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公开(公告)号：US20080249563A1
公开(公告)日：2008-10-09
申请号：US11732704
申请日：2007-04-04
IPC分类号： A61B17/03
CPC分类号： A61B17/10 , A61B17/083
摘要： Methods and apparatus directed to tissue capture, presentation and retention using a surgical apparatus. One or more tissue capture arms can include surface features that engage captured tissue and provide omni-directional support during capture and retention of the tissue. The tissue clamping arm can include improved centering features for positioning captured tissue relative to a penetrator that is advance into the capture tissue. Through improved tissue handling and tissue retention relative to the penetrator, captured tissue can be consistently pierced regardless of external forces and techniques. The tissue clamping arm can include gripping members arranged along an interface surface to improve tissue grip and presentation.
摘要翻译： 用于使用外科手术器械的组织捕获，呈现和保留的方法和装置。 一个或多个组织捕获臂可以包括接合捕获的组织的表面特征，并且在捕获和保持组织期间提供全方向的支撑。 组织夹持臂可以包括改进的对中特征，用于相对于进入捕获组织的穿透器定位捕获的组织。 通过改善相对于穿透器的组织处理和组织保持，捕获的组织可以一直穿透，而不管外力和技术如何。 组织夹持臂可以包括沿着界面表面布置的夹持构件，以改善组织夹持和呈现。
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公开(公告)号：US4058932A
公开(公告)日：1977-11-22
申请号：US665899
申请日：1976-03-11
CPC分类号： E05D15/58 , E05Y2201/604 , E05Y2201/62 , E05Y2201/706 , E05Y2201/716 , E05Y2201/722 , E05Y2900/212
摘要： A door which is to be swung open and closed to provide access to an enclosure and slid back into the enclosure is provided with one or more hinges rotatably mounted on a shaft to the ends of which there are fixedly mounted gears which positively engage respective racks disposed adjacent the top and bottom of the enclosure and extending along the depth of the enclosure so that as each door is slid in and out of the enclosure there is no rotation of the door in its plane and, hence, no sagging and binding of the door. A portion of each hinge is confined within a guide block which is in turn rotatably connected with the shaft and slidably mounted in a channel adjacent and parallel to the rack so that only the member of the hinge attached to the door is swingable with the pivot of the hinge being rectilinearly slidable with the door along the depth of the enclosure.
摘要翻译： 要被打开和关闭以便进入外壳并滑回到外壳中的门设置有可旋转地安装在轴上的一个或多个铰链，其中固定安装的齿轮固定地配合相应的机架 邻近外壳的顶部和底部并且沿着外壳的深度延伸，使得当每个门滑入和移出外壳时，门不在其平面中旋转，因此门没有下垂和结合门 。 每个铰链的一部分被限制在导向块内，引导块又与轴可旋转地连接并且可滑动地安装在与齿条相邻并平行的通道中，使得只有附接到门的铰链的构件可以与 铰链可与门沿着外壳的深度直线滑动。
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公开(公告)号：US07112214B2
公开(公告)日：2006-09-26
申请号：US10603397
申请日：2003-06-25
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0644 , A61B17/0682 , A61B17/30 , A61B2017/00004
摘要： A fastener for insertion into pierced openings of a tissue wound has a body formed of a generally bioabsorbable polymer defining an initial capture area internal to the body. The body includes a pair of arms, each with an inwardly projecting cleat operably joined at an elbow portion defining an internal elbow angle. The arms are operably joined to a backspan at a shoulder portion defining an internal shoulder angle. A durable tissue retention zone is defined between the cleat and the arm. The elbow portion and the internal elbow angle define an insertion width greater than a width of the pierced openings resulting in the pierced openings stretching over the cleat and being elastically retained within the durable tissue retention zone. The fastener initially captures wound tissue in the initial capture area and then dynamically reforms in response to lateral stresses applied by the wound tissue without a fracture failure of the fastener until a minimum degradation period.
摘要翻译： 用于插入组织缠绕的穿孔的紧固件具有由通常生物可吸收的聚合物形成的主体，其限定了身体内部的初始捕获区域。 主体包括一对臂，每个臂具有向内突出的防滑板，其可操作地连接在限定内肘角的肘部。 臂可操作地连接到限定内肩角度的肩部的背跨。 在防滑板和手臂之间限定一个持久的组织保持区。 肘部部分和内肘角限定了大于穿孔的宽度的插入宽度，导致刺穿的开口在防滑板上方延伸并且被弹性地保持在耐久的组织保持区域内。 紧固件最初捕获初始捕获区域中的伤口组织，然后响应于伤口组织施加的横向应力而动态地改变，而不会发生紧固件的断裂故障，直到最小降解周期为止。
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公开(公告)号：USD319272S
公开(公告)日：1991-08-20
申请号：US192118
申请日：1988-05-10
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公开(公告)号：US08940016B2
公开(公告)日：2015-01-27
申请号：US13324680
申请日：2011-12-13
申请人： James A. Peterson
发明人： James A. Peterson
IPC分类号： A61B17/08 , A61B17/04 , A61B17/064 , A61B17/068 , A61B17/29 , A61B17/00 , A61B17/06
CPC分类号： A61B17/064 , A61B17/0469 , A61B17/0482 , A61B17/0644 , A61B17/0682 , A61B17/08 , A61B17/29 , A61B2017/00004 , A61B2017/0409 , A61B2017/0412 , A61B2017/0419 , A61B2017/0427 , A61B2017/06052
摘要： A mechanical system for rotatably, sequentially securing opposing sides of a tissue wound with a fastener. An applicator apparatus is capable of imparting rotatable motion to a falcate tissue penetrator that sequentially pierces and carries a fastener into a first side and a second side of the tissue wound. The first side and second side of tissue can be simultaneously captured and positioned with respect to a tissue definition member or alternatively, the first tissue side and second tissue side can be individually, sequentially captured and positioned relative to the tissue definition member. The applicator apparatus can comprise a single fastener for small tissue wounds or resections or alternatively, the applicator can comprise a plurality of staged fasteners for use in closing a larger wounds or wounds with increased tension.
摘要翻译： 一种用于可旋转地，顺序地固定缠绕有紧固件的组织的相对侧的机械系统。 涂抹器装置能够将旋转的运动赋予镰刀组织穿透器，所述镰刀组织穿透器依次刺穿并将紧固件携带到组织的第一侧和第二侧。 组织的第一侧和第二侧可以相对于组织定义构件被同时捕获和定位，或者替代地，第一组织侧和第二组织侧可以相对于组织定义构件单独地，顺序地捕获和定位。 施用装置可以包括用于小组织伤口或切除术的单个紧固件，或者替代地，涂抹器可以包括用于以更大的张力闭合更大的伤口或伤口的多个分段紧固件。
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公开(公告)号：US08066736B2
公开(公告)日：2011-11-29
申请号：US11097085
申请日：2005-04-01
申请人： James A. Peterson , Christopher J. Sperry , Joseph M. Gryskiewicz , Delmer L. Smith , David B. Herridge
发明人： James A. Peterson , Christopher J. Sperry , Joseph M. Gryskiewicz , Delmer L. Smith , David B. Herridge
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0644 , A61B17/0682 , A61B17/30 , A61B2017/00004
摘要： A fastener for insertion into pierced openings of a tissue wound has a body formed of a generally bioabsorbable polymer defining an initial capture area. The body includes a pair of arms, each with an inwardly projecting cleat operably joined at an elbow portion defining an internal elbow angle. The arms are operably joined to a backspan at a shoulder portion defining an internal shoulder angle. A durable tissue retention zone is defined between the cleat and the arm. The elbow portion and the internal elbow angle define an insertion width greater than a width of the pierced openings resulting in the pierced openings stretching over the cleat and being elastically retained within the durable tissue retention zone. The fastener captures wound tissue in the initial capture area and then dynamically reforms in response to lateral stresses without a fracture failure of the fastener until a minimum degradation period.
摘要翻译： 用于插入组织缠绕的穿孔的紧固件具有由通常生物可吸收的聚合物形成的主体，其限定初始捕获区域。 主体包括一对臂，每个臂具有向内突出的防滑板，其可操作地连接在限定内肘角的肘部。 臂可操作地连接到限定内肩角度的肩部的背跨。 在防滑板和手臂之间限定一个持久的组织保持区。 肘部部分和内肘角限定了大于穿孔的宽度的插入宽度，导致刺穿的开口在防滑板上方延伸并且被弹性地保持在耐久的组织保持区域内。 紧固件捕获初始捕获区域中的伤口组织，然后响应于横向应力而动态地改变，而没有紧固件的断裂故障直到最小降解周期。
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公开(公告)号：US07682372B2
公开(公告)日：2010-03-23
申请号：US11316322
申请日：2005-12-22
申请人： James A. Peterson
发明人： James A. Peterson
IPC分类号： A61B17/50
CPC分类号： A61B17/04 , A61B17/068 , A61B17/30 , A61B2017/081
摘要： A sequential surgical forceps is adapted to sequentially grasp tissue on opposed sides of a tissue interface and then present the tissue for capture and closure by a surgical fastening apparatus. The sequential tissue forceps comprises a first arm, a second arm and central arm wherein both the first arm and the second arm are sequentially closed with respect to the central arm. The first arm, second arm and central arm preferably comprise tips having a gripping structure to facilitate tissue capture and retention. The central arm includes structure that defines a mating interface to allow for selective positioning of the sequential tissue forceps and any captured tissue with respect to a surgical fastening apparatus. In this way, the tissue forceps is able to consistently manipulate and present wound tissue relative to the surgical fastening apparatus.
摘要翻译： 顺序的手术镊子适于顺序地在组织界面的相对侧上抓握组织，然后通过手术紧固装置呈现用于捕获和闭合的组织。 顺序组织钳包括第一臂，第二臂和中心臂，其中第一臂和第二臂相对于中心臂依次闭合。 第一臂，第二臂和中心臂优选地包括具有夹持结构以便于组织捕获和保持的尖端。 中央臂包括限定配合界面的结构，以允许相对于手术紧固装置选择性地定位顺序组织钳和任何捕获的组织。 以这种方式，组织镊子能够一致地操纵和呈现伤口组织相对于手术紧固装置。
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公开(公告)号：US07547315B2
公开(公告)日：2009-06-16
申请号：US11003145
申请日：2004-12-03
CPC分类号： A61B17/0644 , A61B17/064 , A61B17/068 , A61B17/0682 , A61B17/282 , A61B17/30 , A61B2017/00004 , A61B2017/081
摘要： A mechanical system for sequentially securing skin tissue preferably utilizes a tissue manipulator apparatus to approximate a portion of an interior surface of each of two pieces of living dermis tissue along a vertical interface below an exterior surface such that discrete target tissue zones are defined within the two pieces of living dermis tissue. An applicator apparatus includes a driving head portion positioned in the vertical interface and at least partially below the exterior surface and a handle portion positioned at least partially above the exterior surface. The applicator apparatus unilaterally drives a fastener through a first side of the living dermis tissue and then sequentially drives the fastener through a second side of the living dermis such that the fastener is positioned below the exterior surface and a portion of the fastener is positioned generally transverse to the vertical interface. The manipulator apparatus and the applicator apparatus can be arranged to be integral components operably connected together as part of a hand-held instrument capable of carrying and deploying fasteners.
摘要翻译： 用于顺序地固定皮肤组织的机械系统优选地利用组织操纵器装置沿着外表面下方的垂直界面近似两个活的真皮组织中的每一个的内表面的一部分，使得离散的目标组织区域被限定在两个 活体真皮组织。 涂抹器装置包括位于垂直界面中并且至少部分地位于外表面下方的驱动头部分以及至少部分地位于外表面上方的手柄部分。 施用装置单方面驱动紧固件穿过活的真皮组织的第一侧，然后顺序地将紧固件驱动通过活体真皮的第二侧，使得紧固件位于外表面的下方，并且紧固件的一部分大致横向地定位 到垂直界面。 机械手装置和施加装置可以被布置为作为能够承载和展开紧固件的手持式仪器的一部分可操作地连接在一起的整体部件。
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公开(公告)号：USD532107S1
公开(公告)日：2006-11-14
申请号：US29202831
申请日：2004-04-05
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公开(公告)号：US3936786A
公开(公告)日：1976-02-03
申请号：US549674
申请日：1975-02-13
摘要： A temperature-sensitive tipswitch includes a pair of normally closed flexible conductive arms. A temperature responsive actuating arm is mounted adjacent the conductive arms and insulation discs separate all three. A bracket is connected into the stack formed by the arms and insulation discs and the bracket mounts a mercury tipswitch. There are one or more terminals extending out from the stack and in electrical contact with one of the conductive arms and a second terminal connected to the tipswitch.
摘要翻译： 温度敏感的开关包括一对常闭的柔性导电臂。 温度响应的致动臂安装在导电臂和绝缘盘附近，分开所有三个。 支架连接到由臂和绝缘盘形成的堆叠中，并且支架安装水银尖端开关。 存在从堆叠延伸出并与导电臂之一电接触的一个或多个端子和连接到尖端开关的第二端子。
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