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1. 发明授权

US5554169A Method for placing staples in laparoscopic or endoscopic procedures 失效
标题翻译：在腹腔镜或内窥镜手术中放置缝钉的方法
公开(公告)号：US5554169A
公开(公告)日：1996-09-10
申请号：US469938
申请日：1995-06-06
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 , A61B17/04
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.
摘要翻译：用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。

2. 发明授权

US5476206A Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效
标题翻译：用于在腹腔镜或内镜手术中放置钉的装置和方法
公开(公告)号：US5476206A
公开(公告)日：1995-12-19
申请号：US342129
申请日：1994-11-18
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： A61B17/00 , 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.
摘要翻译：用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。

3. 发明授权

US5413268A Apparatus and method for placing stables in laparoscopic or endoscopic procedures 失效
标题翻译：将马厩放置在腹腔镜或内窥镜手术中的装置和方法
公开(公告)号：US5413268A
公开(公告)日：1995-05-09
申请号：US129862
申请日：1993-09-30
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： A61B17/00 , 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.
摘要翻译：用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。

4. 发明授权

US5318221A Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效
标题翻译：用于在腹腔镜或内镜手术中放置钉的装置和方法
公开(公告)号：US5318221A
公开(公告)日：1994-06-07
申请号：US943403
申请日：1992-09-10
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： A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214 , A61B2017/2923
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.
摘要翻译：用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。

5. 发明授权

US5040715A Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效
标题翻译：用于在腹腔镜或内镜手术中放置钉的装置和方法
公开(公告)号：US5040715A
公开(公告)日：1991-08-20
申请号：US358646
申请日：1989-05-26
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.

6. 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.

7. 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.

8. 发明授权

US5947896A Heart stabilizer apparatus and method for use 失效
标题翻译：心脏稳定器及其使用方法
公开(公告)号：US5947896A
公开(公告)日：1999-09-07
申请号：US718283
申请日：1996-09-20
申请人： Charles R. Sherts , David A. Nicholas , Keith Ratcliff , John Charles Robertson , David Farascioni , Daniel E. Alesi , Patrick M. Flanagan
发明人： Charles R. Sherts , David A. Nicholas , Keith Ratcliff , John Charles Robertson , David Farascioni , Daniel E. Alesi , Patrick M. Flanagan
IPC分类号： A61B17/00 , A61B17/02 , A61B17/12 , A61B17/132 , A61B17/28 , A61B19/00 , A61M1/00
CPC分类号： A61B17/0293 , A61B17/12 , A61B17/1325 , A61B2017/00243 , A61B2017/0237 , A61B2017/0243 , A61B2017/2905 , A61B2090/306 , A61B2217/005 , A61B2217/007 , A61B90/50 , A61M1/0058
摘要： Apparatus and method for surgery is disclosed which includes a retractor having a substantially planar base defining an opening for overlying an operative site on a patient, and at least one retractor blade slidably mounted to the base. The base is positioned on the patient such that the opening therein overlies the operative site. The operative site is percutaneously accessed, and obstructing tissue is retracted by engaging the tissue with the retractor blade. A surgical instrument is provided which is engageable with the base and operable at the operative site through the opening in the base. A surgical procedure is carried out through the opening in the base with the surgical instrument.
摘要翻译：公开了一种用于手术的装置和方法，其包括牵开器，所述牵开器具有限定用于覆盖患者的手术部位的开口的基本上平坦的基部，以及可滑动地安装到所述基部的至少一个牵开器刀片。基座定位在患者身上，使得其中的开口覆盖在手术部位上。手术部位经皮访问，并且通过使组织与牵开器叶片接合来阻止组织缩回。提供了一种外科器械，其可与基座接合并且可通过基座中的开口在操作部位操作。外科手术通过手术器械在基部的开口进行。

9. 发明授权

US5725537A Method of performing a vessel anastomosis using a surgical clip applier 失效
标题翻译：使用外科手术夹具进行血管吻合的方法
公开(公告)号：US5725537A
公开(公告)日：1998-03-10
申请号：US713733
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 requiring 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。

10. 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。

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