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    Anastomosis instrument and method for performing same
    5.
    发明申请
    Anastomosis instrument and method for performing same 审中-公开
    吻合仪器及其执行方法

    公开(公告)号：US20050010241A1

    公开(公告)日：2005-01-13

    申请号：US10616468

    申请日：2003-07-09

    申请人： Keith Milliman ,  Kevin Sniffen ,  Joseph Orban ,  Lisa Heaton

    发明人： Keith Milliman ,  Kevin Sniffen ,  Joseph Orban ,  Lisa Heaton

    IPC分类号： A61B17/11 ,  A61B17/115 ,  A61B17/32 ,  A61B17/00

    CPC分类号： A61B17/1152 ,  A61B17/11 ,  A61B17/32053 ,  A61B2017/1107 ,  A61B2017/1135

    摘要： A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends and an actuator disposed therebetween. The actuator includes a handle and a link assembly, the link assembly being movable through a firing stroke in response to movement of he handle. The instrument also includes a disposable loading unit releasably attached to the distal end of the housing in mechanical cooperation with the actuator. The disposable loading unit supports a plurality of surgical fasteners, which deform upon movement of the actuator and the link assembly through the firing stroke.

    摘要翻译： 用于吻合第一和第二血管的手术器械包括具有远端和近端的壳体和设置在其间的致动器。 所述致动器包括手柄和连杆组件，所述连杆组件能够响应于所述手柄的移动而通过击发冲程移动。 仪器还包括与致动器机械协作地可释放地附接到壳体的远端的一次性装载单元。 一次性加载单元支撑多个手术紧固件，其在致动器和连杆组件通过击发冲程的运动时变形。

    Transdermal magnetic coupling gastric banding
    6.
    发明申请
    Transdermal magnetic coupling gastric banding 审中-公开
    透皮磁耦合胃束带

    公开(公告)号：US20070213751A1

    公开(公告)日：2007-09-13

    申请号：US11374573

    申请日：2006-03-13

    申请人： Paul Scirica ,  Henry Holsten ,  Brian Creston ,  Frank Viola ,  Keith Milliman

    发明人： Paul Scirica ,  Henry Holsten ,  Brian Creston ,  Frank Viola ,  Keith Milliman

    IPC分类号： A61B17/122 ,  A61F2/04

    CPC分类号： A61F5/0066 ,  A61F5/0053

    摘要： A transdermally actuated gastric banding assembly is provided which includes an adjustable gastric band, a drive assembly and a transmission assembly positioned between the driver assembly and the adjustable gastric band. The drive assembly includes an internal component configured to be mounted within the body of the patient and an external component configured to operate transdermally so as to affect movement of the internal component. At least one of the internal and external components includes a magnetized member. A proximal end of the transmission assembly is connected to the internal component. A distal end of the transmission assembly is connected to a movable portion of the adjustable gastric band. In one embodiment, the internal component is mounted for rotational movement. In a further embodiment, at least one of the internal component and external component includes a plurality of magnetized members situated asymmetrically about a circumference of the at least one internal and external component.

    摘要翻译： 提供了经皮致动的胃束带组件，其包括可调节的胃束带，驱动组件和位于驱动器组件和可调节胃束带之间的传动组件。 驱动组件包括构造成安装在患者体内的内部部件和被配置为经皮操作以影响内部部件的运动的外部部件。 内部和外部部件中的至少一个包括磁化部件。 传动组件的近端连接到内部部件。 传动组件的远端连接到可调节的胃带的可移动部分。 在一个实施例中，安装内部部件以进行旋转运动。 在另一个实施例中，内部部件和外部部件中的至少一个包括围绕至少一个内部和外部部件的圆周非对称定位的多个磁化部件。

    Anastomosis instrument and method for performing same
    8.
    发明授权
    Anastomosis instrument and method for performing same 失效
    吻合仪器及其执行方法

    公开(公告)号：US07438718B2

    公开(公告)日：2008-10-21

    申请号：US10480964

    申请日：2002-01-08

    申请人： Keith Milliman ,  Kevin Sniffen ,  Joseph P Orban, III ,  Lisa W. Heaton

    发明人： Keith Milliman ,  Kevin Sniffen ,  Joseph P Orban, III ,  Lisa W. Heaton

    IPC分类号： A61B17/10 ,  A61B17/08 ,  A61B17/04

    CPC分类号： A61B17/1152 ,  A61B17/11 ,  A61B17/32053 ,  A61B2017/1107 ,  A61B2017/1135

    摘要： A surgical instrument for anastomosis of first and second blood vessels includes a housing having distal and proximal ends and an actuator disposed therebetween. The actuator includes a handle and a link assembly, the link assembly being movable through a firing stroke in response to movement of the handle. The instrument also includes a disposable loading unit releasably attached to the distal end of the housing in mechanical cooperation with the actuator. The disposable loading unit supports a plurality of surgical fasteners, which deform upon movement of the actuator and the link assembly through the firing stroke.

    摘要翻译： 用于吻合第一和第二血管的手术器械包括具有远端和近端的壳体和设置在其间的致动器。 致动器包括手柄和连杆组件，所述连杆组件能够响应于手柄的移动而能够通过击发冲程移动。 仪器还包括与致动器机械协作地可释放地附接到壳体的远端的一次性装载单元。 一次性加载单元支撑多个手术紧固件，其在致动器和连杆组件通过击发冲程的运动时变形。

    Surgical stapling apparatus
    9.
    发明授权
    Surgical stapling apparatus 失效
    手术吻合装置

    公开(公告)号：US06877647B2

    公开(公告)日：2005-04-12

    申请号：US10668941

    申请日：2003-09-22

    申请人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    发明人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    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 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

    摘要： An 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 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。 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。

    Surgical instrument with safety mechanism
    10.
    发明授权
    Surgical instrument with safety mechanism 有权

    公开(公告)号：US08684248B2

    公开(公告)日：2014-04-01

    申请号：US13407972

    申请日：2012-02-29

    申请人： Keith Milliman

    发明人： Keith Milliman

    IPC分类号： A61B17/068

    CPC分类号： A61B17/115 ,  A61B17/1155 ,  A61B2017/2946 ,  A61B2090/0811

    摘要： A surgical instrument including a handle assembly, a safety mechanism, an elongated body portion and a head portion is disclosed. The handle assembly includes a stationary handle, an approximation mechanism, and a firing trigger. A lever of the safety mechanism is movable between a first position where the firing trigger is prevented from being actuated, and a second position where the firing trigger is able to be actuated. A first jaw member of the head portion is movable in relation to a second jaw member of the head portion between spaced and approximated positions. Movement of the first jaw member in relation to the second jaw member from the approximated position towards the spaced position causes the lever of the safety mechanism to move from its second position to its first position.