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1. 发明申请

WO0166020A2 APPARATUS AND METHOD FOR PERFORMING A BYPASS PROCEDURE IN A DIGESTIVE SYSTEM 审中-公开
标题翻译：用于在排气系统中执行旁路程序的装置和方法
公开(公告)号：WO0166020A2
公开(公告)日：2001-09-13
申请号：PCT/US0107105
申请日：2001-03-05
申请人： US SURGICAL , NOLAN TIM , ARANYI ERNIE , KLINGER JOHN , RATCLIFF KEITH , ROBERTSON JACK
发明人： NOLAN TIM , ARANYI ERNIE , KLINGER JOHN , RATCLIFF KEITH , ROBERTSON JACK
IPC分类号： A61B17/06 , A61B17/00 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/28 , A61B17/068
CPC分类号： A61B17/1114 , A61B17/07207 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/07214 , A61B2017/07257 , A61B2017/1125 , A61B2017/1135 , A61B2017/1139 , A61B2017/2927
摘要： Surgical instrumentation and methods for performing a bypass procedure in a digestive system incorporate laparoscopic techniques to minimize surgical trauma to the patient. The instrumentation includes an outer guide member dimensioned for insertion and passage through an esophagus of a patient and defining an opening therein extending at least along a portion of the length of the outer guide member, an elongate anvil delivery member at least partially disposed within the opening of the outer guide member and being adapted for longitudinal movement within the outer guide member between an initial position and an actuated position and an anvil operatively engageable with the delivery member. The anvil includes an anvil rod defining a longitudinal axis and an anvil head connected to the anvil rod. The anvil head is at least partially disposed within the opening of the outer guide member when in the initial position of the delivery member and is fully exposed from the distal end of the outer guide member upon movement of the delivery member at least partially disposed within the opening of the outer guide member and to the actuated position.
摘要翻译：用于在消化系统中执行旁路过程的手术仪器和方法包括腹腔镜技术以最小化对患者的手术创伤。所述仪器包括外引导构件，所述外引导构件的尺寸适于插入和通过患者的食道，并且限定其中至少沿所述外引导构件的长度的一部分延伸的开口;至少部分地设置在所述开口内的细长砧输送构件并且适于在外引导构件之间在初始位置和致动位置之间纵向运动，并且可操作地与输送构件接合的砧座。砧座包括限定纵向轴线的砧座杆和连接到砧座杆的砧座头部。当处于输送构件的初始位置时，砧头至少部分地设置在外引导构件的开口内，并且在输送构件的运动时至少部分地设置在外引导构件的内部打开外部引导构件和致动位置。

2. 发明申请

WO2008109125A1 SURGICAL STAPLING APPARATUS 审中-公开
标题翻译：手术装置
公开(公告)号：WO2008109125A1
公开(公告)日：2008-09-12
申请号：PCT/US2008/002981
申请日：2008-03-05
申请人： TYCO HEALTHCARE GROUP LP , TARINELLI, Danyel , ARANYI, Ernie , SIMPSON, Richard
发明人： TARINELLI, Danyel , ARANYI, Ernie , SIMPSON, Richard
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B2017/0023 , A61B2017/00473 , A61B2017/07214 , A61B2017/07285
摘要： A surgical stapling apparatus is provided including a cartridge assembly defining a tissue contacting surface; an anvil assembly defining a tissue contacting surface; and a surgical buttress releasably secured to at least one of the tissue contacting surface of the cartridge assembly and the tissue contacting surface of the anvil assembly by at least one anchor. A loading unit is provided including a surgical buttress releasably secured to an anvil assembly and/or a staple cartridge secured thereto by at least one anchor, and a drive assembly including a knife blade, wherein movement of the drive assembly from a proximal position to a distal position results in the knife blade cutting the at least one anchor and freeing each surgical buttress from the anvil assembly and/or cartridge assembly.
摘要翻译：提供外科缝合装置，其包括限定组织接触表面的药筒组件; 定义组织接触表面的砧座组件; 以及通过至少一个锚定器可释放地固定到所述钉仓组件的组织接触表面和所述砧组件的组织接触表面的外科支撑件。提供了一种装载单元，其包括可释放地固定到砧座组件和/或通过至少一个锚固件固定到其上的钉仓的手术支撑件和包括刀片的驱动组件，其中驱动组件从近侧位置移动到远端位置导致刀片切割至少一个锚固件并且从砧座组件和/或筒组件释放每个手术支撑件。

3. 发明申请

WO2004032756A3 BALLOON DISSECTOR WITH CANNULA 审中-公开
标题翻译：带肛门的气囊分离器
公开(公告)号：WO2004032756A3
公开(公告)日：2004-09-10
申请号：PCT/US0331639
申请日：2003-10-06
申请人： TYCO HEALTHCARE , CRISCUOLO CHRISTOPHER J , CRESTON BRIAN J , ARANYI ERNIE , GEISTE ROBERT J
发明人： CRISCUOLO CHRISTOPHER J , CRESTON BRIAN J , ARANYI ERNIE , GEISTE ROBERT J
IPC分类号： A61B17/00 , A61B17/02 , A61B17/32 , A61B17/34
CPC分类号： A61B17/32 , A61B17/0218 , A61B17/3417 , A61B17/3474 , A61B17/3496 , A61B2017/00477 , A61B2017/00557 , A61B2017/320048 , A61B2017/347 , A61B2017/3486
摘要： There are disclosed various embodiments of a balloon dissector and balloon tip cannula assembly which are provided to facilitate forming an anatomical space within the body, such as, for example, an anatomical space in the abdominal cavity or extraperitoneal space for facilitating hernia repair surgeries. The balloon dissector and balloon tip cannula assembly generally includes a balloon tip cannula assembly for anchoring the device to the abdominal wall and a balloon dissector assembly having a dissection balloon at a distal end for separating apart tissue layers and forming an anatomical space. Various structures are provided to connect the balloon dissector assembly to the balloon tip cannula assembly. Obturators associated with the balloon dissector assembly and the balloon tip cannula assembly may also be provided. The balloon dissector and balloon tip cannula assembly may also include a scope support for insertion through the balloon dissector assembly and dissection balloon and for receipt of an endoscope to view the procedure from within the balloon. Various combinations of valve ports and sub-assemblies are disclosed for providing inflation fluid to the balloon tip cannula assembly, insufflation fluid for the abdominal cavity and inflation fluid for the dissection balloon.
摘要翻译：已经公开了气球解剖器和球囊尖端插管组件的各种实施例，其被设置为有助于在体内形成解剖空间，例如腹腔或腹膜外空间中的解剖空间，以便于疝修复手术。气球解剖器和球囊插管组件通常包括用于将装置固定到腹壁的气囊末端插管组件和气囊解剖器组件，其在远端具有解剖囊，用于分离分开的组织层并形成解剖空间。提供各种结构以将球囊分离器组件连接到球囊插管组件。还可以提供与球囊分离器组件和球囊插管组件相关联的闭塞器。气囊解剖器和球囊插管组件还可以包括用于插入穿过气囊解剖器组件和解剖气囊的镜架支架，并且用于接收内窥镜以从气囊内观察过程。公开了阀口和子组件的各种组合，用于向气囊末端插管组件提供充气流体，用于腹腔的吹入流体和用于解剖气囊的充气流体。

4. 发明申请

WO2003103507A3 HERNIA MESH TACKS 审中-公开
公开(公告)号：WO2003103507A3
公开(公告)日：2003-12-18
申请号：PCT/US2003/018739
申请日：2003-06-11
申请人： TYCO HEALTHCARE GROUP, LP , CRISCUOLO, Christopher, J. , ARANYI, Ernie
发明人： CRISCUOLO, Christopher, J. , ARANYI, Ernie
IPC分类号： A61B17/00
摘要： There are disclosed various embodiments of surgical tacks for use in surgical procedures. The tacks generally include a head (14) and a barrel portion (12) extending distally from the head. Preferably the head and the barrel portion define a throughbore (18) for receipt of a drive instrument. A thread (34) on the head is provided to engage threads in the installation tool. A tissue thread (24) is provided on the barrel, portion to engage tissue. Distal and proximal surfaces of the tissue thread may be oriented at various angles relative to the barrel portion. There is also disclosed an insertion instrument to insert one or more tacks. There is further disclosed a model device for use in explaining the operation of the instrument.

5. 发明申请

WO2003097157A1 WOUND CLOSURE MATERIAL APPLICATOR 审中-公开
标题翻译：封闭材料应用者
公开(公告)号：WO2003097157A1
公开(公告)日：2003-11-27
申请号：PCT/US2003/016064
申请日：2003-05-16
申请人： TYCO HEALTHCARE GROUP, LP , CRISCUOLO, Christohper, J. , ARANYI, Ernie
发明人： CRISCUOLO, Christohper, J. , ARANYI, Ernie
IPC分类号： A61M37/00
CPC分类号： B05C17/00583 , A61B17/00491 , A61M35/003 , B05C17/01 , B05C17/014
摘要： A wound closure material applicator (10) is provided which includes a handle assembly (12) having a movable handle, a body portion (14) extending distally from the handle assembly and a tip assembly (16) supported adjacent the distal end of the body portion. The tip assembly includes a housing (78) defining a bore, a tip member and a seal member (84). The tip assembly housing defines an inlet channel (88) and a valve seat (82a) positioned adjacent the outlet of the inlet channel. The seal member is movable distally within the housing bore from a closed position in which the valve member (82) abuts the valve seat (82a) to an open position in which the valve member is spaced from the valve seat. The tip assembly is configured such that movement of the seal member from the open to the closed position causes a reduction of pressure within a discharge channel of the tip assembly to minimize drippage of wound closure material form the applicator.
摘要翻译：提供一种缠绕封闭材料施加器（10），其包括具有可移动手柄的手柄组件（12），从手柄组件向远侧延伸的主体部分（14）和邻近主体远端支撑的尖端组件（16）一部分。尖端组件包括限定孔的壳体（78），尖端构件和密封构件（84）。尖端组件壳体限定入口通道（88）和邻近入口通道出口定位的阀座（82a）。所述密封构件从所述阀构件（82）抵靠所述阀座（82a）的关闭位置到所述壳体孔内的远端可移动到所述阀构件与所述阀座间隔开的打开位置。尖端组件被构造成使得密封构件从打开位置移动到关闭位置导致尖端组件的排出通道内的压力降低，以最小化形成施加器的伤口闭合材料的滴落。

6. 发明申请

WO2003103507A2 HERNIA MESH TACKS 审中-公开
公开(公告)号：WO2003103507A2
公开(公告)日：2003-12-18
申请号：PCT/US2003/018739
申请日：2003-06-11
申请人： TYCO HEALTHCARE GROUP, LP , CRISCUOLO, Christopher, J. , ARANYI, Ernie
发明人： CRISCUOLO, Christopher, J. , ARANYI, Ernie
IPC分类号： A61B17/00
CPC分类号： A61F2/0063 , A61B17/00234 , A61B17/064 , A61B17/068 , A61B17/08 , A61B17/10 , A61B17/105 , A61B17/72 , A61B17/861 , A61B17/8615 , A61B17/8625 , A61B17/863 , A61B17/864 , A61B17/8645 , A61B17/888 , A61B17/8888 , A61B2017/00004 , A61B2017/0648 , A61F2002/0072 , A61F2220/0016
摘要： There are disclosed various embodiments of surgical tacks for use in surgical procedures. The tacks generally include a head and a barrel portion extending distally from the head. Preferably the head and the barrel portion define a throughbore for receipt of a drive instrument. A thread on the head is provided to engage threads in the installation tool. A tissue thread is provided on the barrel,portion to engage tissue. Distal and proximal surfaces of the tissue thread may be oriented at various angles relative to the barrel portion. There is also disclosed an insertion instrument to insert one or more tacks as well as a method of use. There is further disclosed a model device for use in explaining the operation of the instrument.
摘要翻译：已经公开了用于外科手术的手术钉的各种实施例。钉头通常包括头部和从头部向远侧延伸的筒部分。优选地，头部和筒部限定了用于接收驱动器械的通孔。提供头部上的螺纹以接合安装工具中的螺纹。组织线被提供在筒体上，用于接合组织。组织线的远端和近端表面可以相对于筒部分以各种角度定向。还公开了插入一个或多个钉的插入器具以及使用方法。还公开了用于说明仪器的操作的模型装置。

7. 发明申请

WO2004032756A2 BALLOON DISSECTOR WITH CANNULA 审中-公开
标题翻译：气球指示器与指南针
公开(公告)号：WO2004032756A2
公开(公告)日：2004-04-22
申请号：PCT/US2003/031639
申请日：2003-10-06
申请人： TYCO HEALTHCARE GROUP, LP , CRISCUOLO, Christopher, J. , CRESTON, Brian, J. , ARANYI, Ernie , GEISTE, Robert, J.
发明人： CRISCUOLO, Christopher, J. , CRESTON, Brian, J. , ARANYI, Ernie , GEISTE, Robert, J.
IPC分类号： A61B17/02
CPC分类号： A61B17/32 , A61B17/0218 , A61B17/3417 , A61B17/3474 , A61B17/3496 , A61B2017/00477 , A61B2017/00557 , A61B2017/320048 , A61B2017/347 , A61B2017/3486
摘要： There are disclosed various embodiments of a balloon dissector and balloon tip cannula assembly which are provided to facilitate forming an anatomical space within the body, such as, for example, an anatomical space in the abdominal cavity or extraperitoneal space for facilitating hernia repair surgeries. The balloon dissector and balloon tip cannula assembly generally includes a balloon tip cannula assembly for anchoring the device to the abdominal wall and a balloon dissector assembly having a dissection balloon at a distal end for separating apart tissue layers and forming an anatomical space. Various structures are provided to connect the balloon dissector assembly to the balloon tip cannula assembly. Obturators associated with the balloon dissector assembly and the balloon tip cannula assembly may also be provided. The balloon dissector and balloon tip cannula assembly may also include a scope support for insertion through the balloon dissector assembly and dissection balloon and for receipt of an endoscope to view the procedure from within the balloon. Various combinations of valve ports and sub-assemblies are disclosed for providing inflation fluid to the balloon tip cannula assembly, insufflation fluid for the abdominal cavity and inflation fluid for the dissection balloon.
摘要翻译：公开了气囊解剖器和气囊末端套管组件的各种实施例，所述气囊解剖器和气囊末端套管组件被提供以便于在身体内形成解剖学空间，例如腹腔中的解剖学空间或腹膜外促进疝修补手术的空间。球囊解剖器和球囊尖端套管组件通常包括用于将装置锚定到腹壁的球囊尖端插管组件和在远端具有解剖球囊的球囊解剖器组件，用于分离组织层并形成解剖空间。提供各种结构以将球囊解剖器组件连接到球囊尖端套管组件。也可以提供与球囊解剖器组件和球囊末端套管组件相关联的阻塞器。球囊解剖器和球囊尖端套管组件还可以包括用于插入穿过球囊解剖器组件和解剖球囊并且用于接收内窥镜以从球囊内观察手术的示波器支撑件。公开了阀口和子组件的各种组合，用于向气囊尖端套管组件提供充胀流体，用于腹腔的充气流体和用于解剖气囊的充胀流体。

8. 发明申请

WO2003030745A1 TILT TOP ANVIL FOR A SURGICAL FASTENER DEVICE 审中-公开
标题翻译：用于外科紧固件装置的倾斜顶部安全带
公开(公告)号：WO2003030745A1
公开(公告)日：2003-04-17
申请号：PCT/US2002/032033
申请日：2002-10-04
申请人： TYCO HEALTHCARE GROUP LP , ARANYI, Ernie
发明人： ARANYI, Ernie
IPC分类号： A61B17/115
CPC分类号： A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/07214 , A61B2017/2927
摘要： A tilt top anvil assembly is provided for use with a surgical stapling device for performing end-to-end anastomosis of tissue. The tilt top anvil assembly included an anvil head, a center rod and a biasing member. The anvil head is pivotally secured to the center rod about a transverse axis which is offset from the longitudinal axis of the center rod. The biasing member is supported on the anvil assembly at a position to urge the anvil head to a tilted reduced profile position. The anvil assembly includes a first abutment surface which is operatively connected to the anvil head is movable into engagement with a second abutment surface formed on a surgical stapling device during approximation of the anvil assembly to move the anvil head from the tilted reduced profile position to an operative firing position. When the anvil assembly is moved to the unapproximated or spaced position, the biasing member is positioned to return the anvil assembly back to its tilted reduced profile position.
摘要翻译：倾斜顶部砧座组件被提供用于外科缝合装置用于进行组织的端对端吻合。倾斜顶部砧组件包括砧头，中心杆和偏置构件。砧座头围绕横向轴线枢转地固定到中心杆，该横向轴线偏离中心杆的纵向轴线。偏压构件被支撑在砧座组件上，以将砧座头推向倾斜减小轮廓位置的位置。所述砧座组件包括第一邻接表面，所述第一邻接表面可操作地连接到所述砧座头部，以在近似所述砧座组件期间可移动地与形成在外科缝合装置上的第二邻接表面接合，以将所述砧座头部从所述倾斜的缩小轮廓位置移动到操作射击位置。当砧座组件移动到未近似或间隔开的位置时，偏置构件被定位成将砧座组件返回到其倾斜的缩小轮廓位置。

9. 发明申请

WO9932155A2 FIBRIN MIXTURE AND DISPENSER ASSEMBLY 审中-公开
标题翻译：纤维混合和分配器组件
公开(公告)号：WO9932155A2
公开(公告)日：1999-07-01
申请号：PCT/US9826688
申请日：1998-12-16
申请人： UNITED STATES SURGICAL CORP , ROBY MARK S , ARANYI ERNIE , YOGAMI RICHARD , TOVEY H JONATHAN
发明人： ROBY MARK S , ARANYI ERNIE , YOGAMI RICHARD , TOVEY H JONATHAN
IPC分类号： A61B17/00 , A61J1/00 , A61J1/20 , A61L
CPC分类号： A61B17/00491 , A61B2017/00495 , A61J1/16 , A61J1/201 , A61J1/2013 , A61J1/2055 , A61J1/2058 , A61J1/2089
摘要： A fibrin mixture and dispenser assembly is provided for mixing a first protein component with sterile water to form a first protein solution and for dispensing the first protein solution. The first protein solution forms a biological adhesive when intermixed with a second protein solution. The second protein solution is preferably mixed and dispensed by a similar fibrin mixture and dispenser assembly. The two fibrin mixture and dispenser assemblies can be housed within a single housing. The assembly includes a piercer and a first tubular extension having grooves for providing fluid communication between a reservoir and a mixing chamber or a vial. The reservoir is also in fluid communication with a dispensing needle through a second tubular extension. The reservoir is configured to contain water which is introduced to the mixing chamber. The mixing chamber is configured to contain the first protein component. The water mixes with the first protein component within the mixing chamber to form the first protein solution. The solution is transferred to the reservoir and is dispensed via the dispensing needle. The first and second components are preferably fibrinogen and thrombin which intermix either prior to or on the application site to form a fibrin sealant.
摘要翻译：提供纤维蛋白混合物和分配器组件用于将第一蛋白质组分与无菌水混合以形成第一蛋白质溶液并用于分配第一蛋白质溶液。当与第二蛋白质溶液混合时，第一种蛋白质溶液形成生物粘合剂。第二蛋白质溶液优选地通过类似的纤维蛋白混合物和分配器组件混合和分配。两个纤维蛋白混合物和分配器组件可以容纳在单个壳体内。组件包括穿孔器和第一管状延伸部，其具有用于在贮存器和混合室或小瓶之间提供流体连通的凹槽。储存器还通过第二管状延伸部与分配针流体连通。储存器构造成包含被引入混合室的水。混合室配置成容纳第一蛋白质组分。水与混合室内的第一蛋白质组分混合以形成第一蛋白质溶液。将溶液转移到储存器中并通过分配针分配。第一和第二组分优选纤维蛋白原和凝血酶，其在施用部位之前或之上混合以形成纤维蛋白密封剂。

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