公开(公告)号：US09861428B2

公开(公告)日：2018-01-09

申请号：US14028176

申请日：2013-09-16

申请人： Ethicon Endo-Surgery, Inc.

发明人： Gregory A. Trees ,  Susan G. Arshonsky ,  Jonathan T. Batross ,  Chad P. Boudreaux ,  Edward G. Chekan ,  Catherine A. Corbett ,  Craig T. Davis ,  Alex W. Kiturkes ,  Terry A. McFarland ,  David A. Monroe ,  John M. Sarley ,  Frederick E. Shelton, IV ,  John B. Schulte ,  Foster B. Stulen ,  Aaron C. Voegele ,  William B. Weisenburgh, II ,  Tamara Widenhouse ,  David A. Witt

IPC分类号： A61B18/12 ,  A61B18/14 ,  A61B18/00

CPC分类号： A61B18/1445 ,  A61B2018/00011 ,  A61B2018/00607 ,  A61B2018/1455 ,  A61B2217/005 ,  A61B2218/002 ,  A61B2218/008

摘要： A medical device includes an end effector configured to apply bipolar energy to target tissue along a working portion thereof and a fluid control system to control the flow of a fluid produced when the end effector applies the bipolar energy to heat the target tissue. The fluid control system includes a fluid path element defining a fluid path, a distal fluid port configured to intake the fluid adjacent to the working portion of an end effector for transport through the fluid path, and a proximal fluid port configured to intake the fluid transported through the fluid path and to exhaust the transported fluid.

公开(公告)号：US20150080879A1

公开(公告)日：2015-03-19

申请号：US14028176

申请日：2013-09-16

申请人： Ethicon Endo-Surgery, Inc.

发明人： Gregory A. Trees ,  Susan G. Arshonsky ,  Jonathan T. Batross ,  Chad P. Boudreaux ,  Edward G. Chekan ,  Catherine A. Corbett ,  Craig T. Davis ,  Alex W. Kiturkes ,  Terry A. McFarland ,  David A. Monroe ,  John M. Sarley ,  Frederick E. Shelton, IV ,  John B. Schulte ,  Foster B. Stulen ,  Aaron C. Voegele ,  William B. Weisenburgh, II ,  Tamara Widenhouse ,  David A. Witt

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B2018/00011 ,  A61B2018/00607 ,  A61B2018/1455 ,  A61B2217/005 ,  A61B2218/002 ,  A61B2218/008

摘要： A medical device includes an end effector configured to apply bipolar energy to target tissue along a working portion thereof and a fluid control system to control the flow of a fluid produced when the end effector applies the bipolar energy to heat the target tissue. The fluid control system includes a fluid path element defining a fluid path, a distal fluid port configured to intake the fluid adjacent to the working portion of an end effector for transport through the fluid path, and a proximal fluid port configured to intake the fluid transported through the fluid path and to exhaust the transported fluid.

摘要翻译： 医疗装置包括末端执行器，其构造成沿着其工作部分向目标组织施加双极能量;以及流体控制系统，用于控制当末端执行器施加双极能量以加热靶组织时产生的流体的流动。 流体控制系统包括限定流体路径的流体路径元件，远端流体端口，构造成吸引与端部执行器的工作部分相邻的流体，以便输送通过流体路径;以及近端流体端口，构造成吸入流体输送 通过流体路径并排出输送的流体。

公开(公告)号：US20140263563A1

公开(公告)日：2014-09-18

申请号：US13804829

申请日：2013-03-14

申请人： ETHICON ENDO-SURGERY, INC.

发明人： Michael J. Stokes ,  Edward G. Chekan ,  Charles J. Scheib ,  Andrew C. Yoo

IPC分类号： A61B17/115

CPC分类号： A61B17/1155 ,  A61B17/00491 ,  A61B17/12009 ,  A61B17/12045 ,  A61B17/12136 ,  A61B2017/00557 ,  A61B2090/0811

摘要： A cuff is used to provide a form for curing fluid about the exterior of an end-to-end anastomosis site. The cuff includes a port through which fluid may be injected to reach an interior space defined between the exterior of tissue at the anastomosis site and the inner surface of the cuff. A circular stapler may be used as a mandrel for the cuff and fluid. Alternatively, inflatable balloons may be used as a mandrel. The curing fluid may comprise a mixture of fibrin and thrombin.

摘要翻译： 袖带用于提供用于在端对端吻合部位的外部固化流体的形式。 袖带包括可以注射流体以到达在吻合部位的组织的外部和袖带的内表面之间限定的内部空间的端口。 圆形订书机可用作袖带和流体的心轴。 或者，可充气气球可用作心轴。 固化液可以包含纤维蛋白和凝血酶的混合物。

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：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：US09597082B2

公开(公告)日：2017-03-21

申请号：US13804829

申请日：2013-03-14

申请人： Ethicon Endo-Surgery, Inc.

发明人： Michael J. Stokes ,  Edward G. Chekan ,  Charles J. Scheib ,  Andrew C. Yoo

IPC分类号： A61B17/08 ,  A61B17/115 ,  A61B17/00

CPC分类号： A61B17/1155 ,  A61B17/00491 ,  A61B17/12009 ,  A61B17/12045 ,  A61B17/12136 ,  A61B2017/00557 ,  A61B2090/0811

摘要： A cuff is used to provide a form for curing fluid about the exterior of an end-to-end anastomosis site. The cuff includes a port through which fluid may be injected to reach an interior space defined between the exterior of tissue at the anastomosis site and the inner surface of the cuff. A circular stapler may be used as a mandrel for the cuff and fluid. Alternatively, inflatable balloons may be used as a mandrel. The curing fluid may comprise a mixture of fibrin and thrombin.

公开(公告)号：US20160066906A1

公开(公告)日：2016-03-10

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： A61B17/068

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：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：US09974529B2

公开(公告)日：2018-05-22

申请号：US14703109

申请日：2015-05-04

申请人： Ethicon Endo-Surgery, Inc.

发明人： Frederick E. Shelton, IV ,  Chester O. Baxter, III ,  Steven G. Hall ,  Andrew Yoo ,  Edward G. Chekan

IPC分类号： A61B17/00

CPC分类号： A61B17/0293 ,  A61B17/00234 ,  A61B17/0218 ,  A61B17/068 ,  A61B17/072 ,  A61B17/1155 ,  A61B17/3417 ,  A61B2017/00287 ,  A61B2017/00353 ,  A61B2017/00477 ,  A61B2017/0225 ,  A61B2017/0287 ,  A61B2017/07257 ,  A61B2560/0443 ,  F04C2270/0421

摘要： A surgical instrument is disclosed. The surgical instrument includes an actuation system, a drive system, and a tool head. The drive system is coupled to the actuation system and includes a rotatable shaft which defines a longitudinal axis. The tool head is coupled to the drive system and includes an annular cartridge and a pliable bunchable ring. The annular cartridge includes a plurality of staples. The pliable bunchable ring surrounds the annular cartridge. The surgical instrument is configured to drive the staples through the pliable bunchable ring substantially transverse to the longitudinal axis.

公开(公告)号：US09913655B2

公开(公告)日：2018-03-13

申请号：US14082287

申请日：2013-11-18

申请人： Ethicon Endo-Surgery, Inc.

发明人： Charles J. Scheib ,  Edward G. Chekan ,  Chad P. Boudreaux ,  Frederick E. Shelton, IV ,  Tamara S. Vetro Widenhouse

IPC分类号： A61B17/32 ,  A61B17/22

CPC分类号： A61B17/320068 ,  A61B17/22004 ,  A61B17/320092 ,  A61B2017/320044 ,  A61B2017/320072 ,  A61B2017/32008 ,  A61B2217/005 ,  A61M1/0039 ,  A61M1/008 ,  A61M2205/7545

摘要： A surgical system comprises an end effector for operating on tissue and a screen positioned around the end effector. The screen is fluidly coupled with a suction source by a conduit such as a tube. The screen is configured to communicate suction through the screen while preventing tissue from contacting the end effector. The screen is further configured to retract proximally relative to the end effector to thereby expose the end effector.