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    Surgical stapling device
    1.
    发明授权
    Surgical stapling device 有权
    手术吻合装置

    公开(公告)号：US08348122B2

    公开(公告)日：2013-01-08

    申请号：US11515660

    申请日：2006-09-05

    申请人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    发明人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    IPC分类号： A61B17/064

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00371 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2090/0811 ,  A61B2090/3616

    摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes an approximation mechanism including a rotatable knob, a screw having a helical channel and an anvil retainer. The helical channel includes a dwell portion for providing a tactile indication to a surgeon that the anvil retainer has been advanced to a position wherein the anvil assembly can be removed from the anvil retainer. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.

    摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 缝合装置包括近似机构，其包括可旋转旋钮，具有螺旋通道的螺钉和砧座保持器。 所述螺旋通道包括用于向外科医生提供触觉指示的停留部分，所述砧座保持器已经前进到其中所述砧座组件能够从所述砧座保持器移除的位置。 还公开了一种用于连接到砧组件的可拆卸的套针针，其包括位于安装突起的近侧的肋。 肋被定位成使安装突起与砧组件的相关接合结构对准。

    Surgical stapling device with visual indicator
    4.
    发明授权
    Surgical stapling device with visual indicator 有权
    带视觉指示器的手术吻合装置

    公开(公告)号：US07303106B2

    公开(公告)日：2007-12-04

    申请号：US10528975

    申请日：2003-10-06

    申请人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    发明人： Keith L. Milliman ,  Bruce K. Jankowski ,  Douglas J. Cuny ,  Kevin Sniffin ,  Anthony Dato ,  Richard D. Gresham

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00371 ,  A61B2017/07257 ,  A61B2017/2905 ,  A61B2090/0811 ,  A61B2090/3616

    摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes a bulbous indicator which preferably extends above a top surface of the handle assembly of the device. The indicator includes indicia to identify to a surgeon that the device has been approximated and is in a fire-ready position. Preferably, the indicator includes a cover which is formed of a magnification material to prominently display the indicia. The anvil assembly of the stapling device preferably includes a retainer clip positioned on the anvil head. The retainer clip preferably includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.

    摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 缝合装置包括球茎指示器，其优选地在装置的手柄组件的顶表面上方延伸。 指示器包括用于向外科医生识别装置已被近似并处于就绪位置的标记。 优选地，指示器包括由显着地显示标记的放大材料形成的盖。 装订装置的砧座组件优选地包括定位在砧头上的保持夹。 保持夹优选地包括至少一个弹性臂，其定位成在缝合装置的非近似期间接合切割环。

    Apparatus for applying surgical clips
    9.
    发明授权
    Apparatus for applying surgical clips 失效
    用于外科夹子的装置

    公开(公告)号：US5607436A

    公开(公告)日：1997-03-04

    申请号：US134347

    申请日：1993-10-08

    申请人： James R. Pratt ,  Gary S. Kappel ,  Douglas J. Cuny ,  H. Jonathan Tovey ,  Paul J. Phillips ,  Mark S. Peyser ,  Ernie Aranyi

    发明人： James R. Pratt ,  Gary S. Kappel ,  Douglas J. Cuny ,  H. Jonathan Tovey ,  Paul J. Phillips ,  Mark S. Peyser ,  Ernie Aranyi

    IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B17/00

    CPC分类号： A61B17/1285 ,  A61B2017/2929 ,  Y10S227/901

    摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure such as cholecystectomy procedures. The apparatus includes means for effecting a partial closing stroke of the handle mechanism to correspond to a partial closure of the jaw members, and permits a partial opening stroke to release the partially closed clip in the jaw mechanism. Other features of the invention include means for preventing over advancement of a clip to the jaw mechanism, means for cradling the clip as it is advanced from the clip supply to the jaw mechanism, means for preventing splaying of the jaws in the event of a clip-over-clip application, and a novel rotation collar. The instrument of the present invention provides the surgeon with visual, audible, and tactile indication of the positioning of the jaw members to effect the application of a partially closed clip.

    摘要翻译： 提供了一种用于施加外科夹具的装置，其包括用于在诸如胆囊切除手术的外科手术过程中将部分闭合的夹子施加到管道或分流器的部件。 该装置包括用于实现手柄机构的部分闭合行程以对应于钳口构件的部分闭合的装置，并且允许部分打开行程以释放夹钳机构中的部分闭合的夹子。 本发明的其他特征包括用于防止夹子向钳口机构过度推进的装置，用于当夹子从夹子供应件向夹爪机构前进时将夹子夹紧的装置，用于在夹子的情况下防止夹爪突出的装置 旋转轴环。 本发明的仪器为外科医生提供了夹钳构件的定位的视觉，听觉和触觉指示，以实现部分闭合的夹子的应用。

    Long ultrasonic cutting blade formed of laminated smaller blades
    10.
    发明授权
    Long ultrasonic cutting blade formed of laminated smaller blades 有权
    长超声波切割刀片由层叠较小的刀片组成

    公开(公告)号：US08137371B2

    公开(公告)日：2012-03-20

    申请号：US12411633

    申请日：2009-03-26

    申请人： Douglas J. Cuny

    发明人： Douglas J. Cuny

    IPC分类号： A61B17/32

    CPC分类号： A61B18/00 ,  A61B17/320068 ,  A61B17/320092 ,  A61B2017/22015 ,  A61B2017/22018 ,  A61B2017/320072 ,  A61B2017/320078

    摘要： An end effector of an ultrasonic surgical instrument is provided, the ultrasonic surgical instrument having a manipulatable structure, a body portion operatively connected to the manipulatable structure and having a distal end, a transducer, and the end effector being supported on the distal end of the body portion, the end effector including a plurality of resonant member elements, each resonant member operatively connected to a transducer of the plurality of transducers for effecting vibrations along the length of the resonant member, and including an operating surface configured to effect tissue dissection, cutting, coagulation, ligation and/or hemostasis, wherein a displacement curve associated with the vibrations of a first one of the plurality of resonant members is offset relative to the displacement curve associated with the vibrations of a second one of the plurality of resonant members.

    摘要翻译： 提供超声外科器械的末端执行器，超声手术器具具有可操纵的结构，主体部分可操作地连接到可操纵结构并具有远端，换能器，并且末端执行器被支撑在 所述末端执行器包括多个共振构件元件，每个共振构件可操作地连接到所述多个换能器的换能器，用于沿着所述共振构件的长度进行振动，并且包括被配置为实现组织解剖，切割 凝结，结扎和/或止血，其中与所述多个谐振构件中的第一谐振构件的振动相关联的位移曲线相对于与所述多个谐振构件中的第二谐振构件的振动相关联的位移曲线偏移。