公开(公告)号：US11974740B2

公开(公告)日：2024-05-07

申请号：US17706802

申请日：2022-03-29

Applicant: Ethicon, Inc.

Inventor： Simon Cohn ,  Michael Cardinale ,  Richard P. Fuchs ,  Matthew Rohr Daniel ,  Jeremy David Jarrett ,  Robert Nering ,  Anthony Miksza

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

CPC classification number: A61B17/0682 ,  A61B17/064 ,  A61B17/10 ,  A61B2017/2923 ,  A61B2017/2946 ,  A61B2090/0807

Abstract: An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft, surgical fasteners disposed in the elongated shaft, a firing system for dispensing the surgical fasteners, a firing rod disposed within the elongated shaft and movable within a first plane, and an advancer disposed within the elongated shaft and moveable within a second plane. An actuator is coupled with the advancer for moving the advancer back and forth between retracted and extended positions. A staging assembly at the distal end of the elongated shaft aligns a leading surgical fastener with the first plane. The staging assembly includes a biasing device that is configured to be deflected away from the first plane by the advancer when the advancer is in the extended position and the staging assembly is configured to spring back into alignment with the first plane when the advancer returns back to the retracted position.

公开(公告)号：US20220218339A1

公开(公告)日：2022-07-14

申请号：US17706802

申请日：2022-03-29

Applicant: Ethicon, Inc.

Inventor： Simon Cohn ,  Michael Cardinale ,  Richard P. Fuchs ,  Matthew Rohr Daniel ,  Jeremy David Jarrett ,  Robert Nering ,  Anthony Miksza

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

Abstract: An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft, surgical fasteners disposed in the elongated shaft, a firing system for dispensing the surgical fasteners, a firing rod disposed within the elongated shaft and movable within a first plane, and an advancer disposed within the elongated shaft and moveable within a second plane. An actuator is coupled with the advancer for moving the advancer back and forth between retracted and extended positions. A staging assembly at the distal end of the elongated shaft aligns a leading surgical fastener with the first plane. The staging assembly includes a biasing device that is configured to be deflected away from the first plane by the advancer when the advancer is in the extended position and the staging assembly is configured to spring back into alignment with the first plane when the advancer returns back to the retracted position.

公开(公告)号：US09498211B2

公开(公告)日：2016-11-22

申请号：US14479450

申请日：2014-09-08

Applicant: Ethicon, Inc.

Inventor： Simon Cohn ,  Michael Cardinale ,  Richard P. Fuchs ,  Matthew David Daniel ,  Jeremy David Jarrett ,  Robert Nering ,  Anthony Miksza

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

CPC classification number: A61B17/0682 ,  A61B17/064 ,  A61B17/10 ,  A61B2017/2923 ,  A61B2017/2946 ,  A61B2090/0807

Abstract: A method of securing a prosthetic device to tissue includes providing an applicator instrument including a housing, a shaft, surgical fasteners, a firing rod for dispensing the surgical fasteners from the shaft, a trigger, and an energy storing element. The method includes positioning a prosthetic device over tissue, juxtaposing a distal end of the shaft with the prosthetic device, and compressing the trigger for piloting the firing rod toward the distal end of the elongated shaft at a first rate of speed. The method includes preventing the firing rod from moving distally while building up energy in the energy storing element, and further compressing the trigger for releasing the firing rod for distal movement and transferring the built up energy for moving the firing rod toward the distal end of the elongated shaft at a second rate of speed that is greater than the first rate of speed.

Abstract translation: 一种将假体装置固定在组织上的方法包括提供包括壳体，轴，手术紧固件，用于从轴分配手术紧固件的击发杆，触发器和能量存储元件的施用器械。 该方法包括将假体装置定位在组织上，并将假肢装置的远端与假肢装置并置，并且以第一速度的速度压缩触发器以将发射杆引向细长轴的远端。 该方法包括防止发射杆在能量存储元件中建立能量的同时向远侧移动，并进一步压缩触发器以释放用于远端移动的发射杆，并传递用于将发射杆移动到远端的发射杆的建立能量 细长轴以大于第一速度速率的第二速度速度。

公开(公告)号：US09055945B2

公开(公告)日：2015-06-16

申请号：US13791950

申请日：2013-03-09

Applicant: Ethicon, Inc.

Inventor： Anthony Miksza ,  Robert Nering ,  Simon Cohn ,  Matthew D. Daniel ,  Jeremy David Jarrett

IPC: A61B17/08 ,  A61B17/068 ,  A61B17/064 ,  A61B17/29 ,  A61B19/00

CPC classification number: A61B17/08 ,  A61B17/064 ,  A61B17/0682 ,  A61B2017/0645 ,  A61B2017/2923 ,  A61B2090/0807

Abstract: A surgical fastener for securing a prosthetic device to tissue includes a first leg having a proximal end, a distal end, a first insertion tip at the distal end, and a first articulating joint that separates said first leg into a proximal segment and a distal segment that is deflectable relative to the proximal segment, and a second leg including a proximal end, a distal end, a second insertion tip at the distal end, and a second articulating joint that separates said second leg into a proximal segment and a distal segment that is deflectable relative to the proximal segment. A bridge connects the proximal ends of the first and second legs for forming a closed end of the surgical fastener. After implantation in tissue, the insertion tips are deflectable away from vessels and nerves to minimize injury to the vessels and nerves, and to minimize patient discomfort and pain.

Abstract translation: 用于将假体装置固定到组织的手术紧固件包括具有近端，远端，在远端处的第一插入尖端的第一腿部以及将所述第一腿部分成近端部分的远端部分 并且第二腿包括近端，远端，在远端处的第二插入尖端，以及将所述第二腿分成近端段的第二铰接接头和远端段， 相对于近端段可偏转。 桥连接第一和第二腿的近端以形成手术紧固件的封闭端。 植入组织后，插入尖端可偏离血管和神经，以减少对血管和神经的损伤，并尽量减少患者的不适和疼痛。

公开(公告)号：US20170035417A1

公开(公告)日：2017-02-09

申请号：US15299648

申请日：2016-10-21

Applicant: Ethicon, Inc.

Inventor： Simon Cohn ,  Robert Nering ,  Anthony Miksza ,  Matthew Rohr Daniel ,  Jeremy David Jarrett ,  Richard P. Fuchs ,  Michael Cardinale

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

Abstract: An applicator instrument for dispensing surgical fasteners includes a housing having an actuator and an elongated shaft extending from the housing. The applicator instrument includes a top stamping disposed within the elongated shaft, and a bottom stamping disposed within the elongated shaft that opposes the top stamping. The applicator instrument has a firing system for dispensing at least one surgical fastener from the distal end of the elongated shaft. An end cap is assembled with the distal ends of the top stamping, the bottom stamping, and the elongated shaft for stabilizing the distal end of the applicator instrument. The end cap has a distal end face with castling for engaging an opposing surface such as surgical mesh overlying tissue. The castling prevents the distal end of the applicator instrument from sliding or moving relative to the opposing surface.

Abstract translation: 用于分配外科手术紧固件的施用器械包括具有致动器的壳体和从壳体延伸的细长轴。 施用器械包括设置在细长轴内的顶部冲压件，以及设置在细长轴内的与顶部冲压件相对的底部冲压件。 施用器械具有用于从细长轴的远端分配至少一个手术紧固件的击发系统。 端帽与顶部冲压件的顶端，底部冲压件和细长轴组装，用于稳定施用器具的远端。 端盖具有带有脚轮的远端面，用于接合相对表面，例如覆盖组织的手术网。 脚轮防止施加器械的远端相对于相对的表面滑动或移动。

公开(公告)号：USD744646S1

公开(公告)日：2015-12-01

申请号：US29459660

申请日：2013-07-02

Applicant: Ethicon, Inc.

Designer： Robert Nering ,  Simon Cohn ,  Anthony Miksza ,  Matthew David Daniel ,  Jeremy David Jarrett

公开(公告)号：US20150080919A1

公开(公告)日：2015-03-19

申请号：US14522680

申请日：2014-10-24

Applicant: Ethicon, Inc.

Inventor： Robert Nering ,  Simon Cohn ,  Anthony Miksza ,  Matthew Rohr Daniel ,  Jeremy David Jarrett

IPC: A61B17/064

CPC classification number: A61B17/0682 ,  A61B17/064 ,  A61B17/10 ,  A61B2017/2923 ,  A61B2017/2946 ,  A61B2090/0807

Abstract: A surgical fastener includes a first leg having a distal end, a proximal end, and a first insertion tip at the distal end of the first leg, the first insertion tip having a first distal piercing point, and a second leg having a distal end, a proximal end, and a second insertion tip at the distal end of the second leg, the second insertion tip having a second distal piercing point. A bridge connects the first and second legs. The first and second distal piercing points are located outside the respective first and second legs. The first and second legs extend along respective longitudinal axes, and the first and second insertion tips are asymmetrical and skewed outwardly relative to said respective longitudinal axes of the first and second legs.

Abstract translation: 手术紧固件包括具有远端，近端和在第一腿的远端处的第一插入尖端的第一腿部，第一插入尖端具有第一远端穿刺点和具有远端的第二腿部， 近端和在第二腿的远端处的第二插入尖端，第二插入尖端具有第二远端穿刺点。 桥梁连接第一和第二腿。 第一和第二远端穿刺点位于相应的第一和第二腿之外。 第一和第二腿沿相应的纵向轴线延伸，并且第一和第二插入尖端相对于第一和第二腿部的所述各个纵向轴线是不对称的并且向外偏斜。

公开(公告)号：US20140379001A1

公开(公告)日：2014-12-25

申请号：US14479450

申请日：2014-09-08

Applicant: Ethicon, Inc.

Inventor： Simon Cohn ,  Michael Cardinale ,  Richard P. Fuchs ,  Matthew David Daniel ,  Jeremy David Jarrett ,  Robert Nering ,  Anthony Miksza

IPC: A61B17/10

CPC classification number: A61B17/0682 ,  A61B17/064 ,  A61B17/10 ,  A61B2017/2923 ,  A61B2017/2946 ,  A61B2090/0807

Abstract: A method of securing a prosthetic device to tissue includes providing an applicator instrument including a housing, a shaft, surgical fasteners, a firing rod for dispensing the surgical fasteners from the shaft, a trigger, and an energy storing element. The method includes positioning a prosthetic device over tissue, juxtaposing a distal end of the shaft with the prosthetic device, and compressing the trigger for piloting the firing rod toward the distal end of the elongated shaft at a first rate of speed. The method includes preventing the firing rod from moving distally while building up energy in the energy storing element, and further compressing the trigger for releasing the firing rod for distal movement and transferring the built up energy for moving the firing rod toward the distal end of the elongated shaft at a second rate of speed that is greater than the first rate of speed.

Abstract translation: 一种将假体装置固定在组织上的方法包括提供包括壳体，轴，手术紧固件，用于从轴分配手术紧固件的击发杆，触发器和能量存储元件的施用器械。 该方法包括将假体装置定位在组织上，并将假肢装置的远端与假肢装置并置，并且以第一速度的速度压缩触发器以将发射杆引向细长轴的远端。 该方法包括防止发射杆在能量存储元件中建立能量的同时向远侧移动，并进一步压缩触发器以释放用于远端移动的发射杆，并传递用于将发射杆移动到远端的发射杆的建立能量 细长轴以大于第一速度速率的第二速度速度。

公开(公告)号：US20130218177A1

公开(公告)日：2013-08-22

申请号：US13791950

申请日：2013-03-09

Applicant: Ethicon, Inc.

Inventor： Anthony Miksza ,  Robert Nering ,  Simon Cohn ,  Matthew D. Daniel ,  Jeremy David Jarrett

IPC: A61B17/08

CPC classification number: A61B17/08 ,  A61B17/064 ,  A61B17/0682 ,  A61B2017/0645 ,  A61B2017/2923 ,  A61B2090/0807

Abstract: A surgical fastener for securing a prosthetic device to tissue includes a first leg having a proximal end, a distal end, a first insertion tip at the distal end, and a first articulating joint that separates said first leg into a proximal segment and a distal segment that is deflectable relative to the proximal segment, and a second leg including a proximal end, a distal end, a second insertion tip at the distal end, and a second articulating joint that separates said second leg into a proximal segment and a distal segment that is deflectable relative to the proximal segment. A bridge connects the proximal ends of the first and second legs for forming a closed end of the surgical fastener. After implantation in tissue, the insertion tips are deflectable away from vessels and nerves to minimize injury to the vessels and nerves, and to minimize patient discomfort and pain.

Abstract translation: 用于将假体装置固定到组织的手术紧固件包括具有近端，远端，在远端处的第一插入尖端的第一腿部以及将所述第一腿部分成近端部分的远端部分 并且第二腿包括近端，远端，在远端处的第二插入尖端，以及将所述第二腿分成近端段的第二铰接接头和远端段， 相对于近端段可偏转。 桥连接第一和第二腿的近端以形成手术紧固件的封闭端。 植入组织后，插入尖端可偏离血管和神经，以减少对血管和神经的损伤，并尽量减少患者的不适和疼痛。

公开(公告)号：US11413039B2

公开(公告)日：2022-08-16

申请号：US16267969

申请日：2019-02-05

Applicant: Ethicon, Inc.

Inventor： Simon Cohn ,  Michael Cardinale ,  Richard P. Fuchs ,  Matthew Rohr Daniel ,  Jeremy David Jarrett ,  Robert Nering ,  Anthony Miksza

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

Abstract: An applicator instrument for dispensing surgical fasteners including a housing, an elongated shaft extending from the housing, surgical fasteners disposed in the elongated shaft, a firing system for dispensing the surgical fasteners from the distal end of the elongated shaft, and a trigger coupled with the housing for activating the firing system. The firing system includes a firing rod disposed in the elongated shaft and an energy storing element disposed in the housing for building up energy for dispensing the surgical fasteners from the distal end of the elongated shaft. The firing system has a firing cycle including a first stage in which the firing rod advances a leading one of the surgical fasteners toward the distal end of the elongated shaft at a first rate of speed, a second stage in which the firing rod advances the leading one of the surgical fasteners toward the distal end of the elongated shaft at a second rate of speed that is greater than the first rate of speed, and an energy storing stage that occurs before the second stage during which energy is built up in the energy storing element.