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    Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
    3.
    发明申请
    Endoscopic surgical instrument with a handle that can articulate with respect to the shaft 有权
    具有能够相对于轴铰接的手柄的内窥镜手术器械

    公开(公告)号：US20070179476A1

    公开(公告)日：2007-08-02

    申请号：US11343547

    申请日：2006-01-31

    申请人： Frederick Shelton ,  Jeffrey Swayze ,  Mark Ortiz ,  Leslie Fugikawa

    发明人： Frederick Shelton ,  Jeffrey Swayze ,  Mark Ortiz ,  Leslie Fugikawa

    IPC分类号： A61B17/00

    CPC分类号： A61B17/00234 ,  A61B17/07207 ,  A61B17/2812 ,  A61B2017/0069 ,  A61B2017/291 ,  A61B2017/2919

    摘要： A surgical instrument particular suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to said the effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of said elongated shaft assembly to enable the surgeon to move the handle portion to a more ergonomically comfortable position while carrying out the endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed.

    摘要翻译： 公开了特别适用于内窥镜使用的手术器械。 各种实施例包括尺寸适于插入穿过套管针的端部执行器。 细长轴组件联接到末端执行器和控制手柄。 细长轴组件具有与所述效应器相邻的远侧部分，用于插入套管针。 细长轴组件还具有远离远侧部分的近端部分，使得当端部执行器和远端部分插入其中时，近端部分从套针针突出。 控制手柄可铰接地连接到所述细长轴组件的近端部分，以使得外科医生能够在执行内窥镜手术时将手柄部分移动到更符合人体工程学的舒适位置。 公开了各种关节连接实施例和锁定装置。

    Surgical stapling instruments with collapsible features for controlling staple height
    5.
    发明申请
    Surgical stapling instruments with collapsible features for controlling staple height 有权
    具有可折叠功能的手术吻合器械，用于控制手钉高度

    公开(公告)号：US20070073340A1

    公开(公告)日：2007-03-29

    申请号：US11540734

    申请日：2006-09-29

    申请人： Frederick Shelton ,  Jeffrey Swayze ,  Leslie Fugikawa ,  Eugene Timperman

    发明人： Frederick Shelton ,  Jeffrey Swayze ,  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, collapsible staple drivers may be supported within the cartridge for driving a staple or staples supported thereon into forming contact with an underside of an anvil attached to the instrument. As the staples contact the anvil, the drivers can compress or collapse to control the overall formed height of the staple or staples based upon the amount of compression forces experienced by the drivers during the stapling process.

    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，可折叠订书钉驱动器可以被支撑在盒中，用于驱动支撑在其上的钉或钉，以与附接到仪器的砧座的下侧形成接触。 当订书钉接触砧座时，驾驶员可以压缩或折叠以基于在装订过程期间驾驶员经历的压缩力的量来控制订书钉或订书钉的整体形成高度。

    Surgical stapling instrument having preloaded firing assistance mechanism
    6.
    发明申请
    Surgical stapling instrument having preloaded firing assistance mechanism 有权
    手术吻合器械具有预加燃烧辅助机构

    公开(公告)号：US20070068990A1

    公开(公告)日：2007-03-29

    申请号：US11238291

    申请日：2005-09-29

    申请人： Frederick Shelton ,  Jeffrey Swayze ,  Eugene Timperman ,  Leslie Fugikawa

    发明人： Frederick Shelton ,  Jeffrey Swayze ,  Eugene Timperman ,  Leslie Fugikawa

    IPC分类号： A61B17/10

    CPC分类号： A61B17/07207 ,  A61B2017/00398 ,  A61B2017/2923 ,  A61B2017/320052

    摘要： A surgical severing and stapling instrument clamps tissue in a staple applying assembly comprising a lower jaw of an elongate channel holding a staple cartridge and a pivotally opposed upper jaw (anvil). A firing handle drives a rack in a handle connected to a firing rod and bar that pass through an elongate shaft and into the staple applying assembly to sever and staple tissue. Upon release of the firing handle, a retraction spring assists in withdrawing the rack and other firing components. To advantageously assist in firing, a spring biased plunger is cocked prior to firing to impart assistance upon depression of the firing trigger. Alternatively, a torsion coil spring ratchet mechanism is preloaded to act through a gear into the rack to assist. As a further alternative, a retraction spring is preloaded and disengaged until the rack is fully fired.

    摘要翻译： 手术切割和缝合器械夹紧钉子施加组件中的组织，其包括保持钉仓和可枢转地相对的上钳口（砧座）的细长通道的下钳口。 触发手柄驱动连接到发射杆和杆的手柄中的齿条，其通过细长轴并进入钉施加组件以切断和切割组织。 在释放点火手柄时，缩回弹簧有助于取出架子和其他点火部件。 为了有利地有助于燃烧，弹簧偏压的柱塞在击发之前被起动以在按下击发扳机时给予辅助。 或者，扭力螺旋弹簧棘轮机构被预加载以通过齿轮作用到齿条中以辅助。 作为另一替代方案，退回弹簧被预加载和分离，直到齿条完全燃烧。

    Method for instrument insertion through a body orifice
    7.
    发明申请
    Method for instrument insertion through a body orifice 有权
    仪器通过体孔插入的方法

    公开(公告)号：US20070239177A1

    公开(公告)日：2007-10-11

    申请号：US11394174

    申请日：2006-03-31

    申请人： Michael Stokes ,  Thomas Albrecht ,  Mark Ortiz ,  Mark Zeiner ,  Andrew Zwolinski ,  Frederick Shelton

    发明人： Michael Stokes ,  Thomas Albrecht ,  Mark Ortiz ,  Mark Zeiner ,  Andrew Zwolinski ,  Frederick Shelton

    IPC分类号： A61B17/04

    CPC分类号： A61B17/0469

    摘要： A method for inserting an instrument through a natural orifice. The instrument has a low profile orientation and a deployed orientation which is larger than the size of the natural orifice through which it is to be inserted. The method is achieved by coupling the instrument to an endoscope and placing the instrument in its low profile orientation, insetting the endoscope and the instrument through a natural orifice to a target position within a body while the instrument is in its low profile orientation, actuating the instrument to it is deployed orientation, and returning the instrument to its low profile orientation and withdrawing the instrument from the body through the natural orifice.

    摘要翻译： 一种通过天然孔口插入仪器的方法。 仪器具有低轮廓取向和展开方向，其大于被插入的自然孔的尺寸。 该方法通过将仪器连接到内窥镜并将仪器置于其低轮廓取向来实现，其将内窥镜和仪器通过自然孔口内插到身体内的目标位置，同时仪器处于低度方向，致动 仪器部署方向，并将仪器返回到其低调方向，并将仪器从身体通过自然孔抽出。

    ENDOSCOPIC ANCILLARY ATTACHMENT DEVICES
    8.
    发明申请
    ENDOSCOPIC ANCILLARY ATTACHMENT DEVICES 有权
    内窥镜附件装置

    公开(公告)号：US20070232850A1

    公开(公告)日：2007-10-04

    申请号：US11278016

    申请日：2006-03-30

    申请人： Michael Stokes ,  Mark Ortiz ,  Frederick Shelton

    发明人： Michael Stokes ,  Mark Ortiz ,  Frederick Shelton

    IPC分类号： A61B1/00

    CPC分类号： A61B1/018 ,  A61B1/0014 ,  A61B1/005

    摘要： Methods and devices are provided for attaching one or more ancillary devices to an endoscope. The ancillary device can be any device that is used in conjunction with endoscopic procedures, such as, by way of non-limiting example, an accessory channel, tube, or sleeve, an indwelling tube or feeding tube, and surgical tools such as graspers, snares, etc. The ancillary device(s) can be positioned adjacent to and along side an external surface of an insertion portion of an endoscope for inserting into a body lumen, and one or more attachment devices can be used to mate the ancillary device(s) to the endoscope at one or more attachment locations. In use, the attachment device(s) will allow the ancillary device to move in coordination with the endoscope, thus allowing the endoscope and the ancillary device(s) to be introduced and guided through a tortuous pathway. In certain exemplary embodiments, the attachment device(s) can be configured to prevent radial movement, i.e., twisting, of the ancillary device relative to the endoscope, yet allow axial sliding of the ancillary device relative to the endoscope.

    摘要翻译： 提供了用于将一个或多个辅助装置附接到内窥镜的方法和装置。 辅助装置可以是与内窥镜程序结合使用的任何装置，例如通过非限制性示例，附件通道，管或套管，留置管或进料管，以及外科手术工具，例如抓紧器， 圈套等。辅助装置可以被定位成与内窥镜的插入部分的外表面相邻并且沿着侧面插入到体腔中，并且可以使用一个或多个附接装置来配合辅助装置（ s）到一个或多个附接位置处的内窥镜。 在使用中，附接装置将允许辅助装置与内窥镜协调地移动，从而允许将内窥镜和辅助装置引入并引导通过曲折的路径。 在某些示例性实施例中，附接装置可以构造成防止辅助装置相对于内窥镜的径向运动，即扭转，而允许辅助装置相对于内窥镜的轴向滑动。

    Gearing selector for a powered surgical cutting and fastening instrument
    9.
    发明申请
    Gearing selector for a powered surgical cutting and fastening instrument 审中-公开
    用于动力手术切割和紧固器械的选择器

    公开(公告)号：US20070175951A1

    公开(公告)日：2007-08-02

    申请号：US11343563

    申请日：2006-01-31

    申请人： Frederick Shelton ,  Jeffrey Swayze ,  Eugene Timperman

    发明人： Frederick Shelton ,  Jeffrey Swayze ,  Eugene Timperman

    IPC分类号： A61B17/10

    CPC分类号： A61B17/07207 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/00734

    摘要： A powered surgical cutting and fastening instrument includes a drive shaft; a motor; and a gear shifting assembly connected to the drive shaft and the motor. The gear shifting assembly may include at least a first stage gear assembly coupled to the motor and to the drive shaft for operating the gear shifting assembly in a first gear setting; and a gear coupling assembly for selectively coupling at least one additional gear to the drive shaft for operating the gear shifting assembly in a second gear setting.

    摘要翻译： 动力手术切割和紧固器械包括驱动轴; 电机 以及连接到驱动轴和马达的变速组件。 变速组件可以包括至少第一级齿轮组件，其联接到电动机和驱动轴，用于在第一档位设置中操作变速组件; 以及齿轮联接组件，用于选择性地将至少一个附加齿轮联接到驱动轴，以在第二齿轮设置中操作变速组件。