公开(公告)号：US10383754B2

公开(公告)日：2019-08-20

申请号：US14100218

申请日：2013-12-09

申请人： Ethicon Endo-Surgery, Inc.

发明人： Thomas E. Albrecht ,  Michael S. Cropper ,  Jason L. Harris ,  Christopher J. Hess ,  John V. Hunt ,  Mark D. Overmyer ,  Frederick E. Shelton, IV ,  Michael J. Stokes ,  William B. Weisenburgh, II ,  Tamara S. Vetro Widenhouse ,  Andrew M. Zwolinski

IPC分类号： A61M5/00 ,  A61F5/00 ,  A61F2/04

摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient.

公开(公告)号：US20160000440A1

公开(公告)日：2016-01-07

申请号：US14849151

申请日：2015-09-09

申请人： Ethicon Endo-Surgery, Inc.

发明人： William B. Weisenburgh, II ,  Jerome R. Morgan ,  Kyle P. Moore ,  Mark H. Ransick ,  Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Jeffrey S. Swayze ,  Thomas W. Huitema ,  Glen A. Armstrong ,  Shailendra K. Parihar ,  Donna L. Korvick ,  Richard W. Timm ,  Kevin R. Doll ,  Bret W. Smith ,  William D. Kelly ,  Ronald J. Kolata ,  Joshua R. Uth ,  Charles J. Scheib ,  Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Gregory B. Blair ,  Frederick E. Shelton, IV

IPC分类号： A61B17/10 ,  A61B17/068

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/3205 ,  A61B17/3209 ,  A61B2017/00473 ,  A61B2017/07214 ,  A61B2017/2931

摘要： In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument.

公开(公告)号：US20160000439A1

公开(公告)日：2016-01-07

申请号：US14849125

申请日：2015-09-09

申请人： Ethicon Endo-Surgery, Inc.

发明人： William B. Weisenburgh, II ,  Jerome R. Morgan ,  Kyle P. Moore ,  Mark H. Ransick ,  Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Jeffrey S. Swayze ,  Thomas W. Huitema ,  Glen A. Armstrong ,  Shailendra K. Parihar ,  Donna L. Korvick ,  Richard W. Timm ,  Kevin R. Doll ,  Bret W. Smith ,  William D. Kelly ,  Ronald J. Kolata ,  Joshua R. Uth ,  Charles J. Scheib ,  Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Gregory B. Blair ,  Frederick E. Shelton, IV

IPC分类号： A61B17/10 ,  A61B17/3205 ,  A61B17/068

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/3205 ,  A61B17/3209 ,  A61B2017/00473 ,  A61B2017/07214 ,  A61B2017/2931

摘要： In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument.

公开(公告)号：US20150060521A1

公开(公告)日：2015-03-05

申请号：US14528626

申请日：2014-10-30

申请人： Ethicon Endo-Surgery, Inc.

发明人： William B. Weisenburgh, II ,  Jerome R. Morgan ,  Kyle P. Moore ,  Mark H. Ransick ,  Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Jeffrey S. Swayze ,  Thomas W. Huitema ,  Glen A. Armstrong ,  Shailendra K. Parihar ,  Donna L. Korvick ,  Richard W. Timm ,  Kevin R. Doll ,  Bret W. Smith ,  William D. Kelly ,  Ronald J. Kolata ,  Joshua R. Uth ,  Charles J. Scheib ,  Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Gregory B. Blair ,  Frederick E. Shelton, IV

IPC分类号： A61B17/10 ,  A61B17/068

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/3205 ,  A61B17/3209 ,  A61B2017/00473 ,  A61B2017/07214 ,  A61B2017/2931

摘要： In various embodiments, a surgical stapling instrument can include a handle, a shaft extending from the handle, wherein the shaft defines an axis, and a disposable loading unit which is assembled to the shaft in a direction which is transverse to the shaft axis. Such a connection between the disposable loading unit and the shaft can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft of the surgical instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar and/or detent assembly configured to hold the disposable loading unit in place. In various embodiments, a disposable loading unit can include a lockout feature which can prevent, or at least inhibit, an expended disposable loading unit from being reassembled to the elongated body of the surgical instrument.

公开(公告)号：US20130138091A1

公开(公告)日：2013-05-30

申请号：US13742040

申请日：2013-01-15

申请人： ETHICON ENDO-SURGERY, INC.

发明人： Jonathan A. Coe ,  James W. Voegele ,  Gary L. Long ,  Andrew M. Zwolinski ,  Kyle P. Moore ,  Robert P. Gill

IPC分类号： A61B17/00

CPC分类号： A61B17/29 ,  A61B17/00 ,  A61B17/00234 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/2931

摘要： Methods and devices are provided for performing various procedures using interchangeable end effectors. In general, the methods and devices allow a surgeon to remotely and selectively attach various interchangeable surgical end effectors to a shaft located within a patient's body, thus allowing the surgeon to perform various procedures without the need to remove the shaft from the patient's body. In an exemplary embodiment, multiple end effectors can be introduced into a body cavity. The end effectors can be disassociated or separate from one another such that they float within the body cavity. A distal end of a shaft can be positioned within the body cavity and it can be used to selectively engage one of the end effectors. In particular, the device can be configured to allow each end effector to be remotely attached and detached from the distal end of the shaft.

摘要翻译： 提供了用于使用可互换的末端执行器执行各种过程的方法和装置。 通常，所述方法和装置允许外科医生远程地和选择性地将各种可互换的手术端部执行器附接到位于患者体内的轴，从而允许外科医生执行各种程序，而不需要从患者身体移除轴。 在示例性实施例中，可以将多个端部执行器引入体腔中。 末端执行器可以彼此分离或分离，使得它们在体腔内浮动。 轴的远端可以定位在体腔内，并且其可以用于选择性地接合末端执行器中的一个。 特别地，该装置可以构造成允许每个端部执行器远离该轴远端附接和分离。

公开(公告)号：US09801648B2

公开(公告)日：2017-10-31

申请号：US14525459

申请日：2014-10-28

申请人： Ethicon Endo-Surgery, Inc.

发明人： Kevin L. Houser ,  Andrew M. Zwolinski ,  Tracy D. Lopes ,  Prasanna Malaviya ,  Daniel W. Price ,  Louis T. DeLuca

IPC分类号： A61B17/32 ,  A61B17/00 ,  A61B17/28 ,  A61B17/29 ,  A61B90/00

CPC分类号： A61B17/320068 ,  A61B17/320092 ,  A61B2017/0046 ,  A61B2017/00464 ,  A61B2017/00477 ,  A61B2017/2837 ,  A61B2017/2924 ,  A61B2017/2946 ,  A61B2090/036 ,  A61B2090/0807

摘要： A surgical instrument that may include a housing, a transducer engaged with the housing which can produce vibrations, and an end-effector engaged with the transducer. The surgical instrument can further include an adjustable sheath extending from the housing where the sheath is movable relative to the distal tip of the end-effector and where the distance between the distal tip of the sheath and the distal tip of the end-effector can be set such that the sheath can act as a depth stop. The sheath can be adjusted such that, when the distal tip of the sheath contacts the tissue or bone being incised, the surgeon can determine that the appropriate depth of the incision has been reached. In other embodiments, the end-effector can be moved with respect to the sheath in order to adjust the distance between the distal tip of the end-effector and the distal tip of the sheath.

公开(公告)号：US20150374367A1

公开(公告)日：2015-12-31

申请号：US14845688

申请日：2015-09-04

申请人： Ethicon Endo-Surgery, Inc.

发明人： Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Frederick E. Shelton, IV

IPC分类号： A61B17/068 ,  A61B19/02

CPC分类号： A61B17/068 ,  A61B17/0682 ,  A61B17/07207 ,  A61B17/115 ,  A61B50/30 ,  A61B2017/00371 ,  A61B2017/00398 ,  A61B2017/00473 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/2943 ,  A61B2017/320052 ,  A61B2090/0813

摘要： A surgical stapling apparatus. Various embodiments include a handle assembly that has a movable handle that is movable through actuation strokes relative to a stationary handle housing. An actuation is shaft supported at least in part within the stationary handle housing and is movable in response to manipulation of the movable handle. Various embodiments further include a firing lock out assembly that is configured to selectively prevent longitudinal movement of the actuation shaft in a distal direction. A firing release trigger is supported on the movable handle for travel therewith and is configured to interface with the firing lockout assembly to selectively release the firing lockout assembly to permit the actuation shaft to move longitudinally in the distal direction upon manipulation of the movable handle.

公开(公告)号：US20150297224A1

公开(公告)日：2015-10-22

申请号：US14752151

申请日：2015-06-26

申请人： Ethicon Endo-Surgery, Inc.

发明人： Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Frederick E. Shelton, IV ,  Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Gregory B. Blair

IPC分类号： A61B17/072

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B50/00 ,  A61B90/70 ,  A61B2017/0023 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/00407 ,  A61B2017/00473 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2901 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/2908 ,  A61B2017/291 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/320052 ,  A61B2090/0813

摘要： A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.

公开(公告)号：US20150144678A1

公开(公告)日：2015-05-28

申请号：US14595645

申请日：2015-01-13

申请人： Ethicon Endo-Surgery, Inc.

发明人： Steven G. Hall ,  Randall J. Tanguay ,  Jeffrey D. Messerly ,  Galen C. Robertson ,  Andrew M. Zwolinski ,  Frederick E. Shelton, IV ,  Geoffrey C. Hueil ,  Mark S. Ortiz ,  Douglas B. Hoffman ,  Patrick A. Weizman ,  Dean B. Bruewer ,  Gregory B. Blair

IPC分类号： A61B17/072 ,  A61B17/068

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B50/00 ,  A61B90/70 ,  A61B2017/0023 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/00407 ,  A61B2017/00473 ,  A61B2017/00946 ,  A61B2017/07214 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/2901 ,  A61B2017/2905 ,  A61B2017/2906 ,  A61B2017/2908 ,  A61B2017/291 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2017/2927 ,  A61B2017/2929 ,  A61B2017/320052 ,  A61B2090/0813

摘要： A surgical stapling apparatus. Various embodiments include a rotatable elongated body that extends from a rotatable shroud on handle assembly and has a distal end configured for attachment to a disposable loading unit. The apparatus further includes a lockable rotation system for selectively locking the rotatable shroud to prevent rotation thereof about a longitudinal axis.

公开(公告)号：US20150090763A1

公开(公告)日：2015-04-02

申请号：US14562970

申请日：2014-12-08

申请人： Ethicon Endo-Surgery, Inc.

发明人： Michael A. Murray ,  Jerome R. Morgan ,  Christopher J. Hess ,  William B. Weisenburgh, II ,  Andrew M. Zwolinski

IPC分类号： A61B17/10 ,  A61B17/068

CPC分类号： A61B17/068 ,  A61B17/0644 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/11 ,  A61B17/1155 ,  A61B17/34 ,  A61B90/03 ,  A61B2017/00004 ,  A61B2017/00128 ,  A61B2017/00539 ,  A61B2017/00831 ,  A61B2017/00862 ,  A61B2017/0641 ,  A61B2017/07228 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2932 ,  A61B2017/2943 ,  A61B2017/320052 ,  A61B2018/00666 ,  A61B2090/032 ,  A61B2090/036 ,  A61B2090/065 ,  A61B2090/0811

摘要： A surgical staple including at least two deformable members which can be bent upon contacting an anvil of a surgical stapler. In various embodiments, at least a portion of the deformable members can include a non-circular cross-section which can dictate the direction and manner in which the deformable members are bent. In at least one embodiment, the non-circular cross-section can include a flat portion which can cause the deformable members to bend in the direction of the flat portion. In various embodiments, the at least two deformable members can be connected by a dissolvable or bioabsorbable crown. In at least one various embodiment, the crown can dissolve and can, depending on the cross-sectional geometry of the deformable members, reduce the force or pressure applied to soft tissue captured within the staple by the bent deformable member.

摘要翻译： 一种外科缝合钉，其包括至少两个可变形构件，所述可变形构件可在与外科缝合器的砧座接触时弯曲。 在各种实施例中，可变形构件的至少一部分可以包括非圆形横截面，其可以指示可变形构件弯曲的方向和方式。 在至少一个实施例中，非圆形横截面可以包括可以使可变形构件在平坦部分的方向上弯曲的平坦部分。 在各种实施例中，至少两个可变形构件可以通过可溶解或生物可吸收的冠连接。 在至少一个各种实施例中，冠可以溶解，并且可以根据可变形构件的横截面几何形状减小由弯曲的可变形构件施加到钉在钉内的软组织的力或压力。