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654 条记录 (耗时 0.025 秒)

    Surgical Stapling Instrument
    91.
    发明申请
    Surgical Stapling Instrument 有权
    手术器械

    公开(公告)号：US20100308101A1

    公开(公告)日：2010-12-09

    申请号：US12830010

    申请日：2010-07-02

    申请人： Federico Bilotti ,  Antonio Longo

    发明人： Federico Bilotti ,  Antonio Longo

    IPC分类号： A61B17/068

    CPC分类号： A61B17/1114 ,  A61B17/072 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/07221

    摘要： A surgical stapling instrument (1) comprises a body portion (2, 3), a handle (4) and a staple fastening assembly (8). The staple fastening assembly (8) includes a curved cartridge (10), which comprises at least one curved open row of staples, and a curved anvil (22), which is adapted to cooperate with the cartridge (10) for forming the ends of the staples exiting from the cartridge (10). The staple fastening assembly (8) is adapted to allow unobstructed access towards the concave inner faces of the cartridge (10) and the anvil (22). The cartridge (10) can be moved towards the anvil (22) from a spaced position for positioning tissue therebetween to a closed position for clamping the tissue. Preferably, a knife is contained within the cartridge (10) and is positioned such that there is at least one row of staples on at least one side of the knife.

    摘要翻译： 外科缝合器械（1）包括主体部分（2,3），手柄（4）和钉紧固组件（8）。 缝钉紧固组件（8）包括弯曲的盒（10），其包括至少一个弯曲的开放排的钉和弯曲的砧座（22），其适于与所述盒（10）协作以形成 订书钉从盒（10）离开。 缝合钉紧固组件（8）适于允许朝向盒（10）和砧座（22）的凹内表面畅通无阻。 药筒（10）可以从间隔位置移动到砧座（22），用于将组织定位到用于夹紧组织的关闭位置。 优选地，刀被容纳在盒（10）内并且被定位成使得在刀的至少一侧上存在至少一排钉。

    Knife Bar for Surgical Instrument
    93.
    发明申请
    Knife Bar for Surgical Instrument 有权
    手术刀刀杆

    公开(公告)号：US20100076459A1

    公开(公告)日：2010-03-25

    申请号：US12235767

    申请日：2008-09-23

    申请人： David Farascioni

    发明人： David Farascioni

    IPC分类号： A61B17/10

    CPC分类号： A61B17/07207 ,  A61B17/068 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/07285 ,  A61B2017/2927

    摘要： A surgical instrument for surgically joining tissue includes a handle assembly, an elongate member extending distally from the handle assembly, an end effector disposed adjacent a distal portion of the elongate member, and an actuation assembly operatively associated with the handle assembly. The actuation mechanism includes a thrust bar disposed at least partially within the elongate member and a distal slide member. The thrust bar has a proximal portion, a distal portion, a first lateral side and a second lateral side and is configured to move between proximal and distal positions with respect to the handle assembly. The distal slide member is positioned adjacent the first lateral side of the thrust bar and is adjacent the distal portion of the thrust bar. The proximal portion of the distal slide member is adapted to slide relative to the thrust bar when thrust bar moves in a curvilinear direction.

    摘要翻译： 用于手术连接组织的手术器械包括手柄组件，从手柄组件向远侧延伸的细长构件，邻近细长构件的远侧部分设置的端部执行器以及与手柄组件可操作地相关联的致动组件。 致动机构包括至少部分地设置在细长构件内的止推杆和远侧滑动构件。 推杆具有近端部分，远端部分，第一横向侧面和第二横向侧面，并且构造成相对于手柄组件在近端位置和远端位置之间移动。 远端滑动构件定位成与推杆的第一侧面相邻并且与推杆的远侧部分相邻。 当推杆沿曲线方向移动时，远端滑动构件的近侧部分适于相对于推力杆滑动。

    Surgical stapler with a bendable end effector
    95.
    发明授权
    Surgical stapler with a bendable end effector 有权
    具有可弯曲末端执行器的手术吻合器

    公开(公告)号：US07651017B2

    公开(公告)日：2010-01-26

    申请号：US11287525

    申请日：2005-11-23

    申请人： Mark S. Ortiz ,  Michael Stokes

    发明人： Mark S. Ortiz ,  Michael Stokes

    IPC分类号： A61B17/068

    CPC分类号： A61B17/07207 ,  A61B17/064 ,  A61B2017/003 ,  A61B2017/0641 ,  A61B2017/07214 ,  A61B2017/07221

    摘要： A surgical stapler having a selectively bendable end effector is provided. A staple holding jaw of the end effector is coupled to another jaw for grasping tissue to be stapled. The stapler can adapted to drive staples into tissue having a pattern conforming with the selected shape of the end effector. In particular, the end effector can be adapted to drive staples in a linear pattern when the end effector orients staples in a substantially linear configuration. The end effector can also be adapted to drive staples in a non linear pattern when the end effector orients staples in a non linear configuration. Methods of stapling tissue with a stapler having a bendable end effector are also discussed.

    摘要翻译： 提供具有可选择性弯曲的端部执行器的手术吻合器。 端部执行器的钉子保持钳口联接到另一个钳口以用于抓取待装订的组织。 订书机可以适应于将订书钉驱动到具有符合所选择的端部执行器形状的图案的组织中。 特别地，末端执行器可以适于在末端执行器以大体上线性的构型定向缝合时以线性图案驱动钉。 端部执行器还可以适于在端部执行器以非线性配置引导订书钉时以非线性图案驱动订书钉。 还讨论了用具有可弯曲端部执行器的订书机装订组织的方法。

    Full thickness resectioning device
    96.
    发明授权
    Full thickness resectioning device 有权
    全厚切割装置

    公开(公告)号：US07559451B2

    公开(公告)日：2009-07-14

    申请号：US11192575

    申请日：2005-07-29

    申请人： Satish K. Sharma ,  David I. Freed ,  Nicholas Patronik ,  Jeffrey M. Wendlandt

    发明人： Satish K. Sharma ,  David I. Freed ,  Nicholas Patronik ,  Jeffrey M. Wendlandt

    IPC分类号： A61B17/04

    CPC分类号： A61B17/07207 ,  A61B17/00234 ,  A61B17/29 ,  A61B17/320016 ,  A61B2017/00353 ,  A61B2017/07221 ,  A61B2017/0725 ,  A61B2017/2905

    摘要： A full thickness resection device comprises a control handle including an actuator wherein, when the device is in an operative position within a body lumen of a patient, the control handle remains outside the patient's body and a working head assembly coupled to a control handle by a flexible sheath, wherein, when the device is in the operative position; the working head assembly is located within a body lumen of the patient adjacent to a portion of tissue to be treated, the working head assembly including a tissue stapling mechanism including first and second tissue stapling members moveable relative to one another in combination with a first cable extending from the actuator through the flexible sheath to the first tissue stapling member so that, when the actuator is operated to draw the first cable proximally from the sheath, the first tissue stapling member is moved in a first direction relative to the second tissue stapling member.

    摘要翻译： 全厚度切除装置包括包括致动器的控制手柄，其中当所述装置处于患者的体腔内的操作位置时，所述控制手柄保持在患者身体外部，并且工作头组件通过 柔性护套，其中当所述装置处于操作位置时; 所述工作头组件位于所述患者的身体腔内，邻近所述待治疗组织的一部分，所述工作头组件包括组织缝合机构，所述组织缝合机构包括可相对于彼此移动的第一和第二组织缝合构件， 从所述致动器延伸穿过所述柔性护套到所述第一组织装订构件，使得当所述致动器被操作以从所述护套向近侧拉出所述第一电缆时，所述第一组织装订构件相对于所述第二组织缝合构件在第一方向上移动 。

    Apparatus for stapling and incising tissue
    98.
    发明申请
    Apparatus for stapling and incising tissue 失效

    公开(公告)号：US20090008424A1

    公开(公告)日：2009-01-08

    申请号：US11825175

    申请日：2007-07-05

    申请人： David T. Green

    发明人： David T. Green

    IPC分类号： A61B17/068

    CPC分类号： A61B17/072 ,  A61B17/0686 ,  A61B17/32 ,  A61B2017/0688 ,  A61B2017/07221 ,  A61B2017/2927 ,  A61B2090/038 ,  A61B2090/0801

    摘要： A surgical fastening and cutting assembly having a housing defines a passage and a pusher, with a cam surface, slides in the passage. An arm couples to the housing and an anvil base is located on the arm. A body slides on the arm between the housing and the base. The body defines a bore and a staple passage having a staple therein. A cam follower extends from the cartridge body to the housing. In an open position, tissue can be placed between the anvil base and the body. In an intermediate position, the cam surface of the pusher can move the cam follower into a locked position and, thereby, the tissue can be clamped. In a fastened and cut position, the pusher can move such that the staple can be been driven and formed in the tissue and a knife, coupled to the pusher, can cut the tissue.

    Surgical Stapling Instrument
    99.
    发明申请
    Surgical Stapling Instrument 有权
    手术器械

    公开(公告)号：US20080093415A1

    公开(公告)日：2008-04-24

    申请号：US11662033

    申请日：2004-09-30

    申请人： Federico Bilotti

    发明人： Federico Bilotti

    IPC分类号： A61B17/068

    CPC分类号： A61B17/072 ,  A61B2017/07214 ,  A61B2017/07221 ,  A61B2017/0725

    摘要： A surgical stapling instrument having a staple fastening assembly including a curved cartridge device. The device has at least one curved open row of staples having a first and second ends and having a concave side and a convex side. Opposite to the cartridge device there is a curved anvil for forming the ends of the staples. The instrument also includes a moving device adapted to move the anvil with respect to the cartridge device in a parallel relationship. The instrument also includes a staple driving device adapted to drive the staples out of the cartridge device towards the anvil, and a knife. The knife has opposing first and second sides and is contained in the cartridge device. There is also a knife actuating device adapted to move the knife towards the anvil. The instrument includes staple fastening assembly having a retaining pin which moves between the cartridge device to align them. The retaining pin is located on the second side of the knife in an intermediate region between the first end and second ends of the curved row of staples.

    摘要翻译： 一种外科缝合器械，具有包括弯曲的药筒装置的钉紧固组件。 该装置具有至少一个具有第一和第二端并具有凹面和凸面的开放的一排钉。 与墨盒装置相对，具有用于形成钉的端部的弯曲砧座。 仪器还包括适于相对于盒装置以平行关系移动砧座的移动装置。 该仪器还包括一个装订驱动装置，适用于将钉从药筒装置朝向砧座驱动，还有一把刀。 刀具具有相对的第一和第二面并且被容纳在盒装置中。 还有一个适于将刀朝向砧移动的刀驱动装置。 该仪器包括具有固定销的钉紧固组件，该固定销在盒装置之间移动以对准它们。 保持销位于刀片的第二侧，位于弯曲的钉排钉的第一端和第二端之间的中间区域中。

    Method for performing trans-anal resection with a curved cutter stapler
    100.
    发明申请
    Method for performing trans-anal resection with a curved cutter stapler 有权
    用弯曲切割订书机执行肛门切除术的方法

    公开(公告)号：US20070185508A1

    公开(公告)日：2007-08-09

    申请号：US11348544

    申请日：2006-02-07

    申请人： Donna Korvick ,  William Bernie ,  Antonio Longo

    发明人： Donna Korvick ,  William Bernie ,  Antonio Longo

    IPC分类号： A61B17/08

    CPC分类号： A61B17/0293 ,  A61B1/31 ,  A61B17/0469 ,  A61B17/072 ,  A61B17/105 ,  A61B17/320016 ,  A61B17/32053 ,  A61B2017/00353 ,  A61B2017/07221 ,  A61B2017/3452

    摘要： A method for performing trans-anal resection is achieved by applying a first stitch about the rectum, wherein deep bites of the first stitch capture and fold a rectum wall, creating a longitudinal staple line in the rectal wall at a position adjacent the first stitch, positioning a curved surgical stapler instrument in the rectum for capturing the rectal wall held by the first stitch, firing the surgical stapler instrument creating a circumferential first staple line approximately along the arc defined by the first stitch, and repeating the procedure about the circumference of the rectum until a predetermined portion of the rectum is fully resected.

    摘要翻译： 通过在直肠周围施加第一针迹来实现反肛门切除的方法，其中第一针迹的深咬合捕获并折叠直肠壁，在与第一针迹相邻的位置处在直肠壁中产生纵向缝合线， 将弯曲的外科缝合器器械定位在直肠中，用于捕获由第一针迹保持的直肠壁，点燃外科缝合器器械，沿着由第一针迹限定的圆弧形成周向的第一缝合线，并且重复围绕第 直肠直到直肠的预定部分被完全切除。