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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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公开(公告)号:US5312023A
公开(公告)日:1994-05-17
申请号:US024533
申请日:1993-03-01
申请人: David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
发明人: David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
IPC分类号: A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/10 , A61B17/12 , A61B17/28 , A61B17/32 , A61B19/00
CPC分类号: A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , 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 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 self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. 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。 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。 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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公开(公告)号:US5224465A
公开(公告)日:1993-07-06
申请号:US846706
申请日:1992-03-06
申请人: Keith L. Milliman
发明人: Keith L. Milliman
IPC分类号: F41B11/32
CPC分类号: F41B11/723 , F41B11/724
摘要: An air gun includes a valve assembly with a sliding baffle for limiting the maximum velocity and energy which can be provided by the gun. The valve assembly includes a valve body which has a pressure reservoir, an air passage, and a valve seat between the pressure reservoir and the air passage. A valve normally closes the valve seat to hold pressure in the pressure reservoir and is moved away from the valve seat when the gun is fired. A bleed opening in the valve body connects the air passage to the outside of the valve body, and an exhaust opening connects the air passage to the barrel of the gun. The baffle is slidably mounted in the air passage and is movable between a first position in which the bleed opening is restricted and the exhaust opening is unobstructed and a second position is which the exhaust opening is restricted and the bleed opening is substantially unobstructed.
摘要翻译: 气枪包括具有滑动挡板的阀组件,用于限制可由枪提供的最大速度和能量。 阀组件包括阀体,该阀体在压力储存器和空气通道之间具有压力储存器,空气通道和阀座。 阀门通常关闭阀座以保持压力贮存器中的压力,并且当枪被击发时,阀被移动离开阀座。 阀体中的排气口将空气通道连接到阀体的外部,排气口将空气通道连接到枪管。 所述挡板可滑动地安装在所述空气通道中,并且可在其中限制所述排气口的第一位置和所述排气口不受阻挡的第一位置和所述排气口被限制的第二位置和所述排气口基本上不被阻挡之间移动。
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公开(公告)号:US08540132B2
公开(公告)日:2013-09-24
申请号:US11434713
申请日:2006-05-16
IPC分类号: A61B17/04
CPC分类号: A61B17/115 , A61B17/1114 , A61B2017/00473 , A61B2017/00544
摘要: A tilt anvil assembly is disclosed which includes a center rod and a head assembly pivotally mounted to the center rod. The head assembly includes a housing, a post, an anvil plate and a backup member. The backup member is movable about the post from a first position preventing pivotal movement of the head assembly to a second position accommodating pivotal movement of the head assembly. A pivotal latch assembly is also provided to prevent movement of the backup member from its second position to its first position.
摘要翻译: 公开了一种倾斜砧组件,其包括中心杆和枢转地安装到中心杆上的头部组件。 头组件包括壳体,柱,砧板和支撑构件。 支撑构件可以从第一位置围绕柱移动,从而防止头部组件的枢转运动到容纳头组件的枢转运动的第二位置。 还提供枢转闩锁组件以防止支撑构件从其第二位置移动到其第一位置。
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公开(公告)号:US20130072955A1
公开(公告)日:2013-03-21
申请号:US13618450
申请日:2012-09-14
申请人: Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
发明人: Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
IPC分类号: A61B17/068
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. 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。 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。
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公开(公告)号:US08365974B2
公开(公告)日:2013-02-05
申请号:US13358553
申请日:2012-01-26
申请人: Keith L. Milliman
发明人: Keith L. Milliman
IPC分类号: A61B17/068
CPC分类号: A61B17/068 , A61B17/072 , A61B17/1155 , A61B17/32053 , A61B2017/00367 , A61B2017/00473 , A61B2017/07214 , A61B2017/0725 , A61B2017/07257 , A61B2090/0814
摘要: A surgical stapling device having a handle assembly, an elongated body portion, a shell assembly housing a plurality of staples and an anvil assembly movable relative to the shell assembly. An approximation mechanism is movable from a first position to a second position to move the anvil assembly relative to the shell assembly between a spaced position and an approximated position. A firing mechanism for advancing the staples is actuable when the approximation assembly is in the second position and the anvil assembly is in the approximated position. A lockout mechanism operatively associated with the approximation mechanism is movable from a non-blocking position to a blocking position, wherein in the non-blocking position the approximation mechanism is movable from the first position to the second position and in the blocking position movement of the approximation mechanism from the second position to the first position is prevented.
摘要翻译: 一种外科缝合装置,其具有手柄组件,细长主体部分,壳体组件,其容纳多个钉钉和相对于壳体组件可移动的砧座组件。 近似机构可以从第一位置移动到第二位置,以在间隔位置和近似位置之间相对于壳体组件移动砧座组件。 当近似组件处于第二位置并且砧座组件处于近似位置时,用于推进订书钉的击发机构是可启动的。 与近似机构可操作地相关联的锁定机构可从非阻塞位置移动到阻挡位置,其中在非阻塞位置中,近似机构可从第一位置移动到第二位置,并且在阻挡位置移动 防止从第二位置到第一位置的近似机构。
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公开(公告)号:US08322590B2
公开(公告)日:2012-12-04
申请号:US12899113
申请日:2010-10-06
申请人: Nihir Patel , Guido Pedros , Stephen R. Paul , Keith L. Milliman , Ryan Williams , Michael J. Havrilko
发明人: Nihir Patel , Guido Pedros , Stephen R. Paul , Keith L. Milliman , Ryan Williams , Michael J. Havrilko
CPC分类号: A61B17/068 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B2017/00477 , A61B2017/07271
摘要: A surgical stapling instrument comprising a handle assembly having a proximal end, an elongated body portion extending distally from the handle assembly, a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly. The shell assembly includes a shell and a staple guide housing a plurality of staples. A flexible engagement structure attaches the staple guide to the shell.
摘要翻译: 一种外科缝合器械,包括具有近端的手柄组件,从所述把手组件向远侧延伸的细长主体部分,与所述细长主体部分的远侧部分相邻并且包括砧座组件和壳体组件的头部。 壳体组件包括外壳和容纳多个钉的订书钉导向件。 柔性接合结构将钉引导件附接到外壳。
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公开(公告)号:US20120298723A1
公开(公告)日:2012-11-29
申请号:US13571311
申请日:2012-08-09
申请人: Frank J. Viola , Keith L. Milliman
发明人: Frank J. Viola , Keith L. Milliman
IPC分类号: A61B17/068
CPC分类号: A61B17/07207 , A61B17/0644 , A61B17/068 , A61B17/105 , A61B17/115 , A61B17/1155 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/320052 , Y10S227/901 , Y10S227/902
摘要: A surgical fastener applying apparatus having a first jaw and a second jaw. The first jaw includes a cartridge body having plurality of surgical fasteners disposed therein. The plurality of surgical fasteners include a plurality of first surgical fasteners having a first backspan with a first configuration, and a plurality of second surgical fasteners having a second backspan with a second, different configuration such that the plurality of first surgical fasteners apply a first compressive force to tissue upon formation and the plurality of second surgical fasteners apply a second, different compressive force to tissue upon formation.
摘要翻译: 一种具有第一钳口和第二钳口的外科紧固件施加装置。 第一钳口包括其中布置有多个外科紧固件的药筒主体。 多个外科紧固件包括多个第一手术紧固件,其具有第一构造的第一后跨,以及具有第二不同构造的第二后跨的多个第二外科紧固件,使得多个第一外科紧固件施加第一压缩 在形成时对组织施加力,并且多个第二手术紧固件在形成时对组织施加第二不同的压缩力。
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公开(公告)号:US20120241495A1
公开(公告)日:2012-09-27
申请号:US13491085
申请日:2012-06-07
IPC分类号: A61B17/068
CPC分类号: A61B17/07207 , A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/105 , A61B17/115 , A61B2017/0023 , A61B2017/00473 , A61B2017/00477 , A61B2017/07214 , A61B2017/07278 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/0806 , A61B2090/0808
摘要: A surgical stapling device particularly suited for endoscopic procedures is described. The device includes a handle assembly and an elongated body extending distally from the handle assembly. The distal end of the elongated body is adapted to engage a disposable loading unit. A control rod having a proximal end operatively connected to the handle assembly includes a distal end extending through the elongated body. A control rod locking member is provided to prevent movement of the control rod until the disposable loading unit is fully secured to the elongated body of the stapling device.
摘要翻译: 描述了特别适用于内窥镜手术的外科缝合装置。 该装置包括手柄组件和从手柄组件向远侧延伸的细长体。 细长体的远端适于接合一次性装载单元。 具有可操作地连接到手柄组件的近端的控制杆包括延伸穿过细长主体的远端。 设置控制杆锁定构件以防止控制杆的移动,直到一次性装载单元完全固定到缝合装置的细长主体。
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公开(公告)号:US08210416B2
公开(公告)日:2012-07-03
申请号:US13285355
申请日:2011-10-31
IPC分类号: A61B17/068
CPC分类号: A61B17/07207 , A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/105 , A61B17/115 , A61B2017/0023 , A61B2017/00473 , A61B2017/00477 , A61B2017/07214 , A61B2017/07278 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/0806 , A61B2090/0808
摘要: A surgical stapling device particularly suited for endoscopic procedures is described. The device includes a handle assembly and an elongated body extending distally from the handle assembly. The distal end of the elongated body is adapted to engage a disposable loading unit. A control rod having a proximal end operatively connected to the handle assembly includes a distal end extending through the elongated body. A control rod locking member is provided to prevent movement of the control rod until the disposable loading unit is fully secured to the elongated body of the stapling device.
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