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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：US5803902A
公开(公告)日：1998-09-08
申请号：US710747
申请日：1996-09-20
申请人： Henry R. Sienkiewicz , Robert C. Savage , Stanley J. Malinowski , Douglas M. Dunklee , Henry Holsten
发明人： Henry R. Sienkiewicz , Robert C. Savage , Stanley J. Malinowski , Douglas M. Dunklee , Henry Holsten
IPC分类号： A61B17/02
CPC分类号： A61B17/0218
摘要： A surgical retractor is disclosed having a handle portion, an elongated body portion extending distally from the handle portion and including an outer tube, a stabilizing member extending from a distal end of the outer tube and a pair of resilient bands pivotably connected to a distal end portion of the stabilizing member. An actuation mechanism is provided which is associated with the handle portion and the resilient bands for moving the bands between open and closed position. The surgical retractor further includes a sheath dimensioned to receive at least a portion of the stabilizing member and the bands. A surgical kit is also provided having a package configured to receive a surgical instrument, a base member for sealing the package, a surgical instrument having proximal and distal ends and having a mechanism for performing a surgical procedure located at the distal end, and a static barrier for enclosing the mechanism of the surgical retractor.
摘要翻译： 公开了一种手术牵开器，其具有把手部分，从手柄部分向远侧延伸的细长主体部分，并且包括外管，从外管远端延伸的稳定部件和可枢转地连接到远端的一对弹性带 稳定构件的一部分。 提供致动机构，其与手柄部分和弹性带相关联，用于在打开和关闭位置之间移动带。 手术牵开器还包括尺寸适于容纳稳定构件和带的至少一部分的护套。 还提供一种手术套件，其具有被配置为接收外科器械的包装，用于密封包装的基部构件，具有近端和远端并具有用于执行位于远端的外科手术的机构的手术器械，以及静态 用于封闭手术牵开器的机构的屏障。
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3.发明授权
公开(公告)号：US4173294A
公开(公告)日：1979-11-06
申请号：US809346
申请日：1977-06-23
申请人： Robert C. Savage
发明人： Robert C. Savage
CPC分类号： G03G15/0877 , Y10S222/01
摘要： An apparatus in which particles are advanced from a storage container through a tube having a plurality of apertures therein. The particles are moved along the tube by paddles secured to a shaft so as to be discharged through the apertures in the tube. The shaft is mounted reciprocably and rotatably within the tube. In this manner, the paddles engage the particles during its forward movement while being spaced therefrom during the return to its initial position.
摘要翻译： 一种其中颗粒通过其中具有多个孔的管从储存容器前进的装置。 颗粒通过固定在轴上的桨叶沿着管移动，以通过管中的孔排出。 轴可往复运动地安装在管内。 以这种方式，桨叶在其向前运动期间与颗粒接合，同时在返回到其初始位置期间与其间隔开。
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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：US5584425A
公开(公告)日：1996-12-17
申请号：US510254
申请日：1995-08-02
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 , A61B2017/07214 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804 , A61B2090/0814
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 approximation of the anvil member and the cartridge. In one embodiment a clamping interlock is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument. In a second embodiment a clamping interlock is shown which directly engages the tubular collar preventing approximation of the jaws when a cartridge member is not fully inserted. In a third embodiment a clamping interlock is shown which directly engages the tubular collar when an unfired cartridge is not present or properly 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。 该装置还包括用于防止砧构件和盒的近似的锁定机构。 在一个实施例中，示出了夹紧互锁，其防止当钳口不对准或不正确地插入仪器时近似钳口。 在第二实施例中，示出了夹紧互锁件，其直接接合管状套环，以防止当盒构件未完全插入时近似钳口。 在第三实施例中，示出了夹紧互锁件，当不存在未充填的药筒或适当地插入到器械中时，该联锁器直接接合管状套环。
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公开(公告)号：US5397046A
公开(公告)日：1995-03-14
申请号：US34234
申请日：1993-03-22
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 , A61B2017/07214 , A61B2017/2926 , A61B2017/2927 , A61B2017/2929 , A61B2090/038 , A61B2090/0803 , A61B2090/0804 , A61B2090/0814
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 member for preventing approximation of the anvil member and the cartridge. In one embodiment a clamping interlock is shown which prevents approximation of the jaws when the jaws are either misaligned or improperly inserted into the instrument. In a second embodiment a clamping interlock is shown which directly engages the tubular collar preventing approximation of the jaws when a cartridge member is not fully inserted. In a third embodiment a clamping interlock is shown which directly engages the tubular collar when an unfired cartridge is not present or properly 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。 该装置还包括用于防止砧构件和盒的近似的锁定构件。 在一个实施例中，示出了夹紧互锁，其防止当钳口不对准或不正确地插入仪器时近似钳口。 在第二实施例中，示出了夹紧互锁件，其直接接合管状套环，以防止当盒构件未完全插入时近似钳口。 在第三实施例中，示出了夹紧互锁件，当不存在未充填的药筒或适当地插入到器械中时，该联锁器直接接合管状套环。
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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：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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