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137 条记录 (耗时 0.046 秒)

    Anvil assembly with improved cut ring
    61.
    发明授权
    Anvil assembly with improved cut ring 有权
    砧座装配改进了切环

    公开(公告)号：US08141763B2

    公开(公告)日：2012-03-27

    申请号：US11728698

    申请日：2007-03-27

    申请人： Keith L. Milliman

    发明人： Keith L. Milliman

    IPC分类号： A61B17/115

    CPC分类号： A61B17/115 ,  A61B17/1114 ,  A61B17/32053 ,  A61B2017/07257 ,  A61B2017/2927

    摘要： An anvil assembly for use with a surgical stapler is provided. The anvil assembly includes a cut ring assembly having a body and a cover. The cover has a first layer of material having a first hardness to allow penetration by a knife of a surgical stapler and at least one additional layer of material having a second hardness greater than the first hardness to minimize penetration of the cover by a knife of a surgical stapler.

    摘要翻译： 提供了一种与外科缝合器一起使用的砧座组件。 砧组件包括具有主体和盖的切割环组件。 所述盖具有第一层材料，其具有第一硬度以允许手术吻合器的刀具穿透，以及具有大于第一硬度的第二硬度的至少一个另外的材料层，以最小化由所述第一硬度 手术吻合器

    Surgical instrument with indicator
    63.
    发明授权
    Surgical instrument with indicator 有权

    公开(公告)号：US08113405B2

    公开(公告)日：2012-02-14

    申请号：US12546899

    申请日：2009-08-25

    申请人： Keith L. Milliman

    发明人： Keith L. Milliman

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B2017/00128 ,  A61B2017/00367 ,  A61B2017/0725 ,  A61B2090/0807 ,  A61B2090/0811

    摘要： A surgical stapling instrument including a handle assembly, an elongated body portion extending distally from the handle assembly, a head portion and an indicator. A firing trigger is movable between first and second positions. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The indicator is disposed in mechanical cooperation with the handle assembly and is movable between a first position and a second position in response to movement of the anvil assembly towards its approximated position. The indicator is movable between the second position and a third position in response to firing of the instrument.

    Raised boss for staple guide
    64.
    发明授权
    Raised boss for staple guide 有权
    引导主角为主导

    公开(公告)号：US08011554B2

    公开(公告)日：2011-09-06

    申请号：US12348953

    申请日：2009-01-06

    申请人： Keith L. Milliman

    发明人： Keith L. Milliman

    IPC分类号： A61B17/04

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/07257

    摘要： A surgical stapling device including a handle assembly, a body portion, and a head portion is disclosed. The handle assembly includes a firing trigger. The body portion extends distally from the handle assembly. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The shell assembly includes a pusher and an inner guide portion. The pusher includes at least one slot therein and is movable in relation to the anvil assembly between retracted and extended positions. The inner guide portion is disposed adjacent at least a portion of the pusher and includes a raised boss extending therefrom. The raised boss is configured to shroud the slot in the pusher when the pusher is in the retracted position.

    摘要翻译： 公开了一种包括手柄组件，主体部分和头部的外科缝合装置。 手柄组件包括击发扳机。 主体部分从手柄组件向远侧延伸。 头部包括砧座组件和壳体组件。 砧组件相对于外壳组件在间隔和近似位置之间是可移动的。 壳体组件包括推动器和内部引导部分。 推动器在其中包括至少一个槽，并且在缩回位置和延伸位置之间可相对于砧座组件移动。 内引导部分邻近推动器的至少一部分设置，并且包括从其延伸的凸起凸起。 当推动器处于缩回位置时，凸起的凸起构造成围绕推动器中的狭槽。

    SURGICAL INSTRUMENT WITH INDICATOR
    66.
    发明申请
    SURGICAL INSTRUMENT WITH INDICATOR 有权
    带指示器的手术仪器

    公开(公告)号：US20100051669A1

    公开(公告)日：2010-03-04

    申请号：US12546899

    申请日：2009-08-25

    申请人： Keith L. Milliman

    发明人： Keith L. Milliman

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B2017/00128 ,  A61B2017/00367 ,  A61B2017/0725 ,  A61B2090/0807 ,  A61B2090/0811

    摘要： A surgical stapling instrument including a handle assembly, an elongated body portion extending distally from the handle assembly, a head portion and an indicator. A firing trigger is movable between first and second positions. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The indicator is disposed in mechanical cooperation with the handle assembly and is movable between a first position and a second position in response to movement of the anvil assembly towards its approximated position. The indicator is movable between the second position and a third position in response to firing of the instrument.

    摘要翻译： 一种外科缝合器械，包括手柄组件，从手柄组件向远侧延伸的细长主体部分，头部部分和指示器。 击发扳机可在第一和第二位置之间移动。 头部包括砧座组件和壳体组件。 砧组件相对于外壳组件在间隔和近似位置之间是可移动的。 该指示器与手柄组件机械配合地布置，并且响应于砧座组件朝向其近似位置的移动而可在第一位置和第二位置之间移动。 响应于仪器的点火，指示器可在第二位置和第三位置之间移动。

    SURGICAL STAPLING DEVICE
    67.
    发明申请
    SURGICAL STAPLING DEVICE 有权
    外科手术装置

    公开(公告)号：US20090179063A1

    公开(公告)日：2009-07-16

    申请号：US12408435

    申请日：2009-03-20

    申请人： Keith L. Milliman ,  Russell Heinrich

    发明人： Keith L. Milliman ,  Russell Heinrich

    IPC分类号： A61B17/068

    CPC分类号： A61B17/1114 ,  A61B1/31 ,  A61B17/02 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00469 ,  A61B2017/00473 ,  A61B2017/2927 ,  A61B2017/2931

    摘要： A surgical stapling device is disclosed for the treatment of internal hemorrhoids. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The anvil assembly of the stapling device may include an approximation mechanism having an anvil retainer including an elongated distal extension dimensioned to be telescopingly received within a longitudinal bore of an anvil center rod of the anvil assembly. The elongated distal extension is of a length to provide telescopic engagement with the anvil center rod without obstructing visualization of the surgical site. A kit including a surgical instrument having a removable anvil assembly and an anvil assembly insertion handle is also disclosed. The kit may also include a speculum, an anal dialator and/or an obturator.

    摘要翻译： 公开了用于治疗内痔的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 装订装置的砧座组件可以包括近似机构，其具有砧座保持器，该砧座保持器包括细长的远端延伸部，其尺寸可伸缩地容纳在砧座组件的砧座中心杆的纵向孔内。 细长的远端延伸部具有能够与砧座中心杆伸缩接合的长度，而不会妨碍手术部位的可视化。 还公开了一种包括具有可移除砧座组件和砧座组件插入手柄的手术器械的套件。 该套件还可以包括窥器，肛门拨号器和/或闭塞器。

    Raised Boss for Staple Guide
    68.
    发明申请
    Raised Boss for Staple Guide 有权
    提升钉书钉指南

    公开(公告)号：US20090173767A1

    公开(公告)日：2009-07-09

    申请号：US12348953

    申请日：2009-01-06

    申请人： Keith L. Milliman

    发明人： Keith L. Milliman

    IPC分类号： A61B17/04

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/07257

    摘要： A surgical stapling device including a handle assembly, a body portion, and a head portion is disclosed. The handle assembly includes a firing trigger. The body portion extends distally from the handle assembly. The head portion includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The shell assembly includes a pusher and an inner guide portion. The pusher includes at least one slot therein and is movable in relation to the anvil assembly between retracted and extended positions. The inner guide portion is disposed adjacent at least a portion of the pusher and includes a raised boss extending therefrom. The raised boss is configured to shroud the slot in the pusher when the pusher is in the retracted position.

    摘要翻译： 公开了一种包括手柄组件，主体部分和头部的外科缝合装置。 手柄组件包括击发扳机。 主体部分从手柄组件向远侧延伸。 头部包括砧座组件和壳体组件。 砧组件相对于外壳组件在间隔和近似位置之间是可移动的。 壳体组件包括推动器和内部引导部分。 推动器在其中包括至少一个槽，并且在缩回位置和延伸位置之间可相对于砧座组件移动。 内引导部分邻近推动器的至少一部分设置，并且包括从其延伸的凸起凸起。 当推动器处于缩回位置时，凸起的凸起构造成围绕推动器中的狭槽。

    Surgical stapling device having trigger lock and associated lockout mechanism
    69.
    发明授权
    Surgical stapling device having trigger lock and associated lockout mechanism 有权
    具有触发锁定和相关锁定机构的手术吻合装置

    公开(公告)号：US07556186B2

    公开(公告)日：2009-07-07

    申请号：US12102101

    申请日：2008-04-14

    申请人： Keith L. Milliman

    发明人： Keith L. Milliman

    IPC分类号： A61B17/04

    CPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00367 ,  A61B2017/00473 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2090/0814

    摘要： A surgical stapling device including a self-righting anvil assembly includes an anvil center rod and a pivotable anvil head. The surgical stapling device includes an anvil retainer assembly having a locking member. A cam member is provided to retain the locking member in a locked position and, thus, the anvil head in the operative position until after firing. In another embodiment, a tiltable anvil assembly includes a center rod and a head assembly pivotally secured to the center rod. The head assembly includes a housing, a post, an anvil plate and a backup member. The backup member is movably positioned from a first to a second position. A retainer member is positioned between the backup member and the housing. In another embodiment, a passive lockout mechanism is operably associated with a trigger lock on the handle assembly of the surgical stapling device.

    摘要翻译： 包括自动矫直砧组件的外科缝合装置包括砧座中心杆和可枢转砧头。 外科缝合装置包括具有锁定构件的砧座保持器组件。 凸轮构件被设置成将锁定构件保持在锁定位置，并且因此将砧座头保持在操作位置直到点火之后。 在另一个实施例中，可倾斜的砧组件包括中心杆和枢转地固定到中心杆的头部组件。 头组件包括壳体，柱，砧板和支撑构件。 支撑构件从第一位置到第二位置可移动地定位。 保持构件位于支撑构件和壳体之间。 在另一个实施例中，被动锁定机构可操作地与外科缝合装置的手柄组件上的触发器锁相关联。