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    Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers
    3.
    发明申请
    Surgical stapling device with multiple stacked actuator wedge cams for driving staple drivers 有权
    具有多个堆叠执行器楔形凸轮的手术吻合装置，用于驱动主要驱动器

    公开(公告)号：US20070262116A1

    公开(公告)日：2007-11-15

    申请号：US11712315

    申请日：2007-02-28

    申请人： Joseph Hueil ,  Jerome Morgan ,  Frederick Shelton ,  Jeffrey Swayze

    发明人： Joseph Hueil ,  Jerome Morgan ,  Frederick Shelton ,  Jeffrey Swayze

    IPC分类号： A61B17/04

    CPC分类号： A61B17/07207 ,  A61B17/0644 ,  A61B17/1155 ,  A61B17/32053 ,  A61B2017/07214 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07264 ,  A61B2017/07278 ,  A61B2017/2923 ,  A61B2017/320052 ,  B25C5/0292

    摘要： A surgical stapling device. According to various embodiments, the stapling device comprises an end effector and a plurality of stacked actuatable wedge band sets. The end effector comprises an anvil having a staple forming surface and a staple cartridge facing the staple forming surface of the anvil. The staple cartridge comprises a plurality of staples and a plurality of staple drivers moveable supportable within the staple cartridge. Each staple driver is in contact with one of the staples and configured such that when the staple drivers are actuated, the staple drivers drive the staples through the staple cartridge so that the staples are formed against the staple forming surface of the anvil. Each stacked wedge band set comprises at least two different-level wedge bands for axially traversing the end effector. Each wedge band comprises a wedge cam at its distal end for driving certain ones of the staple drivers when the wedge band is actuated. A first of the two wedge bands in the stacks rides on a second of the two wedge bands in the stacks such that the staple drivers are driven in successive stages by the at least two wedge bands when the wedge bands are driven in succession. The cumulative height of a first of the plurality of stacked wedge band sets is less than a cumulative height of a second of the plurality of stacked wedge band sets.

    摘要翻译： 外科缝合装置 根据各种实施例，缝合装置包括端部执行器和多个堆叠的可致动楔形带组。 末端执行器包括具有钉形成表面的砧座和面向砧座的钉形成表面的钉仓。 钉仓包括多个钉和可移动地支撑在钉仓内的多个订书钉驱动器。 每个订书钉驱动器与订书钉中的一个接触并且构造成使得当订书钉驱动器被致动时，订书钉驱动器通过钉仓驱动订书钉，使得订书钉形成在砧座的订书钉形成表面上。 每个堆叠的楔带组包括至少两个不同级别的楔形带，用于轴向地穿过末端执行器。 每个楔形带在其远端包括楔形凸轮，用于当楔形带被致动时用于驱动订书钉驱动器中的某些。 堆叠中的两个楔形带中的第一个在堆叠中的两个楔形带中的第二个楔形带上骑行，使得当楔形带被连续驱动时，订书钉驱动器在连续阶段被至少两个楔形带驱动。 多个堆叠的楔形带组中的第一个的累积高度小于多个堆叠楔形带组中的第二个的累积高度。

    Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser
    4.
    发明申请
    Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser 有权
    具有电活性聚合物致动的药物分配器的手术吻合器械

    公开(公告)号：US20060025813A1

    公开(公告)日：2006-02-02

    申请号：US11141753

    申请日：2005-06-01

    申请人： Frederick Shelton ,  Joseph Hueil ,  Jerome Morgan

    发明人： Frederick Shelton ,  Joseph Hueil ,  Jerome Morgan

    IPC分类号： A61B17/28

    CPC分类号： A61B17/07207 ,  A61B2017/00398 ,  A61B2017/00871 ,  A61B2017/2912

    摘要： A surgical stapling and severing instrument enables minimally invasive surgical procedures by having upper and lower jaws (i.e., anvil and staple channel) that are positioned with an elongate shaft and handle through a surgical opening, and in particular through a cannula of a trocar. A pair of fluid bladders (lift bags) are positioned in the staple channel beneath a proximally projecting lever tray so that transfer of fluid from the handle causes closing and clamping of the anvil. The bi-directional fluid control may be mechanically produced at the handle or by activating an electroactive polymer actuator. Once firing is sensed, an EAP plunger in a medical substance syringe inserted into the elongate shaft is activated to dispense a medical substance (e.g., anesthetics, adhesives, cauterizing substances, antibiotics, etc.) and is guided along a firing bar to a cutting surface of an E-beam placing the substance on tissue as severed.

    摘要翻译： 外科缝合和切割器械通过具有上下钳口（即，砧座和缝合通道）来进行微创外科手术，所述上钳口和下颚定位成具有细长轴和手柄通过手术开口，并且特别是通过套管针的插管。 一对流体囊（提升袋）被定位在近侧突出的杆托板下方的钉通道中，使得来自手柄的流体的传送导致砧座的闭合和夹紧。 双向流体控制可以在手柄处或通过激活电活性聚合物致动器机械地产生。 一旦感测到烧灼，则插入到细长轴中的药物注射器中的EAP柱塞被激活以分配医疗物质（例如麻醉剂，粘合剂，烧灼物质，抗生素等），并且沿着击球杆被引导至切割 电子束的表面将物质放置在组织上切断。

    Surgical stapling device with staple drivers of different height
    5.
    发明申请
    Surgical stapling device with staple drivers of different height 审中-公开
    具有不同高度的钉驱动器的手术吻合装置

    公开(公告)号：US20070194079A1

    公开(公告)日：2007-08-23

    申请号：US11711975

    申请日：2007-02-28

    申请人： Joseph Hueil ,  Jerome Morgan ,  Frederick Shelton

    发明人： Joseph Hueil ,  Jerome Morgan ,  Frederick Shelton

    IPC分类号： A61B17/10

    CPC分类号： A61B17/0682 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/32053 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07264 ,  A61B2017/07278 ,  A61B2017/320052 ,  B25C5/0292

    摘要： A surgical stapling device comprising an end effector. According to various embodiments, the end effector comprises an anvil having a staple forming surface and a plurality of staples facing the staple forming surface of the anvil. The end effector also comprises a plurality of staple drivers moveable supported within the staple cartridge. Each staple driver is in contact with one of the plurality of staples such that when the staple drivers are actuated, the plurality of staples are formed against the staple forming surface of the anvil. A first quantity of the staple drivers have a first height and a second quantity of the staple drivers have a second height, wherein the first height is less than the second height such that the staples driven by the first quantity of staple drivers have a longer formed length than the staples driven by the second quantity of staple drivers.

    摘要翻译： 一种外科缝合装置，包括端部执行器。 根据各种实施例，末端执行器包括具有钉形成表面的砧和面向砧座的钉形成表面的多个钉。 末端执行器还包括可移动地支撑在钉仓内的多个订书钉驱动器。 每个订书钉驱动器与多个订书钉中的一个接触，使得当订书钉驱动器被致动时，多个订书钉形成为抵靠砧座的订书钉形成表面。 第一数量的订书钉驱动器具有第一高度，并且第二数量的订书钉驱动器具有第二高度，其中第一高度小于第二高度，使得由第一数量的订书钉驱动器驱动的订书钉具有更长的成形 长度大于由第二批钉驱动器驱动的订书钉。

    Motor-driven surgical cutting and fastening instrument with tactile position feedback
    6.
    发明申请
    Motor-driven surgical cutting and fastening instrument with tactile position feedback 有权
    电动外科切割和紧固器具，具有触觉位置反馈

    公开(公告)号：US20070175962A1

    公开(公告)日：2007-08-02

    申请号：US11344035

    申请日：2006-01-31

    申请人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan ,  Jeffrey Swayze

    发明人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan ,  Jeffrey Swayze

    IPC分类号： A61B17/04

    CPC分类号： A61B17/07207 ,  A61B34/76 ,  A61B2017/00398 ,  A61B2017/00734

    摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector, a main drive shaft assembly connected to the end effector, and a gear drive train connected to the main drive shaft assembly. The end effector comprises a movable cutting instrument for cutting an object positioned in the end effector. The instrument also includes a main motor for actuating the gear drive train and a firing trigger for actuating the main motor. The instrument also includes a tactile position feedback system for applying force to the firing trigger such that the position of the firing trigger is related to the position of the cutting instrument in the end effector.

    摘要翻译： 公开了一种外科切割和紧固器械。 根据各种实施例，仪器包括端部执行器，连接到端部执行器的主驱动轴组件和连接到主驱动轴组件的齿轮传动系。 末端执行器包括用于切割位于末端执行器中的物体的可移动切割工具。 该仪器还包括用于致动齿轮传动系的主电动机和用于致动主电动机的击发触发器。 该仪器还包括用于向击发触发器施加力的触觉位置反馈系统，使得击发触发器的位置与切割仪器在末端执行器中的位置相关。

    Motor-driven surgical cutting and fastening instrument with loading force feedback
    7.
    发明申请
    Motor-driven surgical cutting and fastening instrument with loading force feedback 有权
    电动外科切割和紧固仪器，带负载力反馈

    公开(公告)号：US20070175952A1

    公开(公告)日：2007-08-02

    申请号：US11343573

    申请日：2006-01-31

    申请人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan ,  Jeffrey Swayze

    发明人： Frederick Shelton ,  John Ouwerkerk ,  Jerome Morgan ,  Jeffrey Swayze

    IPC分类号： A61B17/10

    CPC分类号： A61B17/07207 ,  A61B34/76 ,  A61B2017/00398 ,  A61B2017/00734

    摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector, a main drive shaft assembly, and a handle. The handle comprises a gear drive train connected to the main drive shaft assembly, a motor for actuating the gear drive train, and a firing trigger. Retraction of the firing trigger actuates the motor. Further, the firing trigger is connected to the gear drive train such that the loading force applied to the firing trigger is related to the loading force experienced by the cutting instrument in the end effector.

    摘要翻译： 公开了一种外科切割和紧固器械。 根据各种实施例，仪器包括端部执行器，主驱动轴组件和手柄。 手柄包括连接到主驱动轴组件的齿轮传动系，用于致动齿轮传动系的马达和击发扳机。 触发触发器的退回启动电机。 此外，点火触发器连接到齿轮传动系，使得施加到击发扳机的加载力与末端执行器中的切割工具所经受的加载力相关。

    SURGICAL STAPLING INSTRUMENT HAVING FORCE CONTROLLED SPACING END EFFECTOR
    10.
    发明申请
    SURGICAL STAPLING INSTRUMENT HAVING FORCE CONTROLLED SPACING END EFFECTOR 有权
    具有控制力的空间终端效应器的外科手术器械

    公开(公告)号：US20070075114A1

    公开(公告)日：2007-04-05

    申请号：US11231456

    申请日：2005-09-21

    申请人： Frederick Shelton ,  Jerome Morgan

    发明人： Frederick Shelton ,  Jerome Morgan

    IPC分类号： A61B17/10

    CPC分类号： A61B17/07207 ,  A61B90/03 ,  A61B2017/0725 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/320052

    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, resilient structures are formed into an E-beam firing bar that includes a cutting surface (knife) that severs tissue between a top pin that engages the anvil and a middle pin and lower foot that engage the lower jaw. The resilience responds to the force exerted by clamped tissue to vary the spacing.

    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，弹性结构被形成为电子束击发杆，其包括切割表面（刀），切割表面（刀）在接合砧座的顶部销和中间销之间切割组织，并且下部脚与下颚啮合。 弹性响应由夹紧的组织施加的力以改变间距。