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:
A surgical apparatus for applying staples or fasteners to tissue to form a circular anastomosis having an adjustable closure mechanism to rapidly approximate the distance between the anvil member and the fastener assembly of the instrument. The adjustable closure mechanism provides for rapid approximation during an initial movement and for fine adjustment of the distance between the anvil member and the fastener assembly upon subsequent movement of the closure mechanism. The closure mechanism consists of an advancing means which operates in a two stage advancement, such that initial movement of the advancing means moves the anvil member a greater distance than a subsequent movement of the advancing means.
摘要:
A locking device (27,28,46) for a surgical stapling or fastening instrument for applying surgical fasteners to tissue. The locking device is positioned on the jaw mechanism (10) of the fastening instrument and engages a cartridge (14) when the cartridge includes fasteners, and pivots through the cartridge after the fasteners have been fired to prevent the cartridge carrying jaw from being approximated into a firing position when the cartridge is empty.
摘要:
An apparatus (10) is provided for performing surgical tasks during laparoscopic procedures which includes an elongate body (16), a mechanical hand (18) operatively associated with a distal portion of the elongate body and including a plurality of articulated fingers (40-48), and an actuation assembly (20) operatively associated with the proximal portion of the elongate body for controlling the operation of the mechanical hand.
摘要:
A surgical instrument 10 is disclosed which includes a housing 12 having proximal and distal end portions, a shaft extending from the housing distal end portion, the shaft having proximal and distal end portions, a fastener carrying cartridge 22 positioned at the shaft distal end portion, the cartridge having a plurality of fasteners 69 disposed therein, a fastener firing member 56 operatively associated with the fastener carrying cartridge, at least one lever 20 extending from the housing, the lever being adapted to move the fastener firing member to expel the fasteners from the cartridge, an anvil member 24 disposed opposite the cartridge, an elongated member 30 operatively associated with the anvil member for moving the anvil member relative to the cartridge, and locking means 18, 70 disposed within the housing for locking the elongated member, and, therefore the anvil member, the locking means being movable between at least a first position and a second position such that when the locking means is in the first position the elongated member is movable and when the locking means is in the second position the elongated member is prevented from moving.
摘要:
An anvil assembly 10 for use with a circular surgical stapling device having a housing 12 and venting means, in the form of vent holes 20, 22, for venting the interior of the anvil assembly. The housing includes channeling means 46, 48 in the form of a plurality of longitudinally extending and radially spaced surface grooves in an outer surface of the housing which are communicable with the vent holes to aid in directing a flow of air between the vent holes and the outer surface of the housing member to significantly reduce a suction effect therebetween. The channeling means further allows extruded tissue and debris to flow freely from the vent holes.
摘要:
A surgical apparatus for applying staples or fasteners to tissue to form a circular anastomosis having an adjustable closure mechanism to rapidly approximate the distance between the anvil member and the fastener assembly of the instrument. The adjustable closure mechanism provides for rapid approximation during an initial movement and for fine adjustment of the distance between the anvil member and the fastener assembly upon subsequent movement of the closure mechanism. The closure mechanism consists of an advancing means which operates in a two stage advancement, such that initial movement of the advancing means moves the anvil member a greater distance than a subsequent movement of the advancing means.
摘要:
A surgical stapling apparatus (10) comprising a housing, handle (24), elongated body (14), advancement assembly, and retraction mechanism (58) is provided. The movable handle is supported by the hosing, the movable handle being movable through an actuation stroke. The elongated body extends distally from the housing and defines a longitudinal axis, the elongated body having a distal end adapted to releasably engage a disposable loading unit. The advancement assembly includes an actuation shaft (46) and a driving pawl (42), the actuation shaft having a toothed rack (48) and being supported at least in part within the housing, the driving pawl being operatively associated with the movable handle and biased into engagement with the rack, wherein during the actuation stroke, the driving pawl is movable to effect longitudinal advancement of the actuation shaft. The retraction mechanism includes a release plate (64) operatively associated with the actuation shaft, the release plate being movable relative to the actuation shaft into operative engagement with the driving pawl to disengage the driving pawl from the rack.