公开(公告)号：US20050023324A1

公开(公告)日：2005-02-03

申请号：US10687503

申请日：2003-10-15

申请人： Kevin Doll ,  Michael Setser ,  Frederick Shelton ,  Kenneth Wales

发明人： Kevin Doll ,  Michael Setser ,  Frederick Shelton ,  Kenneth Wales

IPC分类号： A61B17/068 ,  A61B17/072 ,  A61B17/04

CPC分类号： A61B17/07207 ,  A61B2017/00398 ,  A61B2017/07214 ,  A61B2017/07285 ,  A61B2017/2923 ,  A61B2090/0814

摘要： A surgical instrument for laparoscopic and endoscopic clinical procedures simultaneously severs and staples tissue clamped in an end effector comprising an elongate channel, which holds a staple cartridge, and a pivotally attached anvil. An E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular, a wedge integral to the staple cartridge is driven distally by a middle pin of the firing bar to effect stapling. A single lockout of the elongate channel responds to the presence of the wedge sled in its unfired position to allow the firing bar to fire. Otherwise, the single lockout prevents firing when the staple cartridge is missing or spent.

摘要翻译： 用于腹腔镜和内窥镜临床手术的手术器械同时切断并钉入夹在末端执行器中的组织，其包括保持钉仓的细长通道和枢轴连接的砧座。 电子束发射杆接合通道并且在远侧击发运动期间选择性地接合砧座，其中组织被切断并被装订从钉仓向上驱动以形成抵靠砧座。 特别地，与订书钉盒一体的楔形物由射击杆的中间销向远侧驱动以实现装订。 细长通道的单个锁定响应于楔形滑轨在其未燃位置的存在，以允许击发杆起火。 否则，当钉仓丢失或消耗时，单个锁定可防止点火。

公开(公告)号：US20070221700A1

公开(公告)日：2007-09-27

申请号：US11277323

申请日：2006-03-23

申请人： Mark Ortiz ,  Frederick Shelton ,  James Spivey

发明人： Mark Ortiz ,  Frederick Shelton ,  James Spivey

IPC分类号： A61B17/00 ,  A61B17/10

CPC分类号： A61B34/70 ,  A61B17/07207 ,  A61B17/1633 ,  A61B34/71 ,  A61B34/72 ,  A61B2017/003 ,  A61B2017/00327 ,  A61B2017/00367 ,  A61B2017/00464 ,  A61B2017/2905 ,  A61B2017/291 ,  A61B2017/2931 ,  A61B2034/306

摘要： Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.

摘要翻译： 提供了用于控制手术装置的工作端的移动的方法和装置。 在一个实施例中，提供了用于移动外科紧固装置的远端上的端部执行器的方法和装置。 运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。 在其它实施例中，提供单个电缆致动器并且可在第一位置之间移动，在第一位置中，有效地旋转端部执行器而不致动（即，闭合和点火）末端执行器，以及第二位置， 有效地致动末端执行器而不旋转端部执行器。 在其他方面，提供了用于移动形成在附件通道的远端上的柔性颈部以用于内窥镜的方法和装置。 柔性颈部的运动可用于控制延伸穿过柔性颈部的工具的定位。

公开(公告)号：US20070179476A1

公开(公告)日：2007-08-02

申请号：US11343547

申请日：2006-01-31

申请人： Frederick Shelton ,  Jeffrey Swayze ,  Mark Ortiz ,  Leslie Fugikawa

发明人： Frederick Shelton ,  Jeffrey Swayze ,  Mark Ortiz ,  Leslie Fugikawa

IPC分类号： A61B17/00

CPC分类号： A61B17/00234 ,  A61B17/07207 ,  A61B17/2812 ,  A61B2017/0069 ,  A61B2017/291 ,  A61B2017/2919

摘要： A surgical instrument particular suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to said the effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of said elongated shaft assembly to enable the surgeon to move the handle portion to a more ergonomically comfortable position while carrying out the endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed.

摘要翻译： 公开了特别适用于内窥镜使用的手术器械。 各种实施例包括尺寸适于插入穿过套管针的端部执行器。 细长轴组件联接到末端执行器和控制手柄。 细长轴组件具有与所述效应器相邻的远侧部分，用于插入套管针。 细长轴组件还具有远离远侧部分的近端部分，使得当端部执行器和远端部分插入其中时，近端部分从套针针突出。 控制手柄可铰接地连接到所述细长轴组件的近端部分，以使得外科医生能够在执行内窥镜手术时将手柄部分移动到更符合人体工程学的舒适位置。 公开了各种关节连接实施例和锁定装置。

公开(公告)号：US20070175950A1

公开(公告)日：2007-08-02

申请号：US11343546

申请日：2006-01-31

申请人： Frederick Shelton ,  Michael Cropper ,  Joshua Broehl ,  Ryan Crisp ,  Jamison Float ,  Eugene Timperman

发明人： Frederick Shelton ,  Michael Cropper ,  Joshua Broehl ,  Ryan Crisp ,  Jamison Float ,  Eugene Timperman

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/0023 ,  A61B2017/07214 ,  A61B2017/07285 ,  A61B2017/2825

摘要： A disposable staple cartridge for a surgical cutting and fastening instrument. Various embodiments include a disposable anvil that is supported relative to the cartridge body and movable between open and closed positions. At least one tissue stop is provided on the disposable anvil for orienting the tissue to be cut and stapled relative to the staples supported within the cartridge body. Other embodiments relate to end effectors for surgical cutting and fastening instruments that can be used in connection with a plurality of staple cartridge bodies that each have a common length but which may different lengths of staple lines.

摘要翻译： 用于外科切割和紧固器械的一次性钉仓。 各种实施例包括一次性砧座，该砧座相对于盒体支撑并可在打开位置和关闭位置之间移动。 在一次性砧座上提供至少一个组织止动件，用于使待切割的组织相对于支撑在盒体内的缝钉装订。 其他实施例涉及用于外科切割和紧固器械的端部执行器，其可以与多个钉仓体结合使用，每个钉仓主体具有共同的长度，但可以具有不同长度的缝合线。

公开(公告)号：US20070102476A1

公开(公告)日：2007-05-10

申请号：US11271234

申请日：2005-11-10

申请人： Frederick Shelton ,  Leslie Fugikawa

发明人： Frederick Shelton ,  Leslie Fugikawa

IPC分类号： A61B17/04

CPC分类号： A61B17/07207 ,  A61B17/00491 ,  A61B2017/0023 ,  A61B2017/00473 ,  A61B2017/00893 ,  A61B2017/07214 ,  A61B2017/07271 ,  A61B2017/07285

摘要： A disposable loading unit. The disposable loading unit includes a housing assembly, a knife assembly connected to the housing assembly, and an agent cartridge connected to the housing assembly. The agent cartridge houses a medical agent. The disposable loading unit is configured to deliver the medical agent proximate a cutting surface of the knife assembly.

摘要翻译： 一次性装载单元。 一次性加载单元包括壳体组件，连接到壳体组件的刀具组件和连接到壳体组件的药剂盒。 药剂盒容纳医疗药剂。 一次性装载单元构造成将医疗剂递送到刀组件的切割表面附近。

公开(公告)号：US20070102472A1

公开(公告)日：2007-05-10

申请号：US11268290

申请日：2005-11-04

申请人： Frederick Shelton

发明人： Frederick Shelton

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B18/1445 ,  A61B2017/320052

摘要： Embodiments of an electrical energy transmission system structured for use with a surgical severing/stapling instrument including a removably connectable disposable severing/stapling unit are provided. The energy transmission system may include an electrical power source; and, at least one electrode positioned on at least one of an anvil assembly or a cartridge assembly of the disposable severing/stapling unit. The assembly electrode may be configured to receive electrical power from the electrical power source when the disposable severing/stapling unit is removably connected to the surgical instrument. In certain embodiments, the electrical power source may include a radio frequency electrical power source configured to provide electrical current to the assembly electrode.

摘要翻译： 提供了构造用于包括可拆卸地连接的一次性切断/缝合单元的外科切割/缝合器械的电能传输系统的实施例。 能量传输系统可以包括电源; 以及位于所述一次性切割/缝合单元的砧组件或筒组件中的至少一个上的至少一个电极。 组装电极可以被配置为当一次性切断/缝合单元可移除地连接到外科器械时从电源接收电力。 在某些实施例中，电源可以包括被配置为向组装电极提供电流的射频电源。

公开(公告)号：US20070073340A1

公开(公告)日：2007-03-29

申请号：US11540734

申请日：2006-09-29

申请人： Frederick Shelton ,  Jeffrey Swayze ,  Leslie Fugikawa ,  Eugene Timperman

发明人： Frederick Shelton ,  Jeffrey Swayze ,  Leslie Fugikawa ,  Eugene Timperman

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B90/03 ,  A61B2017/00535 ,  A61B2017/00557 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07278 ,  A61B2017/320052 ,  A61B2017/32113 ,  A61B2090/032 ,  A61B2090/08021

摘要： A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw (anvil) and a lower jaw (staple cartridge engaged to an elongate staple channel) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, collapsible staple drivers may be supported within the cartridge for driving a staple or staples supported thereon into forming contact with an underside of an anvil attached to the instrument. As the staples contact the anvil, the drivers can compress or collapse to control the overall formed height of the staple or staples based upon the amount of compression forces experienced by the drivers during the stapling process.

摘要翻译： 用于内窥镜或腹腔镜插入外科手术部位以用于同时缝合和切断组织的手术器械包括上钳口（砧座）和下钳口（钉仓与细长缝合钉通道接合）之间的力调节间距，使得 缝钉形成对应于组织的厚度，但不超过可由钉的长度适应的高度范围。 特别地，可折叠订书钉驱动器可以被支撑在盒中，用于驱动支撑在其上的钉或钉，以与附接到仪器的砧座的下侧形成接触。 当订书钉接触砧座时，驾驶员可以压缩或折叠以基于在装订过程期间驾驶员经历的压缩力的量来控制订书钉或订书钉的整体形成高度。

公开(公告)号：US20070068990A1

公开(公告)日：2007-03-29

申请号：US11238291

申请日：2005-09-29

申请人： Frederick Shelton ,  Jeffrey Swayze ,  Eugene Timperman ,  Leslie Fugikawa

发明人： Frederick Shelton ,  Jeffrey Swayze ,  Eugene Timperman ,  Leslie Fugikawa

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/00398 ,  A61B2017/2923 ,  A61B2017/320052

摘要： A surgical severing and stapling instrument clamps tissue in a staple applying assembly comprising a lower jaw of an elongate channel holding a staple cartridge and a pivotally opposed upper jaw (anvil). A firing handle drives a rack in a handle connected to a firing rod and bar that pass through an elongate shaft and into the staple applying assembly to sever and staple tissue. Upon release of the firing handle, a retraction spring assists in withdrawing the rack and other firing components. To advantageously assist in firing, a spring biased plunger is cocked prior to firing to impart assistance upon depression of the firing trigger. Alternatively, a torsion coil spring ratchet mechanism is preloaded to act through a gear into the rack to assist. As a further alternative, a retraction spring is preloaded and disengaged until the rack is fully fired.

摘要翻译： 手术切割和缝合器械夹紧钉子施加组件中的组织，其包括保持钉仓和可枢转地相对的上钳口（砧座）的细长通道的下钳口。 触发手柄驱动连接到发射杆和杆的手柄中的齿条，其通过细长轴并进入钉施加组件以切断和切割组织。 在释放点火手柄时，缩回弹簧有助于取出架子和其他点火部件。 为了有利地有助于燃烧，弹簧偏压的柱塞在击发之前被起动以在按下击发扳机时给予辅助。 或者，扭力螺旋弹簧棘轮机构被预加载以通过齿轮作用到齿条中以辅助。 作为另一替代方案，退回弹簧被预加载和分离，直到齿条完全燃烧。

公开(公告)号：US20070010838A1

公开(公告)日：2007-01-11

申请号：US11377816

申请日：2006-03-16

申请人： Frederick Shelton ,  Michael Setser ,  William Weisenburgh

发明人： Frederick Shelton ,  Michael Setser ,  William Weisenburgh

IPC分类号： A61B17/08

CPC分类号： A61B17/07207 ,  A61B17/072 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2090/0814

摘要： A surgical instrument for laparoscopic and endoscopic clinical procedures simultaneously severs and staples tissue clamped in an end effector comprising an elongate channel, which holds a staple cartridge, and a pivotally attached anvil. An E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular an upper pin of the firing bar is disengaged from the anvil before firing. A ramped transition from an anvil to an anvil slot avoids misfiring when the end effector has clamped too much tissue, yet assists in successfully clamping a slightly excess amount of tissue.

摘要翻译： 用于腹腔镜和内窥镜临床手术的手术器械同时切断并钉入夹在末端执行器中的组织，其包括保持钉仓的细长通道和枢轴连接的砧座。 电子束发射杆接合通道并且在远侧击发运动期间选择性地接合砧座，其中组织被切断并被装订从钉仓向上驱动以形成抵靠砧座。 特别地，在点火之前，点火棒的上销与砧座脱离。 从砧座到砧座插槽的斜坡过渡避免了当末端执行器夹紧太多组织时失火，但有助于成功地夹紧稍多量的组织。

公开(公告)号：US20060282099A1

公开(公告)日：2006-12-14

申请号：US11394126

申请日：2006-03-31

申请人： Michael Stokes ,  Andrew Zwolinski ,  Mark Ortiz ,  Frederick Shelton

发明人： Michael Stokes ,  Andrew Zwolinski ,  Mark Ortiz ,  Frederick Shelton

IPC分类号： A61B17/04

CPC分类号： A61B1/005 ,  A61B1/00087 ,  A61B1/00094 ,  A61B1/00133 ,  A61B1/0014 ,  A61B1/2736 ,  A61B1/313 ,  A61B5/026 ,  A61B5/0261 ,  A61B17/00491 ,  A61B17/0466 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0487 ,  A61B17/0493 ,  A61B17/06066 ,  A61B17/062 ,  A61B34/20 ,  A61B90/36 ,  A61B2017/00022 ,  A61B2017/00292 ,  A61B2017/00296 ,  A61B2017/00407 ,  A61B2017/00469 ,  A61B2017/00477 ,  A61B2017/00561 ,  A61B2017/0479 ,  A61B2017/0496 ,  A61B2017/06076 ,  A61B2017/0608 ,  A61B2017/06185 ,  A61B2017/306 ,  A61B2090/037 ,  A61B2090/0811 ,  A61B2090/374 ,  A61B2090/378

摘要： A method for suture lacing includes providing a suture with a needle attached thereto, inserting the needle and suture into an organ through a passageway, throwing a single stitch through a first tissue member, throwing a single stitch through an opposed and spaced apart second tissue member, repeating the preceding step at least once, bringing the first and second tissue members in contact by tensioning the suture, whereby suture drag is minimized during the tensioning and even tissue compression substantially achieved, and securing the suture.

摘要翻译： 用于缝合线的方法包括：提供缝合线，其上附着有针，将针和缝合线插入器官通过通道，将单个针迹投掷穿过第一组织构件，将单个针迹穿过相对且间隔开的第二组织构件 ，重复前述步骤至少一次，通过张紧缝合线使第一和第二组织构件接触，由此缝合线阻力在张紧期间被最小化，甚至基本上实现组织压缩，并且固定缝合线。