公开(公告)号：US5289963A

公开(公告)日：1994-03-01

申请号：US782290

申请日：1991-10-18

申请人： Richard A. McGarry ,  David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Lisa W. Heaton ,  Salvatore Castro

发明人： Richard A. McGarry ,  David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Lisa W. Heaton ,  Salvatore Castro

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B19/00 ,  A61F2/00

CPC分类号： A61B17/0686 ,  A61B17/0684 ,  A61B17/00234 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger mecanism to actuate the pusher. Anvil means provides for closing the staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. The invention also relates to a system for attaching surgical mesh to body tissue, a method for endoscopically attaching surgical mesh to body tissue. The staple for endoscopically attaching the surgical mesh to body tissue and a kit for accomplishing such attachment.

摘要翻译： 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝钉，每个钉构造成适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。 推动器系统还包括致动推动器的触发器技术。 砧座装置提供用于封闭钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 本发明还涉及一种用于将外科手术网连接到身体组织的系统，用于将外科手术网内窥镜附接到身体组织的方法。 用于内窥镜地将外科手术网连接到身体组织的钉子和用于完成这种附接的套件。

公开(公告)号：US5382254A

公开(公告)日：1995-01-17

申请号：US969754

申请日：1992-10-30

申请人： Richard A. McGarry ,  Paul J. Phillips ,  Giovanni Gonzalez ,  Salvatore Castro

发明人： Richard A. McGarry ,  Paul J. Phillips ,  Giovanni Gonzalez ,  Salvatore Castro

IPC分类号： A61B17/128 ,  A61B19/00 ,  A61B17/04

CPC分类号： A61B17/1285 ,  A61B90/03

摘要： An apparatus is disclosed for individually applying surgical clips endoscopically to body tissue which includes a frame, an elongated endoscopic section having clip closing jaws positioned at a distal end thereof and surgical clips slidably positioned therein, rotatably connected to a distal end of the frame such that the endoscopic section extends distally therefrom. The apparatus includes a system for individually advancing the surgical clips into the clip closing jaws and a system for closing the clip closing jaws. An interference mechanism is associated with the a release mechanism, and is configured, dimensioned and adapted to prevent actuation of the jaw closing system until a surgical clip is positioned between the clip closing jaws.

摘要翻译： 公开了一种用于将外科手术夹子内窥镜地应用于包括框架的身体组织的装置，具有位于其远端处的夹子闭合钳口的细长内窥镜部分和可滑动地定位在其中的手术夹，其可旋转地连接到框架的远端，使得 内窥镜部分从其远端延伸。 该装置包括用于将手术夹子单独地推入夹子闭合钳口的系统和用于闭合夹子闭合钳口的系统。 干涉机构与释放机构相关联，并且被配置为尺寸并适于防止钳口关闭系统的致动，直到手术夹子位于夹子闭合钳口之间。

公开(公告)号：US5817109A

公开(公告)日：1998-10-06

申请号：US714972

申请日：1996-09-17

申请人： Richard A. McGarry ,  David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Lisa W. Heaton ,  Salvatore Castro

发明人： Richard A. McGarry ,  David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Lisa W. Heaton ,  Salvatore Castro

IPC分类号： A61B1/00 ,  A61B17/00 ,  A61B17/068 ,  A61B17/28 ,  A61B19/00 ,  A61F2/00

CPC分类号： A61B17/0686 ,  A61B17/0684 ,  A61B17/00234 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples in laparoscopic hernia surgery. The apparatus includes a handle and a generally elongated endoscopic section connected to the handle and extending distally therefrom. A staple storage magazine is provided for storing a plurality of surgical staples at the distal end portion of the endoscopic section. The staple storage magazine is pivotable between a first position in alignment with the longitudinal axis of the endoscopic section and a second position at an acute angle to the longitudinal axis. An elongated pusher system is provided for individually advancing at least one staple at a time distally. A trigger mechanism is provided to actuate the pusher.

摘要翻译： 公开了一种用于在腹腔镜疝气手术中内窥镜应用外科缝钉的装置。 该装置包括手柄和连接到手柄并从其向远端延伸的大致细长的内窥镜部分。 提供钉仓存储盒，用于在内窥镜部分的远端部分处存储多个外科缝合钉。 订书钉存储盒可以在与内窥镜部分的纵向轴线对齐的第一位置和与纵向轴线成锐角的第二位置之间枢转。 提供细长的推动器系统，用于在远端单独地推进至少一个钉。 提供触发机构以致动推动器。

公开(公告)号：US5797959A

公开(公告)日：1998-08-25

申请号：US910767

申请日：1997-08-13

申请人： Salvatore Castro ,  Richard A. McGarry

发明人： Salvatore Castro ,  Richard A. McGarry

IPC分类号： A61B17/28

CPC分类号： A61B17/29 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/294 ,  A61B2017/2945

摘要： A surgical apparatus is provided which includes a handle portion and an elongated body portion extending distally from the handle portion and defining a longitudinal axis. A tool assembly is operatively associated with a distal end portion of the body portion and includes a first jaw assembly having a proximal jaw portion and a distal jaw portion and a second jaw assembly having a proximal jaw portion and a distal jaw portion. The distal and proximal jaw portions of each jaw assembly are pivotably connected to one another and are movable between first and second articulated positions. A jaw actuation mechanism is provided including an actuation member and having first and second cooperating actuating legs. Each leg is operatively connected to a respective distal portion of the first and second jaw assemblies to effectuate simultaneous pivotable movement of the distal jaw portions relative to the proximal jaw portions of the tool assembly. A jaw control mechanism operatively connects the handle portion and the tool assembly and is configured to effect movement of the tool assembly between an open position and a closed position.

摘要翻译： 提供了一种手术装置，其包括手柄部分和从手柄部分向远侧延伸并限定纵向轴线的细长主体部分。 工具组件与主体部分的远端部分可操作地相关联，并且包括具有近端颚部和远侧颚部的第一颚组件和具有近端颚部和远侧颚部的第二颚组件。 每个钳夹组件的远端和近端钳口部分可枢转地彼此连接并且可在第一和第二铰接位置之间移动。 提供了一种钳口致动机构，其包括致动构件并且具有第一和第二协作致动腿。 每个腿部可操作地连接到第一和第二钳口组件的相应远端部分，以实现远端钳口部分相对于工具组件的近端钳口部分的同时可枢转运动。 钳口控制机构可操作地连接手柄部分和工具组件，并且构造成实现工具组件在打开位置和关闭位置之间的移动。

公开(公告)号：US5645551A

公开(公告)日：1997-07-08

申请号：US300254

申请日：1994-09-02

申请人： David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Richard A. McGarry ,  Lisa W. Heaton ,  Keith Ratcliff

发明人： David T. Green ,  Henry Bolanos ,  Wayne P. Young ,  Richard A. McGarry ,  Lisa W. Heaton ,  Keith Ratcliff

IPC分类号： A61B17/128 ,  A61B17/04

CPC分类号： A61B17/1285 ,  Y10S227/901

摘要： An apparatus for applying surgical clips through an endoscopic tube includes an endoscopic portion housing a jaw blade, a pusher bar for feeding clips one at a time to the jaws, a channel bar for camming the jaw blades into closed position, and an array of surgical clips. The body of the apparatus comprises a frame housing an actuating mechanism and a transmission mechanism for transferring movement to the pusher bar and channel. The endoscopic portion is rotatable relative Go the frame. In one embodiment the apparatus is a single disposable unit. In an alternative embodiment the endoscopic portion is detachable and disposable whereas the non-endoscopic body portion is reusable.

摘要翻译： 用于通过内窥镜管施加外科夹具的装置包括：内窥镜部分，其容纳颚式刀片;推动杆，用于一次一个地将镊子夹持夹持件;通道杆，用于将颌片刀片闭合到闭合位置;以及一组外科手术 剪辑。 设备的主体包括容纳致动机构的框架和用于将运动传递到推杆和通道的传动机构。 内窥镜部分可相对于框架旋转。 在一个实施例中，该装置是单个一次性单元。 在替代实施例中，内窥镜部分是可拆卸的和一次性的，而非内窥镜主体部分是可重复使用的。

公开(公告)号：US5514149A

公开(公告)日：1996-05-07

申请号：US278705

申请日：1994-07-22

申请人： David T. Green ,  Richard A. McGarry

发明人： David T. Green ,  Richard A. McGarry

IPC分类号： A61B17/128 ,  A61B17/08

CPC分类号： A61B17/128 ,  Y10S227/901

摘要： The surgical clip applicator has a pusher bar which positions the foremost clip from a clip carrier into a ready-to-fire position between the jaws prior to squeezing of the handles together. When the applicator is fired, the previously positioned surgical clip can be crimped about a vessel and when the jaws are released, a new clip is placed between the jaws for the next firing. A channel assembly moves over the jaws to close the jaws while the pusher bar is retracted into the clip carrier for delivering the foremost clip from the carrier upon release of the handles. A latch arrangement is provided for locking the channel asesmbly in place and the handles against movement should the clip carrier be empty.

摘要翻译： 手术夹施加器具有推杆，其在将手柄压在一起之前将最前面的夹子从夹子托架定位在夹爪之间的准备就绪位置。 当施用器被点燃时，先前定位的手术夹可以围绕血管卷曲，并且当钳口被释放时，新的夹子被放置在钳口之间用于下一次点火。 通道组件在钳口上移动以关闭钳口，同时推杆缩回到夹具承载件中，以在手柄释放时从载体传送最前面的夹子。 提供了一种闩锁装置，用于将通道按正常方式锁定在适当的位置，并且当夹子托架为空时，手柄不会运动。

公开(公告)号：US4509518A

公开(公告)日：1985-04-09

申请号：US349584

申请日：1982-02-17

申请人： Richard A. McGarry ,  Douglas G. Noiles

发明人： Richard A. McGarry ,  Douglas G. Noiles

IPC分类号： A61B17/068 ,  A61B17/12 ,  A61B17/128 ,  A61B17/28 ,  A61B17/04

CPC分类号： A61B17/128 ,  A61B2017/2943

摘要： Apparatus for applying surgical clips to tissue includes a self-contained supply of clips and is constructed to apply those clips, one at a time, through movement of the thumb and fingers of one hand. The clips are stored inside a sleeve along the length of the instrument, are fed into jaws at the distal end of the instrument, and are closed about tissue by a camming action produced by moving the jaws relative to the sleeve and camming them shut. An actuating and sequencing section controls feeding and clip deformation, and guarantees that the instrument is operated only in the proper sequence so as to avoid jamming.

公开(公告)号：US20090105535A1

公开(公告)日：2009-04-23

申请号：US11978852

申请日：2007-10-30

申请人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

发明人： David T. Green ,  Henry Bolanos ,  Wayne Young ,  Stephan A. DeFonzo ,  Richard A. McGarry ,  Dominick L. Mastri

IPC分类号： A61B17/10 ,  A61B1/018

CPC分类号： A61B17/0686 ,  A61B17/00234 ,  A61B17/0684 ,  A61B2017/2837 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/0811 ,  A61F2/0063 ,  Y10S227/902

摘要： An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.

摘要翻译： 公开了一种用于内窥镜施加适于在腹腔镜疝手术中将手术网连接到身体组织的装置。 该装置包括框架，以及连接到框架并从其向远端延伸的大致细长的内窥镜部分。 钉仓存储盒可移除地支撑在内窥镜部分的远端部分处的枢转支撑系统上，每个钉被构造并适于将网状物附接到身体组织。 提供由几个组装部件形成并从框架延伸到内窥镜部分的细长推动器系统，用于在远端单独推进至少一个钉，用于邻近外科手术网和身体组织定位。 推动器系统还包括用于致动推动器的触发系统。 触发系统设置有可感知的触觉感测装置，用于指示订书钉的前进的腿部何时被暴露以使用户可见以便定位和定向。 砧座装置提供单独地封闭每个钉以包围外科手术网的至少一部分并且以以将网的该部分附接到身体组织的方式穿透身体组织。 墨盒支撑系统的远端突出是一对腿，其尺寸和构造在关闭期间接合钉，以防止在钉的平面外部不期望的滚动或变形。

公开(公告)号：US6036710A

公开(公告)日：2000-03-14

申请号：US933892

申请日：1997-09-19

申请人： Richard A. McGarry ,  Hanspeter Robert Bayer

发明人： Richard A. McGarry ,  Hanspeter Robert Bayer

IPC分类号： A61B17/00 ,  A61B17/11 ,  A61B17/32

CPC分类号： A61B17/32053 ,  A61B2017/00243 ,  A61B2017/1107 ,  A61B2017/1135

摘要： An apparatus for forming a non-circular opening in tissue includes an elongate body having a first tissue engaging edge associated with a distal end portion thereof, a punch head disposed adjacent the distal end portion of the elongate body, and defining a second tissue engaging edge associated therewith. The first and second tissue engaging edges each define a general racetrack configuration characterized by first and second opposed straight edge portions interconnected by generally arcuate edge portions. At least one of the first and second tissue engaging edges is adapted to cut tissue. The elongate body and the punch head are adapted for relative movement such that the first and second tissue engaging edges cooperate to cut tissue disposed therebetween to thereby form a general racetrack-shaped opening in tissue.

摘要翻译： 用于在组织中形成非圆形开口的装置包括细长主体，其具有与其远端部分相关联的第一组织接合边缘，邻近细长主体的远端部分设置的冲头，并且限定第二组织接合边缘 相关联。 第一和第二组织接合边缘各自限定一般的跑道配置，其特征在于通过大致弧形的边缘部分互连的第一和第二相对的直边部分。 第一和第二组织接合边缘中的至少一个适于切割组织。 细长主体和打孔头适于相对运动，使得第一和第二组织接合边缘配合以切割设置在其间的组织，从而在组织中形成一般的跑道形开口。

公开(公告)号：US5527318A

公开(公告)日：1996-06-18

申请号：US368928

申请日：1995-01-05

申请人： Richard A. McGarry

发明人： Richard A. McGarry

IPC分类号： A61B17/128 ,  A61B17/34 ,  A61B19/00 ,  A61B17/04

CPC分类号： A61B17/1285 ,  A61B17/128

摘要： A clip advancing system is provided which includes a pusher bar having a nose with two transverse members, each transverse member including a distally facing clip contacting surface and an angular cam surface proximal thereto.

摘要翻译： 提供夹子前进系统，其包括具有两个横向构件的鼻部的推杆，每个横向构件包括朝向远侧的夹子接触表面和靠近其的角度凸轮表面。