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公开(公告)号：US09622745B2
公开(公告)日：2017-04-18
申请号：US14047386
申请日：2013-10-07
申请人： Covidien LP
IPC分类号： A61B17/072 , A61B17/068
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B2017/07214
摘要： A surgical stapling apparatus including a cartridge assembly defining a first tissue contacting surface, an anvil assembly defining a second tissue contacting surface, and a surgical buttress releasably secured to at least one of the first tissue contacting surface and the second tissue contacting surface is provided. The buttress provides a uniform profile to be used on both the anvil and cartridge of a loading unit.
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公开(公告)号：US20170086848A1
公开(公告)日：2017-03-30
申请号：US14864310
申请日：2015-09-24
发明人： Christopher C. Miller , Charles J. Scheib , Cortney E. Henderson , Tamara S. Vetro Widenhouse , Frederick E. Shelton, IV
IPC分类号： A61B17/115 , A61B17/11 , A61B17/32 , A61B17/10 , A61B17/072
CPC分类号： A61B17/1155 , A61B17/06166 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/320016 , A61B2017/00862 , A61B2017/00867 , A61B2017/00946 , A61B2017/0464 , A61B2017/07221 , A61B2017/07271 , A61B2017/07285 , A61B2017/1103 , A61B2017/1132 , A61B2017/1142 , A61B2017/1157
摘要： An apparatus includes a staple cartridge including a plurality of staples and a deck defining a plurality of openings. Each opening of the plurality of openings is associated with a corresponding staple of the plurality of staples, such that each staple is configured to pass through a corresponding opening of the plurality of openings. The apparatus further includes a deformable feature configured to be coupled to tissue in response to actuation of the staple cartridge. The deformable feature is configured to retain at least one outer portion of stapled tissue in an inwardly directed position relative to an inner portion of stapled tissue.
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公开(公告)号：US09603598B2
公开(公告)日：2017-03-28
申请号：US14015509
申请日：2013-08-30
IPC分类号： A61B17/068 , A61B17/10 , A61B17/072 , A61B17/32 , A61B17/29 , A61B90/00
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： In various embodiments, an end effector for use with a surgical instrument is disclosed. The end effector comprises a first jaw and a second jaw moveable relative to the first jaw, wherein one of the first jaw and the second jaw comprises a plurality of staple cavities arranged in a plurality of curved staple cavity rows, and wherein at least one curved staple cavity row extends along a path. The path comprises a first curved portion comprising a first longitudinal vector component and a second curved portion comprising a second longitudinal vector component, wherein the second longitudinal vector component is opposite of the first longitudinal vector component. The end effector further comprises a firing member comprising a laterally-offset cutting edge, a first camming surface configured to engage the first jaw, and a second camming surface configured to engage the second jaw.
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公开(公告)号：US20170079824A1
公开(公告)日：2017-03-23
申请号：US14857204
申请日：2015-09-17
申请人： Ronald J. THOMPSON
发明人： Ronald J. THOMPSON
IPC分类号： A61F5/00 , A61B17/32 , A61B17/068
CPC分类号： A61F5/0083 , A61B17/07207 , A61B17/07292 , A61B17/32 , A61B17/32053 , A61B2017/00969 , A61B2017/07228 , A61B2017/07271
摘要： A vascularized autograft created by an autograft-forming apparatus and method, for surgical staple line reinforcement to prevent post-operative staple line leaks following a laparoscopic sleeve gastrectomy for weight loss. Staple line reinforcement includes creating and positioning a vascularized autograft simultaneous with the gastric transection and serial stapling portions of a laparoscopic sleeve gastrectomy (LSG) procedure. An array of autograft-forming elements can be included in the staple lines of an LSG stapling device to create multiple autograft plugs between the staples and allow normal, unionized healing of tissue along the staple line.
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公开(公告)号：US09592054B2
公开(公告)日：2017-03-14
申请号：US14932574
申请日：2015-11-04
发明人： Katherine J. Schmid , Chester O. Baxter, III , Taylor W. Aronhalt , Joseph E. Young , Frederick E. Shelton, IV
IPC分类号： A61B17/068 , A61B17/072 , A61B17/10 , A61B17/00 , A61B17/064 , A61B17/115 , A61B17/29 , A61B17/32
CPC分类号： A61B17/105 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B2017/00004 , A61B2017/00314 , A61B2017/00327 , A61B2017/00353 , A61B2017/00495 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00884 , A61B2017/00893 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052
摘要： A staple cartridge for use with a surgical stapler can comprise a cartridge deck and a plurality of staples at least partially positioned within the cartridge deck. In various embodiments, the staples can be supported by a support jaw of the surgical stapler and can comprise legs which can extend upwardly through apertures defined in the cartridge deck. In use, the cartridge deck can be pushed downwardly relative to the staples into a well defined in the support jaw.
摘要翻译： 用于外科缝合器的钉仓可以包括至少部分地定位在药筒甲板内的药筒甲板和多个钉。 在各种实施例中，缝钉可以由外科缝合器的支撑爪支撑，并且可以包括可以向上延伸穿过限定在钉仓甲板中的孔的腿。 在使用中，筒甲板可以相对于缝钉向下推动到在支撑夹爪中限定的井中。
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公开(公告)号：US20170056569A1
公开(公告)日：2017-03-02
申请号：US14840716
申请日：2015-08-31
IPC分类号： A61L31/16 , A61L31/14 , A61L31/04 , A61B17/072
CPC分类号： A61L31/16 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B2017/0046 , A61B2017/00889 , A61B2017/00893 , A61B2017/07271 , A61B2017/07285 , A61L27/18 , A61L27/34 , A61L27/54 , A61L27/56 , A61L27/58 , A61L31/04 , A61L31/148 , A61L2430/34 , C08L67/04
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.
摘要翻译： 提供由钉仓组件保持的辅助材料。 辅助材料提供药物的洗脱，使得一种药物的释放调节另一种药物的释放。 当将辅料材料递送到组织时，第一种药物基本上立即以推注剂量释放。 所述第二药剂与所述钉仓组件相关联，使得通过所述第一药剂的释放来调节所述第二药物向组织的释放。
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87.发明申请SURGICAL STAPLES COMPRISING HARDNESS VARIATIONS FOR IMPROVED FASTENING OF TISSUE 审中-公开包含硬组织变化的外科手术带改善组织紧张公开(公告)号：US20170056008A1
公开(公告)日：2017-03-02
申请号：US14836411
申请日：2015-08-26
IPC分类号： A61B17/10 , A61B17/068
CPC分类号： A61B17/105 , A61B17/00491 , A61B17/0469 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/115 , A61B17/1155 , A61B17/32 , A61B2017/00004 , A61B2017/00398 , A61B2017/00526 , A61B2017/00889 , A61B2017/00893 , A61B2017/00964 , A61B2017/0464 , A61B2017/0472 , A61B2017/06042 , A61B2017/0645 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/1142 , A61B2017/2929 , A61B2017/320052 , A61B2090/037 , A61B2090/038 , A61B2090/08021 , A61L31/022 , A61L31/10 , A61L31/148
摘要： A surgical staple cartridge is disclosed comprising a plurality of staples removably stored within the surgical staple cartridge. The staples comprise staple legs which extend from a staple base portion. The staple legs comprise staple tips configured to pierce tissue and contact a corresponding forming pocket of an anvil of surgical stapling instrument. The staples further comprise zones having different hardnesses.
摘要翻译： 公开了一种外科手术钉仓，其包括可拆卸地存储在手术钉仓内的多个钉。 订书钉包括从订书钉基部延伸的订书钉支脚。 钉腿包括构造成刺穿组织并接触外科缝合器械的砧座的对应形成袋的钉头。 缝钉还包括具有不同硬度的区域。
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88.发明申请公开(公告)号：US20170056001A1
公开(公告)日：2017-03-02
申请号：US14836137
申请日：2015-08-26
IPC分类号： A61B17/10 , A61B17/068
CPC分类号： A61B17/105 , A61B17/0401 , A61B17/0469 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B2017/00004 , A61B2017/00526 , A61B2017/00831 , A61B2017/00889 , A61B2017/00893 , A61B2017/00964 , A61B2017/0464 , A61B2017/0472 , A61B2017/06042 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/1142 , A61B2090/037 , A61B2090/08021 , A61L31/022 , A61L31/10 , A61L31/148
摘要： A staple cartridge is disclosed which comprises a cartridge body, staples cavities defined in the cartridge body, and staples removably stored in the staple cavities. The staple cartridge comprises features for properly aligning and preventing the misalignment of the staples within the staple cavities.
摘要翻译： 公开了一种钉仓，其包括盒主体，限定在盒体中的缝钉空腔和可拆卸地存储在钉仓中的钉。 钉仓包括用于正确对准并防止吻合钉腔内的缝钉不对准的特征。
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89.发明申请公开(公告)号：US20170055996A1
公开(公告)日：2017-03-02
申请号：US14836020
申请日：2015-08-26
IPC分类号： A61B17/10 , A61B17/068
CPC分类号： A61B17/105 , A61B17/00491 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/32 , A61B2017/00004 , A61B2017/00526 , A61B2017/00893 , A61B2017/00964 , A61B2017/0464 , A61B2017/0645 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/1142 , A61B2090/037 , A61B2090/08021 , A61L31/022 , A61L31/10 , A61L31/148
摘要： A surgical staple cartridge is disclosed comprising a plurality of staples removably stored within the surgical staple cartridge. The staples comprise staple legs which extend from a staple base portion. The staple legs comprise staple tips configured to pierce tissue and contact a corresponding forming pocket of an anvil of surgical stapling instrument.
摘要翻译： 公开了一种外科手术钉仓，其包括可拆卸地存储在手术钉仓内的多个钉。 订书钉包括从订书钉基部延伸的订书钉支脚。 钉腿包括构造成刺穿组织并接触外科缝合器械的砧座的对应形成袋的钉头。
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公开(公告)号：US20170055985A1
公开(公告)日：2017-03-02
申请号：US14840523
申请日：2015-08-31
IPC分类号： A61B17/072 , A61L31/14 , A61L31/16
CPC分类号： A61B17/072 , A61B17/07292 , A61B2017/00004 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/07271 , A61L31/10 , A61L31/14 , A61L31/148 , A61L31/16 , A61L2300/41 , A61L2300/418 , A61L2300/602 , A61L2300/604 , A61L2300/606 , A61L2300/61 , A61L2300/62 , A61L2420/08
摘要： Adjuncts for surgical devices including agonists and antagonists are provided. In general, an implantable adjunct can have two or more medicants releasably disposed therein that are each releasable from the adjunct. At least one of the medicants can include an agonist configured to encourage a physiological response, and at least one of the medicants can include an antagonist configured to discourage the physiological response encouraged by the agonist. The physiological response can include an aspect of wound healing such that the aspect of wound healing may be both encouraged by and discouraged by the adjunct. The adjunct having one or more agonists and one or more antagonists releasably disposed therein can be configured to be applied to tissue by a surgical stapler in conjunction with staples.
摘要翻译： 提供了包括激动剂和拮抗剂在内的手术装置的辅助物。 通常，植入式辅助装置可以具有可释放地设置在其中的两个或更多个药剂，每个药剂可从附件释放。 至少一种药物可以包括配置成鼓励生理反应的激动剂，并且至少一种药物可以包括配置成阻止激动剂所促进的生理反应的拮抗剂。 生理反应可以包括伤口愈合的一个方面，使得伤口愈合的方面可能被辅助物鼓励和劝阻。 具有一个或多个激动剂和可释放地设置在其中的一种或多种拮抗剂的辅助物可被构造成通过外科缝合器结合缝钉施用于组织。
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