公开(公告)号：WO2012166501A8

公开(公告)日：2013-12-19

申请号：PCT/US2012039296

申请日：2012-05-24

Applicant: ETHICON ENDO SURGERY INC ,  TIMM RICHARD W ,  SHELTON FREDERICK E IV

Inventor： TIMM RICHARD W ,  SHELTON FREDERICK E IV

IPC: A61B17/068 ,  A61B17/32 ,  A61B19/00

CPC classification number: A61B17/068 ,  A61B17/00234 ,  A61B17/0684 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/105 ,  A61B17/32 ,  A61B17/320068 ,  A61B18/1445 ,  A61B34/30 ,  A61B50/30 ,  A61B50/36 ,  A61B2017/00115 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00685 ,  A61B2017/00734 ,  A61B2017/0688 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2937 ,  A61B2017/2943 ,  A61B2018/1455 ,  A61B2034/302 ,  A61B2090/0811 ,  Y10T29/53

Abstract: A surgical instrument including an end effector that has a selectively reciprocatable implement movably supported therein. The implement is selectively advanceable in a distal direction upon application of a rotary actuation motion thereto and retractable in a proximal direction upon application of a rotary retraction motion thereto. An elongate shaft assembly is coupled to the end effector and is configured to transmit the rotary actuation motion and rotary retraction motion to the reciprocatable implement from a robotic system that is configured to generate the rotary actuation motion and said rotary retraction motion.

Abstract translation: 包括端部执行器的外科器械具有可移动地支撑在其中的可选择的往复运动的器具。 当向其施加旋转致动运动时，该工具可以在远端方向上选择性地前进，并且在对其施加旋转回缩运动时可在近端方向上缩回。 细长轴组件联接到末端执行器，并且被配置为将旋转致动运动和旋转回缩运动从被配置为产生旋转致动运动和所述旋转回缩运动的机器人系统传递到往复运动的工具。

公开(公告)号：WO2012061645A1

公开(公告)日：2012-05-10

申请号：PCT/US2011/059222

申请日：2011-11-03

Applicant: ETHICON ENDO-SURGERY, INC. ,  PRICE, Daniel, W. ,  TIMM, Richard, W. ,  MOORE, Kyle, P. ,  JOHNSON, Gregory, W. ,  SCHULTE, John, B. ,  MUMAW, Daniel, J. ,  HOUSER, Kevin, L.

Inventor： PRICE, Daniel, W. ,  TIMM, Richard, W. ,  MOORE, Kyle, P. ,  JOHNSON, Gregory, W. ,  SCHULTE, John, B. ,  MUMAW, Daniel, J. ,  HOUSER, Kevin, L.

IPC: A61B18/14 ,  A61B17/32 ,  A61B17/285 ,  A61B17/29

CPC classification number: A61B18/1442 ,  A61B17/00234 ,  A61B17/064 ,  A61B17/2812 ,  A61B17/285 ,  A61B17/320068 ,  A61B17/320092 ,  A61B18/00 ,  A61B18/04 ,  A61B18/12 ,  A61B18/1206 ,  A61B18/1233 ,  A61B18/14 ,  A61B18/1445 ,  A61B34/25 ,  A61B46/10 ,  A61B90/08 ,  A61B90/40 ,  A61B2017/00084 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00482 ,  A61B2017/00734 ,  A61B2017/0084 ,  A61B2017/291 ,  A61B2017/2929 ,  A61B2017/293 ,  A61B2017/2931 ,  A61B2017/2933 ,  A61B2017/294 ,  A61B2018/00178 ,  A61B2018/0019 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00791 ,  A61B2018/00988 ,  A61B2018/1226 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2090/0803 ,  A61B2090/0813 ,  A61B2090/0814 ,  A61N7/00 ,  H01M2/10 ,  H01M2/1016 ,  H01M2/26 ,  H01M10/46 ,  H01M10/48 ,  H01M2220/30 ,  H02J7/0044 ,  H02J7/0045 ,  H02J7/0047 ,  H02J7/025 ,  H02J2007/005 ,  Y10T29/49005 ,  Y10T29/49895 ,  Y10T29/53913

Abstract: A surgical instrument may include a reusable body assembly, a reusable transducer and blade assembly, and a disposable end effector. The transducer and blade assembly may be latched into the body assembly. One version may include an electrical connector on the latch member to electrically couple the body assembly to the transducer. The end effector may include an outer sheath portion coupleable to an outer sheath of the body assembly via a bayonet connection and a clamp arm pivotably coupled to the outer sheath portion. In some versions, an inner tubular member of the body assembly may also couple to an inner tube portion via a bayonet connection. The inner tubular member may include a key to align with a slot on the transducer and blade assembly to align the clamp arm with the blade. The end effector may alternatively couple via threading or ratcheting teeth having a slip feature.

Abstract translation: 手术器械可以包括可重复使用的主体组件，可重复使用的换能器和刀片组件以及一次性端部执行器。 换能器和叶片组件可以被锁定到主体组件中。 一个版本可以包括闩锁构件上的电连接器，以将本体组件电耦合到换能器。 端部执行器可以包括通过卡口连接和可枢转地联接到外护套部分的夹臂连接到本体组件的外护套的外护套部分。 在一些形式中，主体组件的内部管状构件也可以经由卡口连接件连接到内部管部分。 内部管状构件可以包括与换能器和刀片组件上的狭槽对准的键，以使夹紧臂与刀片对准。 端部执行器可以可选地通过具有滑动特征的螺纹或棘轮齿来耦合。

公开(公告)号：WO2011149875A3

公开(公告)日：2012-05-10

申请号：PCT/US2011037653

申请日：2011-05-24

Applicant: ETHICON ENDO SURGERY INC ,  ALDRIDGE JEFFREY L ,  BAKOS GREGORY J ,  CONLON SEAN P ,  CROPPER MICHAEL S ,  HERRERA-DAVIS DENZEL Z ,  DLUGOS DANIEL F ,  ELMER LUCAS B ,  HARRIS JASON L ,  HESS CHRISTOPHER J ,  MESSERLY JEFFREY D ,  ORTIZ MARK S ,  OVERMYER MARK D ,  PASTORELLI ALESSANDRO ,  STOKES MICHAEL J ,  STULEN FOSTER B ,  THOMPSON SUZANNE ,  TIMM RICHARD W ,  VOEGELE JAMES W ,  WEANER LAUREN S ,  WEISENBURGH WILLIAM B II ,  WIDENHOUSE TAMARA S VETRO ,  WOODARD JAMES A JR ,  ZEINER MARK S ,  ZWOLINSKI ANDREW M

Inventor： ALDRIDGE JEFFREY L ,  BAKOS GREGORY J ,  CONLON SEAN P ,  CROPPER MICHAEL S ,  HERRERA-DAVIS DENZEL Z ,  DLUGOS DANIEL F ,  ELMER LUCAS B ,  HARRIS JASON L ,  HESS CHRISTOPHER J ,  MESSERLY JEFFREY D ,  ORTIZ MARK S ,  OVERMYER MARK D ,  PASTORELLI ALESSANDRO ,  STOKES MICHAEL J ,  STULEN FOSTER B ,  THOMPSON SUZANNE ,  TIMM RICHARD W ,  VOEGELE JAMES W ,  WEANER LAUREN S ,  WEISENBURGH WILLIAM B II ,  WIDENHOUSE TAMARA S VETRO ,  WOODARD JAMES A JR ,  ZEINER MARK S ,  ZWOLINSKI ANDREW M

IPC: A61F5/00 ,  A61K9/00 ,  A61M1/00 ,  A61M25/02 ,  A61M37/00

CPC classification number: A61F5/005 ,  A61F5/0003 ,  A61F5/0013 ,  A61M25/007 ,  A61M25/04 ,  A61M31/00 ,  A61M37/0015

Abstract: Methods described herein involve introducing a nasogastric tube into a patient, connecting the nasogastric tube with a reservoir, anchoring the nasogastric tube within the nasal cavity, and introducing a substance into the reservoir through the nasogastric tube.

Abstract translation: 本文描述的方法包括将鼻胃管引入患者，将鼻胃管与储器连接，将鼻胃管固定在鼻腔内，并通过鼻胃管将物质引入储器。

公开(公告)号：WO2012009431A2

公开(公告)日：2012-01-19

申请号：PCT/US2011/043844

申请日：2011-07-13

Applicant: ETHICON ENDO-SURGERY, INC. ,  BECKMAN, Andrew, T. ,  GUERRA, Paul ,  HARRIS, Jason, L. ,  MALAVIYA, Prasanna ,  STULEN, Foster, B. ,  SWAYZE, Jeffrey, S. ,  WHITE, Bradley, E. ,  TIMM, Richard, W. ,  THOMPSON, Suzanne, E. ,  HUNT, John, V. ,  MONSON, Gavin, M. ,  VAKHARIA, Omar, J. ,  LAIRD, Robert, J. ,  HUANG, Zhifan, F. ,  WOODRUFF, Scott, A. ,  PAYNE, Gwendolyn, P. ,  KORVICK, Donna, L. ,  ZINGMAN, Aron, O. ,  MOOTOO, Mary, E. ,  ALDRIDGE, Jeffrey, L. ,  DIETZ, Timothy, G. ,  WITT, David, A. ,  NORVELL, David, K.

Inventor： BECKMAN, Andrew, T. ,  GUERRA, Paul ,  HARRIS, Jason, L. ,  MALAVIYA, Prasanna ,  STULEN, Foster, B. ,  SWAYZE, Jeffrey, S. ,  WHITE, Bradley, E. ,  TIMM, Richard, W. ,  THOMPSON, Suzanne, E. ,  HUNT, John, V. ,  MONSON, Gavin, M. ,  VAKHARIA, Omar, J. ,  LAIRD, Robert, J. ,  HUANG, Zhifan, F. ,  WOODRUFF, Scott, A. ,  PAYNE, Gwendolyn, P. ,  KORVICK, Donna, L. ,  ZINGMAN, Aron, O. ,  MOOTOO, Mary, E. ,  ALDRIDGE, Jeffrey, L. ,  DIETZ, Timothy, G. ,  WITT, David, A. ,  NORVELL, David, K.

IPC: A61B17/115 ,  A61B17/072 ,  A61B18/12 ,  A61B17/11 ,  A61B19/00 ,  A61B17/00 ,  A61B18/14 ,  A61B17/29

CPC classification number: A61B17/07207 ,  A61B17/0644 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/1447 ,  A61B2017/00026 ,  A61B2017/00088 ,  A61B2017/0647 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61B2017/2923 ,  A61B2018/00071 ,  A61B2018/00404 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00678 ,  A61B2018/00708 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/126 ,  A61B2018/145 ,  A61B2018/1455 ,  A61B2090/061

Abstract: An end-effector assembly configured to be attached to a surgical instrument. The end- effector assembly comprises a first portion and a second portion comprising a cavity. At least one of the first portion and the second portion is movable relative to the other jaw. The end- effector assembly comprises a fastening means removably positioned within the cavity and at least one electrode.

Abstract translation: 端部执行器组件被配置为附接到手术器械。 末端执行器组件包括第一部分和包括空腔的第二部分。 第一部分和第二部分中的至少一个可相对于另一个钳口移动。 末端执行器组件包括可拆卸地定位在空腔内的紧固装置和至少一个电极。

公开(公告)号：WO2011130042A3

公开(公告)日：2011-10-20

申请号：PCT/US2011/031147

申请日：2011-04-05

Applicant: ETHICON ENDO-SURGERY, INC. ,  FALLER, Craig, N. ,  MILLER, Matthew, C. ,  VAKHARIA, Omar, J. ,  LAIRD, Robert, J. ,  MONSON, Gavin, M. ,  HUNT, John, V. ,  TIMM, Richard, W. ,  WITT, David, A. ,  HUANG, Zhifan, F. ,  DIETZ, Timothy, G. ,  ALDRIDGE, Jeffrey, L. ,  MOOTOO, Mary, E. ,  BANKS, Raymond, M. ,  SHELTON, Frederick, E.

Inventor： FALLER, Craig, N. ,  MILLER, Matthew, C. ,  VAKHARIA, Omar, J. ,  LAIRD, Robert, J. ,  MONSON, Gavin, M. ,  HUNT, John, V. ,  TIMM, Richard, W. ,  WITT, David, A. ,  HUANG, Zhifan, F. ,  DIETZ, Timothy, G. ,  ALDRIDGE, Jeffrey, L. ,  MOOTOO, Mary, E. ,  BANKS, Raymond, M. ,  SHELTON, Frederick, E.

IPC: A61B18/14

Abstract: Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other about a pivot point. The reciprocating member 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 instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.

公开(公告)号：WO2008042021A1

公开(公告)日：2008-04-10

申请号：PCT/US2007/011275

申请日：2007-05-10

Applicant: ETHICON ENDO-SURGERY, INC. ,  SHELTON, Frederick, E., IV ,  MORGAN, Jerome, R. ,  MURRAY, Michael, A. ,  TIMM, Richard, W. ,  SPIVEY, James, T. ,  VOEGELE, James, W. ,  FUGIKAWA, Leslie, M. ,  TIMPERMAN, Eugene, L.

Inventor： SHELTON, Frederick, E., IV ,  MORGAN, Jerome, R. ,  MURRAY, Michael, A. ,  TIMM, Richard, W. ,  SPIVEY, James, T. ,  VOEGELE, James, W. ,  FUGIKAWA, Leslie, M. ,  TIMPERMAN, Eugene, L.

IPC: A61B17/072 ,  A61B17/00 ,  A61B17/32 ,  A61B19/00

CPC classification number: A61B17/07207 ,  A61B90/03 ,  A61B2017/00535 ,  A61B2017/00557 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07278 ,  A61B2017/320052 ,  A61B2017/32113 ,  A61B2090/032 ,  A61B2090/08021

Abstract: A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw (anvil) and a lower jaw (staple cartridge engaged to an elongate staple channel) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, resilient structures (350) may be formed into one or more of the elongate channel that supports the staple cartridge, the anvil that is pivotally attached to the elongate channel, and/or a firing member that includes a cutting surface (knife) that severs tissue between a top pin that engages the anvil and a lower foot that engage the elongate channel. The resilience responds to the force exerted by clamped tissue to vary the spacing between the anvil and the staple cartridge supported within the elongate channel.

Abstract translation: 用于内窥镜或腹腔镜插入外科手术部位以用于同时缝合和切断组织的手术器械包括上钳口（砧）和下钳口（钉仓与细长缝合通道接合的）之间的力调节的间隔，使得 缝钉形成对应于组织的厚度，但不超过可由缝钉长度适应的高度范围。 特别地，弹性结构（350）可以形成为支撑钉仓的细长通道中的一个或多个，可枢转地附接到细长通道的砧座和/或包括切割表面（刀）的击发构件， 其在接合砧座的顶销和接合细长通道的下脚之间切断组织。 弹性响应由夹紧的组织施加的力以改变砧座和支撑在细长通道内的钉仓之间的间隔。

公开(公告)号：WO2012166501A1

公开(公告)日：2012-12-06

申请号：PCT/US2012/039296

申请日：2012-05-24

Applicant: ETHICON ENDO-SURGERY, INC. ,  TIMM, Richard, W. ,  SHELTON, Frederick, E.

Inventor： TIMM, Richard, W. ,  SHELTON, Frederick, E.

IPC: A61B17/068 ,  A61B17/32 ,  A61B19/00

CPC classification number: A61B17/068 ,  A61B17/00234 ,  A61B17/0684 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/105 ,  A61B17/32 ,  A61B17/320068 ,  A61B18/1445 ,  A61B34/30 ,  A61B50/30 ,  A61B50/36 ,  A61B2017/00115 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00367 ,  A61B2017/00398 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2017/00685 ,  A61B2017/00734 ,  A61B2017/0688 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2905 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2937 ,  A61B2017/2943 ,  A61B2018/1455 ,  A61B2034/302 ,  A61B2090/0811 ,  Y10T29/53

Abstract: A surgical instrument including an end effector that has a selectively reciprocatable implement movably supported therein. The implement is selectively advanceable in a distal direction upon application of a rotary actuation motion thereto and retractable in a proximal direction upon application of a rotary retraction motion thereto. An elongate shaft assembly is coupled to the end effector and is configured to transmit the rotary actuation motion and rotary retraction motion to the reciprocatable implement from a robotic system that is configured to generate the rotary actuation motion and said rotary retraction motion.

Abstract translation: 包括端部执行器的外科器械具有可移动地支撑在其中的可选择的往复运动的器具。 当向其施加旋转致动运动时，该工具可以在远端方向上选择性地前进，并且在对其施加旋转回缩运动时可在近端方向上缩回。 细长轴组件联接到末端执行器，并且被配置为将旋转致动运动和旋转回缩运动从被配置为产生旋转致动运动和所述旋转回缩运动的机器人系统传递到往复运动的工具。

公开(公告)号：WO2012009431A3

公开(公告)日：2012-07-26

申请号：PCT/US2011043844

申请日：2011-07-13

Applicant: ETHICON ENDO SURGERY INC ,  BECKMAN ANDREW T ,  GUERRA PAUL ,  HARRIS JASON L ,  MALAVIYA PRASANNA ,  STULEN FOSTER B ,  SWAYZE JEFFREY S ,  WHITE BRADLEY E ,  TIMM RICHARD W ,  THOMPSON SUZANNE E ,  HUNT JOHN V ,  MONSON GAVIN M ,  VAKHARIA OMAR J ,  LAIRD ROBERT J ,  HUANG ZHIFAN F ,  WOODRUFF SCOTT A ,  PAYNE GWENDOLYN P ,  KORVICK DONNA L ,  ZINGMAN ARON O ,  MOOTOO MARY E ,  ALDRIDGE JEFFREY L ,  DIETZ TIMOTHY G ,  WITT DAVID A ,  NORVELL DAVID K

Inventor： BECKMAN ANDREW T ,  GUERRA PAUL ,  HARRIS JASON L ,  MALAVIYA PRASANNA ,  STULEN FOSTER B ,  SWAYZE JEFFREY S ,  WHITE BRADLEY E ,  TIMM RICHARD W ,  THOMPSON SUZANNE E ,  HUNT JOHN V ,  MONSON GAVIN M ,  VAKHARIA OMAR J ,  LAIRD ROBERT J ,  HUANG ZHIFAN F ,  WOODRUFF SCOTT A ,  PAYNE GWENDOLYN P ,  KORVICK DONNA L ,  ZINGMAN ARON O ,  MOOTOO MARY E ,  ALDRIDGE JEFFREY L ,  DIETZ TIMOTHY G ,  WITT DAVID A ,  NORVELL DAVID K

IPC: A61B17/115 ,  A61B17/00 ,  A61B17/064 ,  A61B17/072 ,  A61B17/11 ,  A61B17/29 ,  A61B18/12 ,  A61B18/14 ,  A61B19/00

CPC classification number: A61B17/07207 ,  A61B17/0644 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/1447 ,  A61B2017/00026 ,  A61B2017/00088 ,  A61B2017/0647 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61B2017/2923 ,  A61B2018/00071 ,  A61B2018/00404 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00678 ,  A61B2018/00708 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/126 ,  A61B2018/145 ,  A61B2018/1455 ,  A61B2090/061

Abstract: An end-effector assembly configured to be attached to a surgical instrument. The end- effector assembly comprises a first portion and a second portion comprising a cavity. At least one of the first portion and the second portion is movable relative to the other jaw. The end- effector assembly comprises a fastening means removably positioned within the cavity and at least one electrode.

Abstract translation: 构造成附接到手术器械的端部执行器组件。 末端执行器组件包括第一部分和包括空腔的第二部分。 第一部分和第二部分中的至少一个相对于另一个颚部是可移动的。 末端执行器组件包括可移除地定位在空腔内的紧固装置和至少一个电极。

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：WO2011149875A2

公开(公告)日：2011-12-01

申请号：PCT/US2011/037653

申请日：2011-05-24

Applicant: ETHICON ENDO-SURGERY, INC. ,  ALDRIDGE, Jeffrey, L. ,  BAKOS, Gregory, J. ,  CONLON, Sean, P. ,  CROPPER, Michael, S. ,  HERRERA-DAVIS, Denzel, Z. ,  DLUGOS, Daniel, F. ,  ELMER, Lucas, B. ,  HARRIS, Jason, L. ,  HESS, Christopher, J. ,  MESSERLY, Jeffrey, D. ,  ORTIZ, Mark, S. ,  OVERMYER, Mark, D. ,  PASTORELLI, Alessandro ,  STOKES, Michael, J. ,  STULEN, Foster, B. ,  THOMPSON, Suzanne ,  TIMM, Richard, W. ,  VOEGELE, James, W. ,  WEANER, Lauren, S. ,  WEISENBURGH, William, B., II ,  WIDENHOUSE, Tamara, S. Vetro ,  WOODARD, James, A., Jr. ,  ZEINER, Mark, S. ,  ZWOLINSKI, Andrew, M.

Inventor： ALDRIDGE, Jeffrey, L. ,  BAKOS, Gregory, J. ,  CONLON, Sean, P. ,  CROPPER, Michael, S. ,  HERRERA-DAVIS, Denzel, Z. ,  DLUGOS, Daniel, F. ,  ELMER, Lucas, B. ,  HARRIS, Jason, L. ,  HESS, Christopher, J. ,  MESSERLY, Jeffrey, D. ,  ORTIZ, Mark, S. ,  OVERMYER, Mark, D. ,  PASTORELLI, Alessandro ,  STOKES, Michael, J. ,  STULEN, Foster, B. ,  THOMPSON, Suzanne ,  TIMM, Richard, W. ,  VOEGELE, James, W. ,  WEANER, Lauren, S. ,  WEISENBURGH, William, B., II ,  WIDENHOUSE, Tamara, S. Vetro ,  WOODARD, James, A., Jr. ,  ZEINER, Mark, S. ,  ZWOLINSKI, Andrew, M.

IPC: A61F2/04 ,  A61M25/00 ,  A61M31/00

CPC classification number: A61F5/005 ,  A61F5/0003 ,  A61F5/0013 ,  A61M25/007 ,  A61M25/04 ,  A61M31/00 ,  A61M37/0015

Abstract: Methods described herein involve introducing a nasogastric tube into a patient, connecting the nasogastric tube with a reservoir, anchoring the nasogastric tube within the nasal cavity, and introducing a substance into the reservoir through the nasogastric tube.

Abstract translation: 本文描述的方法包括将鼻胃管引入患者体内，将鼻胃管与储器连接，将鼻胃管固定在鼻腔内，并通过鼻胃管将物质引入储液器。