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1. 发明授权

US5658312A Skin fastener 失效
标题翻译：皮肤紧固件
公开(公告)号：US5658312A
公开(公告)日：1997-08-19
申请号：US426434
申请日：1995-04-20
申请人： David T. Green , Henry Bolanos , Wayne Person
发明人： David T. Green , Henry Bolanos , Wayne Person
IPC分类号： A61B17/00 , A61B17/064 , A61B17/08
CPC分类号： A61B17/064 , A61B2017/00004
摘要： A fastener for securing adjacent layers of body tissue to each other and being configured and composed of a material so as to emerge from the body tissue after a limited period of time. The fastener includes a backspan and at least two prongs extending from the backspan. Each prong has a tapered tip culminating in a sharp point. The prongs each include a shaft having a cylindrical portion of uniform diameter. In one embodiment, the prong includes a serrated portion having a plurality of notches spaced apart so as to define ridge portions therebetween.
摘要翻译：一种紧固件，用于将身体组织的相邻层彼此固定，并且由材料构造和组成，以便在有限的时间段之后从身体组织出来。紧固件包括一个后跨和至少两个从后背跨伸的叉。每个尖头都有一个锥形尖端，最终达到尖峰。这些插脚各自包括具有均匀直径的圆柱形部分的轴。在一个实施例中，插脚包括具有间隔开的多个凹口的锯齿部分，以便在它们之间限定脊部。

2. 发明授权

US5108422A Skin fastener 失效
标题翻译：皮肤紧固件
公开(公告)号：US5108422A
公开(公告)日：1992-04-28
申请号：US601335
申请日：1990-10-22
申请人： David T. Green , Henry Bolanos , Wayne Person
发明人： David T. Green , Henry Bolanos , Wayne Person
IPC分类号： A61B17/00 , A61B17/064
CPC分类号： A61B17/064 , A61B2017/00004
摘要： A fastener for securing adjacent layers of body tissue to each other and being configured and composed of a material so as to emerge from the body tissue after a limited period of time. The fastener includes a backspan and at least two prongs extending from the backspan. Each prong has a tapered tip culminating in a sharp point. The prongs each include a shaft having a cylindrical portion of uniform diameter. In one embodiment the prong includes a serrated portion having a plurality of notches spaced apart so as to define ridge portions therebetween.

3. 发明授权

US5862972A Gas powered 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燃气动力设备
公开(公告)号：US5862972A
公开(公告)日：1999-01-26
申请号：US566251
申请日：1995-12-01
申请人： David T. Green , Henry Bolanos , Lisa W. Heaton , Thomas A. Pelletier
发明人： David T. Green , Henry Bolanos , Lisa W. Heaton , Thomas A. Pelletier
IPC分类号： A61B17/00 , A61B17/068
CPC分类号： A61B17/0684 , A61B17/00234 , A61B2017/00544
摘要： An endoscopic surgical stapling apparatus is disclosed. The apparatus comprises a frame and a generally elongated endoscopic section connected to the frame and extending distally therefrom. The endoscopic section includes a mechanism for storing a plurality of staples, a mechanism for advancing the staples for positioning adjacent body tissue and a mechanism for at least partially closing each staple. A low pressure pneumatic system disposed in the frame provides the forces to at least partially activate the staple advancing mechanism. The apparatus has particular application in attaching mesh to body tissue as in laparoscopic hernia repair.
摘要翻译：公开了一种内镜手术吻合装置。该装置包括框架和连接到框架并从其向远侧延伸的大致细长的内窥镜部分。内窥镜部分包括用于存储多个钉的机构，用于推进订书钉用于定位邻近身体组织的机构和用于至少部分地封闭每个钉的机构。设置在框架中的低压气动系统提供力以至少部分地启动订书钉推进机构。该装置特别适用于在腹腔镜疝修补中将网状物附着于身体组织。

4. 发明授权

US5826777A Anvil for surgical stapler 失效
公开(公告)号：US5826777A
公开(公告)日：1998-10-27
申请号：US296201
申请日：1994-08-25
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.

5. 发明授权

US5573169A Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures 失效
标题翻译：用于在腹腔镜或内窥镜手术中应用两部分手术紧固件的装置
公开(公告)号：US5573169A
公开(公告)日：1996-11-12
申请号：US253208
申请日：1994-06-02
申请人： David T. Green , Henry Bolanos , Michael S. Kolesa , Kenneth Toso
发明人： David T. Green , Henry Bolanos , Michael S. Kolesa , Kenneth Toso
IPC分类号： A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28
CPC分类号： A61B17/07207 , A61B17/068 , A61B17/00234 , A61B2017/2927 , A61B2017/2929
摘要： Apparatus is disclosed for applying two-part surgical fasteners during endoscopic or laparoscopic procedures. The apparatus includes a handle portion, an elongated endoscopic portion which extends from the handle portion, and structure associated with a distal end portion of the endoscopic portion for applying a two-part surgical fastener. The fastener applying structure includes a camming assembly for driving the fastener portion of the two-part surgical fastener into engagement with the retainer portion of the two-part surgical fastener through a fastener lifting member.
摘要翻译：公开了用于在内窥镜或腹腔镜手术中应用两部分外科紧固件的装置。该装置包括手柄部分，从手柄部分延伸的细长内窥镜部分和与内窥镜部分的远端部分相关联的结构，用于施加两部分手术紧固件。紧固件施加结构包括凸轮组件，用于通过紧固件提升构件驱动两部分外科紧固件的紧固件部分与两部分外科紧固件的保持器部分接合。

6. 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.

7. 发明授权

US5509596A 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：US5509596A
公开(公告)日：1996-04-23
申请号：US179776
申请日：1994-01-10
申请人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , Frank J. Viola
发明人： David T. Green , Henry Bolanos , Keith Ratcliff , Lisa W. Heaton , Frank J. Viola
IPC分类号： 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 an advancing mechanism and a retaining mechanism which is actuable to 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 from 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。可调闭合机构由前进机构和保持机构组成，其可致动以将夹爪构件朝向彼此推动。还提供了一种联接装置，其仅在钳口构件彼此近似预定距离时才允许订书钉或紧固件的点火。

8. 发明授权

US5413272A Surgical fastening device 失效
标题翻译：手术紧固装置
公开(公告)号：US5413272A
公开(公告)日：1995-05-09
申请号：US121012
申请日：1993-09-14
申请人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Dominick L. Mastri , Richard A. McGarry , Wayne P. Young
IPC分类号： A61B17/064 , A61B17/068 , A61B17/04
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/0684
摘要： A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. Structure is provided for advancing the fasteners distally by an actuating handle means working in concert with a pusher means. The fasteners exit the fastener housing at an angle to the longitudinal axis of the device to facilitate visualization and placement at the surgical site. A unique fastener may be formed in which the legs are in a substantially overlapping longitudinally-spaced relation.
摘要翻译：提供了用于将紧固件和/或增强材料放置在组织中的外科器械。提供用于通过与推动器装置协同工作的致动手柄装置向远侧推进紧固件的结构。紧固件以与设备的纵向轴线成一定角度离开紧固件壳体，以便于在手术部位的可视化和放置。可以形成独特的紧固件，其中腿部基本上重叠的纵向间隔的关系。

9. 发明授权

US5376101A Suture retaining clip 失效
公开(公告)号：US5376101A
公开(公告)日：1994-12-27
申请号：US173904
申请日：1993-12-27
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
IPC分类号： A61B17/04 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0487 , A61B17/06 , A61B17/122 , A61B2017/045 , A61B2017/0454 , A61B2017/0464
摘要： A suture holding clip including legs each having a suture contacting surface. The legs can be closed to define an interface for holding a suture in a serpentine configuration. In another embodiment the suture holding clip is initially in a spider leg configuration with a spine and legs projecting from the spine and alternately angled to one or the other of two directions so as to define therebetween a lengthwise extending passage for the reception therethrough of a suture.

10. 发明授权

US5366479A Surgical staple for attaching an object to body tissue 失效
标题翻译：用于将物体附着到身体组织的外科手术钉
公开(公告)号：US5366479A
公开(公告)日：1994-11-22
申请号：US100613
申请日：1993-07-30
申请人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young
发明人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/28 , A61B19/00 , A61F2/00
CPC分类号： A61B17/0686 , A61B17/0684 , A61B17/00234 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus and surgical staple are disclosed for endoscope application of the surgical staples for attaching surgical mesh to body tissue in laparoscopic hernia surgery. The surgical staple is formed of a length of wire having a central portion having a middle portion and end portions extending therefrom in a first direction. Wire leg members extend in a direction generally perpendicular to the middle portion. Bridge portions are provided to connect each leg member to the end portions of the central portion. The bridge portions each have a straight portion substantially parallel to the middle portion and extending away from the end portions of the central portion. A first generally arcuate portion connected to the straight portions has a concave surface portion facing in a direction generally inwardly toward the opposing leg member. The first generally arcuate portions are connected to the leg members and at least a portion of each arcuate portion extends from the straight portions and generally in the first direction. A second arcuate portion on the leg members connects the leg member to the first arcuate portion. The free ends of the leg members are sharp to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue.
摘要翻译：公开了一种用于在腹腔镜疝手术中用于将手术网连接到身体组织的外科手术钉的内窥镜应用的装置和外科手术钉。外科缝合钉由具有中间部分的中心部分和从第一方向延伸的端部部分的线的长度形成。线腿构件沿大致垂直于中间部分的方向延伸。提供桥接部分以将每个腿部构件连接到中心部分的端部。桥接部分各自具有基本上平行于中间部分并且远离中心部分的端部延伸的直线部分。连接到直线部分的第一大致弓形部分具有面向相对腿部件的大致向内的方向的凹面部分。第一大致弓形的部分连接到腿部件，并且每个弓形部分的至少一部分从直的部分延伸并且大致沿第一方向延伸。腿部件上的第二弧形部分将腿部件连接到第一弧形部分。腿部构件的自由端锋利地穿过身体组织，以将网状物的一部分附着到身体组织上。

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