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    ELECTROSURGICAL CUTTING AND SEALING INSTRUMENTS WITH JAWS HAVING A PARALLEL CLOSURE MOTION
    2.
    发明申请
    ELECTROSURGICAL CUTTING AND SEALING INSTRUMENTS WITH JAWS HAVING A PARALLEL CLOSURE MOTION 有权
    电动切割和密封具有并行闭合运动的手套

    公开(公告)号：US20110251609A1

    公开(公告)日：2011-10-13

    申请号：US12758298

    申请日：2010-04-12

    申请人： Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Foster B. Stulen

    发明人： Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Foster B. Stulen

    IPC分类号： A61B18/14

    CPC分类号： A61B17/3205 ,  A61B17/2804 ,  A61B18/1445 ,  A61B18/1447 ,  A61B18/1492 ,  A61B2017/2933 ,  A61B2018/1412 ,  A61B2018/145 ,  A61B2018/1455

    摘要： Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The end effector may additionally comprise a first push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to the shaft at a first pivot point as well as a first linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to a second pivot point. In this way, distal motion of the reciprocating member may exert a force on the first and second jaw members causing the first and second jaw members to translate towards one another in a substantially parallel motion.

    摘要翻译： 各种实施例涉及包括轴和端部执行器的外科器械。 轴可以联接到手柄并且可以沿着纵向轴线向远侧延伸。 末端执行器可以定位在轴的远端，并且可以包括第一和第二钳口构件和往复运动构件。 第一和第二钳口构件可以限定第一和第二纵向槽。 往复运动构件可以在远侧和近侧平行于纵向轴线并通过第一和第二纵向狭槽平移。 往复运动构件的远侧部分可以限定一个叶片。 端部执行器可以另外包括第一推杆构件，其具有可枢转地联接到第一钳口构件的远侧定向的端部，以及在第一枢转点可枢转地联接到所述轴的向近侧指向的端部以及具有远端指向的端部 可枢转地联接到第一钳口构件和可枢转地联接到第二枢转点的近端指向的端部。 以这种方式，往复构件的远端运动可以对第一和第二钳口构件施加力，导致第一和第二钳口构件以基本平行的运动彼此平移。

    SURGICAL INSTRUMENTS FOR TENSIONING TISSUE
    3.
    发明申请
    SURGICAL INSTRUMENTS FOR TENSIONING TISSUE 有权
    张力组织外科手术器械

    公开(公告)号：US20130023875A1

    公开(公告)日：2013-01-24

    申请号：US13189169

    申请日：2011-07-22

    申请人： Jason L. Harris ,  Jeffrey S. Swayze ,  Foster B. Stulen ,  Gregory W. Johnson ,  Prasanna Malaviya ,  Paul Guerra

    发明人： Jason L. Harris ,  Jeffrey S. Swayze ,  Foster B. Stulen ,  Gregory W. Johnson ,  Prasanna Malaviya ,  Paul Guerra

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1447 ,  A61B18/1445 ,  A61B2018/00184 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00815 ,  A61B2018/1455

    摘要： A surgical instrument can comprise an end effector including a plurality of jaws which can be configured to compress tissue therebetween. The end effector can further comprise one or more electrodes which can be configured to direct a flow of electrical current through the tissue in order to heat the tissue and denature collagen and/or other proteins within the tissue. As the tissue cools, the collagen and/or other proteins can renature and thereby seal the tissue. In certain embodiments, the end effector of the surgical instrument can further comprise movable portions which can apply a tension force to the tissue surrounding the tissue being sealed. In various circumstances, the tension force can reduce the over-denaturation, shrinkage, and/or other damage to the surrounding tissue caused by heat flowing from the end effector during the sealing process.

    摘要翻译： 外科器械可以包括端部执行器，其包括多个钳口，其可被配置为在它们之间压缩组织。 端部执行器还可以包括一个或多个电极，其可被配置为引导电流流过组织，以加热组织并使组织内的胶原和/或其它蛋白质变性。 当组织冷却时，胶原蛋白和/或其它蛋白质可以复制并由此密封组织。 在某些实施例中，外科器械的末端执行器可以进一步包括能够对被密封的组织周围的组织施加张力的可动部分。 在各种情况下，张紧力可以减少在密封过程期间从端部执行器流动的热引起的周围组织的过度变性，收缩和/或其它损伤。

    Electrosurgical instrument employing pressure-variation electrodes
    5.
    发明授权
    Electrosurgical instrument employing pressure-variation electrodes 有权
    采用压力变异电极的电外科仪器

    公开(公告)号：US08790342B2

    公开(公告)日：2014-07-29

    申请号：US12797252

    申请日：2010-06-09

    申请人： Foster B. Stulen ,  Jeffrey S. Swayze ,  Prasanna Malaviya ,  Gregory W. Johnson ,  Jason L. Harris ,  Paul Guerra

    发明人： Foster B. Stulen ,  Jeffrey S. Swayze ,  Prasanna Malaviya ,  Gregory W. Johnson ,  Jason L. Harris ,  Paul Guerra

    IPC分类号： A61B18/14 ,  A61B18/00

    CPC分类号： A61B18/1445 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/0063 ,  A61B2018/1455

    摘要： A surgical instrument can comprise a handle, a first conductor, a second conductor, and an end effector. The end effector can comprise a first jaw, a second jaw, wherein the first jaw is movable relative to the second jaw in order to capture tissue intermediate the first jaw and the second jaw, a first electrode electrically coupled with the first conductor, and a second electrode electrically coupled with the second conductor, wherein the second electrode is comprised of a material configured to have a first electrical resistance when a first pressure is applied to the material, and wherein the material is configured to have a second electrical resistance when a second pressure is applied to the material. In various circumstances, the material can be configured such that, once the applied pressure has exceeded a switching pressure, the resistance of the material can switch from the first resistance to the second resistance.

    摘要翻译： 手术器械可以包括手柄，第一导体，第二导​​体和末端执行器。 末端执行器可以包括第一钳口和第二钳口，其中第一钳口相对于第二钳口可移动，以便捕获第一钳夹和第二钳夹中间的组织，与第一导体电耦合的第一电极和 所述第二电极与所述第二导体电耦合，其中所述第二电极包括被配置为当向所述材料施加第一压力时具有第一电阻的材料，并且其中所述材料被配置为当第二电极具有第二电阻时， 对材料施加压力。 在各种情况下，材料可以被配置为使得一旦施加的压力超过开关压力，材料的电阻就可以从第一阻力转换到第二阻力。

    Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion
    6.
    发明授权
    Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion 有权
    具有并联闭合运动的钳口的电外科切割和密封仪器

    公开(公告)号：US08709035B2

    公开(公告)日：2014-04-29

    申请号：US12758298

    申请日：2010-04-12

    申请人： Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Foster B. Stulen

    发明人： Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Foster B. Stulen

    IPC分类号： A61B17/00 ,  A61B18/14

    CPC分类号： A61B17/3205 ,  A61B17/2804 ,  A61B18/1445 ,  A61B18/1447 ,  A61B18/1492 ,  A61B2017/2933 ,  A61B2018/1412 ,  A61B2018/145 ,  A61B2018/1455

    摘要： A surgical instrument comprising, a shaft, and an end effector comprising first and second jaw members and a reciprocating member. The end effector may additionally comprise a first push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to the shaft at a first pivot point as well as a first linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to a second pivot point. In this way, distal motion of the reciprocating member may exert a force on the first and second jaw members causing the first and second jaw members to translate towards one another in a substantially parallel motion.

    摘要翻译： 一种手术器械，包括轴，以及包括第一和第二钳口构件和往复运动构件的端部执行器。 端部执行器可以另外包括第一推杆构件，其具有可枢转地联接到第一钳口构件的远侧定向的端部，以及在第一枢转点可枢转地联接到所述轴的向近侧指向的端部以及具有远端指向的端部 可枢转地联接到第一钳口构件和可枢转地联接到第二枢转点的近端指向的端部。 以这种方式，往复构件的远端运动可以对第一和第二钳口构件施加力，导致第一和第二钳口构件以基本平行的运动彼此平移。

    Surgical instruments for tensioning tissue
    7.
    发明授权
    Surgical instruments for tensioning tissue 有权
    用于张紧组织的外科器械

    公开(公告)号：US09259265B2

    公开(公告)日：2016-02-16

    申请号：US13189169

    申请日：2011-07-22

    申请人： Jason L. Harris ,  Jeffrey S. Swayze ,  Foster B. Stulen ,  Gregory W. Johnson ,  Prasanna Malaviya ,  Paul Guerra

    发明人： Jason L. Harris ,  Jeffrey S. Swayze ,  Foster B. Stulen ,  Gregory W. Johnson ,  Prasanna Malaviya ,  Paul Guerra

    IPC分类号： A61B18/14 ,  A61B18/00

    CPC分类号： A61B18/1447 ,  A61B18/1445 ,  A61B2018/00184 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00815 ,  A61B2018/1455

    摘要： A surgical instrument can comprise an end effector including a plurality of jaws which can be configured to compress tissue therebetween. The end effector can further comprise one or more electrodes which can be configured to direct a flow of electrical current through the tissue in order to heat the tissue and denature collagen and/or other proteins within the tissue. As the tissue cools, the collagen and/or other proteins can renature and thereby seal the tissue. In certain embodiments, the end effector of the surgical instrument can further comprise movable portions which can apply a tension force to the tissue surrounding the tissue being sealed. In various circumstances, the tension force can reduce the over-denaturation, shrinkage, and/or other damage to the surrounding tissue caused by heat flowing from the end effector during the sealing process.

    摘要翻译： 外科器械可以包括端部执行器，其包括多个钳口，其可被配置为在它们之间压缩组织。 端部执行器还可以包括一个或多个电极，其可被配置为引导电流流过组织，以加热组织并使组织内的胶原和/或其它蛋白质变性。 当组织冷却时，胶原蛋白和/或其它蛋白质可以复制并由此密封组织。 在某些实施例中，外科器械的末端执行器可以进一步包括能够对被密封的组织周围的组织施加张力的可动部分。 在各种情况下，张紧力可以减少在密封过程期间从端部执行器流动的热引起的周围组织的过度变性，收缩和/或其它损伤。

    Surgical cutting and fastening device with descendible second trigger arrangement
    8.
    发明授权
    Surgical cutting and fastening device with descendible second trigger arrangement 有权
    手术切割和紧固装置，具有可下降的第二触发装置

    公开(公告)号：US09044243B2

    公开(公告)日：2015-06-02

    申请号：US13221410

    申请日：2011-08-30

    申请人： Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Foster B. Stulen ,  Prasanna Malaviya

    发明人： Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Foster B. Stulen ,  Prasanna Malaviya

    IPC分类号： A61B18/12 ,  A61B18/14 ,  A61B17/29 ,  A61B18/00 ,  A61B17/00

    CPC分类号： A61B18/1445 ,  A61B17/2909 ,  A61B2017/0042 ,  A61B2017/2912 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2018/00619 ,  A61B2018/1455

    摘要： A nested trigger assembly for a surgical instrument may generally comprise a first trigger and a second trigger, wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument may generally comprise a shaft comprising a proximal end and a distal end, a handle extending from the proximal end, wherein the handle comprises a gripping portion, and a nested trigger assembly extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.

    摘要翻译： 用于外科器械的嵌套触发器组件通常可以包括第一触发器和第二触发器，其中第一触发器和第二触发器可以在嵌套触发器组件的第一冲程上一起移动，其中第二触发器被配置为被偏置 从所述第一触发之后的第一触发和第二笔划之前，并且其中所述第二触发器被配置为在所述第二笔划期间朝向所述第一触发器移动。 手术器械通常可包括轴，该轴包括近端和远端，从近端延伸的手柄，其中手柄包括抓握部分和从手柄延伸的嵌套扳机组件。 嵌套触发器组装可以包括可分离触发器组件和可分割触发器组件之一。

    SURGICAL CUTTING AND FASTENING DEVICE WITH DESCENDIBLE SECOND TRIGGER ARRANGEMENT
    10.
    发明申请
    SURGICAL CUTTING AND FASTENING DEVICE WITH DESCENDIBLE SECOND TRIGGER ARRANGEMENT 有权
    具有可靠的第二个触发装置的外科切割和紧固装置

    公开(公告)号：US20130053831A1

    公开(公告)日：2013-02-28

    申请号：US13221410

    申请日：2011-08-30

    申请人： Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Foster B. Stulen ,  Prasanna Malaviya

    发明人： Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Foster B. Stulen ,  Prasanna Malaviya

    IPC分类号： A61B17/00

    CPC分类号： A61B18/1445 ,  A61B17/2909 ,  A61B2017/0042 ,  A61B2017/2912 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2018/00619 ,  A61B2018/1455

    摘要： A nested trigger assembly for a surgical instrument may generally comprise a first trigger and a second trigger, wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument may generally comprise a shaft comprising a proximal end and a distal end, a handle extending from the proximal end, wherein the handle comprises a gripping portion, and a nested trigger assembly extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.

    摘要翻译： 用于外科器械的嵌套触发器组件通常可以包括第一触发器和第二触发器，其中第一触发器和第二触发器可以在嵌套触发器组件的第一冲程上一起移动，其中第二触发器被配置为被偏置 从所述第一触发之后的第一触发和第二笔划之前，并且其中所述第二触发器被配置为在所述第二笔划期间朝向所述第一触发器移动。 手术器械通常可包括轴，该轴包括近端和远端，从近端延伸的手柄，其中手柄包括抓握部分和从手柄延伸的嵌套扳机组件。 嵌套触发器组装可以包括可分离触发器组件和可分割触发器组件之一。