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公开(公告)号：US07799039B2
公开(公告)日：2010-09-21
申请号：US11270217
申请日：2005-11-09
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B17/00234 , A61B17/29 , A61B2017/00017 , A61B2017/00367 , A61B2017/00535 , A61B2017/00544 , A61B2017/07214 , A61B2017/07228 , A61B2017/07278 , A61B2017/07285 , A61B2017/2901 , A61B2017/2925 , A61B2017/320052
摘要： A hydraulically actuated surgical instrument. The instrument may comprise a handle portion and a shaft. The shaft is mechanically coupled to the handle. The instrument may also include an end effector mechanically coupled to the shaft along its longitudinal axis. The end effector may comprise a surgical implement and a hydraulic device. At least a portion of the surgical implement may be translatable along a transverse axis, wherein the transverse axis is substantially perpendicular to the longitudinal axis of the shaft. Also, the hydraulic device may be positioned to be expandable toward the surgical instrument in a direction substantially parallel to the transverse axis of the shaft.
摘要翻译： 液压致动外科器械。 仪器可以包括手柄部分和轴。 轴被机械地联接到手柄。 仪器还可以包括沿其纵向轴线机械地联接到轴的末端执行器。 末端执行器可以包括外科器具和液压装置。 手术器具的至少一部分可以沿着横向轴线平移，其中横向轴线基本上垂直于轴的纵向轴线。 此外，液压装置可以被定位成在基本上平行于轴的横向轴线的方向上朝向外科器械展开。
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82.发明授权Disposable motor-driven loading unit for use with a surgical cutting and stapling apparatus 有权一次性电动装载装置，用于手术切割和缝合装置公开(公告)号：US07793812B2
公开(公告)日：2010-09-14
申请号：US12031628
申请日：2008-02-14
申请人： Kyle P. Moore , Frederick E. Shelton, IV , William B. Weisenburgh, II , Jerome R. Morgan , Mark H. Ransick , Eugene L. Timperman
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
CPC分类号： A61B17/07207 , A61B2017/00017 , A61B2017/00398 , A61B2017/00734
摘要： A self contained motor-powered disposable loading unit for use with a surgical cutting and stapling apparatus. The disposable loading unit may contain a battery that is retained in a disconnected position when the disposable loading unit is not in use and is moved to a connected position when the disposable loading unit is coupled to the surgical cutting and stapling apparatus to permit the motor to be selectively powered thereby. Indicators may be supported on the disposable loading unit to indicate when the axial drive assembly thereof is in a starting position and an ending position. Another indicator may be provided to indicate when the anvil assembly is in a closed position.
摘要翻译： 一种自备的电动一次性装载单元，用于外科切割和缝合装置。 一次性装载单元可以包含当一次性装载单元不使用时保持在断开位置的电池，并且当一次性装载单元联接到手术切割和缝合装置时将其移动到连接位置，以允许马达 由此选择性地供电。 指示器可以被支撑在一次性加载单元上以指示其轴向驱动组件何时处于起始位置和结束位置。 可以提供另一个指示器来指示砧座组件何时处于关闭位置。
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83.发明授权Surgical stapling instruments structured for pump-assisted delivery of medical agents 有权结构化用于泵辅助输送医疗药物的手术吻合器械公开(公告)号：US07607557B2
公开(公告)日：2009-10-27
申请号：US11267383
申请日：2005-11-04
CPC分类号： A61B17/07207 , A61B17/07292 , A61B2017/00495 , A61B2017/00893 , A61B2017/07214
摘要： A medical agent dispensing system and surgical instruments that employ the medical agent dispensing system are provided. The dispensing system may be structured for use with a surgical severing/stapling instrument structured for severing and stapling tissue. The dispensing system may include at least one storage reservoir structured for storing at least a component of a medical agent and a pump in communication with the storage reservoir; a delivery tube in communication with the pump which is structured to receive a quantity of the medical agent from the storage reservoir during operation of the pump; and, at least one agent tube in communication with the delivery tube which is structured for communication with a least one agent port formed in a staple cartridge or an anvil of the surgical instrument for dispensing the medical agent therethrough.
摘要翻译： 提供了一种医疗剂分配系统和采用医药剂分配系统的外科器械。 分配系统可以构造成与用于切断和缝合组织的外科切割/缝合器械一起使用。 分配系统可以包括至少一个储存容器，其被构造用于存储至少一个医疗剂的一个部件和一个与存储容器连通的泵; 与所述泵连通的输送管，其构造成在所述泵的操作期间从所述存储容器接收一定数量的所述药剂; 以及与所述输送管连通的至少一个药剂管，其被构造为与形成在所述外科器械的钉仓或砧座中的至少一个药剂口相通以用于分配所述医药。
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公开(公告)号：US09351730B2
公开(公告)日：2016-05-31
申请号：US13433147
申请日：2012-03-28
IPC分类号： A61B17/04 , A61B17/10 , A61B17/072 , A61B17/068 , A61L17/00 , A61B17/064 , A61B17/115 , A61B17/00 , A61B17/29 , A61B17/32 , A61B19/00
CPC分类号： A61B17/068 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00561 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/00942 , A61B2017/00951 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2090/0811 , A61L17/005 , A61L2300/102 , A61L2300/232 , A61L2300/45 , F04C2270/0421 , Y10T29/49826
摘要： A tissue thickness compensator can comprise a tissue contacting surface and a network of channels defined in the tissue contacting surface. In at least one embodiment, the channels can be configured to store at least one medicament therein. In certain embodiments, the channels can define gripping surfaces configured to grip tissue. In various embodiments, the tissue contacting surface can further comprise ridges extending therefrom.
摘要翻译： 组织厚度补偿器可以包括组织接触表面和限定在组织接触表面中的通道网络。 在至少一个实施例中，通道可被配置为在其中存储至少一种药物。 在某些实施例中，通道可以限定被配置为夹紧组织的夹持表面。 在各种实施例中，组织接触表面还可以包括从其延伸的脊。
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85.发明授权公开(公告)号：US09072535B2
公开(公告)日：2015-07-07
申请号：US13118241
申请日：2011-05-27
IPC分类号： A61B17/068 , A61B17/072 , A61B19/00 , A61B17/00
CPC分类号： A61B17/105 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B34/30 , A61B34/35 , A61B34/37 , A61B34/71 , A61B34/76 , A61B2017/00115 , A61B2017/00398 , A61B2017/00473 , A61B2017/00477 , A61B2017/07214 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , Y10T29/53404 , Y10T29/53417 , Y10T29/53687
摘要： A surgical stapling instrument. Various embodiments include an actuation system for selectively generating a plurality of control motions. A surgical end effector is operably coupled to the actuation system. The actuation system interfaces with an actuation member configured to operably engage rotatable camming members to fire staples within the end effector into forming contact with an anvil portion of the end effector.
摘要翻译： 手术吻合器械。 各种实施例包括用于选择性地产生多个控制运动的致动系统。 手术末端执行器可操作地联接到致动系统。 所述致动系统与致动构件相连，所述致动构件构造成可操作地接合可旋转的凸轮构件以在所述端部执行器内消火钉以与所述末端执行器的砧座部分形成接触。
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公开(公告)号：US09033204B2
公开(公告)日：2015-05-19
申请号：US13181786
申请日：2011-07-13
申请人： Frederick E. Shelton, IV , Jerome R. Morgan , William B. Weisenburgh, II , Emily A. Heeb , Christopher J. Hess
发明人： Frederick E. Shelton, IV , Jerome R. Morgan , William B. Weisenburgh, II , Emily A. Heeb , Christopher J. Hess
IPC分类号： A61B17/068 , A61B17/115 , A61B17/34 , A61B17/00 , A61B17/072
CPC分类号： A61B17/0293 , A61B17/00234 , A61B17/0218 , A61B17/068 , A61B17/072 , A61B17/1155 , A61B17/3417 , A61B2017/00287 , A61B2017/00353 , A61B2017/00477 , A61B2017/0225 , A61B2017/0287 , A61B2017/07257 , A61B2560/0443 , F04C2270/0421
摘要： Circular stapling instruments and anvil assemblies. The anvil assemblies may have collapsible anvil support members that may be inserted through an opening in a patient and then expanded to be attached to an anvil plate assembly that has a staple-forming surface thereon. The anvil support member is attachable to the anvil plate assembly in such a way that when the anvil assembly is coupled to the stapling head of a circular stapler, the staple-forming surface is in substantial registry with the staples supported in the stapling head. A variety of different anvil support members and anvil plate assemblies are disclosed. Various embodiments have a tissue-piercing feature.
摘要翻译： 圆形装订器和砧座组件。 砧座组件可以具有可折叠的砧支撑构件，其可以穿过患者的开口插入，然后膨胀以附接到在其上具有钉形成表面的砧座板组件。 砧座支撑构件可以这样的方式附接到砧座板组件，使得当砧座组件联接到圆形订书机的装订头时，订书钉形成表面与被装载在装订头中的订书钉大致对准。 公开了各种不同的砧支撑构件和砧板组件。 各种实施例具有组织刺穿特征。
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87.发明授权公开(公告)号：US08827133B2
公开(公告)日：2014-09-09
申请号：US11652166
申请日：2007-01-11
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/205 , A61B17/068 , A61B17/0686 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/32 , A61B17/320016 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/0725 , A61B2017/07278 , A61B2017/2936 , A61B2017/2944 , A61B2017/2945 , A61B2017/3456 , A61B2090/08021
摘要： The present invention includes a surgical stapler having a staple cartridge, an anvil, a cutting member having a cutting surface, and a driver operably engaged with the cutting member to move the cutting member relative to the anvil and the staple cartridge. In at least one embodiment, one of the anvil and the staple cartridge defines a slot which is configured to receive at least a portion of the cutting member and guide the cutting member as it is moved relative to the anvil and the staple cartridge. In these embodiments, the slot can also be configured to receive a portion of the driver operably engaged with cutting member and support the driver when it moves the cutting member. In at least one embodiment, the slot is defined by at least one radius of curvature.
摘要翻译： 本发明包括具有钉仓，砧座，具有切割表面的切割构件和与切割构件可操作地接合以使切割构件相对于砧座和钉仓移动的驱动器的外科缝合器。 在至少一个实施例中，砧座和钉仓中的一个限定了狭槽，其被配置为接收切割构件的至少一部分并且当切割构件相对于砧座和钉仓移动时引导切割构件。 在这些实施例中，狭槽还可以被配置为接收与切割构件可操作地接合的驱动器的一部分并且当其移动切割构件时支撑驱动器。 在至少一个实施例中，槽由至少一个曲率半径限定。
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公开(公告)号：US08795163B2
公开(公告)日：2014-08-05
申请号：US12479096
申请日：2009-06-05
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/3431 , A61B17/3462 , A61B2017/00557 , A61B2017/3445 , A61B2017/3466 , A61M39/0247 , A61M39/0693 , A61M2039/027
摘要： Methods and devices are provided to allow for easy customization of a surgical access device by an end user. In one exemplary embodiment a surgical access device is provided that includes a plurality of elongate seal elements that are configured to form a sealed configuration between a surgical site and an outside environment. The seal elements can be disposed in a surgical opening and can mate directly to each other with the outermost seal elements mating directly to tissue of the opening. The seal elements can include one or more mating elements to provide the desired mating. The seal elements can also include sealable openings that are configured to receive surgical instruments for use at the surgical site. The sealable openings maintain the desired seal throughout the course of a surgical procedure. Exemplary methods for providing custom configurations on location are also provided.
摘要翻译： 提供了方法和装置以允许最终用户容易地定制外科进入装置。 在一个示例性实施例中，提供了外科进入装置，其包括多个细长密封元件，其被配置为在手术部位和外部环境之间形成密封构造。 密封元件可以设置在手术开口中，并且可以直接配合到最外侧的密封件直接与开口的组织配合。 密封元件可以包括一个或多个配合元件以提供所需的配合。 密封元件还可以包括可密封的开口，其构造成接收外科手术器械用于手术部位。 可密封的开口在整个外科手术过程中保持所需的密封。 还提供了用于在位置上提供定制配置的示例性方法。
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公开(公告)号：US08783542B2
公开(公告)日：2014-07-22
申请号：US12894345
申请日：2010-09-30
CPC分类号： A61B17/072 , A61B1/00064 , A61B1/0051 , A61B1/008 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/08 , A61B17/1155 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00946 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , Y10T29/49863
摘要： A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, at least portions of the fasteners can extend outside of the cartridge body. The first jaw can comprise support features, such as slots, for example, which can directly support such external portions of the fasteners.
摘要翻译： 紧固件盒可以包括可压缩，可折叠和/或可破碎的盒体和嵌入在盒体内的紧固件，其可用于紧固组织。 在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第一钳口可以与第二钳口或砧座相对定位。 砧座可以与紧固件卡盘接合以压缩，塌缩和/或挤压盒体并且使包含在其中的紧固件变形或以其他方式展开。 当紧固件变形或展开时，紧固件可以与被紧固的组织的至少一部分一起捕获其中的盒体的至少一部分。 在各种实施例中，紧固件的至少一部分可以延伸到筒体的外部。 第一钳口可以包括支撑特征，例如可以直接支撑紧固件的这种外部部分的槽。
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公开(公告)号：US08752699B2
公开(公告)日：2014-06-17
申请号：US12894383
申请日：2010-09-30
CPC分类号： A61B17/072 , A61B1/00064 , A61B1/0051 , A61B1/008 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/08 , A61B17/1155 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00946 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , Y10T29/49863
摘要： A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body 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 the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the cartridge body can comprise a plurality of bioabsorbable layers. These bioabsorbable layers can be comprised of materials which can be bioabsorbed at different rates.
摘要翻译： 紧固件盒可以包括可压缩，可折叠和/或可破碎的盒体和嵌入在盒体内的紧固件，其可用于紧固组织。 在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第一钳口可以与第二钳口或砧座相对定位。 砧座可以与紧固件卡盘接合以压缩，塌缩和/或挤压盒体并且使包含在其中的紧固件变形或以其他方式展开。 当紧固件变形或展开时，紧固件可以与被紧固的组织的至少一部分一起捕获其中的盒体的至少一部分。 在各种实施例中，盒体可以包括多个生物可吸收层。 这些生物可吸收层可以由可以不同速率生物吸附的材料组成。
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