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    ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS
    52.
    发明申请
    ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS 有权
    适用于手术的仪器仪表控制系统

    公开(公告)号：US20140263553A1

    公开(公告)日：2014-09-18

    申请号：US13803117

    申请日：2013-03-14

    申请人： ETHICON ENDO-SURGERY, INC.

    发明人： Richard L. Leimbach ,  Mark D. Overmyer ,  Shane R. Adams

    IPC分类号： A61B17/068

    CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/07271 ,  A61B2017/2903 ,  A61B2017/2927 ,  A61B2017/2943 ,  A61B2034/2059 ,  A61B2090/0811 ,  G01D5/145

    摘要： A surgical instrument comprises an end effector, a shaft, and a housing extending proximally from the shaft. The end effector is movable relative to the shaft between an articulation home state position and an articulated position and comprises a surgical stapler including a plurality of staples and a firing member that fires the plurality of staples. The firing member is movable between a firing home state position and a fired position. The housing includes a motor operably supported by the housing, a controller in communication with the motor, and a home state input configured to transmit a home state input signal to the controller which is configured to activate the motor in response to the home state input signal to effectuate a return of the end effector to the articulation home state position and a return of the firing member to the firing home state position.

    摘要翻译： 手术器械包括端部执行器，轴和从轴向近侧延伸的壳体。 末端执行器可相对于所述轴在关节运动归位状态位置和铰接位置之间移动，并且包括包括多个订书钉的外科缝合器和触发所述多个钉的击发构件。 击发构件可在点火原点状态位置和点火位置之间移动。 壳体包括由壳体可操作地支撑的马达，与马达通信的控制器，以及归属状态输入，其被配置为将归属状态输入信号发送到控制器，该控制器被配置为响应于本地状态输入信号而激活马达 以实现末端执行器返回到关节回位状态位置，并且将击发构件返回到点火原始状态位置。

    Device for mechanical lithotripsy and removal of calculi that form in the bile duct or in the urinary system
    55.
    发明授权
    Device for mechanical lithotripsy and removal of calculi that form in the bile duct or in the urinary system 有权
    用于机械碎石和去除在胆管或泌尿系统中形成的结石的装置

    公开(公告)号：US08790353B2

    公开(公告)日：2014-07-29

    申请号：US12949582

    申请日：2010-11-18

    申请人： Gerald Fischer ,  Martin Bayer

    发明人： Gerald Fischer ,  Martin Bayer

    IPC分类号： A61B17/221 ,  A61B17/29 ,  A61B17/00

    CPC分类号： A61B17/221 ,  A61B2017/00367 ,  A61B2017/2212 ,  A61B2017/2903 ,  A61B2017/2923

    摘要： The device for mechanical lithotripsy and removal of stones that form in the bile duct or urinary system has a stone collection basket at a distal end of a tube and two actuators at the proximal end of the tube. A cable runs through the tube and connects each actuator to the basket. The actuators are screw drives and form a common structural unit that is concentric to the tube and the cable. One actuator controls the opening and closing of the basket while the other actuator controls the force transmitted through the cable to the basket to allow for crushing of the stone in the basket.

    摘要翻译： 用于机械碎石和去除在胆管或泌尿系统中形成的石块的装置在管的远端具有石收集篮，在管的近端具有两个致动器。 电缆穿过管子并将每个执行器连接到篮子。 执行器是螺旋驱动器，并形成与管和电缆同心的公共结构单元。 一个致动器控制篮子的打开和关闭，而另一个致动器将通过电缆传递的力控制到篮子以允许粉碎篮子中的石头。

    SURGICAL INSTRUMENT WITH DISENGAGEABLE HANDLE
    56.
    发明申请
    SURGICAL INSTRUMENT WITH DISENGAGEABLE HANDLE 有权
    手术仪器与可拆卸手柄

    公开(公告)号：US20140200594A1

    公开(公告)日：2014-07-17

    申请号：US14240023

    申请日：2012-08-24

    申请人： Clement Vidal ,  Herve Collet ,  Patrick Henri

    发明人： Clement Vidal ,  Herve Collet ,  Patrick Henri

    IPC分类号： A61B17/00

    CPC分类号： A61B17/2909 ,  A61B17/00 ,  A61B17/00234 ,  A61B2017/00017 ,  A61B2017/003 ,  A61B2017/00323 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/0042 ,  A61B2017/0069 ,  A61B2017/00738 ,  A61B2017/2903 ,  A61B2017/2908 ,  A61B2017/291 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2929

    摘要： The invention relates to a surgical instrument comprising:—a distal tool (5) securely fastened to a distal end of a rotation shaft (4) and rotatably mounted on and in the extension of a distal member (30) rotatably mounted at an end of an elongated arm (3),—an comprising motorized means (20) for actuating the distal motion of the distal tool (5) and further comprising controlling means (21) for a user to control the motorized means (20);—a handle (1) extending from the actuation unit (2) and comprising a lever (11) mechanically coupled to the distal tool (5) for actuation of said distal tool (5); characterized in that the handle (1) has a non-axially-symmetric shape and is mounted on and in the extension of the actuation unit (2) with coupling means (12, 22) enabling rotation of the handle (1) relative to the actuation unit (2) around the longitudinal axis, and wherein the controlling means (21) are adapted to be operated by the user whatever the rotational position of the handle (1) relative to the actuation unit (2).

    摘要翻译： 本发明涉及一种手术器械，包括：远端工具（5），其牢固地紧固到旋转轴（4）的远端并且可旋转地安装在远端构件（30）的延伸部中，远侧构件 细长臂（3）， - 包括用于致动所述远端工具（5）的远端运动的机动化装置（20），并且还包括用于使用者控制所述机动装置（20）的控制装置（21）; - 手柄 （1），其从所述致动单元（2）延伸并且包括机械联接到所述远端工具（5）的用于致动所述远端工具（5）的杆（11）; 其特征在于，所述手柄（1）具有非轴对称形状并且被安装在所述致动单元（2）的延伸部中并且具有联接装置（12,22），所述联接装置能使所述手柄（1）相对于所述手柄 致动单元（2），并且其中控制装置（21）适于由使用者操作，无论手柄（1）相对于致动单元（2）的旋转位置如何。

    Apparatus for rotating medical devices, systems including the apparatus, and associated methods
    58.
    发明申请
    Apparatus for rotating medical devices, systems including the apparatus, and associated methods 审中-公开
    用于旋转医疗装置的装置，包括该装置的系统和相关方法

    公开(公告)号：US20140142594A1

    公开(公告)日：2014-05-22

    申请号：US14076170

    申请日：2013-11-08

    申请人： Distal Access, LLC

    发明人： Shawn P. Fojtik

    IPC分类号： A61B19/00 ,  A61B17/00 ,  A61B17/17 ,  A61M25/09 ,  A61B17/22 ,  A61B17/34

    CPC分类号： A61M25/09 ,  A61B17/1624 ,  A61B17/1626 ,  A61B17/32002 ,  A61B17/320758 ,  A61B2017/00367 ,  A61B2017/0046 ,  A61B2017/00469 ,  A61B2017/22094 ,  A61B2017/2903 ,  A61B2017/320775 ,  A61B2017/3409 ,  A61M25/01 ,  A61M25/0113 ,  A61M2025/09116

    摘要： A rooter includes a rotatable element, an actuator for causing the rotatable element to rotate, and a coupling feature for rotatably coupling an elongated medical instrument to the rotatable element. The rotatable element may be at least partially contained within the interior of a housing or another element that remains substantially stationary as the actuator causes the rotatable element to rotate. The rooter may be used with a variety of elongated medical instruments, such as wires, mascerators, needles, drill bits, trocars, catheters, tubes and other elongated instruments that are used to enable or effect medical procedures within the body of a subject. The rooter may be used for a variety of purposes, including, without limitation, the introduction of an elongated medical instrument into the body of a subject or its removal from the subject's body; removing, breaking up, or eliminating obstructions (e.g., blood clots, plaques, etc.) from the body of a subject; and obtaining samples from a subject's body.

    摘要翻译： 根部包括可旋转元件，用于使可旋转元件旋转的致动器以及用于将细长医疗器械可旋转地联接到可旋转元件的联接特征。 可旋转元件可以至少部分地容纳在壳体或另一元件的内部，当致动器使可旋转元件旋转时，该元件保持基本上静止。 根部可以与各种细长的医疗器械一起使用，例如用于在受试者的身体内实现或实现医疗程序的电线，金枪丝，针，钻头，套管针，导管，管和其它细长器械。 根部可以用于各种目的，包括但不限于将细长的医疗器械引入受试者的身体或者从对象的身体移除; 从受试者的身体移除，分解或消除障碍物（例如血块，斑块等）; 并从受试者的身体获取样本。

    Articulating Joint for Surgical Instruments
    59.
    发明申请
    Articulating Joint for Surgical Instruments 有权
    手术器械的关节

    公开(公告)号：US20140018826A1

    公开(公告)日：2014-01-16

    申请号：US14025860

    申请日：2013-09-13

    申请人： Covidien LP

    发明人： Frank J. Viola

    IPC分类号： A61B17/00 ,  A61B17/068 ,  A61B17/10

    CPC分类号： A61B17/00234 ,  A61B17/068 ,  A61B17/072 ,  A61B17/10 ,  A61B2017/003 ,  A61B2017/2903 ,  A61B2017/2927

    摘要： A surgical apparatus is disclosed. An actuation mechanism is operable from a proximal portion of the surgical apparatus and a tool assembly is pivotally positioned on a distal portion of the surgical apparatus. The tool assembly is movable between a first position in which the tool assembly is substantially aligned with a longitudinal axis of the surgical apparatus, and a second position in which the tool assembly is pivoted away from the longitudinal axis of the surgical apparatus. An articulation mechanism is positionable to move the tool assembly between the first and second positions. A drive mechanism includes a first shaft operably engaged with a second shaft at an articulation joint. The drive mechanism is configured to transfer rotational motion from the first shaft to the second shaft.

    摘要翻译： 公开了一种手术装置。 致动机构可从外科手术装置的近端部分操作，并且工具组件枢转地定位在手术装置的远端部分上。 工具组件可在其中工具组件基本上与外科装置的纵向轴线对齐的第一位置和第二位置之间移动，在第二位置，工具组件从外科装置的纵向轴线枢转。 铰接机构可定位以在第一和第二位置之间移动工具组件。 驱动机构包括在铰接接头处与第二轴可操作地接合的第一轴。 驱动机构构造成将旋转运动从第一轴传递到第二轴。

    ELECTRODE CONNECTIONS FOR ROTARY DRIVEN SURGICAL TOOLS
    60.
    发明申请
    ELECTRODE CONNECTIONS FOR ROTARY DRIVEN SURGICAL TOOLS 有权
    旋转手术工具的电极连接

    公开(公告)号：US20140005680A1

    公开(公告)日：2014-01-02

    申请号：US13536417

    申请日：2012-06-28

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

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

    IPC分类号： A61B19/00

    CPC分类号： A61B17/29 ,  A61B18/1445 ,  A61B34/30 ,  A61B34/37 ,  A61B2017/00477 ,  A61B2017/2903 ,  A61B2018/00071 ,  A61B2018/00178 ,  A61B2018/00196 ,  A61B2018/00202 ,  A61B2018/1455 ,  A61B2034/306

    摘要： A surgical tool can comprise an end effector, a shaft assembly, a rotatable drive shaft, a first electrical contact and a second electrical contact. The end effector comprises first and second jaw members that are pivotable relative to one another from an open position to a closed position and an electrode positioned on the first jaw member. The shaft assembly extends proximally from the end effector, is at least partially hollow, and defines an inner wall. The rotatable drive shaft extends proximally within the shaft assembly. The first electrical contact is coupled to the inner wall of the shaft assembly and positioned around at least a portion of the drive shaft. The second electrical contact is coupled to and rotatable with the drive shaft. The second electrical contact is positioned to be electrically connected to the first electrical contact as the drive shaft rotates.

    摘要翻译： 手术工具可以包括端部执行器，轴组件，可旋转驱动轴，第一电触点和第二电触点。 末端执行器包括可以从打开位置到闭合位置相对于彼此枢转的第一和第二钳口构件以及位于第一钳口构件上的电极。 轴组件从端部执行器向近侧延伸，至少部分是中空的并且限定内壁。 可旋转驱动轴在轴组件内向近侧延伸。 第一电触点耦合到轴组件的内壁并围绕驱动轴的至少一部分定位。 第二电触头与驱动轴连接并可与驱动轴一起旋转。 当驱动轴旋转时，第二电触头定位成电连接到第一电触头。