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    SURGICAL INSTRUMENT WITH SAFETY MECHANISM
    11.
    发明申请
    SURGICAL INSTRUMENT WITH SAFETY MECHANISM 有权
    具有安全机制的手术器械

    公开(公告)号：US20120153005A1

    公开(公告)日：2012-06-21

    申请号：US13407972

    申请日：2012-02-29

    申请人： Keith Milliman

    发明人： Keith Milliman

    IPC分类号： A61B17/068

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/2946 ,  A61B2090/0811

    摘要： A surgical instrument including a handle assembly, a safety mechanism, an elongated body portion and a head portion is disclosed. The handle assembly includes a stationary handle, an approximation mechanism, and a firing trigger. A lever of the safety mechanism is movable between a first position where the firing trigger is prevented from being actuated, and a second position where the firing trigger is able to be actuated. A first jaw member of the head portion is movable in relation to a second jaw member of the head portion between spaced and approximated positions. Movement of the first jaw member in relation to the second jaw member from the approximated position towards the spaced position causes the lever of the safety mechanism to move from its second position to its first position.

    摘要翻译： 公开了一种包括手柄组件，安全机构，细长主体部分和头部的外科器械。 手柄组件包括固定手柄，近似机构和击发扳机。 安全机构的杆可以在防止击发扳机被致动的第一位置和能够致动击发扳机的第二位置之间移动。 头部的第一钳口构件相对于位于间隔和近似位置之间的头部的第二钳口构件是可移动的。 第一钳口构件相对于第二钳口构件从近似位置朝向间隔位置的移动使得安全机构的杠杆从其第二位置移动到其第一位置。

    Surgical stapling apparatus
    12.
    发明申请
    Surgical stapling apparatus 失效
    手术吻合装置

    公开(公告)号：US20080017692A1

    公开(公告)日：2008-01-24

    申请号：US11897863

    申请日：2007-08-31

    申请人： David Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry Sienkiewicz ,  Mitchell Palmer ,  Graham Bryan

    发明人： David Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry Sienkiewicz ,  Mitchell Palmer ,  Graham 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。

    Surgical stapling device
    13.
    发明申请
    Surgical stapling device 有权
    手术吻合装置

    公开(公告)号：US20070075117A1

    公开(公告)日：2007-04-05

    申请号：US11515660

    申请日：2006-09-05

    申请人： Keith Milliman ,  Bruce Jankowski ,  Douglas Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard Gresham

    发明人： Keith Milliman ,  Bruce Jankowski ,  Douglas Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard Gresham

    IPC分类号： A61B17/04

    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。

    Instrument introducer
    14.
    发明申请
    Instrument introducer 审中-公开
    仪器介绍员

    公开(公告)号：US20070051375A1

    公开(公告)日：2007-03-08

    申请号：US11220263

    申请日：2005-09-06

    申请人： Keith Milliman

    发明人： Keith Milliman

    IPC分类号： A61B19/08

    CPC分类号： A61B17/0218 ,  A61B1/31 ,  A61B17/0293 ,  A61B17/068 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3439 ,  A61B17/3462 ,  A61B2017/0225

    摘要： Instrument introducers and methods of using the same are provided to facilitate the introduction of a surgical instrument into a cavity or a body opening of a patient. The instrument introducers include a body portion defining a lumen therethrough, a flexible distal end portion having a distal orifice, a proximal end portion having a proximal orifice, and at least one fold formed in at least the distal end portion.

    摘要翻译： 提供了仪器引导器及其使用方法，以便于将外科器械引入患者的腔体或身体开口中。 仪器引导器包括限定穿过其中的腔的主体部分，具有远端口的柔性远端部分，具有近端口的近端部分和至少形成在至少远端部分中的至少一个折叠部。

    Surgical instrument with safety mechanism
    17.
    发明授权
    Surgical instrument with safety mechanism 有权
    手术器械具有安全机制

    公开(公告)号：US08146790B2

    公开(公告)日：2012-04-03

    申请号：US12781622

    申请日：2010-05-17

    申请人： Keith Milliman

    发明人： Keith Milliman

    IPC分类号： A61B17/068

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/2946 ,  A61B2090/0811

    摘要： A surgical instrument including a handle assembly, a safety mechanism, an elongated body portion and a head portion is disclosed. The handle assembly includes a stationary handle, an approximation mechanism, and a firing trigger. A lever of the safety mechanism is movable between a first position where the firing trigger is prevented from being actuated, and a second position where the firing trigger is able to be actuated. A first jaw member of the head portion is movable in relation to a second jaw member of the head portion between spaced and approximated positions. Movement of the first jaw member in relation to the second jaw member from the approximated position towards the spaced position causes the lever of the safety mechanism to move from its second position to its first position.

    摘要翻译： 公开了一种包括手柄组件，安全机构，细长主体部分和头部的外科器械。 手柄组件包括固定手柄，近似机构和击发扳机。 安全机构的杆可以在防止击发扳机被致动的第一位置和能够致动击发扳机的第二位置之间移动。 头部的第一钳口构件相对于位于间隔和近似位置之间的头部的第二钳口构件是可移动的。 第一钳口构件相对于第二钳口构件从近似位置朝向间隔位置的移动使得安全机构的杠杆从其第二位置移动到其第一位置。

    SURGICAL STAPLING APPARATUS
    18.
    发明申请
    SURGICAL STAPLING APPARATUS 失效
    手术装置

    公开(公告)号：US20090065551A1

    公开(公告)日：2009-03-12

    申请号：US12269618

    申请日：2008-11-12

    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。

    Surgical Stapling Device for Performing Circular Anastomoses
    20.
    发明申请
    Surgical Stapling Device for Performing Circular Anastomoses 有权
    用于执行圆形吻合的外科手术装置

    公开(公告)号：US20050023325A1

    公开(公告)日：2005-02-03

    申请号：US10472402

    申请日：2002-04-03

    申请人： Richard Gresham ,  Scott Manzo ,  Ernest Aranyi ,  Robert Geiste ,  Bruce Jankowski ,  Keith Milliman

    发明人： Richard Gresham ,  Scott Manzo ,  Ernest Aranyi ,  Robert Geiste ,  Bruce Jankowski ,  Keith Milliman

    IPC分类号： A61B17/00 ,  A61B17/115 ,  A61B17/34 ,  A61B17/04

    CPC分类号： A61B17/1155 ,  A61B17/115 ,  A61B17/34 ,  A61B2017/00128 ,  A61B2017/07257 ,  A61B2017/2905

    摘要： The present disclosure is directed to a surgical stapling device (10) for performing circular anastomoses. The surgical stapling device includes a handle portion (12), an elongated body portion (14) and a head portion (16) including an anvil assembly (30) and a shell assembly (31). The handle portion (12) includes a rotatable approximation knob (22) for approximating the anvil and shell assemblies (30,31) and a firing trigger (20) for actuating a firing mechanism for ejecting staples positioned within the shell assembly (31). The firing trigger (20) forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly (30) includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies (30,31). The head portion (16) also includes a retractable trocar assembly (240) which is slidably positioned within an anvil retainer (38) and is automatically advanced and retracted upon attachment and detachment of the anvil assembly (30) onto the anvil retainer (38). A lockout tube (270) is provided and is positioned about the anvil retainer (38) for releasably engaging an anvil assembly (30). The lockout tube (270) prevents inadvertent detachment of the anvil assembly (30) from the anvil retainer (38). The surgical stapling device (10) also includes a firing lockout assembly which prevents actuation of the firing trigger (20) until an anvil has been attached to the device and the anvil (129) has been approximated. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.

    摘要翻译： 本公开涉及用于执行圆形吻合的外科缝合装置（10）。 外科缝合装置包括手柄部分（12），细长主体部分（14）和包括砧座组件（30）和壳体组件（31）的头部部分（16）。 手柄部分（12）包括用于近似砧和壳组件（30,31）的可旋转近似旋钮（22）和用于致动用于排出位于壳体组件（31）内的缝钉）的击发机构的击发触发器（20）。 击发触发器（20）形成设置成致动击发机构的两杆连杆的一个连杆。 砧座组件（30）包括可倾斜的砧座，该砧座将在该装置点火之后自动倾斜并且使该砧座和壳体组件（30,31）不接近。 所述头部部分（16）还包括可伸缩套管针组件（240），其可滑动地定位在砧座保持器（38）内，并且当所述砧座组件（30）附接和拆卸到所述砧座保持器（38）上时自动前进和缩回， 。 锁定管（270）被设置并且围绕砧座保持器（38）定位，以可释放地接合砧组件（30）。 锁定管（270）防止砧组件（30）从砧座保持器（38）的意外脱离。 外科缝合装置（10）还包括击发锁定组件，其防止击发触发器（20）的致动直到砧座已经附接到装置并且砧座（129）已被近似。 还提供了一种触觉指示机构，用于通知外科医生该装置已经被点燃，并且通知外科医生砧座头未被近距离足以允许砧头倾斜的距离。