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公开(公告)号：US07169158B2
公开(公告)日：2007-01-30
申请号：US10399529
申请日：2001-10-18
申请人： Kevin Sniffin , Scott E. Manzo , Joseph P. Orban , Lisa W. Heaton , Peter W. J. Hinchliffe , Keith L. Milliman , David A. Nicholas
发明人： Kevin Sniffin , Scott E. Manzo , Joseph P. Orban , Lisa W. Heaton , Peter W. J. Hinchliffe , Keith L. Milliman , David A. Nicholas
IPC分类号： A61B17/04
CPC分类号： A61B17/11 , A61B17/0644 , A61B17/115 , A61B17/32053 , A61B2017/0641 , A61B2017/1107 , A61B2017/1135 , A61B2017/2916
摘要： A tissue retaining ring for use with a plurality of surgical fasteners mounted within a disposable loading unit utilized during a vascular anastomosis inlcudes a genrally circular, semi-pliable material having a series of alternating loops and arcuate portions. Each of the loops defines an aperture therein which is dimensioned to receive a distal end of one of the plurality of surgical fasteners. When the instrument is fired, the surgical fasteners are simultaneously deformed through the tissue ring and through the tissue. The tissue retaining ring holds the tissue in place along the surgical fastener and reduces the chances of tissue slippage after deformation.
摘要翻译： 安装在血管吻合术期间使用的一次性装载单元内的多个外科紧固件所使用的组织保持环包括具有一系列交替的环和弓形部分的基底圆形半柔性材料。 每个环在其中限定孔，其尺寸被设计成接收多个外科紧固件之一的远端。 当仪器被烧毁时，手术紧固件同时通过组织环并穿过组织变形。 组织保持环沿着手术紧固件将组织保持在适当的位置，并且减小变形后组织滑动的机会。
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公开(公告)号：US07708769B1
公开(公告)日：2010-05-04
申请号：US08816615
申请日：1997-03-13
CPC分类号： A61F2/064 , A61B17/11 , A61B2017/1107
摘要： A graft attachment assembly that may be easily and quickly assembled is provided. The graft attachment assembly includes an attachment member including a base portion having a convex top surface and a branch portion having a passageway therethrough. The branch portion projects outwardly from the base portion. A clamp member having a concave bottom surface is configured to sealingly engage the top surface of the base portion and an opening is dimensioned to slidably receive the branch portion. The clamp member is slidable about the branch portion to a position adjacent the base portion to clamp tissue therebetween. A locking member is slidable about the branch portion and dimensioned to secure a vessel thereabout.
摘要翻译： 提供了可以容易且快速地组装的移植物附接组件。 移植物附接组件包括附接构件，该附接构件包括具有凸顶表面的基部和具有穿过其的通道的分支部。 分支部从基部向外突出。 具有凹形底表面的夹紧构件被构造成密封地接合基部的顶表面，并且开口的尺寸被设计成可滑动地接收分支部分。 夹持构件可以围绕分支部分滑动到与基部相邻的位置，以在其间夹紧组织。 锁定构件可围绕分支部分滑动并且尺寸设计成将容器固定在其周围。
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3.发明授权
公开(公告)号：US6024748A
公开(公告)日：2000-02-15
申请号：US877701
申请日：1997-06-17
IPC分类号： A61B17/08 , A61B17/11 , A61B17/115 , A61B17/128 , A61B17/04
CPC分类号： A61B17/11 , A61B17/1152 , A61B17/1285 , A61B17/08 , A61B17/083 , A61B2017/1107 , A61B2017/1135
摘要： There is disclosed a surgical instrument and loading unit for performing an anastomosis of first and second blood vessels. The surgical instrument includes a handle assembly and a body portion extending distally from the handle assembly. The detachable loading unit includes an anvil releasably engagable with a distal end of the body portion and having a plurality of fasteners disposed in channels about the circumference of a distal end of the anvil. A pusher is slidably mounted over the anvil such that distal movement of the pusher in response to actuation of the handle assembly cams the fasteners between the anvil and a distal end of the pusher to simultaneously crimp the fasteners about tissue. A method of performing an anastomosis is also disclosed and includes positioning a first vessel in the loading unit and partially inserting the first vessel through an opening in a second vessel. The surgical instrument is subsequently attached to the loading unit and the handle assembly is actuated to crimp fasteners about the first and second vessels to form an anastomosis.
摘要翻译： 公开了用于进行第一和第二血管的吻合的手术器械和装载单元。 手术器械包括手柄组件和从手柄组件向远侧延伸的主体部分。 可拆卸的装载单元包括可释放地与主体部分的远端接合的砧座，并且具有围绕砧座的远端的圆周的通道设置的通道中的多个紧固件。 推动器可滑动地安装在砧座上，使得响应于手柄组件的致动而推动器的远端移动凸现砧座和推动器的远端之间的紧固件，以同时在组织周围压紧紧固件。 还公开了进行吻合的方法，并且包括将第一容器定位在装载单元中并且将第一容器部分地插入通过第二容器中的开口。 手术器械随后附接到装载单元并且手柄组件被致动以围绕第一和第二容器卷曲紧固件以形成吻合。
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公开(公告)号：US10307038B2
公开(公告)日：2019-06-04
申请号：US13412061
申请日：2012-03-05
申请人： Kevin Sniffin , Eric Taylor , Peter Hathaway , Emily Davis
发明人： Kevin Sniffin , Eric Taylor , Peter Hathaway , Emily Davis
IPC分类号： A61B1/008 , A61B1/00 , A61B1/005 , A61B17/00 , A61B17/34 , A61B18/00 , A61B18/12 , A61B18/14 , A61B34/00 , A61B34/30 , A61B90/00
摘要： A surgical system is provided including a reusable handle assembly having a controller and a reusable cannula assembly configured to be operatively connected to and steerable by the reusable handle assembly. Additionally, the surgical system includes a plurality of surgical instruments configured to be inserted through the reusable handle assembly and configured to advance a length of the reusable cannula assembly, such that the plurality of surgical instruments are engaged with at least one trigger mechanism of the reusable handle assembly. The handle assembly, the cannula assembly, and the plurality of surgical instruments are modular components configured to be releasably or removably coupled or interconnected to each other.
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公开(公告)号：US08292906B2
公开(公告)日：2012-10-23
申请号：US12442847
申请日：2007-10-05
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/0625 , A61B2017/00323 , A61B2017/06042 , A61B2017/0609 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2943
摘要： An endoscopic stitching device is provided including a handle assembly supporting a manually operated suture needle loading assembly; a tool assembly operatively supported on and connected to the handle assembly; a suture needle operatively associated with the tool assembly, wherein the tool assembly includes a pair of juxtaposed jaws pivotally associated with one another; and an actuation cable extending between the handle assembly and the tool assembly, wherein axial displacement of the actuation shaft results in opening and closing of the jaws and rotation of the actuation cable results in selective retention of the suture needle in the jaws. A proximal end of the actuation cable is connected to the suture needle loading assembly such that actuation of the suture needle loading assembly imparts rotation to the actuation cable to selectively engage the suture needle in one of the jaws.
摘要翻译： 提供内窥镜缝合装置，其包括支撑手动操作的缝合针装载组件的手柄组件; 可操作地支撑在手柄组件上并连接到手柄组件上的工具组件; 与所述工具组件可操作地相关联的缝合针，其中所述工具组件包括彼此枢转地相关联的一对并置的夹爪; 以及在所述把手组件和所述工具组件之间延伸的致动电缆，其中所述致动轴的轴向位移导致所述钳口的打开和关闭以及所述致动电缆的旋转导致所述缝合针选择性地保持在所述钳口中。 致动电缆的近端连接到缝合针装载组件，使得缝合针装载组件的致动使致动电缆转动，以选择性地与其中一个钳口中的缝合针接合。
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公开(公告)号：US20110024476A1
公开(公告)日：2011-02-03
申请号：US12898927
申请日：2010-10-06
申请人： Michael J. Bettuchi , David N. Fowler , Frank J. Viola , Christopher J. Criscuolo , Danyel J. Tarinelli , Robert Capella , Kevin Sniffin , Ahmad Robert Hadba
发明人： Michael J. Bettuchi , David N. Fowler , Frank J. Viola , Christopher J. Criscuolo , Danyel J. Tarinelli , Robert Capella , Kevin Sniffin , Ahmad Robert Hadba
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B17/00491 , A61B17/07292 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B2017/00004 , A61B2017/00557 , A61B2017/00893 , A61B2017/00898 , A61B2017/07214
摘要： An apparatus for forming an anastomosis between adjacent intestinal sections of tissue is provided. The apparatus includes a circular surgical stapler having an anvil assembly with an anvil shaft and an anvil, the circular surgical stapler further having a tubular body portion with an annular knife and a body portion shaft selectively attachable to the anvil shaft; and a seal structure for deposition between the intestinal sections of tissue including a hub configured to engage attachment structure on at least one of the anvil shaft and the body portion shaft. The attachment structure is positioned so that the seal structure is located between the intestinal sections of tissue when the circular surgical stapler is disposed within the intestinal sections of tissue.
摘要翻译： 提供了一种用于在组织的相邻肠段之间形成吻合的装置。 该装置包括具有砧座组件和砧座轴和砧座的圆形手术吻合器，该圆形外科缝合器还具有一个具有环形刀的管状本体部分和可选择性地附接到砧座轴的主体部分轴; 以及用于在组织的肠部之间沉积的密封结构，包括被配置成将附接结构接合在砧座轴和主体部分轴中的至少一个上的轮毂。 定位安装结构，使得当圆形手术吻合器设置在组织的肠部分内时，密封结构位于组织的肠段之间。
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公开(公告)号：US20100094083A1
公开(公告)日：2010-04-15
申请号：US12442847
申请日：2007-10-05
IPC分类号： A61B1/018
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/0625 , A61B2017/00323 , A61B2017/06042 , A61B2017/0609 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2943
摘要： An endoscopic stitching device is provided including a handle assembly supporting a manually operated suture needle loading assembly; a tool assembly operatively supported on and connected to the handle assembly; a suture needle operatively associated with the tool assembly, wherein the tool assembly includes a pair of juxtaposed jaws pivotally associated with one another; and an actuation cable extending between the handle assembly and the tool assembly, wherein axial displacement of the actuation shaft results in opening and closing of the jaws and rotation of the actuation cable results in selective retention of the suture needle in the jaws. A proximal end of the actuation cable is connected to the suture needle loading assembly such that actuation of the suture needle loading assembly imparts rotation to the actuation cable to selectively engage the suture needle in one of the jaws.
摘要翻译： 提供内窥镜缝合装置，其包括支撑手动操作的缝合针装载组件的手柄组件; 可操作地支撑在手柄组件上并连接到手柄组件上的工具组件; 与所述工具组件可操作地相关联的缝合针，其中所述工具组件包括彼此枢转地相关联的一对并置的夹爪; 以及在所述把手组件和所述工具组件之间延伸的致动电缆，其中所述致动轴的轴向位移导致所述钳口的打开和关闭以及所述致动电缆的旋转导致所述缝合针选择性地保持在所述钳口中。 致动电缆的近端连接到缝合针装载组件，使得缝合针装载组件的致动使致动电缆转动，以选择性地与其中一个钳口中的缝合针接合。
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公开(公告)号：US07546940B2
公开(公告)日：2009-06-16
申请号：US11978345
申请日：2007-10-29
申请人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
发明人： Keith L. Milliman , Bruce K. Jankowski , Douglas J. Cuny , Kevin Sniffin , Anthony Dato , Richard D. Gresham
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The anvil assembly includes a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The anvil assembly of the stapling device also includes a retainer clip positioned on the anvil head. The retainer clip includes at least one resilient arm which is positioned to engage a cutting ring during unapproximation of the stapling device.
摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 砧座组件包括可倾斜的砧座，该砧座将在装置被点火并且未被近似之后自动倾斜。 钉钉装置的砧座组件还包括定位在砧头上的保持夹。 保持夹包括至少一个弹性臂，定位成在缝合装置的未近似期间接合切割环。
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公开(公告)号：US20070075117A1
公开(公告)日：2007-04-05
申请号：US11515660
申请日：2006-09-05
申请人： Keith Milliman , Bruce Jankowski , Douglas Cuny , Kevin Sniffin , Anthony Dato , Richard Gresham
发明人： Keith Milliman , Bruce Jankowski , Douglas Cuny , Kevin Sniffin , Anthony Dato , Richard Gresham
IPC分类号： A61B17/04
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155 , A61B17/32053 , A61B2017/00371 , A61B2017/07257 , A61B2017/2905 , A61B2090/0811 , A61B2090/3616
摘要： A surgical stapling device is disclosed for performing circular anastomoses. The surgical stapling device includes a handle portion, an elongated body portion and a head portion including an anvil assembly and a shell assembly. The head portion includes an anvil assembly including a tiltable anvil which will tilt automatically after the device has been fired and unapproximated. The tiltable anvil provides a reduced anvil profile to reduce trauma during removal of the device after the anastomoses procedure has been performed. The stapling device includes an approximation mechanism including a rotatable knob, a screw having a helical channel and an anvil retainer. The helical channel includes a dwell portion for providing a tactile indication to a surgeon that the anvil retainer has been advanced to a position wherein the anvil assembly can be removed from the anvil retainer. A removable trocar for attachment to the anvil assembly is also disclosed which includes a rib positioned proximally of a mounting projection. The rib is positioned to align the mounting projection with associated engagement structure of the anvil assembly.
摘要翻译： 公开了用于执行圆形吻合的外科缝合装置。 外科缝合装置包括手柄部分，细长主体部分和包括砧座组件和壳体组件的头部部分。 头部包括砧座组件，该砧组件包括可倾斜的砧座，该砧座将在该装置被点火并且未被近似之后自动倾斜。 可倾斜的砧座提供减小的砧座轮廓，以在执行吻合过程之后减少在装置移除期间的创伤。 缝合装置包括近似机构，其包括可旋转旋钮，具有螺旋通道的螺钉和砧座保持器。 所述螺旋通道包括用于向外科医生提供触觉指示的停留部分，所述砧座保持器已经前进到其中所述砧座组件能够从所述砧座保持器移除的位置。 还公开了一种用于连接到砧组件的可拆卸的套针针，其包括位于安装突起的近侧的肋。 肋被定位成使安装突起与砧组件的相关接合结构对准。
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公开(公告)号：US09173677B2
公开(公告)日：2015-11-03
申请号：US12830762
申请日：2010-07-06
CPC分类号： A61B17/3423 , A61B17/3431 , A61B2017/00278 , A61B2017/3445 , A61B2017/3454 , A61B2017/346 , A61B2017/3486 , A61B2017/3488
摘要： An access port for performing surgery transvaginally is provided. The access port includes an elongated flexible member having proximal and distal ends and a central portion therebetween, and a retention mechanism formed on the distal end of the elongated member. The retention mechanism includes a first configuration for inserting the distal end of the elongated member within an opening and a second configuration for selectively securing the elongated member within an opening. Also provided is a method of performing a transvaginal surgery. The method includes providing an access port including a retention mechanism configured to selectively retain the access port within the vagina of a patient, forming an incision in the wall of the vagina into the abdomen of the patient, inserting a distal end of the access port into the vagina and through the incision, and activating the retention mechanism to secure the distal end of the access port within the abdominal cavity of the patient.
摘要翻译： 提供了一种经阴道镜进行手术的入口。 进入端口包括细长的柔性构件，其具有近端和远端以及中间部分，以及形成在细长构件的远端上的保持机构。 保持机构包括用于将细长构件的远端插入开口内的第一构造和用于选择性地将细长构件固定在开口内的第二构造。 还提供了进行经阴道手术的方法。 该方法包括提供一种进入端口，其包括保持机构，该保持机构构造成选择性地将入口端口保持在患者的阴道内，在阴道壁中形成切口进入患者腹部，将进入端口的远端插入 阴道和通过切口，并且启动保持机构以将进入口的远端固定在患者的腹腔内。
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