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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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公开(公告)号：US5366479A
公开(公告)日：1994-11-22
申请号：US100613
申请日：1993-07-30
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 and surgical staple are disclosed for endoscope application of the surgical staples for attaching surgical mesh to body tissue in laparoscopic hernia surgery. The surgical staple is formed of a length of wire having a central portion having a middle portion and end portions extending therefrom in a first direction. Wire leg members extend in a direction generally perpendicular to the middle portion. Bridge portions are provided to connect each leg member to the end portions of the central portion. The bridge portions each have a straight portion substantially parallel to the middle portion and extending away from the end portions of the central portion. A first generally arcuate portion connected to the straight portions has a concave surface portion facing in a direction generally inwardly toward the opposing leg member. The first generally arcuate portions are connected to the leg members and at least a portion of each arcuate portion extends from the straight portions and generally in the first direction. A second arcuate portion on the leg members connects the leg member to the first arcuate portion. The free ends of the leg members are sharp to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue.
摘要翻译： 公开了一种用于在腹腔镜疝手术中用于将手术网连接到身体组织的外科手术钉的内窥镜应用的装置和外科手术钉。 外科缝合钉由具有中间部分的中心部分和从第一方向延伸的端部部分的线的长度形成。 线腿构件沿大致垂直于中间部分的方向延伸。 提供桥接部分以将每个腿部构件连接到中心部分的端部。 桥接部分各自具有基本上平行于中间部分并且远离中心部分的端部延伸的直线部分。 连接到直线部分的第一大致弓形部分具有面向相对腿部件的大致向内的方向的凹面部分。 第一大致弓形的部分连接到腿部件，并且每个弓形部分的至少一部分从直的部分延伸并且大致沿第一方向延伸。 腿部件上的第二弧形部分将腿部件连接到第一弧形部分。 腿部构件的自由端锋利地穿过身体组织，以将网状物的一部分附着到身体组织上。
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公开(公告)号：US5257713A
公开(公告)日：1993-11-02
申请号：US931591
申请日：1992-08-18
IPC分类号： A61B17/064 , A61B17/068 , A61B17/00
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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公开(公告)号：US5217472A
公开(公告)日：1993-06-08
申请号：US696511
申请日：1991-05-07
IPC分类号： A61B17/068
CPC分类号： A61B17/068
摘要： A surgical instrument for placing fasteners and/or a reinforcement material in tissue is provided. 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.
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公开(公告)号：USD320654S
公开(公告)日：1991-10-08
申请号：US512551
申请日：1990-04-23
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公开(公告)号：US4616650A
公开(公告)日：1986-10-14
申请号：US635262
申请日：1984-07-27
申请人： David T. Green , Richard A. McGarry , Graham Smith
发明人： David T. Green , Richard A. McGarry , Graham Smith
IPC分类号： A61B17/12 , A61B17/128
CPC分类号： A61B17/128
摘要： Surgical clip applying apparatus in which clips are delivered to a pair of jaws one at a time for closure around body tissue. The squeezing together of a pair of ring handles causes the jaws to move distally relative to the apparatus. The jaws contact a pair of inclined surfaces on the shaft of the apparatus and are thereby forced together, causing the distal-most clip in a linear array to be closed around body tissue. Release of the handles returns the jaws to the original positions so that another clip closing cycle can be initiated. An escapement mechanism interacts with the jaws to ensure that only one clip at a time from the linear array is delivered to the jaws. A clutch assembly ensures that each step in the clip closing and return cycle is completed in the proper sequence.
摘要翻译： 手术夹施加装置，其中夹子一次一个地递送到一对夹爪以在身体组织周围封闭。 一对环形手柄挤压在一起使得钳口相对于该装置向远侧移动。 钳口接触装置的轴上的一对倾斜表面，并因此被迫在一起，使得最直线的线圈阵列夹在身体组织周围。 释放手柄将钳口返回到原始位置，以便可以启动另一个剪辑关闭循环。 擒纵机构与夹爪相互作用，以确保从线性阵列一次只有一个夹子被传送到夹爪。 离合器组件确保夹子闭合和返回循环中的每个步骤以适当的顺序完成。
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公开(公告)号：USD285002S
公开(公告)日：1986-08-05
申请号：US635284
申请日：1984-07-27
申请人： David T. Green , Richard A. McGarry , Graham Smith
设计人： David T. Green , Richard A. McGarry , Graham Smith
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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。
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公开(公告)号：US5514149A
公开(公告)日：1996-05-07
申请号：US278705
申请日：1994-07-22
申请人： David T. Green , Richard A. McGarry
发明人： David T. Green , Richard A. McGarry
IPC分类号： A61B17/128 , A61B17/08
CPC分类号： A61B17/128 , Y10S227/901
摘要： The surgical clip applicator has a pusher bar which positions the foremost clip from a clip carrier into a ready-to-fire position between the jaws prior to squeezing of the handles together. When the applicator is fired, the previously positioned surgical clip can be crimped about a vessel and when the jaws are released, a new clip is placed between the jaws for the next firing. A channel assembly moves over the jaws to close the jaws while the pusher bar is retracted into the clip carrier for delivering the foremost clip from the carrier upon release of the handles. A latch arrangement is provided for locking the channel asesmbly in place and the handles against movement should the clip carrier be empty.
摘要翻译： 手术夹施加器具有推杆，其在将手柄压在一起之前将最前面的夹子从夹子托架定位在夹爪之间的准备就绪位置。 当施用器被点燃时，先前定位的手术夹可以围绕血管卷曲，并且当钳口被释放时，新的夹子被放置在钳口之间用于下一次点火。 通道组件在钳口上移动以关闭钳口，同时推杆缩回到夹具承载件中，以在手柄释放时从载体传送最前面的夹子。 提供了一种闩锁装置，用于将通道按正常方式锁定在适当的位置，并且当夹子托架为空时，手柄不会运动。
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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。
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