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61. 发明授权

US5156614A 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装置
公开(公告)号：US5156614A
公开(公告)日：1992-10-20
申请号：US794596
申请日：1991-11-14
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 , A61B17/072 , A61B19/00
CPC分类号： A61B17/07207 , A61B2017/00446 , A61B2017/00451 , A61B2090/08021
摘要： Apparatus for applying at least one row of two-part surgical fasteners to body tissue, each surgical fastener having a pronged fastener portion for piercing body tissue, and an aperture retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. The apparatus includes means for holding a plurality of the fastener portions in generally aligned relation, 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. In the preferred embodiment a knife edge is provided to cut the body tissue midway between opposed pairs of rows of the fasteners as the fasteners are applied. A method for applying two spaced apart pairs of rows of the fasteners to body tissue on the apparatus of the invention is also disclosed.
摘要翻译：用于将至少一排两部分手术紧固件施加到身体组织的装置，每个手术紧固件具有用于刺穿身体组织的带插脚的紧固件部分，以及孔保持器，所述孔保持器的尺寸和构造适于接合接合插入的紧固件部分，夹住其间的身体组织。该装置包括用于以大致对齐的关系保持多个紧固件部分的装置，与紧固件部分保持装置间隔开的装置，用于夹持其间的身体组织，并且用于可释放地将多个保持器以大致对齐的关系可释放地保持，身体组织位于它们之间。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。在优选实施例中，提供刀刃以在施加紧固件时在紧固件的相对的一对行之间的中间切割身体组织。还公开了一种在本发明的装置上将两个间隔开的紧固件对的行对施加到身体组织的方法。

62. 发明授权

US07866526B2 Apparatus for applying surgical fasteners to body tissue 失效
标题翻译：用于将外科紧固件应用于身体组织的装置
公开(公告)号：US07866526B2
公开(公告)日：2011-01-11
申请号：US12548053
申请日：2009-08-26
申请人： David T Green , Henry Bolanos , Wayne Young , Stephan A DeFonzo , Richard A McGarry , Dominick L Mastri
发明人： David T Green , Henry Bolanos , Wayne Young , Stephan A DeFonzo , Richard A McGarry , Dominick L Mastri
IPC分类号： A61B17/068
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue includes a frame and an elongated endoscopic section connected to the frame-and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section. An elongated pusher system is provided for individually advancing at least one staple at a time distally. The pusher system includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes.
摘要翻译：用于内窥镜施加适于将外科手术网附接到身体组织的外科手术钉的装置包括框架和连接到框架并且从其向远侧延伸的细长内窥镜部分。订书钉存储盒可移除地支撑在内窥镜部分的远端部分的枢转支撑系统上。提供细长的推动器系统，用于在远端单独地推进至少一个钉。推动器系统包括用于致动推动器的触发系统。触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。

63. 发明申请

US20090105535A1 Apparatus for applying surgical fasteners to body tissue 失效
标题翻译：用于将外科紧固件应用于身体组织的装置
公开(公告)号：US20090105535A1
公开(公告)日：2009-04-23
申请号：US11978852
申请日：2007-10-30
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号： A61B17/10 , A61B1/018
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.
摘要翻译：公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。推动器系统还包括用于致动推动器的触发系统。触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

64. 发明授权

US6053390A Anvil for surgical stapler 有权
标题翻译：砧座用于外科缝合器
公开(公告)号：US6053390A
公开(公告)日：2000-04-25
申请号：US309027
申请日：1999-05-10
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Patrick Leahy
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Patrick Leahy
IPC分类号： A61B17/00 , A61B17/11 , A61B17/115 , A61B17/12 , A61B17/28
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/00473 , A61B2017/07257 , A61B2017/1125 , A61B2017/2927 , A61B2017/2931
摘要： A detachable anvil assembly for use with an apparatus for performing circular anastomosis of tubular organs includes an elongated anvil rod having proximal and distal end portions and an anvil head mounted to the distal end portion of the anvil rod. The distal end portion is pivotally mounted and is adapted to pivot approximately plus or minus ninety degrees relative to a longitudinal axis defined by the rod. An elongated delivery member detachably receives the anvil assembly and facilitates delivery of the anvil assembly to the operative site. The pivoting feature of the distal end reduces the transverse profile of the assembly which consequently facilitates introduction and advancement of the anvil assembly within the tubular organ.
摘要翻译：与用于执行管状器官的圆形吻合的装置一起使用的可拆卸的砧组件包括具有近端部分和远端部分的细长砧杆，以及安装到砧座杆的远端部分的砧座头部。远端部分枢转地安装并且适于相对于由杆限定的纵向轴线大约正负90度旋转。延长的传送构件可拆卸地接收砧座组件并且便于将砧组件传送到操作部位。远端的枢转特征减小了组件的横向轮廓，因此有助于砧座组件在管状器官内的引入和推进。

65. 发明授权

US5782859A Articulating endoscopic surgical apparatus 失效
公开(公告)号：US5782859A
公开(公告)日：1998-07-21
申请号：US777115
申请日：1996-12-30
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 , A61B10/00
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.

66. 发明授权

US5779718A Method of anastomosing a vessel using a surgical clip applier 失效
标题翻译：使用外科夹具施放器吻合血管的方法
公开(公告)号：US5779718A
公开(公告)日：1998-07-14
申请号：US714790
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 , A61B17/04
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 sidably 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。一个推杆可倾斜地安装在所述通道组件中，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。

67. 发明授权

US5624431A Handle for manipulating a laparoscopic tool 失效
标题翻译：手术操作腹腔镜手术
公开(公告)号：US5624431A
公开(公告)日：1997-04-29
申请号：US417241
申请日：1995-04-05
申请人： Stephen W. Gerry , David T. Green , Henry Bolanos
发明人： Stephen W. Gerry , David T. Green , Henry Bolanos
IPC分类号： A61B17/28 , A61B19/00
CPC分类号： A61B17/2909 , A61B2017/292 , A61B2017/2929 , A61B2017/2946
摘要： A handle for a laparoscopic instrument is provided for manipulating a distal laparoscopic tool. The handle includes a casing, a pivot handle pivotally attached to the casing, and an actuating shaft mechanism extending outward from the casing. Attached at the distal end of the actuating shaft opposite the casing is the laparoscopic surgical tool. The actuating shaft mechanism is longitudinally movable in a first direction by a pivotal movement of the pivot handle for manipulating the laparoscopic tool. A detent carried by the casing allows movement of the shaft longitudinally in the first direction while restraining longitudinal movement of the shaft in a second opposite direction. A thumb wheel attached to the actuating shaft mechanism allows the actuating shaft mechanism to be rotated for further manipulating the laparoscopic tool.
摘要翻译：腹腔镜手术器具用于操纵远端腹腔镜手术器械。手柄包括壳体，可枢转地附接到壳体的枢转手柄以及从壳体向外延伸的致动轴机构。腹腔镜手术工具附着在与壳体相对的致动轴的远端。致动轴机构通过用于操纵腹腔镜工具的枢转手柄的枢转运动在第一方向上纵向移动。壳体承载的制动器允许轴沿第一方向纵向移动，同时限制轴沿第二相反方向的纵向移动。附接到致动轴机构的拇指轮允许致动轴机构旋转以进一步操纵腹腔镜工具。

68. 发明授权

US5591178A Surgical clip applier 失效
标题翻译：手术夹子
公开(公告)号：US5591178A
公开(公告)日：1997-01-07
申请号：US527698
申请日：1995-09-13
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： A61B17/11 , A61B17/128 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/1107
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 dosing 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 means 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 means 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把手和所述通道组件之间并且连接到所述通道组件，用于响应于所述手柄的配量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装置，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。第二弹簧装置响应于所述手柄彼此打开而偏置所述推杆在远侧方向上推动所述夹子支架中的最前端的夹子在所述夹爪之间。还提供了用于防止所述弹簧偏压推杆的移动的夹持器。

69. 发明授权

US5431675A Locking mechanism for endoscopic or laparoscopic surgical instruments 失效
标题翻译：内窥镜或腹腔镜手术器械的锁定机构
公开(公告)号：US5431675A
公开(公告)日：1995-07-11
申请号：US323419
申请日：1994-10-13
申请人： David A. Nicholas , David T. Green , Henry Bolanos , H. Jonathan Tovey , Paul O. Rawson
发明人： David A. Nicholas , David T. Green , Henry Bolanos , H. Jonathan Tovey , Paul O. Rawson
IPC分类号： A61B17/04 , A61B17/11 , A61B17/28 , B25B7/12 , B25B7/14 , A61B17/32
CPC分类号： A61B17/2909 , A61B17/062 , A61B17/2833 , B25B7/12 , B25B7/14 , A61B2017/1125 , A61B2017/2922 , A61B2017/2946
摘要： A surgical instrument according to an embodiment of the present invention includes a housing portion and an endoscopic portion having a proximal end and a distal end, the endoscopic portion including a pair of coaxial members attached at the proximal end to the housing portion. The endoscopic portion also includes an inner rod member slidable within an outer tube member. The endoscopic portion terminates at the distal end in a pair of jaw members disposed in opposing relation and relatively pivotal about a common point between at least an open position and a closed position. A jaw control mechanism is associated with the housing portion, and includes at least one actuating member movably mounted in the housing portion. The actuation member has at least one gripping portion thereon such that an operator of the instrument can better manipulate the actuating member with a single hand. A linking member is pivotally connected to the actuating member and the inner rod member. A notch portion is disposed on the rod member such that when the actuating member is moved in relation to the housing portion in a first direction to a first position the engaging portion engages the notch, locking the jaws in a closed position. The surgical instrument also includes means for preventing the inner rod member from moving from the first position whereby coaxial reciprocating forces are created in the inner rod member when the locking means are moved to the first position.
摘要翻译：根据本发明的实施例的外科器械包括：壳体部分和具有近端和远端的内窥镜部分，所述内窥镜部分包括一对同轴部件，所述同轴部件在近端附接到所述壳体部分。内窥镜部分还包括可在外管构件内滑动的内杆构件。内窥镜部分在远端处终止于相对的关系中设置的一对钳口构件，并且在至少打开位置和关闭位置之间的共同点相对枢转。夹爪控制机构与壳体部分相关联，并且包括可移动地安装在壳体部分中的至少一个致动构件。致动构件在其上具有至少一个把持部分，使得仪器的操作者可以用单手更好地操纵致动构件。连接构件枢转地连接到致动构件和内杆构件。凹口部分设置在杆构件上，使得当致动构件相对于壳体部分沿第一方向移动到第一位置时，接合部分接合凹口，将夹爪锁定在关闭位置。手术器械还包括用于防止内杆构件从第一位置移动的装置，由此当锁定装置移动到第一位置时，在内杆构件中产生同轴的往复力。

70. 发明授权

US5366134A Surgical fastening apparatus 失效
标题翻译：手术紧固装置
公开(公告)号：US5366134A
公开(公告)日：1994-11-22
申请号：US957246
申请日：1992-10-06
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 , A61B17/10 , A61B17/128
CPC分类号： A61B17/0686 , A61B17/105 , A61B17/128
摘要： A surgical fastening apparatus comprises first and second handles with an anvil jaw pivotally connected to at least one of the handles for movement from an open to a closed position in response to a first movement of a handle to clamp body tissue. Fastener pushing means are provided for advancing an individual fastener into contact with the anvil jaw in response to a subsequent movement of a handle. An indicator is provided to alert the user to the termination of the first movement; in a preferred embodiment this indicator is a second movement dwell period of the apparatus in which handle movement continues but the anvil jaw remains stationary and the fastener pushing means is not yet actuated. The apparatus further comprises means for preventing incomplete actuation of the fastener pushing means during the subsequent handle movement.
摘要翻译：手术紧固装置包括第一和第二把手，其具有砧座钳口，所述砧座钳口枢转地连接到至少一个把手，用于响应于手柄的第一移动以夹紧身体组织而从打开位置到关闭位置。提供紧固件推动装置，用于响应于随后的手柄的移动而使单个紧固件与砧座钳口接触。提供指示器以提醒用户终止第一运动; 在优选实施例中，该指示器是装置的第二运动停留时段，其中手柄运动继续，但是砧座保持静止并且紧固件推动装置尚未被致动。该装置还包括用于在随后的手柄移动期间防止紧固件推动装置不完全致动的装置。

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