公开(公告)号：US5609601A

公开(公告)日：1997-03-11

申请号：US311493

申请日：1994-09-23

申请人： Michael S. Kolesa ,  Ernie Aranyi ,  Gary S. Kappel

发明人： Michael S. Kolesa ,  Ernie Aranyi ,  Gary S. Kappel

IPC分类号： A61B17/28 ,  A61B17/00

CPC分类号： A61B17/29 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2946

摘要： A surgical instrument is disclosed for use in a wide variety of roles including grasping, dissecting, clamping, or retracting materials or tissue during surgical procedures performed either in open surgery or within the abdominal cavity. The surgical instrument includes a handle portion, a tubular body portion extending from the handle portion and defining a longitudinal axis, and tool structure associated with a distal portion of the tubular body portion. A rotation assembly is provided for effectuating rotation of the tool structure about the longitudinal axis of the body portion. Rotation locking structure is provided to lock the rotation assembly at a predetermined orientation such that it cannot be rotated with respect to the handle.

摘要翻译： 公开了用于各种角色的手术器械，包括在开放手术或腹腔内执行的手术过程中的抓握，解剖，夹紧或缩回材料或组织。 手术器械包括手柄部分，从手柄部分延伸并限定纵向轴线的管状主体部分和与管状主体部分的远端部分相关联的工具结构。 提供旋转组件用于实现工具结构围绕主体部分的纵向轴线的旋转。 提供旋转锁定结构以将旋转组件锁定在预定方位，使得其不能相对于把手旋转。

公开(公告)号：US5792150A

公开(公告)日：1998-08-11

申请号：US476607

申请日：1995-06-07

申请人： James R. Pratt ,  Gary S. Kappel ,  Douglas J. Cuny ,  H. Jonathan Tovey ,  Paul J. Phillips ,  Mark S. Peyser ,  Ernie Aranyi

发明人： James R. Pratt ,  Gary S. Kappel ,  Douglas J. Cuny ,  H. Jonathan Tovey ,  Paul J. Phillips ,  Mark S. Peyser ,  Ernie Aranyi

IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B17/00

CPC分类号： A61B17/1285 ,  A61B2017/2929 ,  Y10S227/901

摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure. The apparatus includes a ratchet mechanism for permitting incremental closure of a pair of jaw members. A slide member is associated with the ratchet mechanism to prevent a movable handle from opening during a closing stroke until the closing stroke is completed.

摘要翻译： 提供了一种用于施加外科夹具的装置，其包括在外科手术期间将部分闭合的夹子施加到管道或分流器的设备。 该装置包括用于允许一对钳口构件的增量关闭的棘轮机构。 滑动构件与棘轮机构相关联，以防止可动手柄在关闭行程期间打开，直到闭合行程完成。

公开(公告)号：US5607436A

公开(公告)日：1997-03-04

申请号：US134347

申请日：1993-10-08

申请人： James R. Pratt ,  Gary S. Kappel ,  Douglas J. Cuny ,  H. Jonathan Tovey ,  Paul J. Phillips ,  Mark S. Peyser ,  Ernie Aranyi

发明人： James R. Pratt ,  Gary S. Kappel ,  Douglas J. Cuny ,  H. Jonathan Tovey ,  Paul J. Phillips ,  Mark S. Peyser ,  Ernie Aranyi

IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B17/00

CPC分类号： A61B17/1285 ,  A61B2017/2929 ,  Y10S227/901

摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure such as cholecystectomy procedures. The apparatus includes means for effecting a partial closing stroke of the handle mechanism to correspond to a partial closure of the jaw members, and permits a partial opening stroke to release the partially closed clip in the jaw mechanism. Other features of the invention include means for preventing over advancement of a clip to the jaw mechanism, means for cradling the clip as it is advanced from the clip supply to the jaw mechanism, means for preventing splaying of the jaws in the event of a clip-over-clip application, and a novel rotation collar. The instrument of the present invention provides the surgeon with visual, audible, and tactile indication of the positioning of the jaw members to effect the application of a partially closed clip.

摘要翻译： 提供了一种用于施加外科夹具的装置，其包括用于在诸如胆囊切除手术的外科手术过程中将部分闭合的夹子施加到管道或分流器的部件。 该装置包括用于实现手柄机构的部分闭合行程以对应于钳口构件的部分闭合的装置，并且允许部分打开行程以释放夹钳机构中的部分闭合的夹子。 本发明的其他特征包括用于防止夹子向钳口机构过度推进的装置，用于当夹子从夹子供应件向夹爪机构前进时将夹子夹紧的装置，用于在夹子的情况下防止夹爪突出的装置 旋转轴环。 本发明的仪器为外科医生提供了夹钳构件的定位的视觉，听觉和触觉指示，以实现部分闭合的夹子的应用。

公开(公告)号：US5755726A

公开(公告)日：1998-05-26

申请号：US691887

申请日：1996-08-01

申请人： James R. Pratt ,  Gary S. Kappel ,  Douglas J. Cuny ,  H. Jonathan Tovey ,  Paul J. Phillips ,  Mark S. Peyser ,  Ernie Aranyi

发明人： James R. Pratt ,  Gary S. Kappel ,  Douglas J. Cuny ,  H. Jonathan Tovey ,  Paul J. Phillips ,  Mark S. Peyser ,  Ernie Aranyi

IPC分类号： A61B17/128 ,  A61B17/28 ,  A61B17/10

CPC分类号： A61B17/1285 ,  A61B2017/2929 ,  Y10S227/901

摘要： An apparatus is provided for applying surgical clips which includes provisions for applying a partially closed clip to ducts or shunts during a surgical procedure such as cholecystectomy procedures. The apparatus includes means for effecting a partial closing stroke of the handle mechanism to correspond to a partial closure of the jaw members, and permits a partial opening stroke to release the partially closed clip in the jaw mechanism. Other features of the invention include means for preventing over advancement of a clip to the jaw mechanism, means for cradling the clip as it is advanced from the clip supply to the jaw mechanism, means for preventing splaying of the jaws in the event of a clip-over-clip application, and a novel rotation collar. The instrument of the present invention provides the surgeon with visual, audible, and tactile indication of the positioning of the jaw members to effect the application of a partially closed clip.

摘要翻译： 提供了一种用于施加外科夹具的装置，其包括用于在诸如胆囊切除手术的外科手术过程中将部分闭合的夹子施加到管道或分流器的部件。 该装置包括用于实现手柄机构的部分闭合行程以对应于钳口构件的部分闭合的装置，并且允许部分打开行程以释放夹钳机构中的部分闭合的夹子。 本发明的其他特征包括用于防止夹子向钳口机构过度推进的装置，用于当夹子从夹子供应件向夹爪机构前进时将夹子夹紧的装置，用于在夹子的情况下防止夹爪突出的装置 旋转轴环。 本发明的仪器为外科医生提供了视觉，听觉和触觉指示夹爪构件的定位以实现部分闭合的夹子的应用。

公开(公告)号：US5836960A

公开(公告)日：1998-11-17

申请号：US804854

申请日：1997-02-24

申请人： Michael S. Kolesa ,  Ernie Aranvi ,  Gary S. Kappel

发明人： Michael S. Kolesa ,  Ernie Aranvi ,  Gary S. Kappel

IPC分类号： A61B17/28 ,  A61B17/00

CPC分类号： A61B17/29 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2946

摘要： A surgical instrument is disclosed for use in a wide variety of roles including grasping, dissecting, clamping, or retracting materials or tissue during surgical procedures performed either in open surgery or within the abdominal cavity. The surgical instrument includes a handle portion, a tubular body portion extending from the handle portion and defining a longitudinal axis, and tool structure associated with a distal portion of the tubular body portion. A rotation assembly is provided for effectuating rotation of the tool structure about the longitudinal axis of the body portion. Rotation locking structure is provided to lock the rotation assembly at a predetermined orientation such that it cannot be rotated with respect to the handle.

摘要翻译： 公开了用于各种角色的手术器械，包括在开放手术或腹腔内执行的手术过程中的抓握，解剖，夹紧或缩回材料或组织。 手术器械包括手柄部分，从手柄部分延伸并限定纵向轴线的管状主体部分和与管状主体部分的远端部分相关联的工具结构。 提供旋转组件用于实现工具结构围绕主体部分的纵向轴线的旋转。 提供旋转锁定结构以将旋转组件锁定在预定方位，使得其不能相对于把手旋转。

公开(公告)号：US20130218159A1

公开(公告)日：2013-08-22

申请号：US13773440

申请日：2013-02-21

申请人： Gary S. Kappel ,  Sean P. Fleury ,  Paul Smith ,  Brandon M. Zalewski ,  Laurie A. Soderbom, JR.

发明人： Gary S. Kappel ,  Sean P. Fleury ,  Paul Smith ,  Brandon M. Zalewski ,  Laurie A. Soderbom, JR.

IPC分类号： A61B17/32 ,  A61B17/3201 ,  A61B18/12

CPC分类号： A61B17/320016 ,  A61B17/0218 ,  A61B17/29 ,  A61B17/295 ,  A61B17/3201 ,  A61B18/12 ,  A61B18/1445 ,  A61B2017/00296 ,  A61B2017/00353 ,  A61B2017/2936 ,  A61B2017/320044 ,  A61B2018/00595 ,  A61B2018/1422 ,  A61B2018/146

摘要： A medical device including an elongate member having a proximal end and a distal end and an end-effector disposed at the distal end of the elongate member is disclosed. The end-effector further includes a plurality of arms, which may pivot or move relative to one another. Further, each arm includes an inner edge defining a cutting edge, and an outer edge having at least one geometric feature for manipulating tissue.

摘要翻译： 公开了一种包括具有近端和远端的细长构件和设置在细长构件的远端处的末端执行器的医疗装置。 末端执行器还包括可相对于彼此枢转或移动的多个臂。 此外，每个臂包括限定切割边缘的内边缘和具有用于操纵组织的至少一个几何特征的外边缘。

公开(公告)号：US5431322A

公开(公告)日：1995-07-11

申请号：US146804

申请日：1993-11-02

申请人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Jeffrey J. Blewett ,  Randolph F. Lehn ,  Charles R. Sherts ,  Graham W. Bryan ,  Salvatore Castro ,  Gary S. Kappel

发明人： David T. Green ,  Henry Bolanos ,  Keith Ratcliff ,  Jeffrey J. Blewett ,  Randolph F. Lehn ,  Charles R. Sherts ,  Graham W. Bryan ,  Salvatore Castro ,  Gary S. Kappel

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 an anvil member and a surgical fastener cartridge member mounted to the distal end of an elongated endoscopic portion. A tubular collar of the endoscopic portion moves distally to engage the anvil member and bias the anvil member and the cartridge member into cooperative alignment, thereby clamping body tissue to be fastened between the anvil member and the cartridge member. A self contained pneumatic system is disposed in the surgical apparatus and is actuable to eject and/or form the surgical fasteners in the clamped body tissue. The apparatus further comprises a locking mechanism for preventing firing of the instrument after it has been fired a predetermined number of times. A counter for displaying the number of times the apparatus has been fired may be provided. A firing interlock is also shown which prevents accidental actuation of the firing trigger. A clamping interlock is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument.

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。 该装置包括安装到细长内窥镜部分的远端的砧构件和手术紧固件仓构件。 内窥镜部分的管状颈部向远侧移动以接合砧座构件并将砧座构件和暗盒构件偏压成协调对准，从而将要紧固的身体组织夹紧在砧座构件和筒构件之间。 自包含气动系统设置在手术设备中并且可致动以在夹持的身体组织中弹出和/或形成外科紧固件。 该设备还包括一个锁定机构，用于防止仪器在其被点火预定次数之后发射。 可以提供用于显示设备被触发次数的计数器。 还示出了防止触发触发器的意外致动的触发互锁。 示出了夹紧互锁，其防止当钳口不对准或不适当地插入仪器时近似钳口。

公开(公告)号：US20130172828A1

公开(公告)日：2013-07-04

申请号：US13727365

申请日：2012-12-26

申请人： Gary S. Kappel ,  Paul Smith ,  Larry Stanton ,  Ruth Cheng ,  Kenneth R. Keene ,  Gerald R. Heller ,  Man Nguyen

发明人： Gary S. Kappel ,  Paul Smith ,  Larry Stanton ,  Ruth Cheng ,  Kenneth R. Keene ,  Gerald R. Heller ,  Man Nguyen

IPC分类号： A61B17/00

CPC分类号： A61B17/00234 ,  A61B17/0218 ,  A61B17/320016 ,  A61B17/3203 ,  A61B17/32056 ,  A61B18/1492 ,  A61B18/24 ,  A61B2017/00296 ,  A61B2017/003 ,  A61B2017/308 ,  A61B2017/320052 ,  A61B2017/32006 ,  A61B2017/320064 ,  A61B2017/32113 ,  A61B2018/00279 ,  A61B2018/00291 ,  A61B2018/00982 ,  A61B2018/1407 ,  A61B2018/1412 ,  A61B2018/1422 ,  A61B2018/1475 ,  A61B2090/3937

摘要： A medical device may include an end effector configured to perform a therapeutic procedure. The medical device may further include a guide having a modifiable shape. The guide may be adapted for insertion through a lumen of an access tube. Also, the end effector may be selectively attachable to the guide and configured to move along the guide.

摘要翻译： 医疗装置可以包括构造成执行治疗程序的末端执行器。 医疗装置还可以包括具有可修改形状的引导件。 引导件可以适于插入通过入口管的内腔。 此外，末端执行器可以选择性地附接到引导件并且构造成沿着引导件移动。

公开(公告)号：US5579978A

公开(公告)日：1996-12-03

申请号：US358999

申请日：1994-12-16

申请人： David T. Green ,  Gary S. Kappel ,  Karl H. Ehrenfels

发明人： David T. Green ,  Gary S. Kappel ,  Karl H. Ehrenfels

IPC分类号： A61B17/072 ,  A61B17/72

CPC分类号： A61B17/072

摘要： A surgical stapling or fastening instrument for applying surgical fasteners to tissue having an adjustable closure mechanism to linearly approximate the distance between the jaw members of the instrument. The adjustable closure mechanism consists of a retaining mechanism and a linkage structure which is actuable to linearly urge the jaw members towards each other. A coupling arrangement is also provided which permits firing of the staples or fasteners only when the jaw members are approximated a predetermined distance towards each other.

公开(公告)号：US20130197484A1

公开(公告)日：2013-08-01

申请号：US13754560

申请日：2013-01-30

申请人： Dane T. Seddon ,  Sean P. Fleury ,  Mark D. Wood ,  Peter L. Dayton ,  Gary S. Kappel ,  Norman C. May

发明人： Dane T. Seddon ,  Sean P. Fleury ,  Mark D. Wood ,  Peter L. Dayton ,  Gary S. Kappel ,  Norman C. May

IPC分类号： A61M39/12 ,  A61M25/00

CPC分类号： A61B1/00071 ,  A61B1/00128 ,  A61B1/0055 ,  A61B17/29 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/0034 ,  A61B2017/00464 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/2905 ,  A61M25/0043 ,  A61M39/12

摘要： Embodiments of the disclosure include methods and systems for attaching an articulation section. In an embodiment, a medical instrument includes a first tubular member including a first end. The medical instrument also includes a second tubular member including a first end. The second tubular member includes a plurality of layers including an inner layer and a first layer including a fluorinated material. The inner layer includes a first section disposed under the first layer and a second section extending out from under the first layer. A portion of the first tubular member overlaps and is bonded to at least a portion of the second section of the inner layer of the second tubular member.

摘要翻译： 本公开的实施例包括用于附接关节部分的方法和系统。 在一个实施例中，医疗器械包括包括第一端的第一管状构件。 医疗器械还包括包括第一端的第二管状构件。 第二管状构件包括多个层，包括内层和包含氟化材料的第一层。 内层包括设置在第一层下方的第一部分和从第一层下方延伸的第二部分。 第一管状部件的一部分与第二管状部件的内层的第二部分的至少一部分重叠并结合。