Surgical stapling instrument with improved firing trigger arrangement

    公开(公告)号:US08540129B2

    公开(公告)日:2013-09-24

    申请号:US12843436

    申请日:2010-07-26

    IPC分类号: A61B17/068

    摘要: A surgical stapling instrument including an actuator knob which can be moved from one side of the stapling instrument to another side in order to reposition the actuator knob without having to reposition the stapling instrument within a surgical site. A stapling instrument can include a pusher bar, a housing having a first side and a second side, and an actuator knob rotatably mounted to the pusher bar wherein the actuator knob can be configured to be rotated between a first position in which the actuator knob can be moved along the first side of the housing and a second position where the actuator knob can be moved along a second side of the housing. Alternatively, a surgical stapling instrument can comprise one or more actuator knobs which can be operably engaged and disengaged with a pusher bar in order to selectively utilize the actuator knobs.

    SURGICAL STAPLER WITH APPARATUS FOR ADJUSTING STAPLE HEIGHT
    34.
    发明申请
    SURGICAL STAPLER WITH APPARATUS FOR ADJUSTING STAPLE HEIGHT 有权
    手术台用于调节高度的装置

    公开(公告)号:US20110253766A1

    公开(公告)日:2011-10-20

    申请号:US13152507

    申请日:2011-06-03

    IPC分类号: A61B17/068

    摘要: A surgical stapling instrument including a staple sled which can be advanced and/or retracted relative to first and second jaw members, wherein the staple sled can be configured to deploy staples from a staple cartridge in one of the first and second jaw members. In at least one embodiment, the other of the first and second jaw members can include an anvil having at least one forming surface which can be configured to deform the staples as they are deployed from the staple cartridge. In at least one form of the invention, the anvil can be movably adjustable relative to the staple cartridge in order to adjust the distance in which the staples are deformed. In various embodiments, the anvil can be adjusted by a slidable adjusting plate and/or a rotatable cam.

    摘要翻译: 一种外科缝合器械,其包括可相对于第一和第二钳口构件前进和/或缩回的缝合钉,其中,所述缝合钉滑架可构造成在所述第一和第二钳口构件之一中从钉仓部署钉。 在至少一个实施例中,第一和第二钳口构件中的另一个可以包括具有至少一个成形表面的砧座,该砧座可以构造成当钉从钉仓展开时使钉变形。 在本发明的至少一种形式中,砧座可以相对于钉仓可移动地调节,以便调整订书钉变形的距离。 在各种实施例中,可以通过可滑动的调节板和/或可旋转凸轮来调节砧座。

    Surgical stapler with apparatus for adjusting staple height
    36.
    发明授权
    Surgical stapler with apparatus for adjusting staple height 有权
    手术吻合器,用于调节手钉高度的装置

    公开(公告)号:US07954686B2

    公开(公告)日:2011-06-07

    申请号:US12234133

    申请日:2008-09-19

    IPC分类号: A61B17/068

    摘要: A surgical stapling instrument including a staple sled which can be advanced and/or retracted relative to first and second jaw members, wherein the staple sled can be configured to deploy staples from a staple cartridge in one of the first and second jaw members. In at least one embodiment, the other of the first and second jaw members can include an anvil having at least one forming surface which can be configured to deform the staples as they are deployed from the staple cartridge. In at least one form of the invention, the anvil can be movably adjustable relative to the staple cartridge in order to adjust the distance in which the staples are deformed. In various embodiments, the anvil can be adjusted by a slidable adjusting plate and/or a rotatable cam.

    摘要翻译: 一种外科缝合器械,其包括可相对于第一和第二钳口构件前进和/或缩回的缝合钉,其中,所述缝合钉滑架可构造成在所述第一和第二钳口构件之一中从钉仓部署钉。 在至少一个实施例中,第一和第二钳口构件中的另一个可以包括具有至少一个成形表面的砧座,该砧座可以构造成当钉从钉仓展开时使钉变形。 在本发明的至少一种形式中,砧座可以相对于钉仓可移动地调节,以便调整订书钉变形的距离。 在各种实施例中,可以通过可滑动的调节板和/或可旋转凸轮来调节砧座。

    METHOD FOR FORMING A STAPLE
    37.
    发明申请
    METHOD FOR FORMING A STAPLE 审中-公开
    形成书写的方法

    公开(公告)号:US20110087276A1

    公开(公告)日:2011-04-14

    申请号:US12622130

    申请日:2009-11-19

    IPC分类号: A61B17/064 A61B17/068

    摘要: A method for deforming a staple comprising a base, a first staple leg, and a second staple leg, wherein the base, the first staple leg, and the second staple leg are positioned within a common plane prior to being deformed, the method comprising positioning the first staple leg within a first cup of a staple pocket, the first cup comprising a first inner surface, applying a first compressive force to an end of the first staple leg to bend the first staple leg toward the base and the second staple leg, contacting the first inner surface with the end of the first staple leg to bend the end of the first staple leg toward a first side of the base, and deforming the first staple leg such that the end of the first staple leg crosses a mid-line of the staple defined between the first staple leg and the second staple leg.

    摘要翻译: 一种用于使订书钉变形的方法,所述订书钉包括基座,第一订书钉支腿和第二订书钉支脚,其中所述基座,所述第一订书钉支腿和所述第二订书钉支脚在变形之前位于公共平面内,所述方法包括定位 在第一杯订书钉袋内的第一缝合腿,第一杯包括第一内表面,向第一缝合腿的端部施加第一压缩力,以将第一缝合腿朝向基部和第二缝合腿延伸, 使所述第一内表面与所述第一缝合腿的端部接触以将所述第一缝合腿的端部朝向所述基部的第一侧弯曲,并且使所述第一缝合腿变形,使得所述第一缝合腿的端部穿过中线 限定在第一缝合腿和第二缝合腿之间的缝合线。

    SURGICAL STAPLER HAVING A CLOSURE MECHANISM
    38.
    发明申请
    SURGICAL STAPLER HAVING A CLOSURE MECHANISM 有权
    具有闭合机构的外科手术台

    公开(公告)号:US20110084115A1

    公开(公告)日:2011-04-14

    申请号:US12622099

    申请日:2009-11-19

    IPC分类号: A61B17/064

    摘要: A surgical stapler comprising a first handle portion comprising a staple cartridge channel configured to receive a staple cartridge and a second handle portion comprising an anvil. The stapler further comprises a rotatable latch and a latch projection, wherein the latch is rotatably coupled to one of the first handle portion and the second handle portion and wherein the latch projection extends from the other of the first handle portion and the second handle portion. The latch is configured to engage the latch projection to move the first handle portion and the second handle portion toward one another. In various embodiments, the latch projection comprises a rotatable bearing wherein the latch is configured to contact the rotatable bearing when the latch engages the latch projection.

    摘要翻译: 一种外科缝合器,包括第一手柄部分,其包括构造成容纳钉仓的钉仓通道和包括砧座的第二手柄部分。 订书机还包括可旋转的闩锁和闩锁突起,其中闩锁可旋转地联接到第一手柄部分和第二手柄部分中的一个,并且其中闩锁突起从第一手柄部分和第二手柄部分中的另一个延伸。 闩锁构造成接合闩锁突起以使第一手柄部分和第二手柄部分彼此相对移动。 在各种实施例中,闩锁突起包括可旋转的轴承,其中闩锁构造成当闩锁接合闩锁突起时接触可旋转的轴承。

    SURGICAL STAPLER COMPRISING A STAPLE POCKET
    39.
    发明申请
    SURGICAL STAPLER COMPRISING A STAPLE POCKET 有权
    包皮口袋的手术包装

    公开(公告)号:US20110084113A1

    公开(公告)日:2011-04-14

    申请号:US12622113

    申请日:2009-11-19

    IPC分类号: A61B17/064

    摘要: A surgical stapler can comprise an anvil comprising a staple pocket formed in a tissue contacting surface. The staple pocket can comprise a longitudinal axis, a first forming cup, and a second forming cup. The first forming cup can comprise a first interior sidewall comprising a first vertical portion which is substantially perpendicular to the tissue contacting surface. The second forming cup can comprise a second interior sidewall comprising a second vertical portion which is substantially perpendicular to the tissue contacting surface. The first vertical portion and the second vertical portion can extend through the longitudinal axis, wherein the first interior sidewall and the second interior sidewall can comprise a trap for deforming a first staple leg of a staple to a first side of the longitudinal axis and for deforming a second staple leg of the staple to a second side of the longitudinal axis.

    摘要翻译: 手术吻合器可以包括砧座,其包括形成在组织接触表面中的缝合袋。 钉仓可以包括纵向轴线,第一成形杯和第二成形杯。 第一成形杯可以包括第一内侧壁,其包括基本上垂直于组织接触表面的第一垂直部分。 第二形成杯可以包括第二内侧壁,其包括基本垂直于组织接触表面的第二垂直部分。 第一垂直部分和第二垂直部分可以延伸穿过纵向轴线,其中第一内部侧壁和第二内部侧壁可以包括用于使订书钉的第一缝合腿变形到纵向轴线的第一侧并且用于变形 所述钉的第二缝合腿至所述纵向轴线的第二侧。

    Suturing device with angled head
    40.
    发明申请
    Suturing device with angled head 有权
    带角度头的缝合装置

    公开(公告)号:US20080071295A1

    公开(公告)日:2008-03-20

    申请号:US11521580

    申请日:2006-09-15

    IPC分类号: A61B17/04

    摘要: A suturing apparatus for the continuous application of a suture includes a suturing head shaped and dimensioned for attachment to a distal end of a support member. The suturing head includes a track shaped and dimensioned for receiving a needle for movement about the track. A support arm includes first and second lateral arms connected by a central connecting member supporting the track, wherein the support arm includes a longitudinal axis and the track lies in a transverse plane. Angular orientation of the support arm relative to the track is achieved by positioning the transverse plane of the track at an oblique angle relative to the longitudinal axis of the support arm such that operators are provided with improved access to the surgical site. A drive assembly is coupled to the needle for controlled movement about the track.

    摘要翻译: 用于连续施加缝合线的缝合装置包括形状和尺寸用于附接到支撑构件的远端的缝合头。 缝合头包括形状和尺寸用于接收围绕轨道运动的针的轨道。 支撑臂包括通过支撑轨道的中心连接构件连接的第一和第二侧臂,其中支撑臂包括纵向轴线,并且轨道位于横向平面中。 通过将轨道的横向平面相对于支撑臂的纵向轴线以倾斜角定位,使得操作者被提供到改善的手术部位的进入,实现支撑臂相对于轨道的角度取向。 驱动组件联接到针上以便围绕轨道受控地移动。