公开(公告)号：US20170049451A1

公开(公告)日：2017-02-23

申请号：US15252138

申请日：2016-08-30

申请人： Cardica, Inc.

发明人： Bernard A. HAUSEN

IPC分类号： A61B17/115 ,  A61B17/068 ,  A61B17/072 ,  A61B17/064

摘要： A method for connecting a graft vessel to a target vessel may involve advancing a guidewire of a surgical stapler into the target vessel through an opening at a first location on the target vessel, coupling a stapler cartridge carrying the graft vessel with an anvil of the surgical stapler, activating the anvil to staple the graft vessel to the target vessel at a second location on the target vessel, removing the guidewire from the target vessel, and closing the opening in the target vessel.

摘要翻译： 用于将移植血管连接到目标血管的方法可包括通过目标血管上的第一位置处的开口使外科缝合器的导丝进入目标血管，将携带移植物血管的吻合器药筒与手术的砧座 订书机，在目标容器的第二位置处活动砧以将移植物容器装订到目标血管，从目标血管移除导丝，并关闭目标血管中的开口。

公开(公告)号：US09345478B2

公开(公告)日：2016-05-24

申请号：US13294160

申请日：2011-11-10

申请人： Bryan D. Knodel

发明人： Bryan D. Knodel

IPC分类号： A61B17/072 ,  A61B17/064 ,  A61B17/29 ,  A61B17/32

CPC分类号： A61B17/0644 ,  A61B17/068 ,  A61B17/07207 ,  A61B2017/07228 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2943 ,  A61B2017/320052

摘要： An exemplary surgical method of treating tissue within the body of a patient, may include providing an endocutter having a knife, a staple holder along which the knife is slidable, feeder belts located on each side of the knife, staples having a first size, those staples integral with and breakable from at least one feeder belt, and staples having a second size different from the first size, those staples integral with and breakable from at least one feeder belt; engaging tissue of the patient with the staple holder; deploying at least two staples having a first size; disengaging tissue of the patient from the staple holder; once again engaging tissue of the patient with the same staple holder; and deploying at least two staples having a second size.

摘要翻译： 治疗患者体内的组织的示例性手术方法可包括提供具有刀的内切割刀，刀可滑动的钉仓，位于刀的每一侧的进给带，具有第一尺寸的钉 与至少一个馈送带一体并且可断裂的订书钉和具有不同于第一尺寸的第二尺寸的订书钉，与至少一个馈送带一体并且可从该至少一个馈送带断开的订书钉; 使患者的组织与钉保持器接合; 展现出具有第一尺寸的至少两个订书钉; 将患者的组织从钉仓脱离; 再次将患者的组织与相同的钉子夹持器接合; 并且展开具有第二尺寸的至少两个订书钉。

公开(公告)号：US09168039B1

公开(公告)日：2015-10-27

申请号：US13438661

申请日：2012-04-03

申请人： Bryan D. Knodel

发明人： Bryan D. Knodel

IPC分类号： A61B17/08 ,  A61B17/068 ,  A61B17/072 ,  A61B17/064 ,  A61B17/115 ,  A61B17/128

CPC分类号： A61B17/068 ,  A61B17/064 ,  A61B17/0644 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/128 ,  A61B2017/00398 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2923 ,  A61B2090/037

摘要： One example of a surgical apparatus may include a staple holder; at least one feeder belt fixed to the staple holder; and staples integral with and frangibly separable from the feeder belt; where at least one of the staples is sized differently from at least one other staple.

摘要翻译： 手术装置的一个实例可以包括钉保持器; 至少一个馈送带固定到钉仓上; 并且与进料带一体并且可分离的订书钉; 其中至少一个订书钉的尺寸与至少一个其他订书钉不同。

公开(公告)号：US20140207165A1

公开(公告)日：2014-07-24

申请号：US14222527

申请日：2014-03-21

申请人： Cardica, Inc.

发明人： Bryan D. Knodel ,  Bernard A. Hausen ,  Luke W. Clauson

IPC分类号： A61B17/072

CPC分类号： A61B17/068 ,  A61B17/064 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/115 ,  A61B17/1222 ,  A61B17/295 ,  A61B18/1445 ,  A61B2017/00398 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2018/1412 ,  A61B2018/144 ,  A61B2018/1452 ,  A61B2090/037

摘要： An exemplary surgical method of treating tissue within the body of a patient may include having an endocutter having an end effector; inserting the end effector into the body of a patient through an opening; engaging tissue with the end effector; stapling tissue along two staple lines with the end effector; cutting tissue between the staple lines with the end effector; releasing the tissue from the end effector; and repeating the engaging, stapling, cutting and releasing within the body of the patient on tissue at a different location within the body of the patient while maintaining the end effector within the body of the patient. Another exemplary surgical method of treating a plurality of discrete tissue structures within the body of a patient in which an incision has been made may include having an endocutter that holds a plurality of staples; inserting the distal end of the endocutter through the incision in the patient; and transecting a plurality of the discrete tissue structures with the distal end of the endocutter, without withdrawing the distal end of the endocutter through the incision in the patient and without inserting additional staples into the endocutter.

摘要翻译： 治疗患者体内的组织的示例性手术方法可包括具有末端执行器的内切割器; 通过开口将末端执行器插入患者体内; 使组织与末端执行器接合; 用两个缝合线与末端执行器装订组织; 在末端执行器之间切割缝合线之间的组织; 从末端执行器释放组织; 并且在患者身体内的不同位置的组织上重复在患者体内的接合，缝合，切割和释放，同时将末端执行器保持在患者体内。 治疗其中已经进行切口的患者体内的多个离散组织结构的另一示例性手术方法可包括具有保持多个钉的内切割器; 将内切割器的远端插入患者的切口; 并且利用内切割器的远端横切多个离散的组织结构，而不通过患者的切口撤回内切割器的远端，并且不将额外的钉插入到内切割器中。

公开(公告)号：US20140033674A1

公开(公告)日：2014-02-06

申请号：US14053318

申请日：2013-10-14

申请人： Cardica, Inc.

发明人： Bryan D. Knodel ,  Philipe R. Manoux

IPC分类号： B21G7/02

CPC分类号： B21G7/02 ,  A61B17/064 ,  A61B2017/00526

摘要： One exemplary process for manufacturing a surgical apparatus may include providing a flat, generally-planar strip of biocompatible material; cutting the strip to produce a feeder belt with at least one lateral edge, and staples affixed to the feeder belt in proximity to at least one lateral edge, where the staples and feeder belt are substantially aligned along a first plane; and bending at least one staple out of the first plane, while the feeder belt remains in the first plane. Another exemplary process for manufacturing a surgical apparatus may include providing a flat, generally-planar strip of biocompatible material; cutting that strip to produce a feeder belt with edges, and staples affixed to different edges of the feeder belt; and coining at least one staple after the cutting.

摘要翻译： 用于制造手术设备的一个示例性方法可以包括提供扁平的，大致平面的生物相容性材料条; 切割所述条带以产生具有至少一个侧边缘的馈送带，以及在至少一个侧边缘附近固定到所述馈送带的订书钉，其中所述订书钉和馈送带沿着第一平面基本对齐; 并且当所述馈送带保持在所述第一平面中时，将所述至少一个钉从所述第一平面弯曲。 用于制造手术设备的另一示例性方法可以包括提供扁平的，大致平面的生物相容性材料条; 切割该条以产生具有边缘的馈送带，以及固定到馈送带的不同边缘的钉; 并在切割后至少压制一个订书钉。

公开(公告)号：US08631992B1

公开(公告)日：2014-01-21

申请号：US12603521

申请日：2009-10-21

申请人： Bernard A. Hausen ,  Bryan D. Knodel ,  Patrick Flanagan ,  Bennie Thompson

发明人： Bernard A. Hausen ,  Bryan D. Knodel ,  Patrick Flanagan ,  Bennie Thompson

IPC分类号： A61B17/10

CPC分类号： A61B17/0644 ,  A61B17/07292 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61B2090/037

摘要： An exemplary surgical apparatus may include a feeder belt; at least one staple including a crown fixed to and frangibly separable from the feeder belt, the crown having a first width, and a free end extending from the crown; and at least one pad wider than the first width, wherein each pad is associated with a corresponding crown. An exemplary surgical method using that exemplary apparatus may include placing the feeder belt in proximity to tissue; penetrating the free end of at least one staple into tissue, such that tissue is positioned between the free end and the crown; compressing the free end of at least one staple toward the crown, such that a compressive force is exerted toward the crown; distributing the compressive force across the pad of at least one staple; and shearing at least one staple from the feeder belt. Another exemplary surgical apparatus may include at least one feeder belt having two lateral edges; staples, where each staple includes a first end frangibly connected to a corresponding feeder belt and a second free end; and where the staples form at least one row, each row including at least two staples; and at least one pad, where each pad is located along a corresponding free end of a corresponding staple.

摘要翻译： 示例性手术装置可以包括馈送带; 至少一个订书钉，其包括固定到所述馈送带上且与所述馈送带可分离的冠部，所述冠部具有第一宽度，以及从所述冠部延伸的自由端; 以及至少一个比第一宽度宽的垫，其中每个垫与相应的表冠相关联。 使用该示例性装置的示例性手术方法可以包括将进给器带放置在组织附近; 将至少一个钉的自由端穿透到组织中，使得组织位于自由端和冠之间; 将至少一个订书钉的自由端压向冠部，使得向冠部施加压缩力; 将压缩力分布在至少一个订书钉的衬垫上; 并从进料带剪切至少一个订书钉。 另一个示例性的手术装置可以包括至少一个具有两个侧边缘的进给带; 订书钉，其中每个订书钉包括易碎地连接到相应的馈送带和第二自由端的第一端; 并且其中订书钉形成至少一排，每行包括至少两个订书钉; 以及至少一个垫，其中每个垫沿相应钉的相应自由端设置。

公开(公告)号：US08631990B1

公开(公告)日：2014-01-21

申请号：US13093815

申请日：2011-04-25

申请人： Jinhoon Park ,  Philipe R. Manoux ,  Benjamin J. Matthias

发明人： Jinhoon Park ,  Philipe R. Manoux ,  Benjamin J. Matthias

IPC分类号： A61B17/068

CPC分类号： A61B17/068 ,  A61B17/0644 ,  A61B17/07207 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61B2017/07278

摘要： An exemplary staple holder of a surgical stapler may include a cavity defined therein, staples held within that cavity; an upper surface; apertures defined through the upper surface through which staples are deployable, at least one wedge movable within the cavity, and at least one staple trap including a strip and arms extending from and bent relative to the strip, where at least one arm resides in a neutral position directly underneath a corresponding aperture.

摘要翻译： 手术吻合器的示例性订书钉保持器可以包括限定在其中的腔，保持在该腔内的钉; 上表面 限定穿过上述表面的孔，可缝合订书针的至少一个楔形件，至少一个可在该空腔内移动的楔形件，以及至少一个订书钉夹具，其包括相对于条带延伸并且相对于条弯曲的条和臂，其中至少一个臂位于中性 直接位于相应孔径的下方。

公开(公告)号：US20130306705A1

公开(公告)日：2013-11-21

申请号：US13948496

申请日：2013-07-23

申请人： Cardica, Inc.

发明人： Bryan D. Knodel ,  Philipe R. Manoux

IPC分类号： A61B17/072

CPC分类号： A61B17/07207 ,  A61B2017/07278

摘要： An exemplary surgical apparatus may include a feeder belt configured as a continuous loop; staples fixed to and shearable from the continuous feeder belt; apertures defined in the continuous feeder belt; and a gear positioned at the distal end of the feeder belt within the continuous loop, where the gear engages at least one of the apertures to move the continuous feeder belt around the gear. Another exemplary surgical apparatus may include a feeder belt; a plurality of staples fixed to and shearable from the continuous feeder belt; and a plurality of teeth defined on the continuous feeder belt. Another exemplary surgical apparatus may include a continuous belt assembly that has a flexible rack with two ends, and a feeder belt with two ends, each end of the feeder belt connected to a corresponding end of the flexible rack; and staples fixed to and shearable from the continuous feeder belt.

摘要翻译： 示例性手术装置可以包括被配置为连续环路的馈送带; 从连续进料带固定并可剪切订书钉; 限定在连续给料带中的孔; 以及齿轮，其位于所述连续回路内的所述给送带的远端处，其中所述齿轮与所述孔中的至少一个接合，以将所述连续进给带围绕所述齿轮移动。 另一种示例性的外科手术装置可包括给药带; 多个订书钉固定到可连续馈送带上并可剪切; 以及限定在连续进料带上的多个齿。 另一个示例性的外科手术装置可以包括具有两端柔性齿条的连续皮带组件，以及具有两个端部的进给带，馈送带的每个端部连接到柔性齿条的相应端部; 以及从连续进料带固定并可剪切的订书钉。

公开(公告)号：US20130233908A1

公开(公告)日：2013-09-12

申请号：US13870687

申请日：2013-04-25

申请人： CARDICA, INC.

发明人： Bryan D. Knodel ,  Philipe R. Manoux ,  Brendan M. Donohoe

IPC分类号： A61B17/068

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285

摘要： A surgical stapling device designed and constructed for cutting and stapling tissues in a surgical procedure. The surgical stapling device includes an actuated wedge to deploy staples. The actuated wedge is put into an active state by a first wedge actuation element. In the active state, the actuated wedge is ready to engage and deploy staples in a staple holder. The actuated wedge is put into a neutral state by a second wedge actuation element. In the neutral state, the actuated wedge disengages with the staples and does not deploy the staples. The surgical stapling device includes an I-beam that acts to maintain a clamp gap between the anvil and staple holder of the surgical stapling device to ensure proper stapling of tissue.

摘要翻译： 一种外科缝合装置，其设计和构造用于在外科手术中切割和缝合组织。 外科缝合装置包括用于部署钉的致动楔。 致动楔通过第一楔形致动元件进入活动状态。 在活动状态下，致动的楔子准备好接合并将订书钉部署在钉仓中。 致动楔通过第二楔形致动元件进入中立状态。 在中立状态下，致动的楔与订书钉分离并且不会部署订书钉。 外科缝合装置包括工作梁，其用于在外科缝合装置的砧座和缝钉保持器之间保持夹持间隙，以确保组织的适当的缝合。

公开(公告)号：US08496155B2

公开(公告)日：2013-07-30

申请号：US13309916

申请日：2011-12-02

申请人： Bryan D. Knodel

发明人： Bryan D. Knodel

IPC分类号： A61B17/04 ,  A61B17/10

CPC分类号： A61B17/07207 ,  A61B17/064 ,  A61B17/072 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07264 ,  A61B2017/320052

摘要： An exemplary surgical stapler may include a staple holder, including an upper surface with two substantially-planar angled surfaces positioned lateral to and angled relative to each other. The staple holder may include staple channels within it, and each staple channel may open to a corresponding angled surface. The stapler may also include at least one feeder belt extending into the staple holder and staples frangibly affixed to the feeder belt. Generally, at least one staple is held within a corresponding staple channel of the staple holder.

摘要翻译： 示例性的外科缝合器可以包括缝合钉保持器，其包括具有两个基本上平面的成角度的表面的上表面，所述两个基本上平面的成角度的表面位于彼此的 钉仓可以包括在其内的缝合通道，并且每个钉通道可以打开到相应的倾斜表面。 订书机还可以包括至少一个延伸到订书钉保持器中的进给器带和易碎地固定到馈送带上的订书钉。 通常，至少一个订书钉被保持在订书钉保持器的相应订书钉通道内。