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    • 1. 发明申请
    • SURGICAL STAPLING DEVICE
    • 外科手术装置
    • WO02080781A2
    • 2002-10-17
    • PCT/US0210792
    • 2002-04-03
    • US SURGICALGRESHAM RICHARD DMANZO SCOTT EARANYI ERNESTGEISTE ROBERT JJANKOWSKI BRUCE KMILLIMAN KEITH
    • GRESHAM RICHARD DMANZO SCOTT EARANYI ERNESTGEISTE ROBERT JJANKOWSKI BRUCE KMILLIMAN KEITH
    • A61B17/00A61B17/115A61B17/34
    • A61B17/1155A61B17/115A61B17/34A61B2017/00128A61B2017/07257A61B2017/2905
    • 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.
    • 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。
    • 2. 发明申请
    • SURGICAL STAPLING DEVICE FOR PERFORMING CIRCULAR ANASTOMOSES
    • 用于形成圆形吻合器的外科缝合装置
    • WO02080781A8
    • 2004-04-01
    • PCT/US0210792
    • 2002-04-03
    • TYCO HEALTHCAREGRESHAM RICHARD DMANZO SCOTT EARANYI ERNESTGEISTE ROBERT JJANKOWSKI BRUCE KMILLIMAN KEITH
    • GRESHAM RICHARD DMANZO SCOTT EARANYI ERNESTGEISTE ROBERT JJANKOWSKI BRUCE KMILLIMAN KEITH
    • A61B17/00A61B17/115A61B17/34
    • A61B17/1155A61B17/115A61B17/34A61B2017/00128A61B2017/07257A61B2017/2905
    • 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.
    • 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
    • SURGICAL STAPLING DEVICE FOR PERFORMING CIRCULAR ANASTOMOSES
    • 用于执行圆形分析的外科装订装置
    • WO02080781A9
    • 2004-05-06
    • PCT/US0210792
    • 2002-04-03
    • TYCO HEALTHCAREGRESHAM RICHARD DMANZO SCOTT EARANYI ERNESTGEISTE ROBERT JJANKOWSKI BRUCE KMILLIMAN KEITH
    • GRESHAM RICHARD DMANZO SCOTT EARANYI ERNESTGEISTE ROBERT JJANKOWSKI BRUCE KMILLIMAN KEITH
    • A61B17/00A61B17/115A61B17/34
    • A61B17/1155A61B17/115A61B17/34A61B2017/00128A61B2017/07257A61B2017/2905
    • 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.
    • 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。