公开(公告)号：US20070175948A1

公开(公告)日：2007-08-02

申请号：US11704049

申请日：2007-02-07

申请人： Paul Scirica ,  Stanislaw Marczyk

发明人： Paul Scirica ,  Stanislaw Marczyk

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/07214 ,  A61B2017/320052

摘要： The present disclosure provides for a surgical stapling apparatus and/or a loading unit for use with and/or supportable on a distal end of a surgical stapling apparatus. The loading unit includes a housing portion including a distal end and a proximal end, a drive assembly slidably supported within the housing portion of the loading unit, and a locking mechanism supported on the housing portion of the loading unit. The locking mechanism has a first position wherein the locking mechanism engages the drive assembly and maintains the position of the drive assembly in a ready-to-load position relative to the housing portion of the loading unit. The locking mechanism is pivotable to a second position wherein the locking mechanism disengages the drive assembly and enables the drive assembly to move relative to the housing portion.

摘要翻译： 本公开提供了用于在外科缝合装置的远端上和/或可支撑的外科缝合装置和/或装载单元。 装载单元包括包括远端和近端的壳体部分，可滑动地支撑在装载单元的壳体部分内的驱动组件以及支撑在装载单元的壳体部分上的锁定机构。 锁定机构具有第一位置，其中锁定机构接合驱动组件并将驱动组件的位置维持在相对于装载单元的壳体部分的就绪位置。 锁定机构可枢转到第二位置，其中锁定机构使驱动组件脱离并使得驱动组件相对于壳体部分移动。

公开(公告)号：US20050184124A1

公开(公告)日：2005-08-25

申请号：US11059805

申请日：2005-02-17

申请人： Paul Scirica ,  Stanislaw Marczyk

发明人： Paul Scirica ,  Stanislaw Marczyk

IPC分类号： A61B17/072 ,  A61B17/10 ,  A61B17/32

CPC分类号： A61B17/07207 ,  A61B2017/0046 ,  A61B2017/07214 ,  A61B2017/320052

摘要： The present disclosure provides for a loading unit for use with a surgical stapling apparatus. The loading unit includes a housing portion having a distal end and a proximal end, a drive assembly slidably supported within the housing portion of the loading unit, and a locking member supported on the housing portion of the loading unit. The locking member is movable from a first position wherein the locking member engages the drive assembly and maintains the drive assembly in a ready-to-load position to a second position wherein the locking member permits movement of the drive assembly relative to the housing portion.

摘要翻译： 本公开提供了一种用于外科缝合装置的装载单元。 装载单元包括具有远端和近端的壳体部分，可滑动地支撑在装载单元的壳体部分内的驱动组件和支撑在装载单元的壳体部分上的锁定构件。 锁定构件可从第一位置移动，其中锁定构件接合驱动组件并且将驱动组件保持在准备加载位置到第二位置，其中锁定构件允许驱动组件相对于壳体部分的移动。

公开(公告)号：US09610412B2

公开(公告)日：2017-04-04

申请号：US13020354

申请日：2011-02-03

申请人： Michael Zemlok ,  Russell Pribanic ,  Adam Ross ,  Stanislaw Marczyk

发明人： Michael Zemlok ,  Russell Pribanic ,  Adam Ross ,  Stanislaw Marczyk

IPC分类号： A61M13/00 ,  A61B17/072 ,  A61B17/34

CPC分类号： A61M13/00 ,  A61B17/07207 ,  A61B17/34 ,  A61B17/3474 ,  A61B2017/07271 ,  A61B2090/064 ,  A61M13/003 ,  A61M39/22 ,  A61M2205/3331

摘要： There are provided pressurized surgical instruments for use in pressurized surgical environments. The pressurized surgical instruments include pressurizing systems for maintaining a neutral or positive pressure flow within the surgical instrument during use. The pressurizing systems include a primary sensor for detecting the pressure of the surgical environment and a pressurizing mechanism for balancing the pressure of the surgical instrument with the surgical environment. The pressurizing mechanism includes a controller to receive and compare the signal sent from the primary sensor to the ambient or internal instrument pressure and a pressure delivery system to provide positive pressure to the interior of the surgical instrument in response to a signal received from the controller. The sources of pressure for the pressure delivery systems may be external or self contained within the surgical instrument.

公开(公告)号：US09241709B2

公开(公告)日：2016-01-26

申请号：US13149077

申请日：2011-05-31

申请人： Stanislaw Marczyk ,  Russell Pribanic

发明人： Stanislaw Marczyk ,  Russell Pribanic

IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/00

CPC分类号： A61B17/06166 ,  A61B2017/00526 ,  A61B2017/06176

摘要： A system and method for affixing barbs on a suture are provided. In one embodiment, the system includes a suture supply mechanism for selectively retaining a length of suture and a barb supply mechanism for operably engaging a barb supply assembly including at least one barb. At least one of the suture supply mechanism and the barb supply mechanism are configured to approximate towards the other of the barb supply mechanism and suture supply mechanism to engage the at least one barb of the barb supply assembly with the suture of the suture supply assembly. Also provided are a barb for use in forming a barbed suture and a suture including at least one barb.

公开(公告)号：US09144435B2

公开(公告)日：2015-09-29

申请号：US13468244

申请日：2012-05-10

申请人： Stanislaw Marczyk ,  Emily Grace-Anne Gumkowski ,  Ross D. Segan

发明人： Stanislaw Marczyk ,  Emily Grace-Anne Gumkowski ,  Ross D. Segan

IPC分类号： A61B17/326

CPC分类号： A61B17/326

摘要： A circumcision clamp system and related methods of use. The clamp system includes an inner ring that is placed under the foreskin proximate to the corona of the glans penis, and an outer ring that clamps the foreskin against the inner ring. In an embodiment suitable for necrotic circumcisions, the inner and outer rings include one or more break-off sections that enable a clinician to adjust the diameter of the clamp accordingly. The inner ring includes a key and lock arrangement that ensures the inner ring maintains a circular shape by denying all degrees of freedom to the joined sections thereof. The outer ring includes a plurality of clamping members extending radially inward from an inner surface thereof. In some embodiments, the outer ring includes castellations that work in cooperation with longitudinal grooves in the inner ring to aid in suture placement.

摘要翻译： 包皮环切钳系统及相关使用方法。 所述夹紧系统包括位于所述包皮下方的靠近阴茎龟头的电晕的内环，以及将所述包皮夹在内环上的外环。 在适于坏死包皮环切的实施例中，内环和外环包括一个或多个断开部分，使得临床医生能够相应地调节夹具的直径。 内环包括钥匙和锁定装置，通过拒绝其连接部分的所有自由度来确保内圈保持圆形。 外环包括从其内表面径向向内延伸的多个夹紧构件。 在一些实施例中，外环包括与内环中的纵向槽配合工作以帮助缝线放置的蓖麻。

公开(公告)号：US08820607B2

公开(公告)日：2014-09-02

申请号：US13294415

申请日：2011-11-11

申请人： Stanislaw Marczyk

发明人： Stanislaw Marczyk

IPC分类号： A61B17/10 ,  A61B17/04 ,  A61B17/072 ,  A61B17/29 ,  A61B19/00 ,  A61B17/00

CPC分类号： A61B17/07207 ,  A61B2017/00017 ,  A61B2017/00398 ,  A61B2017/2913 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/294 ,  A61B2017/2943 ,  A61B2090/0811

摘要： A retraction mechanism has been developed for use with a hand held surgical apparatus. The retraction mechanism includes a motor, a first speed reducing mechanism, a clutch mechanism incorporating a second speed reducing mechanism, and a shaft. The first speed reducing mechanism is configured to be driven by a motor. The second speed reducing mechanism has a locked state and an unlocked state. In addition, the clutch mechanism is disposed in mechanical cooperation with the first speed reducing mechanism. The shaft is configured to rotate upon activation of the motor the second speed reducing mechanism is in the locked state. The rotation of the shaft retracts a firing drive of the hand held surgical apparatus.

摘要翻译： 已经开发了用于手持式手术装置的缩回机构。 回缩机构包括电动机，第一减速机构，包括第二减速机构的离合器机构和轴。 第一减速机构构造成由电动机驱动。 第二减速机构具有锁定状态和解锁状态。 此外，离合器机构与第一减速机构机械配合配置。 轴构造成在电动机启动时旋转，第二减速机构处于锁定状态。 轴的旋转缩回了手持式手术装置的点火驱动。

公开(公告)号：US08464922B2

公开(公告)日：2013-06-18

申请号：US12410850

申请日：2009-03-25

申请人： Stanislaw Marczyk

发明人： Stanislaw Marczyk

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/0644 ,  A61B2017/07242 ,  A61B2017/07271 ,  A61B2017/07278

摘要： A surgical fastener cartridge is provided and includes a cartridge body having a tissue contacting surface that includes a plurality of fastener retention slots. A plurality of surgical fasteners is operatively disposed in the plurality of fastener retention slots. A plurality of pushers is operably associated with the plurality of surgical fasteners. Each pusher is configured for ejecting an associated surgical fastener towards a depression in an anvil. An actuation sled is housed within the cartridge body and includes a plurality of cam wedges. The plurality of cam wedges configured to sequentially contact the plurality of pushers such that a surgical fastener that is ejected closer to a cut line produces a greater compression force to stapled tissue than a surgical fastener ejected further from the cut line.

摘要翻译： 提供了一种手术紧固件盒，并且包括具有包括多个紧固件保持槽的组织接触表面的盒体。 多个外科紧固件可操作地设置在多个紧固件保持槽中。 多个推动器可操作地与多个外科紧固件相关联。 每个推动器被配置为朝向砧座中的凹部排出相关的手术紧固件。 致动滑板容纳在盒体内并且包括多个凸轮楔。 多个凸轮楔构造成顺序地接触多个推动器，使得更靠近切割线的外科紧固件相对于从切割线进一步喷射的手术紧固件产生比缝合组织更大的压缩力。

公开(公告)号：US08419768B2

公开(公告)日：2013-04-16

申请号：US13545278

申请日：2012-07-10

申请人： Stanislaw Marczyk

发明人： Stanislaw Marczyk

IPC分类号： A61B17/068

CPC分类号： A61B17/068 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/031

摘要： The surgical stapling apparatus includes a handle assembly, an elongated body extending distally from the handle assembly, and an articulation mechanism for articulating a tool assembly. The articulation mechanism includes a first gear rotatably mounted on a transmission shaft and configured to engage a second gear, a clutch interconnecting the second gear and a main shaft; and a yoke shaft coupled to the main shaft and adapted to linearly advance a J-channel, the J-channel operatively connected to an articulation link. A motor assembly may rotate the transmission shaft of the articulation mechanism. Alternatively, the articulation mechanism may include an articulation knob. Users may manually rotate the articulation knob to articulate the tool assembly of the surgical stapling apparatus.

公开(公告)号：US08414612B2

公开(公告)日：2013-04-09

申请号：US12941283

申请日：2010-11-08

申请人： David Kirsch ,  Stanislaw Marczyk

发明人： David Kirsch ,  Stanislaw Marczyk

IPC分类号： A61B17/04

CPC分类号： A61B17/06166 ,  A61B2017/06176

摘要： A surgical suture includes a plurality of intertwined unbarbed filaments defining a longitudinal axis and a barbed filament including an elongate body and a plurality of barbs disposed along a length thereof. The plurality of barbs extends radially outward from a surface of the elongate body, wherein the barbed filament at least partially intertwines with the plurality of unbarbed filaments.

摘要翻译： 手术缝合线包括限定纵向轴线的多个相互缠绕的未布线的细丝和包括细长主体的带刺的细丝和沿其长度设置的多个倒钩。 多个倒钩从细长体的表面径向向外延伸，其中有刺的细丝至少部分地与多个未锯齿的细丝缠绕。

公开(公告)号：US20130012958A1

公开(公告)日：2013-01-10

申请号：US13543931

申请日：2012-07-09

申请人： Stanislaw Marczyk ,  Russell Pribanic ,  Kenneth W. Horton, JR.

发明人： Stanislaw Marczyk ,  Russell Pribanic ,  Kenneth W. Horton, JR.

IPC分类号： A61B19/00

CPC分类号： A61B17/2909 ,  A61B17/29 ,  A61B2017/00327 ,  A61B2017/291 ,  A61B2017/2929

摘要： A surgical instrument comprising a handle assembly, an elongated shaft, an end effector, a rotation mechanism, and an articulation mechanism is disclosed. The rotation mechanism is disposed in mechanical cooperation with the handle assembly and effects rotation of the end effector about the second longitudinal axis. The articulation mechanism is disposed in mechanical cooperation with the handle assembly and effects movement of the end effector from a first position where the first longitudinal axis is substantially aligned with the second longitudinal axis to a second position where the second longitudinal axis is displaced from the first longitudinal axis. The articulation mechanism comprises a first articulation control disposed in mechanical cooperation with the handle assembly, a first cable and a second cable. Actuation of the first articulation control in a first direction causes the first cable to move distally and causes the second cable to move proximally.

摘要翻译： 公开了一种包括手柄组件，细长轴，端部执行器，旋转机构和关节运动机构的手术器械。 旋转机构设置成与手柄组件机械配合，并且实现端部执行器围绕第二纵向轴线的旋转。 关节运动机构与手柄组件机械协作地设置，并且实现末端执行器从第一纵向轴线基本上与第二纵向轴线对准的第一位置到第二位置的运动，第二纵向轴线与第一纵向轴线从第一纵向轴线 纵轴。 铰接机构包括与手柄组件机械配合设置的第一关节运动控制件，第一电缆和第二电缆。 在第一方向上的第一关节运动控制的致动导致第一电缆向远侧移动并且使第二电缆向近侧移动。