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1. 发明授权

US08453909B2 Center cinch and release of buttress material 有权
标题翻译：中心系紧和释放支撑材料
公开(公告)号：US08453909B2
公开(公告)日：2013-06-04
申请号：US13545031
申请日：2012-07-10
申请人： Lee Olson , Ernie Aranyi , Patrick Mozdzierz
发明人： Lee Olson , Ernie Aranyi , Patrick Mozdzierz
IPC分类号： A61B17/068 , A61B17/064
CPC分类号： A61B17/07207 , A61B17/0469 , A61B17/0682 , A61B17/07292 , A61B2017/07214 , A61B2017/07257 , A61B2017/07271 , A61B2017/07285
摘要： A buttressed anvil assembly is provided for use with a surgical stapling instrument. The buttressed anvil assembly generally includes an anvil member having a strip of buttress material attached thereto by a pair of sutures. A tensioning mechanism is provided to secure or tension the buttress material to the anvil member prior to use and allow for release of the buttress material after stapling of tissue. The tensioning mechanism includes a cinch track engageable with one of the pair of sutures.
摘要翻译：提供了一种与外科缝合器械一起使用的支撑砧组件。支撑的砧座组件通常包括具有通过一对缝合线附接到其上的支撑材料条的砧构件。提供张紧机构以在使用之前将支撑材料固定或拉紧到砧座构件，并且允许在缝合组织之后释放支撑材料。所述张紧机构包括可与所述一对缝合线之一接合的束带。

2. 发明授权

US08308042B2 Structure for attachment of buttress material to anvils and cartridges of surgical stapler 有权
标题翻译：用于将支撑材料附接到外科缝合器的砧座和药筒的结构
公开(公告)号：US08308042B2
公开(公告)日：2012-11-13
申请号：US13108347
申请日：2011-05-16
申请人： Ernie Aranyi
发明人： Ernie Aranyi
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/07292 , A61B2017/07214 , A61B2017/320052
摘要： A surgical stapler is provided having a pair of jaws including a staple cartridge and an anvil. Buttress material is releasably secured to at least one of the staple cartridge and the anvil. The buttress material includes a tab to releasably and frictionally engage the at least one of the staple cartridge and the anvil.
摘要翻译：提供具有包括钉仓和砧座的一对钳口的外科缝合器。支撑材料可释放地固定到钉仓和砧座中的至少一个上。支撑材料包括可释放地和摩擦地接合钉仓和砧座中的至少一个的突片。

3. 发明授权

US08231043B2 Surgical stapling apparatus 有权
标题翻译：手术吻合装置
公开(公告)号：US08231043B2
公开(公告)日：2012-07-31
申请号：US13197252
申请日：2011-08-03
申请人： Danyel Tarinelli , Ernie Aranyi , Richard Simpson , Sachin Shah
发明人： Danyel Tarinelli , Ernie Aranyi , Richard Simpson , Sachin Shah
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/07292 , A61B2017/0023 , A61B2017/00473
摘要： A surgical stapling apparatus is provided and includes a cartridge assembly defining a tissue contacting surface and a longitudinally extending elongate slot, an anvil assembly defining a tissue contacting surface, and a longitudinally extending elongate slot. A surgical buttress is releasably secured to at least one of the tissue contacting surface of the cartridge assembly and the tissue contacting surface of the anvil assembly by at least one anchor. A central knife blade is slidably disposable in the longitudinal extending elongate slot of the cartridge assembly and the anvil assembly, and a knife blade is supported in a distal end portion of at least one of the cartridge assembly and the anvil assembly. The distal knife blade is actuatable by the central knife blade upon an actuation of the central knife blade.
摘要翻译：提供外科缝合装置并且包括限定组织接触表面和纵向延伸的细长狭槽的盒组件，限定组织接触表面的砧座组件和纵向延伸的细长狭槽。手术支撑件通过至少一个锚固件可释放地固定到钉仓组件的组织接触表面和砧座组件的组织接触表面中的至少一个。中心刀片在盒组件和砧座组件的纵向延伸的细长槽中是可滑动地一次性的，并且刀片被支撑在盒组件和砧座组件中的至少一个的远端部分中。在中央刀片的致动时，远端刀片可由中央刀片致动。

4. 发明申请

US20110315742A1 Surgical Stapling Apparatus 有权
标题翻译：手术器械
公开(公告)号：US20110315742A1
公开(公告)日：2011-12-29
申请号：US13223519
申请日：2011-09-01
申请人： Lee Olson , Ernie Aranyi , Patrick Mozdzierz
发明人： Lee Olson , Ernie Aranyi , Patrick Mozdzierz
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/07292 , A61B2017/07214 , A61B2017/07271 , Y10T29/49826
摘要： A loading unit for use with a surgical stapling apparatus is provided and includes a tool assembly having a cartridge assembly and an anvil assembly that are movable in relation to one another; a surgical buttress releasably secured to a tissue contacting surface of the anvil assembly and/or the cartridge assembly, wherein each surgical buttress is secured to the anvil assembly and/or the cartridge assembly by at least one anchor; a release assembly associated with the anvil assembly and/or the cartridge assembly; and a drive assembly slidably translatable through the tool assembly between proximal and distal positions, wherein the drive assembly actuates the release assembly to thereby release the anchor to free the surgical buttress from the anvil assembly and/or the cartridge assembly.
摘要翻译：提供了一种与外科缝合装置一起使用的装载单元，并且包括具有相对于彼此可移动的盒组件和砧座组件的工具组件; 可释放地固定到砧座组件和/或盒组件的组织接触表面的手术支撑件，其中每个外科支撑件通过至少一个锚固件固定到砧组件和/或盒组件; 与砧组件和/或盒组件相关联的释放组件; 以及驱动组件，其可在近端位置和远端位置之间通过所述工具组件可滑动地平移，其中所述驱动组件致动所述释放组件，从而释放所述锚固件以使所述外科支撑件从所述砧座组件和/或所述盒组件释放。

5. 发明授权

US08016178B2 Surgical stapling apparatus 有权
公开(公告)号：US08016178B2
公开(公告)日：2011-09-13
申请号：US12414931
申请日：2009-03-31
申请人： Lee Olson , Ernie Aranyi , Patrick Mozdzierz
发明人： Lee Olson , Ernie Aranyi , Patrick Mozdzierz
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/07292 , A61B2017/07214 , A61B2017/07271 , Y10T29/49826
摘要： A loading unit for use with a surgical stapling apparatus is provided and includes a tool assembly having a cartridge assembly and an anvil assembly that are movable in relation to one another; a surgical buttress releasably secured to a tissue contacting surface of the anvil assembly and/or the cartridge assembly, wherein each surgical buttress is secured to the anvil assembly and/or the cartridge assembly by at least one anchor; a release assembly associated with the anvil assembly and/or the cartridge assembly; and a drive assembly slidably translatable through the tool assembly between proximal and distal positions, wherein the drive assembly actuates the release assembly to thereby release the anchor to free the surgical buttress from the anvil assembly and/or the cartridge assembly.

6. 发明授权

US07988027B2 Crimp and release of suture holding buttress material 有权
标题翻译：压接和释放缝合支撑材料
公开(公告)号：US07988027B2
公开(公告)日：2011-08-02
申请号：US12540483
申请日：2009-08-13
申请人： Lee Olson , Ernie Aranyi , Patrick Mozdzierz
发明人： Lee Olson , Ernie Aranyi , Patrick Mozdzierz
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/07292 , A61B2017/07214 , A61B2017/07257 , A61B2017/07271 , A61B2017/07285
摘要： A mechanism is provided for crimping and releasing a suture securing a strip of buttress material to an end effector. The mechanism includes a retention member movably mounted within the end effector. The retention member is movable from a first position crimping the suture to the end effector to a second position releasing the suture from the end effector. The mechanism additionally includes a follower member, engageable with the retention member, and movable in response to actuation of a surgical instrument to move the retention member between the first and second positions. A lock mechanism is also provided to secure the retention member in the first position. The follower member operates to disengage the lock mechanism.
摘要翻译：提供一种用于卷曲和释放将支撑材料条固定到端部执行器的缝合线的机构。该机构包括可移动地安装在端部执行器内的保持构件。保持构件可以从将缝合线压接到端部执行器的第一位置移动到从端部执行器释放缝合线的第二位置。该机构还包括从动构件，其可与保持构件接合，并且响应于外科器械的致动而移动，以在第一和第二位置之间移动保持构件。还提供锁定机构以将保持构件固定在第一位置。从动件操作以使锁定机构脱离。

7. 发明申请

US20060229643A1 Apparatus and method for performing a bypass procedure in a digestive system 有权
标题翻译：在消化系统中执行旁路过程的装置和方法
公开(公告)号：US20060229643A1
公开(公告)日：2006-10-12
申请号：US11448459
申请日：2006-06-06
申请人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Robertson
发明人： Tim Nolan , Ernie Aranyi , John Klinger , Keith Ratcliff , John Robertson
IPC分类号： A61B17/08
CPC分类号： A61B17/115 , A61B17/07207 , A61B17/1114 , A61B2017/00004 , A61B2017/07214 , A61B2017/1135 , A61B2017/1139
摘要： Surgical instrumentation and methods for performing a bypass procedure in a digestive system incorporate laparoscopic techniques to minimize surgical trauma to the patient. The instrumentation includes an outer guide member dimensioned for insertion and passage through an esophagus of a patient and defining an opening therein extending at least along a portion of the length of the outer guide member, an elongate anvil delivery member at least partially disposed within the opening of the outer guide member and being adapted for longitudinal movement within the outer guide member between an initial position and an actuated position and an anvil operatively engageable with the delivery member. The anvil includes an anvil rod defining a longitudinal axis and an anvil head connected to the anvil rod. The anvil head is at least partially disposed within the opening of the outer guide member when in the initial position of the delivery member and is fully exposed from the distal end of the outer guide member upon movement of the delivery member to the actuated position.
摘要翻译：用于在消化系统中执行旁路过程的手术仪器和方法包括腹腔镜技术以最小化对患者的手术创伤。所述仪器包括外引导构件，所述外引导构件的尺寸适于插入和通过患者的食道并且限定其中至少沿着所述外引导构件的所述长度的一部分延伸的开口;至少部分地设置在所述开口内的细长砧输送构件并且适于在外引导构件之间在初始位置和致动位置之间纵向运动，并且可操作地与输送构件接合的砧座。砧座包括限定纵向轴线的砧座杆和连接到砧座杆的砧座头部。当处于输送构件的初始位置时，砧头至少部分地设置在外引导构件的开口内，并且当输送构件移动到致动位置时，砧座头从外引导构件的远端完全暴露。

8. 发明申请

US20050256446A1 Wound closure material applicator 审中-公开
标题翻译：伤口封闭材料涂敷器
公开(公告)号：US20050256446A1
公开(公告)日：2005-11-17
申请号：US10513434
申请日：2003-05-16
申请人： Christopher Criscuolo , Ernie Aranyi
发明人： Christopher Criscuolo , Ernie Aranyi
IPC分类号： A61B17/00 , A61L24/00 , A61M31/00 , A61M35/00 , A61M37/00 , B05C17/005 , B05C17/01
CPC分类号： B05C17/00583 , A61B17/00491 , A61M35/003 , B05C17/01 , B05C17/014
摘要： A wound closure material applicator is provided which includes a handle assembly having a movable handle, a body portion extending distally from the handle assembly and a tip assembly supported adjacent the distal end of the body portion. The tip assembly includes a housing defining a bore, a tip member and a seal member. The tip assembly housing defines an inlet channel and a valve seat positioned adjacent the outlet of the inlet channel. The seal member is movable distally within the housing bore from a closed position in which the valve member abuts the valve seat to an open position in which the valve member is spaced from the valve seat. The tip assembly is configured such that movement of the seal member from the open to the closed position causes a reduction of pressure within a discharge channel of the tip assembly to minimize drippage of wound closure material from the applicator.
摘要翻译：提供一种伤口闭合材料施加器，其包括具有可移动手柄的手柄组件，从手柄组件向远侧延伸的主体部分和邻近主体部分的远端支撑的尖端组件。尖端组件包括限定孔的壳体，尖端构件和密封构件。尖端组件壳体限定入口通道和邻近入口通道出口定位的阀座。所述密封构件可在所述壳体孔内从所述阀构件邻接所述阀座的关闭位置向远侧移动到所述阀构件与所述阀座间隔开的打开位置。尖端组件被构造成使得密封构件从打开位置移动到关闭位置导致尖端组件的排出通道内的压力降低，以使来自施加器的伤口闭合材料的滴落最小化。

9. 发明授权

US06957758B2 Tilt top anvil for a surgical fastener device 有权
标题翻译：用于外科紧固件装置的倾斜顶砧
公开(公告)号：US06957758B2
公开(公告)日：2005-10-25
申请号：US10491253
申请日：2002-10-04
申请人： Ernie Aranyi
发明人： Ernie Aranyi
IPC分类号： A61B17/115 , A61B17/28 , A61B17/068
CPC分类号： A61B17/072 , A61B17/115 , A61B17/1155 , A61B2017/07214 , A61B2017/2927
摘要： A tilt top anvil assembly is provided for use with a surgical stapling device for performing end-to-end anastomosis of tissue. The tilt top anvil assembly included an anvil head, a center rod and a biasing member. The anvil head is pivotally secured to the center rod about a transverse axis which is offset from the longitudinal axis of the center rod. The biasing member is supported on the anvil assembly at a position to urge the anvil head to a tilted reduced profile position. The anvil assembly includes a first abutment surface which is operatively connected to the anvil head is movable into engagement with a second abutment surface formed on a surgical stapling device during approximation of the anvil assembly to move the anvil head from the tilted reduced profile position to an operative firing position. When the anvil assembly is moved to the unapproximated or spaced position, the biasing member is positioned to return the anvil assembly back to its tilted reduced profile position.
摘要翻译：倾斜顶部砧座组件被提供用于外科缝合装置用于进行组织的端对端吻合。倾斜顶部砧组件包括砧头，中心杆和偏置构件。砧座头围绕横向轴线枢转地固定到中心杆，该横向轴线偏离中心杆的纵向轴线。偏压构件被支撑在砧座组件上，以将砧座头推向倾斜减小轮廓位置的位置。所述砧座组件包括第一邻接表面，所述第一邻接表面可操作地连接到所述砧座头部，以在所述砧座组件近似期间可移动地与形成在外科缝合装置上的第二邻接表面接合，以将所述砧座头部从所述倾斜的缩小轮廓位置移动到操作射击位置。当砧座组件移动到未近似或间隔开的位置时，偏置构件被定位成将砧座组件返回到其倾斜的缩小轮廓位置。

10. 发明授权

US06280407B1 Ultrasonic dissection and coagulation system 有权
标题翻译：超声解剖和凝血系统
公开(公告)号：US06280407B1
公开(公告)日：2001-08-28
申请号：US09521440
申请日：2000-03-07
申请人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranyi
发明人： Ronald Manna , Scott Isola , H. Jonathan Tovey , Dominick L. Mastri , Corbett W. Stone , Ernie Aranyi
IPC分类号： A61B1720
CPC分类号： A61B17/320092 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2948 , A61B2017/320072
摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is spaced form the cutting surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.
摘要翻译：提供了一种外科用超声波解剖和凝血系统。该系统包括超声波仪器，控制模块和踏板致动器。超声波致动器具有壳体和从壳体延伸的细长主体部分。支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。振动耦合器将高频振动从超声波传感器传导到切割刀片。切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可从其中组织接触表面从切割表面间隔开的打开位置移动到夹紧位置，在该夹紧位置中，组织接触表面与切割表面以夹紧组织。夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。

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