公开(公告)号：US07802712B2

公开(公告)日：2010-09-28

申请号：US12408435

申请日：2009-03-20

申请人： Keith L. Milliman ,  Russell Heinrich

发明人： Keith L. Milliman ,  Russell Heinrich

IPC分类号： A61B17/10

CPC分类号： A61B17/1114 ,  A61B1/31 ,  A61B17/02 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00469 ,  A61B2017/00473 ,  A61B2017/2927 ,  A61B2017/2931

摘要： A surgical stapling device is disclosed for the treatment of internal hemorrhoids. 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 anvil assembly of the stapling device may include an approximation mechanism having an anvil retainer including an elongated distal extension dimensioned to be telescopingly received within a longitudinal bore of an anvil center rod of the anvil assembly. The elongated distal extension is of a length to provide telescopic engagement with the anvil center rod without obstructing visualization of the surgical site. A kit including a surgical instrument having a removable anvil assembly and an anvil assembly insertion handle is also disclosed. The kit may also include a speculum, an anal dialator and/or an obturator.

摘要翻译： 公开了用于治疗内痔的外科缝合装置。 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。 装订装置的砧座组件可以包括近似机构，其具有砧座保持器，该砧座保持器包括细长的远端延伸部，其尺寸可伸缩地容纳在砧座组件的砧座中心杆的纵向孔内。 细长的远端延伸部具有能够与砧座中心杆伸缩接合的长度，而不会妨碍手术部位的可视化。 还公开了一种包括具有可移除砧座组件和砧座组件插入手柄的手术器械的套件。 该套件还可以包括窥器，肛门拨号器和/或闭塞器。

公开(公告)号：US20090179063A1

公开(公告)日：2009-07-16

申请号：US12408435

申请日：2009-03-20

申请人： Keith L. Milliman ,  Russell Heinrich

发明人： Keith L. Milliman ,  Russell Heinrich

IPC分类号： A61B17/068

CPC分类号： A61B17/1114 ,  A61B1/31 ,  A61B17/02 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00469 ,  A61B2017/00473 ,  A61B2017/2927 ,  A61B2017/2931

摘要： A surgical stapling device is disclosed for the treatment of internal hemorrhoids. 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 anvil assembly of the stapling device may include an approximation mechanism having an anvil retainer including an elongated distal extension dimensioned to be telescopingly received within a longitudinal bore of an anvil center rod of the anvil assembly. The elongated distal extension is of a length to provide telescopic engagement with the anvil center rod without obstructing visualization of the surgical site. A kit including a surgical instrument having a removable anvil assembly and an anvil assembly insertion handle is also disclosed. The kit may also include a speculum, an anal dialator and/or an obturator.

摘要翻译： 公开了用于治疗内痔的外科缝合装置。 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。 装订装置的砧座组件可以包括近似机构，其具有砧座保持器，该砧座保持器包括细长的远端延伸部，其尺寸可伸缩地容纳在砧座组件的砧座中心杆的纵向孔内。 细长的远端延伸部具有能够与砧座中心杆伸缩接合的长度，而不会妨碍手术部位的可视化。 还公开了一种包括具有可移除砧座组件和砧座组件插入手柄的手术器械的套件。 该套件还可以包括窥器，肛门拨号器和/或闭塞器。

公开(公告)号：US07168604B2

公开(公告)日：2007-01-30

申请号：US10872747

申请日：2004-06-21

申请人： Keith L. Milliman ,  Russell Heinrich

发明人： Keith L. Milliman ,  Russell Heinrich

IPC分类号： A61B17/10

CPC分类号： A61B17/1114 ,  A61B1/31 ,  A61B17/02 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00469 ,  A61B2017/00473 ,  A61B2017/2927 ,  A61B2017/2931

摘要： A surgical stapling device is disclosed for the treatment of internal hemorrhoids. 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 anvil assembly of the stapling device may include an approximation mechanism having an anvil retainer including an elongated distal extension dimensioned to be telescopingly received within a longitudinal bore of an anvil center rod of the anvil assembly. The elongated distal extension is of a length to provide telescopic engagement with the anvil center rod without obstructing visualization of the surgical site. A kit including a surgical instrument having a removable anvil assembly and an anvil assembly insertion handle is also disclosed. The kit may also include a speculum, an anal dialator and/or an obturator.

摘要翻译： 公开了用于治疗内痔的外科缝合装置。 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。 装订装置的砧座组件可以包括近似机构，其具有砧座保持器，该砧座保持器包括细长的远端延伸部，其尺寸可伸缩地容纳在砧座组件的砧座中心杆的纵向孔内。 细长的远端延伸部具有能够与砧座中心杆伸缩接合的长度，而不会妨碍手术部位的可视化。 还公开了一种包括具有可移除砧座组件和砧座组件插入手柄的手术器械的套件。 该套件还可以包括窥器，肛门拨号器和/或闭塞器。

公开(公告)号：US09592055B2

公开(公告)日：2017-03-14

申请号：US12877476

申请日：2010-09-08

申请人： Keith L. Milliman ,  Russell Heinrich

发明人： Keith L. Milliman ,  Russell Heinrich

IPC分类号： A61B17/04 ,  A61B17/10 ,  A61B17/11 ,  A61B17/115 ,  A61B1/31 ,  A61B17/02 ,  A61B17/00 ,  A61B17/29

CPC分类号： A61B17/1114 ,  A61B1/31 ,  A61B17/02 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00469 ,  A61B2017/00473 ,  A61B2017/2927 ,  A61B2017/2931

摘要： A surgical stapling device is disclosed for the treatment of internal hemorrhoids. 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 anvil assembly of the stapling device may include an approximation mechanism having an anvil retainer including an elongated distal extension dimensioned to be telescopingly received within a longitudinal bore of an anvil center rod of the anvil assembly. The elongated distal extension is of a length to provide telescopic engagement with the anvil center rod without obstructing visualization of the surgical site. A kit including a surgical instrument having a removable anvil assembly and an anvil assembly insertion handle is also disclosed. The kit may also include a speculum, an anal dialator and/or an obturator.

摘要翻译： 公开了用于治疗内痔的外科缝合装置。 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。 装订装置的砧座组件可以包括近似机构，其具有砧座保持器，该砧座保持器包括细长的远端延伸部，其尺寸可伸缩地容纳在砧座组件的砧座中心杆的纵向孔内。 细长的远端延伸部具有能够与砧座中心杆伸缩接合的长度，而不会妨碍手术部位的可视化。 还公开了一种包括具有可移除砧座组件和砧座组件插入手柄的手术器械的套件。 该套件还可以包括窥器，肛门拨号器和/或闭塞器。

公开(公告)号：US20100327041A1

公开(公告)日：2010-12-30

申请号：US12877476

申请日：2010-09-08

申请人： Keith L. Milliman ,  Russell Heinrich

发明人： Keith L. Milliman ,  Russell Heinrich

IPC分类号： A61B17/068

CPC分类号： A61B17/1114 ,  A61B1/31 ,  A61B17/02 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00469 ,  A61B2017/00473 ,  A61B2017/2927 ,  A61B2017/2931

摘要： A surgical stapling device is disclosed for the treatment of internal hemorrhoids. 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 anvil assembly of the stapling device may include an approximation mechanism having an anvil retainer including an elongated distal extension dimensioned to be telescopingly received within a longitudinal bore of an anvil center rod of the anvil assembly. The elongated distal extension is of a length to provide telescopic engagement with the anvil center rod without obstructing visualization of the surgical site. A kit including a surgical instrument having a removable anvil assembly and an anvil assembly insertion handle is also disclosed. The kit may also include a speculum, an anal dialator and/or an obturator.

摘要翻译： 公开了用于治疗内痔的外科缝合装置。 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。 装订装置的砧座组件可以包括近似机构，其具有砧座保持器，该砧座保持器包括细长的远端延伸部，其尺寸可伸缩地容纳在砧座组件的砧座中心杆的纵向孔内。 细长的远端延伸部具有能够与砧座中心杆伸缩接合的长度，而不会妨碍手术部位的可视化。 还公开了一种包括具有可移除砧座组件和砧座组件插入手柄的手术器械的套件。 该套件还可以包括窥器，肛门拨号器和/或闭塞器。

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。