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    Valve system for introducing objects into anatomical body portions
    2.
    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
    3.
    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.

    Apparatus and method for subcuticular stapling of body tissue
    5.
    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。

    Gas powered apparatus for applying surgical fasteners to body tissue
    6.
    发明授权
    Gas powered 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燃气动力设备

    公开(公告)号：US5862972A

    公开(公告)日：1999-01-26

    申请号：US566251

    申请日：1995-12-01

    申请人： David T. Green ,  Henry Bolanos ,  Lisa W. Heaton ,  Thomas A. Pelletier

    发明人： David T. Green ,  Henry Bolanos ,  Lisa W. Heaton ,  Thomas A. Pelletier

    IPC分类号： A61B17/00 ,  A61B17/068

    CPC分类号： A61B17/0684 ,  A61B17/00234 ,  A61B2017/00544

    摘要： An endoscopic surgical stapling apparatus is disclosed. The apparatus comprises a frame and a generally elongated endoscopic section connected to the frame and extending distally therefrom. The endoscopic section includes a mechanism for storing a plurality of staples, a mechanism for advancing the staples for positioning adjacent body tissue and a mechanism for at least partially closing each staple. A low pressure pneumatic system disposed in the frame provides the forces to at least partially activate the staple advancing mechanism. The apparatus has particular application in attaching mesh to body tissue as in laparoscopic hernia repair.

    摘要翻译： 公开了一种内镜手术吻合装置。 该装置包括框架和连接到框架并从其向远侧延伸的大致细长的内窥镜部分。 内窥镜部分包括用于存储多个钉的机构，用于推进订书钉用于定位邻近身体组织的机构和用于至少部分地封闭每个钉的机构。 设置在框架中的低压气动系统提供力以至少部分地启动订书钉推进机构。 该装置特别适用于在腹腔镜疝修补中将网状物附着于身体组织。

    Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
    8.
    发明授权
    Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures 失效
    用于在腹腔镜或内窥镜手术中应用两部分手术紧固件的装置

    公开(公告)号：US5573169A

    公开(公告)日：1996-11-12

    申请号：US253208

    申请日：1994-06-02

    申请人： David T. Green ,  Henry Bolanos ,  Michael S. Kolesa ,  Kenneth Toso

    发明人： David T. Green ,  Henry Bolanos ,  Michael S. Kolesa ,  Kenneth Toso

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

    CPC分类号： A61B17/07207 ,  A61B17/068 ,  A61B17/00234 ,  A61B2017/2927 ,  A61B2017/2929

    摘要： Apparatus is disclosed for applying two-part surgical fasteners during endoscopic or laparoscopic procedures. The apparatus includes a handle portion, an elongated endoscopic portion which extends from the handle portion, and structure associated with a distal end portion of the endoscopic portion for applying a two-part surgical fastener. The fastener applying structure includes a camming assembly for driving the fastener portion of the two-part surgical fastener into engagement with the retainer portion of the two-part surgical fastener through a fastener lifting member.

    摘要翻译： 公开了用于在内窥镜或腹腔镜手术中应用两部分外科紧固件的装置。 该装置包括手柄部分，从手柄部分延伸的细长内窥镜部分和与内窥镜部分的远端部分相关联的结构，用于施加两部分手术紧固件。 紧固件施加结构包括凸轮组件，用于通过紧固件提升构件驱动两部分外科紧固件的紧固件部分与两部分外科紧固件的保持器部分接合。

    Apparatus for applying surgical fasteners
    10.
    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：US5509596A

    公开(公告)日：1996-04-23

    申请号：US179776

    申请日：1994-01-10

    申请人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa W. Heaton ,  Frank J. Viola

    发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa W. Heaton ,  Frank J. Viola

    IPC分类号： 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 an advancing mechanism and a retaining mechanism which is actuable to 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 from 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。 可调闭合机构由前进机构和保持机构组成，其可致动以将夹爪构件朝向彼此推动。 还提供了一种联接装置，其仅在钳口构件彼此近似预定距离时才允许订书钉或紧固件的点火。