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公开(公告)号:US5651491A
公开(公告)日:1997-07-29
申请号:US549578
申请日:1995-10-27
IPC分类号: A61B17/072 , A61B19/02 , A61B17/068
CPC分类号: A61B17/07207 , A61B2017/00526 , A61B2017/07285 , A61B2050/005
摘要: A surgical stapler is disclosed which includes a first body portion supporting an anvil which defines a fastener forming surface and a second body portion configured to releasably mate with the first body portion and having an elongate retention channel extending from a distal end thereof. A first disposable loading unit is provided which is configured to be removably supported in the retention channel and which includes a staple housing carrying a plurality of staples arranged in at least two parallel rows which, when applied to body tissue, form staple lines having a first lengthwise dimension. A second disposable loading unit is provided which is configured to be removably supported in the retention channel and which includes a staple housing carrying a plurality of staples arranged in at least two parallel rows which, when applied to body tissue, form staple lines having a second lengthwise dimension different from that of the staple lines formed by the first loading unit. The loading units and stapler can be packaged as a kit.
摘要翻译: 公开了一种外科缝合器,其包括支撑限定紧固件形成表面的砧座的第一主体部分和被构造成可释放地与第一主体部分配合并且具有从其远端延伸的细长保持通道的第二主体部分。 提供了第一一次性装载单元,其构造成可移除地支撑在保持通道中,并且其包括承载以至少两个平行排布置的多个钉的钉仓,当施加到身体组织时,形成具有第一 纵向尺寸。 提供了第二一次性装载单元,其构造成可移除地支撑在保持通道中,并且包括承载多个订书钉的订书钉壳体,所述订书钉壳体布置成至少两个平行的行,当施加到身体组织时,形成具有第二 纵向尺寸不同于由第一装载单元形成的缝合线的尺寸。 装载单元和订书机可以作为工具包进行包装。
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公开(公告)号:US06817509B2
公开(公告)日:2004-11-16
申请号:US10714733
申请日:2003-11-17
IPC分类号: A61B17068
CPC分类号: A61B17/07207 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2050/005 , A61B2090/0814
摘要: A surgical stapler is disclosed including a first body portion supporting an anvil plate defining a fastener forming surface, and a second body portion releasably mating with the first body portion. A disposable loading unit is removably supported in the second body portion and includes a cartridge defining a plurality of slots, a plurality of surgical fasteners disposed in the slots, a plurality of ejectors positioned adjacent the surgical fasteners, and a wedged actuator for sequentially interacting with the ejectors. An elongated actuation member is mounted for longitudinal movement within the second body portion and is releasably engageable with the wedged actuator. A locking mechanism having a locking member and a biasing member is included in the second body portion.
摘要翻译: 公开了一种外科缝合器,包括支撑限定紧固件形成表面的砧板的第一主体部分和与第一主体部分可释放地配合的第二主体部分。 一次性装载单元可移除地支撑在第二主体部分中并且包括限定多个狭槽的盒,设置在狭槽中的多个外科紧固件,邻近外科紧固件定位的多个喷射器,以及用于顺序地与 喷射器。 安装细长的致动构件用于在第二主体部分内纵向移动,并且可释放地与楔入的致动器接合。 具有锁定构件和偏置构件的锁定机构包括在第二主体部分中。
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公开(公告)号:US06202914B1
公开(公告)日:2001-03-20
申请号:US09366583
申请日:1999-08-04
IPC分类号: A61B17068
CPC分类号: A61B17/07207 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2050/005 , A61B2090/0814
摘要: A surgical stapler is disclosed which includes a first body portion supporting an anvil plate defining a fastener forming surface, and a second body portion configured to releasably mate with the first body portion. A disposable loading unit is removably supported in the second body portion and includes a cartridge defining a plurality of slots, a plurality of surgical fasteners disposed in the slots, a plurality of ejectors positioned adjacent the surgical fasteners, and a wedged actuator configured to enter into and translate through the cartridge to sequentially interact with the ejectors. An elongated actuation member is mounted for longitudinal movement within the second body portion and is releasably engagable with the wedged actuator, whereby longitudinal movement of the actuation member causes the wedged actuator to interact with the ejectors, driving the surgical fasteners from the cartridge to be formed against the anvil plate.
摘要翻译: 公开了一种外科缝合器,其包括支撑限定紧固件形成表面的砧板的第一主体部分和被配置为可释放地与第一主体部分配合的第二主体部分。 一次性装载单元可移除地支撑在第二主体部分中并且包括限定多个狭槽的盒,设置在槽中的多个外科紧固件,邻近手术紧固件定位的多个喷射器,以及被构造成进入 并通过墨盒翻转以顺序地与喷射器相互作用。 安装细长的致动构件用于在第二主体部分内纵向移动并且可释放地与楔入的致动器接合,由此致动构件的纵向运动导致楔形致动器与喷射器相互作用,从待形成的筒驱动外科紧固件 反对砧板。
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公开(公告)号:US06681978B2
公开(公告)日:2004-01-27
申请号:US09765805
申请日:2001-01-19
IPC分类号: A61B17068
CPC分类号: A61B17/07207 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2050/005 , A61B2090/0814
摘要: A surgical stapler is disclosed which includes a first body portion supporting an anvil plate defining a fastener forming surface, and a second body portion configured to releasably mate with the first body portion. A disposable loading unit is removably supported in the second body portion and includes a cartridge defining a plurality of slots, a plurality of surgical fasteners disposed in the slots, a plurality of ejectors positioned adjacent the surgical fasteners, and a wedged actuator configured to enter into and translate through the cartridge to sequentially interact with the ejectors. An elongated actuation member is mounted for longitudinal movement within the second body portion and is releasably engagable with the wedged actuator, whereby longitudinal movement of the actuation member causes the wedged actuator to interact with the ejectors, driving the surgical fasteners from the cartridge to be formed against the anvil plate.
摘要翻译: 公开了一种外科缝合器,其包括支撑限定紧固件形成表面的砧板的第一主体部分和被配置为可释放地与第一主体部分配合的第二主体部分。 一次性装载单元可移除地支撑在第二主体部分中并且包括限定多个狭槽的盒,设置在槽中的多个外科紧固件,邻近手术紧固件定位的多个喷射器,以及被构造成进入 并通过墨盒翻转以顺序地与喷射器相互作用。 安装细长的致动构件用于在第二主体部分内纵向移动并且可释放地与楔入的致动器接合,由此致动构件的纵向运动导致楔形致动器与喷射器相互作用,从待形成的筒驱动外科紧固件 反对砧板。
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公开(公告)号:US5941442A
公开(公告)日:1999-08-24
申请号:US549580
申请日:1995-10-27
IPC分类号: A61B17/072 , A61B19/00 , A61B19/02 , A61B17/068
CPC分类号: A61B17/07207 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2050/005 , A61B2090/0814
摘要: A surgical stapler is disclosed which includes a first body portion supporting an anvil plate defining a fastener forming surface, and a second body portion configured to releasably mate with the first body portion. A disposable loading unit is removably supported in the second body portion and includes a cartridge defining a plurality of slots, a plurality of surgical fasteners disposed in the slots, a plurality of ejectors positioned adjacent the surgical fasteners, and a wedged actuator configured to enter into and translate through the cartridge to sequentially interact with the ejectors. An elongated actuation member is mounted for longitudinal movement within the second body portion and is releasably engagable with the wedged actuator, whereby longitudinal movement of the actuation member causes the wedged actuator to interact with the ejectors, driving the surgical fasteners from the cartridge to be formed against the anvil plate.
摘要翻译: 公开了一种外科缝合器,其包括支撑限定紧固件形成表面的砧板的第一主体部分和被配置为可释放地与第一主体部分配合的第二主体部分。 一次性装载单元可移除地支撑在第二主体部分中并且包括限定多个狭槽的盒,设置在槽中的多个外科紧固件,邻近手术紧固件定位的多个喷射器,以及被构造成进入 并通过墨盒翻转以顺序地与喷射器相互作用。 安装细长的致动构件用于在第二主体部分内纵向移动并且可释放地与楔入的致动器接合,由此致动构件的纵向运动导致楔形致动器与喷射器相互作用,从待形成的筒驱动外科紧固件 反对砧板。
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公开(公告)号:US5645209A
公开(公告)日:1997-07-08
申请号:US559227
申请日:1995-11-17
申请人: David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
发明人: David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
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 , A61B2017/00548 , A61B2017/07214 , A61B2017/07278 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2090/038 , A61B2090/0803
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 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 self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. 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。 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。 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:US5478003A
公开(公告)日:1995-12-26
申请号:US133549
申请日:1993-10-08
申请人: David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
发明人: David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
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 , A61B2017/00548 , A61B2017/07214 , A61B2017/07278 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2090/038 , A61B2090/0803
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 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 self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. 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。 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。 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:US5312023A
公开(公告)日:1994-05-17
申请号:US024533
申请日:1993-03-01
申请人: David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
发明人: David T. Green , Henry R. Sienkiewicz , Richard C. McClure , Robert C. Savage , Keith L. Milliman , Mitchell J. Palmer , Lisa W. Heaton , Graham W. Bryan
IPC分类号: A61B1/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/10 , A61B17/12 , A61B17/28 , A61B17/32 , A61B19/00
CPC分类号: A61B17/07207 , A61B17/00234 , A61B2017/0023 , A61B2017/00535 , A61B2017/00544 , A61B2017/00548 , A61B2017/07214 , 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 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 self contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. 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。 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。 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:US5647526A
公开(公告)日:1997-07-15
申请号:US559493
申请日:1995-11-15
申请人: David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
发明人: David T. Green , Mitchell J. Palmer , Keith L. Milliman , Robert C. Savage , Richard C. McClure , Lisa W. Heaton
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 , A61B2017/00548 , A61B2017/07214 , A61B2017/07278 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2090/038 , A61B2090/0803
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 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 serf contained pneumatic system is associated with the frame portion and is actuable to eject the surgical fasteners from the cartridge assembly. 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。 包含气动系统的塞车与框架部分相关联并且可致动以从套筒组件弹出外科紧固件。 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:US5879357A
公开(公告)日:1999-03-09
申请号:US926695
申请日:1997-09-10
CPC分类号: A61B90/39 , A61B2017/3484 , A61B2090/3908 , A61B2090/3987
摘要: A surgical apparatus for marking a location within tissue which includes (i) a needle including a housing and an elongated tube having a sharp distal end, (ii) an elongated cable configured and dimensioned to pass through a longitudinal passageway formed through the needle, (iii) an elongated tissue marker attached adjacent a distal end of the elongated cable such that the elongated marker is movable between a retracted orientation and a deployed orientation, and (iv) an actuator assembly operatively associated with the elongated marker, wherein movement of the actuator assembly from a first position to a second position moves the elongated marker from the retracted position to the deployed position. A method of marking a particular location in body tissue is also provided, which includes the steps of (i) inserting an apparatus into a section of body tissue, (ii) deploying an elongated marker having an elongated cable attached thereto from the apparatus into the tissue, (iii) retaining the elongated cable relative the distal end of the apparatus, and (iv) moving the elongated marker into an orientation substantially perpendicular to the elongated cable.
摘要翻译: 一种用于标记组织内部位置的手术装置,其包括(i)包括壳体的针和具有尖锐远端的细长管,(ii)细长电缆,其被配置和尺寸设置成穿过通过针形成的纵向通道( iii)细长组织标记,其附接在细长电缆的远端附近,使得细长标记可在收缩方向和展开方向之间移动,以及(iv)可操作地与细长标记相关联的致动器组件,其中致动器的运动 从第一位置到第二位置的组合将细长标记从缩回位置移动到展开位置。 还提供了一种在身体组织中标记特定位置的方法,其包括以下步骤:(i)将装置插入身体组织的部分,(ii)展开细长的标记,所述标记具有从所述装置连接到其上的细长电缆, 组织,(iii)相对于设备的远端保持细长的电缆,以及(iv)将细长的标记物移动到基本垂直于细长电缆的取向。
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