公开(公告)号：US06981966B2

公开(公告)日：2006-01-03

申请号：US10444378

申请日：2003-05-23

申请人： David T. Green ,  Henry Bolanos ,  Salvatore Castro ,  Henry Sienkiewicz ,  Stephan A. DeFonzo ,  Douglas J. Cuny ,  Wayne P. Young

发明人： David T. Green ,  Henry Bolanos ,  Salvatore Castro ,  Henry Sienkiewicz ,  Stephan A. DeFonzo ,  Douglas J. Cuny ,  Wayne P. Young

IPC分类号： A61M5/178

CPC分类号： A61M25/04 ,  A61B17/34 ,  A61B2017/3464 ,  A61B2017/3484 ,  A61F2002/30093 ,  A61F2210/0019 ,  A61M39/06 ,  A61M2039/0626 ,  A61M2039/0633 ,  A61M2039/064 ,  A61M2039/0653 ,  A61M2039/0686

摘要： A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.

公开(公告)号：US06569120B1

公开(公告)日：2003-05-27

申请号：US08814757

申请日：1997-03-07

申请人： David T. Green ,  Henry Bolanos ,  Salvatore Castro ,  Henry Sienkiewicz ,  Stephan A. DeFonzo ,  Douglas J. Cuny ,  Wayne P. Young

发明人： David T. Green ,  Henry Bolanos ,  Salvatore Castro ,  Henry Sienkiewicz ,  Stephan A. DeFonzo ,  Douglas J. Cuny ,  Wayne P. Young

IPC分类号： A61M5178

CPC分类号： A61M39/06 ,  A61B17/34 ,  A61B2017/3464 ,  A61B2017/3484 ,  A61F2002/30093 ,  A61F2210/0019 ,  A61M25/04 ,  A61M2039/0626 ,  A61M2039/0633 ,  A61M2039/064 ,  A61M2039/0653 ,  A61M2039/0686 ,  Y10T137/7885 ,  Y10T137/7891

摘要： A valve assembly is provided for permitting the introduction of a surgical instrument into a patient's body while providing a substantial seal about the instrument. The valve assembly includes a sealing gasket assembly providing a fluid tight seal before instrument insertion, and is configured and dimensioned for accommodating an instrument and providing a substantial fluid tight seal after insertion of an instrument. The valve assembly may further include a deformable sealing member having a substantially central aperture for accommodating the instrument. The sealing member provides a substantial seal about the instrument when the instrument is passed therethrough impeding the egress of fluids and gasses through the valve assembly.

摘要翻译： 提供了一种阀组件，用于允许将外科器械引入患者体内，同时提供关于器械的实质密封。 阀组件包括密封垫圈组件，其在仪器插入之前提供流体密封密封，并且构造和尺寸设计用于容纳仪器并在插入仪器之后提供实质上的流体密封。 阀组件还可包括可变形的密封件，其具有用于容纳该器械的基本上中心的孔​​。 当仪器通过时，密封构件围绕仪器提供实质的密封，阻止流体和气体通过阀组件的流出。

公开(公告)号：US5289963A

公开(公告)日：1994-03-01

申请号：US782290

申请日：1991-10-18

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

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

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B19/00 ,  A61F2/00

CPC分类号： A61B17/0686 ,  A61B17/0684 ,  A61B17/00234 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger mecanism to actuate the pusher. Anvil means provides for closing the staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. The invention also relates to a system for attaching surgical mesh to body tissue, a method for endoscopically attaching surgical mesh to body tissue. The staple for endoscopically attaching the surgical mesh to body tissue and a kit for accomplishing such attachment.

摘要翻译： 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝钉，每个钉构造成适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。 推动器系统还包括致动推动器的触发器技术。 砧座装置提供用于封闭钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 本发明还涉及一种用于将外科手术网连接到身体组织的系统，用于将外科手术网内窥镜附接到身体组织的方法。 用于内窥镜地将外科手术网连接到身体组织的钉子和用于完成这种附接的套件。

公开(公告)号：US5817109A

公开(公告)日：1998-10-06

申请号：US714972

申请日：1996-09-17

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

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

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B19/00 ,  A61F2/00

CPC分类号： A61B17/0686 ,  A61B17/0684 ,  A61B17/00234 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples in laparoscopic hernia surgery. The apparatus includes a handle and a generally elongated endoscopic section connected to the handle and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section. The staple storage magazine is pivotable between a first position in alignment with the longitudinal axis of the endoscopic section and a second position at an acute angle to the longitudinal axis. An elongated pusher system is provided for individually advancing at least one staple at a time distally. A trigger mechanism is provided to actuate the pusher.

摘要翻译： 公开了一种用于在腹腔镜疝气手术中内窥镜应用外科缝钉的装置。 该装置包括手柄和连接到手柄并从其向远端延伸的大致细长的内窥镜部分。 提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝合钉。 订书钉存储盒可以在与内窥镜部分的纵向轴线对齐的第一位置和与纵向轴线成锐角的第二位置之间枢转。 提供细长的推动器系统，用于在远端单独地推进至少一个钉。 提供触发机构以致动推动器。

公开(公告)号：US20090308908A1

公开(公告)日：2009-12-17

申请号：US12548053

申请日：2009-08-26

申请人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

发明人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

IPC分类号： A61B17/068

CPC分类号： A61B17/0686 ,  A61B17/00234 ,  A61B17/0684 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.

摘要翻译： 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。 推动器系统还包括用于致动推动器的触发系统。 触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。 砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

公开(公告)号：US5364002A

公开(公告)日：1994-11-15

申请号：US861065

申请日：1992-03-31

申请人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

发明人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B19/00 ,  A61F2/00

CPC分类号： A61B17/0686 ,  A61B17/0684 ,  A61B17/00234 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.

摘要翻译： 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。 推动器系统还包括用于致动推动器的触发系统。 触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。 砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

公开(公告)号：US5462555A

公开(公告)日：1995-10-31

申请号：US175816

申请日：1993-12-30

申请人： Henry Bolanos ,  Ghaleb A. Sater ,  Stephan A. DeFonzo ,  Wayne P. Young

发明人： Henry Bolanos ,  Ghaleb A. Sater ,  Stephan A. DeFonzo ,  Wayne P. Young

IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/32 ,  A61B17/12

CPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/32

摘要： An umbilical cord clip and applicator is disclosed for clamping a maternal side of an umbilical cord, applying an umbilical cord clip to a fetal side of the umbilical cord and severing the cord intermediate the clamped maternal and fetal sides of the umbilical cord. The applicator includes a first arm having a first clamping surface, a second arm movably affixed to the first arm and having a second clamping surface and structure associated with at least one the first and second arms for mounting an umbilical cord clip thereon. The applicator also includes a recessed severing mechanism operatively associated with the first and second arms and disposed intermediate the first and second clamping surfaces and the mounting structure. The severing mechanism is automatically actuable upon closure of the first and second arms about an umbilical cord to sever the cord at a location between the first and second clamping surfaces and the clip. The umbilical cord clip includes a first leg having a first clamping surface and a second leg movably affixed to the first leg and having a second clamping surface. A lock device is associated with the first and second legs for maintaining the first and second legs in a closed position about the umbilical cord. Attachment structure is also associated with at least one of the first and second legs. The attachment structure is releasably engagable with the mounting structure on the applicator to hold the umbilical cord clip on the applicator.

摘要翻译： 公开了一种用于夹紧脐带的母体侧的脐带夹和施用器，将脐带夹施加到脐带的胎侧，并切断在脐带的母体和胎侧的中间的绳索。 施加器包括具有第一夹紧表面的第一臂，可移动地固定到第一臂的第二臂，并且具有与至少一个第一和第二臂相关联的第二夹紧表面和结构，用于在其上安装脐带夹。 施加器还包括与第一和第二臂可操作地相关联并设置在第一和第二夹紧表面和安装结构之间的凹入的切割机构。 当第一和第二臂围绕脐带关闭时，切断机构可以自动启动，以在第一和第二夹紧表面和夹子之间的位置切断绳索。 脐带夹包括具有第一夹紧表面的第一腿部和可移动地固定到第一腿部并且具有第二夹紧表面的第二腿部。 锁定装置与第一和第二腿相关联，用于将第一和第二腿保持在围绕脐带的关闭位置。 附接结构还与第一和第二腿中的至少一个相关联。 附接结构可释放地与施加器上的安装结构接合，以将脐带夹固定在施用器上。

公开(公告)号：US07866526B2

公开(公告)日：2011-01-11

申请号：US12548053

申请日：2009-08-26

申请人： David T Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A DeFonzo ,  Richard A McGarry ,  Dominick L Mastri

发明人： David T Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A DeFonzo ,  Richard A McGarry ,  Dominick L Mastri

IPC分类号： A61B17/068

CPC分类号： A61B17/0686 ,  A61B17/00234 ,  A61B17/0684 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue includes a frame and an elongated endoscopic section connected to the frame-and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section. An elongated pusher system is provided for individually advancing at least one staple at a time distally. The pusher system includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes.

摘要翻译： 用于内窥镜施加适于将外科手术网附接到身体组织的外科手术钉的装置包括框架和连接到框架并且从其向远侧延伸的细长内窥镜部分。 订书钉存储盒可移除地支撑在内窥镜部分的远端部分的枢转支撑系统上。 提供细长的推动器系统，用于在远端单独地推进至少一个钉。 推动器系统包括用于致动推动器的触发系统。 触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。

公开(公告)号：US20090105535A1

公开(公告)日：2009-04-23

申请号：US11978852

申请日：2007-10-30

申请人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

发明人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

IPC分类号： A61B17/10 ,  A61B1/018

CPC分类号： A61B17/0686 ,  A61B17/00234 ,  A61B17/0684 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.

摘要翻译： 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。 推动器系统还包括用于致动推动器的触发系统。 触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。 砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

公开(公告)号：US5680981A

公开(公告)日：1997-10-28

申请号：US643395

申请日：1996-05-06

申请人： Carlo A. Mililli ,  Wayne P. Young ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Henry Bolanos ,  Leonard Stern

发明人： Carlo A. Mililli ,  Wayne P. Young ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Henry Bolanos ,  Leonard Stern

IPC分类号： A61B17/068

CPC分类号： A61B17/0684

摘要： A self-contained powered surgical stapling apparatus is provided which includes an elongate body, a fastener applying assembly including an anvil for forming a surgical fastener driven thereagainst, a motor assembly and power source for energizing the motor assembly disposed within the elongate body, and a pusher driven by the motor assembly for driving a surgical fastener toward the anvil to be formed thereby and fastened to body tissue. The apparatus is configured for utilization during conventional invasive surgical procedures as well as endoscopic or laparoscopic surgical procedures by providing a detachable extension shaft.

摘要翻译： 提供了一种独立的动力手术吻合装置，其包括细长主体，紧固件施加组件，其包括用于形成驱动其的手术紧固件的砧座，用于激励设置在细长主体内的马达组件的马达组件和动力源，以及 由马达组件驱动的推动器，用于驱动手术紧固件朝向由其形成的砧座，并固定到身体组织。 该装置被配置为在常规的侵入性外科手术过程中利用，以及通过提供可拆卸的延伸轴来进行内窥镜或腹腔镜外科手术。