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1. 发明授权

US5626608A Surgical instrument having locking handle 失效
标题翻译：具有锁定手柄的手术器械
公开(公告)号：US5626608A
公开(公告)日：1997-05-06
申请号：US625454
申请日：1996-03-29
申请人： Douglas J. Cuny , Ernie Aranyi , Paul A. Matula
发明人： Douglas J. Cuny , Ernie Aranyi , Paul A. Matula
IPC分类号： A61B17/28 , A61B17/00 , A61B1/00
CPC分类号： A61B17/2909 , A61B2017/2946
摘要： An endoscopic or laparoscopic surgical instrument is disclosed having a handle assembly including a barrel portion, stationary handle and a pivoting handle. A body assembly includes a pair of coaxial members attached at one end to the handle assembly, and an inner rod member slidable within an outer tube member in response to movement of the pivoting handle of the handle assembly. The body assembly terminates at an end remote from the handle assembly in a reciprocatingly movable tool mechanism. A first toothed ratchet mechanism is associated with the pivoting handle, and a second toothed mating ratchet mechanism is operatively associated with the first toothed ratchet mechanism for selectively locking the first toothed ratchet mechanism and the pivoting handle in one of a plurality of selectable positions to thereby position the inner rod member and the movable tool mechanism in predetermined selectable positions. A finger operable trigger member is operatively associated with the second toothed ratchet mechanism for selectively engaging and disengaging the first and second ratchet mechanisms to thereby selectively lock and unlock the movable tool mechanism.
摘要翻译：公开了具有手柄组件的内窥镜或腹腔镜手术器械，所述手柄组件包括镜筒部分，固定手柄和枢转手柄。主体组件包括在一端附接到手柄组件的一对同轴构件，以及响应于手柄组件的枢转手柄的移动而在外管构件内滑动的内杆构件。主体组件在可往复运动的工具机构中终止于远离手柄组件的一端。第一齿形棘轮机构与枢转手柄相关联，并且第二齿形配合棘轮机构与第一齿形棘轮机构可操作地相关联，用于选择性地将第一齿形棘轮机构和枢转手柄锁定在多个可选位置中的一个中，从而将内杆构件和可动工具机构定位在预定的可选位置。手指可操作的触发器构件与第二齿形棘轮机构可操作地相关联，用于选择性地接合和分离第一和第二棘轮机构，从而选择性地锁定和解锁可移动工具机构。

2. 发明授权

US5792150A Apparatus for applying surgical clips with improved jaw and closure mechanisms 失效
标题翻译：用于用改进的颌和闭合机构应用手术夹具的装置
公开(公告)号：US5792150A
公开(公告)日：1998-08-11
申请号：US476607
申请日：1995-06-07
申请人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
发明人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
IPC分类号： A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure. The apparatus includes a ratchet mechanism for permitting incremental closure of a pair of jaw members. A slide member is associated with the ratchet mechanism to prevent a movable handle from opening during a closing stroke until the closing stroke is completed.
摘要翻译：提供了一种用于施加外科夹具的装置，其包括在外科手术期间将部分闭合的夹子施加到管道或分流器的设备。该装置包括用于允许一对钳口构件的增量关闭的棘轮机构。滑动构件与棘轮机构相关联，以防止可动手柄在关闭行程期间打开，直到闭合行程完成。

3. 发明授权

US5607436A Apparatus for applying surgical clips 失效
标题翻译：用于外科夹子的装置
公开(公告)号：US5607436A
公开(公告)日：1997-03-04
申请号：US134347
申请日：1993-10-08
申请人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
发明人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
IPC分类号： A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure such as cholecystectomy procedures. The apparatus includes means for effecting a partial closing stroke of the handle mechanism to correspond to a partial closure of the jaw members, and permits a partial opening stroke to release the partially closed clip in the jaw mechanism. Other features of the invention include means for preventing over advancement of a clip to the jaw mechanism, means for cradling the clip as it is advanced from the clip supply to the jaw mechanism, means for preventing splaying of the jaws in the event of a clip-over-clip application, and a novel rotation collar. The instrument of the present invention provides the surgeon with visual, audible, and tactile indication of the positioning of the jaw members to effect the application of a partially closed clip.
摘要翻译：提供了一种用于施加外科夹具的装置，其包括用于在诸如胆囊切除手术的外科手术过程中将部分闭合的夹子施加到管道或分流器的部件。该装置包括用于实现手柄机构的部分闭合行程以对应于钳口构件的部分闭合的装置，并且允许部分打开行程以释放夹钳机构中的部分闭合的夹子。本发明的其他特征包括用于防止夹子向钳口机构过度推进的装置，用于当夹子从夹子供应件向夹爪机构前进时将夹子夹紧的装置，用于在夹子的情况下防止夹爪突出的装置旋转轴环。本发明的仪器为外科医生提供了夹钳构件的定位的视觉，听觉和触觉指示，以实现部分闭合的夹子的应用。

4. 发明授权

US5755726A Apparatus for applying surgical clips 失效
标题翻译：用于外科夹子的装置
公开(公告)号：US5755726A
公开(公告)日：1998-05-26
申请号：US691887
申请日：1996-08-01
申请人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
发明人： James R. Pratt , Gary S. Kappel , Douglas J. Cuny , H. Jonathan Tovey , Paul J. Phillips , Mark S. Peyser , Ernie Aranyi
IPC分类号： A61B17/128 , A61B17/28 , A61B17/10
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure such as cholecystectomy procedures. The apparatus includes means for effecting a partial closing stroke of the handle mechanism to correspond to a partial closure of the jaw members, and permits a partial opening stroke to release the partially closed clip in the jaw mechanism. Other features of the invention include means for preventing over advancement of a clip to the jaw mechanism, means for cradling the clip as it is advanced from the clip supply to the jaw mechanism, means for preventing splaying of the jaws in the event of a clip-over-clip application, and a novel rotation collar. The instrument of the present invention provides the surgeon with visual, audible, and tactile indication of the positioning of the jaw members to effect the application of a partially closed clip.
摘要翻译：提供了一种用于施加外科夹具的装置，其包括用于在诸如胆囊切除手术的外科手术过程中将部分闭合的夹子施加到管道或分流器的部件。该装置包括用于实现手柄机构的部分闭合行程以对应于钳口构件的部分闭合的装置，并且允许部分打开行程以释放夹钳机构中的部分闭合的夹子。本发明的其他特征包括用于防止夹子向钳口机构过度推进的装置，用于当夹子从夹子供应件向夹爪机构前进时将夹子夹紧的装置，用于在夹子的情况下防止夹爪突出的装置旋转轴环。本发明的仪器为外科医生提供了视觉，听觉和触觉指示夹爪构件的定位以实现部分闭合的夹子的应用。

5. 发明授权

US5938667A Surgical clip applier 失效
标题翻译：手术夹子
公开(公告)号：US5938667A
公开(公告)日：1999-08-17
申请号：US887672
申请日：1997-07-03
申请人： Mark S. Peyser , Douglas J. Cuny , Douglas W. Strauss , Scott W. Reed , Csaba L. Rethy , Ernie Aranyi
发明人： Mark S. Peyser , Douglas J. Cuny , Douglas W. Strauss , Scott W. Reed , Csaba L. Rethy , Ernie Aranyi
IPC分类号： A61B17/128 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号： A61B17/1285 , A61B2017/2936 , A61B2090/037
摘要： A surgical clip applier includes a housing, a pair of handles pivotably connected to opposite sides of the housing, a channel assembly which is anchored to the housing and a jaw assembly which is anchored to the channel assembly. The jaws are opened and closed by a cam plate which is slidably positioned in the channel assembly and is provided with cam slots at its distal end to engage drive rivets positioned on the jaw members. A pusher bar assembly is also provided to feed clips from a series of clips to the jaw mechanism, and the instrument operates such that all moving components move in the same direction during the closing stroke of the handle, and then move in the same direction opposite to the closing direction when the handles are in the opening stroke. A novel lockout mechanism is also provided to render the instrument inoperable after all the clips have been utilized from the instrument.
摘要翻译：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，锚固到壳体的通道组件和锚固到通道组件的钳口组件。夹爪由可滑动地定位在通道组件中的凸轮板打开和关闭，并且在其远端处设置有凸轮槽，以接合位于钳口构件上的驱动铆钉。还提供推杆组件以将夹子从一系列夹子馈送到钳口机构，并且仪器操作使得所有移动部件在手柄的关闭行程期间沿相同方向移动，然后沿相反方向移动当手柄处于打开行程时到关闭方向。还提供了一种新颖的锁定机构，用于在仪器中使用所有夹子后使仪器无法使用。

6. 发明授权

US5772673A Apparatus for applying surgical clips 失效
公开(公告)号：US5772673A
公开(公告)日：1998-06-30
申请号：US611962
申请日：1996-03-07
申请人： Douglas J. Cuny , Ernie Aranyi , Scott W. Reed , Vinod C. Nagori
发明人： Douglas J. Cuny , Ernie Aranyi , Scott W. Reed , Vinod C. Nagori
IPC分类号： A61B17/00 , A61B17/10 , A61B17/128 , A61B17/28 , A61B19/00
CPC分类号： A61B17/1285 , A61B17/105 , A61B2017/0046 , A61B2017/2929 , A61B2090/0813 , Y10S227/901
摘要： An apparatus for application of surgical clips to body tissue is disclosed having a handle assembly and an elongated body portion extending distally from the handle assembly. A jaw assembly is mounted at a distal end portion of the elongated body portion and includes first and second jaws movable between an open position and a closed position. An actuator is disclosed which is slidable within the elongated body portion in response to actuation of the handle assembly. The actuator has camming structure at a distal portion thereof for moving the first and second jaws between the open position and the closed position. A loading unit is releasably mounted to the elongated body portion and stores a plurality of surgical clips therein. The loading unit includes a clip advancer having a portion engageable with the actuator and movable therewith for advancing a distalmost surgical clip and a ratchet assembly associated with the clip advancer to index progressive movement thereof.

7. 发明授权

US5700270A Surgical clip applier 失效
标题翻译：手术夹子
公开(公告)号：US5700270A
公开(公告)日：1997-12-23
申请号：US546484
申请日：1995-10-20
申请人： Mark S. Peyser , Douglas J. Cuny , Douglas W. Strauss , Scott W. Reed , Csaba L. Rethy , Ernie Aranyi
发明人： Mark S. Peyser , Douglas J. Cuny , Douglas W. Strauss , Scott W. Reed , Csaba L. Rethy , Ernie Aranyi
IPC分类号： A61B17/128 , A61B17/28 , A61B19/00 , A61B17/10
CPC分类号： A61B17/1285 , A61B2017/2936 , A61B2090/037
摘要： A surgical clip applier includes a housing, a pair of handles pivotably connected to opposite sides of the housing, a channel assembly which is anchored to the housing and a jaw assembly which is anchored to the channel assembly. The jaws are opened and closed by a cam plate which is slidably positioned in the channel assembly and is provided with cam slots at its distal end to engage drive rivets positioned on the jaw members. A pusher bar assembly is also provided to feed clips from a series of clips to the jaw mechanism, and the instrument operates such that all moving components move in the same direction during the closing stroke of the handle, and then move in the same direction opposite to the closing direction when the handles are in the opening stroke. A novel lockout mechanism is also provided to render the instrument inoperable after all the clips have been utilized from the instrument.
摘要翻译：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，锚固到壳体的通道组件和锚固到通道组件的钳口组件。夹爪由可滑动地定位在通道组件中的凸轮板打开和关闭，并且在其远端处设置有凸轮槽，以接合位于钳口构件上的驱动铆钉。还提供推杆组件以将夹子从一系列夹子馈送到钳口机构，并且仪器操作使得所有移动部件在手柄的关闭行程期间沿相同方向移动，然后沿相反方向移动当手柄处于打开行程时到关闭方向。还提供了一种新颖的锁定机构，用于在仪器中使用所有夹子后使仪器无法使用。

8. 发明授权

US5603723A Surgical instrument configured to be disassembled for cleaning 失效
标题翻译：手术器械配置为拆卸清洗
公开(公告)号：US5603723A
公开(公告)日：1997-02-18
申请号：US371251
申请日：1995-01-11
申请人： Ernie Aranyi , Douglas J. Cuny
发明人： Ernie Aranyi , Douglas J. Cuny
IPC分类号： A61B17/00 , A61B17/28 , A61B19/00
CPC分类号： A61B17/29 , A61B2017/0046 , A61B2017/2837 , A61B2017/292 , A61B2017/2946 , A61B2090/0813
摘要： A surgical apparatus is disclosed which includes a handle assembly having a barrel portion, a stationary handle depending from the barrel portion, and an actuating handle pivotally associated with the barrel portion. An elongate body assembly having opposed proximal and distal end portions and an interior bore extending therethrough is releasably engaged within the barrel portion of the handle assembly. An actuation assembly is provided and includes an elongate control shaft dimensioned to extend through the interior bore of the body assembly. A jaw housing is attached to a distal end portion of the control shaft, and a pair of jaw members are supported in the housing. The jaw housing is releasably engaged to the body assembly within the interior bore thereof, and a proximal end of the control shaft is releasably engaged to the actuation handle. A release button is mounted in the barrel portion of the handle assembly and includes a spring biased clasp for releasably engaging the control shaft adjacent the proximal end thereof.
摘要翻译：公开了一种手术装置，其包括具有镜筒部分的手柄组件，从镜筒部分悬垂的固定手柄以及与镜筒部分枢转地相关联的致动手柄。具有相对的近端部分和远端部分以及延伸穿过其的内部孔的细长主体组件可释放地接合在手柄组件的筒体部分内。提供致动组件并且包括被设计成延伸穿过主体组件的内孔的细长控制轴。颚壳体附接到控制轴的远端部分，并且一对钳口构件被支撑在壳体中。钳口壳体在其内孔内可拆卸地接合到主体组件，并且控制轴的近端可释放地接合到致动手柄。释放按钮安装在手柄组件的镜筒部分中，并且包括弹簧偏置的卡扣，用于可靠地与控制轴接近其近端。

9. 发明授权

US6059799A Apparatus for applying surgical clips 失效
标题翻译：用于外科夹子的装置
公开(公告)号：US6059799A
公开(公告)日：2000-05-09
申请号：US105100
申请日：1998-06-25
申请人： Ernie Aranyi , Douglas J. Cuny
发明人： Ernie Aranyi , Douglas J. Cuny
IPC分类号： A61B17/128 , A61B17/08
CPC分类号： A61B17/1285
摘要： An apparatus for application of surgical clips to body tissue is disclosed having a handle assembly and an elongated body portion extending distally from the handle assembly. A jaw assembly is mounted at a distal end portion of the elongated body portion and includes first and second jaws movable between an open position and a closed position. An actuator is disclosed which is slidable within the elongated body portion in response to actuation of the handle assembly. The actuator has camming structure at a distal portion thereof for moving the first and second jaws between the open position and the closed position. A loading unit is releasably mounted to the elongated body portion and stores a plurality of surgical clips therein. The loading unit includes a clip advancer having a portion engageable with the actuator and movable therewith for advancing a distalmost surgical clip and a ratchet assembly associated with the clip advancer to index progressive movement thereof.
摘要翻译：公开了一种用于将手术夹具应用于身体组织的装置，其具有手柄组件和从手柄组件向远侧延伸的细长主体部分。钳口组件安装在细长主体部分的远端部分处，并且包括可在打开位置和关闭位置之间移动的第一和第二钳口。公开了一种致动器，其可响应于手柄组件的致动而在细长主体部分内滑动。致动器在其远端部分具有凸轮结构，用于在打开位置和关闭位置之间移动第一和第二钳口。装载单元可释放地安装到细长主体部分并且在其中存储多个手术夹具。装载单元包括夹子推进器，该夹具推进器具有可与致动器接合的部分，并且可与其一起移动，用于推进与夹子推进器相关联的最远侧手术夹子和棘轮组件以索引其逐渐移动。

10. 发明授权

US07087071B2 Articulating endoscopic surgical apparatus 失效
公开(公告)号：US07087071B2
公开(公告)日：2006-08-08
申请号：US10037977
申请日：2001-11-09
申请人： David A. Nicholas , Ernie Aranyi , Boris Zvenyatsky , Paul A. Matula , Stanley H. Remiszewski , David T. Green , Henry Bolanos
发明人： David A. Nicholas , Ernie Aranyi , Boris Zvenyatsky , Paul A. Matula , Stanley H. Remiszewski , David T. Green , Henry Bolanos
IPC分类号： A61B17/28 , A61B1/00
CPC分类号： A61B17/320016 , A61B17/0218 , A61B17/29 , A61B18/1442 , A61B18/1445 , A61B2017/2902 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936
摘要： A surgical instrument is provided for use in endoscopic or laparoscopic procedures. The instrument includes a handle portion, an endoscopic portion extending from the handle portion, an articulating section pivotably connected to a distal end portion of the endoscopic portion, and a retractor assembly operatively associated with the articulating section. Structure is provided for manipulating the articulating section relative to the longitudinal axis of the endoscopic portion within an angular degree of rotation. An injection port may also be provided to deliver fluids through the endoscopic portion to the operative site.

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