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130 条记录 (耗时 0.045 秒)

    Self-contained powered surgical apparatus
    41.
    发明授权
    Self-contained powered surgical apparatus 失效
    自备动力手术器械

    公开(公告)号：US5474566A

    公开(公告)日：1995-12-12

    申请号：US238565

    申请日：1994-05-05

    申请人： Thomas W. Alesi ,  Wayne P. Young ,  Henry Bolanos ,  Carlo A. Mililli ,  Dominick L. Mastri ,  Leonard Stern

    发明人： Thomas W. Alesi ,  Wayne P. Young ,  Henry Bolanos ,  Carlo A. Mililli ,  Dominick L. Mastri ,  Leonard Stern

    IPC分类号： A61B17/128 ,  A61B17/00

    CPC分类号： A61B17/1285

    摘要： A self-contained powered surgical clip applier is provided which includes an elongate body defining a longitudinal axis and housing a plurality of surgical clips. The powered clip applier further includes a jaw assembly operatively associated with a distal end of the elongate body and actuable to move between an open position and a closed position, a motor assembly disposed within the elongate body, a power supply positioned within the elongate body for energizing the motor assembly, a clip pusher configured to individually advance surgical clips into the jaw assembly, and an actuation channel driven by the motor assembly and configured to translate through the elongate body to drive the clip pusher and actuate the jaw assembly.

    摘要翻译： 提供了一种独立的动力手术夹具，其包括限定纵向轴线并容纳多个手术夹具的细长主体。 动力施夹器还包括钳口组件，其操作地与细长主体的远端相关联并可致动以在打开位置和关闭位置之间移动，设置在细长体内的马达组件，定位在细长体内的电源，用于 对马达组件通电;夹子推动器，其构造成将手术夹子单独地推进到钳口组件中;以及致动通道，其由马达组件驱动并且构造成平移通过细长主体以驱动夹子推动器并致动钳口组件。

    Suture clip applier
    42.
    发明授权
    Suture clip applier 失效
    缝合夹施压器

    公开(公告)号：US5462558A

    公开(公告)日：1995-10-31

    申请号：US297333

    申请日：1994-08-29

    申请人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

    发明人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

    IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/128

    CPC分类号： A61B17/0487 ,  A61B17/1285 ,  A61B17/0469 ,  A61B2017/00004 ,  A61B2017/0454 ,  A61B2017/0488

    摘要： An apparatus for applying a suture clip to a suture includes (a) an endoscopic portion having at least one slot to position a suture transversely to the longitudinal axis of the endoscopic portion, a camming surface for closing a clip onto a suture positioned within the suture receiving means, a pusher for advancing a suture clip into the camming surface, and a tubular housing; and (b) a handle portion including a handle portion housing, and an actuation mechanism for actuating the pusher.

    摘要翻译： 用于将缝合夹施加到缝合线的装置包括（a）内窥镜部分，其具有至少一个狭缝以将缝合线横向于内窥镜部分的纵向轴线定位，用于将夹子闭合到定位在缝合线内的缝合线上的凸轮表面 接收装置，用于将缝合夹推进到凸轮表面中的推动器，以及管状壳体; 和（b）包括把手部分壳体的手柄部分和用于致动推动器的致动机构。

    Surgical clip applier having clip advancement control
    43.
    发明授权
    Surgical clip applier having clip advancement control 失效
    具有夹子进给控制的手术夹具

    公开(公告)号：US5300081A

    公开(公告)日：1994-04-05

    申请号：US959190

    申请日：1992-10-09

    申请人： Wayne P. Young ,  Dominick L. Mastri ,  Henry Bolanos

    发明人： Wayne P. Young ,  Dominick L. Mastri ,  Henry Bolanos

    IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B17/00

    CPC分类号： A61B17/1285 ,  A61B2017/2929 ,  Y10S227/901

    摘要： An apparatus is disclosed for applying surgical clips which comprises a handle portion, a body portion which extends distally from the handle portion, jaw members positioned adjacent the distal end of the body portion for receiving and subsequently forming a clip, camming means which are operable from the handle portion for camming the jaw members closed to form a clip, storage means for storing a plurality of surgical clips in a position for individual advancement to the jaw members, clip advancement means for individually advancing the clips from the storage means into the jaw members, and control means for selecting between a first mode of operation in which the advancement of a clip from the storage means into the jaw members is initiated by the user and a second mode in which it is initiated independent of the user.

    摘要翻译： 公开了一种用于施加手术夹的装置，其包括手柄部分，从手柄部分向远侧延伸的主体部分，邻近主体部分的远端定位的钳口构件，用于接收和随后形成夹子，凸轮装置可从 用于将钳口构件凸轮闭合以形成夹子的把手部分，用于将多个手术夹具存储在用于单独前进到钳口构件的位置的存储装置，用于将夹子从存储装置单独推进到钳口构件中的夹子前进装置 以及控制装置，用于在第一操作模式之间进行选择，其中从存储装置将夹子推进到钳口构件中的第一操作模式由用户启动，并且第二模式是独立于用户启动的第二模式。

    Apparatus for applying surgical fasteners
    44.
    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：US5878937A

    公开(公告)日：1999-03-09

    申请号：US939144

    申请日：1997-09-29

    申请人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa M. Heaton ,  John C. Robertson

    发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa M. Heaton ,  John C. Robertson

    IPC分类号： A61B17/068 ,  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 a retaining mechanism and a linkage structure which is actuable to linearly 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 towards 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。 可调闭合机构由保持机构和连杆结构组成，其可致动以将钳口构件彼此线性地推动。 还提供了一种联接装置，其仅当钳口构件相对于彼此近似预定距离时才允许订书钉或紧固件的点火。

    Method of performing a vessel anastomosis using a surgical clip applier
    45.
    发明授权
    Method of performing a vessel anastomosis using a surgical clip applier 失效
    使用外科手术夹具进行血管吻合的方法

    公开(公告)号：US5725537A

    公开(公告)日：1998-03-10

    申请号：US713733

    申请日：1996-09-13

    申请人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert J. Geiste ,  Frank C. Maffei

    发明人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert J. Geiste ,  Frank C. Maffei

    IPC分类号： A61B17/08 ,  A61B17/11 ,  A61B17/128 ,  A61B17/28 ,  A61B17/00

    CPC分类号： A61B17/1285 ,  A61B17/08 ,  A61B17/083 ,  A61B17/2909 ,  A61B2017/1107 ,  A61B2017/2913 ,  A61B2017/2916 ,  A61B2017/2929 ,  Y10S227/901

    摘要： A surgical clip applier comprising a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to the jaws. A channel assembly is slidably mounted with respect to the housing and envelops the jaw blade assembly for camming the jaws closed upon closing of the handles. The clips may be fed to the jaws by a spring biased feed bar which operates upon closing of the handles, or may be urged by pusher bar which provides a biasing force to the clips to be retained by the jaws. The instrument may be used in conventional surgical procedures, or may be adapted for endoscopic and laparoscopic surgical procedures requiring the application of microsurgical clips.

    摘要翻译： 一种手术夹具，包括壳体，可枢转地连接到壳体的相对侧的一对手柄，以及固定地连接到壳体的钳口组件。 颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于向钳口提供一系列夹子。 通道组件相对于壳体可滑动地安装并且包封钳口刀片组件，用于在手柄闭合时闭合钳口。 夹子可以通过弹簧偏置的进给杆进给到夹爪，该弹簧偏置的进给杆在关闭手柄时操作，或者可以被推杆推动，推杆对夹具保持偏压力。 该仪器可以用于常规外科手术中，或可适用于需要应用显微手术夹的内窥镜和腹腔镜外科手术。

    Skin fastener
    46.
    发明授权
    Skin fastener 失效
    皮肤紧固件

    公开(公告)号：US5658312A

    公开(公告)日：1997-08-19

    申请号：US426434

    申请日：1995-04-20

    申请人： David T. Green ,  Henry Bolanos ,  Wayne Person

    发明人： David T. Green ,  Henry Bolanos ,  Wayne Person

    IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/08

    CPC分类号： A61B17/064 ,  A61B2017/00004

    摘要： A fastener for securing adjacent layers of body tissue to each other and being configured and composed of a material so as to emerge from the body tissue after a limited period of time. The fastener includes a backspan and at least two prongs extending from the backspan. Each prong has a tapered tip culminating in a sharp point. The prongs each include a shaft having a cylindrical portion of uniform diameter. In one embodiment, the prong includes a serrated portion having a plurality of notches spaced apart so as to define ridge portions therebetween.

    摘要翻译： 一种紧固件，用于将身体组织的相邻层彼此固定，并且由材料构造和组成，以便在有限的时间段之后从身体组织出来。 紧固件包括一个后跨和至少两个从后背跨伸的叉。 每个尖头都有一个锥形尖端，最终达到尖峰。 这些插脚各自包括具有均匀直径的圆柱形部分的轴。 在一个实施例中，插脚包括具有间隔开的多个凹口的锯齿部分，以便在它们之间限定脊部。

    Apparatus and method for subcuticular stapling of body tissue
    47.
    发明授权
    Apparatus and method for subcuticular stapling of body tissue 失效
    身体组织皮下吻合装置及方法

    公开(公告)号：US5573541A

    公开(公告)日：1996-11-12

    申请号：US383718

    申请日：1995-02-03

    申请人： David T. Green ,  Henry Bolanos

    发明人： David T. Green ,  Henry Bolanos

    IPC分类号： A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/28 ,  A61B17/68

    CPC分类号： A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/282 ,  A61B17/68

    摘要： A surgical apparatus for attaching two portions of cutaneous body tissue includes a pair of opposed elongated members having jaws which have tissue gripping members thereon at one end and which are movable toward each other to a closed position to engage two body tissue portions positioned within the members to move the body tissue portions into close approximation. Manually gripping systems of several alternative configurations are provided to actuate a mechanical transmission system to close the jaws. In a preferred embodiment, a fork is movable from a first position to a second position by manually operable devices to move the jaws toward each other. A pair of cam faces is located adjacent the opposite ends of the jaws. As the fork moves to its second position, the tines of the fork engage against the cam faces to move the opposed jaws to their closed position. A plurality of rod-like fasteners are carried in a stacked configuration proximally of the jaws such that when the jaws are in their closed position and the two body tissue portions are held in close approximation. Each rod-like fastener is movable to a position in ingress to penetrate the body tissue portions to attach the body tissue portions together. In another preferred embodiment, the elongated members are biased outwardly by a coil spring and a unique plate-like fastener drive member is provided to facilitate driving a fastener after the jaws are closed. A fastener cartridge is provided with fasteners stacked in a sloped fashion and having a coil spring to bias the fasteners toward the ejection position. Another embodiment includes a rack and gear teeth arrangement for approximating the jaws and for firing the fasteners. The rack and gear teeth function somewhat like a linear analog of a set of rotary gears. A method of attaching cutaneous body tissue portions is also disclosed.

    摘要翻译： 用于附接皮肤体组织的两部分的手术装置包括一对相对的细长构件，其具有在其一端具有组织夹持构件的钳口，并且可相对于彼此移动到关闭位置以接合位于构件内的两个身体组织部分 将身体组织部分移动到近似。 提供了几种替代配置的手动夹紧系统来致动机械传动系统以闭合钳口。 在优选实施例中，叉可以通过手动操作的装置从第一位置移动到第二位置，以将夹爪朝向彼此移动。 一对凸轮面邻近钳口的相对端定位。 当叉移动到其第二位置时，叉的齿与凸轮面接合，以将相对的夹爪移动到其关闭位置。 多个杆状紧固件以钳口的近侧的堆叠构造承载，使得当钳口处于其关闭位置并且两个身体组织部分被紧密地保持时。 每个杆状紧固件可移动到入口位置以穿透身体组织部分以将身体组织部分附接在一起。 在另一优选实施例中，细长构件被螺旋弹簧向外偏压，并且提供了独特的板状紧固件驱动构件，以便于在夹爪关闭之后驱动紧固件。 紧固件卡盒设置有​​以倾斜方式堆叠的紧固件，并且具有螺旋弹簧以将紧固件偏压到喷射位置。 另一个实施例包括用于近似钳口和用于击发紧固件的齿条和齿轮齿布置。 齿条和齿轮齿有点像一组旋转齿轮的线性模拟。 还公开了附着皮肤组织部分的方法。