公开(公告)号：US20140158747A1

公开(公告)日：2014-06-12

申请号：US13706827

申请日：2012-12-06

申请人： ETHICON ENDO-SURGERY, INC.

发明人： John P. Measamer ,  Johnny H. Alexander, III ,  Christopher C. Miller ,  Jason R. Lesko ,  James S. Merritt ,  Tamara S. Vetro Widenhouse ,  Frederick E. Shelton, IV

IPC分类号： A61B17/115

CPC分类号： A61B17/1155 ,  A61B17/0644 ,  A61B2017/07235 ,  A61B2017/07264

摘要： An apparatus for stapling tissue includes a head assembly, a handle actuator in communication with the head assembly, and a staple cartridge. The head assembly is operable to drive a plurality of staples in response to actuating the handle actuator. The staple cartridge is in communication with the head assembly. The staple cartridge comprises a first annular ring of apertures and a second ring of apertures. The first annular ring of apertures includes apertures having a different size than the second annular ring of apertures, such that the apertures accommodate staples having different crown lengths. The staples may include pledgets that are configured to provide a greater staple footprint.

摘要翻译： 用于装订组织的装置包括头部组件，与头部组件连通的手柄致动器和钉仓。 头组件可操作以响应于致动手柄致动器而驱动多个订书钉。 钉仓与头部组件连通。 钉仓包括第一环形环孔和第二环孔。 第一环形环孔包括具有与第二环形环孔不同的尺寸的孔，使得孔容纳具有不同冠冠长度的缝钉。 订书钉可以包括被配置为提供更大的订书钉尺寸的配件。

公开(公告)号：US10226246B2

公开(公告)日：2019-03-12

申请号：US14881533

申请日：2015-10-13

申请人： ETHICON ENDO-SURGERY, INC.

发明人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Patrick A. Weizman ,  Cory G. Kimball ,  Edward G. Chekan ,  Joseph E. Young ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Cortney E. Henderson ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Adam R. Dunki-Jacobs ,  Venkataramanan Mandakolathur Vasudevan ,  Carl J. Shurtleff ,  Julia F. Serber

IPC分类号： A61B17/072 ,  A61B17/064 ,  A61B17/068 ,  A61B17/115 ,  A61B17/00 ,  A61B17/29 ,  A61B90/00

摘要： A surgical instrument includes a handle assembly having a trigger operable to fire a staple driver to staple tissue. The instrument includes a pointed rod to which an anvil may be coupled. An anvil detection feature is included to determine when the anvil is coupled to the rod. In some versions, the anvil detection feature comprises a translatable rod that inhibits a lockout feature from disengaging. In other versions, an anvil sensing tube is disposed about the pointed rod and interferes with actuation of the trigger in a first position. A recess in the tube permits trigger to actuate when the anvil sensing tube is in the second position. Alternatively, a resilient tab is coupled to the pointed rod and resists actuation of the staple driver. A trigger lockout assembly may include a spring-loaded button that “pops” out when a push rod is actuated, thereby freeing a pivotable lockout feature.

公开(公告)号：US10111679B2

公开(公告)日：2018-10-30

申请号：US14479103

申请日：2014-09-05

申请人： Ethicon Endo-Surgery, Inc.

发明人： Daniel L. Baber ,  Jeffrey S. Swayze ,  Andrew T. Beckman ,  Christopher C. Miller ,  Charles J. Scheib ,  Jamison J. Float ,  Matthew E. O'Kelly

IPC分类号： H02H3/00 ,  A61B17/32 ,  A61B17/115 ,  G06F1/26 ,  G06F1/28 ,  G06F1/30 ,  G06F1/32 ,  A61B90/92 ,  A61B90/98 ,  H02H3/087 ,  H02H3/18 ,  H02H3/20 ,  H02H3/24 ,  H02H11/00 ,  A61B17/072 ,  H02H3/04 ,  H02J7/00 ,  A61B17/00 ,  A61B17/29 ,  A61B90/00 ,  A61B8/12 ,  A61B8/00

摘要： An electronic system for a surgical instrument is disclosed. The electronic system comprises a main power supply circuit configured to supply electrical power to a primary circuit, a supplementary power supply circuit configured to supply electrical power to a secondary circuit, and a sleep mode monitor coupled between the main power supply circuit and the supplementary power supply circuit. The sleep mode monitor is configured to indicate one or more sleep mode conditions. The electronic system further comprises a device state monitor coupled to the primary circuit, the device state monitor configured to sense a state of various electrical and mechanical subsystems of the surgical instrument.

公开(公告)号：US09757128B2

公开(公告)日：2017-09-12

申请号：US14478895

申请日：2014-09-05

申请人： Ethicon Endo-Surgery, Inc.

发明人： Daniel L. Baber ,  Jeffrey S. Swayze ,  Andrew T. Beckman ,  Christopher C. Miller ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Michael J. Stokes ,  Foster B. Stulen

IPC分类号： A61B17/072 ,  A61B17/115 ,  A61B17/068 ,  A61B90/92 ,  A61B90/98 ,  H02H1/06 ,  A61B17/00 ,  A61B17/29 ,  A61B90/00 ,  A61B18/00 ,  H02H3/02 ,  H02H11/00 ,  A61B90/70

CPC分类号： A61B17/07207 ,  A61B5/067 ,  A61B5/1076 ,  A61B5/6847 ,  A61B5/6885 ,  A61B8/12 ,  A61B8/4483 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1155 ,  A61B90/70 ,  A61B90/90 ,  A61B90/92 ,  A61B90/94 ,  A61B90/96 ,  A61B90/98 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00061 ,  A61B2017/00066 ,  A61B2017/00075 ,  A61B2017/00106 ,  A61B2017/00119 ,  A61B2017/00123 ,  A61B2017/00199 ,  A61B2017/00393 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/00725 ,  A61B2017/00734 ,  A61B2017/00876 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2090/061 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/0803 ,  A61B2090/0806 ,  A61B2090/0807 ,  A61B2090/0808 ,  A61B2090/081 ,  A61B2090/0811 ,  A61B2090/0814 ,  A61B2090/0818 ,  A61B2090/309 ,  A61B2090/702 ,  A61B2505/05 ,  A61B2562/0223 ,  A61B2562/0247 ,  A61B2562/0257 ,  A61B2562/0261 ,  A61B2562/029 ,  A61B2562/043 ,  G01R33/072 ,  H02H1/06 ,  H02H3/02 ,  H02H3/04 ,  H02H3/06 ,  H02H3/087 ,  H02H3/18 ,  H02H3/202 ,  H02H3/207 ,  H02H3/243 ,  H02H7/20 ,  H02H11/002 ,  H02J1/10 ,  H02J7/0068

摘要： An end effector is disclosed. The end effector comprises a first jaw member defining an anvil; a second jaw member configured to receive a cartridge therein, wherein the first jaw member is moveable with respect to the second jaw member; a first sensor coupled to the anvil; and a second sensor configured to measure a second parameter. The first sensor is configured to measure a first parameter. The first parameter and the second parameter are related. The first sensor and the second sensor are in signal communication with a processor.

公开(公告)号：US09717496B2

公开(公告)日：2017-08-01

申请号：US14944387

申请日：2015-11-18

申请人： Ethicon Endo-Surgery, Inc.

发明人： Venkataramanan Mandakolathur Vasudevan ,  Edward G. Chekan ,  Kevin D. Felder ,  Jerome R. Morgan ,  Carl J. Shurtleff, IV ,  Johnny H. Alexander, III ,  John F. Cummings ,  Christopher C. Miller

IPC分类号： A61B17/115 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072

CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155

摘要： A surgical stapling instrument for performing a circular anastomosis comprises a stapling head assembly, an actuator handle assembly, a shaft assembly, a safety latch, and a locking member. The stapling head assembly includes an anvil that moves relative to a staple holder and a staple driver to drive staples from the staple holder into tissue and against the anvil. The actuator handle assembly has a first actuator that controls motion of the anvil and a second actuator that controls motion of the staple driver. The shaft assembly couples the stapling head assembly to the actuator handle assembly. The safety latch prevents operation of the second actuator when the gap between the anvil and staple holder is outside a predetermined range. The locking member is configured to prevent adjustment of the anvil gap after the desired staple height has been set inside the predetermined range.

公开(公告)号：US09713469B2

公开(公告)日：2017-07-25

申请号：US14033763

申请日：2013-09-23

申请人： Ethicon Endo-Surgery, Inc.

发明人： Richard L. Leimbach ,  Richard F. Schwemberger ,  John P. Measamer ,  Johnny H. Alexander, III ,  Christopher C. Miller ,  Brian F. DiNardo ,  Jason M. Rector

IPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/00

CPC分类号： A61B17/068 ,  A61B17/1155 ,  A61B2017/00367 ,  A61B2017/00398

摘要： A surgical circular stapler has a handle assembly, a shaft, a stapling assembly, a motor, a drive assembly, and a firing assembly. The shaft extends distally from the handle assembly. The stapling assembly is secured to a distal end of the shaft. Longitudinal translation of the firing assembly causes the stapling assembly to drive a plurality of staples in a circular array to secure two lumens of tissue together. The stapling assembly may further drive a blade to sever any excess tissue interior of the circular array of staples. The motor is operable to rotate the drive assembly to thereby translate the firing assembly. A resilient member biases the firing assembly proximally. Through cooperation between the firing assembly and the resilient member, the firing assembly is driven distally and proximally to complete a firing stroke in response to rotation of the drive assembly through a single revolution.

公开(公告)号：US20160066909A1

公开(公告)日：2016-03-10

申请号：US14478895

申请日：2014-09-05

申请人： Ethicon Endo-Surgery, Inc.

发明人： Daniel L. Baber ,  Jeffrey S. Swayze ,  Andrew T. Beckman ,  Christopher C. Miller ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Michael J. Stokes ,  Foster B. Stulen

IPC分类号： A61B17/072 ,  A61B17/00 ,  A61B19/00 ,  A61B17/068

CPC分类号： A61B17/07207 ,  A61B5/067 ,  A61B5/1076 ,  A61B5/6847 ,  A61B5/6885 ,  A61B8/12 ,  A61B8/4483 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1155 ,  A61B90/70 ,  A61B90/90 ,  A61B90/92 ,  A61B90/94 ,  A61B90/96 ,  A61B90/98 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00061 ,  A61B2017/00066 ,  A61B2017/00075 ,  A61B2017/00106 ,  A61B2017/00119 ,  A61B2017/00123 ,  A61B2017/00199 ,  A61B2017/00393 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/00725 ,  A61B2017/00734 ,  A61B2017/00876 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2090/061 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/0803 ,  A61B2090/0806 ,  A61B2090/0807 ,  A61B2090/0808 ,  A61B2090/081 ,  A61B2090/0811 ,  A61B2090/0814 ,  A61B2090/0818 ,  A61B2090/309 ,  A61B2090/702 ,  A61B2505/05 ,  A61B2562/0223 ,  A61B2562/0247 ,  A61B2562/0257 ,  A61B2562/0261 ,  A61B2562/029 ,  A61B2562/043 ,  G01R33/072 ,  H02H1/06 ,  H02H3/02 ,  H02H3/04 ,  H02H3/06 ,  H02H3/087 ,  H02H3/18 ,  H02H3/202 ,  H02H3/207 ,  H02H3/243 ,  H02H7/20 ,  H02H11/002 ,  H02J1/10 ,  H02J7/0068

摘要： An end effector is disclosed. The end effector comprises a first jaw member defining an anvil; a second jaw member configured to receive a cartridge therein, wherein the first jaw member is moveable with respect to the second jaw member; a first sensor coupled to the anvil; and a second sensor configured to measure a second parameter. The first sensor is configured to measure a first parameter. The first parameter and the second parameter are related. The first sensor and the second sensor are in signal communication with a processor.

摘要翻译： 公开了端部执行器。 端部执行器包括限定砧座的第一钳口构件; 第二钳口构件，其构造成在其中容纳盒，其中所述第一钳口构件可相对于所述第二钳口构件移动; 耦合到砧座的第一传感器; 以及配置成测量第二参数的第二传感器。 第一传感器被配置为测量第一参数。 第一个参数和第二个参数是相关的。 第一传感器和第二传感器与处理器进行信号通信。

公开(公告)号：US09936949B2

公开(公告)日：2018-04-10

申请号：US14033709

申请日：2013-09-23

申请人： Ethicon Endo-Surgery, Inc.

发明人： John P. Measamer ,  Christopher C. Miller ,  Brian F. DiNardo ,  Richard F. Schwemberger ,  Johnny H. Alexander, III

IPC分类号： A61B17/04 ,  A61B17/10 ,  A61B17/068 ,  A61B17/115 ,  A61B17/00 ,  A61B17/29

CPC分类号： A61B17/068 ,  A61B17/1155 ,  A61B2017/00398 ,  A61B2017/2913 ,  A61B2017/2922

摘要： An apparatus includes an end effector, a shaft assembly including a translating drive member, and a drive assembly. The end effector includes a distally advancing cutting member and staple driver. The translating drive member is operable to actuate the end effector. The drive assembly is in communication with the translating drive member and includes a motor, a rotary drive member, a first link, and at least one toggle link. The rotary drive member is in communication with the motor. The first link is in communication with the rotary drive member. The at least one toggle link is in communication with the first link and the translating drive member. The rotary drive member is operable to convey linear motion to the first link. The first link is able to convey linear motion to the translating drive member.

公开(公告)号：US20160066912A1

公开(公告)日：2016-03-10

申请号：US14479103

申请日：2014-09-05

申请人： Ethicon Endo-Surgery, Inc.

发明人： Daniel L. Baber ,  Jeffrey S. Swayze ,  Andrew T. Beckman ,  Christopher C. Miller ,  Charles J. Scheib ,  Jamison J. Float ,  Matthew E. O'Kelly

IPC分类号： A61B17/072 ,  H02J9/06 ,  A61B17/32

CPC分类号： A61B17/07207 ,  A61B5/067 ,  A61B5/1076 ,  A61B5/6847 ,  A61B5/6885 ,  A61B8/12 ,  A61B8/4483 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1155 ,  A61B90/70 ,  A61B90/90 ,  A61B90/92 ,  A61B90/94 ,  A61B90/96 ,  A61B90/98 ,  A61B2017/00017 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00061 ,  A61B2017/00066 ,  A61B2017/00075 ,  A61B2017/00106 ,  A61B2017/00119 ,  A61B2017/00123 ,  A61B2017/00199 ,  A61B2017/00393 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/00725 ,  A61B2017/00734 ,  A61B2017/00876 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2090/061 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/0803 ,  A61B2090/0806 ,  A61B2090/0807 ,  A61B2090/0808 ,  A61B2090/081 ,  A61B2090/0811 ,  A61B2090/0814 ,  A61B2090/0818 ,  A61B2090/309 ,  A61B2090/702 ,  A61B2505/05 ,  A61B2562/0223 ,  A61B2562/0247 ,  A61B2562/0257 ,  A61B2562/0261 ,  A61B2562/029 ,  A61B2562/043 ,  G01R33/072 ,  H02H1/06 ,  H02H3/02 ,  H02H3/04 ,  H02H3/06 ,  H02H3/087 ,  H02H3/18 ,  H02H3/202 ,  H02H3/207 ,  H02H3/243 ,  H02H7/20 ,  H02H11/002 ,  H02J1/10 ,  H02J7/0068

摘要： An end effector is disclosed. The end effector comprises a first jaw member comprising a magnetic sensor; a second jaw member pivotally coupled to the first jaw member such that the first jaw member is pivotally moveable between an open position and a closed position, wherein the second jaw member is configured to receive a staple cartridge therein; a staple cartridge removably coupled to the second jaw member, the staple cartridge further comprising an upper surface facing the first jaw member; and a magnet positioned to be in an opposing relationship to the magnetic sensor when the first jaw member is in the closed position. The magnetic sensor is operable to detect the magnetic field of the magnet, and wherein the detected magnetic field is indicative of the distance between the anvil and the staple cartridge.

摘要翻译： 公开了端部执行器。 末端执行器包括包括磁传感器的第一钳口构件; 第二钳口构件，其枢转地联接到所述第一钳口构件，使得所述第一钳口构件在打开位置和关闭位置之间可枢转地运动，其中所述第二钳口构件构造成在其中容纳钉仓; 可拆卸地联接到所述第二钳口构件的钉仓，所述钉仓还包括面向所述第一钳口构件的上表面; 以及当所述第一钳口构件处于关闭位置时被定位成与所述磁性传感器相对的关系的磁体。 磁传感器可操作以检测磁体的磁场，并且其中所检测的磁场表示砧和钉仓之间的距离。

公开(公告)号：US20150083775A1

公开(公告)日：2015-03-26

申请号：US14033763

申请日：2013-09-23

申请人： Ethicon Endo-Surgery, Inc.

发明人： Richard L. Leimbach ,  Richard F. Schwemberger ,  John P. Measamer ,  Johnny H. Alexander, III ,  Christopher C. Miller ,  Brian F. DiNardo ,  Jason M. Rector

IPC分类号： A61B17/068

CPC分类号： A61B17/068 ,  A61B17/1155 ,  A61B2017/00367 ,  A61B2017/00398

摘要： A surgical circular stapler has a handle assembly, a shaft, a stapling assembly, a motor, a drive assembly, and a firing assembly. The shaft extends distally from the handle assembly. The stapling assembly is secured to a distal end of the shaft. Longitudinal translation of the firing assembly causes the stapling assembly to drive a plurality of staples in a circular array to secure two lumens of tissue together. The stapling assembly may further drive a blade to sever any excess tissue interior of the circular array of staples. The motor is operable to rotate the drive assembly to thereby translate the firing assembly. A resilient member biases the firing assembly proximally. Through cooperation between the firing assembly and the resilient member, the firing assembly is driven distally and proximally to complete a firing stroke in response to rotation of the drive assembly through a single revolution.

摘要翻译： 外科圆形订书机具有手柄组件，轴，钉书钉组件，马达，驱动组件和发射组件。 轴从手柄组件向远侧延伸。 装订组件固定到轴的远端。 射击组件的纵向平移导致缝合组件以圆形阵列驱动多个缝钉，以将两个组织的组织固定在一起。 缝合组件可以进一步驱动刀片以切断圆形排列的钉的任何多余的组织内部。 马达可操作以使驱动组件旋转，从而平移击发组件。 弹性构件向近侧偏压击发组件。 通过射击组件和弹性构件之间的协作，射击组件被向远侧和近侧驱动，以响应于驱动组件通过单次旋转的旋转来完成击发冲程。