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    Anvilless surgical apparatus for applying surgical fasteners
    4.
    发明授权
    Anvilless surgical apparatus for applying surgical fasteners 失效
    用于外科紧固件的无缝手术装置

    公开(公告)号：US5258010A

    公开(公告)日：1993-11-02

    申请号：US982025

    申请日：1992-11-24

    申请人： David T. Green ,  Henry Bolanos ,  Henry R. Sienkiewicz ,  Wayne C. Person

    发明人： David T. Green ,  Henry Bolanos ,  Henry R. Sienkiewicz ,  Wayne C. Person

    IPC分类号： A61B17/068 ,  A61B17/00

    CPC分类号： A61B17/0682

    摘要： An anvilless surgical apparatus is provided for applying surgical fasteners to secure grafting material to a desired layer of tissue. The apparatus includes a housing having a nose portion at a distal end and a handle at its proximal end. A surgical fastener cartridge is mounted in the nose portion and is adapted to receive a plurality of surgical fasteners in longitudinal alignment therein. The cartridge is generally oriented substantially perpendicular to the handle. A drive shaft is provided within the housing for driving the surgical fasteners through the grafting material and at least partially into the layer of underlying tissue. The drive shaft is actuable by the handle and general has a pusher rod movable between a distal fired position and a retracted proximal loaded position. A releasing mechanism is provided in the handle for releasing the pusher rod from its retracted proximal position to cause it to thrust forward with sufficient force to contact a crown portion of a surgical fastener to drive it directly through the grafting material and at least partially into the tissue without forming a surgical fastener.

    摘要翻译： 提供无孔手术装置用于施加手术紧固件以将移植材料固定到期望的组织层。 该装置包括具有在远端处的鼻部和其近端处的手柄的壳体。 手术紧固件盒安装在鼻部中并且适于在其中纵向对准地容纳多个外科紧固件。 药筒通常基本上垂直于手柄定向。 驱动轴设置在壳体内，用于通过移植材料驱动外科紧固件，并至少部分地进入下面的组织层。 驱动轴可以由手柄致动，并且通常具有可在远侧点火位置和缩回的近侧装载位置之间移动的推杆。 释放机构设置在手柄中，用于将推杆从其缩回的近侧位置释放，以使其以足够的力向前推动以接触手术紧固件的冠部，以将其直接驱动通过移植材料并且至少部分地进入 组织而不形成手术紧固件。

    Anvil for surgical stapler
    5.
    发明授权
    Anvil for surgical stapler 有权
    砧座用于外科缝合器

    公开(公告)号：US6053390A

    公开(公告)日：2000-04-25

    申请号：US309027

    申请日：1999-05-10

    申请人： David T. Green ,  Henry Bolanos ,  Henry R. Sienkiewicz ,  Patrick Leahy

    发明人： David T. Green ,  Henry Bolanos ,  Henry R. Sienkiewicz ,  Patrick Leahy

    IPC分类号： A61B17/00 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12 ,  A61B17/28

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/00473 ,  A61B2017/07257 ,  A61B2017/1125 ,  A61B2017/2927 ,  A61B2017/2931

    摘要： A detachable anvil assembly for use with an apparatus for performing circular anastomosis of tubular organs includes an elongated anvil rod having proximal and distal end portions and an anvil head mounted to the distal end portion of the anvil rod. The distal end portion is pivotally mounted and is adapted to pivot approximately plus or minus ninety degrees relative to a longitudinal axis defined by the rod. An elongated delivery member detachably receives the anvil assembly and facilitates delivery of the anvil assembly to the operative site. The pivoting feature of the distal end reduces the transverse profile of the assembly which consequently facilitates introduction and advancement of the anvil assembly within the tubular organ.

    摘要翻译： 与用于执行管状器官的圆形吻合的装置一起使用的可拆卸的砧组件包括具有近端部分和远端部分的细长砧杆，以及安装到砧座杆的远端部分的砧座头部。 远端部分枢转地安装并且适于相对于由杆限定的纵向轴线大约正负90度旋转。 延长的传送构件可拆卸地接收砧座组件并且便于将砧组件传送到操作部位。 远端的枢转特征减小了组件的横向轮廓，因此有助于砧座组件在管状器官内的引入和推进。

    Surgical apparatus and anvil delivery system therefor
    6.
    发明授权
    Surgical apparatus and anvil delivery system therefor 失效
    手术器械及砧座输送系统

    公开(公告)号：US5344059A

    公开(公告)日：1994-09-06

    申请号：US950435

    申请日：1992-09-23

    申请人： David T. Green ,  Henry Bolanos ,  Henry R. Sienkiewicz ,  Patrick Leahy

    发明人： David T. Green ,  Henry Bolanos ,  Henry R. Sienkiewicz ,  Patrick Leahy

    IPC分类号： A61B17/00 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12 ,  A61B17/28

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/00473 ,  A61B2017/07257 ,  A61B2017/1125 ,  A61B2017/2927 ,  A61B2017/2931

    摘要： A detachable anvil assembly for use with an apparatus for performing circular anastomosis of tubular organs includes an elongated anvil rod having proximal and distal end portions and an anvil head mounted to the distal end portion of the anvil rod. The distal end portion is pivotally mounted and is adapted to pivot approximately plus or minus ninety degrees relative to a longitudinal axis defined by the rod. An elongated delivery member detachably receives the anvil assembly and facilitates delivery of the anvil assembly to the operative site. The pivoting feature of the distal end reduces the transverse profile of the assembly which consequently facilitates introduction and advancement of the anvil assembly within the tubular organ.

    摘要翻译： 与用于执行管状器官的圆形吻合的装置一起使用的可拆卸的砧组件包括具有近端部分和远端部分的细长砧杆，以及安装到砧座杆的远端部分的砧座头部。 远端部分枢转地安装并且适于相对于由杆限定的纵向轴线大约正负90度旋转。 延长的传送构件可拆卸地接收砧座组件并且便于将砧组件传送到操作部位。 远端的枢转特征减小了组件的横向轮廓，因此有助于砧座组件在管状器官内的引入和推进。

    Surgical Stapling Apparatus
    9.
    发明申请
    Surgical Stapling Apparatus 失效
    手术器械

    公开(公告)号：US20080265001A1

    公开(公告)日：2008-10-30

    申请号：US12147672

    申请日：2008-06-27

    申请人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    发明人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

    摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

    摘要翻译： 提供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。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

    Surgical stapling apparatus
    10.
    发明授权
    Surgical stapling apparatus 失效
    手术吻合装置

    公开(公告)号：US07296724B2

    公开(公告)日：2007-11-20

    申请号：US11073454

    申请日：2005-03-07

    申请人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    发明人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

    摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

    摘要翻译： 提供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。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。