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公开(公告)号：EP0656190A2
公开(公告)日：1995-06-07
申请号：EP94115677.0
申请日：1994-10-05
发明人： Pratt, James R. , Kappel, Gary S. , Cuny, Douglas J. , Tovey, Jonathan H. , Phillips, Paul J. , Peyser, Mark S. , Aranyi, Ernie
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
摘要： An apparatus 10 is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure such as cholecystectomy procedures. The apparatus includes means 40 for effecting a partial closing stroke of the handle mechanism to correspond to a partial closure of the jaw members, and permits a partial opening stroke to release the partially closed clip in the jaw mechanism. Other features of the invention include means 156 for preventing over-advancement of a clip to the jaw mechanism, means 60 for cradling the clip as it is advanced from the clip supply to the jaw mechanism, means 74 for preventing splaying of the jaws in the event of a clip-over-clip application, and a novel rotation collar 22. The instrument of the present invention provides the surgeon with visual, audible, and tactile indication of the positioning of the jaw members to effect the application of a partially closed clip.
摘要翻译： 提供用于施加手术夹子的装置10，其包括用于在诸如胆囊切除手术的手术过程期间将部分闭合的夹子施加到管道或分流器的措施。 该设备包括用于实现手柄机构的部分闭合行程的装置40，以对应于钳口构件的部分闭合，并且允许部分打开行程以释放钳口机构中的部分闭合的夹子。 本发明的其它特征包括用于防止夹子过度前进到夹爪机构的装置156，用于在夹子从夹子供应装置前进到夹爪机构时支撑夹子的装置60，用于防止夹爪在夹爪机构中展开的装置74。 夹式应用的事件以及新颖的旋转套环22.本发明的器械为外科医生提供了视觉，听觉和触觉指示，以指示夹钳构件的定位，以实现部分闭合的夹具 。
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公开(公告)号：EP0579038A1
公开(公告)日：1994-01-19
申请号：EP93110437.6
申请日：1993-06-30
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B2017/0725
摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members (20,22) of the instrument. The adjustable closure mechanism consists of a retaining mechanism (32) and a linkage structure (42) which is actuable to linearly urge the jaw members (20,22) towards each other. A coupling arrangement (48,50,52) is also provided which permits firing of the staples or fasteners only when the jaw members (20,22) are approximated a predetermined distance towards each other.
摘要翻译： 一种用于将外科紧固件施加到具有可调闭合机构的组织的手术吻合或紧固器械，以线性近似仪器的钳口构件（20,22）之间的距离。 可调闭合机构由保持机构（32）和连杆结构（42）组成，该联动结构可致动以将钳口构件（20,22）朝向彼此线性推动。 还提供了一种联接装置（48,50,52），其仅当钳口构件（20,22）彼此近似预定距离时才允许订书钉或紧固件的点火。
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公开(公告)号：EP0656190B1
公开(公告)日：2000-08-02
申请号：EP94115677.0
申请日：1994-10-05
发明人： Pratt, James R. , Kappel, Gary S. , Cuny, Douglas J. , Tovey, Jonathan H. , Phillips, Paul J. , Peyser, Mark S. , Aranyi, Ernie
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
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公开(公告)号：EP0552423A2
公开(公告)日：1993-07-28
申请号：EP92117705.1
申请日：1992-10-16
发明人： Green, David T. , Bolanos, Henry , Ratcliff, Keith , Blewett, Jeffrey J. , Lehn, Randolph F. , Sherts, Charles R. , Bryan, Graham W. , Castro, Salvatore , Kappel, Gary S.
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
摘要： A self contained gas powered endoscopic surgical apparatus 50 is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes an anvil member 56 and a surgical fastener cartridge member 58 mounted to the distal end of an elongated endoscopic portion 54. A tubular collar 220 of the endoscopic portion moves distally to engage the anvil member and bias the anvil member and the cartridge member into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and the cartridge member. A self contained pneumatic system 68 is disposed in the surgical apparatus and is actuable to eject and/or form the surgical fasteners in the clamped body tissue. The apparatus further comprises a locking means for preventing firing of the instrument after it has been fired a predetermined number of times. A counter (400-406) for displaying the number of times the apparatus has been fired may be provided. A firing interlock (408-414) is also shown which prevents accidental actuation of the firing trigger. A clamping interlock (430-434) is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument.
摘要翻译： 提供了一种自备的气体动力内窥镜手术装置50，用于将外科紧固件的侧线放置在身体组织中。 该装置包括安装到细长的内窥镜部分54的远端的砧座构件56和手术紧固件盒构件58.内窥镜部分的管状套环220向远侧移动以接合砧座构件并偏压砧座构件和筒构件 从而夹紧要固定在砧构件和盒构件之间的身体组织。 自包含的气动系统68设置在手术设备中并且可致动以在夹持的身体组织中弹出和/或形成外科紧固件。 该装置还包括用于防止仪器在其被点火预定次数之后发射的锁定装置。 可以提供用于显示设备被点火的次数的计数器（400-406）。 还示出了防止触发触发器的意外致动的触发互锁（408-414）。 示出了夹紧互锁（430-434），当钳口不对准或不正确地插入仪器时，可以防止钳口近似。
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公开(公告)号：EP0579038B1
公开(公告)日：1998-09-02
申请号：EP93110437.6
申请日：1993-06-30
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B2017/0725
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公开(公告)号：EP0552423B1
公开(公告)日：1998-01-07
申请号：EP92117705.1
申请日：1992-10-16
发明人： Green, David T. , Bolanos, Henry , Ratcliff, Keith , Blewett, Jeffrey J. , Lehn, Randolph F. , Sherts, Charles R. , Bryan, Graham W. , Castro, Salvatore , Kappel, Gary S.
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
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公开(公告)号：EP0702937A1
公开(公告)日：1996-03-27
申请号：EP95114660.4
申请日：1995-09-18
IPC分类号： A61B17/28
CPC分类号： A61B17/29 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946
摘要： A surgical instrument (10) is disclosed for use in a wide variety of roles including grasping, dissecting, clamping, or retracting materials or tissue during surgical procedures performed either in open surgery or within the abdominal cavity.
The surgical instrument includes a handle portion (12), a tubular body portion (20) extending from the handle portion and defining a longitudinal axis, and tool structure (28) associated with a distal portion of the tubular body portion. A rotation assembly (122) is provided for effectuating rotation of the tool structure about the longitudinal axis of the body portion. Rotation locking structure (134) is provided to lock the rotation assembly at a predetermined orientation such that it cannot be rotated with respect to the handle.摘要翻译： 一种外科器械（10）是游离缺失盘用在各种各样的角色包括抓握，解剖，夹紧，或在无论是在开放式手术或腹腔内进行的外科手术缩回材料或组织。 所述外科器械包括与所述管状主体部分的远端部分相关联的手柄部分（12），管状体部（20）从所述手柄部分延伸并限定纵向轴线，以及工具的结构（28）。 甲旋转组件（122）被提供用于实现所述工具结构的绕所述主体部分的纵向轴线。 旋转锁定结构（134）被设置在检查并不能相对于所述手柄旋转预定取向锁定旋转组件。
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公开(公告)号：EP0656190A3
公开(公告)日：1995-12-13
申请号：EP94115677.0
申请日：1994-10-05
发明人： Pratt, James R. , Kappel, Gary S. , Cuny, Douglas J. , Tovey, Jonathan H. , Phillips, Paul J. , Peyser, Mark S. , Aranyi, Ernie
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B2017/2929 , Y10S227/901
摘要： An apparatus 10 is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure such as cholecystectomy procedures. The apparatus includes means 40 for effecting a partial closing stroke of the handle mechanism to correspond to a partial closure of the jaw members, and permits a partial opening stroke to release the partially closed clip in the jaw mechanism. Other features of the invention include means 156 for preventing over-advancement of a clip to the jaw mechanism, means 60 for cradling the clip as it is advanced from the clip supply to the jaw mechanism, means 74 for preventing splaying of the jaws in the event of a clip-over-clip application, and a novel rotation collar 22. The instrument of the present invention provides the surgeon with visual, audible, and tactile indication of the positioning of the jaw members to effect the application of a partially closed clip.
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公开(公告)号：EP0552423A3
公开(公告)日：1993-09-15
申请号：EP92117705.1
申请日：1992-10-16
发明人： Green, David T. , Bolanos, Henry , Ratcliff, Keith , Blewett, Jeffrey J. , Lehn, Randolph F. , Sherts, Charles R. , Bryan, Graham W. , Castro, Salvatore , Kappel, Gary S.
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
摘要： A self contained gas powered endoscopic surgical apparatus 50 is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes an anvil member 56 and a surgical fastener cartridge member 58 mounted to the distal end of an elongated endoscopic portion 54. A tubular collar 220 of the endoscopic portion moves distally to engage the anvil member and bias the anvil member and the cartridge member into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and the cartridge member. A self contained pneumatic system 68 is disposed in the surgical apparatus and is actuable to eject and/or form the surgical fasteners in the clamped body tissue. The apparatus further comprises a locking means for preventing firing of the instrument after it has been fired a predetermined number of times. A counter (400-406) for displaying the number of times the apparatus has been fired may be provided. A firing interlock (408-414) is also shown which prevents accidental actuation of the firing trigger. A clamping interlock (430-434) is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument.
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