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    Endoscopic multiple ligating clip applier
    1.
    再颁专利
    Endoscopic multiple ligating clip applier 失效
    内窥镜多重结扎夹施放器

    公开(公告)号：USRE35525E

    公开(公告)日：1997-06-03

    申请号：US518766

    申请日：1995-05-31

    申请人： David Stefanchik ,  Jerome E. Reckelhoff ,  Rudolph H. Nobis ,  Michael A. Murray ,  John E. Burbank

    发明人： David Stefanchik ,  Jerome E. Reckelhoff ,  Rudolph H. Nobis ,  Michael A. Murray ,  John E. Burbank

    IPC分类号： A61B17/28 ,  A61B1/00 ,  A61B17/128 ,  A61B17/00

    CPC分类号： A61B17/1285

    摘要： An endoscopic clip applying system as described which contains a venting system and a clip applying support system which prevents closure of the mechanism before firing. Also, the system ensures proper loading of the clips and prevents them from falling out during loading. Further, the system describes an easily manufacturable, positively opening system which has minimized size requirements. Furthermore, a lock-out mechanism is provided so that the mechanism may not be inadvertently fired. The shaft resists excessive torque as well as holds the clip in place during firing. There are provisions for sealant and non back-up of the clips, as well as features which make the clip properly placed for closure.

    摘要翻译： 如上所述的内窥镜夹子施加系统，其包含通气系统和施加支撑系统的夹子，其防止在开火之前关闭机构。 此外，系统确保夹子的正确装载，并防止它们在装载过程中脱落。 此外，该系统描述了一种容易制造的，正面打开的系统，其具有最小化的尺寸要求。 此外，提供了一种锁定机构，使得该机构可能不会被无意地点燃。 轴可以防止过大的转矩，也可以在点火期间将夹子保持在适当位置。 夹具的密封剂和非支撑件的设置以及使夹子适当地放置以封闭的特征。

    SURGICAL DEVICE
    3.
    发明申请
    SURGICAL DEVICE 有权
    外科手术

    公开(公告)号：US20120080476A1

    公开(公告)日：2012-04-05

    申请号：US13251369

    申请日：2011-10-03

    申请人： Michael P. Whitman ,  John E. Burbank

    发明人： Michael P. Whitman ,  John E. Burbank

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/32 ,  A61B2017/00039 ,  A61B2017/00323 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/2905 ,  A61B2017/2943 ,  A61B2017/320052

    摘要： A surgical device including a first jaw and a second jaw is presented. The surgical device also includes a biasing element that biases the distal end of the first jaw towards the distal end of the second jaw. The device also includes a first driver disposed in the second jaw and coupled to the first jaw. The first driver is configured to cause separation of the first jaw and the second jaw. The device further includes at least one of a cutting element and a stapling element disposed within the second jaw, preferably a blade rotatably mounted on a wedge. A second driver is configured to move the cutting element and/or the stapling element proximally from a distal end toward the proximal end of the second jaw to at least one of cut and staple a section of tissue disposed between the first and second jaws.

    摘要翻译： 提供了包括第一钳口和第二钳口的手术装置。 手术装置还包括偏置元件，其偏压第一钳口的远端朝向第二钳口的远端。 该装置还包括设置在第二钳口中并联接到第一钳口的第一驱动器。 第一驱动器构造成使第一颚和第二颚分离。 该装置还包括设置在第二钳口内的切割元件和装订元件中的至少一个，优选地可旋转地安装在楔形件上的刀片。 第二驱动器被配置成将切割元件和/或装订元件从近端朝向第二钳口的近端移动到切割和装订中的至少一个，该部分设置在第一和第二钳口之间。

    Surgical device
    4.
    发明授权
    Surgical device 有权
    手术装置

    公开(公告)号：US08056786B2

    公开(公告)日：2011-11-15

    申请号：US12780197

    申请日：2010-05-14

    申请人： Michael P. Whitman ,  John E. Burbank

    发明人： Michael P. Whitman ,  John E. Burbank

    IPC分类号： A61B17/72

    CPC分类号： A61B17/07207 ,  A61B17/32 ,  A61B2017/00039 ,  A61B2017/00323 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/2905 ,  A61B2017/2943 ,  A61B2017/320052

    摘要： A surgical device that includes a first jaw having a distal end and a second jaw having a distal end. The second jaw is disposed in opposed correspondence with the first jaw. The first jaw is pivotably coupled to the second jaw. The surgical device also includes a biasing element, such as a spring, that biases the distal end of the first jaw towards the distal end of the second jaw. The device may also include a first driver disposed in the second jaw and coupled to the first jaw. The first driver is configured to cause separation of the first jaw and the second jaw when the first driver is actuated for opening the jaws and to close the first jaw and the second jaw when the first driver is actuated for closing the jaws. The device may also include at least one of a cutting element and a stapling element disposed within the second jaw, preferably a blade rotatably mounted on a wedge. A second driver is configured to move the cutting element and/or the stapling element proximally from a distal end toward the proximal end of the second jaw to at least one of cut and staple a section of tissue disposed between the first and second jaws. By biasing the distal ends of the first and second jaws towards each other, the surgical device may prevent a section of tissue which is disposed between the first and second jaws from escaping out from between the distal ends of the first and second jaws.

    摘要翻译： 一种手术装置，其包括具有远端的第一钳口和具有远端的第二钳口。 第二钳口与第一钳口相对设置。 第一钳口可枢转地联接到第二钳口。 手术装置还包括诸如弹簧的偏置元件，其将第一钳口的远端朝向第二钳口的远端偏压。 该装置还可以包括设置在第二钳口中并联接到第一钳口的第一驱动器。 当第一驱动器被致动以打开夹爪并且当第一驱动器被致动以闭合夹爪时，第一驱动器被配置为引起第一钳口和第二钳口的分离，并且关闭第一钳口和第二钳口。 该装置还可以包括设置在第二钳口内的切割元件和装订元件中的至少一个，优选地可旋转地安装在楔形物上的刀片。 第二驱动器被配置成将切割元件和/或装订元件从近端朝向第二钳口的近端移动到切割和装订中的至少一个，该部分设置在第一和第二钳口之间。 通过将第一和第二钳口的远端朝向彼此偏置，手术装置可以防止设置在第一和第二钳口之间的组织的一部分从第一和第二钳口的远端之间逸出。

    Surgical device
    5.
    发明授权
    Surgical device 有权
    手术装置

    公开(公告)号：US08016855B2

    公开(公告)日：2011-09-13

    申请号：US10094051

    申请日：2002-03-08

    申请人： Michael P. Whitman ,  John E. Burbank

    发明人： Michael P. Whitman ,  John E. Burbank

    IPC分类号： A61B17/28 ,  A61B17/068

    CPC分类号： A61B17/285 ,  A61B17/068 ,  A61B17/072 ,  A61B34/30 ,  A61B34/70 ,  A61B34/71 ,  A61B2017/003 ,  A61B2017/00398 ,  A61B2017/00464 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/07214 ,  A61B2017/320052

    摘要： A surgical device includes a first jaw and a second jaw in opposed correspondence with the first jaw. A first driver is configured to cause relative movement of the first jaw and the second jaw in a plane. The first driver is configured to engage a drive shaft rotatable about a rotation axis arranged in non-parallel, e.g., perpendicular, correspondence to the plane. The device may also include a surgical member, e.g., a cutting and stapling element, disposed within the first jaw. A second driver is configured to cause relative movement of the surgical member in a direction parallel to the plane. The second driver is configured to engage a drive shaft rotatable about a rotation axis arranged in non-parallel correspondence to the plane.

    摘要翻译： 手术装置包括与第一钳口相对应的第一钳口和第二钳口。 第一驱动器构造成使第一钳夹和第二钳夹在平面中的相对运动。 第一驱动器构造成接合可围绕围绕平面而非平行（例如垂直）布置的旋转轴线旋转的驱动轴。 该装置还可以包括设置在第一钳口内的手术构件，例如切割和缝合元件。 第二驱动器构造成使得外科构件在与平面平行的方向上相对移动。 第二驱动器构造成接合可围绕布置为与平面不平行对应的旋转轴线旋转的驱动轴。

    Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft
    7.
    发明授权
    Carriage assembly for controlling a steering wire steering mechanism within a flexible shaft 有权
    用于控制柔性轴内的转向线转向机构的滑架组件

    公开(公告)号：US06517565B1

    公开(公告)日：2003-02-11

    申请号：US09510923

    申请日：2000-02-22

    申请人： Michael P. Whitman ,  John E. Burbank ,  David A. Nicholas

    发明人： Michael P. Whitman ,  John E. Burbank ,  David A. Nicholas

    IPC分类号： A61B100

    CPC分类号： A61B17/1114 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00039 ,  A61B2017/00398 ,  A61B2017/00464 ,  A61B2017/00473 ,  A61B2017/07214 ,  A61B2017/07278 ,  A61B2017/2905 ,  A61B2017/2943 ,  A61B2017/320052

    摘要： A carriage assembly for controlling a steering wire steering mechanism within a flexible shaft, for use in gastrointestinal tract surgery, comprises a plurality of selectably engageable motors, including two drive motors for selectably rotating drive shafts of a surgical attachment, two steering motors mechanically communicating with corresponding pulleys around which are coiled directional steering wires communicating with a flexible shaft to enable the selective direction of the flexible shaft within a spatial plane, wherein within the assembly housing the steering motors travel on a steering motor carriage and the pulleys travel on a pulley carriage which is biased by a spring means away from the interior wall of the housing, which biases the steering wires toward a taut state. The bias can be overcome by a carriage motor mechanically communicating with the pulley carriage to cause the flexible shaft to go limp. Also disclosed are a series of surgical attachments which may be coupled to and utilized in conjunction with the carriage assembly.

    摘要翻译： 用于控制用于胃肠道手术的柔性轴内的转向线转向机构的托架组件包括多个可选择地可接合的马达，包括用于可选择地旋转手术附件的驱动轴的两个驱动马达，两个转向马达与 相应的滑轮周围是与柔性轴连通的盘绕方向操纵线，以使得柔性轴在空间平面内的选择方向，其中在组件壳体内，转向马达在转向马达托架上行进，并且滑轮在滑轮托架 其被弹簧装置偏压远离壳体的内壁，其将操纵线朝向拉紧状态偏压。 可以通过与滑轮架机械连接的滑架马达来克服偏压，从而使柔性轴脱落。 还公开了一系列外科附件，其可以联接到托架组件并与其一起使用。

    Surgical purse string suturing instrument and method
    8.
    发明授权
    Surgical purse string suturing instrument and method 失效
    手术口袋缝合仪和方法

    公开(公告)号：US5425737A

    公开(公告)日：1995-06-20

    申请号：US089950

    申请日：1993-07-09

    申请人： John E. Burbank ,  William J. Allen ,  George Jessup ,  Frederick F. Ahari ,  Robert A. Rabiner

    发明人： John E. Burbank ,  William J. Allen ,  George Jessup ,  Frederick F. Ahari ,  Robert A. Rabiner

    IPC分类号： A61B17/04 ,  A61B17/11 ,  A61B17/28 ,  A61B17/00

    CPC分类号： A61B17/0469 ,  A61B17/1114 ,  A61B17/0482 ,  A61B17/2909 ,  A61B2017/1125 ,  A61B2017/1142 ,  A61B2017/2837 ,  A61B2017/2927

    摘要： A purse string suturing instrument is provided for quickly and effectively forming a purse string suture in tubular tissue through relatively small cannulas placed in the body. The instrument includes a pair of elongated jaws, each having a row of spaced-apart uniform-size teeth. The jaws are hinged together at one end to clamp the tubular tissue therebetween. The two rows of teeth are offset with respect to each other so that they mesh when the jaws are closed. A single operating mechanism is provided to articulate the pair of jaws with respect to a longitudinal axis of the suturing instrument and actuate the jaws between an open position and a clamping position. The jaws are inserted through a cannula and positioned to close around the tissue to be sutured. The rows of teeth bend the tissue therebetween into a wavelike configuration. A pair of needles, the ends of each being connected to a single length of suture, is then inserted through passageways provided through the teeth. An encircling series of stitches are thus formed in the wall of the tubular tissue to create a purse string suture. The needles and the suturing instrument are then withdrawn through the cannula. The tubular tissue can be snugly fitted over an anastomosis ring or the like by drawing and tying the purse string suture.

    摘要翻译： 提供了一种钱包缝合器械，用于通过放置在身体中的相对小的插管快速有效地在管状组织中形成钱包线缝合线。 该仪器包括一对细长的钳口，每个具有一排间隔开均匀尺寸的齿。 钳口在一端铰接在一起，以夹紧管状组织。 两排齿相对于彼此偏移，使得当颚关闭时它们啮合。 提供单个操作机构以相对于缝合器械的纵向轴线来铰接该对钳口，并且在打开位置和夹紧位置之间致动钳口。 夹钳插入穿过套管并定位成围绕要缝合的组织。 齿排使其间的组织弯曲成波浪形构型。 然后通过通过牙齿提供的通道插入一对针，每个针的一端连接到单个缝合线。 因此，在管状组织的壁中形成环绕的线圈系列以产生钱包线缝合线。 然后通过套管抽出针头和缝合器械。 管状组织可以通过拉丝和捆扎钱包缝合线紧密地装配在吻合环等上。

    Surgical device
    10.
    发明授权
    Surgical device 有权

    公开(公告)号：US08512359B2

    公开(公告)日：2013-08-20

    申请号：US13207697

    申请日：2011-08-11

    申请人： Michael P. Whitman ,  John E. Burbank

    发明人： Michael P. Whitman ,  John E. Burbank

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B17/3201 ,  A61B18/1445 ,  A61B2017/07214 ,  A61B2017/07285 ,  A61B2018/1455

    摘要： A surgical device includes a first jaw and a second jaw disposed in opposed correspondence with the first jaw. The second jaw is mechanically coupled to the first jaw at a proximal end opposite a distal end. A cutting element is disposed within the second jaw, and a first driver is configured to move the cutting element proximally from the distal end toward the proximal end of the second jaw to cut a section of tissue disposed between the first and second jaws. The device may also include a stapling element disposed within the second jaw. The cutting element and the stapling element may be contiguous so as to define a cutting and stapling element, such as a wedge having a blade disposed thereon. As the wedge is moved proximally from the distal end of the second jaw to the proximal end, the wedge pushes a plurality of staples against a plurality of opposing staple guides disposed in the first jaw in order to staple a section of tissue while cutting the section of tissue.