the housing being deliberately forced away from the collar, barriers in the form of guard flaps or arms are provided at the collar so as to prevent those sections of the sidewall that are susceptible to being forced away from the collar from being exposed. As an added benefit, the guard flaps could be used as an anchor to provide stabilization for the use of a hypodermic needle fitted with the safety needle device of the instant invention during a subcutaneous procedure to a patient.

32. 发明授权

US06309376B1 Safety device for intravenous infusion needles 有权
公开(公告)号：US06309376B1
公开(公告)日：2001-10-30
申请号：US09413803
申请日：1999-10-07
申请人： Daniel E. Alesi
发明人： Daniel E. Alesi
IPC分类号： A61M500
CPC分类号： A61M5/158 , A61M5/3216
摘要： A safety device to be used with a winged intravenous infusion assembly has a base that is adaptable to fit over the body of the infusion assembly. Attached to the base is a housing that is pivotable to a position in substantial alignment along the longitudinal axis of the base for enveloping a needle extending from the infusion assembly when the housing is pivoted to the alignment position. Locking mechanisms may be provided in the housing for preventing movement of the housing relative to the needle once the needle is enveloped by the housing. The base can be configured to include a tubular portion that slidably fits over the front end of the infusion assembly or a pair of arms that intimately embrace the body of the infusion assembly. Alternatively, the safety device could be cast from the same mold as the IV infusion assembly so that the molded IV infusion assembly could have directly extending therefrom the safety device.

33. 发明授权

US5725538A Surgical clip applier 失效
标题翻译：手术夹子
公开(公告)号：US5725538A
公开(公告)日：1998-03-10
申请号：US713772
申请日：1996-09-13
申请人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert Geiste , Frank C. Maffei
发明人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert 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 applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said 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 said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to closing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar slidably mounted in said channel assembly for advancing clips along said clip carrier. A first spring member connected between said cam bar and said forming cam for sliding said cam bar in a proximal direction in response to closing of said handles together and further biasing said channel assembly in a proximal direction. Second spring member biasing said pusher bar in a distal direction to push a foremost clip in said clip carrier between said jaws in response to opening of said handles from each other. A clip retainer for preventing movement of said spring biased pusher bar is also provided.
摘要翻译：一种手术夹施加器，其包括壳体，可枢转地连接到所述壳体的相对侧的一对手柄，以及固定地连接到所述壳体的钳口刀片组件。颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于将一系列夹子供给到所述夹爪。通道组件可滑动地安装在壳体中并且包围所述钳口叶片组件。成形凸轮连接在所述手柄和所述通道组件之间，用于响应于所述把手的关闭而在远侧方向上滑动所述通道组件以将所述钳口朝向彼此移动。一种进给凸轮杆，其可滑动地安装在所述通道组件中，与所述夹子托架相重叠，所述杆在其远端具有鼻部。可滑动地安装在所述通道组件中的推杆，用于沿着夹子承载件推进夹子。连接在所述凸轮杆和所述成形凸轮之间的第一弹簧构件，用于响应于所述把手的关闭而沿近端方向滑动所述凸轮杆，并且进一步沿近侧方向偏置所述通道组件。第二弹簧构件在远侧方向上偏压所述推杆，以响应于所述把手彼此打开而在所述夹爪之间推动所述夹子承载件中的最前面的夹子。还提供了用于防止所述弹簧偏压推杆的移动的夹持器。

34. 发明授权

US5720756A Surgical clip applier 失效
标题翻译：手术夹子
公开(公告)号：US5720756A
公开(公告)日：1998-02-24
申请号：US713771
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 requiting 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。

35. 发明授权

US5501689A Plaque stapler 失效
标题翻译：斑块吻合器
公开(公告)号：US5501689A
公开(公告)日：1996-03-26
申请号：US191230
申请日：1994-02-03
申请人： David T. Green , Henry Bolanos , Daniel E. Alesi , Kenneth E. Toso
发明人： David T. Green , Henry Bolanos , Daniel E. Alesi , Kenneth E. Toso
IPC分类号： A61B17/068 , A61B17/22 , A61B17/04
CPC分类号： A61B17/0686 , A61B2017/22001 , A61B2017/320741
摘要： An apparatus for stapling the plaque lining of an artery or vein to the wall of the artery or vein, which comprises first and second opposed cooperative elongated members pivotably associated with one another. The first and second elongated members have distal ends, and proximal ends forming handles. The first elongated member forms an anvil portion at its distal end which is configured for placement into an open end of a vein and/or an artery. A staple cartridge assembly is disposed on the distal end of the second elongated member and includes a staple magazine containing a multiplicity of staples longitudinally and sequentially aligned with the staple magazine. Actuating means are provided which are supported by the staple cartridge assembly for movement in a given direction therealong to drive the staples in the staple magazine toward a staple exit end.
摘要翻译：一种用于将动脉或静脉的斑块衬里装订到动脉或静脉的壁的装置，其包括彼此可枢转地相关联的第一和第二相对的协作细长构件。第一和第二细长构件具有远端，近端形成手柄。第一细长构件在其远端处形成砧座部分，其构造成用于放置在静脉和/或动脉的开放端。钉仓组件设置在第二细长构件的远端上，并且包括缝合钉仓，其中包含多个缝钉，其纵向并顺序地与钉仓对齐。提供了致动装置，其由钉仓组件支撑，以沿给定的方向运动，以将钉仓中的钉驱动到钉出口端。

36. 发明授权

US5425745A Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效
公开(公告)号：US5425745A
公开(公告)日：1995-06-20
申请号：US145727
申请日：1993-10-29
申请人： David T. Green , Henry Bolanos , Daniel E. Alesi , Keith Ratcliff , Charles R. Sherts
发明人： David T. Green , Henry Bolanos , Daniel E. Alesi , Keith Ratcliff , Charles R. Sherts
IPC分类号： A61B17/068 , A61B1/303 , A61B1/307 , A61B1/31 , A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.

37. 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.

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