摘要:
An apparatus (10) for applying surgical fasteners to body tissue comprising:
a) a handle portion (12); b) an elongated body portion extending distally from the handle portion; c) a cartridge housing (18) supported in a distal end portion of the body portion and defining an elongate tissue-contacting surface, the cartridge housing containing a plurality of surgical fasteners; d) an anvil member (20) defining a fastener-forming surface co-operatively aligned with the tissue-contacting surface and against which fasteners (34) ejected from the cartridge housing are driven, the anvil member and cartridge housing mounted at a location spaced from the handle portion for relative movement between a first position and a second position wherein the fastener-forming surface and the tissue-contacting surface are in closer cooperative alignment; e) an actuation mechanism (50) configured to translate through the anvil member and cartridge housing from one end of the aligned tissue-contacting and fastener-forming surfaces to the other end of the aligned tissue-contacting and fastener-forming surfaces and, by such translational movement, to progressively approximate the anvil member and cartridge housing from the first position to the second position and to eject a plurality of surgical fasteners from the cartridge to be formed against the anvil; and f) a drive mechanism (90) operable from the handle portion and extending through the body portion to drive the actuation mechanism through the anvil member.
摘要:
A self-contained powered surgical apparatus (10) for applying surgical fasteners to body tissue is disclosed which includes a handle assembly (12), a gear motor assembly (24) disposed within the handle assembly, a power source (45) disposed within the handle assembly for energizing the motor assembly, an elongated body (14) extending distally from the handle assembly (22), a cartridge assembly (16) detachably connected to a distal end portion of the elongated body, and an elongated drive shaft (42) extending through the elongated body and detachably coupling the motor assembly to the cartridge assembly.
摘要:
An apparatus (10) for applying a buckle assembly (14) about split portions of tissue is provided. The apparatus (10) is particularly contemplated for use with a buckle (14) of the type having a base member (38) with an opening (44) extending generally transversely therethrough for reception of a first strap end portion and a clamp member (40) slidably housed within a channel (42) formed in the base member (38). The apparatus (10) includes a frame member (16), a mechanism (24) disposed in a lower surface of the frame member (16) for releasably supporting the buckle member (14) and a mechanism (18,22) associated with the frame member for advancing the clamp member (40) within the channel (26) of the buckle (14) to a strap securing position wherein the strap member (12) is secured within the buckle member (14) in a looped configuration about the tissue portions.
摘要:
A strap assembly (10) to be looped about split portions (50) of human tissue to retain the split portions in adjacent contacting relation to promote healing thereof is provided. The strap assembly includes a flexible strap member (12) and a buckle member (14) to secure the strap member. The buckle member includes a base member (16) having an opening (18) extending therethrough for reception of the strap member and a clip member (20) pivotally mounted to the base member for engaging the strap member. The clip member is adapted to pivot from an open position to allow for reception of the strap member through the opening and a closed position wherein the strap is engaged by and wedged between a forward edge (27) of the clip member and the base member to secure the strap member around the split portions of tissue.
摘要:
A powered surgical apparatus (10) for applying surgical fasteners to body tissue comprising: a) an elongate body (20) supported by said elongate body; b) a channel (32) supported by said elongate body; c) a cartridge (44) retained by said channel, the cartridge housing a plurality of surgical fasteners (48); d) an anvil member (64) mounted for movement with respect to the cartridge, the anvil and cartridge being relatively movable between an open position and a closed position; e) a motor assembly (86) having a rotatable drive shaft (88); f) a power source (98) for energizing the motor assembly; and g) an actuating assembly (42) driven by the motor assembly, the actuating assembly having a camming beam (100) configured to translate through the cartridge to eject the surgical fasteners therefrom, the camming beam being driven by a drive member 880) and an axial drive screw (84), the drive member defining a threaded bore (82) threadably associated with the axial drive screw, the axial drive screw being connected to the drive shaft; and h) the camming beam having an upper portion (102) for engaging the anvil member and a lower portion (106) for engaging the channel to effect the progressive closure of the anvil member and balance the forces exerted on the anvil member.