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88 条记录 (耗时 0.049 秒)

    Stapling apparatus and method for heart valve replacement
    32.
    发明授权
    Stapling apparatus and method for heart valve replacement 失效

    公开(公告)号：US06203553B1

    公开(公告)日：2001-03-20

    申请号：US09391538

    申请日：1999-09-08

    申请人： John Charles Robertson ,  Keith Ratcliff ,  Brian W. Moulder

    发明人： John Charles Robertson ,  Keith Ratcliff ,  Brian W. Moulder

    IPC分类号： A61B1704

    CPC分类号： A61F2/2427 ,  A61B17/068 ,  A61B17/072 ,  A61B17/1155 ,  A61B2017/00243 ,  A61B2017/07214 ,  A61F2/2403

    摘要： A surgical stapler for securing a prosthetic heart valve within a patient generally includes a first cylindrical portion for carrying at least one staple assembly on a distal end thereof; a second cylindrical portion positioned concentrically about the first cylindrical portion and having a camming arm on a distal end thereof, the camming arm configured to cam the at least one staple assembly radially outward and drive the at least one staple assembly distally such that a first leg of the at least one staple assembly penetrates a cuff of the prosthetic heart valve and a second leg of the at least one staple assembly pierces a portion of heart tissue surrounding the prosthetic heart valve, as the second cylindrical portion is moved distally relative to the first cylindrical portion; and a third cylindrical portion positioned concentrically about the second cylindrical portion and having an anvil flange on a distal end thereof, the anvil flange configured to crimp the second leg of the at least one staple assembly toward the first leg of the at least one staple assembly to secure the prosthetic heart valve to the surrounding heart tissue as the third cylindrical portion is moved relative to the second cylindrical portion. A method of installing a heart valve within a patient which includes the steps of accessing a site within a heart from which a natural heart valve has been removed; lowering a prosthetic heart valve into position within the site in the heart; positioning a surgical stapler having at least one staple assembly removably held on a distal end thereof adjacent the prosthetic heart valve within the site in the heart; driving a first leg of the at least one staple assembly through a peripheral cuff of the prosthetic heart valve; and crimping a second leg of the at least one staple assembly in a direction toward the first leg such that the second leg pierces a portion of heart tissue surrounding the prosthetic heart valve, thereby securing the prosthetic heart valve to the surrounding heart tissue.

    Surgical retractor
    34.
    发明授权
    Surgical retractor 失效
    手术牵开器

    公开(公告)号：US5860987A

    公开(公告)日：1999-01-19

    申请号：US762514

    申请日：1996-12-10

    申请人： Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz

    发明人： Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz

    IPC分类号： A61B17/02 ,  A61B17/24

    CPC分类号： A61B17/0218

    摘要： A surgical retractor device for manipulating organs during an endoscopic or laparoscopic surgical procedure. The retractor device includes a loop of material at a distal end of the instrument which is extendable and retractable from the elongated body portion of the instrument. The loop of material may be detached to be wrapped about an organ and reattached to secure the organ. Once the organ is secured, the loop of material may be retracted into the body portion of the instrument to manipulate the organ.

    摘要翻译： 一种用于在内窥镜或腹腔镜手术过程中操纵器官的外科牵开器装置。 牵开器装置包括在仪器的远端处的材料环，其可从仪器的细长主体部分伸出并缩回。 材料的环可以被分离以包裹在器官上并重新附着以固定器官。 一旦器官被固定，材料环可以缩回到器械的身体部分中以操纵器官。

    Anastomosis instrument and method
    35.
    发明授权
    Anastomosis instrument and method 失效
    吻合仪器及方法

    公开(公告)号：US5707380A

    公开(公告)日：1998-01-13

    申请号：US685385

    申请日：1996-07-23

    申请人： Peter W.J. Hinchliffe ,  Keith Ratcliff ,  Scott E. Manzo ,  David T. Green

    发明人： Peter W.J. Hinchliffe ,  Keith Ratcliff ,  Scott E. Manzo ,  David T. Green

    IPC分类号： A61B17/08 ,  A61B17/11 ,  A61B17/115 ,  A61B17/128 ,  A61B17/04

    CPC分类号： A61B17/11 ,  A61B17/1152 ,  A61B17/1285 ,  A61B17/08 ,  A61B17/083 ,  A61B2017/1107 ,  A61B2017/1135

    摘要： A surgical instrument for anastomosis of first and second blood vessels is provided having a handle and a body portion extending distally from the handle. A fastener support is mounted adjacent a distal end portion of the body portion. A plurality of surgical fasteners are releasably supported by the fastener support at the distal end thereof. The surgical fasteners each have a leg with an atraumatic tip. A fastener camming member is mounted adjacent the fastener support. The fastener camming member and fastener support are relatively slidable in response to actuation of the handle to simultaneously deform the surgical fasteners to secure the first and second vessels without piercing the vessels.

    摘要翻译： 提供了一种用于吻合第一和第二血管的手术器具，其具有手柄和从手柄向远侧延伸的主体部分。 紧固件支撑件邻近主体部分的远端部分安装。 多个外科紧固件在其远端处由紧固件支撑件可释放地支撑。 外科紧固件每个都具有无创尖端的腿部。 紧固件凸轮构件安装在紧固件支撑件附近。 紧固件凸轮构件和紧固件支撑件响应于手柄的致动而相对滑动，以同时使手术紧固件变形以固定第一和第二血管而不刺穿血管。

    Apparatus for applying surgical fasteners
    36.
    发明授权
    Apparatus for applying surgical fasteners 失效
    用于外科紧固件的装置

    公开(公告)号：US5706997A

    公开(公告)日：1998-01-13

    申请号：US474504

    申请日：1995-06-07

    申请人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa W. Heaton ,  Frank J. Viola

    发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa W. Heaton ,  Frank J. Viola

    IPC分类号： A61B17/072

    CPC分类号： A61B17/072 ,  A61B2017/0725

    摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of an advancing mechanism and a retaining mechanism, wherein the actuating mechanism is actuable to urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance from each other.

    摘要翻译： 一种用于将手术紧固件应用于具有可调闭合机构的组织的手术吻合或紧固器械，以线性近似仪器的钳口构件之间的距离。 可调闭合机构由前进机构和保持机构组成，其中致动机构可致动以将钳口构件朝向彼此推动。 还提供了一种联接装置，其仅在钳口构件彼此近似预定距离时才允许订书钉或紧固件的点火。

    Apparatus and method for performing a bypass procedure in a digestive system
    38.
    发明授权
    Apparatus and method for performing a bypass procedure in a digestive system 有权
    在消化系统中执行旁路过程的装置和方法

    公开(公告)号：US09173658B2

    公开(公告)日：2015-11-03

    申请号：US11448459

    申请日：2006-06-06

    申请人： Tim Nolan ,  Ernie Aranyi ,  John Klinger ,  Keith Ratcliff ,  John Charles Robertson

    发明人： Tim Nolan ,  Ernie Aranyi ,  John Klinger ,  Keith Ratcliff ,  John Charles Robertson

    IPC分类号： A61B17/08 ,  A61B17/115 ,  A61B17/11 ,  A61B17/072 ,  A61B17/00

    CPC分类号： A61B17/115 ,  A61B17/07207 ,  A61B17/1114 ,  A61B2017/00004 ,  A61B2017/07214 ,  A61B2017/1135 ,  A61B2017/1139

    摘要： An anvil adapter for facilitating connection of a detachable anvil rod to a circular anastomosis instrument, comprising an anvil adapter member defining a longitudinal axis and having first and second ends, the first end configured for releasable attachment to a circular anastomosis instrument, the second end having an interior surface portion defining a longitudinal bore for releasably engaging an end of an anvil rod, the interior surface portion of the second end being dimensioned to releasably engage the end of the anvil rod in locking arrangement therewith to connect second end of the anvil adapter to the anvil rod such that the detachable anvil rod is releasably connected in spaced relation to the circular anastomosis instrument.

    摘要翻译： 一种用于便于将可拆卸砧杆连接到圆形吻合器的砧座适配器，包括限定纵向轴线的砧座适配器构件，并具有第一和第二端，所述第一端构造成用于可释放地连接到圆形吻合器具，所述第二端具有 限定用于可释放地接合砧座杆的端部的纵向孔的内表面部分，所述第二端的内表面部分的尺寸被设计成可释放地与所述砧杆的端部锁定配合，以将所述砧座适配器的第二端连接到 所述砧杆使得所述可拆卸的砧杆与所述圆形吻合器以可分离的方式可释放地连接。

    Surgical tissue collection bag
    40.
    发明申请
    Surgical tissue collection bag 有权
    手术组织收集袋

    公开(公告)号：US20100268178A1

    公开(公告)日：2010-10-21

    申请号：US12802032

    申请日：2010-05-28

    申请人： Wayne P. Young ,  Keith Ratcliff

    发明人： Wayne P. Young ,  Keith Ratcliff

    IPC分类号： A61M1/00

    CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/22031 ,  A61B17/221 ,  A61B17/34 ,  A61B17/3421 ,  A61B17/3439 ,  A61B2017/32006 ,  A61B2017/3419 ,  A61B2017/3484

    摘要： An improved surgical dilator extractor is introduced into the abdominal cavity through a trocar cannula and expanded, forming a tissue receiving space, at the distal end. The tissue receiving space is enlarged by passing a grasper through a lumen of the dilator extractor to interact with a guide surface on the interior of dilator extractor to expand a dilator portion having a single leaf beyond the natural resiliency of the leaf. The tissue being extracted is then manipulated into the space with the grasper. The tissue is then removed from the cavity by the surgeon applying a force onto the dilator extractor that insures the elongation of the tissue and temporarily dilates the entry wound to the extent necessary for the tissue to be removed. Alternative embodiments of the surgical dilator extractor and related instrument tool sets and methods for the use thereof also are disclosed.

    摘要翻译： 改进的手术扩张器提取器通过套管针套管引入腹腔，并在远端扩张，形成组织接收空间。 通过使抓紧器通过扩张器提取器的内腔来扩大组织接收空间，以与扩张器提取器内部的引导表面相互作用，以使具有超过叶片的自然弹性的单个叶片的扩张器部分膨胀。 然后将被提取的组织用抓紧器操纵到空间中。 然后外科医生通过外科医生将力量移出到扩张器提取器上，从而确保组织的伸长并暂时将伤口的扩张程度扩大到要移除的组织所需的程度。 还公开了手术扩张器提取器和相关仪器工具组的替代实施例及其使用方法。