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公开(公告)号：US5911353A
公开(公告)日：1999-06-15
申请号：US44041
申请日：1998-03-18
IPC分类号： A61B17/072 , A61B17/32 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/320016 , A61B2017/0023 , A61B2017/07278 , A61B2017/07285 , A61B2017/32113
摘要： A disposable loading unit is disclosed for use in conjunction with a surgical stapling apparatus configured to sequentially apply a plurality of surgical fasteners to body tissue. The apparatus includes an actuation assembly for effectuating a fastener applying operation, and a housing for receiving and releasably supporting the disposable loading unit. The disposable loading unit includes a staple cartridge body having a longitudinal pathway extending therethrough and a plurality of spaced apart retention slots defined therein each supporting a respective surgical fastener, a plurality of fastener ejection members disposed adjacent the plurality of spaced apart retention slots and communicating with the longitudinal pathway, and an actuator supported within the staple cartridge body and configured to engage the actuation assembly of the apparatus and translate through the longitudinal pathway to contact the fastener ejection members and thereby sequentially eject the surgical fasteners from their respective retention slots.
摘要翻译： 公开了一种与外科缝合装置结合使用的一次性加载单元，该外科缝合装置被配置为将多个外科紧固件顺序地应用于身体组织。 该装置包括用于实现紧固件施加操作的致动组件和用于接收和可释放地支撑一次性装载单元的壳体。 一次性装载单元包括具有延伸穿过其中的纵向路径的钉仓主体和限定在其中的多个间隔开的保持狭槽，每个保持狭槽支撑相应的外科紧固件;多个紧固件弹出构件，邻近多个间隔开的保持狭槽设置并与 所述纵向路径以及支撑在所述钉仓主体内并被构造成接合所述装置的致动组件并且通过所述纵向路径平移以与所述紧固件弹出构件接触并从而从其相应的保持槽顺序地排出所述外科紧固件的致动器。
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公开(公告)号：USRE38708E1
公开(公告)日：2005-03-01
申请号：US09882131
申请日：2001-06-15
IPC分类号： A61B17/072 , A61B17/32 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/320016 , A61B2017/0023 , A61B2017/32113
摘要： A disposable loading unit is disclosed for use in conjunction with a surgical stapling apparatus configured to sequentially apply a plurality of surgical fasteners to body tissue. The apparatus includes an actuation assembly for effectuating a fastener applying operation, and a housing for receiving and releasably supporting the disposable loading unit. The disposable loading unit includes a staple cartridge body having a longitudinal pathway extending therethrough and a plurality of spaced apart retention slots defined therein each supporting a respective surgical fastener, a plurality of fastener ejection members disposed adjacent the plurality of spaced apart retention slots and communicating with the longitudinal pathway, and an actuator supported within the staple cartridge body and configured to engage the actuation assembly of the apparatus and translate through the longitudinal pathway to contact the fastener ejection members and thereby sequentially eject the surgical fasteners from their respective retention slots. U.S. PATENT DOCUMENTS 4,273,111June 1981Tsukaya. 4,283,165August 1981Vertut. 4,290,421September 1981Siegmund. 4,347,837September 1982Hosono. 4,351,323September 1982Ouchi et al.. 4,429,695February 1984Green. 4,432,349February 1984Oshiro. 4,473,077September 1984Noiles et al.. 4,483,326November 1984Yamaka et al.. 4,494,417January 1985Larson et al.. 4,503,842March 1985Takayama. 4,557,254December 1985Yamaguchi. 4,593,679June 1986Collins. 4,606,343August 1986Conta et al.. 4,608,981September 1986Rothfuss et al.. 4,688,555August 1987Wardle. 4,700,693October 1987Lia et al.. 4,718,407January 1988Chikama. 4,721,099January 1988Chikama. 4,726,355February 1988Okada. 4,753,223June 1988Bremer. 4,754,909July 1988Barker et al.. 4,762,118August 1988Lia et al.. 4,762,119August 1988Allred, III et al.. 4,770,185September 1988Silverstein et al.. 4,773,395September 1988Suzuki et al.. 4,779,612October 1988Kishi. 4,787,369November 1988Allred, III et al.. 4,790,294December 1988Allred, III et al.. 4,794,912January 1989Lia. 4,796,607January 1989Allred, III et al.. 4,805,596February 1989Hatori. 4,815,911March 1989Bengtson et al.. 4,834,069May 1989Umeda. 4,873,965October 1989Danieli. 4,905,666March 1990Fukuda. 4,911,148March 1990Sosonowski et al.. 4,919,112April 1990Siegmund. 4,947,827August 1990Opie et al.. 4,955,959September 1990Thompkins et al.. 4,977,790December 1990Nishi et al.. 4,996,974March 1991Ciarlei. 5,002,041March 1991Chikama. 5,005,558April 1991Aomori. 5,007,406April 1991Takahasi et al.. 5,014,515May 1991Krauter. 5,014,685May 1991Takahashi. 5,025,804June 1991Kondo. 5,031,814July 1991Tompkins et al.. 5,042,707August 1991Taheri. 5,065,929November 1991Schulze et al.. 5,108,819April 1992Wollschager et al.. 5,125,395June 1992Adair. 5,143,475September 1992Chikama. 5,156,315October 1992Green et al.. 5,158,086October 1992Brown et al.. 5,167,221December 1992Chikama. 5,168,864December 1992Shockey. 5,174,276December 1992Crockard. 5,174,277December 1992Matsumaru. 5,176,126January 1993Chikama. 5,178,129January 1993Chikama. 5,179,935January 1993Miyagi. 5,195,968March 1993Lundquist et al.. 5,307,976May 1994Olson et al.. 5,312,023May 1994Green et al.. 5,318,221June 1994Green et al.. 5,326,013July 1994Green et al.. 5,332,142July 1994Robinson et al.. 5,391,180February 1995Tovey et al.. 5,394,864March 1995Kobayashi et al.. 5,411,519May 1995Tovey et al.. 5,417,203May 1995Tovey et al.. 5,447,265September 1995Vidol et al.. 5,478,003December 1995Green et al.. 5,485,947January 1996Olson et al.. 5,489,058February 1996Plyley et al.. 5,632,432May 1997Schulze et al.. 227/180.1 B1 5,040,715August 1991Green et al..
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公开(公告)号：US5752644A
公开(公告)日：1998-05-19
申请号：US501197
申请日：1995-07-11
IPC分类号： A61B17/072 , A61B17/32
CPC分类号： A61B17/07207 , A61B17/320016 , A61B2017/0023 , A61B2017/07278 , A61B2017/07285 , A61B2017/32113
摘要： A disposable loading unit is disclosed for use in conjunction with a surgical stapling apparatus configured to sequentially apply a plurality of surgical fasteners to body tissue. The apparatus includes an actuation assembly for effectuating a fastener applying operation, and a housing for receiving and releasably supporting the disposable loading unit. The disposable loading unit includes a staple cartridge body having a longitudinal pathway extending therethrough and a plurality of spaced apart retention slots defined therein each supporting a respective surgical fastener, a plurality of fastener ejection members disposed adjacent the plurality of spaced apart retention slots and communicating with the longitudinal pathway, and an actuator supported within the staple cartridge body and configured to engage the actuation assembly of the apparatus and translate through the longitudinal pathway to contact the fastener ejection members and thereby sequentially eject the surgical fasteners from their respective retention slots.
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公开(公告)号：US5645209A
公开(公告)日：1997-07-08
申请号：US559227
申请日：1995-11-17
申请人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
发明人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , A61B2017/07278 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2090/038 , A61B2090/0803
摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.
摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。
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公开(公告)号：US5647526A
公开(公告)日：1997-07-15
申请号：US559493
申请日：1995-11-15
申请人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
发明人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , A61B2017/07278 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2090/038 , A61B2090/0803
摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A serf contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.
摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 包含气动系统的塞车与框架部分相关联并且可致动以从套筒组件弹出外科紧固件。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。
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公开(公告)号：US5478003A
公开(公告)日：1995-12-26
申请号：US133549
申请日：1993-10-08
申请人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
发明人： David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B19/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , A61B2017/07278 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2090/038 , A61B2090/0803
摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.
摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。
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公开(公告)号：US5312023A
公开(公告)日：1994-05-17
申请号：US024533
申请日：1993-03-01
申请人： David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
发明人： David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/10 , A61B17/12 , A61B17/28 , A61B17/32 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , A61B2017/2903 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804
摘要： A self contained gas powered endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.
摘要翻译： 提供一种自给式气体动力内窥镜手术装置，用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 自包含气动系统与框架部分相关联并且可致动以将外科紧固件从盒组件中弹出。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。
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8.发明授权
公开(公告)号：US5901895A
公开(公告)日：1999-05-11
申请号：US726029
申请日：1996-10-04
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/2927 , A61B2017/2929
摘要： Apparatus for applying surgical fasteners to body tissue which includes a body having a proximal portion defining a central longitudinal axis and an articulating distal portion; a fastener cartridge containing at least one surgical fastener therein and positionable in the articulating distal portion; an anvil mounted adjacent the fastener cartridge and defining a fastener forming surface against which surgical fasteners are formed when ejected from the fastener cartridge; a fastener driving mechanism operatively associated with the fastener cartridge and actuatable from the handle to eject the at least one fastener from the fastener cartridge; a link member having a distal portion offset from the body central longitudinal axis and pivotably connected to the articulating distal portion at a point spaced from the body central longitudinal axis, the link member being movable between a proximal-most position to move the distal portion to an articulated condition away from the central longitudinal axis on a first side of the body and a distal-most position to move the distal portion to an articulated condition away from the central longitudinal axis on a second side of the body; and a control lever connected to the link member and pivotable about a point located along the body central longitudinal axis between a first position corresponding to the proximal-most position of the link member and a second position corresponding to the distal-most position of the link member.
摘要翻译： 用于将外科紧固件应用于身体组织的装置，其包括具有限定中心纵向轴线的近端部分和关节式远端部分的主体; 紧固件盒，其中包含至少一个手术紧固件，并且可定位在所述关节式远端部分中; 邻近所述紧固件卡盘安装的砧座，并且限定紧固件成形表面，当从所述紧固件卡盘弹出时，所述砧座形成有外科紧固件; 紧固件驱动机构，其与所述紧固件卡盘可操作地相关联并且可从所述手柄驱动，以将所述至少一个紧固件从所述拉链卡盘中弹出; 连杆构件具有偏离本体中心纵向轴线的远侧部分并且在与本体中心纵向轴线间隔开的点处可枢转地连接到铰接远端部分，该连杆构件可在最近端部位置之间移动，以将远侧部分移动到 在所述主体的第一侧上远离所述中心纵向轴线的关节运动状态以及远侧位置，以使所述远侧部分移动到远离所述主体的第二侧上的所述中心纵向轴线的关节运动状态; 以及控制杆，其连接到所述连杆构件并且可围绕位于沿着所述主体中心纵向轴线的点在相对于所述连杆构件的最近侧位置的第一位置和对应于所述连杆的最远位置的第二位置之间枢转的点 会员。
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9.发明授权
公开(公告)号：US5797538A
公开(公告)日：1998-08-25
申请号：US815632
申请日：1997-03-13
IPC分类号： A61B17/072 , A61B17/28 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/2927 , A61B2017/2929
摘要： Apparatus for applying a plurality of surgical fasteners to body tissue includes an elongated body extending from a handle assembly. A fastener cartridge housing pivotably connected to a distal portion of the elongated body receives a fastener cartridge containing a plurality of surgical fasteners. A fastener driving mechanism actuatable from the handle assembly ejects fasteners from the fastener cartridge to form them against an anvil mounted adjacent the cartridge housing. The fastener cartridge is pivotably movable from a position in alignment with a longitudinal axis of the elongated body to a position out of alignment with the elongated body. Visual indication of the relative position of the fastener cartridge is provided by a control lever which is movable toward and away from the handle assembly to correspond with movement of the fastener cartridge. A clamp mechanism is also provided to move the anvil relative to the cartridge housing to clamp tissue therebetween.
摘要翻译： 用于将多个手术紧固件应用于身体组织的装置包括从手柄组件延伸的细长主体。 可枢转地连接到细长主体的远端部分的紧固件盒壳体容纳包含多个外科紧固件的紧固件盒。 可从手柄组件致动的紧固件驱动机构从紧固件卡扣中弹出紧固件，以将它们抵靠靠近墨盒壳体安装的砧座。 紧固件盒可以从与细长主体的纵向轴线对准的位置枢转地移动到与细长主体不对准的位置。 紧固件卡盘的相对位置的可视指示由控制杆提供，该控制杆可朝向和远离手柄组件移动以对应于紧固件卡盘的运动。 还提供夹持机构以使砧座相对于盒壳体移动以在其间夹紧组织。
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公开(公告)号：US20090072048A1
公开(公告)日：2009-03-19
申请号：US12210085
申请日：2008-09-12
IPC分类号： B05B3/16
CPC分类号： B05B3/0422 , B05B3/007
摘要： In a preferred embodiment of the present invention a sprinkler is provided, having a first shaft coupled to a drive mechanism and a grooved deflector. A second shaft is disposed within the first shaft, coupled to a water flow adjustment mechanism and an adjustment region on the top of the deflector. The first shaft transfers rotational movement from the drive mechanism to a grooved deflector on the top of the sprinkler. The second shaft rotates with the first shaft during normal operation due to a friction clutch within the sprinkler. When the user desires to adjust the water flow (i.e., the radius of the water), the friction of the clutch can be overcome by rotating the second shaft, increasing openings of flow passages within the sprinkler body. In this respect, flow adjustments can be made from the top of the sprinkler while the deflector rotates.
摘要翻译： 在本发明的优选实施例中，提供一种喷洒器，其具有联接到驱动机构的第一轴和带槽的偏转器。 第二轴设置在第一轴内，联接到偏转器顶部的水流调节机构和调节区域。 第一轴将驱动机构的旋转运动传递到喷洒器顶部的带槽的偏转器。 由于喷洒器内的摩擦离合器，第二轴在正常操作期间与第一轴一起旋转。 当用户希望调节水流量（即水的半径）时，可以通过旋转第二轴来克服离合器的摩擦，从而增加喷洒器主体内的流动通道的开口。 在这方面，当偏转器旋转时，可以从喷洒器的顶部进行流量调节。
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