公开(公告)号：US08002819B2

公开(公告)日：2011-08-23

申请号：US12618974

申请日：2009-11-16

申请人： Scott E. Manzo

发明人： Scott E. Manzo

IPC分类号： A61F2/06

CPC分类号： A61B17/11 ,  A61B2017/1103 ,  A61B2017/1135

摘要： A device for joining a first body vessel to a second body vessel including a cartridge having a distal end and defining a longitudinal axis, a radially expandable anchor disposed at the distal end of the cartridge for engaging the first body vessel, the expandable anchor having an initial condition and an expanded condition wherein the expandable anchor is radially larger than the expandable anchor in the initial condition, and a plurality of sutures disposed within the cartridge and being deployable therefrom so as to engage the second body vessel, the sutures being threaded through the expandable anchor.

摘要翻译： 一种用于将第一身体容器连接到第二身体容器的装置，包括具有远端并限定纵向轴线的药筒，设置在药筒的远端处用于接合第一身体容器的可径向扩张的锚固件， 初始状态和扩张状态，其中在初始状态下，可膨胀锚固件在径向上大于可扩张锚固件，以及多个缝合线，其设置在所述药筒内且可从其展开以与第二身体容器接合，所述缝线穿过 可扩展锚。

公开(公告)号：US20100087841A1

公开(公告)日：2010-04-08

申请号：US12633928

申请日：2009-12-09

申请人： Keith Milliman ,  Kevin Sniffen ,  David A. Nicholas ,  Scott E. Manzo ,  Peter Hinchliffe

发明人： Keith Milliman ,  Kevin Sniffen ,  David A. Nicholas ,  Scott E. Manzo ,  Peter Hinchliffe

IPC分类号： A61B17/11

CPC分类号： A61B17/1285 ,  A61B17/0293 ,  A61B17/08 ,  A61B17/083 ,  A61B17/11 ,  A61B17/1152 ,  A61B17/122 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/2916

摘要： A surgical instrument for anastomosis of first and second blood vessels is provided. The surgical instrument includes a housing having distal and proximal ends and a handle and a disposable loading unit removably mounted to the distal end of the housing. The housing includes upper and lower fastener support members having a passage defined therethrough configured to receive an end of the second blood vessel and configured to releasably support a plurality of substantially L-shaped surgical fasteners and a retractable anvil located at a distal end of the loading unit, the anvil being movable relative to the fastener support members in response to actuation of the handle to simultaneously deform the surgical fasteners.

摘要翻译： 提供了一种用于吻合第一和第二血管的手术器械。 手术器械包括具有远端和近端的壳体和手柄以及可移除地安装到壳体的远端的一次性加载单元。 壳体包括上和下紧固件支撑构件，其具有限定穿过的通道，构造成容纳第二血管的端部并且构造成可释放地支撑多个基本上L形的外科紧固件和位于装载物远端的可缩回砧座 单元，所述砧座响应于所述手柄的致动而相对于所述紧固件支撑构件可移动，以同时使所述外科紧固件变形。

公开(公告)号：US07648515B2

公开(公告)日：2010-01-19

申请号：US10503743

申请日：2003-04-16

申请人： Russell Heinrich ,  Scott E. Manzo

发明人： Russell Heinrich ,  Scott E. Manzo

IPC分类号： A61M5/00

CPC分类号： A61B17/11 ,  A61B2017/00557 ,  A61B2017/00867 ,  A61B2017/1107 ,  A61B2017/1135

摘要： The present disclosure is directed to devices for approximating body vessels and method for performing the same. In accordance with one aspect of the present disclosure, the device includes an inner member, an outer member having a lumen dimensioned to receive the inner member, an expandable anchor for engaging the a first body vessel, and a joining member for engagement between the first body vessel and the second body vessel.

摘要翻译： 本公开涉及用于近似身体血管的装置及其执行方法。 根据本公开的一个方面，该装置包括内部构件，具有尺寸设置成容纳内部构件的内腔的外部构件，用于接合第一身体容器的可膨胀锚固件和用于在第一 身体血管和第二身体血管。

公开(公告)号：US07621924B2

公开(公告)日：2009-11-24

申请号：US10550705

申请日：2003-04-16

申请人： Scott E. Manzo

发明人： Scott E. Manzo

IPC分类号： A61B17/10

CPC分类号： A61B17/11 ,  A61B2017/1103 ,  A61B2017/1135

摘要： Apparatus for performing a surgical anastomosis include a sleeve, a tubular body (220) configured and adapted to be slidably received within the sleeve, a firing head operatively coupled to a distal end of the tubular body and defining a plurality of needle passages (228), a radially expandable anchor (230) configured and adapted to be received within the distal end of the sleeve, a needle pusher assembly (270) including at least one push rod (272) slidably received within a respective needle passage; a lock collar (250) configured and adapted to be received in the central passage of the anchor and at least one needle anchor (280) slidably received in a respective needle passage.

摘要翻译： 用于执行手术吻合的装置包括套筒，构造并适于可滑动地容纳在套筒内的管状体（220），可操作地联接到管状体的远端并限定多个针通道（228）的点火头 ，构造并适于容纳在所述套筒的远端内的可径向扩张的锚固件（230），所述针推动器组件（270）包括可滑动地容纳在相应的针通道内的至少一个推杆（272） 构造并适于容纳在锚固件的中心通道中的锁定环（250）和可滑动地容纳在相应针通道中的至少一个针固定器（280）。

公开(公告)号：US07572267B2

公开(公告)日：2009-08-11

申请号：US10550700

申请日：2003-04-16

申请人： Scott E. Manzo

发明人： Scott E. Manzo

IPC分类号： A61B17/12

CPC分类号： A61B17/0469 ,  A61B17/0482 ,  A61B17/11 ,  A61B2017/0472 ,  A61B2017/0496 ,  A61B2017/1103 ,  A61B2017/1135 ,  A61B2017/3488

摘要： A radical prostatectomy anastomosis device including a cartridge having a plurality of anchors (174) slidably disposed in a plurality of distally angled radial channels formed in the cartridge and a pusher assembly operatively coupled within the cartridge. The pusher assembly being configured and adapted to push each of the plurality of anchors out of the angled radial channels of the radial cartridge. The device further including a fitting (104) removably coupled to a distal end of the cartridge. The fitting including a flange (162) having a plurality of holes (164) formed radially around the flange, wherein each of the plurality of holes includes suture locking means (166) configured and adapted to permit a suture to be drawn distally through each of the plurality of holes and to prevent the sutures from being drawn proximally through each of the plurality of holes. The device further including a plurality of sutures (182) secured to an inner surface of the cartridge. The sutures passing through the fitting, through a respective hole of the plurality of holes formed in the fitting and secured to an outer surface of a respective anchor.

摘要翻译： 根治性前列腺切除术吻合装置包括具有可滑动地设置在形成在药筒中的多个远端成角度的径向通道中的多个锚固件（174）的药筒和可操作地联接在药筒内的推动器组件的药筒。 推动器组件被配置和适于将多个锚定体中的每一个推出径向筒的成角度的径向通道。 该装置还包括可拆卸地联接到药筒的远端的配件（104）。 所述接头包括具有围绕所述凸缘径向形成的多个孔（164）的凸缘（162），其中所述多个孔中的每一个包括缝合线锁定装置（166），所述缝合线锁定装置构造成适于允许缝合线向远侧拉伸， 多个孔，并且防止缝合线被近端拉伸穿过多个孔中的每一个。 所述装置还包括固定到所述盒的内表面的多个缝合线（182）。 穿过配件的缝线通过形成在配件中的多个孔的相应孔并固定到相应锚的外表面。

公开(公告)号：US20080319457A1

公开(公告)日：2008-12-25

申请号：US12203964

申请日：2008-09-04

申请人： Scott E. Manzo

发明人： Scott E. Manzo

IPC分类号： A61B17/115 ,  A61B17/11

CPC分类号： A61B17/11 ,  A61B17/08 ,  A61B17/1152 ,  A61B2017/00778 ,  A61B2017/1107 ,  A61B2017/1135

摘要： A surgical instrument for creating an anastomosis includes a housing, a handle extending from the housing and a fastener support member extending distally from the housing. The fastener support member is configured and dimensioned to releasably support a plurality of surgical fasteners. The instrument further includes a tissue retaining mechanism which is selectively movable from a first position relative to the fastener support member to a second position in closer proximity with the fastener support member such that tissue disposed adjacent to the fastener support member is retained thereagainst. Upon actuation of the handle, a fastener firing mechanism simultaneously deforms the plurality of surgical fasteners to complete the anastomosis.

摘要翻译： 用于产生吻合的手术器械包括壳体，从壳体延伸的手柄和从壳体向远侧延伸的紧固件支撑构件。 紧固件支撑构件的构造和尺寸被设计成可释放地支撑多个外科紧固件。 该仪器还包括组织保持机构，该组织保持机构可选择性地从相对于紧固件支撑构件的第一位置移动到与紧固件支撑构件更接近的第二位置，使得邻近紧固件支撑构件设置的组织被保持在其上。 在手柄致动时，紧固件发射机构同时使多个手术紧固件变形以完成吻合。

公开(公告)号：US07234624B2

公开(公告)日：2007-06-26

申请号：US11208667

申请日：2005-08-22

申请人： Richard D. Gresham ,  Scott E. Manzo ,  Ernest Aranyi ,  Robert J. Geiste ,  Bruce K. Jankowski ,  Keith Milliman

发明人： Richard D. Gresham ,  Scott E. Manzo ,  Ernest Aranyi ,  Robert J. Geiste ,  Bruce K. Jankowski ,  Keith Milliman

IPC分类号： A61B17/00 ,  A61B17/34

CPC分类号： A61B17/1155 ,  A61B17/115 ,  A61B17/34 ,  A61B2017/00128 ,  A61B2017/07257 ,  A61B2017/2905

摘要： This application is directed to a surgical stapling device 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. The handle portion includes a rotatable approximation knob for approximating the anvil and shell assemblies and a firing trigger for actuating a firing mechanism for ejecting staples positioned within the shell assembly. The firing trigger forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies. The head portion also includes a retractable trocar assembly which is slidably positioned within an anvil retainer and is automatically advanced and retracted upon attachment and detachment of the anvil assembly onto the anvil retainer. A lockout tube is provided and is positioned about an anvil retainer for releasably engaging an anvil assembly. The lockout tube prevents inadvertent detachment of the anvil assembly from the anvil retainer. The surgical stapling device also includes a firing lockout assembly which prevents actuation of the firing trigger until an anvil has been attached to the device and the anvil has been approximated. In one preferred embodiment, the firing lockout assembly includes a trigger lock and a safety bracket which prevents movement of the trigger lock from a locked to an unlocked position until an anvil has been attached to the device and approximated and returns the trigger lock to a locked position after the device has been fired. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.

摘要翻译： 该应用涉及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。 手柄部分包括用于近似砧座和壳体组件的可旋转近似旋钮，以及用于致动用于排出位于壳体组件内的缝钉的击发机构的击发触发器。 击发触发器形成两个连杆的一个连杆，用于致动击发机构。 砧座组件包括可倾斜的砧座，该砧座将在装置点火之后自动倾斜并且使砧座和壳体组件不接近。 头部还包括可伸缩套管针组件，其可滑动地定位在砧座保持器内，并且在将砧组件附接和拆卸到砧座保持器上时自动前进和缩回。 锁定管被设置并且围绕砧座保持器定位以可释放地接合砧座组件。 锁定管防止砧组件从砧座保持器的意外脱离。 外科缝合装置还包括击发锁定组件，其防止触发触发器的致动，直到砧已经附接到装置并且砧已被近似。 在一个优选实施例中，击发锁定组件包括触发锁和安全支架，其防止触发锁从锁定位置移动到解锁位置，直到砧座已经附接到装置并近似并且将触发器锁定回锁定 设备启动后的位置。 还提供了一种触觉指示机构，用于通知外科医生该装置已经被点燃，并且通知外科医生砧座头未被近距离足以允许砧头倾斜的距离。

公开(公告)号：US07204843B2

公开(公告)日：2007-04-17

申请号：US10388969

申请日：2003-03-13

申请人： Keith Milliman ,  Kevin Sniffen ,  David A. Nicolas ,  Scott E. Manzo ,  Peter Hinchliffe

发明人： Keith Milliman ,  Kevin Sniffen ,  David A. Nicolas ,  Scott E. Manzo ,  Peter Hinchliffe

IPC分类号： A61B17/04

CPC分类号： A61B17/1285 ,  A61B17/0293 ,  A61B17/08 ,  A61B17/083 ,  A61B17/11 ,  A61B17/1152 ,  A61B17/122 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/2916

摘要： A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends, a handle and a disposable loading unit removably mounted to the distal end of the housing. The loading unit includes upper and lower fastener support members having a passage defined therethrough for receiving an end of the second blood vessel and configured to releasably support a plurality of surgical fasteners. The loading unit also includes a retractable anvil located at a distal end of the loading unit, the anvil being movable relative to the fastener support member in response to actuation of the handle to simultaneously deform the of surgical fasteners.

摘要翻译： 用于吻合第一和第二血管的手术器械包括具有远端和近端的壳体，手柄和可移除地安装到壳体的远端的一次性加载单元。 装载单元包括上和下紧固件支撑构件，其具有通过其限定的通道，用于接收第二血管的端部并且构造成可释放地支撑多个外科紧固件。 装载单元还包括位于加载单元的远端处的可伸缩砧座，砧座响应于手柄的致动而相对于紧固件支撑构件可移动，以同时使外科紧固件变形。