公开(公告)号：US09351731B2

公开(公告)日：2016-05-31

申请号：US13325481

申请日：2011-12-14

申请人： Sally Carter ,  Gerald Hodgkinson ,  Richard P. Stevenson ,  Arthur Hislop ,  Ernest Aranyi ,  Jennifer Whiffen

发明人： Sally Carter ,  Gerald Hodgkinson ,  Richard P. Stevenson ,  Arthur Hislop ,  Ernest Aranyi ,  Jennifer Whiffen

IPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/115 ,  A61B17/00

CPC分类号： A61B17/1155 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B2017/00831

摘要： A staple cartridge for use with a surgical stapling apparatus includes a cartridge body including a tissue contacting surface defining a plurality of staple retaining slots, a staple disposed within each staple retaining slot of the cartridge body, and a substantially circular buttress. The buttress includes an inner portion, an outer portion, and a middle portion extending between the inner portion and the outer portion. At least one stiffened region joins the buttress to the tissue contacting surface of the cartridge body. The inner portion, the middle portion, the outer portion, and the at least one stiffened region are all formed from a common material.

摘要翻译： 一种与外科缝合装置一起使用的钉仓包括：一个盒本体，其包括限定多个缝合钉保持槽的组织接触表面，设置在药筒主体的每个缝合钉保持槽内的钉和基本圆形的支撑。 支撑件包括内部部分，外部部分和在内部部分和外部部分之间延伸的中间部分。 至少一个加强区域将支撑件连接到盒体的组织接触表面。 内部部分，中间部分，外部部分和至少一个加强区域都由普通材料形成。

公开(公告)号：US08899462B2

公开(公告)日：2014-12-02

申请号：US13280898

申请日：2011-10-25

申请人： Stanislaw Kostrzewski ,  Paul A. Scirica ,  Ernest Aranyi ,  David Racenet ,  Frank Marini ,  Dwight Bronson ,  William Powers

发明人： Stanislaw Kostrzewski ,  Paul A. Scirica ,  Ernest Aranyi ,  David Racenet ,  Frank Marini ,  Dwight Bronson ,  William Powers

IPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/00 ,  A61B17/29

CPC分类号： A61B17/07207 ,  A61B17/068 ,  A61B17/07292 ,  A61B2017/00314 ,  A61B2017/0046 ,  A61B2017/00734 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2017/2943 ,  A61B2090/0814

摘要： An electromechanical surgical system comprises a hand-held surgical instrument including an instrument housing defining a connecting portion for selectively connecting with a shaft assembly, the surgical instrument having at least one rotatable drive member, and an end effector configured to perform at least one function. The shaft assembly selectively interconnects the end effector and the surgical device. The shaft assembly includes a transmission housing and a force transmitting assembly for interconnecting the rotatable drive member and a rotation receiving member supported in the end effector.

摘要翻译： 机电手术系统包括手持式手术器械，其包括限定用于选择性地与轴组件连接的连接部分的器械壳体，所述外科器械具有至少一个可旋转驱动构件，以及构造成执行至少一个功能的末端执行器。 轴组件选择性地将端部执行器和手术装置相互连接。 轴组件包括变速器壳体和用于将可旋转驱动构件和支撑在末端执行器中的旋转接收构件互连的力传递组件。

公开(公告)号：US08328823B2

公开(公告)日：2012-12-11

申请号：US13052402

申请日：2011-03-21

申请人： Ernest Aranyi ,  Gregg C. Krehel ,  Thomas Wenchell ,  Earl M. Zergiebel

发明人： Ernest Aranyi ,  Gregg C. Krehel ,  Thomas Wenchell ,  Earl M. Zergiebel

IPC分类号： A61B17/10 ,  B25B17/00 ,  B25B21/00 ,  B25B23/04

CPC分类号： A61B17/068 ,  A61B17/064 ,  A61B2017/0648 ,  A61F2/0063 ,  A61F2/0811

摘要： There is provided a powered tacker device for use in installing multiple surgical fasteners through a prosthetic mesh into tissue. The powered tacker device generally includes a handle assembly and a tacker assembly extending distally from the handle assembly. The handle assembly includes a motor and self-contained power assembly to rotate the surgical fasteners into tissue. The handle assembly is provided with a drive assembly which allows for rotation, as well as distal longitudinal movement, of a surgical fastener relative to the powered tacker device. The tacker assembly includes an inner tube for containing the plurality of surgical fasteners and a driver which is movable out of alignment with the inner tube so as to install a single fastener at a time into tissue.

摘要翻译： 提供了一种用于将多个外科紧固件穿过假体网安装到组织中的动力粘贴装置。 动力粘合装置通常包括手柄组件和从手柄组件向远侧延伸的打钉器组件。 手柄组件包括马达和独立的动力组件以将外科紧固件旋转到组织中。 手柄组件设置有驱动组件，该驱动组件允许外科紧固件相对于动力粘合装置的旋转以及远侧纵向运动。 固定器组件包括用于容纳多个外科紧固件的内管和可与内管移动离开对准的驱动器，以便一次将单个紧固件安装到组织中。

公开(公告)号：US07516877B2

公开(公告)日：2009-04-14

申请号：US11804386

申请日：2007-05-18

申请人： Ernest Aranyi

发明人： Ernest Aranyi

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/07214 ,  A61B2017/2927

摘要： A tilt top anvil assembly is provided for use with a surgical stapling device for performing end-to-end anastomosis of tissue. The tilt top anvil assembly included an anvil head, a center rod and a biasing member. The anvil head is pivotally secured to the center rod about a transverse axis which is offset from the longitudinal axis of the center rod. The biasing member is supported on the anvil assembly at a position to urge the anvil head to a tilted reduced profile position. The anvil assembly includes a first abutment surface which is operatively connected to the anvil head is movable into engagement with a second abutment surface formed on a surgical stapling device during approximation of the anvil assembly to move the anvil head from the tilted reduced profile position to an operative firing position. When the anvil assembly is moved to the unapproximated or spaced position, the biasing member is positioned to return the anvil assembly back to its tilted reduced profile position.

摘要翻译： 倾斜顶部砧座组件被提供用于外科缝合装置用于进行组织的端对端吻合。 倾斜顶部砧组件包括砧头，中心杆和偏置构件。 砧座头围绕横向轴线枢转地固定到中心杆，该横向轴线偏离中心杆的纵向轴线。 偏压构件被支撑在砧座组件上，以将砧座头推向倾斜减小轮廓位置的位置。 所述砧座组件包括第一邻接表面，所述第一邻接表面可操作地连接到所述砧座头部，以在所述砧座组件近似期间可移动地与形成在外科缝合装置上的第二邻接表面接合，以将所述砧座头部从所述倾斜的缩小轮廓位置移动到 操作射击位置。 当砧座组件移动到未近似或间隔开的位置时，偏置构件被定位成将砧座组件返回到其倾斜的缩小轮廓位置。

公开(公告)号：US20080214967A1

公开(公告)日：2008-09-04

申请号：US12053113

申请日：2008-03-21

申请人： Ernest Aranyi ,  Douglas J. Cuny ,  Russell Heinrich ,  Amit Lal ,  Bill Lewis ,  Philip C. Roy

发明人： Ernest Aranyi ,  Douglas J. Cuny ,  Russell Heinrich ,  Amit Lal ,  Bill Lewis ,  Philip C. Roy

IPC分类号： A61N7/02 ,  A61B17/32

CPC分类号： A61B17/320068 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2017/2927 ,  A61B2017/320069 ,  A61B2017/320071 ,  A61B2017/320094 ,  A61B2017/320095

摘要： An ultrasonic surgical instrument is provided which includes a handle assembly, a body extending distally from the handle assembly and an end effector configured to effect cutting, dissection, coagulation and/or ligation of tissue. The end effector includes an ultrasonic member. A transducer is supported adjacent, on or within the ultrasonic member and is connected to a power source. Upon actuation of the power source, the transducer effects vibration of the ultrasonic member. In one preferred embodiment, the end effector is mounted for articulation about the distal end of the instrument.

摘要翻译： 提供了一种超声手术器械，其包括手柄组件，从手柄组件向远侧延伸的主体和构造成实现组织切割，解剖，凝固和/或连接的端部执行器。 末端执行器包括超声波部件。 传感器被支撑在超声波构件的相邻，上方或内部，并连接到电源。 在激活电源时，换能器影响超声波元件的振动。 在一个优选实施例中，端部执行器被安装用于围绕仪器的远端进行铰接。

公开(公告)号：US20060200170A1

公开(公告)日：2006-09-07

申请号：US11073551

申请日：2005-03-07

申请人： Ernest Aranyi

发明人： Ernest Aranyi

IPC分类号： A61B17/26

CPC分类号： A61B17/00234 ,  A61B2017/00287

摘要： A specimen removal apparatus includes a pouch assembly fabricated from a flexible membrane, a pouch support, a drawstring thread forming a running noose disposed circumferentially round the end of the pouch, an endoscopic tubular portion, and a pusher rod having an aperture for permitting the passage therethrough of a single thread. When the drawstring thread is pulled, the knot is stopped at the aperture and the noose is closed, thereby closing the mouth of the pouch. The pouch assembly is detachable from the apparatus.

摘要翻译： 样品去除装置包括由柔性膜制造的袋组件，袋支撑件，形成在袋的端部周向周向设置的运行的绞线的束带螺纹，内窥镜管状部分和具有允许通过的孔的推杆 通过单线。 当拉绳被拉动时，结被停止在孔处，并且塞子被关闭，从而封闭袋口。 袋组件可从装置上拆卸。

公开(公告)号：US20060064117A1

公开(公告)日：2006-03-23

申请号：US11233541

申请日：2005-09-23

申请人： Ernest Aranyi ,  Kenneth Whitfield

发明人： Ernest Aranyi ,  Kenneth Whitfield

IPC分类号： A61B17/10

CPC分类号： A61B17/1285 ,  A61B17/122 ,  A61B2017/2926 ,  A61B2017/2933

摘要： A clip applying apparatus is provided for applying a ligating clip to tissue. The clip applying apparatus includes, inter alia, a handle assembly, a central body portion, an anvil jaw, and a slide member movably supported in relation to the anvil jaw. The anvil jaw and the slide member are configured to define an enclosed tissue receiving area when the slide member is in an advanced position. A method is also provided for ligating tissue using the presently disclosed clip applying apparatus.

摘要翻译： 提供夹子施加装置，用于将结扎夹施加到组织。 夹子施加装置尤其包括手柄组件，中心主体部分，砧座钳口和相对于砧座移动地支撑的滑动构件。 砧座夹爪和滑动构件构造成当滑动构件处于高级位置时限定封闭的组织接收区域。 还提供了使用本公开的夹子施加装置连接组织的方法。

公开(公告)号：US20050222665A1

公开(公告)日：2005-10-06

申请号：US11100900

申请日：2005-04-07

申请人： Ernest Aranyi

发明人： Ernest Aranyi

IPC分类号： A61B17/064 ,  A61B17/068 ,  A61B17/32 ,  A61F2/06 ,  A61M29/00 ,  A61B17/08 ,  A61B17/10

CPC分类号： A61B17/068 ,  A61B17/064 ,  A61B17/32053 ,  A61B2017/0641 ,  A61B2017/0649 ,  A61F2/07 ,  A61M29/02

摘要： Endovascular fastener applicator for endoluminally fastening prosthetic grafts to vessels, are provided. The endovascular fastener applicator includes a delivery assembly configured for positioning within a vessel, and a control assembly mounted to a proximal end of the outer sheath for extracorporeal control of the delivery assembly. The delivery assembly includes an expandable portion disposed adjacent a distal end of an outer sheath and being expandable to support a prosthetic in contact with an inner surface of a vessel; a yoke assembly disposed within the expandable portion; an applicator head assembly pivotably mounted to the yoke assembly and movable between a loading position longitudinally aligned with the yoke assembly, and a firing position oriented substantially perpendicular to the yoke assembly; and a fastener assembly connectable to a distal end of the expandable portion, the fastener assembly retaining at least one fastener therein.

摘要翻译： 提供用于将假体移植物端内固定至血管的血管内紧固件施用器。 血管内紧固件施加器包括构造成用于定位在容器内的输送组件和安装到外护套的近端的控制组件，用于输送组件的体外控制。 递送组件包括邻近外护套的远端设置的可扩张部分，并且可扩张部分可扩张以支撑与血管内表面接触的假体; 设置在所述可膨胀部分内的轭组件; 施加器头组件，其可枢转地安装到所述轭组件并且可在与所述轭组件纵向对齐的加载位置和基本上垂直于所述轭组件定向的击发位置之间移动; 以及可连接到所述可扩张部分的远端的紧固件组件，所述紧固件组件在其中保持至少一个紧固件。

公开(公告)号：US20050023325A1

公开(公告)日：2005-02-03

申请号：US10472402

申请日：2002-04-03

申请人： Richard Gresham ,  Scott Manzo ,  Ernest Aranyi ,  Robert Geiste ,  Bruce Jankowski ,  Keith Milliman

发明人： Richard Gresham ,  Scott Manzo ,  Ernest Aranyi ,  Robert Geiste ,  Bruce Jankowski ,  Keith Milliman

IPC分类号： A61B17/00 ,  A61B17/115 ,  A61B17/34 ,  A61B17/04

CPC分类号： A61B17/1155 ,  A61B17/115 ,  A61B17/34 ,  A61B2017/00128 ,  A61B2017/07257 ,  A61B2017/2905

摘要： The present disclosure is directed to a surgical stapling device (10) for performing circular anastomoses. The surgical stapling device includes a handle portion (12), an elongated body portion (14) and a head portion (16) including an anvil assembly (30) and a shell assembly (31). The handle portion (12) includes a rotatable approximation knob (22) for approximating the anvil and shell assemblies (30,31) and a firing trigger (20) for actuating a firing mechanism for ejecting staples positioned within the shell assembly (31). The firing trigger (20) forms one link of a two bar linkage provided to actuate the firing mechanism. The anvil assembly (30) includes a tiltable anvil which will tilt automatically after firing of the device and unapproximating the anvil and shell assemblies (30,31). The head portion (16) also includes a retractable trocar assembly (240) which is slidably positioned within an anvil retainer (38) and is automatically advanced and retracted upon attachment and detachment of the anvil assembly (30) onto the anvil retainer (38). A lockout tube (270) is provided and is positioned about the anvil retainer (38) for releasably engaging an anvil assembly (30). The lockout tube (270) prevents inadvertent detachment of the anvil assembly (30) from the anvil retainer (38). The surgical stapling device (10) also includes a firing lockout assembly which prevents actuation of the firing trigger (20) until an anvil has been attached to the device and the anvil (129) has been approximated. A tactile indication mechanism is also provided for notifying a surgeon that the device has been fired and for notifying a surgeon that the anvil head has been unapproximated a distance sufficient to permit the anvil head to tilt.

摘要翻译： 本公开涉及用于执行圆形吻合的外科缝合装置（10）。 外科缝合装置包括手柄部分（12），细长主体部分（14）和包括砧座组件（30）和壳体组件（31）的头部部分（16）。 手柄部分（12）包括用于近似砧和壳组件（30,31）的可旋转近似旋钮（22）和用于致动用于排出位于壳体组件（31）内的缝钉）的击发机构的击发触发器（20）。 击发触发器（20）形成设置成致动击发机构的两杆连杆的一个连杆。 砧座组件（30）包括可倾斜的砧座，该砧座将在该装置点火之后自动倾斜并且使该砧座和壳体组件（30,31）不接近。 所述头部部分（16）还包括可伸缩套管针组件（240），其可滑动地定位在砧座保持器（38）内，并且当所述砧座组件（30）附接和拆卸到所述砧座保持器（38）上时自动前进和缩回， 。 锁定管（270）被设置并且围绕砧座保持器（38）定位，以可释放地接合砧组件（30）。 锁定管（270）防止砧组件（30）从砧座保持器（38）的意外脱离。 外科缝合装置（10）还包括击发锁定组件，其防止击发触发器（20）的致动直到砧座已经附接到装置并且砧座（129）已被近似。 还提供了一种触觉指示机构，用于通知外科医生该装置已经被点燃，并且通知外科医生砧座头未被近距离足以允许砧头倾斜的距离。

公开(公告)号：US08900253B2

公开(公告)日：2014-12-02

申请号：US10547902

申请日：2004-03-11

申请人： Ernest Aranyi ,  Kenneth H. Whitfield

发明人： Ernest Aranyi ,  Kenneth H. Whitfield

IPC分类号： A61B17/10 ,  A61B17/128 ,  A61B17/122 ,  A61B18/14 ,  A61B18/00 ,  A61B17/29

CPC分类号： A61B17/1285 ,  A61B17/122 ,  A61B18/1445 ,  A61B2017/2926 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00875

摘要： A clip applying apparatus is provided which includes a jaw mechanism having a stationary jaw and a movable jaw. The movable jaw is supported on or formed integrally with the distal end of a crimping member which is movably supported within a body portion of the apparatus. The stationary jaw defines a longitudinal axis which forms an angle θ of between about 15 degrees and about 15 degrees and about 75 degrees in relation to a longitudinal axis of the body portion. In another embodiment, the stationary jaw includes a clip receiving channel which is configured to at least partially receive a surgical clip. In one embodiment, the distal end of the stationary jaw includes a stop member which is positioned to engage the distal end of the stationary jaw includes a stop member which is positioned to engage the distal end of a leg of a surgical clip to prevent the surgical clip from being pushed from the stationary jaw during operation of the apparatus and the movable jaw includes a distally located crimping surface and a head portion defining a recessed channel configured to receive a portion of a surgical clip supported on the stationary jaw. In yet another embodiment, the crimping surface defines an acute angle β in relation to the longitudinal axis of the body portion, and in one embodiment, angle β is substantially the same as angle θ.

摘要翻译： 提供一种夹子施加装置，其包括具有固定夹爪和可移动夹爪的钳口机构。 活动夹爪支撑在压接构件的远端一体地形成，该压接构件的远端可移动地支撑在装置的主体部分内。 固定爪限定形成角度的纵轴; 相对于主体部分的纵向轴线在约15度至约15度和约75度之间。 在另一个实施例中，固定颚包括构造成至少部分地接收外科夹子的夹子接收通道。 在一个实施例中，固定颚的远端包括止动构件，该止动构件被定位成接合固定颚的远端，包括止动构件，该止动构件定位成接合外科夹子的腿的远端，以防止手术 夹子在装置的操作期间被从固定夹爪推开，并且可动夹爪包括远侧定位的压接表面和限定凹陷通道的头部，该凹槽被构造成容纳支撑在固定夹爪上的手术夹具的一部分。 在另一个实施例中，卷曲表面限定了锐角＆ 相对于主体部分的纵向轴线，并且在一个实施例中，角度＆bgr; 与角度基本相同。