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公开(公告)号：US07296724B2
公开(公告)日：2007-11-20
申请号：US11073454
申请日：2005-03-07
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： A61B17/068
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。
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公开(公告)号：US07278563B1
公开(公告)日：2007-10-09
申请号：US11410346
申请日：2006-04-25
申请人： David T. Green
发明人： David T. Green
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/105 , A61B17/32 , A61B2017/07214 , A61B2017/07228 , A61B2017/2927
摘要： An instrument including a clamping jaw with an anvil defining an elongated slot and staple forming cups on opposing sides of the elongated slot. A housing rotatably mounts on the anvil and a pusher rotatably mounts within the housing. A handle actuates the clamping jaw from the open to the intermediate position by rotating the housing towards the clamping jaw. To move from the intermediate position to the closed position, the pusher rotates towards the anvil. A staple cartridge, disposed in the housing, includes a staple track for retaining two rows of staples on opposing sides of the elongated slot. Two staple drivers align with the distal most staples. The drivers slidably mount in the staple cartridge and couple to the pusher such that each staple driver forces a staple into the forming cups and, in turn, staples the body tissue as the pusher rotates from the intermediate to closed position. A knife rotatably mounts on the staple cartridge and couples to the pusher such that the knife passes into the elongated slot and, in turn, cuts the body tissue as the pusher rotates from the intermediate to closed position.
摘要翻译： 一种仪器，包括具有限定细长槽的砧座的夹紧爪和在细长槽的相对侧上的订书钉形成杯。 壳体可旋转地安装在砧座上，并且推动器可旋转地安装在壳体内。 手柄通过使壳体朝向夹紧爪旋转，从而将夹钳从打开位置驱动到中间位置。 为了从中间位置移动到关闭位置，推动器朝向砧座旋转。 设置在壳体中的钉仓包括用于在细长槽的相对侧上保持两排钉的钉轨。 两个订书钉驱动器与最远端的订书钉对齐。 驱动器可滑动地安装在订书钉盒中并联接到推动器，使得每个订书钉驱动器将订书钉推入成形杯中，并且随着推动器从中间转动到关闭位置而依次缝合身体组织。 刀可旋转地安装在钉仓上并联接到推动器，使得刀进入细长的槽中，并且随着推动器从中间转动到关闭位置而切割身体组织。
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公开(公告)号：US07041119B2
公开(公告)日：2006-05-09
申请号：US10252808
申请日：2002-09-23
申请人： David T. Green
发明人： David T. Green
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0482 , A61B2017/0038 , A61B2017/00637 , A61B2017/00663 , A61B2017/0472 , A61B2017/06057 , A61B2017/06076
摘要： A vascular suturing device is disclosed which includes an elongated tubular body defining opposed proximal and distal end portions and having a longitudinal axis extending therethrough, the body including an inner tubular member, an outer tubular member and a central tubular member disposed between the inner and outer tubular members. The inner tubular member and the central tubular member are mounted for movement relative to the outer tubular member about the longitudinal axis of the body for sequentially driving a pair of suture needles through the wall of a blood vessel to close an incision formed therein. A vascular dilator having a tapered distal tip portion is supported within the inner tubular member and is dimensioned to extend beyond the distal end of the inner tubular member for positioning the suturing device at the incision in the wall of the blood vessel. The dilator is configured to direct blood flow from the distal portion of the dilator to a location remote from the blood vessel for observation to confirm the location of the device.
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公开(公告)号：US06644532B2
公开(公告)日：2003-11-11
申请号：US09852457
申请日：2001-05-09
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： A61B17068
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.
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公开(公告)号：US06454777B1
公开(公告)日：2002-09-24
申请号：US09794553
申请日：2001-02-27
申请人： David T. Green
发明人： David T. Green
IPC分类号： A61B1704
CPC分类号： A61B17/0469 , A61B17/0057 , A61B17/0482 , A61B2017/0038 , A61B2017/00637 , A61B2017/00663 , A61B2017/0472 , A61B2017/06057 , A61B2017/06076
摘要： A vascular suturing device is disclosed which includes an elongated tubular body defining opposed proximal and distal end portions and having a longitudinal axis extending therethrough, the body including an inner tubular member, an outer tubular member and a central tubular member disposed between the inner and outer tubular members. The inner tubular member and the central tubular member are mounted for movement relative to the outer tubular member about the longitudinal axis of the body for sequentially driving a pair of suture needles through the wall of a blood vessel to close an incision formed therein.
摘要翻译： 公开了一种血管缝合装置，其包括限定相对的近端部分和远端部分并且具有延伸穿过其中的纵向轴线的细长管状体，所述主体包括内部管状构件，外部管状构件和设置在内部和外部之间的中心管状构件 管状构件。 内部管状构件和中心管状构件安装成围绕主体的纵向轴线相对于外部管状构件运动，用于顺序地驱动一对缝合针穿过血管的壁以封闭其中形成的切口。
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公开(公告)号：USRE36720E
公开(公告)日：2000-05-30
申请号：US812636
申请日：1997-03-07
IPC分类号： A61B17/122 , F16B2/22 , A61B17/04
CPC分类号： A61B17/122 , A61B17/1285 , F16B2/22
摘要： A disposable apparatus is disclosed for applying latchless surgical clips to body tissue in endoscopic surgical procedures. The latchless clips are resiliently biased to a closed configuration. The apparatus includes a frame which is adapted to be gripped by hand, and an endoscopic section 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, temporarily opening the clip and advancing the clip further to a pair of distal jaws where the clip is positioned around the body tissue and closes around the tissue. Also included are 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. The present apparatus also makes it possible to partially close a clip without interfering with the sequential movement of the clip advancing mechanism.
摘要翻译： 公开了一种用于在内窥镜外科手术中将无闩锁手术夹施加到身体组织的一次性装置。 无闩锁夹子被弹性地偏置到闭合构型。 该装置包括适于被手抓住的框架和连接到手柄的内窥镜部分，并且能够存储用于剪切动脉或其他身体组织的外科夹具。 该装置包括用于顺序推进每个夹子的装置，临时打开夹子并将夹子进一步推进到一对远端钳口，其中夹子围绕身体组织定位并围绕组织封闭。 还包括用于关闭围绕夹子的钳口的装置。 当夹爪关闭时，夹子推进装置同时定位以推进下一个夹子。 本装置还使得可以部分地关闭夹子而不妨碍夹子前进机构的顺序移动。
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公开(公告)号：US5718360A
公开(公告)日：1998-02-17
申请号：US341680
申请日：1994-11-17
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。
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公开(公告)号：US5697889A
公开(公告)日：1997-12-16
申请号：US435511
申请日：1995-05-05
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
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相邻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。
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公开(公告)号：US5674231A
公开(公告)日：1997-10-07
申请号：US545974
申请日：1995-10-20
IPC分类号： A61B17/00 , A61B17/122 , A61B17/128 , A61B17/10
CPC分类号： A61B17/1227 , A61B17/0057 , A61B17/1285 , A61B17/00234 , A61B2017/00637 , A61B2017/00668 , A61B2017/00672
摘要： An apparatus and method are disclosed for applying a surgical clip to an exterior wall of a blood vessel to at least partially close a hole formed therein. The apparatus includes a handle portion, an elongated body extending distally from the handle portion and dimensioned to extend through a hole in the wall of a blood vessel, and a collapsible locator associated with a distal end portion of the elongated body and mounted for movement between a collapsed position and an expanded deployed position. The locator is adapted to expand within an interior lumen of the blood vessel to maintain the distal end portion of the elongated body in a desired location with respect to the hole in blood vessel wall such that a surgical clip releasably supported adjacent the distal end portion of the elongated body can be applied to the exterior wall of the blood vessel to close the hole formed therein.
摘要翻译： 公开了一种用于将外科夹子施加到血管的外壁以至少部分地闭合其中形成的孔的装置和方法。 该装置包括手柄部分，从手柄部分向远侧延伸并且尺寸设置成延伸穿过血管壁壁的细长体，以及与细长体的远端部分相关联的可折叠定位器， 折叠位置和展开位置。 定位器适于在血管的内腔内扩张，以将细长体的远端部分相对于血管壁中的孔保持在期望的位置，使得外科夹具可释放地支撑在邻近的远端部分 可以将细长体施加到血管的外壁上以封闭其中形成的孔。
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公开(公告)号：US5647526A
公开(公告)日：1997-07-15
申请号：US559493
申请日：1995-11-15
申请人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
发明人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
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 , A61B2017/00548 , A61B2017/07214 , A61B2017/07278 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2090/038 , A61B2090/0803
摘要： A self contained gas powered 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 serf contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. 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： 提供一种自给式气体动力内窥镜手术装置，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。 包含气动系统的塞车与框架部分相关联并且可致动以从套筒组件弹出外科紧固件。 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。
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