Motor-driven surgical cutting and fastening instrument with tactile position feedback
    1.
    发明申请
    Motor-driven surgical cutting and fastening instrument with tactile position feedback 有权
    电动外科切割和紧固器具,具有触觉位置反馈

    公开(公告)号:US20070175962A1

    公开(公告)日:2007-08-02

    申请号:US11344035

    申请日:2006-01-31

    IPC分类号: A61B17/04

    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。

    Motor-driven surgical cutting and fastening instrument with loading force feedback
    2.
    发明申请
    Motor-driven surgical cutting and fastening instrument with loading force feedback 有权
    电动外科切割和紧固仪器,带负载力反馈

    公开(公告)号:US20070175952A1

    公开(公告)日:2007-08-02

    申请号:US11343573

    申请日:2006-01-31

    IPC分类号: A61B17/10

    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。

    Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
    3.
    发明申请
    Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers 有权
    具有多个堆叠执行器楔形凸轮的手术吻合装置,用于驱动主要驱动器

    公开(公告)号:US20070262116A1

    公开(公告)日:2007-11-15

    申请号:US11712315

    申请日:2007-02-28

    IPC分类号: A61B17/04

    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。

    Electronic lockouts and surgical instrument including same
    7.
    发明申请
    Electronic lockouts and surgical instrument including same 有权
    电子锁具和包括其的手术器械

    公开(公告)号:US20070175956A1

    公开(公告)日:2007-08-02

    申请号:US11343439

    申请日:2006-01-31

    IPC分类号: A61B17/04

    摘要: A surgical cutting and stapling instrument is disclosed. The instrument includes an end effector and a handle. The end effector includes a channel, an anvil pivotally attached to the channel, a moveable cutting instrument for cutting an object positioned between the anvil and the channel, and a staple cartridge configured for removable receipt by the channel. The staple cartridge includes a sled that is engaged by the cutting instrument during a cutting stoke. The handle includes a motor for actuating the cutting instrument via a main drive shaft assembly. The instrument further includes a first interlock circuit for enabling initiation of motor operation based upon a position of the staple cartridge.

    摘要翻译: 公开了一种外科切割和缝合器械。 仪器包括末端执行器和手柄。 末端执行器包括通道,可枢转地连接到通道的砧座,用于切割定位在砧座和通道之间的物体的可移动切割工具以及被配置为可被通道移动接收的钉仓。 钉仓包括在切割过程中由切割工具接合的滑雪板。 手柄包括用于通过主驱动轴组件致动切割仪器的马达。 仪器还包括第一互锁电路,用于基于钉仓的位置启动电机操作。

    Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument
    8.
    发明申请
    Articulation joint with improved moment arm extension for articulating an end effector of a surgical instrument 有权
    具有改进的力臂伸展的铰接接头,用于铰接外科器械的末端执行器

    公开(公告)号:US20070102474A1

    公开(公告)日:2007-05-10

    申请号:US11270305

    申请日:2005-11-09

    IPC分类号: A61B17/10

    摘要: An articulation joint for use in connection with a surgical instrument that has a portion that must be passed through a trocar or similar structure and then articulated relative to another portion of the instrument received within the trocar. Various embodiments of the articulation joint provide structures for increasing the moment arm between the actuator and the pivot point between the proximal and distal tube segments interconnecting a handle assembly of the surgical instrument to a surgical implement such as an end effector of an endocutter.

    摘要翻译: 用于与外科器械结合使用的铰接接头,其具有必须穿过套管针或类似结构的部分,然后相对于接收在套管针内的器械的另一部分铰接。 关节运动关节的各种实施例提供结构,用于增加致动器和枢轴点之间的力矩臂,该近端和远端管段将手术器械的手柄组件互连到手术器械,例如内切割器的末端执行器。

    ELECTROACTIVE POLYMER-BASED ARTICULATION MECHANISM FOR MULTI-FIRE SURGICAL FASTENING INSTRUMENT
    9.
    发明申请
    ELECTROACTIVE POLYMER-BASED ARTICULATION MECHANISM FOR MULTI-FIRE SURGICAL FASTENING INSTRUMENT 有权
    用于多消防手术仪器的基于聚合物的基于聚合物的制剂机理

    公开(公告)号:US20060047305A1

    公开(公告)日:2006-03-02

    申请号:US11162984

    申请日:2005-09-30

    IPC分类号: A61B17/04

    摘要: Methods and devices are provided for effecting movement of one or more components of a multifire device, such as a clip applier, hernia tacker, or skin stapler. In one exemplary embodiment, a surgical fastening instrument is provided having an elongate shaft with an end effector coupled thereto and adapted to apply one or more surgical fasteners to tissue. An electrically expandable and contractible actuator, such as an electroactive polymer actuator, can be used to drive a fastener advancing or forming assembly through the elongate shaft, thereby driving a surgical fastener into tissue. In another embodiment, an electrically expandable and contractible actuator, such as an electroactive polymer actuator, can be used to effect movement of an articulation joint formed between the elongate shaft and the end effector.

    摘要翻译: 提供的方法和装置用于实现多种装置的一个或多个部件的运动,诸如夹子施放器,疝气钳或皮肤吻合器。 在一个示例性实施例中,提供了具有细长轴的手术紧固器械,该细长轴具有与其结合的端部执行器,并适于将一个或多个手术紧固件应用于组织。 电可膨胀和可收缩的致动器,例如电活性聚合物致动器,可用于通过细长轴驱动紧固件前进或成形组件,从而将外科紧固件驱动到组织中。 在另一个实施例中,电可膨胀和可收缩的致动器(例如电活性聚合物致动器)可以用于实现形成在细长轴和末端执行器之间的关节连接件的运动。

    Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism
    10.
    发明申请
    Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism 有权
    外科缝合器械结合了多中射击位置指示器和回缩机构

    公开(公告)号:US20050070958A1

    公开(公告)日:2005-03-31

    申请号:US10674026

    申请日:2003-09-29

    摘要: A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

    摘要翻译: 特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄,其产生分开的关闭和发射运动来致动末端执行器。 特别地,手柄产生多个点火冲程,以便减少火焰所需的所需力量(即订书钉和切断)末端执行器。 连接的传动减少了所需的手柄纵向长度,而在拉直时用于烧制,实现了刚性的强结构。 牵引偏压发射机构与防抱死机构协作,避免了在驱动该矫直联接架时的装订,其中锁定机构防止在击发期间释放闭合触发器。 此外,外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。