Surgical stapling apparatus
    73.
    发明授权
    Surgical stapling apparatus 失效
    手术吻合装置

    公开(公告)号:US06446854B1

    公开(公告)日:2002-09-10

    申请号:US08651502

    申请日:1996-05-22

    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。

    Apparatus for applying surgical fasteners
    74.
    发明授权
    Apparatus for applying surgical fasteners 失效
    用于外科紧固件的装置

    公开(公告)号:US5706997A

    公开(公告)日:1998-01-13

    申请号:US474504

    申请日:1995-06-07

    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。

    Valve system for introducing objects into anatomical body portions
    75.
    发明授权
    Valve system for introducing objects into anatomical body portions 失效
    用于将物体引入解剖体部的阀系统

    公开(公告)号:US5685854A

    公开(公告)日:1997-11-11

    申请号:US185102

    申请日:1994-01-21

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

    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。

    Apparatus and method for subcuticular stapling of body tissue
    76.
    发明授权
    Apparatus and method for subcuticular stapling of body tissue 失效
    身体组织皮下吻合装置及方法

    公开(公告)号:US5489287A

    公开(公告)日:1996-02-06

    申请号:US195902

    申请日:1994-02-10

    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。

    Apparatus for endoscopically applying staples individually to body tissue
    77.
    发明授权
    Apparatus for endoscopically applying staples individually to body tissue 失效
    用于内窥镜地将缝钉单独施用于身体组织的装置

    公开(公告)号:US5484095A

    公开(公告)日:1996-01-16

    申请号:US144160

    申请日:1993-10-27

    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。

    Handle for manipulating laparoscopic tool
    79.
    发明授权
    Handle for manipulating laparoscopic tool 失效
    手术操作腹腔镜手术

    公开(公告)号:US5409478A

    公开(公告)日:1995-04-25

    申请号:US039520

    申请日:1993-03-29

    IPC分类号: A61B17/28 A61B17/00

    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。