-
公开(公告)号:US10086116B2
公开(公告)日:2018-10-02
申请号:US14840716
申请日:2015-08-31
IPC分类号: A61L31/16 , A61L27/18 , A61L27/34 , A61L27/54 , A61L27/56 , A61L27/58 , A61B17/072 , A61L31/04 , A61L31/14 , A61B17/00
摘要: Adjunct material retained by a staple cartridge assembly is provided. The adjunct material provides elution of medicants therefrom such that release of one medicant regulates release of another medicant. A first medicant is released as a bolus dose substantially immediately upon delivery of the adjunct material to tissue. The second medicant is associated with the staple cartridge assembly in a manner such that release of the second medicant to tissue is regulated by the release of the first medicant.
-
公开(公告)号:US10085745B2
公开(公告)日:2018-10-02
申请号:US14926194
申请日:2015-10-29
IPC分类号: A61B17/072 , A61B17/068 , A61B17/10
摘要: A stretchable buttress assembly is associated with surgical staples deployable into tissue from a surgical stapler having a longitudinal axis. The buttress assembly includes a planar fabric and a bioabsorbable adhesive. The planar fabric also has fibers that are either substantially unaligned with the longitudinal axis of the surgical stapler or substantially aligned with the longitudinal axis of the surgical stapler. The bioabsorbable adhesive is applied to the first side and/or the second side of the planar fabric and is configured to adhere the stretchable buttress assembly to an end effector of the surgical stapler. The buttress assembly is substantially stretchable in one direction. In some versions the buttress assembly is stretchable in a direction parallel to the longitudinal axis. In some versions the buttress assembly is stretchable in a direction perpendicular to the longitudinal axis.
-
公开(公告)号:US10076324B2
公开(公告)日:2018-09-18
申请号:US14841139
申请日:2015-08-31
IPC分类号: A61B17/072 , A61L27/18 , A61L27/34 , A61L27/54 , A61L27/56 , A61L27/58 , A61B17/115 , A61B17/12 , A61M37/00 , A61B17/00
CPC分类号: A61B17/072 , A61B17/07292 , A61B17/115 , A61B17/1219 , A61B2017/00004 , A61B2017/07271 , A61B2017/07285 , A61B2017/12004 , A61L27/18 , A61L27/34 , A61L27/54 , A61L27/56 , A61L27/58 , A61L31/06 , A61L31/10 , A61L31/146 , A61L31/148 , A61L31/16 , A61L2300/604 , A61M37/00 , A61M2205/04 , C08L67/04
摘要: Adjunct material to provide controlled drug elution is provided. In general, an implantable adjunct formed from at least one bioabsorbable polymer can be configured to be applied to tissue by a surgical stapler in conjunction with staples. The adjunct can be made from a plurality of fibers and it can have one or more medicants releasably retained therein that are effective to provide a desired effect on tissue in-growth in a predetermined manner. Release of each of the at least one medicants from the adjunct material can be controlled by a degradation rate of the at least one bioabsorbable polymer.
-
公开(公告)号:US09937283B2
公开(公告)日:2018-04-10
申请号:US14840589
申请日:2015-08-31
IPC分类号: A61B17/072 , A61L31/16 , A61B17/00 , A61L31/04 , A61L31/14 , A61B17/115 , A61B17/064 , A61B17/068
CPC分类号: A61L31/16 , A61B17/00 , A61B17/00234 , A61B17/00491 , A61B17/0643 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/115 , A61B2017/00004 , A61B2017/00893 , A61B2017/07214 , A61B2017/07242 , A61B2017/07271 , A61B2017/07285 , A61L31/04 , A61L31/148 , A61L2430/34
摘要: Adjunct material is provided that has multiple reservoirs formed therein and releasably carrying a plurality of vessels that each retain at least one medicant. An implantable adjunct has at least one bioabsorbable polymer configured to maintain the vessels within a reservoir. Disruption of the at least one bioabsorbable polymer allows release of the vessels from at least one of the reservoirs. A rate of the vessels' release can be controlled by a degradation rate of the at least one bioabsorbable polymer. The released vessels are, in turn, disrupted to thereby cause at least one medicant disposed therein to release and thus provide a desired effect on tissue in-growth.
-
公开(公告)号:US20180049833A1
公开(公告)日:2018-02-22
申请号:US15237721
申请日:2016-08-16
CPC分类号: A61B46/10 , A61B34/30 , A61B34/35 , A61B2017/00477 , A61B2034/302
摘要: A sterile barrier is provided for use with a surgical robotic system. The sterile barrier can include a housing configured to mate with a tool driver mated to a robotic arm and to removably receive a surgical tool. The housing of the sterile barrier has a sterile flexible fabric extending therefrom such that the housing and the flexible fabric are formed in more than one plane and define a sterile side on which the surgical tool is disposed and a non-sterile side on which the tool driver and the robotic arm are disposed. The housing has an opening for receiving the surgical tool. The housing can have at least one electrical contact configured to operably mate with at least one complementary electrical contact on at least one of the tool driver and the robotic arm.
-
公开(公告)号:US20180049832A1
公开(公告)日:2018-02-22
申请号:US15238015
申请日:2016-08-16
发明人: Chad E. Eckert , Jason L. Harris , Frederick E. Shelton, IV , Jeffrey S. Swayze , Michael J. Vendely , David C. Yates
摘要: Devices, systems, and methods are provided in which movement of a tool is controlled based on sensed parameters. In one embodiment, an electromechanical tool is provided having an instrument shaft and an end effector formed thereon. The electromechanical tool is configured to be mounted on an electromechanical arm, and the electromechanical tool is configured to move with or relative to the electromechanical arm and perform surgical functions. A controller is operatively coupled to the electromechanical arm and the electromechanical tool and is configured to retard advancement of the electromechanical tool toward a tissue surface based on a sensed amount of displacement of a tissue surface, a strain on the tissue of the patient, the temperature of the electromechanical tool, or the like.
-
公开(公告)号:US20180049824A1
公开(公告)日:2018-02-22
申请号:US15238124
申请日:2016-08-16
CPC分类号: A61B34/30 , A61B17/07292 , A61B17/3421 , A61B17/3462 , A61B34/35 , A61B50/20 , A61B50/22 , A61B50/30 , A61B50/36 , A61B90/70 , A61B2017/00477 , A61B2017/00876 , A61B2017/07271 , A61B2017/3409 , A61B2034/2051 , A61B2034/741 , A61B2034/742 , A61B2090/0808 , A61B2090/0811
摘要: An electromechanical robotic arm is provided having a distal end with a tool engaging member configured to mate with an electromechanical tool and a trocar holding member configured to mate with a trocar. The trocar holding member can have at least one engagement mechanism configured to engage and orient a trocar to mate the trocar to the trocar holding member in a desired orientation.
-
公开(公告)号:US20170224334A1
公开(公告)日:2017-08-10
申请号:US15019227
申请日:2016-02-09
发明人: Sarah A. Worthington , Morgan R. Hunter , Frederick E. Shelton, IV , Douglas B. Hoffman , Lauren S. Weaner , Michael J. Vendely
IPC分类号: A61B17/068 , A61B17/32 , A61B17/10
摘要: A surgical instrument that comprises an elongate shaft assembly that defines a shaft axis. A surgical end effector is pivotally coupled to the elongate shaft assembly for selective pivotal travel about an articulation axis that extends transversely relative to the shaft axis. The surgical instrument further includes an articulation system that comprises a single articulation driver that is supported for longitudinal travel along a path that is laterally offset from the shaft axis. A cross link is coupled to the articulation driver and extends transversely across the shaft axis to be coupled to the surgical end effector.
-
公开(公告)号:US20170224333A1
公开(公告)日:2017-08-10
申请号:US15019220
申请日:2016-02-09
发明人: Morgan R. Hunter , Darwin L. Schultz , Sarah A. Worthington , Frederick E. Shelton, IV , Lauren S. Weaner , Michael J. Vendely
IPC分类号: A61B17/068 , A61B17/32 , A61B17/10
CPC分类号: A61B17/105 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/32 , A61B90/30 , A61B2017/00398 , A61B2017/00407 , A61B2017/00424 , A61B2017/0046 , A61B2017/00473 , A61B2017/00734 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2927 , A61B2017/293 , A61B2017/2936 , A61B2090/0808
摘要: A surgical instrument comprising an elongate shaft assembly that defines a shaft axis. The surgical instrument includes a surgical end effector that has a distal end and a proximal end. The proximal end is pivotally coupled to the elongate shaft assembly for selective pivotal travel about an articulation axis that extends transversely relative to the shaft axis. The surgical end effector is selectively pivotable about the articulation axis from an unarticulated position wherein the distal end of the surgical end effector is located an unarticulated distance from the articulation axis to articulated positions wherein the distal end of the surgical end effector is located a corresponding articulated distance from the articulation axis that is less than the unarticulated distance.
-
公开(公告)号:US20170119387A1
公开(公告)日:2017-05-04
申请号:US14926090
申请日:2015-10-29
IPC分类号: A61B17/072 , B29C65/48 , A61B17/00
CPC分类号: A61B17/07207 , A61B17/00234 , A61B17/07292 , A61B2017/00526 , A61B2017/00951 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61L31/06 , B29C65/4805 , B29K2995/0056 , B29L2031/7546 , C08L67/04
摘要: A stretchable buttress assembly includes a planar fabric layer and a biocompatible adhesive layer. The planar fabric layer is configured to stretch along a stretch axis. The planar fabric layer includes extensible fibers and non-extensible fibers. The extensible fibers are arranged in a repeatable pattern. The extensible fibers are oriented along respective paths that are each parallel to the stretch axis. The non-extensible fibers are arranged in a repeatable pattern and engaged with the extensible fibers. The adhesive layer is applied to the planar fabric and is configured to removably adhere the planar fabric layer to an end effector of a surgical stapler.
-
-
-
-
-
-
-
-
-