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130 条记录 (耗时 0.035 秒)

    Valve assembly for introducing instruments into body cavities
    1.
    发明申请
    Valve assembly for introducing instruments into body cavities 审中-公开
    用于将仪器引入体腔的阀组件

    公开(公告)号：US20050096605A1

    公开(公告)日：2005-05-05

    申请号：US11000556

    申请日：2004-12-01

    申请人： David Green ,  Henry Bolanos ,  Salvatore Castro ,  Henry Sienkiewicz ,  Stephan DeFonzo ,  Douglas Cuny ,  Wayne Young

    发明人： David Green ,  Henry Bolanos ,  Salvatore Castro ,  Henry Sienkiewicz ,  Stephan DeFonzo ,  Douglas Cuny ,  Wayne Young

    IPC分类号： A61B17/34 ,  A61M39/06 ,  A61M5/00

    CPC分类号： A61M39/06 ,  A61B2017/3464 ,  A61M2039/0626 ,  A61M2039/0686

    摘要： A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.

    摘要翻译： 提供了一种阀组件，用于允许将外科器械引入患者体内，同时提供关于器械的实质密封。 阀组件包括密封垫圈组件，其在仪器插入之前提供流体密封密封，并且构造和尺寸设计用于容纳仪器并在插入仪器之后提供实质上的流体密封。 阀组件还可包括可变形的密封件，其具有用于容纳该器械的基本上中心的孔​​。 当仪器通过时，密封构件围绕仪器提供实质的密封，阻止流体和气体通过阀组件的流出。

    Valve system for introducing objects into anatomical body portions
    4.
    发明授权
    Valve system for introducing objects into anatomical body portions 失效
    用于将物体引入解剖体部的阀系统

    公开(公告)号：US5685854A

    公开(公告)日：1997-11-11

    申请号：US185102

    申请日：1994-01-21

    申请人： David T. Green ,  Henry Bolanos ,  Henry Sienkiewicz

    发明人： David T. Green ,  Henry Bolanos ,  Henry Sienkiewicz

    IPC分类号： A61B17/34 ,  A61M39/06 ,  A61M39/22

    CPC分类号： A61M39/06 ,  A61B17/3498 ,  A61B2017/3464 ,  A61M2039/062 ,  A61M2039/0626 ,  A61M2039/0633 ,  A61M2039/0646 ,  A61M2039/0686

    摘要： A valve assembly adapted for introduction of an elongated object into a patient's body having a first valve formed of a resilient material and defining an aperture for reception of the object, the aperture being configured and dimensioned such that insertion of the object into the aperture will cause the resilient material defining the aperture to resiliently engage the outer surface of the object in a fluid tight manner. A second valve is positioned adjacent and distal of the first valve in general alignment therewith, whereby the second valve defines an aperture in general alignment with the aperture of the first valve, and is formed of a flexible material at least in the region defining the aperture. A pair of manually operable clamps are provided to selectively permit the aperture of the second valve to be opened or closed so as to permit entry of the object such that the object first passes through the first valve and then the second valve prior to entry into the patient's body.

    摘要翻译： 一种适于将细长物体引入患者体内的阀组件，其具有由弹性材料形成并限定用于接收物体的孔的第一阀，所述孔被构造和尺寸使得物体插入孔将导致 限定孔的弹性材料以流体密封的方式弹性地接合物体的外表面。 第二阀定位成与第一阀的相邻和远端大致对准，由此第二阀限定与第一阀的孔大体对准的孔，并且至少在限定孔的区域中由柔性材料形成 。 提供一对可手动操作的夹具以选择性地允许第二阀的孔被打开或关闭，以允许物体进入，使得物体首先通过第一阀然后第二阀进入 病人的身体。

    Valve system for introducing objects into anatomical body portions
    5.
    发明授权
    Valve system for introducing objects into anatomical body portions 失效
    将物体引入解剖体系的阀系统

    公开(公告)号：US5180373A

    公开(公告)日：1993-01-19

    申请号：US711756

    申请日：1991-06-07

    申请人： David T. Green ,  Henry Bolanos ,  Henry Sienkiewicz

    发明人： David T. Green ,  Henry Bolanos ,  Henry Sienkiewicz

    IPC分类号： A61B17/34 ,  A61M39/06

    CPC分类号： A61M39/06 ,  A61B17/3498 ,  A61B2017/3464 ,  A61M2039/062 ,  A61M2039/0626 ,  A61M2039/0633 ,  A61M2039/0646 ,  A61M2039/0686

    摘要： A valve assembly adapted for introduction of an elongated object into a patient's body having a first valve formed of a resilient material and defining an aperture for reception of the object, the aperture being configured and dimensioned such that insertion of the object into the aperture will cause the resilient material defining the aperture to resiliently engage the outer surface of the object in a fluid tight manner. A second valve is positioned adjacent and distal of the first valve in general alignment therewith, whereby the second valve defines an aperture in general alignment with the aperture of the first valve, and is formed of a flexible material at least in the region defining the apeture. A pair of manually operable clamps are provided to selectively permit the aperture of the second valve to be opened or closed so as to permit entry of the object such that the object first passes through the first valve and then the second valve prior to entry into the patient's body.

    Self contained gas powered surgical apparatus
    6.
    发明授权
    Self contained gas powered surgical apparatus 失效
    自备气体手术器械

    公开(公告)号：US5431322A

    公开(公告)日：1995-07-11

    申请号：US146804

    申请日：1993-11-02

    申请人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Jeffrey J. Blewett ,  Randolph F. Lehn ,  Charles R. Sherts ,  Graham W. Bryan ,  Salvatore Castro ,  Gary S. Kappel

    发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Jeffrey J. Blewett ,  Randolph F. Lehn ,  Charles R. Sherts ,  Graham W. Bryan ,  Salvatore Castro ,  Gary S. Kappel

    IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/28 ,  A61B19/00

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/0023 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803 ,  A61B2090/0804

    摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes an anvil member and a surgical fastener cartridge member mounted to the distal end of an elongated endoscopic portion. A tubular collar of the endoscopic portion moves distally to engage the anvil member and bias the anvil member and the cartridge member into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and the cartridge member. A self contained pneumatic system is disposed in the surgical apparatus and is actuable to eject and/or form the surgical fasteners in the clamped body tissue. The apparatus further comprises a locking mechanism for preventing firing of the instrument after it has been fired a predetermined number of times. A counter for displaying the number of times the apparatus has been fired may be provided. A firing interlock is also shown which prevents accidental actuation of the firing trigger. A clamping interlock is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument.

    摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括安装到细长内窥镜部分的远端的砧构件和手术紧固件仓构件。 内窥镜部分的管状颈部向远侧移动以接合砧座构件并将砧座构件和暗盒构件偏压成协调对准，从而将要紧固的身体组织夹紧在砧座构件和筒构件之间。 自包含气动系统设置在手术设备中并且可致动以在夹持的身体组织中弹出和/或形成外科紧固件。 该设备还包括一个锁定机构，用于防止仪器在其被点火预定次数之后发射。 可以提供用于显示设备被触发次数的计数器。 还示出了防止触发触发器的意外致动的触发互锁。 示出了夹紧互锁，其防止当钳口不对准或不适当地插入仪器时近似钳口。

    Apparatus and method for applying surgical staples to attach an object to body tissue
    7.
    发明授权
    Apparatus and method for applying surgical staples to attach an object to body tissue 失效
    用于施加手术钉以将物体附着到身体组织的装置和方法

    公开(公告)号：US5289963A

    公开(公告)日：1994-03-01

    申请号：US782290

    申请日：1991-10-18

    申请人： Richard A. McGarry ,  David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Lisa W. Heaton ,  Salvatore Castro

    发明人： Richard A. McGarry ,  David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Lisa W. Heaton ,  Salvatore Castro

    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 magazine is provided for storing a plurality of surgical staples 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 mecanism to actuate the pusher. Anvil means provides for closing the 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. The invention also relates to a system for attaching surgical mesh to body tissue, a method for endoscopically attaching surgical mesh to body tissue. The staple for endoscopically attaching the surgical mesh to body tissue and a kit for accomplishing such attachment.

    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。 提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝钉，每个钉构造成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。 推动器系统还包括致动推动器的触发器技术。 砧座装置提供用于封闭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。 本发明还涉及一种用于将外科手术网连接到身体组织的系统，用于将外科手术网内窥镜附接到身体组织的方法。 用于内窥镜地将外科手术网连接到身体组织的钉子和用于完成这种附接的套件。

    Apparatus and method for subcuticular stapling of body tissue
    8.
    发明授权
    Apparatus and method for subcuticular stapling of body tissue 失效
    身体组织皮下吻合装置及方法

    公开(公告)号：US5292326A

    公开(公告)日：1994-03-08

    申请号：US842448

    申请日：1992-02-27

    申请人： David T. Green ,  Henry Bolanos ,  Diego Fontayne ,  Henry Sienkiewicz

    发明人： David T. Green ,  Henry Bolanos ,  Diego Fontayne ,  Henry Sienkiewicz

    IPC分类号： A61B17/03 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/28 ,  A61B17/68 ,  A61B17/00

    CPC分类号： A61B17/064 ,  A61B17/04 ,  A61B17/068 ,  A61B17/282 ,  A61B17/68 ,  A61B2017/0641

    摘要： A surgical apparatus for attaching two portions of cutaneous body tissue includes a pair of opposed elongated jaws having members thereon at one end and which are movable toward each other to a closed position to engage two body tissue portions positioned within the members to move the bodily tissue portions into close approximation. Manually gripping systems of several alternative configurations are provided to actuate a mechanical transmission system to close the jaws. In a preferred embodiment, a fork is movable from a first position to a second position by manually operable devices to move the jaws toward each other. A pair of cam faces is located adjacent the opposite ends of the jaws. As the fork moves to its second position, the tines of the fork engage against the cam faces to move the opposed jaws to their closed position. A plurality of rod-like fasteners are carried in a stacked configuration proximally of the jaws such that when the jaws are in their closed position and the two body tissue portions are held in close approximation, each rod-like fastener is movable to a position of ingress to penetrate the body tissue portions to attach the two body tissue portions together. A method of attaching cutaneous body tissue portions is also disclosed.

    摘要翻译： 用于附接皮肤体组织的两部分的手术装置包括一对相对的细长爪，其一端具有构件，并且可相对于彼此移动到关闭位置，以接合位于构件内的两个身体组织部分，以移动身体组织 部分近似近似。 提供了几种替代配置的手动夹紧系统来致动机械传动系统以闭合钳口。 在优选实施例中，叉可以通过手动操作的装置从第一位置移动到第二位置，以将夹爪朝向彼此移动。 一对凸轮面邻近钳口的相对端定位。 当叉移动到其第二位置时，叉的齿与凸轮面接合，以将相对的夹爪移动到其关闭位置。 多个杆状紧固件以钳口近侧的堆叠构造承载，使得当夹爪处于其关闭位置并且两个身体组织部分被紧密地保持时，每个杆状紧固件可移动到 进入穿透身体组织部分以将两个身体组织部分附接在一起。 还公开了附着皮肤组织部分的方法。

    APPARATUS FOR APPLYING SURGICAL FASTENERS TO BODY TISSUE
    10.
    发明申请
    APPARATUS FOR APPLYING SURGICAL FASTENERS TO BODY TISSUE 失效
    用于将外科紧固件应用于身体组织的装置

    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。