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    Apparatus and method for performing a bypass procedure in a digestive system
    62.
    发明申请
    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：US20060229643A1

    公开(公告)日：2006-10-12

    申请号：US11448459

    申请日：2006-06-06

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

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

    IPC分类号： A61B17/08

    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。

    Stapling apparatus and method for heart valve replacement
    63.
    发明授权
    Stapling apparatus and method for heart valve replacement 失效
    心脏瓣膜置换装置及方法

    公开(公告)号：US06676671B2

    公开(公告)日：2004-01-13

    申请号：US09798827

    申请日：2001-03-02

    申请人： John Charles Robertson ,  Keith Ratcliff ,  Brian W. Moulder

    发明人： John Charles Robertson ,  Keith Ratcliff ,  Brian W. Moulder

    IPC分类号： A61B1704

    CPC分类号： A61F2/2427 ,  A61B17/068 ,  A61B17/072 ,  A61B17/1155 ,  A61B2017/00243 ,  A61B2017/07214 ,  A61F2/2403

    摘要： A surgical stapler for securing a prosthetic heart valve within a patient is disclosed and generally includes a first cylindrical portion for carrying a staple assembly on a distal end thereof, a second cylindrical portion positioned concentrically about the first cylindrical portion and having a camming arm on a distal end thereof and a third cylindrical portion positioned concentrically about the second cylindrical portion and having an anvil flange on a distal end thereof, the camming arm configured to cam the staple assembly radially outward and drive the staple assembly distally such that a first leg of the staple assembly penetrates a cuff of the prosthetic heart valve and a second leg of the staple assembly pierces a portion of heart tissue surrounding the prosthetic heart valve to secure the valve. A method of installing a heart valve within a patient utilizing the surgical stapler is also disclosed.

    摘要翻译： 公开了一种用于将假体心脏瓣膜固定在患者体内的手术吻合器，并且通常包括用于在其远端上承载缝合钉组件的第一圆柱形部分，与第一圆柱形部分同心地定位的第二圆柱形部分， 其远端和第三圆柱形部分，其围绕第二圆柱形部分同心地定位并且在其远端具有砧座凸缘，所述凸轮臂构造成径向向外凸轮订做钉组件，并使钉组件向远侧方向移动，使得第一腿部 钉组件穿透假体心脏瓣膜的袖带，并且钉组件的第二腿刺穿围绕假体心脏瓣膜的心脏组织的一部分以固定瓣膜。 还公开了使用外科缝合器在患者体内安装心脏瓣膜的方法。

    Stapling apparatus and method for heart valve replacement
    65.
    发明授权
    Stapling apparatus and method for heart valve replacement 失效

    公开(公告)号：US06203553B1

    公开(公告)日：2001-03-20

    申请号：US09391538

    申请日：1999-09-08

    申请人： John Charles Robertson ,  Keith Ratcliff ,  Brian W. Moulder

    发明人： John Charles Robertson ,  Keith Ratcliff ,  Brian W. Moulder

    IPC分类号： A61B1704

    CPC分类号： A61F2/2427 ,  A61B17/068 ,  A61B17/072 ,  A61B17/1155 ,  A61B2017/00243 ,  A61B2017/07214 ,  A61F2/2403

    摘要： A surgical stapler for securing a prosthetic heart valve within a patient generally includes a first cylindrical portion for carrying at least one staple assembly on a distal end thereof; a second cylindrical portion positioned concentrically about the first cylindrical portion and having a camming arm on a distal end thereof, the camming arm configured to cam the at least one staple assembly radially outward and drive the at least one staple assembly distally such that a first leg of the at least one staple assembly penetrates a cuff of the prosthetic heart valve and a second leg of the at least one staple assembly pierces a portion of heart tissue surrounding the prosthetic heart valve, as the second cylindrical portion is moved distally relative to the first cylindrical portion; and a third cylindrical portion positioned concentrically about the second cylindrical portion and having an anvil flange on a distal end thereof, the anvil flange configured to crimp the second leg of the at least one staple assembly toward the first leg of the at least one staple assembly to secure the prosthetic heart valve to the surrounding heart tissue as the third cylindrical portion is moved relative to the second cylindrical portion. A method of installing a heart valve within a patient which includes the steps of accessing a site within a heart from which a natural heart valve has been removed; lowering a prosthetic heart valve into position within the site in the heart; positioning a surgical stapler having at least one staple assembly removably held on a distal end thereof adjacent the prosthetic heart valve within the site in the heart; driving a first leg of the at least one staple assembly through a peripheral cuff of the prosthetic heart valve; and crimping a second leg of the at least one staple assembly in a direction toward the first leg such that the second leg pierces a portion of heart tissue surrounding the prosthetic heart valve, thereby securing the prosthetic heart valve to the surrounding heart tissue.

    Apparatus and method for performing a bypass procedure in a digestive system
    67.
    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：US09173658B2

    公开(公告)日：2015-11-03

    申请号：US11448459

    申请日：2006-06-06

    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 ,  A61B17/115 ,  A61B17/11 ,  A61B17/072 ,  A61B17/00

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

    摘要： An anvil adapter for facilitating connection of a detachable anvil rod to a circular anastomosis instrument, comprising an anvil adapter member defining a longitudinal axis and having first and second ends, the first end configured for releasable attachment to a circular anastomosis instrument, the second end having an interior surface portion defining a longitudinal bore for releasably engaging an end of an anvil rod, the interior surface portion of the second end being dimensioned to releasably engage the end of the anvil rod in locking arrangement therewith to connect second end of the anvil adapter to the anvil rod such that the detachable anvil rod is releasably connected in spaced relation to the circular anastomosis instrument.

    摘要翻译： 一种用于便于将可拆卸砧杆连接到圆形吻合器的砧座适配器，包括限定纵向轴线的砧座适配器构件，并具有第一和第二端，所述第一端构造成用于可释放地连接到圆形吻合器具，所述第二端具有 限定用于可释放地接合砧座杆的端部的纵向孔的内表面部分，所述第二端的内表面部分的尺寸被设计成可释放地与所述砧杆的端部锁定配合，以将所述砧座适配器的第二端连接到 所述砧杆使得所述可拆卸的砧杆与所述圆形吻合器以可分离的方式可释放地连接。

    Surgical tissue collection bag
    69.
    发明申请
    Surgical tissue collection bag 有权
    手术组织收集袋

    公开(公告)号：US20100268178A1

    公开(公告)日：2010-10-21

    申请号：US12802032

    申请日：2010-05-28

    申请人： Wayne P. Young ,  Keith Ratcliff

    发明人： Wayne P. Young ,  Keith Ratcliff

    IPC分类号： A61M1/00

    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。