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。

公开(公告)号：US5383881A

公开(公告)日：1995-01-24

申请号：US125519

申请日：1993-09-22

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 ,  A61B17/34 ,  A61B19/00 ,  A61B17/04

CPC分类号： A61B17/1285 ,  A61B17/128

摘要： A safety device is provided for use with endoscopic instrumentation, particularly and endoscopic clip applier. The device includes a collar which is adapted to be disposed on the elongated shaft of the endoscopic instrument. A release means is provided as part of the trocar guide sleeve which is adapted to contact the collar and release it from engagement with the elongated shaft.

摘要翻译： 提供了一种安全装置，用于内窥镜检查仪器，特别是内镜夹具。 该装置包括适于设置在内窥镜器械的细长轴上的套环。 提供释放装置作为套针引导套筒的一部分，其适于接触套环并将其从细长轴接合中解除。

公开(公告)号：US5100420A

公开(公告)日：1992-03-31

申请号：US381265

申请日：1989-07-18

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

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 transferrring movement to the pusher bar and channel. The endoscopic portion is rotatable relative to the frame. In one embodiment the apparatus is 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。 该装置的主体包括容纳致动机构的框架和用于将移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。

公开(公告)号：US5084057A

公开(公告)日：1992-01-28

申请号：US530652

申请日：1990-05-30

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： G02B23/24 ,  A61B1/00 ,  A61B17/068 ,  A61B17/128

CPC分类号： A61B17/1285

摘要： A disposable apparatus is disclosed for applying surgical clips to body tissue in endoscopic surgical procedures. The apparatus includes a frame which is adapted to be gripped by hand, and an endoscopic section permanently connected to the handle and capable of storing surgical clips in preparation for clipping arteries or other body tissue. The apparatus includes means for advancing each clip sequentially to a pair of distal jaws and means for closing the jaws about the clip. When the jaws are closed, the clip advancing means is simultaneously positioned to advance the next clip. When all clips are spent the apparatus becomes automatically locked against further advancement of the clip advancing means as well as further closing of the clip closing jaws. The present apparatus also makes it possible to partially close a clip without interfering with the sequential movement of the clip advancing mechanism.

公开(公告)号：US5558266A

公开(公告)日：1996-09-24

申请号：US234712

申请日：1994-04-28

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

发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Lisa W. 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.

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。

公开(公告)号：US5706997A

公开(公告)日：1998-01-13

申请号：US474504

申请日：1995-06-07

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, wherein the actuating mechanism 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，其中致动机构可致动以将钳口构件朝向彼此推动。 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。

公开(公告)号：US5062563A

公开(公告)日：1991-11-05

申请号：US335822

申请日：1989-04-10

申请人： David T. Green ,  Wayne P. Young ,  Henry Bolanos ,  Robert J. Geiste ,  Keith Ratcliff ,  Daniel E. Alesi

发明人： David T. Green ,  Wayne P. Young ,  Henry Bolanos ,  Robert J. Geiste ,  Keith Ratcliff ,  Daniel E. Alesi

IPC分类号： A61B17/068

CPC分类号： A61B17/068

摘要： The fascia stapler has a pistol-shaped housing from which two-piece clips can be ejected for closing an incision. The retainers for the clips and the straps for the clips are held in respective cartridges within the nose of the housing and can be ejected individually upon actuation of the stapler. A pusher assembly within the housing causes an individual strap to be expelled for passage through one end of a strap, piercing through the tissue and securement in the other end of the strap. Approximators with tissue engaging teeth are also used to bunch up the tissue about the incision during a stapling operation.

公开(公告)号：US5285944A

公开(公告)日：1994-02-15

申请号：US622943

申请日：1990-12-06

申请人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff

发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff

IPC分类号： A61B17/115 ,  A61B17/32 ,  A61B17/34 ,  A61B19/00 ,  A61B17/00

CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B17/34 ,  A61B90/39 ,  Y10S403/07 ,  Y10T403/148 ,  Y10T403/32901

摘要： The end-to-end anastomosis apparatus is provided with a mounting means which can receive a trocar for making holes in tissue and, subsequently, an anvil shaft for the mounting of an anvil assembly for stapling purposes. The anvil shaft is provided with splines which cooperate with splines on a shell liner within the housing of the apparatus to align the buckets on the anvil assembly with the staples in a cartridge secured in the apparatus. In addition, the anvil assembly is provided with a spring for locking of the anvil housing on the anvil shaft.

摘要翻译： 端对端吻合装置设置有可以容纳用于在组织中形成孔的套针针的安装装置，以及随后用于安装用于装订目的的砧座组件的砧座轴。 砧座轴设置有花键，其与设备壳体内的外壳衬里上的花键配合，以使砧座组件上的铲斗与装在该装置中的钉仓中的钉对准。 此外，砧组件设置有用于将砧壳体锁定在砧座轴上的弹簧。

公开(公告)号：US5358506A

公开(公告)日：1994-10-25

申请号：US27555

申请日：1993-03-05

申请人： David T. Green ,  Henry Bolanos ,  Jeffrey J. Blewett ,  Keith Ratcliff ,  Frank J. Viola ,  Charles R. Sherts

发明人： David T. Green ,  Henry Bolanos ,  Jeffrey J. Blewett ,  Keith Ratcliff ,  Frank J. Viola ,  Charles R. Sherts

IPC分类号： A61B17/28 ,  A61B17/30

CPC分类号： A61B17/29 ,  A61B17/30 ,  A61B17/2909 ,  A61B2017/2936 ,  A61B2017/2944

摘要： Approximating apparatus for surgical jaw structure is provided which effects substantially parallel approximation of first and second surgical jaw structure to permit substantially parallel working interaction therebetween. The approximating apparatus includes camming structure for engaging at least one movable jaw of the surgical jaw structure to bias that jaw toward or away from a second jaw structure in a substantially parallel manner. A tissue stop may be provided to more easily guide and protect tissue captured by the jaw structure.

摘要翻译： 提供了用于手术颌结构的近似装置，其基本上平行近似第一和第二外科钳口结构，以允许它们之间基本上平行的工作相互作用。 近似装置包括凸轮结构，用于接合外科钳口结构的至少一个活动夹爪，以基本上平行的方式将该钳口朝向或远离第二钳口结构偏置。 可以提供组织止挡件以更容易地引导和保护由钳口结构捕获的组织。