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：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。

公开(公告)号：US20070194082A1

公开(公告)日：2007-08-23

申请号：US11714049

申请日：2007-02-28

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

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

IPC分类号： A61B17/10

CPC分类号： A61B17/0682 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/32053 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07264 ,  A61B2017/07278 ,  A61B2017/320052 ,  B25C5/0292

摘要： A surgical stapling device. The device comprises an end effector that comprises an anvil having a staple forming surface defining a plurality of staple forming pockets. A first quantity of the plurality of staple forming pockets has a first depth and a second quantity of the plurality of staple forming pockets has a second depth. The first depth is greater than the second depth.

摘要翻译： 外科缝合装置 该装置包括末端执行器，其包括具有限定多个订书钉形成袋的订书钉形成表面的砧座。 第一数量的订书钉形成袋具有第一深度，并且第二数量的订书钉形成口袋具有第二深度。 第一个深度大于第二个深度。

公开(公告)号：US20070194080A1

公开(公告)日：2007-08-23

申请号：US11711977

申请日：2007-02-28

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

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

IPC分类号： A61B17/04

CPC分类号： A61B17/0682 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/32053 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07264 ,  A61B2017/07278 ,  A61B2017/320052 ,  B25C5/0292

摘要： A staple cartridge for use with a surgical stapling device. The stapling device has an actuator that is selectively actuatable in an axial direction and an anvil that is moveable between open and closed positions. The staple cartridge comprises a plurality of staples and a first plurality of staple drivers. Each staple driver has an upper staple supporting surface for supporting one of the staples such that, when actuated, each staple driver drives the staple into the anvil. The upper staple supporting surface supports staples of different wire diameters in an upright position.

摘要翻译： 用于外科缝合装置的钉仓。 装订装置具有可沿轴向选择性地致动的致动器和可在打开位置和关闭位置之间移动的砧座。 钉仓包括多个订书钉和第一多个订书钉驱动器。 每个钉子驱动器具有用于支撑其中一个钉的上钉支撑表面，使得当致动时，每个钉持器驱动器将钉钉驱动到砧座中。 上钉支撑表面支撑直立位置的不同线径的钉。

公开(公告)号：US20070194079A1

公开(公告)日：2007-08-23

申请号：US11711975

申请日：2007-02-28

申请人： Joseph Hueil ,  Jerome Morgan ,  Frederick Shelton

发明人： Joseph Hueil ,  Jerome Morgan ,  Frederick Shelton

IPC分类号： A61B17/10

CPC分类号： A61B17/0682 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/32053 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07264 ,  A61B2017/07278 ,  A61B2017/320052 ,  B25C5/0292

摘要： A surgical stapling device comprising an end effector. According to various embodiments, the end effector comprises an anvil having a staple forming surface and a plurality of staples facing the staple forming surface of the anvil. The end effector also comprises a plurality of staple drivers moveable supported within the staple cartridge. Each staple driver is in contact with one of the plurality of staples such that when the staple drivers are actuated, the plurality of staples are formed against the staple forming surface of the anvil. A first quantity of the staple drivers have a first height and a second quantity of the staple drivers have a second height, wherein the first height is less than the second height such that the staples driven by the first quantity of staple drivers have a longer formed length than the staples driven by the second quantity of staple drivers.

摘要翻译： 一种外科缝合装置，包括端部执行器。 根据各种实施例，末端执行器包括具有钉形成表面的砧和面向砧座的钉形成表面的多个钉。 末端执行器还包括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多个订书钉中的一个接触，使得当订书钉驱动器被致动时，多个订书钉形成为抵靠砧座的订书钉形成表面。 第一数量的订书钉驱动器具有第一高度，并且第二数量的订书钉驱动器具有第二高度，其中第一高度小于第二高度，使得由第一数量的订书钉驱动器驱动的订书钉具有更长的成形 长度大于由第二批钉驱动器驱动的订书钉。

公开(公告)号：US20070102473A1

公开(公告)日：2007-05-10

申请号：US11270217

申请日：2005-11-09

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 ,  A61B17/00234 ,  A61B17/29 ,  A61B2017/00017 ,  A61B2017/00367 ,  A61B2017/00535 ,  A61B2017/00544 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2901 ,  A61B2017/2925 ,  A61B2017/320052

摘要： A hydraulically actuated surgical instrument. The instrument may comprise a handle portion and a shaft. The shaft is mechanically coupled to the handle. The instrument may also include an end effector mechanically coupled to the shaft along its longitudinal axis. The end effector may comprise a surgical implement and a hydraulic device. At least a portion of the surgical implement may be translatable along a transverse axis, wherein the transverse axis is substantially perpendicular to the longitudinal axis of the shaft. Also, the hydraulic device may be positioned to be expandable toward the surgical instrument in a direction substantially parallel to the transverse axis of the shaft.

摘要翻译： 液压致动外科器械。 仪器可以包括手柄部分和轴。 轴被机械地联接到手柄。 仪器还可以包括沿其纵向轴线机械地联接到轴的末端执行器。 末端执行器可以包括外科器具和液压装置。 手术器具的至少一部分可以沿着横向轴线平移，其中横向轴线基本上垂直于轴的纵向轴线。 此外，液压装置可以被定位成在基本上平行于轴的横向轴线的方向上朝向外科器械展开。

公开(公告)号：US20070102453A1

公开(公告)日：2007-05-10

申请号：US11267811

申请日：2005-11-04

申请人： Jerome Morgan ,  Frederick Shelton

发明人： Jerome Morgan ,  Frederick Shelton

IPC分类号： B67D5/06

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

摘要： A medical agent dispensing system can be provided that may be structured for use with a surgical severing/stapling instrument that is designed 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; a gear pump casing in communication with the storage reservoir; a screw pump auger positioned within the gear pump casing capable of rotational manipulation to move the medical agent through the gear pump casing; and, at least one agent tube in communication with the gear pump casing. The agent tube may be structured for communication with a least one agent port formed in a staple cartridge of the surgical instrument for dispensing the medical agent therethrough.

摘要翻译： 可以提供医疗剂分配系统，其可被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组分; 一个与存储容器连通的齿轮泵壳体; 位于齿轮泵壳体内的螺旋泵螺旋推运器，其能够旋转操纵以使医疗剂通过齿轮泵壳体移动; 以及与齿轮泵壳体连通的至少一个试剂管。 药剂管可以构造成用于与形成在外科器械的钉仓中的至少一个药剂端口连通，用于分配药剂通过其中。

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。