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    FLEXIBLE ENDOSCOPIC STITCHING DEVICES
    1.
    发明申请
    FLEXIBLE ENDOSCOPIC STITCHING DEVICES 审中-公开
    柔性内窥镜缝合装置

    公开(公告)号：WO2008045355A2

    公开(公告)日：2008-04-17

    申请号：PCT/US2007021449

    申请日：2007-10-05

    Applicant: TYCO HEALTHCARE ,  VIOLA FRANK J ,  TAYLOR ERIC J ,  HATHAWAY PETER ,  HORTON KENNETH W

    Inventor： VIOLA FRANK J ,  TAYLOR ERIC J ,  HATHAWAY PETER ,  HORTON KENNETH W

    IPC: A61B17/94

    CPC classification number: 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

    Abstract: An endoscopic stitching device is provided including a handle assembly and an end effector operatively connected to the handle assembly. The handle assembly includes a housing; a trigger operatively supported on the housing; and an actuation cable operatively connected to the trigger and extending from the housing in such a manner that an actuation of the trigger imparts axial translation and rotation to the actuation cable. The end effector includes a tool assembly configured and adapted to perform at least a pair of operations. The actuation cable is operatively connected to the tool assembly in such a manner that the actuation cable is capable of effecting a first operation of the pair of operations of the end effector upon the axial translation thereof and/or effecting a second operation of the pair of operations of the end effector upon the rotation thereof.

    Abstract translation: 提供内窥镜缝合装置，其包括手柄组件和可操作地连接到手柄组件的端部执行器。 手柄组件包括壳体; 可操作地支撑在壳体上的扳机; 以及致动电缆，其操作地连接到触发器并且以这样的方式从壳体延伸，使得触发器的致动赋予致动电缆的轴向平移和旋转。 末端执行器包括配置和适于执行至少一对操作的工具组件。 致动电缆以这样的方式可操作地连接到工具组件，使得致动电缆能够在其端部执行器的轴向平移时实现末端执行器的一对操作的第一操作和/或执行一对 端部执行器在其旋转时的操作。

    BATTERY POWERED SURGICAL INSTRUMENT
    3.
    发明申请
    BATTERY POWERED SURGICAL INSTRUMENT 审中-公开

    公开(公告)号：WO2006132992A3

    公开(公告)日：2006-12-14

    申请号：PCT/US2006/021510

    申请日：2006-06-02

    Applicant: TYCO HEALTHCARE GROUP LP ,  VIOLA, Frank, J. ,  KREHEL, Gregg ,  PEDROS, Guido

    Inventor： VIOLA, Frank, J. ,  KREHEL, Gregg ,  PEDROS, Guido

    IPC: A61B17/068

    Abstract: A surgical stapler has a handle assembly including a stationary handle and a trigger. The stapler also has a drive assembly with a body having a working end and a cam member supported on the working end. The cam member is positioned to translate relative to the anvil to maintain the anvil in the closed position during firing of the stapler. The trigger is operatively connected to a power cell. The power cell is operably connected to a motor of the drive assembly. The manipulation of the trigger actuates the power cell such that the power cell powers the drive assembly to effect translation of the cam member relative to the anvil. The stapler also has a channel for supporting the staple cartridge and the motor of the drive assembly controls the actuation sled supported within the cartridge. The actuation sled urges the plurality of staples from the cartridge when the anvil is in the closed position and in cooperative alignment with the staple cartridge.

    BATTERY POWERED SURGICAL INSTRUMENT
    4.
    发明申请
    BATTERY POWERED SURGICAL INSTRUMENT 审中-公开
    电池供电手术仪器

    公开(公告)号：WO2006132992A2

    公开(公告)日：2006-12-14

    申请号：PCT/US2006021510

    申请日：2006-06-02

    Applicant: TYCO HEALTHCARE ,  VIOLA FRANK J ,  KREHEL GREGG ,  PEDROS GUIDO

    Inventor： VIOLA FRANK J ,  KREHEL GREGG ,  PEDROS GUIDO

    IPC: A61B17/04

    CPC classification number: A61B17/07207 ,  A61B17/00234 ,  A61B17/068 ,  A61B17/072 ,  A61B17/12 ,  A61B2017/00022 ,  A61B2017/00128 ,  A61B2017/00132 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2943 ,  A61B2017/320052

    Abstract: A surgical stapler has a handle assembly including a stationary handle and a trigger. The stapler also has a drive assembly with a body having a working end and a cam member supported on the working end. The cam member is positioned to translate relative to the anvil to maintain the anvil in the closed position during firing of the stapler. The trigger is operatively connected to a power cell. The power cell is operably connected to a motor of the drive assembly. The manipulation of the trigger actuates the power cell such that the power cell powers the drive assembly to effect translation of the cam member relative to the anvil. The stapler also has a channel for supporting the staple cartridge and the motor of the drive assembly controls the actuation sled supported within the cartridge. The actuation sled urges the plurality of staples from the cartridge when the anvil is in the closed position and in cooperative alignment with the staple cartridge.

    Abstract translation: 手术吻合器具有包括固定手柄和触发器的手柄组件。 订书机还具有驱动组件，主体具有工作端和支撑在工作端上的凸轮构件。 凸轮构件被定位成相对于砧座平移以在肘钉器的击发期间将砧座保持在关闭位置。 触发器可操作地连接到功率单元。 动力单元可操作地连接到驱动组件的马达。 触发器的操作致动动力单元，使得动力单元为驱动组件供电以实现凸轮构件相对于砧座的平移。 订书机还具有用于支撑订书钉盒的通道，并且驱动组件的电动机控制支撑在盒中的致动滑板。 当砧座处于关闭位置并且与钉仓协调对准时，致动滑板从盒中推动多个订书钉。

    COMPRESSION ANASTOMOSIS DEVICE AND METHOD
    6.
    发明申请
    COMPRESSION ANASTOMOSIS DEVICE AND METHOD 审中-公开
    压缩分析装置和方法

    公开(公告)号：WO2006044194A2

    公开(公告)日：2006-04-27

    申请号：PCT/US2005035699

    申请日：2005-10-05

    Applicant: TYCO HEALTHCARE ,  VIOLA FRANK

    Inventor： VIOLA FRANK

    IPC: A61B17/04

    CPC classification number: A61B17/11 ,  A61B17/1114 ,  A61B2017/1103 ,  A61B2017/1107 ,  A61B2017/1117 ,  A61B2017/1121 ,  A61B2017/1132

    Abstract: An anastomotic device for use in the joining of a first tubular structure and a second tubular structure is provided. The anastomotic device includes a cylindrical sleeve configured and dimensioned for placement at least partially within the first tubular structure, the cylindrical sleeve defining a bore therethrough; an inverting member configured and dimensioned for placement at least partially within the second tubular structure, the inverting member defining a bore therethrough which is configured and dimensioned to selectively receive the cylindrical sleeve therein; and a constricting member selectively positionable on the inverting member and movable onto the cylindrical sleeve when the cylindrical sleeve is at least partially positioned within the bore of the inverting member.

    Abstract translation: 提供了用于连接第一管状结构和第二管状结构的吻合装置。 吻合装置包括构造和尺寸用于至少部分地放置在第一管状结构内的圆柱形套筒，圆柱形套筒限定穿过其中的孔; 反转构件被构造和定尺寸以至少部分地放置在第二管状结构内，所述翻转构件限定穿过其中的孔，其构造和尺寸被选择性地容纳其中的圆柱形套筒; 以及收缩构件，当所述圆柱形套筒至少部分地定位在所述翻转构件的所述孔内时，可选择性地定位在所述翻转构件上并且可移动到所述圆柱形套筒上。

    TOOL ASSEMBLY FOR SURGICAL STAPLING DEVICE
    7.
    发明申请
    TOOL ASSEMBLY FOR SURGICAL STAPLING DEVICE 审中-公开
    手术装置工具组装

    公开(公告)号：WO2004032754A3

    公开(公告)日：2004-07-01

    申请号：PCT/US0331653

    申请日：2003-10-06

    Applicant: TYCO HEALTHCARE ,  VIOLA FRANK J

    Inventor： VIOLA FRANK J

    IPC: A61B17/072 ,  A61B17/125 ,  A61B17/28

    CPC classification number: A61B17/07207 ,  A61B2017/00367 ,  A61B2017/07214 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2017/2931 ,  A61B2017/2934 ,  A61B2017/2936 ,  A61B2017/2944

    Abstract: A tool assembly having a pair of jaws is disclosed. Each of the jaws has a proximal end and a distal end and the first jaw is movable in relation to the second jaw between a spaced position and an approximated position. First and second cam followers are supported on the first jaw. An approximation member is movable in relation to the first jaw and includes at least one cam surface positioned to engage the first and second cam followers. The approximation member is movable in relation to the first jaw to move the at least one cam surface in relation to the first and second cam followers to effect movement of the first and second jaws from the spaced position to the approximated position. The at least one cam channel is configured to approximate the distal ends of the first and second jaws prior to approximation of the proximal ends of the first and second jaws. In another preferred embodiment, the tool assembly includes an articulation and firing actuator. The articulation and firing actuator includes a flexible band having a first end portion extending at least partially through the body portion and through the cartridge assembly, a central portion extending from the first end portion operably associated with the dynamic clamping member and a second end portion extending from the central portion through the cartridge assembly and at least partially through the body portion to a position adjacent the first end. The articulation and firing actuator is operably associated with the tool assembly such that movement of either the first end portion or the second end portion of the flexible band proximally and independently of the other end portion effects pivoting of the tool assembly in relation to the body portion, and movement of both the first and second end portions of the flexible band simultaneously effects movement of the dynamic clamping member to eject the staples from the cartridge assembly.

    Abstract translation: 公开了一种具有一对钳口的工具组件。 每个钳口具有近端和远端，并且第一钳口可相对于第二钳口在间隔位置和近似位置之间移动。 第一和第二凸轮从动件支撑在第一颚上。 近似构件相对于第一钳口可移动并且包括定位成接合第一和第二凸轮从动件的至少一个凸轮表面。 近似构件相对于第一夹爪可移动，以相对于第一和第二凸轮从动件移动至少一个凸轮表面，以使第一和第二夹爪从间隔位置移动到近似位置。 所述至少一个凸轮通道构造成在近似第一和第二钳口的近端之前接近第一和第二钳口的远端。 在另一优选实施例中，工具组件包括铰接和击发致动器。 关节和击发致动器包括柔性带，其具有至少部分地延伸穿过主体部分并穿过盒组件的第一端部部分，从与动态夹紧部件可操作地相关联的第一端部部分延伸的中心部分和第二端部部分延伸 从中心部分通过盒组件并且至少部分地穿过主体部分到达与第一端相邻的位置。 铰接和击发致动器与工具组件可操作地相关联，使得柔性带的第一端部分或第二端部部分的近侧和独立于另一端部部分的运动使得工具组件相对于主体部分枢转 并且柔性带的第一和第二端部的运动同时实现动态夹持构件的运动，以将钉从盒组件弹出。

    LIGATION CLIP APPLIER AND METHOD
    9.
    发明申请
    LIGATION CLIP APPLIER AND METHOD 审中-公开

    公开(公告)号：WO2003092473A3

    公开(公告)日：2003-11-13

    申请号：PCT/US2003/013523

    申请日：2003-04-29

    Applicant: TYCO HEALTHCARE GROUP, LP ,  VIOLA, Frank, J.

    Inventor： VIOLA, Frank, J.

    IPC: A61B17/08

    Abstract: A torsional ligation clip apllier (10) and method for use for endoscopic or laparoscopic vessel occlusion procedures is provided. The ligation clip includes a hub portion (16,18) and ligation arms (24, 26) for occluding a vessel. Ligation arms are independently rotatable about a common axis that is parallel to the longitudinal axis of the ligation arms. The ligation arms are biased in a first position by a biasing mechanism. The ligation arms of the clip are rotatable through at least one of a plurality of positions wherein it has a larger diameter than an access device. An applier receives at least one ligating clip in a first position and delivers the ligating clip to a vessel in a second position. Occlusion of the vessel occurs when one of the ligation arms is rotated into a third position.

    SURGICAL STAPLING APPARATUS AND METHOD
    10.
    发明申请
    SURGICAL STAPLING APPARATUS AND METHOD 审中-公开
    手术装订设备和方法

    公开(公告)号：WO2003030742A2

    公开(公告)日：2003-04-17

    申请号：PCT/US2002/031963

    申请日：2002-10-04

    Applicant: TYCO HEALTHCARE GROUP, LP ,  VIOLA, Frank, J. ,  IVANKO, David

    Inventor： VIOLA, Frank, J. ,  IVANKO, David

    IPC: A61B17/072

    CPC classification number: A61B17/07207 ,  A61B17/0686 ,  A61B2017/00526 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/2933 ,  A61B2090/0814

    Abstract: The present disclosure is directed to staple-gap adjustment members for use in surgical stapling apparatus and methods. A gap adjustment member includes one or more bearing portions sharing a common rotational axis and one or more cam surface portions having a periphery with at least two different points along the periphery, with each point along the periphery having a different radius from the rotational axis. The one or more cam surface portions can have a central axis parallel to and spaced a distance from the rotational axis of the one or more bearing portions.

    Abstract translation: 本公开涉及用于外科缝合器械和方法中的缝钉间隙调节构件。 间隙调整构件包括具有共同的旋转轴线的一个或多个轴承部分以及具有沿着外围具有至少两个不同点的外围的一个或多个凸轮表面部分，沿着外围的每个点具有与旋转轴线不同的半径。 所述一个或多个凸轮表面部分可以具有与所述一个或多个轴承部分的旋转轴线平行且间隔一定距离的中心轴线。

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