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.

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：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。

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。

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。

公开(公告)号：US5222963A

公开(公告)日：1993-06-29

申请号：US642496

申请日：1991-01-17

申请人： Ronald J. Brinkerhoff ,  Mark S. Zeiner ,  Michael B. Miller ,  James A. Transue

发明人： Ronald J. Brinkerhoff ,  Mark S. Zeiner ,  Michael B. Miller ,  James A. Transue

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.

公开(公告)号：US5404870A

公开(公告)日：1995-04-11

申请号：US257464

申请日：1994-06-09

申请人： Ronald J. Brinkerhoff ,  Todd J. Olson

发明人： Ronald J. Brinkerhoff ,  Todd J. Olson

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。

公开(公告)号：US5104382A

公开(公告)日：1992-04-14

申请号：US641240

申请日：1991-01-15

申请人： Ronald J. Brinkerhoff ,  Earl J. Mills ,  Harry C. Parkhurst ,  Bela Vincze

发明人： Ronald J. Brinkerhoff ,  Earl J. Mills ,  Harry C. Parkhurst ,  Bela Vincze

IPC分类号： A61B17/34 ,  A61B19/00

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.

公开(公告)号：US06193653B1

公开(公告)日：2001-02-27

申请号：US09245946

申请日：1999-02-05

申请人： David K. Evans ,  Ronald J. Brinkerhoff ,  Hal H. Katz ,  William J. Kraimer

发明人： David K. Evans ,  Ronald J. Brinkerhoff ,  Hal H. Katz ,  William J. Kraimer

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。

公开(公告)号：US6036703A

公开(公告)日：2000-03-14

申请号：US245513

申请日：1999-02-05

申请人： David K. Evans ,  Ronald J. Brinkerhoff ,  Hal H. Katz ,  William J. Kraimer

发明人： David K. Evans ,  Ronald J. Brinkerhoff ,  Hal H. Katz ,  William J. Kraimer

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。