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公开(公告)号:US07364060B2
公开(公告)日:2008-04-29
申请号:US10968722
申请日:2004-10-18
申请人: Keith L. Milliman
发明人: Keith L. Milliman
IPC分类号: A61B17/068
CPC分类号: A61B17/068 , A61B17/072 , A61B17/1155 , A61B17/32053 , A61B2017/00367 , A61B2017/00473 , A61B2017/07214 , A61B2017/0725 , A61B2017/07257 , A61B2090/0814
摘要: A surgical stapling device including a self-righting anvil assembly is disclosed. The anvil assembly includes an anvil center rod and a pivotable anvil head. The surgical stapling device includes an anvil retainer assembly having a locking member in the form of a trocar for moving the anvil head from its tilted position to its operative position upon attachment of the anvil assembly to the stapling device. A cam member is provided to retain the locking member in a first or locked position and, thus, the anvil head in the operative position until after the stapling device has been fired.
摘要翻译: 公开了一种包括自立式砧座组件的外科缝合装置。 砧组件包括砧座中心杆和可枢转砧头。 外科缝合装置包括砧座保持器组件,其具有套管针形式的锁定构件,用于在将砧座组件附接到缝合装置时将砧座头从其倾斜位置移动到其操作位置。 凸轮构件被设置成将锁定构件保持在第一或锁定位置,并且因此将砧座头保持在操作位置,直到缝合装置被点火。
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公开(公告)号:US06213957B1
公开(公告)日:2001-04-10
申请号:US09158632
申请日:1998-09-22
申请人: Keith L. Milliman , Lisa W. Heaton
发明人: Keith L. Milliman , Lisa W. Heaton
IPC分类号: A61B1000
CPC分类号: A61B10/0266 , A61B17/34 , A61B17/3417 , A61B17/3496 , A61B2010/0208 , A61B2017/008 , A61B2017/320024 , A61B2017/32004 , A61B2017/320044
摘要: A surgical apparatus for removing tissue, which includes (i) an elongated body defining an opening at a distal end and forming a tissue receiving cavity in communication with the opening (ii) a blunt dilator at least partially disposed in the tissue receiving cavity and (iii) a cutting member operatively movable transverse to the elongated body in proximity to the opening.
摘要翻译: 一种用于去除组织的手术装置,其包括(i)在远端限定开口的细长主体并形成与开口连通的组织接收腔(ii)至少部分地设置在组织容纳腔中的钝性扩张器, iii)切割构件,其可操作地在所述开口附近与所述细长主体横向移动。
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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。
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公开(公告)号:US5478003A
公开(公告)日:1995-12-26
申请号:US133549
申请日:1993-10-08
申请人: David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
发明人: David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
IPC分类号: A61B17/00 , A61B17/072 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号: A61B17/07207 , A61B17/00234 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , A61B2017/07278 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2090/038 , A61B2090/0803
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 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 self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. 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。 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。 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。
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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。
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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。
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公开(公告)号:US5312023A
公开(公告)日:1994-05-17
申请号:US024533
申请日:1993-03-01
申请人: David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
发明人: David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
IPC分类号: A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/10 , A61B17/12 , A61B17/28 , A61B17/32 , A61B19/00
CPC分类号: A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , 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 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 self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. 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。 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。 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。
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公开(公告)号:US5224465A
公开(公告)日:1993-07-06
申请号:US846706
申请日:1992-03-06
申请人: Keith L. Milliman
发明人: Keith L. Milliman
IPC分类号: F41B11/32
CPC分类号: F41B11/723 , F41B11/724
摘要: An air gun includes a valve assembly with a sliding baffle for limiting the maximum velocity and energy which can be provided by the gun. The valve assembly includes a valve body which has a pressure reservoir, an air passage, and a valve seat between the pressure reservoir and the air passage. A valve normally closes the valve seat to hold pressure in the pressure reservoir and is moved away from the valve seat when the gun is fired. A bleed opening in the valve body connects the air passage to the outside of the valve body, and an exhaust opening connects the air passage to the barrel of the gun. The baffle is slidably mounted in the air passage and is movable between a first position in which the bleed opening is restricted and the exhaust opening is unobstructed and a second position is which the exhaust opening is restricted and the bleed opening is substantially unobstructed.
摘要翻译: 气枪包括具有滑动挡板的阀组件,用于限制可由枪提供的最大速度和能量。 阀组件包括阀体,该阀体在压力储存器和空气通道之间具有压力储存器,空气通道和阀座。 阀门通常关闭阀座以保持压力贮存器中的压力,并且当枪被击发时,阀被移动离开阀座。 阀体中的排气口将空气通道连接到阀体的外部,排气口将空气通道连接到枪管。 所述挡板可滑动地安装在所述空气通道中,并且可在其中限制所述排气口的第一位置和所述排气口不受阻挡的第一位置和所述排气口被限制的第二位置和所述排气口基本上不被阻挡之间移动。
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公开(公告)号:US08540132B2
公开(公告)日:2013-09-24
申请号:US11434713
申请日:2006-05-16
IPC分类号: A61B17/04
CPC分类号: A61B17/115 , A61B17/1114 , A61B2017/00473 , A61B2017/00544
摘要: A tilt anvil assembly is disclosed which includes a center rod and a head assembly pivotally mounted to the center rod. The head assembly includes a housing, a post, an anvil plate and a backup member. The backup member is movable about the post from a first position preventing pivotal movement of the head assembly to a second position accommodating pivotal movement of the head assembly. A pivotal latch assembly is also provided to prevent movement of the backup member from its second position to its first position.
摘要翻译: 公开了一种倾斜砧组件,其包括中心杆和枢转地安装到中心杆上的头部组件。 头组件包括壳体,柱,砧板和支撑构件。 支撑构件可以从第一位置围绕柱移动,从而防止头部组件的枢转运动到容纳头组件的枢转运动的第二位置。 还提供枢转闩锁组件以防止支撑构件从其第二位置移动到其第一位置。
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公开(公告)号:US20130072955A1
公开(公告)日:2013-03-21
申请号:US13618450
申请日:2012-09-14
申请人: Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
发明人: Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
IPC分类号: A61B17/068
CPC分类号: A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要: A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.
摘要翻译: 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分,细长主体部分和包括砧座组件和壳体组件的头部部分。 还公开了一种用于连接到砧组件的可拆卸的套针针,其包括位于安装突起的近侧的肋。 肋被定位成使安装突起与砧组件的相关接合结构对准。
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