公开(公告)号：US08940007B2

公开(公告)日：2015-01-27

申请号：US12594833

申请日：2008-04-16

申请人： Robert C. Smith ,  Gregory Okoniewski ,  Russell Heinrich

发明人： Robert C. Smith ,  Gregory Okoniewski ,  Russell Heinrich

IPC分类号： A61B17/34

CPC分类号： A61B17/3496 ,  A61B17/3417 ,  A61B17/3494 ,  A61B2017/3454 ,  A61B2017/3456 ,  A61B2017/346

摘要： A surgical system for penetrating tissue includes an obturator including an obturator housing and an obturator member extending from the obturator housing. The obturator member defines a longitudinal axis along which the obturator extends from trailing to leading ends thereof, and has a leading penetrating member adapted to penetrate tissue. The penetrating member defines, from leading to trailing, a cylindrical element having a generally arcuate leading surface and a generally planar dissecting element extending from the cylindrical portion. The obturator member and the leading penetrating member may be monolithically formed. The obturator member may include an obturator rod connected to the obturator housing, and defining a generally “t”-shaped cross-section. The generally planar dissecting element defines side surfaces obliquely arranged with respect to the longitudinal axis. The side surfaces may be arcuate or may define cutting edges.

摘要翻译： 用于穿透组织的手术系统包括封闭器，其包括闭孔器壳体和从闭孔器壳体延伸的闭孔器件。 闭塞构件限定纵向轴线，闭塞器沿着该纵向轴线延伸，并且具有适于穿透组织的引导穿透构件。 穿透构件从前到后限定了具有大致弓形前导表面的圆柱形元件和从圆柱形部分延伸的大致平面的解剖元件。 封闭构件和引导穿透构件可以是整体地形成的。 闭塞构件可以包括连接到闭孔器壳体并且限定大致“t”形横截面的闭塞杆。 大致平面解剖元件限定相对于纵向轴线倾斜布置的侧表面。 侧表面可以是弓形的或可以限定切割边缘。

公开(公告)号：US08808311B2

公开(公告)日：2014-08-19

申请号：US13030434

申请日：2011-02-18

申请人： Russell Heinrich ,  Douglas J. Cuny

发明人： Russell Heinrich ,  Douglas J. Cuny

IPC分类号： A61B17/115

CPC分类号： A61B17/072 ,  A61B17/0469 ,  A61B17/062 ,  A61B17/0686 ,  A61B17/07207 ,  A61B17/128 ,  A61B18/1445 ,  A61B34/30 ,  A61B90/06 ,  A61B2017/00022 ,  A61B2017/00066 ,  A61B2017/0023 ,  A61B2017/0609 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2018/00648 ,  A61B2018/00702 ,  A61B2034/303 ,  A61B2034/305 ,  A61B2090/061 ,  A61B2090/064

摘要： Surgical instruments are disclosed that are couplable to or have an end effector or a disposable loading unit with an end effector, and at least one micro-electromechanical system (MEMS) device operatively connected to the surgical instrument for at least one of sensing a condition, measuring a parameter and controlling the condition and/or parameter.

摘要翻译： 公开了可联接到或具有末端执行器或具有末端执行器的一次性加载单元的手术器械，以及至少一个操作性地连接到外科器械的微机电系统（MEMS）装置，用于感测状态， 测量参数并控制条件和/或参数。

公开(公告)号：US08586865B2

公开(公告)日：2013-11-19

申请号：US13404184

申请日：2012-02-24

申请人： James M. Power ,  Frank Viola ,  Russell Heinrich

发明人： James M. Power ,  Frank Viola ,  Russell Heinrich

IPC分类号： H02G3/04

CPC分类号： A61B17/3423 ,  A61B1/00087 ,  A61B1/00096 ,  A61B1/00154 ,  A61B1/012 ,  A61B1/04 ,  A61B1/07 ,  A61B1/3132 ,  A61B5/6852 ,  A61B17/0218 ,  A61B17/3421 ,  A61B90/30 ,  A61B90/361 ,  A61B90/57 ,  A61B2017/00283 ,  A61B2017/00876 ,  A61B2017/3492 ,  A61B2090/3983

摘要： A wire guide system is provided for use during a endoscopic surgical procedures. The wire guide system includes a cylindrical shaft having a hollow chamber along a longitudinal axis of the cylindrical shaft, a flange fit disposed around the cylindrical shaft and a seal disposed around the cylindrical shaft and abutting the flange. The system may also include an anchor affixed to the cylindrical shaft and having an aperture from which at least one of a sensor, a light, a camera, tissue and/or organs may be suspended therefrom and at least one cable extending from one end of the cylindrical shaft to another end of the cylindrical shaft through the hollow chamber.

公开(公告)号：US08480694B2

公开(公告)日：2013-07-09

申请号：US12841523

申请日：2010-07-22

申请人： Russell Heinrich ,  Scott E. Manzo

发明人： Russell Heinrich ,  Scott E. Manzo

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B17/00491 ,  A61B17/0469 ,  A61B17/115 ,  A61B2017/00004 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/22069 ,  A61F2/064

摘要： The present disclosure relates a device for joining a first body vessel to a second body vessel, including an inner member having a distal end portion and defining a longitudinal axis, an outer member defining a lumen dimensioned to receive the inner member therein, and a radially expandable anchor disposed at the distal end of the inner member, the expandable anchor having an initial condition wherein the expandable anchor is disposed between the outer member and the inner member and an expanded condition wherein the expandable anchor is radially larger than the expandable anchor in the initial condition.

摘要翻译： 本公开涉及一种用于将第一身体容器连接到第二身体容器的装置，包括具有远端部分并限定纵向轴线的内部构件，限定尺寸设置成容纳内部构件的内腔的外部构件， 可膨胀锚固件设置在内部构件的远端处，可膨胀锚固件具有初始状态，其中可膨胀锚固件设置在外部构件和内部构件之间，并且膨胀状态，其中可膨胀锚固件在径向上大于可伸缩锚固件 初始条件。

公开(公告)号：US20120168487A1

公开(公告)日：2012-07-05

申请号：US13419586

申请日：2012-03-14

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： A61B17/068 ,  A61B17/00491 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  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.

摘要翻译： 外科缝合装置包括钉仓和砧座构件。 钉仓包括设置成一排保留槽的多个外科紧固件。 钉仓可以具有保持槽的环形或线性构造。 钉仓的组织接触表面可以是锥形或阶梯状。 所述砧座构件具有组织接触表面，所述组织接触表面包括布置成与所述保持槽基本对准的多个凹穴。 此外，砧座构件的组织接触表面可补充钉仓的组织接触表面。

公开(公告)号：US08157150B2

公开(公告)日：2012-04-17

申请号：US13277544

申请日：2011-10-20

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：US20110313255A1

公开(公告)日：2011-12-22

申请号：US13162750

申请日：2011-06-17

申请人： Eric Stanley ,  Michael R. Davis ,  Dennis Leiner ,  Michael Bettuchi ,  Russell Heinrich

发明人： Eric Stanley ,  Michael R. Davis ,  Dennis Leiner ,  Michael Bettuchi ,  Russell Heinrich

IPC分类号： A61B1/06 ,  A61B1/32

CPC分类号： A61B1/3132 ,  A61B1/00105 ,  A61B1/00195 ,  A61B1/015 ,  A61B17/3474 ,  A61B2090/309 ,  A61B2090/3614

摘要： A veress needle including a housing, a first optical insert for contact viewing, and a second optical insert for distance viewing. The housing including one or more insufflation conduits and an elongate member. The one or more insufflation conduits being adapted to permit the passage and reception of at least one fluid therethrough. The housing defines a passage therethrough. The first and second optical inserts are operably associated with the housing and removably positionable within the passage of the housing while the elongate member remains positioned within tissue. Each optical insert includes an optical assembly having one or more lenses and an ocular. The one or more lenses are adapted to receive an image and transmit the image to the ocular so that the image is perceptible through the ocular.

摘要翻译： 包括壳体的防护针，用于接触观察的第一光学插入件和用于远距离观察的第二光学插入件。 壳体包括一个或多个吹入管道和细长构件。 一个或多个吹气管道适于允许至少一种流体的通过和接收。 壳体限定穿过其中的通道。 第一和第二光学插入件可操作地与壳体相关联并且可拆卸地定位在壳体的通道内，而细长构件保持定位在组织内。 每个光学插入件包括具有一个或多个透镜和眼睛的光学组件。 一个或多个透镜适于接收图像并将图像发送到眼睛，使得图像通过眼睛可感知。

公开(公告)号：US20110270193A1

公开(公告)日：2011-11-03

申请号：US13182682

申请日：2011-07-14

申请人： Russell Heinrich ,  David C. Racenet ,  Robert C. Smith ,  Gregory G. Okoniewski

发明人： Russell Heinrich ,  David C. Racenet ,  Robert C. Smith ,  Gregory G. Okoniewski

IPC分类号： A61B17/34

CPC分类号： A61B17/3417 ,  A61B17/3209 ,  A61B17/32093

摘要： An obturator assembly for penetrating tissue and being at least partially positionable within a cannula assembly includes an obturator housing, an obturator shaft connected to the obturator housing and defining a longitudinal axis, a bladeless penetrating member adjacent the distal end of the obturator shaft and an obturator shield mounted about the obturator shaft and having a distal shield nose. The obturator shield is adapted for longitudinal movement between an extended position where the bladeless penetration member is substantially enclosed within the shield nose and a retracted position where the bladeless penetrating member is at least partially exposed from the shield nose. A manually manipulative member is mounted to the obturator housing and is adapted for rotational movement about the longitudinal axis and relative to the obturator housing between an initial position corresponding to a first mode of operation where the obturator shield is secured in the extended position and the shield nose is used to penetrate tissue, and a release position corresponding to a second mode of operation operatively releasing the obturator shield to permit the obturator shield to move to the retracted position thereof to expose the bladeless penetrating member for further dissecting the tissue.

摘要翻译： 用于穿透组织并且至少部分地定位在插管组件内的闭孔器组件包括闭塞器壳体，连接到闭孔器壳体并限定纵向轴线的闭塞轴，邻近闭塞轴远端的无叶贯穿构件和闭孔器 护罩安装在闭孔轴上并具有远端护罩鼻部。 闭塞器护罩适于纵向运动，其伸展位置之间，其中无涂层穿透构件基本上封闭在屏蔽鼻部内，以及缩回位置，其中无钝物穿透构件至少部分地从屏蔽鼻部露出。 手动操纵构件安装到闭孔器壳体上并且适于围绕纵向轴线和相对于闭孔器壳体的旋转运动在对应于第一操作模式的初始位置处，其中闭塞器护罩固定在伸出位置，并且屏蔽件 鼻子用于穿透组织，并且对应于第二操作模式的释放位置可操作地释放闭塞器护罩以允许闭孔器护罩移动到其缩回位置，以暴露无叶穿透构件以进一步解剖组织。

公开(公告)号：US08002788B2

公开(公告)日：2011-08-23

申请号：US12244150

申请日：2008-10-02

申请人： Russell Heinrich ,  David C. Racenet ,  Robert C. Smith ,  Gregory G. Okoniewski

发明人： Russell Heinrich ,  David C. Racenet ,  Robert C. Smith ,  Gregory G. Okoniewski

IPC分类号： A61B17/00

CPC分类号： A61B17/3417 ,  A61B17/3209 ,  A61B17/32093

摘要： An obturator assembly for penetrating tissue and being at least partially positionable within a cannula assembly includes an obturator housing, an obturator shaft connected to the obturator housing and defining a longitudinal axis, a bladeless penetrating member adjacent the distal end of the obturator shaft and an obturator shield mounted about the obturator shaft and having a distal shield nose. The obturator shield is adapted for longitudinal movement between an extended position where the bladeless penetration member is substantially enclosed within the shield nose and a retracted position where the bladeless penetrating member is at least partially exposed from the shield nose. A manually manipulative member is mounted to the obturator housing and is adapted for rotational movement about the longitudinal axis and relative to the obturator housing between an initial position corresponding to a first mode of operation where the obturator shield is secured in the extended position and the shield nose is used to penetrate tissue, and a release position corresponding to a second mode of operation operatively releasing the obturator shield to permit the obturator shield to move to the retracted position thereof to expose the bladeless penetrating member for further dissecting the tissue.

摘要翻译： 用于穿透组织并且至少部分地定位在插管组件内的闭孔器组件包括闭塞器壳体，连接到闭孔器壳体并限定纵向轴线的闭塞轴，邻近闭塞轴远端的无叶贯穿构件和闭孔器 护罩安装在闭孔轴上并具有远端护罩鼻部。 闭塞器护罩适于纵向运动，其伸展位置之间，其中无涂层穿透构件基本上封闭在屏蔽鼻部内，以及缩回位置，其中无钝物穿透构件至少部分地从屏蔽鼻部露出。 手动操纵构件安装到闭孔器壳体上并且适于围绕纵向轴线和相对于闭孔器壳体的旋转运动在对应于第一操作模式的初始位置处，其中闭塞器护罩固定在伸出位置，并且屏蔽件 鼻子用于穿透组织，并且对应于第二操作模式的释放位置可操作地释放闭塞器护罩以允许闭孔器护罩移动到其缩回位置，以暴露无叶穿透构件以进一步解剖组织。

公开(公告)号：US20110147435A1

公开(公告)日：2011-06-23

申请号：US13039372

申请日：2011-03-03

申请人： Russell Heinrich ,  Michael J. Bettuchi ,  David Fowler ,  Robert Capella ,  John Hauschild

发明人： Russell Heinrich ,  Michael J. Bettuchi ,  David Fowler ,  Robert Capella ,  John Hauschild

IPC分类号： A61B17/068

CPC分类号： A61B17/115 ,  A61B17/00491 ,  A61B17/1155 ,  A61B2017/00893

摘要： The present disclosure relates to surgical instruments, structures and methods for enhancing the properties of tissue to be repaired or joined. According to an aspect of the present disclosure, a surgical stapling apparatus is provided including a wound treatment material dispersion system for delivering wound treatment material to a target surgical site. The dispersion system includes an aperture formed in the anvil assembly oriented to dispense wound treatment material in an outward direction; and a source of wound treatment material in fluid communication with the aperture of the anvil assembly.

摘要翻译： 本公开涉及用于增强要修复或接合的组织的性质的外科器械，结构和方法。 根据本公开的一个方面，提供了一种外科缝合装置，其包括用于将伤口治疗材料输送到目标手术部位的伤口治疗材料分散系统。 分散系统包括形成在砧座组件中的孔，其定向成沿向外的方向分配伤口处理材料; 以及与砧座组件的孔流体连通的伤口治疗材料源。