United States Surgical Corporation

Other

Tyco Healthcare Group LP

U.S. Surgical Corporation

United States Surtical Corporation

Lemaitre Vascular, Inc.

Slotman, Gus J.

Stein, Sherman

David T Green

Henry Bolanos

Keith Ratcliff

Wayne P Young

Henry R Sienkiewicz

Richard A McGarry

Paul O Rawson

Richard H Yagami

Mitchell J Palmer

Keith L Milliman

Robert J Geiste

Lisa W Heaton

Salvatore Castro

Daniel E Alesi

Kenneth E Toso

Graham W Bryan

Charles R Sherts

Stephen W Gerry

Dominick L Mastri

David A Nicholas

Stephan A DeFonzo

Ernie Aranyi

Herbert W Korthoff

Boris Zvenyatsky

Nagabhushanam Totakura

Frank M Rende

Frank J Viola

Scott E Manzo

H Jonathan Tovey

Wayne C Person

Stanley H Remiszewski

Daniel Shichman

Frank C Maffei

Thomas W Alesi, Jr

Robert C Savage

Richard C McClure

Carlo A Mililli

Jeffrey J Blewett

John C Robertson

Paul A Matula

Michael S Kolesa

Richard A Mcgarry

Richard C Mcclure

Robert C Smith

Ernest Aranyi

Douglas G Noiles

Douglas J Cuny

Peter W Hinchliffe

Karl H Ehrenfels

Michael Castro

Gus J Slotman

Patrick Leahy

Patrick Flanagan

Jonathan E Wilson

Sherman Stein

Graham Smith

Mark E Alari

Stephan A Defonzo

Maria Lopez-Isa

Joseph M Paul

John Charles Robertson

Randolph F Lehn

Thomas A Pelletier

Roy D Gravener

Oleg Shikhman

Thomas D Guy

Marc J Theroux

Samson L Pennatto

Ian M Scott

Diego Fontayne

Charles E Gorman, Jr

Dragomir C Marinkovich

Ian J Tovey

Ghaleb A Sater

Maria E Lopez-Isa

Jonathan D Wilson

William J Francis

Leon C Hirsch

H Johnathan Tovey

Paul Nolan

Edgar D Gunning

Lisa M Heaton

Walter S Hennig

Thomas Alesi

Patrick F Leahy

Keith Milliam

Robert Geiste

An endoscopic surgical apparatus is provided for placing lateral lines of surgical fasteners into body tissue. The apparatus includes a frame portion, an elongated portion extending from the frame portion, and an articulating fastener applying assembly associated with a distal end of the elongated portion. The fastener applying assembly includes a base portion, a staple cartridge housing, and an anvil member which has a forming surface thereon against which surgical fasteners are driven as they are ejected from the cartridge housing. A first mechanism is provided for effectuating the rotation of the fastener applying assembly about an axis defined by the body portion, a second mechanism is provided for effectuating the articulation of the fastener applying assembly, and a third mechanism is provided for independently rotating the cartridge housing and anvil member relative to a longitudinal axis defined by the base position to increase the range of operability of the apparatus.

Surgical stapling apparatus

An apparatus for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue includes a frame and an elongated endoscopic section connected to the frame-and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section. An elongated pusher system is provided for individually advancing at least one staple at a time distally. The pusher system includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes.

Apparatus for applying surgical fasteners to body tissue

An apparatus for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue includes a frame and an elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section. An elongated pusher system is provided for individually advancing at least one staple at a time distally. The pusher system includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes.

An apparatus for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery includes an elongate member defining a longitudinal axis, a cartridge, an anvil, and a control member located in a proximal region of the elongate member. The cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. The anvil provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to body tissue. The control member is axially movable along the longitudinal axis to articulate the cartridge. The control member is also rotatable to rotate the cartridge.

An apparatus is disclosed for endoscopic application of surgical staples adapted to attach surgical mesh to body tissue in laparoscopic hernia surgery. The apparatus includes a frame, and a generally elongated endoscopic section connected to the frame and extending distally therefrom. A staple storage cartridge is removably supported on a pivotal support system at the distal end portion of the endoscopic section with each staple being configured and adapted to attach the mesh to the body tissue. An elongated pusher system formed of several assembled components and extending from the frame to the endoscopic section is provided for individually advancing at least one staple at a time distally for positioning adjacent the surgical mesh and the body tissue. The pusher system also includes a trigger system to actuate the pusher. The trigger system is provided with perceptible tactile sensing means to indicate when the legs of the staple being advanced are exposed so as to be visible to the user for positioning and orientation purposes. Anvil means provides for individually closing each staple to encompass at least a portion of the surgical mesh and to penetrate the body tissue in a manner to attach the portion of the mesh to the body tissue. Projecting distally of the cartridge support system is a pair of legs which are dimensioned and configured to engage the staple during closure to prevent unwanted roll or deformation outside of the plane of the staple.

Apparatus for applying surgical fastners to body tissue

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.

Apparatus for stapling and incising tissue

A system is disclosed for securing a suture. The system includes a deformable suture clip having a pair of closely spaced panels configured for movement between an open position wherein a suture can pass between the two panels and a closed position wherein the suture can be securely clamped between the two panels. The system further includes a clip applicator having an elongated body defining opposed proximal and distal end portions. The distal end portion of the body includes a mounting fixture having structure for supporting the suture clip in an open position. The clip applicator further includes a mechanism for dislodging the suture clip from the mounting fixture, such that the panels of the clip move to the closed position to securely clamp the suture therebetween.

System for securing a suture

An instrument including a clamping jaw with an anvil defining an elongated slot and staple forming cups on opposing sides of the elongated slot. A housing rotatably mounts on the anvil and a pusher rotatably mounts within the housing. A handle actuates the clamping jaw from the open to the intermediate position by rotating the housing towards the clamping jaw. To move from the intermediate position to the closed position, the pusher rotates towards the anvil. A staple cartridge, disposed in the housing, includes a staple track for retaining two rows of staples on opposing sides of the elongated slot. Two staple drivers align with the distal most staples. The drivers slidably mount in the staple cartridge and couple to the pusher such that each staple driver forces a staple into the forming cups and, in turn, staples the body tissue as the pusher rotates from the intermediate to closed position. A knife rotatably mounts on the staple cartridge and couples to the pusher such that the knife passes into the elongated slot and, in turn, cuts the body tissue as the pusher rotates from the intermediate to closed position.

Surgical instrument for progressively stapling and incising tissue

A vascular suturing device is disclosed which includes an elongated tubular body defining opposed proximal and distal end portions and having a longitudinal axis extending therethrough, the body including an inner tubular member, an outer tubular member and a central tubular member disposed between the inner and outer tubular members. The inner tubular member and the central tubular member are mounted for movement relative to the outer tubular member about the longitudinal axis of the body for sequentially driving a pair of suture needles through the wall of a blood vessel to close an incision formed therein. A vascular dilator having a tapered distal tip portion is slidably supported within the inner tubular member and is dimensioned to extend beyond the distal end of the inner tubular member for positioning the suturing device at the incision in the wall of the blood vessel. The dilator is configured to move axially between an extended position and a retracted position. A biasing element and a retaining pin are associated with a proximal end of the dilator. The biasing element is adapted and configured for urging the dilator in the retracted position and the retaining pin is position so as to secure the dilator in the extended position.

Apparatus for suturing a blood vessel

A safety trocar is provided in which the cannula is reciprocally mounted to the cannula housing and reciprocates into the cannula housing when a proximally directed force is applied thereto. The piercing tip is maintained in the exposed position by a latching mechanism associated with the obturator shaft, and is automatically withdrawn into the cannula under the force of a spring when the proximal force is removed from the cannula, the cannula thus advancing distally and releasing the latching mechanism. Penetration force is maintained at a minimum, and safe and efficacious trocar entry is facilitated.

Safety trocar

A surgical instrument is provided for use in endoscopic or laparoscopic procedures. The instrument includes a handle portion, an endoscopic portion extending from the handle portion, an articulating section pivotably connected to a distal end portion of the endoscopic portion, and a retractor assembly operatively associated with the articulating section. Structure is provided for manipulating the articulating section relative to the longitudinal axis of the endoscopic portion within an angular degree of rotation. An injection port may also be provided to deliver fluids through the endoscopic portion to the operative site.

Articulating endoscopic surgical apparatus

Growing community of inventors

Westport, CT, United States of America

David T Green