公开(公告)号：US08459522B2

公开(公告)日：2013-06-11

申请号：US13545017

申请日：2012-07-10

申请人： Stanislaw Marczyk

发明人： Stanislaw Marczyk

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/068 ,  A61B17/072 ,  A61B17/115 ,  A61B2017/00181 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/2923

摘要： A medical instrument having a tool assembly attachable to a distal end of the medical instrument is disclosed. The tool assembly includes a pair of opposing tissue engaging surfaces for clamping tissue therebetween. The medical instrument also includes a housing having a fixed handle and a movable handle mounted to the housing and selectively movable relative to the fixed handle from a first position in spaced relation relative to the fixed handle to a second position closer to the fixed handle to actuate the clamping of tissue. The instrument further includes a selectively activatable drive assembly including a power source and a motor which is operatively coupled to the movable handle, wherein upon actuation the motor actuates the pair of opposing tissue engaging surfaces.

摘要翻译： 公开了具有可附接到医疗器械的远端的工具组件的医疗器械。 工具组件包括一对相对的组织接合表面，用于在其间夹紧组织。 医疗器械还包括具有固定把手的壳体和安装到壳体的可移动手柄，并且可相对于固定手柄相对于固定手柄以间隔开的关系相对于固定手柄选择性地移动到靠近固定手柄的第二位置以致动 夹紧组织。 仪器还包括可选择性激活的驱动组件，其包括动力源和可操作地联接到可动手柄的马达，其中在致动时马达致动一对相对的组织接合表面。

公开(公告)号：US08444038B2

公开(公告)日：2013-05-21

申请号：US12899954

申请日：2010-10-07

申请人： David Farascioni ,  Stanislaw Marczyk

发明人： David Farascioni ,  Stanislaw Marczyk

IPC分类号： A61B17/04

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B2017/07221 ,  A61B2017/07271 ,  A61B2017/320052

摘要： A surgical instrument including a handle assembly, an elongate portion, a pair of opposed jaw members and a tissue stop is disclosed. The elongate portion extends distally from the handle assembly, and the pair of opposed jaw members extend distally from the elongate portion. The pair of opposed jaw members include first and second jaw members. The tissue stop cammingly engaged with the first jaw member and is movable between a first position where at least a portion of a stopping portion of the tissue stop is disposed between a tissue-contacting surface of the first jaw member and a tissue-contacting surface of the second jaw member and a second position where the portion of the stopping portion is between the tissue-contacting surface of the first jaw member and a lower surface of the first jaw member.

摘要翻译： 公开了一种手术器械，包括手柄组件，细长部分，一对相对的钳口构件和组织止挡件。 细长部分从手柄组件向远侧延伸，并且一对相对的夹爪构件从细长部分向远侧延伸。 一对相对的钳口构件包括第一和第二钳口构件。 所述组织止动件与所述第一钳口构件凸轮接合，并且可在所述组织止挡件的止动部分的至少一部分设置在所述第一钳口构件的组织接触表面与第一钳口构件的组织接触表面之间的第一位置之间移动， 第二钳口构件和止动部分的部分在第一钳口构件的组织接触表面和第一钳口构件的下表面之间的第二位置。

公开(公告)号：US08418904B2

公开(公告)日：2013-04-16

申请号：US13347973

申请日：2012-01-11

申请人： Thomas Wenchell ,  Stanislaw Marczyk ,  Kenneth H. Whitfield ,  Roman Czernik ,  Henry E. Holsten ,  Frank C. Maffei

发明人： Thomas Wenchell ,  Stanislaw Marczyk ,  Kenneth H. Whitfield ,  Roman Czernik ,  Henry E. Holsten ,  Frank C. Maffei

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/068 ,  A61B90/03 ,  A61B2017/00115 ,  A61B2017/0046 ,  A61B2017/2927 ,  A61B2090/034 ,  A61B2090/0808

摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly.

摘要翻译： 提供了一种用于将多个紧固件顺次施加到身体组织并同时切开组织的外科缝合装置。 外科缝合装置适于容纳具有线性行的钉的一次性装载单元，其长度可以在约30mm至60mm之间。 一次性装载单元包括近端主体部分，安装组件和工具组件。 安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。 支撑构件或吹出板组件定位在枢轴avis的相对侧上并且在近侧主体部分和安装组件之间延伸。

公开(公告)号：US08348127B2

公开(公告)日：2013-01-08

申请号：US12755590

申请日：2010-04-07

申请人： Stanislaw Marczyk

发明人： Stanislaw Marczyk

IPC分类号： A61B17/04 ,  A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/07221 ,  A61B2017/07271 ,  A61B2017/07278

摘要： A surgical fastener cartridge is provided and includes a cartridge body having a plurality of surgical fasteners operatively disposed therein. An actuation mechanism is housed within the cartridge body and includes a plurality of pushers operably associated with the plurality of surgical fasteners. The actuation mechanism includes a plurality of pivotably connected link assemblies. Each link assembly being pivotably engaged with a corresponding bottom surface associated with each the pushers and a corresponding top surface associated with an internal channel housing and operably coupled to one another. The actuation mechanism includes an activation structure configured to move each of the link assemblies and sequentially cause each of the link assemblies to move through a succession of motions within the cartridge body, such that the link assemblies cause the corresponding pusher to contact and, subsequently, sequentially eject the associated surgical fastener towards the depression in the anvil.

摘要翻译： 提供外科紧固件盒，并且包括具有可操作地设置在其中的多个手术紧固件的药筒主体。 致动机构容纳在药筒体内，并且包括可操作地与多个外科紧固件相关联的多个推动器。 致动机构包括多个可枢转地连接的连杆组件。 每个连杆组件可枢转地与与每个推动器相关联的相应底部表面接合，以及与内部通道壳体相关联并且可操作地彼此连接的相应顶部表面。 所述致动机构包括致动结构，所述致动结构构造成移动每个所述连杆组件并且顺序地使所述连杆组件中的每一个移动通过所述筒体内的一系列运动，使得所述连杆组件使所述相应的推动器接触， 顺序地将相关的手术紧固件朝向砧座中的凹陷排出。

公开(公告)号：US08292154B2

公开(公告)日：2012-10-23

申请号：US12727487

申请日：2010-03-19

申请人： Stanislaw Marczyk

发明人： Stanislaw Marczyk

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/07292 ,  A61B2017/07271 ,  Y10S227/901 ,  Y10S227/902 ,  Y10S411/92

摘要： A surgical apparatus for applying tissue fasteners is provided. The surgical apparatus includes a handle assembly, an elongated body that extends from the handle assembly, and a tool assembly mounted on the end of the elongate body. The tool assembly includes a cartridge assembly for receiving the tissue fasteners and a housing assembly for receiving a looped member. The tool assembly is configured to advance the tissue fasteners into the looped member to secure tissue between the fasteners and the looped member.

摘要翻译： 提供了一种用于施加组织紧固件的手术装置。 手术装置包括手柄组件，从手柄组件延伸的细长主体和安装在细长主体的端部上的工具组件。 工具组件包括用于接收组织紧固件的盒组件和用于接收环形构件的壳体组件。 工具组件被配置为将组织紧固件推进到环形构件中，以将组织固定在紧固件和环形构件之间。

公开(公告)号：US08286848B2

公开(公告)日：2012-10-16

申请号：US13225937

申请日：2011-09-06

申请人： Thomas Wenchell ,  Stanislaw Marczyk ,  Kenneth H. Whitfield ,  Roman Czernik ,  Henry E. Holsten ,  Frank C. Maffei

发明人： Thomas Wenchell ,  Stanislaw Marczyk ,  Kenneth H. Whitfield ,  Roman Czernik ,  Henry E. Holsten ,  Frank C. Maffei

IPC分类号： A61B17/072

CPC分类号： A61B17/07207 ,  A61B17/068 ,  A61B90/03 ,  A61B2017/00115 ,  A61B2017/0046 ,  A61B2017/2927 ,  A61B2090/034 ,  A61B2090/0808

摘要： A surgical stapling device for sequentially applying a plurality of fasteners to body tissue and simultaneously incising tissue is provided. The surgical stapling device is adapted to receive disposable loading units having staples in linear rows whose length can be between about 30 mm and 60 mm. The disposable loading unit includes a proximal body portion, a mounting assembly and a tool assembly. The mounting assembly is secured to the proximal end of the tool assembly and pivotally mounted about a pivot axis to the distal end of the proximal body portion. A support member or blow-out plate assembly is positioned on opposite sides of the pivot avis and extends between the proximal body portion and the mounting assembly.

摘要翻译： 提供了一种用于将多个紧固件顺次施加到身体组织并同时切开组织的外科缝合装置。 外科缝合装置适于容纳具有线性行的钉的一次性装载单元，其长度可以在约30mm至60mm之间。 一次性装载单元包括近端主体部分，安装组件和工具组件。 安装组件固定到工具组件的近端并且枢转地围绕枢转轴线安装到近端主体部分的远端。 支撑构件或吹出板组件定位在枢轴avis的相对侧上并且在近侧主体部分和安装组件之间延伸。

公开(公告)号：US20120080473A1

公开(公告)日：2012-04-05

申请号：US12899954

申请日：2010-10-07

申请人： David Farascioni ,  Stanislaw Marczyk

发明人： David Farascioni ,  Stanislaw Marczyk

IPC分类号： A61B17/064

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B2017/07221 ,  A61B2017/07271 ,  A61B2017/320052

摘要： A surgical instrument including a handle assembly, an elongate portion, a pair of opposed jaw members and a tissue stop is disclosed. The elongate portion extends distally from the handle assembly, and the pair of opposed jaw members extend distally from the elongate portion. The pair of opposed jaw members include first and second jaw members. The tissue stop cammingly engaged with the first jaw member and is movable between a first position where at least a portion of a stopping portion of the tissue stop is disposed between a tissue-contacting surface of the first jaw member and a tissue-contacting surface of the second jaw member and a second position where the portion of the stopping portion is between the tissue-contacting surface of the first jaw member and a lower surface of the first jaw member.

摘要翻译： 公开了一种手术器械，包括手柄组件，细长部分，一对相对的钳口构件和组织止挡件。 细长部分从手柄组件向远侧延伸，并且一对相对的夹爪构件从细长部分向远侧延伸。 一对相对的钳口构件包括第一和第二钳口构件。 所述组织止动件与所述第一钳口构件凸轮接合，并且可在所述组织止挡件的止动部分的至少一部分设置在所述第一钳口构件的组织接触表面与第一钳口构件的组织接触表面之间的第一位置之间移动， 第二钳口构件和止动部分的部分在第一钳口构件的组织接触表面和第一钳口构件的下表面之间的第二位置。

公开(公告)号：US20110319819A1

公开(公告)日：2011-12-29

申请号：US13224361

申请日：2011-09-02

申请人： Michael Davis ,  Stanislaw Marczyk ,  Peter Hathaway ,  Brian Creston ,  Gregory G. Okoniewski

发明人： Michael Davis ,  Stanislaw Marczyk ,  Peter Hathaway ,  Brian Creston ,  Gregory G. Okoniewski

IPC分类号： A61B17/34

CPC分类号： A61B17/3494 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00106 ,  A61B2017/00544 ,  A61B2017/3484 ,  A61B2017/3486 ,  A61B2017/3492

摘要： A safety trocar assembly incorporating an airbag is provided to prevent overpenetration of the safety trocar assembly through an abdominal wall and into a body cavity. The safety trocar assembly includes an airbag cannula having an expandable airbag proximal of the distal end of the cannula. A sensing device is located at a distal end of the cannula for detecting changes in conditions at the distal end of the cannula. A trigger mechanism is provided on the cannula and operates to inflate the airbag in response to a change in condition detected by the sensing device.

摘要翻译： 提供一种安装有安全气囊的安全套管针组件，以防止安全套管组件通过腹壁过度穿透并进入体腔。 安全套管针组件包括气囊插管，其具有在插管远端附近的可扩张的气囊。 感测装置位于套管的远端，用于检测插管远端处的状况变化。 在套管上提供触发机构，并且响应于由感测装置检测到的状况改变而使安全气囊膨胀。

公开(公告)号：US08074858B2

公开(公告)日：2011-12-13

申请号：US12476327

申请日：2009-06-02

申请人： Stanislaw Marczyk

发明人： Stanislaw Marczyk

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B2017/00017 ,  A61B2017/00398 ,  A61B2017/2913 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/294 ,  A61B2017/2943 ,  A61B2090/0811

摘要： A retraction mechanism has been developed for use with a hand held surgical apparatus. The retraction mechanism includes a motor, a first speed reducing mechanism, a clutch mechanism incorporating a second speed reducing mechanism, and a shaft. The first speed reducing mechanism is configured to be driven by a motor. The second speed reducing mechanism has a locked state and an unlocked state. In addition, the clutch mechanism is disposed in mechanical cooperation with the first speed reducing mechanism. The shaft is configured to rotate upon activation of the motor the second speed reducing mechanism is in the locked state. The rotation of the shaft retracts a firing drive of the hand held surgical apparatus.

摘要翻译： 已经开发了用于手持式手术装置的缩回机构。 回缩机构包括电动机，第一减速机构，包含第二减速机构的离合器机构和轴。 第一减速机构构造成由电动机驱动。 第二减速机构具有锁定状态和解锁状态。 此外，离合器机构与第一减速机构机械配合配置。 轴构造成在电动机启动时旋转，第二减速机构处于锁定状态。 轴的旋转缩回了手持式手术装置的点火驱动。

公开(公告)号：US20110284611A1

公开(公告)日：2011-11-24

申请号：US13186707

申请日：2011-07-20

申请人： Stanislaw Marczyk

发明人： Stanislaw Marczyk

IPC分类号： A61B17/068

CPC分类号： A61B17/068 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/031

摘要： The surgical stapling apparatus includes a handle assembly, an elongated body extending distally from the handle assembly, and an articulation mechanism for articulating a tool assembly. The articulation mechanism includes a first gear rotatably mounted on a transmission shaft and configured to engage a second gear, a clutch interconnecting the second gear and a main shaft; and a yoke shaft coupled to the main shaft and adapted to linearly advance a J-channel, the J-channel operatively connected to an articulation link. A motor assembly may rotate the transmission shaft of the articulation mechanism. Alternatively, the articulation mechanism may include an articulation knob. Users may manually rotate the articulation knob to articulate the tool assembly of the surgical stapling apparatus.

摘要翻译： 外科缝合装置包括手柄组件，从手柄组件向远侧延伸的细长体，以及用于铰接工具组件的关节运​​动机构。 铰接机构包括可旋转地安装在传动轴上并构造成接合第二齿轮的第一齿轮，将第二齿轮和主轴互连的离合器; 以及耦合到所述主轴并适于线性前进J通道的轭轴，所述J通道可操作地连接到铰接连杆。 马达组件可旋转铰接机构的传动轴。 或者，关节运动机构可以包括关节运动旋钮。 用户可以手动旋转关节旋钮，以便将外科缝合装置的工具组件铰接。