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1. 发明申请

WO2011044035A3 IMPROVED CLIP ADVANCER 审中-公开
标题翻译：改进的CLIP ADVANCER
公开(公告)号：WO2011044035A3
公开(公告)日：2011-06-30
申请号：PCT/US2010051305
申请日：2010-10-04
申请人： ETHICON ENDO SURGERY INC , NGUYEN ANTHONY T
发明人： NGUYEN ANTHONY T
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B17/2909 , A61B2090/0811
摘要： A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one embodiment, a surgical clip applier is provided and can include a shaft having a proximal end and a distal end with opposed jaws thereon, a guide member disposed within the shaft and configured to guide a clip into the opposed jaws, the guide member having a channel formed in a surface thereof, and an advancer movably disposed within the shaft and configured to advance a clip over the guide member and into the opposed jaws, the advancer having a distal tip that slidably engages the channel for maintaining contact with a surgical clip as it is advanced into the opposed jaws. In other embodiments, the guide member can also include a proximal channel formed in a superior surface thereof. The advancer can be configured to deflect downward into the proximal channel to move proximally beneath an inferior surface of the apex of the clip to position itself proximally to the clip to advance the clip into the opposed jaws.
摘要翻译：提供了用于在外科手术过程中将外科夹子应用于脉管，导管，分流器等的手术施夹器和方法。在一个实施例中，提供了一种手术施夹器并且可以包括具有近端和远端的轴，其上具有相对的夹爪，引导构件设置在轴内并且构造成将夹子引导到相对的夹爪中，引导构件具有在其表面中形成的通道和推进器，所述推进器可移动地布置在所述轴内并且被构造成将夹子推进到所述引导构件上并且进入相对的夹爪中，所述推进器具有远侧末端，所述远侧末端与所述通道可滑动地接合以保持与手术夹子因为它被推进到相对的钳口中。在其他实施例中，引导构件还可以包括形成在其上表面中的近侧通道。推进器可以构造成向下偏转进入近端通道以向近侧移动到夹子的顶点的下表面下方，以将其自身定位在夹子的近侧以将夹子推进到相对的夹爪中。

2. 发明申请

WO2008103655A1 IRIS VALVE WITH NOVEL LOCKING MECHANISM AND CONTROL RING 审中-公开
标题翻译： IRIS阀门带有新的锁定机构和控制环
公开(公告)号：WO2008103655A1
公开(公告)日：2008-08-28
申请号：PCT/US2008/054278
申请日：2008-02-19
申请人： ETHICON ENDO-SURGERY, INC , BECKMAN, Andrew T. , MINNELLI, Patrick J. , NGUYEN, Anthony T. , BAXTER, III, Chester O. , D'ARCANGELO, Michele
发明人： BECKMAN, Andrew T. , MINNELLI, Patrick J. , NGUYEN, Anthony T. , BAXTER, III, Chester O. , D'ARCANGELO, Michele
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3423 , A61B17/3462 , A61B17/3498 , A61B2017/00265
摘要： A laparoscopic surgical access device comprises a first frame and a second frame having relative axial positions. A flexible and resilient iris valve is connected to the first and second frames and has a closed position and an opened position based on the relative angular position of the first and second frames. A lock is connected to the first and second frames, the lock being selectively operative to prevent relative rotational movement in a first rotational direction. One embodiment uses a ratchet and pawl mechanism operable with a control ring. Another embodiment uses a ratchet and pawl mechanism operable with a button. Yet another embodiment uses a wedge track and ball mechanism.
摘要翻译：腹腔镜手术进入装置包括第一框架和具有相对轴向位置的第二框架。柔性和弹性的虹膜阀连接到第一和第二框架，并且基于第一和第二框架的相对角位置具有闭合位置和打开位置。锁被连接到第一和第二框架，锁被选择性地操作以防止在第一旋转方向上的相对旋转运动。一个实施例使用可与控制环一起操作的棘轮和棘爪机构。另一实施例使用可用按钮操作的棘轮和棘爪机构。另一个实施例使用楔形轨道和球机构。

3. 发明申请

WO2011044039A1 CLIP ADVANCER WITH LOCKOUT MECHANISM 审中-公开
标题翻译：具有锁定机构的CLIP ADVANCER
公开(公告)号：WO2011044039A1
公开(公告)日：2011-04-14
申请号：PCT/US2010/051314
申请日：2010-10-04
申请人： ETHICON ENDO-SURGERY, INC. , NGUYEN, Anthony, T. , HERRERA-DAVIS, Denzel, Z.
发明人： NGUYEN, Anthony, T. , HERRERA-DAVIS, Denzel, Z.
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B17/2909 , A61B2017/00407 , A61B2090/0807
摘要： A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one embodiment, a surgical clip applier is provided and can include a housing having a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The clip applier can include an advancer assembly disposed within the elongate shaft and configured to advance one of a plurality of clips disposed within the elongate shaft into the opposed jaws. A feeder shoe can be disposed within the elongate shaft and can be configured to engage and prevent the advancer assembly from moving to a proximal position after the advancer assembly has moved to a distal position to advance a proximal-most clip into the opposed jaws. This can indicate to a user that a clip supply of the surgical clip applier is depleted.
摘要翻译：提供外科手术夹具和在手术过程中将手术夹子应用于血管，导管，分流器等的方法。在一个实施例中，提供外科夹具，并且可以包括具有可移动地联接到其上的触发器的壳体和从其延伸的细长轴，其上形成有在其远端上形成有相对的夹爪。施夹器可以包括设置在细长轴内的推进器组件，并且构造成将设置在细长轴内的多个夹子中的一个推进到相对的夹爪中。进料器靴可以设置在细长轴内，并且可以构造成在推进器组件移动到远侧位置之后接合并防止推进器组件移动到近侧位置，以将最近的夹子推进到相对的夹爪中。这可以向用户指示外科夹子施放器的夹子供应源已耗尽。

4. 发明申请

WO2011044035A2 IMPROVED CLIP ADVANCER 审中-公开
标题翻译：改进的CLIP ADVANCER
公开(公告)号：WO2011044035A2
公开(公告)日：2011-04-14
申请号：PCT/US2010/051305
申请日：2010-10-04
申请人： ETHICON ENDO-SURGERY, INC. , NGUYEN, Anthony, T.
发明人： NGUYEN, Anthony, T.
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B17/2909 , A61B2090/0811
摘要： A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one embodiment, a surgical clip applier is provided and can include a shaft having a proximal end and a distal end with opposed jaws thereon, a guide member disposed within the shaft and configured to guide a clip into the opposed jaws, the guide member having a channel formed in a surface thereof, and an advancer movably disposed within the shaft and configured to advance a clip over the guide member and into the opposed jaws, the advancer having a distal tip that slidably engages the channel for maintaining contact with a surgical clip as it is advanced into the opposed jaws. In other embodiments, the guide member can also include a proximal channel formed in a superior surface thereof. The advancer can be configured to deflect downward into the proximal channel to move proximally beneath an inferior surface of the apex of the clip to position itself proximally to the clip to advance the clip into the opposed jaws.
摘要翻译：提供外科手术夹具和在手术过程中将手术夹子应用于血管，导管，分流器等的方法。在一个实施例中，提供外科夹具施加器，并且可以包括具有近端和远端的轴，其上具有相对的夹爪;引导构件，其设置在所述轴内并且构造成将夹子引导到相对的夹爪中，所述引导构件具有形成在其表面中的通道，以及可移动地设置在所述轴内并被配置为将夹子推进到引导构件上并进入相对的爪中的推进器，所述推进器具有可滑动地接合所述通道的远侧末端，以保持与手术夹因为它被推进到相对的颚。在其他实施例中，引导构件还可以包括形成在其上表面中的近侧通道。推进器可以被配置为向下偏转到近侧通道中以在夹子的顶点的下表面下方向近侧移动，以将其自身向近侧定位到夹子以将夹子推进到相对的夹爪中。

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