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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：US06681978B2
公开(公告)日：2004-01-27
申请号：US09765805
申请日：2001-01-19
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：US5941442A
公开(公告)日：1999-08-24
申请号：US549580
申请日：1995-10-27
IPC分类号： A61B17/072 , A61B19/00 , A61B19/02 , A61B17/068
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：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：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：US5647526A
公开(公告)日：1997-07-15
申请号：US559493
申请日：1995-11-15
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 serf 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。 包含气动系统的塞车与框架部分相关联并且可致动以从套筒组件弹出外科紧固件。 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：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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公开(公告)号：US6165137A
公开(公告)日：2000-12-26
申请号：US397776
申请日：1999-09-16
IPC分类号： A61B10/00 , A61B10/02 , A61B17/00 , A61B17/32 , A61B17/34 , A61B18/00 , A61B19/00 , A61B5/00
CPC分类号： A61B10/0266 , A61B17/34 , A61B17/3417 , A61B90/17 , A61B90/39 , A61B2017/008 , A61B2017/32004 , A61B2017/320044 , A61B2018/00077 , A61B2090/3908
摘要： A surgical apparatus for securing a needle extending therethrough includes a post having a channel therein mounted to a base. The post is positioned in operative alignment with the needle mounted on the base. A locking member is associated with the post in operative alignment with the needle. The locking member defines an opening therethrough to receive the needle, and the locking member is operable between a needle receiving position wherein the needle may be inserted or removed from the locking member and a needle retaining position wherein the needle is retained in at least one direction of movement. A method for surgically localizing and removing tissue includes the steps of providing a tissue cutting member mounted on a base and defining an opening near a distal end, the tissue cutting member further forming a tissue receiving cavity in communication with the opening, a needle disposed within the cavity and defining a longitudinal passageway therethrough, a post mounted on the base and a locking member mounted on the post and defining having a needle receiving opening in operative alignment with the needle, the locking member being operable between a needle receiving position wherein the needle may be inserted or removed from the locking member and a needle retaining position wherein the needle is retained in at least one direction of movement, locking the needle within the locking member by rotating the locking member into the needle retaining position, positioning the needle within target tissue, severing the tissue to be removed and removing the severed tissue from a patient.
摘要翻译： 用于固定延伸穿过其中的针的手术装置包括具有其中安装到基部的通道的柱。 该柱被定位成与安装在基座上的针头操作对准。 锁定构件与柱相关联，与针可操作地对准。 锁定构件限定穿过其中的开口以容纳针，并且锁定构件可在针接收位置之间操作，其中针可以从锁定构件插入或移除，并且针保持位置，其中针保持在至少一个方向 的运动。 用于手术定位和去除组织的方法包括以下步骤：提供安装在基部上并限定靠近远端的开口的组织切割构件，所述组织切割构件进一步形成与开口连通的组织接收腔， 空腔并且限定穿过其中的纵向通道，安装在基座上的柱和安装在柱上并限定具有与针可操作对准的针接收开口的锁定构件，所述锁定构件可在针接收位置之间操作，其中针 可以从锁定构件插入或移除针头保持位置，其中针被保持在至少一个运动方向上，通过将锁定构件旋转到针保持位置将针定位在目标位置中，将针锁定在锁定构件内 组织切断要去除的组织并从患者身上移除切断的组织。
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