公开(公告)号：US20060100649A1

公开(公告)日：2006-05-11

申请号：US10533398

申请日：2003-12-16

Applicant: Charles Hart

Inventor： Charles Hart

IPC: A61B17/08

CPC classification number: A61B17/0682 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/08 ,  A61B17/105 ,  A61B17/122 ,  A61B17/1285 ,  A61B2017/00858 ,  A61B2017/0641 ,  A61B2017/0649 ,  A61B2017/1225

Abstract: A surgical staple-clip including a clip component and a securing member is used in a wide range of surgical procedures. The staple-clip may be introduced to a surgical site in an un-assembled condition through a small port or trocar. An applier for the staple-clip comprising a pair of opposed jaw-like channels is provided to position and apply the clip component and the securing member. The clip component is positioned around a target tissue and is compressed or clamped upon the tissue using only the force required for a specific surgical procedure such as occlusion, ligation or fixation. When the clip component is properly applied, the securing member is urged forward and over the clip component to secure the staple-clip. The clip component may include traction enhancement features such as surface interruptions, bumps, valleys and ridges. With the staple-clip of the invention, the force required to constrict or occlude the tissue is separate from the force required to secure and maintain the staple-clip in position and, as a result, the body tissue is not over-compressed and nourishment to the body tissue is maintained. Other aspects of the invention include thumb actuated clip appliers for use in hand assisted laparoscopy (HAL). In one embodiment, a clip applier includes a handle and a thumb actuated mechanism that is used to slidably release clips onto a body tissue or vessel by sliding the thumb actuated mechanism forward and backward using only one hand. In another aspect of the invention, a two-stage clip is disclosed having a clip component and a staple component for securing the clip after it has been properly positioned.

Abstract translation: 包括夹子组件和固定构件的外科手术夹夹用于广泛的手术过程。 钉夹可以通过小口或套管针以未装配的状态被引入外科手术部位。 用于包括一对相对的颚状通道的缝钉夹的施放器被设置以定位和施加夹子部件和固定部件。 夹子组件围绕目标组织定位，并且仅使用特定外科手术所需的力（例如闭塞，结扎或固定）压缩或夹紧在组织上。 当适当地施加夹子部件时，固定构件被推向夹持部件的上方并固定在钉夹上。 夹子组件可以包括牵引增强特征，例如表面中断，凸起，谷和脊。 利用本发明的钉夹，收缩或闭塞组织所需的力与将钉夹固定并保持在适当位置所需的力分离，因此，身体组织不被过度压缩和营养 维持身体组织。 本发明的其它方面包括用于手辅助腹腔镜检查（HAL）的拇指致动夹持器。 在一个实施例中，施夹器包括手柄和拇指致动机构，其用于通过仅使用一只手将拇指致动机构向前和向后滑动来将夹子可滑动地释放到身体组织或容器上。 在本发明的另一方面，公开了一种具有夹子部件和用于在夹具被适当定位之后固定夹子的钉部件的两级夹子。

公开(公告)号：US06827086B2

公开(公告)日：2004-12-07

申请号：US10061755

申请日：2002-02-01

Applicant: Brandon James Shuman

Inventor： Brandon James Shuman

IPC: A61B1900

CPC classification number: A61B17/32053 ,  A61B17/12 ,  A61B17/122 ,  A61B17/1227 ,  A61B17/282 ,  A61B17/3211 ,  A61B90/40 ,  A61B2017/00287 ,  A61B2017/1225 ,  A61B2017/320052

Abstract: The invention provides for treating deleterious body tissue located within healthy body tissue by isolating the deleterious tissue from blood, air, and fluid communication. The device includes two structures, each having a corresponding circumferential surface arranged to circumscribe the deleterious body tissue. When the first and second circumferential surfaces are brought together in an aligned relationship with the deleterious body tissue between the structures, the two circumferential surfaces co-act to isolate the deleterious body tissue from communication with the healthy body tissue. The deleterious tissue is resected according to the invention by allowing it to become ischemic and necrotic, or by excision.

Abstract translation: 本发明提供了通过将有害组织与血液，空气和流体连通分离来治疗位于健康身体组织内的有害身体组织。 该装置包括两个结构，每个结构具有布置成围绕有害身体组织的相应圆周表面。 当第一和第二圆周表面与结构之间的有害身体组织成对准关系时，两个圆周表面共同作用以将有害的身体组织与健康的身体组织连通。 根据本发明，通过使有害组织变得缺血和坏死，或通过切除来切除有害组织。

公开(公告)号：US20040215211A1

公开(公告)日：2004-10-28

申请号：US10852021

申请日：2004-05-24

Inventor： Richard L. Watson JR. ,  Ronald B. Hicks ,  Carrie D.M. Bader ,  Philip C.Y. Leung

IPC: A61D001/10

CPC classification number: A61B17/122 ,  A61B17/32 ,  A61B17/42 ,  A61B2017/1225

Abstract: A novel umbilical cord clamp and a combined umbilical cord clamp and cutter are provided for clamping and cutting umbilical cords in one motion. The cutter comprises two shells joined by a longitudinal hinge. A transverse blade is mounted in one shell, and a cutting support is mounted in the other shell across from the blade. A clamping member is provided on one side of the blade as part of the cutter, and a removable clamp is provided on the other side of the blade. The umbilical cord to be cut is oriented generally parallel to the hinge and lying across the cutting support. As the shells of the cutter are closed, the umbilical cord is clamped on both sides of the blade, and the blade severs the umbilical cord in the same motion. After the cut is completed, the removable clamp is removed from the cutter, preferably revealing an aesthetically pleasing form such as the face of a koala bear.

公开(公告)号：US06780195B2

公开(公告)日：2004-08-24

申请号：US10141350

申请日：2002-05-09

Applicant: Michael Porat

Inventor： Michael Porat

IPC: A61B1742

CPC classification number: A61B17/128 ,  A61B17/122 ,  A61B17/3201 ,  A61B17/42 ,  A61B2017/1225

Abstract: An instrument for clamping and cutting a deformable flexible tube includes handles and jaws pivotally coupled together on opposite sides of a pivot member, a fixed cutting blade on the jaws, integrally hinged lockable V-clamps with ratcheted inner gripping surfaces mounted in the jaws with the edge of the cutting blade positioned above the ratcheted surfaces of the V-clamps, and a device to push the V-clamp axially forward in the jaws. When the handles are pressed together to an intermediate position, the jaws are closed only partially locking the arms of the V-clamps while leaving the edge of the cutting blade distanced from the center of the clamp and from the tube, and when the handles are pressed further to a cutting position, the locked V-clamp is pushed forward in the jaws simultaneously closing the jaws completely and bringing down the cutting blade.

Abstract translation: 用于夹紧和切割可变形柔性管的仪器包括在枢转构件的相对侧枢转地联接在一起的手柄和夹爪，钳口上的固定切割刀片，整体铰接的可锁定V形夹具，其具有安装在钳口中的棘轮内侧抓握表面， 切割刀片的边缘位于V形夹具的棘轮表面上方，以及用于在钳口中轴向向前推动V形夹具的装置。 当手柄被压在一起到中间位置时，夹爪仅仅部分地锁定V形夹具的臂，同时使切割刀片的边缘离开夹具的中心并远离管子，并且当手柄是 进一步压入切割位置时，锁定的V形夹具在夹爪中向前推动同时完全闭合夹爪并使切割刀片下降。

公开(公告)号：US20040106938A1

公开(公告)日：2004-06-03

申请号：US10720911

申请日：2003-11-24

Inventor： Christopher J. Hess ,  Michael F. Clem ,  Gary W. Knight ,  Rudolph H. Nobis ,  Dale R. Schulze

IPC: A61D001/02

CPC classification number: A61B17/00008 ,  A61B17/32 ,  A61B18/1442 ,  A61B2017/1225 ,  A61B2018/0063

Abstract: An endoscopic vessel harvesting device and a method of endoscopic harvesting of vessels from a patients body. The method comprises locating the vessel, and inserting the vessel harvesting device through an incision. Dissecting the vessel from the surrounding tissue, and capturing side branch vessels in a vessel capturing means. Ligating and transecting the side branch vessels using electrodes and a knife located in the vessel capturing means. Finally, ligating and transecting the vessel, and removing the vessel from the patients body. The vessel harvesting device comprises a head piece, a shaft having a lumen for receiving an endoscope, and a vessel capturing means located on the head piece for capturing the side branch vessels in the receiver.

Abstract translation: 内窥镜血管收获装置以及从患者体内内窥镜收集血管的方法。 该方法包括定位血管，并通过切口插入血管收集装置。 从周围组织解剖血管，并在血管捕获装置中捕获侧分支血管。 使用电极和位于血管捕获装置中的刀来切断和横切侧分支血管。 最后，连接和横断血管，并从患者体内取出血管。 容器收集装置包括头部件，具有用于容纳内窥镜的内腔的轴和位于头部件上用于捕获接收器中的侧分支容器的容器捕获装置。

公开(公告)号：US06638282B2

公开(公告)日：2003-10-28

申请号：US09981365

申请日：2001-10-16

Applicant: James Ramsey ,  Daniel R. Puchek ,  David Cocke ,  Bret Price

Inventor： James Ramsey ,  Daniel R. Puchek ,  David Cocke ,  Bret Price

IPC: A61B1712

CPC classification number: A61B17/122 ,  A61B2017/1225

Abstract: A device includes first and second clamps each having an upper arm and a lower arm, and a cutting blade attached to one of the clamps. According to the invention, the upper arms of the first and second clamps are each provided with an upper clamping surface, and a directing member having a deformable cord gripping surface. The lower arms of the first and second clamps are each provided with a lower clamping surface, and a cord gripping surface. The clamping surfaces function to occlude the flow of blood through cut ends of the cord after the cord is cut by the blade, while the cord gripping surfaces function to prevent cord slippage prior to clamping by the clamping surfaces. Preferred gripping surfaces include deformable foam or resilient strips provided with teeth.

Abstract translation: 一种装置包括第一和第二夹具，每个夹具具有上臂和下臂，以及连接到夹具中的一个的切割刀片。 根据本发明，第一和第二夹具的上臂各自设有上夹紧表面和具有可变形的线夹紧表面的引导构件。 第一和第二夹具的下臂各具有下夹紧表面和绳索夹紧表面。 在帘线被刀片切割之后，夹紧表面起到阻塞血液通过线的切割端的作用，而帘线夹紧表面起到防止由夹紧表面夹紧之前的绳索滑动的作用。 优选的夹持表面包括可变形泡沫或设置有齿的弹性带。

公开(公告)号：US20030065349A1

公开(公告)日：2003-04-03

申请号：US09967205

申请日：2001-09-28

Inventor： Christopher J. Hess ,  Michael F. Clem ,  Gary W. Knight ,  Kristin L. Jambor ,  Gary L. Long

IPC: A61B017/22

CPC classification number: A61B17/00008 ,  A61B17/32 ,  A61B18/1442 ,  A61B2017/1225 ,  A61B2018/0063

Abstract: A method and device for endoscopic harvesting of blood vessels from a patient for use in subsequent procedures. The device having a two piece headpiece. A vessel to be removed is inserted into the headpiece and the top and bottom portions of the headpiece are alternatively extended in reciprocating fashion to dissect above and below the vessel. The headpiece having electrodes for ligation of any side branch vessels which are uncovered in the dissection process.

Abstract translation: 用于从患者内窥镜收集血管以用于随后程序的方法和装置。 该装置具有两件头盔。 要移除的容器被插入到头盔中，头盔的顶部和底部交替地以往复方式延伸以在容器的上方和下方剖开。 头部具有用于连接在解剖过程中未被覆盖的任何侧分支血管的电极。

公开(公告)号：US20030004521A1

公开(公告)日：2003-01-02

申请号：US10224895

申请日：2002-08-21

Inventor： Boguslaw Oriowski

IPC: A61B017/42

CPC classification number: A61B17/122 ,  A61B17/32 ,  A61B17/42 ,  A61B2017/1225

Abstract: A medical knife assembly includes an outer clamp assembly and an inner clamp blade assembly having a cutting blade assembly. The inner and outer clamp assemblies are pivotally connected at about their proximate ends so they may be squeezed together with one hand to affect a novel method of clamping and cutting in a single motion operation. A set of shear pins holds the component parts of the inner and outer assemblies together in a ready position that enables a user to properly position the knife assembly for severing an umbilical cord at the time of birth. Once the umbilical cord is severed, the component parts of the inner and outer assemblies separate providing independent clamps, one staying with an infant segment of the umbilical cord and one staying with a maternal segment of the umbilical cord. The two independent clamps operate to clamp the umbilical cord on both sides of the cutting blade assembly thereby preventing or at least greatly

Abstract translation: 医疗刀组件包括外夹具组件和具有切割刀片组件的内夹片组件。 内部和外部夹具组件在其近端处枢转地连接，使得它们可以用一只手挤压在一起以影响在单次运动操作中夹紧和切割的新颖方法。 一组剪切销将内部和外部组件的组成部分保持在就绪位置，使得用户能够在出生时适当地定位刀组件以切断脐带。 一旦脐带被切断，内部和外部组件的组成部分分开提供独立的夹具，一个停留在脐带的婴儿部分，一个与脐带的母体部分保持在一起。 两个独立的夹具用于将脐带夹在切割刀片组件的两侧，从而防止或至少大大地

公开(公告)号：US20020169459A1

公开(公告)日：2002-11-14

申请号：US10141350

申请日：2002-05-09

Inventor： Michael Porat

IPC: A61B017/42

CPC classification number: A61B17/128 ,  A61B17/122 ,  A61B17/3201 ,  A61B17/42 ,  A61B2017/1225

Abstract: An instrument for clamping and cutting an artificial or natural deformable tube capable of being clamped and severed by selectively moving between a first open position, an intermediate partly closed position and a cutting position including scissors members having handles and jaws pivotally coupled together on opposite sides of a pivot member, the jaws including a cutting blade and releasably holding an integrally hinged V clamp, the V clamp including two spread apart arms with ratcheted inner gripping surfaces connected by an arcuate hinge section, means for locking the arms together and means for releasably securing the clamp in the jaws. A cradle support is provided between handle and jaw near the pivot member, and means are provided on the scissors members to push the V clamp axially forward in the jaws, and the edge of the cutting blade is positioned in the jaw above the ratcheted surface of a clamp arm. When the handles are pressed together from a first open position to an intermediate position, the jaws are closed, partially locking the arms of the V clamp while leaving the edge of the cutting blade distance from the center of the clamp, and when the handles are pressed further to a cutting position, the locked V clamp is pushed forward enabling the jaws to close completely and bring down the cutting blade to sever a deformable tube held in the locked arms of the clamp.

Abstract translation: 一种用于夹紧和切割人造或天然可变形管的仪器，其能够通过选择性地在第一打开位置，中间部分闭合位置和切割位置之间选择性地移动而被夹紧和切断，所述切割位置包括具有手柄和夹爪的剪刀构件，所述手柄和夹爪在 枢轴构件，所述夹爪包括切割刀片并且可释放地保持整体铰接的V形夹具，所述V形夹具包括两个分开的臂，所述两个分开的臂具有通过弓形铰链部分连接的棘轮内部夹紧表面，用于将臂锁定在一起的装置和用于可释放地固定的装置 钳夹在颚。 在枢轴构件附近的手柄和钳口之间提供支架支撑件，并且在剪刀构件上设置有将夹钳沿轴向向前推入钳口的装置，并且切割刀片的边缘位于钳口上方的棘轮表面上 夹臂。 当手柄从第一打开位置按压到中间位置时，夹爪被关闭，部分地锁定V形夹具的臂，同时使切割刀片的边缘离开夹具的中心，并且当手柄是 进一步按压到切割位置，锁定的V形夹具被向前推动，使得夹爪完全关闭并使切割刀片下降以切断保持在夹具的锁定臂中的可变形管。

公开(公告)号：US20020099372A1

公开(公告)日：2002-07-25

申请号：US09768768

申请日：2001-01-24

Inventor： Dale R. Schulze ,  Richard P. Nuchols

IPC: A61B018/14

CPC classification number: A61B17/00008 ,  A61B17/07207 ,  A61B17/12009 ,  A61B17/32 ,  A61B18/1442 ,  A61B18/1445 ,  A61B2017/1225 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00916 ,  A61B2018/1412 ,  A61B2018/1455

Abstract: A surgical instrument useful in harvesting blood vessels such as veins and arteries. The instrument has a pair of jaws and a central cutting element displaceable distally and proximally to dissect tissue contained between the jaws. A sequencing element prevents the cutting element from being engaged when the jaws are in the open configuration.

Abstract translation: 用于收集血管如静脉和动脉的手术器械。 仪器具有一对钳口和中心切割元件，可以向远侧和近端移位，以切除夹在夹爪之间的组织。 当钳口处于打开构型时，排序元件防止切割元件接合。