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公开(公告)号：US08991677B2
公开(公告)日：2015-03-31
申请号：US14283729
申请日：2014-05-21
发明人： Kyle P. Moore , Frederick E. Shelton, IV , William B. Weisenburgh, II , Jerome R. Morgan , Mark H. Ransick , Eugene L. Timperman
IPC分类号： A61B17/068 , A61B17/072 , A61B19/02 , A61B19/00 , A61B17/32 , A61B18/14 , A61B17/00 , A61B17/29 , A61B18/00
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/076 , A61B17/115 , A61B17/32 , A61B17/320092 , A61B17/3209 , A61B18/1445 , A61B34/30 , A61B34/37 , A61B34/70 , A61B50/20 , A61B50/24 , A61B50/26 , A61B50/36 , A61B2017/00017 , A61B2017/00398 , A61B2017/00415 , A61B2017/00473 , A61B2017/00477 , A61B2017/00734 , A61B2017/0688 , A61B2017/07214 , A61B2017/07228 , A61B2017/07271 , A61B2017/07278 , A61B2017/2917 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , A61B2018/0063
摘要： A detachable motor-powered surgical instrument is disclosed. The instrument may include a housing that includes at least one engagement member for removably attaching the housing to an actuator arrangement. A motor is supported within the housing for supplying actuation motions to various portions of a surgical end effector coupled to the housing. The housing may include a contact arrangement that is configured to permit power to be supplied to the motor only when the housing is operably attached to the actuator arrangement.
摘要翻译： 公开了一种可拆卸的电动手术器械。 仪器可以包括壳体，该壳体包括用于将壳体可移除地附接到致动器装置的至少一个接合构件。 马达支撑在壳体内，用于将联动到壳体的手术末端执行器的各个部分的致动运动提供给马达。 壳体可以包括接触装置，其被配置为仅当壳体可操作地附接到致动器装置时才允许向马达供应动力。
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公开(公告)号：US20150080925A1
公开(公告)日：2015-03-19
申请号：US14031665
申请日：2013-09-19
发明人： John B. Schulte , Craig N. Faller , Eric B. Smith , Patrick J. Scoggins , JoAnn M. Stegeman , Tylor C. Muhlenkamp , William D. Dannaher , Michael R. Lamping , Jacob S. Gee , William B. Weisenburgh, II
IPC分类号： A61B17/32
CPC分类号： A61B17/2816 , A61B17/285 , A61B2017/2825 , A61B2017/2929 , A61B2017/2945 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095
摘要： An ultrasonic instrument comprises a body, a shaft assembly, an ultrasonic blade, and a pivoting member. The shaft assembly extends distally from the body. The ultrasonic blade is positioned distal to the shaft assembly. The pivoting member is pivotable with respect to the blade from an open position to a closed position to thereby clamp tissue between the pivoting member and the blade. One or both of the shaft assembly or the pivoting member comprise a guide feature. The guide feature is configured to provide lateral alignment of the distal portion of the pivoting member with the blade as the pivoting member is pivoted to the closed position.
摘要翻译： 超声波仪器包括主体，轴组件，超声波刀片和枢转构件。 轴组件从身体向远侧延伸。 超声波刀片定位在轴组件的远侧。 枢转构件可相对于叶片从打开位置枢转到关闭位置，从而将组织夹在枢转构件和叶片之间。 轴组件或枢转构件中的一个或两个包括引导特征。 引导特征构造成当枢转构件枢转到关闭位置时，提供枢转构件的远侧部分与叶片的侧向对准。
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公开(公告)号：US20150080879A1
公开(公告)日：2015-03-19
申请号：US14028176
申请日：2013-09-16
发明人： Gregory A. Trees , Susan G. Arshonsky , Jonathan T. Batross , Chad P. Boudreaux , Edward G. Chekan , Catherine A. Corbett , Craig T. Davis , Alex W. Kiturkes , Terry A. McFarland , David A. Monroe , John M. Sarley , Frederick E. Shelton, IV , John B. Schulte , Foster B. Stulen , Aaron C. Voegele , William B. Weisenburgh, II , Tamara Widenhouse , David A. Witt
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00011 , A61B2018/00607 , A61B2018/1455 , A61B2217/005 , A61B2218/002 , A61B2218/008
摘要： A medical device includes an end effector configured to apply bipolar energy to target tissue along a working portion thereof and a fluid control system to control the flow of a fluid produced when the end effector applies the bipolar energy to heat the target tissue. The fluid control system includes a fluid path element defining a fluid path, a distal fluid port configured to intake the fluid adjacent to the working portion of an end effector for transport through the fluid path, and a proximal fluid port configured to intake the fluid transported through the fluid path and to exhaust the transported fluid.
摘要翻译： 医疗装置包括末端执行器，其构造成沿着其工作部分向目标组织施加双极能量;以及流体控制系统，用于控制当末端执行器施加双极能量以加热靶组织时产生的流体的流动。 流体控制系统包括限定流体路径的流体路径元件，远端流体端口，构造成吸引与端部执行器的工作部分相邻的流体，以便输送通过流体路径;以及近端流体端口，构造成吸入流体输送 通过流体路径并排出输送的流体。
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74.发明授权Surgical stapling instrument with staples having crown features for increasing formed staple footprint 有权手术吻合器具有具有冠部特征的订书钉，用于增加成形的缝合尺寸公开(公告)号：US08808325B2
公开(公告)日：2014-08-19
申请号：US13680433
申请日：2012-11-19
发明人： Christopher J. Hess , Jerome R. Morgan , William B. Weisenburgh, II , Michael F. Clem , Frederick E. Shelton, IV
IPC分类号： A61B17/08
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A staple having a crown, a deformable leg extending from the crown, and a spring extending from the crown configured to compress tissue between the spring and the deformable member. Owing to the flexibility of the spring, the staple can accommodate a wide range of tissue thicknesses while still compressing the tissue captured therein. As a result, a single staple design can be used in a wide variety of surgical procedures thereby reducing the amount of staple designs that must be provided to the surgeon. In at least one embodiment, the staple includes a crushable member. This crushable member can include a plastically deformable first portion and an elastically deformable second portion. The present invention can also include, in various embodiments, a crown, a first deformable member extending from the crown, and means for compressing the tissue against the first deformable member.
摘要翻译： 具有冠部的钉，从冠部延伸的可变形腿部以及从冠部延伸的弹簧，其构造成在弹簧和可变形构件之间压缩组织。 由于弹簧的灵活性，订书钉可以适应宽范围的组织厚度，同时仍然压缩其中捕获的组织。 结果，单个钉设计可以用于各种各样的手术过程，从而减少必须提供给外科医生的钉设计的数量。 在至少一个实施例中，订书钉包括可压碎构件。 该可压碎构件可以包括可塑性变形的第一部分和可弹性变形的第二部分。 在各种实施例中，本发明还可以包括冠部，从冠部延伸的第一可变形构件以及用于将组织压靠在第一可变形构件上的装置。
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75.发明申请INTESTINAL BRAKE INDUCING INTRALUMINAL THERAPEUTIC SUBSTANCE ELUTING DEVICES AND METHODS 审中-公开INTESTINAL BRAKE INDING IN INTRALUMINAL THERAPEUTIC THEAPEUTIC TYSTURE ELDTING ELTERTING DEVICES AND METHODS公开(公告)号：US20140155807A1
公开(公告)日：2014-06-05
申请号：US14100218
申请日：2013-12-09
发明人： Thomas E. Albrecht , Jeffrey L. Aldridge , Sean P. Conlon , Michael S. Cropper , Denzel Z. Herrera-Davis , Daniel F. Dlugos , Jason L. Harris , Christopher J. Hess , Thomas W. Huitema , John W. Hunt , Prasanna Malaviya , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , Galen C. Robertson , Frederick E. Shelton, IV , Michael J. Stokes , Foster B. Stulen , James W. Voegele , William B. Weisenburgh, II , Christopher W. Widenhouse , Tamara S. Vetro Widenhouse , James A. Woodard, JR. , David C. Yates , Mark S. Zeiner , Andrew M. Zwolinksi
IPC分类号： A61F5/00
CPC分类号： A61F5/0076 , A61F2/04 , A61F5/0013 , A61F5/0026 , A61F5/0079 , A61F2002/045
摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient.
摘要翻译： 方法和装置产生肠道制动效果，是非侵入性的或微创的，并且可以是可逆的。 这些方法和装置通过稳定的可植入系统和可摄取的药丸来实现。 在一个实施方案中，可植入系统包括将治疗物质递送到患者胃肠道内的目标位置的装置，以便开始肠促动作用，其将促进饱腹感，并刺激患者多余的体重减轻。
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公开(公告)号：US10098527B2
公开(公告)日：2018-10-16
申请号：US13778582
申请日：2013-02-27
摘要： A surgical system for performing a surgical procedure includes an ex-vivo positioning mechanism and an in-vivo instrument magnetically attracted to the ex-vivo positioning mechanism. The in-vivo instrument can be positioned within a patient by moving the ex-vivo positioning mechanism. In addition, the surgical system includes a percutaneous member introducible into the patient independent from the ex-vivo positioning mechanism, the percutaneous member comprising a connector at a distal end thereof, wherein the connector is selectively couplable to the in-vivo instrument within the patient.
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公开(公告)号：US10004529B2
公开(公告)日：2018-06-26
申请号：US14553329
申请日：2014-11-25
发明人： Michael J. Stokes , Scott R. Bingham , Ryan M. Asher , Charles J. Scheib , Rudolph H. Nobis , Benjamin D. Dickerson , Jeffrey D. Messerly , David J. Cagle , Jacob S. Gee , William B. Weisenburgh, II , Omar E. Rios Perez , Chester O. Baxter, III , Karalyn R. Tellio , Benjamin M. Boyd , Rafael J. Ruiz Ortiz , Joël Fontannaz , Lukas S. Glutz , Amir Feriani , Emmanuel Gremion
CPC分类号： A61B17/320092 , A61B2017/2825 , A61B2017/2929 , A61B2017/320084 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2018/00011
摘要： A surgical apparatus comprises a body, a user input feature, a shaft assembly, an end effector, and a blade cooling system. The end effector comprises a clamp arm and an ultrasonic blade that may be coupled with an ultrasonic transducer. The clamp arm is configured to pivot toward and away from the ultrasonic blade. The cooling system is operable to deliver liquid coolant to the ultrasonic blade to thereby cool the ultrasonic blade. The user input feature is operable to both actuate the clamp arm and actuate the cooling system.
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公开(公告)号：US09282966B2
公开(公告)日：2016-03-15
申请号：US14175148
申请日：2014-02-07
IPC分类号： A61B17/068 , A61B17/072 , A61B17/10 , A61B19/02 , A61B19/00 , A61B17/064 , A61B17/32 , A61B18/14 , A61B17/00 , A61B17/29 , A61B18/00
CPC分类号： A61B17/105 , A61B17/064 , A61B17/068 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/320092 , A61B18/1445 , A61B34/30 , A61B34/37 , A61B50/20 , A61B50/36 , A61B2017/00017 , A61B2017/00398 , A61B2017/00473 , A61B2017/00734 , A61B2017/0688 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , A61B2018/0063 , A61B2034/302
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.
摘要翻译： 一种适用于腹腔镜和内窥镜临床手术的手术切割和吻合器械夹紧在由砧座枢转的细长通道的末端执行器内的组织。 电子束射击杆通过夹紧的末端执行器向远侧移动以切断组织并且在切割的每一侧上驱动钉。 电子束射击棒肯定地将砧座与细长通道隔开，以确保适当形成的封闭缝钉，特别是当夹紧的组织量不足以使末端执行器空间时。 特别地，击发杆的上销纵向移动通过砧槽，并且通道狭槽被捕获在击发杆的下盖和中间销之间以确保最小间隔。 从增厚的远端部分和薄的近端条带形成电子束增强了可制造性并且便于在这种关节式手术器械中使用。
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公开(公告)号：US20150335353A1
公开(公告)日：2015-11-26
申请号：US14819716
申请日：2015-08-06
发明人： Christopher W. Widenhouse , William B. Weisenburgh, II , Frederick E. Shelton, IV , David K. Norvell , Robert P. Gill , James W. Voegele , Michael A. Murray , Christopher J. Hess , Michael S. Cropper
CPC分类号： A61B17/3423 , A61B1/018 , A61B17/0218 , A61B17/3462 , A61B2017/3447 , A61B2017/3449 , A61B2017/3466 , A61B2505/05
摘要： Various devices are provided for allowing multiple surgical instruments to be inserted through a single surgical access device at variable angles of insertion, allowing for ease of manipulation within a patient's body while maintaining insufflation. Safety shields and release mechanisms are also provided for use with various surgical access devices.
摘要翻译： 提供了各种装置，用于允许多个外科器械以可变的插入角插入单个外科进入装置，从而允许在维持吹气的同时在患者身体内方便操作。 还提供安全屏蔽和释放机构以用于各种外科进入装置。
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公开(公告)号：US20150320437A1
公开(公告)日：2015-11-12
申请号：US14688684
申请日：2015-04-16
发明人： Barry C. Worrell , Benjamin J. Danziger , Benjamin D. Dickerson , Brian D. Black , Cara L. Shapiro , Charles J. Scheib , Craig N. Faller , Daniel J. Mumaw , David J. Cagle , David T. Martin , David A. Monroe , Disha V. Labhasetwar , Foster B. Stulen , Frederick L. Estera , Geoffrey S. Strobl , Gregory W. Johnson , Jacob S. Gee , Jason R. Sullivan , Jeffrey D. Messerly , Jeffrey S. Swayze , John A. Hibner , John B. Schulte , Joseph E. Hollo , Kristen G. Denzinger , Kristen L. Pirozzi , Matthew C. Miller , Michael R. Lamping , Richard W. Timm , Rudolph H. Nobis , Ryan M. Asher , Stephen M. Leuck , Tylor C. Muhlenkamp , William B. Weisenburgh, II , William A. Olson
CPC分类号： A61B17/320092 , A61B17/320068 , A61B18/1445 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00327 , A61B2017/00398 , A61B2017/22018 , A61B2017/2927 , A61B2017/320088 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61B2018/00642 , A61B2018/00791 , A61B2018/00875 , A61B2018/00892 , A61B2090/0811 , A61N7/00
摘要： An apparatus comprises a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide comprises a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section comprises a plurality of body portions aligned along the longitudinal axis and a flexible locking member. The flexible locking member is operable to secure the body portions in relation to each other and in relation to the shaft. The end effector comprises an ultrasonic blade in acoustic communication with the waveguide. The articulation drive assembly is operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis.
摘要翻译： 一种装置包括主体组件，轴，声波导，关节运动部分，末端执行器和关节运动驱动组件。 轴从主体组件向远侧延伸并且限定纵向轴线。 声波导包括柔性部分。 铰接部分与轴连接。 关节运动部分的一部分包围波导的柔性部分。 铰接部分包括沿着纵向轴线对准的多个主体部分和柔性锁定部件。 柔性锁定构件可操作以相对于彼此并相对于轴固定主体部分。 末端执行器包括与波导声声连通的超声刀片。 铰接驱动组件可操作以驱动关节运动部分的关节运动，从而使末端执行器从纵向轴线偏转。
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