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公开(公告)号：US10433900B2
公开(公告)日：2019-10-08
申请号：US15001597
申请日：2016-01-20
申请人： Ethicon LLC
发明人： Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Gregory W. Johnson , Prasanna Malaviya , Paul Guerra
摘要： An end effector including a first jaw, a second jaw, a longitudinal slot, and a cutting member is disclosed. The first jaw includes a first lateral side and a second lateral side. At least one of the first jaw and the second jaw is moveable through a range of positions to move the end effector between an open configuration and a fully clamped configuration. The longitudinal slot extends intermediate a proximal portion and a distal portion. The longitudinal slot transects the first jaw between the first lateral side and the second lateral side and extends distally beyond a portion of the second jaw. The cutting member is movable along the longitudinal slot. The first jaw is expandable laterally relative to the longitudinal slot to apply a tensile force to tissue clamped between the first jaw and the second jaw when the end effector is in the fully clamped configuration.
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公开(公告)号：US20180168680A1
公开(公告)日：2018-06-21
申请号：US15784879
申请日：2017-10-16
申请人： Ethicon LLC
发明人： Kevin L. Houser , Andrew M. Zwolinski , Tracy D. Lopes , Prasanna Malaviya , Daniel W. Price , Louis T. DeLuca
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/0046 , A61B2017/00464 , A61B2017/00477 , A61B2017/2837 , A61B2017/2924 , A61B2017/2946 , A61B2017/320069 , A61B2017/320071 , A61B2017/320082 , A61B2017/320089 , A61B2017/320094 , A61B2017/320095 , A61B2090/036 , A61B2090/0807
摘要： A surgical instrument that may include a housing, a transducer engaged with the housing which can produce vibrations, and an end-effector engaged with the transducer. The surgical instrument can further include an adjustable sheath extending from the housing where the sheath is movable relative to the distal tip of the end-effector and where the distance between the distal tip of the sheath and the distal tip of the end-effector can be set such that the sheath can act as a depth stop. The sheath can be adjusted such that, when the distal tip of the sheath contacts the tissue or bone being incised, the surgeon can determine that the appropriate depth of the incision has been reached. In other embodiments, the end-effector can be moved with respect to the sheath in order to adjust the distance between the distal tip of the end-effector and the distal tip of the sheath.
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公开(公告)号：US20200163618A1
公开(公告)日：2020-05-28
申请号：US16727585
申请日：2019-12-26
申请人： Ethicon LLC
发明人： Jeffrey W. Clymer , Prasanna Malaviya , Donna L. Korvick , Kevin L. Houser , Cory G. Kimball , Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt
摘要： Biomarkers are collected and used to determine biological propensities of a patient, to determine the efficacy of medical devices, to select and administer therapeutic agents, to select medical devices, to make adjustments to medical devices, and/or to adjust surgical techniques. An apparatus includes a port to draw a biological fluid (e.g., a mist) from a surgical site. The apparatus includes a sensor having a cantilevered beam. The beam includes substances selected to attract certain biomarkers as the fluid is communicated across the beam. The same apparatus or another apparatus is used to administer a therapeutic agent based at least in part on collected biomarker data. The therapeutic agent delivery apparatus may include a device that is also used to create a wound at a surgical site. For instance, a harmonic surgical instrument may be used to both collect biomarkers and administer a therapeutic agent (e.g., gene therapy using sonoporation).
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公开(公告)号：US11564620B2
公开(公告)日：2023-01-31
申请号：US16727585
申请日：2019-12-26
申请人： Ethicon LLC
发明人： Jeffrey W. Clymer , Prasanna Malaviya , Donna L. Korvick , Kevin L. Houser , Cory G. Kimball , Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt
IPC分类号： A61B5/00 , A61B18/14 , A61B10/06 , A61B5/145 , A61B10/02 , A61M37/00 , A61B46/23 , A61B17/32
摘要： Biomarkers are collected and used to determine biological propensities of a patient, to determine the efficacy of medical devices, to select and administer therapeutic agents, to select medical devices, to make adjustments to medical devices, and/or to adjust surgical techniques. An apparatus includes a port to draw a biological fluid (e.g., a mist) from a surgical site. The apparatus includes a sensor having a cantilevered beam. The beam includes substances selected to attract certain biomarkers as the fluid is communicated across the beam. The same apparatus or another apparatus is used to administer a therapeutic agent based at least in part on collected biomarker data. The therapeutic agent delivery apparatus may include a device that is also used to create a wound at a surgical site. For instance, a harmonic surgical instrument may be used to both collect biomarkers and administer a therapeutic agent (e.g., gene therapy using sonoporation).
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公开(公告)号：US10166060B2
公开(公告)日：2019-01-01
申请号：US14703432
申请日：2015-05-04
申请人： Ethicon LLC
发明人： Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Foster B. Stulen , Prasanna Malaviya
摘要： A surgical instrument is disclosed. The surgical instrument can include an end effector, a shaft, and a handle. The handle can include a trigger assembly. The trigger assembly can include a first trigger and a second trigger, which are movable as a nested unit during a first actuation of the trigger assembly to affect a first surgical function. The second trigger can be movable away from the first trigger after the first actuation of the trigger assembly and can be movable toward the first trigger during a second actuation of the trigger assembly to affect a second surgical function.
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公开(公告)号：US10722261B2
公开(公告)日：2020-07-28
申请号：US15784879
申请日：2017-10-16
申请人： Ethicon LLC
发明人： Kevin L. Houser , Andrew M. Zwolinski , Tracy D. Lopes , Prasanna Malaviya , Daniel W. Price , Louis T. DeLuca
摘要： A surgical instrument is disclosed comprising a housing, a transducer supported within the housing, an end-effector engaged with the transducer, and a clamp including a jaw member movably supported relative to the end-effector between an open position and a closed position. The transducer is configured to produce vibrations. The end-effector defines an axis and a distal tip. The distal tip is movable relative to the axis by vibrations produced by the transducer. The end-effector is configured to be detached from the transducer. The transducer is configured to receive a different end-effector.
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公开(公告)号：US10568566B2
公开(公告)日：2020-02-25
申请号：US15264880
申请日：2016-09-14
申请人： Ethicon LLC
发明人： Jeffrey W. Clymer , Prasanna Malaviya , Donna L. Korvick , Kevin L. Houser , Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt
摘要： Biomarkers are collected and used to determine biological propensities of a patient, to determine the efficacy of medical devices, to select and administer therapeutic agents, to select medical devices, to make adjustments to medical devices, and/or to adjust surgical techniques. An apparatus includes a port to draw a biological fluid (e.g., a mist) from a surgical site. The apparatus includes a sensor having a cantilevered beam. The beam includes substances selected to attract certain biomarkers as the fluid is communicated across the beam. The same apparatus or another apparatus is used to administer a therapeutic agent based at least in part on collected biomarker data. The therapeutic agent delivery apparatus may include a device that is also used to create a wound at a surgical site. For instance, a harmonic surgical instrument may be used to both collect biomarkers and administer a therapeutic agent (e.g., gene therapy using sonoporation).
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