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1. 发明授权

US5707380A Anastomosis instrument and method 失效
标题翻译：吻合仪器及方法
公开(公告)号：US5707380A
公开(公告)日：1998-01-13
申请号：US685385
申请日：1996-07-23
申请人： Peter W.J. Hinchliffe , Keith Ratcliff , Scott E. Manzo , David T. Green
发明人： Peter W.J. Hinchliffe , Keith Ratcliff , Scott E. Manzo , David T. Green
IPC分类号： A61B17/08 , A61B17/11 , A61B17/115 , A61B17/128 , A61B17/04
CPC分类号： A61B17/11 , A61B17/1152 , A61B17/1285 , A61B17/08 , A61B17/083 , A61B2017/1107 , A61B2017/1135
摘要： A surgical instrument for anastomosis of first and second blood vessels is provided having a handle and a body portion extending distally from the handle. A fastener support is mounted adjacent a distal end portion of the body portion. A plurality of surgical fasteners are releasably supported by the fastener support at the distal end thereof. The surgical fasteners each have a leg with an atraumatic tip. A fastener camming member is mounted adjacent the fastener support. The fastener camming member and fastener support are relatively slidable in response to actuation of the handle to simultaneously deform the surgical fasteners to secure the first and second vessels without piercing the vessels.
摘要翻译：提供了一种用于吻合第一和第二血管的手术器具，其具有手柄和从手柄向远侧延伸的主体部分。紧固件支撑件邻近主体部分的远端部分安装。多个外科紧固件在其远端处由紧固件支撑件可释放地支撑。外科紧固件每个都具有无创尖端的腿部。紧固件凸轮构件安装在紧固件支撑件附近。紧固件凸轮构件和紧固件支撑件响应于手柄的致动而相对滑动，以同时使手术紧固件变形以固定第一和第二血管而不刺穿血管。

2. 发明授权

US5549617A Apparatus and method for applying and adjusting an anchoring device 失效
公开(公告)号：US5549617A
公开(公告)日：1996-08-27
申请号：US392295
申请日：1995-02-21
申请人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo
发明人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo
IPC分类号： A61B17/00 , A61B17/04 , A61B17/132 , A61B17/28 , A61B17/82 , A61B19/02 , A61F2/00
CPC分类号： A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61F2/0036 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30 , A61F2/0045 , Y10T24/3973 , Y10T24/3996
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence are provided. The apparatus include an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the operative length of the suture, an articulating apparatus for applying the anchoring device during an endoscopic or laparoscopic procedure, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced.

3. 发明授权

US5562689A Apparatus and method for applying and adjusting an anchoring device 失效
标题翻译：用于施加和调整锚固装置的装置和方法
公开(公告)号：US5562689A
公开(公告)日：1996-10-08
申请号：US385524
申请日：1995-02-08
申请人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo , Dragomir C. Marinkovich
发明人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo , Dragomir C. Marinkovich
IPC分类号： A61B17/00 , A61B17/04 , A61B17/132 , A61B17/28 , A61B17/82 , A61B19/02 , A61F2/00
CPC分类号： A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61F2/0036 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30 , A61F2/0045 , Y10T24/3973 , Y10T24/3996
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence are provided. The apparatus include an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the operative length of the suture, an articulating apparatus for applying the anchoring device during an endoscopic or laparoscopic procedure, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced.
摘要翻译：提供了用于升高，近似和/或限制内部器官或结构，更特别地用于治疗女性尿失禁的方法和装置。该装置包括锚定装置，其具有在其每个端部处具有锚固件的细长缝合线和其间的紧固构件，用于调节缝合线的操作长度，用于在内窥镜或腹腔镜手术期间施加锚定装置的关节运动装置，以及用于在缝合物被放置后相对于收紧构件绘制缝合线。

4. 发明授权

US5507754A Apparatus and method for applying and adjusting an anchoring device 失效
标题翻译：用于施加和调整锚固装置的装置和方法
公开(公告)号：US5507754A
公开(公告)日：1996-04-16
申请号：US109779
申请日：1993-08-20
申请人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo
发明人： David T. Green , Henry R. Sienkiewicz , Keith Ratcliff , Salvatore Castro , Scott E. Manzo
IPC分类号： A61B17/00 , A61B17/04 , A61B17/132 , A61B17/28 , A61B17/82 , A61B19/02 , A61F2/00
CPC分类号： A61F2/0036 , A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence is provided. The invention includes an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the length of the suture, an apparatus for applying the anchoring device, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced. The method involves securing a first anchor to a first structure, such as the vaginal wall, securing a second anchor to a second structure, such as Cooper's ligament, and drawing the suture relative to the cinching member to approximate the first and second anchors, and thereby move the first structure and the second structure into juxtaposition so as to approximate them.
摘要翻译：提供了用于升高，近似和/或限制内部器官或结构，更特别地用于治疗女性尿失禁的方法和装置。本发明包括一种锚定装置，其具有在其每个端部处具有锚固件的细长缝合线和其间用于调节缝合线的长度的紧固构件，用于施加锚定装置的装置以及用于相对于收紧构件拉伸缝合线的装置在它被放置之后。该方法包括将第一锚固件固定到第一结构，例如阴道壁，将第二锚固件固定到第二结构（例如库珀氏韧带），并且相对于收紧构件拉紧缝合线以近似第一和第二锚固件，以及从而将第一结构和第二结构移动到并置以便近似它们。

5. 发明申请

US20110282360A1 ROBOTIC ARMS DLUs FOR PERFORMING SURGICAL TASKS 有权
标题翻译：用于执行手术任务的机动车辆DLU
公开(公告)号：US20110282360A1
公开(公告)日：2011-11-17
申请号：US13191560
申请日：2011-07-27
申请人： H. Jonathan Tovey , Keith Ratcliff , Kenneth E. Toso , Peter W.J. Hinchliffe
发明人： H. Jonathan Tovey , Keith Ratcliff , Kenneth E. Toso , Peter W.J. Hinchliffe
IPC分类号： A61B19/00
CPC分类号： A61B19/2203 , A61B10/0233 , A61B17/0469 , A61B17/0491 , A61B17/062 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/1285 , A61B17/32053 , A61B17/3211 , A61B18/20 , A61B34/30 , A61B34/70 , A61B34/76 , A61B2017/0023 , A61B2017/00247 , A61B2017/00464 , A61B2017/00477 , A61B2017/00778 , A61B2017/06047 , A61B2017/0609 , A61B2018/00392 , A61B2034/305
摘要： Disposable loading units (DLUs) configured for mounting to a robotic arm for performing at least one surgical task are presented. Each DLU includes an attachment platform having at least one connector for engaging at least one connector on a distal end of the robotic arm for connecting the DLU to the robotic arm, a head portion connected to the attachment platform at one end and configured for housing an electromechanical actuation assembly therein, and at least one surgical tool member extending from the head portion and operatively associated with the electromechanical actuation assembly for controlling the operation and movement of the at least one surgical tool member. The at least one surgical tool member may include a cutting assembly, an aortic hole punch assembly, a lasing assembly, a coring assembly, or a vascular suturing assembly.
摘要翻译：呈现配置用于安装到机器人手臂以执行至少一个手术任务的一次性装载单元（DLU）。每个DLU包括具有至少一个连接器的附接平台，所述至少一个连接器用于接合机器人臂的远端上的至少一个连接器，用于将DLU连接到机器人手臂，头部部分在一端连接到附接平台并构造成用于容纳机电致动组件，以及从头部部分延伸并与机电致动组件可操作地相关联的至少一个手术工具构件，用于控制至少一个手术工具构件的操作和移动。所述至少一个手术工具构件可包括切割组件，主动脉孔冲孔组件，激光组件，取芯组件或血管缝合组件。

6. 发明授权

US06877647B2 Surgical stapling apparatus 失效
标题翻译：手术吻合装置
公开(公告)号：US06877647B2
公开(公告)日：2005-04-12
申请号：US10668941
申请日：2003-09-22
申请人： David T. Green , Keith Ratcliff , Keith Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
发明人： David T. Green , Keith Ratcliff , Keith Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/00535 , A61B2017/00544 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/07285 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803
摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.
摘要翻译：提供内窥镜手术装置用于将外科紧固件的侧线放置在身体组织中。该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

7. 发明授权

US5599279A Surgical instruments and method useful for endoscopic spinal procedures 失效
标题翻译：手术器械和方法适用于内镜脊柱手术
公开(公告)号：US5599279A
公开(公告)日：1997-02-04
申请号：US593191
申请日：1996-01-29
申请人： Gus J. Slotman , Sherman Stein , David T. Green , Salvatore Castro , Carlo A. Mililli , Keith Ratcliff
发明人： Gus J. Slotman , Sherman Stein , David T. Green , Salvatore Castro , Carlo A. Mililli , Keith Ratcliff
IPC分类号： A61B17/00 , A61B17/02 , A61B17/28 , A61B17/70 , A61B17/88 , A61F2/44 , A61F2/46
CPC分类号： A61B17/025 , A61B2017/00261 , A61B2017/0256 , A61B2017/2936 , A61B2017/2943 , A61B2017/2944 , A61F2/442 , A61F2/4455 , A61F2002/4635
摘要： The present invention provides endoscopic instrumentation and surgical techniques especially useful for accessing at least a portion of an intervertebral disc. Vertebrae spreading instruments are provided for spreading adjacent vertebrae to facilitate access to the intervertebral disc are. The disclosed surgical method uses an anterior approach to access the intervertebral disc and spreads adjacent vertebrae utilizing an endoscopic vertebrae spreading instrument.
摘要翻译：本发明提供了特别适用于进入椎间盘的至少一部分的内窥镜检查仪器和手术技术。提供椎骨扩张器械用于扩展邻近的椎骨以便于进入椎间盘。所公开的手术方法使用前路进入椎间盘并利用内窥镜脊椎传播器传播邻近的椎骨。

8. 发明授权

US5562690A Apparatus and method for performing compressional anastomoses 失效
标题翻译：用于执行压缩吻合的装置和方法
公开(公告)号：US5562690A
公开(公告)日：1996-10-08
申请号：US150923
申请日：1993-11-12
申请人： David T. Green , Charles R. Sherts , Keith Ratcliff
发明人： David T. Green , Charles R. Sherts , Keith Ratcliff
IPC分类号： A61B17/00 , A61B17/11
CPC分类号： A61B17/11 , A61B17/00234
摘要： A compression device for the anastomosis of a tubular hollow organ, having a first collapsible member movable between an expanded configuration and a collapsed configuration, said first collapsible member having a first end and a second end; a second collapsible member movable between an expanded configuration and a collapsed configuration, said second collapsible member adapted to be joined with said first end of said first collapsible member; and a third collapsible member adapted to be joined with said second end of said second collapsible member; wherein at least one of said first, second or third collapsible members comprises at least one resilient hinge portion disposed thereon which is parallel to the longitudinal axis of said device to facilitate the collapsibility thereof. Also provided are surgical instruments for carrying and placing the compression device components and a device for approximating surgical devices. A method for forming a compression anastomosis, is also provided.
摘要翻译：一种用于管状中空器官的吻合的压缩装置，具有可在膨胀构型和折叠构型之间移动的第一可折叠构件，所述第一可折叠构件具有第一端和第二端; 第二可折叠构件，其可在展开构型和折叠构造之间移动，所述第二可折叠构件适于与所述第一可折叠构件的所述第一端连接; 以及适于与所述第二可折叠构件的所述第二端连接的第三可折叠构件; 其中所述第一，第二或第三可折叠构件中的至少一个包括设置在其上的至少一个弹性铰链部分，其平行于所述装置的纵向轴线以促进其可折叠。还提供了用于携带和放置压缩装置部件的外科器械和用于近似手术装置的装置。还提供了形成压缩吻合的方法。

9. 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.

10. 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。

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