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137 条记录 (耗时 0.045 秒)

    Anvil delivery device accessory
    113.
    发明授权
    Anvil delivery device accessory 有权
    铁砧输送装置附件

    公开(公告)号：US08403942B2

    公开(公告)日：2013-03-26

    申请号：US13358304

    申请日：2012-01-25

    申请人： Keith L. Milliman ,  Thomas Wenchell ,  Philip C. Roy

    发明人： Keith L. Milliman ,  Thomas Wenchell ,  Philip C. Roy

    IPC分类号： A61B17/11 ,  A61B17/115

    CPC分类号： A61B17/1155 ,  A61B17/1114 ,  A61B2017/00292 ,  A61B2017/00473 ,  A61B2017/2927 ,  A61B2017/2931

    摘要： A method for performing a surgical procedure is disclosed which uses an anvil delivery system including an anvil assembly, a flexible tube having a first end portion and a second end portion, and a fitting to deliver the anvil assembly to a desired site. The method includes the steps of cutting a second end portion of the flexible tube, attaching a fitting to the second end portion of the flexible tube which has been cut, inserting the insertion tip into tissue, advancing the insertion tip along with the flexible tube and anvil assembly to the desired site within a patient's body, and removing the flexible tube from the anvil assembly and from the desired site leaving the anvil assembly in a patient's body at the desired site.

    摘要翻译： 公开了一种用于执行外科手术的方法，其使用包括砧组件，具有第一端部和第二端部的柔性管的砧骨输送系统以及将砧座组件输送到期望的位置的配件。 该方法包括以下步骤：切割柔性管的第二端部，将配件连接到已经被切割的柔性管的第二端部，将插入尖端插入组织中，将插入尖端与柔性管一起推进，以及 砧组件到患者体内的期望位置，以及从砧座组件和从期望的位置移除柔性管，并将砧座组件放置在患者身体的所需位置。

    Surgical stapling device
    114.
    发明授权
    Surgical stapling device 有权
    手术吻合装置

    公开(公告)号：US08348122B2

    公开(公告)日：2013-01-08

    申请号：US11515660

    申请日：2006-09-05

    申请人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    发明人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    IPC分类号： A61B17/064

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00371 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2090/0811 ,  A61B2090/3616

    摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes an approximation mechanism including a rotatable knob, a screw having a helical channel and an anvil retainer. The helical channel includes a dwell portion for providing a tactile indication to a surgeon that the anvil retainer has been advanced to a position wherein the anvil assembly can be removed from the anvil retainer. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.

    摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 缝合装置包括近似机构，其包括可旋转旋钮，具有螺旋通道的螺钉和砧座保持器。 所述螺旋通道包括用于向外科医生提供触觉指示的停留部分，所述砧座保持器已经前进到其中所述砧座组件能够从所述砧座保持器移除的位置。 还公开了一种用于连接到砧组件的可拆卸的套针针，其包括位于安装突起的近侧的肋。 肋被定位成使安装突起与砧组件的相关接合结构对准。

    Surgical tilt anvil assembly
    115.
    发明授权
    Surgical tilt anvil assembly 有权
    手术倾斜砧组件

    公开(公告)号：US08328063B2

    公开(公告)日：2012-12-11

    申请号：US13343082

    申请日：2012-01-04

    申请人： Keith L. Milliman ,  Thomas Wenchell ,  Philip C. Roy

    发明人： Keith L. Milliman ,  Thomas Wenchell ,  Philip C. Roy

    IPC分类号： A61B17/115

    CPC分类号： A61B17/068 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/07257

    摘要： A surgical tilt anvil assembly including a rod and a head assembly including an anvil plate having staple deforming pockets. The head assembly is pivotally secured to the rod and pivotal in relation to the rod between a first tilted position, a non-tilted position and a second different tilted position. The head assembly passes from the first tilted position, through the non-tilted position to the second tilted position.

    摘要翻译： 一种外科倾斜砧座组件，包括杆和头部组件，其包括具有缝钉变形袋的砧板。 头部组件枢转地固定到杆上并相对于杆在第一倾斜位置，非倾斜位置和第二不同倾斜位置之间枢转。 头部组件从第一倾斜位置穿过非倾斜位置到达第二倾斜位置。

    Surgical Stapling Device
    117.
    发明申请
    Surgical Stapling Device 有权
    外科手术装置

    公开(公告)号：US20120228357A1

    公开(公告)日：2012-09-13

    申请号：US13358553

    申请日：2012-01-26

    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 having 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： 一种外科缝合装置，其具有手柄组件，细长主体部分，壳体组件，其容纳多个钉钉和相对于壳体组件可移动的砧座组件。 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。

    Surgical stapler
    118.
    发明授权
    Surgical stapler 有权
    手术吻合器

    公开(公告)号：US08231042B2

    公开(公告)日：2012-07-31

    申请号：US12582064

    申请日：2009-10-20

    申请人： Thomas R. Hessler ,  Keith L. Milliman

    发明人： Thomas R. Hessler ,  Keith L. Milliman

    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。 砧座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。

    SURGICAL INSTRUMENT WITH INDICATOR
    119.
    发明申请
    SURGICAL INSTRUMENT WITH INDICATOR 有权
    带指示器的手术仪器

    公开(公告)号：US20120145766A1

    公开(公告)日：2012-06-14

    申请号：US13397794

    申请日：2012-02-16

    申请人： Keith L. Milliman ,  Thomas R. Hessler ,  Stephen R. Paul ,  Thomas Wenchell

    发明人： Keith L. Milliman ,  Thomas R. Hessler ,  Stephen R. Paul ,  Thomas Wenchell

    IPC分类号： A61B17/068

    CPC分类号： A61B17/115 ,  A61B2017/00128 ,  A61B2090/0807 ,  A61B2090/0811

    摘要： A surgical stapling instrument including a handle assembly, an elongated body portion extending distally from the handle assembly, and a head portion. The handle assembly includes a firing trigger and a firing indicator. The firing trigger is movable between a first non-actuated position and a second actuated position. The head portion is disposed adjacent a distal portion of the elongated body portion and includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. Engagement structure of the firing trigger moves the firing indicator from a first position to a second position when the firing trigger is moved from its first non-actuated position toward its second actuated position.

    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和头部。 手柄组件包括击发扳机和击发指示器。 击发扳机可在第一非致动位置和第二致动位置之间移动。 头部设置在细长主体部分的远侧部分附近，并且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。 当点火触发器从其第一非致动位置朝向其第二致动位置移动时，触发触发器的接合结构将击发指示器从第一位置移动到第二位置。

    Adaptor for anvil delivery
    120.
    发明授权
    Adaptor for anvil delivery 有权
    砧座适配器送货

    公开(公告)号：US08123103B2

    公开(公告)日：2012-02-28

    申请号：US12955278

    申请日：2010-11-29

    申请人： Keith L. Milliman

    发明人： Keith L. Milliman

    IPC分类号： A61B17/115

    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： An adaptor includes a body having a first end and a second end. The first end is configured to be releaseably secured to an anvil shaft of an anvil assembly. The second end is configured to be securely received within a flexible tube to releaseably secure the anvil assembly to the flexible tube. The adaptor and flexible tube assembly facilitates placement of the anvil assembly within the stomach during the performance a minimally invasive gastric bypass procedure.

    摘要翻译： 适配器包括具有第一端和第二端的主体。 第一端构造成可释放地固定到砧组件的砧轴上。 第二端构造成可靠地容纳在柔性管内以将砧组件可释放地固定到柔性管。 适配器和柔性管组件有助于在执行微创胃旁路手术期间将砧座组件放置在胃内。