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    Surgical anastomosis stapling instrument
    1.
    发明授权
    Surgical anastomosis stapling instrument 失效
    手术吻合吻合器械

    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。

    Surgical anastomosis stapling instrument
    3.
    发明授权
    Surgical anastomosis stapling instrument 失效
    手术吻合吻合器械

    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。

    Knife coupler mechanism for an endoscopic instrument
    6.
    发明授权
    Knife coupler mechanism for an endoscopic instrument 失效
    用于内窥镜器械的刀联接器机构

    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。

    Method for using a needle holder to assist in suturing
    7.
    发明授权
    Method for using a needle holder to assist in suturing 失效
    使用针架来辅助缝合的方法

    公开(公告)号：US5897563A

    公开(公告)日：1999-04-27

    申请号：US947115

    申请日：1997-10-08

    申请人： InBae Yoon ,  Ronald J. Brinkerhoff ,  David Stefanchik ,  Jeffrey S. Swayze ,  Bryan Knodel ,  Rudolph H. Nobis

    发明人： InBae Yoon ,  Ronald J. Brinkerhoff ,  David Stefanchik ,  Jeffrey S. Swayze ,  Bryan Knodel ,  Rudolph H. Nobis

    IPC分类号： A61B17/04

    CPC分类号： A61B17/062 ,  A61B17/0469 ,  A61B17/0491

    摘要： In accordance with the present invention there is provided a method for suturing tissue using a needle holder device, The device includes a handle for holding it, the handle has distal and proximal ends. The device also has right and left arms extending distally from the handle. The arms of the device have proximal ends attached to the handle and distal ends having grippers attached thereto for gripping and releasing a needle. The device includes at least one mechanism for moving the distal ends of the arms closely adjacent to one another and for passing the needle from one gripper to the other and thereafter for moving the distal ends of the arms further apart from one another. The right gripper is holding a needle having a suture attached thereto. The method first involves moving the distal ends of the arms apart from one another and manually inserting the needle into the tissue and back out again. Thereafter, the method involves actuating the mechanism so as to move the arms closely adjacent one another so that the left gripper holds the needle, the right gripper releases the needle. Then the method involves moving the distal ends of the arms further apart from one another. Lastly, the method involves removing the needle from the tissue.

    摘要翻译： 根据本发明，提供了一种使用针保持器装置缝合组织的方法。该装置包括用于保持其的手柄，手柄具有远端和近端。 该装置还具有从手柄向远侧延伸的右臂和左臂。 装置的臂具有附接到手柄的近端，并且远端具有附接到其上的夹持器，用于夹紧和释放针。 该装置包括至少一个用于使臂的远端彼此靠近移动并将针从一个夹持器传递到另一个并且此后用于将臂的远端彼此远离移动的至少一个机构。 右夹具保持具有附着于其上的缝合线的针。 该方法首先涉及将臂的远端彼此分开移动并手动将针插入组织并再次退出。 此后，该方法包括致动该机构以使臂彼此靠近地移动，使得左夹具保持针，右夹具释放针。 然后，该方法包括使臂的远端彼此远离地移动。 最后，该方法包括从组织中去除针。

    Multiple-load cartridge assembly for a linear surgical stapling instrument
    8.
    发明授权
    Multiple-load cartridge assembly for a linear surgical stapling instrument 失效
    用于线性外科缝合器械的多负载筒组件

    公开(公告)号：US4612933A

    公开(公告)日：1986-09-23

    申请号：US595291

    申请日：1984-03-30

    申请人： Ronald J. Brinkerhoff ,  Rudolph H. Nobis

    发明人： Ronald J. Brinkerhoff ,  Rudolph H. Nobis

    IPC分类号： A61B17/072 ,  A61B17/04

    CPC分类号： A61B17/072 ,  A61B2017/0725

    摘要： A multiple-load cartridge assembly for use with a linear surgical stapling instrument of the type which, when actuated, simultaneously implants at least one row of staples in the tissue of a patient and forms or clinches the staples of the row against the instrument anvil. The cartridge assembly comprises a cartridge having a row of staple-containing forming pockets and a driver having a plurality of blades equal in number to the number of forming pockets and configured to drive the staples from the forming pockets through the tissue to be sutured and against the instrument anvil to be clinched, when the surgical stapling instrument is actuated. The cartridge has at least one row of storage pockets, equal in number to the forming pockets, and each containing at least one staple. An indexing mechanism is provided to shift the at least one staple in each storage pocket to the line of action between the driver and the anvil after the first actuation of the surgical stapling instrument, for at least another actuation of the surgical stapling instrument. A safety interlock within the cartridge assembly assures correct sequential operation of the cartridge assembly and prevents jamming thereof. An indicator visually shows the number of the load of staples ready to be implanted and formed.

    摘要翻译： 一种用于线性外科缝合器械的多重装载盒组件，其在被致动时同时在患者的组织中植入至少一排钉，并形成或者将该排钉钉住仪器砧座。 盒组件包括具有一排装订成形袋的盒，驱动器具有数量等于成形袋数量的多个叶片，并且构造成驱动订书钉从成形袋通过要缝合的组织并抵抗 当外科缝合器械被致动时，要钳制的仪器砧座。 盒具有至少一排存储袋，其数量与成形袋相同，并且每个包含至少一个订书钉。 提供了一种分度机构，用于在外科缝合器械的第一次致动之后将每个存储口袋中的至少一个钉子移动到驱动器和砧座之间的作用线，用于外科缝合器械的至少另一个致动。 盒组件内的安全联锁确保盒组件的正确顺序操作，并防止其卡住。 指示器可视地显示准备植入和形成的钉的负载数。