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    Surgical fastener-applying apparatuses with sequential firing
    1.
    发明授权
    Surgical fastener-applying apparatuses with sequential firing 有权

    公开(公告)号：US08517242B2

    公开(公告)日：2013-08-27

    申请号：US12983907

    申请日：2011-01-04

    申请人： Stanislaw Marczyk ,  Dino Kasvikis ,  Kevin Sniffin

    发明人： Stanislaw Marczyk ,  Dino Kasvikis ,  Kevin Sniffin

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/068 ,  A61B17/072 ,  A61B17/105 ,  A61B2017/07278

    摘要： A surgical fastening instrument is provided. The surgical fastening instrument includes a handle portion and an elongate portion extending distally from the handle portion and defining a longitudinal axis along a length thereof. The surgical fastening instrument also includes an end effector assembly that includes an anvil and a cartridge supported adjacent a distal end of the elongate portion. Each of the anvil and the cartridge includes a tissue contacting surface oriented substantially perpendicular to the longitudinal axis. One or more independently movable pushers is configured to support one or more surgical fasteners. A thrust bar is operatively coupled to the elongate portion, wherein the thrust bar is movable over a predetermined stroke to effect sequential ejection of at least two surgical fasteners of the plurality of surgical fasteners from the cartridge.

    Surgical Fastener-Applying Apparatuses With Sequential Firing
    2.
    发明申请
    Surgical Fastener-Applying Apparatuses With Sequential Firing 有权
    手术紧固件应用设备连续点火

    公开(公告)号：US20120168485A1

    公开(公告)日：2012-07-05

    申请号：US12983907

    申请日：2011-01-04

    申请人： Stanislaw Marczyk ,  Dino Kasvikis ,  Kevin Sniffin

    发明人： Stanislaw Marczyk ,  Dino Kasvikis ,  Kevin Sniffin

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/068 ,  A61B17/072 ,  A61B17/105 ,  A61B2017/07278

    摘要： A surgical fastening instrument is provided. The surgical fastening instrument includes a handle portion and an elongate portion extending distally from the handle portion and defining a longitudinal axis along a length thereof. The surgical fastening instrument also includes an end effector assembly that includes an anvil and a cartridge supported adjacent a distal end of the elongate portion. Each of the anvil and the cartridge includes a tissue contacting surface oriented substantially perpendicular to the longitudinal axis. One or more independently movable pushers is configured to support one or more surgical fasteners. A thrust bar is operatively coupled to the elongate portion, wherein the thrust bar is movable over a predetermined stroke to effect sequential ejection of at least two surgical fasteners of the plurality of surgical fasteners from the cartridge.

    摘要翻译： 提供外科紧固器械。 手术紧固器具包括手柄部分和从手柄部分向远侧延伸并沿其长度限定纵向轴线的细长部分。 手术紧固器具还包括端部执行器组件，其包括砧和邻近细长部分的远端支撑的药筒。 砧座和筒体中的每一个包括基本上垂直于纵向轴线定向的组织接触表面。 一个或多个可独立移动的推动器构造成支撑一个或多个手术紧固件。 推力杆可操作地联接到细长部分，其中推力杆可在预定行程上移动以实现多个外科紧固件中的至少两个手术紧固件从药筒顺序排出。

    Apparatus and method for transvaginal surgery
    3.
    发明授权
    Apparatus and method for transvaginal surgery 有权
    经阴道手术的装置和方法

    公开(公告)号：US09173677B2

    公开(公告)日：2015-11-03

    申请号：US12830762

    申请日：2010-07-06

    申请人： Stanislaw Marczyk ,  Russell Pribanic ,  Kevin Sniffin

    发明人： Stanislaw Marczyk ,  Russell Pribanic ,  Kevin Sniffin

    IPC分类号： A61B1/32 ,  A61B17/34 ,  A61B17/00

    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。

    Apparatus and Method for Transvaginal Surgery
    4.
    发明申请
    Apparatus and Method for Transvaginal Surgery 有权
    经阴道手术的装置与方法

    公开(公告)号：US20110009704A1

    公开(公告)日：2011-01-13

    申请号：US12830762

    申请日：2010-07-06

    申请人： Stanislaw Marczyk ,  Russell Pribanic ,  Kevin Sniffin

    发明人： Stanislaw Marczyk ,  Russell Pribanic ,  Kevin Sniffin

    IPC分类号： A61B1/32

    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。

    Flexible endoscopic stitching devices
    6.
    发明授权
    Flexible endoscopic stitching devices 有权
    灵活的内窥镜拼接装置

    公开(公告)号：US08292906B2

    公开(公告)日：2012-10-23

    申请号：US12442847

    申请日：2007-10-05

    申请人： Eric J. Taylor ,  Peter Hathaway ,  Kevin Sniffin ,  Kenneth W. Horton

    发明人： Eric J. Taylor ,  Peter Hathaway ,  Kevin Sniffin ,  Kenneth W. Horton

    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。

    FLEXIBLE ENDOSCOPIC STITCHING DEVICES
    8.
    发明申请
    FLEXIBLE ENDOSCOPIC STITCHING DEVICES 有权
    柔性内窥镜缝合装置

    公开(公告)号：US20100094083A1

    公开(公告)日：2010-04-15

    申请号：US12442847

    申请日：2007-10-05

    申请人： Eric J. Taylor ,  Peter Hathaway ,  Kevin Sniffin ,  Kenneth W. Horton

    发明人： Eric J. Taylor ,  Peter Hathaway ,  Kevin Sniffin ,  Kenneth W. Horton

    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。

    Surgical stapling device
    10.
    发明申请
    Surgical stapling device 有权
    手术吻合装置

    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。