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    Surgical repair device
    2.
    发明授权
    Surgical repair device 失效
    手术修复装置

    公开(公告)号：US5355913A

    公开(公告)日：1994-10-18

    申请号：US959273

    申请日：1992-10-09

    申请人： David T. Green ,  Henry Bolanos ,  Thomas W. Alesi, Jr. ,  Kenneth E. Toso

    发明人： David T. Green ,  Henry Bolanos ,  Thomas W. Alesi, Jr. ,  Kenneth E. Toso

    IPC分类号： A61B17/82 ,  A61B17/88 ,  A61B19/00 ,  B65B13/02 ,  B21F9/02

    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。

    Sternum buckle and applier
    3.
    发明授权
    Sternum buckle and applier 失效
    胸扣和施肥机

    公开(公告)号：US5339870A

    公开(公告)日：1994-08-23

    申请号：US959325

    申请日：1992-10-09

    申请人： David T. Green ,  Thomas W. Alesi, Jr. ,  Henry Bolanos ,  Kenneth E. Toso

    发明人： David T. Green ,  Thomas W. Alesi, Jr. ,  Henry Bolanos ,  Kenneth E. Toso

    IPC分类号： A61B17/82 ,  B25B25/00

    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。

    Method of performing a vessel anastomosis using a surgical clip applier
    5.
    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。

    Surgical clip applier
    7.
    发明授权
    Surgical clip applier 失效
    手术夹子

    公开(公告)号：US5725538A

    公开(公告)日：1998-03-10

    申请号：US713772

    申请日：1996-09-13

    申请人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert Geiste ,  Frank C. Maffei

    发明人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert 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 applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said 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 said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to closing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar slidably mounted in said channel assembly for advancing clips along said clip carrier. A first spring member connected between said cam bar and said forming cam for sliding said cam bar in a proximal direction in response to closing of said handles together and further biasing said channel assembly in a proximal direction. Second spring member biasing said pusher bar in a distal direction to push a foremost clip in said clip carrier between said jaws in response to opening of said handles from each other. A clip retainer for preventing movement of said spring biased pusher bar is also provided.

    摘要翻译： 一种手术夹施加器，其包括壳体，可枢转地连接到所述壳体的相对侧的一对手柄，以及固定地连接到所述壳体的钳口刀片组件。 颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于将一系列夹子供给到所述夹爪。 通道组件可滑动地安装在壳体中并且包围所述钳口叶片组件。 成形凸轮连接在所述手柄和所述通道组件之间，用于响应于所述把手的关闭而在远侧方向上滑动所述通道组件以将所述钳口朝向彼此移动。 一种进给凸轮杆，其可滑动地安装在所述通道组件中，与所述夹子托架相重叠，所述杆在其远端具有鼻部。 可滑动地安装在所述通道组件中的推杆，用于沿着夹子承载件推进夹子。 连接在所述凸轮杆和所述成形凸轮之间的第一弹簧构件，用于响应于所述把手的关闭而沿近端方向滑动所述凸轮杆，并且进一步沿近侧方向偏置所述通道组件。 第二弹簧构件在远侧方向上偏压所述推杆，以响应于所述把手彼此打开而在所述夹爪之间推动所述夹子承载件中的最前面的夹子。 还提供了用于防止所述弹簧偏压推杆的移动的夹持器。

    Surgical clip applier
    8.
    发明授权
    Surgical clip applier 失效
    手术夹子

    公开(公告)号：US5720756A

    公开(公告)日：1998-02-24

    申请号：US713771

    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 requiting 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。

    Plaque stapler
    9.
    发明授权
    Plaque stapler 失效
    斑块吻合器

    公开(公告)号：US5501689A

    公开(公告)日：1996-03-26

    申请号：US191230

    申请日：1994-02-03

    申请人： David T. Green ,  Henry Bolanos ,  Daniel E. Alesi ,  Kenneth E. Toso

    发明人： David T. Green ,  Henry Bolanos ,  Daniel E. Alesi ,  Kenneth E. Toso

    IPC分类号： A61B17/068 ,  A61B17/22 ,  A61B17/04

    CPC分类号： A61B17/0686 ,  A61B2017/22001 ,  A61B2017/320741

    摘要： An apparatus for stapling the plaque lining of an artery or vein to the wall of the artery or vein, which comprises first and second opposed cooperative elongated members pivotably associated with one another. The first and second elongated members have distal ends, and proximal ends forming handles. The first elongated member forms an anvil portion at its distal end which is configured for placement into an open end of a vein and/or an artery. A staple cartridge assembly is disposed on the distal end of the second elongated member and includes a staple magazine containing a multiplicity of staples longitudinally and sequentially aligned with the staple magazine. Actuating means are provided which are supported by the staple cartridge assembly for movement in a given direction therealong to drive the staples in the staple magazine toward a staple exit end.

    摘要翻译： 一种用于将动脉或静脉的斑块衬里装订到动脉或静脉的壁的装置，其包括彼此可枢转地相关联的第一和第二相对的协作细长构件。 第一和第二细长构件具有远端，近端形成手柄。 第一细长构件在其远端处形成砧座部分，其构造成用于放置在静脉和/或动脉的开放端。 钉仓组件设置在第二细长构件的远端上，并且包括缝合钉仓，其中包含多个缝钉，其纵向并顺序地与钉仓对齐。 提供了致动装置，其由钉仓组件支撑，以沿给定的方向运动，以将钉仓中的钉驱动到钉出口端。

    Method of anastomosing a vessel using a surgical clip applier
    10.
    发明授权
    Method of anastomosing a vessel using a surgical clip applier 失效
    使用外科夹具施放器吻合血管的方法

    公开(公告)号：US5779718A

    公开(公告)日：1998-07-14

    申请号：US714790

    申请日：1996-09-13

    申请人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert Geiste ,  Frank C. Maffei

    发明人： David T. Green ,  Henry Bolanos ,  Kenneth E. Toso ,  Daniel E. Alesi ,  Robert Geiste ,  Frank C. Maffei

    IPC分类号： A61B17/08 ,  A61B17/11 ,  A61B17/128 ,  A61B17/28 ,  A61B17/04

    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 applicator comprising a housing, a pair of handles pivotally connected to opposite sides of said 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 said jaws. A channel assembly is slidably mounted in the housing and envelops said jaw blade assembly. A forming cam is connected between and to said handles and said channel assembly for sliding said channel assembly in a distal direction in response to closing of said handles together to move said jaws towards each other. A feed cam bar slidably mounted in said channel assembly in overlying relation to said clip carrier, said bar having a nose at its distal end. A pusher bar sidably mounted in said channel assembly for advancing clips along said clip carrier. A first spring member connected between said cam bar and said forming cam for sliding said cam bar in a proximal direction in response to closing of said handles together and further biasing said channel assembly in a proximal direction. Second spring member biasing said pusher bar in a distal direction to push a foremost clip in said clip carrier between said jaws in response to opening of said handles from each other. A clip retainer for preventing movement of said spring biased pusher bar is also provided.

    摘要翻译： 一种手术夹施加器，其包括壳体，可枢转地连接到所述壳体的相对侧的一对手柄，以及固定地连接到所述壳体的钳口刀片组件。 颚板组件包括一对夹爪，用于接收和变形夹子，夹子支架用于将一系列夹子供给到所述夹爪。 通道组件可滑动地安装在壳体中并且包围所述钳口叶片组件。 成形凸轮连接在所述手柄和所述通道组件之间，用于响应于所述把手的关闭而在远侧方向上滑动所述通道组件以将所述钳口朝向彼此移动。 一种进给凸轮杆，其可滑动地安装在所述通道组件中，与所述夹子托架相重叠，所述杆在其远端具有鼻部。 一个推杆可倾斜地安装在所述通道组件中，用于沿着夹子承载件推进夹子。 连接在所述凸轮杆和所述成形凸轮之间的第一弹簧构件，用于响应于所述把手的关闭而沿近端方向滑动所述凸轮杆，并且进一步沿近侧方向偏置所述通道组件。 第二弹簧构件在远侧方向上偏压所述推杆，以响应于所述把手彼此打开而在所述夹爪之间推动所述夹子承载件中的最前面的夹子。 还提供了用于防止所述弹簧偏压推杆的移动的夹持器。