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。

公开(公告)号：US5292053A

公开(公告)日：1994-03-08

申请号：US4351

申请日：1993-03-10

申请人： Federico Bilotti ,  E. David Allen ,  Richard Smith ,  J. David Hughett

发明人： Federico Bilotti ,  E. David Allen ,  Richard Smith ,  J. David Hughett

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.

公开(公告)号：US5827279A

公开(公告)日：1998-10-27

申请号：US761411

申请日：1996-12-06

申请人： J. David Hughett ,  Rudolph H. Nobis

发明人： J. David Hughett ,  Rudolph H. Nobis

IPC分类号： A61B17/28 ,  A61B18/00 ,  A61B18/14 ,  A61B17/36

CPC分类号： A61B18/1447 ,  A61B2017/2929 ,  A61B2018/00196 ,  A61B2018/1861

摘要： An electrosurgical instrument according to the present invention includes a handle, an elongated tube, an end effector, a pair of wireform conductors extending through the elongated tube from the handle to the end effector and a working tool such as, for example, a knife blade. The working tool being connected to the handle through a push bar which passes through the elongated tube. In an electrosurgical instrument according to the present invention, the push bar is positioned between the wireform conductors and is axially moveable with respect to the wireform conductors. In addition, in an electrosurgical instrument according to the present invention, the handle includes a coupling element to allow the wireform conductors and push bar to rotate with respect to the handle and to allow the push bar to move axially with respect to the wireform conductors and the handle.

摘要翻译： 根据本发明的电外科器械包括手柄，细长管，端部执行器，从手柄延伸到端部执行器的一对线形导体，以及一个加工工具，例如刀片 。 工作工具通过穿过细长管的推杆连接到手柄上。 在根据本发明的电外科器械中，推杆位于线形导体之间并且可相对于线形导体轴向移动。 此外，在根据本发明的电外科器械中，手柄包括联接元件，以允许线形导体和推杆相对于手柄旋转并且允许推杆相对于线形导体轴向移动，并且 手柄。

公开(公告)号：USD494271S1

公开(公告)日：2004-08-10

申请号：US29166473

申请日：2002-08-28

申请人： J. David Hughett ,  John V. Hunt

设计人： J. David Hughett ,  John V. Hunt

公开(公告)号：US5681330A

公开(公告)日：1997-10-28

申请号：US726141

申请日：1996-10-04

申请人： J. David Hughett ,  David Stefanchik ,  Michael A. Murray ,  C. Kerwin Braddock

发明人： J. David Hughett ,  David Stefanchik ,  Michael A. Murray ,  C. Kerwin Braddock

IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/00

CPC分类号： A61B17/1285 ,  A61B17/1227 ,  Y10S227/901

摘要： A clip applier and method for ligating a tissue structure is provided. The applier has a two stage actuation. In the first stage, a tissue structure is positioned into the jaws of the clip applier The jaws close and lock to a preset force to compress and temporarily occlude the tissue structure. If satisfactorily positioned, the second stage is initiated in which a clip is advanced through the shaft of the clip applier in a closed position. At the distal end of the clip applier, the clip is opened slightly to capture the pre-compressed tissue structure, and is placed over the structure. The clip is then dissociated from the business end of the instrument. Preferably the clip comprises two leg members disposed in close proximity to one another joined from opposing directions by a connecting element. The connecting element restricts separation of the leg members with opposing spring members so as to provide substantially uniform parallel deflection of the leg members from each other.

摘要翻译： 提供了一种用于结扎组织结构的施夹器和方法。 施肥机具有两级致动。 在第一阶段中，组织结构被定位在夹具的夹爪中。夹爪闭合并锁定到预设的力以压缩并暂时闭塞组织结构。 如果令人满意地定位，则启动第二阶段，其中夹子在关闭位置通过夹具施加器的轴推进。 在施放器的远端处，夹子稍微打开以捕获预压缩的组织结构，并且被放置在结构上。 然后将剪辑从仪器的业务端解离。 优选地，夹子包括通过连接元件彼此紧密相邻地布置成由相反方向连接的两个腿部构件。 连接元件限制腿构件与相对的弹簧构件的分离，以便使腿构件彼此基本均匀地平行地偏转。

公开(公告)号：US07211092B2

公开(公告)日：2007-05-01

申请号：US10299378

申请日：2002-11-19

申请人： J. David Hughett

发明人： J. David Hughett

IPC分类号： A61B17/10

CPC分类号： A61B17/1285 ,  A61B17/068 ,  A61B17/122 ,  A61B2090/08021

摘要： A surgical clip applying apparatus comprises an actuator device, a ratchet mechanism, a locking mechanism, and a clip driving device. The actuator device comprises an interior and a cam mechanism disposed therein. The cam mechanism comprises an axial cam surface. The locking mechanism is movable by the actuator device within the interior in a distal direction and in a proximal direction. While moving in the distal direction, the locking mechanism contacts the axial cam surface, thereby causing the locking mechanism to engage the ratchet mechanism to limit movement of the locking mechanism in the proximal direction. Continued movement of the locking mechanism in the distal direction causes the locking mechanism to move off the axial cam surface, thereby enabling the locking mechanism to bypass the ratchet mechanism during a return stroke.

摘要翻译： 手术夹施加装置包括致动器装置，棘轮机构，锁定机构和夹子驱动装置。 致动器装置包括设置在其中的内部和凸轮机构。 凸轮机构包括轴向凸轮表面。 锁定机构可以通过致动器装置在内部的远侧方向和近端方向上移动。 当沿远端方向移动时，锁定机构接触轴向凸轮表面，从而使锁定机构接合棘轮机构以限制锁定机构在近端方向上的移动。 锁定机构在远端方向的继续移动导致锁定机构离开轴向凸轮表面，从而使得锁定机构能够在返回行程期间绕过棘轮机构。

公开(公告)号：US5833700A

公开(公告)日：1998-11-10

申请号：US741803

申请日：1996-10-31

申请人： Mark Fogelberg ,  J. David Hughett ,  C. Kerwin Braddock ,  Michael E. Boehm ,  David Stefanchik ,  Michael A. Murray

发明人： Mark Fogelberg ,  J. David Hughett ,  C. Kerwin Braddock ,  Michael E. Boehm ,  David Stefanchik ,  Michael A. Murray

IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/00

CPC分类号： A61B17/1227 ,  A61B17/122 ,  A61B17/1285 ,  Y10S227/902

摘要： A clip, clip applier and method for ligating a tissue structure is provided. The applier has a two stage actuation. In the first stage, a tissue structure is positioned into the jaws of the clip applier The jaws close and lock to a preset force to compress and temporarily occlude the tissue structure. If satisfactorily positioned, the second stage is initiated in which a clip is advanced through the shaft of the clip applier in a closed position. At the distal end of the clip applier, the clip is opened slightly to capture the pre-compressed tissue structure, and is placed over the structure. The clip is then dissociated from the business end of the instrument. Preferably the clip comprises two leg members disposed in close proximity to one another joined from opposing directions by a connecting element. The connecting element restricts separation of the leg members with opposing spring members so as to provide substantially uniform parallel deflection of the leg members from each other.

摘要翻译： 提供了一种用于结扎组织结构的夹子，夹持器和方法。 施肥机具有两级致动。 在第一阶段中，组织结构被定位在夹具的夹爪中。夹爪闭合并锁定到预设的力以压缩并暂时闭塞组织结构。 如果令人满意地定位，则启动第二阶段，其中夹子在关闭位置通过夹具施加器的轴推进。 在施放器的远端处，夹子稍微打开以捕获预压缩的组织结构，并且被放置在结构上。 然后将剪辑从仪器的业务端解离。 优选地，夹子包括通过连接元件彼此紧密相邻地布置成由相反方向连接的两个腿部构件。 连接元件限制腿构件与相对的弹簧构件的分离，以便使腿构件彼此基本均匀地平行地偏转。

公开(公告)号：US07052504B2

公开(公告)日：2006-05-30

申请号：US10299360

申请日：2002-11-19

申请人： J. David Hughett

发明人： J. David Hughett

IPC分类号： A61B17/10

CPC分类号： A61B17/1285 ,  A61B17/1222

摘要： A surgical clip applying apparatus comprises an actuator device, a pair of opposing jaws, and an elongate assembly interposed therebetween. A clip driving device disposed in the elongate assembly is actuated by the actuator device to sequentially drive clips through the elongate assembly into engagement with the jaws. A clip control element is disposed in the elongate assembly at a distal end thereof. The clip control element comprises first, second, and third clip control surfaces. The first clip control surface contacts a first end of a clip to cause the clip to rotate about the first end. The second and third clip control surfaces receive a second end of the clip therebetween prior to the clip being driven into engagement with the jaws. A chicane is provided near the distal end of the elongate assembly to provide a diverting path for clips so that as one clip is being rotated, the next clip can be further advanced without contacting the rotating clip.

摘要翻译： 手术夹施加装置包括致动器装置，一对相对的夹爪和插入其间的细长组件。 设置在细长组件中的夹子驱动装置由致动器装置致动以顺序地将夹子穿过细长组件驱动以与夹爪接合。 夹子控制元件在其远端设置在细长组件中。 剪辑控制元件包括第一，第二和第三剪辑控制表面。 第一夹子控制表面接触夹子的第一端以使夹子围绕第一端旋转。 在夹子被驱动与夹爪接合之前，第二和第三夹子控制表面接收夹子的第二端。 在细长组件的远端附近设置有拐角，以为夹具提供转向路径，使得当一个夹子正在旋转时，下一个夹子可以进一步前进而不接触旋转的夹子。

公开(公告)号：US5814055A

公开(公告)日：1998-09-29

申请号：US713055

申请日：1996-09-12

申请人： Bryan D. Knodel ,  J. David Hughett ,  Anil K. Nalagatla

发明人： Bryan D. Knodel ,  J. David Hughett ,  Anil K. Nalagatla

IPC分类号： A61B17/00 ,  A61B17/068 ,  A61B17/072 ,  A61B17/28 ,  A61B17/32 ,  A61B17/08

CPC分类号： A61B17/07207 ,  A61B17/320016 ,  A61B2017/07214 ,  A61B2017/07285 ,  A61B2017/2923 ,  A61B2017/2929 ,  A61B2017/2934 ,  A61B2017/2944 ,  Y10S227/901

摘要： A surgical stapling instrument which has an elongated staple cartridge and anvil is disclosed. The anvil is movable relative to the cartridge from rearward to forward positions for insertion of tissue between these two components and clamping the tissue, respectively. A pair of spaced-apart ribs protrude from the anvil, and when the anvil is moved from its rearward to forward positions, these ribs are received into and slide within a groove embedded on the surface of the cartridge. In this manner, misalignment of the anvil and cartridge when tissue is being clamped is prevented or appreciably reduced, therefore reducing the chances of misforming the staples when the instrument is fired. The alignment features also act as tissue abutment surfaces to prevent the migration of tissue into a region where tissue is transected but not stapled.

摘要翻译： 公开了一种具有细长的钉仓和砧座的外科缝合器械。 砧座相对于药筒从后向可移动到前后位置，用于在这两个部件之间插入组织并分别夹紧组织。 一对间隔开的肋从砧座突出，并且当砧座从其后部移动到前进位置时，这些肋被容纳在嵌入在盒的表面上的凹槽内并在其中滑动。 以这种方式，当组织被夹紧时，砧座和筒的不对准被防止或明显减小，因此减少当器械点火时错位订书钉的机会。 对准特征还用作组织邻接表面，以防止组织移动到组织被横切而不是装订的区域中。

公开(公告)号：US5601573A

公开(公告)日：1997-02-11

申请号：US404662

申请日：1995-03-15

申请人： Mark Fogelberg ,  J. David Hughett ,  C. Kerwin Braddock ,  Michael E. Boehm ,  David Stefanchik ,  Michael A. Murray

发明人： Mark Fogelberg ,  J. David Hughett ,  C. Kerwin Braddock ,  Michael E. Boehm ,  David Stefanchik ,  Michael A. Murray

IPC分类号： A61B17/068 ,  A61B17/122 ,  A61B17/128 ,  A61B17/00

CPC分类号： A61B17/1227 ,  A61B17/1285 ,  Y10S227/901 ,  Y10S227/902

摘要： A clip, clip applier and method for ligating a tissue structure is provided. The applier has a two stage actuation. In the first stage, a tissue structure is positioned into the jaws of the clip applier The jaws close and lock to a preset force to compress and temporarily occlude the tissue structure. If satisfactorily positioned, the second stage is initiated in which a clip is advanced through the shaft of the clip applier in a closed position. At the distal end of the clip applier, the clip is opened slightly to capture the pre-compressed tissue structure, and is placed over the structure. The clip is then dissociated from the business end of the instrument. Preferably the clip comprises two leg members disposed in close proximity to one another joined from opposing directions by a connecting element. The connecting element restricts separation of the leg members with opposing spring members so as to provide substantially uniform parallel deflection of the leg members from each other.

摘要翻译： 提供了一种用于结扎组织结构的夹子，夹持器和方法。 施肥机具有两级致动。 在第一阶段中，组织结构被定位在夹具的夹爪中。夹爪闭合并锁定到预设的力以压缩并暂时闭塞组织结构。 如果令人满意地定位，则启动第二阶段，其中夹子在关闭位置通过夹具施加器的轴推进。 在施放器的远端处，夹子稍微打开以捕获预压缩的组织结构，并且被放置在结构上。 然后将剪辑从仪器的业务端解离。 优选地，夹子包括通过连接元件彼此紧密相邻地布置成由相反方向连接的两个腿部构件。 连接元件限制腿构件与相对的弹簧构件的分离，以便使腿构件彼此基本均匀地平行地偏转。