公开(公告)号：US5817109A

公开(公告)日：1998-10-06

申请号：US714972

申请日：1996-09-17

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

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

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B19/00 ,  A61F2/00

CPC分类号： A61B17/0686 ,  A61B17/0684 ,  A61B17/00234 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples in laparoscopic hernia surgery. The apparatus includes a handle and a generally elongated endoscopic section connected to the handle and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section. The staple storage magazine is pivotable between a first position in alignment with the longitudinal axis of the endoscopic section and a second position at an acute angle to the longitudinal axis. An elongated pusher system is provided for individually advancing at least one staple at a time distally. A trigger mechanism is provided to actuate the pusher.

摘要翻译： 公开了一种用于在腹腔镜疝气手术中内窥镜应用外科缝钉的装置。 该装置包括手柄和连接到手柄并从其向远端延伸的大致细长的内窥镜部分。 提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝合钉。 订书钉存储盒可以在与内窥镜部分的纵向轴线对齐的第一位置和与纵向轴线成锐角的第二位置之间枢转。 提供细长的推动器系统，用于在远端单独地推进至少一个钉。 提供触发机构以致动推动器。

公开(公告)号：US5752644A

公开(公告)日：1998-05-19

申请号：US501197

申请日：1995-07-11

申请人： Henry Bolanos ,  Alli Alim ,  Richard C. McClure ,  Keith L. Milliman

发明人： Henry Bolanos ,  Alli Alim ,  Richard C. McClure ,  Keith L. Milliman

IPC分类号： A61B17/072 ,  A61B17/32

CPC分类号： A61B17/07207 ,  A61B17/320016 ,  A61B2017/0023 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/32113

摘要： A disposable loading unit is disclosed for use in conjunction with a surgical stapling apparatus configured to sequentially apply a plurality of surgical fasteners to body tissue. The apparatus includes an actuation assembly for effectuating a fastener applying operation, and a housing for receiving and releasably supporting the disposable loading unit. The disposable loading unit includes a staple cartridge body having a longitudinal pathway extending therethrough and a plurality of spaced apart retention slots defined therein each supporting a respective surgical fastener, a plurality of fastener ejection members disposed adjacent the plurality of spaced apart retention slots and communicating with the longitudinal pathway, and an actuator supported within the staple cartridge body and configured to engage the actuation assembly of the apparatus and translate through the longitudinal pathway to contact the fastener ejection members and thereby sequentially eject the surgical fasteners from their respective retention slots.

公开(公告)号：US5725538A

公开(公告)日：1998-03-10

申请号：US713772

申请日：1996-09-13

申请人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert Geiste ,  Frank C. Maffei

发明人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert Geiste ,  Frank C. Maffei

IPC分类号： A61B17/08 ,  A61B17/11 ,  A61B17/128 ,  A61B17/28 ,  A61B17/00

CPC分类号： A61B17/1285 ,  A61B17/08 ,  A61B17/083 ,  A61B17/2909 ,  A61B2017/1107 ,  A61B2017/2913 ,  A61B2017/2916 ,  A61B2017/2929 ,  Y10S227/901

摘要： A surgical clip applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to closing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar slidably mounted in said channel assembly for advancing clips along said clip carrier. A first spring member connected between said cam bar and said forming cam for sliding said cam bar in a proximal direction in response to closing of said handles together and further biasing said channel assembly in a proximal direction. Second spring member biasing said pusher bar in a distal direction to push a foremost clip in said clip carrier between said jaws in response to opening of said handles from each other. A clip retainer for preventing movement of said spring biased pusher bar is also provided.

摘要翻译： 一种手术夹施加器，其包括壳体，可枢转地连接到所述壳体的相对侧的一对手柄，以及固定地连接到所述壳体的钳口刀片组件。 颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于将一系列夹子供给到所述夹爪。 通道组件可滑动地安装在壳体中并且包围所述钳口叶片组件。 成形凸轮连接在所述手柄和所述通道组件之间，用于响应于所述把手的关闭而在远侧方向上滑动所述通道组件以将所述钳口朝向彼此移动。 一种进给凸轮杆，其可滑动地安装在所述通道组件中，与所述夹子托架相重叠，所述杆在其远端具有鼻部。 可滑动地安装在所述通道组件中的推杆，用于沿着夹子承载件推进夹子。 连接在所述凸轮杆和所述成形凸轮之间的第一弹簧构件，用于响应于所述把手的关闭而沿近端方向滑动所述凸轮杆，并且进一步沿近侧方向偏置所述通道组件。 第二弹簧构件在远侧方向上偏压所述推杆，以响应于所述把手彼此打开而在所述夹爪之间推动所述夹子承载件中的最前面的夹子。 还提供了用于防止所述弹簧偏压推杆的移动的夹持器。

公开(公告)号：US5720756A

公开(公告)日：1998-02-24

申请号：US713771

申请日：1996-09-13

申请人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert J. Geiste ,  Frank C. Maffei

发明人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert J. Geiste ,  Frank C. Maffei

IPC分类号： A61B17/08 ,  A61B17/11 ,  A61B17/128 ,  A61B17/28 ,  A61B17/00

CPC分类号： A61B17/1285 ,  A61B17/08 ,  A61B17/083 ,  A61B17/2909 ,  A61B2017/1107 ,  A61B2017/2913 ,  A61B2017/2916 ,  A61B2017/2929 ,  Y10S227/901

摘要： A surgical clip applier comprising a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to the jaws. A channel assembly is slidably mounted with respect to the housing and envelops the jaw blade assembly for camming the jaws closed upon closing of the handles. The clips may be fed to the jaws by a spring biased feed bar which operates upon closing of the handles, or may be urged by pusher bar which provides a biasing force to the clips to be retained by the jaws. The instrument may be used in conventional surgical procedures, or may be adapted for endoscopic and laparoscopic surgical procedures requiting the application of microsurgical clips.

摘要翻译： 一种手术夹具，包括壳体，可枢转地连接到壳体的相对侧的一对手柄，以及固定地连接到壳体的钳口组件。 颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于向钳口提供一系列夹子。 通道组件相对于壳体可滑动地安装并且包封钳口刀片组件，用于在手柄闭合时闭合钳口。 夹子可以通过弹簧偏置的进给杆进给到夹爪，该弹簧偏置的进给杆在关闭手柄时操作，或者可以被推杆推动，推杆对夹具保持偏压力。 该仪器可以用于常规外科手术中，或可适用于需要应用显微手术夹的内窥镜和腹腔镜外科手术。

公开(公告)号：US5680981A

公开(公告)日：1997-10-28

申请号：US643395

申请日：1996-05-06

申请人： Carlo A. Mililli ,  Wayne P. Young ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Henry Bolanos ,  Leonard Stern

发明人： Carlo A. Mililli ,  Wayne P. Young ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Henry Bolanos ,  Leonard Stern

IPC分类号： A61B17/068

CPC分类号： A61B17/0684

摘要： A self-contained powered surgical stapling apparatus is provided which includes an elongate body, a fastener applying assembly including an anvil for forming a surgical fastener driven thereagainst, a motor assembly and power source for energizing the motor assembly disposed within the elongate body, and a pusher driven by the motor assembly for driving a surgical fastener toward the anvil to be formed thereby and fastened to body tissue. The apparatus is configured for utilization during conventional invasive surgical procedures as well as endoscopic or laparoscopic surgical procedures by providing a detachable extension shaft.

摘要翻译： 提供了一种独立的动力手术吻合装置，其包括细长主体，紧固件施加组件，其包括用于形成驱动其的手术紧固件的砧座，用于激励设置在细长主体内的马达组件的马达组件和动力源，以及 由马达组件驱动的推动器，用于驱动手术紧固件朝向由其形成的砧座，并固定到身体组织。 该装置被配置为在常规的侵入性外科手术过程中利用，以及通过提供可拆卸的延伸轴来进行内窥镜或腹腔镜外科手术。

公开(公告)号：US5676674A

公开(公告)日：1997-10-14

申请号：US743595

申请日：1996-11-04

申请人： Henry Bolanos ,  Jeffrey J. Blewett ,  Timothy O. Van Leeuwen

发明人： Henry Bolanos ,  Jeffrey J. Blewett ,  Timothy O. Van Leeuwen

IPC分类号： A61B17/072 ,  A61B17/28 ,  A61B17/30 ,  A61B17/04

CPC分类号： A61B17/07207 ,  A61B17/1155 ,  A61B2017/00827 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/2926 ,  A61B2017/301 ,  A61B2018/00553

摘要： Instrumentation for transoral treatment of gastroesophageal reflux disease (GERD) are disclosed. In a preferred embodiment, an instrument includes a remotely operable invagination device for atraumatically approximating the lower esophagus and fundus of the stomach and for invaginating the gastroesophageal junction into the stomach thereby involuting the surrounding fundic wall. The same or a separate instrument includes a remotely operable surgical fastening instrument for fastening together the invaginated lower esophagus and fundic wall. A method of surgically treating GERD is also disclosed.

摘要翻译： 公开了胃食管反流病（GERD）经口手术的仪器。 在一个优选实施例中，仪器包括一个可远程操作的内陷装置，用于不经意地近似胃的下部食道和眼底，并且将胃食管结合物插入胃中，从而使周围的基底壁渐开线。 相同或单独的仪器包括可远程操作的手术紧固器械，用于将内陷的下食道和底层壁紧固在一起。 还公开了一种手术治疗GERD的方法。

公开(公告)号：US5645553A

公开(公告)日：1997-07-08

申请号：US440797

申请日：1995-05-15

申请人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

发明人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/128 ,  A61B17/08

CPC分类号： A61B17/0487 ,  A61B17/1285 ,  A61B17/0469 ,  A61B2017/00004 ,  A61B2017/0454 ,  A61B2017/0488

摘要： A suture fastening device which includes a first member having a base and first and second legs projecting in a lengthwise direction along the base. The legs are parallel to each other and are resiliently biased toward a spaced apart position in relation to each other. A second member is provided and includes an aperture for receiving the first and second legs of the first member. The first and second members are connected by a hinge portion. A suture is held in serpentine fashion by positioning the suture transversely across both legs and locking the first member to the second member by forcing the legs through the aperture.

摘要翻译： 一种缝合线紧固装置，其包括具有基部的第一构件和沿着所述基部的沿长度方向突出的第一和第二腿。 腿彼此平行并相对于彼此弹性偏压到间隔开的位置。 提供第二构件，并且包括用于接收第一构件的第一和第二腿的孔。 第一和第二构件通过铰链部连接。 缝合线通过将缝合线横向横过两条腿定位并通过迫使腿穿过孔将第一构件锁定到第二构件而以蛇形方式保持。

公开(公告)号：US5618309A

公开(公告)日：1997-04-08

申请号：US337679

申请日：1994-11-10

申请人： David T. Green ,  Henry Bolanos ,  H. Jonathan Tovey ,  Robert C. Smith

发明人： David T. Green ,  Henry Bolanos ,  H. Jonathan Tovey ,  Robert C. Smith

IPC分类号： A61B17/00 ,  A61B17/34 ,  A61B18/00 ,  A61B18/14 ,  A61B17/28 ,  A61B17/32

CPC分类号： A61B17/34 ,  A61B17/3421 ,  A61B18/1485 ,  A61B2017/00473 ,  A61B2017/3484 ,  A61B2018/00077 ,  Y10S128/908

摘要： A conductive cannula assembly is disclosed to dissipate possible, accumulated electrical charges through body tissue. The cannula assembly includes cannula housing means and cannula means formed of a material having an electrical conductivity value which is at least fifty percent the conductivity value of silver. The invention also includes cannula assembly accessories formed of a material having an electrical conductivity value which is at least fifty percent the conductivity value of silver. The invention further provides a method for guiding endoscopic instruments into body tissue utilizing the cannula assembly and the cannula assembly accessories of the present invention.

摘要翻译： 公开了一种导电套管组件，以通过身体组织消散可能的累积电荷。 插管组件包括套管外壳装置和套管装置，套管装置由导电率值至少为银的电导率值的50％的材料形成。 本发明还包括由电导率值至少为银的电导率值的50％的材料形成的插管组件附件。 本发明还提供了一种利用本发明的插管组件和插管组件附件将内窥镜器械引导到身体组织中的方法。

公开(公告)号：US5540375A

公开(公告)日：1996-07-30

申请号：US415776

申请日：1995-03-31

申请人： Henry Bolanos ,  Charles R. Sherts ,  Thomas A. Pelletier

发明人： Henry Bolanos ,  Charles R. Sherts ,  Thomas A. Pelletier

IPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/10 ,  A61B17/11 ,  A61B17/115 ,  A61B17/28

CPC分类号： A61B17/07207 ,  A61B17/072 ,  A61B17/0682 ,  A61B17/10 ,  A61B17/1152 ,  A61B2017/07214 ,  A61B2017/1142 ,  A61B2017/2927 ,  A61B2017/2929

摘要： An endoscopic or laparoscopic surgical instrument for applying fasteners to bodily tissue is disclosed. The instrument includes a handle assembly, an endoscopic portion and a jaw portion. The instrument is configured and dimensioned to be insertable through a cannula, and is useful for applying a purse string to bodily tissue.

摘要翻译： 公开了一种用于将紧固件应用于身体组织的内窥镜或腹腔镜手术器械。 仪器包括手柄组件，内窥镜部分和钳口部分。 该仪器的构造和尺寸可以通过插管插入，并且可用于将钱包串应用于身体组织。

公开(公告)号：US5527319A

公开(公告)日：1996-06-18

申请号：US286397

申请日：1994-08-05

申请人： David T. Green ,  Henry Bolanos ,  Thomas Alesi

发明人： David T. Green ,  Henry Bolanos ,  Thomas Alesi

IPC分类号： A61B1/00 ,  A61B17/12 ,  A61B17/125 ,  A61B17/128 ,  A61B17/32 ,  A61B17/00

CPC分类号： A61B17/1285

摘要： An endoscopic ligating and dividing instrument includes an endoscopic portion and a non-endoscopic portion. The endoscopic portion includes clip closing jaws for applying at least two surgical clips to body tissue, pusher rods for loading clips into the jaws, a movable hook to catch and position the body tissue, and a knife for dividing the body tissue between the surgical clips. The non-endoscopic portion includes actuators responsive to manual actuation by a user.

摘要翻译： 内窥镜结扎分割仪具有内窥镜部和非内窥镜部。 内窥镜部分包括用于将至少两个手术夹子施加到身体组织的夹闭闭合爪，用于将夹子装入夹爪的推动杆，用于抓住和定位身体组织的可动钩以及用于在外科夹子之间分割身体组织的刀 。 非内窥镜部分包括响应于用户手动致动的致动器。