公开(公告)号：US5680981A

公开(公告)日：1997-10-28

申请号：US643395

申请日：1996-05-06

申请人： Carlo A. Mililli ,  Wayne P. Young ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Henry Bolanos ,  Leonard Stern

发明人： Carlo A. Mililli ,  Wayne P. Young ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Henry Bolanos ,  Leonard Stern

IPC分类号： A61B17/068

CPC分类号： A61B17/0684

摘要： A self-contained powered surgical stapling apparatus is provided which includes an elongate body, a fastener applying assembly including an anvil for forming a surgical fastener driven thereagainst, a motor assembly and power source for energizing the motor assembly disposed within the elongate body, and a pusher driven by the motor assembly for driving a surgical fastener toward the anvil to be formed thereby and fastened to body tissue. The apparatus is configured for utilization during conventional invasive surgical procedures as well as endoscopic or laparoscopic surgical procedures by providing a detachable extension shaft.

摘要翻译： 提供了一种独立的动力手术吻合装置，其包括细长主体，紧固件施加组件，其包括用于形成驱动其的手术紧固件的砧座，用于激励设置在细长主体内的马达组件的马达组件和动力源，以及 由马达组件驱动的推动器，用于驱动手术紧固件朝向由其形成的砧座，并固定到身体组织。 该装置被配置为在常规的侵入性外科手术过程中利用，以及通过提供可拆卸的延伸轴来进行内窥镜或腹腔镜外科手术。

公开(公告)号：US5474566A

公开(公告)日：1995-12-12

申请号：US238565

申请日：1994-05-05

申请人： Thomas W. Alesi ,  Wayne P. Young ,  Henry Bolanos ,  Carlo A. Mililli ,  Dominick L. Mastri ,  Leonard Stern

发明人： Thomas W. Alesi ,  Wayne P. Young ,  Henry Bolanos ,  Carlo A. Mililli ,  Dominick L. Mastri ,  Leonard Stern

IPC分类号： A61B17/128 ,  A61B17/00

CPC分类号： A61B17/1285

摘要： A self-contained powered surgical clip applier is provided which includes an elongate body defining a longitudinal axis and housing a plurality of surgical clips. The powered clip applier further includes a jaw assembly operatively associated with a distal end of the elongate body and actuable to move between an open position and a closed position, a motor assembly disposed within the elongate body, a power supply positioned within the elongate body for energizing the motor assembly, a clip pusher configured to individually advance surgical clips into the jaw assembly, and an actuation channel driven by the motor assembly and configured to translate through the elongate body to drive the clip pusher and actuate the jaw assembly.

摘要翻译： 提供了一种独立的动力手术夹具，其包括限定纵向轴线并容纳多个手术夹具的细长主体。 动力施夹器还包括钳口组件，其操作地与细长主体的远端相关联并可致动以在打开位置和关闭位置之间移动，设置在细长体内的马达组件，定位在细长体内的电源，用于 对马达组件通电;夹子推动器，其构造成将手术夹子单独地推进到钳口组件中;以及致动通道，其由马达组件驱动并且构造成平移通过细长主体以驱动夹子推动器并致动钳口组件。

公开(公告)号：US5628446A

公开(公告)日：1997-05-13

申请号：US643396

申请日：1996-05-06

申请人： Robert J. Geiste ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Wayne P. Young ,  Carlo A. Mililli

发明人： Robert J. Geiste ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Wayne P. Young ,  Carlo A. Mililli

IPC分类号： A61B17/068 ,  A61B17/28

CPC分类号： A61B17/0684 ,  A61B2017/2905 ,  A61B2017/2936

摘要： A self-contained powered surgical apparatus is provided which includes an elongate body defining a longitudinal axis and housing a plurality of surgical fasteners disposed within a feed track, an anvil positioned at a distal end of the elongate body adjacent a terminal end of the feed path for forming surgical fasteners, a fastener pusher mounted for longitudinal movement within the elongate body to individually urge surgical fasteners toward the anvil, a barrel cam assembly disposed within the elongate body for effectuating reciprocatory longitudinal movement of the fastener pusher, a motor assembly disposed within the elongate body for driving the barrel cam assembly, and a power source disposed within the elongate body for energizing the motor assembly.

摘要翻译： 提供了一种独立的动力手术装置，其包括限定纵向轴线的细长主体并且容纳布置在进给轨道内的多个外科紧固件，定位在细长主体的远端处的砧座，邻近进给路径的终端 用于形成外科紧固件的紧固件推动器，其安装成用于在细长体内纵向运动以单独地向砧座推动手术紧固件;设置在细长体内的镜筒凸轮组件，用于实现紧固件推动器的往复纵向移动;马达组件， 用于驱动筒形凸轮组件的细长主体，以及设置在细长主体内用于激励电动机组件的动力源。

公开(公告)号：US20090308908A1

公开(公告)日：2009-12-17

申请号：US12548053

申请日：2009-08-26

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

IPC分类号： A61B17/068

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。

公开(公告)号：US5364002A

公开(公告)日：1994-11-15

申请号：US861065

申请日：1992-03-31

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

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B19/00 ,  A61F2/00

CPC分类号： A61B17/0686 ,  A61B17/0684 ,  A61B17/00234 ,  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。

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

IPC分类号： A61B17/10 ,  A61B1/018

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。

公开(公告)号：US07681772B2

公开(公告)日：2010-03-23

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

IPC分类号： A61B17/10 ,  A61B17/04

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 for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery includes an elongate member defining a longitudinal axis, a cartridge, an anvil, and a control member located in a proximal region of the elongate member. The 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. The anvil 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 body tissue. The control member is axially movable along the longitudinal axis to articulate the cartridge. The control member is also rotatable to rotate the cartridge.

摘要翻译： 一种用于内窥镜应用外科手术钉的装置，其适于在腹腔镜疝手术中将外科手术网连接到身体组织，包括限定纵向轴线的细长构件，钉仓，砧座和位于细长构件的近侧区域中的控制构件。 药筒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。 砧座提供单独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。 控制构件沿着纵向轴线可轴向移动以使卡盒连接。 控制构件也可旋转以旋转盒。

公开(公告)号：US20090314820A1

公开(公告)日：2009-12-24

申请号：US12547941

申请日：2009-08-26

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

IPC分类号： A61B17/068

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.

公开(公告)号：US07624903B2

公开(公告)日：2009-12-01

申请号：US10753248

申请日：2004-01-08

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

IPC分类号： A61B17/10 ,  A61B17/04

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。

公开(公告)号：US5462558A

公开(公告)日：1995-10-31

申请号：US297333

申请日：1994-08-29

申请人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

发明人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/128

CPC分类号： A61B17/0487 ,  A61B17/1285 ,  A61B17/0469 ,  A61B2017/00004 ,  A61B2017/0454 ,  A61B2017/0488

摘要： An apparatus for applying a suture clip to a suture includes (a) an endoscopic portion having at least one slot to position a suture transversely to the longitudinal axis of the endoscopic portion, a camming surface for closing a clip onto a suture positioned within the suture receiving means, a pusher for advancing a suture clip into the camming surface, and a tubular housing; and (b) a handle portion including a handle portion housing, and an actuation mechanism for actuating the pusher.

摘要翻译： 用于将缝合夹施加到缝合线的装置包括（a）内窥镜部分，其具有至少一个狭缝以将缝合线横向于内窥镜部分的纵向轴线定位，用于将夹子闭合到定位在缝合线内的缝合线上的凸轮表面 接收装置，用于将缝合夹推进到凸轮表面中的推动器，以及管状壳体; 和（b）包括把手部分壳体的手柄部分和用于致动推动器的致动机构。