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公开(公告)号:US09597080B2
公开(公告)日:2017-03-21
申请号:US12203245
申请日:2008-09-03
IPC分类号: A61B17/04 , A61B17/115 , A61B17/00 , A61B17/29
CPC分类号: A61B17/1155 , A61B17/072 , A61B17/115 , A61B90/00 , A61B90/08 , A61B2017/00336 , A61B2017/2905 , A61B2090/08021
摘要: A shroud is provided which includes a rounded atraumatic distal configuration. The shroud is configured and dimensioned to be positioned on the distal end portion of a surgical instrument. The shroud is movable between a first position in which a distal portion of the shroud extends beyond a distal end of a tool assembly of the surgical instrument and a second position in which the distal portion of the shroud is positioned proximal to the distal end of the tool assembly.
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公开(公告)号:US09168042B2
公开(公告)日:2015-10-27
申请号:US13348958
申请日:2012-01-12
申请人: Keith L. Milliman
发明人: Keith L. Milliman
IPC分类号: A61B17/10 , A61B17/04 , A61B17/115 , A61B17/3205
CPC分类号: A61B17/1155 , A61B17/068 , A61B17/105 , A61B17/32053
摘要: A circular stapling instrument including a stapling forming assembly that is actuated independently from actuation of the cutting assembly is provided. The instrument includes a handle assembly, an elongate body extending from the handle assembly, a cartridge assembly mounted on a distal end of the elongate body. The cartridge assembly includes a pusher assembly and a knife assembly. The knife assembly is selectively fixed relative to the pusher assembly.
摘要翻译: 提供了一种圆形缝合器械,其包括独立于切割组件的致动致动的缝合成形组件。 该仪器包括手柄组件,从手柄组件延伸的细长主体,安装在细长主体的远端上的盒组件。 盒组件包括推动器组件和刀组件。 刀组件相对于推动器组件选择性地固定。
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公开(公告)号:US20140042206A1
公开(公告)日:2014-02-13
申请号:US14060651
申请日:2013-10-23
申请人: Keith L. Milliman
发明人: Keith L. Milliman
IPC分类号: A61B17/068
CPC分类号: A61B17/068 , A61B17/072 , A61B17/1155 , A61B17/32053 , A61B2017/00367 , A61B2017/00473 , A61B2017/07214 , A61B2017/0725 , A61B2017/07257 , A61B2090/0814
摘要: A surgical stapling device has a handle assembly, an elongated body portion, a shell assembly housing a plurality of staples and an anvil assembly movable relative to the shell assembly. An approximation mechanism is movable from a first position to a second position to move the anvil assembly relative to the shell assembly between a spaced position and an approximated position. A firing mechanism for advancing the staples is actuable when the approximation assembly is in the second position and the anvil assembly is in the approximated position. A lockout mechanism operatively associated with the approximation mechanism is movable from a non-blocking position to a blocking position, wherein in the non-blocking position the approximation mechanism is movable from the first position to the second position and in the blocking position movement of the approximation mechanism from the second position to the first position is prevented.
摘要翻译: 外科缝合装置具有把手组件,细长主体部分,壳体组件,其容纳多个钉,以及相对于壳体组件可移动的砧组件。 近似机构可以从第一位置移动到第二位置,以在间隔位置和近似位置之间相对于壳体组件移动砧座组件。 当近似组件处于第二位置并且砧座组件处于近似位置时,用于推进订书钉的击发机构是可启动的。 与近似机构可操作地相关联的锁定机构可从非阻塞位置移动到阻挡位置,其中在非阻塞位置中,近似机构可从第一位置移动到第二位置,并且在阻挡位置移动 防止从第二位置到第一位置的近似机构。
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公开(公告)号:US08453911B2
公开(公告)日:2013-06-04
申请号:US13589100
申请日:2012-08-18
申请人: Keith L. Milliman , Ryan Williams , Nihir Patel
发明人: Keith L. Milliman , Ryan Williams , Nihir Patel
IPC分类号: A61B17/068
CPC分类号: A61B17/068 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B2090/034
摘要: A surgical stapler includes a handle assembly, an elongated body portion extending distally from the handle assembly, and a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The shell assembly includes a pusher movable distally to advance staples from the shell assembly into contact with the anvil assembly. First and second alignment pins operatively associated with the pusher have distal ends positioned distally of the pusher, the alignment pins movable between a first non-engaged position spaced from the anvil assembly and a second position in engagement with the anvil assembly.
摘要翻译: 手术吻合器包括手柄组件,从手柄组件向远侧延伸的细长主体部分和与细长主体部分的远侧部分相邻并且包括砧座组件和壳体组件的头部。 砧组件相对于外壳组件在间隔和近似位置之间是可移动的。 壳体组件包括可向远侧移动的推动器,以将钉从壳体组件推进到与砧组件接触。 与推动器可操作地相关联的第一和第二对准销具有位于推动器远端的远端,对准销可在与砧座组件间隔开的第一非接合位置和与砧座组件接合的第二位置之间移动。
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公开(公告)号:US08424535B2
公开(公告)日:2013-04-23
申请号:US13542471
申请日:2012-07-05
IPC分类号: A61B17/068
CPC分类号: A61B17/068 , A61B1/31 , A61B17/02 , A61B17/0469 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00818 , A61B2017/0725 , A61B2017/1142 , A61B2017/1157 , A61B2090/061
摘要: A surgical stapler comprising a handle assembly, an elongated body portion extending distally from the handle assembly, and a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The anvil assembly has an anvil head and a plurality of projections extending proximally of the anvil head, the projections engageable with a portion of the shell assembly.
摘要翻译: 一种手术吻合器,包括手柄组件,从手柄组件向远侧延伸的细长主体部分,以及靠近细长主体部分的远侧部分设置并包括砧座组件和壳体组件的头部。 砧组件相对于外壳组件在间隔和近似位置之间是可移动的。 砧组件具有砧座头部和在砧座头部的近侧延伸的多个突出部,该突出部可与壳体组件的一部分接合。
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公开(公告)号:US08343185B2
公开(公告)日:2013-01-01
申请号:US13462233
申请日:2012-05-02
IPC分类号: A61B17/068
CPC分类号: A61B17/068 , A61B1/31 , A61B17/0482 , A61B17/06166 , A61B17/07207 , A61B17/115 , A61B17/1155 , A61B34/76 , A61B2017/00526 , A61B2017/07257 , A61B2017/1142 , A61B2018/005 , A61B2090/062 , A61B2090/08021 , A61B2090/0811
摘要: A surgical stapling device an elongated body portion having proximal and distal portions, and a head portion positioned adjacent the distal portion of the elongated body portion. The head portion includes a shell assembly and an anvil assembly movable relative to the shell assembly between un-approximated and approximated positions. The anvil assembly includes a center rod and an anvil head connected to the center rod. The center rod includes at least one aperture extending transversely therethrough and configured and dimensioned to receive a flexible member such that the flexible member extends transversely through the center rod.
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公开(公告)号:US08317075B2
公开(公告)日:2012-11-27
申请号:US13195207
申请日:2011-08-01
申请人: Keith L. Milliman
发明人: Keith L. Milliman
IPC分类号: A61B17/068
CPC分类号: A61B17/115 , A61B17/1155 , A61B2017/07257
摘要: A surgical stapling device including a handle assembly, a body portion, and a head portion is disclosed. The handle assembly includes a firing trigger. The body portion extends distally from the handle assembly. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The shell assembly includes a pusher and an inner guide portion. The pusher includes at least one slot therein and is movable in relation to the anvil assembly between retracted and extended positions. The inner guide portion is disposed adjacent at least a portion of the pusher and includes a raised boss extending therefrom. The raised boss is configured to shroud the slot in the pusher when the pusher is in the retracted position.
摘要翻译: 公开了一种包括手柄组件,主体部分和头部的外科缝合装置。 手柄组件包括击发扳机。 主体部分从手柄组件向远侧延伸。 头部包括砧座组件和壳体组件。 砧组件相对于外壳组件在间隔和近似位置之间是可移动的。 壳体组件包括推动器和内部引导部分。 推动器在其中包括至少一个槽,并且在缩回位置和延伸位置之间可相对于砧座组件移动。 内引导部分邻近推动器的至少一部分设置,并且包括从其延伸的凸起凸起。 当推动器处于缩回位置时,凸起的凸起构造成围绕推动器中的狭槽。
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公开(公告)号:US20120265178A1
公开(公告)日:2012-10-18
申请号:US13537216
申请日:2012-06-29
申请人: Keith L. Milliman
发明人: Keith L. Milliman
IPC分类号: A61B17/00
CPC分类号: A61B17/068 , A61B17/115 , A61B2017/00128 , A61B2017/00367 , A61B2017/0725 , A61B2090/0807 , A61B2090/0811
摘要: A surgical stapling instrument including a handle assembly, an elongated body portion extending distally from the handle assembly, a head portion and an indicator. A firing trigger is movable between first and second positions. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The indicator is disposed in mechanical cooperation with the handle assembly and is movable between a first position and a second position in response to movement of the anvil assembly towards its approximated position. The indicator is movable between the second position and a third position in response to firing of the instrument.
摘要翻译: 一种外科缝合器械,包括手柄组件,从手柄组件向远侧延伸的细长主体部分,头部部分和指示器。 击发扳机可在第一和第二位置之间移动。 头部包括砧座组件和壳体组件。 砧组件相对于外壳组件在间隔和近似位置之间是可移动的。 该指示器与手柄组件机械配合地布置,并且响应于砧座组件朝向其近似位置的移动而可在第一位置和第二位置之间移动。 响应于仪器的点火,指示器可在第二位置和第三位置之间移动。
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公开(公告)号:US08181838B2
公开(公告)日:2012-05-22
申请号:US12550443
申请日:2009-08-31
IPC分类号: A61B17/068
CPC分类号: A61B17/068 , A61B1/31 , A61B17/0482 , A61B17/06166 , A61B17/07207 , A61B17/115 , A61B17/1155 , A61B34/76 , A61B2017/00526 , A61B2017/07257 , A61B2017/1142 , A61B2018/005 , A61B2090/062 , A61B2090/08021 , A61B2090/0811
摘要: A surgical stapling device an elongated body portion having proximal and distal portions, and a head portion positioned adjacent the distal portion of the elongated body portion. The head portion includes a shell assembly and an anvil assembly movable relative to the shell assembly between un-approximated and approximated positions. The anvil assembly includes a center rod and an anvil head connected to the center rod. The center rod includes at least one aperture extending transversely therethrough and configured and dimensioned to receive a flexible member such that the flexible member extends transversely through the center rod.
摘要翻译: 外科缝合装置,具有近端部分和远端部分的细长主体部分,以及靠近细长主体部分的远端部分定位的头部部分。 头部部分包括壳体组件和可在不近似和近似位置之间相对于壳体组件移动的砧组件。 砧组件包括连接到中心杆的中心杆和砧头。 中心杆包括横向延伸通过其延伸的至少一个孔,并且构造和尺寸设计成容纳柔性构件,使得柔性构件横向延伸穿过中心杆。
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公开(公告)号:US20090082785A1
公开(公告)日:2009-03-26
申请号:US12207562
申请日:2008-09-10
IPC分类号: A61B17/10 , A61B17/115
CPC分类号: A61B17/1155 , A61B17/1114 , A61B2017/00292 , A61B2017/00473 , A61B2017/2927 , A61B2017/2931
摘要: An anvil delivery system includes an anvil assembly, a flexible tube, and a fitting. The fitting is coupled to the flexible tube and includes a body having a proximal end portion and a distal end portion and a tip disposed on the distal end portion. The proximal end portion of the body is adapted to attach the body to the flexible tube. The tip is configured for insertion into a body lumen. The anvil delivery system may further include a plurality of protrusions disposed on the proximal end portion of the body of the fitting.
摘要翻译: 砧座输送系统包括砧组件,柔性管和配件。 该配件联接到柔性管,并且包括具有近端部分和远端部分以及设置在远端部分上的尖端的本体。 本体的近端部分适于将主体附接到柔性管。 尖端被配置成插入体腔。 砧座输送系统还可以包括设置在配件主体的近端部分上的多个突起。
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