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公开(公告)号：US5417698A
公开(公告)日：1995-05-23
申请号：US959212
申请日：1992-10-09
CPC分类号： B25B25/00 , A61B17/8861
摘要： An instrument for tightening wound closure elements around body tissue, such as a human sternum following surgery. The instrument includes a first handle and a second handle pivotally attached to the first handle and movable between an open and a closed position. A retaining system is also provided to tighten wound closure material in response to movement of the second handle.
摘要翻译： 用于在身体组织周围收紧伤口闭合元件的手段，例如手术后的人类胸骨。 仪器包括第一手柄和枢转地附接到第一手柄并可在打开和关闭位置之间移动的第二手柄。 还提供保持系统以响应于第二把手的移动来收紧伤口闭合材料。
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公开(公告)号：US5355913A
公开(公告)日：1994-10-18
申请号：US959273
申请日：1992-10-09
CPC分类号： A61B17/8861 , A61B17/823 , B65B13/027 , A61B17/82 , A61B2090/031
摘要： A surgical apparatus for tightening a strap loop to a predetermined tension about split tissue portions includes a frame, an advancing mechanism for tightening the strap loop, a linkage mechanism which severs excess strap material not used in securing the tissue portions together and a control mechanism for controlling operation of the apparatus. The advancing mechanism includes a tensioning lever and a gear mechanism. The gear mechanism includes a tensioning hub and a clutch which releases when the tension in the strap loop exceeds a predetermined value. The control mechanism includes a safety feature for preventing inadvertent activation of the linkage mechanism. A buckle and a method for use with the surgical apparatus is also disclosed. The invention is particularly contemplated for repair of the human sternum when the sternum has been split during surgical procedures.
摘要翻译： 用于将带环缠绕到围绕分裂的组织部分的预定张力的手术装置包括框架，用于紧固带环的前进机构，切断不用于将组织部分固定在一起的多余条带材料的连接机构，以及用于 控制设备的操作。 前进机构包括张紧杆和齿轮机构。 齿轮机构包括张紧轮毂和当带环中的张力超过预定值时释放的离合器。 控制机构包括用于防止连动机构的意外激活的安全特征。 还公开了一种带扣和用于手术装置的方法。 本发明特别涉及在外科手术期间胸骨已经分裂时人体胸骨的修复。
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公开(公告)号：US5339870A
公开(公告)日：1994-08-23
申请号：US959325
申请日：1992-10-09
CPC分类号： A61B17/823
摘要： An apparatus for applying a buckle assembly about split portions of tissue is provided. The apparatus is particularly contemplated for use with a buckle of the type having a base member with an opening extending generally transversely therethrough for reception of a first strap end portion and a clamp member slidably housed within a channel formed in the base member. The apparatus includes a frame member, a mechanism disposed in a lower surface of the frame member for releasably supporting the buckle member and a mechanism associated with the frame member for advancing the clamp member within the channel of the buckle to a strap securing position wherein the strap member is secured within the buckle member in a looped configuration about the tissue portions.In an alternate embodiment, a surgical system for repair of split portions of tissue includes a flexible strap member having a buckle member attached thereto. The buckle member includes a base member having a transverse opening extending therethrough for reception of a first end portion of the strap member, a clamp member slidably housed within a partial longitudinal channel defined between lower and upper surfaces of the base member and a tab member for retaining the clamp in a secured position. The buckle may also include a clip member pivotally mounted to an upper surface of the base member to assist in securing the strap member. The system also includes an applier mechanism having a frame, a mechanism disposed in a lower surface of the frame for releasably mounting the buckle and a mechanism for advancing the clamp member within the partial longitudinal channel of the buckle to an engaged position whereby the clamp member securely wedges the strap against the base member.
摘要翻译： 提供了一种用于围绕组织的分裂部分施加带扣组件的装置。 该设备特别设想用于具有基本构件类型的带扣，该基座构件具有大体上横向延伸穿过的开口，用于接收可滑动地容纳在形成在基座构件中的通道内的第一带端部和夹紧构件。 该装置包括框架构件，设置在框架构件的下表面中的用于可释放地支撑带扣构件的机构和与框架构件相关联的机构，用于将带扣的通道内的夹持构件推进到带固定位置， 带状构件围绕组织部分以环形构造固定在带扣构件内。 在替代实施例中，用于修复组织的分割部分的外科系统包括具有附接到其上的带扣构件的柔性带构件。 所述带扣构件包括基部构件，所述基座构件具有延伸穿过其中的横向开口，用于接纳所述带构件的第一端部;夹持构件，其可滑动地容纳在限定在所述基座构件的下表面和上表面之间的部分纵向通道内， 将夹具保持在固定位置。 带扣还可以包括可枢转地安装到基部构件的上表面的夹构件，以帮助固定带构件。 该系统还包括具有框架的施力器机构，设置在框架的下表面中的用于可释放地安装带扣的机构和用于将带扣的部分纵向通道内的夹持构件推进到接合位置的机构，由此夹紧构件 牢固地将带子楔紧在基座构件上。
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公开(公告)号：US5330489A
公开(公告)日：1994-07-19
申请号：US959164
申请日：1992-10-09
CPC分类号： A61B17/82 , A61B17/823 , Y10T24/4016
摘要： A strap assembly to be looped about split portions 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 and a buckle member to secure the strap member. The buckle member includes a base member having an opening extending therethrough for reception of the strap member and a clip member 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 of the clip member and the base member to secure the strap member around the split portions of tissue.
摘要翻译： 提供了围绕人体组织的分裂部分环绕的带组件，以将分离部分保持在相邻的接触关系中以促进其愈合。 带组件包括柔性带构件和用于固定带构件的带扣构件。 所述带扣构件包括基部构件，所述基座构件具有贯穿其中的开口，用于接纳所述带构件;以及夹构件，所述夹构件可枢转地安装到所述基座构件以用于接合所述带构件。 夹子构件适于从打开位置枢转以允许通过开口接收带构件，并且关闭位置，其中带被夹持并夹在夹构件的前边缘和基座构件之间以固定带 围绕组织的分裂部分的构件。
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公开(公告)号：US5376101A
公开(公告)日：1994-12-27
申请号：US173904
申请日：1993-12-27
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Jonathan Tovey
IPC分类号： A61B17/04 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0487 , A61B17/06 , A61B17/122 , A61B2017/045 , A61B2017/0454 , A61B2017/0464
摘要： A suture holding clip including legs each having a suture contacting surface. The legs can be closed to define an interface for holding a suture in a serpentine configuration. In another embodiment the suture holding clip is initially in a spider leg configuration with a spine and legs projecting from the spine and alternately angled to one or the other of two directions so as to define therebetween a lengthwise extending passage for the reception therethrough of a suture.
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6.发明授权
公开(公告)号：US5725537A
公开(公告)日：1998-03-10
申请号：US713733
申请日：1996-09-13
申请人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert J. Geiste , Frank C. Maffei
发明人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert J. Geiste , Frank C. Maffei
IPC分类号： A61B17/08 , A61B17/11 , A61B17/128 , A61B17/28 , A61B17/00
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/083 , A61B17/2909 , A61B2017/1107 , A61B2017/2913 , A61B2017/2916 , A61B2017/2929 , Y10S227/901
摘要： A surgical clip applier comprising a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to the jaws. A channel assembly is slidably mounted with respect to the housing and envelops the jaw blade assembly for camming the jaws closed upon closing of the handles. The clips may be fed to the jaws by a spring biased feed bar which operates upon closing of the handles, or may be urged by pusher bar which provides a biasing force to the clips to be retained by the jaws. The instrument may be used in conventional surgical procedures, or may be adapted for endoscopic and laparoscopic surgical procedures requiring the application of microsurgical clips.
摘要翻译： 一种手术夹具，包括壳体，可枢转地连接到壳体的相对侧的一对手柄，以及固定地连接到壳体的钳口组件。 颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于向钳口提供一系列夹子。 通道组件相对于壳体可滑动地安装并且包封钳口刀片组件，用于在手柄闭合时闭合钳口。 夹子可以通过弹簧偏置的进给杆进给到夹爪，该弹簧偏置的进给杆在关闭手柄时操作，或者可以被推杆推动，推杆对夹具保持偏压力。 该仪器可以用于常规外科手术中，或可适用于需要应用显微手术夹的内窥镜和腹腔镜外科手术。
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公开(公告)号：US5330442A
公开(公告)日：1994-07-19
申请号：US959182
申请日：1992-10-09
申请人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Johnathan Tovey
发明人： David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Johnathan Tovey
IPC分类号： A61B17/04 , A61B17/06 , A61B17/122
CPC分类号： A61B17/0487 , A61B17/06 , A61B17/122 , A61B2017/045 , A61B2017/0454 , A61B2017/0464
摘要： A suture holding clip including legs each having a suture contacting surface. The legs can be closed to define an interface for holding a suture in a serpentine configuration. In another embodiment the suture holding clip is initially in a spider leg configuration with a spine and legs projecting from the spine and alternately angled to one or the other of two directions so as to define therebetween a lengthwise extending passage for the reception therethrough of a suture.
摘要翻译： 一种缝线夹持夹，每个夹具具有缝线接触表面。 可以关闭腿以限定用于将缝合线保持在蛇形结构中的界面。 在另一个实施例中，缝合线保持夹最初处于蜘蛛腿构型中，其中脊柱和腿从脊柱突出并且交替地成角度到两个方向中的一个或另一个，以便在其间限定纵向延伸的通道，用于通过缝线 。
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公开(公告)号：US5779718A
公开(公告)日：1998-07-14
申请号：US714790
申请日：1996-09-13
申请人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert Geiste , Frank C. Maffei
发明人： David T. Green , Henry Bolanos , Kenneth E. Toso , Daniel E. Alesi , Robert Geiste , Frank C. Maffei
IPC分类号： A61B17/08 , A61B17/11 , A61B17/128 , A61B17/28 , A61B17/04
CPC分类号： A61B17/1285 , A61B17/08 , A61B17/083 , A61B17/2909 , A61B2017/1107 , A61B2017/2913 , A61B2017/2916 , A61B2017/2929 , Y10S227/901
摘要： A surgical clip applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to closing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar sidably mounted in said channel assembly for advancing clips along said clip carrier. A first spring member connected between said cam bar and said forming cam for sliding said cam bar in a proximal direction in response to closing of said handles together and further biasing said channel assembly in a proximal direction. Second spring member biasing said pusher bar in a distal direction to push a foremost clip in said clip carrier between said jaws in response to opening of said handles from each other. A clip retainer for preventing movement of said spring biased pusher bar is also provided.
摘要翻译： 一种手术夹施加器，其包括壳体，可枢转地连接到所述壳体的相对侧的一对手柄，以及固定地连接到所述壳体的钳口刀片组件。 颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于将一系列夹子供给到所述夹爪。 通道组件可滑动地安装在壳体中并且包围所述钳口叶片组件。 成形凸轮连接在所述手柄和所述通道组件之间，用于响应于所述把手的关闭而在远侧方向上滑动所述通道组件以将所述钳口朝向彼此移动。 一种进给凸轮杆，其可滑动地安装在所述通道组件中，与所述夹子托架相重叠，所述杆在其远端具有鼻部。 一个推杆可倾斜地安装在所述通道组件中，用于沿着夹子承载件推进夹子。 连接在所述凸轮杆和所述成形凸轮之间的第一弹簧构件，用于响应于所述把手的关闭而沿近端方向滑动所述凸轮杆，并且进一步沿近侧方向偏置所述通道组件。 第二弹簧构件在远侧方向上偏压所述推杆，以响应于所述把手彼此打开而在所述夹爪之间推动所述夹子承载件中的最前面的夹子。 还提供了用于防止所述弹簧偏压推杆的移动的夹持器。
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公开(公告)号：US5591178A
公开(公告)日：1997-01-07
申请号：US527698
申请日：1995-09-13
IPC分类号： A61B17/11 , A61B17/128 , A61B17/00
CPC分类号： A61B17/1285 , A61B2017/1107
摘要： A surgical clip applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to dosing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar slidably mounted in said channel assembly for advancing clips along said clip carrier. A first spring means connected between said cam bar and said forming cam for sliding said cam bar in a proximal direction in response to closing of said handles together and further biasing said channel assembly in a proximal direction. Second spring means biasing said pusher bar in a distal direction to push a foremost clip in said clip carrier between said jaws in response to opening of said handles from each other. A clip retainer for preventing movement of said spring biased pusher bar is also provided.
摘要翻译： 一种手术夹施加器，其包括壳体，可枢转地连接到所述壳体的相对侧的一对手柄，以及固定地连接到所述壳体的钳口刀片组件。 颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于将一系列夹子供给到所述夹爪。 通道组件可滑动地安装在壳体中并且包围所述钳口叶片组件。 成形凸轮连接在所述把手和所述通道组件之间并且连接到所述通道组件，用于响应于所述手柄的配量而在远侧方向上滑动所述通道组件以将所述钳口朝向彼此移动。 一种进给凸轮杆，其可滑动地安装在所述通道组件中，与所述夹子托架相重叠，所述杆在其远端具有鼻部。 可滑动地安装在所述通道组件中的推杆，用于沿着夹子承载件推进夹子。 连接在所述凸轮杆和所述成形凸轮之间的第一弹簧装置，用于响应于所述把手的关闭而沿近端方向滑动所述凸轮杆，并且进一步沿近侧方向偏置所述通道组件。 第二弹簧装置响应于所述手柄彼此打开而偏置所述推杆在远侧方向上推动所述夹子支架中的最前端的夹子在所述夹爪之间。 还提供了用于防止所述弹簧偏压推杆的移动的夹持器。
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公开(公告)号：US5366134A
公开(公告)日：1994-11-22
申请号：US957246
申请日：1992-10-06
IPC分类号： A61B17/068 , A61B17/10 , A61B17/128
CPC分类号： A61B17/0686 , A61B17/105 , A61B17/128
摘要： A surgical fastening apparatus comprises first and second handles with an anvil jaw pivotally connected to at least one of the handles for movement from an open to a closed position in response to a first movement of a handle to clamp body tissue. Fastener pushing means are provided for advancing an individual fastener into contact with the anvil jaw in response to a subsequent movement of a handle. An indicator is provided to alert the user to the termination of the first movement; in a preferred embodiment this indicator is a second movement dwell period of the apparatus in which handle movement continues but the anvil jaw remains stationary and the fastener pushing means is not yet actuated. The apparatus further comprises means for preventing incomplete actuation of the fastener pushing means during the subsequent handle movement.
摘要翻译： 手术紧固装置包括第一和第二把手，其具有砧座钳口，所述砧座钳口枢转地连接到至少一个把手，用于响应于手柄的第一移动以夹紧身体组织而从打开位置到关闭位置。 提供紧固件推动装置，用于响应于随后的手柄的移动而使单个紧固件与砧座钳口接触。 提供指示器以提醒用户终止第一运动; 在优选实施例中，该指示器是装置的第二运动停留时段，其中手柄运动继续，但是砧座保持静止并且紧固件推动装置尚未被致动。 该装置还包括用于在随后的手柄移动期间防止紧固件推动装置不完全致动的装置。
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