公开(公告)号：US07156839B2

公开(公告)日：2007-01-02

申请号：US10428706

申请日：2003-05-02

申请人： Hanspeter R. Bayer ,  Russell Heinrich

发明人： Hanspeter R. Bayer ,  Russell Heinrich

IPC分类号： A61B17/00 ,  A61B17/32 ,  B25G1/01 ,  B25F1/04

CPC分类号： A61B17/29 ,  A61B17/062 ,  A61B17/064 ,  A61B17/122 ,  A61B17/128 ,  A61B17/28 ,  A61B17/285 ,  A61B17/3211 ,  A61B2017/00265 ,  A61B2017/00353 ,  A61B2017/0042

摘要： A multi-instrument surgical tool for use during hand-assisted laparoscopic surgery includes a housing having a plurality of ports disposed therein which are each dimensioned to slidingly house one of a plurality of surgical instruments for selective deployment from the case. The housing also includes a corresponding plurality of elongated channels each in communication with a respective one of the plurality of ports. Each of the instruments including an actuator which is movable within a respective channel from a first position wherein the instrument is at least partially housed within the housing to a second position wherein the actuator is disengaged from the respective channel and the actuator is freely operable to actuate the instrument for its intended purpose.

摘要翻译： 在手辅助腹腔镜手术中使用的多器械手术工具包括具有设置在其中的多个端口的壳体，每个端口的尺寸被设计成滑动地容纳多个外科器械中的一个，以从壳体中选择性地展开。 壳体还包括相应的多个细长通道，每个细长通道与多个端口中的相应一个端口连通。 每个仪器包括致动器，该致动器可以在第一位置的相应通道内移动，其中该仪器至少部分地容纳在壳体内到第二位置，其中致动器与相应通道脱离，并且致动器可自由操作以致动 该仪器为其预期目的。

公开(公告)号：US08579178B2

公开(公告)日：2013-11-12

申请号：US13419586

申请日：2012-03-14

申请人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

发明人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich ,  Nicola Cullinan

IPC分类号： A61B17/068

CPC分类号： A61B17/068 ,  A61B17/00491 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/320052

摘要： A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

公开(公告)号：US20120149987A1

公开(公告)日：2012-06-14

申请号：US13400143

申请日：2012-02-20

申请人： Paul D. Richard ,  Russell Heinrich

发明人： Paul D. Richard ,  Russell Heinrich

IPC分类号： A61B1/015 ,  A61B1/012

CPC分类号： A61B17/3423 ,  A61B17/0218 ,  A61B17/3431 ,  A61B17/3498 ,  A61B2017/3429 ,  A61B2017/3445 ,  A61B2017/3447 ,  A61B2017/3466 ,  A61B2017/3486 ,  A61B2217/002 ,  A61M2039/0223

摘要： A surgical apparatus for positioning within a tissue tract accessing an underlying body cavity includes a seal anchor member comprising a compressible material and being adapted to transition between a first expanded condition to facilitate securing of the seal anchor member within the tissue tract and in substantial sealed relation with tissue surfaces defining the tissue tract and a second compressed condition to facilitate at least partial insertion of the seal anchor member within the tissue tract. The seal anchor member defines a longitudinal axis, and has leading and trailing ends with at least one longitudinal port extending therebetween adapted for reception of an object whereby compressible material defining the at least one port is adapted to deform to establish a substantial sealed relation with the object. The seal anchor member may comprise a memory foam material and may include a plurality of longitudinal ports.

摘要翻译： 用于定位进入下面的体腔内的组织道内的外科手术装置包括密封锚固构件，其包括可压缩材料，并且适于在第一扩张状态之间转变，以便于将密封锚定构件固定在组织管道内并以基本上密封的关系 其中组织表面限定组织管道和第二压缩状态，以促进密封锚固构件至少部分地插入组织管道内。 密封锚固构件限定纵向轴线，并且具有前端和后端，其中至少一个在其间延伸的纵向端口适于接收物体，由此限定至少一个端口的可压缩材料适于变形以与 目的。 密封锚定构件可以包括记忆泡沫材料，并且可以包括多个纵向端口。

公开(公告)号：US08177755B2

公开(公告)日：2012-05-15

申请号：US12763236

申请日：2010-04-20

申请人： Danny Berry ,  Richard D. Gresham ,  Russell Heinrich ,  Patrick Helfrich

发明人： Danny Berry ,  Richard D. Gresham ,  Russell Heinrich ,  Patrick Helfrich

IPC分类号： A61M5/178

CPC分类号： A61B17/3421 ,  A61B17/3462 ,  A61B17/3498 ,  A61B2017/3441

摘要： An access apparatus for use during a surgical procedure to provide access to the interior of the body includes an access member defining a longitudinal axis and having a proximal end for being disposed at an exterior side of the body and a distal end for extending into the interior of the body. The access member has a bore therethrough dimensioned to permit passage of an object. A seal is disposed within the longitudinal bore substantially at the rotational center of the access member. The seal has inner seal portions adapted to establish a substantial seal about a surgical instrument introduced within the longitudinal bore of the access member. An access housing may be mounted to the proximal end of the access member. A zero closure valve may be mounted to the access housing. The zero-closure valve may be adapted to close in the absence of the instrument. The seal may be generally disc shaped. The seal may define an aperture for reception of the surgical instrument. The seal may comprise a fabric material, an elastomeric material or a gel material.

摘要翻译： 用于在外科手术过程中使用以提供对本体内部的通路的进入装置包括限定纵向轴线的入口构件，并具有用于设置在主体的外侧的近端和用于延伸到内部的远端 的身体。 进入构件具有穿过其中的孔，以允许物体通过。 密封件基本上设置在纵向孔内，在接近构件的旋转中心处。 密封件具有内部密封部分，其适于围绕引入入口构件的纵向孔内的手术器械建立实质密封。 进入壳体可以安装到接近构件的近端。 零关闭阀可以安装到进入壳体。 零关闭阀可以适于在没有仪器的情况下关闭。 密封件通常可以是圆盘形的。 密封件可以限定用于接收外科器械的孔。 密封件可以包括织物材料，弹性体材料或凝胶材料。

公开(公告)号：US07922743B2

公开(公告)日：2011-04-12

申请号：US11250277

申请日：2005-10-14

申请人： Russell Heinrich ,  Michael J. Bettuchi ,  David Fowler ,  Robert Capella ,  John Hauschild

发明人： Russell Heinrich ,  Michael J. Bettuchi ,  David Fowler ,  Robert Capella ,  John Hauschild

IPC分类号： A61B17/04

CPC分类号： A61B17/115 ,  A61B17/00491 ,  A61B17/1155 ,  A61B2017/00893

摘要： The present disclosure relates to surgical instruments, structures and methods for enhancing the properties of tissue to be repaired or joined. According to an aspect of the present disclosure, a surgical stapling apparatus is provided including a wound treatment material dispersion system for delivering wound treatment material to a target surgical site. The dispersion system includes an aperture formed in the anvil assembly oriented to dispense wound treatment material in an outward direction; and a source of wound treatment material in fluid communication with the aperture of the anvil assembly.

摘要翻译： 本公开涉及用于增强要修复或接合的组织的性质的外科器械，结构和方法。 根据本公开的一个方面，提供了一种外科缝合装置，其包括用于将伤口治疗材料输送到目标手术部位的伤口治疗材料分散系统。 分散系统包括形成在砧座组件中的孔，其定向成沿向外的方向分配伤口处理材料; 以及与砧座组件的孔流体连通的伤口治疗材料源。

公开(公告)号：US20100270356A1

公开(公告)日：2010-10-28

申请号：US12791219

申请日：2010-06-01

申请人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich

发明人： Henry E. Holsten ,  Frank J. Viola ,  Clifford L. Emmons ,  John W. Beardsley ,  Russell Heinrich

IPC分类号： A61B17/068

CPC分类号： A61B17/115 ,  A61B17/00491 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/11 ,  A61B17/1114 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/320052

摘要： A surgical stapling apparatus includes a staple cartridge and an anvil member. The staple cartridge includes a plurality of surgical fasteners disposed in rows of retention slots. The staple cartridge may have an annular or linear configuration of retention slots. The tissue contacting surface of the staple cartridge may be tapered or stepped. The anvil member has a tissue contacting surface that includes a number of pockets arranged for substantially aligning with the retention slots. In addition, the tissue contacting surface of the anvil member may complement the tissue contacting surface of the staple cartridge.

摘要翻译： 外科缝合装置包括钉仓和砧座构件。 钉仓包括设置成一排保留槽的多个外科紧固件。 钉仓可以具有保持槽的环形或线性构造。 钉仓的组织接触表面可以是锥形或阶梯状。 所述砧座构件具有组织接触表面，所述组织接触表面包括布置成与所述保持槽基本对准的多个凹穴。 此外，砧座构件的组织接触表面可补充钉仓的组织接触表面。

公开(公告)号：US07780687B2

公开(公告)日：2010-08-24

申请号：US10510869

申请日：2003-04-16

申请人： Russell Heinrich ,  Scott E. Manzo

发明人： Russell Heinrich ,  Scott E. Manzo

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B17/00491 ,  A61B17/0469 ,  A61B17/115 ,  A61B2017/00004 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1135 ,  A61B2017/22069 ,  A61F2/064

摘要： The present disclosure relates a device for joining a first body vessel to a second body vessel, including an inner member having a distal end portion and defining a longitudinal axis, an outer member defining a lumen dimensioned to receive the inner member therein, and a radially expandable anchor disposed at the distal end of the inner member, the expandable anchor having an initial condition wherein the expandable anchor is disposed between the outer member and the inner member and an expanded condition wherein the expandable anchor is radially larger than the expandable anchor in the initial condition.

摘要翻译： 本公开涉及一种用于将第一身体容器连接到第二身体容器的装置，包括具有远端部分并限定纵向轴线的内部构件，限定尺寸设置成容纳内部构件的内腔的外部构件， 可膨胀锚固件设置在内部构件的远端处，可膨胀锚固件具有初始状态，其中可膨胀锚固件设置在外部构件和内部构件之间，并且膨胀状态，其中可膨胀锚固件在径向上大于可伸缩锚固件 初始条件。

公开(公告)号：US20100096434A1

公开(公告)日：2010-04-22

申请号：US12645144

申请日：2009-12-22

申请人： Frank J. Viola ,  Gregg Krehel ,  Michael A. Soltz ,  Robert J. DeSantis ,  Henry E. Holsten ,  Russell Heinrich

发明人： Frank J. Viola ,  Gregg Krehel ,  Michael A. Soltz ,  Robert J. DeSantis ,  Henry E. Holsten ,  Russell Heinrich

IPC分类号： A61B17/068

CPC分类号： A61B17/072 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/12 ,  A61B2017/00115 ,  A61B2017/00128 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/2943 ,  A61B2017/320052 ,  A61B2090/064 ,  A61B2090/0811

摘要： A surgical apparatus has a clamp and a stapling mechanism. The clamp has a first jaw and a second jaw to clamp on a body tissue at a desired location for a stapling operation. The stapling mechanism is controlled by a trigger handle or a switch assembly. The surgical apparatus has a controller for providing a delay between clamping and actuating of the firing mechanism of the stapling mechanism. The delay provides for a desired amount of time for tissue compression producing a more uniform staple formation. The surgical apparatus also has an indicator. The indicator provides feedback about the status of the stapling mechanism and also displays a time of tissue compression by the clamp.

摘要翻译： 手术装置具有夹具和缝合机构。 夹具具有第一钳口和第二钳口，以在期望的位置处夹持在身体组织上用于缝合操作。 装订机构由触发手柄或开关组件控制。 手术装置具有用于在装订机构的击发机构的夹持和致动之间提供延迟的控制器。 该延迟为组织压缩提供期望的时间量，从而产生更均匀的缝钉形成。 手术器械还具有指示器。 指示器提供关于装订机构的状态的反馈，并且还显示夹具的组织压缩时间。

公开(公告)号：US20100087842A1

公开(公告)日：2010-04-08

申请号：US12635006

申请日：2009-12-10

申请人： Russell Heinrich ,  Scott E. Manzo

发明人： Russell Heinrich ,  Scott E. Manzo

IPC分类号： A61B17/08

CPC分类号： A61B17/11 ,  A61B2017/00557 ,  A61B2017/00867 ,  A61B2017/1107 ,  A61B2017/1135

摘要： The present disclosure is directed to devices for approximating body vessels and method for performing the same. In accordance with one aspect of the present disclosure, the device includes an inner member, an outer member having a lumen dimensioned to receive the inner member, an expandable anchor for engaging the a first body vessel, and a joining member for engagement between the first body vessel and the second body vessel.

摘要翻译： 本公开涉及用于近似身体血管的装置及其执行方法。 根据本公开的一个方面，该装置包括内部构件，具有尺寸设置成容纳内部构件的内腔的外部构件，用于接合第一身体容器的可膨胀锚固件和用于在第一 身体血管和第二身体血管。

公开(公告)号：US20090261145A1

公开(公告)日：2009-10-22

申请号：US12491663

申请日：2009-06-25

申请人： Russell Heinrich ,  Frank J. Viola

发明人： Russell Heinrich ,  Frank J. Viola

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B17/072 ,  A61B18/1445 ,  A61B2017/00853 ,  A61B2017/07264 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/320052 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/0063

摘要： An electrosurgical stapling apparatus is provided which uses thermogenic energy as well as surgical fasteners or staples for strengthening tissue, providing hemostasis, tissue joining or welding. The thermogenic energy also strengthens tissue in proximity to a staple line and knife cut line and provides hemostasis along the staple and cut lines formed by the staples and a knife blade during surgical stapling. The use of thermogenic energy provides short-term hemostasis and sealing, and reduces or prevents staple line and cut line bleeding, while the stapling features provide short and long-term tissue strength and hemostasis. The stapling apparatus further substantially reduces or prevents knife cut line bleeding by energizing a knife blade for cauterizing tissue while it is being cut. In one embodiment, energy is applied to the anvil to energize the staples as they make contact with the anvil.

摘要翻译： 提供了一种使用生热能的电外科缝合装置以及用于加强组织的手术紧固件或缝钉，提供止血，组织接合或焊接。 生热能还加强了缝合线和刀切割线附近的组织，并且在外科缝合期间沿着缝钉和由钉和刀片形成的切割线提供止血。 使用生热能提供短期止血和密封，减少或防止缝合线和切线出血，同时缝合特征提供短期和长期的组织强度和止血。 缝合装置进一步大大地减少或防止在切割组织时激活刀片以切割组织的刀切割线渗色。 在一个实施例中，当砧座与砧座接触时，将能量施加到砧座以激励订书钉。