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1.发明授权Pull-through circular anastomosic intraluminal stapler with absorbable fastener means 失效具有可吸收紧固器功能的通过通孔的圆锥形腔内平台
公开(公告)号：US5222963A
公开(公告)日：1993-06-29
申请号：US642496
申请日：1991-01-17
IPC分类号： A61B17/00 , A61B17/11 , A61B17/115 , A61F2/00
CPC分类号： A61B17/115 , A61B17/11 , A61B17/1114 , A61B17/1155 , A61B2017/00004 , A61F2002/305 , A61F2220/0025 , Y10T24/45534
摘要： A mechanism which is capable of anastomosis of two lumens by an absorbable fastener. The fastener is made from two washer-like plates. One such plate has holes to receive latching prongs protruding from the other plate. Fastening is done through a single linear motion that causes the prongs to pierce the tissue, latches the prongs into a receiver and causes a knife blade to cut through excess fastener material and tissue. The ease of removal, by pulling the mechanism thorugh the formed anastomosis, is greatly enhanced. The system can be used such that the plates can be placed in any configuration to properly anastomose tissue.
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公开(公告)号：US5205459A
公开(公告)日：1993-04-27
申请号：US938982
申请日：1992-09-01
申请人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen
发明人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen
IPC分类号： A61B20060101 , A61B17/115 , A61B17/28
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/07257 , A61B2017/2905 , A61B2017/2919
摘要： A surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. The stapling head assembly includes a longitudinally movable trocar detachably secured by one or more retainer clips on a hollow shaft of the anvil. When the trocar is retracted, the anvil shaft slides into a central support tube which aligns the anvil axially and circumferentially with a staple holder on the stapling head assembly. The retainer clips are locked against the trocar by the support tube and transmit tension from the trocar to the anvil with no tension load on the anvil shaft. The aotuator mechanism permits adjustment of the anvil gap to produce a desired staple heiqht and precludes actuation of the staple head assembly if the anvil gap is set outside of a predetermined range. Also, the actuator mechanism is adapted to both advance and retract the staple driver relative to the staple holder in the stapling head assembly. Further, an improved arrangement for attaching the support shaft to the stapling head assembly and to the actuator handle assembly is provided.
摘要翻译： 提供了一种用于执行圆形吻合缝合操作的外科缝合器械。 手术器械包括一个装订头组件，该装订头组件通过弯曲的轴安装到致动器手柄组件上并且包括改进的致动器机构，用于将所需的操作力和从致动器手柄组件通过弯曲轴的运动传递到钉子的砧座和缝钉驱动器 头组件。 缝合头组件包括可由一个或多个保持夹固定在砧座的空心轴上的可纵向移动的套管针。 当套管针缩回时，砧座轴滑入中心支撑管，该中心支撑管使砧座轴向和周向与钉在钉头组件上的缝钉保持架对准。 保持夹通过支撑管锁定在套针针上，并将张力从套管针传递到砧座，在砧座轴上没有张力负载。 调节器机构允许调整砧座间隙以产生期望的缝合钉，并且如果砧座间隙设定在预定范围之外，则阻止钉头组件的致动。 此外，致动器机构适于相对于缝合头组件中的缝钉保持器使订书钉驱动器前进和缩回。 此外，提供了一种用于将支撑轴附接到装订头组件和致动器手柄组件的改进的布置。
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公开(公告)号：US5275322A
公开(公告)日：1994-01-04
申请号：US10682
申请日：1993-01-28
申请人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill , Richard Grant , Roger Hildwein , J. David Hughett , Clifton Coles , W. Thompson Lawrence
发明人： Ronald J. Brinkerhoff , Rudolph H. Nobis , Helmut Wolf , Federico Bilotti , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill , Richard Grant , Roger Hildwein , J. David Hughett , Clifton Coles , W. Thompson Lawrence
IPC分类号： A61B20060101 , A61B17/115 , A61B17/28 , A61B17/068
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/07257 , A61B2017/2905 , A61B2017/2919
摘要： A surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. The stapling head assembly includes a longitudinally movable trocar detachably secured by one or more retainer clips on a hollow shaft of the anvil. When the trocar is retracted, the anvil shaft slides into a central support tube which aligns the anvil axially and circumferentially with a staple holder on the stapling head assembly. The retainer clips are locked against the trocar by the support tube and transmit tension from the trocar to the anvil with no tension load on the anvil shaft. The actuator mechanism permits adjustment of the anvil gap to produce a desired staple height and precludes actuation of the staple head assembly if the anvil gap is set outside of a predetermined range. Also, the actuator mechanism is adapted to both advance and retract the staple driver relative to the staple holder in the stapling head assembly. Further, an improved arrangement for attaching the support shaft to the stapling head assembly and to the actuator handle assembly is provided.
摘要翻译： 提供了一种用于执行圆形吻合缝合操作的外科缝合器械。 手术器械包括一个装订头组件，该装订头组件通过弯曲的轴安装到致动器手柄组件上并且包括改进的致动器机构，用于将所需的操作力和从致动器手柄组件通过弯曲轴的运动传递到钉子的砧座和缝钉驱动器 头组件。 缝合头组件包括可由一个或多个保持夹固定在砧座的空心轴上的可纵向移动的套管针。 当套管针缩回时，砧座轴滑入中心支撑管，该中心支撑管使砧座轴向和周向与钉在钉头组件上的缝钉保持架对准。 保持夹通过支撑管锁定在套针针上，并将张力从套管针传递到砧座，在砧座轴上没有张力负载。 致动器机构允许调整砧座间隙以产生期望的钉高度，并且如果砧座间隙设定在预定范围之外，则阻止钉头组件的致动。 此外，致动器机构适于相对于缝合头组件中的缝钉保持器使订书钉驱动器前进和缩回。 此外，提供了一种用于将支撑轴附接到装订头组件和致动器手柄组件的改进的布置。
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公开(公告)号：US5285945A
公开(公告)日：1994-02-15
申请号：US998285
申请日：1992-12-30
申请人： Ronald J. Brinkerhoff , Rudolph H. Nobis , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill
发明人： Ronald J. Brinkerhoff , Rudolph H. Nobis , William Fox , Mark S. Zeiner , E. David Allen , Richard Smith , Jerome Reckelhoff , Philip Churchill
IPC分类号： A61B20060101 , A61B17/115 , A61B17/28 , A61B17/068
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/07257 , A61B2017/2905 , A61B2017/2919
摘要： A surgical stapling instrument for performing a circular anastomosis stapling operation is provided. The surgical instrument includes a stapling head assembly mounted by a curved shaft to an actuator handle assembly and incorporates an improved actuator mechanism for transmitting the required operating forces and movements from the actuator handle assembly through the curved shaft to an anvil and staple driver of the stapling head assembly. The stapling head assembly includes a longitudinally movable trocar detachably secured by one or more retainer clips on a hollow shaft of the anvil. When the trocar is retracted, the anvil shaft slides into a central support tube which aligns the anvil axially and circumferentially with a staple holder on the stapling head assembly. The retainer clips are locked against the trocar by the support tube and transmit tension from the trocar to the anvil with no tension load on the anvil shaft. The actuator mechanism permits adjustment of the anvil gap to produce a desired staple height and precludes actuation of the staple head assembly if the anvil gap is set outside of a predetermined range. Also, the actuator mechanism is adapted to both advance and retract the staple driver relative to the staple holder in the stapling head assembly. Further, an improved arrangement for attaching the support shaft to the stapling head assembly and to the actuator handle assembly is provided.
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公开(公告)号：US5404870A
公开(公告)日：1995-04-11
申请号：US257464
申请日：1994-06-09
IPC分类号： A61B17/00 , A61B17/115 , A61B17/34 , A61M29/00
CPC分类号： A61B17/00 , A61B17/115 , A61B17/3417 , A61B2090/08021
摘要： A transanal inserter is disclosed which facilitates the atraumatic insertion of intra-anal surgical devices through the anus. The inserter has a tubular portion, a prolate distal end and a proximal end having a flange associated therewith. The prolate end is formed from a plurality of petal-shaped segments which deflect outward as an intra-anal surgical device is urged therethrough, into the colon or intestine. The flange formed at the proximal end of the inserter retains the inserter in place and prevents over insertion of the inserter beyond the anus. The inserter can be fabricated in varying lengths to accommodate surgical requirements. The inserter is fabricated from a plastic material with sufficient pliability to provide for deflection of the segments, while maintaining sufficient rigidity to prevent collapse of the inserter during insertion and use.
摘要翻译： 公开了一种经肛门插入器，其便于通过肛门的肛门外手术器械的无创插入。 插入器具有管状部分，扁长的远端和具有与其相关联的凸缘的近端。 扁长端部由多个花瓣状部分形成，当沿肛门内手术装置被推动通过其中时，其向外偏转到结肠或肠内。 形成在插入器的近端处的凸缘将插入器保持在适当位置，并且防止插入件超过肛门的过度插入。 插入器可以以不同的长度制造以适应手术要求。 插入器由塑料材料制成，具有足够的柔韧性以提供片段的偏转，同时保持足够的刚度以防止在插入和使用期间插入器的塌陷。
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公开(公告)号：US5104382A
公开(公告)日：1992-04-14
申请号：US641240
申请日：1991-01-15
CPC分类号： A61B17/3496 , A61B17/3474 , A61B2090/08021
摘要： A safety trocar is provided which includes a spring-loaded shield that shields the cutting tip of the obturator after the obturator penetrates tissue. The distal end of the shield is hemispheric in profile and contains slides within cutting tip. The rounded distal end enables the shield to spring forward to shield the cutting tip as soon as the tip perforates the tissue. In other embodiments, positive mechanical means effect shielding.
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7.发明授权Methods and devices for visualizing, dissecting and harvesting vessels and the like 有权用于可视化，解剖和收获血管等的方法和装置公开(公告)号：US06193653B1
公开(公告)日：2001-02-27
申请号：US09245946
申请日：1999-02-05
IPC分类号： A61M1700
CPC分类号： A61B17/00008
摘要： A device useful in minimally-invasive procedures involving the visualization, dissection and/or harvesting of vessels in the body includes a shaft having a handle mounted on one end and a dissecting tip on the other end. The dissecting tip optionally includes a light source for directing light transverse of the tip and structures to retain the tip in position adjacent the vessel as the tip is advanced along the vessel. Also disclosed are associated methods for transilluminating a vessel, dissecting the vessel from surrounding tissue, and transecting the vessel and side branches and removing the vessel from the body.
摘要翻译： 用于涉及在体内容器的可视化，解剖和/或收获的微创程序中的装置包括具有安装在一端的手柄和另一端的解剖尖端的轴。 解剖尖端可选地包括用于引导光的横截面的光源，并且当尖端沿着血管前进时，结构将尖端保持在与血管相邻的位置。 还公开了用于对血管进行透照，从周围组织解剖血管以及横断血管和侧枝以及从体内除去血管的相关方法。
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公开(公告)号：US6036703A
公开(公告)日：2000-03-14
申请号：US245513
申请日：1999-02-05
IPC分类号： A61B17/064 , A61B17/11 , A61B17/122 , A61B17/00
CPC分类号： A61B17/11 , A61B17/0643 , A61B17/122 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135
摘要： A system for establishing an anastomotic passageway between first and second structures within an animal, the first and second structures each having an intima-exposing opening comprises a first plate sized and configured for attachment to the opening of the first structure, the first plate including an attaching portion having means for gripping first structure at its opening, the first plate further including a coupling portion which is positioned exterior of the first structure when the first plate is attached to the first structure; a second plate sized and configured for attachment to the opening of the second structure, the second plate including an attaching portion having means for gripping the second structure at its opening, the second plate further including a coupling portion which is positioned exterior of the second structure when the second plate is attached to the second structure; and means for connecting the coupling portion of said first plate with the coupling portion of said second plate.
摘要翻译： 一种用于在动物内建立第一和第二结构之间的吻合通道的系统，每个具有内膜暴露开口的第一和第二结构包括大小和构造成附接到第一结构的开口的第一板，第一板包括 附接部具有用于在其开口处夹持第一结构的装置，所述第一板还包括联接部，当所述第一板附接到所述第一结构时，所述联接部位于所述第一结构的外部; 第二板，其尺寸和构造用于附接到第二结构的开口，第二板包括具有用于在其开口处夹持第二结构的装置的附接部分，第二板还包括联接部分，该联接部分位于第二结构的外部 当第二板附接到第二结构时; 以及用于将所述第一板的联接部分与所述第二板的联接部分连接的装置。
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公开(公告)号：US5366478A
公开(公告)日：1994-11-22
申请号：US98011
申请日：1993-07-27
CPC分类号： A61B17/3462 , A61B17/3423 , A61B17/3431 , A61B2017/3419 , A61B2017/3486 , A61B90/40 , A61M2025/0233
摘要： A sealing device for endoscopic surgical procedures is disclosed. In one embodiment, the device has two inflatable toroidal sections connected by a transition section. The device is partially inserted into an abdominal opening in a deflated state, and then inflated to provide a seal for obstructing the passage of gas from the abdominal cavity during endoscopic surgery. Endoscopic instruments, or alternatively, the surgeon's hand, can penetrate through the lumen of the toroidal sections of the device. The lumen then conforms to the shape of the instrument or hand passed through it to maintain an adequate seal.In another embodiment, a sealing device to seal a trocar is disclosed. The device is an inflatable toroid shaped to fit securely within the housing of the trocar. Means are provided to selectively inflate or deflate the device to perform its intended sealing function, and instruments can be passed through the lumen of the toroid to access the surgical site without destroying the integrity of the seal.
摘要翻译： 公开了一种用于内窥镜外科手术的密封装置。 在一个实施例中，该装置具有通过过渡部分连接的两个可膨胀的环形部分。 该装置以放气状态部分地插入腹部开口中，然后充气以提供用于在内窥镜手术期间阻止气体从腹腔通过的密封。 内窥镜器械或外科医生的手可以穿透装置的环形部分的内腔。 然后，内腔符合仪器或手的形状通过它，以保持足够的密封。 在另一个实施例中，公开了一种用于密封套管针的密封装置。 该装置是一种可充气的环形圈，其形状可以牢固地安装在套管针的外壳内。 提供装置以选择性地使装置膨胀或放气以执行其预期的密封功能，并且器械可以通过环形管的内腔以进入外科手术部位而不破坏密封的完整性。
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公开(公告)号：US5261891A
公开(公告)日：1993-11-16
申请号：US823810
申请日：1992-02-20
CPC分类号： A61B17/3496 , A61B17/3474 , A61B2090/08021
摘要： A safety trocar is provided which includes a spring-loaded shield that shields the cutting tip of the obturator after the obturator penetrates tissue. The distal end of the shield is hemispheric in profile and contains slides within cutting tip. The rounded distal end enables the shield to spring forward to shield the cutting tip as soon as the tip perforates the tissue. In other embodiments, positive mechanical means effect shielding.
摘要翻译： 提供了一种安全套针，其包括弹簧加载的屏蔽件，其在闭孔器穿透组织之后屏蔽封闭器的切割尖端。 屏蔽的远端是半球形的，并在切割尖端内包含滑块。 圆形的远端使得护罩能够弹起向前以在尖端穿孔组织时一直屏蔽切割尖端。 在其他实施例中，正机械装置影响屏蔽。
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