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1. 发明授权

US08348129B2 Surgical stapler having a closure mechanism 有权
标题翻译：具有闭合机构的手术吻合器
公开(公告)号：US08348129B2
公开(公告)日：2013-01-08
申请号：US12622099
申请日：2009-11-19
申请人： James J. Bedi , John P. Measamer , Chester O. Baxter, III
发明人： James J. Bedi , John P. Measamer , Chester O. Baxter, III
IPC分类号： A61B17/064
CPC分类号： A61B17/0644 , A61B17/0686 , A61B17/07207 , A61B2017/07264 , A61B2017/07285
摘要： A surgical stapler comprising a first handle portion comprising a staple cartridge channel configured to receive a staple cartridge and a second handle portion comprising an anvil. The stapler further comprises a rotatable latch and a latch projection, wherein the latch is rotatably coupled to one of the first handle portion and the second handle portion and wherein the latch projection extends from the other of the first handle portion and the second handle portion. The latch is configured to engage the latch projection to move the first handle portion and the second handle portion toward one another. In various embodiments, the latch projection comprises a rotatable bearing wherein the latch is configured to contact the rotatable bearing when the latch engages the latch projection.
摘要翻译：一种外科缝合器，包括第一手柄部分，其包括构造成容纳钉仓的钉仓通道和包括砧座的第二手柄部分。订书机还包括可旋转的闩锁和闩锁突起，其中闩锁可旋转地联接到第一手柄部分和第二手柄部分中的一个，并且其中闩锁突起从第一手柄部分和第二手柄部分中的另一个延伸。闩锁构造成接合闩锁突起以使第一手柄部分和第二手柄部分彼此相对移动。在各种实施例中，闩锁突起包括可旋转的轴承，其中闩锁构造成当闩锁接合闩锁突起时接触可旋转的轴承。

2. 发明申请

US20110084115A1 SURGICAL STAPLER HAVING A CLOSURE MECHANISM 有权
标题翻译：具有闭合机构的外科手术台
公开(公告)号：US20110084115A1
公开(公告)日：2011-04-14
申请号：US12622099
申请日：2009-11-19
申请人： James J. Bedi , John P. Measamer , Chester O. Baxter, III
发明人： James J. Bedi , John P. Measamer , Chester O. Baxter, III
IPC分类号： A61B17/064
CPC分类号： A61B17/0644 , A61B17/0686 , A61B17/07207 , A61B2017/07264 , A61B2017/07285
摘要： A surgical stapler comprising a first handle portion comprising a staple cartridge channel configured to receive a staple cartridge and a second handle portion comprising an anvil. The stapler further comprises a rotatable latch and a latch projection, wherein the latch is rotatably coupled to one of the first handle portion and the second handle portion and wherein the latch projection extends from the other of the first handle portion and the second handle portion. The latch is configured to engage the latch projection to move the first handle portion and the second handle portion toward one another. In various embodiments, the latch projection comprises a rotatable bearing wherein the latch is configured to contact the rotatable bearing when the latch engages the latch projection.
摘要翻译：一种外科缝合器，包括第一手柄部分，其包括构造成容纳钉仓的钉仓通道和包括砧座的第二手柄部分。订书机还包括可旋转的闩锁和闩锁突起，其中闩锁可旋转地联接到第一手柄部分和第二手柄部分中的一个，并且其中闩锁突起从第一手柄部分和第二手柄部分中的另一个延伸。闩锁构造成接合闩锁突起以使第一手柄部分和第二手柄部分彼此相对移动。在各种实施例中，闩锁突起包括可旋转的轴承，其中闩锁构造成当闩锁接合闩锁突起时接触可旋转的轴承。

3. 发明申请

US20100096435A1 SURGICAL STAPLING INSTRUMENT WITH APPARATUS FOR PROVIDING ANVIL POSITION FEEDBACK 有权
标题翻译：手术装置用于提供安全位置反馈的装置
公开(公告)号：US20100096435A1
公开(公告)日：2010-04-22
申请号：US12252502
申请日：2008-10-16
申请人： Richard P. Fuchs , Nicholas G. Molitor , Bennie Thompson , John P. Measamer , Frederick E. Shelton, IV , Chester O. Baxter, III , Mark Tsonlon
发明人： Richard P. Fuchs , Nicholas G. Molitor , Bennie Thompson , John P. Measamer , Frederick E. Shelton, IV , Chester O. Baxter, III , Mark Tsonlon
IPC分类号： A61B17/068
CPC分类号： A61B17/1114 , A61B17/1155 , A61B2017/00128 , A61B2017/07257 , A61B2090/0811
摘要： Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of feedback systems designed to provide at least one mode of feedback to the surgeon when the anvil has been attached to the device and/or when the anvil has been attached to the device and oriented in a firing position. Various types of feedback indicators are disclosed such as illumination devices, sound generating devices and vibration generating devices. In various embodiments, the feedback indicator comprises at least one illumination device mounted on the anvil which indicates that the anvil has been properly attached to the instrument and which can also serve to illuminate the surgical site.
摘要翻译：公开了用于将一个或多个外科缝合钉切割并施加到组织的圆形缝合器械。仪器包括各种形式的反馈系统，其被设计为当砧座已经附接到设备时和/或当砧座已经附接到设备并且定位在击发位置时，向外科医生提供至少一种反馈模式。公开了各种类型的反馈指示器，例如照明装置，发声装置和振动产生装置。在各种实施例中，反馈指示器包括安装在砧座上的至少一个照明装置，其指示砧座已经被适当地附接到仪器上，并且还可以用于照亮外科手术部位。

4. 发明授权

US07918377B2 Surgical stapling instrument with apparatus for providing anvil position feedback 有权
标题翻译：具有用于提供砧座位置反馈的装置的手术吻合器械
公开(公告)号：US07918377B2
公开(公告)日：2011-04-05
申请号：US12252502
申请日：2008-10-16
申请人： John P. Measamer , Frederick E. Shelton, IV , Chester O. Baxter, III , Richard P. Fuchs , Nicholas G. Molitor , Bennie Thompson , Mark Tsonton
发明人： John P. Measamer , Frederick E. Shelton, IV , Chester O. Baxter, III , Richard P. Fuchs , Nicholas G. Molitor , Bennie Thompson , Mark Tsonton
IPC分类号： A61B17/068
CPC分类号： A61B17/1114 , A61B17/1155 , A61B2017/00128 , A61B2017/07257 , A61B2090/0811
摘要： Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of feedback systems designed to provide at least one mode of feedback to the surgeon when the anvil has been attached to the device and/or when the anvil has been attached to the device and oriented in a firing position. Various types of feedback indicators are disclosed such as illumination devices, sound generating devices and vibration generation devices. In various embodiments, the feedback indicator comprises at least one illumination device mounted on the anvil which indicates that the anvil has been properly attached to the instrument and which can also serve to illuminate the surgical site.
摘要翻译：公开了用于将一个或多个外科缝合钉切割并施加到组织的圆形缝合器械。仪器包括各种形式的反馈系统，其被设计为当砧座已经附接到设备时和/或当砧座已经附接到设备并且定位在击发位置时，向外科医生提供至少一种反馈模式。公开了各种类型的反馈指示器，例如照明装置，发声装置和振动产生装置。在各种实施例中，反馈指示器包括安装在砧座上的至少一个照明装置，其指示砧座已经被适当地附接到仪器上，并且还可以用于照亮外科手术部位。

5. 发明授权

US07857827B2 Endoscopic device 有权
标题翻译：内窥镜装置
公开(公告)号：US07857827B2
公开(公告)日：2010-12-28
申请号：US11404969
申请日：2006-04-14
申请人： John P. Measamer
发明人： John P. Measamer
IPC分类号： A61B17/00
CPC分类号： A61B10/06 , A61B2017/2905 , A61B2017/294 , A61B2017/320064
摘要： A surgical instrument including an elongate member having opposite ends, and a clevis attached to one end of the opposite ends. The clevis has a pair of spaced arms. The instrument includes a pin extending between the spaced arms of the clevis, and a pair of end effectors. Each of the end effectors has a pivot hole adapted for receiving the pin extending between the spaced arms of the clevis for pivotal movement relative to the clevis and a control arm for pivoting the respective end effector about the pin. The control arm includes an actuation hole and a tang adjacent the actuation hole. The instrument includes an actuator wire extending longitudinally to a laterally extending end received within the actuation hole. A portion of the longitudinally extending wire adjacent the laterally extending end and actuation hole is engaged by the tang to maintain the wire in the actuation hole.
摘要翻译：包括具有相对端的细长构件和附接到相对端的一端的U形夹的手术器械。 U形夹具有一对隔开的臂。仪器包括在U形夹的间隔开的臂之间延伸的销和一对末端执行器。每个端部执行器具有枢转孔，其适于接收在U形夹的间隔开的臂之间延伸的销，用于相对于U形夹的枢转运动;以及控制臂，用于围绕销枢转相应的端部执行器。控制臂包括致动孔和邻近致动孔的脚。该仪器包括致动器丝线，其纵向延伸到容纳在致动孔内的横向延伸的端部。纵向延伸的线的一部分与横向延伸的端部和致动孔相邻，由柄脚接合以将线保持在致动孔中。

6. 发明授权

US07699871B2 Surgical instrument 有权
标题翻译：手术器械
公开(公告)号：US07699871B2
公开(公告)日：2010-04-20
申请号：US11755454
申请日：2007-05-30
申请人： John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
发明人： John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
IPC分类号： A61B17/04
CPC分类号： A61B17/0643 , A61B17/068 , A61B2017/00827
摘要： A surgical instrument for applying a fastener to tissue. The fastener includes a male component including a base having a hole, a needle receivable in the hole, and a female component including a base and a recess for receiving the needle. The instrument includes a shaft, a first jaw pivotally mounted on the shaft including a receiver for holding the base one component, and a second jaw statically mounted on the shaft including a receiver for releasably holding the base the other component. The first jaw is moveable between an open position and a closed position. The first and/or second jaw includes a channel for slideably receiving a needle. The instrument includes a mechanism for moving the first jaw between the open and closed positions and an ejector for driving the needle through the hole in the male component, through tissue and into the recess of the female component.
摘要翻译：一种用于将紧固件施加到组织的手术器械。紧固件包括：阳部件，其包括具有孔的基部，可接收在孔中的针，以及包括基部和用于接收针的凹部的阴部件。该仪器包括轴，枢转地安装在轴上的第一夹爪，包括用于保持基部一个部件的接收器，以及静止地安装在轴上的第二钳口，包括用于可释放地将底座保持在另一个部件上的接收器。第一钳口可在打开位置和关闭位置之间移动。第一和/或第二钳口包括用于可滑动地接收针的通道。该仪器包括用于在打开和关闭位置之间移动第一钳口的机构和用于通过组件通过组件并进入阴部件的凹部中的用于驱动针穿过阳部件中的孔的喷射器。

7. 发明申请

US20080269566A1 ENDOSCOPIC DEVICE 有权
标题翻译：内窥镜装置
公开(公告)号：US20080269566A1
公开(公告)日：2008-10-30
申请号：US11742110
申请日：2007-04-30
申请人： John P. Measamer
发明人： John P. Measamer
IPC分类号： A61B17/94
CPC分类号： A61B17/00234
摘要： An endoscopic instrument for performing surgical procedures. The instrument includes an elongate member having a distal end for insertion into a patient's body and a proximal end opposite the distal end. The member has a distal portion adjacent the distal end and a central portion adjacent the distal portion. The distal portion has a first mechanical stiffness of a stiffness type selected from a tensile stiffness, a compressive stiffness and/or a bending stiffness. The central portion has a second mechanical stiffness of the stiffness type of the first mechanical stiffness. The first mechanical stiffness is different from the second mechanical stiffness.
摘要翻译：用于进行外科手术的内窥镜器械。仪器包括具有用于插入患者体内的远端和与远端相对的近端的细长构件。该构件具有邻近远端的远侧部分和与远端部分相邻的中心部分。远侧部分具有从拉伸刚度，压缩刚度和/或弯曲刚度中选择的刚度类型的第一机械刚度。中心部分具有刚度类型的第一机械刚度的第二机械刚度。第一机械刚度与第二机械刚度不同。

8. 发明授权

US06168605A Curved laparoscopic scissor having arcs of curvature 有权
标题翻译：弯曲腹腔镜剪刀具有曲率弧
公开(公告)号：US06168605A
公开(公告)日：2001-01-02
申请号：US09350079
申请日：1999-07-08
申请人： John P. Measamer , Robert L. Koch, Jr. , Narinderjit S. Sambi
发明人： John P. Measamer , Robert L. Koch, Jr. , Narinderjit S. Sambi
IPC分类号： A61B1732
CPC分类号： A61B17/3201 , A61B17/320016
摘要： A laparoscopic surgical scissors for cutting tissue is disclosed. The laparoscopic surgical scissors has a handle body assembly having an actuation member moveable toward and away from the handle body assembly. An elongated shaft having a proximal and a distal end that define a longitudinal axis is connected to the handle body assembly at the proximal end of said shaft. A pair of cutting blades have a first blade member and a second blade member that are co-operably connected about a common pivot member adjacent to the distal end of the elongated shaft. The common pivot member defines a common pivot axis perpendicular to the elongated shaft. The first blade member has a first cutting edge and the second blade member has a second cutting edge facing the first cutting edge. The blade members have a single point of blade contact translating proximally and distally as the blade members open and close in response to movement of the actuation member away from and toward the handle body assembly. Each of the blade members defines a curvature along the shaft longitudinal axis and each of the curvatures has a proximal end and a distal end. A proximal arc of curvature and a distal arc of curvature define the curvature of each of the blade members.
摘要翻译：公开了一种用于切割组织的腹腔镜手术剪刀。腹腔镜手术剪刀具有手柄本体组件，其具有可朝向和远离手柄本体组件移动的致动构件。具有限定纵向轴线的近端和远端的细长轴在所述轴的近端处连接到手柄主体组件。一对切割刀片具有第一刀片构件和第二刀片构件，该第一刀片构件和第二刀片构件围绕与细长轴的远端相邻的公共枢轴构件可共同操作地连接。公共枢转构件限定垂直于细长轴的公共枢轴。第一刀片构件具有第一切削刃，并且第二刀片构件具有面向第一切削刃的第二切削刃。当叶片构件响应于致动构件远离和朝向手柄本体组件的移动而打开和关闭时，叶片构件具有向近侧和远侧平移的单个刀片接触点。每个叶片构件沿着轴纵向轴线限定曲率，并且每个曲率具有近端和远端。近端曲率弧和远端曲率弧限定了每个叶片构件的曲率。

9. 发明授权

US5904699A Trocar for penetration and skin incision 失效
标题翻译：套管针穿透和皮肤切口
公开(公告)号：US5904699A
公开(公告)日：1999-05-18
申请号：US934508
申请日：1997-09-19
申请人： Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
发明人： Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
IPC分类号： A61B17/32 , A61B17/34
CPC分类号： A61B17/3496 , A61B17/32093 , A61B17/3211 , A61B17/3417 , A61B2017/346
摘要： A trocar which has an obturator assembly for establishment of a surgical port for endoscopic or arthroscopic surgery is disclosed. The obturator includes a flat cutting blade, a shield that moves proximally and distally, a precock lever to move the shield proximally to expose the flat cutting blade, and a shield retaining assembly to constrain the shield in the proximal position. "Precocking" the trocar moves the shield from the distal position wherein the flat blade is covered, to a proximal position wherein the flat blade is exposed, and the shield is constrained by the shield retaining assembly. The exposed flat cutting blade of the precocked trocar can be used to incise or pierce tissue, thus avoiding the need to use a separate surgical sharp.
摘要翻译：公开了一种套管针，其具有用于建立用于内窥镜或关节镜手术的外科手术口的闭塞器组件。闭塞器包括平切刀片，向近侧和远端移动的护罩，用于将护罩向近侧移动以露出平切刀片的防护杆，以及用于将护罩约束在近侧位置的护罩保持组件。 “套管”套管针将护罩从扁平刀片被覆盖的远端位置移动到平坦刀片暴露的近侧位置，并且屏蔽被护罩保持组件约束。预制套管针的裸露平切刀可用于切割或刺穿组织，从而避免需要使用单独的外科手术。

10. 发明授权

US5601575A Needle driving device 失效
标题翻译：针驱动装置
公开(公告)号：US5601575A
公开(公告)日：1997-02-11
申请号：US319182
申请日：1994-10-06
申请人： John P. Measamer , Robert F. Welch , Brett Swensgard
发明人： John P. Measamer , Robert F. Welch , Brett Swensgard
IPC分类号： A61B17/04 , A61B17/28
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/29 , A61B17/062 , A61B2017/2924
摘要： The invention described herein is a device for tying knots intracorporeally during laparoscopic surgery. It is intended to simplify the process of tying intracorporeal knots to the point that the average laparoscopist can quickly learn to suture laparoscopically with confidence. The unique features of this invention include: a driven shuttle; integral grasper or needle driver; the system is reloadable; and the system may have a detachable end effector. The system also may have a multi function handle, and incorporates an integral needle driver mechanism.
摘要翻译：本文描述的发明是用于在腹腔镜手术期间体外结扎结节的装置。旨在简化将体内结结扎的过程，以便平均腹腔镜能够自信地快速学习腹腔镜缝合。本发明的独特特征包括：从动梭; 整体抓紧器或针驱动器; 该系统是可重新加载的; 并且系统可以具有可拆卸的端部执行器。该系统还可以具有多功能手柄，并且包括整体针驱动器机构。

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