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1.发明申请CAM DRIVEN COUPLING BETWEEN ULTRASONIC TRANSDUCER AND WAVEGUIDE IN SURGICAL INSTRUMENT 审中-公开超声波传感器与手术仪器中波形管之间的CAM驱动耦合公开(公告)号：US20120116262A1
公开(公告)日：2012-05-10
申请号：US13274496
申请日：2011-10-17
申请人： Kevin L. Houser , William D. Dannaher , Stephen J. Balek , Wells D. Haberstich , Matthew C. Miller , Scott A. Woodruff
发明人： Kevin L. Houser , William D. Dannaher , Stephen J. Balek , Wells D. Haberstich , Matthew C. Miller , Scott A. Woodruff
IPC分类号： A61N7/00
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2017/320069 , A61B2017/320071 , A61B2017/320094 , A61B2017/320095 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , G16H20/40 , G16H40/63 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： A surgical instrument includes a body assembly, a waveguide, a transducer, and a coupling assembly. In some versions the coupling assembly translates the transducer to couple the transducer to the waveguide. For instance, a gear having arcuate troughs may engage pins on the transducer and/or waveguide to mate the transducer to waveguide. A pawl may selectively engage and prevent rotation of the gear. Alternatively, lever arms may cam the transducer into the waveguide. The lever arms may selectively couple to a casing to prevent decoupling of the transducer and waveguide. In another configuration, a locking tab can be slid and locked into a slot to couple the transducer and waveguide. Further still, levers with self-locking pins may engage and couple the transducer to the waveguide. In another version, a rotatable body portion may engage a tab on the transducer to rotate and couple the transducer to the waveguide.
摘要翻译： 外科器械包括主体组件，波导，换能器和联接组件。 在一些版本中，耦合组件转换换能器以将换能器耦合到波导。 例如，具有弓形槽的齿轮可以接合换能器和/或波导上的销，以将换能器与波导配合。 棘爪可以选择性地接合并防止齿轮的旋转。 或者，杠杆臂可以将换能器拉入波导中。 杠杆臂可以选择性地联接到壳体以防止换能器和波导的去耦。 在另一种结构中，可以将锁定片滑动并锁定到槽中以连接换能器和波导。 此外，具有自锁销的杠杆可以接合并将换能器耦合到波导。 在另一种形式中，可旋转主体部分可以接合换能器上的突出部，以将换能器旋转并耦合到波导。
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2.发明授权Surgical access devices and methods providing seal movement in predefined paths 有权手术进入装置和方法，以预定路径提供密封运动公开(公告)号：US08251900B2
公开(公告)日：2012-08-28
申请号：US12399547
申请日：2009-03-06
申请人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466
摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.
摘要翻译： 提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。 密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵， 保持吹风。
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3.发明申请SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED PATHS 有权外科手术设备和方法提供密封运动在预定的PATHS公开(公告)号：US20100228092A1
公开(公告)日：2010-09-09
申请号：US12399547
申请日：2009-03-06
申请人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466
摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.
摘要翻译： 提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。 密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵， 保持吹风。
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4.发明申请SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED MOVEMENT REGIONS 有权预防运动区域的密封运动的外科手术装置和方法公开(公告)号：US20100228094A1
公开(公告)日：2010-09-09
申请号：US12399656
申请日：2009-03-06
申请人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B2017/0225 , A61B2017/3419 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61M13/003
摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.
摘要翻译： 提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。 密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵， 保持吹风。
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公开(公告)号：US09192428B2
公开(公告)日：2015-11-24
申请号：US13274830
申请日：2011-10-17
IPC分类号： A61B17/32 , A61B18/14 , A61B17/00 , A61B18/00 , A61B18/04 , H02J7/00 , H01M2/26 , H01M2/10 , A61B18/12 , A61B19/00 , A61B17/064 , A61B17/285 , A61B17/29
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An ultrasonic surgical instrument includes a transmission assembly extending from a body assembly that is configured to selectively couple to a disposable clamp arm. In some versions the clamp arm may include a tab that is insertable into a slot of an inner member such that actuation of the inner member rotates the clamp arm relative to a blade. In other versions the clamp arm may include a ball recess and the inner member may include a rod and ball. The clamp arm may be configured to snap onto the ball and rod. Alternatively, the clamp arm may include living hinges coupleable to an outer sheath and the inner member. Such living hinges may be unitarily formed with a clamp pad on the clamp arm. Further still, the clamp arm may be part of an end effector configured to couple to the transmission assembly via resilient tabs and slots.
摘要翻译： 超声波手术器械包括从主体组件延伸的变速组件，所述主体组件被配置为选择性地联接到一次性夹紧臂。 在一些形式中，夹紧臂可以包括可插入内部构件的狭槽中的突片，使得内部构件的致动相对于叶片旋转夹紧臂。 在其他形式中，夹持臂可以包括球凹部，并且内部构件可以包括杆和球。 夹持臂可以被配置成卡扣到球和杆上。 或者，夹紧臂可以包括可连接到外护套和内部构件的活动铰链。 这种活动铰链可以与夹紧臂上的夹紧垫整体形成。 此外，夹臂可以是端部执行器的一部分，其构造成经由弹性突出部和狭槽连接到传动组件。
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6.发明授权Surgical access devices and methods providing seal movement in predefined movement regions 有权手术进入装置和在预定的运动区域中提供密封运动的方法公开(公告)号：US08961406B2
公开(公告)日：2015-02-24
申请号：US12399656
申请日：2009-03-06
申请人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B2017/0225 , A61B2017/3419 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61M13/003
摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.
摘要翻译： 提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。 密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵， 保持吹风。
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公开(公告)号：US20120116433A1
公开(公告)日：2012-05-10
申请号：US13274830
申请日：2011-10-17
IPC分类号： A61B17/32
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An ultrasonic surgical instrument includes a transmission assembly extending from a body assembly that is configured to selectively couple to a disposable clamp arm. In some versions the clamp arm may include a tab that is insertable into a slot of an inner member such that actuation of the inner member rotates the clamp arm relative to a blade. In other versions the clamp arm may include a ball recess and the inner member may include a rod and ball. The clamp arm may be configured to snap onto the ball and rod. Alternatively, the clamp arm may include living hinges coupleable to an outer sheath and the inner member. Such living hinges may be unitarily formed with a clamp pad on the clamp arm. Further still, the clamp arm may be part of an end effector configured to couple to the transmission assembly via resilient tabs and slots.
摘要翻译： 超声波手术器械包括从主体组件延伸的变速组件，所述主体组件被配置为选择性地联接到一次性夹紧臂。 在一些形式中，夹紧臂可以包括可插入内部构件的狭槽中的突片，使得内部构件的致动相对于叶片旋转夹紧臂。 在其他形式中，夹持臂可以包括球凹部，并且内部构件可以包括杆和球。 夹持臂可以被配置成卡扣到球和杆上。 或者，夹紧臂可以包括可连接到外护套和内部构件的活动铰链。 这种活动铰链可以与夹紧臂上的夹紧垫整体形成。 此外，夹臂可以是端部执行器的一部分，其构造成经由弹性突片和狭槽连接到传动组件。
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公开(公告)号：US08985429B2
公开(公告)日：2015-03-24
申请号：US13242164
申请日：2011-09-23
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, Jr. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, Jr. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
IPC分类号： A61B17/068 , A61B17/00 , A61B17/072 , A61B17/32
CPC分类号： A61B17/00491 , A61B17/07207 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further includes an agent. The firing bar is operable to assist with releasing the agent onto a severed line of tissue when the firing bar is advanced.
摘要翻译： 手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。 下颌构造成接收可移除的盒。 盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。 甲板限定孔，每个孔基本上设置在每个钉上。 该盒还包括一个代理。 射击杆可操作以帮助当射击杆前进时将药剂释放到组织切断线上。
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公开(公告)号：US20130075451A1
公开(公告)日：2013-03-28
申请号：US13242164
申请日：2011-09-23
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further includes an agent. The firing bar is operable to assist with releasing the agent onto a severed line of tissue when the firing bar is advanced.
摘要翻译： 手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切断组件。 下颌构造成接收可移除的盒。 盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。 甲板限定孔，每个孔基本上设置在每个钉上。 该盒还包括一个代理。 射击杆可操作以帮助当射击杆前进时将药剂释放到组织切断线上。
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公开(公告)号：US08961547B2
公开(公告)日：2015-02-24
申请号：US12703893
申请日：2010-02-11
申请人： Timothy G. Dietz , Gregory W. Johnson , Sean P. Conlon , Daniel J. Mumaw , Jerome R. Morgan , William D. Dannaher , Omar J. Vakharia , Richard W. Timm , Matthew C. Miller , Galen C. Robertson
发明人： Timothy G. Dietz , Gregory W. Johnson , Sean P. Conlon , Daniel J. Mumaw , Jerome R. Morgan , William D. Dannaher , Omar J. Vakharia , Richard W. Timm , Matthew C. Miller , Galen C. Robertson
IPC分类号： A61B17/32 , A61B17/3207 , A61B17/22
CPC分类号： A61B17/320068 , A61B17/22004 , A61B17/320092 , A61B17/3207 , A61B17/320783 , A61B2017/00296 , A61B2017/00778
摘要： In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath and a blade disposed at least partially within the sheath. Coupled to the blade may be at least one ultrasonic transducer, which, in turn, may be coupled to a drive system. The drive system may be configured to deliver gross axial motions to the blade such that the blade translates with respect to the hollow sheath when the drive system is activated. Accordingly, tissue may be cut by the blade with gross axial movement of the blade and/or ultrasonic vibrational motion provided by the ultrasonic transducer(s). In alternative embodiments, the blade may be rotated axially instead of translated with respect to the hollow sheath.
摘要翻译： 在各种实施例中，提供了用于在水性环境中操作的外科器械。 在至少一个实施例中，外科器械可以包括中空护套和至少部分地设置在护套内的刀片。 耦合到叶片的可以是至少一个超声换能器，其又可以耦合到驱动系统。 驱动系统可以被配置为将大的轴向运动传递到叶片，使得当驱动系统被启动时，叶片相对于中空护套平移。 因此，组织可以由刀片切割，叶片具有大的轴向运动和/或由超声波换能器提供的超声振动运动。 在替代实施例中，叶片可以轴向旋转而不是相对于中空护套平移。
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