公开(公告)号：US10561422B2

公开(公告)日：2020-02-18

申请号：US14318997

申请日：2014-06-30

申请人： Ethicon Endo-Surgery, Inc.

发明人： Emily A. Schellin ,  Charles J. Scheib ,  Nicholas Fanelli ,  Cortney E. Henderson ,  Kevin L. Houser

IPC分类号： A61B17/068 ,  A61B17/10

摘要： A fastener cartridge can comprise a cartridge body including a plurality of cavities arranged in longitudinal rows. Some of the cavities can have fasteners removably stored therein. Other cavities can have deployable tissue engaging members stored therein which are movable from an undeployed position to a deployed position to engage tissue. In some instances, the fastener cartridge can include at least one longitudinal row of cavities which each include a deployable tissue engaging member. Such rows of cavities can comprise the outer-most rows of cavities in the fastener cartridge.

公开(公告)号：US20140151430A1

公开(公告)日：2014-06-05

申请号：US13693455

申请日：2012-12-04

申请人： ETHICON ENDO-SURGERY, INC.

发明人： Charles J. Scheib ,  Cortney E. Henderson ,  Frederick E. Shelton, IV

IPC分类号： A61B17/115

CPC分类号： A61B17/1155 ,  A61B17/1114 ,  A61B2017/00473 ,  A61B2017/07257

摘要： An apparatus is provided for stapling tissue. The apparatus includes an anvil and a trocar selectively coupled with the anvil. The anvil may have an inner opening and a plurality of staple pockets aligned around a surface of the anvil. The anvil may be inserted trans-orally through an esophagus prior to being coupled with the trocar. The trocar may include a shaft and a locking assembly. The locking assembly may secure the anvil in position relative to the trocar when the locking assembly is in the expanded position. The apparatus may also include an alignment assembly to align the staple pockets of the anvil relative to the apparatus. The apparatus may also include an introduction assembly to guide the anvil through the esophagus.

摘要翻译： 提供一种用于装订组织的装置。 该装置包括选择性地与砧座联接的砧座和套管针。 砧座可以具有内部开口和围绕砧座的表面对准的多个钉仓。 砧座可以在与套管针联接之前经由食道经口插入。 套针包可以包括轴和锁定组件。 当锁定组件处于展开位置时，锁定组件可以相对于套针针固定砧座。 该装置还可以包括对准组件，以使砧座的缝合袋相对于装置对准。 该装置还可以包括引导组件以引导砧座通过食道。

公开(公告)号：US09844369B2

公开(公告)日：2017-12-19

申请号：US14319004

申请日：2014-06-30

申请人： Ethicon Endo-Surgery, Inc.

发明人： Thomas W. Huitema ,  Charles J. Scheib ,  Cortney E. Henderson ,  Frederick E. Shelton, IV ,  Jason L. Harris

IPC分类号： A61B17/068

CPC分类号： A61B17/105 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B90/03 ,  A61B2017/00057 ,  A61B2017/00115 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00734 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2090/034 ,  A61B2090/038 ,  A61B2090/0801 ,  A61B2090/0807 ,  A61B2090/0811 ,  A61B2090/306 ,  A61B2090/309

摘要： A surgical end effector including an elongate channel configured to operably support a staple cartridge therein and a firing element configured to move within the elongate channel between a starting and an ending position. Various arrangements include openings through the bottom of the elongate channel to permit viewing of the firing element as it moves between the starting and ending positions. An anvil may be supported for movable travel relative to the elongate channel and include a plurality of openings therethrough to permit viewing of the cutting element as it moves between the starting and ending positions. Various arrangements include a firing bar attached to the firing element that serves to move the firing element between the starting and ending position. The firing bar may be movably supported with a hollow shaft that has a plurality of openings therethrough for monitoring the position of the firing bar.

公开(公告)号：US09724100B2

公开(公告)日：2017-08-08

申请号：US13693455

申请日：2012-12-04

申请人： Ethicon Endo-Surgery, Inc.

发明人： Charles J. Scheib ,  Cortney E. Henderson ,  Frederick E. Shelton, IV

IPC分类号： A61B17/04 ,  A61B17/10 ,  A61B17/115 ,  A61B17/11 ,  A61B17/00 ,  A61B17/072

CPC分类号： A61B17/1155 ,  A61B17/1114 ,  A61B2017/00473 ,  A61B2017/07257

摘要： An apparatus is provided for stapling tissue. The apparatus includes an anvil and a trocar selectively coupled with the anvil. The anvil may have an inner opening and a plurality of staple pockets aligned around a surface of the anvil. The anvil may be inserted trans-orally through an esophagus prior to being coupled with the trocar. The trocar may include a shaft and a locking assembly. The locking assembly may secure the anvil in position relative to the trocar when the locking assembly is in the expanded position. The apparatus may also include an alignment assembly to align the staple pockets of the anvil relative to the apparatus. The apparatus may also include an introduction assembly to guide the anvil through the esophagus.

公开(公告)号：US20150282809A1

公开(公告)日：2015-10-08

申请号：US14746373

申请日：2015-06-22

申请人： Ethicon Endo-Surgery, Inc.

发明人： Frederick E. Shelton, IV ,  Katherine J. Schmid ,  Charles J. Scheib ,  Taylor W. Aronhalt ,  Jeffrey S. Swayze ,  Joseph H. Contiliano ,  Chunlin Yang ,  Cortney E. Henderson ,  Jeffrey L. Aldridge

IPC分类号： A61B17/10 ,  A61B17/068

CPC分类号： A61B17/068 ,  A61B17/00491 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/1155 ,  A61B17/30 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00893 ,  A61B2017/00991 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2916 ,  A61B2017/2923 ,  A61B2017/2937

摘要： A retainer for assembling tissue thickness compensators to a surgical stapler can comprise a grip, a first surface for supporting a first tissue thickness compensator, a second surface for supporting a second tissue thickness compensator, and clips for aligning and attaching the retainer to the surgical stapler. The clips may align and attach the retainer to a staple cartridge of the surgical instrument. The clips may align the retainer with an anvil of the surgical instrument. An insertion tool may be used in combination with the retainer to insert the retainer into the surgical stapler and to push the tissue thickness compensators against the anvil and/or the staple cartridge of the surgical instrument.

公开(公告)号：US10456129B2

公开(公告)日：2019-10-29

申请号：US14075438

申请日：2013-11-08

申请人： Ethicon Endo-Surgery, Inc.

发明人： Frederick E. Shelton, IV ,  Cortney E. Henderson ,  Tamara S. V. Widenhouse

IPC分类号： A61B17/00 ,  A61B17/29 ,  A61L31/04 ,  A61L31/06 ,  A61L31/14 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072

摘要： Implantable materials for use with end effectors like surgical stapling devices, and methods for using the same, are generally provided. In some embodiments, a staple cartridge assembly for use with a surgical stapler can include a cartridge body having a plurality of staple cavities configured to seat staples therein and an adjunct material being associated with the cartridge such that the adjunct material is configured to be securely coupled to the cartridge body and configured to be securely attached to tissue by staples in the cartridge. The adjunct material can have positively-charged particles such that the adjunct material is configured to enhance healing in the tissue. Other implants, devices, and methods for surgical stapling are also provided.

公开(公告)号：US09848875B2

公开(公告)日：2017-12-26

申请号：US13763078

申请日：2013-02-08

申请人： Ethicon Endo-Surgery, Inc.

发明人： Taylor W. Aronhalt ,  Bret W. Smith ,  Katherine J. Schmid ,  Jeffrey S. Swayze ,  Cortney E. Henderson ,  Charles J. Scheib ,  Frederick E. Shelton, IV

IPC分类号： A61B17/10 ,  A61B17/072 ,  A61B17/068 ,  B25C5/16 ,  A61B17/064 ,  A61B17/115 ,  A61B90/00 ,  A61B17/00 ,  A61B17/29 ,  A61B17/32

CPC分类号： A61B17/0643 ,  A61B17/00491 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/1155 ,  A61B17/2909 ,  A61B2017/00004 ,  A61B2017/00314 ,  A61B2017/00327 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/00862 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/00951 ,  A61B2017/0641 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2908 ,  A61B2017/2916 ,  A61B2017/2919 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2946 ,  A61B2017/320052 ,  A61B2090/037 ,  B25C5/1686

摘要： An anvil-attachable layer for use with a surgical stapler, or fastening instrument, wherein a proximal end portion of the layer is attached to a staple cartridge assembly, for example. The layer may be attached to the staple cartridge assembly by an adhesive, weld, or a staple-cartridge-based clamp, wherein the attachment is weak enough to allow the layer to pull away from the staple cartridge assembly with stapled tissue. Alternatively, the layer can include two or more lateral slits that define a connector region that can be cut by a knife of a surgical stapler to release the layer.

公开(公告)号：US09788834B2

公开(公告)日：2017-10-17

申请号：US13763094

申请日：2013-02-08

申请人： Ethicon Endo-Surgery, Inc.

发明人： Katherine J. Schmid ,  Jeffrey S. Swayze ,  Cortney E. Henderson ,  Bret W. Smith ,  Michael J. Vendely ,  Frederick E. Shelton, IV ,  Taylor W. Aronhalt

IPC分类号： A61B17/00 ,  A61B17/064 ,  A61B17/068 ,  A61B17/072 ,  B25C5/16 ,  A61B17/115 ,  A61B17/10 ,  A61B90/00 ,  A61B17/29 ,  A61B17/32

CPC分类号： A61B17/0643 ,  A61B17/00491 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/0682 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/1155 ,  A61B17/2909 ,  A61B2017/00004 ,  A61B2017/00314 ,  A61B2017/00327 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/00862 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/00951 ,  A61B2017/0641 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2908 ,  A61B2017/2916 ,  A61B2017/2919 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2946 ,  A61B2017/320052 ,  A61B2090/037 ,  B25C5/1686

摘要： An anvil-attachable layer and a retainer for aligning and attaching the layer to an anvil of a surgical stapler. Embodiments of the anvil-attachable layer can include one or more attachment features extending from the layer. A retainer can push the attachment features into a knife slot in the anvil so that the fit between the attachment features and the slot hold the anvil-attachable layer in place. Other embodiments of the anvil-attachable layer can include deployable attachment features formed in the layer. The deployable attachment features can be deployed from an undeployed position substantially in a plane defined by the layer to a deployed position extending out of the plane. In the deployed position, the deployable attachment features can extend into a slot in an anvil. A retainer can include features to push the deployable attachment features into the deployed position.

公开(公告)号：US20160030038A1

公开(公告)日：2016-02-04

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 ,  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： A61B17/064

CPC分类号： A61B17/064 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00876 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/2946 ,  A61B2090/0811

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.

摘要翻译： 一种手术器械包括具有触发器的手柄组件，该触发器可操作以将钉子驱动器射击至钉组织。 该仪器包括可连接砧座的尖杆。 包括砧检测功能以确定砧座何时与杆连接。 在一些形式中，砧座检测特征包括一个能够阻止锁定特征脱离的可平移杆。 在其他形式中，砧感知管围绕尖的杆设置并且在第一位置上干扰触发器的致动。 当砧座感测管处于第二位置时，管中的凹部允许触发器致动。 或者，弹性突舌连接到尖的杆并抵抗钉驱动器的致动。 触发器锁定组件可以包括弹簧加载的按钮，当按压推杆时“弹出”按钮，从而释放可枢转的锁定特征。

公开(公告)号：US20150133996A1

公开(公告)日：2015-05-14

申请号：US14075438

申请日：2013-11-08

申请人： Ethicon Endo-Surgery, Inc.

发明人： Frederick E. Shelton, IV ,  Cortney E. Henderson ,  Tamara S. V. Widenhouse

IPC分类号： A61B17/064 ,  A61L31/06 ,  A61L31/04 ,  A61B17/068 ,  A61L31/14

CPC分类号： A61B17/064 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/00473 ,  A61B2017/00884 ,  A61B2017/00893 ,  A61B2017/00938 ,  A61B2017/00942 ,  A61B2017/0688 ,  A61B2017/07278 ,  A61B2017/2927 ,  A61L31/042 ,  A61L31/06 ,  A61L31/146

摘要： Implantable materials for use with end effectors like surgical stapling devices, and methods for using the same, are generally provided. In some embodiments, a staple cartridge assembly for use with a surgical stapler can include a cartridge body having a plurality of staple cavities configured to seat staples therein and an adjunct material being associated with the cartridge such that the adjunct material is configured to be securely coupled to the cartridge body and configured to be securely attached to tissue by staples in the cartridge. The adjunct material can have positively-charged particles such that the adjunct material is configured to enhance healing in the tissue. Other implants, devices, and methods for surgical stapling are also provided.

摘要翻译： 通常提供用于与诸如外科缝合装置的端部执行器一起使用的可植入材料及其使用方法。 在一些实施例中，与外科缝合器一起使用的钉仓组件可以包括具有构造成在其中定位钉的多个缝合腔的药筒主体和与药筒相关联的辅助材料，使得附加材料被配置为牢固地连接 并且构造成通过钉仓中的钉牢固地附接到组织。 辅助材料可以具有带正电的颗粒，使得辅助材料被配置为增强组织中的愈合。 还提供了用于外科缝合的其它植入物，装置和方法。