公开(公告)号：US20080190990A1

公开(公告)日：2008-08-14

申请号：US12011406

申请日：2008-01-25

申请人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

发明人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

IPC分类号： A61B17/064

CPC分类号： A61B17/072 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/320052

摘要： A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

公开(公告)号：US5830221A

公开(公告)日：1998-11-03

申请号：US717492

申请日：1996-09-20

申请人： Jeffrey A. Stein ,  William J. Allen ,  Richard L. Markus ,  Alan B. Bachman ,  Deborah M. Bryan ,  Henry E. Holsten ,  Stephen A. DeFonzo ,  Robert C. Savage

发明人： Jeffrey A. Stein ,  William J. Allen ,  Richard L. Markus ,  Alan B. Bachman ,  Deborah M. Bryan ,  Henry E. Holsten ,  Stephen A. DeFonzo ,  Robert C. Savage

IPC分类号： A61B17/064 ,  A61B17/068 ,  A61B17/28 ,  A61F2/00 ,  A61B17/08

CPC分类号： A61B17/068 ,  A61B17/064 ,  A61B2017/0649 ,  A61B2017/2923 ,  A61B2017/2946 ,  A61F2/0063 ,  Y10S227/901

摘要： There is provided a surgical coil fastener applier for use in applying helical coil fasteners in surgical procedures, such as hernia repair, to affix surgical mesh to tissue. The coil fastener applier includes a housing having a handle extending therefrom and a trigger pivotally mounted on the housing. An elongated tubular portion extends from the housing and includes a drive rod rotatably supported therein and slidably supporting a plurality of coil fasteners thereon. A drive assembly is provided within the housing to rotate the drive rod and coil fasteners. The drive assembly includes an anti-reverse mechanism to allow rotation of the drive rod in only one direction. An actuation assembly is provided within the housing to convert the motion of the trigger into rotary motion for supply to the drive assembly. The drive assembly includes structure to limit the amount of rotary motion supplied to the drive assembly. The drive assembly further includes a ratchet and pawl mechanism to prevent a partial cycling of the coil fastener applier. Also provided are various coil fasteners for use with the coil fastener applier.

摘要翻译： 提供了一种用于在诸如疝修补术的外科手术中应用螺旋线圈紧固件的外科用线圈紧固件敷贴器，以将外科手术网固定到组织上。 线圈紧固件施加器包括具有从其延伸的手柄的壳体和枢转地安装在壳体上的触发器。 细长的管状部分从壳体延伸并且包括可旋转地支撑在其中并且可滑动地支撑多个线圈紧固件的驱动杆。 驱动组件设置在壳体内以旋转驱动杆和线圈紧固件。 驱动组件包括防反转机构，以允许驱动杆在仅一个方向上旋转。 致动组件设置在壳体内以将触发器的运动转换成旋转运动，以供给驱动组件。 驱动组件包括限制提供给驱动组件的旋转运动量的结构。 驱动组件还包括棘轮和棘爪机构，以防止线圈紧固件施加器的部分循环。 还提供了与线圈紧固件施加器一起使用的各种线圈紧固件。

公开(公告)号：US08505802B2

公开(公告)日：2013-08-13

申请号：US13407797

申请日：2012-02-29

申请人： Frank J. Viola ,  Gregg Krehel ,  Michael A. Soltz ,  Robert J. DeSantis ,  Henry E. Holsten ,  Russell Heinrich

发明人： Frank J. Viola ,  Gregg Krehel ,  Michael A. Soltz ,  Robert J. DeSantis ,  Henry E. Holsten ,  Russell Heinrich

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/12 ,  A61B2017/00115 ,  A61B2017/00128 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/2943 ,  A61B2017/320052 ,  A61B2090/064 ,  A61B2090/0811

摘要： A surgical apparatus has a clamp and a stapling mechanism. The clamp has a first jaw and a second jaw to clamp on a body tissue at a desired location for a stapling operation. The stapling mechanism is controlled by a trigger handle or a switch assembly. The surgical apparatus has a controller for providing a delay between clamping and actuating of the firing mechanism of the stapling mechanism. The delay provides for a desired amount of time for tissue compression producing a more uniform staple formation. The surgical apparatus also has an indicator. The indicator provides feedback about the status of the stapling mechanism and also displays a time of tissue compression by the clamp.

摘要翻译： 手术装置具有夹具和缝合机构。 夹具具有第一钳口和第二钳口，以在期望的位置处夹持在身体组织上用于缝合操作。 装订机构由触发手柄或开关组件控制。 手术装置具有用于在装订机构的击发机构的夹持和致动之间提供延迟的控制器。 该延迟为组织压缩提供期望的时间量，从而产生更均匀的缝钉形成。 手术器械还具有指示器。 指示器提供关于装订机构的状态的反馈，并且还显示夹具的组织压缩时间。

公开(公告)号：US08348972B2

公开(公告)日：2013-01-08

申请号：US12144696

申请日：2008-06-24

申请人： Michael Soltz ,  Kevin Sniffin ,  Jennifer Broom ,  Henry E. Holsten

发明人： Michael Soltz ,  Kevin Sniffin ,  Jennifer Broom ,  Henry E. Holsten

IPC分类号： A61B17/08

CPC分类号： A61B17/068 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/07292

摘要： A multi-part surgical staple assembly is provided to provide uniform compression across stapled tissues. The staple assembly generally includes a staple, a staple plate positionable against a backspan of the staple for engagement with one side of a stapled tissue section and a platen for receipt of tissue penetrating tips of the staple and engageable with an opposite side of a stapled tissue section. The staple plate and platen are provided with holes to receive the legs of the staple. In one embodiment, the staple plate is provided with a biasing member to bias the staple plate away from the backspan of the staple and toward the stapled tissue.

摘要翻译： 提供多部分手术缝合组件以提供穿过缝合组织的均匀压缩。 钉组件通常包括钉，钉钉可定位成抵靠缝合钉的后跨，用于与缝合的组织部分的一侧接合，以及用于接收钉的组织穿透尖端的压板，并可与缝合组织的相对侧接合 部分。 钉板和压板设有孔，用于接收订书钉的腿部。 在一个实施例中，订书钉板设置有偏置构件以将订书钉板偏离订书钉的后跨，并朝向装订的组织。

公开(公告)号：US20120223121A1

公开(公告)日：2012-09-06

申请号：US13425618

申请日：2012-03-21

申请人： Frank J. Viola ,  Gregg Krehel ,  Guido Pedros ,  Michael A. Soltz ,  Robert DeSantis ,  Henry E. Holsten ,  Russell Heinrich

发明人： Frank J. Viola ,  Gregg Krehel ,  Guido Pedros ,  Michael A. Soltz ,  Robert DeSantis ,  Henry E. Holsten ,  Russell Heinrich

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/072 ,  A61B17/12 ,  A61B2017/00115 ,  A61B2017/00128 ,  A61B2017/00132 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/2943 ,  A61B2017/320052

摘要： A surgical apparatus has a clamp and a stapling mechanism. The clamp has a first jaw and a second jaw to clamp on a body tissue at a desired location for a stapling operation. The stapling mechanism is controlled by a trigger handle or a switch assembly. The surgical apparatus has a controller for providing a delay between clamping and actuating of the firing mechanism of the stapling mechanism. The delay provides for a desired amount of time for tissue compression producing a more uniform staple formation. The surgical apparatus also has an indicator. The indicator provides feedback about the status of the stapling mechanism and also displays a time of tissue compression by the clamp.

摘要翻译： 手术装置具有夹具和缝合机构。 夹具具有第一钳口和第二钳口，以在期望的位置处夹持在身体组织上用于缝合操作。 装订机构由触发手柄或开关组件控制。 手术装置具有用于在装订机构的击发机构的夹持和致动之间提供延迟的控制器。 该延迟为组织压缩提供期望的时间量，从而产生更均匀的缝钉形成。 手术器械还具有指示器。 指示器提供关于装订机构的状态的反馈，并且还显示夹具的组织压缩时间。

公开(公告)号：US08157152B2

公开(公告)日：2012-04-17

申请号：US13286544

申请日：2011-11-01

申请人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

发明人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/320052

摘要： A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

公开(公告)号：US07870989B2

公开(公告)日：2011-01-18

申请号：US12178681

申请日：2008-07-24

申请人： Frank J. Viola ,  Gregg Krehel ,  Michael A. Soltz ,  Robert J. DeSantis ,  Henry E. Holsten ,  Russell Heinrich

发明人： Frank J. Viola ,  Gregg Krehel ,  Michael A. Soltz ,  Robert J. DeSantis ,  Henry E. Holsten ,  Russell Heinrich

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/12 ,  A61B2017/00115 ,  A61B2017/00128 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/2943 ,  A61B2017/320052 ,  A61B2090/064 ,  A61B2090/0811

摘要： A surgical apparatus has a clamp and a stapling mechanism. The clamp has a first jaw and a second jaw to clamp on a body tissue at a desired location for a stapling operation. The stapling mechanism is controlled by a trigger handle or a switch assembly. The surgical apparatus has a controller for providing a delay between clamping and actuating of the firing mechanism of the stapling mechanism. The delay provides for a desired amount of time for tissue compression producing a more uniform staple formation. The surgical apparatus also has an indicator. The indicator provides feedback about the status of the stapling mechanism and also displays a time of tissue compression by the clamp.

公开(公告)号：US07837081B2

公开(公告)日：2010-11-23

申请号：US12556760

申请日：2009-09-10

申请人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

发明人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/320052

摘要： A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

公开(公告)号：US07837079B2

公开(公告)日：2010-11-23

申请号：US11512943

申请日：2006-08-29

申请人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons

发明人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons

IPC分类号： A61B17/072

CPC分类号： A61B17/072 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/320052

摘要： A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

公开(公告)号：US20100145472A1

公开(公告)日：2010-06-10

申请号：US12707017

申请日：2010-02-17

申请人： Henry E. Holsten ,  Frank Viola

发明人： Henry E. Holsten ,  Frank Viola

IPC分类号： A61F2/04

CPC分类号： A61F5/0079 ,  A61B17/072 ,  A61B2017/07214 ,  A61B2017/081 ,  A61F5/0086

摘要： A gastric restrictor assembly for positioning within the digestive tract, e.g., stomach, of a patient to treat obesity is disclosed. The gastric restrictor assembly includes an attachment mechanism for attaching the assembly within a body lumen and a valve assembly for adjusting the diameter of a throughbore defined by valve assembly. The gastric restrictor includes first and second actuators which can be actuated transorally for operating the attachment mechanism and the valve assembly.

摘要翻译： 公开了用于定位在患者的消化道（例如胃）内用于治疗肥胖的胃限制器组件。 胃限流器组件包括用于将组件附接到体腔内的附接机构和用于调节由阀组件限定的通孔的直径的阀组件。 胃限制器包括可以经由远端致动以操作附接机构和阀组件的第一和第二致动器。