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公开(公告)号：US09265500B2
公开(公告)日：2016-02-23
申请号：US12817293
申请日：2010-06-17
IPC分类号： A61B17/064
CPC分类号： A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/105
摘要： A surgical staple, comprising a backspan, a first leg member extending from the backspan, a second leg member extending from the backspan, and at least one substantially continuous channel extending along at least one of an inner surface and an outer surface of the first leg member and the second leg member.
摘要翻译： 一种外科缝合钉，包括一个后桥，一个从后跨跨距延伸的第一个腿部件，一个从背跨伸出的第二个腿部件，以及至少一个基本上连续的通道，沿着第一腿部的内表面和外表面中的至少一个延伸 会员和第二名成员。
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公开(公告)号：US08419752B2
公开(公告)日：2013-04-16
申请号：US12539730
申请日：2009-08-12
IPC分类号： A61B17/10
CPC分类号： A61B17/105 , A61B1/3132 , A61B17/00234 , A61B17/072 , A61B17/083 , A61B17/10 , A61B17/12 , A61B17/1222 , A61B17/1285 , A61B17/29 , A61B90/08 , A61B2017/00115 , A61B2017/00221 , A61B2017/00407 , A61B2017/00734 , A61B2017/2902 , A61B2017/2932 , A61B2017/2943 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
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公开(公告)号：US08409222B2
公开(公告)日：2013-04-02
申请号：US12406345
申请日：2009-03-18
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B2017/00221 , A61B2090/0803
摘要： An apparatus for application of surgical clips to body tissue has a handle portion and a body extending distally from the handle portion and defining a longitudinal axis. The apparatus also has a plurality of surgical clips disposed within the body, and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, and a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position. The apparatus still further has an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position.
摘要翻译： 用于将手术夹子应用于身体组织的装置具有手柄部分和从手柄部分向远侧延伸并限定纵向轴线的主体。 该装置还具有设置在主体内的多个手术夹具，以及邻近主体的远端部分安装的钳口组件。 钳口组件包括可在间隔开和近似位置之间移动的第一和第二钳口部分。 该装置还具有可在第一和第二钳口部分之间纵向移动的楔形板，以及夹子推动器，其构造成在钳口部分处于间隔开的位置时单独地将手术夹子前进到钳口组件。 该装置还具有致动器，该致动器至少部分地设置在主体内并响应于手柄部分的致动而纵向移动，以及邻近第一和第二钳口部分定位的钳口闭合构件，以将钳口部分移动到近似位置。
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公开(公告)号：US08267946B2
公开(公告)日：2012-09-18
申请号：US12903579
申请日：2010-10-13
IPC分类号： A61B17/28
CPC分类号： A61B17/1285 , A61B2017/00367 , A61B2017/00407 , A61B2090/037 , A61B2090/0803
摘要： An apparatus for application of surgical clips to body tissue includes an actuator at least partially disposed within a body and longitudinally movable in response to actuation of a handle portion. The apparatus includes a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position and a rack having ratchet teeth connected to the actuator. The apparatus includes a pawl engaging a series of ratchet teeth and capable of preventing an inadvertent return of the actuator before full actuation of the apparatus. A clip pusher incrementally moves distally each time a clip is released from the apparatus. When the clip pusher reaches a predetermined distal point in a clip carrying channel, a feed bar is deflected to a second position to prevent retraction but not advancement of the actuator and thereby manipulates the pawl to engage the ratchet teeth.
摘要翻译： 用于将外科夹子应用于身体组织的装置包括至少部分地设置在主体内并且响应于手柄部分的致动而可纵向移动的致动器。 该装置包括邻近第一和第二钳口部分定位的钳口闭合构件以将钳口部分移动到近似位置，并且具有连接到致动器的棘齿的齿条。 该装置包括与一系列棘轮齿接合的棘爪，并且能够在完全致动装置之前防止致动器的意外返回。 每次剪辑从设备中释放时，夹子推动器逐渐向远侧移动。 当夹子推动器到达夹子传送通道中的预定远端点时，进给杆被偏转到第二位置以防止致动器的收回而不是前进，从而操纵棘爪以接合棘轮齿。
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公开(公告)号：US08267944B2
公开(公告)日：2012-09-18
申请号：US12539204
申请日：2009-08-11
IPC分类号： A61B17/10
CPC分类号： A61B17/0682 , A61B17/083 , A61B17/105 , A61B17/12 , A61B17/128 , A61B17/1285 , A61B2017/12004
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
摘要翻译： 提供了一种用于将外科夹子应用于身体组织的装置，并且包括手柄组件; 轴组件，其包括从手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹具; 邻近所述轴组件的远端部分安装的钳口，所述钳口可在开放间隔开的条件和闭合近似状态之间移动; 以及推杆，其往复地设置在所述轴组件的所述壳体内并且可拆卸地连接到所述轴组件的所述壳体，所述推杆构造成在远侧运动期间将最远端手术夹子装载到所述夹爪中并保持连接到所述壳体 并且在近似钳口期间处于远侧前进位置。
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公开(公告)号：US20120145768A1
公开(公告)日：2012-06-14
申请号：US13343743
申请日：2012-01-05
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/0644 , A61B17/068 , A61B17/0684 , A61B17/0686 , A61B2017/07228 , A61B2017/0725 , A61B2017/07278 , A61B2017/2944
摘要： A surgical device for applying a plurality of surgical staples is provided. The device includes a staple fastening assembly attached to a surgical instrument. The staple fastening assembly includes a pair of cooperating jaws, a jaw operating mechanism, and a gap sensor. A staple magazine having a plurality of staples and an anvil member having a plurality of staple pockets are attached to the jaws. The staple magazine includes a staple crimping cam and a staple dimpling cam that are operatively coupled to the surgical instrument. The jaw operating mechanism is operatively connected to a drive assembly in the surgical instrument for moving the jaws for automatically setting a tissue gap between the cooperating jaws. The gap sensor cooperates with the jaw operating mechanism for controlling staple formation.
摘要翻译： 提供了一种用于施加多个外科缝钉的手术装置。 该装置包括附接到外科器械的钉紧固组件。 缝钉紧固组件包括一对协作钳口，钳口操作机构和间隙传感器。 具有多个订书钉的钉仓和具有多个订书钉仓的砧座附接到所述夹爪。 订书钉盒包括可操作地联接到手术器械的钉卷曲凸轮和缝钉凹槽凸轮。 钳口操作机构可操作地连接到手术器械中的驱动组件，用于移动钳口以自动地在组合钳口之间设置组织间隙。 间隙传感器与钳口操作机构配合，用于控制缝钉形成。
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公开(公告)号：US20100057107A1
公开(公告)日：2010-03-04
申请号：US12539766
申请日：2009-08-12
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B17/0487 , A61B17/128 , A61B90/03 , A61B2017/00407 , A61B2017/0488 , A61B2090/034
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
摘要翻译： 提供了一种用于将外科夹子应用于身体组织的装置，并且包括手柄组件; 轴组件，其包括从手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹具; 邻近所述轴组件的远端部分安装的钳口，所述钳口可在开放间隔开的条件和闭合近似状态之间移动; 以及推杆，其往复地设置在所述轴组件的所述壳体内并且可拆卸地连接到所述轴组件的所述壳体，所述推杆构造成在远侧运动期间将最远端手术夹子装载到所述夹爪中并且保持连接到所述壳体 并且在近似钳口期间处于远侧前进位置。
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公开(公告)号：US20100057105A1
公开(公告)日：2010-03-04
申请号：US12539671
申请日：2009-08-12
IPC分类号： A61B17/10
CPC分类号： A61B17/105 , A61B1/3132 , A61B17/00234 , A61B17/072 , A61B17/083 , A61B17/10 , A61B17/12 , A61B17/1222 , A61B17/1285 , A61B17/29 , A61B90/08 , A61B2017/00115 , A61B2017/00221 , A61B2017/00407 , A61B2017/00734 , A61B2017/2902 , A61B2017/2932 , A61B2017/2943 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
摘要翻译： 提供了一种用于将外科夹子应用于身体组织的装置，并且包括手柄组件; 轴组件，其包括从手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹具; 邻近所述轴组件的远端部分安装的钳口，所述钳口可在开放间隔开的条件和闭合近似状态之间移动; 以及推杆，其往复地设置在所述轴组件的所述壳体内并且可拆卸地连接到所述轴组件的所述壳体，所述推杆构造成在远侧运动期间将最远端手术夹子装载到所述夹爪中并且保持连接到所述壳体 并且在近似钳口期间处于远侧前进位置。
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公开(公告)号：US20100057102A1
公开(公告)日：2010-03-04
申请号：US12539069
申请日：2009-08-11
IPC分类号： A61B17/10
CPC分类号： A61B17/1285
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
摘要翻译： 提供了一种用于将外科夹子应用于身体组织的装置，并且包括手柄组件; 轴组件，其包括从手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹具; 邻近所述轴组件的远端部分安装的钳口，所述钳口可在开放间隔开的条件和闭合近似状态之间移动; 以及推杆，其往复地设置在所述轴组件的所述壳体内并且可拆卸地连接到所述轴组件的所述壳体，所述推杆构造成在远侧运动期间将最远端手术夹子装载到所述夹爪中并且保持连接到所述壳体 并且在近似钳口期间处于远侧前进位置。
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公开(公告)号：US20080243145A1
公开(公告)日：2008-10-02
申请号：US12055446
申请日：2008-03-26
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B90/08 , A61B2090/0807 , A61B2090/0814
摘要： An apparatus for application of surgical clips is provided and includes a lockout system selectively engageable with a pusher bar to prevent the pusher bar from returning to a home position and to prevent a trigger from completing a full stroke when a plurality of clips are substantially exhausted. The apparatus may include a trip mechanism including a trip lever biased into contact with the pusher bar, wherein distal movement of the drive bar moves the trip mechanism until the trip lever engages a lip of the pusher bar and in turn distally moves the pusher bar. The apparatus may include a wedge plate including a distal end placeable between spaced-apart jaw members, wherein the wedge plate is moved proximally to withdraw the distal end thereof from between the jaw members when a drive channel is moved in a distal direction.
摘要翻译： 提供了一种用于施加手术夹子的装置，并且包括可选择地与推杆相接合以防止推杆返回到原始位置并且当多个夹子基本上被耗尽时防止触发器完成全部行程的锁定系统。 该装置可以包括跳闸机构，该跳闸机构包括被偏置成与推杆接触的跳闸杆，其中驱动杆的远端移动使脱扣机构移动，直到脱扣杆接合推杆的唇缘，并且进一步移动推杆。 该装置可以包括楔形板，其包括可间隔开的钳口构件之间的远端，其中当驱动通道沿远端方向移动时，楔形板向近侧移动以将其远端从夹爪构件之间撤回。
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