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1.发明申请Surgical stapling instrument with mechanical indicator to show levels of tissue compression 有权具有机械指示器的手术吻合器械显示组织压缩水平公开(公告)号：US20080078806A1
公开(公告)日：2008-04-03
申请号：US11529879
申请日：2006-09-29
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： Various forms of surgical instruments are disclosed. In various embodiments, the instrument includes a cartridge supporting assembly for operably supporting a staple cartridge therein. The cartridge supporting assembly may be responsive to firing and retraction motions applied thereto from a firing assembly. An anvil may be operably coupled to an anvil closure assembly. The anvil closure assembly may be constructed to selectively move the anvil in a proximal direction toward the cartridge supporting assembly to enable a portion of tissue to be clamped between a cartridge supported by the cartridge supporting assembly and the anvil under a predetermined amount of compression. The device may further include a closure actuator that operably interacts with the anvil closure assembly such that as the closure actuator is moved in a first direction, the anvil closure assembly causes the anvil to move in the proximal direction to increase the compression of the tissue between the staple cartridge and the anvil. A variable load generating member may cooperate with the anvil closure assembly and the closure actuator to apply a resistive load to the closure actuator in relation to an amount of compression applied to the tissue between the anvil and the staple cartridge.
摘要翻译： 公开了各种形式的外科器械。 在各种实施例中，仪器包括用于在其中可操作地支撑钉仓的盒支撑组件。 盒支撑组件可以响应于从点火组件施加到其上的发射和收回运动。 砧可以可操作地联接到砧座封闭组件。 砧座闭合组件可以被构造成选择性地将砧座沿着近端方向移动到药筒支撑组件，以使组织的一部分能够在预定量的压缩下被夹持在由盒支撑组件支撑的药筒和砧座之间。 该装置可进一步包括闭合致动器，其可操作地与砧座闭合组件相互作用，使得当闭合致动器沿第一方向移动时，砧座闭合组件使砧座沿近端方向移动以增加组织之间的压缩， 钉仓和砧座。 可变负载产生构件可以与砧座闭合组件和闭合致动器配合，以相对于施加到砧座和钉仓之间的组织的压力量向闭合致动器施加阻力负载。
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2.发明申请Surgical stapling instrument with mechanical mechanism for limiting maximum tissue compression 有权具有限制最大组织压缩的机械机构的手术吻合器械公开(公告)号：US20080078805A1
公开(公告)日：2008-04-03
申请号：US11541164
申请日：2006-09-29
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： Various forms of surgical instruments are disclosed. In various embodiments, the instrument includes a cartridge supporting assembly for operably supporting a staple cartridge therein. The cartridge supporting assembly may be responsive to firing and retraction motions applied thereto from a firing assembly. An anvil may be operably coupled to an anvil closure assembly. The anvil closure assembly may be constructed to selectively move the anvil in a proximal direction toward the cartridge supporting assembly to enable a portion of tissue to be clamped between a cartridge supported by the cartridge supporting assembly and the anvil under a predetermined amount of compression. The device may further include a compression limiting assembly that interacts with the anvil closure assembly to prevent further travel of the anvil in the proximal direction toward the cartridge supporting assembly when the predetermined amount of compression has been attained.
摘要翻译： 公开了各种形式的外科器械。 在各种实施例中，仪器包括用于在其中可操作地支撑钉仓的盒支撑组件。 盒支撑组件可以响应于从点火组件施加到其上的发射和收回运动。 砧可以可操作地联接到砧座封闭组件。 砧座闭合组件可以被构造成选择性地将砧座沿着近端方向移动到药筒支撑组件，以使组织的一部分能够在预定量的压缩下被夹持在由盒支撑组件支撑的药筒和砧座之间。 该装置可进一步包括压缩限制组件，其与砧座闭合组件相互作用，以防止当达到预定量的压缩时砧座在近端方向上进一步向盒支撑组件移动。
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3.发明申请Pneumatically powered surgical cutting and fastening instrument with actuator at distal end 审中-公开气动外科切割和紧固仪器，带远程执行器公开(公告)号：US20080029574A1
公开(公告)日：2008-02-07
申请号：US11497832
申请日：2006-08-02
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00544 , A61B2017/2927 , A61B2017/320052
摘要： A surgical instrument that includes a distal member configured to receive a pneumatically operated tool assembly therein. The instrument may also include an elongate shaft assembly that has a distal end portion that is coupled to the distal member and a proximal end portion. A drive member may be supported by the distal end portion of the elongate shaft assembly and may be configured to apply at least two actuation motions to the pneumatically operated tool assembly upon receipt of at least one pneumatic drive signal from a source of pneumatic power. The drive member may comprise a dual-acting cylinder, a single-acting cylinder, a bellows assembly, etc. The distal end portion of the elongate shaft member may articulate relative to the proximal end portion thereof and/or the distal end portion of the elongate shaft assembly may be detachable from the proximal end portion.
摘要翻译： 一种外科器械，包括构造成在其中接收气动操作的工具组件的远端构件。 仪器还可以包括细长轴组件，其具有联接到远侧构件的远端部分和近端部分。 驱动构件可以由细长轴组件的远端部分支撑，并且可构造为在从气动动力源接收到至少一个气动驱动信号时将至少两个致动运动施加到气动操作的工具组件。 驱动构件可以包括双作用缸，单作用缸，波纹管组件等。细长轴构件的远端部分可以相对于其基端部和/或远端部分 细长轴组件可以从近端部分拆卸。
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公开(公告)号：US20080110958A1
公开(公告)日：2008-05-15
申请号：US11558524
申请日：2006-11-10
申请人： Robert H. McKenna , Frederick E. Shelton , Randal T. Byrum , Mark S. Ortiz , Paul J. Conrad , Eugene L. Timperman
发明人： Robert H. McKenna , Frederick E. Shelton , Randal T. Byrum , Mark S. Ortiz , Paul J. Conrad , Eugene L. Timperman
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B17/00491 , A61B2017/07214 , A61B2017/2943 , A61B2017/320052
摘要： A surgical stapling device is provided for clamping and stapling tissue, and for dispensing a fluid such as an adhesive onto the tissue. The adhesive can be stored within one or more rigid chambers within removable cartridge and dispensed from a plurality of passageways within the cartridge. A plurality of staples and staple drivers are located in the cartridge and may be isolated from the fluid. Both linear and rotary members can be provided to dispense the fluid from the cartridge. Alternately, the fluid can be dispensed from the cartridge at any time with an operator actuatable control. A removable staple cartridge cover can be provided to seal the fluid in the cartridge and prevent fluid loss. Alternately, a fluid cartridge can be provided that can mount within a surgical stapling device and dispense one or more firings of a fluid therefrom.
摘要翻译： 提供外科缝合装置用于夹紧和缝合组织，并用于将诸如粘合剂的流体分配到组织上。 粘合剂可以存储在可移除的盒中的一个或多个刚性室内并且从盒内的多个通道分配。 多个订书针和订书钉驱动器位于盒中并且可以与流体隔离。 可以提供线性和旋转构件，以便从筒中分配流体。 或者，可以随时用操作者可控制的控制从盒中分配流体。 可以提供可移除的钉仓盖以密封墨盒中的流体并防止流体损失。 或者，可以提供流体盒，其可以安装在外科缝合装置内并从其中分配一个或多个流体的喷射。
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公开(公告)号：US20080029572A1
公开(公告)日：2008-02-07
申请号：US11498282
申请日：2006-08-02
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B2017/003 , A61B2017/00398 , A61B2017/00544 , A61B2017/00548 , A61B2017/2902 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/064 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , A61B2090/0814 , F17C2270/0545
摘要： A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. In various embodiments, a drive system is supported by at least one of a handle assembly and an elongate shaft assembly and is configured to selectively apply a firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to the drive system. A travel monitoring member is operably supported by the handle assembly and is linked to the drive system to provide an indication of progress of the firing mechanism of the pneumatically powered tool as the firing mechanism moves from the unactuated position to the actuated position.
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6.发明申请公开(公告)号：US20080029571A1
公开(公告)日：2008-02-07
申请号：US11497937
申请日：2006-08-02
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B2017/003 , A61B2017/00398 , A61B2017/00544 , A61B2017/00548 , A61B2017/2902 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/064 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , A61B2090/0814 , F17C2270/0545
摘要： A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. A pneumatically powered drive system operably communicates with the pneumatically powered tool and is configured to selectively apply at least a firing force to the firing mechanism of the pneumatically powered tool of sufficient magnitude to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas that is fluidically coupled to the pneumatically powered drive system. At least one feedback device communicates with the pneumatically powered drive system for providing feedback concerning at least one of:(a) the magnitude of the firing force as the pneumatically powered drive system moves the firing mechanism from the unactuated to actuated position; and(b) a relative position of the firing mechanism as the firing mechanism is moved between the unactuated and actuated positions.
摘要翻译： 一种用于与气动工具结合使用的手术器械，其具有可操作地支撑在其中的击发机构，其可在未致动位置和致动位置之间移动。 气动驱动系统与气动工具工作地可操作地连通并且构造成选择性地至少施加一个足够强度的气动动力工具的击发机构的击发力，以使击发机构从未致动位置移动到致动位置 响应于来自气体源的气体流动地与气动驱动系统连接。 至少一个反馈装置与气动驱动系统通信，用于提供关于以下至少一个的反馈：（a）气动驱动系统将击发机构从未致动位置移动到致动位置时的击发力的大小; 和（b）当击发机构在未致动位置和致动位置之间移动时，击发机构的相对位置。
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公开(公告)号：US20120175399A1
公开(公告)日：2012-07-12
申请号：US13424648
申请日：2012-03-20
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B5/4836 , A61B17/00 , A61B17/00234 , A61B17/068 , A61B17/07207 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B34/30 , A61B34/71 , A61B34/74 , A61B34/76 , A61B2017/00017 , A61B2017/00199 , A61B2017/00221 , A61B2017/00353 , A61B2017/00398 , A61B2017/0042 , A61B2017/00685 , A61B2017/00734 , A61B2017/07214 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2943 , A61B2090/033 , A61B2090/064 , A61B2090/065 , A61B2090/069 , A61B2090/0803 , A61B2090/0811
摘要： A surgical instrument. The surgical instrument has an end effector and a trigger in communication with the end effector. The surgical instrument also has a first sensor and an externally accessible memory device in communication with the first sensor. The first sensor has an output that represents a first condition of either the trigger or the end effector. The memory device is configured to record the output of the first sensor. In various embodiments, memory device may include an output port and/or a removable storage medium.
摘要翻译： 手术器械。 外科器械具有端部执行器和与端部执行器连通的触发器。 手术器械还具有与第一传感器通信的第一传感器和外部可访问的存储器件。 第一传感器具有表示触发器或末端执行器的第一条件的输出。 存储器件被配置为记录第一传感器的输出。 在各种实施例中，存储器设备可以包括输出端口和/或可移动存储介质。
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公开(公告)号：US20070295780A1
公开(公告)日：2007-12-27
申请号：US11475412
申请日：2006-06-27
申请人： Frederick E. Shelton , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze , Eugene L. Timperman , Leslie M. Fugikawa
发明人： Frederick E. Shelton , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze , Eugene L. Timperman , Leslie M. Fugikawa
IPC分类号： A61B17/10
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/32 , A61B2017/00367 , A61B2017/00407 , A61B2017/07271 , A61B2017/07285 , B65B55/12
摘要： A surgical cutting and fastening instrument that includes an elongate channel that is attached to a handle assembly by an elongate shaft assembly. The elongate channel is configured to receive a cartridge and has a pivotally translatable anvil attached thereto and a knife bar supported therein. The anvil may be selectively opened and closed by manipulating a closure trigger supported by the handle assembly. The knife bar may be distally advanced through the elongate channel by actuating a firing trigger that cooperates with a reversible rotary drive supported by the handle assembly. The knife bar may also be retracted to its starting position by actuating the firing trigger after the reversible rotary drive has been shifted to a retraction orientation.
摘要翻译： 一种手术切割和紧固器械，其包括通过细长轴组件附接到手柄组件的细长通道。 细长通道被配置为容纳盒并且具有附接到其上的可枢转平移的砧座和支撑在其中的刀杆。 可以通过操纵由手柄组件支撑的闭合触发器来选择性地打开和关闭砧座。 刀杆可以通过致动与由手柄组件支撑的可逆旋转驱动器协作的击发触发器而通过细长通道向远侧推进。 在可逆旋转驱动器已经移动到缩回方向之后，刀杆也可以通过致动击发扳机而缩回到其起始位置。
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公开(公告)号：US20080308602A1
公开(公告)日：2008-12-18
申请号：US11820121
申请日：2007-06-18
申请人： Richard W. Timm , Frederick E. Shelton , Charles J. Scheib , Christopher J. Schall , Glen A. Armstrong , Eugene L. Timperman , Leslie M. Fugikawa
发明人： Richard W. Timm , Frederick E. Shelton , Charles J. Scheib , Christopher J. Schall , Glen A. Armstrong , Eugene L. Timperman , Leslie M. Fugikawa
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/0069 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2916 , A61B2017/292 , A61B2017/2927 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2937 , A61B2017/2939 , A61B2017/294 , A61B2017/2946 , A61B2017/320052 , A61B2034/715
摘要： A multi-axis surgical stapling and cutting instrument. In various embodiments, the instrument includes a tool assembly that operably supports a cable powered knife assembly and further has an anvil that is actuated by axial movement of a closure ring. The instrument may further include a disposable reload unit that may be attached to the reusable portion of the instrument without the use of tools. Various embodiments may also employ an active articulation control system for actively articulating the tool assembly.
摘要翻译： 多轴手术吻合切割仪器。 在各种实施例中，仪器包括可操作地支撑电缆动力刀组件的工具组件，并且还具有通过闭合环的轴向运动致动的砧座。 仪器还可以包括可以在不使用工具的情况下附接到仪器的可重复使用部分的一次性重新加载单元。 各种实施例还可以采用主动铰接控制系统来主动地铰接工具组件。
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10.发明申请公开(公告)号：US20080078807A1
公开(公告)日：2008-04-03
申请号：US11541098
申请日：2006-09-29
申请人： Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , Frederick E. Shelton , Leslie M. Fugikawa , Eugene L. Timperman
发明人： Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , Frederick E. Shelton , Leslie M. Fugikawa , Eugene L. Timperman
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A surgical stapling system comprising a first staple, a second staple, and a bridge connecting the first staple and the second staple. In at least one embodiment, the first staple and the second staple are part of a strip of staples. For example, the first and second staples can be included in a strip of staples that includes several staples that are attached end-to-end and/or attached side-by side. In use, the strip, or strips, of staples are inserted into a stapler which can be used to insert the staples into soft tissue, for example, and deform at least a portion of the staples to hold the tissue, or several layers of tissue, together.
摘要翻译： 一种外科缝合系统，包括第一缝合钉，第二钉和连接第一钉和第二钉的桥。 在至少一个实施例中，第一缝合钉和第二缝合钉是钉条的一部分。 例如，第一和第二订书钉可以包括在包括端对端和/或并排附接的多个订书钉的缝钉条中。 在使用中，缝钉的条带或条带被插入到吻合器中，缝合器可以用于将钉子插入软组织中，例如，并使钉的至少一部分变形以保持组织或几层组织 ，在一起
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