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    Sealing means for endoscopic surgical anastomosis stapling instrument
    4.
    发明授权
    Sealing means for endoscopic surgical anastomosis stapling instrument 失效
    内窥镜手术吻合术吻合手段

    公开(公告)号：US5350104A

    公开(公告)日：1994-09-27

    申请号：US180942

    申请日：1994-01-12

    申请人： Lauren O. Main ,  Richard L. Grant

    发明人： Lauren O. Main ,  Richard L. Grant

    IPC分类号： A61B17/115 ,  A61B17/28 ,  A61B17/34 ,  A61B17/068

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2017/2948 ,  A61B2017/3419

    摘要： A sealed surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. Various mechanisms for sealing the instrument are disclosed.

    摘要翻译： 提供一种用于进行圆形吻合装订操作的密封外科缝合器械。 手术器械包括一个装订头组件，该装订头组件通过弯曲的轴安装到致动器手柄组件上并且包括改进的致动器机构，用于将所需的操作力和从致动器手柄组件通过弯曲轴的运动传递到钉子的砧座和缝钉驱动器 头组件。 公开了用于密封仪器的各种机构。

    Endoscopic stapler
    7.
    发明授权
    Endoscopic stapler 有权
    内窥镜吻合器

    公开(公告)号：US06302311B1

    公开(公告)日：2001-10-16

    申请号：US09633113

    申请日：2000-08-04

    申请人： Ronald David Adams ,  Lauren O. Main ,  Scott E. Swaffar ,  Charles H. Pugsley, Jr. ,  David P. Gordon

    发明人： Ronald David Adams ,  Lauren O. Main ,  Scott E. Swaffar ,  Charles H. Pugsley, Jr. ,  David P. Gordon

    IPC分类号： A61B17068

    CPC分类号： A61B17/115 ,  A61B17/00234 ,  A61B17/1114 ,  A61B17/1155 ,  A61B2017/07221 ,  A61B2017/2905

    摘要： An endoscopic stapler includes a stapling head which is removably locatable on the distal end of an endoscope. The stapling head includes a stationary part which houses a removable staple cartridge and a movable part which includes an anvil for receiving and bending the ends of staples fired from the stationary part. The staple cartridge preferably houses two semi-circular rows of staples which are staggered relative to each other. The movable part is coupled to the stationary part by a threaded shaft which engages a worm gear in the stationary part and a first rotatable control wire is coupled to the worm gear. A substantially semi-circular firing cam is located proximal of the staple cartridge in the stationary part. The firing cam has an interior splined surface which is engaged by a spline gear coupled to a second rotatable control wire. In one embodiment, a knife is coupled to the firing cam so that tissue is cut subsequent to stapling. In another embodiment, laser-optical paths are provided for cutting tissue after stapling. The proximal end of the stapling head is coupled to a sleeve having lumen for the control wires and a lumen for a standard endoscope. In another embodiment, a modified endoscope is provided with lumena for the control cables. The modified endoscope is removably attached to the stapling head by either a screw connection or a snap connection.

    摘要翻译： 内窥镜吻合器包括可拆卸地定位在内窥镜的远端上的吻合头。 装订头包括容纳可拆卸钉仓的固定部分和可移动部件，该可动部件包括用于接收和弯曲从固定部分发射的钉的端部的砧座。 钉仓优选地容纳相对于彼此交错的两个半圆形的订书钉行。 可移动部分通过与固定部分中的蜗轮啮合的螺纹轴联接到固定部分，并且第一可旋转控制线联接到蜗轮。 基本上半圆形的点火凸轮位于固定部分中的钉仓的近侧。 射击凸轮具有内部花键表面，该内部花键表面由联接到第二可旋转控制线的花键齿轮接合。 在一个实施例中，刀被联接到击发凸轮，使得在缝合之后组织被切割。 在另一个实施例中，提供激光光路以便在缝合之后切割组织。 吻合头的近端联接到具有用于控制线的内腔和用于标准内窥镜的内腔的套管。 在另一个实施例中，改进的内窥镜设置有用于控制电缆的灯罩。 改进的内窥镜通过螺钉连接或卡扣连接可拆卸地附接到装订头。

    Method and device for full thickness resectioning of an organ
    8.
    发明授权
    Method and device for full thickness resectioning of an organ 有权
    器官全面切除的方法和装置

    公开(公告)号：US06179195B2

    公开(公告)日：2001-01-30

    申请号：US09316674

    申请日：1999-05-21

    申请人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

    发明人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

    IPC分类号： A61B1704

    CPC分类号： A61B17/07207 ,  A61B17/29 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/0725 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306

    摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.

    摘要翻译： 全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。 装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙 组织接收位置比装订位置大。 提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织 并且刀切割在间隙内接收的组织的一部分。 保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。

    Sealing means for endoscopic surgical anastomosis stapling instrument
    9.
    发明授权
    Sealing means for endoscopic surgical anastomosis stapling instrument 失效
    内窥镜手术吻合术吻合手段

    公开(公告)号：US5533661A

    公开(公告)日：1996-07-09

    申请号：US378857

    申请日：1995-01-25

    申请人： Lauren O. Main ,  Richard L. Grant

    发明人： Lauren O. Main ,  Richard L. Grant

    IPC分类号： A61B17/115 ,  A61B17/28 ,  A61B17/34 ,  A61B17/068

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2017/2948 ,  A61B2017/3419

    摘要： A sealed surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. Various mechanisms for sealing the instrument are disclosed.

    摘要翻译： 提供一种用于进行圆形吻合装订操作的密封外科缝合器械。 手术器械包括一个装订头组件，该装订头组件通过弯曲的轴安装到致动器手柄组件上并且包括改进的致动器机构，用于将所需的操作力和从致动器手柄组件通过弯曲轴的运动传递到钉子的砧座和缝钉驱动器 头组件。 公开了用于密封仪器的各种机构。

    Method and device for full thickness resectioning of an organ
    10.
    发明授权
    Method and device for full thickness resectioning of an organ 有权
    器官全面切除的方法和装置

    公开(公告)号：US06478210B2

    公开(公告)日：2002-11-12

    申请号：US10055306

    申请日：2002-01-23

    申请人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

    发明人： Ronald D. Adams ,  Roy H. Sullivan, III ,  Lauren O. Main ,  Peter K. Kratsch ,  George A. Nunez ,  Jurgen A. Kortenbach ,  Matt Solar ,  Gerhard F. Buess ,  Marc O. Schurr

    IPC分类号： A61B17068

    CPC分类号： A61B17/072 ,  A61B1/00087 ,  A61B17/07207 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/00353 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/306

    摘要： A full-thickness resection system comprises a flexible endoscope and a stapling mechanism, wherein the endoscope is slidably received through at least a portion of the stapling mechanism. The stapling mechanism comprises an anvil and a stapling head mounted to the anvil so that the anvil and the stapling head are moveable with respect to one another between a tissue receiving position and a stapling position and wherein a gap formed between the stapling head and the anvil is larger in the tissue receiving position than it is in the stapling position. A position adjusting mechanism is provided for moving the anvil and the stapling head between the tissue receiving and stapling positions and a staple firing mechanism sequentially fires a plurality of staples from the stapling head across the gap against the anvil and through any tissue received in the gap and a knife cuts a portion of tissue received within the gap. A control unit which remains outside the body is coupled to the stapling mechanism for controlling operation of the position adjusting mechanism and the staple firing mechanism.

    摘要翻译： 全厚度切除系统包括柔性内窥镜和缝合机构，其中内窥镜可滑动地容纳穿过缝合机构的至少一部分。 装订机构包括安装到砧座的砧座和装订头，使得砧座和装订头部在组织接收位置和装订位置之间可相对于彼此移动，并且其中在钉钉头和砧座之间形成间隙 组织接收位置比装订位置大。 提供了一种位置调节机构，用于使砧座和装订头在组织接收和装订位置之间移动，并且缝合钉发射机构依次从缝合头穿过间隙抵抗砧座并通过接收在间隙中的任何组织 并且刀切割在间隙内接收的组织的一部分。 保持在主体外部的控制单元联接到装订机构，用于控制位置调节机构和订书钉启动机构的操作。