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    ANVIL ASSEMBLY FOR SURGICAL STAPLING DEVICE
    1.
    发明申请
    ANVIL ASSEMBLY FOR SURGICAL STAPLING DEVICE 审中-公开
    手术装订装置的安全装置

    公开(公告)号：US20120012641A1

    公开(公告)日：2012-01-19

    申请号：US13156645

    申请日：2011-06-09

    申请人： Keith L. Milliman ,  Thomas Hessler

    发明人： Keith L. Milliman ,  Thomas Hessler

    IPC分类号： A61B17/068 ,  B23P11/00

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/00526 ,  A61B2017/07257 ,  Y10T29/49826

    摘要： An anvil assembly for use with a surgical fastener applying apparatus. The anvil assembly includes an anvil center rod and anvil head that is secured to the distal end portion of the anvil center rod. The anvil center rod and the anvil head include corresponding mating structures that are configured and dimensioned to facilitate connection of the anvil center rod and the anvil head such that relative movement between the anvil center rod and the anvil head is substantially inhibited. The anvil center rod and the anvil head include corresponding mating structures that are non-circular in configuration. A method of assembling a surgical anvil assembly is also disclosed.

    摘要翻译： 一种用于手术紧固件施加装置的砧座组件。 砧组件包括固定到砧座中心杆的远端部分的砧座中心杆和砧头。 砧座中心杆和砧头包括相应的配合结构，其配置和尺寸被设计成便于砧座中心杆和砧座头的连接，使得砧座中心杆和砧座头之间的相对移动被基本上禁止。 砧座中心杆和砧头包括非圆形配置的相应配合结构。 还公开了组装外科砧座组件的方法。

    SURGICAL STAPLER
    2.
    发明申请
    SURGICAL STAPLER 有权
    外科手术

    公开(公告)号：US20120280018A1

    公开(公告)日：2012-11-08

    申请号：US13542471

    申请日：2012-07-05

    申请人： Thomas R. Hessler ,  Keith L. Milliman

    发明人： Thomas R. Hessler ,  Keith L. Milliman

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B1/31 ,  A61B17/02 ,  A61B17/0469 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/00818 ,  A61B2017/0725 ,  A61B2017/1142 ,  A61B2017/1157 ,  A61B2090/061

    摘要： A surgical stapler comprising a handle assembly, an elongated body portion extending distally from the handle assembly, and a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The anvil assembly has an anvil head and a plurality of projections extending proximally of the anvil head, the projections engageable with a portion of the shell assembly.

    摘要翻译： 一种手术吻合器，包括手柄组件，从手柄组件向远侧延伸的细长主体部分，以及靠近细长主体部分的远侧部分设置并包括砧座组件和壳体组件的头部。 砧组件相对于外壳组件在间隔和近似位置之间是可移动的。 砧座组件具有砧座头部和在砧座头部的近侧延伸的多个突出部，该突出部可与壳体组件的一部分接合。

    Surgical stapler
    3.
    发明授权
    Surgical stapler 有权
    手术吻合器

    公开(公告)号：US08267301B2

    公开(公告)日：2012-09-18

    申请号：US12819408

    申请日：2010-06-21

    申请人： Keith L. Milliman ,  Ryan Williams ,  Nihir Patel

    发明人： Keith L. Milliman ,  Ryan Williams ,  Nihir Patel

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B2090/034

    摘要： A surgical stapler comprising a handle assembly, an elongated body portion extending distally from the handle assembly, and a head portion disposed adjacent a distal portion of the elongated body portion and including an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. The shell assembly includes a pusher movable distally to advance staples from the shell assembly into contact with the anvil assembly. First and second alignment pins operatively associated with the pusher have distal ends positioned distally of the pusher, the alignment pins movable between a first non-engaged position spaced from the anvil assembly and a second position in engagement with the anvil assembly.

    摘要翻译： 一种手术吻合器，包括手柄组件，从手柄组件向远侧延伸的细长主体部分，以及靠近细长主体部分的远侧部分设置并包括砧座组件和壳体组件的头部。 砧组件相对于外壳组件在间隔和近似位置之间是可移动的。 壳体组件包括可向远侧移动的推动器，以将钉从壳体组件推进到与砧组件接触。 与推动器可操作地相关联的第一和第二对准销具有位于推动器远端的远端，对准销可在与砧座组件间隔开的第一非接合位置和与砧座组件接合的第二位置之间移动。

    SURGICAL STAPLING DEVICE
    4.
    发明申请
    SURGICAL STAPLING DEVICE 有权
    外科手术装置

    公开(公告)号：US20120228356A1

    公开(公告)日：2012-09-13

    申请号：US13476438

    申请日：2012-05-21

    申请人： Keith L. Milliman ,  Thomas R. Hessler ,  Thomas Wenchell

    发明人： Keith L. Milliman ,  Thomas R. Hessler ,  Thomas Wenchell

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B1/31 ,  A61B17/0482 ,  A61B17/06166 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/1155 ,  A61B34/76 ,  A61B2017/00526 ,  A61B2017/07257 ,  A61B2017/1142 ,  A61B2018/005 ,  A61B2090/062 ,  A61B2090/08021 ,  A61B2090/0811

    摘要： A surgical stapling device an elongated body portion having proximal and distal portions, and a head portion positioned adjacent the distal portion of the elongated body portion. The head portion includes a shell assembly and an anvil assembly movable relative to the shell assembly between un-approximated and approximated positions. The anvil assembly includes a center rod and an anvil head connected to the center rod. The center rod includes at least one aperture extending transversely therethrough and configured and dimensioned to receive a flexible member such that the flexible member extends transversely through the center rod.

    摘要翻译： 外科缝合装置，具有近端部分和远端部分的细长主体部分，以及靠近细长主体部分的远端部分定位的头部部分。 头部部分包括壳体组件和可在不近似和近似位置之间相对于壳体组件移动的砧组件。 砧组件包括连接到中心杆的中心杆和砧头。 中心杆包括横向延伸通过其延伸的至少一个孔，并且构造和尺寸设计成容纳柔性构件，使得柔性构件横向延伸穿过中心杆。

    SURGICAL TILT ANVIL ASSEMBLY
    5.
    发明申请
    SURGICAL TILT ANVIL ASSEMBLY 有权
    外科倾斜安全装置

    公开(公告)号：US20120104073A1

    公开(公告)日：2012-05-03

    申请号：US13343082

    申请日：2012-01-04

    申请人： Keith L. Milliman ,  Thomas Wenchell ,  Philip C. Roy

    发明人： Keith L. Milliman ,  Thomas Wenchell ,  Philip C. Roy

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/07257

    摘要： A surgical tilt anvil assembly including a rod and a head assembly including an anvil plate having staple deforming pockets. The head assembly is pivotally secured to the rod and pivotal in relation to the rod between a first tilted position, a non-tilted position and a second different tilted position. The head assembly passes from the first tilted position, through the non-tilted position to the second tilted position.

    摘要翻译： 一种外科倾斜砧座组件，包括杆和头部组件，其包括具有缝钉变形袋的砧板。 头部组件枢转地固定到杆上并相对于杆在第一倾斜位置，非倾斜位置和第二不同倾斜位置之间枢转。 头部组件从第一倾斜位置穿过非倾斜位置到达第二倾斜位置。

    Surgical instrument with indicator
    6.
    发明授权
    Surgical instrument with indicator 有权

    公开(公告)号：US08132703B2

    公开(公告)日：2012-03-13

    申请号：US12697519

    申请日：2010-02-01

    申请人： Keith L. Milliman ,  Thomas R. Hessler ,  Stephen R. Paul ,  Thomas Wenchell

    发明人： Keith L. Milliman ,  Thomas R. Hessler ,  Stephen R. Paul ,  Thomas Wenchell

    IPC分类号： A61B17/068

    CPC分类号： A61B17/115 ,  A61B2017/00128 ,  A61B2090/0807 ,  A61B2090/0811

    摘要： A surgical stapling instrument including a handle assembly, an elongated body portion extending distally from the handle assembly, and a head portion. The handle assembly includes a firing trigger and a firing indicator. The firing trigger is movable between a first non-actuated position and a second actuated position. The head portion is disposed adjacent a distal portion of the elongated body portion and includes an anvil assembly and a shell assembly. The anvil assembly is movable in relation to the shell assembly between spaced and approximated positions. Engagement structure of the firing trigger moves the firing indicator from a first position to a second position when the firing trigger is moved from its first non-actuated position toward its second actuated position.

    Surgical stapling device
    10.
    发明授权
    Surgical stapling device 有权
    手术吻合装置

    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。