公开(公告)号：US11819211B2

公开(公告)日：2023-11-21

申请号：US17236536

申请日：2021-04-21

Applicant: C.R. Bard, Inc.

Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

IPC: A61B17/10 ,  A61B17/068 ,  A61F2/00 ,  A61B17/064 ,  A61B17/29 ,  A61B90/00

CPC classification number: A61B17/10 ,  A61B17/068 ,  A61F2/0063 ,  A61B2017/0647 ,  A61B2017/2912 ,  A61B2017/2919 ,  A61B2017/2929 ,  A61B2090/0807 ,  A61F2002/0072

Abstract: A surgical instrument including a power assist device, and its method of use for deploying surgical fasteners, is disclosed. The surgical instrument may include a handle, an elongated shaft extending from the handle, and a surgical fastener deployment system including a driveshaft. The driveshaft is actuatable between at least a first proximal position and a second distal position. A striker is movable relative to the driveshaft and an impact surface is associated with the driveshaft. The impact surface is constructed and arranged to be struck by the striker member to displace the driveshaft to the second distal position and deploy the surgical fastener.

公开(公告)号：US11246597B2

公开(公告)日：2022-02-15

申请号：US16416377

申请日：2019-05-20

Applicant: C.R. Bard, Inc.

Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

IPC: A61B17/10 ,  A61B17/064 ,  A61B17/068 ,  A61B17/00 ,  A61B17/29

Abstract: Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft assembly including a reciprocating driveshaft disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position.

公开(公告)号：US11134928B2

公开(公告)日：2021-10-05

申请号：US15867130

申请日：2018-01-10

Applicant: C.R. Bard, Inc.

Inventor： Augustus Felix ,  Derek J. Leatzow ,  Nathan Stewart Cauldwell ,  Derek Affonce ,  Kevin J. Ranucci ,  Tomas Matusaitis ,  Alan Bachman

IPC: A61B17/00 ,  A61B17/29 ,  A61B17/10 ,  A61B90/00 ,  A61B17/04 ,  A61B17/068 ,  A61B17/128

Abstract: Articulating surgical instruments are disclosed. In one embodiment, a surgical instrument may include an elongated shaft assembly including an articulable portion moveable between a non-articulated configuration and an articulated configuration. First and second articulating shafts of the elongated shaft assembly may be coaxially arranged and axially fixed at an attachment point located distally from the articulable portion. Proximal portions of the first and second articulating shafts may be displaceable in opposing directions to articulate the articulable portion from the non-articulated configuration to the articulated configuration. In another embodiment, an articulation control may be movable from a first position to a second position to move an articulation lock from a locked configuration to an unlocked configuration to selectively permit articulation of a surgical instrument. The articulation lock also may be movable from the second position to a third position to articulate the surgical instrument.

公开(公告)号：US11103234B2

公开(公告)日：2021-08-31

申请号：US15867035

申请日：2018-01-10

Applicant: C.R. Bard, Inc.

Inventor： Augustus Felix ,  Derek J. Leatzow ,  Nathan Stewart Cauldwell ,  Derek Affonce ,  Kevin J. Ranucci ,  Tomas Matusaitis ,  Alan Bachman

IPC: A61B17/04 ,  A61B17/29 ,  A61B17/32 ,  A61B17/068 ,  A61B17/00 ,  A61B17/10 ,  A61B1/005 ,  A61B17/02 ,  A61B17/064

Abstract: Articulating surgical instruments are disclosed. In one embodiment, a surgical instrument may include an elongated shaft assembly including an articulable portion moveable between a non-articulated configuration and an articulated configuration. First and second articulating shafts of the elongated shaft assembly may be coaxially arranged and axially fixed at an attachment point located distally from the articulable portion. Proximal portions of the first and second articulating shafts may be displaceable in opposing directions to articulate the articulable portion from the non-articulated configuration to the articulated configuration. In another embodiment, an articulation control may be movable from a first position to a second position to move an articulation lock from a locked configuration to an unlocked configuration to selectively permit articulation of a surgical instrument. The articulation lock also may be movable from the second position to a third position to articulate the surgical instrument.

公开(公告)号：US20200367869A1

公开(公告)日：2020-11-26

申请号：US16992290

申请日：2020-08-13

Applicant: C.R. Bard, Inc.

Inventor： KEVIN J. RANUCCI ,  Nathan Stewart Cauldwell ,  Donald E. Ziniti

IPC: A61B17/00 ,  A61B17/10 ,  A61B17/072 ,  A61B17/068 ,  A61B90/00 ,  A61B17/04 ,  A61B17/32

Abstract: Embodiments of a surgical instrument including an actuation lockout system as well as its method of use are disclosed. In one embodiment, a surgical instrument includes a trigger and a driveshaft coupled to the trigger such that actuation of the trigger causes the driveshaft to move from a first position to a second position, thereby resulting in deployment of a surgical fastener. An actuation lockout system restrains distal movement of the driveshaft until a force greater than or equal to a threshold force is applied to the trigger.

公开(公告)号：US20190269406A1

公开(公告)日：2019-09-05

申请号：US16416377

申请日：2019-05-20

Applicant: C.R. Bard, Inc.

Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

IPC: A61B17/10 ,  A61B17/064 ,  A61B17/068

Abstract: Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft assembly including a reciprocating driveshaft disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position.

公开(公告)号：US20190209170A1

公开(公告)日：2019-07-11

申请号：US15867063

申请日：2018-01-10

Applicant: C.R. Bard, Inc.

Inventor： Nathan Stewart Cauldwell ,  Augustus Felix ,  Derek Affonce ,  Kevin J. Ranucci

IPC: A61B17/072

CPC classification number: A61B17/07207 ,  A61B17/068 ,  A61B17/846 ,  A61B17/8872 ,  A61B2017/003 ,  A61B2017/00309 ,  A61B2017/00327 ,  A61B2017/00367 ,  A61B2017/0647 ,  A61B2017/07221 ,  A61B2017/07228 ,  A61B2090/0803

Abstract: Surgical fasteners for use with articulating surgical instruments are disclosed. In one embodiment, a surgical fastener may include a head, a shaft extending distally from the head, and a through bore extending through the shaft from a proximal surface of the head to a distal end of the shaft. A fastener carrier of a surgical instrument may be slidably received in the through bore, and the through bore may be sized and shaped to have two or fewer contact points with the fastener carrier when the fastener carrier is in a fully articulated configuration. In another embodiment, a fastener may include a head, a shaft extending distally from the head and including a distal tip, a sloped surface sloping toward the distal tip, and a through bore passing through the head, shaft, and sloped surface. The sloped surface may terminate at two shoulders located on opposing sides of the through bore.

公开(公告)号：US20190167244A1

公开(公告)日：2019-06-06

申请号：US16268023

申请日：2019-02-05

Applicant: C.R. Bard, Inc.

Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

IPC: A61B17/00 ,  A61B17/10 ,  A61M25/01 ,  A61B17/068 ,  A61B17/072 ,  A61B17/29 ,  A61F2/00

Abstract: A surgical instrument and its method of use are disclosed. In one embodiment, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The elongated shaft assembly may include an articulable portion with an articulation direction. The elongated shaft assembly may also include a tubular member with a flexible portion with a preferential bending direction and a direction of bending resistance. The tubular member may permit articulation of the elongated shaft assembly when the preferential bending direction is aligned with the articulation direction.

公开(公告)号：US20170215882A1

公开(公告)日：2017-08-03

申请号：US15485707

申请日：2017-04-12

Applicant: C.R. Bard, Inc.

Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

IPC: A61B17/10 ,  A61F2/00 ,  A61B17/068

CPC classification number: A61B17/10 ,  A61B17/068 ,  A61B2017/00309 ,  A61B2017/0647 ,  A61B2017/2929 ,  A61F2/0063 ,  A61F2002/0072

Abstract: Embodiments of a surgical instrument and its methods of use are disclosed. The disclosed embodiments of a surgical instrument may include a handle and an elongated shaft assembly distally extending from the handle. The elongated shaft assembly may include an articulable portion. An articulation control may be associated with the elongated shaft assembly. The articulation control may be movable between a first position in which the elongated shaft assembly is arranged in a first articulation position and a second position in which the elongated shaft assembly is arranged in a second articulation position. The surgical instrument may include a fastener deployment system with a locking member. The articulation control may block movement of the locking member when the articulation control is located in the first position. The articulation control may also permit movement of the locking member when the articulation control is located in the second position.

公开(公告)号：US20160354081A1

公开(公告)日：2016-12-08

申请号：US15241904

申请日：2016-08-19

Applicant: C.R. Bard, Inc.

Inventor： Kevin J. Ranucci ,  Nathan Stewart Cauldwell ,  Augustus Felix

IPC: A61B17/064 ,  A61B17/068

CPC classification number: A61B17/064 ,  A61B17/068 ,  A61B2017/00309 ,  A61B2017/0647 ,  A61B2017/2905 ,  A61B2017/2927 ,  A61B2017/2941

Abstract: Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft assembly including a reciprocating driveshaft disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position.

Abstract translation: 公开了手术器械及其使用方法。 在一些实施例中，手术器械可以包括手柄和从手柄向远侧延伸的细长轴组件。 外科器械还可以包括用于从细长轴组件展开紧固件的紧固件展开系统，其包括设置在细长轴组件内的往复式驱动轴。 驱动轴可以包括内部通道和至少一个引导表面，其被成形和布置成保持至少一个紧固件在驱动轴的通道中的取向。 在其他实施例中，紧固件展开系统可以包括设置在细长轴组件内的随动件，用于将细长轴组件内的一个或多个紧固件朝向远端紧固件展开位置移位。