公开(公告)号：US4582237A

公开(公告)日：1986-04-15

申请号：US526777

申请日：1983-08-26

申请人： Anthony Storace ,  Paul R. Sette

发明人： Anthony Storace ,  Paul R. Sette

IPC分类号： A61B17/064 ,  A61B17/068 ,  A61B17/10 ,  A61B17/04

CPC分类号： A61B17/0684 ,  A61B17/0644

摘要： A surgical stapler having a pivotable trigger in a housing and a cartridge of surgical staples, has a moving anvil which receives one staple at a time in its open configuration. A forming blade moves to engage and capture the staple between the forming blade and the anvil and drive the staple away from the cartridge allowing the user to see and place the points of the staple at a desired location on the tissue. Further movement of the forming blade pressing upon the top of the staple forces the staple legs to pierce and close joining adjacent edges of tissue. A detent prevents reversibility of the trigger and return of the staple after and the trigger reaches a pre-cock position, allowing the user to relax his hand while the staple remains exposed, until the trigger stroke is completed and the staple is closed and stripped from the anvil.

摘要翻译： 具有壳体中的可枢转触发器和手术吻合钉钉仓的手术吻合器具有移动砧座，其在其打开构型中一次接收一个钉。 成形刀片移动以在成形刀片和砧座之间接合并捕获钉，并且将钉子驱动远离药筒，使得使用者可以将钉的位置看到并将其放置在组织上的期望位置。 成形刀片按压在钉的顶部上的进一步移动迫使钉腿刺穿并闭合连接组织的相邻边缘。 制动器防止触发器的可逆性，并且在触发器达到预旋塞位置之后触发器的可逆性，并且使得使用者在订书钉保持暴露的同时放松他的手，直到触发行程完成并且钉子被关闭并被剥离 铁砧。

公开(公告)号：US4669647A

公开(公告)日：1987-06-02

申请号：US829755

申请日：1986-02-14

申请人： Anthony Storace

发明人： Anthony Storace

IPC分类号： A61B17/064 ,  A61B17/068 ,  A61B17/04

CPC分类号： A61B17/0684 ,  A61B17/0644

摘要： A surgical stapler having a pivotable trigger in a housing and a cartridge of surgical staples, has a moving anvil which receives one staple at a time in its open configuration. A forming blade moves to engage and capture the staple between the forming blade and the anvil and drive the staple away from the cartridge allowing the user to see and place the points of the staple at a desired location on the tissue. Further movement of the forming blade pressing upon the top of the staple forces the staple legs to pierce and close joining adjacent edges of tissue. First and second stripper elements acting separately or in combination engage and urge the closed staple to separate from the anvil.

摘要翻译： 具有壳体中的可枢转触发器和手术吻合钉钉仓的手术吻合器具有移动砧座，其在其打开构型中一次接收一个钉。 成形刀片移动以在成形刀片和砧座之间接合并捕获钉，并且将钉子驱动远离药筒，使得使用者可以将钉的位置看到并将其放置在组织上的期望位置。 成形刀片按压在钉的顶部上的进一步移动迫使钉腿刺穿并闭合连接组织的相邻边缘。 单独或组合起作用的第一和第二剥离元件接合并推动封闭的钉与砧分离。

公开(公告)号：USD260932S

公开(公告)日：1981-09-22

申请号：US1759

申请日：1979-01-08

申请人： Ingram S. Chodorow ,  Richard Hall

设计人： Ingram S. Chodorow ,  Richard Hall

公开(公告)号：US4275736A

公开(公告)日：1981-06-30

申请号：US263

申请日：1979-01-02

申请人： Ingram S. Chodorow ,  J. David Dainow

发明人： Ingram S. Chodorow ,  J. David Dainow

IPC分类号： A61B17/04

CPC分类号： A61B17/0466

摘要： This invention is a retention suture bridge device for positioning and securing the exposed portion of a retention suture above and out of contact with an incision closure while the retention suture remains tied. This new device is formed of an arch part with end parts thereof aligned along a longitudinal axis, a series of holes along the arch through which the ends of a retention suture may be extended, and a generally round foot part secured to each end part and pivotal on the end part about the longitudinal axis.

摘要翻译： 本发明是一种保留缝线桥接装置，用于在保持缝合线保持绑定的同时，将保持缝合线的暴露部分定位并固定在切口闭合件上方并与之不接触。 该新装置由拱形部分形成，其端部沿着纵向轴线对齐，沿着拱形的一系列孔，保持缝合线的端部可以延伸通过该孔，以及固定到每个端部的大致圆形的脚部， 在关于纵向轴线的端部上枢转。

公开(公告)号：US5458579A

公开(公告)日：1995-10-17

申请号：US981234

申请日：1992-11-25

申请人： Ingram S. Chodorow ,  M. Zubair Mirza

发明人： Ingram S. Chodorow ,  M. Zubair Mirza

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/34 ,  A61M5/178

CPC分类号： A61B17/3403 ,  A61B17/3494 ,  A61B17/0485 ,  A61B17/3476 ,  A61B2017/00353 ,  A61B2017/0046

摘要： Apparatus for inserting a trocar/cannula assembly through a wall of an anatomical cavity of a patient, the apparatus including a housing for holding a trocar/cannula assembly, a spine having a longitudinal axis, the spine having proximal and terminal ends, the housing coupled to the spine for movement along said axis, holding means on the housing for holding a trocar/cannula assembly, and drive means coupled to said housing and spine for driving said housing axially on said spine toward said terminal end thereby moving said housing from an initial position to a final position, whereby the trocar/cannula assembly carried by said housing is moved axially along said spine.

摘要翻译： 用于将套管针/套管组件插入患者解剖腔的壁的装置，该装置包括用于保持套管针/插管组件的壳体，具有纵向轴线的脊柱，所述脊柱具有近端和末端，所述壳体连接 到所述脊柱沿着所述轴线移动，用于保持套管针/插管组件的壳体上的保持装置，以及联接到所述壳体和脊柱的驱动装置，用于在所述脊柱上轴向地朝向所述终端驱动所述壳体，从而使所述壳体从初始 位置到最终位置，由此由所述壳体承载的套针/套管组件沿着所述脊轴向移动。

公开(公告)号：US5114065A

公开(公告)日：1992-05-19

申请号：US617576

申请日：1990-11-26

申请人： Anthony Storace

发明人： Anthony Storace

IPC分类号： A61B17/068

CPC分类号： A61B17/0684

摘要： A surgical stapler device of the so-called pistol grip type includes a stack of staples loaded into a lower cartridge in an orientation similar to a conventional paper stapler. A former rotates and turns a leading staple 90.degree. or normal to its prior orientation in the stack of staples as the former slides between a start position and a first intermediate forward position. The former is further displaced to a second intermediate forward position wherein the staple is moved in its perpendicular orientation within the device to the forming position which in turn moves a lower anvil. The former is further displaceable to a third intermediate forward position wherein the staple is formed around a staple forming surface of the lower anvil. The former moves to the final forward position wherein the former cams the lower anvil downwardly separating the formed staple from the staple forming surface of the lower anvil and an anti-bow button of the former contacts the cross-arm of the leading staple and pushes the cross-arm of the leading staple into abutting engagement with a downwardly depending lip of an upper anvil to set the staple. After the staple has been set, the lower anvil and former return together to the anvil home position. During this return, the staple transport surface of the lower anvil ends its lateral return phase below the leading staple in the cartridge. Further retraction of the former allows the lower anvil to rise, lifting the leading staple from the cartridge level to the forming level. This surgical stapler also includes allowing for a varying mechanical advantage to accommodate the staple advance at a reasonable hand force level and provision for adjusting the amount of tissue which is drawn up or approximated within the perimeter of the formed staple.

摘要翻译： 所谓的手枪式握把型的外科缝合器装置包括以类似于传统的纸订书机的方向装载到下部盒中的钉堆叠。 当前者在起始位置和第一中间向前位置之间滑动时，前者将主导销旋转并将主导向90°或垂直于其先前定位在订书钉堆中。 前者进一步移动到第二中间向前位置，其中订书钉在装置内以其垂直取向移动到成形位置，该成形位置又移动较低的砧座。 前者可进一步移动到第三中间向前位置，其中钉子围绕下砧的缝钉形成表面形成。 前者移动到最终向前位置，其中前者将下砧向下分离成形的订书钉与下砧的订书钉形成表面向下分离，并且前者的防弓按钮接触主要订书钉的横臂并推动 导向钉的交叉臂与上砧的向下悬垂的唇缘邻接接合以设置订书钉。 主钉被固定后，较低的砧座和前者一起回到砧座的起始位置。 在此返回期间，下砧的钉输送表面将其侧向返回相位在墨盒的主引导件下方。 前者的进一步缩回允许较低的砧座升高，将主钉从料筒高度提升到成型水平。 这种手术吻合器还包括允许不同的机械优点，以适当的手力水平适应缝合钉前进，并且用于调节在成形的钉的周边内被拉伸或近似的组织的量。

公开(公告)号：US4691853A

公开(公告)日：1987-09-08

申请号：US814666

申请日：1985-12-30

申请人： Anthony Storace

发明人： Anthony Storace

IPC分类号： A61B17/068 ,  A61B17/00

CPC分类号： A61B17/0684

摘要： A surgical stapler device of the so-called pistol grip type includes a stack of staples loaded into a lower cartridge in an orientation similar to a conventional paper stapler. A former rotates and turns a leading staple 90.degree. or normal to its prior orientation in the stack of staples as the former slides between a start position and an intermediate position. The rotational movement of the staple insures maximum clarity in the surgeon's line of visions when placing a staple in position. The former is further displaced between an intermediate and a final position wherein the staple is formed around a staple forming surface of an anvil. The former also cams the anvil downwardly separating the formed staple from the anvil lip, thereby allowing the former to receive a staple from the stack of staples onto its staple transport surface for sequential stapling.

摘要翻译： 所谓的手枪式握把型的外科缝合器装置包括以类似于传统的纸订书机的方向装载到下部盒中的钉堆叠。 当前者在起始位置和中间位置之间滑动时，前者将主导销旋转并将主导向90°或垂直于其先前定位在钉堆叠中。 当将订书钉放置就位时，订书钉的旋转运动确保了外科医生的愿景线的最大清晰度。 前者在中间位置和最终位置之间进一步移位，其中钉子形成在砧座的钉形成表面周围。 前者还使砧座向下分离成形的订书钉与砧座唇缘向下分离，从而允许前者将订书钉从一堆订书钉接收到其订书钉输送表面上用于顺序订书。

公开(公告)号：USD261680S

公开(公告)日：1981-11-03

申请号：US152686

申请日：1980-05-23

申请人： Richard W. Hall

设计人： Richard W. Hall

公开(公告)号：US5290243A

公开(公告)日：1994-03-01

申请号：US915337

申请日：1992-07-16

申请人： Ingram S. Chodorow ,  M. Zubair Mirza

发明人： Ingram S. Chodorow ,  M. Zubair Mirza

IPC分类号： A61B17/34 ,  A61M5/18

CPC分类号： A61B17/3496

摘要： A trocar system is provided for use in obtaining access into a body cavity for laparoscopic/endoscopic procedures. The trocar system includes a protective housing releasably secured to a trocar housing. An obturator shaft is slidably mounted within the housings and has a stylet at an end thereof terminating at a sharp tip. The obturator shaft is movable in a direction of movement between a retracted position, wherein the sharp tip is retracted into the protective housing, and an extended position, wherein the sharp tip extends out of the protective housing. The trocar system also includes a latching and release mechanism provided within the trocar housing for latching the shaft in its extended position and for releasing the shaft to allow retraction thereof to its retracted position. This latching and release mechanism includes a slide plate movable between first and second positions for permitting movement of the obturator shaft between its retracted and extended positions.

摘要翻译： 提供了套管针系统，用于获得进入体腔以进行腹腔镜/内窥镜手术。 套管针系统包括可释放地固定到套管针壳体的保护壳体。 闭塞轴可滑动地安装在壳体内，并且在末端具有尖端的探针。 闭塞轴可以在其中尖锐尖端缩回保护壳体的缩回位置和延伸位置之间的运动方向上移动，其中尖锐的尖端延伸出保护壳体。 套管针系统还包括设置在套管针壳体内用于将轴锁定在其延伸位置并用于释放轴以允许其缩回其缩回位置的闩锁和释放机构。 该锁定和释放机构包括可在第一和第二位置之间移动的滑板，用于允许闭塞轴在缩回位置和伸出位置之间移动。

公开(公告)号：US4396139A

公开(公告)日：1983-08-02

申请号：US121813

申请日：1980-02-15

申请人： Richard W. Hall ,  Ingram S. Chodorow ,  J. David Dainow

发明人： Richard W. Hall ,  Ingram S. Chodorow ,  J. David Dainow

IPC分类号： B25C5/02 ,  A61B17/064 ,  A61B17/068 ,  A61B17/10 ,  B31B1/00

CPC分类号： A61B17/0644 ,  A61B17/0682

摘要： A surgical stapling system, apparatus and staple wherein a resilient staple has a relaxed closed configuration, is expanded into an open crescent shape, and finally is allowed to return to its closed configuration while simultaneously piercing and drawing together adjacent edges of an open incision or wound. The stapling apparatus contains a plurality of staples and includes projections which engage and secure each staple to the apparatus until its closure to tissue is complete and separation from the apparatus is desired. Further mechanism is provided to control the staple as it closes and optionally to re-open a closed or partially closed staple.

摘要翻译： 一种外科缝合系统，装置和钉子，其中弹性钉具有松弛的闭合构型，其被扩展成开口的新月形，最后允许返回到其闭合构型，同时刺穿并拉开开放切口或伤口的相邻边缘 。 缝合装置包含多个缝钉，并且包括将每个缝钉接合并固定到装置的突起，直到其对组织的封闭完成并且期望与装置分离。 提供了进一步的机构来控制订书钉，因为它关闭并且可选地重新打开封闭或部分封闭的订书钉。