公开(公告)号：US09549738B2

公开(公告)日：2017-01-24

申请号：US13344093

申请日：2012-01-05

申请人： Venkataramanan Mandakolathur Vasudevan ,  Adam R. Dunki-Jacobs ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Cortney E. Henderson ,  Christopher C. Miller ,  Kent P. Baker ,  John V. Hunt ,  Barry T. Jamison ,  Patrick A. Weizman ,  Joseph E. Young ,  Cory G. Kimball ,  Carl J. Shurtleff ,  Edward G. Chekan ,  Kevin D. Felder ,  Johnny H. Alexander, III ,  Patrick J. Swindon ,  Joseph P. Schowalter ,  John F. Cummings

发明人： Venkataramanan Mandakolathur Vasudevan ,  Adam R. Dunki-Jacobs ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Cortney E. Henderson ,  Christopher C. Miller ,  Kent P. Baker ,  John V. Hunt ,  Barry T. Jamison ,  Patrick A. Weizman ,  Joseph E. Young ,  Cory G. Kimball ,  Carl J. Shurtleff ,  Edward G. Chekan ,  Kevin D. Felder ,  Johnny H. Alexander, III ,  Patrick J. Swindon ,  Joseph P. Schowalter ,  John F. Cummings

IPC分类号： A61B17/00 ,  A61B17/115 ,  A61B17/072 ,  A61B17/29

CPC分类号： A61B17/1155 ,  A61B17/072 ,  A61B2017/00407 ,  A61B2017/2923

摘要： A surgical instrument includes a body, a pivotable trigger, and a ratcheting assembly. The ratcheting assembly may include a rotary ratchet coupled to the trigger and a pawl coupled to the body. The rotary ratchet may further include a ramp that disengages the ratchet from the pawl. A release feature may be included to selectively disengage a second member of the ratcheting assembly from a first member. In some versions, the release feature may include a rotation knob or a slidable handle. In another configuration, the ratcheting assembly may have a first member coupled to an actuator and a second member coupled to the body. The assembly may include a lock member coupled to the body that selectively engages a plurality of teeth disposed on the actuator. Alternatively, the assembly may include a pivotable pawl coupled to the actuator that engages one or more notches formed in the body.

摘要翻译： 手术器械包括主体，可枢转扳机和棘轮组件。 棘轮组件可以包括联接到扳机的旋转棘轮和联接到主体的棘爪。 旋转棘轮还可以包括使棘轮与棘爪脱离的斜坡。 可以包括释放特征以选择性地将棘轮组件的第二构件与第一构件分离。 在一些版本中，释放特征可以包括旋转旋钮或可滑动的手柄。 在另一种构造中，棘轮组件可以具有联接到致动器的第一构件和联接到主体的第二构件。 组件可以包括联接到主体的锁定构件，其选择性地接合设置在致动器上的多个齿。 或者，组件可以包括联接到致动器的可枢转的棘爪，其接合形成在主体中的一个或多个凹口。

公开(公告)号：US09186148B2

公开(公告)日：2015-11-17

申请号：US13344061

申请日：2012-01-05

申请人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Patrick A. Weizman ,  Cory G. Kimball ,  Edward G. Chekan ,  Joseph E. Young ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Cortney E. Henderson ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Adam R. Dunki-Jacobs ,  Venkataramanan Mandakolathur Vasudevan ,  Carl J. Shurtleff ,  Julia F. Serber

发明人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Patrick A. Weizman ,  Cory G. Kimball ,  Edward G. Chekan ,  Joseph E. Young ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Cortney E. Henderson ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Adam R. Dunki-Jacobs ,  Venkataramanan Mandakolathur Vasudevan ,  Carl J. Shurtleff ,  Julia F. Serber

IPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/072 ,  A61B17/00 ,  A61B17/29 ,  A61B19/00

CPC分类号： A61B17/064 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00876 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/2946 ,  A61B2090/0811

摘要： A surgical instrument includes a handle assembly having a trigger operable to fire a staple driver to staple tissue. The instrument includes a pointed rod to which an anvil may be coupled. An anvil detection feature is included to determine when the anvil is coupled to the rod. In some versions, the anvil detection feature comprises a translatable rod that inhibits a lockout feature from disengaging. In other versions, an anvil sensing tube is disposed about the pointed rod and interferes with actuation of the trigger in a first position. A recess in the tube permits trigger to actuate when the anvil sensing tube is in the second position. Alternatively, a resilient tab is coupled to the pointed rod and resists actuation of the staple driver. A trigger lockout assembly may include a spring-loaded button that “pops” out when a push rod is actuated, thereby freeing a pivotable lockout feature.

摘要翻译： 一种手术器械包括具有触发器的手柄组件，该触发器可操作以将钉子驱动器射击至钉组织。 该仪器包括可连接砧座的尖杆。 包括砧检测功能以确定砧座何时与杆连接。 在一些形式中，砧座检测特征包括一个能够阻止锁定特征脱离的可平移杆。 在其他形式中，砧感知管围绕尖的杆设置并且在第一位置上干扰触发器的致动。 当砧座感测管处于第二位置时，管中的凹部允许触发器致动。 或者，弹性突舌连接到尖的杆并抵抗钉驱动器的致动。 触发器锁定组件可以包括弹簧加载的按钮，当按压推杆时“弹出”按钮，从而释放可枢转的锁定特征。

公开(公告)号：US09220505B2

公开(公告)日：2015-12-29

申请号：US13328402

申请日：2011-12-16

申请人： Venkataramanan Mandakolathur Vasudevan ,  Edward G. Chekan ,  Kevin D. Felder ,  Jerome R. Morgan ,  Carl J. Shurtleff ,  Johnny H. Alexander, III ,  John F. Cummings ,  Christopher C. Miller

发明人： Venkataramanan Mandakolathur Vasudevan ,  Edward G. Chekan ,  Kevin D. Felder ,  Jerome R. Morgan ,  Carl J. Shurtleff ,  Johnny H. Alexander, III ,  John F. Cummings ,  Christopher C. Miller

IPC分类号： A61B17/115 ,  A61B17/068 ,  A61B17/072

CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155

摘要： A surgical stapling instrument for performing a circular anastomosis comprises a stapling head assembly, an actuator handle assembly, a shaft assembly, a safety latch, and a locking member. The stapling head assembly includes an anvil that moves relative to a staple holder and a staple driver to drive staples from the staple holder into tissue and against the anvil. The actuator handle assembly has a first actuator that controls motion of the anvil and a second actuator that controls motion of the staple driver. The shaft assembly couples the stapling head assembly to the actuator handle assembly. The safety latch prevents operation of the second actuator when the gap between the anvil and staple holder is outside a predetermined range. The locking member is configured to prevent adjustment of the anvil gap after the desired staple height has been set inside the predetermined range.

摘要翻译： 用于执行圆形吻合的外科缝合器械包括装订头组件，致动器手柄组件，轴组件，安全闩锁和锁定构件。 缝合头组件包括相对于缝合钉保持器和缝钉驱动器移动的砧座，以将钉从钉钉保持器驱动到组织中并抵靠砧座。 致动器手柄组件具有控制砧座运动的第一致动器和用于控制订书针驱动器运动的第二致动器。 轴组件将装订头组件耦合到致动器手柄组件。 当砧座和钉仓之间的间隙在预定范围之外时，安全闩锁防止第二致动器的操作。 锁定构件被构造成在期望的钉高度已经设定在预定范围内之前防止砧座间隙的调节。

公开(公告)号：US20130175320A1

公开(公告)日：2013-07-11

申请号：US13344093

申请日：2012-01-05

申请人： Venkataramanan Mandakolathur Vasudevan ,  Adam R. Dunki-Jacobs ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Cortney E. Henderson ,  Christopher C. Miller ,  Kent P. Baker ,  John V. Hunt ,  Barry T. Jamison ,  Patrick A. Weizman ,  Joseph E. Young ,  Cory G. Kimball ,  Carl J. Shurtleff ,  Edward G. Chekan ,  Kevin D. Felder ,  Johnny H. Alexander, III ,  Patrick J. Swindon ,  Joseph P. Schowalter ,  John F. Cummings ,  Julia F. Serber

发明人： Venkataramanan Mandakolathur Vasudevan ,  Adam R. Dunki-Jacobs ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Cortney E. Henderson ,  Christopher C. Miller ,  Kent P. Baker ,  John V. Hunt ,  Barry T. Jamison ,  Patrick A. Weizman ,  Joseph E. Young ,  Cory G. Kimball ,  Carl J. Shurtleff ,  Edward G. Chekan ,  Kevin D. Felder ,  Johnny H. Alexander, III ,  Patrick J. Swindon ,  Joseph P. Schowalter ,  John F. Cummings ,  Julia F. Serber

IPC分类号： A61B17/068

CPC分类号： A61B17/1155 ,  A61B17/072 ,  A61B2017/00407 ,  A61B2017/2923

摘要： A surgical instrument includes a body, a pivotable trigger, and a ratcheting assembly. The ratcheting assembly may include a rotary ratchet coupled to the trigger and a pawl coupled to the body. The rotary ratchet may further include a ramp that disengages the ratchet from the pawl. A release feature may be included to selectively disengage a second member of the ratcheting assembly from a first member. In some versions, the release feature may include a rotation knob or a slidable handle. In another configuration, the ratcheting assembly may have a first member coupled to an actuator and a second member coupled to the body. The assembly may include a lock member coupled to the body that selectively engages a plurality of teeth disposed on the actuator. Alternatively, the assembly may include a pivotable pawl coupled to the actuator that engages one or more notches formed in the body.

摘要翻译： 手术器械包括主体，可枢转扳机和棘轮组件。 棘轮组件可以包括联接到扳机的旋转棘轮和联接到主体的棘爪。 旋转棘轮还可以包括使棘轮与棘爪脱离的斜坡。 可以包括释放特征以选择性地将棘轮组件的第二构件与第一构件分离。 在一些版本中，释放特征可以包括旋转旋钮或可滑动的手柄。 在另一种构造中，棘轮组件可以具有联接到致动器的第一构件和联接到主体的第二构件。 组件可以包括联接到主体的锁定构件，其选择性地接合设置在致动器上的多个齿。 或者，组件可以包括联接到致动器的可枢转的棘爪，其接合形成在主体中的一个或多个凹口。

公开(公告)号：US20130175318A1

公开(公告)日：2013-07-11

申请号：US13344061

申请日：2012-01-05

申请人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Patrick A. Weizman ,  Cory G. Kimball ,  Edward G. Chekan ,  Joseph E. Young ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Cortney E. Henderson ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Adam R. Dunki-Jacobs ,  Venkataramanan Mandakolathur Vasudevan ,  Carl J. Shurtleff ,  Julia F. Serber

发明人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Patrick A. Weizman ,  Cory G. Kimball ,  Edward G. Chekan ,  Joseph E. Young ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Cortney E. Henderson ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Adam R. Dunki-Jacobs ,  Venkataramanan Mandakolathur Vasudevan ,  Carl J. Shurtleff ,  Julia F. Serber

IPC分类号： A61B17/068

CPC分类号： A61B17/064 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00876 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/2946 ,  A61B2090/0811

摘要： A surgical instrument includes a handle assembly having a trigger operable to fire a staple driver to staple tissue. The instrument includes a pointed rod to which an anvil may be coupled. An anvil detection feature is included to determine when the anvil is coupled to the rod. In some versions, the anvil detection feature comprises a translatable rod that inhibits a lockout feature from disengaging. In other versions, an anvil sensing tube is disposed about the pointed rod and interferes with actuation of the trigger in a first position. A recess in the tube permits trigger to actuate when the anvil sensing tube is in the second position. Alternatively, a resilient tab is coupled to the pointed rod and resists actuation of the staple driver. A trigger lockout assembly may include a spring-loaded button that “pops” out when a push rod is actuated, thereby freeing a pivotable lockout feature.

摘要翻译： 一种手术器械包括具有触发器的手柄组件，该触发器可操作以将钉子驱动器射击至钉组织。 该仪器包括可连接砧座的尖杆。 包括砧检测功能以确定砧座何时与杆连接。 在一些形式中，砧座检测特征包括一个能够阻止锁定特征脱离的可平移杆。 在其他形式中，砧感知管围绕尖的杆设置并且在第一位置上干扰触发器的致动。 当砧座感测管处于第二位置时，管中的凹部允许触发器致动。 或者，弹性突舌连接到尖的杆并抵抗钉驱动器的致动。 触发器锁定组件可以包括弹簧加载的按钮，当按压推杆时“弹出”按钮，从而释放可枢转的锁定特征。

公开(公告)号：US20130153631A1

公开(公告)日：2013-06-20

申请号：US13328402

申请日：2011-12-16

申请人： Venkataramanan Mandakolathur Vasudevan ,  Edward G. Chekan ,  Kevin D. Felder ,  Jerome R. Morgan ,  Carl J. Shurtleff ,  Johnny H. Alexander, III ,  John F. Cummings ,  Christopher C. Miller

发明人： Venkataramanan Mandakolathur Vasudevan ,  Edward G. Chekan ,  Kevin D. Felder ,  Jerome R. Morgan ,  Carl J. Shurtleff ,  Johnny H. Alexander, III ,  John F. Cummings ,  Christopher C. Miller

IPC分类号： A61B17/068

CPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/1155

摘要： A surgical stapling instrument for performing a circular anastomosis comprises a stapling head assembly, an actuator handle assembly, a shaft assembly, a safety latch, and a locking member. The stapling head assembly includes an anvil that moves relative to a staple holder and a staple driver to drive staples from the staple holder into tissue and against the anvil. The actuator handle assembly has a first actuator that controls motion of the anvil and a second actuator that controls motion of the staple driver. The shaft assembly couples the stapling head assembly to the actuator handle assembly. The safety latch prevents operation of the second actuator when the gap between the anvil and staple holder is outside a predetermined range. The locking member is configured to prevent adjustment of the anvil gap after the desired staple height has been set inside the predetermined range.

摘要翻译： 用于执行圆形吻合的外科缝合器械包括装订头组件，致动器手柄组件，轴组件，安全闩锁和锁定构件。 缝合头组件包括相对于缝合钉保持器和缝钉驱动器移动的砧座，以将钉从钉钉保持器驱动到组织中并抵靠砧座。 致动器手柄组件具有控制砧座运动的第一致动器和用于控制订书针驱动器运动的第二致动器。 轴组件将装订头组件耦合到致动器手柄组件。 当砧座和钉仓之间的间隙在预定范围之外时，安全闩锁防止第二致动器的操作。 锁定构件被构造成在期望的钉高度已经设定在预定范围内之前防止砧座间隙的调节。

公开(公告)号：US09603599B2

公开(公告)日：2017-03-28

申请号：US13328344

申请日：2011-12-16

申请人： Christopher C. Miller ,  Edward G. Chekan ,  Johnny H. Alexander, III ,  John F. Cummings ,  Carl J. Shurtleff ,  Adam R. Dunki-Jacobs ,  Barry T. Jamison ,  Joseph E. Young ,  Cortney E. Henderson

发明人： Christopher C. Miller ,  Edward G. Chekan ,  Johnny H. Alexander, III ,  John F. Cummings ,  Carl J. Shurtleff ,  Adam R. Dunki-Jacobs ,  Barry T. Jamison ,  Joseph E. Young ,  Cortney E. Henderson

IPC分类号： A61B17/068 ,  A61B17/115

CPC分类号： A61B17/1155 ,  A61B17/115 ,  A61B2017/00367 ,  A61B2017/00407 ,  A61B2017/00862 ,  A61B2090/034 ,  A61B2090/0811

摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.

公开(公告)号：US20130153630A1

公开(公告)日：2013-06-20

申请号：US13328344

申请日：2011-12-16

申请人： Christopher C. Miller ,  Edward G. Chekan ,  Johnny H. Alexander, III ,  John F. Cummings ,  Carl J. Shurtleff ,  Adam R. Dunki-Jacobs ,  Barry T. Jamison ,  Joseph E. Young ,  Cortney E. Henderson

发明人： Christopher C. Miller ,  Edward G. Chekan ,  Johnny H. Alexander, III ,  John F. Cummings ,  Carl J. Shurtleff ,  Adam R. Dunki-Jacobs ,  Barry T. Jamison ,  Joseph E. Young ,  Cortney E. Henderson

IPC分类号： A61B17/068

CPC分类号： A61B17/1155 ,  A61B17/115 ,  A61B2017/00367 ,  A61B2017/00407 ,  A61B2017/00862 ,  A61B2090/034 ,  A61B2090/0811

摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.

摘要翻译： 手术器械包括可选择性地联接到缝合头组件的砧座和可操作地将钉钉钉入压缩在砧座和缝合头组件之间的组织的触发器。 在一些形式中，锁定构件可以接合固定特征以防止砧座相对于缝合头组件的致动。 例如，突片可以接合致动器上的槽，屏幕门锁可以提供摩擦阻力或接合致动器上的齿，门可以致动与一个或多个凹部接合，齿轮齿可以与致动器上的齿啮合， 锁定构件可以包括棘轮组件以接合致动器，和/或按钮可以在释放锁定构件的同时致动到凹部中。 或者，在一些版本中，触发器致动组件可以在点火之前脱开。 砧位置指示器可以限制触发器致动组件的接合。

公开(公告)号：US08465422B2

公开(公告)日：2013-06-18

申请号：US12479030

申请日：2009-06-05

申请人： William B. Weisenburgh, II ,  Jerome R. Morgan ,  Christopher J. Hess ,  Carl J. Shurtleff ,  Frederick E. Shelton, IV

发明人： William B. Weisenburgh, II ,  Jerome R. Morgan ,  Christopher J. Hess ,  Carl J. Shurtleff ,  Frederick E. Shelton, IV

IPC分类号： A61B1/32

CPC分类号： A61B17/3423 ,  A61B17/0057 ,  A61B17/3431 ,  A61B2017/00637 ,  A61B2017/3484

摘要： Methods and devices are provided to allow the same component used to access a surgical site to assist in closing the surgical opening in which it was disposed. In one exemplary embodiment a flexible retractor is provided that includes proximal and distal ends and a lumen extending therethrough. A wound closure component is associated with the flexible retractor and is configured to engage tissue adjacent to a surgical incision in which the retractor is disposed and move tissue from one side of the surgical incision toward a second side of the surgical incision to assist in closing the surgical incision. In one embodiment the wound closure component includes strands of suture having hooks disposed on a distal end. In another embodiment the wound closure component includes a ring having hooks disposed around a circumference of the ring. Exemplary methods for closing a surgical opening are also provided.

摘要翻译： 提供方法和装置以允许用于接近外科手术部位的相同部件以帮助关闭其所处置的手术开口。 在一个示例性实施例中，提供了柔性牵开器，其包括近端和远端以及从其延伸穿过的内腔。 伤口闭合部件与柔性牵开器相关联，并且被构造成接合在其上设置牵开器的手术切口附近的组织，并且将组织从手术切口的一侧移动到手术切口的第二侧，以帮助关闭 手术切口 在一个实施例中，伤口闭合部件包括具有设置在远端上的钩的缝合线。 在另一个实施例中，伤口闭合部件包括环，其环设置在环的圆周周围。 还提供了用于闭合手术开口的示例性方法。

公开(公告)号：US20100312065A1

公开(公告)日：2010-12-09

申请号：US12479092

申请日：2009-06-05

申请人： Frederick E. Shelton, IV ,  Charles J. Scheib ,  Jerome R. Morgan ,  Carl J. Shurtleff

发明人： Frederick E. Shelton, IV ,  Charles J. Scheib ,  Jerome R. Morgan ,  Carl J. Shurtleff

IPC分类号： A61B1/32

CPC分类号： A61B17/3423 ,  A61B90/98 ,  A61B2017/00398 ,  A61B2017/3445 ,  A61B2017/3466

摘要： Methods and devices are provided to allow for easy manipulation of a configuration and/or an orientation of seal elements of a surgical access device by an end user. In one exemplary embodiment a surgical access device is provided that includes a retractor configured to be positioned within a surgical incision to provide access to a body cavity, seal elements disposed within a lumen of the retractor, and adjustment mechanisms in communication with the seal elements and which are configured to manipulate an orientation of one or more of the seal elements. Types of adjustment mechanisms capable of manipulating the seal elements as desired include inflatable bladders and electroactive polymers. Exemplary methods for providing easy manipulation of the configuration and/or orientation of seal elements of a surgical access device on location are also provided.

摘要翻译： 提供了方法和装置，以允许最终用户容易地操纵外科进入装置的构造和/或定向的密封元件。 在一个示例性实施例中，提供了一种手术进入装置，其包括构造成定位在手术切口内的牵开器，以提供对体腔的通路，设置在牵开器的内腔内的密封元件，以及与密封元件连通的调节机构， 其构造成操纵一个或多个密封元件的取向。 能够根据需要操纵密封元件的调节机构的类型包括可膨胀气囊和电活性聚合物。 还提供了用于提供对位置上的外科进入装置的密封元件的构造和/或取向的容易操作的示例性方法。