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公开(公告)号:US5330442A
公开(公告)日:1994-07-19
申请号:US959182
申请日:1992-10-09
申请人: David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Johnathan Tovey
发明人: David T. Green , Henry Bolanos , Henry R. Sienkiewicz , Kenneth E. Toso , Michael S. Kolesa , H. Johnathan Tovey
IPC分类号: A61B17/04 , A61B17/06 , A61B17/122
CPC分类号: A61B17/0487 , A61B17/06 , A61B17/122 , A61B2017/045 , A61B2017/0454 , A61B2017/0464
摘要: A suture holding clip including legs each having a suture contacting surface. The legs can be closed to define an interface for holding a suture in a serpentine configuration. In another embodiment the suture holding clip is initially in a spider leg configuration with a spine and legs projecting from the spine and alternately angled to one or the other of two directions so as to define therebetween a lengthwise extending passage for the reception therethrough of a suture.
摘要翻译: 一种缝线夹持夹,每个夹具具有缝线接触表面。 可以关闭腿以限定用于将缝合线保持在蛇形结构中的界面。 在另一个实施例中,缝合线保持夹最初处于蜘蛛腿构型中,其中脊柱和腿从脊柱突出并且交替地成角度到两个方向中的一个或另一个,以便在其间限定纵向延伸的通道,用于通过缝线 。
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公开(公告)号:US5158222A
公开(公告)日:1992-10-27
申请号:US702630
申请日:1991-05-17
申请人: David T. Green , Keith Ratcliff , Henry Bolanos
发明人: David T. Green , Keith Ratcliff , Henry Bolanos
IPC分类号: A61B17/115 , A61B17/32 , A61B17/34 , A61B19/00
CPC分类号: A61B17/115 , A61B17/1155 , A61B17/32053 , A61B17/34 , A61B90/39
摘要: The end-to-end anastomosis apparatus is provided with a mounting means which can receive a trocar for making holes in tissue and, subsequently, an anvil shaft for the mounting of an anvil assembly for stapling purposes. The anvil shaft is provided with splines which cooperate with splines on a shell liner within the housing of the apparatus to align the buckets on the anvil assembly with the staples in a cartridge secured in the apparatus. In addition, the anvil assembly is provided with a spring for locking of the anvil housing on the anvil shaft.
摘要翻译: 端对端吻合装置设置有可以容纳用于在组织中形成孔的套针针的安装装置,以及随后用于安装用于装订目的的砧座组件的砧座轴。 砧座轴设置有花键,其与设备壳体内的外壳衬里上的花键配合,以使砧座组件上的铲斗与装在该装置中的钉仓中的钉对准。 此外,砧组件设置有用于将砧壳体锁定在砧座轴上的弹簧。
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公开(公告)号:US5108422A
公开(公告)日:1992-04-28
申请号:US601335
申请日:1990-10-22
申请人: David T. Green , Henry Bolanos , Wayne Person
发明人: David T. Green , Henry Bolanos , Wayne Person
IPC分类号: A61B17/00 , A61B17/064
CPC分类号: A61B17/064 , A61B2017/00004
摘要: A fastener for securing adjacent layers of body tissue to each other and being configured and composed of a material so as to emerge from the body tissue after a limited period of time. The fastener includes a backspan and at least two prongs extending from the backspan. Each prong has a tapered tip culminating in a sharp point. The prongs each include a shaft having a cylindrical portion of uniform diameter. In one embodiment the prong includes a serrated portion having a plurality of notches spaced apart so as to define ridge portions therebetween.
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公开(公告)号:US20090308908A1
公开(公告)日:2009-12-17
申请号:US12548053
申请日:2009-08-26
申请人: David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人: David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号: A61B17/068
CPC分类号: A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要: An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.
摘要翻译: 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架,以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上,每个钉被构造并适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统,用于在远端单独推进至少一个钉,用于邻近外科手术网和身体组织定位。 推动器系统还包括用于致动推动器的触发系统。 触发系统设置有可感知的触觉感测装置,用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。 砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 墨盒支撑系统的远端突出是一对腿,其尺寸和构造在关闭期间接合钉,以防止在钉的平面外部不期望的滚动或变形。
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公开(公告)号:US20070162072A1
公开(公告)日:2007-07-12
申请号:US11716214
申请日:2007-03-08
申请人: David Nicholas , Ernic Aranyi , Boris Zvenyatsky , Paul Matula , Stanley Remiszewski , David Green , Henry Bolanos
发明人: David Nicholas , Ernic Aranyi , Boris Zvenyatsky , Paul Matula , Stanley Remiszewski , David Green , Henry Bolanos
IPC分类号: A61B17/00
CPC分类号: A61B17/320016 , A61B17/0218 , A61B17/29 , A61B18/1442 , A61B18/1445 , A61B2017/2902 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936
摘要: A surgical instrument is provided for use in endoscopic or laparoscopic procedures. The instrument includes a handle portion, an endoscopic portion extending from the handle portion, an articulating section pivotably connected to a distal end portion of the endoscopic portion, and a retractor assembly operatively associated with the articulating section. Structure is provided for manipulating the articulating section relative to the longitudinal axis of the endoscopic portion within an angular degree of rotation. An injection port may also be provided to deliver fluids through the endoscopic portion to the operative site.
摘要翻译: 提供用于内窥镜或腹腔镜手术的手术器械。 该器具包括手柄部分,从手柄部分延伸的内窥镜部分,可枢转地连接到内窥镜部分的远端部分的关节部分,以及与关节部分可操作地相关联的牵开器组件。 提供了用于在角度旋转范围内相对于内窥镜部分的纵向轴线操纵铰接部分的结构。 还可以提供注射端口以将流体通过内窥镜部分输送到手术部位。
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公开(公告)号:US06981966B2
公开(公告)日:2006-01-03
申请号:US10444378
申请日:2003-05-23
申请人: David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
发明人: David T. Green , Henry Bolanos , Salvatore Castro , Henry Sienkiewicz , Stephan A. DeFonzo , Douglas J. Cuny , Wayne P. Young
IPC分类号: A61M5/178
CPC分类号: A61M25/04 , A61B17/34 , A61B2017/3464 , A61B2017/3484 , A61F2002/30093 , A61F2210/0019 , A61M39/06 , A61M2039/0626 , A61M2039/0633 , A61M2039/064 , A61M2039/0653 , A61M2039/0686
摘要: A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.
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公开(公告)号:US06446854B1
公开(公告)日:2002-09-10
申请号:US08651502
申请日:1996-05-22
IPC分类号: A61B17068
CPC分类号: A61B17/0686
摘要: A surgical stapling apparatus having first and second handle members pivotably mounted to one another for movement from an open position to a closed position to clamp body tissue between the distal jaws. After the body tissue is clamped, a trigger mechanism is activated to advance a staple pusher to force a staple through the tissue and into contact with an anvil to deform the staple legs. An actuating lever may be interposed between the trigger mechanism and the staple pusher.
摘要翻译: 一种手术吻合装置,其具有第一和第二手柄构件,所述第一和第二手柄构件可枢转地彼此安装以从打开位置移动到关闭位置,以将身体组织夹紧在所述远端钳口之间。 在身体组织被夹紧之后,启动触发机构以推动缝合钉推动器以迫使钉穿过组织并与砧座接触以使钉腿变形。 致动杆可以插入在触发器机构和缝合钉推动器之间。
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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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29.
公开(公告)号:US5685854A
公开(公告)日:1997-11-11
申请号:US185102
申请日:1994-01-21
申请人: David T. Green , Henry Bolanos , Henry Sienkiewicz
发明人: David T. Green , Henry Bolanos , Henry Sienkiewicz
CPC分类号: A61M39/06 , A61B17/3498 , A61B2017/3464 , A61M2039/062 , A61M2039/0626 , A61M2039/0633 , A61M2039/0646 , A61M2039/0686
摘要: A valve assembly adapted for introduction of an elongated object into a patient's body having a first valve formed of a resilient material and defining an aperture for reception of the object, the aperture being configured and dimensioned such that insertion of the object into the aperture will cause the resilient material defining the aperture to resiliently engage the outer surface of the object in a fluid tight manner. A second valve is positioned adjacent and distal of the first valve in general alignment therewith, whereby the second valve defines an aperture in general alignment with the aperture of the first valve, and is formed of a flexible material at least in the region defining the aperture. A pair of manually operable clamps are provided to selectively permit the aperture of the second valve to be opened or closed so as to permit entry of the object such that the object first passes through the first valve and then the second valve prior to entry into the patient's body.
摘要翻译: 一种适于将细长物体引入患者体内的阀组件,其具有由弹性材料形成并限定用于接收物体的孔的第一阀,所述孔被构造和尺寸使得物体插入孔将导致 限定孔的弹性材料以流体密封的方式弹性地接合物体的外表面。 第二阀定位成与第一阀的相邻和远端大致对准,由此第二阀限定与第一阀的孔大体对准的孔,并且至少在限定孔的区域中由柔性材料形成 。 提供一对可手动操作的夹具以选择性地允许第二阀的孔被打开或关闭,以允许物体进入,使得物体首先通过第一阀然后第二阀进入 病人的身体。
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公开(公告)号:US5653374A
公开(公告)日:1997-08-05
申请号:US639413
申请日:1996-04-29
IPC分类号: A61B17/00 , A61B17/072 , A61B17/28 , A61B17/068
CPC分类号: A61B17/07207 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/07214 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933
摘要: A self-contained powered surgical stapling device is provided which includes an elongate body. A fastener applying assembly is operatively associated with a distal end of the elongate body and includes a cartridge housing a plurality of staples and an anvil actuable to move between an open position and a closed position. A motor assembly is disposed within the elongate body for driving an actuation assembly configured to translate through the fastener applying assembly to progressively close the anvil and sequentially eject staples from the cartridge.
摘要翻译: 提供了一种独立的动力外科缝合装置,其包括细长体。 紧固件施加组件与细长主体的远端可操作地相关联,并且包括容纳多个订书钉的钉仓和能够在打开位置和关闭位置之间移动的砧座。 马达组件设置在细长主体内,用于驱动构造成平移通过紧固件施加组件的致动组件,以逐渐关闭砧座,并从钉仓顺序地弹出订书钉。
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