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41. 发明授权

US5680981A Self-contained powered surgical apparatus 失效
标题翻译：自备动力手术器械
公开(公告)号：US5680981A
公开(公告)日：1997-10-28
申请号：US643395
申请日：1996-05-06
申请人： Carlo A. Mililli , Wayne P. Young , Stephan A. DeFonzo , Dominick L. Mastri , Henry Bolanos , Leonard Stern
发明人： Carlo A. Mililli , Wayne P. Young , Stephan A. DeFonzo , Dominick L. Mastri , Henry Bolanos , Leonard Stern
IPC分类号： A61B17/068
CPC分类号： A61B17/0684
摘要： A self-contained powered surgical stapling apparatus is provided which includes an elongate body, a fastener applying assembly including an anvil for forming a surgical fastener driven thereagainst, a motor assembly and power source for energizing the motor assembly disposed within the elongate body, and a pusher driven by the motor assembly for driving a surgical fastener toward the anvil to be formed thereby and fastened to body tissue. The apparatus is configured for utilization during conventional invasive surgical procedures as well as endoscopic or laparoscopic surgical procedures by providing a detachable extension shaft.
摘要翻译：提供了一种独立的动力手术吻合装置，其包括细长主体，紧固件施加组件，其包括用于形成驱动其的手术紧固件的砧座，用于激励设置在细长主体内的马达组件的马达组件和动力源，以及由马达组件驱动的推动器，用于驱动手术紧固件朝向由其形成的砧座，并固定到身体组织。该装置被配置为在常规的侵入性外科手术过程中利用，以及通过提供可拆卸的延伸轴来进行内窥镜或腹腔镜外科手术。

42. 发明授权

US5645553A Suture clip applier 失效
标题翻译：缝合夹施压器
公开(公告)号：US5645553A
公开(公告)日：1997-07-08
申请号：US440797
申请日：1995-05-15
申请人： Michael S. Kolesa , Dominick L. Mastri , Wayne P. Young , Henry Bolanos
发明人： Michael S. Kolesa , Dominick L. Mastri , Wayne P. Young , Henry Bolanos
IPC分类号： A61B17/00 , A61B17/04 , A61B17/128 , A61B17/08
CPC分类号： A61B17/0487 , A61B17/1285 , A61B17/0469 , A61B2017/00004 , A61B2017/0454 , A61B2017/0488
摘要： A suture fastening device which includes a first member having a base and first and second legs projecting in a lengthwise direction along the base. The legs are parallel to each other and are resiliently biased toward a spaced apart position in relation to each other. A second member is provided and includes an aperture for receiving the first and second legs of the first member. The first and second members are connected by a hinge portion. A suture is held in serpentine fashion by positioning the suture transversely across both legs and locking the first member to the second member by forcing the legs through the aperture.
摘要翻译：一种缝合线紧固装置，其包括具有基部的第一构件和沿着所述基部的沿长度方向突出的第一和第二腿。腿彼此平行并相对于彼此弹性偏压到间隔开的位置。提供第二构件，并且包括用于接收第一构件的第一和第二腿的孔。第一和第二构件通过铰链部连接。缝合线通过将缝合线横向横过两条腿定位并通过迫使腿穿过孔将第一构件锁定到第二构件而以蛇形方式保持。

43. 发明授权

US5383881A Safety device for use with endoscopic instrumentation 失效
标题翻译：内窥镜仪器使用的安全装置
公开(公告)号：US5383881A
公开(公告)日：1995-01-24
申请号：US125519
申请日：1993-09-22
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： A61B17/128 , A61B17/34 , A61B19/00 , A61B17/04
CPC分类号： A61B17/1285 , A61B17/128
摘要： A safety device is provided for use with endoscopic instrumentation, particularly and endoscopic clip applier. The device includes a collar which is adapted to be disposed on the elongated shaft of the endoscopic instrument. A release means is provided as part of the trocar guide sleeve which is adapted to contact the collar and release it from engagement with the elongated shaft.
摘要翻译：提供了一种安全装置，用于内窥镜检查仪器，特别是内镜夹具。该装置包括适于设置在内窥镜器械的细长轴上的套环。提供释放装置作为套针引导套筒的一部分，其适于接触套环并将其从细长轴接合中解除。

44. 发明授权

US5379933A Arcuate apparatus for applying two-part surgical fasteners 失效
公开(公告)号：US5379933A
公开(公告)日：1995-01-10
申请号：US898801
申请日：1993-06-15
申请人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
发明人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
IPC分类号： A61B17/00 , A61B17/064 , A61B17/072 , A61B19/00 , A61B17/04
CPC分类号： A61B17/07207 , A61B17/0643 , A61B2017/00446 , A61B2017/00451 , A61B2017/07221 , A61B2017/07228 , A61B2090/08021
摘要： Apparatus is disclosed for applying surgical fasteners to body tissue along an arcuate path. Each surgical fastener may be in the form of a two-part fastener having a pronged fastener portion for piercing body tissue, and an apertured retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. Alternatively, the fasteners may be in the form of deformable staples. The apparatus preferably includes arcuately shaped means for holding a plurality of the fastener portions in generally aligned relation, correspondingly arcuately shaped means spaced from the fastener portion holding means for gripping body tissue therebetween and for releasably holding a plurality of the retainers in generally aligned relation and positioned opposite the fasteners when the body tissue is positioned therebetween. Means is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue and to be received within the apertures of the retainers in engaged interference relation so as to cause the fastener portions and the retainers to be engaged while gripping the body tissue therebetween. A knife may be provided to cut the body tissue adjacent the fasteners as the fasteners are applied. A method for applying fasteners to body tissue on the apparatus of the invention along an arcuate path is also disclosed.

45. 发明授权

US5156315A Arcuate apparatus for applying two-part surgical fasteners 失效
标题翻译：用于应用两部分手术紧固件的弧形装置
公开(公告)号：US5156315A
公开(公告)日：1992-10-20
申请号：US692177
申请日：1991-04-26
申请人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
发明人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
IPC分类号： A61B17/00 , A61B17/064 , A61B17/072 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/0643 , A61B2017/00446 , A61B2017/00451 , A61B2017/07221 , A61B2017/07228 , A61B2090/08021
摘要： Apparatus is disclosed for applying surgical fasteners to body tissue along an arcuate path. Each surgical fastener may be in the form of a two-part fastener having a pronged fastener portion for piercing body tissue, and an apertured retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. Alternatively, the fasteners may be in the form of deformable staples. The apparatus preferably includes arcuately shaped means for holding a plurality of the fastener portions in generally aligned relation, correspondingly arcuately shaped means spaced from the fastener portion holding means for gripping body tissue therebetween and for releasably holding a plurality of the retainers in generally aligned relation and positioned opposite the fasteners when the body tissue is positioned therebetween. Means is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue and to be received within the apertures of the retainers in engaged interference relation so as to cause the fastener portions and the retainers to be engaged while gripping the body tissue therebetween. A knife may be provided to cut the body tissue adjacent the fasteners as the fasteners are applied. A method for applying fasteners to body tissue on the apparatus of the invention along an arcuate path is also disclosed.
摘要翻译：公开了用于沿弓形路径将外科紧固件应用于身体组织的装置。每个外科紧固件可以是两部分紧固件的形式，其具有用于刺穿身体组织的插入式紧固件部分，以及有孔保持器，该保持器的尺寸和构造用于接合接合夹紧的紧固件部分，以与其夹紧以夹持其间的身体组织。或者，紧固件可以是可变形钉钉的形式。该装置优选地包括弧形装置，用于以大致对齐的关系保持多个紧固件部分，相应的弧形装置与紧固件部分保持装置间隔开，用于夹持其间的身体组织，并且可释放地将多个保持器保持为大致对齐的关系，当身体组织位于其间时与紧固件相对定位。提供了用于将经插入的紧固件部分朝向有孔保持器顺序前进的装置，以使紧固件部分以接合的干涉关系刺穿身体组织并被容纳在保持器的孔内，以使紧固件部分和保持器成为在夹持其间的身体组织的同时接合。当施加紧固件时，可以设置刀来切割邻近紧固件的身体组织。还公开了一种沿着弓形路径将紧固件应用于本发明的装置上的身体组织的方法。

46. 发明授权

US5129885A Safety device for trocars and surgical instruments therefor 失效
标题翻译：三叉神经及其手术仪器的安全装置
公开(公告)号：US5129885A
公开(公告)日：1992-07-14
申请号：US479375
申请日：1990-02-13
申请人： David T. Green , Wayne P. Young
发明人： David T. Green , Wayne P. Young
IPC分类号： A61B17/34 , A61B19/00
CPC分类号： A61B17/3494 , A61B17/3462 , A61B17/3496 , A61B17/3474 , A61B2017/347 , A61B2090/08021
摘要： A safety locking device is provided for assuring proper matching relationship between a surgical instrument and a trocar guide tube housing. The safety device is slidably mounted on the elongated portion of the surgical instrument, and includes locking fingers with locking tabs projecting radially inward to releasable a circumferential groove in the surgical instrument elongated portion. The locking fingers include a camming surface to engage a corresponding camming surface associated with an appropriate guide tube housing. As the surgical instrument is inserted into an appropriate guide tube housing, the guide tube housing camming surface engages the locking finger camming surface to disengage the locking tabs from the circumferential groove and permit complete insertion of the instrument. A sleeve surrounds the locking fingers to prevent tampering, and as unlocking tool is provided.

47. 发明授权

US5100420A Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures 失效
标题翻译：用于腹腔镜或内镜手术中应用手术夹具的装置和方法
公开(公告)号：US5100420A
公开(公告)日：1992-03-31
申请号：US381265
申请日：1989-07-18
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , Y10S227/901
摘要： An apparatus for applying surgical clips through an endoscopic tube includes an endoscopic portion housing a jaw blade, a pusher bar for feeding clips one at a time to the jaws, a channel bar for camming the jaw blades into closed position, and an array of surgical clips. The body of the apparatus comprises a frame housing an actuating mechanism and a transmission mechanism for transferrring movement to the pusher bar and channel. The endoscopic portion is rotatable relative to the frame. In one embodiment the apparatus is single disposable unit. In an alternative embodiment the endoscopic portion is detachable and disposable whereas the non-endoscopic body portion is reusable.
摘要翻译：用于通过内窥镜管施加外科夹具的装置包括：内窥镜部分，其容纳颚式刀片;推动杆，用于一次一个地将镊子夹持夹持件;通道杆，用于将颌片刀片闭合到闭合位置;以及一组外科手术剪辑。该装置的主体包括容纳致动机构的框架和用于将移动传递到推杆和通道的传动机构。内窥镜部分可相对于框架旋转。在一个实施例中，该装置是单个一次性单元。在替代实施例中，内窥镜部分是可拆卸的和一次性的，而非内窥镜主体部分是可重复使用的。

48. 发明授权

US5084057A Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures 失效
标题翻译：在手术或内镜手术中应用手术夹具的装置和方法
公开(公告)号：US5084057A
公开(公告)日：1992-01-28
申请号：US530652
申请日：1990-05-30
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： G02B23/24 , A61B1/00 , A61B17/068 , A61B17/128
CPC分类号： A61B17/1285
摘要： A disposable apparatus is disclosed for applying surgical clips to body tissue in endoscopic surgical procedures. The apparatus includes a frame which is adapted to be gripped by hand, and an endoscopic section permanently connected to the handle and capable of storing surgical clips in preparation for clipping arteries or other body tissue. The apparatus includes means for advancing each clip sequentially to a pair of distal jaws and means for closing the jaws about the clip. When the jaws are closed, the clip advancing means is simultaneously positioned to advance the next clip. When all clips are spent the apparatus becomes automatically locked against further advancement of the clip advancing means as well as further closing of the clip closing jaws. The present apparatus also makes it possible to partially close a clip without interfering with the sequential movement of the clip advancing mechanism.

49. 外观设计

USD322478S Surgical purse string applicator 失效
公开(公告)号：USD322478S
公开(公告)日：1991-12-17
申请号：US357105
申请日：1989-05-25
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Stephen Gerry
设计人： David T. Green , Henry Bolanos , Wayne P. Young , Stephen Gerry

50. 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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