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    Anvilless surgical apparatus for applying surgical fasteners
    1.
    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
    3.
    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。

    Apparatus for applying surgical fasteners
    7.
    发明授权
    Apparatus for applying surgical fasteners 失效
    用于外科紧固件的装置

    公开(公告)号：US5878937A

    公开(公告)日：1999-03-09

    申请号：US939144

    申请日：1997-09-29

    申请人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa M. Heaton ,  John C. Robertson

    发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa M. Heaton ,  John C. Robertson

    IPC分类号： A61B17/068 ,  A61B17/072

    CPC分类号： A61B17/072 ,  A61B2017/0725

    摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of a retaining mechanism and a linkage structure which is actuable to linearly urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance towards each other.

    摘要翻译： 一种用于将手术紧固件应用于具有可调闭合机构的组织的手术吻合或紧固器械，以线性近似仪器的钳口构件之间的距离。 可调闭合机构由保持机构和连杆结构组成，其可致动以将钳口构件彼此线性地推动。 还提供了一种联接装置，其仅当钳口构件相对于彼此近似预定距离时才允许订书钉或紧固件的点火。

    Method of performing a vessel anastomosis using a surgical clip applier
    8.
    发明授权
    Method of performing a vessel anastomosis using a surgical clip applier 失效
    使用外科手术夹具进行血管吻合的方法

    公开(公告)号：US5725537A

    公开(公告)日：1998-03-10

    申请号：US713733

    申请日：1996-09-13

    申请人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert J. Geiste ,  Frank C. Maffei

    发明人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert J. Geiste ,  Frank C. Maffei

    IPC分类号： A61B17/08 ,  A61B17/11 ,  A61B17/128 ,  A61B17/28 ,  A61B17/00

    CPC分类号： A61B17/1285 ,  A61B17/08 ,  A61B17/083 ,  A61B17/2909 ,  A61B2017/1107 ,  A61B2017/2913 ,  A61B2017/2916 ,  A61B2017/2929 ,  Y10S227/901

    摘要： A surgical clip applier comprising a housing, a pair of handles pivotally connected to opposite sides of the housing, and a jaw blade assembly fixedly connected to the housing. The jaw blade assembly includes a pair of jaws for receiving and deforming a clip therebetween and a clip carrier for supplying a series of clips to the jaws. A channel assembly is slidably mounted with respect to the housing and envelops the jaw blade assembly for camming the jaws closed upon closing of the handles. The clips may be fed to the jaws by a spring biased feed bar which operates upon closing of the handles, or may be urged by pusher bar which provides a biasing force to the clips to be retained by the jaws. The instrument may be used in conventional surgical procedures, or may be adapted for endoscopic and laparoscopic surgical procedures requiring the application of microsurgical clips.

    摘要翻译： 一种手术夹具，包括壳体，可枢转地连接到壳体的相对侧的一对手柄，以及固定地连接到壳体的钳口组件。 颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于向钳口提供一系列夹子。 通道组件相对于壳体可滑动地安装并且包封钳口刀片组件，用于在手柄闭合时闭合钳口。 夹子可以通过弹簧偏置的进给杆进给到夹爪，该弹簧偏置的进给杆在关闭手柄时操作，或者可以被推杆推动，推杆对夹具保持偏压力。 该仪器可以用于常规外科手术中，或可适用于需要应用显微手术夹的内窥镜和腹腔镜外科手术。

    Skin fastener
    9.
    发明授权
    Skin fastener 失效
    皮肤紧固件

    公开(公告)号：US5658312A

    公开(公告)日：1997-08-19

    申请号：US426434

    申请日：1995-04-20

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

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

    IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/08

    CPC分类号： A61B17/064 ,  A61B2017/00004

    摘要： A fastener for securing adjacent layers of body tissue to each other and being configured and composed of a material so as to emerge from the body tissue after a limited period of time. The fastener includes a backspan and at least two prongs extending from the backspan. Each prong has a tapered tip culminating in a sharp point. The prongs each include a shaft having a cylindrical portion of uniform diameter. In one embodiment, the prong includes a serrated portion having a plurality of notches spaced apart so as to define ridge portions therebetween.

    摘要翻译： 一种紧固件，用于将身体组织的相邻层彼此固定，并且由材料构造和组成，以便在有限的时间段之后从身体组织出来。 紧固件包括一个后跨和至少两个从后背跨伸的叉。 每个尖头都有一个锥形尖端，最终达到尖峰。 这些插脚各自包括具有均匀直径的圆柱形部分的轴。 在一个实施例中，插脚包括具有间隔开的多个凹口的锯齿部分，以便在它们之间限定脊部。

    Apparatus and method for applying surgical clips
    10.
    发明授权
    Apparatus and method for applying surgical clips 失效
    用于外科夹子的装置和方法

    公开(公告)号：US5645551A

    公开(公告)日：1997-07-08

    申请号：US300254

    申请日：1994-09-02

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

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

    IPC分类号： A61B17/128 ,  A61B17/04

    CPC分类号： A61B17/1285 ,  Y10S227/901

    摘要： An apparatus for applying surgical clips through an endoscopic tube includes an endoscopic portion housing a jaw blade, a pusher bar for feeding clips one at a time to the jaws, a channel bar for camming the jaw blades into closed position, and an array of surgical clips. The body of the apparatus comprises a frame housing an actuating mechanism and a transmission mechanism for transferring movement to the pusher bar and channel. The endoscopic portion is rotatable relative Go the frame. In one embodiment the apparatus is a single disposable unit. In an alternative embodiment the endoscopic portion is detachable and disposable whereas the non-endoscopic body portion is reusable.

    摘要翻译： 用于通过内窥镜管施加外科夹具的装置包括：内窥镜部分，其容纳颚式刀片;推动杆，用于一次一个地将镊子夹持夹持件;通道杆，用于将颌片刀片闭合到闭合位置;以及一组外科手术 剪辑。 设备的主体包括容纳致动机构的框架和用于将运动传递到推杆和通道的传动机构。 内窥镜部分可相对于框架旋转。 在一个实施例中，该装置是单个一次性单元。 在替代实施例中，内窥镜部分是可拆卸的和一次性的，而非内窥镜主体部分是可重复使用的。