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公开(公告)号：US09517063B2
公开(公告)日：2016-12-13
申请号：US13433135
申请日：2012-03-28
申请人： Jeffrey S. Swayze , Joshua R. Uth , Richard L. Leimbach , John L. Stammen , Samuel P. Tidwell , Frederick E. Shelton, IV
发明人： Jeffrey S. Swayze , Joshua R. Uth , Richard L. Leimbach , John L. Stammen , Samuel P. Tidwell , Frederick E. Shelton, IV
IPC分类号： A61B17/04 , A61B17/10 , A61B17/064 , A61B17/00 , A61B17/072 , A61B17/115 , A61B17/29 , A61B17/32 , A61B17/295
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B50/30 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00327 , A61B2017/00473 , A61B2017/00477 , A61B2017/00495 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/0641 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2050/3008 , A61B2050/314 , A61B2090/037
摘要： A cutting blade for a surgical cutting and stapling instrument is disclosed therein. The cutting blade can include one or more features to direct or displace substances released from within the tissue thickness compensators used with the surgical instrument. The cutting blade may include a textured surface that can cause substances from the tissue thickness compensator to spread across the blade surface.
摘要翻译： 公开了一种用于外科切割和缝合器械的切割刀片。 切割刀片可以包括一个或多个特征来引导或置换从与外科器械一起使用的组织厚度补偿器内释放的物质。 切割刀片可以包括纹理表面，其可以导致来自组织厚度补偿器的物质扩展穿过刀片表面。
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公开(公告)号：US20130256382A1
公开(公告)日：2013-10-03
申请号：US13433135
申请日：2012-03-28
申请人： Jeffrey S. Swayze , Joshua R. Uth , Richard L. Leimbach , John L. Stammen , Samuel P. Tidwell , Frederick E. Shelton, IV
发明人： Jeffrey S. Swayze , Joshua R. Uth , Richard L. Leimbach , John L. Stammen , Samuel P. Tidwell , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B50/30 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00327 , A61B2017/00473 , A61B2017/00477 , A61B2017/00495 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/0641 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2050/3008 , A61B2050/314 , A61B2090/037
摘要： A cutting blade for a surgical cutting and stapling instrument is disclosed therein. The cutting blade can include one or more features to direct or displace substances released from within the tissue thickness compensators used with the surgical instrument. The cutting blade may include a textured surface that can cause substances from the tissue thickness compensator to spread across the blade surface.
摘要翻译： 公开了一种用于外科切割和缝合器械的切割刀片。 切割刀片可以包括一个或多个特征来引导或置换从与外科器械一起使用的组织厚度补偿器内释放的物质。 切割刀片可以包括纹理表面，其可以导致来自组织厚度补偿器的物质扩展穿过刀片表面。
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公开(公告)号：US10123798B2
公开(公告)日：2018-11-13
申请号：US13433141
申请日：2012-03-28
申请人： Chester O. Baxter, III , Frederick E. Shelton, IV , Charles J. Scheib , Christopher W. Widenhouse , William B. Weisenburgh, II , John L. Stammen , Mark H. Ransick , Stephanie A. Mutchler , Gary W. Knight , Michael S. Cropper , Sean P. Conlon , Jeffrey S. Swayze
发明人： Chester O. Baxter, III , Frederick E. Shelton, IV , Charles J. Scheib , Christopher W. Widenhouse , William B. Weisenburgh, II , John L. Stammen , Mark H. Ransick , Stephanie A. Mutchler , Gary W. Knight , Michael S. Cropper , Sean P. Conlon , Jeffrey S. Swayze
IPC分类号： A61B17/072 , A61B17/00 , A61B17/064 , A61B17/115 , A61B17/29 , A61B17/32
摘要： A tissue thickness compensator may generally comprise a first layer comprising a first biocompatible material sealingly enclosed in a water impermeable material and a second layer comprising a second biocompatible material comprising at least one encapsulation, wherein the first biocompatible material expands when contacted with a fluid. The tissue thickness compensator may comprise a haemostatic agent, an anti-inflammatory agent, an antibiotic agent, anti-microbial agent, an anti-adhesion agent, an anti-coagulant agent, a medicament, and/or pharmaceutically active agent. The encapsulation may comprise a biodegradable material to degrade in vivo and/or in situ. The tissue thickness compensator may comprise a hydrogel. The reaction product may comprise a fluid-swellable composition. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described.
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4.发明申请公开(公告)号：US20120241493A1
公开(公告)日：2012-09-27
申请号：US13433141
申请日：2012-03-28
申请人： Chester O. Baxter, III , Frederick E. Shelton, IV , Charles J. Scheib , Christopher W. Widenhouse , William B. Weisenburgh, II , John L. Stammen , Mark H. Ransick , Stephanie A. Mutchler , Gary W. Knight , Michael S. Cropper , Sean P. Conlon , Jeffrey S. Swayze
发明人： Chester O. Baxter, III , Frederick E. Shelton, IV , Charles J. Scheib , Christopher W. Widenhouse , William B. Weisenburgh, II , John L. Stammen , Mark H. Ransick , Stephanie A. Mutchler , Gary W. Knight , Michael S. Cropper , Sean P. Conlon , Jeffrey S. Swayze
IPC分类号： A61B17/068 , B05D7/00
CPC分类号： A61B17/07207 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/072 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00314 , A61B2017/00327 , A61B2017/00477 , A61B2017/00495 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , F04C2270/0421
摘要： A tissue thickness compensator may generally comprise a first layer comprising a first biocompatible material sealingly enclosed in a water impermeable material and a second layer comprising a second biocompatible material comprising at least one encapsulation, wherein the first biocompatible material expands when contacted with a fluid. The tissue thickness compensator may comprise a haemostatic agent, an anti-inflammatory agent, an antibiotic agent, anti-microbial agent, an anti-adhesion agent, an anti-coagulant agent, a medicament, and/or pharmaceutically active agent. The encapsulation may comprise a biodegradable material to degrade in vivo and/or in situ. The tissue thickness compensator may comprise a hydrogel. The reaction product may comprise a fluid-swellable composition. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described.
摘要翻译： 组织厚度补偿器通常可以包括密封地封闭在不透水材料中的第一生物相容性材料的第一层和包含至少一种封装的第二生物相容性材料的第二层，其中当与流体接触时第一生物相容性材料膨胀。 组织厚度补偿器可以包括止血剂，抗炎剂，抗生素剂，抗微生物剂，抗粘连剂，抗凝剂，药物和/或药物活性剂。 包封可以包括在体内和/或原位降解的可生物降解的材料。 组织厚度补偿器可以包括水凝胶。 反应产物可以包含流体可溶胀组合物。 还描述了包括组织厚度补偿器的制品以及制造和使用组织厚度补偿器的方法。
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5.发明授权Rotary drive shaft assemblies for surgical instruments with articulatable end effectors 有权具有铰接式末端执行器的手术器械的旋转驱动轴组件公开(公告)号：US08747238B2
公开(公告)日：2014-06-10
申请号：US13536301
申请日：2012-06-28
申请人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Jerome R. Morgan , John L. Stammen , Chester O. Baxter, III
发明人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Jerome R. Morgan , John L. Stammen , Chester O. Baxter, III
IPC分类号： F16C1/04
CPC分类号： B23K26/38 , A61B34/30 , A61B34/37 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/2903 , A61B2034/306 , B23K26/40 , B23K2103/05 , B23K2103/14 , B23K2103/42 , B23K2103/50 , Y10T29/49826
摘要： Drive shaft assemblies for a surgical instrument. Various forms include a plurality of movably interlocking joint segments that are interconnected to form a flexible hollow tube. A flexible secondary constraining member is configured in flexible constraining engagement with the plurality of movably interlocking joint segments to retain the interlocking joint segments in movable interlocking engagement while facilitating flexing of the drive shaft assembly.
摘要翻译： 用于外科器械的驱动轴组件。 各种形式包括互连以形成柔性中空管的多个可移动的互锁接头段。 柔性辅助约束构件被构造成与多个可移动的互锁接头段的柔性约束接合，以将互锁接头段保持在可动互锁接合中，同时便于驱动轴组件的弯曲。
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6.发明申请ROTARY DRIVE SHAFT ASSEMBLIES FOR SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS 有权旋转驱动轴组件用于具有可变终端效应的手术仪器公开(公告)号：US20140005677A1
公开(公告)日：2014-01-02
申请号：US13536301
申请日：2012-06-28
申请人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Jerome R. Morgan , John L. Stammen , Chester O. Baxter, III
发明人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Jerome R. Morgan , John L. Stammen , Chester O. Baxter, III
CPC分类号： B23K26/38 , A61B34/30 , A61B34/37 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/2903 , A61B2034/306 , B23K26/40 , B23K2103/05 , B23K2103/14 , B23K2103/42 , B23K2103/50 , Y10T29/49826
摘要： Drive shaft assemblies for a surgical instrument. Various forms include a plurality of movably interlocking joint segments that are interconnected to form a flexible hollow tube. A flexible secondary constraining member is configured in flexible constraining engagement with the plurality of movably interlocking joint segments to retain the interlocking joint segments in movable interlocking engagement while facilitating flexing of the drive shaft assembly.
摘要翻译： 用于外科器械的驱动轴组件。 各种形式包括互连以形成柔性中空管的多个可移动的互锁接头段。 柔性辅助约束构件被构造成与多个可移动的互锁接头段的柔性约束接合，以将互锁接头段保持在可动互锁接合中，同时便于驱动轴组件的弯曲。
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公开(公告)号：US09220501B2
公开(公告)日：2015-12-29
申请号：US13433167
申请日：2012-03-28
申请人： Chester O. Baxter, III , Frederick E. Shelton, IV , Katherine J. Schmid , Taylor W. Aronhalt , Gregory W. Johnson , John L. Stammen , Gary W. Knight , Christopher W. Widenhouse , William B. Weisenburgh, II , Stephanie A. Mutchler , Timothy S. Bedard
发明人： Chester O. Baxter, III , Frederick E. Shelton, IV , Katherine J. Schmid , Taylor W. Aronhalt , Gregory W. Johnson , John L. Stammen , Gary W. Knight , Christopher W. Widenhouse , William B. Weisenburgh, II , Stephanie A. Mutchler , Timothy S. Bedard
IPC分类号： A61B17/068 , A61B17/064 , A61B17/072 , A61B17/115 , A61B17/00 , A61B17/29 , A61B17/32
CPC分类号： A61B17/105 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00889 , A61B2017/00951 , A61B2017/0641 , A61B2017/0688 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/320052
摘要： A two-part tissue thickness compensator assembly can include a first tissue thickness compensator configured to be positioned relative to an anvil of a surgical stapler, a second tissue thickness compensator configured to be positioned relative to a staple cartridge of the surgical stapler, and a hinge connecting the first tissue thickness compensator to the second tissue thickness compensator. The first and/or second tissue thickness compensators may include additional engagement features, such as a raised ridge that engages a slot in the anvil and/or the staple cartridge. In certain embodiments, the first and/or second tissue thickness compensators may include an encasement that contains a suitable biologic agent. An end effector assembly may be provided for attachment to a surgical instrument that includes, for example, a staple cartridge, an anvil, a first tissue thickness compensator positioned on the anvil, and a second tissue thickness compensator positioned on the staple cartridge.
摘要翻译： 两部分组织厚度补偿器组件可以包括构造成相对于外科缝合器的砧座定位的第一组织厚度补偿器，构造成相对于外科缝合器的钉仓定位的第二组织厚度补偿器，以及铰链 将第一组织厚度补偿器连接到第二组织厚度补偿器。 第一和/或第二组织厚度补偿器可以包括额外的接合特征，例如接合砧和/或钉仓中的狭槽的凸脊。 在某些实施方案中，第一和/或第二组织厚度补偿器可以包括含有合适的生物制剂的包装。 可以提供端部执行器组件用于附接到手术器械，该手术器械包括例如钉仓，砧座，定位在砧座上的第一组织厚度补偿器和定位在钉仓上的第二组织厚度补偿器。
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8.发明申请DEVICES AND METHODS FOR ATTACHING TISSUE THICKNESS COMPENSATING MATERIALS TO SURGICAL STAPLING INSTRUMENTS 审中-公开用于将组织厚度补充材料连接到外科手术器械的装置和方法公开(公告)号：US20130256373A1
公开(公告)日：2013-10-03
申请号：US13433132
申请日：2012-03-28
申请人： Katherine J. Schmid , Taylor W. Aronhalt , Jerome R. Morgan , Frederick E. Shelton, IV , Charles J. Scheib , John L. Stammen , Mark S. Ortiz , Jeffrey L. Aldridge
发明人： Katherine J. Schmid , Taylor W. Aronhalt , Jerome R. Morgan , Frederick E. Shelton, IV , Charles J. Scheib , John L. Stammen , Mark S. Ortiz , Jeffrey L. Aldridge
IPC分类号： A61B17/068
摘要： Surgical stapling instruments are disclosed. At least one embodiment includes a first jaw that supports a plurality of surgical staples and a second jaw that is movable relative to the first jaw. Various arrangements include a tissue thickness compensator that is configured to be captured within the surgical staples and assume different compressed heights within different surgical staples upon application of a firing motion to the surgical staples. Various attachment protrusion arrangements are disclosed to mechanically removably attach the tissue thickness compensator to the first or second jaw.
摘要翻译： 公开了外科缝合器械。 至少一个实施例包括支撑多个手术吻合钉的第一钳口和可相对于第一钳口移动的第二钳夹。 各种布置包括组织厚度补偿器，其构造成在外科缝钉内捕获并且在对外科缝钉施加点火运动时在不同的手术缝钉内呈现不同的压缩高度。 公开了各种附接突起装置，以将组织厚度补偿器机械地可拆卸地附接到第一或第二钳口。
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公开(公告)号：US20130256368A1
公开(公告)日：2013-10-03
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： A61B17/068 , B23P11/00 , B29C65/00
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：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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