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    Apparatus and method for applying surgical staples to attach an object to body tissue
    1.
    发明授权
    Apparatus and method for applying surgical staples to attach an object to body tissue 失效
    用于施加手术钉以将物体附着到身体组织的装置和方法

    公开(公告)号：US5497933A

    公开(公告)日：1996-03-12

    申请号：US133978

    申请日：1993-10-08

    申请人： Stephan A. DeFonzo ,  Wayne P. Young ,  Samson L. Pennatto ,  Andrew Komlosi

    发明人： Stephan A. DeFonzo ,  Wayne P. Young ,  Samson L. Pennatto ,  Andrew Komlosi

    IPC分类号： 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

    摘要： An apparatus is disclosed for endoscopic application of surgical staples to body tissue in laparoscopic hernia surgery, preferably with surgical mesh. The apparatus includes a staple storage cartridge supported on a pivotal support system at the distal end of the endoscopic section. An elongated pusher system extends from the frame to the endoscopic section and individually advances the staples distally. A pair of legs project distally from the pusher plate to engage the staple during closure to prevent unwanted roll or deformation of the staple. A trigger system actuates the pusher. An anvil structure having rounded anvil legs to match the configuration of the staples provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue to attach the portion of the mesh to the body tissue. The staple storage cartridge may be pivoted with respect to the longitudinal axis of the endoscopic section from 0.degree. to about 20.degree., 45.degree., and 65.degree. and the cartridge may be rotated about its own axis independent of the endoscopic section. The distalmost tip of the instrument includes two distally extending members which engage the body tissue to stabilize the orientation of the instrument during application of staples.

    摘要翻译： 公开了一种用于在腹腔镜疝手术中内窥镜施用外科缝合至身体组织的装置，优选地使用外科手术网。 该装置包括支撑在内窥镜部分的远端处的枢转支撑系统上的订书钉存储盒。 细长的推动器系统从框架延伸到内窥镜部分并且单独地向前移动钉。 一对腿从推动板向远端突出以在关闭期间接合钉，以防止不期望的卷轴或变形钉。 触发系统启动推杆。 具有圆形砧座腿以匹配钉的构造的砧座结构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穿透身体组织以将网的该部分附接到身体组织。 订书钉存储盒可以相对于内窥镜部分的纵向轴线从0°至大约20°，45°和65°枢转，并且筒可以独立于内窥镜部分围绕其自身的轴线旋转。 仪器的最远端是包括两个远端延伸的构件，它们与身体组织接合，以在施加钉时稳定仪器的取向。

    Apparatus and method for applying surgical staples to body tissue
    2.
    发明授权
    Apparatus and method for applying surgical staples to body tissue 失效
    将外科缝钉应用于身体组织的装置和方法

    公开(公告)号：US5560532A

    公开(公告)日：1996-10-01

    申请号：US134402

    申请日：1993-10-08

    申请人： Stephan A. DeFonzo ,  Samson L. Pennatto ,  Andrew Komlosi

    发明人： Stephan A. DeFonzo ,  Samson L. Pennatto ,  Andrew Komlosi

    IPC分类号： A61B17/064 ,  A61B17/068 ,  A61B17/28

    CPC分类号： A61B17/0684 ,  A61B17/0644 ,  A61B2017/2927 ,  A61B2017/2929

    摘要： Apparatus is disclosed for applying at least one surgical fastener to body tissue, having a frame and a tubular member connected to the frame and extending distally therefrom. The tubular member has a generally longitudinal axis, a proximal end portion, and a distal end portion. At least one surgical fastener is supported by the tubular member, and a mechanism is provided for advancing the at least one surgical fastener distally for positioning adjacent the body tissue. An articulating structure is included for pivotally rotating the distal end portion to predetermined angles with respect to the generally longitudinal axis, where the articulating structure includes a rotatable mechanism rotatable about an axis generally transverse to the longitudinal axis.

    摘要翻译： 公开了用于将至少一个手术紧固件应用于身体组织的装置，其具有连接到框架并从其向远侧延伸的框架和管状构件。 管状构件具有大致纵向轴线，近端部分和远端部分。 至少一个手术紧固件由管状构件支撑，并且设置有用于使至少一个外科紧固件向前延伸以用于邻近身体组织定位的机构。 包括用于将远端部分相对于大致纵向轴线枢转地旋转到预定角度的铰接结构，其中所述铰接结构包括可围绕大致横向于纵向轴线的轴线旋转的可旋转机构。

    Self-contained powered surgical apparatus
    4.
    发明授权
    Self-contained powered surgical apparatus 失效
    自备动力手术器械

    公开(公告)号：US5628446A

    公开(公告)日：1997-05-13

    申请号：US643396

    申请日：1996-05-06

    申请人： Robert J. Geiste ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Wayne P. Young ,  Carlo A. Mililli

    发明人： Robert J. Geiste ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Wayne P. Young ,  Carlo A. Mililli

    IPC分类号： A61B17/068 ,  A61B17/28

    CPC分类号： A61B17/0684 ,  A61B2017/2905 ,  A61B2017/2936

    摘要： A self-contained powered surgical apparatus is provided which includes an elongate body defining a longitudinal axis and housing a plurality of surgical fasteners disposed within a feed track, an anvil positioned at a distal end of the elongate body adjacent a terminal end of the feed path for forming surgical fasteners, a fastener pusher mounted for longitudinal movement within the elongate body to individually urge surgical fasteners toward the anvil, a barrel cam assembly disposed within the elongate body for effectuating reciprocatory longitudinal movement of the fastener pusher, a motor assembly disposed within the elongate body for driving the barrel cam assembly, and a power source disposed within the elongate body for energizing the motor assembly.

    摘要翻译： 提供了一种独立的动力手术装置，其包括限定纵向轴线的细长主体并且容纳布置在进给轨道内的多个外科紧固件，定位在细长主体的远端处的砧座，邻近进给路径的终端 用于形成外科紧固件的紧固件推动器，其安装成用于在细长体内纵向运动以单独地向砧座推动手术紧固件;设置在细长体内的镜筒凸轮组件，用于实现紧固件推动器的往复纵向移动;马达组件， 用于驱动筒形凸轮组件的细长主体，以及设置在细长主体内用于激励电动机组件的动力源。

    Umbilical cord clip and applicator
    5.
    发明授权
    Umbilical cord clip and applicator 失效
    脐带夹和敷贴器

    公开(公告)号：US5462555A

    公开(公告)日：1995-10-31

    申请号：US175816

    申请日：1993-12-30

    申请人： Henry Bolanos ,  Ghaleb A. Sater ,  Stephan A. DeFonzo ,  Wayne P. Young

    发明人： Henry Bolanos ,  Ghaleb A. Sater ,  Stephan A. DeFonzo ,  Wayne P. Young

    IPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/32 ,  A61B17/12

    CPC分类号： A61B17/122 ,  A61B17/128 ,  A61B17/32

    摘要： An umbilical cord clip and applicator is disclosed for clamping a maternal side of an umbilical cord, applying an umbilical cord clip to a fetal side of the umbilical cord and severing the cord intermediate the clamped maternal and fetal sides of the umbilical cord. The applicator includes a first arm having a first clamping surface, a second arm movably affixed to the first arm and having a second clamping surface and structure associated with at least one the first and second arms for mounting an umbilical cord clip thereon. The applicator also includes a recessed severing mechanism operatively associated with the first and second arms and disposed intermediate the first and second clamping surfaces and the mounting structure. The severing mechanism is automatically actuable upon closure of the first and second arms about an umbilical cord to sever the cord at a location between the first and second clamping surfaces and the clip. The umbilical cord clip includes a first leg having a first clamping surface and a second leg movably affixed to the first leg and having a second clamping surface. A lock device is associated with the first and second legs for maintaining the first and second legs in a closed position about the umbilical cord. Attachment structure is also associated with at least one of the first and second legs. The attachment structure is releasably engagable with the mounting structure on the applicator to hold the umbilical cord clip on the applicator.

    摘要翻译： 公开了一种用于夹紧脐带的母体侧的脐带夹和施用器，将脐带夹施加到脐带的胎侧，并切断在脐带的母体和胎侧的中间的绳索。 施加器包括具有第一夹紧表面的第一臂，可移动地固定到第一臂的第二臂，并且具有与至少一个第一和第二臂相关联的第二夹紧表面和结构，用于在其上安装脐带夹。 施加器还包括与第一和第二臂可操作地相关联并设置在第一和第二夹紧表面和安装结构之间的凹入的切割机构。 当第一和第二臂围绕脐带关闭时，切断机构可以自动启动，以在第一和第二夹紧表面和夹子之间的位置切断绳索。 脐带夹包括具有第一夹紧表面的第一腿部和可移动地固定到第一腿部并且具有第二夹紧表面的第二腿部。 锁定装置与第一和第二腿相关联，用于将第一和第二腿保持在围绕脐带的关闭位置。 附接结构还与第一和第二腿中的至少一个相关联。 附接结构可释放地与施加器上的安装结构接合，以将脐带夹固定在施用器上。

    Self-contained powered surgical apparatus
    7.
    发明授权
    Self-contained powered surgical apparatus 失效
    自备动力手术器械

    公开(公告)号：US5680981A

    公开(公告)日：1997-10-28

    申请号：US643395

    申请日：1996-05-06

    申请人： Carlo A. Mililli ,  Wayne P. Young ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Henry Bolanos ,  Leonard Stern

    发明人： Carlo A. Mililli ,  Wayne P. Young ,  Stephan A. DeFonzo ,  Dominick L. Mastri ,  Henry Bolanos ,  Leonard Stern

    IPC分类号： A61B17/068

    CPC分类号： A61B17/0684

    摘要： A self-contained powered surgical stapling apparatus is provided which includes an elongate body, a fastener applying assembly including an anvil for forming a surgical fastener driven thereagainst, a motor assembly and power source for energizing the motor assembly disposed within the elongate body, and a pusher driven by the motor assembly for driving a surgical fastener toward the anvil to be formed thereby and fastened to body tissue. The apparatus is configured for utilization during conventional invasive surgical procedures as well as endoscopic or laparoscopic surgical procedures by providing a detachable extension shaft.

    摘要翻译： 提供了一种独立的动力手术吻合装置，其包括细长主体，紧固件施加组件，其包括用于形成驱动其的手术紧固件的砧座，用于激励设置在细长主体内的马达组件的马达组件和动力源，以及 由马达组件驱动的推动器，用于驱动手术紧固件朝向由其形成的砧座，并固定到身体组织。 该装置被配置为在常规的侵入性外科手术过程中利用，以及通过提供可拆卸的延伸轴来进行内窥镜或腹腔镜外科手术。

    Vein filter
    9.
    发明授权
    Vein filter 有权
    静脉过滤器

    公开(公告)号：US08162972B2

    公开(公告)日：2012-04-24

    申请号：US12770508

    申请日：2010-04-29

    申请人： James F. McGuckin, Jr. ,  James E. Bressler ,  John H. Thinnes, Jr. ,  Stephan A. DeFonzo ,  Lindsay L. Carter

    发明人： James F. McGuckin, Jr. ,  James E. Bressler ,  John H. Thinnes, Jr. ,  Stephan A. DeFonzo ,  Lindsay L. Carter

    IPC分类号： A61F2/01

    CPC分类号： A61F2/01 ,  A61B2017/2215 ,  A61F2/848 ,  A61F2002/011 ,  A61F2002/016 ,  A61F2002/018 ,  A61F2002/8483 ,  A61F2220/0016 ,  A61F2230/005 ,  A61F2230/008 ,  A61F2250/0059

    摘要： A vessel filter having a first region and a second region, the filter movable between a collapsed position for delivery to the vessel and an expanded position for placement within the vessel. The first region has a filter portion having a converging region to direct particles toward the center of the filter and includes a plurality of spaced apart filter struts. The struts each have a strut height defined as a distance between a first wall and a second wall. A plurality of hooks are at the second region, the hooks having a vessel penetrating tip and a width greater than the width of the strut from which it extends such that the penetrating tip portion of the hook extends beyond the first wall.

    摘要翻译： 一种具有第一区域和第二区域的容器过滤器，所述过滤器可在用于输送到容器的折叠位置和用于放置在容器内的膨胀位置之间移动。 第一区域具有过滤器部分，该过滤器部分具有会聚区域，以将颗粒引向过滤器的中心并且包括多个间隔开的过滤器支柱。 支柱各自具有被定义为第一壁和第二壁之间的距离的支柱高度。 多个钩在第二区域处，钩具有穿透尖端的容器，并且其宽度大于其延伸的支柱的宽度，使得钩的穿透尖端部分延伸超过第一壁。

    Surgical retractor
    10.
    发明授权
    Surgical retractor 失效
    手术牵开器

    公开(公告)号：US5782753A

    公开(公告)日：1998-07-21

    申请号：US546008

    申请日：1995-10-20

    申请人： Stephan A. DeFonzo ,  David M. Farascioni ,  Corbett W. Stone

    发明人： Stephan A. DeFonzo ,  David M. Farascioni ,  Corbett W. Stone

    IPC分类号： A61B17/00 ,  A61B17/02 ,  A61B19/00

    CPC分类号： A61B17/00008 ,  A61B17/0281 ,  A61B2017/00969 ,  A61B2090/306 ,  A61B90/30

    摘要： A surgical retractor comprising a base adapted to lie on the patient's skin, a handle slidably mounted with respect to the base, a tissue retracting blade extending from the handle, and a locking member movable from at least a first position to a second position to retain the tissue retracting blade in a selected position. A method for accessing the saphenous vein to facilitate harvesting the vein is also disclosed comprising the steps of making a small incision in the leg of a patient, positioning a retractor on a patient's leg such that a retractor blade extends into the incision and a base lies on the surface of the patient's leg and pulling the retractor blade away from the patient to lift the tissue away from the underlying saphenous vein.

    摘要翻译： 一种手术牵开器，包括适于躺在患者皮肤上的底座，相对于基座可滑动地安装的手柄，从手柄延伸的组织缩回刀片以及可从至少第一位置移动到第二位置的锁定构件， 组织缩回刀片处于选定位置。 还公开了一种用于接近隐静脉以方便收获静脉的方法，包括以下步骤：在患者的腿部中进行小切口，将牵开器定位在患者的腿上，使得牵开器刀片延伸到切口中，并且基部位于 在患者腿部的表面上并将牵开器刀片远离病人，以将组织从下面的隐静脉提起。