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    MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK
    31.
    发明申请
    MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK 审中-公开

    公开(公告)号：US20190307477A1

    公开(公告)日：2019-10-10

    申请号：US16388162

    申请日：2019-04-18

    申请人： Ethicon LLC

    发明人： Frederick E. Shelton, IV ,  John N. Ouwerkerk ,  Jerome R. Morgan ,  Jeffrey S. Swayze

    IPC分类号： A61B17/32 ,  A61B17/072 ,  A61B17/10 ,  A61B34/00 ,  A61B17/068

    摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising an elongate channel, a clamping member pivotably connected to the channel, and a moveable cutting instrument for traversing the channel to cut an object clamped in the end effector by the clamping member when the clamping member is in a clamped position. The instrument may also comprise a main drive shaft assembly for actuating the cutting instrument in the end effector, a gear drive train connected to the main drive shaft assembly, and a motor for actuating the gear drive train. The instrument may also includes a closure trigger and a firing trigger, separate from the closure trigger, for actuating the motor when the firing trigger is retracted. Also, the instrument may comprise a mechanical closure system connected to the closure trigger and to the clamping member for causing the clamping member to pivot to the clamped position when the closure trigger is retracted.

    ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM
    32.
    发明申请
    ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM 审中-公开

    公开(公告)号：US20190307454A1

    公开(公告)日：2019-10-10

    申请号：US16384054

    申请日：2019-04-15

    申请人： Ethicon LLC

    发明人： Frederick E. Shelton, IV ,  Michael E. Setser ,  Kevin R. Doll ,  Jerome R. Morgan

    IPC分类号： A61B17/10 ,  A61B17/068 ,  A61B17/32 ,  A61B17/072 ,  A61B17/064 ,  A61B34/30 ,  A61B50/20

    摘要： A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

    ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM
    33.
    发明申请
    ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM 审中-公开

    公开(公告)号：US20190307453A1

    公开(公告)日：2019-10-10

    申请号：US16384045

    申请日：2019-04-15

    申请人： Ethicon LLC

    发明人： Frederick E. Shelton, IV ,  Michael E. Setser ,  Kevin R. Doll ,  Jerome R. Morgan

    IPC分类号： A61B17/10 ,  A61B17/072 ,  A61B17/068 ,  A61B17/064 ,  A61B34/30 ,  A61B50/20 ,  A61B17/32

    摘要： A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

    ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM
    34.
    发明申请
    ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM 审中-公开

    公开(公告)号：US20190298362A1

    公开(公告)日：2019-10-03

    申请号：US16384084

    申请日：2019-04-15

    申请人： Ethicon LLC

    发明人： Frederick E. Shelton, IV ,  Michael E. Setser ,  Kevin R. Doll ,  Jerome R. Morgan

    IPC分类号： A61B17/10 ,  A61B17/072 ,  A61B17/068 ,  A61B17/064 ,  A61B34/30 ,  A61B50/20 ,  A61B17/32

    摘要： A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.

    CLOUD-BASED MEDICAL ANALYTICS FOR MEDICAL FACILITY SEGMENTED INDIVIDUALIZATION OF INSTRUMENT FUNCTION
    37.
    发明申请
    CLOUD-BASED MEDICAL ANALYTICS FOR MEDICAL FACILITY SEGMENTED INDIVIDUALIZATION OF INSTRUMENT FUNCTION 审中-公开

    公开(公告)号：US20190201119A1

    公开(公告)日：2019-07-04

    申请号：US15940694

    申请日：2018-03-29

    申请人： Ethicon LLC

    发明人： Jason L. Harris ,  Frederick E. Shelton, IV ,  David C. Yates ,  Gregory J. Bakos ,  Jerome R. Morgan

    IPC分类号： A61B34/00 ,  A61B34/35

    CPC分类号： G16H20/40 ,  G16H50/70

    摘要： A cloud based analytics medical system comprises a processor, a memory, an input/output interface to access data from medical hub communication devices, each coupled to a surgical instrument, and a database. The processor generates medical usage patterns of medical devices based on aggregation usage data of medical devices from medical hubs and aggregates patient outcome data from medical hubs. Patient outcome data comprises data pertaining to steps performed and corresponding timings for each step in patient procedures and allocation of resources used in procedures. For data indicative of positive outcomes, the processor determines biographical characterization or physiologic difference about the patient compared to biographical or physiologic characterization data in common medical usage patterns, determine customized change in medical usage patterns of medical devices associated with the biographical characterization or physiologic difference and output recommendations of customized change to the medical facility associated with the biographical characterization or physiologic difference.