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公开(公告)号：US08603109B2
公开(公告)日：2013-12-10
申请号：US13358542
申请日：2012-01-26
IPC分类号： A61B17/28
CPC分类号： A61B17/105 , A61B17/10 , A61B17/1285 , A61B2017/00407
摘要： An apparatus for applying surgical clips has a body portion housing a clip stack and a pair of jaws supported at a distal end of the body portion. The body portion includes a camming member, a clip follower and a lockout member having a plurality of stop members. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. The camming member has at least one notch, and in a second position the lockout member has at least one of the stop members positioned to interface with the at least one notch. The engagement between the stop member and the notch limits distal movement of the camming member. The clip follower actuates the lockout member when the clip follower advances to a predetermined clip in the clip stack.
摘要翻译： 用于施加手术夹具的装置具有容纳夹子叠层的主体部分和在主体部分的远端处支撑的一对夹爪。 主体部分包括凸轮构件，夹子从动件和具有多个止动构件的锁定构件。 锁定构件可从与凸轮构件滑动的第一位置移动到与凸轮构件互锁的第二位置。 所述凸轮构件具有至少一个凹口，并且在第二位置，所述锁定构件具有至少一个所述止挡构件，所述止动构件定位成与所述至少一个凹口相接合。 止动构件和凹口之间的接合限制了凸轮构件的远端运动。 当夹子从动件前进到夹子堆叠中的预定夹子时，夹持器从动件致动锁定构件。
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公开(公告)号：US08491608B2
公开(公告)日：2013-07-23
申请号：US13431170
申请日：2012-03-27
IPC分类号： A61B17/10
CPC分类号： A61B17/105 , A61B1/3132 , A61B17/00234 , A61B17/072 , A61B17/083 , A61B17/10 , A61B17/12 , A61B17/1222 , A61B17/1285 , A61B17/29 , A61B90/08 , A61B2017/00115 , A61B2017/00221 , A61B2017/00407 , A61B2017/00734 , A61B2017/2902 , A61B2017/2932 , A61B2017/2943 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
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公开(公告)号：US20120123446A1
公开(公告)日：2012-05-17
申请号：US13358542
申请日：2012-01-26
IPC分类号： A61B17/10
CPC分类号： A61B17/105 , A61B17/10 , A61B17/1285 , A61B2017/00407
摘要： An apparatus for applying surgical clips has a body portion housing a clip stack and a pair of jaws supported at a distal end of the body portion. The body portion includes a camming member, a clip follower and a lockout member having a plurality of stop members. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. The camming member has at least one notch, and in a second position the lockout member has at least one of the stop members positioned to interface with the at least one notch. The engagement between the stop member and the notch limits distal movement of the camming member. The clip follower actuates the lockout member when the clip follower advances to a predetermined clip in the clip stack.
摘要翻译： 用于施加手术夹具的装置具有容纳夹子叠层的主体部分和在主体部分的远端处支撑的一对夹爪。 主体部分包括凸轮构件，夹子从动件和具有多个止动构件的锁定构件。 锁定构件可从与凸轮构件滑动的第一位置移动到与凸轮构件互锁的第二位置。 所述凸轮构件具有至少一个凹口，并且在第二位置，所述锁定构件具有至少一个所述止挡构件，所述止动构件定位成与所述至少一个凹口相接合。 止动构件和凹口之间的接合限制了凸轮构件的远端运动。 当夹子从动件前进到夹子堆叠中的预定夹子时，夹持器从动件致动锁定构件。
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公开(公告)号：US20120116420A1
公开(公告)日：2012-05-10
申请号：US13353352
申请日：2012-01-19
IPC分类号： A61B17/10
CPC分类号： A61B17/105 , A61B1/3132 , A61B17/00234 , A61B17/072 , A61B17/083 , A61B17/10 , A61B17/12 , A61B17/1222 , A61B17/1285 , A61B17/29 , A61B90/08 , A61B2017/00115 , A61B2017/00221 , A61B2017/00407 , A61B2017/00734 , A61B2017/2902 , A61B2017/2932 , A61B2017/2943 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
摘要翻译： 提供了一种用于将外科夹子应用于身体组织的装置，并且包括手柄组件; 轴组件，其包括从手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹具; 邻近所述轴组件的远端部分安装的钳口，所述钳口可在开放间隔开的条件和闭合近似状态之间移动; 以及推杆，其往复地设置在所述轴组件的所述壳体内并且可拆卸地连接到所述轴组件的所述壳体，所述推杆构造成在远侧运动期间将最远端手术夹子装载到所述夹爪中并且保持连接到所述壳体 并且在近似钳口期间处于远侧前进位置。
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公开(公告)号：US07819886B2
公开(公告)日：2010-10-26
申请号：US11541617
申请日：2006-10-02
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B2017/00367 , A61B2017/00407 , A61B2090/037 , A61B2090/0803
摘要： An apparatus for application of surgical clips to body tissue includes an actuator at least partially disposed within a body and longitudinally movable in response to actuation of a handle portion. The apparatus includes a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position and a rack having ratchet teeth connected to the actuator. The apparatus includes a pawl engaging a series of ratchet teeth and capable of preventing an inadvertent return of the actuator before full actuation of the apparatus. A clip pusher incrementally moves distally each time a clip is released from the apparatus. When the clip pusher reaches a predetermined distal point in a clip carrying channel, a feed bar is deflected to a second position to prevent retraction but not advancement of the actuator and thereby manipulates the pawl to engage the ratchet teeth.
摘要翻译： 用于将外科夹子应用于身体组织的装置包括至少部分地设置在主体内并且响应于手柄部分的致动而可纵向移动的致动器。 该装置包括邻近第一和第二钳口部分定位的钳口闭合构件以将钳口部分移动到近似位置，并且具有连接到致动器的棘齿的齿条。 该装置包括与一系列棘轮齿接合的棘爪，并且能够在完全致动装置之前防止致动器的意外返回。 每次剪辑从设备中释放时，夹子推动器逐渐向远侧移动。 当夹子推动器到达夹子传送通道中的预定远端点时，进给杆被偏转到第二位置以防止致动器的收回而不是前进，从而操纵棘爪以接合棘轮齿。
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公开(公告)号：US20090228024A1
公开(公告)日：2009-09-10
申请号：US12406345
申请日：2009-03-18
CPC分类号： A61B17/1285 , A61B2017/00221 , A61B2090/0803
摘要： An apparatus for application of surgical clips to body tissue has a handle portion and a body extending distally from the handle portion and defining a longitudinal axis. The apparatus also has a plurality of surgical clips disposed within the body, and a jaw assembly mounted adjacent a distal end portion of the body. The jaw assembly includes first and second jaw portions movable between a spaced-apart and an approximated position. The apparatus also has a wedge plate longitudinally movable between the first and the second jaw portions, and a clip pusher configured to individually distally advance a surgical clip to the jaw assembly while the jaw portions are in the spaced apart position. The apparatus still further has an actuator at least partially disposed within the body and longitudinally movable in response to actuation of the handle portion and a jaw closure member positioned adjacent the first and second jaw portions to move the jaw portions to the approximated position.
摘要翻译： 用于将手术夹子应用于身体组织的装置具有手柄部分和从手柄部分向远侧延伸并限定纵向轴线的主体。 该装置还具有设置在主体内的多个手术夹具，以及邻近主体的远端部分安装的钳口组件。 钳口组件包括可在间隔开和近似位置之间移动的第一和第二钳口部分。 该装置还具有可在第一和第二钳口部分之间纵向移动的楔形板，以及夹子推动器，其构造成在钳口部分处于间隔开的位置时单独地将手术夹子前进到钳口组件。 该装置还具有致动器，该致动器至少部分地设置在主体内并响应于手柄部分的致动而纵向移动，以及邻近第一和第二钳口部分定位的钳口闭合构件，以将钳口部分移动到近似位置。
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公开(公告)号：US20080140090A1
公开(公告)日：2008-06-12
申请号：US11872750
申请日：2007-10-16
IPC分类号： A61B17/128
CPC分类号： A61B17/105 , A61B17/10 , A61B17/1285 , A61B2017/00407
摘要： An apparatus for applying surgical clips has a body portion housing a clip stack and a pair of jaws supported at a distal end of the body portion. The body portion includes a camming member, a clip follower and a lockout member having a plurality of stop members. The lockout member is movable from a first position in slidable relation to the camming member to a second position interlocked with the camming member. The camming member has at least one notch, and in a second position the lockout member has at least one of the stop members positioned to interface with the at least one notch. The engagement between the stop member and the notch limits distal movement of the camming member. The clip follower actuates the lockout member when the clip follower advances to a predetermined clip in the clip stack.
摘要翻译： 用于施加手术夹具的装置具有容纳夹子叠层的主体部分和在主体部分的远端处支撑的一对夹爪。 主体部分包括凸轮构件，夹子从动件和具有多个止动构件的锁定构件。 锁定构件可从与凸轮构件滑动的第一位置移动到与凸轮构件互锁的第二位置。 所述凸轮构件具有至少一个凹口，并且在第二位置，所述锁定构件具有至少一个所述止挡构件，所述止动构件定位成与所述至少一个凹口相接合。 止动构件和凹口之间的接合限制了凸轮构件的远端运动。 当夹子从动件前进到夹子堆叠中的预定夹子时，夹持器从动件致动锁定构件。
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公开(公告)号：US08894665B2
公开(公告)日：2014-11-25
申请号：US12539671
申请日：2009-08-12
IPC分类号： A61B17/10 , A61B17/128 , A61B17/29 , A61B19/00 , A61B17/00 , A61B17/122
CPC分类号： A61B17/105 , A61B1/3132 , A61B17/00234 , A61B17/072 , A61B17/083 , A61B17/10 , A61B17/12 , A61B17/1222 , A61B17/1285 , A61B17/29 , A61B90/08 , A61B2017/00115 , A61B2017/00221 , A61B2017/00407 , A61B2017/00734 , A61B2017/2902 , A61B2017/2932 , A61B2017/2943 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
摘要翻译： 提供了一种用于将外科夹子应用于身体组织的装置，并且包括手柄组件; 轴组件，其包括从手柄组件向远侧延伸并限定纵向轴线的壳体; 设置在所述轴组件内的多个手术夹具; 邻近所述轴组件的远端部分安装的钳口，所述钳口可在开放间隔开的条件和闭合近似状态之间移动; 以及推杆，其往复地设置在所述轴组件的所述壳体内并且可拆卸地连接到所述轴组件的所述壳体，所述推杆构造成在远侧运动期间将最远端手术夹子装载到所述夹爪中并且保持连接到所述壳体 并且在近似钳口期间处于远侧前进位置。
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公开(公告)号：US08409223B2
公开(公告)日：2013-04-02
申请号：US12539121
申请日：2009-08-11
IPC分类号： A61B17/10
CPC分类号： A61B17/105 , A61B1/3132 , A61B17/00234 , A61B17/072 , A61B17/083 , A61B17/10 , A61B17/12 , A61B17/1222 , A61B17/1285 , A61B17/29 , A61B90/08 , A61B2017/00115 , A61B2017/00221 , A61B2017/00407 , A61B2017/00734 , A61B2017/2902 , A61B2017/2932 , A61B2017/2943 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814
摘要： An apparatus for application of surgical clips to body tissue is provided and includes a handle assembly; a shaft assembly including a housing extending distally from the handle assembly and defining a longitudinal axis; a plurality of surgical clips disposed within the shaft assembly; a jaw mounted adjacent a distal end portion of the shaft assembly, the jaw being movable between an open spaced-apart condition and a closed approximated condition; and a pusher bar reciprocally disposed within the housing of the shaft assembly and being detachably connectable to the housing of the shaft assembly, the pusher bar being configured to load a distal-most surgical clip into the jaws during distal movement and remain connected to the housing of the shaft assembly and in a distally advanced position during an approximation of the jaws.
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公开(公告)号：US20100137886A1
公开(公告)日：2010-06-03
申请号：US12595318
申请日：2008-04-10
申请人： Earl M. Zergiebel , Kenneth H. Whitfield , Gregory Sorrentino , Kevin Robert Slisz , Roberto Padros
发明人： Earl M. Zergiebel , Kenneth H. Whitfield , Gregory Sorrentino , Kevin Robert Slisz , Roberto Padros
IPC分类号： A61B17/10
CPC分类号： A61B17/128 , A61B17/1285 , A61B90/03 , A61B90/08 , A61B2017/00407 , A61B2017/00734 , A61B2090/038 , A61B2090/0803
摘要： A surgical clip applier is provided including a housing; a pair of handles; a channel assembly extending from the housing; a clip carrier disposed within said channel assembly and defining a channel and a plurality of windows; a wedge plate slidably disposed within said channel assembly and being operatively connected to said handles, said wedge plate including a plurality of apertures formed along a length thereof; a plurality of clips slidably disposed within said channel of said clip carrier; and a clip follower slidably disposed within said channel of said clip carrier at a location proximal of said plurality of clips. The clip follower is configured and adapted for selective engagement with said windows of said clip carrier and said apertures of said wedge plate to distally urge said plurality of clips relative to said clip carrier upon a distal advancement of said wedge plate.
摘要翻译： 提供了一种手术夹具，包括壳体; 一把手柄 从壳体延伸的通道组件; 设置在所述通道组件内并限定通道和多个窗口的夹子架; 可滑动地设置在所述通道组件内并且可操作地连接到所述把手的楔形板，所述楔形板包括沿其长度形成的多个孔; 可滑动地设置在所述夹子承载件的所述通道内的多个夹子; 以及夹持器，其可滑动地设置在所述夹子承载件的所述通道内，位于所述多个夹子的近端。 夹子从动件被构造和适于与所述夹子承载件的所述窗口和所述楔形板的所述孔选择性地接合，以在所述楔形板的远侧前进时远端地相对于所述夹子承载件推动所述多个夹子。
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