公开(公告)号：US10368892B2

公开(公告)日：2019-08-06

申请号：US14087383

申请日：2013-11-22

申请人： Ethicon Endo-Surgery, Inc.

发明人： Foster B. Stulen ,  Daniel W. Price ,  William E. Clem ,  Cory G. Kimball ,  Timothy G. Dietz ,  Kevin L. Houser

IPC分类号： A61B17/32 ,  A61B17/00 ,  A61B17/29 ,  A61B90/00

摘要： A surgical apparatus comprises a body assembly, an ultrasonic transducer, a shaft assembly, a motor, and a locking feature. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises a waveguide operable to transmit ultrasonic vibrations. The motor is operable to rotate the ultrasonic transducer to thereby selectively couple the ultrasonic transducer with the waveguide. The locking feature is configured to selectively prevent rotation of at least a portion of the shaft assembly relative to the body assembly. The locking feature and the motor may be activated automatically in response to an operator positioning a proximal portion of the shaft assembly in a distal portion of the body assembly. The surgical apparatus may include a feature configured to alert a user when the waveguide has been adequately secured to the ultrasonic transducer.

公开(公告)号：US10004528B2

公开(公告)日：2018-06-26

申请号：US14552681

申请日：2014-11-25

申请人： Ethicon Endo-Surgery, Inc.

发明人： Craig N. Faller ,  Cory G. Kimball ,  David J. Cagle ,  Benjamin D. Dickerson, II ,  Kristen Denzinger ,  Jeffrey D. Messerly ,  Phillip H. Clauda ,  Ryan M. Asher ,  Frederick L. Estera ,  Omar J. Vakharia ,  William B. Weisenburgh, II ,  Richard W. Timm ,  Richard C. Smith ,  Paul F. Riestenberg ,  Wells D. Haberstich ,  Gregory W. Johnson

IPC分类号： A61B17/32 ,  A61N7/00 ,  A61B18/00 ,  A61B18/14 ,  A61B17/00 ,  A61B17/28 ,  A61B90/00

CPC分类号： A61N7/00 ,  A61B17/320068 ,  A61B17/320092 ,  A61B18/1442 ,  A61B2017/00353 ,  A61B2017/2825 ,  A61B2017/320071 ,  A61B2017/320078 ,  A61B2017/320084 ,  A61B2017/320089 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2018/00011 ,  A61B2018/00107 ,  A61B2018/0063 ,  A61B2090/0436 ,  A61B2090/0472

摘要： An apparatus comprises a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade, a clamp arm, and a sleeve. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm is configured to move toward the ultrasonic blade. The sleeve extends along at least part of the length of an outer portion of the ultrasonic blade or the clamp arm. The sleeve is configured to prevent tissue from contacting a portion of the ultrasonic blade or clamp arm covered by the sleeve.

公开(公告)号：US09675374B2

公开(公告)日：2017-06-13

申请号：US14222943

申请日：2014-03-24

申请人： Ethicon Endo-Surgery, Inc.

发明人： Foster B. Stulen ,  Michael R. Lamping ,  Cory G. Kimball ,  Emron J. Henry ,  Michael J. Stokes

IPC分类号： A61B17/32 ,  A61B17/285 ,  A61F7/00 ,  A61B18/14 ,  A61B17/28 ,  A61B18/00 ,  A61B17/00

CPC分类号： A61B17/320068 ,  A61B17/285 ,  A61B17/320092 ,  A61B18/14 ,  A61B2017/0046 ,  A61B2017/00473 ,  A61B2017/2825 ,  A61B2018/00172 ,  A61B2018/00178 ,  A61B2018/0019 ,  A61B2018/00202 ,  A61B2018/00339 ,  A61B2018/00434 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00952 ,  A61B2018/1405 ,  A61B2018/1457 ,  A61B2018/1462 ,  A61F7/00 ,  A61F2007/0054

摘要： An ultrasonic forceps comprises a housing, an acoustic assembly, and a tine. The housing joins the acoustic assembly and the tine to the forceps and permits the tine to pivot relative to the acoustic assembly. The acoustic assembly comprises a transducer, a waveguide, and ultrasonic blade, and a waveguide sheath. The transducer is configured to generate ultrasonic vibrations directing the ultrasonic vibrations to the waveguide. The waveguide communicates the ultrasonic vibrations distally to the ultrasonic blade. The ultrasonic blade is configured to vibrate in response to the ultrasonic vibrations generated by the transducer. When the tine is pivoted relative to the transducer, the tine is configured to move toward the ultrasonic blade. Tissue may be grasped between the tine and the ultrasonic blade. The tissue may be denatured when the ultrasonic vibrations generated by the transducer vibrate the ultrasonic blade, thus resulting in the tissue being cut and/or sealed.

公开(公告)号：US09585660B2

公开(公告)日：2017-03-07

申请号：US14076481

申请日：2013-11-11

申请人： Ethicon Endo-Surgery, Inc.

发明人： Ryan J. Laurent ,  Brett E. Swensgard ,  Bret W. Smith ,  Craig S. Smith ,  Cory G. Kimball ,  Wendy A. Kerr

IPC分类号： A61B17/072 ,  A61B17/068 ,  A61B17/10 ,  A61B17/128 ,  A61B17/00

CPC分类号： A61B17/072 ,  A61B17/0686 ,  A61B17/10 ,  A61B17/1285 ,  A61B50/00 ,  A61B2017/00707 ,  A61B2017/00725 ,  A61B2017/00734 ,  A61B2017/00907 ,  A61B2017/07214 ,  A61B2090/038 ,  A61B2090/0801 ,  A61B2090/0807 ,  A61B2090/0811

摘要： In various embodiments, a method is provided. The method comprises obtaining a surgical tool configured to perform a surgical function, wherein the surgical tool comprises a firing member and a lockout, wherein an actuation movement of the firing member is configured to generate the surgical function, and wherein the lockout is configured to prevent the actuation movement of the firing member, engaging a test device with the surgical tool, permanently disabling the lockout while the test device is engaged with the surgical tool, and permanently preventing the surgical function while the test device is engaged with the surgical tool.

摘要翻译： 在各种实施例中，提供了一种方法。 该方法包括获得被配置为执行外科功能的手术工具，其中所述外科手术工具包括击发构件和锁定件，其中所述击发构件的致动运动被配置为产生外科功能，并且其中所述锁定构造成防止 当测试装置与外科手术工具接合时，击发构件与测试装置接合的手术工具的致动运动永久地禁用锁定，并且在测试装置与外科手术工具接合时永久地防止手术功能。

公开(公告)号：US20150148829A1

公开(公告)日：2015-05-28

申请号：US14087352

申请日：2013-11-22

申请人： Ethicon Endo-Surgery, Inc.

发明人： Cory G. Kimball ,  David A. Witt ,  William E. Clem ,  Nathan D. Grubbs ,  Daniel J. Prenger

IPC分类号： A61B17/32

CPC分类号： A61B17/320068 ,  A61B50/00 ,  A61B90/03 ,  A61B2017/00402 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/320098 ,  A61B2090/031 ,  A61B2090/0801

摘要： A surgical apparatus comprises a transducer assembly and a shaft assembly. The transducer assembly is operable to convert electrical power into ultrasonic vibrations. The shaft assembly comprises an ultrasonic waveguide, a sheath, a shroud, and a torque transfer assembly. The waveguide is configured to couple with the transducer assembly. The waveguide is disposed within the sheath. The sheath extends through the shroud. The torque transfer assembly is contained within the shroud. The torque transfer assembly is configured to transfer a predetermined range of torque from the shroud to the waveguide to thereby couple the waveguide with the transducer assembly. The torque transfer assembly is further configured to prevent transfer of torque from the shroud to the waveguide beyond an upper limit of the predetermined range.

摘要翻译： 手术装置包括换能器组件和轴组件。 换能器组件可操作以将电功率转换成超声波振动。 轴组件包括超声波波导，护套，护罩和扭矩传递组件。 波导被配置为与换能器组件耦合。 波导设置在护套内。 护套延伸穿过护罩。 扭矩传递组件包含在护罩内。 转矩传递组件被配置成将预定范围的扭矩从护罩传送到波导，从而将波导与换能器组件耦合。 扭矩传递组件进一步构造成防止扭矩从护罩传递到波导超过预定范围的上限。

公开(公告)号：US20140051950A1

公开(公告)日：2014-02-20

申请号：US14062276

申请日：2013-10-24

申请人： Ethicon Endo-Surgery, Inc.

发明人： Jeffrey W. Clymer ,  Prasanna Malaviya ,  Donna L. Korvick ,  Kevin L. Houser ,  Cory G. Kimball ,  Frederick E. Shelton, IV ,  Chester O. Baxter, III ,  Taylor W. Aronhalt

IPC分类号： A61B5/00 ,  A61B18/14 ,  A61B10/06 ,  A61B5/145

CPC分类号： A61B5/4839 ,  A61B5/14546 ,  A61B5/486 ,  A61B5/7282 ,  A61B5/742 ,  A61B10/0283 ,  A61B10/06 ,  A61B18/1445 ,  A61B2046/236 ,  A61B2218/008 ,  A61M2037/0007

摘要： Biomarkers are collected and used to determine biological propensities of a patient, to determine the efficacy of medical devices, to select and administer therapeutic agents, to select medical devices, to make adjustments to medical devices, and/or to adjust surgical techniques. An apparatus includes a port to draw a biological fluid (e.g., a mist) from a surgical site. The apparatus includes a sensor having a cantilevered beam. The beam includes substances selected to attract certain biomarkers as the fluid is communicated across the beam. The same apparatus or another apparatus is used to administer a therapeutic agent based at least in part on collected biomarker data. The therapeutic agent delivery apparatus may include a device that is also used to create a wound at a surgical site. For instance, a harmonic surgical instrument may be used to both collect biomarkers and administer a therapeutic agent (e.g., gene therapy using sonoporation).

摘要翻译： 生物标志物被收集并用于确定患者的生物倾向性，以确定医疗装置的功效，选择和施用治疗剂，选择医疗装置，调整医疗装置和/或调整手术技术。 一种装置包括从外科手术部位抽取生物流体（例如，雾）的端口。 该装置包括具有悬臂梁的传感器。 梁包括当流体在横梁上连通时选择用于吸引某些生物标志物的物质。 使用相同的装置或另一装置至少部分地基于收集的生物标志物数据来施用治疗剂。 治疗剂递送装置可以包括也用于在手术部位创建伤口的装置。 例如，可以使用谐波手术器械来收集生物标志物并施用治疗剂（例如，使用声波光刻的基因治疗）。

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：USD752740S1

公开(公告)日：2016-03-29

申请号：US29472537

申请日：2013-11-13

申请人： Ethicon Endo-Surgery, Inc.

设计人： Daniel W. Price ,  William E. Clem ,  Matthew C. Miller ,  Cory G. Kimball ,  Brennan G. McCabe ,  Jeffrey D. Messerly ,  Shawn C. Snyder

公开(公告)号：US20150265305A1

公开(公告)日：2015-09-24

申请号：US14222943

申请日：2014-03-24

申请人： Ethicon Endo-Surgery, Inc.

发明人： Foster B. Stulen ,  Michael R. Lamping ,  Cory G. Kimball ,  Emron J. Henry ,  Michael J. Stokes

IPC分类号： A61B17/32 ,  A61B17/285

CPC分类号： A61B17/320068 ,  A61B17/285 ,  A61B17/320092 ,  A61B18/14 ,  A61B2017/0046 ,  A61B2017/00473 ,  A61B2017/2825 ,  A61B2018/00172 ,  A61B2018/00178 ,  A61B2018/0019 ,  A61B2018/00202 ,  A61B2018/00339 ,  A61B2018/00434 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00952 ,  A61B2018/1405 ,  A61B2018/1457 ,  A61B2018/1462 ,  A61F7/00 ,  A61F2007/0054

摘要： An ultrasonic forceps comprises a housing, an acoustic assembly, and a tine. The housing joins the acoustic assembly and the tine to the forceps and permits the tine to pivot relative to the acoustic assembly. The acoustic assembly comprises a transducer, a waveguide, and ultrasonic blade, and a waveguide sheath. The transducer is configured to generate ultrasonic vibrations directing the ultrasonic vibrations to the waveguide. The waveguide communicates the ultrasonic vibrations distally to the ultrasonic blade. The ultrasonic blade is configured to vibrate in response to the ultrasonic vibrations generated by the transducer. When the tine is pivoted relative to the transducer, the tine is configured to move toward the ultrasonic blade. Tissue may be grasped between the tine and the ultrasonic blade. The tissue may be denatured when the ultrasonic vibrations generated by the transducer vibrate the ultrasonic blade, thus resulting in the tissue being cut and/or sealed.

摘要翻译： 超声波镊子包括壳体，声学组件和齿。 壳体将声学组件和齿连接到镊子，并允许齿相对于声学组件枢转。 声学组件包括换能器，波导和超声波叶片以及波导护套。 换能器被配置为产生将超声振动引导到波导的超声波振动。 波导将超声波振动向远端传递到超声波叶片。 超声波刀片被配置为响应于由换能器产生的超声波振动而振动。 当齿相对于换能器枢转时，齿构造成朝向超声波叶片移动。 可以在齿和超声刀之间夹持组织。 当由传感器产生的超声波振动使超声波叶片振动时，组织可能变性，从而导致组织被切割和/或密封。

公开(公告)号：US20150142031A1

公开(公告)日：2015-05-21

申请号：US14081561

申请日：2013-11-15

申请人： Ethicon Endo-Surgery, Inc.

发明人： Craig N. Faller ,  JoAnn M. Stegeman ,  Patrick A. Weizman ,  Cory G. Kimball ,  Tamara S. Vetro Widenhouse ,  Tylor C. Muhlenkamp ,  William D. Kelly ,  Brian D. Bertke ,  Karalyn R. Tellio

IPC分类号： A61B17/32

CPC分类号： A61B17/320092 ,  A61B17/320068 ,  A61B90/70 ,  A61B2017/32007 ,  A61B2017/320072 ,  A61B2017/32008 ,  A61B2017/320084 ,  A61B2018/0097 ,  A61B2217/005

摘要： An ultrasonic instrument comprises a body, a shaft assembly, an ultrasonic blade, and a pivoting member. The shaft assembly extends distally from the body. The ultrasonic blade is positioned distal to the shaft assembly. The pivoting member is pivotable with respect to the blade from an open position to a closed position to thereby clamp tissue between the pivoting member and the blade. The shaft assembly comprises a feature to provide for the removal of surgical debris (e.g. tissue, coagulated blood, etc.), body fluid, etc. from the shaft assembly. The feature may remove the surgical debris, body fluid, etc. from a cavity within the shaft assembly. The feature may also prevent the collection of surgical debris, body fluid, etc. within the shaft assembly.

摘要翻译： 超声波仪器包括主体，轴组件，超声波刀片和枢转构件。 轴组件从身体向远侧延伸。 超声波刀片定位在轴组件的远侧。 枢转构件可相对于叶片从打开位置枢转到关闭位置，从而将组织夹在枢转构件和叶片之间。 轴组件包括用于从轴组件移除手术碎片（例如组织，凝血血液等），体液等的特征。 该特征可以从轴组件中的空腔移除手术碎片，体液等。 该特征还可以防止在轴组件内收集手术碎片，体液等。