公开(公告)号：US20070083234A1

公开(公告)日：2007-04-12

申请号：US11540735

申请日：2006-09-29

申请人： Frederick Shelton ,  Jerome Morgan ,  Michael Murray ,  Richard Timm ,  James Spivey ,  James Voegele ,  Leslie Fugikawa ,  Eugene Timperman

发明人： Frederick Shelton ,  Jerome Morgan ,  Michael Murray ,  Richard Timm ,  James Spivey ,  James Voegele ,  Leslie Fugikawa ,  Eugene Timperman

IPC分类号： A61B17/10

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。

公开(公告)号：US20060025813A1

公开(公告)日：2006-02-02

申请号：US11141753

申请日：2005-06-01

申请人： Frederick Shelton ,  Joseph Hueil ,  Jerome Morgan

发明人： Frederick Shelton ,  Joseph Hueil ,  Jerome Morgan

IPC分类号： A61B17/28

CPC分类号： A61B17/07207 ,  A61B2017/00398 ,  A61B2017/00871 ,  A61B2017/2912

摘要： A surgical stapling and severing instrument enables minimally invasive surgical procedures by having upper and lower jaws (i.e., anvil and staple channel) that are positioned with an elongate shaft and handle through a surgical opening, and in particular through a cannula of a trocar. A pair of fluid bladders (lift bags) are positioned in the staple channel beneath a proximally projecting lever tray so that transfer of fluid from the handle causes closing and clamping of the anvil. The bi-directional fluid control may be mechanically produced at the handle or by activating an electroactive polymer actuator. Once firing is sensed, an EAP plunger in a medical substance syringe inserted into the elongate shaft is activated to dispense a medical substance (e.g., anesthetics, adhesives, cauterizing substances, antibiotics, etc.) and is guided along a firing bar to a cutting surface of an E-beam placing the substance on tissue as severed.

摘要翻译： 外科缝合和切割器械通过具有上下钳口（即，砧座和缝合通道）来进行微创外科手术，所述上钳口和下颚定位成具有细长轴和手柄通过手术开口，并且特别是通过套管针的插管。 一对流体囊（提升袋）被定位在近侧突出的杆托板下方的钉通道中，使得来自手柄的流体的传送导致砧座的闭合和夹紧。 双向流体控制可以在手柄处或通过激活电活性聚合物致动器机械地产生。 一旦感测到烧灼，则插入到细长轴中的药物注射器中的EAP柱塞被激活以分配医疗物质（例如麻醉剂，粘合剂，烧灼物质，抗生素等），并且沿着击球杆被引导至切割 电子束的表面将物质放置在组织上切断。

公开(公告)号：US20070262116A1

公开(公告)日：2007-11-15

申请号：US11712315

申请日：2007-02-28

申请人： Joseph Hueil ,  Jerome Morgan ,  Frederick Shelton ,  Jeffrey Swayze

发明人： Joseph Hueil ,  Jerome Morgan ,  Frederick Shelton ,  Jeffrey Swayze

IPC分类号： A61B17/04

CPC分类号： A61B17/07207 ,  A61B17/0644 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07264 ,  A61B2017/07278 ,  A61B2017/2923 ,  A61B2017/320052 ,  B25C5/0292

摘要： A surgical stapling device. According to various embodiments, the stapling device comprises an end effector and a plurality of stacked actuatable wedge band sets. The end effector comprises an anvil having a staple forming surface and a staple cartridge facing the staple forming surface of the anvil. The staple cartridge comprises a plurality of staples and a plurality of staple drivers moveable supportable within the staple cartridge. Each staple driver is in contact with one of the staples and configured such that when the staple drivers are actuated, the staple drivers drive the staples through the staple cartridge so that the staples are formed against the staple forming surface of the anvil. Each stacked wedge band set comprises at least two different-level wedge bands for axially traversing the end effector. Each wedge band comprises a wedge cam at its distal end for driving certain ones of the staple drivers when the wedge band is actuated. A first of the two wedge bands in the stacks rides on a second of the two wedge bands in the stacks such that the staple drivers are driven in successive stages by the at least two wedge bands when the wedge bands are driven in succession. The cumulative height of a first of the plurality of stacked wedge band sets is less than a cumulative height of a second of the plurality of stacked wedge band sets.

摘要翻译： 外科缝合装置 根据各种实施例，缝合装置包括端部执行器和多个堆叠的可致动楔形带组。 末端执行器包括具有钉形成表面的砧座和面向砧座的钉形成表面的钉仓。 钉仓包括多个钉和可移动地支撑在钉仓内的多个订书钉驱动器。 每个订书钉驱动器与订书钉中的一个接触并且构造成使得当订书钉驱动器被致动时，订书钉驱动器通过钉仓驱动订书钉，使得订书钉形成在砧座的订书钉形成表面上。 每个堆叠的楔带组包括至少两个不同级别的楔形带，用于轴向地穿过末端执行器。 每个楔形带在其远端包括楔形凸轮，用于当楔形带被致动时用于驱动订书钉驱动器中的某些。 堆叠中的两个楔形带中的第一个在堆叠中的两个楔形带中的第二个楔形带上骑行，使得当楔形带被连续驱动时，订书钉驱动器在连续阶段被至少两个楔形带驱动。 多个堆叠的楔形带组中的第一个的累积高度小于多个堆叠楔形带组中的第二个的累积高度。

公开(公告)号：US20070175958A1

公开(公告)日：2007-08-02

申请号：US11343498

申请日：2006-01-31

申请人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan

发明人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan

IPC分类号： A61B17/04

CPC分类号： A61B17/07207 ,  A61B2017/00017 ,  A61B2017/00128 ,  A61B2090/0811

摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising a moveable cutting instrument for cutting an object positioned in the end effector, a main drive shaft assembly connected to the end effector, and a handle connected to the main drive shaft assembly. The handle includes a gear drive train connected to the main drive shaft assembly, a main motor for actuating the gear drive train, and a firing trigger such that retraction of the firing trigger causes actuation of the motor. Also, the rotational position of the firing trigger is related to the position of the cutting instrument in the end effector.

摘要翻译： 公开了一种外科切割和紧固器械。 根据各种实施例，仪器包括端部执行器，其包括用于切割定位在端部执行器中的物体的可移动切割工具，连接到端部执行器的主驱动轴组件和连接到主驱动轴组件的手柄。 手柄包括连接到主驱动轴组件的齿轮传动系，用于致动齿轮传动系的主电机和触发触发器，使得击发触发器的缩回导致电动机的致动。 此外，击发触发器的旋转位置与切割仪器在末端执行器中的位置有关。

公开(公告)号：US20070175957A1

公开(公告)日：2007-08-02

申请号：US11343447

申请日：2006-01-31

申请人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan

发明人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan

IPC分类号： A61B17/04

CPC分类号： A61B17/07207 ,  A61B34/76 ,  A61B2017/00017 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/2925 ,  A61B2017/2927 ,  A61B2017/2943 ,  A61B2017/2946

摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector, a main drive shaft assembly, and a handle. The end effector comprising a cutting instrument for cutting an object positioned therein. The handle comprises a motor for actuating the shaft via a gear drive train, a firing trigger, and a run motor sensor for sensing retracting of the firing trigger. When retraction of the firing trigger is sensed by the run motor sensor, the motor is signaled to forward rotate to cause cutting of the object positioned in the end effector by the cutting instrument. The instrument may also include a reverse motor sensor for sensing a condition indicative of an end of a cutting stroke by the cutting instrument and a stop motor sensor for sensing a condition indicative of retraction of the cutting instrument.

摘要翻译： 公开了一种外科切割和紧固器械。 根据各种实施例，仪器包括端部执行器，主驱动轴组件和手柄。 末端执行器包括用于切割位于其中的物体的切割工具。 手柄包括用于通过齿轮传动系，击发扳机和行程马达传感器来驱动轴的马达，用于感测击发扳机的缩回。 当运行电机传感器感测到触发触发器的退回时，马达被发出信号，以向前旋转，以通过切割仪器切割位于末端执行器中的物体。 仪器还可以包括用于感测通过切割仪器指示切割行程结束的状态的反向马达传感器和用于感测指示切割仪器缩回的状态的停止马达传感器。

公开(公告)号：US20070175952A1

公开(公告)日：2007-08-02

申请号：US11343573

申请日：2006-01-31

申请人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan ,  Jeffrey Swayze

发明人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan ,  Jeffrey Swayze

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B34/76 ,  A61B2017/00398 ,  A61B2017/00734

摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector, a main drive shaft assembly, and a handle. The handle comprises a gear drive train connected to the main drive shaft assembly, a motor for actuating the gear drive train, and a firing trigger. Retraction of the firing trigger actuates the motor. Further, the firing trigger is connected to the gear drive train such that the loading force applied to the firing trigger is related to the loading force experienced by the cutting instrument in the end effector.

摘要翻译： 公开了一种外科切割和紧固器械。 根据各种实施例，仪器包括端部执行器，主驱动轴组件和手柄。 手柄包括连接到主驱动轴组件的齿轮传动系，用于致动齿轮传动系的马达和击发扳机。 触发触发器的退回启动电机。 此外，点火触发器连接到齿轮传动系，使得施加到击发扳机的加载力与末端执行器中的切割工具所经受的加载力相关。

公开(公告)号：US20070175949A1

公开(公告)日：2007-08-02

申请号：US11343545

申请日：2006-01-31

申请人： Frederick Shelton ,  Jerome Morgan ,  Kevin Doll ,  Jeffrey Swayze ,  Eugene Timperman

发明人： Frederick Shelton ,  Jerome Morgan ,  Kevin Doll ,  Jeffrey Swayze ,  Eugene Timperman

IPC分类号： A61B17/10

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B17/28 ,  A61B17/285 ,  A61B34/76 ,  A61B2017/00119 ,  A61B2017/00128 ,  A61B2017/00398 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/07271 ,  A61B2090/0803 ,  A61B2090/0807 ,  A61B2090/0811 ,  G08B21/18

摘要： A surgical instrument. The surgical instrument comprises a plurality of sensors, and a status module releasably connected to the surgical instrument. The status module comprises a plurality of contacts, a circuit, and a plurality of indicators. Each individual contact is in electrical communication with a different sensor. The circuit is in electrical communication with at least one of the contacts. At least one of the indicators is in electrical communication with the circuit.

摘要翻译： 手术器械。 手术器械包括多个传感器，以及可释放地连接到外科器械的状态模块。 状态模块包括多个触点，电路和多个指示器。 每个单独的触点与不同的传感器电连通。 电路与至少一个触点电连通。 指示器中的至少一个与电路电连通。

公开(公告)号：US20070102452A1

公开(公告)日：2007-05-10

申请号：US11267383

申请日：2005-11-04

申请人： Frederick Shelton ,  Jerome Morgan

发明人： Frederick Shelton ,  Jerome Morgan

IPC分类号： B67D5/06 ,  A61B17/10

CPC分类号： A61B17/07207 ,  A61B17/07292 ,  A61B2017/00495 ,  A61B2017/00893 ,  A61B2017/07214

摘要： A medical agent dispensing system and surgical instruments that employ the medical agent dispensing system are provided. The dispensing system may be structured for use with a surgical severing/stapling instrument structured for severing and stapling tissue. The dispensing system may include at least one storage reservoir structured for storing at least a component of a medical agent and a pump in communication with the storage reservoir; a delivery tube in communication with the pump which is structured to receive a quantity of the medical agent from the storage reservoir during operation of the pump; and, at least one agent tube in communication with the delivery tube which is structured for communication with a least one agent port formed in a staple cartridge or an anvil of the surgical instrument for dispensing the medical agent therethrough.

摘要翻译： 提供了一种医疗剂分配系统和采用医药剂分配系统的外科器械。 分配系统可以构造成与用于切断和缝合组织的外科切割/缝合器械一起使用。 分配系统可以包括至少一个储存容器，其被构造用于存储至少一个医疗剂的一个部件和一个与存储容器连通的泵; 与所述泵连通的输送管，其构造成在所述泵的操作期间从所述存储容器接收一定数量的所述药剂; 以及与所述输送管连通的至少一个药剂管，其被构造为与形成在所述外科器械的钉仓或砧座中的至少一个药剂口相通以用于分配所述医药。

公开(公告)号：US20070175962A1

公开(公告)日：2007-08-02

申请号：US11344035

申请日：2006-01-31

申请人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan ,  Jeffrey Swayze

发明人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan ,  Jeffrey Swayze

IPC分类号： A61B17/04

CPC分类号： A61B17/07207 ,  A61B34/76 ,  A61B2017/00398 ,  A61B2017/00734

摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector, a main drive shaft assembly connected to the end effector, and a gear drive train connected to the main drive shaft assembly. The end effector comprises a movable cutting instrument for cutting an object positioned in the end effector. The instrument also includes a main motor for actuating the gear drive train and a firing trigger for actuating the main motor. The instrument also includes a tactile position feedback system for applying force to the firing trigger such that the position of the firing trigger is related to the position of the cutting instrument in the end effector.

摘要翻译： 公开了一种外科切割和紧固器械。 根据各种实施例，仪器包括端部执行器，连接到端部执行器的主驱动轴组件和连接到主驱动轴组件的齿轮传动系。 末端执行器包括用于切割位于末端执行器中的物体的可移动切割工具。 该仪器还包括用于致动齿轮传动系的主电动机和用于致动主电动机的击发触发器。 该仪器还包括用于向击发触发器施加力的触觉位置反馈系统，使得击发触发器的位置与切割仪器在末端执行器中的位置相关。

公开(公告)号：US20070075114A1

公开(公告)日：2007-04-05

申请号：US11231456

申请日：2005-09-21

申请人： Frederick Shelton ,  Jerome Morgan

发明人： Frederick Shelton ,  Jerome Morgan

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B90/03 ,  A61B2017/0725 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/320052

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 are formed into an E-beam firing bar that includes a cutting surface (knife) that severs tissue between a top pin that engages the anvil and a middle pin and lower foot that engage the lower jaw. The resilience responds to the force exerted by clamped tissue to vary the spacing.

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，弹性结构被形成为电子束击发杆，其包括切割表面（刀），切割表面（刀）在接合砧座的顶部销和中间销之间切割组织，并且下部脚与下颚啮合。 弹性响应由夹紧的组织施加的力以改变间距。