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    Apparatus for applying two-part surgical fasteners in laparoscopic or endoscopic procedures
    1.
    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。

    Suture clip applier
    4.
    发明授权
    Suture clip applier 失效
    缝合夹施压器

    公开(公告)号：US5462558A

    公开(公告)日：1995-10-31

    申请号：US297333

    申请日：1994-08-29

    申请人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

    发明人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

    IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/128

    CPC分类号： A61B17/0487 ,  A61B17/1285 ,  A61B17/0469 ,  A61B2017/00004 ,  A61B2017/0454 ,  A61B2017/0488

    摘要： An apparatus for applying a suture clip to a suture includes (a) an endoscopic portion having at least one slot to position a suture transversely to the longitudinal axis of the endoscopic portion, a camming surface for closing a clip onto a suture positioned within the suture receiving means, a pusher for advancing a suture clip into the camming surface, and a tubular housing; and (b) a handle portion including a handle portion housing, and an actuation mechanism for actuating the pusher.

    摘要翻译： 用于将缝合夹施加到缝合线的装置包括（a）内窥镜部分，其具有至少一个狭缝以将缝合线横向于内窥镜部分的纵向轴线定位，用于将夹子闭合到定位在缝合线内的缝合线上的凸轮表面 接收装置，用于将缝合夹推进到凸轮表面中的推动器，以及管状壳体; 和（b）包括把手部分壳体的手柄部分和用于致动推动器的致动机构。

    Suture clip applier
    5.
    发明授权
    Suture clip applier 失效
    缝合夹施压器

    公开(公告)号：US5645553A

    公开(公告)日：1997-07-08

    申请号：US440797

    申请日：1995-05-15

    申请人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

    发明人： Michael S. Kolesa ,  Dominick L. Mastri ,  Wayne P. Young ,  Henry Bolanos

    IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/128 ,  A61B17/08

    CPC分类号： A61B17/0487 ,  A61B17/1285 ,  A61B17/0469 ,  A61B2017/00004 ,  A61B2017/0454 ,  A61B2017/0488

    摘要： A suture fastening device which includes a first member having a base and first and second legs projecting in a lengthwise direction along the base. The legs are parallel to each other and are resiliently biased toward a spaced apart position in relation to each other. A second member is provided and includes an aperture for receiving the first and second legs of the first member. The first and second members are connected by a hinge portion. A suture is held in serpentine fashion by positioning the suture transversely across both legs and locking the first member to the second member by forcing the legs through the aperture.

    摘要翻译： 一种缝合线紧固装置，其包括具有基部的第一构件和沿着所述基部的沿长度方向突出的第一和第二腿。 腿彼此平行并相对于彼此弹性偏压到间隔开的位置。 提供第二构件，并且包括用于接收第一构件的第一和第二腿的孔。 第一和第二构件通过铰链部连接。 缝合线通过将缝合线横向横过两条腿定位并通过迫使腿穿过孔将第一构件锁定到第二构件而以蛇形方式保持。

    Apparatus for applying surgical fasteners
    6.
    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
    7.
    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
    8.
    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
    9.
    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。

    Apparatus and method for subcuticular stapling of body tissue
    10.
    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：US5573541A

    公开(公告)日：1996-11-12

    申请号：US383718

    申请日：1995-02-03

    申请人： David T. Green ,  Henry Bolanos

    发明人： David T. Green ,  Henry Bolanos

    IPC分类号： A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/28 ,  A61B17/68

    CPC分类号： A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/282 ,  A61B17/68

    摘要： A surgical apparatus for attaching two portions of cutaneous body tissue includes a pair of opposed elongated members having jaws which have tissue gripping 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 body 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 in ingress to penetrate the body tissue portions to attach the body tissue portions together. In another preferred embodiment, the elongated members are biased outwardly by a coil spring and a unique plate-like fastener drive member is provided to facilitate driving a fastener after the jaws are closed. A fastener cartridge is provided with fasteners stacked in a sloped fashion and having a coil spring to bias the fasteners toward the ejection position. Another embodiment includes a rack and gear teeth arrangement for approximating the jaws and for firing the fasteners. The rack and gear teeth function somewhat like a linear analog of a set of rotary gears. 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构件，其具有在其一端具有组织夹持构件的钳口，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 将身体组织部分移动到近似。 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的近侧的堆叠构造承载，使得当钳口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入口位置以穿透身体组织部分以将身体组织部分附接在一起。 在另一优选实施例中，细长构件被螺旋弹簧向外偏压，并且提供了独特的板状紧固件驱动构件，以便于在夹爪关闭之后驱动紧固件。 紧固件卡盒设置有​​以倾斜方式堆叠的紧固件，并且具有螺旋弹簧以将紧固件偏压到喷射位置。 另一个实施例包括用于近似钳口和用于击发紧固件的齿条和齿轮齿布置。 齿条和齿轮齿有点像一组旋转齿轮的线性模拟。 还公开了附着皮肤组织部分的方法。