公开(公告)号：US10390828B2

公开(公告)日：2019-08-27

申请号：US14300807

申请日：2014-06-10

申请人： Ethicon Endo-Surgery, Inc.

发明人： Michael J. Vendely ,  Frederick E. Shelton, IV ,  Jason L. Harris ,  Andrew Poskie

IPC分类号： A61B17/10 ,  A61B17/064 ,  A61B17/068 ,  A61B17/00 ,  A61B17/072 ,  A61B17/115 ,  A61B17/11 ,  A61B90/00

摘要： Devices and methods for sealing staples in tissue using adjuncts coupled to an individual staple are described herein. In one embodiment, a staple cartridge assembly is described that can include a cartridge body having a plurality of staple cavities, where each staple cavity has a surgical staple disposed therein. The assembly can also include a plurality of adjuncts, where each adjunct is disposed around at least one leg of a surgical staple such that each adjunct forms a seal around the at least one leg of the surgical staple upon deployment of the surgical staple from the cartridge body.

公开(公告)号：US10052104B2

公开(公告)日：2018-08-21

申请号：US14587192

申请日：2014-12-31

申请人： Ethicon Endo-Surgery, Inc.

发明人： Frederick E. Shelton, IV ,  Lauren S. Weaner ,  Jerome R. Morgan ,  Michael J. Vendely ,  Taylor W. Aronhalt ,  Chester O. Baxter, III ,  Mark S. Zeiner

IPC分类号： A61B17/072 ,  A61B17/068 ,  A61B17/00

CPC分类号： A61B17/072 ,  A61B17/068 ,  A61B17/0684 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/00477 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61B2017/07285

摘要： A staple cartridge is disclosed. The staple cartridge comprises a cartridge body comprising a deck and a bottom surface, and a plurality of staple cavities. Each staple cavity extends into the cartridge body from the deck to the bottom surface. The staple cartridge further comprises a plurality of wells. Each well comprises sidewalls and a lowermost surface. The sidewalls of each well extend into the cartridge body from the deck to the lowermost surface. The plurality of wells comprises a first well and a second well laterally offset with respect to the first well. The staple cartridge further comprises a plurality of staples removably positioned in the staple cavities and a tissue thickness compensator releasably secured to the cartridge body. The tissue thickness compensator comprises a compensator body and a plurality of extensions. The plurality of extensions comprises a first extension compressed between the sidewalls of the first well.

公开(公告)号：US09839423B2

公开(公告)日：2017-12-12

申请号：US14187390

申请日：2014-02-24

申请人： Ethicon Endo-Surgery, Inc.

发明人： Michael J. Vendely ,  Mark D. Timmer ,  Jackie J. Donners ,  Donald L. Reynolds, II ,  Taylor W. Aronhalt ,  Trevor J. Barton

IPC分类号： A61B17/04 ,  A61B17/10 ,  A61B17/068 ,  B29C43/52 ,  B29C55/00 ,  A61B17/072 ,  A61B17/00 ,  A61B17/064

CPC分类号： B29C67/20 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/0688 ,  A61B2017/07242 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61L31/04 ,  A61L31/146 ,  B29C43/00 ,  B29C43/52 ,  B29C55/00 ,  B29K2105/04 ,  B29K2995/0056 ,  B29L2031/7546

摘要： A method is disclosed for altering an implantable layer for use with a surgical instrument which includes the steps of obtaining an implantable layer comprised at least partially from a material including a glass transition temperature and a melting temperature, wherein the implantable layer includes a first shape, heating the material to a temperature higher than the glass transition temperature and lower than the melting temperature, manipulating the implantable layer to a second shape different than the first shape, allowing the material to cool below the glass transition temperature, and releasing the implantable layer.

公开(公告)号：US09788834B2

公开(公告)日：2017-10-17

申请号：US13763094

申请日：2013-02-08

申请人： Ethicon Endo-Surgery, Inc.

发明人： Katherine J. Schmid ,  Jeffrey S. Swayze ,  Cortney E. Henderson ,  Bret W. Smith ,  Michael J. Vendely ,  Frederick E. Shelton, IV ,  Taylor W. Aronhalt

IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072 ,  B25C5/16 ,  A61B17/115 ,  A61B17/10 ,  A61B90/00 ,  A61B17/29 ,  A61B17/32

CPC分类号： A61B17/0643 ,  A61B17/00491 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/1155 ,  A61B17/2909 ,  A61B2017/00004 ,  A61B2017/00314 ,  A61B2017/00327 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/00862 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/00951 ,  A61B2017/0641 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2908 ,  A61B2017/2916 ,  A61B2017/2919 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2946 ,  A61B2017/320052 ,  A61B2090/037 ,  B25C5/1686

摘要： An anvil-attachable layer and a retainer for aligning and attaching the layer to an anvil of a surgical stapler. Embodiments of the anvil-attachable layer can include one or more attachment features extending from the layer. A retainer can push the attachment features into a knife slot in the anvil so that the fit between the attachment features and the slot hold the anvil-attachable layer in place. Other embodiments of the anvil-attachable layer can include deployable attachment features formed in the layer. The deployable attachment features can be deployed from an undeployed position substantially in a plane defined by the layer to a deployed position extending out of the plane. In the deployed position, the deployable attachment features can extend into a slot in an anvil. A retainer can include features to push the deployable attachment features into the deployed position.

公开(公告)号：US20160058450A1

公开(公告)日：2016-03-03

申请号：US14474952

申请日：2014-09-02

申请人： Ethicon Endo-Surgery, Inc.

发明人： Frederick E. Shelton, IV ,  Emily A. Schellin ,  Michael J. Vendely ,  Jason Harris ,  Adam R. Dunki-Jacobs

IPC分类号： A61B17/10 ,  A61B17/068

CPC分类号： A61B17/07207 ,  A61B2017/07228 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285

摘要： Devices and methods are provided for adjusting a tissue gap of an end effector of a surgical device. In general, a surgical device can be configured to have an adjustable gap of space between a cartridge jaw and an anvil of the device's end effector when the end effector is in a closed position. The end effector can be configured to removably seat a cartridge therein. The cartridge can be configured to define the gap of space between the cartridge jaw and the anvil when the end effector is in the closed position.

摘要翻译： 提供了用于调节手术装置的末端执行器的组织间隙的装置和方法。 通常，手术装置可被构造成当末端执行器处于关闭位置时，具有可调节的间隙，该间隙可以在装置的末端执行器的药筒卡爪和砧座之间。 末端执行器可以被配置成可拆卸地将卡座安放在其中。 当末端执行器处于关闭位置时，盒可被配置为限定盒式夹爪和砧座之间的空间间隙。

公开(公告)号：US20150239180A1

公开(公告)日：2015-08-27

申请号：US14187386

申请日：2014-02-24

申请人： Ethicon Endo-Surgery, Inc.

发明人： Emily A. Schellin ,  Michael J. Vendely ,  Lauren S. Weaner ,  Christopher W. Widenhouse ,  Taylor W. Aronhalt ,  Donald L. Reynolds, II ,  Michael J. Miller ,  Frederick E. Shelton, IV ,  Trevor J. Barton

IPC分类号： B29C67/20 ,  B29C43/52 ,  B29C43/00

CPC分类号： B29C67/20 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/0688 ,  A61B2017/07242 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61L31/04 ,  A61L31/146 ,  B29C43/00 ,  B29C43/52 ,  B29C55/00 ,  B29K2105/04 ,  B29K2995/0056 ,  B29L2031/7546

摘要： A method is disclosed for changing the spring rate of an implantable layer for use with a surgical instrument which includes the steps of obtaining an implantable layer having a first spring rate, wherein the implantable layer is at least partially comprised of a material having a glass transition temperature and a melting temperature, heating the implantable layer to a temperature higher than the glass transition temperature and lower than the melting temperature, deforming the implantable layer to change the first spring rate to a second spring rate, wherein the second spring rate is different than the first spring rate, allowing the implantable layer to cool below the glass transition temperature, and releasing the implantable layer.

摘要翻译： 公开了一种用于改变用于外科器械的可植入层的弹簧刚度的方法，该方法包括以下步骤：获得具有第一弹簧刚度的可植入层，其中所述可植入层至少部分地由具有玻璃化转变 温度和熔化温度，将可植入层加热到高于玻璃化转变温度并低于熔融温度的温度，使可植入层变形，将第一弹簧速率改变到第二弹簧速率，其中第二弹簧刚度不同于 第一弹簧速率，允许可植入层冷却到低于玻璃化转变温度，并释放可植入层。

公开(公告)号：US20150238191A1

公开(公告)日：2015-08-27

申请号：US14187385

申请日：2014-02-24

申请人： Ethicon Endo-Surgery, Inc.

发明人： Emily A. Schellin ,  Michael J. Vendely ,  Lauren S. Weaner ,  Taylor W. Aronhalt

IPC分类号： A61B17/10 ,  A61B17/068

CPC分类号： B29C67/20 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/0688 ,  A61B2017/07242 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61L31/04 ,  A61L31/146 ,  B29C43/00 ,  B29C43/52 ,  B29C55/00 ,  B29K2105/04 ,  B29K2995/0056 ,  B29L2031/7546

摘要： A staple cartridge is disclosed which includes a cartridge body, a plurality of staples removably stored, at least partially, within the cartridge body, and an implantable layer. The implantable layer can include a first portion, a second portion spaced apart from the first portion, and a third portion intermediate the first portion and the second portion, the third portion including a pressed region.

摘要翻译： 公开了一种钉仓，其包括盒主体，至少部分地可拆卸地存储在盒主体内的多个订书钉和可植入层。 可植入层可以包括第一部分，与第一部分间隔开的第二部分，以及第一部分和第二部分之间的第三部分，第三部分包括受压区域。

公开(公告)号：US20150238188A1

公开(公告)日：2015-08-27

申请号：US14187390

申请日：2014-02-24

申请人： Ethicon Endo-Surgery, Inc.

发明人： Michael J. Vendely ,  Mark D. Timmer ,  Jackie J. Donners ,  Donald L. Reynolds, II ,  Taylor W. Aronhalt ,  Trevor J. Barton

IPC分类号： A61B17/068 ,  B29C55/00 ,  B29C43/52

CPC分类号： B29C67/20 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/0688 ,  A61B2017/07242 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61L31/04 ,  A61L31/146 ,  B29C43/00 ,  B29C43/52 ,  B29C55/00 ,  B29K2105/04 ,  B29K2995/0056 ,  B29L2031/7546

摘要： A method is disclosed for altering an implantable layer for use with a surgical instrument which includes the steps of obtaining an implantable layer comprised at least partially from a material including a glass transition temperature and a melting temperature, wherein the implantable layer includes a first shape, heating the material to a temperature higher than the glass transition temperature and lower than the melting temperature, manipulating the implantable layer to a second shape different than the first shape, allowing the material to cool below the glass transition temperature, and releasing the implantable layer.

摘要翻译： 公开了一种用于改变用于外科器械的可植入层的方法，其包括以下步骤：获得至少部分地由包括玻璃化转变温度和熔化温度的材料组成的可植入层，其中所述可植入层包括第一形状， 将材料加热到高于玻璃化转变温度并低于熔融温度的温度，将可植入层操纵成不同于第一形状的第二形状，使材料冷却到玻璃化转变温度以下，释放可植入层。

公开(公告)号：US20140224686A1

公开(公告)日：2014-08-14

申请号：US13763021

申请日：2013-02-08

申请人： ETHICON ENDO-SURGERY, INC.

发明人： Taylor W. Aronhalt ,  Michael J. Vendely ,  Phillip H. Clauda

IPC分类号： A61B17/068

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 retainer for use with a fastener cartridge that is locked to the fastener cartridge until the fastener cartridge is inserted into a fastener cartridge channel of a surgical fastener. The retainer can include one or more deflectable tabs that engage the fastener cartridge. The one or more tabs can be displaced when the fastener cartridge is fully installed in the fastener cartridge channel such that the tabs disengage from the fastener cartridge, enabling a user to remove the retainer. In certain embodiments, tabs can extend from a body of the retainer and can engage exterior portions of a fastener cartridge. The tabs can be displaced outwardly by the fastener cartridge channel. In certain embodiments, tabs can extend from one or more movable portions that engage a slot in the fastener cartridge. The tabs can be displaced inwardly when the movable portions are deflected by the fastener cartridge channel.

摘要翻译： 与紧固件盒一起使用的保持器，该保持器锁定到紧固件盒，直到紧固件卡盒插入到手术紧固件的紧固件卡盘通道中。 保持器可以包括接合紧固件盒的一个或多个可偏转突片。 当紧固件卡盘完全安装在紧固件卡盘通道中时，一个或多个卡舌可以移位，使得卡舌脱离拉链卡盘，使用户能够移除保持器。 在某些实施例中，突舌可以从保持器的主体延伸并且可以接合紧固件盒的外部部分。 突片可以通过拉链盒通道向外移位。 在某些实施例中，突片可以从与拉链盒中的狭槽接合的一个或多个可移动部分延伸。 当可动部分被紧固件卡盘通道偏转时，翼片可向内移位。

公开(公告)号：US20140097227A1

公开(公告)日：2014-04-10

申请号：US13763054

申请日：2013-02-08

申请人： ETHICON ENDO-SURGERY, INC.

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

IPC分类号： B25C5/16 ,  A61B17/068

CPC分类号： A61B17/0643 ,  A61B17/00491 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/1155 ,  A61B17/2909 ,  A61B2017/00004 ,  A61B2017/00314 ,  A61B2017/00327 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/00862 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/00951 ,  A61B2017/0641 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2908 ,  A61B2017/2916 ,  A61B2017/2919 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2946 ,  A61B2017/320052 ,  A61B2090/037 ,  B25C5/1686

摘要： A staple cartridge, or fastener cartridge, for a surgical stapler, or fastening instrument, wherein the staple cartridge includes a distally-located cutting blade arranged to cut a distal end portion of a layer, such as a tissue thickness compensator and/or a buttress material, for example, attached to the staple cartridge. The distally-located cutting blade can extend out of a distal cavity of the staple cartridge. The distally-located cutting blade can move in a direction that is perpendicular to a staple deck of the staple cartridge. The distally-located cutting blade can also move in any suitable direction relative to the staple deck.

摘要翻译： 用于外科缝合器或紧固器具的钉仓或紧固件盒，其中钉仓包括设置成切割层的远端部分的远侧定位的切割刀片，例如组织厚度补偿器和/或支撑件 材料，例如，连接到钉仓。 远端定位的切割刀片可以延伸出钉仓的远端腔体。 远端定位的切割刀片可以在垂直于钉仓的缝合钉甲板的方向上移动。 远端定位的切割刀片也可以相对于缝合甲板在任何合适的方向上移动。