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公开(公告)号：US5562690A
公开(公告)日：1996-10-08
申请号：US150923
申请日：1993-11-12
CPC分类号： A61B17/11 , A61B17/00234
摘要： A compression device for the anastomosis of a tubular hollow organ, having a first collapsible member movable between an expanded configuration and a collapsed configuration, said first collapsible member having a first end and a second end; a second collapsible member movable between an expanded configuration and a collapsed configuration, said second collapsible member adapted to be joined with said first end of said first collapsible member; and a third collapsible member adapted to be joined with said second end of said second collapsible member; wherein at least one of said first, second or third collapsible members comprises at least one resilient hinge portion disposed thereon which is parallel to the longitudinal axis of said device to facilitate the collapsibility thereof. Also provided are surgical instruments for carrying and placing the compression device components and a device for approximating surgical devices. A method for forming a compression anastomosis, is also provided.
摘要翻译： 一种用于管状中空器官的吻合的压缩装置，具有可在膨胀构型和折叠构型之间移动的第一可折叠构件，所述第一可折叠构件具有第一端和第二端; 第二可折叠构件，其可在展开构型和折叠构造之间移动，所述第二可折叠构件适于与所述第一可折叠构件的所述第一端连接; 以及适于与所述第二可折叠构件的所述第二端连接的第三可折叠构件; 其中所述第一，第二或第三可折叠构件中的至少一个包括设置在其上的至少一个弹性铰链部分，其平行于所述装置的纵向轴线以促进其可折叠。 还提供了用于携带和放置压缩装置部件的外科器械和用于近似手术装置的装置。 还提供了形成压缩吻合的方法。
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公开(公告)号：US5358506A
公开(公告)日：1994-10-25
申请号：US27555
申请日：1993-03-05
申请人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
发明人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
CPC分类号： A61B17/29 , A61B17/30 , A61B17/2909 , A61B2017/2936 , A61B2017/2944
摘要： Approximating apparatus for surgical jaw structure is provided which effects substantially parallel approximation of first and second surgical jaw structure to permit substantially parallel working interaction therebetween. The approximating apparatus includes camming structure for engaging at least one movable jaw of the surgical jaw structure to bias that jaw toward or away from a second jaw structure in a substantially parallel manner. A tissue stop may be provided to more easily guide and protect tissue captured by the jaw structure.
摘要翻译： 提供了用于手术颌结构的近似装置，其基本上平行近似第一和第二外科钳口结构，以允许它们之间基本上平行的工作相互作用。 近似装置包括凸轮结构，用于接合外科钳口结构的至少一个活动夹爪，以基本上平行的方式将该钳口朝向或远离第二钳口结构偏置。 可以提供组织止挡件以更容易地引导和保护由钳口结构捕获的组织。
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公开(公告)号：US5554169A
公开(公告)日：1996-09-10
申请号：US469938
申请日：1995-06-06
IPC分类号： A61B17/068 , A61B1/303 , A61B1/307 , A61B1/31 , A61B17/00 , A61B17/072 , A61B17/04
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.
摘要翻译： 用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。 设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。
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4.发明授权Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效用于在腹腔镜或内镜手术中放置钉的装置和方法
公开(公告)号：US5476206A
公开(公告)日：1995-12-19
申请号：US342129
申请日：1994-11-18
IPC分类号： A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.
摘要翻译： 用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。 设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。
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5.发明授权Apparatus and method for placing stables in laparoscopic or endoscopic procedures 失效将马厩放置在腹腔镜或内窥镜手术中的装置和方法
公开(公告)号：US5413268A
公开(公告)日：1995-05-09
申请号：US129862
申请日：1993-09-30
IPC分类号： A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.
摘要翻译： 用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。 设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。
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公开(公告)号：US5425745A
公开(公告)日：1995-06-20
申请号：US145727
申请日：1993-10-29
IPC分类号： A61B17/068 , A61B1/303 , A61B1/307 , A61B1/31 , A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.
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7.发明授权
公开(公告)号：US5336232A
公开(公告)日：1994-08-09
申请号：US7410
申请日：1993-01-22
申请人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
发明人： David T. Green , Henry Bolanos , Jeffrey J. Blewett , Keith Ratcliff , Frank J. Viola , Charles R. Sherts
CPC分类号： A61B17/29 , A61B17/30 , A61B17/2909 , A61B2017/2936 , A61B2017/2944
摘要： Approximating apparatus for surgical jaw structure is provided which effects substantially parallel approximation of first and second surgical jaw structure to permit substantially parallel working interaction therebetween. The approximating apparatus includes camming structure for engaging at least one movable jaw of the surgical jaw structure to bias that jaw toward or away from a second jaw structure in a substantially parallel manner.
摘要翻译： 提供了用于手术颌结构的近似装置，其基本上平行近似第一和第二外科钳口结构，以允许它们之间基本上平行的工作相互作用。 近似装置包括凸轮结构，用于接合外科钳口结构的至少一个活动夹爪，以基本上平行的方式将该钳口朝向或远离第二钳口结构偏置。
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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。
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9.发明授权Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效用于在腹腔镜或内镜手术中放置钉的装置和方法
公开(公告)号：US5318221A
公开(公告)日：1994-06-07
申请号：US943403
申请日：1992-09-10
IPC分类号： A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214 , A61B2017/2923
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.
摘要翻译： 用于放置横向的缝合线并且通过内窥镜管制成切口的手术吻合器包括安装到细长壳体的远端的砧座构件。 设置在砧构件的臂周围的管状环可移动到远侧位置，以将砧构件和药筒组件偏压成协调对准，从而夹紧待固定在砧构件和药筒组件之间的身体组织。
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10.发明授权Apparatus and method for placing staples in laparoscopic or endoscopic procedures 失效用于在腹腔镜或内镜手术中放置钉的装置和方法
公开(公告)号：US5040715A
公开(公告)日：1991-08-20
申请号：US358646
申请日：1989-05-26
IPC分类号： A61B17/068 , A61B1/303 , A61B1/307 , A61B1/31 , A61B17/00 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/07214
摘要： A surgical stapler for placing lateral lines of staples and making an incision, all through an endoscopic tube, includes an anvil member which is mounted to the distal end of an elongated housing. A tubular collar disposed around the arm of the anvil member is movable to a distal position to bias the anvil member and a cartridge assembly into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and cartridge assembly.
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