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公开(公告)号:US07918376B1
公开(公告)日:2011-04-05
申请号:US12400760
申请日:2009-03-09
IPC分类号: A61B17/064
CPC分类号: A61B17/07207 , A61B2017/00473 , A61B2017/2908 , A61B2017/2927 , A61B2017/2929
摘要: One example of a surgical instrument may include a handle, an end effector, and a shaft that connects the handle to the end effector, where the shaft includes an articulated region. At least one feeder belt may extend through the lumen of the shaft into the end effector, where at least one feeder belt may include at least one staple frangibly connected thereto.
摘要翻译: 手术器械的一个实例可以包括手柄,末端执行器和将手柄连接到端部执行器的轴,其中轴包括铰接区域。 至少一个进料带可以延伸穿过轴的内腔进入末端执行器,其中至少一个进给带可以包括与其易碎连接的至少一个钉。
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公开(公告)号:US20120061446A1
公开(公告)日:2012-03-15
申请号:US13048674
申请日:2011-03-15
IPC分类号: A61B17/068
CPC分类号: A61B17/07207 , A61B2017/00473 , A61B2017/2908 , A61B2017/2927 , A61B2017/2929
摘要: One example of a surgical method of treating tissue within the body of a patient may include providing a surgical instrument that includes a handle; a shaft extending from the handle, an end effector connected to the shaft, where the shaft includes a lumen defined therethrough and an articulated region; and at least one feeder belt extending through the lumen of the shaft into the end effector, where the feeder belt includes at least one staple frangibly united therewith; inserting the end effector into the body of a patient; orienting the end effector relative to tissue to be treated within the body of the patient and relative to a remainder of the shaft; actuating the end effector to staple tissue; and removing the end effector from the body of the patient.
摘要翻译: 治疗患者体内的组织的手术方法的一个实例可包括提供包括手柄的手术器械; 从手柄延伸的轴,连接到轴的端部执行器,其中所述轴包括限定在其中的内腔和铰接区域; 以及至少一个进给带,其延伸穿过所述轴的所述内腔进入所述端部执行器,其中所述给送带包括与其易于结合的至少一个钉; 将末端执行器插入患者体内; 将端部执行器相对于待治疗组织定向在患者体内并相对于轴的其余部分; 致动末端执行器到钉组织; 并从患者的身体移除末端执行器。
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公开(公告)号:US08915934B2
公开(公告)日:2014-12-23
申请号:US11865893
申请日:2007-10-02
申请人: James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
发明人: James T. Nielsen , Nathan H. White , Theodore M. Bender , Philipe R. Manoux , David L. Bombard , Brendan M. Donohoe , Bryan D. Knodel
IPC分类号: A61B17/11 , A61B17/072 , A61B17/115 , A61B17/064 , A61B17/02 , A61B17/32 , A61B17/00 , A61B17/08 , A61B17/10 , A61B17/068 , A61B19/00 , A61B17/06 , A61B17/122
CPC分类号: A61B17/0057 , A61B17/00491 , A61B17/0206 , A61B17/06166 , A61B17/064 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/08 , A61B17/10 , A61B17/115 , A61B17/1152 , A61B17/122 , A61B17/32 , A61B90/50 , A61B2017/00654 , A61B2017/00893 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/1103 , A61B2017/1107 , A61B2017/1135 , A61B2017/1157 , A61B2017/320052 , A61B2090/08021
摘要: A system for connecting the end of a graft vessel to the side of a target vessel may include an anvil configured to enter the target vessel through an anvil entry hole in the wall of the target vessel; a holder movable relative to the anvil, where that holder may deploy at least one connector through the graft vessel and into the target vessel at a location spaced apart from the anvil entry hole; and at least one sealer that may be detachably connected to the anvil and/or said holder; where at least one sealer may be configured to substantially close the anvil entry hole in the target vessel. A method for performing anastomosis between a graft vessel and a target vessel may include inserting an anvil through the wall of the target vessel into the lumen of the target vessel from outside of the target vessel through an anvil entry hole; connecting an end of the graft vessel to the side of the target vessel with a plurality of connectors at a location spaced apart from the anvil entry hole; creating an opening in the side of the target vessel, where the opening is located within a perimeter defined by the connectors and spaced apart from the anvil entry hole; withdrawing the anvil through the anvil entry hole; and substantially sealing the anvil entry hole.
摘要翻译: 用于将移植物容器的端部连接到靶容器侧的系统可以包括构造成通过目标容器的壁中的砧孔入口进入靶容器的砧座; 相对于砧座可移动的保持器,其中该保持器可以在与砧座入口孔间隔开的位置处将至少一个连接器展开穿过移植物容器并进入目标血管; 以及可以可拆卸地连接到所述砧和/或所述保持器的至少一个密封件; 其中至少一个密封件可以构造成基本上封闭靶容器中的砧孔入口。 用于在移植物容器和目标血管之间进行吻合的方法可以包括通过砧座入口孔将目标血管壁从目标血管外部插入到目标血管的内腔中; 在与所述砧座入口孔间隔开的位置处,使多个连接器将所述移植脉管的端部连接到所述靶容器侧; 在目标容器的侧面形成开口,其中开口位于由连接器限定的周边中并与砧座入口孔间隔开; 通过砧座入口将砧座取出; 并且基本上密封砧进入孔。
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公开(公告)号:US07699859B2
公开(公告)日:2010-04-20
申请号:US10988325
申请日:2004-11-12
申请人: David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人: David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号: A61B17/08
CPC分类号: A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/0641 , A61B2017/07214 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要: A method for anastomosing a first vessel to a second vessel may include connecting an end of the first vessel to the side of the second vessel and creating an opening in the wall of the second vessel from within the lumen of the second vessel, where that opening allows fluid communication between the lumen of the first vessel and the lumen of the second vessel.
摘要翻译: 用于将第一容器吻合到第二容器的方法可以包括将第一容器的端部连接到第二容器的侧面并且在第二容器的内腔内从第二容器的内腔中产生在第二容器的壁中的开口, 允许第一容器的内腔和第二容器的内腔之间的流体连通。
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公开(公告)号:US07303570B2
公开(公告)日:2007-12-04
申请号:US10988335
申请日:2004-11-12
申请人: David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人: David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号: A61B17/08
CPC分类号: A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要: An anastomosis tool may include a connector holder connected to an anvil. The connector holder may be bifurcated and configured to straddle the graft vessel. The connector holder may be generally U-shaped. The connector holder may be shaped to extend around more than half of the circumference of the graft vessel.
摘要翻译: 吻合工具可以包括连接到砧座的连接器支架。 连接器保持器可以分叉并构造成跨越移植管。 连接器支架可以是大致U形的。 连接器保持器可以成形为围绕移植管的圆周的一半以上延伸。
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公开(公告)号:US20120080497A1
公开(公告)日:2012-04-05
申请号:US13282759
申请日:2011-10-27
申请人: Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人: Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号: A61B17/068
摘要: One exemplary surgical apparatus may include at least one carrier, staples fixed to a corresponding carrier, and a feeder belt to which at least one carrier is frangibly connected.
摘要翻译: 一个示例性手术装置可以包括至少一个载体,固定到相应的载体上的钉,以及至少一个载体被易碎地连接到的馈送带。
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公开(公告)号:US08056789B1
公开(公告)日:2011-11-15
申请号:US12477834
申请日:2009-06-03
申请人: Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人: Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号: A61B17/068
CPC分类号: A61B17/07207 , A61B17/0644 , A61B17/068 , A61B2017/07228 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2090/037
摘要: One exemplary surgical apparatus may include at least one carrier, staples fixed to a corresponding carrier, and a feeder belt to which at least one carrier is frangibly connected. Another exemplary surgical apparatus may include a staple holder, an anvil movably connected to the staple holder, a feeder belt, where at least part of the feeder belt extends into the staple holder, and staples fixed to and frangibly separable from the feeder belt; where the staples are organized into at least two groups spaced apart from one another; and where at least one staple is deployable to a different closed shape than at least one other staple. Another exemplary surgical apparatus may include a feeder belt, a first plurality of staples fixed directly to and frangibly separable from the feeder belt; a plurality of extension arms extending at least partially in the lateral direction away from the feeder belt; and a second plurality of staples each fixed to an extension arm at a location spaced laterally apart from the feeder belt.
摘要翻译: 一个示例性手术装置可以包括至少一个载体,固定到相应的载体上的钉,以及至少一个载体被易碎地连接到的馈送带。 另一种示例性的外科手术装置可以包括钉固定器,可移动地连接到钉固定器的砧座,给料带,其中进给带的至少一部分延伸到钉仓中,并且钉被固定到并可与进给带分离; 其中订书钉被组织成彼此间隔开的至少两个组; 并且其中至少一个订书钉可部署到与至少一个其他订书钉不同的封闭形状。 另一个示例性的外科手术装置可以包括馈送带,第一组多个钉,其直接固定到并可与进给带分离; 多个延伸臂至少部分地沿横向方向延伸远离进料带; 以及第二多个钉,每个订书钉在与进给带横向间隔开的位置处固定到延伸臂。
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公开(公告)号:US08475474B2
公开(公告)日:2013-07-02
申请号:US12577589
申请日:2009-10-12
申请人: David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
发明人: David L. Bombard , Philipe R. Manoux , Joshua M. O. Newth , James T. Nielsen , Nathan H. White , Bryan D. Knodel
CPC分类号: A61B17/1152 , A61B17/0644 , A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/0641 , A61B2017/07228 , A61B2017/07264 , A61B2017/1135 , A61B2017/2926 , A61B2017/2937 , A61B2017/2939 , A61B2017/320052 , A61B2090/037 , A61F2/064
摘要: A method of performing anastomosis between a graft vessel and a target vessel, each having a circumferential wall and a lumen therethrough, may include providing an anastomosis tool including a tissue effector and a fluid-driven actuator operationally connected to that tissue effector; connecting the fluid-driven actuator to an energy source; placing an end of the graft vessel in proximity to the side of the target vessel; and actuating the fluid-driven actuator to connect the end of the graft vessel to the side of the target vessel.
摘要翻译: 一种在移植物血管和目标血管之间进行吻合的方法,每个具有周壁和通过其的腔,可以包括提供包括组织效应器和可操作地连接到该组织效应器的流体驱动致动器的吻合工具; 将流体驱动致动器连接到能量源; 将移植血管的末端放置在靶容器侧面附近; 并且致动流体驱动的致动器以将移植脉管的端部连接到目标血管的侧面。
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公开(公告)号:US08365973B1
公开(公告)日:2013-02-05
申请号:US13090168
申请日:2011-04-19
申请人: Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
发明人: Nathan H. White , Michael P. Schaller , Michael Murillo , Jared L. Van Cleave , Philipe R. Manoux , Bryan D. Knodel , Benjamin J. Matthias , John E. Rivera
IPC分类号: A61B17/068
CPC分类号: A61B17/07207 , A61B17/0644 , A61B17/068 , A61B2017/07228 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2090/037
摘要: An exemplary surgical apparatus may include a surgical staple deformable from a first configuration to a second, deployed configuration, where the surgical staple includes a first leg and a second leg; where in the second, deployed configuration the surgical staple forms substantially a D-shape. Another exemplary surgical apparatus may include a feeder belt; a surgical staple deformable from a first configuration to a second, deployed configuration, where the surgical staple includes a first leg and a second leg connected to the first leg, where one end of the first leg is frangibly affixed to the feeder belt and one end of said the leg is free; where in the second, deployed configuration the surgical staple forms substantially a D-shape. An exemplary method of treating tissue may include providing a surgical staple; urging the surgical staple into tissue, while the surgical staple has a first shape; and deforming the surgical staple into substantially a D-shape.
摘要翻译: 示例性外科手术装置可以包括可从第一构造变形到第二展开构造的外科缝合钉,其中手术钉包括第一腿和第二腿; 其中在第二个部署结构中,外科手术钉基本上形成D形。 另一种示例性的外科手术装置可包括给药带; 外科缝合钉,其可从第一构型变形到第二展开构造,其中所述外科缝合钉包括第一腿部和连接到所述第一腿部的第二腿部,其中所述第一腿部的一端被易碎地固定到所述饲养带上, 说腿是自由的 其中在第二个部署结构中,外科手术钉基本上形成D形。 治疗组织的示例性方法可以包括提供外科钉; 推动外科手术钉进入组织,而外科手术钉具有第一形状; 并将外科手术钉变形成大致D形。
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公开(公告)号:US20110101069A1
公开(公告)日:2011-05-05
申请号:US12970678
申请日:2010-12-16
申请人: David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
发明人: David L. Bombard , Jaime S. Vargas , James T. Nielsen , Philipe R. Manoux , Tenny Chang , Stephen A. Yencho , Bernard A. Hausen , Brendan M. Donohoe , Theodore M. Bender , Nathan H. White , Bryan D. Knodel
IPC分类号: A61B17/068
CPC分类号: A61B17/1152 , A61B17/0469 , A61B17/072 , A61B17/122 , A61B2017/00243 , A61B2017/07285 , A61B2017/1107 , A61B2017/1135 , A61B2090/037 , A61F2/064
摘要: An exemplary surgical stapler may include a staple holder, staples positioned within the staple holder, and at least one structure slidable within the staple holder to contact directly at least one staple, where that direct contact deploys at least one staple from the staple holder. Another exemplary surgical stapler may include a staple holder, an anvil movably connected to the staple holder, staples positioned within the staple holder; and a sled slidable within the staple holder to contact directly at least one staple, where that direct contact urges at least one staple out of the staple holder and against the anvil.
摘要翻译: 示例性的外科缝合器可以包括缝钉保持器,定位在钉保持器内的钉,以及至少一个可在钉保持器内滑动的结构,以直接接触至少一个钉,其中该直接接触部分从钉保持器展开至少一个钉。 另一个示例性的外科缝合器可以包括缝钉保持器,可移动地连接到缝钉夹的砧座,定位在钉保持器内的钉; 以及在订书钉保持器内滑动的滑动件,以直接接触至少一个订书钉,其中该直接接触将至少一个订书钉推出订书钉保持器并抵靠砧座。
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