公开(公告)号：US5282810A

公开(公告)日：1994-02-01

申请号：US865236

申请日：1992-04-08

申请人： William J. Allen ,  George Jessup ,  Lester F. Miller ,  Milton W. Brumaghim

发明人： William J. Allen ,  George Jessup ,  Lester F. Miller ,  Milton W. Brumaghim

IPC分类号： A61B17/00 ,  A61B17/11 ,  A61B17/115 ,  A61B17/28

CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/2904

摘要： A transanal insertion device for surgically inserting an anastomosis ring having two unitary members into a tubular anatomic member comprises a distal adapter, a proximal adapter and an actuator. The distal adapter includes a hollow distal sleeve and a spring-loaded distal spool axially movable within the distal sleeve. The distal spool is biased in a first direction by a distal spring and includes alignment fingers pivotably connected thereon for aligning a first unitary member. The proximal adapter has a hollow proximal sleeve and a spring-loaded proximal spool axially movable within the proximal sleeve. The proximal spool is biased in a second direction by a proximal spring and includes alignment fingers connected thereon for aligning a second unitary member. The proximal member also includes a proximal gripper for securing the second unitary member on the proximal hollow sleeve. The actuator includes an elongated tube with a collar connected to its distal end and a handle assembly connected to its proximal end. First and second flexible rods connected to the handle assembly extend through the elongated tube. The flexible rods are manipulated to engage the distal adapter and draw it relative to the proximal adapter. The rods are also manipulated to release the distal and proximal adapters from their respective unitary members so the distal adapter, the proximal adapter and the actuator can be withdrawn transanally.

摘要翻译： 用于将具有两个整体构件的吻合口手术插入管状解剖构件的经肛门插入装置包括远端适配器，近端适配器和致动器。 远端适配器包括中空的远端套管和可在远侧套筒内轴向移动的弹簧加载的远侧卷轴。 远侧线轴通过远端弹簧在第一方向上偏置并且包括可枢转地连接在其上的对准指针，用于对准第一整体构件。 近端适配器具有中空的近侧套筒和可在近侧套筒内轴向移动的弹簧加载的近侧卷轴。 近端线轴通过近侧弹簧在第二方向上偏置，并且包括连接在其上的对准指状件用于对准第二整体构件。 近端构件还包括用于将第二整体构件固定在近端中空套筒上的近端夹持器。 致动器包括细长管，其具有连接到其远端的凸缘和连接到其近端的手柄组件。 连接到手柄组件的第一和第二柔性杆延伸穿过细长管。 操纵柔性杆以接合远端适配器并相对于近端适配器拉动。 杆也被操纵以从其相应的整体构件释放远端和近端适配器，因此远端适配器，近端适配器和致动器可以通过横向取出。

公开(公告)号：US4662373A

公开(公告)日：1987-05-05

申请号：US795044

申请日：1985-11-04

申请人： John R. Montgomery ,  Milton W. Brumaghim ,  Jose C. Deniega

发明人： John R. Montgomery ,  Milton W. Brumaghim ,  Jose C. Deniega

IPC分类号： A61B17/068 ,  A61B17/12

CPC分类号： A61B17/0682 ,  Y10T29/53783

摘要： An improved surgical ligating instrument has been invented. The improvements comprise crimping means having canted jaws and advancing means having a clip actuator, said actuator having a first and second pawl in alternate relationship.A surgical ligating instrument has also been invented. The instrument comprisesa. a housing having a force activating and translating mechanism; b. loading mechanism having an injector, the terminal end adjacent a single clip; c. an advancing mechanism having a pair of aligned members, the initial end of said members contained in said housing and the terminal end containing jaws; a clip actuator rotatably mounted adjacent the initial end of said jaws; a spring, a pusher at the terminal end of said spring, and a plurality of clips, the rearmost clip adjacent said pusher and the frontmost clip contained by said actuator; and d. a crimping mechanism having a crimp bar.

摘要翻译： 已经发明了一种改进的手术结扎器械。 这些改进包括具有倾斜钳口的压接装置和具有夹子致动器的前进装置，所述致动器具有交替关系的第一和第二棘爪。 也已经发明了一种手术结扎器械。 仪器包括a。 具有力激活和平移机构的壳体; b。 装载机构具有喷射器，所述终端邻近单个夹子; C。 具有一对对准的构件的前进机构，所述构件的初始端包含在所述壳体中，并且终端包含夹爪; 夹紧致动器，其可旋转地安装在所述夹爪的初始端附近; 弹簧，在所述弹簧的终端处的推动器，以及多个夹子，邻近所述推动器的最后部夹子和由所述致动器容纳的最前部夹子; 和d。 具有压接杆的压接机构。

公开(公告)号：US4576166A

公开(公告)日：1986-03-18

申请号：US278258

申请日：1981-06-29

申请人： John R. Montgomery ,  Milton W. Brumaghim ,  Jose C. Deniega

发明人： John R. Montgomery ,  Milton W. Brumaghim ,  Jose C. Deniega

IPC分类号： A61B17/068 ,  A61B17/12

CPC分类号： A61B17/0682 ,  Y10T29/53783

摘要： An improved surgical ligating instrument has been invented. The improvements comprise a crimping mechanism having canted jaws and an advancing mechanism having a clip actuator, said actuator having a first and a second pawl in alternate relationship.A surgical ligating instrument has also been invented. The instrument comprisesa. a housing having a force activating and translating mechanism; b. a loading mechanism having an injector, the terminal end adjacent a single clip; c. an advancing mechanism having a pair of aligned members, the initial end of the members contained in the housing and the terminal end containing jaws; a clip actuator rotatably mounted adjacent the initial end of the jaws; a spring, a pusher at the terminal end of the spring, and a plurality of clips, the rearmost clip adjacent the pusher and the frontmost clip contained by the actuator; and d. a crimping mechanism having a crimp bar.

摘要翻译： 已经发明了一种改进的手术结扎器械。 这些改进包括具有倾斜爪的压接机构和具有夹子致动器的前进机构，所述致动器具有交替关系的第一和第二棘爪。 也已经发明了一种手术结扎器械。 仪器包括a。 具有力激活和平移机构的壳体; b。 具有喷射器的装载机构，所述终端邻近单个夹子; C。 具有一对对准构件的前进机构，所述构件的初始端包含在所述壳体中，所述终端包含夹爪; 夹紧致动器，其可旋转地安装在所述夹爪的初始端附近; 弹簧，弹簧的末端的推动器和多个夹子，最靠近推杆的夹子和由致动器容纳的最前面的夹子; 和d。 具有压接杆的压接机构。

公开(公告)号：USD275885S

公开(公告)日：1984-10-09

申请号：US278256

申请日：1981-06-29

申请人： John R. Montgomery ,  Milton W. Brumaghim ,  Jose C. Deniega ,  Reinhart Butter

设计人： John R. Montgomery ,  Milton W. Brumaghim ,  Jose C. Deniega ,  Reinhart Butter