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    Self-contained powered surgical apparatus
    2.
    发明授权
    Self-contained powered surgical apparatus 失效
    自备动力手术器械

    公开(公告)号：US5779130A

    公开(公告)日：1998-07-14

    申请号：US319907

    申请日：1994-10-07

    申请人： Daniel E. Alesi ,  Robert J. Geiste ,  Dominick L. Mastri ,  Wayne P. Young ,  Kenneth E. Toso

    发明人： Daniel E. Alesi ,  Robert J. Geiste ,  Dominick L. Mastri ,  Wayne P. Young ,  Kenneth E. Toso

    IPC分类号： A61B17/072 ,  A61B17/28 ,  A61B17/068

    CPC分类号： A61B17/07207 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/2905 ,  H01H9/06

    摘要： A self-contained powered surgical stapling device is provided which includes an elongate body and a disposable cartridge assembly detachably supported in a distal end portion of the body. The cartridge assembly includes a frame configured to engage the distal end portion of the body, a housing supported within the frame and containing a plurality of surgical fasteners, an anvil mounted for movement with respect to the housing, an actuation assembly configured to translate relative to the housing and the anvil to progressively move the anvil from an open position to a closed position and to sequentially eject the surgical fasteners from the housing to be formed against the anvil, and an axial drive screw mounted in the frame and threadably associated with the actuation assembly for effectuating the longitudinal translation thereof. A motor assembly having an axial drive shaft is disposed within the elongate body, and a coupling is provided for detachably connecting the axial drive shaft and the axial drive screw. A power source is disposed within the elongate body for energizing the motor assembly.

    摘要翻译： 提供了一种独立的动力手术吻合装置，其包括细长主体和可拆卸地支撑在身体的远端部分中的一次性药筒组件。 盒组件包括构造成接合主体的远端部分的框架，支撑在框架内并容纳多个外科紧固件的壳体，安装成相对于壳体移动的砧座，构造成相对于 所述壳体和所述砧座将所述砧座从打开位置逐渐移动到关闭位置，并且将所述外科紧固件从所述壳体顺序地推出以抵靠所述砧座形成;以及轴向驱动螺钉，其安装在所述框架中并与所述致动器螺纹连接 用于实现其纵向平移的组件。 具有轴向驱动轴的马达组件设置在细长主体内，并且设置有用于可拆卸地连接轴向驱动轴和轴向驱动螺杆的联接器。 电源设置在细长主体内，用于为马达组件供电。

    Apparatus for applying surgical fasteners
    3.
    发明授权
    Apparatus for applying surgical fasteners 失效
    用于外科紧固件的装置

    公开(公告)号：US5507426A

    公开(公告)日：1996-04-16

    申请号：US286851

    申请日：1994-08-05

    申请人： Wayne P. Young ,  Daniel E. Alesi ,  Kenneth E. Toso

    发明人： Wayne P. Young ,  Daniel E. Alesi ,  Kenneth E. Toso

    IPC分类号： A61B17/068 ,  A61B17/00 ,  A61B17/072 ,  A61B17/28

    CPC分类号： A61B17/07207 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/07285 ,  A61B2017/2929

    摘要： An apparatus is provided for applying surgical fasteners to body tissue. The apparatus has a handle assembly and an elongated body which extends distally from the handle assembly. A fastener applying assembly is operatively associated with a distal end of the elongated body and includes a cartridge housing a plurality of staples and an anvil movable between an open position and a closed position. An actuation assembly is configured to translate through the fastener applying assembly to effect progressive closure of the anvil and concomitantly effect sequential ejection of staples from the cartridge.

    摘要翻译： 提供一种用于将外科紧固件应用于身体组织的装置。 该装置具有手柄组件和从手柄组件向远侧延伸的细长主体。 紧固件施加组件可操作地与细长主体的远端相关联并且包括容纳多个订书钉的钉仓和可在打开位置和关闭位置之间移动的砧座。 致动组件构造成平移通过紧固件施加组件以实现砧座的逐渐闭合并且同时影响钉从钉仓的顺序排出。

    Apparatus for applying surgical fasteners
    5.
    发明授权
    Apparatus for applying surgical fasteners 失效
    用于外科紧固件的装置

    公开(公告)号：US5657921A

    公开(公告)日：1997-08-19

    申请号：US604275

    申请日：1996-02-21

    申请人： Wayne P. Young ,  Daniel E. Alesi ,  Kenneth E. Toso

    发明人： Wayne P. Young ,  Daniel E. Alesi ,  Kenneth E. Toso

    IPC分类号： A61B17/068 ,  A61B17/00 ,  A61B17/072 ,  A61B17/28

    CPC分类号： A61B17/07207 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/07285 ,  A61B2017/2929

    摘要： An apparatus is provided for applying surgical fasteners to body tissue. The apparatus has a handle assembly and an elongated body which extends distally from the handle assembly. A fastener applying assembly is operatively associated with a distal end of the elongated body and includes a cartridge housing a plurality of staples and an anvil movable between an open position and a closed position. An actuation assembly is configured to translate through the fastener applying assembly to effect progressive closure of the anvil and concomitantly effect sequential ejection of staples from the cartridge.

    摘要翻译： 提供一种用于将外科紧固件应用于身体组织的装置。 该装置具有手柄组件和从手柄组件向远侧延伸的细长主体。 紧固件施加组件可操作地与细长主体的远端相关联并且包括容纳多个订书钉的钉仓和可在打开位置和关闭位置之间移动的砧座。 致动组件构造成平移通过紧固件施加组件以实现砧座的逐渐闭合并且同时影响钉从钉仓的顺序排出。

    Method of performing a vessel anastomosis using a surgical clip applier
    6.
    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。