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1. 发明申请

WO2002080781A3 SURGICAL STAPLING DEVICE FOR PERFORMING CIRCULAR ANASTOMOSES 审中-公开
公开(公告)号：WO2002080781A3
公开(公告)日：2002-10-17
申请号：PCT/US2002/010792
申请日：2002-04-03
申请人： TYCO HEALTHCARE GROUP LP , GRESHAM, Richard, D. , MANZO, Scott, E. , ARANYI, Ernest , GEISTE, Robert, J. , JANKOWSKI, Bruce, K. , MILLIMAN, Keith
发明人： GRESHAM, Richard, D. , MANZO, Scott, E. , ARANYI, Ernest , GEISTE, Robert, J. , JANKOWSKI, Bruce, K. , MILLIMAN, Keith
IPC分类号： A61B17/115
摘要： The present disclosure is directed to a surgical stapling device (10) for performing circular anastomoses. The surgical stapling device includes a handle portion (12), an elongated body portion (14) and a head portion (16) including an anvil assembly (30) and a shell assembly (31). The handle portion (12) includes a rotatable approximation knob (22) for approximating the anvil and shell assemblies (30,31) and a firing trigger (20) for actuating a firing mechanism for ejecting staples positioned within the shell assembly (31). The firing trigger (20) forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly (30) includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies (30,31). The head portion (16) also includes a retractable trocar assembly (240) which is slidably positioned within an anvil retainer (38) and is automatically advanced and retracted upon attachment and detachment of the anvil assembly (30) onto the anvil retainer (38). A lockout tube (270) is provided and is positioned about the anvil retainer (38) for releasably engaging an anvil assembly (30). The lockout tube (270) prevents inadvertent detachment of the anvil assembly (30) from the anvil retainer (38). The surgical stapling device (10) also includes a firing lockout assembly which prevents actuation of the firing trigger (20) until an anvil has been attached to the device and the anvil (129) has been approximated. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.

2. 发明申请

WO02080781A8 SURGICAL STAPLING DEVICE FOR PERFORMING CIRCULAR ANASTOMOSES 审中-公开
标题翻译：用于形成圆形吻合器的外科缝合装置
公开(公告)号：WO02080781A8
公开(公告)日：2004-04-01
申请号：PCT/US0210792
申请日：2002-04-03
申请人： TYCO HEALTHCARE , GRESHAM RICHARD D , MANZO SCOTT E , ARANYI ERNEST , GEISTE ROBERT J , JANKOWSKI BRUCE K , MILLIMAN KEITH
发明人： GRESHAM RICHARD D , MANZO SCOTT E , ARANYI ERNEST , GEISTE ROBERT J , JANKOWSKI BRUCE K , MILLIMAN KEITH
IPC分类号： A61B17/00 , A61B17/115 , A61B17/34
CPC分类号： A61B17/1155 , A61B17/115 , A61B17/34 , A61B2017/00128 , A61B2017/07257 , A61B2017/2905
摘要： The present disclosure is directed to a surgical stapling device (10) for performing circular anastomoses. The surgical stapling device includes a handle portion (12), an elongated body portion (14) and a head portion (16) including an anvil assembly (30) and a shell assembly (31). The handle portion (12) includes a rotatable approximation knob (22) for approximating the anvil and shell assemblies (30,31) and a firing trigger (20) for actuating a firing mechanism for ejecting staples positioned within the shell assembly (31). The firing trigger (20) forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly (30) includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies (30,31). The head portion (16) also includes a retractable trocar assembly (240) which is slidably positioned within an anvil retainer (38) and is automatically advanced and retracted upon attachment and detachment of the anvil assembly (30) onto the anvil retainer (38). A lockout tube (270) is provided and is positioned about the anvil retainer (38) for releasably engaging an anvil assembly (30). The lockout tube (270) prevents inadvertent detachment of the anvil assembly (30) from the anvil retainer (38). The surgical stapling device (10) also includes a firing lockout assembly which prevents actuation of the firing trigger (20) until an anvil has been attached to the device and the anvil (129) has been approximated. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.
摘要翻译：本公开涉及用于执行圆形吻合的手术吻合装置（10）。手术吻合装置包括手柄部分（12），细长主体部分（14）和包括砧座组件（30）和外壳组件（31）的头部部分（16）。手柄部分12包括用于接近砧座和壳体组件30,31的可旋转的近似旋钮22和用于致动用于弹出定位在壳体组件31内的钉的发射机构的发射触发器20。击发扳机（20）形成设置用于致动击发机构的双杆连杆机构的一个连杆。砧座组件（30）包括可倾斜的砧座，该砧座在装置发射并且使砧座和壳体组件（30,31）不接近之后将自动倾斜。头部16还包括可伸缩的套管针组件240，其可滑动地定位在砧座保持器38内并且在砧座组件30附接和分离到砧座保持器38上时自动地前进和缩回，。提供锁定管（270）并围绕砧座保持器（38）定位，用于可释放地接合砧座组件（30）。锁定管（270）防止砧座组件（30）从砧座保持器（38）无意脱离。手术吻合装置（10）还包括击发闭锁组件，其防止击发扳机（20）的致动，直到砧座已经附接到装置并且砧座（129）已经接近。还提供了触觉指示机构，用于通知外科医生该装置已经被发射，并且用于通知外科医生砧座头已经未被接近足够的距离以允许砧座头倾斜。

3. 发明申请

WO02080781A9 SURGICAL STAPLING DEVICE FOR PERFORMING CIRCULAR ANASTOMOSES 审中-公开
标题翻译：用于执行圆形分析的外科装订装置
公开(公告)号：WO02080781A9
公开(公告)日：2004-05-06
申请号：PCT/US0210792
申请日：2002-04-03
申请人： TYCO HEALTHCARE , GRESHAM RICHARD D , MANZO SCOTT E , ARANYI ERNEST , GEISTE ROBERT J , JANKOWSKI BRUCE K , MILLIMAN KEITH
发明人： GRESHAM RICHARD D , MANZO SCOTT E , ARANYI ERNEST , GEISTE ROBERT J , JANKOWSKI BRUCE K , MILLIMAN KEITH
IPC分类号： A61B17/00 , A61B17/115 , A61B17/34
CPC分类号： A61B17/1155 , A61B17/115 , A61B17/34 , A61B2017/00128 , A61B2017/07257 , A61B2017/2905
摘要： The present disclosure is directed to a surgical stapling device (10) for performing circular anastomoses. The surgical stapling device includes a handle portion (12), an elongated body portion (14) and a head portion (16) including an anvil assembly (30) and a shell assembly (31). The handle portion (12) includes a rotatable approximation knob (22) for approximating the anvil and shell assemblies (30,31) and a firing trigger (20) for actuating a firing mechanism for ejecting staples positioned within the shell assembly (31). The firing trigger (20) forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly (30) includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies (30,31). The head portion (16) also includes a retractable trocar assembly (240) which is slidably positioned within an anvil retainer (38) and is automatically advanced and retracted upon attachment and detachment of the anvil assembly (30) onto the anvil retainer (38). A lockout tube (270) is provided and is positioned about the anvil retainer (38) for releasably engaging an anvil assembly (30). The lockout tube (270) prevents inadvertent detachment of the anvil assembly (30) from the anvil retainer (38). The surgical stapling device (10) also includes a firing lockout assembly which prevents actuation of the firing trigger (20) until an anvil has been attached to the device and the anvil (129) has been approximated. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.
摘要翻译：本公开涉及用于执行圆形吻合的外科缝合装置（10）。外科缝合装置包括手柄部分（12），细长主体部分（14）和包括砧座组件（30）和壳体组件（31）的头部部分（16）。手柄部分（12）包括用于近似砧座和壳体组件（30,31）的可旋转近似旋钮（22）和用于致动用于排出位于壳体组件（31）内的订书针）的击发机构的击发触发器（20）。击发触发器（20）形成设置成致动击发机构的两杆连杆的一个连杆。砧座组件（30）包括可倾斜的砧座，该砧座将在该装置点火之后自动倾斜并且使该砧座和壳体组件（30,31）不接近。所述头部部分（16）还包括可伸缩套管针组件（240），其可滑动地定位在砧座保持器（38）内，并且当所述砧座组件（30）附接和拆卸到所述砧座保持器（38）上时自动前进和缩回，。锁定管（270）被设置并且围绕砧座保持器（38）定位，以可释放地接合砧组件（30）。锁定管（270）防止砧组件（30）从砧座保持器（38）的意外脱离。外科缝合装置（10）还包括击发锁定组件，其防止击发触发器（20）的致动直到砧座已经附接到装置并且砧座（129）已被近似。还提供了一种触觉指示机构，用于通知外科医生该装置已经被点燃，并且通知外科医生砧座头未被近距离足以允许砧头倾斜的距离。

4. 发明申请

WO2004032766A2 SURGICAL STAPLING DEVICE 审中-公开
标题翻译：外科手术装置
公开(公告)号：WO2004032766A2
公开(公告)日：2004-04-22
申请号：PCT/US2003/031638
申请日：2003-10-06
申请人： TYCO HEALTHCARE GROUP LP , MILLIMAN, Keith, L. , JANKOWSKI, Bruce, K. , CUNY, Douglas, J. , SNIFFIN, Kevin , DATO, Anthony , GRESHAM, Richard, D.
发明人： MILLIMAN, Keith, L. , JANKOWSKI, Bruce, K. , CUNY, Douglas, J. , SNIFFIN, Kevin , DATO, Anthony , GRESHAM, Richard, D.
IPC分类号： A61B17/115
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes a bulbous indicator which preferably extends above a top surface of the handle assembly of the device. The indicator includes indicia to identify to a surgeon that the device has been approximated and is in a fire-ready position. Preferably, the indicator includes a cover which is formed of a magnification material to prominently display the indicia. The anvil assembly of the stapling device preferably includes a retainer clip positioned on the anvil head. The retainer clip preferably includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.
摘要翻译：公开了用于执行圆形吻合的外科缝合装置。外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。缝合装置包括球茎指示器，其优选地在装置的手柄组件的顶表面上方延伸。指示器包括用于向外科医生识别装置已被近似并处于就绪位置的标记。优选地，指示器包括由显着地显示标记的放大材料形成的盖。装订装置的砧座组件优选地包括定位在砧头上的保持夹。保持夹优选地包括至少一个弹性臂，其定位成在缝合装置的非近似期间接合切割环。

5. 发明申请

WO02080781A2 SURGICAL STAPLING DEVICE 审中-公开
标题翻译：外科手术装置
公开(公告)号：WO02080781A2
公开(公告)日：2002-10-17
申请号：PCT/US0210792
申请日：2002-04-03
申请人： US SURGICAL , GRESHAM RICHARD D , MANZO SCOTT E , ARANYI ERNEST , GEISTE ROBERT J , JANKOWSKI BRUCE K , MILLIMAN KEITH
发明人： GRESHAM RICHARD D , MANZO SCOTT E , ARANYI ERNEST , GEISTE ROBERT J , JANKOWSKI BRUCE K , MILLIMAN KEITH
IPC分类号： A61B17/00 , A61B17/115 , A61B17/34
CPC分类号： A61B17/1155 , A61B17/115 , A61B17/34 , A61B2017/00128 , A61B2017/07257 , A61B2017/2905
摘要： The present disclosure is directed to a surgical stapling device (10) for performing circular anastomoses. The surgical stapling device includes a handle portion (12), an elongated body portion (14) and a head portion (16) including an anvil assembly (30) and a shell assembly (31). The handle portion (12) includes a rotatable approximation knob (22) for approximating the anvil and shell assemblies (30,31) and a firing trigger (20) for actuating a firing mechanism for ejecting staples positioned within the shell assembly (31). The firing trigger (20) forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly (30) includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies (30,31). The head portion (16) also includes a retractable trocar assembly (240) which is slidably positioned within an anvil retainer (38) and is automatically advanced and retracted upon attachment and detachment of the anvil assembly (30) onto the anvil retainer (38). A lockout tube (270) is provided and is positioned about the anvil retainer (38) for releasably engaging an anvil assembly (30). The lockout tube (270) prevents inadvertent detachment of the anvil assembly (30) from the anvil retainer (38). The surgical stapling device (10) also includes a firing lockout assembly which prevents actuation of the firing trigger (20) until an anvil has been attached to the device and the anvil (129) has been approximated. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.
摘要翻译：本公开涉及用于执行圆形吻合的外科缝合装置（10）。外科缝合装置包括手柄部分（12），细长主体部分（14）和包括砧座组件（30）和壳体组件（31）的头部部分（16）。手柄部分（12）包括用于近似砧座和壳体组件（30,31）的可旋转近似旋钮（22）和用于致动用于排出位于壳体组件（31）内的订书针）的击发机构的击发触发器（20）。击发触发器（20）形成设置成致动击发机构的两杆连杆的一个连杆。砧座组件（30）包括可倾斜的砧座，该砧座将在该装置点火之后自动倾斜并且使该砧座和壳体组件（30,31）不接近。所述头部部分（16）还包括可伸缩套管针组件（240），其可滑动地定位在砧座保持器（38）内，并且当所述砧座组件（30）附接和拆卸到所述砧座保持器（38）上时自动前进和缩回，。锁定管（270）被设置并且围绕砧座保持器（38）定位，以可释放地接合砧组件（30）。锁定管（270）防止砧组件（30）从砧座保持器（38）的意外脱离。外科缝合装置（10）还包括击发锁定组件，其防止击发触发器（20）的致动直到砧座已经附接到装置并且砧座（129）已被近似。还提供了一种触觉指示机构，用于通知外科医生该装置已经被点燃，并且通知外科医生砧座头未被近距离足以允许砧头倾斜的距离。

6. 发明申请

WO2004032766A3 SURGICAL STAPLING DEVICE 审中-公开
标题翻译：手术钉书机
公开(公告)号：WO2004032766A3
公开(公告)日：2004-07-01
申请号：PCT/US0331638
申请日：2003-10-06
申请人： TYCO HEALTHCARE , MILLIMAN KEITH L , JANKOWSKI BRUCE K , CUNY DOUGLAS J , SNIFFIN KEVIN , DATO ANTHONY , GRESHAM RICHARD D
发明人： MILLIMAN KEITH L , JANKOWSKI BRUCE K , CUNY DOUGLAS J , SNIFFIN KEVIN , DATO ANTHONY , GRESHAM RICHARD D
IPC分类号： A61B17/115 , A61B17/28 , A61B19/00
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes a bulbous indicator which preferably extends above a top surface of the handle assembly of the device. The indicator includes indicia to identify to a surgeon that the device has been approximated and is in a fire-ready position. Preferably, the indicator includes a cover which is formed of a magnification material to prominently display the indicia. The anvil assembly of the stapling device preferably includes a retainer clip positioned on the anvil head. The retainer clip preferably includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.
摘要翻译：公开了一种用于执行圆形吻合的手术吻合装置。手术吻合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部。头部包括砧座组件，该砧座组件包括可倾斜的砧座，该砧座在装置已被发射并且未被接近之后将自动倾斜。可倾斜的砧座提供减小的砧座外形以减少在吻合过程完成后移除装置期间的创伤。吻合装置包括球形指示器，该球形指示器优选地在装置的手柄组件的顶表面上方延伸。该指示器包括用于向外科医生标识该装置已经接近并且处于准备好火位置的标记。优选地，指示器包括由放大材料形成的盖子，以突出显示标记。吻合装置的砧座组件优选地包括定位在砧座头部上的保持夹。保持夹优选地包括至少一个弹性臂，该弹性臂被定位成在吻合装置未接近过程中接合切割环。

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