Surgical stapling device with a curved end effector
    92.
    发明授权
    Surgical stapling device with a curved end effector 有权
    具有弯曲末端执行器的手术吻合装置

    公开(公告)号:US08540128B2

    公开(公告)日:2013-09-24

    申请号:US11652165

    申请日:2007-01-11

    IPC分类号: A61B17/04

    摘要: The present invention includes a surgical stapler having a staple cartridge, an anvil, and a cutting member having a cutting surface, wherein the cutting member is relatively movable with respect to the anvil and the staple cartridge. In at least one embodiment, one of the anvil and the staple cartridge defines a slot which is configured to receive at least a portion of the cutting member and guide the cutting member as it is moved relative to the anvil and the staple cartridge. In these embodiments, the slot can define a path having linear and/or curved portions. In various embodiments, the path can include a curved portion having a first portion that extends away from the shaft axis and a second portion that extends toward the axis. In one embodiment, the path can include a curved portion defined by an arc corresponding to an angle greater than 90 degrees.

    摘要翻译: 本发明包括具有钉仓,砧座和具有切割表面的切割构件的外科缝合器,其中切割构件相对于砧座和钉仓相对移动。 在至少一个实施例中,砧座和钉仓中的一个限定了狭槽,其被配置为接收切割构件的至少一部分并且当切割构件相对于砧座和钉仓移动时引导切割构件。 在这些实施例中,槽可以限定具有线性和/或弯曲部分的路径。 在各种实施例中,路径可以包括具有远离轴线延伸的第一部分的弯曲部分和朝向轴线延伸的第二部分。 在一个实施例中,路径可以包括由对应于大于90度的角度的弧限定的弯曲部分。

    Retractor with integrated wound closure
    94.
    发明授权
    Retractor with integrated wound closure 有权
    牵引器集成伤口闭合

    公开(公告)号:US08465422B2

    公开(公告)日:2013-06-18

    申请号:US12479030

    申请日:2009-06-05

    IPC分类号: A61B1/32

    摘要: Methods and devices are provided to allow the same component used to access a surgical site to assist in closing the surgical opening in which it was disposed. In one exemplary embodiment a flexible retractor is provided that includes proximal and distal ends and a lumen extending therethrough. A wound closure component is associated with the flexible retractor and is configured to engage tissue adjacent to a surgical incision in which the retractor is disposed and move tissue from one side of the surgical incision toward a second side of the surgical incision to assist in closing the surgical incision. In one embodiment the wound closure component includes strands of suture having hooks disposed on a distal end. In another embodiment the wound closure component includes a ring having hooks disposed around a circumference of the ring. Exemplary methods for closing a surgical opening are also provided.

    摘要翻译: 提供方法和装置以允许用于接近外科手术部位的相同部件以帮助关闭其所处置的手术开口。 在一个示例性实施例中,提供了柔性牵开器,其包括近端和远端以及从其延伸穿过的内腔。 伤口闭合部件与柔性牵开器相关联,并且被构造成接合在其上设置牵开器的手术切口附近的组织,并且将组织从手术切口的一侧移动到手术切口的第二侧,以帮助关闭 手术切口 在一个实施例中,伤口闭合部件包括具有设置在远端上的钩的缝合线。 在另一个实施例中,伤口闭合部件包括环,其环设置在环的圆周周围。 还提供了用于闭合手术开口的示例性方法。

    Motor-driven surgical cutting and fastening instrument with tactile position feedback
    96.
    发明授权
    Motor-driven surgical cutting and fastening instrument with tactile position feedback 有权
    电动外科切割和紧固器具,具有触觉位置反馈

    公开(公告)号:US08292155B2

    公开(公告)日:2012-10-23

    申请号:US13151501

    申请日:2011-06-02

    IPC分类号: A61B17/072

    摘要: A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising an elongate channel, a clamping member pivotably connected to the channel, and a moveable cutting instrument for traversing the channel to cut an object clamped in the end effector by the clamping member when the clamping member is in a clamped position. The instrument may also comprise a main drive shaft assembly for actuating the cutting instrument in the end effector, a gear drive train connected to the main drive shaft assembly, and a motor for actuating the gear drive train. The instrument may also includes a closure trigger and a firing trigger, separate from the closure trigger, for actuating the motor when the firing trigger is retracted. Also, the instrument may comprise a mechanical closure system connected to the closure trigger and to the clamping member for causing the clamping member to pivot to the clamped position when the closure trigger is retracted.

    摘要翻译: 公开了一种外科切割和紧固器械。 根据各种实施例,仪器包括端部执行器,其包括细长通道,可枢转地连接到通道的夹紧构件,以及可移动切割工具,用于横跨通道,以在夹紧时将夹紧在端部执行器中的物体夹紧在夹紧构件中 会员处于夹紧位置。 仪器还可以包括用于致动末端执行器中的切割仪器的主驱动轴组件,连接到主驱动轴组件的齿轮传动系以及用于致动齿轮传动系的马达。 仪器还可以包括闭合触发器和与闭合触发器分离的击发触发器,用于当击发触发器缩回时用于致动马达。 此外,仪器可以包括连接到闭合触发器和夹紧构件的机械闭合系统,用于当闭合触发器缩回时使夹紧构件枢转到夹紧位置。