公开(公告)号：US5509922A

公开(公告)日：1996-04-23

申请号：US333123

申请日：1994-11-01

申请人： Ernie Aranyi ,  Paul A. Matula ,  Henry Bolanos ,  Frank M. Rende, III

发明人： Ernie Aranyi ,  Paul A. Matula ,  Henry Bolanos ,  Frank M. Rende, III

IPC分类号： A61B17/00 ,  A61B17/28 ,  A61B18/14

CPC分类号： A61B17/29 ,  A61B18/1445 ,  A61B18/1442 ,  A61B18/1815 ,  A61B2017/0046 ,  A61B2017/2837 ,  A61B2017/292 ,  A61B2017/2926 ,  A61B2017/2929 ,  A61B2017/2936 ,  A61B2017/2945 ,  A61B2018/1253 ,  A61B2018/1432 ,  A61B2018/1861

摘要： An endoscopic surgical instrument having a handle assembly, a body portion, and a tool mechanism in which a pivoting handle pivots about a stationary handle to open and close the tool mechanism. The instrument includes a rotatable body portion, in which a rotation knob is provided on the instrument at the stationary handle so that the user may rotate the body portion, and consequently the tool mechanism, using a single hand. Furthermore, an electrocautery connection is provided which is positioned out of the line of sight of the surgeon, so that the surgeon may have an unobstructed view to the surgical site. The pivoting handle is provided with a rotatable connection point for connecting the slidable rod member to essentially eliminate radial deflection of the rod within the outer tube during opening and closing of the handles. The tool mechanism may include grasping jaws having rounded, interdigitating teeth for grasping and securely holding tissue or organs for removal through a cannula.

摘要翻译： 一种具有手柄组件，主体部分和工具机构的内窥镜手术器械，枢转手柄围绕静止手柄枢转以打开和关闭工具机构。 仪器包括一个可转动的主体部分，其中旋转旋钮设置在固定手柄上的乐器上，使得使用者可以使用单手旋转主体部分，从而旋转工具机构。 此外，提供了一种定位在外科医生视线之外的电烙术连接，使得外科医生可以对外科手术部位具有无阻碍的视野。 枢转手柄设置有可旋转的连接点，用于连接可滑动杆构件，以在打开和关闭手柄期间基本上消除杆在外管内的径向偏转。 工具机构可以包括具有圆形的交错齿的抓取爪，用于抓握并且牢固地保持组织或器官以通过套管去除。

公开(公告)号：US06592593B1

公开(公告)日：2003-07-15

申请号：US09787135

申请日：2001-06-04

申请人： Juan Carlos Parodi ,  Keith Ratcliff ,  Frank M. Rende ,  Charles R. Sherts

发明人： Juan Carlos Parodi ,  Keith Ratcliff ,  Frank M. Rende ,  Charles R. Sherts

IPC分类号： A61F1100

CPC分类号： A61B17/0682 ,  A61B17/064 ,  A61B2017/0649 ,  A61F2/07 ,  A61F2/848 ,  A61F2002/075

摘要： An endo-vascular fastener applicator is provided for endo-luminal fastening of a prosthetic to a vessel with a fastener. The applicator includes a tubular body that is configured for positioning within a vessel, an expandable portion disposed adjacent the distal end of the tubular body and deployed to support a prosthetic in contact with an inner surface of a vessel, and a drive assembly for advancing a fastener into the prosthetic. A delivery tube may be included that is disposed for movement within the tubular body, and which defines a channel for movement of the drive assembly there within. The delivery tube may include an applicator head. The applicator head may include an injection mount that is disposed for movement relative to a prosthetic.

摘要翻译： 提供内血管紧固件施加器用于使用紧固件将假体内腔内紧固到血管。 施用器包括被配置用于定位在容器内的管状主体，邻近管状体的远端设置并展开以支撑与容器的内表面接触的假体的可扩张部分，以及用于推进 紧固件进入假肢。 可以包括设置用于在管状体内移动的输送管，并且其限定用于其内部的驱动组件的运动的通道。 输送管可以包括施用器头。 施用器头可以包括设置成相对于假体运动的注射支架。

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.

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。

公开(公告)号：US5716352A

公开(公告)日：1998-02-10

申请号：US639412

申请日：1996-04-29

申请人： Frank J. Viola ,  Dominick L. Mastri ,  Ghaleb A. Sater ,  Wayne P. Young ,  Frank M. Rende, III

发明人： Frank J. Viola ,  Dominick L. Mastri ,  Ghaleb A. Sater ,  Wayne P. Young ,  Frank M. Rende, III

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B19/00 ,  A61F2/54 ,  B25J3/00

CPC分类号： B25J3/00 ,  A61B17/00234 ,  A61B34/70 ,  A61B34/71 ,  A61B17/2909 ,  A61B2017/00323 ,  A61B2017/00438 ,  A61B2017/00442

摘要： An apparatus is provided for performing surgical tasks during laparoscopic procedures which includes an elongated body, a mechanical hand operatively associated with a distal portion of the elongated body and including a plurality of articulated fingers, and an actuation assembly operatively associated with the proximal portion of the elongated body for controlling the operation of the mechanical hand.

公开(公告)号：US5253793A

公开(公告)日：1993-10-19

申请号：US651594

申请日：1991-02-06

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 ,  A61B17/072 ,  A61B19/00

CPC分类号： A61B17/07207 ,  A61B2017/00446 ,  A61B2017/00451 ,  A61B2017/07228 ,  A61B2090/08021

摘要： Apparatus for applying at least one row of two-part surgical fasteners to body tissue, each surgical fastener having a pronged fastener portion for piercing body tissue, and an aperture retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. The apparatus includes means for holding a plurality of the fastener portions in generally aligned relation, 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. In the preferred embodiment a knife edge is provided to cut the body tissue midway between opposed pairs of rows of the fasteners as the fasteners are applied. A method for applying two spaced apart pairs of rows of the fasteners to body tissue on the apparatus of the invention is also disclosed. A locking mechanism can be provided in the form of a hook which engages the cam bar retainer after firing the staples to prevent forward movement of the cam bar retainer.

公开(公告)号：US5156614A

公开(公告)日：1992-10-20

申请号：US794596

申请日：1991-11-14

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 ,  A61B17/072 ,  A61B19/00

CPC分类号： A61B17/07207 ,  A61B2017/00446 ,  A61B2017/00451 ,  A61B2090/08021

摘要： Apparatus for applying at least one row of two-part surgical fasteners to body tissue, each surgical fastener having a pronged fastener portion for piercing body tissue, and an aperture retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. The apparatus includes means for holding a plurality of the fastener portions in generally aligned relation, 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. In the preferred embodiment a knife edge is provided to cut the body tissue midway between opposed pairs of rows of the fasteners as the fasteners are applied. A method for applying two spaced apart pairs of rows of the fasteners to body tissue on the apparatus of the invention is also disclosed.

摘要翻译： 用于将至少一排两部分手术紧固件施加到身体组织的装置，每个手术紧固件具有用于刺穿身体组织的带插脚的紧固件部分，以及孔保持器，所述孔保持器的尺寸和构造适于接合接合插入的紧固件部分， 夹住其间的身体组织。 该装置包括用于以大致对齐的关系保持多个紧固件部分的装置，与紧固件部分保持装置间隔开的装置，用于夹持其间的身体组织，并且用于可释放地将多个保持器以大致对齐的关系可释放地保持， 身体组织位于它们之间。 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。 在优选实施例中，提供刀刃以在施加紧固件时在紧固件的相对的一对行之间的中间切割身体组织。 还公开了一种在本发明的装置上将两个间隔开的紧固件对的行对施加到身体组织的方法。

公开(公告)号：US5807376A

公开(公告)日：1998-09-15

申请号：US428046

申请日：1995-04-25

申请人： Frank J. Viola ,  Dominick L. Mastri ,  Ghaleb A. Sater ,  Wayne P. Young ,  Frank M. Rende, III

发明人： Frank J. Viola ,  Dominick L. Mastri ,  Ghaleb A. Sater ,  Wayne P. Young ,  Frank M. Rende, III

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B19/00 ,  A61F2/54 ,  B25J3/00 ,  B25J1/00

CPC分类号： B25J3/00 ,  A61B17/00234 ,  A61B34/70 ,  A61B34/71 ,  A61B17/2909 ,  A61B2017/00323 ,  A61B2017/00438 ,  A61B2017/00442

摘要： An apparatus is provided for performing surgical tasks during laparoscopic procedures which includes an elongated body, a mechanical hand operatively associated with a distal portion of the elongated body and including a plurality of articulated fingers, and an actuation assembly operatively associated with the proximal portion of the elongated body for controlling the operation of the mechanical hand.

摘要翻译： 提供了一种用于在腹腔镜手术期间执行手术任务的装置，其包括细长主体，与细长主体的远端部分可操作地相关联并且包括多个铰接指状物的机械手，以及与所述细长主体的近端部分可操作地相关联的致动组件 用于控制机械手的操作的细长体。

公开(公告)号：US5653373A

公开(公告)日：1997-08-05

申请号：US342323

申请日：1994-11-18

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 ,  A61B17/072 ,  A61B19/00 ,  A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/00446 ,  A61B2017/00451 ,  A61B2017/07221 ,  A61B2017/07278 ,  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 an arcuately shaped member for holding a plurality of the fastener portions in generally aligned relation, a correspondingly arcuately shaped member spaced from the fastener portion holding member 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. A fastener driver is provided for sequentially advancing the pronged fastener portions toward the apertured retainers to cause the fastener portions to pierce the body tissue therebetween. A knife may be provided to cut the body tissue adjacent the fasteners as the fasteners are applied.

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。 该装置优选地包括用于以大致对齐的关系保持多个紧固件部分的弧形构件，与紧固件部分保持构件间隔开的用于夹持身体组织的相应的弧形构件，并且用于可释放地将多个保持器保持在大致对齐 关系并且当身体组织位于其间时与紧固件相对定位。 提供了一种紧固件驱动器，用于将经插入的紧固件部分朝向有孔保持器顺序前进，以使紧固件部分在其间刺穿身体组织。 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。

公开(公告)号：US5352238A

公开(公告)日：1994-10-04

申请号：US962279

申请日：1992-10-16

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 ,  A61B17/072 ,  A61B19/00

CPC分类号： A61B17/07207 ,  A61B2017/00446 ,  A61B2017/00451 ,  A61B2090/08021

摘要： Apparatus for applying at least one row of two-part surgical fasteners to body tissue, each surgical fastener having a pronged fastener portion for piercing body tissue, and an aperture retainer dimensioned and configured for engaged reception of the pronged fastener portion in interference fit therewith for gripping the body tissue therebetween. The apparatus includes means for holding a plurality of the fastener portions in generally aligned relation, 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. In the preferred embodiment a knife edge is provided to cut the body tissue midway between opposed pairs of rows of the fasteners as the fasteners are applied. A method for applying two spaced apart pairs of rows of the fasteners to body tissue on the apparatus of the invention is also disclosed.

摘要翻译： 用于将至少一排两部分手术紧固件施加到身体组织的装置，每个手术紧固件具有用于刺穿身体组织的带插脚的紧固件部分，以及孔保持器，所述孔保持器的尺寸和构造适于接合接合插入的紧固件部分， 夹住其间的身体组织。 该装置包括用于以大致对齐的关系保持多个紧固件部分的装置，与紧固件部分保持装置间隔开的装置，用于夹持其间的身体组织，并且用于可释放地将多个保持器以大致对齐的关系可释放地保持， 身体组织位于它们之间。 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。 在优选实施例中，提供刀刃以在施加紧固件时在紧固件的相对的一对行之间的中间切割身体组织。 还公开了一种在本发明的装置上将两个间隔开的紧固件对的行对施加到身体组织的方法。