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公开(公告)号:US07740616B2
公开(公告)日:2010-06-22
申请号:US11392257
申请日:2006-03-29
申请人: A. David Smith , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
发明人: A. David Smith , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
IPC分类号: A61M25/02
CPC分类号: A61M25/0097 , A61M25/0009 , A61M25/0014 , A61M39/06 , A61M39/0606 , A61M39/10 , A61M2027/004 , A61M2039/062 , A61M2039/1027
摘要: A catheter for implantation into a patient having a catheter tube having a distal end, a means for trimming the distal end of the catheter tube after subcutaneous insertion of the tip of the catheter lumen into a desired position within the patient to form a trimmed end portion, and a means for selectively positioning each respective lumen of the trimmed end portion of the catheter tube into fluid communication with the respective first end of one attachment tube. The attachment tube is select fluid communication with a desired medical device.
摘要翻译: 一种用于植入具有具有远端的导管的患者的导管,用于在将导管内腔的尖端皮下插入患者体内的期望位置之后修整导管管的远端的装置,以形成修剪的端部 以及用于选择性地定位导管管的修剪端部的每个相应内腔与一个附接管的相应第一端流体连通的装置。 附件管是与期望的医疗装置的选择性流体连通。
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公开(公告)号:US20100100074A1
公开(公告)日:2010-04-22
申请号:US12643562
申请日:2009-12-21
申请人: A. DAVID SMITH , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
发明人: A. DAVID SMITH , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
IPC分类号: A61M25/16 , A61B17/3209
CPC分类号: A61M25/0097 , A61M25/0009 , A61M25/0014 , A61M39/06 , A61M39/0606 , A61M39/10 , A61M2027/004 , A61M2039/062 , A61M2039/1027
摘要: A catheter for implantation into a patient having a catheter tube having a distal end, a means for trimming the distal end of the catheter tube after subcutaneous insertion of the tip of the catheter lumen into a desired position within the patient to form a trimmed end portion, and a means for selectively positioning each respective lumen of the trimmed end portion of the catheter tube into fluid communication with the respective first end of one attachment tube. The attachment tube is select fluid communication with a desired medical device.
摘要翻译: 一种用于植入具有具有远端的导管的患者的导管,用于在将导管内腔的尖端皮下插入患者体内的期望位置之后修整导管管的远端的装置,以形成修剪的端部 以及用于选择性地定位导管管的修剪端部的每个相应内腔与一个附接管的相应第一端流体连通的装置。 附件管是与期望的医疗装置的选择性流体连通。
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公开(公告)号:US07905875B2
公开(公告)日:2011-03-15
申请号:US12643562
申请日:2009-12-21
申请人: A. David Smith , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
发明人: A. David Smith , Dominick L. Mastri , Jeffrey P. Radziunas , Paul DiCesare , James Steven Kenny
IPC分类号: A61M31/00
CPC分类号: A61M25/0097 , A61M25/0009 , A61M25/0014 , A61M39/06 , A61M39/0606 , A61M39/10 , A61M2027/004 , A61M2039/062 , A61M2039/1027
摘要: A catheter for implantation into a patient having a catheter tube having a distal end, a means for trimming the distal end of the catheter tube after subcutaneous insertion of the tip of the catheter lumen into a desired position within the patient to form a trimmed end portion, and a means for selectively positioning each respective lumen of the trimmed end portion of the catheter tube into fluid communication with the respective first end of one attachment tube. The attachment tube is select fluid communication with a desired medical device.
摘要翻译: 一种用于植入具有具有远端的导管的患者的导管,用于在将导管内腔的尖端皮下插入患者体内的期望位置之后修整导管管的远端的装置,以形成修剪的端部 以及用于选择性地定位导管管的修剪端部的每个相应内腔与一个附接管的相应第一端流体连通的装置。 附件管是与期望的医疗装置的选择性流体连通。
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公开(公告)号:US20110166483A1
公开(公告)日:2011-07-07
申请号:US13048462
申请日:2011-03-15
IPC分类号: A61N7/00
CPC分类号: A61B17/320092 , A61B17/29 , A61B17/295 , A61B2017/2825 , A61B2017/320075 , A61B2017/320094 , A61B2017/320095
摘要: An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.
摘要翻译: 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器,控制模块和远程致动器。 超声波仪器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割钳口。 振动耦合器将超声波传感器的高频振动传导到切割钳口。 切割钳具有刀片表面,刀片表面相对于细长主体部分的纵向轴线在远端方向上沿其长度向下和向外弯曲,使得由与叶片表面相切的线和纵向轴线 细长主体部分在5度和75度之间变化。 具有组织接触表面的夹紧构件定位成与切割钳口相邻,并且可从组织接触表面从叶片表面间隔开的打开位置移动到夹紧位置,在该夹紧位置,组织接触表面与 叶片表面以夹紧组织。 夹紧构件和弯曲切割钳组合以在切割期间增强组织与切割钳口的刀片表面之间的接触。 此外,叶片表面相对于细长主体部分的纵向轴线的连续变化的角度有助于选择性使用者控制在切割或解剖过程中在组织上的施加力。
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公开(公告)号:US07770774B2
公开(公告)日:2010-08-10
申请号:US12118924
申请日:2008-05-12
IPC分类号: A61B17/068
CPC分类号: A61B17/072 , A61B17/07207 , A61B2017/0046 , A61B2017/0688 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2923
摘要: A surgical device is described herein that can be used to fire different types and sizes of disposable loading units. In a preferred embodiment, the device applies parallel rows of surgical fasteners to body tissue and concomitantly forms an incision between the rows of staples during an endoscopic or laparoscopic surgical procedure. The device can be utilized with disposable loading units configured to apply linear rows of staples measuring from about 15 mm in length to about 60 mm in length and can be used to fire disposable loading units containing surgical clips and individual staples.
摘要翻译: 本文描述的外科装置可用于发射不同类型和尺寸的一次性装载单元。 在优选实施例中,该装置将平行的外科紧固件排施加到身体组织,并且在内窥镜或腹腔镜手术过程中伴随地在钉排之间形成切口。 该装置可以与一次性装载单元一起使用,其被配置成施加长度为约15mm至约60mm的直线行钉,并且可用于对包含手术夹和单个钉的一次性装载单元进行点火。
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公开(公告)号:US20100096433A1
公开(公告)日:2010-04-22
申请号:US12644450
申请日:2009-12-22
IPC分类号: A61B17/068
CPC分类号: A61B17/072 , A61B17/07207 , A61B2017/0046 , A61B2017/0688 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2923
摘要: A surgical device is described herein that can be used to fire different types and sizes of disposable loading units. In a preferred embodiment, the device applies parallel rows of surgical fasteners to body tissue and concomitantly forms an incision between the rows of staples during an endoscopic or laparoscopic surgical procedure. The device can be utilized with disposable loading units configured to apply linear rows of staples measuring from about 15 mm in length to about 60 mm in length and can be used to fire disposable loading units containing surgical clips and individual staples.
摘要翻译: 本文描述的外科装置可用于发射不同类型和尺寸的一次性装载单元。 在优选实施例中,该装置将平行的外科紧固件排施加到身体组织,并且在内窥镜或腹腔镜手术过程中伴随地在钉排之间形成切口。 该装置可以与一次性装载单元一起使用,其被配置成施加长度为约15mm至约60mm的直线行钉,并且可用于对包含手术夹和单个钉的一次性装载单元进行点火。
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公开(公告)号:US20090105535A1
公开(公告)日:2009-04-23
申请号:US11978852
申请日:2007-10-30
申请人: David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
发明人: David T. Green , Henry Bolanos , Wayne Young , Stephan A. DeFonzo , Richard A. McGarry , Dominick L. Mastri
CPC分类号: A61B17/0686 , A61B17/00234 , A61B17/0684 , A61B2017/2837 , A61B2017/2927 , A61B2017/2929 , A61B2090/0811 , A61F2/0063 , Y10S227/902
摘要: An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.
摘要翻译: 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架,以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上,每个钉被构造并适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统,用于在远端单独推进至少一个钉,用于邻近外科手术网和身体组织定位。 推动器系统还包括用于致动推动器的触发系统。 触发系统设置有可感知的触觉感测装置,用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。 砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 墨盒支撑系统的远端突出是一对腿,其尺寸和构造在关闭期间接合钉,以防止在钉的平面外部不期望的滚动或变形。
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公开(公告)号:US07472814B2
公开(公告)日:2009-01-06
申请号:US11903586
申请日:2007-09-24
IPC分类号: A61B17/068
CPC分类号: A61B17/072 , A61B17/07207 , A61B2017/0046 , A61B2017/0688 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2923
摘要: A surgical device is described herein that can be used to fire different types and sizes of disposable loading units. In a preferred embodiment, the device applies parallel rows of surgical fasteners to body tissue and concomitantly forms an incision between the rows of staples during an endoscopic or laparoscopic surgical procedure. The device can be utilized with disposable loading units configured to apply linear rows of staples measuring from about 15 mm in length to about 60 mm in length and can be used to fire disposable loading units containing surgical clips and individual staples.
摘要翻译: 本文描述的外科装置可用于发射不同类型和尺寸的一次性装载单元。 在优选实施例中,该装置将平行的外科紧固件排施加到身体组织,并且在内窥镜或腹腔镜手术过程中伴随地在钉排之间形成切口。 该装置可以与一次性装载单元一起使用,其被配置成施加长度为约15mm至约60mm的直线行钉,并且可用于对包含手术夹和单个钉的一次性装载单元进行点火。
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公开(公告)号:US6063050A
公开(公告)日:2000-05-16
申请号:US174276
申请日:1998-10-16
申请人: Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
发明人: Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranvi
IPC分类号: A61B17/3201 , A61B17/28 , A61B17/32 , A61B18/00 , A61B17/20
CPC分类号: A61B17/320092 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2948 , A61B2017/320072
摘要: An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.
摘要翻译: 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器,控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻,并且可以从打开位置移动,在打开位置,组织接触表面与切割表面紧密地并置对准以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。
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公开(公告)号:US6024750A
公开(公告)日:2000-02-15
申请号:US911205
申请日:1997-08-14
CPC分类号: A61B17/320092 , A61B17/29 , A61B17/295 , A61B2017/2825 , A61B2017/320072
摘要: An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.
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