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公开(公告)号:US20110278343A1
公开(公告)日:2011-11-17
申请号:US12477302
申请日:2009-06-03
申请人: Bryan D. Knodel , Jared L. Van Cleave , Jinhoon Park , Michael Murillo , Nathan H. White , Philipe R. Manoux
发明人: Bryan D. Knodel , Jared L. Van Cleave , Jinhoon Park , Michael Murillo , Nathan H. White , Philipe R. Manoux
IPC分类号: A61B17/068 , A61B18/14
CPC分类号: A61B17/07207 , A61B18/1445 , A61B2017/0088 , A61B2017/0725 , A61B2017/07271 , A61B2017/2933 , A61B2017/2936
摘要: One example of a surgical instrument may include a staple holder; staples held by the staple holder; an anvil, where at least one of the staple holder and anvil is movable relative to the other; and at least one electrode located on a surface of the staple holder and/or anvil. Another example of a surgical instrument may include a staple holder; staples held by the staple holder; an anvil, where at least one of the staple holder and the anvil is movable relative to the other between an open configuration and a closed configuration; where an adjustable gap exists between the staple holder and the anvil in the closed configuration; and at least one electrode located on a surface of at least one of the staple holder and/or anvil. An exemplary method may include providing a surgical instrument including an end effector; clamping tissue with the end effector; selecting stapling or electrocautery; and stapling or performing electrocautery accordingly.
摘要翻译: 手术器械的一个示例可以包括钉保持器; 由订书钉架固定的订书钉; 砧座,至少一个订书钉保持架和砧座相对于另一个可移动; 以及至少一个电极,位于钉保持器和/或砧座的表面上。 手术器械的另一示例可以包括钉保持器; 由订书钉架固定的订书钉; 砧座,其中订书钉保持器和砧座中的至少一个在打开构造和关闭构造之间相对于另一个可移动; 其中缝合夹持器和砧座处于闭合构型中存在可调节的间隙; 以及至少一个电极,位于所述钉保持器和/或砧座中的至少一个的表面上。 示例性方法可以包括提供包括末端执行器的外科器械; 用末端执行器夹紧组织; 选择缝合或电烙术; 并相应地装订或执行电烙术。
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公开(公告)号:US07766924B1
公开(公告)日:2010-08-03
申请号:US10392336
申请日:2003-03-19
申请人: David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人: David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号: A61B17/10
CPC分类号: A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/0641 , A61B2017/07214 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要: An anastomosis tool includes a handle connected to a tissue effector that may be capable of being oriented in two or more positions relative to the handle. The tissue effector holds a graft vessel having at least one flap defined in at least one end thereof against the side of a target vessel. Actuation of a trigger or other mechanism on the handle causes the tissue effector to deploy one or more connectors into the flaps of the graft vessel and the side of the target vessel, thereby connecting the graft vessel to the target vessel.
摘要翻译: 吻合工具包括连接到组织执行器的手柄,所述手柄可以相对于手柄定位在两个或更多个位置。 组织效应器保持移植物容器,其具有至少一个翼片,其至少一个端部限定在靶容器的侧面。 手柄上的触发器或其他机构的致动导致组织效应器将一个或多个连接器部署到移植物容器的瓣片和靶容器的侧面中,从而将移植血管连接到靶容器。
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公开(公告)号:US09408605B1
公开(公告)日:2016-08-09
申请号:US13451344
申请日:2012-07-12
申请人: Bryan D. Knodel , Yaeer E. Lev
发明人: Bryan D. Knodel , Yaeer E. Lev
IPC分类号: A61B17/068 , A61B17/072 , A61B17/29 , A61B17/00
CPC分类号: A61B17/07207 , A61B2017/00367 , A61B2017/2917 , A61B2017/2923
摘要: An exemplary surgical apparatus includes an end effector; and a handle operationally connected to the end effector, the handle including a trigger and a mode button; where the mode button is first in a neutral position in which actuation of the trigger causes the end effector to move to a clamped configuration; and where the mode button is movable laterally to a second position in which actuation of the trigger causes the end effector to deploy staples.
摘要翻译: 示例性手术装置包括端部执行器; 以及可操作地连接到末端执行器的手柄,所述手柄包括触发器和模式按钮; 其中模式按钮首先处于中立位置,其中触发器的致动使端部执行器移动到夹紧构型; 并且其中模式按钮可横向移动到第二位置,在第二位置,触发器的致动使端部执行器部署订书钉。
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公开(公告)号:US09155536B1
公开(公告)日:2015-10-13
申请号:US13094814
申请日:2011-04-26
申请人: Bernard A. Hausen , Bryan D. Knodel
发明人: Bernard A. Hausen , Bryan D. Knodel
IPC分类号: A61B17/04 , A61B17/10 , A61B17/068 , A61B17/115
CPC分类号: A61B17/068 , A61B17/0644 , A61B17/1155 , A61B2017/07221 , A61B2017/07285 , A61B2090/037
摘要: An exemplary circular stapler may include an anvil; a staple holder connected to the anvil; and a feeder belt ring held within the staple holder, the feeder belt ring including staples frangibly affixed thereto. An exemplary surgical method for treating tissue may include possessing an anvil, a staple holder connected to the anvil, and a feeder belt ring held within the staple holder, the feeder belt ring including a plurality of staples frangibly affixed thereto; clamping tissue between the anvil and staple holder; and sequentially deforming and then breaking from the feeder belt ring at least two staples.
摘要翻译: 示例性的圆形订书机可以包括砧座; 与砧座连接的订书钉架; 以及保持在订书钉保持器内的馈送带环,馈送带环包括易碎地附着于其上的钉。 用于治疗组织的示例性手术方法可以包括具有砧座,连接到砧座的缝钉夹持器和保持在钉仓夹持器内的进给带环,所述给送带环包括易碎地附着在其上的多个钉; 夹在砧座和钉仓之间的组织; 并且从进给带环顺序变形然后从至少两个订书钉断开。
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公开(公告)号:US08439246B1
公开(公告)日:2013-05-14
申请号:US12840156
申请日:2010-07-20
申请人: Bryan D. Knodel
发明人: Bryan D. Knodel
IPC分类号: A61B17/068
CPC分类号: A61B17/068 , A61B17/07207 , A61B90/92 , A61B2017/07214 , A61B2017/07221 , A61B2017/0725 , A61B2017/07285 , A61B2017/2936
摘要: An exemplary surgical apparatus for treating tissue may include an anvil; a jaw pivotally connected to the anvil; and a first cartridge detachably connected to the anvil, holding staples of a first size; where a first clamp gap between the anvil and first cartridge is set by the connection between the first cartridge and jaw. An exemplary cartridge for a surgical stapler may include a cartridge housing; a plurality of staples held within the cartridge housing; and a sled slidable within, and retained by, the cartridge housing, including a central platform, at least one wedge connected to the central platform, and a knife rotatable relative to the central platform.
摘要翻译: 用于治疗组织的示例性手术装置可以包括砧座; 砧座枢轴连接到砧座上; 以及可拆卸地连接到所述砧座的第一盒,保持第一尺寸的订书钉; 其中砧座和第一筒之间的第一夹紧间隙通过第一筒和颚板之间的连接来设定。 用于外科缝合器的示例性药筒可包括药筒外壳; 保持在盒壳体内的多个订书钉; 以及可在盒壳体内滑动并由其保持的滑动件,包括中心平台,连接到中心平台的至少一个楔块和可相对于中心平台旋转的刀片。
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公开(公告)号:US20120215248A1
公开(公告)日:2012-08-23
申请号:US13402994
申请日:2012-02-23
申请人: Stephen J. Perry , Michele B. Carter , David R. Conti , Thomas F. Junecek , Bryan D. Knodel , Anthony Scott Hollars , Peter Crowley , Don C. Hovey , William Lucas Churchill , John B. Golden , Yam Chin , Mark L. Adams , Carleton E. Yee , Otto E. Anderhub
发明人: Stephen J. Perry , Michele B. Carter , David R. Conti , Thomas F. Junecek , Bryan D. Knodel , Anthony Scott Hollars , Peter Crowley , Don C. Hovey , William Lucas Churchill , John B. Golden , Yam Chin , Mark L. Adams , Carleton E. Yee , Otto E. Anderhub
IPC分类号: A61M29/02
CPC分类号: A61M5/14566 , A61M5/16831 , A61M2205/3523 , A61M2205/43 , A61M2205/502 , A61M2205/8206
摘要: An apparatus and method for ejecting fluid from a fluid delivery system. The fluid delivery system has a pneumatic assembly that when triggered injects gas into a hydraulic assembly, which in turn ejects fluid through an external interface. An electronic interface displays various measurements, for example, how much fluid has been ejected and if the hydraulic system is closed the pressure of the system. The pneumatic assembly can also be depressurized such that fluid can reenter the hydraulic assembly through the external interface.
摘要翻译: 一种用于从流体输送系统喷射流体的装置和方法。 流体输送系统具有气动组件,当触发时将气体喷射到液压组件中,液压组件又通过外部界面喷射流体。 电子接口显示各种测量,例如,已经排出了多少流体,以及如果液压系统关闭系统的压力。 气动组件也可以被减压,使得流体可以通过外部接口重新进入液压组件。
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公开(公告)号:US08123795B1
公开(公告)日:2012-02-28
申请号:US11542294
申请日:2006-10-03
IPC分类号: A61F2/06
CPC分类号: A61F2/07 , A61B17/068 , A61B2017/00292 , A61B2017/00557 , A61B2017/00986 , A61B2017/0647 , A61B2017/2927 , A61B2090/037 , A61F2/848 , A61F2/89 , A61F2002/075 , A61F2220/0016
摘要: A surgical tool useful for connecting an abdominal aortic stent or the like to tissue may include a head holding at least one fastener, a shaft, and a joint connecting the head to the shaft, the joint allowing the head to rotate in at least one direction relative to the shaft. That surgical tool may be used to connect a graft assembly to tissue, where the graft assembly may include a graft connected to a stent. The graft, stent and surgical tool may be inserted into a body lumen; and the head of the surgical tool may be pivoted relative to the shaft such that the distal end of the head contacts the interior of the stent. At least one fastener is then deployed to connect the stent to the body lumen.
摘要翻译: 用于将腹主动脉支架等连接到组织的手术工具可以包括保持至少一个紧固件,轴和将头部连接到轴的接头的头部,该接头允许头部在至少一个方向上旋转 相对于轴。 该外科手术工具可以用于将移植物组件连接到组织,其中移植物组件可以包括连接到支架的移植物。 移植物,支架和手术工具可以插入体腔内; 并且外科手术工具的头部可以相对于轴枢转,使得头部的远端接触支架的内部。 然后展开至少一个紧固件以将支架连接到体腔。
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公开(公告)号:US08070034B1
公开(公告)日:2011-12-06
申请号:US12781746
申请日:2010-05-17
申请人: Bryan D. Knodel
发明人: Bryan D. Knodel
IPC分类号: A61B17/068
CPC分类号: A61B17/07207 , A61B17/064 , A61B17/072 , A61B2017/07214 , A61B2017/07228 , A61B2017/07264 , A61B2017/320052
摘要: An exemplary surgical stapler may include a staple holder including an upper surface, where the upper surface includes two substantially-planar angled surfaces positioned lateral to and angled relative to each other; staple bays within the staple holder, each opening to a corresponding angled surface; and staples, where at least one staple is held within at least one staple bay. Another exemplary surgical stapler may include a staple holder; a first group of staple bays defined within the staple holder, the first group of staple bays lying substantially in a first plane; and a second group of staple bays defined within the staple holder, the second plurality of staple bays lying substantially in a second plane; where the first plane intersects the second plane.
摘要翻译: 示例性外科缝合器可以包括包括上表面的缝钉保持器,其中上表面包括两个相对于彼此横向设置并且相对于彼此成角度的基本上平面的倾斜表面; 钉仓内的钉仓,每个开口到相应的倾斜表面; 和订书钉,其中在至少一个订书钉架中保持至少一个订书钉。 另一示例性外科缝合器可以包括钉保持器; 限定在所述订书钉保持器内的第一组钉仓,所述第一组钉仓基本上位于第一平面中; 以及限定在所述订书钉保持器内的第二组钉仓,所述第二多个钉仓基本上位于第二平面中; 其中第一平面与第二平面相交。
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公开(公告)号:US20110155788A1
公开(公告)日:2011-06-30
申请号:US13042019
申请日:2011-03-07
IPC分类号: A61B17/068
CPC分类号: A61B17/07207 , A61B2017/00398 , A61B2017/00539 , A61B2017/00557 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927
摘要: A hydraulically actuated medical instrument includes an elongated shaft having proximal and distal ends, a hydraulically actuated end effector at the distal end of the shaft and a fluid flow path extending through the shaft to the end effector. The end effector may be directly manually operated by way of a handle located at the proximal end of the shaft or remotely, for example, via robotic controller. Articulation joints may be provided along the shaft, between the shaft and end effector or handle, or elsewhere. The hydraulic actuation of the present invention permits multiple axis instrument articulation, miniaturization and simplified instrument fabrication.
摘要翻译: 液压致动的医疗器械包括具有近端和远端的细长轴,在轴的远端处的液压致动的端部执行器和延伸穿过该轴到端部执行器的流体流动路径。 端部执行器可以通过位于轴的近端处的手柄直接手动操作,或者远程例如通过机器人控制器手动操作。 铰接接头可以沿着轴,在轴和端部执行器或手柄之间或其他地方设置。 本发明的液压致动允许多轴仪器铰接,小型化和简化仪器制造。
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公开(公告)号:US07850703B2
公开(公告)日:2010-12-14
申请号:US10898611
申请日:2004-07-23
申请人: David L. Bombard , Bryan D. Knodel , Jaime S. Vargas , Michael J. Hendricksen , Stephen A. Yencho , James T. Nielsen , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender
发明人: David L. Bombard , Bryan D. Knodel , Jaime S. Vargas , Michael J. Hendricksen , Stephen A. Yencho , James T. Nielsen , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender
IPC分类号: A61B17/08
CPC分类号: A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07214 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要: An anastomosis system for connecting a graft vessel to a target vessel includes spaced-apart arms, and an anvil connected to those arms, where that anvil has a blunt distal end. The anvil is insertable into the target vessel. One or more connectors, such as staples, may be deployed from each arm to connect the graft vessel to the target vessel.
摘要翻译: 用于将移植血管连接到靶容器的吻合系统包括间隔开的臂和连接到那些臂的砧座,其中砧座具有钝的远端。 砧可插入目标血管。 可以从每个臂部署一个或多个连接器,例如钉,以将移植血管连接到目标血管。
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