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公开(公告)号：US20090088603A1
公开(公告)日：2009-04-02
申请号：US12331110
申请日：2008-12-09
IPC分类号： A61B1/005
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US07479752B2
公开(公告)日：2009-01-20
申请号：US11425525
申请日：2006-06-21
IPC分类号： G05B19/04
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
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公开(公告)号：US08179074B2
公开(公告)日：2012-05-15
申请号：US12581464
申请日：2009-10-19
IPC分类号： B25J5/00
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US20100042141A1
公开(公告)日：2010-02-18
申请号：US12581464
申请日：2009-10-19
IPC分类号： A61B17/94
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US07605559B2
公开(公告)日：2009-10-20
申请号：US12331110
申请日：2008-12-09
IPC分类号： B25J15/02
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US20070296365A1
公开(公告)日：2007-12-27
申请号：US11425525
申请日：2006-06-21
CPC分类号： A61B17/1285 , A61B34/30 , A61B34/71 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2017/2925 , A61B2017/2929 , A61B2017/2946 , A61B2034/301 , A61B2090/0813
摘要： Methods and devices are provided for rotating an end effector on a long, flexible medical device. The methods and devices utilize an actuator mechanism that is effective to rotate an end effector on the distal end of an elongate flexible shaft. The actuator mechanism is movable between a freely rotatable position and a rotationally resistant position. When the actuator mechanism is in a freely rotatable position, the actuator mechanism can be rotated to impart torque to the end effector, and thus at least a distal portion of the elongate shaft, to cause the end effector to rotate. In order to prevent the actuator mechanism from “freewheeling,” wherein the actuator mechanism freely rotates in an opposite direction upon release rather than the end effector rotating in the desired direction, the actuator mechanism can be moved to the rotationally resistant position.
摘要翻译： 提供了用于在长的，柔性的医疗装置上旋转端部执行器的方法和装置。 所述方法和装置利用致动器机构，其有效地使末端执行器在细长柔性轴的远端上旋转。 致动器机构可在可自由旋转的位置和抗旋转位置之间移动。 当致动器机构处于可自由旋转的位置时，致动器机构可以旋转，以向端部执行器施加扭矩，并且因此使细长轴的至少远端部分转动，使端部执行器旋转。 为了防止致动器机构“续流”，其中致动器机构在释放时沿相反的方向自由旋转，而不是端部执行器沿期望的方向旋转，致动器机构可以移动到可旋转的位置。
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公开(公告)号：US09241714B2
公开(公告)日：2016-01-26
申请号：US13433140
申请日：2012-03-28
申请人： Richard W. Timm , Mark D. Timmer , Tamara Widenhouse , Matthew M. Lang , John L. Stammen , Gary W. Knight , Christopher W. Widenhouse , William B. Weisenburgh, II , Stephanie A. Mutchler , Mark H. Ransick , Katherine J. Schmid , Frederick E. Shelton, IV , Chester O. Baxter, III
发明人： Richard W. Timm , Mark D. Timmer , Tamara Widenhouse , Matthew M. Lang , John L. Stammen , Gary W. Knight , Christopher W. Widenhouse , William B. Weisenburgh, II , Stephanie A. Mutchler , Mark H. Ransick , Katherine J. Schmid , Frederick E. Shelton, IV , Chester O. Baxter, III
IPC分类号： A61B17/072 , A61B17/00 , A61B19/00
CPC分类号： A61B17/068 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00561 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/00942 , A61B2017/00951 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2090/0811 , A61L17/005 , A61L2300/102 , A61L2300/232 , A61L2300/45 , F04C2270/0421 , Y10T29/49826
摘要： In various embodiments, a tissue thickness compensator can comprise a film body formed from a continuous extruded shape and, in addition, a fibrous medicament core.
摘要翻译： 在各种实施例中，组织厚度补偿器可以包括由连续挤压形状形成的膜体，并且还包括纤维状药剂芯。
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公开(公告)号：US09220559B2
公开(公告)日：2015-12-29
申请号：US13235683
申请日：2011-09-19
申请人： Barry C. Worrell , Sean P. Conlon , Gary W. Knight , Matthew C. Miller , Charles J. Scheib , Frederick E. Shelton, IV , Geoffrey S. Strobl , Jeffrey S. Swayze , Aaron C. Voegele , Charles S. Black , Kreena R. Modi
发明人： Barry C. Worrell , Sean P. Conlon , Gary W. Knight , Matthew C. Miller , Charles J. Scheib , Frederick E. Shelton, IV , Geoffrey S. Strobl , Jeffrey S. Swayze , Aaron C. Voegele , Charles S. Black , Kreena R. Modi
CPC分类号： A61B18/1447 , A61B18/1445 , A61B2017/00314 , A61B2018/00601 , A61B2018/0063 , A61B2018/126 , A61B2018/1455
摘要： An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft extending between the body and the end effector. The end effector includes a pair of jaws and at least one electrode operable to deliver RF energy to tissue clamped between the jaws. The cutting member is operable to cut tissue clamped between the jaws. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. The articulation section may include beads, segments, asymmetric features, preformedly bent features, an integral hinge, a helical cutout or spring, clevis features, an angled joint, a beaded actuation linkage, and/or an offset pivot, among other things. The device may also include a crimped cutting member, a retroacting cutting member, dual pivoting jaws, and/or a wire tensioning assembly.
摘要翻译： 电外科装置包括主体，端部执行器，切割构件以及在主体和端部执行器之间延伸的轴。 末端执行器包括一对钳口和至少一个电极，其可操作以将RF能量递送到钳夹在钳口之间的组织。 切割构件可操作以切割夹在夹爪之间的组织。 轴包括铰接部分，其可操作以选择性地将末端执行器定位在相对于轴的纵向轴线的非平行位置。 关节运动部分可以包括珠，段，不对称特征，预成型弯曲特征，整体铰链，螺旋切口或弹簧，U形夹特征，成角度接头，串珠致动连杆，和/或偏移枢轴等。 该装置还可以包括卷曲切割构件，追溯切割构件，双重枢转夹爪和/或线张紧组件。
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9.发明授权Robotically-controlled motorized surgical end effector system with rotary actuated closure systems having variable actuation speeds 有权具有可变致动速度的旋转致动闭合系统的机器人控制的电动外科末端执行器系统公开(公告)号：US08602288B2
公开(公告)日：2013-12-10
申请号：US13369588
申请日：2012-02-09
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/320092 , A61B34/30 , A61B34/70 , A61B34/71 , A61B34/76 , A61B50/30 , A61B50/36 , A61B90/98 , A61B2017/00075 , A61B2017/00314 , A61B2017/00323 , A61B2017/00362 , A61B2017/00398 , A61B2017/00477 , A61B2017/00685 , A61B2017/00734 , A61B2017/0688 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2090/065 , A61B2090/0803 , A61B2090/0811 , A61B2090/0814 , H02J7/0031
摘要： A surgical tool for use with a robotic system includes an end effector comprising at least one component portion selectively movable between first and second positions and a shaft including an axially movable portion in operable communication with the at least one selectively movable component portion and a rotatably movable portion in operable engagement with the axially movable portion. An initial rotation of the rotatably movable portion causes the axially movable portion to move the selectively movable component portion from the first position into an intermediate position at a first rate. A subsequent rotation of the rotatably movable portion in a same direction causes the axially movable portion to move the selectively movable component portion from the intermediate position to the second position at a second rate different from the first rate.
摘要翻译： 一种与机器人系统一起使用的外科手术工具包括端部执行器，其包括可选择性地在第一和第二位置之间移动的至少一个部件部分和包括可与所述至少一个可选择性移动的部件可操作地连通的轴向可移动部分的轴， 部分可与轴向可移动部分可操作地接合。 可旋转运动部分的初始旋转使得轴向可移动部分以第一速率将选择性地可移动的部件从第一位置移动到中间位置。 可旋转运动部分沿相同方向的随后的旋转使得轴向可移动部分以不同于第一速率的第二速率将选择性地可移动的部件从中间位置移动到第二位置。
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公开(公告)号：US08393514B2
公开(公告)日：2013-03-12
申请号：US12894377
申请日：2010-09-30
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B1/00064 , A61B1/0051 , A61B1/008 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/08 , A61B17/1155 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00946 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , Y10T29/49863
摘要： A fastener cartridge can comprise a compressible, collapsible, and/or crushable cartridge body and fasteners embedded within the cartridge body which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein the first jaw can be positioned opposite a second jaw, or anvil. The anvil can be engaged with the fastener cartridge to compress, collapse, and/or crush the cartridge body and deform, or otherwise deploy, the fasteners contained therein. As the fasteners are deformed or deployed, the fasteners can capture at least a portion of the cartridge body therein along with at least a portion of the tissue being fastened. In various embodiments, the fastener cartridge and/or the first jaw can comprise retention features which can allow the fastener cartridge to be selectively inserted into the first jaw in a first orientation or a second orientation.
摘要翻译： 紧固件盒可以包括可压缩，可折叠和/或可破碎的盒体和嵌入在盒体内的紧固件，其可用于紧固组织。 在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第一钳口可以与第二钳口或砧座相对定位。 砧座可以与紧固件卡盘接合以压缩，塌缩和/或挤压盒体并且使包含在其中的紧固件变形或以其他方式展开。 当紧固件变形或展开时，紧固件可以与被紧固的组织的至少一部分一起捕获其中的盒体的至少一部分。 在各种实施例中，紧固件卡盘和/或第一卡爪可以包括保持特征，其可以允许紧固件卡盒以第一取向或第二取向选择性地插入到第一卡爪中。
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