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公开(公告)号：US5487500A
公开(公告)日：1996-01-30
申请号：US235070
申请日：1994-04-29
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/07228 , A61B2017/07264 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923
摘要： A surgical stapler instrument is provided for applying lateral lines of staples to tissue while cutting the tissue between those staple lines. The instrument includes a handle portion, an implement portion, a reciprocating section, a drive member and a movable actuator. The implement portion includes a staple cartridge and an anvil. The reciprocating section is adapted to move back and forth along an axis of the implement portion. The movable actuator is associated with the handle portion and is engaged with the drive member such that motion of the actuator causes the drive member to move back and forth between first and second drive positions separated by a first distance. Mechanisms are provided to position only a correct amount of tissue (a predetermined range) between the anvil and cartridge. A multiplier is further provided and is associated with the reciprocating section and the drive member for causing the reciprocating section to move back and forth between first and second reciprocating positions in response to movement of the drive member. The reciprocating section includes a work portion which, when moved distally, effects the firing of staples in the staple cartridge toward the anvil. The work portion is also provided with a reciprocating knife. The first and second reciprocating positions are separated by a second distance which differs from the first distance.
摘要翻译： 提供了一种外科缝合器器械，用于在切割这些缝合线之间的组织的同时将组织的侧线施加到组织。 仪器包括手柄部分，工具部分，往复运动部分，驱动部件和可移动致动器。 工具部分包括钉仓和砧座。 往复运动部分适于沿着工具部分的轴线前后移动。 可移动致动器与手柄部分相关联并且与驱动构件接合，使得致动器的运动导致驱动构件在分开第一距离的第一和第二驱动位置之间来回移动。 提供了仅在砧座和筒之间仅定位正确量的组织（预定范围）的机构。 进一步提供乘法器，并且与往复运动部分和驱动部件相关联，用于使往复运动部分响应于驱动部件的运动在第一和第二往复运动位置之间往复运动。 往复运动部分包括工作部分，当远端移动时，使订书钉钉钉上的订书钉朝向砧座的作用。 工作部分还设置有往复刀。 第一和第二往复运动位置与第一距离不同的第二距离分开。
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公开(公告)号：US5597107A
公开(公告)日：1997-01-28
申请号：US457721
申请日：1995-06-01
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/07228 , A61B2017/07264 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923
摘要： A surgical stapler instrument is provided for applying lateral lines of staples to tissue while cutting the tissue between those staple lines. The instrument includes a handle portion, an implement portion, a reciprocating section, a drive member and a movable actuator. The implement portion includes a staple cartridge and an anvil. The reciprocating section is adapted to move back and forth along an axis of the implement portion. The movable actuator is associated with the handle portion and is engaged with the drive member such that motion of the actuator causes the drive member to move back and forth between first and second drive positions separated by a first distance. Further structure is provided to position only a correct amount of tissue (a predetermined range) between the anvil and cartridge. A multiplier is further provided and is associated with the reciprocating section and the drive member for causing the reciprocating section to move back and forth between first and second reciprocating positions in response to movement of the drive member. The reciprocating section includes a work portion which, when moved distally, effects the firing of staples in the staple cartridge toward the anvil. The work portion is also provided with a reciprocating knife. The first and second reciprocating positions are separated by a second distance which differs from the first distance.
摘要翻译： 提供了一种外科缝合器器械，用于在切割这些缝合线之间的组织的同时将组织的侧线施加到组织。 仪器包括手柄部分，工具部分，往复运动部分，驱动部件和可移动致动器。 工具部分包括钉仓和砧座。 往复运动部分适于沿着工具部分的轴线前后移动。 可移动致动器与手柄部分相关联并且与驱动构件接合，使得致动器的运动导致驱动构件在分开第一距离的第一和第二驱动位置之间来回移动。 提供了进一步的结构以仅在砧座和盒之间仅定位正确量的组织（预定范围）。 进一步提供乘法器，并且与往复运动部分和驱动部件相关联，用于使往复运动部分响应于驱动部件的移动在第一和第二往复运动位置之间往复运动。 往复运动部分包括工作部分，当远端移动时，使订书钉钉钉上的订书钉朝向砧座的作用。 工作部分还设置有往复刀。 第一和第二往复运动位置与第一距离不同的第二距离分开。
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公开(公告)号：US06572626B1
公开(公告)日：2003-06-03
申请号：US09692635
申请日：2000-10-19
IPC分类号： A61B1710
CPC分类号： A61B17/0643 , A61B17/0682 , A61B2017/0647 , A61F2/0063
摘要： A delivery device for delivering a plurality of individual surgical fasteners is disclosed. The delivery device has a drive mechanism having a distal and a proximal end, and a first and a second opposing member. The members are moveable proximally and distally with respect to the delivery device, and individually with respect to each other. The device further includes at least one surgical fastener located between the first and the second members. Each of the at least one surgical fasteners has a proximal end and a distal end. The surgical fasteners are preferably made from a superelastic nickel titanium alloy. Additionally an actuator having at least three sequential positions is included. The first position of the actuator is for moving the drive mechanism distally. The second position is for moving the first member proximally to partially deploy the distal end of the fastener. The third position of the actuator is for moving the second member proximally, to fully deploy the distal end of the fastener.
摘要翻译： 公开了用于输送多个单独外科紧固件的输送装置。 输送装置具有驱动机构，其具有远端和近端，以及第一和第二相对构件。 构件相对于输送装置向近侧和远侧移动，并且相对于彼此分开。 该装置还包括位于第一和第二构件之间的至少一个外科紧固件。 所述至少一个手术紧固件中的每一个具有近端和远端。 手术紧固件优选地由超弹性镍钛合金制成。 此外，还包括具有至少三个连续位置的致动器。 执行器的第一个位置用于向远侧移动驱动机构。 第二位置是用于将第一构件向近端移动以部分地展开紧固件的远端。 致动器的第三位置用于向近侧移动第二构件，以完全展开紧固件的远端。
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公开(公告)号：US5823066A
公开(公告)日：1998-10-20
申请号：US645434
申请日：1996-05-13
CPC分类号： A61B17/07207 , A61B2017/00309 , A61B2017/2927 , A61B2017/2929 , Y10T74/20636 , Y10T74/20642
摘要： An articulating surgical instrument with an articulation transmission assembly for remotely articulating the end effector of the instrument includes a body with a housing mounted on the instrument, oscillating and rotating members, and an actuator rotatably mounted on the housing and secured to the rotating member. The oscillating member is seated rotationally stationary within the housing. The rotating member fits into the oscillating member, and has a drive shaft extending into the body for translating rotation from the rotating member into reciprocation of an elongated transmission rod attached to the drive shaft. First and second sets of unloading teeth are displayed on the oscillating member and actuator, respectively. First and second locking teeth are displayed on the oscillating and rotating members, respectively. The assembly provides ratcheting rotation for precisely positioning the end effector in discrete positions. In the preferred embodiment, the frictional forces between the unloading teeth are less than those between the locking teeth. The instrument may be used for endoscopic as well as conventional open surgical procedures.
摘要翻译： 具有用于远程铰接仪器的末端执行器的关节式传递组件的关节式外科器械包括具有安装在仪器上的壳体，摆动和旋转构件的主体以及可旋转地安装在壳体上并固定到旋转构件上的致动器。 摆动构件旋转地固定在壳体内。 旋转构件装配到摆动构件中，并且具有延伸到主体中的驱动轴，用于将旋转构件的旋转平移到附接到驱动轴的细长传动杆的往复运动。 第一和第二组卸载齿分别显示在摆动构件和致动器上。 第一和第二锁定齿分别显示在摆动和旋转构件上。 组件提供棘轮旋转，用于将末端执行器精确地定位在离散位置。 在优选实施例中，卸载齿之间的摩擦力小于锁定齿之间的摩擦力。 该仪器可用于内窥镜以及常规的开放式外科手术。
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公开(公告)号：US5562241A
公开(公告)日：1996-10-08
申请号：US553121
申请日：1995-11-07
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00526 , A61B2017/07214 , A61B2017/07228 , A61B2017/07264 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923
摘要： A surgical stapler instrument is provided for applying lateral lines of staples to tissue while cutting the tissue between those staple lines. The instrument includes a handle portion, an implement portion, a reciprocating section, a drive member and a movable actuator. The implement portion includes a staple cartridge and an anvil. The reciprocating section is adapted to move back and forth along an axis of the implement portion. The movable actuator is associated with the handle portion and is engaged with the drive member such that motion of the actuator causes the drive member to move back and forth between first and second drive positions separated by a first distance. A multiplier is further provided and is associated with the reciprocating section and the drive member for causing the reciprocating section to move back and forth between first and second reciprocating positions in response to movement of the drive member. The reciprocating section includes a work portion which, when moved distally, effects the firing of staples in the staple cartridge toward the anvil. The work portion is also provided with a reciprocating knife. The first and second reciprocating positions are separated by a second distance which differs from the first distance.
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公开(公告)号：US5465895A
公开(公告)日：1995-11-14
申请号：US191412
申请日：1994-02-03
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00526 , A61B2017/07214 , A61B2017/07228 , A61B2017/07264 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923
摘要： A surgical stapler instrument is provided for applying lateral lines of staples to tissue while cutting the tissue between those staple lines. The instrument includes a handle portion, an implement portion, a reciprocating section, a drive member and a movable actuator. The implement portion includes a staple cartridge and an anvil. The reciprocating section is adapted to move back and forth along an axis of the implement portion. The movable actuator is associated with the handle portion and is engaged with the drive member such that motion of the actuator causes the drive member to move back and forth between first and second drive positions separated by a first distance. A multiplier is further provided and is associated with the reciprocating section and the drive member for causing the reciprocating section to move back and forth between first and second reciprocating positions in response to movement of the drive member. The reciprocating section includes a work portion which, when moved distally, effects the firing of staples in the staple cartridge toward the anvil. The work portion is also provided with a reciprocating knife. The first and second reciprocating positions are separated by a second distance which differs from the first distance.
摘要翻译： 提供了一种外科缝合器器械，用于在切割这些缝合线之间的组织的同时将组织的侧线施加到组织。 仪器包括手柄部分，工具部分，往复运动部分，驱动部件和可移动致动器。 工具部分包括钉仓和砧座。 往复运动部分适于沿着工具部分的轴线前后移动。 可移动致动器与手柄部分相关联并且与驱动构件接合，使得致动器的运动导致驱动构件在分开第一距离的第一和第二驱动位置之间来回移动。 进一步提供乘法器，并且与往复运动部分和驱动部件相关联，用于使往复运动部分响应于驱动部件的运动在第一和第二往复运动位置之间往复运动。 往复运动部分包括工作部分，当远端移动时，使订书钉钉钉上的订书钉朝向砧座的作用。 工作部分还设置有往复刀。 第一和第二往复运动位置与第一距离不同的第二距离分开。
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公开(公告)号：US5553765A
公开(公告)日：1996-09-10
申请号：US431105
申请日：1995-04-28
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/2923
摘要： A surgical instrument, illustrated as an endoscopic surgical stapler, includes first and second operating linkages respectively operatively connected with first and second operating levers pivotally mounted on a frame of the instrument. An improved mounting arrangement is provided for the operating levers in the form of first and second mounting bosses. The mounting bosses are formed separately in order to isolate forces exerted thereon by the operating levers attendant to use of the instrument.
摘要翻译： 示出为内窥镜外科缝合器的手术器械包括第一和第二操作连接件，其分别与枢转地安装在仪器的框架上的第一和第二操作杆可操作地连接。 为第一和第二安装凸台形式的操作杆提供改进的安装布置。 安装凸台分开形成，以隔离由于使用仪器而使用的操作杆施加在其上的力。
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公开(公告)号：US20100113973A1
公开(公告)日：2010-05-06
申请号：US12686433
申请日：2010-01-13
申请人： John A. Hibner , Trevor W.V. Speeg , Bennie Thompson , Richard P. Nuchols , Wells D. Haberstich , Gavin M. Monson , Robert F. Weikel, JR.
发明人： John A. Hibner , Trevor W.V. Speeg , Bennie Thompson , Richard P. Nuchols , Wells D. Haberstich , Gavin M. Monson , Robert F. Weikel, JR.
IPC分类号： A61B10/02
CPC分类号： A61B10/0275 , A61B10/0041 , A61B10/0096 , A61B10/0283 , A61B2010/0208 , A61B2010/0225
摘要： A biopsy device comprises a probe body, a cannula extending distally from the probe body, a cutter moveable relative to the cannula to sever tissue, and a tissue sample holder coupled with the probe body. The tissue sample holder comprises a rotatable member and at least one removable member secured about the exterior of the rotatable member. The at least one removable member defines a plurality of tissue sample compartments. Each tissue sample compartment is configured to receive one or more tissue samples captured by the cutter. In some versions, the at least one removable member comprises a belt and a plurality of vials.
摘要翻译： 活检装置包括探针主体，从探针主体向远侧延伸的套管，可相对于套管移动以切断组织的切割器，以及与探针主体耦合的组织样本保持器。 组织样本保持器包括可旋转构件和围绕可旋转构件的外部固定的至少一个可移除构件。 所述至少一个可移除构件限定多个组织样本室。 每个组织样本室配置成接收由切割器捕获的一个或多个组织样本。 在一些形式中，至少一个可拆卸构件包括带和多个小瓶。
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公开(公告)号：US08905943B2
公开(公告)日：2014-12-09
申请号：US13473655
申请日：2012-05-17
申请人： John A. Hibner , Trevor W. V. Speeg , Bennie Thompson , Richard P. Nuchols , Wells D. Haberstich , Gavin M. Monson , Robert F. Weikel, Jr.
发明人： John A. Hibner , Trevor W. V. Speeg , Bennie Thompson , Richard P. Nuchols , Wells D. Haberstich , Gavin M. Monson , Robert F. Weikel, Jr.
CPC分类号： A61B10/0275 , A61B10/0041 , A61B10/0096 , A61B10/0283 , A61B2010/0208 , A61B2010/0225
摘要： A biopsy device comprises a probe body, a cannula extending distally from the probe body, a cutter moveable relative to the cannula to sever tissue, and a tissue sample holder coupled with the probe body. The tissue sample holder comprises a rotatable member having a plurality of recesses to receive tissue samples. The rotatable member can be operable to successively index each recess relative to a lumen defined by the cutter. A cover portion may be associated with the rotatable member and permits one or more recesses to be viewable through the cover. The recesses may be configured to carry one or more tissue samples as the rotatable member is rotated.
摘要翻译： 活检装置包括探针主体，从探针主体向远侧延伸的套管，可相对于套管移动以切断组织的切割器，以及与探针主体耦合的组织样本保持器。 组织样本保持器包括具有多个凹部以接收组织样本的可旋转构件。 可旋转构件可操作以相对于由切割器限定的内腔连续地折叠每个凹部。 盖部分可以与可旋转构件相关联并且允许一个或多个凹部通过盖可视。 凹部可以被构造成随着可旋转构件的旋转而携带一个或多个组织样本。
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公开(公告)号：US20120226193A1
公开(公告)日：2012-09-06
申请号：US13473655
申请日：2012-05-17
申请人： John A. Hibner , Trevor W.V. Speeg , Bennie Thompson , Richard P. Nuchols , Wells D. Haberstich , Gavin M. Monson , Robert F. Weikel, JR.
发明人： John A. Hibner , Trevor W.V. Speeg , Bennie Thompson , Richard P. Nuchols , Wells D. Haberstich , Gavin M. Monson , Robert F. Weikel, JR.
IPC分类号： A61B10/02
CPC分类号： A61B10/0275 , A61B10/0041 , A61B10/0096 , A61B10/0283 , A61B2010/0208 , A61B2010/0225
摘要： A biopsy device comprises a probe body, a cannula extending distally from the probe body, a cutter moveable relative to the cannula to sever tissue, and a tissue sample holder coupled with the probe body. The tissue sample holder comprises a rotatable member having a plurality of recesses to receive tissue samples. The rotatable member can be operable to successively index each recess relative to a lumen defined by the cutter. A cover portion may be associated with the rotatable member and permits one or more recesses to be viewable through the cover. The recesses may be configured to carry one or more tissue samples as the rotatable member is rotated.
摘要翻译： 活检装置包括探针主体，从探针主体向远侧延伸的套管，可相对于套管移动以切断组织的切割器，以及与探针主体耦合的组织样本保持器。 组织样本保持器包括具有多个凹部以接收组织样本的可旋转构件。 可旋转构件可操作以相对于由切割器限定的内腔连续地折叠每个凹部。 盖部分可以与可旋转构件相关联并且允许一个或多个凹部通过盖可视。 凹部可以被构造成随着可旋转构件的旋转而携带一个或多个组织样本。
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