Surgical instrument having locking handle
    23.
    发明授权
    Surgical instrument having locking handle 失效
    具有锁定手柄的手术器械

    公开(公告)号:US5626608A

    公开(公告)日:1997-05-06

    申请号:US625454

    申请日:1996-03-29

    IPC分类号: A61B17/28 A61B17/00 A61B1/00

    CPC分类号: A61B17/2909 A61B2017/2946

    摘要: An endoscopic or laparoscopic surgical instrument is disclosed having a handle assembly including a barrel portion, stationary handle and a pivoting handle. A body assembly includes a pair of coaxial members attached at one end to the handle assembly, and an inner rod member slidable within an outer tube member in response to movement of the pivoting handle of the handle assembly. The body assembly terminates at an end remote from the handle assembly in a reciprocatingly movable tool mechanism. A first toothed ratchet mechanism is associated with the pivoting handle, and a second toothed mating ratchet mechanism is operatively associated with the first toothed ratchet mechanism for selectively locking the first toothed ratchet mechanism and the pivoting handle in one of a plurality of selectable positions to thereby position the inner rod member and the movable tool mechanism in predetermined selectable positions. A finger operable trigger member is operatively associated with the second toothed ratchet mechanism for selectively engaging and disengaging the first and second ratchet mechanisms to thereby selectively lock and unlock the movable tool mechanism.

    摘要翻译: 公开了具有手柄组件的内窥镜或腹腔镜手术器械,所述手柄组件包括镜筒部分,固定手柄和枢转手柄。 主体组件包括在一端附接到手柄组件的一对同轴构件,以及响应于手柄组件的枢转手柄的移动而在外管构件内滑动的内杆构件。 主体组件在可往复运动的工具机构中终止于远离手柄组件的一端。 第一齿形棘轮机构与枢转手柄相关联,并且第二齿形配合棘轮机构与第一齿形棘轮机构可操作地相关联,用于选择性地将第一齿形棘轮机构和枢转手柄锁定在多个可选位置中的一个中,从而 将内杆构件和可动工具机构定位在预定的可选位置。 手指可操作的触发器构件与第二齿形棘轮机构可操作地相关联,用于选择性地接合和分离第一和第二棘轮机构,从而选择性地锁定和解锁可移动工具机构。

    Guillotine suture clip
    24.
    发明授权
    Guillotine suture clip 失效
    断头台缝合夹

    公开(公告)号:US5514159A

    公开(公告)日:1996-05-07

    申请号:US305001

    申请日:1994-09-13

    IPC分类号: A61B17/00 A61B17/04

    摘要: A suture retainer includes a plug portion having a first portion with a suture contacting surface and a prong extending distally therefrom. The prong has at least one aperture for receiving one or more suture threads. The aperture is at least partially defined by a crossbar with a proximal stop surface. The crossbar preferably includes a beveled distal edge. The suture retainer also includes a receptacle portion having a slot for receiving a prong. The receptacle portion has a resilient latch positioned inside the slot for preventing proximal withdrawal of the first portion. The latch being a resilient member projecting from the inner wall of the receptacle slot and including an inclined proximal surface and a distal blocking surface for engaging the proximal stop surface of the crossbar. The suture retainer may optionally be fabricated from a bioabsorbable synthetic resin.

    摘要翻译: 缝合线保持器包括具有第一部分以及缝合线接触表面的插头部分和从其向远侧延伸的插脚。 尖头具有用于接收一个或多个缝合线的至少一个孔。 孔径至少部分地由具有近端止动表面的横杆限定。 横杆优选地包括倾斜的远侧边缘。 缝合线保持器还包括具有用于接收插脚的插槽的插座部分。 插座部分具有位于槽内的弹性闩锁,用于防止第一部分的近端拔出。 闩锁是从容纳槽的内壁突出的弹性构件,并且包括倾斜的近侧表面和远侧阻挡表面,用于接合横杆的近端止动表面。 缝线保持器可以任选地由生物可吸收的合成树脂制成。

    Surgical clip applier
    27.
    发明授权
    Surgical clip applier 失效
    手术夹子

    公开(公告)号:US5938667A

    公开(公告)日:1999-08-17

    申请号:US887672

    申请日:1997-07-03

    摘要: A surgical clip applier includes a housing, a pair of handles pivotably connected to opposite sides of the housing, a channel assembly which is anchored to the housing and a jaw assembly which is anchored to the channel assembly. The jaws are opened and closed by a cam plate which is slidably positioned in the channel assembly and is provided with cam slots at its distal end to engage drive rivets positioned on the jaw members. A pusher bar assembly is also provided to feed clips from a series of clips to the jaw mechanism, and the instrument operates such that all moving components move in the same direction during the closing stroke of the handle, and then move in the same direction opposite to the closing direction when the handles are in the opening stroke. A novel lockout mechanism is also provided to render the instrument inoperable after all the clips have been utilized from the instrument.

    摘要翻译: 手术夹具包括壳体,可枢转地连接到壳体的相对侧的一对手柄,锚固到壳体的通道组件和锚固到通道组件的钳口组件。 夹爪由可滑动地定位在通道组件中的凸轮板打开和关闭,并且在其远端处设置有凸轮槽,以接合位于钳口构件上的驱动铆钉。 还提供推杆组件以将夹子从一系列夹子馈送到钳口机构,并且仪器操作使得所有移动部件在手柄的关闭行程期间沿相同方向移动,然后沿相反方向移动 当手柄处于打开行程时到关闭方向。 还提供了一种新颖的锁定机构,用于在仪器中使用所有夹子后使仪器无法使用。

    Apparatus for applying surgical clips

    公开(公告)号:US5772673A

    公开(公告)日:1998-06-30

    申请号:US611962

    申请日:1996-03-07

    摘要: An apparatus for application of surgical clips to body tissue is disclosed having a handle assembly and an elongated body portion extending distally from the handle assembly. A jaw assembly is mounted at a distal end portion of the elongated body portion and includes first and second jaws movable between an open position and a closed position. An actuator is disclosed which is slidable within the elongated body portion in response to actuation of the handle assembly. The actuator has camming structure at a distal portion thereof for moving the first and second jaws between the open position and the closed position. A loading unit is releasably mounted to the elongated body portion and stores a plurality of surgical clips therein. The loading unit includes a clip advancer having a portion engageable with the actuator and movable therewith for advancing a distalmost surgical clip and a ratchet assembly associated with the clip advancer to index progressive movement thereof.

    Surgical clip applier
    29.
    发明授权
    Surgical clip applier 失效
    手术夹子

    公开(公告)号:US5700270A

    公开(公告)日:1997-12-23

    申请号:US546484

    申请日:1995-10-20

    摘要: A surgical clip applier includes a housing, a pair of handles pivotably connected to opposite sides of the housing, a channel assembly which is anchored to the housing and a jaw assembly which is anchored to the channel assembly. The jaws are opened and closed by a cam plate which is slidably positioned in the channel assembly and is provided with cam slots at its distal end to engage drive rivets positioned on the jaw members. A pusher bar assembly is also provided to feed clips from a series of clips to the jaw mechanism, and the instrument operates such that all moving components move in the same direction during the closing stroke of the handle, and then move in the same direction opposite to the closing direction when the handles are in the opening stroke. A novel lockout mechanism is also provided to render the instrument inoperable after all the clips have been utilized from the instrument.

    摘要翻译: 手术夹具包括壳体,可枢转地连接到壳体的相对侧的一对手柄,锚固到壳体的通道组件和锚固到通道组件的钳口组件。 夹爪由可滑动地定位在通道组件中的凸轮板打开和关闭,并且在其远端处设置有凸轮槽,以接合位于钳口构件上的驱动铆钉。 还提供推杆组件以将夹子从一系列夹子馈送到钳口机构,并且仪器操作使得所有移动部件在手柄的关闭行程期间沿相同方向移动,然后沿相反方向移动 当手柄处于打开行程时到关闭方向。 还提供了一种新颖的锁定机构,用于在仪器中使用所有夹子后使仪器无法使用。

    Surgical instrument configured to be disassembled for cleaning
    30.
    发明授权
    Surgical instrument configured to be disassembled for cleaning 失效
    手术器械配置为拆卸清洗

    公开(公告)号:US5603723A

    公开(公告)日:1997-02-18

    申请号:US371251

    申请日:1995-01-11

    IPC分类号: A61B17/00 A61B17/28 A61B19/00

    摘要: A surgical apparatus is disclosed which includes a handle assembly having a barrel portion, a stationary handle depending from the barrel portion, and an actuating handle pivotally associated with the barrel portion. An elongate body assembly having opposed proximal and distal end portions and an interior bore extending therethrough is releasably engaged within the barrel portion of the handle assembly. An actuation assembly is provided and includes an elongate control shaft dimensioned to extend through the interior bore of the body assembly. A jaw housing is attached to a distal end portion of the control shaft, and a pair of jaw members are supported in the housing. The jaw housing is releasably engaged to the body assembly within the interior bore thereof, and a proximal end of the control shaft is releasably engaged to the actuation handle. A release button is mounted in the barrel portion of the handle assembly and includes a spring biased clasp for releasably engaging the control shaft adjacent the proximal end thereof.

    摘要翻译: 公开了一种手术装置,其包括具有镜筒部分的手柄组件,从镜筒部分悬垂的固定手柄以及与镜筒部分枢转地相关联的致动手柄。 具有相对的近端部分和远端部分以及延伸穿过其的内部孔的细长主体组件可释放地接合在手柄组件的筒体部分内。 提供致动组件并且包括被设计成延伸穿过主体组件的内孔的细长控制轴。 颚壳体附接到控制轴的远端部分,并且一对钳口构件被支撑在壳体中。 钳口壳体在其内孔内可拆卸地接合到主体组件,并且控制轴的近端可释放地接合到致动手柄。 释放按钮安装在手柄组件的镜筒部分中,并且包括弹簧偏置的卡扣,用于可靠地与控制轴接近其近端。