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公开(公告)号：US5706997A
公开(公告)日：1998-01-13
申请号：US474504
申请日：1995-06-07
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B2017/0725
摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of an advancing mechanism and a retaining mechanism, wherein the actuating mechanism is actuable to urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance from each other.
摘要翻译： 一种用于将手术紧固件应用于具有可调闭合机构的组织的手术吻合或紧固器械，以线性近似仪器的钳口构件之间的距离。 可调闭合机构由前进机构和保持机构组成，其中致动机构可致动以将钳口构件朝向彼此推动。 还提供了一种联接装置，其仅在钳口构件彼此近似预定距离时才允许订书钉或紧固件的点火。
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公开(公告)号：US5358506A
公开(公告)日：1994-10-25
申请号：US27555
申请日：1993-03-05
申请人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
发明人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
CPC分类号： A61B17/29 , A61B17/30 , A61B17/2909 , A61B2017/2936 , A61B2017/2944
摘要： Approximating apparatus for surgical jaw structure is provided which effects substantially parallel approximation of first and second surgical jaw structure to permit substantially parallel working interaction therebetween. The approximating apparatus includes camming structure for engaging at least one movable jaw of the surgical jaw structure to bias that jaw toward or away from a second jaw structure in a substantially parallel manner. A tissue stop may be provided to more easily guide and protect tissue captured by the jaw structure.
摘要翻译： 提供了用于手术颌结构的近似装置，其基本上平行近似第一和第二外科钳口结构，以允许它们之间基本上平行的工作相互作用。 近似装置包括凸轮结构，用于接合外科钳口结构的至少一个活动夹爪，以基本上平行的方式将该钳口朝向或远离第二钳口结构偏置。 可以提供组织止挡件以更容易地引导和保护由钳口结构捕获的组织。
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公开(公告)号：US07543731B2
公开(公告)日：2009-06-09
申请号：US12147672
申请日：2008-06-27
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.
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公开(公告)号：US06250532B1
公开(公告)日：2001-06-26
申请号：US09487111
申请日：2000-01-19
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：US5636780A
公开(公告)日：1997-06-10
申请号：US560187
申请日：1996-03-01
申请人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
发明人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
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 cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface, thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly 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，以及安装到细长部分的远端的铰接盒组件。 砧构件与铰接筒组件可操作地相关联，并且具有成形表面，外科紧固件当从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。
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公开(公告)号：US5456401A
公开(公告)日：1995-10-10
申请号：US230852
申请日：1994-04-21
申请人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
发明人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/2903 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
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 cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly 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，以及安装到细长部分的远端的铰接盒组件。 砧构件可操作地与关节式支架组件相关联并且具有成形表面，外科紧固件在从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。
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公开(公告)号：US5326013A
公开(公告)日：1994-07-05
申请号：US949685
申请日：1992-09-23
申请人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
发明人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/2903 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
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 cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly 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，以及安装到细长部分的远端的铰接盒组件。 砧构件可操作地与关节式支架组件相关联并且具有成形表面，外科紧固件在从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。
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28.发明授权Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效用于在腹腔镜或内镜手术中放置钉的装置和方法
公开(公告)号：US5318221A
公开(公告)日：1994-06-07
申请号：US943403
申请日：1992-09-10
IPC分类号： A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214 , A61B2017/2923
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.
摘要翻译： 用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。 设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。
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29.发明授权Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效用于在腹腔镜或内镜手术中放置钉的装置和方法
公开(公告)号：US5040715A
公开(公告)日：1991-08-20
申请号：US358646
申请日：1989-05-26
IPC分类号： A61B17/068 , A61B1/303 , A61B1/307 , A61B1/31 , A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.
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公开(公告)号：US07891533B2
公开(公告)日：2011-02-22
申请号：US12269600
申请日：2008-11-12
申请人： David T Green , Keith Ratcliff , Keith Milliam , Henry R. Sienkiewicz , Mitchell J. Palmer , Graham W. Bryan
发明人： David T Green , Keith Ratcliff , Keith Milliam , 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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