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    Surgical stapling apparatus
    1.
    发明授权
    Surgical stapling apparatus 失效
    手术吻合装置

    公开(公告)号：US07891533B2

    公开(公告)日：2011-02-22

    申请号：US12269600

    申请日：2008-11-12

    申请人： David T Green ,  Keith Ratcliff ,  Keith Milliam ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    发明人： David T Green ,  Keith Ratcliff ,  Keith Milliam ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

    摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

    摘要翻译： 提供内窥镜手术装置用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

    SURGICAL STAPLING APPARATUS
    2.
    发明申请
    SURGICAL STAPLING APPARATUS 失效
    手术装置

    公开(公告)号：US20090065551A1

    公开(公告)日：2009-03-12

    申请号：US12269618

    申请日：2008-11-12

    申请人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    发明人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

    摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

    摘要翻译： 提供内窥镜手术装置用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

    Apparatus for applying surgical fasteners
    4.
    发明授权
    Apparatus for applying surgical fasteners 失效
    用于外科紧固件的装置

    公开(公告)号：US5988479A

    公开(公告)日：1999-11-23

    申请号：US659095

    申请日：1996-06-04

    申请人： Mitchell J. Palmer

    发明人： Mitchell J. Palmer

    IPC分类号： A61B17/072 ,  A61B17/32 ,  A61B19/00 ,  A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/32 ,  A61B2090/0814

    摘要： A surgical fastener applying apparatus having elongated cartridge and anvil half sections which are relatively movable from an unclamped to a clamped position. A safety member is supported in the cartridge section and movable between a non-blocking position and a blocking position to prevent relative movement of the cartridge and anvil support member to the clamped position after the fasteners have been fired. The safety member is biased inwardly by a tab retainer. Distal movement of the cam bars causes the tab retainer to be moved to a release position to allow movement of the safety tab to the blocking position.

    摘要翻译： 一种外科紧固件施加装置，其具有细长的盒和砧半部分，它们可从未夹紧到相对的夹紧位置相对移动。 安全构件被支撑在盒部分中并且可在非阻挡位置和阻挡位置之间移动，以防止在紧固件被点火之后盒和砧座支撑构件相对运动到夹紧位置。 安全部件被凸片保持器向内偏压。 凸轮杆的远端运动导致翼片保持器移动到释放位置，以允许安全翼片移动到阻挡位置。

    Apparatus for marking tissue location
    5.
    发明授权
    Apparatus for marking tissue location 失效
    用于标记组织位置的装置

    公开(公告)号：US5879357A

    公开(公告)日：1999-03-09

    申请号：US926695

    申请日：1997-09-10

    申请人： Lisa W. Heaton ,  Mitchell J. Palmer ,  Keith L. Milliman ,  Jonathan E. Wilson

    发明人： Lisa W. Heaton ,  Mitchell J. Palmer ,  Keith L. Milliman ,  Jonathan E. Wilson

    IPC分类号： A61B17/34 ,  A61B19/00 ,  A61B17/00

    CPC分类号： A61B90/39 ,  A61B2017/3484 ,  A61B2090/3908 ,  A61B2090/3987

    摘要： A surgical apparatus for marking a location within tissue which includes (i) a needle including a housing and an elongated tube having a sharp distal end, (ii) an elongated cable configured and dimensioned to pass through a longitudinal passageway formed through the needle, (iii) an elongated tissue marker attached adjacent a distal end of the elongated cable such that the elongated marker is movable between a retracted orientation and a deployed orientation, and (iv) an actuator assembly operatively associated with the elongated marker, wherein movement of the actuator assembly from a first position to a second position moves the elongated marker from the retracted position to the deployed position. A method of marking a particular location in body tissue is also provided, which includes the steps of (i) inserting an apparatus into a section of body tissue, (ii) deploying an elongated marker having an elongated cable attached thereto from the apparatus into the tissue, (iii) retaining the elongated cable relative the distal end of the apparatus, and (iv) moving the elongated marker into an orientation substantially perpendicular to the elongated cable.

    摘要翻译： 一种用于标记组织内部位置的手术装置，其包括（i）包括壳体的针和具有尖锐远端的细长管，（ii）细长电缆，其被配置和尺寸设置成穿过通过针形成的纵向通道（ iii）细长组织标记，其附接在细长电缆的远端附近，使得细长标记可在收缩方向和展开方向之间移动，以及（iv）可操作地与细长标记相关联的致动器组件，其中致动器的运动 从第一位置到第二位置的组合将细长标记从缩回位置移动到展开位置。 还提供了一种在身体组织中标记特定位置的方法，其包括以下步骤：（i）将装置插入身体组织的部分，（ii）展开细长的标记，所述标记具有从所述装置连接到其上的细长电缆， 组织，（iii）相对于设备的远端保持细长的电缆，以及（iv）将细长的标记物移动到基本垂直于细长电缆的取向。

    Articulating surgical cartridge assembly
    6.
    发明授权
    Articulating surgical cartridge assembly 失效
    铰接手术筒组件

    公开(公告)号：US5482197A

    公开(公告)日：1996-01-09

    申请号：US245148

    申请日：1994-05-17

    申请人： David T. Green ,  Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer

    发明人： David T. Green ,  Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer

    IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/28 ,  A61B19/00

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/0023 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/00548 ,  A61B2017/2903 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803 ,  A61B2090/0804

    摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly to increase the range of operability of the apparatus.

    摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分，以及安装到细长部分的远端的铰接盒组件。 砧构件可操作地与关节式支架组件相关联并且具有成形表面，外科紧固件在从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。

    Ambulatory tubing set with anti-siphon valve
    7.
    发明授权
    Ambulatory tubing set with anti-siphon valve 失效
    动静管套装有防虹吸阀

    公开(公告)号：US5226886A

    公开(公告)日：1993-07-13

    申请号：US804895

    申请日：1991-12-06

    申请人： James G. Skakoon ,  Mitchell J. Palmer

    发明人： James G. Skakoon ,  Mitchell J. Palmer

    IPC分类号： A61M5/14 ,  A61M5/142

    CPC分类号： A61M5/14228 ,  A61M39/08 ,  A61M39/24 ,  A61M2039/242

    摘要： An intravenous tubing set is provided with luer connectors, an anti-siphon valve and peristaltic pump engaging means. The anti-siphon valve will permit flow through the intravenous tubing set only when a preselected positive pressure as measured from the proximal end to the distal end of the anti-siphon valve is achieved.

    摘要翻译： 静脉注射管组装有鲁尔连接器，防虹吸阀和蠕动泵接合装置。 只有当从防虹吸阀的近端到远端测量的预选正压力达到时，防虹吸阀将允许流经静脉内管组。

    Site marker device
    8.
    发明授权
    Site marker device 有权
    站点标记设备

    公开(公告)号：US06951564B2

    公开(公告)日：2005-10-04

    申请号：US10653770

    申请日：2003-09-03

    申请人： Felix Espositio ,  Frank J. Viola ,  Mitchell J. Palmer ,  John Pellicano

    发明人： Felix Espositio ,  Frank J. Viola ,  Mitchell J. Palmer ,  John Pellicano

    IPC分类号： A61B17/00 ,  A61B19/00 ,  A61M5/00

    CPC分类号： A61M37/0069 ,  A61B90/39 ,  A61B2017/00867 ,  A61B2090/3908 ,  A61B2090/3987

    摘要： A site marker device and marker are provided. The site marker device includes a housing and a distally extending delivery tube. A pusher rod is movably positioned within the delivery tube to eject a marker from the distal end thereof. An elongated tubular body is positioned about the delivery tube. An actuator is provided to provide two stage advancement. During the first stage, the delivery tube and the pusher rod are advanced through the distal end of the elongated tubular body. During the second stage of advancement, the pusher rod is advanced independently of the delivery tube to eject a marker from the distal end thereof. The marker is formed from a shape memory material and has a circular or hoop configuration in the relaxed state.

    摘要翻译： 提供了一个站点标记设备和标记。 站点标记装置包括壳体和远侧延伸的输送管。 推杆可移动地定位在输送管内以从其远端喷出标记。 细长的管状体围绕输送管定位。 提供致动器以提供两级升降。 在第一阶段期间，输送管和推杆延伸穿过细长管状体的远端。 在推进的第二阶段期间，推杆独立于输送管前进，从其远端喷出标记。 标记由形状记忆材料形成，并且在松弛状态下具有圆形或环形构造。

    Apparatus and method for localizing and removing tissue
    10.
    发明授权
    Apparatus and method for localizing and removing tissue 失效
    用于定位和去除组织的装置和方法

    公开(公告)号：US6165137A

    公开(公告)日：2000-12-26

    申请号：US397776

    申请日：1999-09-16

    申请人： Keith L. Milliman ,  Lisa W. Heaton ,  Mitchell J. Palmer ,  Joseph M. DeVivo

    发明人： Keith L. Milliman ,  Lisa W. Heaton ,  Mitchell J. Palmer ,  Joseph M. DeVivo

    IPC分类号： A61B10/00 ,  A61B10/02 ,  A61B17/00 ,  A61B17/32 ,  A61B17/34 ,  A61B18/00 ,  A61B19/00 ,  A61B5/00

    CPC分类号： A61B10/0266 ,  A61B17/34 ,  A61B17/3417 ,  A61B90/17 ,  A61B90/39 ,  A61B2017/008 ,  A61B2017/32004 ,  A61B2017/320044 ,  A61B2018/00077 ,  A61B2090/3908

    摘要： A surgical apparatus for securing a needle extending therethrough includes a post having a channel therein mounted to a base. The post is positioned in operative alignment with the needle mounted on the base. A locking member is associated with the post in operative alignment with the needle. The locking member defines an opening therethrough to receive the needle, and the locking member is operable between a needle receiving position wherein the needle may be inserted or removed from the locking member and a needle retaining position wherein the needle is retained in at least one direction of movement. A method for surgically localizing and removing tissue includes the steps of providing a tissue cutting member mounted on a base and defining an opening near a distal end, the tissue cutting member further forming a tissue receiving cavity in communication with the opening, a needle disposed within the cavity and defining a longitudinal passageway therethrough, a post mounted on the base and a locking member mounted on the post and defining having a needle receiving opening in operative alignment with the needle, the locking member being operable between a needle receiving position wherein the needle may be inserted or removed from the locking member and a needle retaining position wherein the needle is retained in at least one direction of movement, locking the needle within the locking member by rotating the locking member into the needle retaining position, positioning the needle within target tissue, severing the tissue to be removed and removing the severed tissue from a patient.

    摘要翻译： 用于固定延伸穿过其中的针的手术装置包括具有其中安装到基部的通道的柱。 该柱被定位成与安装在基座上的针头操作对准。 锁定构件与柱相关联，与针可操作地对准。 锁定构件限定穿过其中的开口以容纳针，并且锁定构件可在针接收位置之间操作，其中针可以从锁定构件插入或移除，并且针保持位置，其中针保持在至少一个方向 的运动。 用于手术定位和去除组织的方法包括以下步骤：提供安装在基部上并限定靠近远端的开口的组织切割构件，所述组织切割构件进一步形成与开口连通的组织接收腔， 空腔并且限定穿过其中的纵向通道，安装在基座上的柱和安装在柱上并限定具有与针可操作对准的针接收开口的锁定构件，所述锁定构件可在针接收位置之间操作，其中针 可以从锁定构件插入或移除针头保持位置，其中针被保持在至少一个运动方向上，通过将锁定构件旋转到针保持位置将针定位在目标位置中，将针锁定在锁定构件内 组织切断要去除的组织并从患者身上移除切断的组织。