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公开(公告)号：US08322455B2
公开(公告)日：2012-12-04
申请号：US11475412
申请日：2006-06-27
申请人： Frederick E. Shelton, IV , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze , Eugene L. Timperman , Leslie M. Fugikawa
发明人： Frederick E. Shelton, IV , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze , Eugene L. Timperman , Leslie M. Fugikawa
IPC分类号： E21B37/06
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/32 , A61B2017/00367 , A61B2017/00407 , A61B2017/07271 , A61B2017/07285 , B65B55/12
摘要： A surgical cutting and fastening instrument that includes an elongate channel that is attached to a handle assembly by an elongate shaft assembly. The elongate channel is configured to receive a cartridge and has a pivotally translatable anvil attached thereto and a knife bar supported therein. The anvil may be selectively opened and closed by manipulating a closure trigger supported by the handle assembly. The knife bar may be distally advanced through the elongate channel by actuating a firing trigger that cooperates with a reversible rotary drive supported by the handle assembly. The knife bar may also be retracted to its starting position by actuating the firing trigger after the reversible rotary drive has been shifted to a retraction orientation.
摘要翻译： 一种手术切割和紧固器械，其包括通过细长轴组件附接到手柄组件的细长通道。 细长通道被配置为容纳盒并且具有附接到其上的可枢转平移的砧座和支撑在其中的刀杆。 可以通过操纵由手柄组件支撑的闭合触发器来选择性地打开和关闭砧座。 刀杆可以通过致动与由手柄组件支撑的可逆旋转驱动器协作的击发触发器而通过细长通道向远侧推进。 在可逆旋转驱动器已经移动到缩回方向之后，刀杆也可以通过致动击发扳机而缩回到其起始位置。
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公开(公告)号：US20070295780A1
公开(公告)日：2007-12-27
申请号：US11475412
申请日：2006-06-27
申请人： Frederick E. Shelton , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze , Eugene L. Timperman , Leslie M. Fugikawa
发明人： Frederick E. Shelton , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze , Eugene L. Timperman , Leslie M. Fugikawa
IPC分类号： A61B17/10
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/32 , A61B2017/00367 , A61B2017/00407 , A61B2017/07271 , A61B2017/07285 , B65B55/12
摘要： A surgical cutting and fastening instrument that includes an elongate channel that is attached to a handle assembly by an elongate shaft assembly. The elongate channel is configured to receive a cartridge and has a pivotally translatable anvil attached thereto and a knife bar supported therein. The anvil may be selectively opened and closed by manipulating a closure trigger supported by the handle assembly. The knife bar may be distally advanced through the elongate channel by actuating a firing trigger that cooperates with a reversible rotary drive supported by the handle assembly. The knife bar may also be retracted to its starting position by actuating the firing trigger after the reversible rotary drive has been shifted to a retraction orientation.
摘要翻译： 一种手术切割和紧固器械，其包括通过细长轴组件附接到手柄组件的细长通道。 细长通道被配置为容纳盒并且具有附接到其上的可枢转平移的砧座和支撑在其中的刀杆。 可以通过操纵由手柄组件支撑的闭合触发器来选择性地打开和关闭砧座。 刀杆可以通过致动与由手柄组件支撑的可逆旋转驱动器协作的击发触发器而通过细长通道向远侧推进。 在可逆旋转驱动器已经移动到缩回方向之后，刀杆也可以通过致动击发扳机而缩回到其起始位置。
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3.发明授权Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights 有权手术吻合器械具有柔性通道和砧座功能，可调节手钉高度公开(公告)号：US07467740B2
公开(公告)日：2008-12-23
申请号：US11540735
申请日：2006-09-29
申请人： Frederick E. Shelton, IV , Jerome R. Morgan , Michael A. Murray , Richard W. Timm , James T. Spivey , James W. Voegele , Leslie M Fugikawa , Eugene L. Timperman
发明人： Frederick E. Shelton, IV , Jerome R. Morgan , Michael A. Murray , Richard W. Timm , James T. Spivey , James W. Voegele , Leslie M Fugikawa , Eugene L. Timperman
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B90/03 , A61B2017/00535 , A61B2017/00557 , A61B2017/07242 , A61B2017/0725 , A61B2017/07278 , A61B2017/320052 , A61B2017/32113 , A61B2090/032 , A61B2090/08021
摘要： A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw (anvil) and a lower jaw (staple cartridge engaged to an elongate staple channel) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, resilient structures may be formed into one or more of the elongate channel that supports the staple cartridge, the anvil that is pivotally attached to the elongate channel, and/or a firing member that includes a cutting surface (knife) that severs tissue between a top pin that engages the anvil and a lower foot that engage the elongate channel. The resilience responds to the force exerted by clamped tissue to vary the spacing between the anvil and the staple cartridge supported within the elongate channel.
摘要翻译： 用于内窥镜或腹腔镜插入外科手术部位以用于同时缝合和切断组织的手术器械包括上钳口（砧座）和下钳口（钉仓与细长缝合钉通道接合）之间的力调节间距，使得 缝钉形成对应于组织的厚度，但不超过可由钉的长度适应的高度范围。 特别地，弹性结构可以形成为支撑钉仓的细长通道中的一个或多个，可枢转地附接到细长通道的砧座和/或包括切割组织的切割表面（刀）的击发构件 在与砧座接合的顶部销和与细长通道接合的下部脚之间。 弹性响应由夹紧的组织施加的力以改变砧座和支撑在细长通道内的钉仓之间的间隔。
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公开(公告)号：US07441684B2
公开(公告)日：2008-10-28
申请号：US11497937
申请日：2006-08-02
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B2017/003 , A61B2017/00398 , A61B2017/00544 , A61B2017/00548 , A61B2017/2902 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/064 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , A61B2090/0814 , F17C2270/0545
摘要： A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. A pneumatically powered drive system operably communicates with the pneumatically powered tool and is configured to selectively apply at least a firing force to the firing mechanism of the pneumatically powered tool of sufficient magnitude to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas that is fluidically coupled to the pneumatically powered drive system. At least one feedback device communicates with the pneumatically powered drive system for providing feedback concerning at least one of:(a) the magnitude of the firing force as the pneumatically powered drive system moves the firing mechanism from the unactuated to actuated position; and(b) a relative position of the firing mechanism as the firing mechanism is moved between the unactuated and actuated positions.
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5.发明授权Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist 有权气动外科切割和紧固仪器，可以通过机械动力辅助可变控制燃烧的致动速率公开(公告)号：US08631987B2
公开(公告)日：2014-01-21
申请号：US12781575
申请日：2010-05-17
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B2017/00544 , A61B2017/2927 , A61B2017/2929
摘要： A surgical instrument that includes a distal member configured to receive a pneumatically operated tool assembly therein. The instrument may also include pneumatically powered drive member configured to generate at least one actuation motion upon receipt of at least one pneumatic signal from a source of pneumatic power fluidically coupled thereto. A drive shaft assembly communicates with the pneumatically powered drive member for transmitting the actuation motions to the distally mounted pneumatically operated tool. The device further includes a power assist member that communicates with the drive shaft assembly for transmitting additional manually generated actuation motions to the drive shaft assembly.
摘要翻译： 一种外科器械，包括构造成在其中接收气动操作的工具组件的远端构件。 该仪器还可以包括气动驱动构件，其构造成在从与其流体耦合的气动功率源接收到至少一个气动信号时产生至少一个致动运动。 驱动轴组件与气动驱动构件连通，用于将致动运动传递到远侧安装的气动操作工具。 该装置还包括动力辅助构件，其与驱动轴组件连通，用于将附加的手动产生的致动运动传递到驱动轴组件。
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6.发明授权Pneumatically powered surgical cutting and fastening instrument with mechanical linkage coupling end effector and trigger motion 有权气动外科切割和紧固仪器，具有机械联动联动端部执行器和触发器运动公开(公告)号：US07431189B2
公开(公告)日：2008-10-07
申请号：US11498282
申请日：2006-08-02
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B2017/003 , A61B2017/00398 , A61B2017/00544 , A61B2017/00548 , A61B2017/2902 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/064 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , A61B2090/0814 , F17C2270/0545
摘要： A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. In various embodiments, a drive system is supported by at least one of a handle assembly and an elongate shaft assembly and is configured to selectively apply a firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to the drive system. A travel monitoring member is operably supported by the handle assembly and is linked to the drive system to provide an indication of progress of the firing mechanism of the pneumatically powered tool as the firing mechanism moves from the unactuated position to the actuated position.
摘要翻译： 一种用于与气动工具结合使用的手术器械，其具有可操作地支撑在其中的击发机构，其可在未致动位置和致动位置之间移动。 在各种实施例中，驱动系统由手柄组件和细长轴组件中的至少一个支撑，并且构造成选择性地将点火运动施加到气动工具的击发机构，以使得击发机构从未致动 响应于来自流体耦合到驱动系统的气体源的气体流动而位于致动位置。 旅行监视构件由手柄组件可操作地支撑并且连接到驱动系统，以提供当发动机构从未致动位置移动到致动位置时气动工具的击发机构的进展的指示。
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7.发明授权公开(公告)号：US08220690B2
公开(公告)日：2012-07-17
申请号：US11541098
申请日：2006-09-29
申请人： Christopher J. Hess , William B. Weisenburgh, II , Jerome R. Morgan , Frederick E. Shelton, IV , Leslie M. Fugikawa , Eugene L. Timperman , Rudolph H. Nobis
发明人： Christopher J. Hess , William B. Weisenburgh, II , Jerome R. Morgan , Frederick E. Shelton, IV , Leslie M. Fugikawa , Eugene L. Timperman , Rudolph H. Nobis
IPC分类号： A61B17/064
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 stapling system comprising a first staple, a second staple, and a bridge connecting the first staple and the second staple. In at least one embodiment, the first staple and the second staple are part of a strip of staples. For example, the first and second staples can be included in a strip of staples that includes several staples that are attached end-to-end and/or attached side-by side. In use, the strip, or strips, of staples are inserted into a stapler which can be used to insert the staples into soft tissue, for example, and deform at least a portion of the staples to hold the tissue, or several layers of tissue, together.
摘要翻译： 一种外科缝合系统，包括第一缝合钉，第二钉和连接第一钉和第二钉的桥。 在至少一个实施例中，第一缝合钉和第二缝合钉是钉条的一部分。 例如，第一和第二订书钉可以包括在包括端对端和/或并排附接的多个订书钉的缝钉条中。 在使用中，缝钉的条带或条带被插入到吻合器中，缝合器可以用于将钉子插入软组织中，例如，并使钉的至少一部分变形以保持组织或几层组织 ，在一起
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8.发明申请公开(公告)号：US20100224669A1
公开(公告)日：2010-09-09
申请号：US12781575
申请日：2010-05-17
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00544 , A61B2017/2927 , A61B2017/2929
摘要： A surgical instrument that includes a distal member configured to receive a pneumatically operated tool assembly therein. The instrument may also include pneumatically powered drive member configured to generate at least one actuation motion upon receipt of at least one pneumatic signal from a source of pneumatic power fluidically coupled thereto. A drive shaft assembly communicates with the pneumatically powered drive member for transmitting the actuation motions to the distally mounted pneumatically operated tool. The device further includes a power assist member that communicates with the drive shaft assembly for transmitting additional manually generated actuation motions to the drive shaft assembly.
摘要翻译： 一种外科器械，包括构造成在其中接收气动操作的工具组件的远端构件。 该仪器还可以包括气动驱动构件，其构造成在从与其流体耦合的气动功率源接收到至少一个气动信号时产生至少一个致动运动。 驱动轴组件与气动驱动构件连通，用于将致动运动传递到远侧安装的气动操作工具。 该装置还包括动力辅助构件，其与驱动轴组件连通，用于将附加的手动产生的致动运动传递到驱动轴组件。
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9.发明授权Pneumatically powered surgical cutting and fastening instrument with a variable control of the actuating rate of firing with mechanical power assist 有权气动外科切割和紧固仪器，可以通过机械动力辅助可变控制燃烧的致动速率公开(公告)号：US07740159B2
公开(公告)日：2010-06-22
申请号：US11497898
申请日：2006-08-02
IPC分类号： A61B17/072 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00544 , A61B2017/2927 , A61B2017/2929
摘要： A surgical instrument that includes a distal member configured to receive a pneumatically operated tool assembly therein. The instrument may also include pneumatically powered drive member configured to generate at least one actuation motion upon receipt of at least one pneumatic signal from a source of pneumatic power fluidically coupled thereto. A drive shaft assembly communicates with the pneumatically powered drive member for transmitting the actuation motions to the distally mounted pneumatically operated tool. The device further includes a power assist member that communicates with the drive shaft assembly for transmitting additional manually generated actuation motions to the drive shaft assembly.
摘要翻译： 一种外科器械，包括构造成在其中接收气动操作的工具组件的远端构件。 该仪器还可以包括气动驱动构件，其构造成在从与其流体耦合的气动功率源接收到至少一个气动信号时产生至少一个致动运动。 驱动轴组件与气动驱动构件连通，用于将致动运动传递到远侧安装的气动操作工具。 该装置还包括动力辅助构件，其与驱动轴组件连通，用于将附加的手动产生的致动运动传递到驱动轴组件。
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10.发明授权公开(公告)号：US07448525B2
公开(公告)日：2008-11-11
申请号：US11497936
申请日：2006-08-02
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B2017/003 , A61B2017/00398 , A61B2017/00544 , A61B2017/00548 , A61B2017/2902 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/064 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , A61B2090/0814 , F17C2270/0545
摘要： A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. In various embodiments, a drive system operably communicates with the pneumatically powered tool and is configured to selectively apply at least a drive system generated firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to said drive system. A retraction member communicates with the drive system to enable a manually generated retraction motion to be applied thereto to manually move the firing mechanism in a distal direction from the actuated position to the unactuated position.
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