公开(公告)号：US06592593B1

公开(公告)日：2003-07-15

申请号：US09787135

申请日：2001-06-04

申请人： Juan Carlos Parodi ,  Keith Ratcliff ,  Frank M. Rende ,  Charles R. Sherts

发明人： Juan Carlos Parodi ,  Keith Ratcliff ,  Frank M. Rende ,  Charles R. Sherts

IPC分类号： A61F1100

CPC分类号： A61B17/0682 ,  A61B17/064 ,  A61B2017/0649 ,  A61F2/07 ,  A61F2/848 ,  A61F2002/075

摘要： An endo-vascular fastener applicator is provided for endo-luminal fastening of a prosthetic to a vessel with a fastener. The applicator includes a tubular body that is configured for positioning within a vessel, an expandable portion disposed adjacent the distal end of the tubular body and deployed to support a prosthetic in contact with an inner surface of a vessel, and a drive assembly for advancing a fastener into the prosthetic. A delivery tube may be included that is disposed for movement within the tubular body, and which defines a channel for movement of the drive assembly there within. The delivery tube may include an applicator head. The applicator head may include an injection mount that is disposed for movement relative to a prosthetic.

摘要翻译： 提供内血管紧固件施加器用于使用紧固件将假体内腔内紧固到血管。 施用器包括被配置用于定位在容器内的管状主体，邻近管状体的远端设置并展开以支撑与容器的内表面接触的假体的可扩张部分，以及用于推进 紧固件进入假肢。 可以包括设置用于在管状体内移动的输送管，并且其限定用于其内部的驱动组件的运动的通道。 输送管可以包括施用器头。 施用器头可以包括设置成相对于假体运动的注射支架。

公开(公告)号：US06250532B1

公开(公告)日：2001-06-26

申请号：US09487111

申请日：2000-01-19

申请人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

发明人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

IPC分类号： A61B17068

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

公开(公告)号：US5910155A

公开(公告)日：1999-06-08

申请号：US092430

申请日：1998-06-05

申请人： Keith Ratcliff ,  Roberto Pedros

发明人： Keith Ratcliff ,  Roberto Pedros

IPC分类号： A61B17/00 ,  A61B17/122 ,  A61B17/128 ,  A61B17/04

CPC分类号： A61B17/128 ,  A61B17/0057 ,  A61B17/122 ,  A61B2017/00004 ,  A61B2017/00668

摘要： An apparatus for facilitating closure of an opening in a blood vessel, includes a closure instrument having an elongated member defining a longitudinal axis and proximal and distal ends. The elongated member has a vacuum lumen extending at least a portion of the length thereof for conveying a vacuum and terminating in a vacuum port adjacent the distal end of the elongated member. The distal end of the elongated member is dimensioned to be positioned proximal a vessel opening in a blood vessel whereby vessel edge portions defining the vessel opening are at least drawn toward the vacuum port in response to a vacuum conveyed through the vacuum lumen. At least one surgical clip is mounted adjacent the distal end of the elongated member and is adapted to be formed to an at least partially formed condition thereof. The one clip is positioned with respect to the vacuum port to engage the vessel edge portions drawn toward the vacuum port upon movement of the one clip to the formed condition thereof to generally approximate the vessel edge portions to at least partially close the vessel opening. A method for facilitating closure of an opening in a blood vessel is also disclosed.

摘要翻译： 一种用于促进关闭血管中的开口的装置，包括具有限定纵向轴线和近端和远端的细长构件的封闭器械。 细长构件具有延伸其长度的至少一部分的真空腔，用于输送真空并终止在与细长构件的远端相邻的真空口中。 细长构件的远端的尺寸设计成位于血管中的容器开口的近侧，由此响应于通过真空腔输送的真空，限定容器开口的容器边缘部分至少朝向真空端口拉出。 至少一个手术夹子被安装在细长构件的远端附近，并适于形成至少部分形成的状态。 一个夹子相对于真空端口定位以接合在一个夹子移动到其形成状态时被拉向真空端口的容器边缘部分，以大致近似容器边缘部分以至少部分地关闭容器开口。 还公开了一种便于关闭血管中的开口的方法。

公开(公告)号：US5636780A

公开(公告)日：1997-06-10

申请号：US560187

申请日：1996-03-01

申请人： David T. Green ,  Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer

发明人： David T. Green ,  Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/28 ,  A61B19/00

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/0023 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803 ,  A61B2090/0804

摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface, thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly to increase the range of operability of the apparatus.

摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分，以及安装到细长部分的远端的铰接盒组件。 砧构件与铰接筒组件可操作地相关联，并且具有成形表面，外科紧固件当从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。

公开(公告)号：US5456401A

公开(公告)日：1995-10-10

申请号：US230852

申请日：1994-04-21

申请人： David T. Green ,  Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer

发明人： David T. Green ,  Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/28 ,  A61B19/00

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/0023 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/00548 ,  A61B2017/2903 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803 ,  A61B2090/0804

摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly to increase the range of operability of the apparatus.

摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分，以及安装到细长部分的远端的铰接盒组件。 砧构件可操作地与关节式支架组件相关联并且具有成形表面，外科紧固件在从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。

公开(公告)号：US5431322A

公开(公告)日：1995-07-11

申请号：US146804

申请日：1993-11-02

申请人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Jeffrey J. Blewett ,  Randolph F. Lehn ,  Charles R. Sherts ,  Graham W. Bryan ,  Salvatore Castro ,  Gary S. Kappel

发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Jeffrey J. Blewett ,  Randolph F. Lehn ,  Charles R. Sherts ,  Graham W. Bryan ,  Salvatore Castro ,  Gary S. Kappel

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/28 ,  A61B19/00

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/0023 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803 ,  A61B2090/0804

摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes an anvil member and a surgical fastener cartridge member mounted to the distal end of an elongated endoscopic portion. A tubular collar of the endoscopic portion moves distally to engage the anvil member and bias the anvil member and the cartridge member into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and the cartridge member. A self contained pneumatic system is disposed in the surgical apparatus and is actuable to eject and/or form the surgical fasteners in the clamped body tissue. The apparatus further comprises a locking mechanism for preventing firing of the instrument after it has been fired a predetermined number of times. A counter for displaying the number of times the apparatus has been fired may be provided. A firing interlock is also shown which prevents accidental actuation of the firing trigger. A clamping interlock is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument.

摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括安装到细长内窥镜部分的远端的砧构件和手术紧固件仓构件。 内窥镜部分的管状颈部向远侧移动以接合砧座构件并将砧座构件和暗盒构件偏压成协调对准，从而将要紧固的身体组织夹紧在砧座构件和筒构件之间。 自包含气动系统设置在手术设备中并且可致动以在夹持的身体组织中弹出和/或形成外科紧固件。 该设备还包括一个锁定机构，用于防止仪器在其被点火预定次数之后发射。 可以提供用于显示设备被触发次数的计数器。 还示出了防止触发触发器的意外致动的触发互锁。 示出了夹紧互锁，其防止当钳口不对准或不适当地插入仪器时近似钳口。

公开(公告)号：US5326013A

公开(公告)日：1994-07-05

申请号：US949685

申请日：1992-09-23

申请人： David T. Green ,  Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer

发明人： David T. Green ,  Keith Ratcliff ,  Keith L. Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/28 ,  A61B19/00

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/0023 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/00548 ,  A61B2017/2903 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803 ,  A61B2090/0804

摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly to increase the range of operability of the apparatus.

摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分，以及安装到细长部分的远端的铰接盒组件。 砧构件可操作地与关节式支架组件相关联并且具有成形表面，外科紧固件在从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。

公开(公告)号：US5318221A

公开(公告)日：1994-06-07

申请号：US943403

申请日：1992-09-10

申请人： David T. Green ,  Henry Bolanos ,  Daniel E. Alesi ,  Keith Ratcliff ,  Charles R. Sherts

发明人： David T. Green ,  Henry Bolanos ,  Daniel E. Alesi ,  Keith Ratcliff ,  Charles R. Sherts

IPC分类号： A61B17/00 ,  A61B17/072

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/07214 ,  A61B2017/2923

摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.

摘要翻译： 用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。 设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。

公开(公告)号：US5040715A

公开(公告)日：1991-08-20

申请号：US358646

申请日：1989-05-26

申请人： David T. Green ,  Henry Bolanos ,  Daniel E. Alesi ,  Keith Ratcliff ,  Charles R. Sherts

发明人： David T. Green ,  Henry Bolanos ,  Daniel E. Alesi ,  Keith Ratcliff ,  Charles R. Sherts

IPC分类号： A61B17/068 ,  A61B1/303 ,  A61B1/307 ,  A61B1/31 ,  A61B17/00 ,  A61B17/072

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/07214

摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.

公开(公告)号：US07891533B2

公开(公告)日：2011-02-22

申请号：US12269600

申请日：2008-11-12

申请人： David T Green ,  Keith Ratcliff ,  Keith Milliam ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

发明人： David T Green ,  Keith Ratcliff ,  Keith Milliam ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

摘要翻译： 提供内窥镜手术装置用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。