公开(公告)号：US07424965B2

公开(公告)日：2008-09-16

申请号：US11652756

申请日：2007-01-12

申请人： David C. Racenet ,  Ralph Stearns ,  John W. Beardsley ,  Philip Roy ,  Lee Ann Olson

发明人： David C. Racenet ,  Ralph Stearns ,  John W. Beardsley ,  Philip Roy ,  Lee Ann Olson

IPC分类号： A61B17/04

CPC分类号： A61B17/068 ,  A61B17/0644 ,  A61B17/07207 ,  A61B17/105 ,  A61B34/71 ,  A61B2017/0688 ,  A61B2017/07214 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/291 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2931 ,  A61B2017/320052 ,  A61B2090/0811

摘要： A surgical device is disclosed which includes a handle portion, a central body portion and a SULU. The SULU includes a proximal body portion, an intermediate pivot member and a tool assembly. The intermediate pivot member is pivotally secured to the proximal body portion about a first pivot axis and the tool assembly is pivotally secured to the intermediate pivot member about a second pivot axis which is orthogonal to the first pivot axis. The SULU includes a plurality of articulation links which are operably connected to the tool assembly by non-rigid links. The articulation links are adapted to releasably engage articulation links positioned in the central body portion. The body portion articulation links are connected to an articulation actuator which is supported for omni-directional movement to effect articulation of the tool assembly about the first and second axes. The handle portion includes a spindle and barrel assembly drive mechanism for advancing and retracting a drive member positioned in the tool assembly. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly.

摘要翻译： 公开了一种手术装置，其包括手柄部分，中心主体部分和SULU。 SULU包括近端主体部分，中间枢转构件和工具组件。 中间枢转构件围绕第一枢转轴线枢转地固定到近端主体部分，并且工具组件围绕与第一枢转轴线正交的第二枢转轴线枢转地固定到中间枢转构件。 SULU包括多个铰接连杆，其通过非刚性连杆可操作地连接到工具组件。 铰接连杆适于可释放地接合位于中心主体部分中的铰接连杆。 主体部分铰接连杆连接到铰接致动器，该铰接致动器被支撑用于全方向运动，以实现工具组件围绕第一和第二轴的铰接。 手柄部分包括用于使位于工具组件中的驱动构件前进和后退的主轴和筒组件驱动机构。 在一个实施例中，工具组件包括具有多个订书钉和砧座组件的盒组件。

公开(公告)号：US07401721B2

公开(公告)日：2008-07-22

申请号：US11436222

申请日：2006-05-18

申请人： Henry Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich

发明人： Henry Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich

IPC分类号： A61B17/068

CPC分类号： A61B17/115 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07271 ,  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.

公开(公告)号：US20080083807A1

公开(公告)日：2008-04-10

申请号：US11544479

申请日：2006-10-06

申请人： John W. Beardsley ,  Stanislaw Marczyk

发明人： John W. Beardsley ,  Stanislaw Marczyk

IPC分类号： A61B17/10 ,  A61B17/04

摘要： A surgical instrument including a handle portion, a body portion, an articulating tool assembly and a locking assembly is disclosed. The handle portion includes a movable handle. The body portion extends distally from the handle portion and defines a first longitudinal axis. The articulating tool assembly defines a second longitudinal axis and is movable from a first position where the second longitudinal axis is substantially aligned with the first longitudinal axis to at least a second position where the second longitudinal axis is at an angle to the first longitudinal axis. The locking assembly includes a member that is advanceable distally with respect to the body portion. The member engages the articulating tool assembly upon manipulation of the movable handle to move an anvil and a cartridge assembly in approximation with one another to help maintain the articulating tool assembly in its first position.

摘要翻译： 公开了一种包括手柄部分，主体部分，铰接工具组件和锁定组件的手术器械。 手柄部分包括可动手柄。 主体部分从手柄部分向远侧延伸并且限定第一纵向轴线。 铰接工具组件限定第二纵向轴线并且可以从第二纵向轴线与第一纵向轴线基本上对准的第一位置移动到第二纵向轴线与第一纵向轴线成一定角度的至少第二位置。 锁定组件包括相对于主体部分向远侧前进的构件。 在操纵可动手柄以使砧座和盒组件相互近似地移动以帮助将关节工具组件保持在其第一位置时，该构件与铰接工具组件接合。

公开(公告)号：US09138226B2

公开(公告)日：2015-09-22

申请号：US13245222

申请日：2011-09-26

申请人： David C. Racenet ,  Philip Roy ,  John W. Beardsley ,  Lee Ann Olson ,  Ralph Stearns ,  Clifford L. Emmons

发明人： David C. Racenet ,  Philip Roy ,  John W. Beardsley ,  Lee Ann Olson ,  Ralph Stearns ,  Clifford L. Emmons

IPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/29 ,  A61B17/32

CPC分类号： A61B17/07207 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2902 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/320052

摘要： A staple cartridge assembly comprising a cartridge housing, a plurality of staples, a plurality of staple pushers, and an actuation sled is disclosed. Each staple pusher includes a first base portion, and a second base portion laterally and longitudinally spaced from one another. The actuation sled disposed in the cartridge housing and is longitudinally translatable therethrough to move the staple pushers. The actuation sled includes at least a first cam wedge and a second cam wedge arranged to engage the first base portion and the second base portion of the pushers. The first cam wedge is laterally and longitudinally spaced apart from the second cam wedge.

摘要翻译： 公开了一种钉仓组件，其包括盒壳体，多个订书钉，多个订书钉推动器和致动滑板。 每个订书钉推动器包括第一基部和相互横向和纵向间隔开的第二基部。 所述致动滑动件设置在所述盒壳体中并且可以纵向平移穿过其中以移动所述订书钉推动器。 致动滑板包括至少第一凸轮楔和布置成接合推动器的第一基部和第二基部的第二凸轮楔。 第一凸轮楔形件与第二凸轮楔形件横向和纵向间隔开。

公开(公告)号：US20130105547A1

公开(公告)日：2013-05-02

申请号：US13281888

申请日：2011-10-26

申请人： John W. Beardsley

发明人： John W. Beardsley

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B17/0644 ,  A61B17/0682 ,  A61B17/0686 ,  A61B17/07207 ,  A61B2017/07271 ,  A61B2017/07278

摘要： Disclosed is a surgical stapling apparatus and method of use that includes a cartridge assembly which is capable of being reloaded during a surgical procedure without being removed from the surgical site. This allows a surgeon to continue a surgical operation without withdrawing or removing the surgical stapler for reloading and thus reduces the length of the surgery while allowing the physician to concentrate solely on the surgical procedure rather than dividing attention between the surgical procedure and reloading of the surgical stapler. The surgical stapling apparatus includes an elongate member having a plurality of fasteners arranged in a plurality of longitudinally extending rows which is longitudinally translatable through the cartridge to position the plurality of fasteners relative to a plurality of retention slots extending through an upper surface of the cartridge.

公开(公告)号：US08424736B2

公开(公告)日：2013-04-23

申请号：US13155454

申请日：2011-06-08

申请人： Paul Scirica ,  John W. Beardsley

发明人： Paul Scirica ,  John W. Beardsley

IPC分类号： A61B17/068

CPC分类号： A61B17/0686 ,  A61B17/0682 ,  A61B17/07207 ,  A61B2017/00367 ,  A61B2017/2919 ,  A61B2017/2927 ,  A61B2017/2929

摘要： A surgical device is disclosed which includes a handle assembly, an elongated member and a disposable loading unit. The handle assembly includes a mode selection mechanism configured to alternate the surgical device between a first grasping mode of operation and a second clamping mode of operation. The handle assembly includes a rotation control member and an articulation lever. The rotation control member is configured to facilitate rotation of the elongated member with respect to the handle assembly. The articulation lever is configured to facilitate articulation of the tool assembly about an axis substantially perpendicular to the longitudinal axis of elongated member. In one embodiment, the tool assembly includes a cartridge assembly having a plurality of staples and an anvil assembly configured to clamp and staple tissue in the second clamping mode of operation of the device.

摘要翻译： 公开了一种手术装置，其包括手柄组件，细长构件和一次性装载单元。 手柄组件包括模式选择机构，其被配置为在第一抓握操作模式和第二夹紧操作模式之间交替外科装置。 手柄组件包括旋转控制构件和关节运动杆。 旋转控制构件构造成便于细长构件相对于手柄组件的旋转。 铰接杆构造成便于工具组件围绕基本上垂直于细长构件的纵向轴线的轴线铰接。 在一个实施例中，工具组件包括具有多个钉的钉仓组件和构造成在装置的第二夹紧操作模式中夹紧和缝合组织的砧组件。

公开(公告)号：US08403196B2

公开(公告)日：2013-03-26

申请号：US13371799

申请日：2012-02-13

申请人： John W. Beardsley ,  Stanislaw Kostrzewski ,  Frank C. Maffei ,  Lee Ann Olson ,  Sachin Shah ,  William R. Mayfield

发明人： John W. Beardsley ,  Stanislaw Kostrzewski ,  Frank C. Maffei ,  Lee Ann Olson ,  Sachin Shah ,  William R. Mayfield

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B17/068 ,  A61B17/072 ,  A61B17/1155 ,  A61B17/12136 ,  A61B17/32 ,  A61B2017/00243 ,  A61B2017/003 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00557 ,  A61B2017/00858 ,  A61B2017/00862 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/320044 ,  A61B2017/320048

摘要： The present disclosure describes a surgical fastener applying apparatus that includes an elongate body portion having proximal and distal ends, an end effector including a first movably coupled to a second jaw that is positioned at the distal end of the elongate body portion, and an introducer member. The introducer member has proximal and distal portions, and is configured and dimensioned for releasable connection with the end effector. The introducer member is at least partially formed from a flexible material, and is configured and dimensioned to separate target tissue from collateral tissue prior to positioning of the target tissue between the first and second jaws of the end effector.

公开(公告)号：US20120143218A1

公开(公告)日：2012-06-07

申请号：US13371799

申请日：2012-02-13

申请人： John W. Beardsley ,  Stanislaw Kostrzewski ,  Frank C. Maffei ,  Lee Ann Olson ,  Sachin Shah ,  William R. Mayfield

发明人： John W. Beardsley ,  Stanislaw Kostrzewski ,  Frank C. Maffei ,  Lee Ann Olson ,  Sachin Shah ,  William R. Mayfield

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B17/068 ,  A61B17/072 ,  A61B17/1155 ,  A61B17/12136 ,  A61B17/32 ,  A61B2017/00243 ,  A61B2017/003 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00557 ,  A61B2017/00858 ,  A61B2017/00862 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/320044 ,  A61B2017/320048

摘要： The present disclosure describes a surgical fastener applying apparatus that includes an elongate body portion having proximal and distal ends, an end effector including a first movably coupled to a second jaw that is positioned at the distal end of the elongate body portion, and an introducer member. The introducer member has proximal and distal portions, and is configured and dimensioned for releasable connection with the end effector. The introducer member is at least partially formed from a flexible material, and is configured and dimensioned to separate target tissue from collateral tissue prior to positioning of the target tissue between the first and second jaws of the end effector.

摘要翻译： 本公开描述了一种手术紧固件施加装置，其包括具有近端和远端的细长主体部分，末端执行器，包括第一可移动地联接到位于细长主体部分的远端处的第二钳口，以及导引器构件 。 导引器构件具有近端部分和远端部分，并且构造和尺寸设计成用于与末端执行器的可释放连接。 导引器构件至少部分地由柔性材料形成，并且被构造和尺寸设计成在将目标组织定位在末端执行器的第一和第二钳口之前，将目标组织与副组织分开。

公开(公告)号：US08136711B2

公开(公告)日：2012-03-20

申请号：US12571659

申请日：2009-10-01

申请人： John W. Beardsley ,  Stanislaw Kostrzewski ,  Frank C. Maffei ,  Lee Ann Olson ,  Sachin Shah ,  William R. Mayfield

发明人： John W. Beardsley ,  Stanislaw Kostrzewski ,  Frank C. Maffei ,  Lee Ann Olson ,  Sachin Shah ,  William R. Mayfield

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B2017/003 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00858 ,  A61B2017/00862 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/22045 ,  A61B2017/320044 ,  A61B2017/320048

摘要： The present disclosure describes a surgical fastener applying apparatus that includes an elongate body portion having proximal and distal ends, an end effector including a first movably coupled to a second jaw that is positioned at the distal end of the elongate body portion, and an introducer member. The introducer member has proximal and distal portions, and is configured and dimensioned for releasable connection with the end effector. The introducer member is at least partially formed from a flexible material, and is configured and dimensioned to separate target tissue from collateral tissue prior to positioning of the target tissue between the first and second jaws of the end effector.

摘要翻译： 本公开描述了一种手术紧固件施加装置，其包括具有近端和远端的细长主体部分，末端执行器，包括第一可移动地联接到位于细长主体部分的远端处的第二钳口，以及导引器构件 。 导引器构件具有近端部分和远端部分，并且构造和尺寸设计成用于与末端执行器的可释放连接。 导引器构件至少部分地由柔性材料形成，并且被构造和尺寸设计成在将目标组织定位在末端执行器的第一和第二钳口之前，将目标组织与副组织分开。

公开(公告)号：US20120043369A1

公开(公告)日：2012-02-23

申请号：US13286544

申请日：2011-11-01

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： A61B17/072 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  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。