公开(公告)号：US5356064A

公开(公告)日：1994-10-18

申请号：US950425

申请日：1992-09-23

申请人： David T. Green ,  Wayne Young ,  Stephan A. DeFonzo ,  Samson Pennatto

发明人： David T. Green ,  Wayne Young ,  Stephan A. DeFonzo ,  Samson Pennatto

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

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

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. The staple storage cartridge may be pivoted with respect to the longitudinal axis of the endoscopic section from 0.degree. to about 32.5.degree. and about 65.degree.. Further, the cartridge may be rotated from a proximal location about its own axis independent of the endoscopic section while pivoted to any of the predetermined angles relative to the longitudinal axis of the endoscopic section.

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。 订书钉存储盒可以相对于内窥镜部分的纵向轴线从0°至大约32.5°和大约65°枢转。 此外，筒可以从独立于内窥镜部分的自身轴线的近端位置旋转，同时枢转到相对于内窥镜部分的纵向轴线的任何预定角度。

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：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：US07681772B2

公开(公告)日：2010-03-23

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 ,  A61B17/04

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 in laparoscopic hernia surgery includes an elongate member defining a longitudinal axis, a cartridge, an anvil, and a control member located in a proximal region of the elongate member. The 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. The anvil 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 body tissue. The control member is axially movable along the longitudinal axis to articulate the cartridge. The control member is also rotatable to rotate the cartridge.

摘要翻译： 一种用于内窥镜应用外科手术钉的装置，其适于在腹腔镜疝手术中将外科手术网连接到身体组织，包括限定纵向轴线的细长构件，钉仓，砧座和位于细长构件的近侧区域中的控制构件。 药筒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。 砧座提供单独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。 控制构件沿着纵向轴线可轴向移动以使卡盒连接。 控制构件也可旋转以旋转盒。

公开(公告)号：US20090314820A1

公开(公告)日：2009-12-24

申请号：US12547941

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.

公开(公告)号：US07624903B2

公开(公告)日：2009-12-01

申请号：US10753248

申请日：2004-01-08

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 ,  A61B17/04

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：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：US20140142622A1

公开(公告)日：2014-05-22

申请号：US14082163

申请日：2013-11-17

申请人： Richard T. Briganti ,  James F. McGuckin, JR. ,  Walter H. Peters ,  James S. Tarmin ,  Stephan A. DeFonzo

发明人： Richard T. Briganti ,  James F. McGuckin, JR. ,  Walter H. Peters ,  James S. Tarmin ,  Stephan A. DeFonzo

IPC分类号： A61B17/00

CPC分类号： A61B17/0057 ,  A61B17/064 ,  A61B2017/00637 ,  A61B2017/00659 ,  A61B2017/00867

摘要： A device for closing an aperture in a vessel wall comprising an elongated member having a longitudinal axis and positionable inside the vessel against the internal opening of the aperture. The elongated member has a dimension to prevent egress of fluid through the aperture. A material forms two curved legs having ends positionable external of the vessel. The legs curve in different directions and a retention portion is formed in the material to retain the legs during placement of the elongated member inside the vessel.

摘要翻译： 一种用于封闭容器壁中的孔的装置，包括具有纵向轴线的细长构件并且可抵靠孔的内部开口定位在容器的内部。 细长构件具有防止流体通过孔流出的尺寸。 材料形成具有位于容器外部的端部的两个弯曲腿。 腿部在不同方向上弯曲，并且在将细长构件放置在容器内部期间，在材料中形成保持部分以保持腿部。