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公开(公告)号:US07887553B2
公开(公告)日:2011-02-15
申请号:US10479471
申请日:2002-07-08
申请人: Adam Lehman , Gene Stellon , Ramiro Cabrera , Ralph A. Stearns
发明人: Adam Lehman , Gene Stellon , Ramiro Cabrera , Ralph A. Stearns
CPC分类号: A61B17/1285 , A61B17/0684 , A61B17/122 , A61B2017/292 , A61B2017/2929 , A61B2090/0814
摘要: A right angle clip applier apparatus including a distal clip applying mechanism and a proximal advancing mechanism positioned in a handle assembly. The clip applying mechanism includes a feed rod interfacing with a cartridge for the advancing and applying of clips on tissue portions. A plurality of clips are enclosed in the apparatus. The advancing mechanism is actuated by a lever in the handle assembly which creates a drive force that repositions the feed rod and clips. Each actuation of the lever applies a first clip and advances clips to a new position in a distal direction. The clip applying mechanism can be utilized at any angle and can be rotated through 360 degrees while holding the handle in a fixed position. An empty clip indicator is provided.
摘要翻译: 一种直角夹具装置,包括位于手柄组件中的远侧夹子施加机构和近侧推进机构。 夹子施加机构包括与盒相接口的进给杆,用于在组织部分上推进和施加夹子。 多个夹子被封装在设备中。 推进机构由手柄组件中的杠杆致动,其产生重新定位进给杆和夹子的驱动力。 杠杆的每个致动器施加第一夹子并将夹子前进方向前进到新位置。 夹子施加机构可以以任何角度使用,并且可以在将把手保持在固定位置的同时旋转360度。 提供空剪辑指示器。
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公开(公告)号:US08652151B2
公开(公告)日:2014-02-18
申请号:US13006073
申请日:2011-01-13
申请人: Adam Lehman , Gene Stellon , Ramiro Cabrera , Ralph A. Stearns
发明人: Adam Lehman , Gene Stellon , Ramiro Cabrera , Ralph A. Stearns
IPC分类号: A61B17/10
CPC分类号: A61B17/1285 , A61B17/0684 , A61B17/122 , A61B2017/292 , A61B2017/2929 , A61B2090/0814
摘要: A right angle clip applier apparatus including a distal clip applying mechanism and a proximal advancing mechanism positioned in a handle assembly. The clip applying mechanism includes a feed rod interfacing with a cartridge for the advancing and applying of clips on tissue portions. A plurality of clips are enclosed in the apparatus. The advancing mechanism is actuated by a lever in the handle assembly which creates a drive force that repositions the feed rod and clips. Each actuation of the lever applies a first clip and advances clips to a new position in a distal direction. The clip applying mechanism can be utilized at any angle and can be rotated through 360 degrees while holding the handle in a fixed position. An empty clip indicator is provided.
摘要翻译: 一种直角夹具装置,包括位于手柄组件中的远侧夹子施加机构和近侧推进机构。 夹子施加机构包括与盒相接口的进给杆,用于在组织部分上推进和施加夹子。 多个夹子被封装在设备中。 推进机构由手柄组件中的杠杆致动,其产生重新定位进给杆和夹子的驱动力。 杠杆的每个致动器施加第一夹子并将夹子前进方向前进到新位置。 夹子施加机构可以以任何角度使用,并且可以在将把手保持在固定位置的同时旋转360度。 提供空剪辑指示器。
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公开(公告)号:US20110112552A1
公开(公告)日:2011-05-12
申请号:US13006073
申请日:2011-01-13
申请人: Adam Lehman , Gene Stellon , Ramiro Cabrera , Ralph A. Stearns
发明人: Adam Lehman , Gene Stellon , Ramiro Cabrera , Ralph A. Stearns
IPC分类号: A61B17/10
CPC分类号: A61B17/1285 , A61B17/0684 , A61B17/122 , A61B2017/292 , A61B2017/2929 , A61B2090/0814
摘要: A right angle clip applier apparatus including a distal clip applying mechanism and a proximal advancing mechanism positioned in a handle assembly. The clip applying mechanism includes a feed rod interfacing with a cartridge for the advancing and applying of clips on tissue portions. A plurality of clips are enclosed in the apparatus. The advancing mechanism is actuated by a lever in the handle assembly which creates a drive force that repositions the feed rod and clips. Each actuation of the lever applies a first clip and advances clips to a new position in a distal direction. The clip applying mechanism can be utilized at any angle and can be rotated through 360 degrees while holding the handle in a fixed position. An empty clip indicator is provided.
摘要翻译: 一种直角夹具装置,包括位于手柄组件中的远侧夹子施加机构和近侧推进机构。 夹子施加机构包括与盒相接口的进给杆,用于在组织部分上推进和施加夹子。 多个夹子被封装在设备中。 推进机构由手柄组件中的杠杆致动,其产生重新定位进给杆和夹子的驱动力。 杠杆的每个致动器施加第一夹子并将夹子前进方向前进到新位置。 夹子施加机构可以以任何角度使用,并且可以在将把手保持在固定位置的同时旋转360度。 提供空剪辑指示器。
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公开(公告)号:US20050085830A1
公开(公告)日:2005-04-21
申请号:US10479471
申请日:2003-12-02
申请人: Adam Lehman , Gene Stellon , Ramiro Cabrera , Ralph Stearns
发明人: Adam Lehman , Gene Stellon , Ramiro Cabrera , Ralph Stearns
IPC分类号: A61B17/12 , A61B17/068 , A61B17/122 , A61B17/128 , A61B17/28 , A61B19/00 , A61B17/10
CPC分类号: A61B17/1285 , A61B17/0684 , A61B17/122 , A61B2017/292 , A61B2017/2929 , A61B2090/0814
摘要: A right angle clip applier apparatus including a distal clip applying mechanism and a proximal advancing mechanism positioned in a handle assembly. The clip applying mechanism includes a feed rod interfacing with a cartridge for the advancing and applying of clips on tissue portions. A plurality of clips are enclosed in the apparatus. The advancing mechanism is actuated by a lever in the handle assembly which creates a drive force that repositions the feed rod and clips. Each actuation of the lever applies a first clip and advances clips to a new position in a distal direction. The clip applying mechanism can be utilized at any angle and can be rotated through 360 degrees while holding the handle in a fixed position. An empty clip indicator is provided.
摘要翻译: 一种直角夹具装置,包括位于手柄组件中的远侧夹子施加机构和近侧推进机构。 夹子施加机构包括与盒相接口的进给杆,用于在组织部分上推进和施加夹子。 多个夹子被封装在设备中。 推进机构由手柄组件中的杠杆致动,其产生重新定位进给杆和夹子的驱动力。 杠杆的每个致动器施加第一夹子并将夹子前进方向前进到新位置。 夹子施加机构可以以任何角度使用,并且可以在将把手保持在固定位置的同时旋转360度。 提供空剪辑指示器。
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公开(公告)号:US20110040308A1
公开(公告)日:2011-02-17
申请号:US12896364
申请日:2010-10-01
申请人: Ramiro Cabrera , Thomas Wingardner , David N. Fowler , Brian J. Creston , Dmitri Menn , Paul D. Richard , Gene Stellon
发明人: Ramiro Cabrera , Thomas Wingardner , David N. Fowler , Brian J. Creston , Dmitri Menn , Paul D. Richard , Gene Stellon
IPC分类号: A61B17/04
CPC分类号: A61B17/0469 , A61B1/0008 , A61B1/0055 , A61B17/00234 , A61B17/0491 , A61B17/06166 , A61B17/062 , A61B17/0625 , A61B34/71 , A61B2017/003 , A61B2017/00367 , A61B2017/06047 , A61B2017/0608 , A61B2017/0609 , A61B2017/06176 , A61B2017/2905 , A61B2017/2912 , A61B2017/2929
摘要: The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof.
摘要翻译: 本公开涉及用于内窥镜缝合或通过接入管等缝合的装置,系统和方法。 提供内窥镜缝合装置并且包括手柄组件; 由所述手柄组件支撑并从所述手柄组件延伸的细长轴; 以及支撑在细长轴的远端上的端部执行器。 末端执行器包括颈部组件,颈部组件构造和适于在基本上线性构型和离轴构型之间的一个方向上铰接,以及一对枢转地相互联接的并置夹爪。 每个钳口限定形成在其组织接触表面中的缝合针容纳凹部。
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公开(公告)号:US20120277769A1
公开(公告)日:2012-11-01
申请号:US13453280
申请日:2012-04-23
IPC分类号: A61B17/062 , A61B17/06
CPC分类号: A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/0625 , A61B2017/00323 , A61B2017/06042 , A61B2017/0609 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2943
摘要: An endoscopic stitching device including a tool assembly having a pair of juxtaposed jaws; a rotatably supported camming hub defining a groove formed in an inner surface of a central lumen thereof; and a center rod slidably and rotatably disposed within the lumen of the camming hub. The center rod is operatively engaged with the groove formed in the camming hub and engaged with the pair of jaws. The inner groove of the camming hub is configured such that, in at least one position, axial translation of the center rod relative to the camming hub results in rotation of the camming hub and at least one of opening and closing of the pair of jaws. The inner groove of the camming hub is configured such that, in at least one other position, rotation of the canter rod results in rotation of the tool assembly.
摘要翻译: 一种内窥镜缝合装置,包括具有一对并置的钳口的工具组件; 可旋转地支撑的凸轮毂,限定形成在其中心腔的内表面中的凹槽; 以及可滑动地且可旋转地设置在所述凸轮毂的内腔内的中心杆。 中心杆与形成在凸轮毂中的凹槽可操作地接合并与该对夹爪接合。 凸轮毂的内槽构造成使得在至少一个位置中,中心杆相对于凸轮毂的轴向平移导致凸轮毂的旋转以及一对夹爪的打开和关闭中的至少一个。 凸轮毂的内槽构造成使得在至少一个其它位置中,转杆的旋转导致工具组件的旋转。
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公开(公告)号:US20110184459A1
公开(公告)日:2011-07-28
申请号:US13047930
申请日:2011-03-15
申请人: Jaroslaw T. Malkowski , Ramiro Cabrera , Richard Fortier , Andrew Ziegler , Amos Cruz , Gene A. Stellon , Steve Evans
发明人: Jaroslaw T. Malkowski , Ramiro Cabrera , Richard Fortier , Andrew Ziegler , Amos Cruz , Gene A. Stellon , Steve Evans
IPC分类号: A61B17/28
CPC分类号: A61B17/282 , A61B17/29 , A61B17/2909 , A61B18/1445 , A61B34/70 , A61B34/71 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/2837 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2936 , A61B2017/2945 , A61B2017/2946 , A61B2018/1422 , A61B2018/1432 , A61B2034/715 , A61B2090/0814
摘要: An articulation mechanism for a surgical instrument includes an articulation assembly, a plurality of cables, and a trigger. The cables are coupled to the articulation assembly at a proximal end thereof and extend distally therefrom. The cables are configured to engage an end effector assembly of the surgical instrument at a distal end thereof. The trigger is coupled to the articulation assembly and is selectively moveable from a shipping position to a use position. In the shipping position, the cables are substantially un-tensioned. In the use position, the cables are disposed in an initial tensioned position. In the use position, the trigger is moveable between an unlocked position and a locked position. In the unlocked position, the cables are selectively tensionable to articulate the end effector assembly. In the locked position, the tensions on the cables are maintained to lock the end effector assembly in position.
摘要翻译: 用于外科器械的关节运动机构包括关节运动组件,多个电缆和触发器。 电缆在其近端处联接到关节运动组件并从其向远侧延伸。 电缆被配置成在外科器械的远端接合手术器械的末端执行器组件。 触发器联接到关节运动组件,并且可选择性地从运输位置移动到使用位置。 在运输位置,电缆基本上未张紧。 在使用位置,电缆被设置在初始张紧位置。 在使用位置,触发器可在解锁位置和锁定位置之间移动。 在解锁位置,电缆可选择性地张紧以使端部执行器组件铰接。 在锁定位置,维持电缆上的张力,以将端部执行器组件锁定就位。
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公开(公告)号:US08628545B2
公开(公告)日:2014-01-14
申请号:US12482049
申请日:2009-06-10
申请人: Ramiro Cabrera , Thomas Wingardner , David N. Fowler , Brian J. Creston , Dmitri Menn , Paul D. Richard
发明人: Ramiro Cabrera , Thomas Wingardner , David N. Fowler , Brian J. Creston , Dmitri Menn , Paul D. Richard
IPC分类号: A61B17/04
CPC分类号: A61B17/0491 , A61B17/00234 , A61B17/0469 , A61B17/0625 , A61B17/2909 , A61B2017/003 , A61B2017/00323 , A61B2017/00389 , A61B2017/06047 , A61B2017/0609 , A61B2017/2903 , A61B2017/2905 , A61B2017/2912 , A61B2017/2913 , A61B2017/2923 , A61B2017/2929
摘要: The present disclosure relates to devices, systems and methods for endoscopic suturing or stitching through an access tube or the like. An endoscopic stitching device is provided and includes a handle assembly; an elongate shaft supported by and extending from the handle assembly; and an end effector supported on a distal end of the elongate shaft. The end effector includes a neck assembly configured and adapted for articulation in one direction between a substantially linear configuration and an off-axis configuration, and a pair of juxtaposed jaws pivotally associated with one another. Each jaw defines a suture needle receiving recess formed in a tissue contacting surface thereof.
摘要翻译: 本公开涉及用于内窥镜缝合或通过接入管等缝合的装置,系统和方法。 提供内窥镜缝合装置并且包括手柄组件; 由所述手柄组件支撑并从所述手柄组件延伸的细长轴; 以及支撑在细长轴的远端上的端部执行器。 末端执行器包括颈部组件,颈部组件构造和适于在基本上线性构型和离轴构型之间的一个方向上铰接,以及一对枢转地相互联接的并列夹爪。 每个钳口限定形成在其组织接触表面中的缝合针容纳凹部。
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公开(公告)号:US20110208212A1
公开(公告)日:2011-08-25
申请号:US12976120
申请日:2010-12-22
申请人: Earl M. Zergiebel , Ramiro Cabrera
发明人: Earl M. Zergiebel , Ramiro Cabrera
IPC分类号: A61B17/10
CPC分类号: A61B17/1285 , A61B17/12 , A61B17/128 , A61B90/92 , A61B2017/00115 , A61B2017/00407 , A61B2017/12004 , A61B2017/2923 , A61B2090/038 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814
摘要: Surgical clip appliers are provided and include a housing; at least one handle pivotably connected to the housing; a channel assembly extending distally from the housing; a clip carrier disposed within the channel assembly and defining a channel and a plurality of windows therein; a plurality of clips slidably disposed within the channel of the clip carrier; a wedge plate reciprocally disposed within the channel assembly; and a clip pusher bar reciprocally positioned within the housing and the channel assembly. A clip follower is slidably disposed within the channel of the clip carrier and disposed proximally of the plurality of clips. The clip follower is configured and dimensioned to lockout the clip applier after a last clip of the plurality of clips has been expelled by the surgical clip applier.
摘要翻译: 提供手术夹具并包括外壳; 至少一个手柄,其可枢转地连接到所述壳体; 从壳体向远端延伸的通道组件; 设置在所述通道组件内并且在其中限定通道和多个窗口的夹子承载件; 可滑动地设置在夹子架的通道内的多个夹子; 楔形板,其往复设置在通道组件内; 以及夹紧推杆,其相互定位在壳体和通道组件内。 夹子从动件可滑动地设置在夹子承载件的通道内并且设置在多个夹子的近侧。 夹子从动件的构造和尺寸被设计成在多个夹子的最后一个夹子被外科手术施放器排出之后锁定夹具施加器。
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公开(公告)号:US08777961B2
公开(公告)日:2014-07-15
申请号:US13235603
申请日:2011-09-19
IPC分类号: A61B17/24 , A61B17/00 , A61B17/221
CPC分类号: A61B17/00234 , A61B17/221 , A61B2017/00287
摘要: A surgical retrieval apparatus includes a housing having an elongated sleeve extending therefrom that, together, cooperate to define a lumen extending therethrough. A shaft having an end effector assembly disposed at a distal end thereof is selectively translatable between a first position, wherein the end effector assembly is disposed within the sleeve, and a second position, wherein the end effector assembly extends distally from the sleeve. A specimen retrieval bag is releasably coupled to the end effector assembly and is deployable to an extended position upon movement of the end effector assembly from the first to the second position.
摘要翻译: 手术取出装置包括具有从其延伸的细长套筒的壳体,它们一起协作以限定延伸穿过其中的内腔。 具有设置在其远端处的末端执行器组件的轴可以在第一位置和第二位置之间选择性地平移,第一位置和第二位置之间,其中末端执行器组件设置在套筒内,其中端部执行器组件从套筒向远侧延伸。 样本回收袋可释放地联接到端部执行器组件,并且当端部执行器组件从第一位置移动到第二位置时可展开到延伸位置。
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