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257 条记录 (耗时 0.044 秒)

    Cannula assembly having conductive cannula
    82.
    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：US5387196A

    公开(公告)日：1995-02-07

    申请号：US885467

    申请日：1992-05-19

    申请人： David T. Green ,  H. Jonathan Tovey ,  Robert C. Smith ,  Henry Bolanos

    发明人： David T. Green ,  H. Jonathan Tovey ,  Robert C. Smith ,  Henry Bolanos

    IPC分类号： A61B17/00 ,  A61B17/34 ,  A61B18/00 ,  A61B18/14 ,  A61M5/178

    CPC分类号： A61B17/34 ,  A61B17/3421 ,  A61B18/1485 ,  A61B2017/00473 ,  A61B2017/3484 ,  A61B2018/00077 ,  Y10S128/908

    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。

    Arcuate apparatus for applying two-part surgical fasteners
    84.
    发明授权
    Arcuate apparatus for applying two-part surgical fasteners 失效

    公开(公告)号：US5379933A

    公开(公告)日：1995-01-10

    申请号：US898801

    申请日：1993-06-15

    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 ,  A61B17/064 ,  A61B17/072 ,  A61B19/00 ,  A61B17/04

    CPC分类号： A61B17/07207 ,  A61B17/0643 ,  A61B2017/00446 ,  A61B2017/00451 ,  A61B2017/07221 ,  A61B2017/07228 ,  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 arcuately shaped means for holding a plurality of the fastener portions in generally aligned relation, correspondingly arcuately shaped means spaced from the fastener portion holding means 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. Means is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue and to be received within the apertures of the retainers in engaged interference relation so as to cause the fastener portions and the retainers to be engaged while gripping the body tissue therebetween. A knife may be provided to cut the body tissue adjacent the fasteners as the fasteners are applied. A method for applying fasteners to body tissue on the apparatus of the invention along an arcuate path is also disclosed.

    Sternum buckle and applier
    85.
    发明授权
    Sternum buckle and applier 失效
    胸扣和施肥机

    公开(公告)号：US5339870A

    公开(公告)日：1994-08-23

    申请号：US959325

    申请日：1992-10-09

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

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

    IPC分类号： A61B17/82 ,  B25B25/00

    CPC分类号： A61B17/823

    摘要： An apparatus for applying a buckle assembly about split portions of tissue is provided. The apparatus is particularly contemplated for use with a buckle of the type having a base member with an opening extending generally transversely therethrough for reception of a first strap end portion and a clamp member slidably housed within a channel formed in the base member. The apparatus includes a frame member, a mechanism disposed in a lower surface of the frame member for releasably supporting the buckle member and a mechanism associated with the frame member for advancing the clamp member within the channel of the buckle to a strap securing position wherein the strap member is secured within the buckle member in a looped configuration about the tissue portions.In an alternate embodiment, a surgical system for repair of split portions of tissue includes a flexible strap member having a buckle member attached thereto. The buckle member includes a base member having a transverse opening extending therethrough for reception of a first end portion of the strap member, a clamp member slidably housed within a partial longitudinal channel defined between lower and upper surfaces of the base member and a tab member for retaining the clamp in a secured position. The buckle may also include a clip member pivotally mounted to an upper surface of the base member to assist in securing the strap member. The system also includes an applier mechanism having a frame, a mechanism disposed in a lower surface of the frame for releasably mounting the buckle and a mechanism for advancing the clamp member within the partial longitudinal channel of the buckle to an engaged position whereby the clamp member securely wedges the strap against the base member.

    摘要翻译： 提供了一种用于围绕组织的分裂部分施加带扣组件的装置。 该设备特别设想用于具有基本构件类型的带扣，该基座构件具有大体上横向延伸穿过的开口，用于接收可滑动地容纳在形成在基座构件中的通道内的第一带端部和夹紧构件。 该装置包括框架构件，设置在框架构件的下表面中的用于可释放地支撑带扣构件的机构和与框架构件相关联的机构，用于将带扣的通道内的夹持构件推进到带固定位置， 带状构件围绕组织部分以环形构造固定​​在带扣构件内。 在替代实施例中，用于修复组织的分割部分的外科系统包括具有附接到其上的带扣构件的柔性带构件。 所述带扣构件包括基部构件，所述基座构件具有延伸穿过其中的横向开口，用于接纳所述带构件的第一端部;夹持构件，其可滑动地容纳在限定在所述基座构件的下表面和上表面之间的部分纵向通道内， 将夹具保持在固定位置。 带扣还可以包括可枢转地安装到基部构件的上表面的夹构件，以帮助固定带构件。 该系统还包括具有框架的施力器机构，设置在框架的下表面中的用于可释放地安装带扣的机构和用于将带扣的部分纵向通道内的夹持构件推进到接合位置的机构，由此夹紧构件 牢固地将带子楔紧在基座构件上。

    Sternum closure buckle
    86.
    发明授权
    Sternum closure buckle 失效
    胸锁扣

    公开(公告)号：US5330489A

    公开(公告)日：1994-07-19

    申请号：US959164

    申请日：1992-10-09

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

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

    IPC分类号： A61B17/82 ,  A61B17/08

    CPC分类号： A61B17/82 ,  A61B17/823 ,  Y10T24/4016

    摘要： A strap assembly to be looped about split portions of human tissue to retain the split portions in adjacent contacting relation to promote healing thereof is provided. The strap assembly includes a flexible strap member and a buckle member to secure the strap member. The buckle member includes a base member having an opening extending therethrough for reception of the strap member and a clip member pivotally mounted to the base member for engaging the strap member. The clip member is adapted to pivot from an open position to allow for reception of the strap member through the opening and a closed position wherein the strap is engaged by and wedged between a forward edge of the clip member and the base member to secure the strap member around the split portions of tissue.

    摘要翻译： 提供了围绕人体组织的分裂部分环绕的带组件，以将分离部分保持在相邻的接触关系中以促进其愈合。 带组件包括柔性带构件和用于固定带构件的带扣构件。 所述带扣构件包括基部构件，所述基座构件具有贯穿其中的开口，用于接纳所述带构件;以及夹构件，所述夹构件可枢转地安装到所述基座构件以用于接合所述带构件。 夹子构件适于从打开位置枢转以允许通过开口接收带构件，并且关闭位置，其中带被夹持并夹在夹构件的前边缘和基座构件之间以固定带 围绕组织的分裂部分的构件。

    Apparatus and method for subcuticular stapling of body tissue
    87.
    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：US5292326A

    公开(公告)日：1994-03-08

    申请号：US842448

    申请日：1992-02-27

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

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

    IPC分类号： A61B17/03 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/28 ,  A61B17/68 ,  A61B17/00

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

    摘要： A surgical apparatus for attaching two portions of cutaneous body tissue includes a pair of opposed elongated jaws having members thereon at one end and which are movable toward each other to a closed position to engage two body tissue portions positioned within the members to move the bodily tissue portions into close approximation. Manually gripping systems of several alternative configurations are provided to actuate a mechanical transmission system to close the jaws. In a preferred embodiment, a fork is movable from a first position to a second position by manually operable devices to move the jaws toward each other. A pair of cam faces is located adjacent the opposite ends of the jaws. As the fork moves to its second position, the tines of the fork engage against the cam faces to move the opposed jaws to their closed position. A plurality of rod-like fasteners are carried in a stacked configuration proximally of the jaws such that when the jaws are in their closed position and the two body tissue portions are held in close approximation, each rod-like fastener is movable to a position of ingress to penetrate the body tissue portions to attach the two body tissue portions together. A method of attaching cutaneous body tissue portions is also disclosed.

    摘要翻译： 用于附接皮肤体组织的两部分的手术装置包括一对相对的细长爪，其一端具有构件，并且可相对于彼此移动到关闭位置，以接合位于构件内的两个身体组织部分，以移动身体组织 部分近似近似。 提供了几种替代配置的手动夹紧系统来致动机械传动系统以闭合钳口。 在优选实施例中，叉可以通过手动操作的装置从第一位置移动到第二位置，以将夹爪朝向彼此移动。 一对凸轮面邻近钳口的相对端定位。 当叉移动到其第二位置时，叉的齿与凸轮面接合，以将相对的夹爪移动到其关闭位置。 多个杆状紧固件以钳口近侧的堆叠构造承载，使得当夹爪处于其关闭位置并且两个身体组织部分被紧密地保持时，每个杆状紧固件可移动到 进入穿透身体组织部分以将两个身体组织部分附接在一起。 还公开了附着皮肤组织部分的方法。

    Arcuate apparatus for applying two-part surgical fasteners
    88.
    发明授权
    Arcuate apparatus for applying two-part surgical fasteners 失效
    用于应用两部分手术紧固件的弧形装置

    公开(公告)号：US5156315A

    公开(公告)日：1992-10-20

    申请号：US692177

    申请日：1991-04-26

    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 ,  A61B17/064 ,  A61B17/072 ,  A61B19/00

    CPC分类号： A61B17/07207 ,  A61B17/0643 ,  A61B2017/00446 ,  A61B2017/00451 ,  A61B2017/07221 ,  A61B2017/07228 ,  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 arcuately shaped means for holding a plurality of the fastener portions in generally aligned relation, correspondingly arcuately shaped means spaced from the fastener portion holding means 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. Means is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue and to be received within the apertures of the retainers in engaged interference relation so as to cause the fastener portions and the retainers to be engaged while gripping the body tissue therebetween. A knife may be provided to cut the body tissue adjacent the fasteners as the fasteners are applied. A method for applying fasteners to body tissue on the apparatus of the invention along an arcuate path is also disclosed.

    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。 该装置优选地包括弧形装置，用于以大致对齐的关系保持多个紧固件部分，相应的弧形装置与紧固件部分保持装置间隔开，用于夹持其间的身体组织，并且可释放地将多个保持器保持为大致对齐的关系， 当身体组织位于其间时与紧固件相对定位。 提供了用于将经插入的紧固件部分朝向有孔保持器顺序前进的装置，以使紧固件部分以接合的干涉关系刺穿身体组织并被容纳在保持器的孔内，以使紧固件部分和保持器成为 在夹持其间的身体组织的同时接合。 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。 还公开了一种沿着弓形路径将紧固件应用于本发明的装置上的身体组织的方法。

    Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures
    89.
    发明授权
    Apparatus and method for applying surgical clips in laparoscopic or endoscopic procedures 失效
    用于腹腔镜或内镜手术中应用手术夹具的装置和方法

    公开(公告)号：US5100420A

    公开(公告)日：1992-03-31

    申请号：US381265

    申请日：1989-07-18

    申请人： David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Richard A. McGarry ,  Lisa W. Heaton ,  Keith Ratcliff

    发明人： David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Richard A. McGarry ,  Lisa W. Heaton ,  Keith Ratcliff

    IPC分类号： A61B17/128

    CPC分类号： A61B17/1285 ,  Y10S227/901

    摘要： An apparatus for applying surgical clips through an endoscopic tube includes an endoscopic portion housing a jaw blade, a pusher bar for feeding clips one at a time to the jaws, a channel bar for camming the jaw blades into closed position, and an array of surgical clips. The body of the apparatus comprises a frame housing an actuating mechanism and a transmission mechanism for transferrring movement to the pusher bar and channel. The endoscopic portion is rotatable relative to the frame. In one embodiment the apparatus is single disposable unit. In an alternative embodiment the endoscopic portion is detachable and disposable whereas the non-endoscopic body portion is reusable.

    摘要翻译： 用于通过内窥镜管施加外科夹具的装置包括：内窥镜部分，其容纳颚式刀片;推动杆，用于一次一个地将镊子夹持夹持件;通道杆，用于将颌片刀片闭合到闭合位置;以及一组外科手术 剪辑。 该装置的主体包括容纳致动机构的框架和用于将移动传递到推杆和通道的传动机构。 内窥镜部分可相对于框架旋转。 在一个实施例中，该装置是单个一次性单元。 在替代实施例中，内窥镜部分是可拆卸的和一次性的，而非内窥镜主体部分是可重复使用的。