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    Linear surgical stapling instrument
    1.
    发明授权
    Linear surgical stapling instrument 失效
    线性手术吻合器械

    公开(公告)号：US5395034A

    公开(公告)日：1995-03-07

    申请号：US947864

    申请日：1992-09-21

    申请人： William J. Allen ,  Joseph N. Logan ,  Jeffrey A. Stein ,  Paul C. DiCesare ,  Douglas M. Spranger ,  Paul J. Mulhauser

    发明人： William J. Allen ,  Joseph N. Logan ,  Jeffrey A. Stein ,  Paul C. DiCesare ,  Douglas M. Spranger ,  Paul J. Mulhauser

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

    CPC分类号： A61B17/07207 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2090/0814

    摘要： A linear surgical stapling instrument includes a magazine for holding a plurality of undeformed surgical staples, and an upper jaw carrying the magazine and having opposed distal and proximal ends. An anvil is formed with staple-deforming pockets, and a lower jaw carries the anvil and has opposing distal and proximal ends respectively configured to mate with the distal and proximal ends of the upper jaw thereby to place the magazine and the anvil in confronting relation. A staple driver is carried in the upper jaw for driving staples held therein toward the anvil. Further, the upper and lower jaws are configured such that, when their respective distal and proximal ends are mated, a gap exists between the jaws in an intermediate region between their respective distal and proximal ends. Finally, a pivotably mounted clamp bar joins the upper and lower jaws and when actuated compresses them together in the intermediate region thereby to narrow the gap and to increase the clamping pressure between the magazine and the anvil. The instrument also includes a blocking system that prevents the jaws from being remated, once having been mated and having had staples in the magazine driven toward the anvil. Still further, the instrument includes a coupling device for coupling the jaws and clamp bar together when the staple driver is actuated.

    摘要翻译： 线性外科缝合器械包括用于保持多个未变形的外科缝合钉的刀库，以及承载刀库并具有相对的远端和近端的上钳口。 砧座形成有钉变形袋，下颚承载砧座，并且具有相对的远端和近端，分别构造成与上颚的远端和近端配合，从而将砧座与砧座置于面对关系。 在上颚上承载有钉子驱动器，用于向砧座驱动被夹持在其中的订书钉。 此外，上下钳口构造成使得当它们各自的远端和近端配合时，在它们各自的远端和近端之间的中间区域中的钳口之间存在间隙。 最后，可枢转地安装的夹紧杆连接上下爪，并且当被致动时将它们压在一起在中间区域中，从而使间隙变窄，并增加料盒与砧座之间的夹紧压力。 该仪器还包括一个阻挡系统，防止夹头被重新配合，一旦被配合并且已经将钉仓中的订书钉驱动到砧座。 此外，该仪器包括联接装置，用于当订书钉驱动器致动时将夹爪和夹杆连接在一起。

    Automatic laparoscopic ligation clip applicator
    2.
    发明授权
    Automatic laparoscopic ligation clip applicator 失效
    自动腹腔镜结扎夹

    公开(公告)号：US5904693A

    公开(公告)日：1999-05-18

    申请号：US346285

    申请日：1994-11-23

    申请人： Paul C. Dicesare ,  Jeffrey A. Stein ,  William J. Allen ,  Joseph N. Logan ,  John A. Conners

    发明人： Paul C. Dicesare ,  Jeffrey A. Stein ,  William J. Allen ,  Joseph N. Logan ,  John A. Conners

    IPC分类号： A61B17/12 ,  A61B17/128 ,  A61B17/00

    CPC分类号： A61B17/1285 ,  Y10S227/901

    摘要： A laparoscopic ligation clip applicator for automatically applying a plurality of ligation clips includes a handle assembly having an actuator, an elongated shaft connected to the handle assembly, and an actuating mechanism disposed within the shaft. The actuating mechanism includes a clamp for engaging a first piece of the ligation clip and a slidable driver for driving a second piece of the ligation clip relative to the first piece. The actuating mechanism also includes a hold for preventing rearward movement of the ligation clips, and an advancer for sequentially feeding the ligation clips. A slidable cam, operably connected to the handle assembly, actuates the clamp, the driver and the advancer.

    摘要翻译： 用于自动施加多个连接夹的腹腔镜结扎夹施加器包括具有致动器的手柄组件，连接到手柄组件的细长轴和设置在轴内的致动机构。 所述致动机构包括用于接合所述连接夹的第一片的夹具和用于相对于所述第一片驱动所述连接夹的第二片的可滑动驱动器。 致动机构还包括用于防止结扎夹的向后移动的保持器，以及用于顺序地给连接夹的馈送器的推进器。 可操作地连接到手柄组件的可滑动凸轮致动夹具，驱动器和推进器。

    Devices and methods for performing avascular anastomosis
    4.
    发明授权
    Devices and methods for performing avascular anastomosis 有权
    用于进行无血管吻合的装置和方法

    公开(公告)号：US07112211B2

    公开(公告)日：2006-09-26

    申请号：US10339434

    申请日：2003-01-09

    申请人： Hanson S. Gifford, III ,  Lee R. Bolduc ,  Jeffrey A. Stein ,  Paul C. DiCesare ,  Peter F. Costa ,  William A. Holmes

    发明人： Hanson S. Gifford, III ,  Lee R. Bolduc ,  Jeffrey A. Stein ,  Paul C. DiCesare ,  Peter F. Costa ,  William A. Holmes

    IPC分类号： A61B17/11

    CPC分类号： A61B17/12109 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12136 ,  A61B2017/00243 ,  A61B2017/0641 ,  A61B2017/1135 ,  A61B2017/12127 ,  A61F2002/30092 ,  A61F2210/0014

    摘要： A system for performing an end-to-side vascular anastomosis. including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis.

    摘要翻译： 用于进行端对侧血管吻合的系统。 包括吻合装置，应用仪器和用于进行血管吻合的方法。 该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。 本发明的第一方面包括血管吻合缝合物。 第一构造具有两部分：锚定构件，与目标血管壁形成附件和联接构件，与旁路移植血管形成附件。 通过将连接构件插入到锚定构件中来完成吻合。 第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。 本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触目标血管的外表面。 由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。 本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到 靶血管形成吻合。

    Devices and methods for performing a vascular anastomosis
    7.
    发明授权
    Devices and methods for performing a vascular anastomosis 有权
    用于进行血管吻合的装置和方法

    公开(公告)号：US06171321B2

    公开(公告)日：2001-01-09

    申请号：US09315365

    申请日：1999-05-18

    申请人： Hanson S. Gifford, III ,  Lee R. Bolduc ,  Jeffrey A. Stein ,  Paul C. DiCesare ,  Peter F. Costa ,  William A. Holmes

    发明人： Hanson S. Gifford, III ,  Lee R. Bolduc ,  Jeffrey A. Stein ,  Paul C. DiCesare ,  Peter F. Costa ,  William A. Holmes

    IPC分类号： A61B1711

    CPC分类号： A61B17/12109 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12136 ,  A61B2017/00243 ,  A61B2017/0641 ,  A61B2017/1135 ,  A61B2017/12127 ,  A61F2002/30092 ,  A61F2210/0014

    摘要： A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member. forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis.

    摘要翻译： 一种用于执行端对侧血管吻合的系统，包括吻合装置，应用仪器和用于进行血管吻合的方法。 该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。 本发明的第一方面包括血管吻合缝合物。 第一构造具有两部分：锚定构件，与靶血管壁形成附件和联接构件。 用旁路移植血管形成附件。 通过将连接构件插入到锚定构件中来完成吻合。 第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。 本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触目标血管的外表面。 由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。 本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到 靶血管形成吻合。

    Device For Engaging Tissue Having a Preexisting Opening
    8.
    发明申请
    Device For Engaging Tissue Having a Preexisting Opening 失效
    用于使具有预先存在的开口的组织的装置

    公开(公告)号：US20110172686A1

    公开(公告)日：2011-07-14

    申请号：US13073119

    申请日：2011-03-28

    申请人： Hanson S. Gifford, III ,  Lee R. Bolduc ,  Jeffrey A. Stein ,  Paul C. Dicesare ,  Peter F. Costa ,  William A. Holmes

    发明人： Hanson S. Gifford, III ,  Lee R. Bolduc ,  Jeffrey A. Stein ,  Paul C. Dicesare ,  Peter F. Costa ,  William A. Holmes

    IPC分类号： A61B17/11 ,  A61B17/064

    CPC分类号： A61B17/12109 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12136 ,  A61B2017/00243 ,  A61B2017/0641 ,  A61B2017/1135 ,  A61B2017/12127 ,  A61F2002/30092 ,  A61F2210/0014

    摘要： A system for performing an end-to-side vascular anastomosis. including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis

    摘要翻译： 用于进行端对侧血管吻合的系统。 包括吻合装置，应用仪器和用于进行血管吻合的方法。 该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。 本发明的第一方面包括血管吻合缝合物。 第一构造具有两部分：锚定构件，与目标血管壁形成附件和联接构件，与旁路移植血管形成附件。 通过将连接构件插入到锚定构件中来完成吻合。 第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。 本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触目标血管的外表面。 由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。 本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到 靶血管形成吻合

    Devices and methods for performing avascular anastomosis
    9.
    发明授权
    Devices and methods for performing avascular anastomosis 失效
    用于进行无血管吻合的装置和方法

    公开(公告)号：US06899718B2

    公开(公告)日：2005-05-31

    申请号：US10830897

    申请日：2004-04-23

    申请人： Hanson S. Gifford, III ,  Lee R. Bolduc ,  Jeffrey A. Stein ,  Paul C. DiCesare ,  Peter F. Costa ,  William A. Holmes

    发明人： Hanson S. Gifford, III ,  Lee R. Bolduc ,  Jeffrey A. Stein ,  Paul C. DiCesare ,  Peter F. Costa ,  William A. Holmes

    IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12 ,  A61F2/00

    CPC分类号： A61B17/12109 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/11 ,  A61B17/115 ,  A61B17/12036 ,  A61B17/12045 ,  A61B17/12136 ,  A61B2017/00243 ,  A61B2017/0641 ,  A61B2017/1135 ,  A61B2017/12127 ,  A61F2002/30092 ,  A61F2210/0014

    摘要： A system for performing an end-to-side vascular anastomosis, including an anastomosis device, an application instrument and methods for performing a vascular anastomosis. The system is applicable for performing an anastomosis between a vascular graft and the ascending aorta in coronary artery bypass surgery, particularly in port-access CABG surgery. A first aspect of the invention includes a vascular anastomosis staple. A first configuration has two parts: an anchor member, forming the attachment with the target vessel wall and a coupling member, forming the attachment with the bypass graft vessel. The anastomosis is completed by inserting the coupling member, with the graft vessel attached, into the anchor member. A second configuration combines the functions of the anchor member and the coupling member into a one-piece anastomosis staple. A second aspect of the invention includes an anastomotic fitting, having an inner flange over which the graft vessel is everted and an outer flange which contacts the exterior surface of the target vessel. A tailored amount of compression applied by the inner and outer flanges grips the target vessel wall and creates a leak-proof seal between the graft vessel and the target vessel. A third aspect of the invention has a flange to which the graft vessel attaches, by everting the graft vessel over the flange, and a plurality of staple-like members which attach the flange and the everted end of the graft vessel to the wall of the target vessel to form the anastomosis

    摘要翻译： 一种用于执行端对侧血管吻合的系统，包括吻合装置，应用仪器和用于进行血管吻合的方法。 该系统适用于在冠状动脉旁路手术中进行血管移植物和升主动脉之间的吻合，特别是在进入CABG手术中。 本发明的第一方面包括血管吻合缝合物。 第一构造具有两部分：锚定构件，与目标血管壁形成附件和联接构件，与旁路移植血管形成附件。 通过将连接构件插入到锚定构件中来完成吻合。 第二种结构将锚定构件和联接构件的功能结合成一体式吻合钉。 本发明的第二方面包括一种吻合装置，其具有内部凸缘，移植物容器在其上延伸，外部凸缘接触目标血管的外表面。 由内外法兰施加的定制的压缩量夹住目标血管壁，并在移植血管和靶血管之间产生防漏密封。 本发明的第三方面具有凸缘，移植管通过使移植物容器穿过凸缘而附接到该凸缘上，以及多个钉状构件，其将该移植物容器的凸缘和脱出端附接到 靶血管形成吻合