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88 条记录 (耗时 0.043 秒)

    Self contained gas powered surgical apparatus
    51.
    发明授权
    Self contained gas powered surgical apparatus 失效
    自备气体手术器械

    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。

    Apparatus and method for performing a bypass procedure in a digestive system
    54.
    发明授权
    Apparatus and method for performing a bypass procedure in a digestive system 有权
    在消化系统中执行旁路过程的装置和方法

    公开(公告)号：US08317809B2

    公开(公告)日：2012-11-27

    申请号：US13023604

    申请日：2011-02-09

    申请人： Tim Nolan ,  Ernie Aranyi ,  John Klinger ,  Keith Ratcliff ,  John Charles Robertson

    发明人： Tim Nolan ,  Ernie Aranyi ,  John Klinger ,  Keith Ratcliff ,  John Charles Robertson

    IPC分类号： A61B17/08 ,  A61B17/04

    CPC分类号： A61B17/115 ,  A61B17/07207 ,  A61B17/1114 ,  A61B2017/00004 ,  A61B2017/07214 ,  A61B2017/1135 ,  A61B2017/1139

    摘要： Surgical instrumentation and methods for performing a bypass procedure in a digestive system incorporate laparoscopic techniques to minimize surgical trauma to the patient. The instrumentation includes an outer guide member dimensioned for insertion and passage through an esophagus of a patient and defining an opening therein extending at least along a portion of the length of the outer guide member, an elongate anvil delivery member at least partially disposed within the opening of the outer guide member and being adapted for longitudinal movement within the outer guide member between an initial position and an actuated position and an anvil operatively engageable with the delivery member. The anvil includes an anvil rod defining a longitudinal axis and an anvil head connected to the anvil rod. The anvil head is at least partially disposed within the opening of the outer guide member when in the initial position of the delivery member and is fully exposed from the distal end of the outer guide member upon movement of the delivery member to the actuated position.

    摘要翻译： 用于在消化系统中执行旁路过程的手术仪器和方法包括腹腔镜技术以最小化对患者的手术创伤。 所述仪器包括外引导构件，所述外引导构件的尺寸适于插入和通过患者的食道并且限定其中至少沿着所述外引导构件的所述长度的一部分延伸的开口;至少部分地设置在所述开口内的细长砧输送构件 并且适于在外引导构件之间在初始位置和致动位置之间纵向运动，并且可操作地与输送构件接合的砧座。 砧座包括限定纵向轴线的砧座杆和连接到砧座杆的砧座头部。 当处于输送构件的初始位置时，砧头至少部分地设置在外引导构件的开口内，并且当输送构件移动到致动位置时，砧座头从外引导构件的远端完全暴露。

    Surgical stapling apparatus
    55.
    发明授权
    Surgical stapling apparatus 失效
    手术吻合装置

    公开(公告)号：US07891533B2

    公开(公告)日：2011-02-22

    申请号：US12269600

    申请日：2008-11-12

    申请人： David T Green ,  Keith Ratcliff ,  Keith Milliam ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    发明人： David T Green ,  Keith Ratcliff ,  Keith Milliam ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

    摘要： An 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 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。 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。

    SURGICAL STAPLING APPARATUS
    57.
    发明申请
    SURGICAL STAPLING APPARATUS 失效
    手术装置

    公开(公告)号：US20090065551A1

    公开(公告)日：2009-03-12

    申请号：US12269618

    申请日：2008-11-12

    申请人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    发明人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

    摘要： An 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 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。 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。

    Instruments and methods for use in laparoscopic surgery
    59.
    发明授权
    Instruments and methods for use in laparoscopic surgery 失效
    用于腹腔镜手术的仪器和方法

    公开(公告)号：US07041055B2

    公开(公告)日：2006-05-09

    申请号：US10680973

    申请日：2003-10-07

    申请人： Wayne P. Young ,  John I. Shipp ,  Keith Ratcliff

    发明人： Wayne P. Young ,  John I. Shipp ,  Keith Ratcliff

    IPC分类号： A61B1/32

    CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/22031 ,  A61B17/221 ,  A61B17/34 ,  A61B17/3421 ,  A61B17/3439 ,  A61B2017/32006 ,  A61B2017/3419 ,  A61B2017/3484

    摘要： An improved surgical dilator extractor is introduced into the abdominal cavity through a trocar cannula and expanded, forming a tissue receiving space, at the distal end. The tissue receiving space is enlarged by passing a grasper through a lumen of the dilator extractor to interact with a guide surface on the interior of dilator extractor to expand a dilator portion having a single leaf beyond the natural resiliency of the leaf. The tissue being extracted is then manipulated into the space with the grasper. The tissue is then removed from the cavity by the surgeon applying a force onto the dilator extractor that insures the elongation of the tissue and temporarily dilates the entry wound to the extent necessary for the tissue to be removed. Alternative embodiments of the surgical dilator extractor and related instrument tool sets and methods for the use thereof also are disclosed.

    摘要翻译： 改进的手术扩张器提取器通过套管针套管引入腹腔，并在远端扩张，形成组织接收空间。 通过使抓紧器通过扩张器提取器的内腔来扩大组织接收空间，以与扩张器提取器内部的引导表面相互作用，以使具有超过叶片的自然弹性的单个叶片的扩张器部分膨胀。 然后将被提取的组织用抓紧器操纵到空间中。 然后外科医生通过外科医生将力量移出到扩张器提取器上，从而确保组织的伸长并暂时将伤口的扩张程度扩大到要移除的组织所需的程度。 还公开了手术扩张器提取器和相关仪器工具组的替代实施例及其使用方法。