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    Surgical stapling device
    1.
    发明授权
    Surgical stapling device 有权
    手术吻合装置

    公开(公告)号：US08348122B2

    公开(公告)日：2013-01-08

    申请号：US11515660

    申请日：2006-09-05

    申请人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    发明人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    IPC分类号： A61B17/064

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00371 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2090/0811 ,  A61B2090/3616

    摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes an approximation mechanism including a rotatable knob, a screw having a helical channel and an anvil retainer. The helical channel includes a dwell portion for providing a tactile indication to a surgeon that the anvil retainer has been advanced to a position wherein the anvil assembly can be removed from the anvil retainer. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.

    摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 缝合装置包括近似机构，其包括可旋转旋钮，具有螺旋通道的螺钉和砧座保持器。 所述螺旋通道包括用于向外科医生提供触觉指示的停留部分，所述砧座保持器已经前进到其中所述砧座组件能够从所述砧座保持器移除的位置。 还公开了一种用于连接到砧组件的可拆卸的套针针，其包括位于安装突起的近侧的肋。 肋被定位成使安装突起与砧组件的相关接合结构对准。

    Surgical stapling device with visual indicator
    4.
    发明授权
    Surgical stapling device with visual indicator 有权
    带视觉指示器的手术吻合装置

    公开(公告)号：US07303106B2

    公开(公告)日：2007-12-04

    申请号：US10528975

    申请日：2003-10-06

    申请人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    发明人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00371 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2090/0811 ,  A61B2090/3616

    摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes a bulbous indicator which preferably extends above a top surface of the handle assembly of the device. The indicator includes indicia to identify to a surgeon that the device has been approximated and is in a fire-ready position. Preferably, the indicator includes a cover which is formed of a magnification material to prominently display the indicia. The anvil assembly of the stapling device preferably includes a retainer clip positioned on the anvil head. The retainer clip preferably includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.

    摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 缝合装置包括球茎指示器，其优选地在装置的手柄组件的顶表面上方延伸。 指示器包括用于向外科医生识别装置已被近似并处于就绪位置的标记。 优选地，指示器包括由显着地显示标记的放大材料形成的盖。 装订装置的砧座组件优选地包括定位在砧头上的保持夹。 保持夹优选地包括至少一个弹性臂，其定位成在缝合装置的非近似期间接合切割环。

    Surgical stapling device
    7.
    发明申请
    Surgical stapling device 有权
    手术吻合装置

    公开(公告)号：US20070075117A1

    公开(公告)日：2007-04-05

    申请号：US11515660

    申请日：2006-09-05

    申请人： Keith Milliman ,  Bruce Jankowski ,  Douglas Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard Gresham

    发明人： Keith Milliman ,  Bruce Jankowski ,  Douglas Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard Gresham

    IPC分类号： A61B17/04

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00371 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2090/0811 ,  A61B2090/3616

    摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes an approximation mechanism including a rotatable knob, a screw having a helical channel and an anvil retainer. The helical channel includes a dwell portion for providing a tactile indication to a surgeon that the anvil retainer has been advanced to a position wherein the anvil assembly can be removed from the anvil retainer. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.

    摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 缝合装置包括近似机构，其包括可旋转旋钮，具有螺旋通道的螺钉和砧座保持器。 所述螺旋通道包括用于向外科医生提供触觉指示的停留部分，所述砧座保持器已经前进到其中所述砧座组件能够从所述砧座保持器移除的位置。 还公开了一种用于连接到砧组件的可拆卸的套针针，其包括位于安装突起的近侧的肋。 肋被定位成使安装突起与砧组件的相关接合结构对准。

    Surgical stapling device
    8.
    发明申请
    Surgical stapling device 有权
    手术吻合装置

    公开(公告)号：US20080054045A1

    公开(公告)日：2008-03-06

    申请号：US11978345

    申请日：2007-10-29

    申请人： Keith Milliman ,  Bruce Jankowski ,  Douglas Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard Gresham

    发明人： Keith Milliman ,  Bruce Jankowski ,  Douglas Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard Gresham

    IPC分类号： A61B17/10

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00371 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2090/0811 ,  A61B2090/3616

    摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes a bulbous indicator which preferably extends above a top surface of the handle assembly of the device. The indicator includes indicia to identify to a surgeon that the device has been approximated and is in a fire-ready position. Preferably, the indicator includes a cover which is formed of a magnification material to prominently display the indicia. The anvil assembly of the stapling device preferably includes a retainer clip positioned on the anvil head. The retainer clip preferably includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.

    摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 缝合装置包括球茎指示器，其优选地在装置的手柄组件的顶表面上方延伸。 指示器包括用于向外科医生识别装置已被近似并处于就绪位置的标记。 优选地，指示器包括由显着地显示标记的放大材料形成的盖。 装订装置的砧座组件优选地包括定位在砧头上的保持夹。 保持夹优选地包括至少一个弹性臂，其定位成在缝合装置的非近似期间接合切割环。

    Surgical stapling device
    9.
    发明申请
    Surgical stapling device 有权
    手术吻合装置

    公开(公告)号：US20060097025A1

    公开(公告)日：2006-05-11

    申请号：US10528975

    申请日：2003-10-06

    申请人： Keith Milliman ,  Bruce Jankowski ,  Douglas Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard Gresham

    发明人： Keith Milliman ,  Bruce Jankowski ,  Douglas Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard Gresham

    IPC分类号： A61B17/10

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00371 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2090/0811 ,  A61B2090/3616

    摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes a bulbous indicator which preferably extends above a top surface of the handle assembly of the device. The indicator includes indicia to identify to a surgeon that the device has been approximated and is in a fire-ready position. Preferably, the indicator includes a cover which is formed of a magnification material to prominently display the indicia. The anvil assembly of the stapling device preferably includes a retainer clip positioned on the anvil head. The retainer clip preferably includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.

    摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 缝合装置包括球茎指示器，其优选地在装置的手柄组件的顶表面上方延伸。 指示器包括用于向外科医生识别装置已被近似并处于就绪位置的标记。 优选地，指示器包括由显着地显示标记的放大材料形成的盖。 装订装置的砧座组件优选地包括定位在砧头上的保持夹。 保持夹优选地包括至少一个弹性臂，其定位成在缝合装置的非近似期间接合切割环。