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    Surgical stapling apparatus
    3.
    发明授权
    Surgical stapling apparatus 失效
    手术吻合装置

    公开(公告)号：US5337937A

    公开(公告)日：1994-08-16

    申请号：US52223

    申请日：1993-04-22

    申请人： Stanley H. Remiszewski ,  David T. Green

    发明人： Stanley H. Remiszewski ,  David T. Green

    IPC分类号： A61B17/068 ,  A61B17/10

    CPC分类号： A61B17/0686 ,  A61B17/105

    摘要： A surgical stapling apparatus comprising an anvil jaw pivotally connected to a first handle for movement from an open position to a closed position to clamp body tissue, staple advancing means for advancing an individual staple into contact with the anvil jaw for deformation of the staple legs and means for closing the anvil and for actuating the staple advancing means in a three phase movement of the handles. In the first movement of the handle the anvil jaw pivots to a closed position; in a second subsequent movement of the handles the anvil jaw remains stationary and the staple advancing means is not yet actuated; and in a third movement of the handle the staple advancing means is actuated. This second movement constitutes a dwell period of the apparatus.

    摘要翻译： 一种外科缝合装置，包括枢转地连接到第一手柄的砧座钳口，用于从打开位置移动到关闭位置以夹紧身体组织;订书钉推进装置，用于使单个钉子前进到与砧座接触以使钉腿变形; 用于在手柄的三相运动中关闭砧座和用于致动订书钉推进装置的装置。 在手柄的第一运动中，砧座爪枢转到关闭位置; 在手柄的第二次后续移动中，砧座保持静止并且钉子推进装置尚未被致动; 并且在手柄的第三移动中，订书钉推进装置被致动。 该第二运动构成该装置的停留时段。

    Surgical stapling apparatus
    5.
    发明授权
    Surgical stapling apparatus 失效
    手术吻合装置

    公开(公告)号：US06446854B1

    公开(公告)日：2002-09-10

    申请号：US08651502

    申请日：1996-05-22

    申请人： Stanley H. Remiszewski ,  David T. Green ,  Henry Bolanos

    发明人： Stanley H. Remiszewski ,  David T. Green ,  Henry Bolanos

    IPC分类号： A61B17068

    CPC分类号： A61B17/0686

    摘要： A surgical stapling apparatus having first and second handle members pivotably mounted to one another for movement from an open position to a closed position to clamp body tissue between the distal jaws. After the body tissue is clamped, a trigger mechanism is activated to advance a staple pusher to force a staple through the tissue and into contact with an anvil to deform the staple legs. An actuating lever may be interposed between the trigger mechanism and the staple pusher.

    摘要翻译： 一种手术吻合装置，其具有第一和第二手柄构件，所述第一和第二手柄构件可枢转地彼此安装以从打开位置移动到关闭位置，以将身体组织夹紧在所述远端钳口之间。 在身体组织被夹紧之后，启动触发机构以推动缝合钉推动器以迫使钉穿过组织并与砧座接触以使钉腿变形。 致动杆可以插入在触发器机构和缝合钉推动器之间。

    Surgical stapling apparatus
    6.
    发明授权
    Surgical stapling apparatus 失效
    手术吻合装置

    公开(公告)号：US06877647B2

    公开(公告)日：2005-04-12

    申请号：US10668941

    申请日：2003-09-22

    申请人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    发明人： David T. Green ,  Keith Ratcliff ,  Keith Milliman ,  Henry R. Sienkiewicz ,  Mitchell J. Palmer ,  Graham W. Bryan

    IPC分类号： A61B17/00 ,  A61B17/072 ,  A61B17/28 ,  A61B19/00 ,  A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2926 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2090/038 ,  A61B2090/0803

    摘要： An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

    摘要翻译： 提供内窥镜手术装置用于将外科紧固件的侧线放置在身体组织中。 该装置包括框架部分，从框架部分延伸的细长部分以及与细长部分的远端相关联的关节式紧固件施加组件。 紧固件施加组件包括基部，钉仓壳体和砧座构件，其具有成形表面，外科紧固件在从套筒壳体弹出时被驱动。 提供第一机构用于实现紧固件施加组件围绕由主体部分限定的轴线的旋转，提供第二机构用于实现紧固件施加组件的铰接，并且提供第三机构用于独立地旋转盒壳体 和砧构件相对于由基座位置限定的纵向轴线，以增加设备的可操作性的范围。

    Gas powered apparatus for applying surgical fasteners to body tissue
    8.
    发明授权
    Gas powered apparatus for applying surgical fasteners to body tissue 失效
    用于将外科紧固件应用于身体组织的燃气动力设备

    公开(公告)号：US5862972A

    公开(公告)日：1999-01-26

    申请号：US566251

    申请日：1995-12-01

    申请人： David T. Green ,  Henry Bolanos ,  Lisa W. Heaton ,  Thomas A. Pelletier

    发明人： David T. Green ,  Henry Bolanos ,  Lisa W. Heaton ,  Thomas A. Pelletier

    IPC分类号： A61B17/00 ,  A61B17/068

    CPC分类号： A61B17/0684 ,  A61B17/00234 ,  A61B2017/00544

    摘要： An endoscopic surgical stapling apparatus is disclosed. The apparatus comprises a frame and a generally elongated endoscopic section connected to the frame and extending distally therefrom. The endoscopic section includes a mechanism for storing a plurality of staples, a mechanism for advancing the staples for positioning adjacent body tissue and a mechanism for at least partially closing each staple. A low pressure pneumatic system disposed in the frame provides the forces to at least partially activate the staple advancing mechanism. The apparatus has particular application in attaching mesh to body tissue as in laparoscopic hernia repair.

    摘要翻译： 公开了一种内镜手术吻合装置。 该装置包括框架和连接到框架并从其向远侧延伸的大致细长的内窥镜部分。 内窥镜部分包括用于存储多个钉的机构，用于推进订书钉用于定位邻近身体组织的机构和用于至少部分地封闭每个钉的机构。 设置在框架中的低压气动系统提供力以至少部分地启动订书钉推进机构。 该装置特别适用于在腹腔镜疝修补中将网状物附着于身体组织。