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81. 发明授权

US08240537B2 Surgical stapling apparatus with powered articulation 有权
标题翻译：具有动力铰接的手术吻合装置
公开(公告)号：US08240537B2
公开(公告)日：2012-08-14
申请号：US13313451
申请日：2011-12-07
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B2017/00398 , A61B2017/00734 , A61B2017/2927 , A61B2017/2929 , A61B2090/031
摘要： The surgical stapling apparatus includes a handle assembly, an elongated body extending distally from the handle assembly, and an articulation mechanism for articulating a tool assembly. The articulation mechanism includes a first gear rotatably mounted on a transmission shaft and configured to engage a second gear, a clutch interconnecting the second gear and a main shaft; and a yoke shaft coupled to the main shaft and adapted to linearly advance a J-channel, the J-channel operatively connected to an articulation link. A motor assembly may rotate the transmission shaft of the articulation mechanism. Alternatively, the articulation mechanism may include an articulation knob. Users may manually rotate the articulation knob to articulate the tool assembly of the surgical stapling apparatus.
摘要翻译：外科缝合装置包括手柄组件，从手柄组件向远侧延伸的细长体，以及用于铰接工具组件的关节运动机构。铰接机构包括可旋转地安装在传动轴上并构造成接合第二齿轮的第一齿轮，将第二齿轮和主轴互连的离合器; 以及耦合到所述主轴并适于线性前进J通道的轭轴，所述J通道可操作地连接到铰接连杆。马达组件可旋转铰接机构的传动轴。或者，关节运动机构可以包括关节运动旋钮。用户可以手动旋转关节旋钮，以便将外科缝合装置的工具组件铰接。

82. 发明授权

US08240536B2 Powered surgical stapling device 有权
标题翻译：动力手术吻合装置
公开(公告)号：US08240536B2
公开(公告)日：2012-08-14
申请号：US13213332
申请日：2011-08-19
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/068 , A61B17/072 , A61B17/115 , A61B2017/00181 , A61B2017/00398 , A61B2017/00734 , A61B2017/2923
摘要： A medical instrument having a tool assembly attachable to a distal end of the medical instrument is disclosed. The tool assembly includes a pair of opposing tissue engaging surfaces for clamping tissue therebetween. The medical instrument also includes a housing having a fixed handle and a movable handle mounted to the housing and selectively movable relative to the fixed handle from a first position in spaced relation relative to the fixed handle to a second position closer to the fixed handle to actuate the clamping of tissue. The instrument further includes a selectively activatable drive assembly including a power source and a motor which is operatively coupled to the movable handle, wherein upon actuation the motor actuates the pair of opposing tissue engaging surfaces. The drive assembly also includes a controller configured to variably control the rate at which the motor actuates the pair of opposing tissue engaging surfaces in response to the force exerted on the movable handle.
摘要翻译：公开了具有可附接到医疗器械的远端的工具组件的医疗器械。工具组件包括一对相对的组织接合表面，用于在其间夹紧组织。医疗器械还包括具有固定把手的壳体和安装到壳体的可移动手柄，并且可相对于固定手柄相对于固定手柄以间隔开的关系相对于固定手柄选择性地移动到靠近固定手柄的第二位置以致动夹紧组织。仪器还包括可选择性激活的驱动组件，其包括动力源和可操作地联接到可动手柄的马达，其中在致动时马达致动一对相对的组织接合表面。驱动组件还包括控制器，其被配置为响应于施加在可移动手柄上的力，可变地控制马达致动一对相对的组织接合表面的速率。

83. 发明申请

US20120116449A1 MultiFilament Barbed Suture 有权
标题翻译：多丝有缝缝线
公开(公告)号：US20120116449A1
公开(公告)日：2012-05-10
申请号：US12941283
申请日：2010-11-08
申请人： David Kirsch , Stanislaw Marczyk
发明人： David Kirsch , Stanislaw Marczyk
IPC分类号： A61B17/04
CPC分类号： A61B17/06166 , A61B2017/06176
摘要： A surgical suture includes a plurality of intertwined unbarbed filaments defining a longitudinal axis and a barbed filament including an elongate body and a plurality of barbs disposed along a length thereof. The plurality of barbs extends radially outward from a surface of the elongate body, wherein the barbed filament at least partially intertwines with the plurality of unbarbed filaments.
摘要翻译：手术缝合线包括限定纵向轴线的多个相互缠绕的未布线的细丝和包括细长主体的带刺的细丝和沿其长度设置的多个倒钩。多个倒钩从细长体的表面径向向外延伸，其中有刺的细丝至少部分地与多个未锯齿的细丝缠绕。

84. 发明申请

US20120111921A1 Surgical Stapling Device 有权
标题翻译：外科手术装置
公开(公告)号：US20120111921A1
公开(公告)日：2012-05-10
申请号：US13347973
申请日：2012-01-11
申请人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
发明人： Thomas Wenchell , Stanislaw Marczyk , Kenneth H. Whitfield , Roman Czernik , Henry E. Holsten , Frank C. Maffei
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/068 , A61B90/03 , A61B2017/00115 , A61B2017/0046 , A61B2017/2927 , A61B2090/034 , A61B2090/0808
摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly.
摘要翻译：提供了一种用于将多个紧固件顺次施加到身体组织并同时切开组织的外科缝合装置。外科缝合装置适于容纳具有线性行的钉的一次性装载单元，其长度可以在约30mm至60mm之间。一次性加载单元包括近端主体部分，安装组件和工具组件。安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。支撑构件或吹出板组件定位在枢轴avis的相对侧上并且在近侧主体部分和安装组件之间延伸。

85. 发明申请

US20120074197A1 SURGICAL STAPLING APPARATUS WITH POWERED ARTICULATION 有权
标题翻译：手术装置与动力装置
公开(公告)号：US20120074197A1
公开(公告)日：2012-03-29
申请号：US13313451
申请日：2011-12-07
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B2017/00398 , A61B2017/00734 , A61B2017/2927 , A61B2017/2929 , A61B2090/031
摘要： The surgical stapling apparatus includes a handle assembly, an elongated body extending distally from the handle assembly, and an articulation mechanism for articulating a tool assembly. The articulation mechanism includes a first gear rotatably mounted on a transmission shaft and configured to engage a second gear, a clutch interconnecting the second gear and a main shaft; and a yoke shaft coupled to the main shaft and adapted to linearly advance a J-channel, the J-channel operatively connected to an articulation link. A motor assembly may rotate the transmission shaft of the articulation mechanism. Alternatively, the articulation mechanism may include an articulation knob. Users may manually rotate the articulation knob to articulate the tool assembly of the surgical stapling apparatus.
摘要翻译：外科缝合装置包括手柄组件，从手柄组件向远侧延伸的细长体，以及用于铰接工具组件的关节运动机构。铰接机构包括可旋转地安装在传动轴上并构造成接合第二齿轮的第一齿轮，将第二齿轮和主轴互连的离合器; 以及耦合到所述主轴并适于线性前进J通道的轭轴，所述J通道可操作地连接到铰接连杆。马达组件可旋转铰接机构的传动轴。或者，关节运动机构可以包括关节运动旋钮。用户可以手动旋转关节旋钮，以便将外科缝合装置的工具组件铰接。

86. 发明申请

US20110303735A1 Powered Surgical Stapling Device 有权
标题翻译：电动外科手术装置
公开(公告)号：US20110303735A1
公开(公告)日：2011-12-15
申请号：US13213332
申请日：2011-08-19
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/068 , A61B17/10
CPC分类号： A61B17/07207 , A61B17/068 , A61B17/072 , A61B17/115 , A61B2017/00181 , A61B2017/00398 , A61B2017/00734 , A61B2017/2923
摘要： A medical instrument having a tool assembly attachable to a distal end of the medical instrument is disclosed. The tool assembly includes a pair of opposing tissue engaging surfaces for clamping tissue therebetween. The medical instrument also includes a housing having a fixed handle and a movable handle mounted to the housing and selectively movable relative to the fixed handle from a first position in spaced relation relative to the fixed handle to a second position closer to the fixed handle to actuate the clamping of tissue. The instrument further includes a selectively activatable drive assembly including a power source and a motor which is operatively coupled to the movable handle, wherein upon actuation the motor actuates the pair of opposing tissue engaging surfaces. The drive assembly also includes a controller configured to variably control the rate at which the motor actuates the pair of opposing tissue engaging surfaces in response to the force exerted on the movable handle.
摘要翻译：公开了具有可附接到医疗器械的远端的工具组件的医疗器械。工具组件包括一对相对的组织接合表面，用于在其间夹紧组织。医疗器械还包括具有固定把手的壳体和安装到壳体的可移动手柄，并且可相对于固定手柄相对于固定手柄以间隔开的关系相对于固定手柄选择性地移动到靠近固定手柄的第二位置以致动夹紧组织。仪器还包括可选择性激活的驱动组件，其包括动力源和可操作地联接到可动手柄的马达，其中在致动时马达致动一对相对的组织接合表面。驱动组件还包括控制器，其被配置为响应于施加在可移动手柄上的力，可变地控制马达致动一对相对的组织接合表面的速率。

87. 发明申请

US20110301579A1 Retraction Mechanism with Clutch-less Drive for Use with a Surgical Apparatus 有权
标题翻译：用于手术器械的离合器驱动器的缩回机构
公开(公告)号：US20110301579A1
公开(公告)日：2011-12-08
申请号：US13198016
申请日：2011-08-04
申请人： Stanislaw Marczyk , Joseph Bender-Zanoni
发明人： Stanislaw Marczyk , Joseph Bender-Zanoni
IPC分类号： A61B17/00
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00398 , A61B2017/2923 , A61B2017/2943
摘要： A retraction mechanism allows the full distal retraction of the firing drive from various positions. The retraction mechanism has been developed for use with a hand held surgical apparatus. An embodiment of the retraction mechanism includes a drive member, a first pulley, a second pulley, and a firing drive. The drive mechanism is configured to be driven by a motor. The first pulley is configured to rotate when the motor drives the drive mechanism. The second pulley is movable relative to the first pulley between a proximal position and a distal position. The firing drive is movable relative to the first pulley between proximal and distal positions. In operation, the first pulley rotates in a first direction in response to a distal translation of the firing drive and wherein the firing drive moves proximally upon rotation of the first pulley in a second direction.
摘要翻译：撤回机构允许击发驱动器从各种位置的完全远端缩回。已经开发了用于手持式手术装置的缩回机构。退回机构的一个实施例包括驱动构件，第一滑轮，第二滑轮和击发驱动装置。驱动机构构造成由马达驱动。当电动机驱动驱动机构时，第一滑轮被配置为旋转。第二滑轮相对于第一滑轮在近端位置和远端位置之间是可移动的。射击驱动器可相对于第一滑轮在近端位置和远端位置之间移动。在操作中，响应于击发驱动器的远端平移，第一滑轮沿第一方向旋转，并且其中，当第一滑轮沿第二方向旋转时，起动驱动器向近侧运动。

88. 发明申请

US20110248064A1 Surgical Fastener Applying Apparatus 有权
标题翻译：手术紧固件应用仪器
公开(公告)号：US20110248064A1
公开(公告)日：2011-10-13
申请号：US12755590
申请日：2010-04-07
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/064
CPC分类号： A61B17/07207 , A61B2017/07221 , A61B2017/07271 , A61B2017/07278
摘要： A surgical fastener cartridge is provided and includes a cartridge body having a plurality of surgical fasteners operatively disposed therein. An actuation mechanism is housed within the cartridge body and includes a plurality of pushers operably associated with the plurality of surgical fasteners. The actuation mechanism includes a plurality of pivotably connected link assemblies. Each link assembly being pivotably engaged with a corresponding bottom surface associated with each the pushers and a corresponding top surface associated with an internal channel housing and operably coupled to one another. The actuation mechanism includes an activation structure configured to move each of the link assemblies and sequentially cause each of the link assemblies to move through a succession of motions within the cartridge body, such that the link assemblies cause the corresponding pusher to contact and, subsequently, sequentially eject the associated surgical fastener towards the depression in the anvil.
摘要翻译：提供外科紧固件盒，并且包括具有可操作地设置在其中的多个手术紧固件的药筒主体。致动机构容纳在药筒体内，并且包括可操作地与多个外科紧固件相关联的多个推动器。致动机构包括多个可枢转地连接的连杆组件。每个连杆组件可枢转地与与每个推动器相关联的相应底部表面接合，以及与内部通道壳体相关联并且可操作地彼此连接的相应顶部表面。所述致动机构包括致动结构，所述致动结构构造成移动每个所述连杆组件并且顺序地使所述连杆组件中的每一个移动通过所述筒体内的一系列运动，使得所述连杆组件使所述相应的推动器接触，顺序地将相关的手术紧固件朝向砧座中的凹陷排出。

89. 发明授权

US08006887B2 Surgical stapling apparatus with powered articulation 有权
标题翻译：具有动力铰接的手术吻合装置
公开(公告)号：US08006887B2
公开(公告)日：2011-08-30
申请号：US12685983
申请日：2010-01-12
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B2017/00398 , A61B2017/00734 , A61B2017/2927 , A61B2017/2929 , A61B2090/031
摘要： The surgical stapling apparatus includes a handle assembly, an elongated body extending distally from the handle assembly, and an articulation mechanism for articulating a tool assembly. The articulation mechanism includes a first gear rotatably mounted on a transmission shaft and configured to engage a second gear, a clutch interconnecting the second gear and a main shaft; and a yoke shaft coupled to the main shaft and adapted to linearly advance a J-channel, the J-channel operatively connected to an articulation link. A motor assembly may rotate the transmission shaft of the articulation mechanism. Alternatively, the articulation mechanism may include an articulation knob. Users may manually rotate the articulation knob to articulate the tool assembly of the surgical stapling apparatus.
摘要翻译：外科缝合装置包括手柄组件，从手柄组件向远侧延伸的细长体，以及用于铰接工具组件的关节运动机构。铰接机构包括可旋转地安装在传动轴上并构造成接合第二齿轮的第一齿轮，将第二齿轮和主轴互连的离合器; 以及耦合到所述主轴并适于线性前进J通道的轭轴，所述J通道可操作地连接到铰接连杆。马达组件可旋转铰接机构的传动轴。或者，关节运动机构可以包括关节运动旋钮。用户可以手动旋转关节旋钮，以便将外科缝合装置的工具组件铰接。

90. 发明申请

US20110087259A1 Tissue Stop For Surgical Instrument 有权
标题翻译：组织停止手术器械
公开(公告)号：US20110087259A1
公开(公告)日：2011-04-14
申请号：US12952371
申请日：2010-11-23
申请人： Stanislaw Marczyk
发明人： Stanislaw Marczyk
IPC分类号： A61B17/285 , A61B17/28
CPC分类号： A61B90/03 , A61B17/072 , A61B17/07207 , A61B18/1442 , A61B2017/07221 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2945 , A61B2017/320052 , A61B2018/1432 , A61B2090/033
摘要： A surgical instrument including a handle assembly, an elongated portion, an end effector, and a stop member is disclosed. The end effector is disposed adjacent a distal portion of the elongated portion and includes a first jaw member and a second jaw member. At least one jaw member is movable with respect to the other jaw member between spaced and approximated positions. The first jaw member includes an upper tissue-contacting surface and a lower shelf portion. The shelf portion includes a groove disposed therein. The stop member is disposed adjacent a distal portion of the first jaw member and is pivotable with respect to the first jaw member between a first position, a significant portion of the stop member being positioned external to the first jaw member, and a second position where a lower portion of the stop member being positioned at least partially within the groove.
摘要翻译：公开了一种包括手柄组件，细长部分，末端执行器和止动构件的手术器械。末端执行器设置在细长部分的远端部分附近并且包括第一钳口构件和第二钳口构件。至少一个钳口构件可相对于另一钳口构件在间隔和近似位置之间移动。第一钳口构件包括上部组织接触表面和下部搁架部分。搁架部分包括设置在其中的凹槽。止动构件邻近第一钳口构件的远侧部分设置，并且可相对于第一钳口构件在第一位置和第二位置之间枢转，第一位置和止动构件的大部分位于第一钳口构件的外部，第二位置止动构件的下部至少部分地定位在凹槽内。

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