APPARATUS FOR APPLYING SURGICAL FASTENERS TO BODY TISSUE

    公开(公告)号:US20090314820A1

    公开(公告)日:2009-12-24

    申请号:US12547941

    申请日:2009-08-26

    IPC分类号: A61B17/068

    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.

    Apparatus for applying surgical fastners to body tissue
    72.
    发明授权
    Apparatus for applying surgical fastners to body tissue 失效
    用于将外科止血器应用于身体组织的装置

    公开(公告)号:US07624903B2

    公开(公告)日:2009-12-01

    申请号:US10753248

    申请日:2004-01-08

    IPC分类号: A61B17/10 A61B17/04

    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。

    Cannula assembly having conductive cannula
    76.
    发明授权
    Cannula assembly having conductive cannula 失效
    插管组件具有导电套管

    公开(公告)号:US5618309A

    公开(公告)日:1997-04-08

    申请号:US337679

    申请日:1994-11-10

    摘要: A conductive cannula assembly is disclosed to dissipate possible, accumulated electrical charges through body tissue. The cannula assembly includes cannula housing means and cannula means formed of a material having an electrical conductivity value which is at least fifty percent the conductivity value of silver. The invention also includes cannula assembly accessories formed of a material having an electrical conductivity value which is at least fifty percent the conductivity value of silver. The invention further provides a method for guiding endoscopic instruments into body tissue utilizing the cannula assembly and the cannula assembly accessories of the present invention.

    摘要翻译: 公开了一种导电套管组件,以通过身体组织消散可能的累积电荷。 插管组件包括套管外壳装置和套管装置,套管装置由导电率值至少为银的电导率值的50%的材料形成。 本发明还包括由电导率值至少为银的电导率值的50%的材料形成的插管组件附件。 本发明还提供了一种利用本发明的插管组件和插管组件附件将内窥镜器械引导到身体组织中的方法。

    Surgical fastener applying instrument for ligating and dividing tissue
    77.
    发明授权
    Surgical fastener applying instrument for ligating and dividing tissue 失效
    用于结扎和分割组织的外科紧固件应用仪器

    公开(公告)号:US5527319A

    公开(公告)日:1996-06-18

    申请号:US286397

    申请日:1994-08-05

    CPC分类号: A61B17/1285

    摘要: An endoscopic ligating and dividing instrument includes an endoscopic portion and a non-endoscopic portion. The endoscopic portion includes clip closing jaws for applying at least two surgical clips to body tissue, pusher rods for loading clips into the jaws, a movable hook to catch and position the body tissue, and a knife for dividing the body tissue between the surgical clips. The non-endoscopic portion includes actuators responsive to manual actuation by a user.

    摘要翻译: 内窥镜结扎分割仪具有内窥镜部和非内窥镜部。 内窥镜部分包括用于将至少两个手术夹子施加到身体组织的夹闭闭合爪,用于将夹子装入夹爪的推动杆,用于抓住和定位身体组织的可动钩以及用于在外科夹子之间分割身体组织的刀 。 非内窥镜部分包括响应于用户手动致动的致动器。

    Surgical staples with plated anvils
    78.
    发明授权
    Surgical staples with plated anvils 失效
    手术钉与镀砧

    公开(公告)号:US5505363A

    公开(公告)日:1996-04-09

    申请号:US405441

    申请日:1995-03-15

    摘要: The present invention relates to anvils for surgical fastener applicators having a fastener forming surface for forming surgical fasteners, an intermediate surface formed of a metallic alloy disposed on at least a portion of the fastener forming surface and a polytetrafluorethylene coating disposed on the intermediate surface. The polytetrafluorethylene coating is provided to reduce the force necessary to form the fasteners.

    摘要翻译: 本发明涉及具有用于形成手术紧固件的紧固件形成表面的外科紧固件敷贴器的砧座,设置在紧固件成形表面的至少一部分上的金属合金形成的中间表面和设置在中间表面上的聚四氟乙烯涂层。 提供聚四氟乙烯涂层以减少形成紧固件所需的力。