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公开(公告)号:US07147139B2
公开(公告)日:2006-12-12
申请号:US11014906
申请日:2004-12-20
申请人: Richard F. Schwemberger , Peter Michael Wukusick , William David Kelly , Michael T. Mather , Dean L. Garner , Kristin Nicole Werner Dawson
发明人: Richard F. Schwemberger , Peter Michael Wukusick , William David Kelly , Michael T. Mather , Dean L. Garner , Kristin Nicole Werner Dawson
IPC分类号: A61B17/04
CPC分类号: A61B17/072 , A61B17/32 , A61B2017/0023 , A61B2017/07214 , A61B2017/07221 , A61B2017/07271 , A61B2017/320052 , A61B2090/038 , A61B2090/0814
摘要: A surgical instrument is adapted for applying a plurality of surgical fasteners to body tissue. The surgical instrument includes an anvil and a cartridge housing containing a plurality of surgical fasteners. The cartridge housing and anvil are relatively movable between a first spaced apart position and a second closed position. A firing mechanism is associated with the cartridge housing for ejecting the surgical fasteners from the cartridge housing to be driven against the anvil. A lockout mechanism interacts with the cartridge housing for activation and deactivation; the lockout mechanism preventing movement of the cartridge housing to its second closed position but permitting relative reapproximation movement of the cartridge housing and anvil, whereby reapproximation provides an indicator that the instrument is not malfunctioning.
摘要翻译: 外科器械适于将多个外科紧固件应用于身体组织。 手术器械包括砧座和容纳多个手术紧固件的药筒外壳。 盒壳体和砧座可在第一间隔位置和第二关闭位置之间相对移动。 击发机构与药筒壳体相关联,用于将外科紧固件从药筒外壳排出以抵靠砧座驱动。 锁定机构与盒壳体相互作用以激活和去激活; 所述锁定机构防止所述盒壳体移动到其第二关闭位置,但允许所述盒壳体和所述砧座相对重新近似运动,由此重新近似提供所述仪器未发生故障的指示器。
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公开(公告)号:US07204404B2
公开(公告)日:2007-04-17
申请号:US11014914
申请日:2004-12-20
申请人: Anthony Nguyen , William David Kelly , Peter Michael Wukusick , Richard F. Schwemberger , Richard C. Smith , Michael L. Kruszynski , Federico Bilotti
发明人: Anthony Nguyen , William David Kelly , Peter Michael Wukusick , Richard F. Schwemberger , Richard C. Smith , Michael L. Kruszynski , Federico Bilotti
IPC分类号: A61B17/072 , A61B17/32 , A61B17/064
CPC分类号: A61B17/072 , A61B17/068 , A61B17/115 , A61B2017/07214 , A61B2017/07221 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052
摘要: A surgical instrument adapted for applying a plurality of surgical fasteners to body tissue includes a frame having a proximal end and a distal end, with a handle positioned at the proximal end. The instrument also includes a cartridge housing and an anvil. The cartridge housing and anvil are relatively movable between a first spaced apart position and a second position in close approximation with one another, and the cartridge housing includes a knife adapted for cutting tissue by moving between the cartridge housing and the anvil. A firing mechanism is associated with the cartridge housing for selective actuation. The instrument also includes a tissue retention feature having an upper member and a lower member maintaining tissue between the cartridge housing and the anvil during treatment, wherein the upper and lower members respectively include channels associated with the knife for guiding it between the cartridge housing and the anvil.
摘要翻译: 适于将多个外科紧固件应用于身体组织的手术器械包括具有近端和远端的框架,手柄位于近端。 仪器还包括一个墨盒外壳和一个砧座。 盒壳体和砧座可在相互近似的第一间隔位置和第二位置之间相对移动,并且盒壳体包括适于通过在盒壳体和砧座之间移动来切割组织的刀。 击发机构与用于选择性致动的盒壳体相关联。 仪器还包括组织保持特征,其具有上部构件和下部构件,其在处理期间保持在盒壳体和砧座之间的组织,其中上部构件和下部构件分别包括与刀相关联的通道,用于将其引导到盒壳体和 砧。
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公开(公告)号:US07134587B2
公开(公告)日:2006-11-14
申请号:US11014895
申请日:2004-12-20
IPC分类号: A61B17/068
CPC分类号: A61B17/072 , A61B2017/0023 , A61B2017/07214 , A61B2017/07221 , A61B2017/07271 , A61B2017/07285 , A61B2090/038 , A61B2090/0814
摘要: A surgical instrument for cutting and applying a plurality of surgical fasteners in the same direction to body tissue includes a frame having a proximal end and a distal end, with a handle positioned at the proximal end and an end effector positioned at the distal end. The end effector is shaped and dimensioned for supporting a cartridge housing and an anvil. The cartridge housing and anvil are relatively movable between a first spaced apart position and a second position in close approximation with one another, and the cartridge housing includes a knife structure adapted for cutting tissue by moving between the cartridge housing and the anvil. The instrument also includes a firing mechanism associated with the end effector and the cartridge housing for selective actuation of the knife structure and surgical fasteners for movement in the same direction. The knife structure includes a rearwardly facing coupling member shaped and dimensioned for engaging a distal end of the firing mechanism as the cartridge housing is loaded into the end effector of the surgical instrument.
摘要翻译: 用于在与身体组织相同的方向上切割和施加多个外科紧固件的手术器械包括具有近端和远端的框架,其中手柄位于近端,并且末端执行器位于远端。 端部执行器的形状和尺寸用于支撑盒壳体和砧座。 盒壳体和砧座在相互近似的第一间隔位置和第二位置之间相对可移动,并且盒壳体包括适于通过在盒壳体和砧座之间移动来切割组织的刀架结构。 仪器还包括与端部执行器和药筒外壳相关联的触发机构,用于选择性地致动刀具结构和用于沿相同方向移动的外科紧固件。 刀结构包括朝向后的联接构件,该联接构件的形状和尺寸用于当筒壳体装载到外科器械的端部执行器中时,用于接合击发机构的远端。
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公开(公告)号:US07207472B2
公开(公告)日:2007-04-24
申请号:US11014896
申请日:2004-12-20
CPC分类号: A61B17/072 , A61B17/32 , A61B2017/0023 , A61B2017/07214 , A61B2017/07221 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052 , A61B2090/038 , A61B2090/0814
摘要: A surgical instrument adapted for applying a plurality of surgical fasteners to body tissue includes a cartridge module having a cartridge housing containing a plurality of surgical fasteners and a knife. The cartridge module includes a driver disposed to push surgical fasteners out of the cartridge housing. The instrument also includes a firing mechanism associated with the cartridge housing for ejecting the surgical fasteners and the knife from the cartridge housing. The knife includes a detent disposed to contact a mating detent of the cartridge module during longitudinal travel of the knife thereby preventing undesired forward and rearward motion of the knife. The driver includes a detent disposed to contact at least one mating detent formed on the cartridge module.
摘要翻译: 适于将多个外科紧固件应用于身体组织的手术器械包括具有容纳多个手术紧固件和刀的药筒壳体的药筒模块。 药筒模块包括驱动器,其设置成将外科紧固件推出药筒外壳。 仪器还包括与盒壳体相关联的击发机构,用于从外壳夹持件弹出外科紧固件和刀。 刀包括设置成在刀的纵向运动期间接触盒模块的配合定位器的止动器,从而防止刀的不期望的向前和向后运动。 驾驶员包括设置成接触形成在盒式模块上的至少一个配合制动器的制动器。
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公开(公告)号:US07147140B2
公开(公告)日:2006-12-12
申请号:US11014913
申请日:2004-12-20
IPC分类号: A61B17/04 , A61B17/068
CPC分类号: A61B17/072 , A61B2017/0023 , A61B2017/07221 , A61B2017/07271 , A61B2090/038 , A61B2090/0814
摘要: A surgical instrument is adapted for stapling tissue in a highly controlled manner. The surgical instrument includes a frame having a proximal end and a distal end, with a handle positioned at the proximal end and an end effector positioned at the distal end. The end effector is shaped and dimensioned for selectively receiving a cartridge module containing a plurality of surgical fasteners. A firing mechanism is associated with the end effector and the cartridge module for selective actuation of the surgical fasteners. The cartridge module includes a cartridge housing in which the surgical fasteners are housed and an anvil shaped and dimensioned for engagement with the surgical fasteners to facilitate stapling. The cartridge housing and anvil are relatively movable between a first spaced apart position and a second position in close approximation with one another. A retainer is removeably positioned between the anvil and the cartridge housing to prevent undesired movement of the cartridge housing toward the anvil.
摘要翻译: 手术器械适于以高度受控的方式装订组织。 手术器械包括具有近端和远端的框架,手柄位于近端,并且末端执行器位于远端。 端部执行器的形状和尺寸用于选择性地接收包含多个外科紧固件的药筒模块。 击发机构与末端执行器和盒模块相关联,用于选择性地致动外科紧固件。 药筒模块包括药筒外壳,外科紧固件被容纳在该药筒外壳中,砧座的形状和尺寸用于与手术紧固件接合以便于缝合。 盒壳体和砧座可在彼此近似近似的第一间隔位置和第二位置之间相对移动。 保持器可移除地定位在砧座和盒壳体之间,以防止盒壳体朝向砧座的不期望的移动。
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公开(公告)号:US07549563B2
公开(公告)日:2009-06-23
申请号:US11511498
申请日:2006-08-29
IPC分类号: A61B17/068 , F16C11/06 , F16C11/10
CPC分类号: A61B17/072 , A61B2017/0688 , A61B2017/07221 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/320052 , Y10T403/32631 , Y10T403/32672
摘要: A rotating surgical stapler having a proximal end and a distal end includes a handle at the proximal end and an end effector at the distal end for selective rotation to improve access to tissue requiring treatment and ease of use of the present linear surgical stapler. A support shaft connects the handle to the end effector and includes a longitudinal axis. The end effector is coupled to the support shaft for rotation about a longitudinal axis of the stapler.
摘要翻译: 具有近端和远端的旋转外科缝合器包括在近端处的手柄和在远端处的端部执行器,用于选择性旋转以改善对需要治疗的组织的通路以及本发明的线性外科缝合器的易用性。 支撑轴将手柄连接到端部执行器并且包括纵向轴线。 端部执行器联接到支撑轴以围绕订书机的纵向轴线旋转。
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7.
公开(公告)号:US06988650B2
公开(公告)日:2006-01-24
申请号:US11015278
申请日:2004-12-20
IPC分类号: A61B17/068
CPC分类号: A61B17/072 , A61B17/07207 , A61B2017/07214 , A61B2017/07221 , A61B2017/07271 , A61B2017/07285
摘要: A surgical instrument is adapted for applying a plurality of surgical fasteners to body tissue. The surgical instrument includes a frame having a proximal end and a distal end, with a handle positioned at the proximal end and an end effector positioned at the distal end. The end effector is shaped and dimensioned for supporting a cartridge housing and an anvil, the cartridge housing and anvil being relatively movable by actuation of a closure mechanism. The surgical instrument further includes a firing mechanism associated with the end effector and the cartridge housing for selective actuation of the surgical fasteners features. The surgical instrument also includes a retaining pin for enclosing tissue between the anvil and the cartridge housing. The retaining pin is moved by actuation of the closure mechanism from an open first position to a closed second position. A manual actuator is associated with the retaining pin for moving from the second position back to the first position and alternatively moving the retaining pin from the first position to the second position.
摘要翻译: 外科器械适于将多个外科紧固件应用于身体组织。 手术器械包括具有近端和远端的框架,手柄位于近端,并且末端执行器位于远端。 端部执行器的形状和尺寸用于支撑盒壳体和砧座,盒壳体和砧座通过关闭机构的致动而可相对移动。 手术器械还包括与端部执行器和药筒外壳相关联的触发机构,用于选择性地致动外科手术紧固件特征。 外科器械还包括用于封闭砧座和药筒壳体之间的组织的固定销。 通过闭合机构的致动将固定销从打开的第一位置移动到关闭的第二位置。 手动致动器与保持销相关联,用于从第二位置移动到第一位置,并且将保持销从第一位置移动到第二位置。
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公开(公告)号:US07766207B2
公开(公告)日:2010-08-03
申请号:US11511490
申请日:2006-08-29
IPC分类号: A61B17/068 , F16C11/06 , F16D11/06
CPC分类号: A61B17/072 , A61B2017/00473 , A61B2017/0688 , A61B2017/07221 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/320052 , Y10T403/32024 , Y10T403/32032 , Y10T403/32311
摘要: An articulating surgical stapler having a proximal end and a distal end includes a handle at the proximal end and an end effector at the distal end for selective articulation to improve access to tissue requiring treatment and ease of use of the present linear surgical stapler. A support shaft connects the handle to the end effector. An articulation mechanism is positioned between the support shaft and the end effector permitting selective movement of the end effector relative to the support shaft.
摘要翻译: 具有近端和远端的关节式外科缝合器包括在近端处的手柄和在远端处的端部执行器,用于选择性关节运动以改善对需要治疗的组织的通路以及本发明的线性外科缝合器的易用性。 支撑轴将手柄连接到端部执行器。 铰链机构定位在支撑轴和端部执行器之间,允许端部执行器相对于支撑轴的选择性移动。
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公开(公告)号:US08852216B2
公开(公告)日:2014-10-07
申请号:US11690196
申请日:2007-03-23
IPC分类号: A61B17/08 , A61B17/128 , A61B17/00 , A61B17/122
CPC分类号: A61B17/128 , A61B17/1227 , A61B17/1285 , A61B2017/00349 , A61B2017/00827
摘要: Methods and devices for approximating tissue are disclosed. The methods and devices utilize a device for applying an implantable tissue fastener and a variety of implantable tissue fasteners. The tissue-fastening device can be delivered endoscopically and can be adapted to function along side or in conjunction with a flexible endoscope. In general, the device can include a flexible shaft having an implantable tissue fastener applier disposed at a distal end of the shaft and a handle for operating the implantable tissue fastener applier disposed at a proximal end of the shaft. A variety of self-deploying implantable tissue fasteners can be used with the tissue fastener applier device.
摘要翻译: 公开了近似组织的方法和装置。 所述方法和装置利用用于施加可植入组织紧固件和各种可植入组织紧固件的装置。 组织紧固装置可以内窥镜传送并且可以适于沿着柔性内窥镜的侧面或与柔性内窥镜一起工作。 通常,该装置可以包括柔性轴,其具有设置在轴的远端处的可植入组织紧固件施放器和用于操作设置在轴的近端处的可植入组织紧固件敷贴器的手柄。 可以使用组织紧固件施加器装置使用各种自展开植入式组织紧固件。
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公开(公告)号:US20120123471A1
公开(公告)日:2012-05-17
申请号:US13295186
申请日:2011-11-14
申请人: James A. Woodard, JR. , Michael V. Sherrill , Jason R. Lesko , David T. Martin , Katherine J. Schmid , Michael J. Miller , Gary W. Knight , Richard F. Schwemberger , Atul M. Godbole
发明人: James A. Woodard, JR. , Michael V. Sherrill , Jason R. Lesko , David T. Martin , Katherine J. Schmid , Michael J. Miller , Gary W. Knight , Richard F. Schwemberger , Atul M. Godbole
IPC分类号: A61B17/06
CPC分类号: A61B17/06004 , A61B17/0469 , A61B17/06066 , A61B17/062 , A61B2017/06009 , A61B2017/06019 , A61B2017/06023 , A61B2017/06047 , A61B2017/06052 , A61B2017/0609 , A61B2017/061 , A61B2017/2929
摘要: A surgical needle includes a pair of ends, a mid-region extending between the ends, and at least one grasping feature configured for grasping by a suturing instrument. An end of a suture is secured to the mid-region of the needle in a manner such that the end of the suture defines an oblique angle with at least part of the centerline defined by the mid-region of the needle. The end of the suture may be disposed in a hollow portion of the needle. The grasping feature may include a notch such as a scallop. The suture may be pivotally coupled with the needle via a ball or pin. The needle may have one or more sharp points. The sharp point may include three converging cutting edges, at least two planar surfaces bounded by the three cutting edges, and a rounded surface bounded by two of the three cutting edges.
摘要翻译: 外科用针包括一对端部,在端部之间延伸的中间区域,以及构造成用于通过缝合器械夹持的至少一个抓握部件。 缝合线的端部以这样的方式固定到针的中间区域,使得缝合线的端部限定与由针的中间区域限定的中心线的至少一部分的倾斜角度。 缝线的末端可以设置在针的中空部分中。 抓握功能可以包括诸如扇贝的凹口。 缝合线可以经由球或针与针枢转地联接。 针可能具有一个或多个尖锐点。 锐点可以包括三个会聚的切割边缘,由三个切割边界限定的至少两个平面,以及由三个切割边缘中的两个限定的圆形表面。
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