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    • 1. 发明授权
    • Apparatus and method for applying surgical staples to attach an object
to body tissue
    • 用于施加手术钉以将物体附着到身体组织的装置和方法
    • US5497933A
    • 1996-03-12
    • US133978
    • 1993-10-08
    • Stephan A. DeFonzoWayne P. YoungSamson L. PennattoAndrew Komlosi
    • Stephan A. DeFonzoWayne P. YoungSamson L. PennattoAndrew Komlosi
    • A61B17/00A61B17/068A61B17/28A61B19/00A61F2/00
    • A61B17/0686A61B17/0684A61B17/00234A61B2017/2837A61B2017/2927A61B2017/2929A61B2090/0811A61F2/0063
    • An apparatus is disclosed for endoscopic application of surgical staples to body tissue in laparoscopic hernia surgery, preferably with surgical mesh. The apparatus includes a staple storage cartridge supported on a pivotal support system at the distal end of the endoscopic section. An elongated pusher system extends from the frame to the endoscopic section and individually advances the staples distally. A pair of legs project distally from the pusher plate to engage the staple during closure to prevent unwanted roll or deformation of the staple. A trigger system actuates the pusher. An anvil structure having rounded anvil legs to match the configuration of the staples provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue to attach the portion of the mesh to the body tissue. The staple storage cartridge may be pivoted with respect to the longitudinal axis of the endoscopic section from 0.degree. to about 20.degree., 45.degree., and 65.degree. and the cartridge may be rotated about its own axis independent of the endoscopic section. The distalmost tip of the instrument includes two distally extending members which engage the body tissue to stabilize the orientation of the instrument during application of staples.
    • 公开了一种用于在腹腔镜疝手术中内窥镜施用外科缝合至身体组织的装置,优选地使用外科手术网。 该装置包括支撑在内窥镜部分的远端处的枢转支撑系统上的订书钉存储盒。 细长的推动器系统从框架延伸到内窥镜部分并且单独地向前移动钉。 一对腿从推动板向远端突出以在关闭期间接合钉,以防止不期望的卷轴或变形钉。 触发系统启动推杆。 具有圆形砧座腿以匹配钉的构造的砧座结构提供单独地封闭每个钉以包围外科手术网的至少一部分并穿透身体组织以将网的该部分附接到身体组织。 订书钉存储盒可以相对于内窥镜部分的纵向轴线从0°至大约20°,45°和65°枢转,并且筒可以独立于内窥镜部分围绕其自身的轴线旋转。 仪器的最远端是包括两个远端延伸的构件,它们与身体组织接合,以在施加钉时稳定仪器的取向。
    • 6. 发明授权
    • Belt tensioning apparatus
    • 皮带张紧装置
    • US5002518A
    • 1991-03-26
    • US506723
    • 1990-04-09
    • Samson L. Pennatto
    • Samson L. Pennatto
    • F16H7/08F16H7/10F16H7/12
    • F16H7/10F16H7/1254F16H2007/0806
    • A belt tensioning apparatus using a spring to provide the proper tension in a belt. A belt/pulley assembly is disclosed with one pulley slidably mounted on a bracket. A spring compressed to a fixed distance to provide a known force is attached to the bracket by a screw. The bracket, being initially free to move, transfers the force to the belt/pulley assembly for providing the optimum tension in the belt/pulley assembly. Once the proper tension in the belt is obtained, the bracket can be securely fixed, preventing movement between the pulleys in the assembly. Re-tensioning, when necessary, is accomplished easily by simply loosening and resecuring the bracket.
    • 一种使用弹簧以在带中提供适当张力的带张紧装置。 公开了一种皮带/滑轮组件,其中一个滑轮可滑动地安装在支架上。 压缩到固定距离以提供已知力的弹簧通过螺钉附接到支架。 最初自由移动的托架将力传递到带/滑轮组件,以在皮带/滑轮组件中提供最佳张力。 一旦获得了皮带中的适当张力,支架就可以牢固地固定,从而防止组件中滑轮之间的移动。 必要时可以通过简单地松开和重新固定支架来轻松实现再张紧。