公开(公告)号：US20070175956A1

公开(公告)日：2007-08-02

申请号：US11343439

申请日：2006-01-31

申请人： Jeffrey Swayze ,  Frederick Shelton ,  Kevin Doll ,  Eugene Timperman

发明人： Jeffrey Swayze ,  Frederick Shelton ,  Kevin Doll ,  Eugene Timperman

IPC分类号： A61B17/04

CPC分类号： A61B17/07207 ,  A61B34/76 ,  A61B90/03 ,  A61B2017/00398 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2090/08021

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。

公开(公告)号：US20070175949A1

公开(公告)日：2007-08-02

申请号：US11343545

申请日：2006-01-31

申请人： Frederick Shelton ,  Jerome Morgan ,  Kevin Doll ,  Jeffrey Swayze ,  Eugene Timperman

发明人： Frederick Shelton ,  Jerome Morgan ,  Kevin Doll ,  Jeffrey Swayze ,  Eugene Timperman

IPC分类号： A61B17/10

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B17/28 ,  A61B17/285 ,  A61B34/76 ,  A61B2017/00119 ,  A61B2017/00128 ,  A61B2017/00398 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/07271 ,  A61B2090/0803 ,  A61B2090/0807 ,  A61B2090/0811 ,  G08B21/18

摘要： A surgical instrument. The surgical instrument comprises a plurality of sensors, and a status module releasably connected to the surgical instrument. The status module comprises a plurality of contacts, a circuit, and a plurality of indicators. Each individual contact is in electrical communication with a different sensor. The circuit is in electrical communication with at least one of the contacts. At least one of the indicators is in electrical communication with the circuit.

摘要翻译： 手术器械。 手术器械包括多个传感器，以及可释放地连接到外科器械的状态模块。 状态模块包括多个触点，电路和多个指示器。 每个单独的触点与不同的传感器电连通。 电路与至少一个触点电连通。 指示器中的至少一个与电路电连通。

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。

公开(公告)号：US20070175960A1

公开(公告)日：2007-08-02

申请号：US11344020

申请日：2006-01-31

申请人： Frederick Shelton ,  Kevin Doil ,  Jeffrey Swayze ,  Eugene Timperman

发明人： Frederick Shelton ,  Kevin Doil ,  Jeffrey Swayze ,  Eugene Timperman

IPC分类号： A61B17/04

CPC分类号： A61B17/07207 ,  A61B2017/00734 ,  A61B2090/0803 ,  A61B2090/0811 ,  A61B2090/0814

摘要： A surgical instrument. The surgical instrument comprises a handle, a battery, a motor, and a lockout system. The handle comprises a primary portion and a grip portion. The grip portion is releasably connected to the primary portion. The battery is within the grip portion. The motor is in electrical communication with the battery. The lockout system is within the handle, and is structured and arranged to block connection of the grip portion to the primary portion after the grip portion is disconnected from the primary portion a predetermined number of times.

摘要翻译： 手术器械。 手术器械包括手柄，电池，马达和锁定系统。 手柄包括主要部分和抓握部分。 把手部分可释放地连接到主要部分。 电池在把手部分内。 电机与电池电连通。 锁定系统在手柄内，并且构造和布置成在把手部分与主要部分断开预定次数之后阻止把手部分与主要部分的连接。

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。

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。

公开(公告)号：US20060175375A1

公开(公告)日：2006-08-10

申请号：US11052387

申请日：2005-02-07

申请人： Frederick Shelton ,  Kevin Doll ,  Douglas Hoffman ,  Michael Setser ,  Jeffrey Swayze

发明人： Frederick Shelton ,  Kevin Doll ,  Douglas Hoffman ,  Michael Setser ,  Jeffrey Swayze

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/2923

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。

公开(公告)号：US20050178813A1

公开(公告)日：2005-08-18

申请号：US11052632

申请日：2005-02-07

申请人： Jeffrey Swayze ,  Frederick Shelton ,  Kevin Doll ,  Douglas Hoffman

发明人： Jeffrey Swayze ,  Frederick Shelton ,  Kevin Doll ,  Douglas Hoffman

IPC分类号： A61B17/072 ,  A61B17/28 ,  A61B17/04

CPC分类号： A61B17/07207 ,  A61B17/2909 ,  A61B2017/2923 ,  A61B2017/2925

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。

公开(公告)号：US20070102474A1

公开(公告)日：2007-05-10

申请号：US11270305

申请日：2005-11-09

申请人： Frederick Shelton ,  Jeffrey Swayze

发明人： Frederick Shelton ,  Jeffrey Swayze

IPC分类号： A61B17/10

CPC分类号： A61B17/07207 ,  A61B2017/00539 ,  A61B2017/07214 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2017/320052

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。

公开(公告)号：US20060047305A1

公开(公告)日：2006-03-02

申请号：US11162984

申请日：2005-09-30

申请人： Mark Ortiz ,  Frederick Shelton ,  Joseph Hueil ,  Jeffrey Swayze

发明人： Mark Ortiz ,  Frederick Shelton ,  Joseph Hueil ,  Jeffrey Swayze

IPC分类号： A61B17/04

CPC分类号： A61B17/128 ,  A61B17/068 ,  A61B17/0684 ,  A61B17/1285 ,  A61B17/29 ,  A61B2017/00017 ,  A61B2017/003 ,  A61B2017/00398 ,  A61B2017/00871 ,  A61B2017/2927 ,  A61B2017/2946

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。