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1. 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。

2. 发明授权

US06981966B2 Valve assembly for introducing instruments into body cavities 失效
公开(公告)号：US06981966B2
公开(公告)日：2006-01-03
申请号：US10444378
申请日：2003-05-23
申请人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
IPC分类号： A61M5/178
CPC分类号： A61M25/04 , A61B17/34 , A61B2017/3464 , A61B2017/3484 , A61F2002/30093 , A61F2210/0019 , A61M39/06 , A61M2039/0626 , A61M2039/0633 , A61M2039/064 , A61M2039/0653 , A61M2039/0686
摘要： A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.

3. 发明授权

US06569120B1 Seal assembly 失效
标题翻译：密封组件
公开(公告)号：US06569120B1
公开(公告)日：2003-05-27
申请号：US08814757
申请日：1997-03-07
申请人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
发明人： David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
IPC分类号： A61M5178
CPC分类号： A61M39/06 , A61B17/34 , A61B2017/3464 , A61B2017/3484 , A61F2002/30093 , A61F2210/0019 , A61M25/04 , A61M2039/0626 , A61M2039/0633 , A61M2039/064 , A61M2039/0653 , A61M2039/0686 , Y10T137/7885 , Y10T137/7891
摘要： A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.
摘要翻译：提供了一种阀组件，用于允许将外科器械引入患者体内，同时提供关于器械的实质密封。阀组件包括密封垫圈组件，其在仪器插入之前提供流体密封密封，并且构造和尺寸设计用于容纳仪器并在插入仪器之后提供实质上的流体密封。阀组件还可包括可变形的密封件，其具有用于容纳该器械的基本上中心的孔。当仪器通过时，密封构件围绕仪器提供实质的密封，阻止流体和气体通过阀组件的流出。

4. 发明授权

US5817109A 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：US5817109A
公开(公告)日：1998-10-06
申请号：US714972
申请日：1996-09-17
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 in laparoscopic hernia surgery. The apparatus includes a handle and a generally elongated endoscopic section connected to the handle 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. The staple storage magazine is pivotable between a first position in alignment with the longitudinal axis of the endoscopic section and a second position at an acute angle to the longitudinal axis. An elongated pusher system is provided for individually advancing at least one staple at a time distally. A trigger mechanism is provided to actuate the pusher.
摘要翻译：公开了一种用于在腹腔镜疝气手术中内窥镜应用外科缝钉的装置。该装置包括手柄和连接到手柄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合钉。订书钉存储盒可以在与内窥镜部分的纵向轴线对齐的第一位置和与纵向轴线成锐角的第二位置之间枢转。提供细长的推动器系统，用于在远端单独地推进至少一个钉。提供触发机构以致动推动器。

5. 发明授权

US5569284A Morcellator 失效
公开(公告)号：US5569284A
公开(公告)日：1996-10-29
申请号：US311395
申请日：1994-09-23
申请人： Wayne P. Young , Darryl S. Pereira , Salvatore Castro , Michael S. Kolesa , Dominick L. Mastri , Frank J. Viola
发明人： Wayne P. Young , Darryl S. Pereira , Salvatore Castro , Michael S. Kolesa , Dominick L. Mastri , Frank J. Viola
IPC分类号： A61B17/00 , A61B17/28 , A61B17/32 , A61M1/00 , A61B17/14
CPC分类号： A61B17/32002 , A61B17/320092 , A61B2017/00685 , A61B2017/2926 , A61B2017/320024 , A61B2217/005
摘要： An endoscopic morcellator includes a tubular portion with an elongated auger rotatably positioned within its bore. An aperture near the distal end of the tubular portion permits access for body tissue to contact the auger. The auger is driven by a reversible motor which is powered by a battery pack. A container collects morcellized tissue which is aspirated by means of a suction tube.
摘要翻译：内窥镜激光器包括具有可旋转地定位在其孔内的细长螺旋钻的管状部分。在管状部分的远端附近的孔允许身体组织进入以接触螺旋钻。螺旋钻由一个由电池组供电的可逆电机驱动。容器收集通过吸管吸出的毛细组织。

6. 发明授权

US5554137A Tissue piercing members 失效
标题翻译：组织穿刺成员
公开(公告)号：US5554137A
公开(公告)日：1996-09-10
申请号：US134354
申请日：1993-10-08
申请人： Wayne P. Young , Salvatore Castro
发明人： Wayne P. Young , Salvatore Castro
IPC分类号： A61B17/00 , A61B17/34 , A61M5/18 , A61B17/32 , B26B5/00
CPC分类号： A61B17/3417 , A61B2017/00473
摘要： A piercing tip for penetrating body tissue is provided which includes a conical body and a triangular cutting blade positioned within a slot formed in the conical body. The piercing tip is particularly adapted for mounting at the distal end of an obturator and for use as part of a trocar assembly.
摘要翻译：提供用于穿透身体组织的穿刺尖端，其包括锥形体和位于形成在锥形体中的狭槽内的三角形切割刀片。穿刺尖端特别适于安装在闭孔器的远端并用作套管针组件的一部分。

7. 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。

8. 发明授权

US5628446A Self-contained powered surgical apparatus 失效
标题翻译：自备动力手术器械
公开(公告)号：US5628446A
公开(公告)日：1997-05-13
申请号：US643396
申请日：1996-05-06
申请人： Robert J. Geiste , Stephan A. DeFonzo , Dominick L. Mastri , Wayne P. Young , Carlo A. Mililli
发明人： Robert J. Geiste , Stephan A. DeFonzo , Dominick L. Mastri , Wayne P. Young , Carlo A. Mililli
IPC分类号： A61B17/068 , A61B17/28
CPC分类号： A61B17/0684 , A61B2017/2905 , A61B2017/2936
摘要： A self-contained powered surgical apparatus is provided which includes an elongate body defining a longitudinal axis and housing a plurality of surgical fasteners disposed within a feed track, an anvil positioned at a distal end of the elongate body adjacent a terminal end of the feed path for forming surgical fasteners, a fastener pusher mounted for longitudinal movement within the elongate body to individually urge surgical fasteners toward the anvil, a barrel cam assembly disposed within the elongate body for effectuating reciprocatory longitudinal movement of the fastener pusher, a motor assembly disposed within the elongate body for driving the barrel cam assembly, and a power source disposed within the elongate body for energizing the motor assembly.
摘要翻译：提供了一种独立的动力手术装置，其包括限定纵向轴线的细长主体并且容纳布置在进给轨道内的多个外科紧固件，定位在细长主体的远端处的砧座，邻近进给路径的终端用于形成外科紧固件的紧固件推动器，其安装成用于在细长体内纵向运动以单独地向砧座推动手术紧固件;设置在细长体内的镜筒凸轮组件，用于实现紧固件推动器的往复纵向移动;马达组件，用于驱动筒形凸轮组件的细长主体，以及设置在细长主体内用于激励电动机组件的动力源。

9. 发明授权

US5507426A 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：US5507426A
公开(公告)日：1996-04-16
申请号：US286851
申请日：1994-08-05
申请人： Wayne P. Young , Daniel E. Alesi , Kenneth E. Toso
发明人： Wayne P. Young , Daniel E. Alesi , Kenneth E. Toso
IPC分类号： A61B17/068 , A61B17/00 , A61B17/072 , A61B17/28
CPC分类号： A61B17/07207 , A61B2017/00544 , A61B2017/07214 , A61B2017/07285 , A61B2017/2929
摘要： An apparatus is provided for applying surgical fasteners to body tissue. The apparatus has a handle assembly and an elongated body which extends distally from the handle assembly. A fastener applying assembly is operatively associated with a distal end of the elongated body and includes a cartridge housing a plurality of staples and an anvil movable between an open position and a closed position. An actuation assembly is configured to translate through the fastener applying assembly to effect progressive closure of the anvil and concomitantly effect sequential ejection of staples from the cartridge.
摘要翻译：提供一种用于将外科紧固件应用于身体组织的装置。该装置具有手柄组件和从手柄组件向远侧延伸的细长主体。紧固件施加组件可操作地与细长主体的远端相关联并且包括容纳多个订书钉的钉仓和可在打开位置和关闭位置之间移动的砧座。致动组件构造成平移通过紧固件施加组件以实现砧座的逐渐闭合并且同时影响钉从钉仓的顺序排出。

10. 发明授权

US5391154A Trocar seal system 失效
标题翻译：套管密封系统
公开(公告)号：US5391154A
公开(公告)日：1995-02-21
申请号：US113931
申请日：1993-08-30
申请人： Wayne P. Young
发明人： Wayne P. Young
IPC分类号： A61B17/34 , A61M5/178
CPC分类号： A61B17/3462
摘要： Valve assembly for sealed reception of an elongated object, which includes a valve body defining at least one opening configured and dimensioned to permit entry of the elongated object, a valve member formed of a resilient material and defining an aperture in general alignment with the opening of the valve body, the aperture being configured and dimensioned such that insertion of the object into the aperture causes the resilient material defining the aperture to resiliently engage the outer surface of the object in a substantially fluid fight manner and a manually rotatable control mechanism associated with the valve member to selectively open and close the aperture to permit entry of the object therethrough.
摘要翻译：用于密封接收细长物体的阀组件，其包括限定至少一个开口的阀体，所述阀体构造和尺寸设计成允许细长物体进入;阀构件，其由弹性材料形成并且限定与所述开口大体对准的孔阀体，孔被构造和尺寸设计成使得物体插入孔中使得限定孔的弹性材料以基本上流体的打击方式弹性地接合物体的外表面，并且可手动旋转的控制机构与阀构件以选择性地打开和关闭孔，以允许物体进入其中。

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