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公开(公告)号：US5636780A
公开(公告)日：1997-06-10
申请号：US560187
申请日：1996-03-01
申请人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
发明人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , 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 cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface, thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly 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，以及安装到细长部分的远端的铰接盒组件。 砧构件与铰接筒组件可操作地相关联，并且具有成形表面，外科紧固件当从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 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。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。
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公开(公告)号：US5456401A
公开(公告)日：1995-10-10
申请号：US230852
申请日：1994-04-21
申请人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
发明人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , 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 cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly 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，以及安装到细长部分的远端的铰接盒组件。 砧构件可操作地与关节式支架组件相关联并且具有成形表面，外科紧固件在从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 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。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。
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公开(公告)号：US5326013A
公开(公告)日：1994-07-05
申请号：US949685
申请日：1992-09-23
申请人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
发明人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , 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 cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly 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，以及安装到细长部分的远端的铰接盒组件。 砧构件可操作地与关节式支架组件相关联并且具有成形表面，外科紧固件在从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 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。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。
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公开(公告)号：US5482197A
公开(公告)日：1996-01-09
申请号：US245148
申请日：1994-05-17
申请人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
发明人： David T. Green , Keith Ratcliff , Keith L. Milliman , Henry R. Sienkiewicz , Mitchell J. Palmer
IPC分类号： A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/28 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , 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 cartridge assembly mounted to a distal end of the elongated portion. An anvil member is operatively associated with the articulating cartridge assembly and has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge assembly. A collar which is provided in the elongated portion translates longitudinally to draw a cable which operates to move the anvil member relative to the cartridge assembly, thereby clamping body tissue to be fastened. A self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. A linkage mechanism is also provided for effectuating the articulation of the cartridge assembly 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，以及安装到细长部分的远端的铰接盒组件。 砧构件可操作地与关节式支架组件相关联并且具有成形表面，外科紧固件在从套筒组件弹出时被驱动。 设置在细长部分中的套环纵向地平移以绘制电缆，其操作以相对于盒组件移动砧部件，从而夹紧要紧固的身体组织。 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。 还提供了连接机构，用于实现盒组件的铰接以增加装置的可操作性的范围。
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公开(公告)号：US5860987A
公开(公告)日：1999-01-19
申请号：US762514
申请日：1996-12-10
CPC分类号： A61B17/0218
摘要： A surgical retractor device for manipulating organs during an endoscopic or laparoscopic surgical procedure. The retractor device includes a loop of material at a distal end of the instrument which is extendable and retractable from the elongated body portion of the instrument. The loop of material may be detached to be wrapped about an organ and reattached to secure the organ. Once the organ is secured, the loop of material may be retracted into the body portion of the instrument to manipulate the organ.
摘要翻译： 一种用于在内窥镜或腹腔镜手术过程中操纵器官的外科牵开器装置。 牵开器装置包括在仪器的远端处的材料环，其可从仪器的细长主体部分伸出并缩回。 材料的环可以被分离以包裹在器官上并重新附着以固定器官。 一旦器官被固定，材料环可以缩回到器械的身体部分中以操纵器官。
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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。
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公开(公告)号：US5549617A
公开(公告)日：1996-08-27
申请号：US392295
申请日：1995-02-21
CPC分类号： A61B17/0401 , A61B17/0483 , A61B17/06109 , A61B17/062 , A61F2/0036 , A61B17/0469 , A61B17/1327 , A61B17/82 , A61B2017/00805 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417 , A61B2017/0451 , A61B2017/0454 , A61B2017/0464 , A61B2017/2927 , A61B2050/0065 , A61B50/30 , A61F2/0045 , Y10T24/3973 , Y10T24/3996
摘要： A method and apparatus for elevating, approximating and/or restraining internal organs or structures, and more particularly for treating female urinary stress incontinence are provided. The apparatus include an anchoring device having an elongated suture with an anchor at each end thereof and a cinching member therebetween for adjusting the operative length of the suture, an articulating apparatus for applying the anchoring device during an endoscopic or laparoscopic procedure, and an apparatus for drawing the suture relative to the cinching member after it has been emplaced.
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公开(公告)号：US07861907B2
公开(公告)日：2011-01-04
申请号：US12269618
申请日：2008-11-12
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： A61B17/068
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.
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公开(公告)号：US07464848B2
公开(公告)日：2008-12-16
申请号：US11897863
申请日：2007-08-31
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： A61B17/068
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.
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公开(公告)号：US20080265001A1
公开(公告)日：2008-10-30
申请号：US12147672
申请日：2008-06-27
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： A61B17/068
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。
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