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1. 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。

2. 发明申请

WO0232323A3 ANASTOMOSIS INSTRUMENT AND METHOD FOR PERFORMING SAME 审中-公开
标题翻译：分析仪器及其执行方法
公开(公告)号：WO0232323A3
公开(公告)日：2002-07-18
申请号：PCT/US0132426
申请日：2001-10-18
申请人： TYCO HEALTHCARE , SNIFFIN KEVIN , MANZO SCOTT E , ORBAN JOSEPH P III , HEATON LISA W , HINCHLIFFE PETER W J , MILLIMAN KEITH L , NICHOLAS DAVID A
发明人： SNIFFIN KEVIN , MANZO SCOTT E , ORBAN JOSEPH P III , HEATON LISA W , HINCHLIFFE PETER W J , MILLIMAN KEITH L , NICHOLAS DAVID A
IPC分类号： A61B17/115 , A61B17/064 , A61B17/11 , A61B17/28 , A61B17/32
CPC分类号： A61B17/11 , A61B17/0644 , A61B17/115 , A61B17/32053 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/2916
摘要： A tissue retaining ring for use with a plurality of surgical fasteners mounted within a disposable loading unit utilized during a vascular anastomosis inlcudes a genrally circular, semi-pliable material having a series of alternating loops and arcuate portions. Each of the loops defines an aperture therein which is dimensioned to receive a distal end of one of the plurality of surgical fasteners. When the instrument is fired, the surgical fasteners are simultaneously deformed through the tissue ring and through the tissue. The tissue retaining ring holds the tissue in place along the surgical fastener and reduces the chances of tissue slippage after deformation.
摘要翻译：安装在血管吻合术期间使用的一次性加载单元内的多个外科紧固件所使用的组织保持环包括具有一系列交替的环和弓形部分的基底圆形半柔性材料。每个环在其中限定孔，其尺寸被设计成接收多个外科紧固件之一的远端。当仪器被烧毁时，手术紧固件同时通过组织环并穿过组织变形。组织保持环沿着手术紧固件将组织保持在适当的位置，并且减小变形后组织滑动的机会。

3. 发明申请

WO2009094548A1 ENDOLUMINAL ACCESS DEVICE 审中-公开
标题翻译：内镜访问装置
公开(公告)号：WO2009094548A1
公开(公告)日：2009-07-30
申请号：PCT/US2009/031848
申请日：2009-01-23
申请人： TYCO HEALTHCARE GROUP LP , SNIFFIN, Kevin
发明人： SNIFFIN, Kevin
IPC分类号： A61M5/00 , A61M25/00
CPC分类号： A61B17/3421 , A61B17/3423 , A61B2017/3445 , A61B2017/3449 , A61B2017/3456 , A61B2017/3466
摘要： A surgical access apparatus for providing access inside a body includes a housing having a first port, a tubular member extending distalIy from the housing and defining a longitudinal axis therealong, wherein the tubular member includes a lumen extending therethrough, a shaft insert disposed in the lumen of the tubular member, wherein the shaft insert forms first, second, and third passageways extending along the lumen of the tubular member, wherein each of the first, second, and third passageways is adapted to receive a surgical instrument; and a first seal assembly covering the first port of the housing and defining a first passage disposed in communication with the first passageway defined by the shaft insert in the tubular member, wherein the first seal assembly is adapted to form a seal around the surgical instrument inserted through the first passage of the first seal assembly.
摘要翻译：一种用于在主体内提供通路的手术进入装置，包括一个壳体，该壳体具有一个第一端口，一个管状构件，其远离壳体延伸并限定其上的纵向轴线，其中管状构件包括一个延伸穿过其中的内腔，其中所述轴插件形成沿着所述管状构件的内腔延伸的第一，第二和第三通道，其中所述第一，第二和第三通道中的每一个适于接收外科器械; 以及第一密封组件，其覆盖所述壳体的所述第一端口并限定第一通道，所述第一通道设置成与所述管状构件中的所述轴插入件限定的所述第一通道连通，其中所述第一密封组件适于在所述外科器械周围形成密封通过第一密封组件的第一通道。

4. 发明申请

WO2008045353A3 FLEXIBLE ENDOSCOPIC STITCHING DEVICES 审中-公开
标题翻译：柔性内窥镜缝合装置
公开(公告)号：WO2008045353A3
公开(公告)日：2008-06-26
申请号：PCT/US2007021447
申请日：2007-10-05
申请人： TYCO HEALTHCARE , TAYLOR ERIC J , HATHAWAY PETER , SNIFFIN KEVIN , HORTON KENNETH W
发明人： TAYLOR ERIC J , HATHAWAY PETER , SNIFFIN KEVIN , HORTON KENNETH W
IPC分类号： A61B17/32
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/0625 , A61B2017/00323 , A61B2017/06042 , A61B2017/0609 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2943
摘要： An endoscopic stitching device is provided including a handle assembly supporting a manually operated suture needle loading assembly; a tool assembly operatively supported on and connected to the handle assembly; a suture needle operatively associated with the tool assembly, wherein the tool assembly includes a pair of juxtaposed jaws pivotally associated with one another; and an actuation cable extending between the handle assembly and the tool assembly, wherein axial displacement of the actuation shaft results in opening and closing of the jaws and rotation of the actuation cable results in selective retention of the suture needle in the jaws. A proximal end of the actuation cable is connected to the suture needle loading assembly such that actuation of the suture needle loading assembly imparts rotation to the actuation cable to selectively engage the suture needle in one of the jaws.
摘要翻译：提供内窥镜缝合装置，其包括支撑手动操作的缝合针装载组件的手柄组件; 可操作地支撑在手柄组件上并连接到手柄组件上的工具组件; 与所述工具组件可操作地相关联的缝合针，其中所述工具组件包括彼此枢转地相关联的一对并置的夹爪; 以及在所述把手组件和所述工具组件之间延伸的致动电缆，其中所述致动轴的轴向位移导致所述钳口的打开和关闭以及所述致动电缆的旋转导致所述缝合针选择性地保持在所述钳口中。致动电缆的近端连接到缝合针装载组件，使得缝合针装载组件的致动向致动电缆施加旋转以选择性地与其中一个钳口中的缝合针接合。

5. 发明申请

WO2006044490A3 ANNULAR ADHESIVE STRUCTURE 审中-公开
公开(公告)号：WO2006044490A3
公开(公告)日：2006-04-27
申请号：PCT/US2005/036740
申请日：2005-10-12
申请人： TYCO HEALTHCARE GROUP, LP , BETTUCHI, Michael , FOWLER, David, N. , VIOLA, Frank, J. , CRISCUOLO, Christopher, J. , TARINELLI, Danyel, J. , CAPELLA, Robert , SNIFFIN, Kevin , HADBA, Ahmad, Robert
发明人： BETTUCHI, Michael , FOWLER, David, N. , VIOLA, Frank, J. , CRISCUOLO, Christopher, J. , TARINELLI, Danyel, J. , CAPELLA, Robert , SNIFFIN, Kevin , HADBA, Ahmad, Robert
IPC分类号： A61B17/10
摘要： An apparatus for forming an anastomosis between adjacent intestinal sections of tissue is provided. The apparatus includes a circular surgical stapler having an anvil assembly with an anvil shaft and an anvil, the circular surgical stapler further having a tubular body portion with an annular knife and a body portion shaft selectively attachable to the anvil shaft; and a seal structure for deposition between the intestinal sections of tissue including a hub configured to engage attachment structure on at least one of the anvil shaft and the body portion shaft. The attachment structure is positioned so that the seal structure is located between the intestinal sections of tissue when the circular surgical stapler is disposed within the intestinal sections of tissue.

6. 发明申请

WO2008045374A3 HANDLE ASSEMBLY FOR ARTICULATED ENDOSCOPIC INSTRUMENTS 审中-公开
公开(公告)号：WO2008045374A3
公开(公告)日：2008-04-17
申请号：PCT/US2007/021480
申请日：2007-10-04
申请人： TYCO HEALTHCARE GROUP LP , TAYLOR, Eric, J. , HATHAWAY, Peter , SNIFFIN, Kevin
发明人： TAYLOR, Eric, J. , HATHAWAY, Peter , SNIFFIN, Kevin
IPC分类号： A61B17/00
摘要： An endoscopic surgical instrument is provided and includes a handle assembly for operating the surgical instrument, an articulatable neck assembly supported on and extending from the handle assembly, and an end effector operatively supported on the neck assembly. The handle assembly includes a housing; a trigger operatively supported on the housing; at least one actuation shaft operatively connected to the trigger and extending from the housing, wherein an actuation of the trigger imparts axial translation to the actuation shaft; and at least one articulation cable operable from the housing. The end effector includes a pair of pivotably mounted, juxtaposed jaws, wherein the jaws are movable at least between an open position and a closed position, and wherein a distal end of an actuation shaft is operatively engaged with the pair of jaws to effectuate opening and closing of the jaws.

7. 发明申请

WO2008045374A2 HANDLE ASSEMBLY FOR ARTICULATED ENDOSCOPIC INSTRUMENTS 审中-公开
标题翻译：治疗内窥镜仪器的手柄组件
公开(公告)号：WO2008045374A2
公开(公告)日：2008-04-17
申请号：PCT/US2007021480
申请日：2007-10-04
申请人： TYCO HEALTHCARE , TAYLOR ERIC J , HATHAWAY PETER , SNIFFIN KEVIN
发明人： TAYLOR ERIC J , HATHAWAY PETER , SNIFFIN KEVIN
IPC分类号： A61B17/94
CPC分类号： A61B17/2909 , A61B17/0469 , A61B17/062 , A61B2017/003 , A61B2017/2905 , A61B2017/2919
摘要： An endoscopic surgical instrument is provided and includes a handle assembly for operating the surgical instrument, an articulatable neck assembly supported on and extending from the handle assembly, and an end effector operatively supported on the neck assembly. The handle assembly includes a housing; a trigger operatively supported on the housing; at least one actuation shaft operatively connected to the trigger and extending from the housing, wherein an actuation of the trigger imparts axial translation to the actuation shaft; and at least one articulation cable operable from the housing. The end effector includes a pair of pivotably mounted, juxtaposed jaws, wherein the jaws are movable at least between an open position and a closed position, and wherein a distal end of an actuation shaft is operatively engaged with the pair of jaws to effectuate opening and closing of the jaws.
摘要翻译：提供内窥镜手术器械，并且包括用于操作外科器械的手柄组件，支撑在手柄组件上并从手柄组件延伸的可铰接颈部组件，以及可操作地支撑在颈部组件上的端部执行器。手柄组件包括壳体; 可操作地支撑在壳体上的扳机; 所述至少一个致动轴可操作地连接到所述触发器并从所述壳体延伸，其中所述触发器的致动将轴向平移赋予所述致动轴; 以及至少一个可从壳体操作的铰接缆索。末端执行器包括一对可枢转地安装的并置的夹爪，其中所述夹爪至少在打开位置和关闭位置之间是可移动的，并且其中致动轴的远端与所述一对钳口可操作地接合以实现开口和关闭颚

8. 发明申请

WO2008045353A2 FLEXIBLE ENDOSCOPIC STITCHING DEVICES 审中-公开
标题翻译：柔性内窥镜缝合装置
公开(公告)号：WO2008045353A2
公开(公告)日：2008-04-17
申请号：PCT/US2007/021447
申请日：2007-10-05
申请人： TYCO HEALTHCARE GROUP LP , TAYLOR, Eric, J. , HATHAWAY, Peter , SNIFFIN, Kevin , HORTON, Kenneth, W.
发明人： TAYLOR, Eric, J. , HATHAWAY, Peter , SNIFFIN, Kevin , HORTON, Kenneth, W.
IPC分类号： A61B17/94
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/0625 , A61B2017/00323 , A61B2017/06042 , A61B2017/0609 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2943
摘要： An endoscopic stitching device is provided including a handle assembly supporting a manually operated suture needle loading assembly; a tool assembly operatively supported on and connected to the handle assembly; a suture needle operatively associated with the tool assembly, wherein the tool assembly includes a pair of juxtaposed jaws pivotally associated with one another; and an actuation cable extending between the handle assembly and the tool assembly, wherein axial displacement of the actuation shaft results in opening and closing of the jaws and rotation of the actuation cable results in selective retention of the suture needle in the jaws. A proximal end of the actuation cable is connected to the suture needle loading assembly such that actuation of the suture needle loading assembly imparts rotation to the actuation cable to selectively engage the suture needle in one of the jaws.
摘要翻译：提供了一种内窥镜缝合装置，其包括：手柄组件，其支撑手动操作的缝合针装载组件; 工具组件，所述工具组件可操作地支撑并连接到所述手柄组件; 与所述工具组件可操作地相关联的缝合针，其中所述工具组件包括一对彼此枢转地关联的并置的夹爪; 以及在所述手柄组件和所述工具组件之间延伸的致动缆线，其中所述致动轴的轴向位移导致所述钳口的打开和闭合，并且所述致动缆线的旋转导致所述缝合针选择性地保持在所述钳口中。致动缆线的近端连接到缝合针加载组件，使得缝合针加载组件的致动将旋转传递到致动缆线以选择性地将缝合针接合在其中一个夹爪中。

9. 发明申请

WO2006044490A2 ANNULAR ADHESIVE STRUCTURE 审中-公开
标题翻译：环形粘结结构
公开(公告)号：WO2006044490A2
公开(公告)日：2006-04-27
申请号：PCT/US2005036740
申请日：2005-10-12
申请人： TYCO HEALTHCARE , BETTUCHI MICHAEL , FOWLER DAVID N , VIOLA FRANK J , CRISCUOLO CHRISTOPHER J , TARINELLI DANYEL J , CAPELLA ROBERT , SNIFFIN KEVIN , HADBA AHMAD ROBERT
发明人： BETTUCHI MICHAEL , FOWLER DAVID N , VIOLA FRANK J , CRISCUOLO CHRISTOPHER J , TARINELLI DANYEL J , CAPELLA ROBERT , SNIFFIN KEVIN , HADBA AHMAD ROBERT
IPC分类号： A61B17/04
CPC分类号： A61B17/072 , A61B17/00491 , A61B17/07292 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/00557 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214
摘要： An apparatus for forming an anastomosis between adjacent intestinal sections of tissue is provided. The apparatus includes a circular surgical stapler having an anvil assembly with an anvil shaft and an anvil, the circular surgical stapler further having a tubular body portion with an annular knife and a body portion shaft selectively attachable to the anvil shaft; and a seal structure for deposition between the intestinal sections of tissue including a hub configured to engage attachment structure on at least one of the anvil shaft and the body portion shaft. The attachment structure is positioned so that the seal structure is located between the intestinal sections of tissue when the circular surgical stapler is disposed within the intestinal sections of tissue.
摘要翻译：提供了一种用于在组织的相邻肠段之间形成吻合的装置。该装置包括具有砧座组件和砧座轴的圆形手术吻合器，该圆形外科缝合器还具有一个具有环形刀的管状本体部分和可选择性地附接到砧座轴的主体部分轴; 以及用于在组织的肠部之间沉积的密封结构，包括被配置为将附接结构接合在砧座轴和主体部分轴中的至少一个上的轮毂。定位安装结构，使得当圆形手术吻合器设置在组织的肠段内时，密封结构位于组织的肠段之间。

10. 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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