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    • 2. 发明授权
    • Surgical stapler
    • 手术吻合器
    • US5785232A
    • 1998-07-28
    • US633668
    • 1996-04-17
    • Claude VidalRussell J. RedmondAlan Plyley
    • Claude VidalRussell J. RedmondAlan Plyley
    • A61B17/072A61B17/068
    • A61B17/07207A61B2017/07214
    • An improved surgical stapler having first and second pivotally interconnected structural members each including a handle portion and a jaw portion. The structural members are pivotally movable between a closed position wherein their jaw portions are in a closely spaced relationship to an open position wherein their jaw portions are spaced apart a substantial distance. A locking member is pivotally connected to one of the structural members for pivotal movement between a first position wherein the locking member is generally aligned with the structural member and a second position wherein the free end of the locking member is spaced apart from the outboard end of the structural member. When actuated, the locking member functions to forcefully move the structural members toward a closed position so that the tissue to be stapled can be securely clamped between the jaw portions of the instrument. A staple cartridge of novel design is removably connected to one of the first and second structural members and contains a plurality of staples for stapling together tissue disposed between the jaw portions of the instrument. A novel jaw stabilizing element is provided either on the staple cartridge or on the disposable anvil of the device for insuring proper spacing between the handle portions of the instrument and in this way functions to maintain optimum jaw closure for every tissue thickness by restricting the undesirable bending of the handle portions as the tissue to be stapled is compressed between the jaw portions.
    • 改进的外科缝合器具有第​​一和第二枢轴互连的结构构件,每个结构构件包括手柄部分和钳口部分。 结构构件可在闭合位置之间枢转运动,在该位置,其闭合位置与打开位置紧密隔开,其中它们的钳口部分间隔开相当长的距离。 锁定构件枢转地连接到结构构件中的一个,用于在第一位置和第二位置之间枢转运动,其中锁定构件大体上与结构构件对准,并且第二位置,其中锁定构件的自由端与 结构件。 当致动时,锁定构件用于将结构构件强制地移动到关闭位置,使得要装订的组织可以牢固地夹紧在器械的钳口部分之间。 新颖设计的钉仓可移除地连接到第一和第二结构构件中的一个,并且包含多个订书钉,用于将设置在仪器的钳口部分之间的组织装订在一起。 一种新颖的卡爪稳定元件设置在装置的钉仓或一次性砧座上,用于确保仪器的把手部分之间的适当间隔,并且以这种方式通过限制不期望的弯曲来维持每个组织厚度的最佳钳口闭合 当被装订的组织在颚部之间被压缩时,手柄部分被压缩。
    • 4. 发明授权
    • Applicator for dispensing measured quantities with use of controlled suction
    • 使用受控抽吸分配测量数量的涂抹器
    • US06331172B1
    • 2001-12-18
    • US08838078
    • 1997-04-14
    • Gordon Howard EpsteinAlan PlyleyRussell James Redmond
    • Gordon Howard EpsteinAlan PlyleyRussell James Redmond
    • A61M3700
    • A61B17/00491A61M1/0043A61M1/0047A61M1/0064A61M5/31581
    • A medical fluid applicator for dispensing a fluid onto biological tissues in tissue adhesive or sealant applications includes a dispensing pathway with an audible loudness indicator that signals the cumulative amount of fluid delivered by varying the pitch or tone of audible signals emitted at discrete volumetric increments. A suction pathway is also included for applying vacuum pressure to the applicator tip contemporaneous with the fluid application. The medical fluid applicator further includes a clearing pathway for retrogradedly withdrawing coagulated mixed fluids, such as mixed two-part tissue adhesives, from the applicator tip. A valve manifold and a shuttle valve are actuated to adjust the operation of vacuum pressure in the device between the various suctioning, clearing, and venting conduits of the device. The valve manifold is also adapted to couple a vent pathway and the suction pathway simultaneously to the vacuum conduit adapted for connection to a vacuum source. The coupling of vacuum to these pathways may be selectively adjusted by use of inversely and reciprocally shaped valving apertures on the valve manifold, such that preselected levels of applied suction at the suction pathway may be achieved. The device also includes a supply device portion and an applicator portion removably coupled thereto. The supply device portion includes the proximal portions of the dispensing assembly including the audible loudness indicator and the fluid reservoirs. The applicator portion includes the suction conduit, the clearing conduit, and a mixing conduit for mixing the components of the fluid reservoirs immediately prior to fluid delivery. A filling dispenser is further provided which is keyed to engage the supply device portion of the device in a predetermined orientation such that each fluid reservoir of the supply device is coupled for filling from a specified, predetermined filling reservoir.
    • 用于在组织粘合剂或密封剂应用中将流体分配到生物组织上的医用流体施加器包括具有可听响度指示器的分配路径,其通过改变以离散体积增量发射的可听信号的音调或音调来发出传递的流体的累积量。 还包括吸入通道,用于在与流体应用同时施加真空压力至施用器尖端。 药液装置还包括用于从施用器尖端回收凝结的混合流体例如混合的两部分组织粘合剂的清除通道。 致动阀歧管和梭阀以调节装置中的各种抽吸,清除和排气管道之间的真空压力的操作。 阀歧管还适于将通气通道和吸入通道同时连接到适于连接到真空源的真空管道。 可以通过使用阀歧管上的反向和往复形状的阀孔来选择性地调节真空与这些通道的耦合,使得可以实现在吸入路径处的预先设定的吸力水平。 该装置还包括供应装置部分和可拆卸地联接到其上的施加器部分。 供应装置部分包括分配组件的近端部分,其包括可听响度指示器和流体储存器。 施加器部分包括抽吸管道,清除管道和混合管道,用于在流体输送之前立即混合流体储存器的部件。 进一步提供一种填充分配器,该填充分配器被键入以使装置的供应装置部分以预定方向接合,使得供应装置的每个流体储存器联接以便从指定的预定填充容器填充。