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1.发明申请SURGICAL STAPLING INSTRUMENT WITH APPARATUS FOR PROVIDING ANVIL POSITION FEEDBACK 有权手术装置用于提供安全位置反馈的装置公开(公告)号：US20100096435A1
公开(公告)日：2010-04-22
申请号：US12252502
申请日：2008-10-16
申请人： Richard P. Fuchs , Nicholas G. Molitor , Bennie Thompson , John P. Measamer , Frederick E. Shelton, IV , Chester O. Baxter, III , Mark Tsonlon
发明人： Richard P. Fuchs , Nicholas G. Molitor , Bennie Thompson , John P. Measamer , Frederick E. Shelton, IV , Chester O. Baxter, III , Mark Tsonlon
IPC分类号： A61B17/068
CPC分类号： A61B17/1114 , A61B17/1155 , A61B2017/00128 , A61B2017/07257 , A61B2090/0811
摘要： Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of feedback systems designed to provide at least one mode of feedback to the surgeon when the anvil has been attached to the device and/or when the anvil has been attached to the device and oriented in a firing position. Various types of feedback indicators are disclosed such as illumination devices, sound generating devices and vibration generating devices. In various embodiments, the feedback indicator comprises at least one illumination device mounted on the anvil which indicates that the anvil has been properly attached to the instrument and which can also serve to illuminate the surgical site.
摘要翻译： 公开了用于将一个或多个外科缝合钉切割并施加到组织的圆形缝合器械。 仪器包括各种形式的反馈系统，其被设计为当砧座已经附接到设备时和/或当砧座已经附接到设备并且定位在击发位置时，向外科医生提供至少一种反馈模式。 公开了各种类型的反馈指示器，例如照明装置，发声装置和振动产生装置。 在各种实施例中，反馈指示器包括安装在砧座上的至少一个照明装置，其指示砧座已经被适当地附接到仪器上，并且还可以用于照亮外科手术部位。
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2.发明授权Surgical stapling instrument with apparatus for providing anvil position feedback 有权具有用于提供砧座位置反馈的装置的手术吻合器械公开(公告)号：US07918377B2
公开(公告)日：2011-04-05
申请号：US12252502
申请日：2008-10-16
申请人： John P. Measamer , Frederick E. Shelton, IV , Chester O. Baxter, III , Richard P. Fuchs , Nicholas G. Molitor , Bennie Thompson , Mark Tsonton
发明人： John P. Measamer , Frederick E. Shelton, IV , Chester O. Baxter, III , Richard P. Fuchs , Nicholas G. Molitor , Bennie Thompson , Mark Tsonton
IPC分类号： A61B17/068
CPC分类号： A61B17/1114 , A61B17/1155 , A61B2017/00128 , A61B2017/07257 , A61B2090/0811
摘要： Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of feedback systems designed to provide at least one mode of feedback to the surgeon when the anvil has been attached to the device and/or when the anvil has been attached to the device and oriented in a firing position. Various types of feedback indicators are disclosed such as illumination devices, sound generating devices and vibration generation devices. In various embodiments, the feedback indicator comprises at least one illumination device mounted on the anvil which indicates that the anvil has been properly attached to the instrument and which can also serve to illuminate the surgical site.
摘要翻译： 公开了用于将一个或多个外科缝合钉切割并施加到组织的圆形缝合器械。 仪器包括各种形式的反馈系统，其被设计为当砧座已经附接到设备时和/或当砧座已经附接到设备并且定位在击发位置时，向外科医生提供至少一种反馈模式。 公开了各种类型的反馈指示器，例如照明装置，发声装置和振动产生装置。 在各种实施例中，反馈指示器包括安装在砧座上的至少一个照明装置，其指示砧座已经被适当地附接到仪器上，并且还可以用于照亮外科手术部位。
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公开(公告)号：US09839420B2
公开(公告)日：2017-12-12
申请号：US13433136
申请日：2012-03-28
申请人： Frederick E. Shelton, IV , Katherine J. Schmid , Charles J. Scheib , Taylor W. Aronhalt , Matthew M. Lang , Steven G. Hall , Chester O. Baxter, III
发明人： Frederick E. Shelton, IV , Katherine J. Schmid , Charles J. Scheib , Taylor W. Aronhalt , Matthew M. Lang , Steven G. Hall , Chester O. Baxter, III
IPC分类号： A61B17/04 , A61B17/10 , A61B17/068 , A61B17/072 , A61L17/00 , A61B17/064 , A61B17/115 , A61B17/00 , A61B17/29 , A61B17/32 , A61B90/00
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： A stapling assembly comprising a tissue thickness compensator is disclosed. The tissue thickness compensator comprises a body portion comprising a porous material and a plurality of cavities defined in the body portion, wherein the cavities are aligned with forming surfaces of an anvil such that fasteners of a fastener cartridge are configured to at least one of the cavities when the fasteners are ejected from the fastener cartridge or capture the cavities and compress the cavities within the tissue thickness compensator when the fasteners are ejected from the fastener cartridge and formed by forming surfaces of the anvil. The stapling assembly further comprises at least one medicament positioned within each cavity prior to firing the stapler, wherein the medicament is different than the porous material.
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公开(公告)号：US09289256B2
公开(公告)日：2016-03-22
申请号：US13536326
申请日：2012-06-28
CPC分类号： A61B34/70 , A61B17/29 , A61B17/295 , A61B17/320016 , A61B18/1442 , A61B18/18 , A61B2017/00199 , A61B2017/00212 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00327 , A61B2017/2927
摘要： Surgical end effectors are disclosed having angled tissue-contacting surfaces. The end effectors may have a first jaw member that is movable relative to a second jaw member between an open position and a closed position. The first jaw member may have a first positively-angled tissue-contacting surface. The second jaw member may have a second positively-angled tissue-contacting surface. At least one of the jaw members may have at least one active electrode configured to deliver RF energy to tissue located between the first jaw member and the second jaw member when in the closed position.
摘要翻译： 公开了具有成角度的组织接触表面的手术末端执行器。 末端执行器可以具有第一钳口构件，其可以在打开位置和关闭位置之间相对于第二钳口构件移动。 第一钳口构件可以具有第一有角度的组织接触表面。 第二钳口构件可以具有第二主角组织接触表面。 至少一个钳口构件可以具有至少一个有源电极，其构造成当处于关闭位置时将RF能量递送到位于第一钳口构件和第二钳口构件之间的组织。
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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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公开(公告)号：US09113865B2
公开(公告)日：2015-08-25
申请号：US13097861
申请日：2011-04-29
IPC分类号： A61B17/068 , A61B17/00 , A61B17/064 , A61B17/072 , A61B17/115 , A61B17/29 , A61B17/32 , A61B19/00 , A61B17/295 , A61B17/04
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator 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 a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译： 紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。 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，其中第二钳口或砧座可以定位成与第一钳口相对。 为了部署紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。 当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。
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公开(公告)号：US08893949B2
公开(公告)日：2014-11-25
申请号：US13242029
申请日：2011-09-23
IPC分类号： A61B17/068 , A61B17/115 , A61B17/00 , A61B17/072 , A61B17/29 , A61B17/32 , A61B19/00 , A61B17/04 , A61B17/064
CPC分类号： A61B17/07207 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07292 , A61B17/1155 , A61B90/92 , A61B2017/00004 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00353 , A61B2017/00495 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/320052
摘要： A surgical instrument can include an anvil and, in addition, a staple cartridge support configured to support a staple cartridge. In various embodiments, the jaw can be moved toward the staple cartridge to deform staples contained within the staple cartridge. The anvil can be configured to be translated and/or rotated as the anvil is moved toward the staple cartridge. In certain embodiments, the anvil can be configured to float and adjust such that the anvil is moved downwardly in a level manner.
摘要翻译： 手术器械可以包括砧座，并且还包括构造成支撑钉仓的钉仓支架。 在各种实施例中，钳口可以朝向钉仓移动以变形装在钉仓中的钉。 砧座可以被构造成当砧座朝向钉仓移动时被平移和/或旋转。 在某些实施例中，砧可构造成浮动和调节，使砧座以水平的方式向下移动。
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公开(公告)号：US08857694B2
公开(公告)日：2014-10-14
申请号：US13097869
申请日：2011-04-29
申请人： Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt , Venkataramanan Mandakolathur Vasudevan , Israel Nur , John V. Hunt , Geoffrey C. Hueil , Gregory J. Fanuele
发明人： Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt , Venkataramanan Mandakolathur Vasudevan , Israel Nur , John V. Hunt , Geoffrey C. Hueil , Gregory J. Fanuele
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator 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 a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译： 紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。 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，其中第二钳口或砧座可以定位成与第一钳口相对。 为了部署紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。 当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。
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公开(公告)号：US08777004B2
公开(公告)日：2014-07-15
申请号：US13097917
申请日：2011-04-29
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator 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 a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译： 紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。 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，其中第二钳口或砧座可以定位成与第一钳口相对。 为了部署紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。 当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。
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公开(公告)号：US08591459B2
公开(公告)日：2013-11-26
申请号：US12971249
申请日：2010-12-17
申请人： Jeffrey W. Clymer , Prasanna Malaviya , Donna L. Korvick , Kevin L. Houser , Cory G. Kimball , Foster B. Stulen , Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt
发明人： Jeffrey W. Clymer , Prasanna Malaviya , Donna L. Korvick , Kevin L. Houser , Cory G. Kimball , Foster B. Stulen , Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt
CPC分类号： A61B5/4839 , A61B5/14546 , A61B5/486 , A61B5/7282 , A61B5/742 , A61B10/0283 , A61B10/06 , A61B18/1445 , A61B2046/236 , A61B2218/008 , A61M2037/0007
摘要： Biomarkers are collected and used to determine biological propensities of a patient, to determine the efficacy of medical devices, to select and administer therapeutic agents, to select medical devices, to make adjustments to medical devices, and/or to adjust surgical techniques. An apparatus includes a port to draw a biological fluid (e.g., a mist) from a surgical site. The apparatus includes a sensor having a cantilevered beam. The beam includes substances selected to attract certain biomarkers as the fluid is communicated across the beam. The same apparatus or another apparatus is used to administer a therapeutic agent based at least in part on collected biomarker data. The therapeutic agent delivery apparatus may include a device that is also used to create a wound at a surgical site. For instance, a harmonic surgical instrument may be used to both collect biomarkers and administer a therapeutic agent (e.g., gene therapy using sonoporation).
摘要翻译： 生物标志物被收集并用于确定患者的生物倾向性，以确定医疗装置的功效，选择和施用治疗剂，选择医疗装置，调整医疗装置和/或调整手术技术。 一种装置包括从外科手术部位抽取生物流体（例如，雾）的端口。 该装置包括具有悬臂梁的传感器。 梁包括当流体在横梁上连通时选择用于吸引某些生物标志物的物质。 使用相同的装置或另一装置至少部分地基于收集的生物标志物数据来施用治疗剂。 治疗剂递送装置可以包括也用于在手术部位创建伤口的装置。 例如，可以使用谐波手术器械来收集生物标志物并施用治疗剂（例如，使用声波光刻的基因治疗）。
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