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公开(公告)号：US20070187456A1
公开(公告)日：2007-08-16
申请号：US11786198
申请日：2007-04-10
申请人： Frank Viola , David Racenet , Ernest Aranyi , Richard Gresham , Paul Scirica , David Farascioni , Kenneth Whitfield , Philip Roy , Earl Zergiebel
发明人： Frank Viola , David Racenet , Ernest Aranyi , Richard Gresham , Paul Scirica , David Farascioni , Kenneth Whitfield , Philip Roy , Earl Zergiebel
IPC分类号： A61B17/10
CPC分类号： A61B17/072 , A61B17/2816 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929 , A61B2017/2932
摘要： A surgical fastening apparatus includes a handle, an elongated member extending distally from the handle and a fastener applier and anvil head disposed at the distal end of the elongated member. The elongated member defines a distal offset end portion upon which the fastener applier and the anvil head are mounted. The offset end portion is angularly oriented with respect to the axis of the instrument at a predetermined fixed angle (e.g., either 45°, 60° and 75° relative to the axis of the instrument) thereby positioning the fastener applier and the anvil head at the fixed angle. This feature facilitates positioning of the tissue with respect to the instrument and enhances visual access to the tissue when appropriately disposed within the fastener applier and the anvil head. Various mechanisms for effectuating the clamping of the tissue between the fastener holder and anvil, and the firing of the instrument are disclosed.
摘要翻译： 手术紧固装置包括手柄，从手柄向远侧延伸的细长构件和设置在细长构件的远端处的紧固件敷贴器和砧头。 细长构件限定远端偏移端部，紧固件施加器和砧头安装在该远端上。 偏移端部以相对于仪器的轴线成一定角度地定向（例如，相对于仪器的轴线为45°，60°和75°），从而将紧固件施加器和砧座头定位在 固定角度。 该特征有助于组织相对于器械的定位，并且当适当地设置在紧固件施加器和砧座头部内时，增强了对组织的视觉访问。 公开了用于实现紧固件保持器和砧座之间的组织夹紧的各种机构以及仪器的点火。
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公开(公告)号：US20060184182A1
公开(公告)日：2006-08-17
申请号：US10547902
申请日：2004-03-11
申请人： Ernest Aranyi , Kenneth Whitfield
发明人： Ernest Aranyi , Kenneth Whitfield
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B17/122 , A61B18/1445 , A61B2017/2926 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875
摘要： A clip applying apparatus is provided which includes a jaw mechanism having a stationary jaw and a movable jaw. The movable jaw is supported on or formed integrally with the distal end of a crimping member which is movably supported within a body portion of the apparatus. The stationary jaw defines a longitudinal axis which forms an angle θ of between about 15 degrees and about 15 degrees and about 75 degrees in relation to a longitudinal axis of the body portion. In another embodiment, the stationary jaw includes a clip receiving channel which is configured to at least partially receive a surgical clip. In one embodiment, the distal end of the stationary jaw includes a stop member which is positioned to engage the distal end of the stationary jaw includes a stop member which is positioned to engage the distal end of a leg of a surgical clip to prevent the surgical clip from being pushed from the stationary jaw during operation of the apparatus and the movable jaw includes a distally located crimping surface and a head portion defining a recessed channel configured to receive a portion of a surgical clip supported on the stationary jaw. In yet another embodiment, the crimping surface defines an acute angle β in relation to the longitudinal axis of the body portion, and in one embodiment, angle β is substantially the same as angle θ.
摘要翻译： 提供一种夹子施加装置，其包括具有固定夹爪和可移动夹爪的钳口机构。 活动夹爪支撑在压接构件的远端一体地形成，该压接构件的远端可移动地支撑在装置的主体部分内。 固定夹爪限定纵向轴线，其相对于主体部分的纵向轴线形成约15度至约15度且约75度的角度θ。 在另一个实施例中，固定颚包括构造成至少部分地接收外科夹子的夹子接收通道。 在一个实施例中，固定颚的远端包括止动构件，该止动构件被定位成接合固定颚的远端，包括止动构件，该止动构件定位成接合外科夹子的腿的远端，以防止手术 夹子在装置的操作期间被从固定夹爪推开，并且可动夹爪包括远侧定位的压接表面和限定凹陷通道的头部，该凹槽被构造成容纳支撑在固定夹爪上的手术夹具的一部分。 在另一个实施例中，压接表面相对于主体部分的纵向轴线限定锐角β，并且在一个实施例中，角度β与角度θ基本相同。
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公开(公告)号：US5607450A
公开(公告)日：1997-03-04
申请号：US359625
申请日：1994-12-20
CPC分类号： A61B17/29 , A61B17/0218 , A61B18/1442 , A61B2017/292 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936
摘要： A surgical instrument is provided for use in endoscopic or laparoscopic surgery. The instrument includes a handle portion and an endoscopic portion. The endoscopic portion has an elongated tubular section having opposed proximal and distal ends, the proximal end of which extends from the handle portion, and an articulating section which is pivotally connected to the tubular section adjacent the distal end thereof. Tool means depend from the articulating section and a linkage mechanism is associated with the endoscopic portion for pivoting the articulating section relative to the longitudinal axis of the tubular section, within a 90.degree. sector of rotation. In addition, the instrument includes means for rotating the endoscopic portion about its longitudinal axis.
摘要翻译： 提供用于内窥镜或腹腔镜手术的手术器械。 仪器包括手柄部分和内窥镜部分。 内窥镜部分具有细长的管状部分，其具有相对的近端和远端，其近端从手柄部分延伸，以及铰接部分，其枢转地连接到邻近其远端的管状部分。 工具装置取决于铰接部分，并且联动机构与内窥镜部分相关联，用于在90°旋转区域内相对于管状部分的纵向轴线枢转关节部分。 此外，该仪器包括用于使内窥镜部分围绕其纵向轴线旋转的装置。
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公开(公告)号：US5476479A
公开(公告)日：1995-12-19
申请号：US371515
申请日：1995-01-11
申请人： David T. Green , Ernest Aranyi , Ian J. Tovey
发明人： David T. Green , Ernest Aranyi , Ian J. Tovey
CPC分类号： A61B17/29 , A61B17/2909 , A61B17/282 , A61B2017/2837 , A61B2017/2929 , A61B2017/2936 , A61B2017/2939
摘要： An endoscopic or laparoscopic surgical instrument having an internally disposed ratchet mechanism located within a barrel portion of a handle assembly. The instrument includes a handle assembly having a pivoting handle and a stationary handle, a barrel portion to which an elongated body assembly is secured, and a ratchet mechanism for releasably positioning a tool mechanism located at the distal end of the body assembly at various increments. The ratchet mechanism comprises a pawl member and a rack member which are disposed within the handle assembly. A rotational knob and locking member may also be provided to lock the body assembly at various orientations to the longitudinal axis. The tool assembly includes novel atraumatic jaw mechanisms incorporating flexural characteristics to better gauge the force being applied to the captured tissue. The novel jaw mechanisms further includes increased tissue gripping surface area and multiple tissue handling portions which allow users to use fewer instruments and reduce the time to perform procedures.
摘要翻译： 内窥镜或腹腔镜手术器具具有位于手柄组件的镜筒部分内部设置的棘轮机构。 仪器包括具有枢转手柄和固定手柄的手柄组件，固定有细长主体组件的筒体部分和用于以各种增量可释放地定位位于主体组件远端的工具机构的棘轮机构。 棘轮机构包括设置在手柄组件内的棘爪构件和齿条构件。 还可以设置旋钮和锁定构件以将主体组件以与纵向轴线不同的取向锁定。 该工具组件包括新颖的无损伤钳口机构，其包含弯曲特性以更好地测量施加到被捕获的组织的力。 新颖的夹爪机构还包括增加的组织夹持表面面积和多个组织处理部分，其允许使用者使用较少的仪器并减少执行过程的时间。
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公开(公告)号：US08657177B2
公开(公告)日：2014-02-25
申请号：US13280859
申请日：2011-10-25
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07278 , A61B2017/07285 , A61B2017/2939
摘要： The present disclosure is directed to an endoscopic surgical instrument and methods for performing a diverticulum treatment. The surgical instrument includes a handle assembly, an elongated member and a jaw assembly. The elongated member is operably coupled to the distal end of the handle assembly, while the jaw assembly is operably coupled to a distal end of the elongated member. The jaw assembly includes a knife slot that is defined therewithin and is adapted to receive a knife blade to thereby cut tissue that is disposed between the jaw assembly. The jaw assembly is configured to approximate an esophageal tract and a diverticulum.
摘要翻译： 本公开涉及一种用于进行憩室治疗的内窥镜手术器械和方法。 手术器械包括手柄组件，细长构件和钳口组件。 细长构件可操作地联接到手柄组件的远端，而钳口组件可操作地联接到细长构件的远端。 钳口组件包括在其中限定的刀槽，并适于接收刀片从而切割设置在钳夹组件之间的组织。 钳口组件被配置为近似食道和憩室。
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公开(公告)号：US08128643B2
公开(公告)日：2012-03-06
申请号：US11872750
申请日：2007-10-16
IPC分类号： A61B17/28
CPC分类号： A61B17/105 , A61B17/10 , A61B17/1285 , A61B2017/00407
摘要： An apparatus for applying surgical clips has a body portion housing a clip stack and a pair of jaws supported at a distal end of the body portion. The body portion includes a camming member, a clip follower and a lockout member having a plurality of stop members. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. The camming member has at least one notch, and in a second position the lockout member has at least one of the stop members positioned to interface with the at least one notch. The engagement between the stop member and the notch limits distal movement of the camming member. The clip follower actuates the lockout member when the clip follower advances to a predetermined clip in the clip stack.
摘要翻译： 用于施加手术夹具的装置具有容纳夹子叠层的主体部分和在主体部分的远端处支撑的一对夹爪。 主体部分包括凸轮构件，夹子从动件和具有多个止动构件的锁定构件。 锁定构件可从与凸轮构件滑动的第一位置移动到与凸轮构件互锁的第二位置。 所述凸轮构件具有至少一个凹口，并且在第二位置，所述锁定构件具有至少一个所述止挡构件，所述止动构件定位成与所述至少一个凹口相接合。 止动构件和凹口之间的接合限制了凸轮构件的远端运动。 当夹子从动件前进到夹子堆叠中的预定夹子时，夹持器从动件致动锁定构件。
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公开(公告)号：US07931660B2
公开(公告)日：2011-04-26
申请号：US11801507
申请日：2007-05-10
CPC分类号： A61B17/068 , A61B17/064 , A61B2017/0648 , A61F2/0063 , A61F2/0811
摘要： There is provided a powered tacker device for use in installing multiple surgical fasteners through a prosthetic mesh into tissue. The powered tacker device generally includes a handle assembly and a tacker assembly extending distally from the handle assembly. The handle assembly includes a motor and self-contained power assembly to rotate the surgical fasteners into tissue. The handle assembly is provided with a drive assembly which allows for rotation, as well as distal longitudinal movement, of a surgical fastener relative to the powered tacker device. The tacker assembly includes an inner tube for containing the plurality of surgical fasteners and a driver which is movable out of alignment with the inner tube so as to install a single fastener at a time into tissue.
摘要翻译： 提供了一种用于将多个外科紧固件通过假体网安装到组织中的动力粘贴装置。 动力粘合装置通常包括手柄组件和从手柄组件向远侧延伸的打钉器组件。 手柄组件包括马达和独立的动力组件，以将外科紧固件旋转到组织中。 手柄组件设置有驱动组件，该驱动组件允许手术紧固件相对于动力粘贴装置的旋转以及远侧纵向运动。 固定器组件包括用于容纳多个外科紧固件的内管和可与内管移动离开对准的驱动器，以便一次将单个紧固件安装到组织中。
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公开(公告)号：US07722640B2
公开(公告)日：2010-05-25
申请号：US11369720
申请日：2006-03-07
申请人： Ernest Aranyi
发明人： Ernest Aranyi
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B17/115 , A61B17/1155 , A61B2017/1125 , A61B2017/2926 , A61B2017/2936
摘要： A surgical grasping instrument for grasping an elongated implement, which comprises a frame; an elongated member connected to the frame and extending distally therefrom, the elongated member defining a longitudinal axis; and a pair of jaw members operatively connected to the elongated member, the jaw members being adapted for movement between an open position and a closed position, at least one of the jaw members having a recess defined therein and arranged about a central recess axis extending at an angle of about 35° or less relative to the longitudinal axis of the elongated member, wherein upon movement of the jaw members to the closed position, the jaw members form a holding groove that can engage and firmly secure the elongated implement.
摘要翻译： 一种用于抓住细长工具的外科手术夹具，其包括框架; 连接到框架并从其向远端延伸的细长构件，细长构件限定纵向轴线; 以及一对钳口构件，其可操作地连接到所述细长构件，所述钳口构件适于在打开位置和关闭位置之间移动，所述钳口构件中的至少一个具有限定在其中的凹部，并围绕中心凹部轴线布置 相对于细长构件的纵向轴线约35°或更小的角度，其中当钳口构件移动到关闭位置时，钳口构件形成保持槽，该保持槽可以接合并牢固地固定细长工具。
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公开(公告)号：US07325713B2
公开(公告)日：2008-02-05
申请号：US11148741
申请日：2005-06-09
申请人： Ernest Aranyi
发明人： Ernest Aranyi
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/07214 , A61B2017/2927
摘要： A tilt top anvil assembly is provided for use with a surgical stapling device for performing end-to-end anastomosis of tissue. The tilt top anvil assembly included an anvil head, a center rod and a biasing member. The anvil head is pivotally secured to the center rod about a transverse axis which is offset from the longitudinal axis of the center rod. The biasing member is supported on the anvil assembly at a position to urge the anvil head to a tilted reduced profile position. The anvil assembly includes a first abutment surface which is operatively connected to the anvil head is movable into engagement with a second abutment surface formed on a surgical stapling device during approximation of the anvil assembly to move the anvil head from the tilted reduced profile position to an operative firing position. When the anvil assembly is moved to the unapproximated or spaced position, the biasing member is positioned to return the anvil assembly back to its tilted reduced profile position.
摘要翻译： 倾斜顶部砧座组件被提供用于外科缝合装置用于进行组织的端对端吻合。 倾斜顶部砧组件包括砧头，中心杆和偏置构件。 砧座头围绕横向轴线枢转地固定到中心杆，该横向轴线偏离中心杆的纵向轴线。 偏压构件被支撑在砧座组件上，以将砧座头推向倾斜减小轮廓位置的位置。 所述砧座组件包括第一邻接表面，所述第一邻接表面可操作地连接到所述砧座头部，以在所述砧座组件近似期间可移动地与形成在外科缝合装置上的第二邻接表面接合，以将所述砧座头部从所述倾斜的缩小轮廓位置移动到 操作射击位置。 当砧座组件移动到未近似或间隔开的位置时，偏置构件被定位成将砧座组件返回到其倾斜的缩小轮廓位置。
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公开(公告)号：US20070162030A1
公开(公告)日：2007-07-12
申请号：US11326926
申请日：2006-01-06
IPC分类号： A61F2/30
CPC分类号： A61B17/064 , A61B17/0682 , A61B2017/00004 , A61B2017/0412 , A61B2017/0427 , A61B2017/0445 , A61B2017/0464 , A61B2017/0641
摘要： A multi-pronged compressive absorbable tack is disclosed which generally includes a backspan and a plurality of prongs extending distally from the backspan. Each prong terminates in a distal tip having a base, with a flat proximal-facing surface, and a conical portion extending distally therefrom. In certain embodiments, one or more intermediate barbs are provided along the length of the prongs. The barbs include a base having a flat proximal-facing surface, and a conical portion extending distally therefrom. A surgical instrument for applying one or more tacks to tissue is also disclosed. A method of applying the disclosed tacks to secure a mesh against tissue is also disclosed.
摘要翻译： 公开了一种多管式可压缩吸收性粘性物质，其通常包括从背跨顶部向远侧延伸的背跨和多个尖头。 每个尖端终止于具有基部的远侧末端，其具有平坦的近端面，以及从其向远侧延伸的锥形部分。 在某些实施例中，沿着插脚的长度提供一个或多个中间倒钩。 倒钩包括具有平坦近端面的基部和从其向远端延伸的圆锥形部分。 还公开了一种用于将一个或多个钉子应用于组织的手术器械。 还公开了应用所公开的钉以将网格固定在组织上的方法。
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