公开(公告)号：US5246156A

公开(公告)日：1993-09-21

申请号：US759014

申请日：1991-09-12

申请人： Robert G. Rothfuss ,  Livyn O. Okorocha ,  Gregory D. Bishop ,  Narinderjit S. Sambi ,  James J. Bedi ,  Salvatore Privitera ,  Michael Sherrill

发明人： Robert G. Rothfuss ,  Livyn O. Okorocha ,  Gregory D. Bishop ,  Narinderjit S. Sambi ,  James J. Bedi ,  Salvatore Privitera ,  Michael Sherrill

IPC分类号： A61B1/00 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/10

CPC分类号： A61B17/0644 ,  A61B17/0684 ,  A61B17/105

摘要： A unique hernia repair stapler is described which allows the forming of staples to attach prosthetics to tissue, or to approximate herniated tissue. The staple is useful in endoscopic operations and may be rotatable or stationary. The stapler has a unique forming and ejecting mechanism; as well, there is the availability of a loading mechanism useful for both cartridges and magazines of staples. An improved staple shape allows for better staple alignment, especially in a multiple load device.

公开(公告)号：US5470010A

公开(公告)日：1995-11-28

申请号：US388117

申请日：1995-02-13

申请人： Robert G. Rothfuss ,  Livyn O. Okorocha ,  Gregory D. Bishop ,  Narinderjit S. Sambi ,  James J. Bedi ,  Salvatore Privitera ,  Michael Sherrill

发明人： Robert G. Rothfuss ,  Livyn O. Okorocha ,  Gregory D. Bishop ,  Narinderjit S. Sambi ,  James J. Bedi ,  Salvatore Privitera ,  Michael Sherrill

IPC分类号： A61B17/064 ,  A61B17/068 ,  A61B17/10

CPC分类号： A61B17/0644 ,  A61B17/0684 ,  A61B17/105

摘要： A unique hernia repair stapler is described which allows the forming of staples to attach prosthetics to tissue, or to approximate herniated tissue. The staple is useful in endoscopic operations and may be rotatable or stationary. The stapler has a unique forming and ejecting mechanism; as well, there is the availability of a loading mechanism useful for both cartridges and magazines of staples. An improved staple shape allows for better staple alignment, especially in a multiple load device.

摘要翻译： 描述了一种独特的疝修补吻合器，其允许形成缝钉将假肢附着到组织或近似突出的组织。 订书钉在内窥镜操作中是有用的，并且可以是可旋转的或静止的。 订书机具有独特的成型和排出机构; 同样，存在可用于钉仓和钉仓的两个装载机构。 改进的钉形状允许更好的缝合线对准，特别是在多重负载装置中。

公开(公告)号：US5333772A

公开(公告)日：1994-08-02

申请号：US11069

申请日：1993-01-29

申请人： Robert G. Rothfuss ,  Livyn O. Okorocha ,  Gregory D. Bishop ,  Narinderjit S. Sambi ,  James J. Bedi ,  Salvatore Privitera ,  Michael Sherrill

发明人： Robert G. Rothfuss ,  Livyn O. Okorocha ,  Gregory D. Bishop ,  Narinderjit S. Sambi ,  James J. Bedi ,  Salvatore Privitera ,  Michael Sherrill

IPC分类号： A61B1/00 ,  A61B17/04 ,  A61B17/064 ,  A61B17/068 ,  A61B17/10

CPC分类号： A61B17/0644 ,  A61B17/0684 ,  A61B17/105

摘要： A unique hernia repair stapler is described which allows the forming of staples to attach prosthetics to tissue, or to approximate herniated tissue. The staple is useful in endoscopic operations and may be rotatable or stationary. The stapler has a unique forming and electing mechanism; as well, there is the availability of a loading mechanism useful for both cartridges and magazines of staples. An improved staple shape allows for better staple alignment, especially in a multiple load device.

摘要翻译： 描述了一种独特的疝修补吻合器，其允许形成缝钉将假肢附着到组织或近似突出的组织。 订书钉在内窥镜操作中是有用的，并且可以是可旋转的或静止的。 订书机具有独特的成型和选举机制; 同样，存在可用于钉仓和钉仓的两个装载机构。 改进的钉形状允许更好的缝合线对准，特别是在多重负载装置中。

公开(公告)号：US5829662A

公开(公告)日：1998-11-03

申请号：US709961

申请日：1996-09-09

申请人： Eugene David Allen ,  James J. Bedi ,  Gregory D. Bishop ,  Mark A. Burdorff ,  Sean P. Conlon ,  John A. Hibner ,  J. David Hughett ,  Mark S. Ortiz ,  Joseph Paraschac ,  Narinderjit Sambi ,  Thomas J. Sierocuk ,  Jack E. Smith

发明人： Eugene David Allen ,  James J. Bedi ,  Gregory D. Bishop ,  Mark A. Burdorff ,  Sean P. Conlon ,  John A. Hibner ,  J. David Hughett ,  Mark S. Ortiz ,  Joseph Paraschac ,  Narinderjit Sambi ,  Thomas J. Sierocuk ,  Jack E. Smith

IPC分类号： A61B1/00 ,  A61B17/068 ,  A61B17/10 ,  A61B17/28 ,  A61B17/34

CPC分类号： A61B17/0684 ,  A61B17/0682 ,  A61B17/3421 ,  A61B2017/2903 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2929

摘要： A surgical stapler is provided which is insertable through an endoscopic tube to enable a surgeon to staple a hernia patch to tissue inside a body cavity. The endoscopic surgical stapler includes a staple cartridge pivotally mounted on the distal end of a support tube extending from a handle provided with an actuator mechanism for actuating a staple forming mechanism inside the staple cartridge to fasten staples to the tissue. The staple cartridge is adjustable to different angular orientations relative to the support tube. The staple actuator mechanism is operable to actuate the staple cartridge in any of the angular orientations. The support shaft is rotatable about its longitudinal axis relative to the handle to adjust the rotational orientation of the support shaft and the staple cartridge. The staple cartridge is rotatable about its longitudinal axis relative to the support shaft to adjust the rotational position of the staple cartridge relative to the support shaft. Separate actuator mechanisms are provided on the handle to control the pivotal movement of the staple cartridge, the rotation of the support shaft, and the rotation of the staple cartridge relative to the support shaft.

公开(公告)号：US5381943A

公开(公告)日：1995-01-17

申请号：US959184

申请日：1992-10-09

申请人： Eugene D. Allen ,  James J. Bedi ,  Gregory D. Bishop ,  Mark A. Burdorff ,  Sean P. Conlon ,  John A. Hibner ,  J. David Hughett ,  Mark S. Ortiz ,  Joseph Paraschac ,  Narinderjit Sambi ,  Thomas J. Sierocuk ,  Jack E. Smith

发明人： Eugene D. Allen ,  James J. Bedi ,  Gregory D. Bishop ,  Mark A. Burdorff ,  Sean P. Conlon ,  John A. Hibner ,  J. David Hughett ,  Mark S. Ortiz ,  Joseph Paraschac ,  Narinderjit Sambi ,  Thomas J. Sierocuk ,  Jack E. Smith

IPC分类号： A61B1/00 ,  A61B17/068 ,  A61B17/10 ,  A61B17/28 ,  A61B17/34

CPC分类号： A61B17/0684 ,  A61B17/0682 ,  A61B17/3421 ,  A61B2017/2903 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2929

摘要： A surgical stapler is provided which is insertable through an endoscopic tube to enable a surgeon to staple a hernia patch to tissue inside a body cavity. The endoscopic surgical stapler includes a staple cartridge pivotally mounted on the distal end of a support tube extending from a handle provided with an actuator mechanism for actuating a staple forming mechanism inside the staple cartridge to fasten staples to the tissue. The staple cartridge is adjustable to different angular orientations relative to the support tube. The staple actuator mechanism is operable to actuate the staple cartridge in any of the angular orientations. The support shaft is rotatable about its longitudinal axis relative to the handle to adjust the rotational orientation of the support shaft and the staple cartridge. The staple cartridge is rotatable about its longitudinal axis relative to the support shaft to adjust the rotational position of the staple cartridge relative to the support shaft. Separate actuator mechanisms are provided on the handle to control the pivotal movement of the staple cartridge, the rotation of the support shaft, and the rotation of the staple cartridge relative to the support shaft.

摘要翻译： 提供外科缝合器，其可通过内窥镜管插入，以使外科医生将疝补片装订到体腔内的组织内。 内窥镜手术吻合器包括枢转地安装在支撑管的远端上的钉仓，该支撑管从具有致动器机构的手柄延伸，用于致动钉仓中的钉形成机构，以将钉紧固到组织。 钉仓可相对于支撑管可调节到不同的角度取向。 缝钉致动器机构可操作以以任何角度取向来致动钉仓。 支撑轴可绕其纵向轴线相对于手柄旋转，以调节支撑轴和钉仓的旋转方向。 钉仓可相对于支撑轴绕其纵向轴线旋转，以调节钉仓相对于支撑轴的旋转位置。 单独的致动器机构设置在手柄上以控制钉仓的枢转运动，支撑轴的旋转以及钉仓相对于支撑轴的旋转。

公开(公告)号：US20100072251A1

公开(公告)日：2010-03-25

申请号：US12234113

申请日：2008-09-19

申请人： Chester O. Baxter, III ,  James J. Bedi

发明人： Chester O. Baxter, III ,  James J. Bedi

IPC分类号： A61B17/068

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/2909 ,  A61B17/32 ,  A61B2017/00446 ,  A61B2017/07214 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07285 ,  A61B2090/037 ,  A61B2090/0801 ,  A61B2090/08021 ,  A61B2090/0813 ,  A61B2090/0814

摘要： A surgical stapling instrument including a latch for securing first and second jaw members together, a cutting member which can be advanced and/or retracted relative to first and second jaw members, and, in addition, a lock which can prevent, or at least inhibit, the cutting member from being moved, or at least advanced, relative to the first and second jaw members before the latch has been closed. In at least one embodiment, the latch can be configured to engage the lock as the latch is moved from a fully open position to a fully closed position and operably disengage the lock from the cutting member.

摘要翻译： 一种外科缝合器械，包括用于将第一和第二钳口构件固定在一起的闩锁，可相对于第一和第二钳口构件前进和/或缩回的切割构件，以及另外可以防止或至少抑制 切割构件在闩锁已经关闭之前相对于第一和第二钳口构件移动或至少前进。 在至少一个实施例中，闩锁可以构造成当闩锁从完全打开位置移动到完全关闭位置并且可操作地将锁与切割构件脱离接合时接合锁。

公开(公告)号：US09289210B2

公开(公告)日：2016-03-22

申请号：US13476265

申请日：2012-05-21

申请人： Chester O. Baxter, III ,  James J. Bedi

发明人： Chester O. Baxter, III ,  James J. Bedi

IPC分类号： A61B17/072 ,  A61B17/29 ,  A61B17/32 ,  A61B19/00 ,  A61B17/00

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/2909 ,  A61B17/32 ,  A61B2017/00446 ,  A61B2017/07214 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07285 ,  A61B2090/037 ,  A61B2090/0801 ,  A61B2090/08021 ,  A61B2090/0813 ,  A61B2090/0814

摘要： A surgical stapling instrument including a staple sled which can be advanced and/or retracted relative to first and second jaw members, wherein the staple sled can be configured to deploy staples from a staple cartridge in one of the first and second jaw members. In at least one embodiment, the other of the first and second jaw members can include an anvil having at least one forming surface which can be configured to deform the staples as they are deployed from the staple cartridge. In at least one form of the invention, the anvil can be movably adjustable relative to the staple cartridge in order to adjust the distance in which the staples are deformed. In various embodiments, the anvil can be adjusted by a slidable adjusting plate and/or a rotatable cam.

摘要翻译： 一种外科缝合器械，其包括可相对于第一和第二钳口构件前进和/或缩回的缝合钉，其中，所述缝合钉滑架可构造成在所述第一和第二钳口构件之一中从钉仓部署钉。 在至少一个实施例中，第一和第二钳口构件中的另一个可以包括具有至少一个成形表面的砧座，该砧座可被构造成在钉钉从钉仓展开时变形。 在本发明的至少一种形式中，砧座可以相对于钉仓可移动地调节，以便调整订书钉变形的距离。 在各种实施例中，可以通过可滑动的调节板和/或可旋转凸轮来调节砧座。

公开(公告)号：US08540133B2

公开(公告)日：2013-09-24

申请号：US12725993

申请日：2010-03-17

申请人： James J. Bedi ,  Chester O. Baxter, III

发明人： James J. Bedi ,  Chester O. Baxter, III

IPC分类号： A61B17/064

CPC分类号： A61B17/07207 ,  A61B17/2909 ,  A61B17/32 ,  A61B2017/0042 ,  A61B2017/00455 ,  A61B2017/00477 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07285 ,  A61B2090/0801 ,  A61B2090/08021 ,  A61B2090/0813 ,  A61B2090/0814

摘要： A surgical stapling instrument and, in addition, a staple cartridge comprising a cutting member positioned therein. The staple cartridge can comprise alignment features configured to align the cutting member of the staple cartridge with a distal end of a drive bar when the staple cartridge is assembled to the surgical stapling instrument.

摘要翻译： 一种外科缝合器械，另外还包括定位在其中的切割构件的钉仓。 钉仓可以包括对准特征，其配置成当钉仓组装到外科缝合器械时将钉仓的切割构件与驱动杆的远端对准。

公开(公告)号：US08348129B2

公开(公告)日：2013-01-08

申请号：US12622099

申请日：2009-11-19

申请人： James J. Bedi ,  John P. Measamer ,  Chester O. Baxter, III

发明人： James J. Bedi ,  John P. Measamer ,  Chester O. Baxter, III

IPC分类号： A61B17/064

CPC分类号： A61B17/0644 ,  A61B17/0686 ,  A61B17/07207 ,  A61B2017/07264 ,  A61B2017/07285

摘要： A surgical stapler comprising a first handle portion comprising a staple cartridge channel configured to receive a staple cartridge and a second handle portion comprising an anvil. The stapler further comprises a rotatable latch and a latch projection, wherein the latch is rotatably coupled to one of the first handle portion and the second handle portion and wherein the latch projection extends from the other of the first handle portion and the second handle portion. The latch is configured to engage the latch projection to move the first handle portion and the second handle portion toward one another. In various embodiments, the latch projection comprises a rotatable bearing wherein the latch is configured to contact the rotatable bearing when the latch engages the latch projection.

摘要翻译： 一种外科缝合器，包括第一手柄部分，其包括构造成容纳钉仓的钉仓通道和包括砧座的第二手柄部分。 订书机还包括可旋转的闩锁和闩锁突起，其中闩锁可旋转地联接到第一手柄部分和第二手柄部分中的一个，并且其中闩锁突起从第一手柄部分和第二手柄部分中的另一个延伸。 闩锁构造成接合闩锁突起以使第一手柄部分和第二手柄部分彼此相对移动。 在各种实施例中，闩锁突起包括可旋转的轴承，其中闩锁构造成当闩锁接合闩锁突起时接触可旋转的轴承。

公开(公告)号：US08205781B2

公开(公告)日：2012-06-26

申请号：US13152507

申请日：2011-06-03

申请人： Chester O. Baxter, III ,  James J. Bedi

发明人： Chester O. Baxter, III ,  James J. Bedi

IPC分类号： A61B17/068

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/2909 ,  A61B17/32 ,  A61B2017/00446 ,  A61B2017/07214 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07285 ,  A61B2090/037 ,  A61B2090/0801 ,  A61B2090/08021 ,  A61B2090/0813 ,  A61B2090/0814

摘要： A surgical stapling instrument including a staple sled which can be advanced and/or retracted relative to first and second jaw members, wherein the staple sled can be configured to deploy staples from a staple cartridge in one of the first and second jaw members. In at least one embodiment, the other of the first and second jaw members can include an anvil having at least one forming surface which can be configured to deform the staples as they are deployed from the staple cartridge. In at least one form of the invention, the anvil can be movably adjustable relative to the staple cartridge in order to adjust the distance in which the staples are deformed. In various embodiments, the anvil can be adjusted by a slidable adjusting plate and/or a rotatable cam.

摘要翻译： 一种外科缝合器械，其包括可相对于第一和第二钳口构件前进和/或缩回的缝合钉，其中，所述缝合钉滑架可构造成在所述第一和第二钳口构件之一中从钉仓部署钉。 在至少一个实施例中，第一和第二钳口构件中的另一个可以包括具有至少一个成形表面的砧座，该砧座可以构造成当钉从钉仓展开时使钉变形。 在本发明的至少一种形式中，砧座可以相对于钉仓可移动地调节，以便调整订书钉变形的距离。 在各种实施例中，可以通过可滑动的调节板和/或可旋转凸轮来调节砧座。