公开(公告)号：EP3308722A1

公开(公告)日：2018-04-18

申请号：EP17197941.2

申请日：2014-03-03

申请人： Ethicon Endo-Surgery, Inc.

发明人： HALL, Steven G. ,  BABER, Daniel L. ,  LEIMBACH, Richard L.

IPC分类号： A61B17/072 ,  A61B17/32

CPC分类号： A61B17/072 ,  A61B17/07207 ,  A61B17/1155 ,  A61B17/320068 ,  A61B17/320092 ,  A61B18/085 ,  A61B18/14 ,  A61B18/1445 ,  A61B34/30 ,  A61B34/74 ,  A61B90/90 ,  A61B90/98 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00075 ,  A61B2017/00084 ,  A61B2017/00115 ,  A61B2017/00123 ,  A61B2017/00128 ,  A61B2017/00199 ,  A61B2017/00221 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00327 ,  A61B2017/00367 ,  A61B2017/00393 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00464 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00482 ,  A61B2017/0069 ,  A61B2017/00734 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2903 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2943 ,  A61B2018/00607 ,  A61B2018/00619 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/1455 ,  A61B2034/742 ,  A61B2090/033 ,  A61B2090/034 ,  A61B2090/061 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/0811 ,  G05G9/04796 ,  G05G2009/04777

摘要： A surgical instrument includes a drive member movable by a drive motor between a home position and an end of stroke. A mechanical stop is disposed at or near the end of stroke and is structured to increase resistance to movement of the drive member from a first position to a second position. A control system detects a current spike associated with the increased resistance and interrupts power to the drive motor.

摘要翻译： 手术器械包括驱动构件，该驱动构件可通过驱动马达在原始位置和行程结束之间移动。 机械止动件设置在行程末端处或其附近，并且被构造成增大对驱动构件从第一位置到第二位置的运动的阻力。 控制系统检测与增加的电阻相关的电流尖峰并中断驱动电机的电源。

公开(公告)号：EP2764829B1

公开(公告)日：2018-03-28

申请号：EP14154542.6

申请日：2014-02-10

申请人： Ethicon LLC

发明人： Vendely, Michael J. ,  Shelton, IV Frederick E. ,  Aronhalt, Taylor W. ,  Widenhouse, Christopher W.

IPC分类号： A61B17/072

CPC分类号： A61B17/0682 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/00004 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/0053 ,  A61B2017/00951 ,  A61B2017/00964 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2090/034 ,  A61B2090/037

摘要： A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector.

公开(公告)号：EP3020351B1

公开(公告)日：2018-02-21

申请号：EP15191278.9

申请日：2015-10-23

申请人： Covidien LP

发明人： Jadhav, Amarsinh D.

IPC分类号： A61B18/14

CPC分类号： A61B17/29 ,  A61B17/320016 ,  A61B18/1445 ,  A61B34/35 ,  A61B2017/00398 ,  A61B2017/2825 ,  A61B2017/2901 ,  A61B2017/2902 ,  A61B2017/2912 ,  A61B2017/292 ,  A61B2017/2925 ,  A61B2017/2932 ,  A61B2017/2938 ,  A61B2017/2939 ,  A61B2017/294 ,  A61B2018/00083 ,  A61B2018/00184 ,  A61B2018/00196 ,  A61B2018/0063 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1455 ,  A61B2018/1467 ,  A61B2018/1475 ,  A61B2090/065 ,  F16H19/02 ,  F16H19/06 ,  F16H21/32

摘要： A deployment mechanism for selectively deploying and retracting an energizable member and/ an insulative member relative to an end effector assembly of a surgical instrument includes one or more actuators, a clutch assembly, and a drive assembly. The clutch assembly is configured to couple to the actuator(s) to provide rotational motion in the first direction in response to such rotation of the actuator(s) and to decouple from the actuator(s) in response to rotation thereof in the second direction. The drive assembly is operably coupled to the clutch assembly and is configured to convert the rotational motion provided by the clutch assembly into longitudinal motion to translate the energizable member and/or insulative member from a storage position to a deployed position and to translate the energizable member and/or the insulative member from the deployed position back to the storage position.

公开(公告)号：EP2389879B1

公开(公告)日：2018-02-21

申请号：EP11165060.2

申请日：2011-05-06

申请人： Karl Storz SE & Co. KG

发明人： Simmen, Markus ,  Spycher, Raphael ,  Vogel, Urs

IPC分类号： A61B17/16 ,  A61B17/32 ,  A61B17/3207

CPC分类号： A61B17/16 ,  A61B17/1622 ,  A61B17/32002 ,  A61B2017/0042 ,  A61B2017/0046 ,  A61B2017/291 ,  A61B2017/2925

公开(公告)号：EP2764833B1

公开(公告)日：2017-11-29

申请号：EP14154558.2

申请日：2014-02-10

申请人： Ethicon LLC

发明人： Smith, Bret W. ,  Schmid, Katherine J. ,  Shelton, IV, Frederick E.

IPC分类号： A61B17/072 ,  A61L24/00 ,  A61B17/00

CPC分类号： A61B17/0682 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/00004 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/0053 ,  A61B2017/00951 ,  A61B2017/00964 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2090/034 ,  A61B2090/037

摘要： A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body having fastener cavities, fasteners removably positioned in the fastener cavities, a layer of material releasably secured relative to the cartridge body, a connector configured to secure the layer of material to the cartridge body at a location distal to at least one fastener cavity, and an actuator. The layer of material can be a tissue thickness compensator. When actuated, the actuator can overcome the connector, and can overcome the connector prior to the removal of the fasteners from the fastener cavities. The actuator can be actuated at a location proximal to at least one fastener cavity, and can extend distally past at least one fastener cavity toward the connector.

公开(公告)号：EP1523943B1

公开(公告)日：2017-11-01

申请号：EP04256003.7

申请日：2004-09-29

申请人： Ethicon LLC

发明人： Shelton, Frederick E. ,  Swayze, Jeffrey S. ,  Hoffman, Douglas B.

IPC分类号： A61B17/072 ,  A61B17/29 ,  A61B90/00

CPC分类号： A61B17/07207 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2946 ,  A61B2090/0811

公开(公告)号：EP2599447B1

公开(公告)日：2017-10-18

申请号：EP12193997.9

申请日：2012-11-23

申请人： Covidien LP

发明人： Garrison, David M. ,  Chojin, Edward M. ,  Kerr, Duane E. ,  Mueller, Peter M. ,  Evans, Allan J. ,  Allen, James D.

IPC分类号： A61B17/32 ,  A61B17/285 ,  A61B18/14 ,  A61B17/00 ,  A61B17/29

CPC分类号： A61B17/285 ,  A61B18/1445 ,  A61B18/1482 ,  A61B2017/0046 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/292 ,  A61B2017/2925 ,  A61B2017/2931 ,  A61B2017/320052 ,  Y10T74/18896

摘要： A surgical instrument includes a shaft defining a longitudinal axis therethrough and having an end effector assembly disposed at a distal end thereof. The shaft includes first and second shaft components that are releasably engageable with one another. A drive sleeve is disposed within the shaft and is longitudinally translatable relative to the shaft to transition the end effector assembly between a first state and a second state. The drive sleeve includes first and second drive sleeve components that are releasably engageable with one another. A coupling mechanism includes one or more shaft cantilever springs configured to releasably engage the first and second shaft components to one another and one or more drive sleeve cantilever springs configured to releasably engage the first and second drive sleeve components to one another.

公开(公告)号：EP3228265A2

公开(公告)日：2017-10-11

申请号：EP17166627.4

申请日：2006-07-31

申请人： Vertos Medical, Inc.

发明人： Tran, Minh ,  Way, Bryce

IPC分类号： A61B17/16 ,  A61B17/32 ,  A61B17/29

CPC分类号： A61B17/1671 ,  A61B10/0275 ,  A61B10/06 ,  A61B17/1608 ,  A61B17/29 ,  A61B17/295 ,  A61B17/320016 ,  A61B2017/00261 ,  A61B2017/00336 ,  A61B2017/00685 ,  A61B2017/0646 ,  A61B2017/0647 ,  A61B2017/2911 ,  A61B2017/2925 ,  A61B2017/32004 ,  A61B2017/320064 ,  A61M5/007

摘要： A kit for treating spinal stenosis is disclosed, the kit comprising:
a cannula having a distal portion configured to be inserted along a generally anterior trajectory across interlaminar space between lamina of adjacent vertebra to a first location external to an epidural space;
a tissue excision device having a distal portion configured to be inserted through the cannula to a second location external to the epidural space;
wherein the distal portion of the tissue excision device is visualized at the second location using imaging means;
wherein the tissue excision device is configured to excise and remove tissue about the second location, which decompresses the spinal stenosis.

摘要翻译： 公开了一种用于治疗椎管狭窄的套件，所述套件包括：具有远端部分的套管，所述远端部分被配置为沿着跨越相邻椎骨的椎板之间的层间空间的大致前部轨迹插入到硬膜外腔之外的第一位置; 组织切除装置，所述组织切除装置具有远端部分，所述远端部分被构造成通过所述插管插入到所述硬膜外腔外部的第二位置; 其中使用成像装置在所述第二位置处显示所述组织切除装置的所述远侧部分; 其中所述组织切除装置构造成切除并移除围绕所述第二位置的组织，所述第二位置减压所述椎管狭窄。

公开(公告)号：EP3225187A1

公开(公告)日：2017-10-04

申请号：EP17164417.2

申请日：2017-03-31

申请人： Ethicon LLC

发明人： HARRIS, Jason L. ,  SHELTON, IV, Frederick E.

IPC分类号： A61B17/072 ,  A61B17/32

CPC分类号： A61B17/07207 ,  A61B17/0686 ,  A61B2017/00017 ,  A61B2017/00115 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/00407 ,  A61B2017/0042 ,  A61B2017/00424 ,  A61B2017/0046 ,  A61B2017/00464 ,  A61B2017/00734 ,  A61B2017/07228 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/291 ,  A61B2017/2912 ,  A61B2017/2922 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/293 ,  A61B2017/2932 ,  A61B2090/034

摘要： A handle assembly for a surgical instrument is disclosed. In at least one form, the handle assembly comprises a primary housing portion that is configured to be operably coupled to a portion of a surgical tool assembly. At least one drive system is operably supported by the handle assembly and is configured to selectively apply at least one drive motion to the surgical tool assembly that is coupled thereto. A grip portion is movably coupled to the primary housing portion and is selectively movable to a plurality of grip positions relative to the primary housing portion. A grip locking system interfaces with the primary housing portion and the grip portion to selectively releasably retain the grip portion in any one of the plurality of grip positions.

摘要翻译： 公开了一种用于手术器械的手柄组件。 在至少一种形式中，手柄组件包括构造成可操作地联接到手术工具组件的一部分的主壳体部分。 至少一个驱动系统由手柄组件可操作地支撑，并构造成选择性地将至少一个驱动运动施加到与其连接的手术工具组件。 抓握部分可移动地联接到主壳体部分，并且可选择地相对于主壳体部分移动到多个抓握位置。 抓握锁定系统与主壳体部分和抓握部分接合以选择性地可释放地将抓握部分保持在多个抓握位置中的任何一个中。

公开(公告)号：EP3210544A1

公开(公告)日：2017-08-30

申请号：EP17163400.9

申请日：2014-02-21

申请人： Medeon Biodesign, Inc.

发明人： TANG, Hsiao-Wei ,  WENG, Yu-Shih ,  HAN, Shih-Jui ,  CHEN, Chung-Chu ,  CHEN, Chao

IPC分类号： A61B17/04

CPC分类号： A61B17/0469 ,  A61B17/0057 ,  A61B2017/00367 ,  A61B2017/00663 ,  A61B2017/00986 ,  A61B2017/047 ,  A61B2017/0472 ,  A61B2017/22069 ,  A61B2017/2912 ,  A61B2017/2925 ,  A61B2017/2927 ,  A61B2090/0811

摘要： A suture delivery device for percutaneously suturing tissue includes an elongated deployment member having a guide member coaxially disposed over a shaft member may be used to carry a needle deployment member. The needle deployment member may be carried at a distal end of the elongated deployment member and include a plurality of needles releasably secured to the needle deployment member, wherein each needle is routed coaxially within the distal end of the needle deployment member. The needle deployment member may further include a needle pusher driven by a link coaxially disposed within the shaft member, wherein the needle pusher is configured to advance each needle through the distal end of the needle deployment member and coaxially over the proximal end of the needle deployment member to position the plurality of needles at a piercing angle in a proximal direction.

摘要翻译： 用于经皮缝合组织的缝合线输送装置包括具有同轴地设置在轴构件上方的引导构件的细长展开构件，可用于承载针展开构件。 针展开构件可以被承载在细长展开构件的远端处并且包括可释放地固定到针展开构件的多个针，其中每个针同轴地布置在针展开构件的远端内。 所述针部署构件还可包括由同轴设置在所述轴构件内的连杆驱动的针推动器，其中所述针推动器构造成使每个针穿过所述针部署构件的远端并且同轴地越过所述针部署的所述近端 构件以多个针在近侧方向上以刺穿角定位。