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公开(公告)号：US20120318847A1
公开(公告)日：2012-12-20
申请号：US13598696
申请日：2012-08-30
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B90/90 , A61B2017/00115 , A61B2017/00123 , A61B2017/00221 , A61B2017/00398 , A61B2017/00473 , A61B2017/00477 , A61B2017/00845 , A61B2017/00853 , A61B2017/07221 , A61B2017/07257 , A61B2017/07271 , A61B2090/065 , A61B2090/0811
摘要： A surgical stapling apparatus is provided and includes a housing having an actuator; an elongated member extending from the housing; an end effector disposed on an end of the elongated member, the end effector having a first jaw and a second jaw, the first jaw having a staple cartridge and the second jaw having a plurality of staple forming recesses; the staple cartridge having at least a first segment and a second segment, the first segment and the second segment each having a tissue contacting surface and staple receiving slots defined in the tissue contacting surface, the first segment and the second segment being biased toward the second jaw and movable; a biasing members for each of the first segment and the second segment; and a pressure sensor for each of the first segment and the second segment.
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公开(公告)号：US08276801B2
公开(公告)日：2012-10-02
申请号：US13025262
申请日：2011-02-11
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B90/90 , A61B2017/00115 , A61B2017/00123 , A61B2017/00221 , A61B2017/00398 , A61B2017/00473 , A61B2017/00477 , A61B2017/00845 , A61B2017/00853 , A61B2017/07221 , A61B2017/07257 , A61B2017/07271 , A61B2090/065 , A61B2090/0811
摘要： A surgical stapling apparatus is provided and includes a housing having an actuator; an elongated member extending from the housing; an end effector disposed on an end of the elongated member, the end effector having a first jaw and a second jaw, the first jaw having a staple cartridge and the second jaw having a plurality of staple forming recesses; the staple cartridge having at least a first segment and a second segment, the first segment and the second segment each having a tissue contacting surface and staple receiving slots defined in the tissue contacting surface, the first segment and the second segment being biased toward the second jaw and movable; a biasing members for each of the first segment and the second segment; and a pressure sensor for each of the first segment and the second segment.
摘要翻译： 提供外科缝合装置并且包括具有致动器的壳体; 从所述壳体延伸的细长构件; 所述末端执行器设置在所述细长构件的端部上，所述端部执行器具有第一钳口和第二钳口，所述第一钳口具有钉仓，所述第二钳口具有多个缝合钉形成凹槽; 所述钉仓具有至少第一段和第二段，所述第一段和所述第二段各自具有组织接触表面和限定在所述组织接触表面中的缝合物接收槽，所述第一段和所述第二段偏向所述第二段 下巴和活动; 用于所述第一段和所述第二段中的每一个的偏置构件; 以及用于第一段和第二段中的每一个的压力传感器。
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公开(公告)号：US20120193396A1
公开(公告)日：2012-08-02
申请号：US13025262
申请日：2011-02-11
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B90/90 , A61B2017/00115 , A61B2017/00123 , A61B2017/00221 , A61B2017/00398 , A61B2017/00473 , A61B2017/00477 , A61B2017/00845 , A61B2017/00853 , A61B2017/07221 , A61B2017/07257 , A61B2017/07271 , A61B2090/065 , A61B2090/0811
摘要： A surgical stapling apparatus is provided and includes a housing having an actuator; an elongated member extending from the housing; an end effector disposed on an end of the elongated member, the end effector having a first jaw and a second jaw, the first jaw having a staple cartridge and the second jaw having a plurality of staple forming recesses; the staple cartridge having at least a first segment and a second segment, the first segment and the second segment each having a tissue contacting surface and staple receiving slots defined in the tissue contacting surface, the first segment and the second segment being biased toward the second jaw and movable; a biasing members for each of the first segment and the second segment; and a pressure sensor for each of the first segment and the second segment.
摘要翻译： 提供外科缝合装置并且包括具有致动器的壳体; 从所述壳体延伸的细长构件; 所述末端执行器设置在所述细长构件的端部上，所述端部执行器具有第一钳口和第二钳口，所述第一钳口具有钉仓，所述第二钳口具有多个缝合钉形成凹槽; 所述钉仓具有至少第一段和第二段，所述第一段和所述第二段各自具有组织接触表面和限定在所述组织接触表面中的缝合物接收槽，所述第一段和所述第二段偏向所述第二段 下巴和活动; 用于所述第一段和所述第二段中的每一个的偏置构件; 以及用于第一段和第二段中的每一个的压力传感器。
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公开(公告)号：US20110036887A1
公开(公告)日：2011-02-17
申请号：US12796270
申请日：2010-06-08
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00022 , A61B2017/00119 , A61B2017/00123 , A61B2090/065 , A61B2090/0811
摘要： A surgical stapling apparatus having a housing with an actuator and an elongated member extending from the housing. An end effector is disposed on one end of the elongated member. The end effector houses a plurality of fasteners that are operatively coupled to a plurality of pusher members. An actuation mechanism is operatively coupled to the actuator; the actuation mechanism includes a longitudinally translatable drive member and an actuation sled. The actuation sled is configured for engaging the plurality of pusher members. A pressure responsive element is also disposed in one of the jaws. The pressure responsive element communicates a signal to a controller. The signal is representative of pressure applied to the pressure responsive element. The controller is configured to activate a feedback response.
摘要翻译： 一种外科缝合装置，具有具有致动器的壳体和从壳体延伸的细长构件。 端部执行器设置在细长构件的一端上。 末端执行器容纳多个可操作地联接到多个推动器构件的紧固件。 致动机构可操作地联接到致动器; 致动机构包括纵向可平移的驱动构件和致动滑板。 致动滑板构造成用于接合多个推动器构件。 压力响应元件也设置在其中一个夹爪中。 压力响应元件将信号传递给控制器。 信号代表施加到压力响应元件的压力。 控制器被配置为激活反馈响应。
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公开(公告)号：US08517073B2
公开(公告)日：2013-08-27
申请号：US12791501
申请日：2010-06-01
IPC分类号： B32B37/00
CPC分类号： A61B17/0487 , A61B17/06166 , A61B2017/00526 , A61B2017/0619 , B29C65/08
摘要： An apparatus, system and method for joining a first length of suture with a second length of suture are provided. The apparatus includes a substantially cylindrical body have a first end and a second end, a first cavity formed in the first end for receiving an end of the first length of suture, and a second cavity formed in the second end for receiving an end of the second length of suture, wherein the ends of the first and second lengths of sutures are welded within respective first and second cavities. The first and second lengths of suture may include the same or different diameters. The first and second cavities may be separated by a divider, or instead, may be continuous. The end of the first length of suture may abut the end of the second length of suture within the cylindrical body.
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公开(公告)号：US20120277793A1
公开(公告)日：2012-11-01
申请号：US13417612
申请日：2012-03-12
CPC分类号： A61B17/06166 , A61B2017/00526 , A61B2017/06176 , Y10T83/02
摘要： A barbed suture is provided. The barbed suture includes an elongate body and at least one barb extending from the elongate body. The elongate body defines a recess adjacent the at least one barb. Also provided is a method of making a barbed suture. The method includes the steps of providing a suture nest and a punch apparatus configured for operable engagement with the suture nest, loading a suture through the suture nest, engaging the punch apparatus with the suture nest, and disengaging the punch apparatus with the suture nest.
摘要翻译： 提供有刺的缝线。 有倒勾的缝合线包括细长主体和从细长主体延伸的至少一个倒钩。 细长主体限定与所述至少一个倒钩相邻的凹部。 还提供了制造带刺缝合线的方法。 该方法包括以下步骤：提供缝合线套和冲压装置，所述缝合套构造成用于与缝合线嵌套可操作地接合，通过缝合线嵌套缝合线，使缝合套与缝合套接合，以及使穿孔装置与缝合线套分离。
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公开(公告)号：US08132706B2
公开(公告)日：2012-03-13
申请号：US12478924
申请日：2009-06-05
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/2915 , A61B2017/2916 , A61B2017/2927 , A61B2017/320052 , A61B2090/0811
摘要： An articulation mechanism for use with a surgical apparatus having an articulating tool assembly is described. The articulation mechanism includes a rotatable shaft which is fixedly secured to a disk defining a spiral groove or slot. A linearly movable translation member is provided and includes a pin which is received within the spiral groove such that rotation of the disk effects linear translation of the translation member. The configuration of the spiral groove can be selected to provide any desired ratio of angular rotation of the disk to linear advancement of the translation member. As such, the configuration of the spiral slot can be selected to provide a uniform rate of articulation of the tool assembly of the surgical apparatus or a variable rate of articulation.
摘要翻译： 描述了一种与具有铰接工具组件的手术装置一起使用的关节运动机构。 铰接机构包括可旋转的轴，其固定地固定到限定螺旋槽或槽的盘。 提供线性移动的平移构件，并且包括容纳在螺旋槽内的销，使得盘的旋转影响平移构件的线性平移。 可以选择螺旋槽的构造以提供盘的角度旋转与平移构件的线性前进的任何期望的比率。 因此，可以选择螺旋槽的构造以提供外科手术装置的工具组件的相互连接的速度或可变的关节速率。
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公开(公告)号：US20120304438A1
公开(公告)日：2012-12-06
申请号：US13149061
申请日：2011-05-31
IPC分类号： B23P11/00
CPC分类号： A61B17/06166 , A61B2017/00526 , A61B2017/06176 , B29C65/48 , Y10T29/49778 , Y10T29/49826 , Y10T29/53 , Y10T29/53313 , Y10T29/53348 , Y10T29/53352 , Y10T156/10
摘要： A system and method for affixing barbs on a suture are provided. In one embodiment, the system includes a suture supply mechanism for selectively retaining a length of suture and a barb supply mechanism for operably engaging a barb supply assembly including at least one barb. At least one of the suture supply mechanism and the barb supply mechanism are configured to approximate towards the other of the barb supply mechanism and suture supply mechanism to engage the at least one barb of the barb supply assembly with the suture of the suture supply assembly. Also provided are a barb for use in forming a barbed suture and a suture including at least one barb.
摘要翻译： 提供了一种在缝线上贴上倒钩的系统和方法。 在一个实施例中，系统包括用于选择性地保持一定长度的缝合线和倒钩供给机构的缝合线供应机构，用于可操作地接合包括至少一个倒钩的倒钩供给组件。 缝合线供给机构和倒钩供给机构中的至少一个构造成朝向倒钩供给机构和缝合线供给机构中的另一个近似，以与缝合线供给组件的缝线接合倒钩供给组件的至少一个倒钩。 还提供了用于形成有倒钩的缝合线的倒钩和包括至少一个倒钩的缝合线。
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公开(公告)号：US20120130191A1
公开(公告)日：2012-05-24
申请号：US13292114
申请日：2011-11-09
申请人： Russell Pribanic
发明人： Russell Pribanic
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3431 , A61B2017/00557 , A61B2017/3429 , A61B2017/3443 , A61B2017/3445 , A61B2017/3466 , A61B2017/3484 , A61B2017/349 , A61B2017/3492
摘要： An access assembly is provided. The access assembly includes a tubular member having a proximal end and a distal end, the tubular member including a threading extending at least a portion of an internal length of the tubular member. The access assembly further includes a first ring secured at the proximal end of the tubular member and a second ring secured at the distal end of the tubular member. The first ring and the second ring are expandable rings.
摘要翻译： 提供一个通道组件。 进入组件包括具有近端和远端的管状构件，管状构件包括延伸至管状构件的内部长度的至少一部分的螺纹。 进入组件还包括固定在管状构件的近端处的第一环和固定在管状构件的远端处的第二环。 第一环和第二环是可扩展环。
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公开(公告)号：US20110087242A1
公开(公告)日：2011-04-14
申请号：US12897868
申请日：2010-10-05
IPC分类号： A61B17/10
CPC分类号： A61B17/0487 , A61B2017/0488
摘要： Suture clip appliers, suture clips and methods of their use for securing sutures during an endoscopic or laparoscopic procedure are provided, wherein the method includes the steps of providing a suture clip applier having a working tip configured to retain and fire a suture clip; providing a suture clip having a biased closed configuration; loading the suture clip into the working tip of the clip applier; translating the suture clip distally relative to the working tip to a first position wherein the suture clip is splayed open; inserting a suture into the opened suture clip; and translating the suture clip distally relative to the working tip such that the suture clip is ejected from the working tip and biased to the closed configuration to close on and to retain the suture.
摘要翻译： 提供缝合夹施夹器，缝线夹以及其在内窥镜或腹腔镜手术过程中用于固定缝合线的方法，其中所述方法包括以下步骤：提供具有构造成保持和发射缝合夹的加工尖端的缝合夹施加器; 提供具有偏置关闭构造的缝合夹; 将缝合夹装入夹具的工作尖端; 将所述缝合夹相对于所述工作尖端向远侧平移到第一位置，其中所述缝合夹被张开; 将缝合线插入打开的缝合夹中; 以及相对于所述工作尖端向远侧平移所述缝合夹，使得所述缝线夹从所述工作尖端弹出并偏压到所述闭合构型以闭合并保持所述缝合线。
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