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公开(公告)号：US5417698A
公开(公告)日：1995-05-23
申请号：US959212
申请日：1992-10-09
CPC分类号： B25B25/00 , A61B17/8861
摘要： An instrument for tightening wound closure elements around body tissue, such as a human sternum following surgery. The instrument includes a first handle and a second handle pivotally attached to the first handle and movable between an open and a closed position. A retaining system is also provided to tighten wound closure material in response to movement of the second handle.
摘要翻译： 用于在身体组织周围收紧伤口闭合元件的手段，例如手术后的人类胸骨。 仪器包括第一手柄和枢转地附接到第一手柄并可在打开和关闭位置之间移动的第二手柄。 还提供保持系统以响应于第二把手的移动来收紧伤口闭合材料。
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公开(公告)号：US5355913A
公开(公告)日：1994-10-18
申请号：US959273
申请日：1992-10-09
CPC分类号： A61B17/8861 , A61B17/823 , B65B13/027 , A61B17/82 , A61B2090/031
摘要： A surgical apparatus for tightening a strap loop to a predetermined tension about split tissue portions includes a frame, an advancing mechanism for tightening the strap loop, a linkage mechanism which severs excess strap material not used in securing the tissue portions together and a control mechanism for controlling operation of the apparatus. The advancing mechanism includes a tensioning lever and a gear mechanism. The gear mechanism includes a tensioning hub and a clutch which releases when the tension in the strap loop exceeds a predetermined value. The control mechanism includes a safety feature for preventing inadvertent activation of the linkage mechanism. A buckle and a method for use with the surgical apparatus is also disclosed. The invention is particularly contemplated for repair of the human sternum when the sternum has been split during surgical procedures.
摘要翻译： 用于将带环缠绕到围绕分裂的组织部分的预定张力的手术装置包括框架，用于紧固带环的前进机构，切断不用于将组织部分固定在一起的多余条带材料的连接机构，以及用于 控制设备的操作。 前进机构包括张紧杆和齿轮机构。 齿轮机构包括张紧轮毂和当带环中的张力超过预定值时释放的离合器。 控制机构包括用于防止连动机构的意外激活的安全特征。 还公开了一种带扣和用于手术装置的方法。 本发明特别涉及在外科手术期间胸骨已经分裂时人体胸骨的修复。
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公开(公告)号：US5339870A
公开(公告)日：1994-08-23
申请号：US959325
申请日：1992-10-09
CPC分类号： A61B17/823
摘要： An apparatus for applying a buckle assembly about split portions of tissue is provided. The apparatus is particularly contemplated for use with a buckle of the type having a base member with an opening extending generally transversely therethrough for reception of a first strap end portion and a clamp member slidably housed within a channel formed in the base member. The apparatus includes a frame member, a mechanism disposed in a lower surface of the frame member for releasably supporting the buckle member and a mechanism associated with the frame member for advancing the clamp member within the channel of the buckle to a strap securing position wherein the strap member is secured within the buckle member in a looped configuration about the tissue portions.In an alternate embodiment, a surgical system for repair of split portions of tissue includes a flexible strap member having a buckle member attached thereto. The buckle member includes a base member having a transverse opening extending therethrough for reception of a first end portion of the strap member, a clamp member slidably housed within a partial longitudinal channel defined between lower and upper surfaces of the base member and a tab member for retaining the clamp in a secured position. The buckle may also include a clip member pivotally mounted to an upper surface of the base member to assist in securing the strap member. The system also includes an applier mechanism having a frame, a mechanism disposed in a lower surface of the frame for releasably mounting the buckle and a mechanism for advancing the clamp member within the partial longitudinal channel of the buckle to an engaged position whereby the clamp member securely wedges the strap against the base member.
摘要翻译： 提供了一种用于围绕组织的分裂部分施加带扣组件的装置。 该设备特别设想用于具有基本构件类型的带扣，该基座构件具有大体上横向延伸穿过的开口，用于接收可滑动地容纳在形成在基座构件中的通道内的第一带端部和夹紧构件。 该装置包括框架构件，设置在框架构件的下表面中的用于可释放地支撑带扣构件的机构和与框架构件相关联的机构，用于将带扣的通道内的夹持构件推进到带固定位置， 带状构件围绕组织部分以环形构造固定在带扣构件内。 在替代实施例中，用于修复组织的分割部分的外科系统包括具有附接到其上的带扣构件的柔性带构件。 所述带扣构件包括基部构件，所述基座构件具有延伸穿过其中的横向开口，用于接纳所述带构件的第一端部;夹持构件，其可滑动地容纳在限定在所述基座构件的下表面和上表面之间的部分纵向通道内， 将夹具保持在固定位置。 带扣还可以包括可枢转地安装到基部构件的上表面的夹构件，以帮助固定带构件。 该系统还包括具有框架的施力器机构，设置在框架的下表面中的用于可释放地安装带扣的机构和用于将带扣的部分纵向通道内的夹持构件推进到接合位置的机构，由此夹紧构件 牢固地将带子楔紧在基座构件上。
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公开(公告)号：US5330489A
公开(公告)日：1994-07-19
申请号：US959164
申请日：1992-10-09
CPC分类号： A61B17/82 , A61B17/823 , Y10T24/4016
摘要： A strap assembly to be looped about split portions of human tissue to retain the split portions in adjacent contacting relation to promote healing thereof is provided. The strap assembly includes a flexible strap member and a buckle member to secure the strap member. The buckle member includes a base member having an opening extending therethrough for reception of the strap member and a clip member pivotally mounted to the base member for engaging the strap member. The clip member is adapted to pivot from an open position to allow for reception of the strap member through the opening and a closed position wherein the strap is engaged by and wedged between a forward edge of the clip member and the base member to secure the strap member around the split portions of tissue.
摘要翻译： 提供了围绕人体组织的分裂部分环绕的带组件，以将分离部分保持在相邻的接触关系中以促进其愈合。 带组件包括柔性带构件和用于固定带构件的带扣构件。 所述带扣构件包括基部构件，所述基座构件具有贯穿其中的开口，用于接纳所述带构件;以及夹构件，所述夹构件可枢转地安装到所述基座构件以用于接合所述带构件。 夹子构件适于从打开位置枢转以允许通过开口接收带构件，并且关闭位置，其中带被夹持并夹在夹构件的前边缘和基座构件之间以固定带 围绕组织的分裂部分的构件。
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5.发明授权
公开(公告)号：US5862972A
公开(公告)日：1999-01-26
申请号：US566251
申请日：1995-12-01
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。
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公开(公告)号：US5826777A
公开(公告)日：1998-10-27
申请号：US296201
申请日：1994-08-25
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.
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7.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。
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公开(公告)号：US5558266A
公开(公告)日：1996-09-24
申请号：US234712
申请日：1994-04-28
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.
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公开(公告)号：US5509596A
公开(公告)日：1996-04-23
申请号：US179776
申请日：1994-01-10
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。
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公开(公告)号：US5413272A
公开(公告)日：1995-05-09
申请号：US121012
申请日：1993-09-14
IPC分类号： A61B17/064 , A61B17/068 , A61B17/04
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/0684
摘要： A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. Structure is provided for advancing the fasteners distally by an actuating handle means working in concert with a pusher means. The fasteners exit the fastener housing at an angle to the longitudinal axis of the device to facilitate visualization and placement at the surgical site. A unique fastener may be formed in which the legs are in a substantially overlapping longitudinally-spaced relation.
摘要翻译： 提供了用于将紧固件和/或增强材料放置在组织中的外科器械。 提供用于通过与推动器装置协同工作的致动手柄装置向远侧推进紧固件的结构。 紧固件以与设备的纵向轴线成一定角度离开紧固件壳体，以便于在手术部位的可视化和放置。 可以形成独特的紧固件，其中腿部基本上重叠的纵向间隔的关系。
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