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公开(公告)号：US08986321B2
公开(公告)日：2015-03-24
申请号：US12693491
申请日：2010-01-26
申请人： Shailendra K. Parihar , Atul M. Godbole , Wells D. Haberstich , Frederick E. Shelton, IV , Gregory W. Johnson
发明人： Shailendra K. Parihar , Atul M. Godbole , Wells D. Haberstich , Frederick E. Shelton, IV , Gregory W. Johnson
CPC分类号： A61B17/00234 , A61B2017/00004 , A61B2017/00287 , A61B2017/00398 , A61B2050/002 , A61B2090/037
摘要： A tissue retrieval device includes a tubular member, an expandable member, and a tissue retrieval bag. The introducer tube is sized to be inserted into a patient through a trocar. The bag may be selectively opened by the expandable member within the patient. The bag may receive a tissue specimen and be withdrawn from the patient. The bag may be manipulated for packing within the tubular member in a variety of ways. Manipulation of the bag may include folding the bag about axes that are perpendicular to or parallel to the tubular member; rolling the bag about axes that are perpendicular to or parallel to the tubular member; or wrapping the bag about the expandable member, wrapping the bag about a rod, or twisting the bag at a position distal to the expandable member. The tubular member may comprise an environmentally responsive capsule.
摘要翻译： 组织取出装置包括管状构件，可膨胀构件和组织取出袋。 导引管的尺寸设计成通过套管针插入患者体内。 袋可以由患者内的可扩张构件选择性地打开。 该袋可以接收组织标本并从患者中取出。 可以以各种方式操作该袋子以在管状构件内进行包装。 袋的操作可以包括围绕垂直于或平行于管状构件的轴线折叠袋; 围绕与管状构件垂直或平行的轴线滚动袋; 或围绕可膨胀构件包裹袋子，将袋围绕杆包裹，或者在远离可扩张构件的位置处扭转袋子。 管状构件可以包括环境敏感的胶囊。
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公开(公告)号：US20110184435A1
公开(公告)日：2011-07-28
申请号：US12693491
申请日：2010-01-26
申请人： Shailendra K. Parihar , Atul M. Godbole , Wells D. Haberstich , Frederick E. Shelton, IV , Gregory W. Johnson
发明人： Shailendra K. Parihar , Atul M. Godbole , Wells D. Haberstich , Frederick E. Shelton, IV , Gregory W. Johnson
IPC分类号： A61B17/26
CPC分类号： A61B17/00234 , A61B2017/00004 , A61B2017/00287 , A61B2017/00398 , A61B2050/002 , A61B2090/037
摘要： A tissue retrieval device includes a tubular member, an expandable member, and a tissue retrieval bag. The introducer tube is sized to be inserted into a patient through a trocar. The bag may be selectively opened by the expandable member within the patient. The bag may receive a tissue specimen and be withdrawn from the patient. The bag may be manipulated for packing within the tubular member in a variety of ways. Manipulation of the bag may include folding the bag about axes that are perpendicular to or parallel to the tubular member; rolling the bag about axes that are perpendicular to or parallel to the tubular member; or wrapping the bag about the expandable member, wrapping the bag about a rod, or twisting the bag at a position distal to the expandable member. The tubular member may comprise an environmentally responsive capsule.
摘要翻译： 组织取出装置包括管状构件，可膨胀构件和组织取出袋。 导引管的尺寸设计成通过套管针插入患者体内。 袋可以由患者内的可扩张构件选择性地打开。 该袋可以接收组织标本并从患者中取出。 可以以各种方式操作该袋子以在管状构件内进行包装。 袋的操作可以包括围绕垂直于或平行于管状构件的轴线折叠袋; 围绕与管状构件垂直或平行的轴线滚动袋; 或围绕可膨胀构件包裹袋子，将袋围绕杆包裹，或者在远离可扩张构件的位置处扭转袋子。 管状构件可以包括环境敏感的胶囊。
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公开(公告)号：US20110087159A1
公开(公告)日：2011-04-14
申请号：US12575537
申请日：2009-10-08
申请人： Shailendra K. Parihar , Haresh Patil , Michael D. Cronin , Michael S. Cropper , Frederick E. Shelton, IV , Daniel H. Duke , Gregory W. Johnson , Carl J. Shurtleff , Andrew T. Beckman , Wells Daniel Haberstich
发明人： Shailendra K. Parihar , Haresh Patil , Michael D. Cronin , Michael S. Cropper , Frederick E. Shelton, IV , Daniel H. Duke , Gregory W. Johnson , Carl J. Shurtleff , Andrew T. Beckman , Wells Daniel Haberstich
CPC分类号： A61B17/34 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B17/3498 , A61B2017/3454 , A61B2017/347 , A61B2017/349
摘要： A trocar assembly including a sleeve assembly having a cannula connected to a housing and an obturator assembly including a handle connected to an obturator, wherein the obturator assembly is receivable in the sleeve assembly to define a gripping portion that includes the housing and the handle, the gripping portion having an axial length and a maximum width, and wherein a ratio of the axial length to the maximum width ranges from about 2.5 to about 3.5.
摘要翻译： 一种套管针组件，其包括具有连接到壳体的插管的套管组件和包括连接到闭塞器的手柄的闭塞器组件，其中所述闭塞器组件可接收在所述套筒组件中以限定包括所述壳体和所述手柄的夹持部分， 夹持部分具有轴向长度和最大宽度，并且其中轴向长度与最大宽度的比率为约2.5至约3.5。
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公开(公告)号：US20110184311A1
公开(公告)日：2011-07-28
申请号：US12692727
申请日：2010-01-25
申请人： Shailendra K. Parihar , Patrick J. Minnelli , Gregory W. Johnson , Mark J. Bookbinder , Nabeel M. Jadeed , Frederick E. Shelton, IV
发明人： Shailendra K. Parihar , Patrick J. Minnelli , Gregory W. Johnson , Mark J. Bookbinder , Nabeel M. Jadeed , Frederick E. Shelton, IV
CPC分类号： A61B17/00234 , A61B2017/00287
摘要： A specimen retrieval instrument comprises a tubular member, a resilient member, and a retrieval bag. The resilient member is associated with a distal end of the tubular member. The bag is secured to the resilient member. The resilient member is compressible such that the resilient member and bag fit within a hollow interior portion of the tubular member. A rod may advance the resilient member and bag out of the tubular member. Alternatively, the tubular member may comprise a sheath that is retractable to reveal the resilient member and bag. The resilient member may have a hoop, spiral, or rolled strip configuration. The resilient member may alternatively comprise telescoping arms. The resilient member opens the bag when the resilient member and bag are deployed relative to the tubular member. The resilient member may also unfurl the bag when the resilient member and bag are deployed.
摘要翻译： 样本取出器具包括管状构件，弹性构件和取回袋。 弹性构件与管状构件的远端相关联。 袋被固定到弹性构件。 弹性构件是可压缩的，使得弹性构件和袋装配在管状构件的中空内部部分内。 杆可将弹性构件和袋推出管状构件。 或者，管状构件可包括可伸缩以露出弹性构件和袋的护套。 弹性构件可以具有箍，螺旋或轧制的带状构造。 弹性构件可替代地包括伸缩臂。 当弹性构件和袋相对于管状构件展开时，弹性构件打开袋。 当弹性构件和袋展开时，弹性构件还可以展开袋。
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公开(公告)号：US08409217B2
公开(公告)日：2013-04-02
申请号：US12692733
申请日：2010-01-25
IPC分类号： A61B17/22
CPC分类号： A61B17/00234 , A61B2017/00287 , A61B2017/00336 , A61B2017/00398 , A61B2017/00557 , A61B2017/00867 , A61B2017/00898
摘要： A tissue retrieval device includes an introducer tube and a tissue retrieval bag. The introducer tube is sized to be inserted into a patient through a trocar. The tissue retrieval bag may be selectively exposed at the distal end of the introducer tube within the patient. The tissue retrieval bag may receive a tissue specimen and be withdrawn from the patient. The tissue retrieval bag may include an inflatable portion. When inflated, the inflatable portion may extend the tissue retrieval bag from a contracted configuration to an expanded configuration. The inflatable portion may substantially seal a tissue specimen within the tissue retrieval bag. The tissue retrieval bag may me formed of an environmentally sensitive material such that the size of the tissue retrieval bag expands when the tissue retrieval bag is exposed within the patient.
摘要翻译： 组织取出装置包括导引管和组织取出袋。 导引管的尺寸设计成通过套管针插入患者体内。 组织取出袋可以选择性地暴露在患者体内的导引管的远端。 组织取出袋可以接收组织标本并从患者中取出。 组织取回袋可以包括可充气部分。 当充气时，可充气部分可将组织取出袋从收缩构型延伸至扩张构型。 可膨胀部分可以基本上密封组织取出袋内的组织标本。 组织取出袋可以由环境敏感的材料形成，使得当组织取出袋暴露在患者体内时，组织取出袋的尺寸膨胀。
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公开(公告)号：US20100160819A1
公开(公告)日：2010-06-24
申请号：US12337942
申请日：2008-12-18
申请人： Shailendra K. Parihar , John A. Hibner , Andrew P. Nock , Wells D. Haberstich , Gregory W. Johnson , Jessica P. Leimbach , Michael R. Ludzack
发明人： Shailendra K. Parihar , John A. Hibner , Andrew P. Nock , Wells D. Haberstich , Gregory W. Johnson , Jessica P. Leimbach , Michael R. Ludzack
IPC分类号： A61B10/02
CPC分类号： A61B10/0275 , A61B10/0283 , A61B2010/0208 , A61B2010/0225 , A61B2090/0813
摘要： A biopsy device comprises a probe and a holster. The probe has a distally extending needle and a central thumbwheel coupled with the needle. The needle has a transverse tissue receiving aperture. A cutter is translatable relative to the needle to sever tissue protruding through the aperture. The central thumbwheel is manually operable to rotate the needle to reorient the angular position of the aperture about the longitudinal axis defined by the needle. The central thumbwheel is positioned coaxially with the longitudinal axis. An elongate sleeve unitarily couples the needle with the central thumbwheel. A cable driven mechanism in the holster drives the cutter. A rotatable tissue sample holder is coupled with the probe, and has chambers configured to receive tissue samples communicated proximally through a lumen defined by the cutter. A piezoelectric motor in the holster drives the tissue sample holder.
摘要翻译： 活检装置包括探针和皮套。 探针具有远端延伸的针和与针连接的中心指轮。 针具有横向组织接收孔。 刀具相对于针可平移以切断通过孔突出的组织。 中心指轮可手动操作以旋转针来重新定位围绕由针定义的纵向轴线的孔的角位置。 中心指轮与纵向轴线同轴设置。 细长的套筒将针与中央指轮整体地连接起来。 皮套中的电缆驱动机构驱动切割器。 可旋转的组织样本保持器与探针联接，并且具有被配置为接收通过由切割器限定的内腔近端连通的组织样本的腔室。 皮套中的压电马达驱动组织样本保持器。
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公开(公告)号：US20120253226A1
公开(公告)日：2012-10-04
申请号：US13525422
申请日：2012-06-18
申请人： Shailendra K. Parihar , John A. Hibner , Andrew P. Nock , Wells D. Haberstich , Gregory W. Johnson , Jessica P. Leimbach , Michael R. Ludzack
发明人： Shailendra K. Parihar , John A. Hibner , Andrew P. Nock , Wells D. Haberstich , Gregory W. Johnson , Jessica P. Leimbach , Michael R. Ludzack
IPC分类号： A61B10/02
CPC分类号： A61B10/0275 , A61B10/0283 , A61B2010/0208 , A61B2010/0225 , A61B2090/0813
摘要： A biopsy device comprises a probe and a holster. The probe has a distally extending needle including a transverse tissue receiving aperture. A cutter is translatable relative to the needle to sever tissue protruding through the aperture. A thumbwheel is manually operable to rotate the needle to reorient the angular position of the aperture about the longitudinal axis defined by the needle. The thumbwheel is positioned obliquely with the longitudinal axis. A cable driven mechanism in the holster drives the cutter. A rotatable tissue sample holder is coupled with the probe, and has chambers configured to receive tissue samples communicated proximally through a lumen defined by the cutter. A piezoelectric motor in the holster drives the tissue sample holder.
摘要翻译： 活检装置包括探针和皮套。 探针具有包括横向组织接收孔的远端延伸针。 刀具相对于针可平移以切断通过孔突出的组织。 指轮可手动操作以旋转针以重新定位围绕由针定义的纵向轴线的孔的角位置。 指轮与纵向轴线倾斜定位。 皮套中的电缆驱动机构驱动切割器。 可旋转的组织样本保持器与探针联接，并且具有被配置为接收通过由切割器限定的内腔近端连通的组织样本的腔室。 皮套中的压电马达驱动组织样本保持器。
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公开(公告)号：US20110184432A1
公开(公告)日：2011-07-28
申请号：US12692733
申请日：2010-01-25
IPC分类号： A61B17/94
CPC分类号： A61B17/00234 , A61B2017/00287 , A61B2017/00336 , A61B2017/00398 , A61B2017/00557 , A61B2017/00867 , A61B2017/00898
摘要： A tissue retrieval device includes an introducer tube and a tissue retrieval bag. The introducer tube is sized to be inserted into a patient through a trocar. The tissue retrieval bag may be selectively exposed at the distal end of the introducer tube within the patient. The tissue retrieval bag may receive a tissue specimen and be withdrawn from the patient. The tissue retrieval bag may include an inflatable portion. When inflated, the inflatable portion may extend the tissue retrieval bag from a contracted configuration to an expanded configuration. The inflatable portion may substantially seal a tissue specimen within the tissue retrieval bag. The tissue retrieval bag may me formed of an environmentally sensitive material such that the size of the tissue retrieval bag expands when the tissue retrieval bag is exposed within the patient.
摘要翻译： 组织取出装置包括导引管和组织取出袋。 导引管的尺寸设计成通过套管针插入患者体内。 组织取出袋可以选择性地暴露在患者体内的导引管的远端。 组织取出袋可以接收组织标本并从患者中取出。 组织取回袋可以包括可充气部分。 当充气时，可充气部分可将组织取出袋从收缩构型延伸至扩张构型。 可膨胀部分可以基本上密封组织取出袋内的组织标本。 组织取出袋可以由环境敏感的材料形成，使得当组织取出袋暴露在患者体内时，组织取出袋的尺寸膨胀。
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9.发明授权公开(公告)号：US09005199B2
公开(公告)日：2015-04-14
申请号：US12797866
申请日：2010-06-10
申请人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
CPC分类号： A61B18/1445 , A61B17/32 , A61B18/1482 , A61B2018/00005 , A61B2018/00011 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00047 , A61B2018/00619 , A61B2018/0063 , A61B2018/1412 , A61B2018/1452 , A61B2018/1455 , A61B2018/1472 , A61B2218/002
摘要： In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.
摘要翻译： 在各种实施例中，提供了可以包括用于在组织上执行外科手术的端部执行器的外科器械。 末端执行器可以包括至少一个能量输送表面和用于从末端执行器的至少一部分散热的散热装置。 例如，在至少一个实施例中，端部执行器可以包括第一钳口，第二钳口和切割构件。 切割构件可以包括切割表面和主体，其可以限定空腔和与空腔连通的至少一个开口。 流体可以通过空腔移动到和/或从开口移动。 另外，在至少一个实施例中，手术器械的末端执行器可以包括第一钳口，第二钳口，切割构件和至少一个热管。 还公开了各种其它散热装置。
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公开(公告)号：US20120241498A1
公开(公告)日：2012-09-27
申请号：US13433103
申请日：2012-03-28
申请人： Hamilton E. Gonzalez , Jeffrey S. Swayze , Michael S. Cropper , Charles J. Scheib , Frederick E. Shelton, IV , Gregory W. Johnson
发明人： Hamilton E. Gonzalez , Jeffrey S. Swayze , Michael S. Cropper , Charles J. Scheib , Frederick E. Shelton, IV , Gregory W. Johnson
IPC分类号： A61B17/068
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 comprising a first compensation layer, a second compensation layer, and a pocket situated between the compensation layers can be positioned in the end effector of a surgical instrument. A fastener cartridge positioned in the end effector can comprise a fastener moveable between an initial position and a fired position. When the fastener is moved from the initial position to the fired position, the fastener can move through the pocket and can compress a portion of the tissue thickness compensator. A support can be positioned between the first and second compensation layers. When the fastener compresses the tissue thickness compensator, at least one of the support, first compensation layer and second compensation layer can be deformed. The tissue thickness compensator can also comprise a tab and/or a limiting plate to control deformation of the compensation layers and/or the support.
摘要翻译： 包括第一补偿层，第二补偿层和位于补偿层之间的袋的组织厚度补偿器可以被定位在外科器械的末端执行器中。 定位在端部执行器中的紧固件盒可以包括可在初始位置和发射位置之间移动的紧固件。 当紧固件从初始位置移动到点火位置时，紧固件可以移动穿过口袋并且能压缩组织厚度补偿器的一部分。 支撑件可以位于第一和第二补偿层之间。 当紧固件压缩组织厚度补偿器时，支撑件，第一补偿层和第二补偿层中的至少一个可以变形。 组织厚度补偿器还可以包括用于控制补偿层和/或支撑件的变形的翼片和/或限制板。
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