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公开(公告)号：US6024750A
公开(公告)日：2000-02-15
申请号：US911205
申请日：1997-08-14
CPC分类号： A61B17/320092 , A61B17/29 , A61B17/295 , A61B2017/2825 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.
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公开(公告)号：US07905875B2
公开(公告)日：2011-03-15
申请号：US12643562
申请日：2009-12-21
申请人： A. David Smith , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
发明人： A. David Smith , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
IPC分类号： A61M31/00
CPC分类号： A61M25/0097 , A61M25/0009 , A61M25/0014 , A61M39/06 , A61M39/0606 , A61M39/10 , A61M2027/004 , A61M2039/062 , A61M2039/1027
摘要： A catheter for implantation into a patient having a catheter tube having a distal end, a means for trimming the distal end of the catheter tube after subcutaneous insertion of the tip of the catheter lumen into a desired position within the patient to form a trimmed end portion, and a means for selectively positioning each respective lumen of the trimmed end portion of the catheter tube into fluid communication with the respective first end of one attachment tube. The attachment tube is select fluid communication with a desired medical device.
摘要翻译： 一种用于植入具有具有远端的导管的患者的导管，用于在将导管内腔的尖端皮下插入患者体内的期望位置之后修整导管管的远端的装置，以形成修剪的端部 以及用于选择性地定位导管管的修剪端部的每个相应内腔与一个附接管的相应第一端流体连通的装置。 附件管是与期望的医疗装置的选择性流体连通。
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公开(公告)号：US06468286B2
公开(公告)日：2002-10-22
申请号：US09948014
申请日：2001-09-06
IPC分类号： A61B1732
CPC分类号： A61B17/320092 , A61B17/29 , A61B17/295 , A61B2017/2825 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.
摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和远程致动器。 超声波仪器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割钳口。 振动耦合器将超声波传感器的高频振动传导到切割钳口。 切割钳具有刀片表面，刀片表面相对于细长主体部分的纵向轴线在远端方向上沿其长度向下和向外弯曲，使得由与叶片表面相切的线和纵向轴线 细长主体部分在5度和75度之间变化。 具有组织接触表面的夹紧构件定位成与切割钳口相邻，并且可从组织接触表面从叶片表面间隔开的打开位置移动到夹紧位置，在该夹紧位置，组织接触表面与 叶片表面以夹紧组织。 夹紧构件和弯曲切割钳组合以在切割期间增强组织与切割钳口的刀片表面之间的接触。 此外，叶片表面相对于细长主体部分的纵向轴线的连续变化的角度有助于选择性使用者控制在切割或解剖过程中在组织上的施加力。
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公开(公告)号：US5531763A
公开(公告)日：1996-07-02
申请号：US319912
申请日：1994-10-07
CPC分类号： A61B17/0487 , A61B17/105 , A61B2017/045 , A61B2017/0479 , A61B2017/0488 , Y10T29/53222
摘要： The disclosure contemplates a device for cinching surgical sutures, an applicator for applying the device, a dispenser for dispensing the device, an endoscopic kit including the above and a method of use for the same.
摘要翻译： 本公开涉及用于收紧外科缝线的装置，用于施加装置的施加器，用于分配装置的分配器，包括上述装置的内窥镜套件以及用于其的方法。
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公开(公告)号：US07740616B2
公开(公告)日：2010-06-22
申请号：US11392257
申请日：2006-03-29
申请人： A. David Smith , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
发明人： A. David Smith , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
IPC分类号： A61M25/02
CPC分类号： A61M25/0097 , A61M25/0009 , A61M25/0014 , A61M39/06 , A61M39/0606 , A61M39/10 , A61M2027/004 , A61M2039/062 , A61M2039/1027
摘要： A catheter for implantation into a patient having a catheter tube having a distal end, a means for trimming the distal end of the catheter tube after subcutaneous insertion of the tip of the catheter lumen into a desired position within the patient to form a trimmed end portion, and a means for selectively positioning each respective lumen of the trimmed end portion of the catheter tube into fluid communication with the respective first end of one attachment tube. The attachment tube is select fluid communication with a desired medical device.
摘要翻译： 一种用于植入具有具有远端的导管的患者的导管，用于在将导管内腔的尖端皮下插入患者体内的期望位置之后修整导管管的远端的装置，以形成修剪的端部 以及用于选择性地定位导管管的修剪端部的每个相应内腔与一个附接管的相应第一端流体连通的装置。 附件管是与期望的医疗装置的选择性流体连通。
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公开(公告)号：US20090030440A1
公开(公告)日：2009-01-29
申请号：US12241565
申请日：2008-09-30
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/29 , A61B17/295 , A61B2017/2825 , A61B2017/320075 , A61B2017/320094 , A61B2017/320095
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.
摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和远程致动器。 超声波仪器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割钳口。 振动耦合器将超声波传感器的高频振动传导到切割钳口。 切割钳具有刀片表面，刀片表面相对于细长主体部分的纵向轴线在远端方向上沿其长度向下和向外弯曲，使得由与叶片表面相切的线和纵向轴线 细长主体部分在5度和75度之间变化。 具有组织接触表面的夹紧构件定位成与切割钳口相邻，并且可从组织接触表面从叶片表面间隔开的打开位置移动到夹紧位置，在该夹紧位置，组织接触表面与 叶片表面以夹紧组织。 夹紧构件和弯曲切割钳组合以在切割期间增强组织与切割钳口的刀片表面之间的接触。 此外，叶片表面相对于细长主体部分的纵向轴线的连续变化的角度有助于选择性使用者控制在切割或解剖过程中在组织上的施加力。
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公开(公告)号：US06682544B2
公开(公告)日：2004-01-27
申请号：US10241936
申请日：2002-09-11
IPC分类号： A61B1732
CPC分类号： A61B17/320092 , A61B17/29 , A61B17/295 , A61B2017/2825 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.
摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和远程致动器。 超声波仪器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割钳口。 振动耦合器将超声波传感器的高频振动传导到切割钳口。 切割钳具有刀片表面，刀片表面相对于细长主体部分的纵向轴线在远端方向上沿其长度向下和向外弯曲，使得由与叶片表面相切的线和纵向轴线 细长主体部分在5度和75度之间变化。 具有组织接触表面的夹紧构件定位成与切割钳口相邻，并且可从组织接触表面从叶片表面间隔开的打开位置移动到夹紧位置，在该夹紧位置，组织接触表面与 叶片表面以夹紧组织。 夹紧构件和弯曲切割钳组合以在切割期间增强组织与切割钳口的刀片表面之间的接触。 此外，叶片表面相对于细长主体部分的纵向轴线的连续变化的角度有助于选择性使用者控制在切割或解剖过程中在组织上的施加力。
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公开(公告)号：US20100100074A1
公开(公告)日：2010-04-22
申请号：US12643562
申请日：2009-12-21
申请人： A. DAVID SMITH , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
发明人： A. DAVID SMITH , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
IPC分类号： A61M25/16 , A61B17/3209
CPC分类号： A61M25/0097 , A61M25/0009 , A61M25/0014 , A61M39/06 , A61M39/0606 , A61M39/10 , A61M2027/004 , A61M2039/062 , A61M2039/1027
摘要： A catheter for implantation into a patient having a catheter tube having a distal end, a means for trimming the distal end of the catheter tube after subcutaneous insertion of the tip of the catheter lumen into a desired position within the patient to form a trimmed end portion, and a means for selectively positioning each respective lumen of the trimmed end portion of the catheter tube into fluid communication with the respective first end of one attachment tube. The attachment tube is select fluid communication with a desired medical device.
摘要翻译： 一种用于植入具有具有远端的导管的患者的导管，用于在将导管内腔的尖端皮下插入患者体内的期望位置之后修整导管管的远端的装置，以形成修剪的端部 以及用于选择性地定位导管管的修剪端部的每个相应内腔与一个附接管的相应第一端流体连通的装置。 附件管是与期望的医疗装置的选择性流体连通。
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公开(公告)号：US07681772B2
公开(公告)日：2010-03-23
申请号：US11978852
申请日：2007-10-30
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery includes an elongate member defining a longitudinal axis, a cartridge, an anvil, and a control member located in a proximal region of the elongate member. The cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. The anvil provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to body tissue. The control member is axially movable along the longitudinal axis to articulate the cartridge. The control member is also rotatable to rotate the cartridge.
摘要翻译： 一种用于内窥镜应用外科手术钉的装置，其适于在腹腔镜疝手术中将外科手术网连接到身体组织，包括限定纵向轴线的细长构件，钉仓，砧座和位于细长构件的近侧区域中的控制构件。 药筒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。 砧座提供单独封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 控制构件沿着纵向轴线可轴向移动以使卡盒连接。 控制构件也可旋转以旋转盒。
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公开(公告)号：US20090314820A1
公开(公告)日：2009-12-24
申请号：US12547941
申请日：2009-08-26
申请人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人： David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
IPC分类号： A61B17/068
CPC分类号： A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.
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