摘要:
A stapling instrument including two elongate structural members each comprising a handle part with a jaw part projecting from a first end. The structural members have pivot means at second ends of their handle parts adapted for free engagement and disengagement and relative pivotal movement of the structural members between open and closed positions. An elongate locking member is mounted one one of the structural members for pivotal movement to a locking position generally aligned with its handle part where the locking member can be releasably retained to forcefully move the structural members to their closed position so that high compressive forces can be applied to tissues between the jaw parts. Staples from a cartridge along one jaw part can then be driven through the tissue and closed against an anvil along the other jaw part. One of the structural members has a support element in contact with the other of the structural members transverse of a space between the handle parts when the structural members are in their closed position to restrict bending and movement of the handle parts toward each other in response to separating forces applied between the jaw parts as a result of compressed tissues so that the staples can be properly closed.
摘要:
Surgical staplers for use during open and/or laparoscopic surgical procedures are disclosed. Novel firing device trapping assemblies, pushers, staple lines and firing handles are described. Many of the novel devices reduce the overall firing force experienced by the surgeon.
摘要:
A method of introducing continuous lengths of filament into the body in surgical procedures in which it is desirable to place a significant amount of material into the body through a small portal. The material so introduced may serve to bulk a tissue or cavity of the body or to occlude a vas, as well as to introduce diagnostic or therapeutic agents into a site in the body. A device for implementing the method has a mechanism for feeding the filament through a conduit in such a manner that sufficient force is applied to the filament that it is forced into the desired site. In one embodiment, a system of reciprocating cannulae and synchronized grippers is used to supply the requisite force to the filament.
摘要:
An anchor sheet and anchor body for holding a cannula within the abdominal cavity of a patient is described. The cannula is used during a laparoscopic surgical procedure. The anchor sheet and anchor body assist in holding the cannula in a preferred orientation relative to the abdominal cavity. An attachment mechanism such as a hook and loop fastener may be utilized to connect the anchor sheet to the anchor body.
摘要:
Devices, systems and methods for compressing, cutting, incising, reconfiguring, remodeling, attaching, repositioning, supporting, dislocating or altering the composition of tissues or anatomical structures to alter their positional or force relationship to other tissues or anatomical structures. In some applications, the invention may be used to used to improve patency or fluid flow through a body lumen or cavity (e.g., to limit constriction of the urethra by an enlarged prostate gland).
摘要:
Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues, organs, anatomical structures, grafts or other structures within the body of human or animal subjects for the purpose of treating a diseases or disorders and/or for cosmetic or reconstructive purposes and/or for research and development purposes or other purposes.
摘要:
The bipolar modular forceps assembly is a disposable electrosurgical device utilized with an RF voltage supply to weld soft tissue to prevent bleeding when cut or excised. The device consists of two modularly constructed arms arranged in scissor configuration that clamp when the arms are apart and open when the arms are squeezed together. The wires enter from the rear of the device, behind the digit insertion of the upper arm, and run through the interior of the upper arm before reaching the pivot point. From the pivot joint, one wire continues to the bottom jaw and the other wire wraps around the pin bushing in the pivot joint and proceeds to the top jaw. At all times the wires are fully insulated by the insulative cover with the only exposed wire occurring where they enter the device. The bipolar voltage of each wire is transferred to an electrode on each jaw. The electrodes are insulated from surrounding tissue by the insulative jaw, which contains visible markings showing the beginning, middle and end of the electrode. Both the insulative jaw and the electrode are interchangeable and made from moldable material to allow for different sizes and shapes. When no voltage is applied the tool can be used as a blunt dissector.
摘要:
Methods, devices, and systems for a) revascularization and/or b) performing other medical procedures at vascular or non-vascular intracorporeal locations within a mammalian body. The methods generally comprise the formation of at least one extravascular passageway from a blood vessel to a vascular or non-vascular target location. In the revascularization methods the extravascular passageway is utilized for blood flow. In the medical procedure methods the extravascular passageway is utilized as a conduit for accessing or performing procedures at the vascular or non-vascular target location. Also disclosed are catheter devices and systems which are useable to form the extravascular passageways of the invention, as well as apparatus for modifying, maintaining and/or closing such extravascular passageways.
摘要:
Methods, devices, and systems for a) revascularization and/or b) performing other medical procedures at vascular or non-vascular intracorporeal locations within a mammalian body. The methods generally comprise the formation of at least one extravascular passageway from a blood vessel to a vascular or non-vascular target location. In the revascularization methods the extravascular passageway is utilized for blood flow. In the medical procedure methods the extravascular passageway is utilized as a conduit for accessing or performing procedures at the vascular or non-vascular target location. Also disclosed are catheter devices and systems which are useable to form the extravascular passageways of the invention, as well as apparatus for modifying, maintaining and/or closing such extravascular passageways.
摘要:
An intraluminal prosthesis is provided with a plurality of annular elements. Each annular element includes a plurality of struts and apices connected to form an annular configuration. Each annular element has a compressed state and an expanded state, and has a longitudinal dimension which is smaller in the expanded state than in the compressed state. A plurality of connecting members connect the apices of adjacent annular elements. The connecting members have a plurality of alternating segments that function to compensate for the smaller longitudinal dimension of each annular element in the expanded state. The stent may be provided with varying flexibility along its length and/or circumference, and may include segments that have different diameters.