公开(公告)号：US06446854B1

公开(公告)日：2002-09-10

申请号：US08651502

申请日：1996-05-22

申请人： Stanley H. Remiszewski ,  David T. Green ,  Henry Bolanos

发明人： Stanley H. Remiszewski ,  David T. Green ,  Henry Bolanos

IPC分类号： A61B17068

CPC分类号： A61B17/0686

摘要： A surgical stapling apparatus having first and second handle members pivotably mounted to one another for movement from an open position to a closed position to clamp body tissue between the distal jaws. After the body tissue is clamped, a trigger mechanism is activated to advance a staple pusher to force a staple through the tissue and into contact with an anvil to deform the staple legs. An actuating lever may be interposed between the trigger mechanism and the staple pusher.

摘要翻译： 一种手术吻合装置，其具有第一和第二手柄构件，所述第一和第二手柄构件可枢转地彼此安装以从打开位置移动到关闭位置，以将身体组织夹紧在所述远端钳口之间。 在身体组织被夹紧之后，启动触发机构以推动缝合钉推动器以迫使钉穿过组织并与砧座接触以使钉腿变形。 致动杆可以插入在触发器机构和缝合钉推动器之间。

公开(公告)号：US5706997A

公开(公告)日：1998-01-13

申请号：US474504

申请日：1995-06-07

申请人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa W. Heaton ,  Frank J. Viola

发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa W. Heaton ,  Frank J. Viola

IPC分类号： A61B17/072

CPC分类号： A61B17/072 ,  A61B2017/0725

摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of an advancing mechanism and a retaining mechanism, wherein the actuating mechanism is actuable to urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance from each other.

摘要翻译： 一种用于将手术紧固件应用于具有可调闭合机构的组织的手术吻合或紧固器械，以线性近似仪器的钳口构件之间的距离。 可调闭合机构由前进机构和保持机构组成，其中致动机构可致动以将钳口构件朝向彼此推动。 还提供了一种联接装置，其仅在钳口构件彼此近似预定距离时才允许订书钉或紧固件的点火。

公开(公告)号：US5685854A

公开(公告)日：1997-11-11

申请号：US185102

申请日：1994-01-21

申请人： David T. Green ,  Henry Bolanos ,  Henry Sienkiewicz

发明人： David T. Green ,  Henry Bolanos ,  Henry Sienkiewicz

IPC分类号： A61B17/34 ,  A61M39/06 ,  A61M39/22

CPC分类号： A61M39/06 ,  A61B17/3498 ,  A61B2017/3464 ,  A61M2039/062 ,  A61M2039/0626 ,  A61M2039/0633 ,  A61M2039/0646 ,  A61M2039/0686

摘要： A valve assembly adapted for introduction of an elongated object into a patient's body having a first valve formed of a resilient material and defining an aperture for reception of the object, the aperture being configured and dimensioned such that insertion of the object into the aperture will cause the resilient material defining the aperture to resiliently engage the outer surface of the object in a fluid tight manner. A second valve is positioned adjacent and distal of the first valve in general alignment therewith, whereby the second valve defines an aperture in general alignment with the aperture of the first valve, and is formed of a flexible material at least in the region defining the aperture. A pair of manually operable clamps are provided to selectively permit the aperture of the second valve to be opened or closed so as to permit entry of the object such that the object first passes through the first valve and then the second valve prior to entry into the patient's body.

摘要翻译： 一种适于将细长物体引入患者体内的阀组件，其具有由弹性材料形成并限定用于接收物体的孔的第一阀，所述孔被构造和尺寸使得物体插入孔将导致 限定孔的弹性材料以流体密封的方式弹性地接合物体的外表面。 第二阀定位成与第一阀的相邻和远端大致对准，由此第二阀限定与第一阀的孔大体对准的孔，并且至少在限定孔的区域中由柔性材料形成 。 提供一对可手动操作的夹具以选择性地允许第二阀的孔被打开或关闭，以允许物体进入，使得物体首先通过第一阀然后第二阀进入 病人的身体。

公开(公告)号：US5653373A

公开(公告)日：1997-08-05

申请号：US342323

申请日：1994-11-18

申请人： David T. Green ,  Henry Bolanos ,  Robert J. Geiste ,  Wayne P. Young ,  Stephen W. Gerry ,  Frank M. Rende, III

发明人： David T. Green ,  Henry Bolanos ,  Robert J. Geiste ,  Wayne P. Young ,  Stephen W. Gerry ,  Frank M. Rende, III

IPC分类号： A61B17/00 ,  A61B17/072 ,  A61B19/00 ,  A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/00446 ,  A61B2017/00451 ,  A61B2017/07221 ,  A61B2017/07278 ,  A61B2090/08021

摘要： Apparatus is disclosed for applying surgical fasteners to body tissue along an arcuate path. Each surgical fastener may be in the form of a two-part fastener having a pronged fastener portion for piercing body tissue, and an apertured retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. Alternatively, the fasteners may be in the form of deformable staples. The apparatus preferably includes an arcuately shaped member for holding a plurality of the fastener portions in generally aligned relation, a correspondingly arcuately shaped member spaced from the fastener portion holding member for gripping body tissue therebetween and for releasably holding a plurality of the retainers in generally aligned relation and positioned opposite the fasteners when the body tissue is positioned therebetween. A fastener driver is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue therebetween. A knife may be provided to cut the body tissue adjacent the fasteners as the fasteners are applied.

摘要翻译： 公开了用于沿弓形路径将外科紧固件应用于身体组织的装置。 每个外科紧固件可以是两部分紧固件的形式，其具有用于刺穿身体组织的插入式紧固件部分，以及有孔保持器，该保持器的尺寸和构造用于接合接合夹紧的紧固件部分，以与其夹紧以夹持其间的身体组织。 或者，紧固件可以是可变形钉钉的形式。 该装置优选地包括用于以大致对齐的关系保持多个紧固件部分的弧形构件，与紧固件部分保持构件间隔开的用于夹持身体组织的相应的弧形构件，并且用于可释放地将多个保持器保持在大致对齐 关系并且当身体组织位于其间时与紧固件相对定位。 提供了一种紧固件驱动器，用于将经插入的紧固件部分朝向有孔保持器顺序前进，以使紧固件部分在其间刺穿身体组织。 当施加紧固件时，可以设置刀来切割邻近紧固件的身体组织。

公开(公告)号：US5489287A

公开(公告)日：1996-02-06

申请号：US195902

申请日：1994-02-10

申请人： David T. Green ,  Henry Bolanos

发明人： David T. Green ,  Henry Bolanos

IPC分类号： A61B17/03 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/28 ,  A61B17/68

CPC分类号： A61B17/064 ,  A61B17/04 ,  A61B17/068 ,  A61B17/282 ,  A61B17/68 ,  A61B2017/0641

摘要： A surgical apparatus is disclosed for attaching adjacent end portions of cutaneous body tissue wherein a pair of opposed jaws have means for moving the jaws toward and away from each other. Body tissue engaging means in the form of sharp tip members extend from each jaw and toward the other so as to engage the opposed portions of cutaneous tissue when the jaws are positioned thereagainst and moved toward each other. The jaws and the tips are arranged to cause the cutaneous tissue to assume an irregular shape at the interface whereby an elongated rod-like member, preferably rectangular in cross section, may be directed generally medially of the interface of the tissue to attach the opposed portions to thereby permit healing. The elongated member may have indentations to improve retention within the tissue. A tapered distal end of the elongated member has a pointed tip to facilitate penetration into the tissue.

摘要翻译： 公开了用于附接皮肤组织的相邻端部的外科手术装置，其中一对相对的钳口具有用于将钳口彼此移动并远离彼此的装置。 尖锐部件形式的身体组织接合装置从每个钳口延伸并且朝向另一个，从而当钳口相对于彼此定位并相互移动时，与皮肤组织的相对部分接合。 钳口和尖端布置成使得皮肤组织在界面处呈现不规则形状，由此细长的棒状构件（优选为矩形截面）可以大致内侧地指向组织的界面，以将相对部分 从而允许愈合。 细长构件可以具有凹陷以改善组织内的保留。 细长构件的锥形远端具有尖端以便于穿透到组织中。

公开(公告)号：US5484095A

公开(公告)日：1996-01-16

申请号：US144160

申请日：1993-10-27

申请人： David T. Green ,  Henry Bolanos ,  Lisa W. Heaton ,  Mark E. Alari ,  Ghaleb A. Sater

发明人： David T. Green ,  Henry Bolanos ,  Lisa W. Heaton ,  Mark E. Alari ,  Ghaleb A. Sater

IPC分类号： A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B19/00

CPC分类号： A61B17/0686 ,  A61B17/00234 ,  A61B2017/2929 ,  A61B2090/0811

摘要： An apparatus is disclosed for endoscopic application of surgical staples for fastening body tissue, especially vascular tissue. The apparatus includes a frame and an elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge cooperates with the distal end of the endoscopic section and is selectively pivotal by the user. A staple firing mechanism advances an individual staple against an anvil for staple closure. Means are provided to prevent incomplete staple firing. Relative motion between the staple cartridge and the anvil clamps tissue to be stapled therebetween.The endoscopic section may be adapted for rotation about the longitudinal axis of the apparatus. Gaseous seal means located in the endoscopic section prevent escape of insufflating gas through the apparatus.

摘要翻译： 公开了一种用于内窥镜施加用于紧固身体组织，特别是血管组织的外科缝钉的装置。 该装置包括框架和连接到框架并从其向远侧延伸的细长内窥镜部分。 订书钉存储盒与内窥镜部分的远端协作并且由用户选择性地枢转。 订书钉击发机构使单个订书针抵靠砧座前进以进行订书钉封闭。 提供装置以防止不完全的短纤维烧制。 钉仓和砧座之间的相对运动将组织夹紧在其间。 内窥镜部分可以适于围绕装置的纵向轴线旋转。 位于内窥镜部分中的气体密封装置防止吹入气体通过该装置逸出。

公开(公告)号：US5417698A

公开(公告)日：1995-05-23

申请号：US959212

申请日：1992-10-09

申请人： David T. Green ,  Henry Bolanos ,  Thomas W. Alesi, Jr. ,  Kenneth E. Toso

发明人： David T. Green ,  Henry Bolanos ,  Thomas W. Alesi, Jr. ,  Kenneth E. Toso

IPC分类号： A61B17/88 ,  B25B25/00

CPC分类号： B25B25/00 ,  A61B17/8861

摘要： An instrument for tightening wound closure elements around body tissue, such as a human sternum following surgery. The instrument includes a first handle and a second handle pivotally attached to the first handle and movable between an open and a closed position. A retaining system is also provided to tighten wound closure material in response to movement of the second handle.

摘要翻译： 用于在身体组织周围收紧伤口闭合元件的手段，例如手术后的人类胸骨。 仪器包括第一手柄和枢转地附接到第一手柄并可在打开和关闭位置之间移动的第二手柄。 还提供保持系统以响应于第二把手的移动来收紧伤口闭合材料。

公开(公告)号：US5409478A

公开(公告)日：1995-04-25

申请号：US039520

申请日：1993-03-29

申请人： Stephen W. Gerry ,  David T. Green ,  Henry Bolanos

发明人： Stephen W. Gerry ,  David T. Green ,  Henry Bolanos

IPC分类号： A61B17/28 ,  A61B17/00

CPC分类号： A61B17/2909 ,  A61B2017/292 ,  A61B2017/2929 ,  A61B2017/2946

摘要： A handle for a laparoscopic instrument is provided for manipulating a distal laparoscopic tool. The handle includes a casing, a pivot handle pivotally attached to the casing, and an actuating shaft mechanism extending outward from the casing. Attached at the distal end of the actuating shaft opposite the casing is the laparoscopic surgical tool. The actuating shaft mechanism is longitudinally movable in a first direction by a pivotal movement of the pivot handle for manipulating the laparoscopic tool. A detent carried by the casing allows movement of the shaft longitudinally in the first direction while restraining longitudinal movement of the shaft in a second opposite direction. A thumb wheel attached to the actuating shaft mechanism allows the actuating shaft mechanism to be rotated for further manipulating the laparoscopic tool.

摘要翻译： 腹腔镜手术器具用于操纵远端腹腔镜手术器械。 手柄包括壳体，可枢转地附接到壳体的枢转手柄以及从壳体向外延伸的致动轴机构。 腹腔镜手术工具附着在与壳体相对的致动轴的远端。 致动轴机构通过用于操纵腹腔镜工具的枢转手柄的枢转运动在第一方向上纵向移动。 壳体承载的制动器允许轴沿第一方向纵向移动，同时限制轴沿第二相反方向的纵向移动。 附接到致动轴机构的拇指轮允许致动轴机构旋转以进一步操纵腹腔镜工具。

公开(公告)号：US5364002A

公开(公告)日：1994-11-15

申请号：US861065

申请日：1992-03-31

申请人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

发明人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B19/00 ,  A61F2/00

CPC分类号： A61B17/0686 ,  A61B17/0684 ,  A61B17/00234 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.

摘要翻译： 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。 推动器系统还包括用于致动推动器的触发系统。 触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。 砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

公开(公告)号：US5358506A

公开(公告)日：1994-10-25

申请号：US27555

申请日：1993-03-05

申请人： David T. Green ,  Henry Bolanos ,  Jeffrey J. Blewett ,  Keith Ratcliff ,  Frank J. Viola ,  Charles R. Sherts

发明人： David T. Green ,  Henry Bolanos ,  Jeffrey J. Blewett ,  Keith Ratcliff ,  Frank J. Viola ,  Charles R. Sherts

IPC分类号： A61B17/28 ,  A61B17/30

CPC分类号： A61B17/29 ,  A61B17/30 ,  A61B17/2909 ,  A61B2017/2936 ,  A61B2017/2944

摘要： Approximating apparatus for surgical jaw structure is provided which effects substantially parallel approximation of first and second surgical jaw structure to permit substantially parallel working interaction therebetween. The approximating apparatus includes camming structure for engaging at least one movable jaw of the surgical jaw structure to bias that jaw toward or away from a second jaw structure in a substantially parallel manner. A tissue stop may be provided to more easily guide and protect tissue captured by the jaw structure.

摘要翻译： 提供了用于手术颌结构的近似装置，其基本上平行近似第一和第二外科钳口结构，以允许它们之间基本上平行的工作相互作用。 近似装置包括凸轮结构，用于接合外科钳口结构的至少一个活动夹爪，以基本上平行的方式将该钳口朝向或远离第二钳口结构偏置。 可以提供组织止挡件以更容易地引导和保护由钳口结构捕获的组织。