公开(公告)号：US5084057A

公开(公告)日：1992-01-28

申请号：US530652

申请日：1990-05-30

申请人： David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Richard A. McGarry ,  Lisa W. Heaton ,  Keith Ratcliff

发明人： David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Richard A. McGarry ,  Lisa W. Heaton ,  Keith Ratcliff

IPC分类号： G02B23/24 ,  A61B1/00 ,  A61B17/068 ,  A61B17/128

CPC分类号： A61B17/1285

摘要： A disposable apparatus is disclosed for applying surgical clips to body tissue in endoscopic surgical procedures. The apparatus includes a frame which is adapted to be gripped by hand, and an endoscopic section permanently connected to the handle and capable of storing surgical clips in preparation for clipping arteries or other body tissue. The apparatus includes means for advancing each clip sequentially to a pair of distal jaws and means for closing the jaws about the clip. When the jaws are closed, the clip advancing means is simultaneously positioned to advance the next clip. When all clips are spent the apparatus becomes automatically locked against further advancement of the clip advancing means as well as further closing of the clip closing jaws. The present apparatus also makes it possible to partially close a clip without interfering with the sequential movement of the clip advancing mechanism.

公开(公告)号：USD322478S

公开(公告)日：1991-12-17

申请号：US357105

申请日：1989-05-25

申请人： David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Stephen Gerry

设计人： David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Stephen Gerry

公开(公告)号：US5062563A

公开(公告)日：1991-11-05

申请号：US335822

申请日：1989-04-10

申请人： David T. Green ,  Wayne P. Young ,  Henry Bolanos ,  Robert J. Geiste ,  Keith Ratcliff ,  Daniel E. Alesi

发明人： David T. Green ,  Wayne P. Young ,  Henry Bolanos ,  Robert J. Geiste ,  Keith Ratcliff ,  Daniel E. Alesi

IPC分类号： A61B17/068

CPC分类号： A61B17/068

摘要： The fascia stapler has a pistol-shaped housing from which two-piece clips can be ejected for closing an incision. The retainers for the clips and the straps for the clips are held in respective cartridges within the nose of the housing and can be ejected individually upon actuation of the stapler. A pusher assembly within the housing causes an individual strap to be expelled for passage through one end of a strap, piercing through the tissue and securement in the other end of the strap. Approximators with tissue engaging teeth are also used to bunch up the tissue about the incision during a stapling operation.

公开(公告)号：US06877647B2

公开(公告)日：2005-04-12

申请号：US10668941

申请日：2003-09-22

申请人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

发明人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

IPC分类号： A61B17/00 ,  A61B17/072 ,  A61B17/28 ,  A61B19/00 ,  A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

摘要翻译： 提供内窥镜手术装置用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

公开(公告)号：USRE36702E

公开(公告)日：2000-05-16

申请号：US282473

申请日：1999-03-30

申请人： David T. Green ,  Salvatore Castro

发明人： David T. Green ,  Salvatore Castro

IPC分类号： A61B17/34 ,  A61M39/06 ,  A61B17/00

CPC分类号： A61B17/3462 ,  A61M39/06 ,  A61B2017/3464 ,  A61M2039/0626 ,  A61M2039/0686

摘要： A seal assembly is provided which includes a gimbal-like structure permitting rotation of a mounting member relative to the housing. The rotation of the mounting member allows the seal member to align with an instrument being inserted therethrough. The seal assembly is adapted to be detachably mounted to a cannula assembly for use in endoscopic surgery.

摘要翻译： 提供了一种密封组件，其包括允许安装构件相对于壳体旋转的万向节结构。 安装构件的旋转允许密封构件与插入其中的器械对准。 密封组件适于可拆卸地安装到用于内窥镜手术中的插管组件。

公开(公告)号：US5599279A

公开(公告)日：1997-02-04

申请号：US593191

申请日：1996-01-29

申请人： Gus J. Slotman ,  Sherman Stein ,  David T. Green ,  Salvatore Castro ,  Carlo A. Mililli ,  Keith Ratcliff

发明人： Gus J. Slotman ,  Sherman Stein ,  David T. Green ,  Salvatore Castro ,  Carlo A. Mililli ,  Keith Ratcliff

IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B17/28 ,  A61B17/70 ,  A61B17/88 ,  A61F2/44 ,  A61F2/46

CPC分类号： A61B17/025 ,  A61B2017/00261 ,  A61B2017/0256 ,  A61B2017/2936 ,  A61B2017/2943 ,  A61B2017/2944 ,  A61F2/442 ,  A61F2/4455 ,  A61F2002/4635

摘要： The present invention provides endoscopic instrumentation and surgical techniques especially useful for accessing at least a portion of an intervertebral disc. Vertebrae spreading instruments are provided for spreading adjacent vertebrae to facilitate access to the intervertebral disc are. The disclosed surgical method uses an anterior approach to access the intervertebral disc and spreads adjacent vertebrae utilizing an endoscopic vertebrae spreading instrument.

摘要翻译： 本发明提供了特别适用于进入椎间盘的至少一部分的内窥镜检查仪器和手术技术。 提供椎骨扩张器械用于扩展邻近的椎骨以便于进入椎间盘。 所公开的手术方法使用前路进入椎间盘并利用内窥镜脊椎传播器传播邻近的椎骨。

公开(公告)号：US5562690A

公开(公告)日：1996-10-08

申请号：US150923

申请日：1993-11-12

申请人： David T. Green ,  Charles R. Sherts ,  Keith Ratcliff

发明人： David T. Green ,  Charles R. Sherts ,  Keith Ratcliff

IPC分类号： A61B17/00 ,  A61B17/11

CPC分类号： A61B17/11 ,  A61B17/00234

摘要： A compression device for the anastomosis of a tubular hollow organ, having a first collapsible member movable between an expanded configuration and a collapsed configuration, said first collapsible member having a first end and a second end; a second collapsible member movable between an expanded configuration and a collapsed configuration, said second collapsible member adapted to be joined with said first end of said first collapsible member; and a third collapsible member adapted to be joined with said second end of said second collapsible member; wherein at least one of said first, second or third collapsible members comprises at least one resilient hinge portion disposed thereon which is parallel to the longitudinal axis of said device to facilitate the collapsibility thereof. Also provided are surgical instruments for carrying and placing the compression device components and a device for approximating surgical devices. A method for forming a compression anastomosis, is also provided.

摘要翻译： 一种用于管状中空器官的吻合的压缩装置，具有可在膨胀构型和折叠构型之间移动的第一可折叠构件，所述第一可折叠构件具有第一端和第二端; 第二可折叠构件，其可在展开构型和折叠构造之间移动，所述第二可折叠构件适于与所述第一可折叠构件的所述第一端连接; 以及适于与所述第二可折叠构件的所述第二端连接的第三可折叠构件; 其中所述第一，第二或第三可折叠构件中的至少一个包括设置在其上的至少一个弹性铰链部分，其平行于所述装置的纵向轴线以促进其可折叠。 还提供了用于携带和放置压缩装置部件的外科器械和用于近似手术装置的装置。 还提供了形成压缩吻合的方法。

公开(公告)号：US5549617A

公开(公告)日：1996-08-27

申请号：US392295

申请日：1995-02-21

申请人： David T. Green ,  Henry R. Sienkiewicz ,  Keith Ratcliff ,  Salvatore Castro ,  Scott E. Manzo

发明人： David T. Green ,  Henry R. Sienkiewicz ,  Keith Ratcliff ,  Salvatore Castro ,  Scott E. Manzo

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/132 ,  A61B17/28 ,  A61B17/82 ,  A61B19/02 ,  A61F2/00

CPC分类号： A61B17/0401 ,  A61B17/0483 ,  A61B17/06109 ,  A61B17/062 ,  A61F2/0036 ,  A61B17/0469 ,  A61B17/1327 ,  A61B17/82 ,  A61B2017/00805 ,  A61B2017/0409 ,  A61B2017/0416 ,  A61B2017/0417 ,  A61B2017/0451 ,  A61B2017/0454 ,  A61B2017/0464 ,  A61B2017/2927 ,  A61B2050/0065 ,  A61B50/30 ,  A61F2/0045 ,  Y10T24/3973 ,  Y10T24/3996

摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence are provided. The apparatus include an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the operative length of the suture, an articulating apparatus for applying the anchoring device during an endoscopic or laparoscopic procedure, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced.

公开(公告)号：US5398861A

公开(公告)日：1995-03-21

申请号：US48455

申请日：1993-04-16

申请人： David T. Green

发明人： David T. Green

IPC分类号： A61B17/064 ,  A61B17/10 ,  A61B17/92 ,  A61B17/00

CPC分类号： A61B17/10 ,  A61B17/064 ,  A61B17/92 ,  A61B2017/0646 ,  A61B2017/0647 ,  A61B2017/925

摘要： A device for driving surgical fasteners into tissue such as the menisci of the knee. The device essentially consists of a tubular housing member through which a piston shaft passes. The piston shaft extends at a first end and terminates in a gripping knob which facilitates retraction of the piston from the housing, and contacts a fastening member at a discharge end to drive the fastener from the device. A pivotable latching member engages the gripping knob when the piston arrangement is retracted against the force of the spring, and pivots to release the piston arrangement to fire the fastener.

摘要翻译： 用于将手术紧固件驱动到诸如膝盖半月板的组织中的装置。 该装置基本上由活塞轴通过的管状壳体构件组成。 活塞轴在第一端处延伸并且终止于握持旋钮，其有助于活塞从壳体缩回，并且在排出端处接触紧固构件以将该紧固件从装置驱动。 当活塞装置抵抗弹簧的力而缩回时，可枢转的闩锁构件接合夹紧把手，并且枢转以释放活塞装置以对紧固件起火。

公开(公告)号：US5368215A

公开(公告)日：1994-11-29

申请号：US941746

申请日：1992-09-08

申请人： David T. Green ,  Jonathan Wilson ,  Patrick Flanagan

发明人： David T. Green ,  Jonathan Wilson ,  Patrick Flanagan

IPC分类号： A61B17/00 ,  A61B17/11 ,  A61B17/115

CPC分类号： A61B17/115 ,  A61B17/00234 ,  A61B17/1114 ,  A61B17/1155 ,  A61B2017/00429 ,  A61B2017/00433 ,  A61B2017/1125

摘要： A detachable anvil rod for use with an apparatus for circular fastening of hollow organs is provided. An elongated rod member has a proximal end portion, a distal end portion and an irregular surface portion intermediate the proximal and distal end portions. The irregular surface portion includes a plurality of grooves which define a plurality of raised ridges. The ridges are adapted to engage grasping surfaces of a grasping tool so as to minimize potential of slippage, thus enhancing the maneuvering procedure of the anvil rod about the operative site. The anvil rod also includes a narrowly configured mounting portion which enables the rod to be applied to and mounted within the distal end of the stapling apparatus from a variety of angular positions. An apparatus which incorporates the improved detachable anvil rod is also described.

摘要翻译： 提供了一种用于中空器官的圆形紧固装置的可拆卸的砧杆。 细长的杆构件具有近端部分，远端部分和位于近端部分和远端部分之间的不规则表面部分。 不规则表面部分包括限定多个凸起脊的多个凹槽。 脊适于与抓握工具的抓握表面接合，以便最小化滑动的可能性，从而增强砧杆围绕操作部位的操纵过程。 砧杆还包括狭窄构造的安装部分，其使杆能够从各种角度位置施加到装订装置的远端并安装在缝合装置的远端内。 还描述了结合改进的可拆卸砧座杆的装置。