公开(公告)号：WO2012040600A2

公开(公告)日：2012-03-29

申请号：PCT/US2011/053028

申请日：2011-09-23

Applicant: ETHICON ENDO-SURGERY, INC. ,  BAXTER, III, Chester, O. ,  ARONHALT, Taylor, W. ,  YOUNG, Joseph, E. ,  SHELTON, IV, Frederick, E. ,  JOHNSON, Gregory, W. ,  WORRELL, Barry, C. ,  MILLER, Matthew, C.

Inventor： BAXTER, III, Chester, O. ,  ARONHALT, Taylor, W. ,  YOUNG, Joseph, E. ,  SHELTON, IV, Frederick, E. ,  JOHNSON, Gregory, W. ,  WORRELL, Barry, C. ,  MILLER, Matthew, C.

IPC: A61B18/14

CPC classification number: A61B17/07207 ,  A61B2017/0038 ,  A61B2017/2908 ,  A61B2017/2927 ,  A61B2017/2946

Abstract: A surgical instrument that has an actuation system that is configured to generate at least two separate actuation motions. A clutch assembly is movable between an engaged position wherein the clutch assembly is in operable engagement with the actuation system and an unengaged position. In various forms, the surgical instrument includes a manually actuatable trigger assembly that interfaces with the clutch assembly and the actuation system such that a first stroke of the trigger assembly causes the actuation system to generate a first one of the actuation motions and moves the clutch assembly from the unengaged position to the engaged position whereupon a second stroke of the trigger assembly causes the actuation system to generate another one of the actuation motions.

Abstract translation: 具有致动系统的手术器械被配置为产生至少两个单独的致动运动。 离合器组件可在离合器组件与致动系统可操作接合的接合位置和未接合位置之间移动。 在各种形式中，外科器械包括可手动致动的触发器组件，该触发器组件与离合器组件和致动系统连接，使得触发器组件的第一行程致使致动系统产生第一致动运动并且使离合器组件 从非接合位置移动到接合位置，于是触发器组件的第二行程使致动系统产生另一个致动运动。

公开(公告)号：WO2012006306A2

公开(公告)日：2012-01-12

申请号：PCT/US2011/043008

申请日：2011-07-06

Applicant: ETHICON ENDO-SURGERY, INC. ,  HUANG, Zhifan, F. ,  WITT, David, A. ,  BANKS, Raymond, M. ,  DIETZ, Timothy, G. ,  MOOTOO, Mary, E. ,  JOHNSON, Gregory, W. ,  SWAYZE, Jeffrey, S. ,  HARRIS, Jason, L. ,  STULEN, Foster, B. ,  MALAVIYA, Prasanna ,  TIMM, Richard, W. ,  HUNT, John, V. ,  THOMPSON, Suzanne, E. ,  MONSON, Gavin, M. ,  LAIRD, Robert, J. ,  VAKHARIA, Omar, J. ,  SCHALL, Christopher, J. ,  KIMBALL, Cory, G. ,  MIREL, Al ,  CUMMINGS, John, F. ,  BECKMAN, Andrew, T.

Inventor： HUANG, Zhifan, F. ,  WITT, David, A. ,  BANKS, Raymond, M. ,  DIETZ, Timothy, G. ,  MOOTOO, Mary, E. ,  JOHNSON, Gregory, W. ,  SWAYZE, Jeffrey, S. ,  HARRIS, Jason, L. ,  STULEN, Foster, B. ,  MALAVIYA, Prasanna ,  TIMM, Richard, W. ,  HUNT, John, V. ,  THOMPSON, Suzanne, E. ,  MONSON, Gavin, M. ,  LAIRD, Robert, J. ,  VAKHARIA, Omar, J. ,  SCHALL, Christopher, J. ,  KIMBALL, Cory, G. ,  MIREL, Al ,  CUMMINGS, John, F. ,  BECKMAN, Andrew, T.

IPC: A61B18/14

CPC classification number: A61B18/1445 ,  A61B17/32 ,  A61B2017/003 ,  A61B2017/00309 ,  A61B2017/00323 ,  A61B2017/2902 ,  A61B2017/291 ,  A61B2017/2927 ,  A61B2018/00077 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2018/1861 ,  A61B2034/305

Abstract: An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector. A surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. The surgical instrument can further comprise a shaft extending between the handle and the effector and means for articulating the end effector relative to the shaft. The articulating means can comprise a portion of the shaft which is rotatable about a first axis in order to articulate the end effector about a second axis. In at least one embodiment, the shaft can comprise a first portion including a cam and a second portion including a cam follower, wherein the rotation of the second portion and the interaction of the cam and cam follower can cause the second portion to pivot relative to the first portion.

Abstract translation: 电外科器械可以包括手柄，轴和端部执行器，其中端部执行器可以通过关节运动接头可旋转地联接到轴上。 该器械可以进一步包括驱动构件，并且关节运动接头可以包括可以构造成支撑驱动构件的柔性支撑构件。 该器械还可以包括电耦合到末端执行器中的电极的供电线以及配置为防止供电线在关节运动接头内累积松弛的线张紧装置。 驱动构件可以包括多个柔性层，其中一些层可以由电绝缘材料构成，并且其他层可以由与端部执行器中的切割构件电连通的导电材料构成和/或 定位在末端执行器内的电极。 外科器械可以包括手柄和端部执行器，其中端部执行器可以包括第一和第二钳口，所述第一和第二钳口可以打开和关闭以捕获其间的组织。 外科器械可以进一步包括在手柄和执行器之间延伸的轴以及用于相对于轴将端部执行器铰接的装置。 铰接装置可以包括可围绕第一轴线旋转的轴的一部分，以便使端部执行器围绕第二轴线铰接。 在至少一个实施例中，轴可以包括包括凸轮的第一部分和包括凸轮从动件的第二部分，其中第二部分的旋转以及凸轮和凸轮从动件的相互作用可以导致第二部分相对于 第一部分。

公开(公告)号：WO2011090867A3

公开(公告)日：2011-12-01

申请号：PCT/US2011021044

申请日：2011-01-13

Applicant: ETHICON ENDO SURGERY INC ,  PARIHAR SHAILENDRA K ,  MINNELLI PATRICK J ,  JOHNSON GREGORY W ,  BOOKBINDER MARK J ,  JADEED NABEEL M ,  SHELTON FREDERICK E IV

Inventor： PARIHAR SHAILENDRA K ,  MINNELLI PATRICK J ,  JOHNSON GREGORY W ,  BOOKBINDER MARK J ,  JADEED NABEEL M ,  SHELTON FREDERICK E IV

IPC: A61B17/00

CPC classification number: A61B17/00234 ,  A61B2017/00287

Abstract: A specimen retrieval instrument (200) comprises a tubular member (208), a resilient member (210), 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 (204) may advance the resilient member and bag out of the tubular member. The rod may define a transversed oriented recess (220) configured to retain at least a portion of the resilient member between the rod and the inner diameter of the tubular member when the resilient member is in its retracted position contained within the tubular member. Alternatively, the tubular member may comprise a sheath (208) 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.

Abstract translation: 样本取出器具（200）包括管状构件（208），弹性构件（210）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（204）可以将弹性构件和袋推出管状构件。 杆可以限定横向定向的凹部（220），其被构造成当弹性构件处于其缩回位置时，将弹性构件的至少一部分保持在杆和管状构件的内径之间。 或者，管状构件可以包括可伸缩以露出弹性构件和袋的护套（208）。 弹性构件可以具有箍，螺旋或轧制带状构造。 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。

公开(公告)号：WO2011130043A1

公开(公告)日：2011-10-20

申请号：PCT/US2011/031148

申请日：2011-04-05

Applicant: ETHICON ENDO-SURGERY, INC. ,  GUERRA, Paul ,  HARRIS, Jason, L. ,  JOHNSON, Gregory, W. ,  MALAVIYA, Prasanna ,  SWAYZE, Jeffrey, S.

Inventor： GUERRA, Paul ,  HARRIS, Jason, L. ,  JOHNSON, Gregory, W. ,  MALAVIYA, Prasanna ,  SWAYZE, Jeffrey, S.

IPC: A61B17/295 ,  A61B18/14 ,  A61B17/29

CPC classification number: A61B17/295 ,  A61B18/1445 ,  A61B2017/2933 ,  A61B2017/2934 ,  A61B2017/2936 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1412

Abstract: Various embodiments are directed to a surgical instrument comprising, a shaft (104), and an end effector (106). The shaft may be coupled to the handle (102) and may extend distally along an longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first (108) and second jaw members (110), a reciprocating member, a shuttle and at least one cam pin. The first and second jaw members may define first and second longitudinal slots and first and second cam slots and may be pivotable towards one another about a pivot point. The reciprocating member (340) may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The shuttle may be translatable distally and proximally parallel to the longitudinal axis. The cam pin may be coupled to the shuttle and positioned within the first cam slot and the second cam slot.

Abstract translation: 各种实施例涉及包括轴（104）和末端执行器（106）的外科器械。 轴可以联接到手柄（102）并且可以沿着纵向轴线向远侧延伸。 末端执行器可以定位在轴的远端，并且可以包括第一（108）和第二钳口构件（110），往复运动构件，梭和至少一个凸轮销。 第一和第二钳口构件可以限定第一和第二纵向槽以及第一和第二凸轮槽，并且可以围绕枢转点彼此可枢转。 往复运动构件（340）可以在纵向和纵向平行于纵向轴线并且通过第一和第二纵向狭槽平移。 往复运动构件的远侧部分可以限定一个叶片。 梭子可以在远端和向近端平行于纵向轴线平移。 凸轮销可以联接到梭子并且定位在第一凸轮槽和第二凸轮槽内。

公开(公告)号：WO2011100317A2

公开(公告)日：2011-08-18

申请号：PCT/US2011/024184

申请日：2011-02-09

Applicant: ETHICON ENDO-SURGERY, INC. ,  ROBERTSON, Galen, C. ,  TIMM, Richard, W. ,  MUMAW, Daniel, J. ,  STULEN, Foster, B. ,  JOHNSON, Gregory, W. ,  MORGAN, Jerome, R. ,  HOUSER, Kevin, L. ,  NEUROHR, Mark, A. ,  MALAVIYA, Prasanna ,  FORTSON, Reginald, D. ,  CONLON, Sean, P. ,  DANNAHER, William, D. ,  WEINER, Eitan, T. ,  BODIN, Kristi, M. ,  JOACHIM, William, S., Jr.

Inventor： ROBERTSON, Galen, C. ,  TIMM, Richard, W. ,  MUMAW, Daniel, J. ,  STULEN, Foster, B. ,  JOHNSON, Gregory, W. ,  MORGAN, Jerome, R. ,  HOUSER, Kevin, L. ,  NEUROHR, Mark, A. ,  MALAVIYA, Prasanna ,  FORTSON, Reginald, D. ,  CONLON, Sean, P. ,  DANNAHER, William, D. ,  WEINER, Eitan, T. ,  BODIN, Kristi, M. ,  JOACHIM, William, S., Jr.

IPC: A61B17/32

CPC classification number: A61B17/320068

公开(公告)号：WO2007064498A3

公开(公告)日：2007-10-18

申请号：PCT/US2006044693

申请日：2006-11-17

Applicant: ETHICON ENDO SURGERY INC ,  JOHNSON GREGORY W ,  HUNT JOHN V

Inventor： JOHNSON GREGORY W ,  HUNT JOHN V

IPC: A61B17/00 ,  A45F5/10

CPC classification number: A61B17/2909 ,  A61B2017/0042 ,  A61B2017/2911

Abstract: Forceps for grasping tissue during a medical procedure. The forceps include a body, a jaw pivotally mounted on the body for movement between a grasping position and a releasing position, and a lever operatively connected to the jaw to drive the jaw from the grasping position to the releasing position. The forceps include a digit engagement member rotatably mounted on the lever. The digit engagement member has an engagement surface configured to engage a digit of an operator's hand during use. The engagement surface rotates relative to the lever as the lever drives the jaw from the releasing position to the grasping position

Abstract translation: 在医疗过程中用于抓取组织的镊子。 镊子包括主体，枢转地安装在主体上以便在抓握位置和释放位置之间移动的颚以及可操作地连接到颚的杆，以将颚从抓握位置驱动到释放位置。 镊子包括可旋转地安装在杠杆上的手指接合构件。 手指接合构件具有构造成在使用期间接合操作者的手指的接合表面。 当杠杆将爪从释放位置驱动到抓握位置时，接合表面相对于杠杆旋转

公开(公告)号：WO2013032777A1

公开(公告)日：2013-03-07

申请号：PCT/US2012/051686

申请日：2012-08-21

Applicant: ETHICON ENDO-SURGERY, INC. ,  JOHNSON, Gregory W. ,  SWAYZE, Jeffrey S. ,  HARRIS, Jason L. ,  STULEN, Foster B. ,  MALAVIYA, Prasanna

Inventor： JOHNSON, Gregory W. ,  SWAYZE, Jeffrey S. ,  HARRIS, Jason L. ,  STULEN, Foster B. ,  MALAVIYA, Prasanna

IPC: A61B18/14 ,  A61B17/295 ,  A61B17/29

CPC classification number: A61B18/1445 ,  A61B17/2909 ,  A61B2017/0042 ,  A61B2017/2912 ,  A61B2017/2923 ,  A61B2017/2925 ,  A61B2018/00619 ,  A61B2018/1455

Abstract: A nested trigger assembly (128) for a surgical instrument may generally comprise a first trigger (130a) and a second trigger (130b), wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument (100) may generally comprise a shaft (106) comprising a proximal end and a distal end, a handle (105) extending from the proximal end, wherein the handle comprises a gripping portion (102), and a nested trigger assembly (128) extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.

Abstract translation: 用于外科器械的嵌套触发器组件（128）通常可以包括第一触发器（130a）和第二触发器（130b），其中第一触发器和第二触发器可在嵌套触发器组件的第一冲程上一起移动，其中 第二触发器被配置为在第一冲程之后和第二冲程之前偏离第一触发器，并且其中第二触发器被配置为在第二冲程期间朝向第一触发器移动。 外科器械（100）通常可包括包括近端和远端的轴（106），从近端延伸的手柄（105），其中手柄包括握持部分（102）和嵌套触发器组件 （128）从手柄延伸。 嵌套触发器组装可以包括可分离触发器组件和可分割触发器组件之一。

公开(公告)号：WO2011156548A3

公开(公告)日：2012-01-26

申请号：PCT/US2011039715

申请日：2011-06-09

Applicant: ETHICON ENDO SURGERY INC ,  BECKMAN ANDREW T ,  WHITE BRADLEY E ,  KIMBALL CORY G ,  CUMMINGS JOHN F ,  MIREL AL ,  SCHALL CHRISTOPHER J ,  ALDRIDGE JEFFREY L ,  DIETZ TIMOTHY G ,  WITT DAVID A ,  MOOTOO MARY E ,  HUANG ZHIFAN F ,  BANKS RAYMOND M ,  WIDENHOUSE TAMARA ,  SHELTON FREDERICK E ,  HARRIS JASON L ,  SWAYZE JEFFREY S ,  STULEN FOSTER B ,  MALAVIYA PRASANNA ,  JOHNSON GREGORY W ,  GUERRA PAUL

Inventor： BECKMAN ANDREW T ,  WHITE BRADLEY E ,  KIMBALL CORY G ,  CUMMINGS JOHN F ,  MIREL AL ,  SCHALL CHRISTOPHER J ,  ALDRIDGE JEFFREY L ,  DIETZ TIMOTHY G ,  WITT DAVID A ,  MOOTOO MARY E ,  HUANG ZHIFAN F ,  BANKS RAYMOND M ,  WIDENHOUSE TAMARA ,  SHELTON FREDERICK E ,  HARRIS JASON L ,  SWAYZE JEFFREY S ,  STULEN FOSTER B ,  MALAVIYA PRASANNA ,  JOHNSON GREGORY W ,  GUERRA PAUL

IPC: A61B18/14

CPC classification number: 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

Abstract: 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.

Abstract translation: 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，末端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。

公开(公告)号：WO2011090867A2

公开(公告)日：2011-07-28

申请号：PCT/US2011/021044

申请日：2011-01-13

Applicant: ETHICON ENDO-SURGERY, INC. ,  PARIHAR, Shailendra, K. ,  MINNELLI, Patrick, J. ,  JOHNSON, Gregory, W. ,  BOOKBINDER, Mark, J. ,  JADEED, Nabeel, M. ,  SHELTON, Frederick, E. IV

Inventor： PARIHAR, Shailendra, K. ,  MINNELLI, Patrick, J. ,  JOHNSON, Gregory, W. ,  BOOKBINDER, Mark, J. ,  JADEED, Nabeel, M. ,  SHELTON, Frederick, E. IV

IPC: A61B17/00

CPC classification number: A61B17/00234 ,  A61B2017/00287

Abstract: 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.

Abstract translation: 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，管状构件可以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。

公开(公告)号：WO2008124476A1

公开(公告)日：2008-10-16

申请号：PCT/US2008/059227

申请日：2008-04-03

Applicant: ETHICON ENDO-SURGERY, INC ,  BECKMAN, Andrew, T. ,  WHITE, William, J. ,  NGUYEN, Anthony ,  JOHNSON, Gregory, W.

Inventor： BECKMAN, Andrew, T. ,  WHITE, William, J. ,  NGUYEN, Anthony ,  JOHNSON, Gregory, W.

IPC: A61B17/34 ,  A61B19/00

CPC classification number: A61B17/3423 ,  A61B17/3462 ,  A61B17/3498 ,  A61B90/08

Abstract: A seal assembly for permitting hand assisted laparoscopic procedures includes a seal cap having a central access opening allowing access to a body cavity as desired. The seal cap is provided with a housing in which a seal is positioned. The seal cap also includes an attachment ring that is selectively detachable therefrom for selective attachment of a retractor.

Abstract translation: 用于允许手辅助腹腔镜手术的密封组件包括具有中心进入开口的密封帽，其允许根据需要进入体腔。 密封盖设有壳体，密封件定位在该壳体中。 密封帽还包括可选择性地与其分离的附接环，用于选择性地附接牵开器。