公开(公告)号：US20050067458A1

公开(公告)日：2005-03-31

申请号：US10673662

申请日：2003-09-29

申请人： Jeffrey Swayze ,  Frederick Shelton

发明人： Jeffrey Swayze ,  Frederick Shelton

IPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/115 ,  A61B17/28 ,  A61B17/04

CPC分类号： A61B17/07207 ,  A61B2017/2923 ,  A61B2017/2925

摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

摘要翻译： 特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄，其产生分开的关闭和发射运动来致动末端执行器。 特别地，手柄产生多个点火冲程，以便减少火焰所需的所需力量（即订书钉和切断）末端执行器。 连接的传动减少了所需的手柄纵向长度，而在拉直时用于烧制，实现了刚性的强结构。 牵引偏压发射机构与防抱死机构协作，避免了在驱动该矫直联接架时的装订，其中锁定机构防止在击发期间释放闭合触发器。 此外，外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。

公开(公告)号：US20050006434A1

公开(公告)日：2005-01-13

申请号：US10615973

申请日：2003-07-09

申请人： Kenneth Wales ,  Douglas Hoffman ,  Frederick Shelton ,  Jeffrey Swayze

发明人： Kenneth Wales ,  Douglas Hoffman ,  Frederick Shelton ,  Jeffrey Swayze

IPC分类号： A61B19/00 ,  A61B17/00 ,  A61B17/072 ,  A61B17/28 ,  A61B17/04

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/2927 ,  A61B2017/2929

摘要： A surgical instrument particularly suited to endoscopic articulates an end effector by including an end effector having a geared articulation mechanism that converts rotational motion from a handle portion. A hollow articulation drive tube transfers the rotation motion in some versions to a spear gear, bevel gear or snaggle tooth gear articulation mechanism. Alternatively, one or more threaded drive rod offset from a longitudinal axis engages a worm gear or flex-neck articulation mechanism.

摘要翻译： 特别适用于内窥镜的手术器械通过包括具有齿轮关节运动机构的端部执行器来铰接端部执行器，所述齿轮传动机构转换来自把手部分的旋转运动。 空心铰接驱动管将某些形式的旋转运动传递给矛齿轮，锥齿轮或齿轮齿齿轮铰接机构。 或者，偏离纵向轴线的一个或多个螺纹驱动杆接合蜗轮或挠性颈部铰接机构。

公开(公告)号：US20050006431A1

公开(公告)日：2005-01-13

申请号：US10615974

申请日：2003-07-09

申请人： Frederick Shelton ,  Michael Setser ,  William Weisenburgh

发明人： Frederick Shelton ,  Michael Setser ,  William Weisenburgh

IPC分类号： A61B17/04 ,  A61B17/072 ,  A61B17/11 ,  A61B17/28 ,  A61B17/32

CPC分类号： A61B17/07207 ,  A61B2017/2902 ,  A61B2017/2927 ,  A61B2017/2932 ,  A61B2017/320052

摘要： A surgical stapling and severing instrument particularly suited to endoscopic articulates an end effector by having a geared articulation mechanism that converts rotational motion from a handle portion. A firing bar longitudinally translates between the handle portion and the end effector. The firing bar head is thickened in order to present an undistorted cutting edge and engagement features to the opposing jaws of the end effector. The firing bar also advantageously includes a thinned or tapered proximal portion in the form of a strip or band that negotiates the articulation mechanism.

摘要翻译： 特别适用于内窥镜的外科缝合器和切断器具具有通过从手柄部分转换旋转运动的齿轮关节运动机构来连接末端执行器。 射击杆在手柄部分和末端执行器之间纵向平移。 点火棒头部被加厚以便向末端执行器的相对的夹爪提供未失真的切削刃和接合特征。 击发杆还有利地包括以条带或带的形式的薄化或渐缩的近端部分，其协调关节运动机构。