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1. 发明授权

US5645551A Apparatus and method for applying surgical clips 失效
标题翻译：用于外科夹子的装置和方法
公开(公告)号：US5645551A
公开(公告)日：1997-07-08
申请号：US300254
申请日：1994-09-02
申请人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
发明人： David T. Green , Henry Bolanos , Wayne P. Young , Richard A. McGarry , Lisa W. Heaton , Keith Ratcliff
IPC分类号： A61B17/128 , A61B17/04
CPC分类号： A61B17/1285 , Y10S227/901
摘要： An apparatus for applying surgical clips through an endoscopic tube includes an endoscopic portion housing a jaw blade, a pusher bar for feeding clips one at a time to the jaws, a channel bar for camming the jaw blades into closed position, and an array of surgical clips. The body of the apparatus comprises a frame housing an actuating mechanism and a transmission mechanism for transferring movement to the pusher bar and channel. The endoscopic portion is rotatable relative Go the frame. In one embodiment the apparatus is a single disposable unit. In an alternative embodiment the endoscopic portion is detachable and disposable whereas the non-endoscopic body portion is reusable.
摘要翻译：用于通过内窥镜管施加外科夹具的装置包括：内窥镜部分，其容纳颚式刀片;推动杆，用于一次一个地将镊子夹持夹持件;通道杆，用于将颌片刀片闭合到闭合位置;以及一组外科手术剪辑。设备的主体包括容纳致动机构的框架和用于将运动传递到推杆和通道的传动机构。内窥镜部分可相对于框架旋转。在一个实施例中，该装置是单个一次性单元。在替代实施例中，内窥镜部分是可拆卸的和一次性的，而非内窥镜主体部分是可重复使用的。

2. 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。

3. 发明授权

US5368599A Surgical fastening apparatus with suture array 失效
标题翻译：缝合线阵列的外科紧固装置
公开(公告)号：US5368599A
公开(公告)日：1994-11-29
申请号：US958392
申请日：1992-10-08
申请人： Leon C. Hirsch , David T. Green , Henry Bolanos , Wayne P. Young , Dominick L. Mastri , Lisa W. Heaton , Mark E. Alari
发明人： Leon C. Hirsch , David T. Green , Henry Bolanos , Wayne P. Young , Dominick L. Mastri , Lisa W. Heaton , Mark E. Alari
IPC分类号： A61B17/00 , A61B17/04 , A61B17/064 , A61B17/072 , A61B17/42 , A61B19/00
CPC分类号： A61B17/072 , A61B17/04 , A61B17/0401 , A61B17/064 , A61B17/0643 , A61B17/42 , A61B2017/00004 , A61B2017/0454 , A61B2017/0458 , A61B2017/07214 , A61B2090/3937
摘要： An apparatus for simultaneously applying to body tissue at least one surgical suture in conjunction with a plurality of surgical fasteners arranged end to end in rows. The apparatus preferably includes a knife for making an incision in the body tissue sealed in each side by at least one row of fasteners. The fasteners are two-part fasteners fabricated from bioabsorbable material. The incision is closed by pulling the ends of the suture(s).
摘要翻译：一种用于同时向身体组织施加至少一个外科缝合线的装置，其结合多个排列成行的端部排列的外科紧固件。该装置优选地包括用于通过至少一排紧固件在每侧密封的身体组织中进行切口的刀。紧固件是由生物可吸收材料制成的两部分紧固件。通过拉动缝合线的端部来关闭切口。

4. 发明授权

US5289963A Apparatus and method for applying surgical staples to attach an object to body tissue 失效
标题翻译：用于施加手术钉以将物体附着到身体组织的装置和方法
公开(公告)号：US5289963A
公开(公告)日：1994-03-01
申请号：US782290
申请日：1991-10-18
申请人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
发明人： Richard A. McGarry , David T. Green , Henry Bolanos , Wayne P. Young , Lisa W. Heaton , Salvatore Castro
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 is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger mecanism to actuate the pusher. Anvil means provides for closing the staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. The invention also relates to a system for attaching surgical mesh to body tissue, a method for endoscopically attaching surgical mesh to body tissue. The staple for endoscopically attaching the surgical mesh to body tissue and a kit for accomplishing such attachment.
摘要翻译：公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝钉，每个钉构造成适于将网状物附接到身体组织。提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。推动器系统还包括致动推动器的触发器技术。砧座装置提供用于封闭钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。本发明还涉及一种用于将外科手术网连接到身体组织的系统，用于将外科手术网内窥镜附接到身体组织的方法。用于内窥镜地将外科手术网连接到身体组织的钉子和用于完成这种附接的套件。

5. 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。

6. 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。

7. 发明授权

US5257713A Surgical fastening device 失效
标题翻译：手术紧固装置
公开(公告)号：US5257713A
公开(公告)日：1993-11-02
申请号：US931591
申请日：1992-08-18
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 , A61B17/00
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。

8. 发明授权

US5253793A Apparatus for applying two-part surgical fasteners 失效
标题翻译：用于应用两部分手术紧固件的装置
公开(公告)号：US5253793A
公开(公告)日：1993-10-19
申请号：US651594
申请日：1991-02-06
申请人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
发明人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
IPC分类号： A61B17/00 , A61B17/072 , A61B19/00
CPC分类号： A61B17/07207 , A61B2017/00446 , A61B2017/00451 , A61B2017/07228 , A61B2090/08021
摘要： Apparatus for applying at least one row of two-part surgical fasteners to body tissue, each surgical fastener having a pronged fastener portion for piercing body tissue, and an aperture retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. The apparatus includes means for holding a plurality of the fastener portions in generally aligned relation, means spaced from the fastener portion holding means for gripping body tissue therebetween and for releasably holding a plurality of the retainers in generally aligned relation and positioned opposite the fasteners when the body tissue is positioned therebetween. Means is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue and to be received within the apertures of the retainers in engaged interference relation so as to cause the fastener portions and the retainers to be engaged while gripping the body tissue therebetween. In the preferred embodiment a knife edge is provided to cut the body tissue midway between opposed pairs of rows of the fasteners as the fasteners are applied. A method for applying two spaced apart pairs of rows of the fasteners to body tissue on the apparatus of the invention is also disclosed. A locking mechanism can be provided in the form of a hook which engages the cam bar retainer after firing the staples to prevent forward movement of the cam bar retainer.

9. 发明授权

US5217472A Surgical fastening device 失效
标题翻译：外科手术装置
公开(公告)号：US5217472A
公开(公告)日：1993-06-08
申请号：US696511
申请日：1991-05-07
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： A61B17/068
CPC分类号： A61B17/068
摘要： A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. 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.

10. 发明授权

US5156614A Apparatus for applying two-part surgical fasteners 失效
标题翻译：用于应用两部分手术紧固件的装置
公开(公告)号：US5156614A
公开(公告)日：1992-10-20
申请号：US794596
申请日：1991-11-14
申请人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
发明人： David T. Green , Henry Bolanos , Robert J. Geiste , Wayne P. Young , Stephen W. Gerry , Frank M. Rende, III
IPC分类号： A61B17/00 , A61B17/072 , A61B19/00
CPC分类号： A61B17/07207 , A61B2017/00446 , A61B2017/00451 , A61B2090/08021
摘要： Apparatus for applying at least one row of two-part surgical fasteners to body tissue, each surgical fastener having a pronged fastener portion for piercing body tissue, and an aperture retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. The apparatus includes means for holding a plurality of the fastener portions in generally aligned relation, means spaced from the fastener portion holding means for gripping body tissue therebetween and for releasably holding a plurality of the retainers in generally aligned relation and positioned opposite the fasteners when the body tissue is positioned therebetween. Means is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue and to be received within the apertures of the retainers in engaged interference relation so as to cause the fastener portions and the retainers to be engaged while gripping the body tissue therebetween. In the preferred embodiment a knife edge is provided to cut the body tissue midway between opposed pairs of rows of the fasteners as the fasteners are applied. A method for applying two spaced apart pairs of rows of the fasteners to body tissue on the apparatus of the invention is also disclosed.
摘要翻译：用于将至少一排两部分手术紧固件施加到身体组织的装置，每个手术紧固件具有用于刺穿身体组织的带插脚的紧固件部分，以及孔保持器，所述孔保持器的尺寸和构造适于接合接合插入的紧固件部分，夹住其间的身体组织。该装置包括用于以大致对齐的关系保持多个紧固件部分的装置，与紧固件部分保持装置间隔开的装置，用于夹持其间的身体组织，并且用于可释放地将多个保持器以大致对齐的关系可释放地保持，身体组织位于它们之间。提供了用于将经插入的紧固件部分朝向有孔保持器顺序前进的装置，以使紧固件部分以接合的干涉关系刺穿身体组织并被容纳在保持器的孔内，以使紧固件部分和保持器成为在夹持其间的身体组织的同时接合。在优选实施例中，提供刀刃以在施加紧固件时在紧固件的相对的一对行之间的中间切割身体组织。还公开了一种在本发明的装置上将两个间隔开的紧固件对的行对施加到身体组织的方法。

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