公开(公告)号：WO2011090832A1

公开(公告)日：2011-07-28

申请号：PCT/US2011/020476

申请日：2011-01-07

Applicant: ETHICON ENDO-SURGERY, INC. ,  CRAINICH, Lawrence ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  HOLCOMB, Matthew, D. ,  O'KEEFE, Jonathan, B. ,  BOUDREAU, Keith, D. ,  CERIER, Jeffrey, C.

Inventor： CRAINICH, Lawrence ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  HOLCOMB, Matthew, D. ,  O'KEEFE, Jonathan, B. ,  BOUDREAU, Keith, D. ,  CERIER, Jeffrey, C.

IPC: A61B17/068 ,  A61B17/128

CPC classification number: A61B17/0682 ,  A61B17/1285 ,  A61B2017/0645

Abstract: A method for feeding a fastener including the step of providing a device having a housing, at least one fastener within the housing, wherein the fastener is disposed within the housing in a first plane, an elongated actuator disposed within the housing, the actuator comprising a shaft substantially parallel to a longitudinal axis of the housing and rigidly spaced from the fastener in a second plane the actuator comprising at least one radially extending advancer disposed along a length thereof. The method further includes the step of rotating the actuator so to engage the fastener, and longitudinally moving the actuator to advance the fastener.

Abstract translation: 一种用于馈送紧固件的方法，包括提供具有壳体的装置，在壳体内的至少一个紧固件的步骤，其中紧固件在第一平面内设置在壳体内，细长致动器设置在壳体内，致动器包括 轴基本上平行于壳体的纵向轴线并且在第二平面中与紧固件刚性地间隔开，该致动器包括沿其长度设置的至少一个径向延伸的推进器。 该方法还包括使致动器旋转以接合紧固件的步骤，以及纵向移动致动器以使紧固件前进。

公开(公告)号：WO2011090831A1

公开(公告)日：2011-07-28

申请号：PCT/US2011/020472

申请日：2011-01-07

Applicant: ETHICON ENDO-SURGERY, INC. ,  CRAINICH, Lawrence ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  HOLCOMB, Matthew, D. ,  O'KEEFE, Jonathan, B. ,  BOUDREAU, Keith, D. ,  CERIER, Jeffrey, C.

Inventor： CRAINICH, Lawrence ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  HOLCOMB, Matthew, D. ,  O'KEEFE, Jonathan, B. ,  BOUDREAU, Keith, D. ,  CERIER, Jeffrey, C.

IPC: A61B17/068 ,  A61B17/128

CPC classification number: A61B17/0682 ,  A61B17/068 ,  A61B17/1285 ,  A61B2017/0645

Abstract: A mechanism for feeding a fastener including a housing having a longitudinal axis and at least one fastener within the housing. The fastener has a crown and at least two legs extending therefrom. The fastener is disposed within the housing in a first plane parallel to the longitudinal axis. The mechanism includes an elongated actuator disposed within the housing. The actuator has a shaft substantially parallel to the longitudinal axis of the mechanism and rigidly spaced from the fastener in a second plane. The actuator has at least one radially extending advancer disposed along a length thereof, and a mechanism for rotating the actuator so that the advancer engages the fastener.

Abstract translation: 一种用于馈送紧固件的机构，所述紧固件包括具有纵向轴线的壳体和在所述壳体内的至少一个紧固件。 紧固件具有冠部并且从其延伸的至少两个腿部。 紧固件在平行于纵向轴线的第一平面内设置在壳体内。 该机构包括设置在壳体内的细长致动器。 致动器具有基本上平行于机构的纵向轴线的轴并且在第二平面中与紧固件刚性地间隔开。 致动器具有至少一个沿其长度布置的径向延伸的推进器，以及用于使致动器旋转的机构，使得推进器接合紧固件。

公开(公告)号：WO2010011826A2

公开(公告)日：2010-01-28

申请号：PCT/US2009/051513

申请日：2009-07-23

Applicant: ETHICON ENDO-SURGERY, INC. ,  ZEINER, Mark, S. ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  HOLCOMB, Matthew, D. ,  ORTIZ, Mark, S. ,  TIMPERMAN, Eugene, L. ,  KONDOR, Alex, P.

Inventor： ZEINER, Mark, S. ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  HOLCOMB, Matthew, D. ,  ORTIZ, Mark, S. ,  TIMPERMAN, Eugene, L. ,  KONDOR, Alex, P.

IPC: A61B17/00

CPC classification number: A61B17/0401 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0493 ,  A61B17/3498 ,  A61B90/92 ,  A61B90/94 ,  A61B2017/003 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/2916 ,  A61B2017/292 ,  A61B2017/2923 ,  A61F5/0086

公开(公告)号：WO2013043683A1

公开(公告)日：2013-03-28

申请号：PCT/US2012/056051

申请日：2012-09-19

Applicant: ETHICON ENDO-SURGERY, INC. ,  BALEK, Stephen, J. ,  BOUDREAUX, Chad, P. ,  HOLCOMB, Matthew, D. ,  RHAD, Edward, A.

Inventor： BALEK, Stephen, J. ,  BOUDREAUX, Chad, P. ,  HOLCOMB, Matthew, D. ,  RHAD, Edward, A.

IPC: A61B17/00 ,  A61B17/072

CPC classification number: A61B17/00491 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/07257 ,  A61B2017/320052

Abstract: 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 instrument includes an anvil cartridge removably received in an anvil frame. The anvil cartridge is severed by the firing bar when the firing bar is advanced through tissue such that material from the anvil cartridge is released onto the severed tissue.

Abstract translation: 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。 仪器包括可拆卸地容纳在砧架中的砧座。 当燃烧棒推进穿过组织时，砧筒被击发杆切断，使得来自砧座筒的材料被释放到被切断的组织上。

公开(公告)号：WO2013039820A1

公开(公告)日：2013-03-21

申请号：PCT/US2012/054401

申请日：2012-09-10

Applicant: ETHICON ENDO-SURGERY, INC. ,  BOUDREAUX, Chad P. ,  BALEK, Stephen J. ,  HOLCOMB, Matthew D. ,  RHAD, Edward A. ,  WILSON, Donald F., Jr.

Inventor： BOUDREAUX, Chad P. ,  BALEK, Stephen J. ,  HOLCOMB, Matthew D. ,  RHAD, Edward A. ,  WILSON, Donald F., Jr.

IPC: A61B17/00 ,  A61B17/072

CPC classification number: A61B17/00491 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/00495

Abstract: An apparatus comprises a surgical instrument and a buttress configured to hold a fluid adhesive. In some versions, the buttress contains a two-part fluid adhesive where two fluid materials form a fluid adhesive when combined. In some versions, the buttress is configured to be compressed by the surgical instrument thereby pressurizing a portion of the buttress. Thereafter, the buttress may be severed and the pressurized region may be operable to urge the fluid adhesive to a tissue site.

Abstract translation: 一种装置包括外科器械和构造成保持流体粘合剂的支柱。 在一些版本中，支撑件包含两部分流体粘合剂，其中两种流体材料组合时形成流体粘合剂。 在一些形式中，支撑构造成被手术器械压缩，从而对支撑物的一部分进行加压。 此后，支柱可能被切断，并且加压区域可操作以将流体粘合剂推动到组织部位。

公开(公告)号：WO2012103291A1

公开(公告)日：2012-08-02

申请号：PCT/US2012/022656

申请日：2012-01-26

Applicant: ETHICON ENDO-SURGERY, INC. ,  HOLCOMB, Matthew D. ,  HARRIS, Jason L. ,  STOKES, Michael J. ,  ZEINER, Mark S. ,  O'KEEFE, Jonathan B. ,  BOUDREAU, Keith D. ,  CERIER, Jeffrey C.

Inventor： HOLCOMB, Matthew D. ,  HARRIS, Jason L. ,  STOKES, Michael J. ,  ZEINER, Mark S. ,  O'KEEFE, Jonathan B. ,  BOUDREAU, Keith D. ,  CERIER, Jeffrey C.

IPC: A61B17/068 ,  A61B17/04 ,  A61B17/00 ,  A61B17/072

CPC classification number: A61B17/0684 ,  A61B17/0644 ,  A61B17/0682 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/0488 ,  A61B2017/0645 ,  A61B2017/0725

Abstract: A fastener applying device including a staple housing having a proximal end attached to a handle, a distal end, and a longitudinal axis therebetween. There is at least one fastener within the housing. The device also includes an anvil movable within the staple housing. The anvil has a proximal position and a distal position, wherein when in the distal position a distal end of the anvil extends distal to the distal end of the staple housing by a distance. The device also includes an adjustment nut connecting the staple housing to the handle. Rotation of the adjustment nut changes the distance.

Abstract translation: 一种紧固件施加装置，包括具有附接到手柄的近端的钉仓，其远端和它们之间的纵向轴线。 壳体内至少有一个紧固件。 该装置还包括可在钉仓内移动的砧座。 砧座具有近端位置和远端位置，其中当远端位置时，砧座的远端远离钉钉仓的远端延伸一定距离。 该装置还包括将钉仓与手柄连接的调节螺母。 调整螺母的旋转会改变距离。

公开(公告)号：WO2011043923A1

公开(公告)日：2011-04-14

申请号：PCT/US2010/049738

申请日：2010-09-22

Applicant: ETHICON ENDO-SURGERY, INC. ,  HOLCOMB, Matthew, D. ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  ZEINER, Mark, S. ,  ORTIZ, Mark, S. ,  KONDOR, Alexander, P. ,  CRAINICH, Lawrence ,  TIMPERMAN, Eugene, L.

Inventor： HOLCOMB, Matthew, D. ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  ZEINER, Mark, S. ,  ORTIZ, Mark, S. ,  KONDOR, Alexander, P. ,  CRAINICH, Lawrence ,  TIMPERMAN, Eugene, L.

IPC: A61B17/04 ,  A61B17/06 ,  A61B17/34 ,  A61B17/29

CPC classification number: A61B17/0401 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/3498 ,  A61B90/92 ,  A61B90/94 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0464 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/2916 ,  A61B2017/2917 ,  A61B2017/292 ,  A61B2017/2923 ,  A61B2017/2926

Abstract: A device for deploying fasteners including a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle. The device also includes an elongated pusher movable through the hollow housing from the proximal to the distal end to deploy the fasteners. The device further includes a deforming member for deforming the pusher at a proximal end thereof while advancing the pusher to the distal end of the housing.

Abstract translation: 一种用于展开紧固件的装置，包括手柄和至少一个致动器。 手柄连接到具有远端和近端的细长的中空壳体。 该装置具有容纳可释放地连接到手柄的至少一个紧固件的第一盒。 该装置还包括细长的推动器，其可从近端到远端移动穿过中空壳体以展开紧固件。 该装置还包括变形构件，用于使推动器在其近端处变形，同时将推动器推进到壳体的远端。

公开(公告)号：WO2009134983A8

公开(公告)日：2010-04-08

申请号：PCT/US2009042279

申请日：2009-04-30

Applicant: ETHICON ENDO SURGERY INC ,  ORTIZ MARK S ,  ALBRECHT THOMAS E ,  ZEINER MARK S ,  GIORDANO JAMES R ,  HOLCOMB MATTHEW D ,  STOKES MICHAEL J

Inventor： ORTIZ MARK S ,  ALBRECHT THOMAS E ,  ZEINER MARK S ,  GIORDANO JAMES R ,  HOLCOMB MATTHEW D ,  STOKES MICHAEL J

IPC: A61F5/00 ,  A61B17/30 ,  A61B18/14

CPC classification number: A61F5/0083 ,  A61B1/00165 ,  A61B18/1492 ,  A61B2017/306 ,  A61B2018/00214 ,  A61B2018/00291 ,  A61B2018/00494 ,  A61B2018/00898

Abstract: An inflatable medical instrument (18) for tissue damage in gastric reduction surgery includes a main chamber (20) composed of a biocompatible material capable of being selectively inflated. The medical instrument also includes a longitudinally extending tab member (26) secured to an outer surface of the main chamber, a series of suction holes (30) are formed along the tab member and an electrode (38) is mounted on the tab member. The present invention also provides a method for forming a tissue junction used in defining a gastric pouch including damaging opposed tissue layers, apposing the tissue layers and fastening the tissue layers to allow the tissue layers to heal together.

Abstract translation: 用于胃减压手术中的组织损伤的可膨胀医疗器械（18）包括由能够选择性地膨胀的生物相容性材料构成的主室（20）。 医疗器械还包括固定到主室的外表面的纵向延伸的突片构件（26），沿着突片构件形成一系列吸孔（30），并且电极（38）安装在突片构件上。 本发明还提供了一种用于形成用于限定胃袋的组织连接的方法，包括有害的相对的组织层，放置组织层并紧固组织层以允许组织层一起愈合。

公开(公告)号：WO2010027895A3

公开(公告)日：2010-03-11

申请号：PCT/US2009/055140

申请日：2009-08-27

Applicant: ETHICON ENDO-SURGERY, INC. ,  HOLCOMB, Matthew, D. ,  SPIVEY, James, T. ,  VAKHARIA, Omar, J. ,  JOHNSON, Frederick, Q. ,  MANTRI, Surag, S. ,  NGUYEN, Hoang, V. ,  WOODARD, Steven, P.

Inventor： HOLCOMB, Matthew, D. ,  SPIVEY, James, T. ,  VAKHARIA, Omar, J. ,  JOHNSON, Frederick, Q. ,  MANTRI, Surag, S. ,  NGUYEN, Hoang, V. ,  WOODARD, Steven, P.

IPC: A61B18/14

Abstract: A surgical device comprising a clevis defining a longitudinal axis and a jaw comprising a first member and a second member. A slider is slidably engaged to the clevis, the slider comprising a pin. The pin is receiveably engaged in the first slot and the jaw is selectively moveable between a first position and a second position through longitudinal movement of the slider. In various embodiments, the first and second members are movable between an angular open position, a parallel open position, and a parallel closed position.

公开(公告)号：WO2010011823A1

公开(公告)日：2010-01-28

申请号：PCT/US2009/051509

申请日：2009-07-23

Applicant: ETHICON ENDO-SURGERY, INC. ,  ZEINER, Mark, S. ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  HOLCOMB, Matthew, D. ,  ORTIZ, Mark, S. ,  CRAINICH, Lawrence ,  KONDOR, Alex, P.

Inventor： ZEINER, Mark, S. ,  HARRIS, Jason, L. ,  STOKES, Michael, J. ,  HOLCOMB, Matthew, D. ,  ORTIZ, Mark, S. ,  CRAINICH, Lawrence ,  KONDOR, Alex, P.

IPC: A61B17/04

CPC classification number: A61B17/0401 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/0482 ,  A61B17/0493 ,  A61B17/3498 ,  A61B90/92 ,  A61B90/94 ,  A61B2017/003 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2017/0464 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2017/0496 ,  A61B2017/06052 ,  A61B2017/2916 ,  A61B2017/292 ,  A61B2017/2923

Abstract: A reloadable device for deploying fasteners. The device has a handle and at least one actuator. The handle is connected to an elongated hollow housing having distal and proximal ends. The device has a first cartridge containing at least one fastener releasably connectable to the handle. The fastener has at least two anchors connected together by a non-resilient flexible suture which does not resist deformation under compressible loads. The device also includes a means, adjacent the handle, for facilitating removal of the first cartridge from the handle and replacing it with a second cartridge.

Abstract translation: 用于部署紧固件的可重装装置。 该装置具有手柄和至少一个致动器。 手柄连接到具有远端和近端的细长的中空壳体。 该装置具有容纳可释放地连接到手柄的至少一个紧固件的第一盒。 紧固件具有至少两个通过非弹性柔性缝合线连接在一起的锚固件，其在可压缩载荷下不会抵抗变形。 该装置还包括与手柄相邻的装置，以便于将第一盒从手柄移除并用第二盒替换。