公开(公告)号：US20090206126A1

公开(公告)日：2009-08-20

申请号：US12031978

申请日：2008-02-15

申请人： Thomas W. Huitema ,  Frederick E. Shelton, IV ,  Jeffrey S. Swayze ,  Jerome R. Morgan

发明人： Thomas W. Huitema ,  Frederick E. Shelton, IV ,  Jeffrey S. Swayze ,  Jerome R. Morgan

IPC分类号： A61B17/10

摘要： A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector.

摘要翻译： 一种支撑材料和外科器械的末端执行器，其包括能够帮助外科医生将该支撑物质适当且快速地连接到末端执行器的特征。 在各种实施例中，一块支撑材料可以包括保持特征，其可以与末端执行器的部分接合以可释放地将该支撑材料保持在末端执行器的至少一部分上。 类似地，端部执行器可以包括构造成接合一块支撑材料的部分以将该支撑件材料可释放地保持到端部执行器的特征。 在至少一个实施例中，多于一个支撑材料可以可释放地保持在末端执行器上。

公开(公告)号：US07434715B2

公开(公告)日：2008-10-14

申请号：US10674236

申请日：2003-09-29

申请人： Frederick E. Shelton, IV ,  Jeffrey S. Swayze ,  Douglas B. Hoffman

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

IPC分类号： A61B17/10

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

摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

摘要翻译： 特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄，其产生分开的关闭和发射运动来致动末端执行器。 特别地，手柄产生多个点火冲程，以便减少火焰所需的所需力量（即订书钉和切断）末端执行器。 连接的传动减少了所需的手柄纵向长度，而在拉直时用于烧制，实现了刚性的强结构。 牵引偏压发射机构与防抱死机构协作，避免了在驱动该矫直联接架时的装订，其中锁定机构防止在击发期间释放闭合触发器。 此外，外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。

公开(公告)号：US07364061B2

公开(公告)日：2008-04-29

申请号：US10674026

申请日：2003-09-29

申请人： Jeffrey S. Swayze ,  Frederick E. Shelton, IV

发明人： Jeffrey S. Swayze ,  Frederick E. Shelton, IV

IPC分类号： A61B17/072

CPC分类号： A61B17/07207 ,  A61B17/29 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2946 ,  A61B2090/0811

摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

摘要翻译： 特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄，其产生分开的关闭和发射运动来致动末端执行器。 特别地，手柄产生多个点火冲程，以便减少火焰所需的所需力量（即订书钉和切断）末端执行器。 连接的传动减少了所需的手柄纵向长度，而在拉直时用于烧制，实现了刚性的强结构。 牵引偏压发射机构与防抱死机构协作，避免了在驱动该矫直联接架时的装订，其中锁定机构防止在击发期间释放闭合触发器。 此外，外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。

公开(公告)号：US07143926B2

公开(公告)日：2006-12-05

申请号：US11052387

申请日：2005-02-07

申请人： Frederick E. Shelton, IV ,  Kevin Ross Doll ,  Douglas B. Hoffman ,  Michael Earl Setser ,  Jeffrey S. Swayze

发明人： Frederick E. Shelton, IV ,  Kevin Ross Doll ,  Douglas B. Hoffman ,  Michael Earl Setser ,  Jeffrey S. Swayze

IPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/03

CPC分类号： A61B17/07207 ,  A61B2017/2923

摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

公开(公告)号：US07000819B2

公开(公告)日：2006-02-21

申请号：US10673662

申请日：2003-09-29

申请人： Jeffrey S. Swayze ,  Frederick E. Shelton, IV

发明人： Jeffrey S. Swayze ,  Frederick E. Shelton, IV

IPC分类号： A61B17/04

CPC分类号： A61B17/07207 ,  A61B2017/2923 ,  A61B2017/2925

摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

摘要翻译： 特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄，其产生分开的关闭和发射运动来致动末端执行器。 特别地，手柄产生多个点火冲程，以便减少火焰所需的所需力量（即订书钉和切断）末端执行器。 连接的传动减少了所需的手柄纵向长度，而在拉直时用于烧制，实现了刚性的强结构。 牵引偏压发射机构与防抱死机构协作，避免了在驱动该矫直联接架时的装订，其中锁定机构防止在击发期间释放闭合触发器。 此外，外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。

公开(公告)号：US10136890B2

公开(公告)日：2018-11-27

申请号：US13097954

申请日：2011-04-29

申请人： Frederick E. Shelton, IV ,  Chester O. Baxter, III ,  Jeffrey S. Swayze ,  Jerome R. Morgan ,  Sora Rhee ,  Taylor W. Aronhalt

发明人： Frederick E. Shelton, IV ,  Chester O. Baxter, III ,  Jeffrey S. Swayze ,  Jerome R. Morgan ,  Sora Rhee ,  Taylor W. Aronhalt

IPC分类号： A61B17/10 ,  A61B17/00 ,  A61B17/064 ,  A61B17/072 ,  A61B17/115 ,  A61B17/29 ,  A61B17/068 ,  A61B90/92 ,  A61B90/00 ,  A61B17/32 ,  A61B17/295 ,  A61B17/04

摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.

公开(公告)号：US10123798B2

公开(公告)日：2018-11-13

申请号：US13433141

申请日：2012-03-28

申请人： Chester O. Baxter, III ,  Frederick E. Shelton, IV ,  Charles J. Scheib ,  Christopher W. Widenhouse ,  William B. Weisenburgh, II ,  John L. Stammen ,  Mark H. Ransick ,  Stephanie A. Mutchler ,  Gary W. Knight ,  Michael S. Cropper ,  Sean P. Conlon ,  Jeffrey S. Swayze

发明人： Chester O. Baxter, III ,  Frederick E. Shelton, IV ,  Charles J. Scheib ,  Christopher W. Widenhouse ,  William B. Weisenburgh, II ,  John L. Stammen ,  Mark H. Ransick ,  Stephanie A. Mutchler ,  Gary W. Knight ,  Michael S. Cropper ,  Sean P. Conlon ,  Jeffrey S. Swayze

IPC分类号： A61B17/072 ,  A61B17/00 ,  A61B17/064 ,  A61B17/115 ,  A61B17/29 ,  A61B17/32

摘要： A tissue thickness compensator may generally comprise a first layer comprising a first biocompatible material sealingly enclosed in a water impermeable material and a second layer comprising a second biocompatible material comprising at least one encapsulation, wherein the first biocompatible material expands when contacted with a fluid. The tissue thickness compensator may comprise a haemostatic agent, an anti-inflammatory agent, an antibiotic agent, anti-microbial agent, an anti-adhesion agent, an anti-coagulant agent, a medicament, and/or pharmaceutically active agent. The encapsulation may comprise a biodegradable material to degrade in vivo and/or in situ. The tissue thickness compensator may comprise a hydrogel. The reaction product may comprise a fluid-swellable composition. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described.

公开(公告)号：US09220500B2

公开(公告)日：2015-12-29

申请号：US13433148

申请日：2012-03-28

申请人： Jeffrey S. Swayze ,  Frederick E. Shelton, IV ,  Tamara Widenhouse ,  Christopher W. Widenhouse ,  Taylor W. Aronhalt ,  Charles J. Scheib

发明人： Jeffrey S. Swayze ,  Frederick E. Shelton, IV ,  Tamara Widenhouse ,  Christopher W. Widenhouse ,  Taylor W. Aronhalt ,  Charles J. Scheib

IPC分类号： A61B17/072 ,  A61B17/064 ,  A61B17/00 ,  A61B17/115 ,  A61B17/29 ,  A61B17/32

CPC分类号： A61B17/07207 ,  A61B17/00491 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1155 ,  A61B17/2909 ,  A61B2017/00004 ,  A61B2017/00314 ,  A61B2017/00327 ,  A61B2017/00477 ,  A61B2017/00495 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/00862 ,  A61B2017/00884 ,  A61B2017/00889 ,  A61B2017/00893 ,  A61B2017/00898 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2908 ,  A61B2017/2919 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2946 ,  A61B2017/320052 ,  F04C2270/0421

摘要： A fastener cartridge assembly for an end effector of a surgical instrument can comprise a cartridge body, a deformable tube, and a fastener moveable between an initial position and a fired position. The deformable tube can be longitudinally positioned along a length of the cartridge body. When the fastener is moved to the fired position, the fastener can compress a portion of the deformable tube. The deformable tube can comprise a resilient material such that deformation of the deformable tube generates a restoring force. The deformable tube can comprise a lattice of strands woven together to form a tube wall. Further, the deformable tube can be bioabsorbable and can hold a therapeutic agent. The fastener cartridge assembly can comprise multiple, substantially parallel deformable tubes positioned side-by-side and/or within each other.

摘要翻译： 用于外科器械的端部执行器的紧固件组件可以包括筒体，可变形管和可在初始位置和被击发位置之间移动的紧固件。 可变形管可以沿着盒体的长度纵向定位。 当紧固件移动到燃烧位置时，紧固件可压缩可变形管的一部分。 可变形管可以包括弹性材料，使得可变形管的变形产生恢复力。 可变形管可以包括编织在一起以形成管壁的丝网格。 此外，可变形管可以是生物可吸收的并且可以容纳治疗剂。 紧固件盒组件可以包括并排和/或彼此定位的多个基本上平行的可变形管。

公开(公告)号：US20140005718A1

公开(公告)日：2014-01-02

申请号：US13536288

申请日：2012-06-28

申请人： Frederick E. Shelton, IV ,  Jeffrey S. Swayze ,  Charles J. Scheib ,  Tamara Widenhouse

发明人： Frederick E. Shelton, IV ,  Jeffrey S. Swayze ,  Charles J. Scheib ,  Tamara Widenhouse

IPC分类号： A61B17/28

摘要： A surgical end effector can comprise a first jaw member and a second jaw member. The first jaw member may define an exterior surface on a distal portion thereof. The second jaw member may define an exterior surface on a distal portion thereof. The first jaw member may be moveable relative to the second jaw member between a first position and a second position. At least one of the exterior surfaces of the first and second jaw members may include a tissue gripping portion.

摘要翻译： 手术末端执行器可以包括第一钳口构件和第二钳口构件。 第一钳口构件可限定其远端部分上的外表面。 第二钳口构件可限定其远端部分上的外表面。 第一钳口构件可以在第一位置和第二位置之间相对于第二钳口构件移动。 第一和第二钳口构件的至少一个外表面可以包括组织夹持部分。

公开(公告)号：US20140001231A1

公开(公告)日：2014-01-02

申请号：US13536292

申请日：2012-06-28

申请人： Frederick E. Shelton, IV ,  Chester O. Baxter, III ,  Jeffrey S. Swayze ,  Jerome R. Morgan

发明人： Frederick E. Shelton, IV ,  Chester O. Baxter, III ,  Jeffrey S. Swayze ,  Jerome R. Morgan

IPC分类号： A61B17/068

摘要： Surgical end effectors and fastener cartridges having firing lockout arrangements for preventing or limit a firing stroke when a cartridge has not been operably installed in the end effector or a spent cartridge has not been replaced.

摘要翻译： 具有点火锁定装置的手术终端执行器和紧固件盒，用于在盒未被可操作地安装在末端执行器中或用于未用的盒的情况下防止或限制击发行程。