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1. 发明授权

US5878937A Apparatus for applying surgical fasteners 失效
标题翻译：用于外科紧固件的装置
公开(公告)号：US5878937A
公开(公告)日：1999-03-09
申请号：US939144
申请日：1997-09-29
申请人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa M. Heaton , John C. Robertson
发明人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa M. Heaton , John C. Robertson
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/072 , A61B2017/0725
摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of a retaining mechanism and a linkage structure which is actuable to linearly urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance towards each other.
摘要翻译：一种用于将手术紧固件应用于具有可调闭合机构的组织的手术吻合或紧固器械，以线性近似仪器的钳口构件之间的距离。可调闭合机构由保持机构和连杆结构组成，其可致动以将钳口构件彼此线性地推动。还提供了一种联接装置，其仅当钳口构件相对于彼此近似预定距离时才允许订书钉或紧固件的点火。

2. 发明授权

US5558266A Apparatus for applying surgical fasteners 失效
公开(公告)号：US5558266A
公开(公告)日：1996-09-24
申请号：US234712
申请日：1994-04-28
申请人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , John C. Robertson
发明人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , John C. Robertson
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/072 , A61B2017/0725
摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of a retaining mechanism and a linkage structure which is actuable to linearly urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance towards each other.

3. 发明授权

US5389102A Apparatus and method for subcuticular stapling of body tissue 失效
标题翻译：身体组织皮下吻合装置及方法
公开(公告)号：US5389102A
公开(公告)日：1995-02-14
申请号：US959242
申请日：1992-10-09
申请人： David T. Green , Henry Bolanos , Maria Lopez-Isa , Marc J. Theroux , John C. Robertson , Joseph M. Paul , Stephen W. Gerry , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Maria Lopez-Isa , Marc J. Theroux , John C. Robertson , Joseph M. Paul , Stephen W. Gerry , Wayne P. Young
IPC分类号： A61B17/04 , A61B17/064 , A61B17/068 , A61B17/28 , A61B17/68
CPC分类号： A61B17/04 , A61B17/064 , A61B17/068 , A61B17/282 , A61B17/68
摘要： A surgical apparatus for attaching two portions of cutaneous body tissue includes a pair of opposed elongated members having jaws which have tissue gripping members thereon at one end and which are movable toward each other to a closed position to engage two body tissue portions positioned within the members to move the body tissue portions into close approximation. Manually gripping systems of several alternative configurations are provided to actuate a mechanical transmission system to close the jaws. In a preferred embodiment, a fork is movable from a first position to a second position by manually operable devices to move the jaws toward each other. A pair of cam faces is located adjacent the opposite ends of the jaws. As the fork moves to its second position, the tines of the fork engage against the cam faces to move the opposed jaws to their closed position. A plurality of rod-like fasteners are carded in a stacked configuration proximally of the jaws such that when the jaws are in their closed position and the two body tissue portions are held in close approximation. Each rod-like fastener is movable to a position in ingress to penetrate the body tissue portions to attach the body tissue portions together. In another preferred embodiment, the elongated members are biased outwardly by a coil spring and a unique plate-like fastener drive member is provided to facilitate driving a fastener after the jaws are closed. A fastener cartridge is provided with fasteners stacked in a sloped fashion and having a coil spring to bias the fasteners toward the ejection position. Another embodiment includes a rack and gear teeth arrangement for approximating the jaws and for firing the fasteners. The rack and gear teeth function somewhat like a linear analog of a set of rotary gears. A method of attaching cutaneous body tissue portions is also disclosed.
摘要翻译：用于附接皮肤体组织的两部分的手术装置包括一对相对的细长构件，其具有在其一端具有组织夹持构件的钳口，并且可相对于彼此移动到关闭位置以接合位于构件内的两个身体组织部分将身体组织部分移动到近似。提供了几种替代配置的手动夹紧系统来致动机械传动系统以闭合钳口。在优选实施例中，叉可以通过手动操作的装置从第一位置移动到第二位置，以将夹爪朝向彼此移动。一对凸轮面邻近钳口的相对端定位。当叉移动到其第二位置时，叉的齿与凸轮面接合，以将相对的夹爪移动到其关闭位置。多个杆状紧固件被卡在卡爪的近侧的堆叠构造中，使得当夹爪处于其关闭位置并且两个身体组织部分保持紧密接近时。每个杆状紧固件可移动到入口位置以穿透身体组织部分以将身体组织部分附接在一起。在另一优选实施例中，细长构件被螺旋弹簧向外偏压，并且提供了独特的板状紧固件驱动构件，以便于在夹爪关闭之后驱动紧固件。紧固件卡盒设置有以倾斜方式堆叠的紧固件，并且具有螺旋弹簧以将紧固件偏压到喷射位置。另一个实施例包括用于近似钳口和用于击发紧固件的齿条和齿轮齿布置。齿条和齿轮齿有点像一组旋转齿轮的线性模拟。还公开了附着皮肤组织部分的方法。

4. 发明授权

US5376098A Fragmentable anastomosis ring applier 失效
标题翻译：可分段吻合环施加器
公开(公告)号：US5376098A
公开(公告)日：1994-12-27
申请号：US959152
申请日：1992-10-09
申请人： Diego Fontayne , Henry Bolanos , John C. Robertson , Timothy O. Van Leeuwen , Thomas A. Pelletier , Stephen W. Gerry
发明人： Diego Fontayne , Henry Bolanos , John C. Robertson , Timothy O. Van Leeuwen , Thomas A. Pelletier , Stephen W. Gerry
IPC分类号： A61B17/115 , A61B17/22 , A61B17/00
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/22072
摘要： A novel surgical instrument suitable for insertion and assembly of multi-ring compression devices for circular anastomosis of tubular tissue sections including a body having means to support and align the rings, means for clamping the rings around the free ends of the tissue sections, means for coring away excess clamped tissue and the centers of the rings, separate means for releasing the clamped rings from the instrument and dwell means to delay releasing the rings until after the coring operation is complete. The dwell means consists of an external cap containing separate and coaxial elements for the coring means and the releasing means which are provided with a series of recesses and a plurality of shifter keys to separate the operation of coring from the separate operation of releasing the assembled multi-ring compression device from the instrument. The instrument may additionally include means for detaching a portion of the support means to facilitate installation and alignment, and a safety to ensure safe operation and interchangeable knife blades.
摘要翻译：一种适于插入和组装用于管状组织切片的环形吻合的多环压缩装置的新型外科器械，包括具有支撑和对准环的装置的主体，用于将环围绕组织部分的自由端夹紧的装置，取出多余的夹紧组织和环的中心，用于将夹紧环从仪器释放的分离装置和驻留装置延迟释放环，直到取芯操作完成。停留装置包括外壳，其包含用于取芯装置的分离和同轴元件，以及释放装置，其具有一系列凹槽和多个移位键，用于将取芯操作与将组装的多个来自仪器的压缩装置。仪器还可以包括用于分离支撑装置的一部分以便于安装和对准的装置，以及确保安全操作和可互换刀片的安全性。

5. 发明授权

US08206415B2 Arterial hole closure apparatus 失效
标题翻译：动脉闭孔装置
公开(公告)号：US08206415B2
公开(公告)日：2012-06-26
申请号：US10755428
申请日：2004-01-12
申请人： Roberto Pedros , Keith Ratcliff , John C. Robertson
发明人： Roberto Pedros , Keith Ratcliff , John C. Robertson
IPC分类号： A61B17/08 , A61D1/00
CPC分类号： A61B18/1402 , A61B17/0057 , A61B2018/00404 , A61B2018/0063
摘要： A vascular closure device used in closing openings in vessel walls while permitting post-operative flow through the vessel includes a housing, at least two tissue engaging members, and at least two jaw members. The tissue engaging members engage tissue portions on opposite sides of the vessel opening and move tissue to a desired, predetermined position. The jaw members are adapted, in an open position, for positioning about the tissue portions in the predetermined position, and in a closed position, to at least partially draw the tissue together to an at least partially approximated condition. An attachment member is associated with at least one of the jaw members and arranged to contact the tissue. In one embodiment, the attachment member is adapted for connection to an energy source whereby energy is transmitted through the attachment member to thermally fuse the tissue engaged by the jaw members to substantially close the opening.
摘要翻译：用于封闭容器壁中的开口同时允许手术后流过血管的血管闭合装置包括壳体，至少两个组织接合构件和至少两个钳口构件。组织接合构件接合容器开口的相对侧上的组织部分并将组织移动到期望的预定位置。钳口构件在打开位置适于围绕组织部分在预定位置定位，并且在关闭位置中至少部分地将组织一起拉伸到至少部分近似的状态。附接构件与至少一个钳口构件相关联并且布置成接触组织。在一个实施例中，附接构件适于连接到能量源，由此能量通过附接构件传递，以热熔接由钳口构件接合的组织以基本上封闭开口。

6. 发明授权

US06676685B2 Arterial hole closure apparatus 失效
标题翻译：动脉闭孔装置
公开(公告)号：US06676685B2
公开(公告)日：2004-01-13
申请号：US09883427
申请日：2001-06-18
申请人： Roberto Pedros , Keith Ratcliff , John C. Robertson
发明人： Roberto Pedros , Keith Ratcliff , John C. Robertson
IPC分类号： A61B1704
CPC分类号： A61B18/1402 , A61B17/0057 , A61B2018/00404 , A61B2018/0063
摘要： An arterial closure device for use following coronary catherization procedures to close arterial access openings through the arterial wall while permitting post operative flow through the artery includes a housing having proximal and distal ends, and defining a longitudinal axis, first and second arterial tissue everting members mounted adjacent the distal end of the housing and first and second jaw members mounted adjacent the first and second tissue engaging members. The first and second arterial tissue everting members are dimensioned for at least partial positioning within the arterial access opening in the arterial wall and are deployable in at least a radial outward direction relative to the longitudinal axis of the housing to engage respective opposed arterial tissue portions on opposed sides of the opening and move the tissue arterial portions to an everted condition thereof. The first and second jaw members are adapted for relative movement between an open position to facilitate positioning about the arterial tissue portions in the everted condition and a closed position to at least partially draw the arterial tissue portions together to an at least partial approximated condition. An electrode is associated with at least one of the first and second jaw members and arranged to contact the respective arterial tissue portions. The electrode is adapted to be connected to a radio frequency energy source whereby energy is transmitted through the electrode to thermally fuse the arterial tissue positions between the first and second jaw members to substantially close the opening. Preferably, an electrode is associated with each of the first and second jaw members. Each electrode nay be configured as a bipolar electrode.
摘要翻译：一种动脉闭合装置，用于冠状动脉插入程序之后用于通过动脉壁闭合动脉通路口，同时允许手术后流经动脉的手术包括具有近端和远端并限定纵向轴线的壳体，第一和第二动脉组织移植构件安装邻近所述壳体的远端并且邻近所述第一和第二组织接合构件安装的第一和第二钳口构件。第一和第二动脉组织移动构件的尺寸被设计成在动脉壁中的动脉进入开口内至少部分定位，并且可相对于壳体的纵向轴线以至少一个径向向外的方向展开，以将相应的相对的动脉组织部分开口的相对侧并将组织动脉部分移动到其转动状态。第一和第二钳口构件适于在打开位置之间进行相对运动，以有助于围绕转动状态围绕动脉组织部分定位，以及关闭位置，以至少部分地将动脉组织部分拉至至少部分近似状态。电极与第一和第二钳口构件中的至少一个相关联并且布置成接触相应的动脉组织部分。电极适于连接到射频能量源，由此通过电极传输能量以热熔融第一和第二钳口构件之间的动脉组织位置，以基本上封闭开口。优选地，电极与第一和第二钳口构件中的每一个相关联。每个电极可以配置为双极电极。

7. 发明授权

US06248124B1 Arterial hole closure apparatus 失效
标题翻译：动脉闭孔装置
公开(公告)号：US06248124B1
公开(公告)日：2001-06-19
申请号：US09503510
申请日：2000-02-14
申请人： Roberto Pedros , Keith Ratcliff , John C. Robertson
发明人： Roberto Pedros , Keith Ratcliff , John C. Robertson
IPC分类号： A61B1704
CPC分类号： A61B18/1402 , A61B17/0057 , A61B2018/00404 , A61B2018/0063
摘要： An arterial closure device for use following coronary catherization procedures to close arterial access openings through the arterial wall while permitting post operative flow through the artery includes a housing having proximal and distal ends, and defining a longitudinal axis, first and second arterial tissue everting members mounted adjacent the distal end of the housing and first and second jaw members mounted adjacent the first and second tissue engaging members. The first and second arterial tissue everting members are dimensioned for at least partial positioning within the arterial access opening in the arterial wall and are deployable in at least a radial outward direction relative to the longitudinal axis of the housing to engage respective opposed arterial tissue portions on opposed sides of the opening and move the tissue arterial portions to an everted condition thereof. The first and second jaw members are adapted for relative movement between an open position to facilitate positioning about the arterial tissue portions in the everted condition and a closed position to at least partially draw the arterial tissue portions together to an at least partial approximated condition. An electrode is associated with at least one of the first and second jaw members and arranged to contact the respective arterial tissue portions. The electrode is adapted to be connected to a radiofrequency energy source whereby energy is transmitted through the electrode to thermally fuse the arterial tissue positions between the first and second jaw members to substantially close the opening. Preferably, an electrode is associated with each of the first and second jaw members. Each electrode nay be configured as a bipolar electrode.
摘要翻译：一种动脉闭合装置，用于冠状动脉插入程序之后用于通过动脉壁闭合动脉通路口，同时允许手术后流经动脉的手术包括具有近端和远端并限定纵向轴线的壳体，第一和第二动脉组织移植构件安装邻近所述壳体的远端并且邻近所述第一和第二组织接合构件安装的第一和第二钳口构件。第一和第二动脉组织移动构件的尺寸被设计成在动脉壁中的动脉进入开口内至少部分定位，并且可相对于壳体的纵向轴线以至少一个径向向外的方向展开，以将相应的相对的动脉组织部分开口的相对侧并将组织动脉部分移动到其转动状态。第一和第二钳口构件适于在打开位置之间进行相对运动，以有助于围绕转动状态围绕动脉组织部分定位，以及关闭位置，以至少部分地将动脉组织部分拉至至少部分近似状态。电极与第一和第二钳口构件中的至少一个相关联并且布置成接触相应的动脉组织部分。电极适于连接到射频能量源，由此能量通过电极传播，以热熔融第一和第二钳口构件之间的动脉组织位置，以基本上封闭开口。优选地，电极与第一和第二钳口构件中的每一个相关联。每个电极可以配置为双极电极。

8. 发明授权

US5915616A Surgical fastener applying apparatus 失效
公开(公告)号：US5915616A
公开(公告)日：1999-06-29
申请号：US949208
申请日：1997-10-10
申请人： Frank J. Viola , John C. Robertson
发明人： Frank J. Viola , John C. Robertson
IPC分类号： A61B17/072 , A61B17/115
CPC分类号： A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/0725
摘要： A surgical apparatus for applying staples or fasteners to tissue to form a circular anastomosis having an adjustable closure mechanism to rapidly approximate the distance between the anvil member and the fastener assembly of the instrument. The adjustable closure mechanism provides for rapid approximation during an initial movement and for fine adjustment of the distance between the anvil member and the fastener assembly upon subsequent movement of the closure mechanism. The closure mechanism consists of an advancing mechanism which operates in a two stage advancement, such that initial movement of the advancing mechanism moves the anvil member a greater distance than a subsequent movement of the advancing mechanism.

9. 发明授权

US5474223A Surgical fastener applying apparatus 失效
公开(公告)号：US5474223A
公开(公告)日：1995-12-12
申请号：US270722
申请日：1994-07-05
申请人： Frank J. Viola , John C. Robertson
发明人： Frank J. Viola , John C. Robertson
IPC分类号： A61B17/072 , A61B17/115
CPC分类号： A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/0725
摘要： A surgical apparatus for applying staples or fasteners to tissue to form a circular anastomosis having an adjustable closure mechanism to rapidly approximate the distance between the anvil member and the fastener assembly of the instrument. The adjustable closure mechanism provides for rapid approximation during an initial movement and for fine adjustment of the distance between the anvil member and the fastener assembly upon subsequent movement of the closure mechanism. The closure mechanism consists of an advancing mechanism which operates in a two stage advancement, such that initial movement of the advancing mechanism moves the anvil member a greater distance than a subsequent movement of the advancing mechanism.

10. 发明授权

US5964394A Surgical fastener applying device 失效
标题翻译：手术紧固件施加装置
公开(公告)号：US5964394A
公开(公告)日：1999-10-12
申请号：US76933
申请日：1998-05-13
申请人： John C. Robertson
发明人： John C. Robertson
IPC分类号： A61B17/072 , A61B17/068
CPC分类号： A61B17/072 , A61B2017/0725 , A61B2017/07257
摘要： A fastener applying device for applying surgical fasteners to body tissue is provided. The fastener applying device includes an approximation mechanism having a single actuator to perform fast closure and incremental approximation of a cartridge carrier and anvil. The cartridge carrier and anvil can be approximated into a multiplicity of predetermined firing enabled positions. An adjustment member is operably associated with a firing mechanism of the device to vary the maximum stroke of a pusher bar. The adjustment member facilitates ejection of multiple size fasteners from the device.
摘要翻译：提供了一种用于将外科紧固件应用于身体组织的紧固件施加装置。紧固件施加装置包括具有单个致动器的近似机构，以执行盒式载体和砧座的快速关闭和增量近似。盒式载体和砧座可以近似为多个预定的起动使能位置。调节构件与设备的击发机构可操作地相关联，以改变推杆的最大行程。调节构件便于从装置弹出多个尺寸的紧固件。

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