公开(公告)号：US08833629B2

公开(公告)日：2014-09-16

申请号：US13111770

申请日：2011-05-19

申请人： Anil K. Nalagatla ,  Barry Thomas Jamison ,  Debasish Pradhan ,  David A Deupree ,  Abdul Gani Sofi

发明人： Anil K. Nalagatla ,  Barry Thomas Jamison ,  Debasish Pradhan ,  David A Deupree ,  Abdul Gani Sofi

IPC分类号： A61B17/115 ,  A61B17/11 ,  A61B17/29 ,  A61B19/00 ,  A61B17/072 ,  A61B17/00

CPC分类号： A61B17/1155 ,  A61B17/068 ,  A61B17/07292 ,  A61B17/1114 ,  A61B17/115 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/2904 ,  A61B2017/293 ,  A61B2017/2946 ,  A61B2090/0801 ,  A61B2090/0811 ,  A61B2090/0813 ,  A61B2090/0814 ,  Y10T29/4984

摘要： A circular stapling instrument is provided. The circular stapling instrument includes a handle forming a cavity, a reciprocating drive shaft, a carrier cover, and a shaft assembly. The reciprocating drive shaft is detachably secured within the cavity of the handle. The carrier cover covers a portion of the reciprocating drive shaft within the cavity of the handle. The shaft assembly is detachably coupled with the handle.

摘要翻译： 提供了圆形缝合器械。 圆形缝合器械包括形成空腔的手柄，往复驱动轴，托架盖和轴组件。 往复式驱动轴可拆卸地固定在手柄的腔内。 承载盖覆盖在手柄的腔内的往复驱动轴的一部分。 轴组件可拆卸地与手柄连接。

公开(公告)号：US20120292366A1

公开(公告)日：2012-11-22

申请号：US13111770

申请日：2011-05-19

申请人： Anil K. Nalagatla ,  Barry Thomas Jamison ,  Debasish Pradhan ,  David A. Deupree ,  Abdul Gani Sofi

发明人： Anil K. Nalagatla ,  Barry Thomas Jamison ,  Debasish Pradhan ,  David A. Deupree ,  Abdul Gani Sofi

IPC分类号： A61B17/115 ,  B23P11/00

CPC分类号： A61B17/1155 ,  A61B17/068 ,  A61B17/07292 ,  A61B17/1114 ,  A61B17/115 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/2904 ,  A61B2017/293 ,  A61B2017/2946 ,  A61B2090/0801 ,  A61B2090/0811 ,  A61B2090/0813 ,  A61B2090/0814 ,  Y10T29/4984

摘要： A circular stapling instrument is provided. The circular stapling instrument includes a handle forming a cavity, a reciprocating drive shaft, a carrier cover, and a shaft assembly. The reciprocating drive shaft is detachably secured within the cavity of the handle. The carrier cover covers a portion of the reciprocating drive shaft within the cavity of the handle. The shaft assembly is detachably coupled with the handle.

摘要翻译： 提供了圆形缝合器械。 圆形缝合器械包括形成空腔的手柄，往复驱动轴，托架盖和轴组件。 往复式驱动轴可拆卸地固定在手柄的腔内。 承载盖覆盖在手柄的腔内的往复驱动轴的一部分。 轴组件可拆卸地与手柄连接。

公开(公告)号：US08567655B2

公开(公告)日：2013-10-29

申请号：US13111827

申请日：2011-05-19

申请人： Anil K. Nalagatla ,  Barry Thomas Jamison ,  David A Deupree ,  Debasish Pradhan ,  Pathik Aguan ,  Shrikant Udayrao Puranik

发明人： Anil K. Nalagatla ,  Barry Thomas Jamison ,  David A Deupree ,  Debasish Pradhan ,  Pathik Aguan ,  Shrikant Udayrao Puranik

IPC分类号： A61B17/068

CPC分类号： A61B17/1155 ,  A61B17/068 ,  A61B17/07292 ,  A61B17/1114 ,  A61B17/115 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/2904 ,  A61B2017/293 ,  A61B2017/2946 ,  A61B2090/0801 ,  A61B2090/0811 ,  A61B2090/0813 ,  A61B2090/0814 ,  Y10T29/4984

摘要： A circular stapling instrument includes a casing, an anvil assembly, a staple driver, and a locking mechanism. The anvil assembly is configured to move back and forth between an open position away from the casing and a closed position adjacent the casing. The staple driver is configured to move within the casing from a pre-fired position to a fired position. The locking mechanism is configured to, whenever the anvil assembly is in the open position, automatically lock the staple driver in the pre-fired position preventing the staple driver from being moved to the fired position. The locking mechanism is also configured to, whenever the anvil assembly is in the closed position, automatically unlock the staple driver from the pre-fired position to allow the staple driver to be moved to the fired position.

摘要翻译： 圆形缝合器械包括壳体，砧座组件，缝钉驱动器和锁定机构。 砧组件构造成在远离壳体的打开位置和与壳体相邻的关闭位置之间来回移动。 订书钉驱动器构造成在套筒内从预燃位置移动到点火位置。 锁定机构构造成，每当砧座组件处于打开位置时，自动将订书钉驱动器锁定在预先烧制位置，防止订书钉驱动器移动到点火位置。 锁定机构还被构造成，每当砧座组件处于关闭位置时，自动将订书机驱动器从预燃位置解锁，以允许订书钉驱动器移动到点火位置。

公开(公告)号：US20120292368A1

公开(公告)日：2012-11-22

申请号：US13111827

申请日：2011-05-19

申请人： Anil K. Nalagatla ,  Barry Thomas Jamison ,  David A. Deupree ,  Debasish Pradhan ,  Pathik Aguan ,  Shrikant Udayrao Puranik

发明人： Anil K. Nalagatla ,  Barry Thomas Jamison ,  David A. Deupree ,  Debasish Pradhan ,  Pathik Aguan ,  Shrikant Udayrao Puranik

IPC分类号： A61B17/068

CPC分类号： A61B17/1155 ,  A61B17/068 ,  A61B17/07292 ,  A61B17/1114 ,  A61B17/115 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00845 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/2904 ,  A61B2017/293 ,  A61B2017/2946 ,  A61B2090/0801 ,  A61B2090/0811 ,  A61B2090/0813 ,  A61B2090/0814 ,  Y10T29/4984

摘要： A circular stapling instrument includes a casing, an anvil assembly, a staple driver, and a locking mechanism. The anvil assembly is configured to move back and forth between an open position away from the casing and a closed position adjacent the casing. The staple driver is configured to move within the casing from a pre-fired position to a fired position. The locking mechanism is configured to, whenever the anvil assembly is in the open position, automatically lock the staple driver in the pre-fired position preventing the staple driver from being moved to the fired position. The locking mechanism is also configured to, whenever the anvil assembly is in the closed position, automatically unlock the staple driver from the pre-fired position to allow the staple driver to be moved to the fired position.

摘要翻译： 圆形缝合器械包括壳体，砧座组件，缝钉驱动器和锁定机构。 砧组件构造成在远离壳体的打开位置和与壳体相邻的关闭位置之间来回移动。 订书钉驱动器构造成在套筒内从预燃位置移动到点火位置。 锁定机构构造成，每当砧座组件处于打开位置时，自动将订书钉驱动器锁定在预先烧制位置，防止订书钉驱动器移动到点火位置。 锁定机构还被构造成，每当砧座组件处于关闭位置时，自动将订书机驱动器从预燃位置解锁，以允许订书钉驱动器移动到点火位置。

公开(公告)号：US08216255B2

公开(公告)日：2012-07-10

申请号：US10867497

申请日：2004-06-14

申请人： Kevin W. Smith ,  Jeffrey David Messerly ,  Barry Thomas Jamison ,  Peter K. Kratsch ,  Carlos Rivera ,  Jose Luis Francese ,  Kristin Nicole Werner Dawson ,  Chester O. Baxter, III ,  Juergen A. Kortenbach

发明人： Kevin W. Smith ,  Jeffrey David Messerly ,  Barry Thomas Jamison ,  Peter K. Kratsch ,  Carlos Rivera ,  Jose Luis Francese ,  Kristin Nicole Werner Dawson ,  Chester O. Baxter, III ,  Juergen A. Kortenbach

IPC分类号： A61B17/10

CPC分类号： A61B17/1285 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2090/0803

摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.

摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。

公开(公告)号：US20090088603A1

公开(公告)日：2009-04-02

申请号：US12331110

申请日：2008-12-09

申请人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William D. Shaw, JR.

发明人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William D. Shaw, JR.

IPC分类号： A61B1/005

CPC分类号： A61B17/1285 ,  A61B34/30 ,  A61B34/71 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2929 ,  A61B2017/2946 ,  A61B2034/301 ,  A61B2090/0813

摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.

摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。

公开(公告)号：US07479752B2

公开(公告)日：2009-01-20

申请号：US11425525

申请日：2006-06-21

申请人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William D. Shaw, Jr.

发明人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William D. Shaw, Jr.

IPC分类号： G05B19/04

CPC分类号： A61B17/1285 ,  A61B34/30 ,  A61B34/71 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2929 ,  A61B2017/2946 ,  A61B2034/301 ,  A61B2090/0813

摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.

公开(公告)号：US20070296365A1

公开(公告)日：2007-12-27

申请号：US11425525

申请日：2006-06-21

申请人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William D. Shaw

发明人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William D. Shaw

IPC分类号： B25J9/16 ,  G05B19/18

CPC分类号： A61B17/1285 ,  A61B34/30 ,  A61B34/71 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2929 ,  A61B2017/2946 ,  A61B2034/301 ,  A61B2090/0813

摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.

摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。

公开(公告)号：US08179074B2

公开(公告)日：2012-05-15

申请号：US12581464

申请日：2009-10-19

申请人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William Douglas Shaw, Jr.

发明人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William Douglas Shaw, Jr.

IPC分类号： B25J5/00

CPC分类号： A61B17/1285 ,  A61B34/30 ,  A61B34/71 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2929 ,  A61B2017/2946 ,  A61B2034/301 ,  A61B2090/0813

摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.

摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。

公开(公告)号：US20100042141A1

公开(公告)日：2010-02-18

申请号：US12581464

申请日：2009-10-19

申请人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William Douglas Shaw, JR.

发明人： Jeffrey David Messerly ,  Gary W. Knight ,  Barry Thomas Jamison ,  William Douglas Shaw, JR.

IPC分类号： A61B17/94

CPC分类号： A61B17/1285 ,  A61B34/30 ,  A61B34/71 ,  A61B90/03 ,  A61B2017/2902 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2929 ,  A61B2017/2946 ,  A61B2034/301 ,  A61B2090/0813

摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.

摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。