公开(公告)号：WO2019155304A1

公开(公告)日：2019-08-15

申请号：PCT/IB2019/050360

申请日：2019-01-16

申请人： ETHICON LLC

发明人： BAXTER, III, Chester O. ,  STOKES, Michael J. ,  JONES, Jason ,  CORBIN, Matthew S. ,  WYNN, Carol J.

IPC分类号： A61B17/072 ,  A61B17/29 ,  A61B17/32

CPC分类号： A61B17/115 ,  A61B17/07207 ,  A61B17/1114 ,  A61B2017/00367 ,  A61B2017/00446 ,  A61B2017/00477 ,  A61B2017/0725 ,  A61B2017/07285 ,  A61B2090/037 ,  A61B2090/0801 ,  A61B2090/08021 ,  A61B2090/0813 ,  A61B2090/0814

摘要： A handle assembly includes two arms and a latching lever. An end effector includes two jaws. A firing assembly includes an actuating beam, a proximal body, and two levers. The actuating beam is slidable relative to the handle assembly and the end effector. The proximal body is coupled to the actuating beam and is housed within either the first arm or the second arm. The first lever is configured to move between a first laterally extending position and a first non-obtrusive position. The first lever is configured to drive the actuating beam and the proximal body relative to the handle assembly in the first laterally extending position. The second lever is configured to move between a second laterally extending position and a second non-obtrusive position. The second lever is configured to drive the actuating beam and the proximal body relative to the handle assembly in the second laterally extending position.

公开(公告)号：WO2019133056A1

公开(公告)日：2019-07-04

申请号：PCT/US2018/044138

申请日：2018-07-27

申请人： ETHICON LLC

发明人： WIENER, Eitan T. ,  SHELTON, IV, Frederick E. ,  YATES, David C.

IPC分类号： G16H40/67 ,  A61B17/16

CPC分类号： H04L63/0428 ,  A61B17/07207 ,  A61B17/320092 ,  A61B18/1206 ,  A61B34/32 ,  A61B90/30 ,  A61B90/361 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00039 ,  A61B2017/00084 ,  A61B2017/00398 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2017/320095 ,  A61B2018/0063 ,  A61B2018/00791 ,  A61B2018/126 ,  A61B2218/002 ,  A61B2218/007 ,  A61B2218/008 ,  G06F8/65 ,  G16H40/67 ,  G16H80/00 ,  H04L61/2007 ,  H04L67/10

摘要： A surgical hub is configured to transmit generator data associated with a surgical procedure from a generator of the surgical hub to a cloud-based system. The surgical hub comprises a processor and a memory storing instructions executable by the processor to: receive generator data; encrypt the generator data; generate a message authentication code based on the generator data; generate a datagram comprising: the encrypted generator data, the generated message authentication code, a source identifier and a destination identifier; and transmit the datagram to the cloud-based system. The datagram allows for the cloud-based system to: decrypt the encrypted generator data; verify the integrity of the generator data based on the message authentication code; authenticate the surgical hub as the source of the datagram; and validate a transmission path followed by the datagram between the surgical hub and the cloud based system.

公开(公告)号：WO2019130077A1

公开(公告)日：2019-07-04

申请号：PCT/IB2018/055748

申请日：2018-07-31

申请人： ETHICON LLC

发明人： MORGAN, Jerome R. ,  HARRIS, Jason L. ,  SHELTON, IV, Frederick E. ,  YATES, David C. ,  BAKOS, Gregory J.

IPC分类号： G16H40/40 ,  G16H20/40 ,  G16H40/20 ,  G16H20/00

CPC分类号： G16H40/40 ,  A61B17/07207 ,  A61B17/320068 ,  A61B18/14 ,  A61B34/30 ,  A61B90/08 ,  A61B90/30 ,  A61B90/361 ,  A61B2017/00039 ,  A61B2017/00212 ,  A61B2017/00398 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00994 ,  A61B2034/301 ,  A61B2090/0803 ,  A61B2218/002 ,  A61B2218/007 ,  A61B2218/008 ,  G16H20/00 ,  G16H40/20

摘要： A cloud based analytics medical system comprises a processor, a memory coupled to the processor, an input/output interface to access data from medical hub communication devices, each coupled to a surgical instrument, and a database to store the data. The processor aggregates medical resource usage data from the medical hubs. The medical resource usage data comprises data pertaining to medical products and indication of efficiency based on usage, disposal records, and location data describing which medical facility the medical product was allocated to and patient outcome data pertaining to a procedure that utilized the medical product. The processor can determine a correlation between positive outcomes from the outcome data and location data of the medical product, generate a medical recommendation to change a medical resource usage practice based on the correlation, and display the medical recommendation to a medical hub at the local facility.

公开(公告)号：WO2019123100A1

公开(公告)日：2019-06-27

申请号：PCT/IB2018/059847

申请日：2018-12-10

申请人： ETHICON LLC

发明人： SHELTON, IV, Frederick E. ,  HARRIS, Jason L. ,  YATES, David C.

IPC分类号： A61B17/068

CPC分类号： A61B34/20 ,  A61B17/068 ,  A61B17/07207 ,  A61B34/74 ,  A61B90/361 ,  A61B2017/00004 ,  A61B2017/00017 ,  A61B2017/00039 ,  A61B2017/00115 ,  A61B2017/00207 ,  A61B2017/00398 ,  A61B2017/00424 ,  A61B2017/00477 ,  A61B2017/00561 ,  A61B2017/00734 ,  A61B2017/00951 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07285 ,  A61B2034/742 ,  A61B2090/366 ,  A61F5/0083

摘要： A surgical stapler comprising a projector configured to project an image onto the tissue of a patient which assists the user of the surgical stapler.

公开(公告)号：WO2017184516A1

公开(公告)日：2017-10-26

申请号：PCT/US2017/027945

申请日：2017-04-17

申请人： ETHICON LLC

发明人： SCHEIB, Charles J.

IPC分类号： A61B17/072

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07207 ,  A61B2017/00539 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07271 ,  A61B2017/07278

摘要： A surgical instrument includes a body assembly, a shaft assembly, and an end effector. The end effector has first and second jaws that are configured to receive a tissue therebetween. The end effector also includes a staple cartridge including a plurality of staples and a hydraulic expandable member that is configured to receive a fluid and thereby expand from a contracted state to an expanded state. The hydraulic expandable member is further configured to direct at least one of the plurality of staples toward an anvil of the first jaw for forcing the at least one of the staples against the anvil and forming the at least one of the staples within the tissue.

摘要翻译： 手术器械包括主体组件，轴组件和端部执行器。 末端执行器具有构造成在其间接收组织的第一和第二钳口。 末端执行器还包括钉仓，该钉仓包括多个钉和构造成接收流体并由此从收缩状态扩张到扩张状态的液压可扩张构件。 液压可扩张构件进一步构造成将多个钉中的至少一个朝向第一钳口的砧座引导，以迫使钉中的至少一个抵靠砧座并且在组织内形成至少一个钉。 / p>

公开(公告)号：WO2017180432A2

公开(公告)日：2017-10-19

申请号：PCT/US2017/026324

申请日：2017-04-06

申请人： ETHICON LLC

发明人： SHELTON, Frederick E., IV ,  HARRIS, Jason L. ,  VENDELY, Michael J. ,  SCHEIB, Charles J.

IPC分类号： A61B17/072

CPC分类号： A61B17/072 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/32 ,  A61B2017/00004 ,  A61B2017/00017 ,  A61B2017/00137 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/07214 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2090/065 ,  A61B2090/0811

摘要： A surgical instrument. The surgical instrument includes an elongated channel configured to support a staple cartridge, an anvil pivotably connected to the elongated channel, a knife mechanically coupled to the staple cartridge, an electric motor and a control circuit electrically connected to the electric motor. The control circuit is configured to change a firing motion of the surgical instrument based on a combination of events.

公开(公告)号：WO2017139296A1

公开(公告)日：2017-08-17

申请号：PCT/US2017/016880

申请日：2017-02-08

申请人： ETHICON LLC

发明人： HUNTER, Morgan R. ,  DUNKI-JACOBS, Adam R. ,  BAXTER, III, Chester O. ,  SWAYZE, Jeffrey S. ,  SCHULTZ, Darwin L.

IPC分类号： A61B17/072

CPC分类号： A61B17/068 ,  A61B17/00234 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/105 ,  A61B90/30 ,  A61B2017/00398 ,  A61B2017/00407 ,  A61B2017/00424 ,  A61B2017/0046 ,  A61B2017/00473 ,  A61B2017/00734 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2927 ,  A61B2017/293 ,  A61B2017/2936 ,  A61B2090/0808

摘要： A surgical instrument comprising an elongate shaft assembly that defines a shaft axis. A surgical end effector is pivotally coupled to the elongate shaft assembly for selective articulation relative to the elongate shaft assembly about an articulation axis that is transverse to the shaft axis. An articulation cable is coupled to the surgical end effector at a point of attachment and is journaled on a proximal pulley that is supported on the elongate shaft assembly. The proximal pulley defines a proximal pulley axis that is located a tension distance from the point of attachment. An articulation driver is coupled to the articulation cable for selectively causing the articulation cable to rotate about the proximal pulley in first and second articulation directions. An adjustable tensioning assembly interfaces with the proximal pulley to selectively adjust the tensioning distance.

摘要翻译： 包括限定轴线的细长轴组件的外科器械。 外科端部执行器可枢转地联接到细长轴组件，以用于相对于细长轴组件关于横切轴轴线的关节运动轴选择性地铰接。 关节式运动线缆在连接点处连接至外科端部执行器并且轴颈式支撑在支撑在细长轴组件上的近侧滑轮上。 近侧滑轮限定近侧滑轮轴线，该近侧滑轮轴线位于距离连接点的张力距离处。 关节运动驱动器联接到关节运动线缆，用于选择性地引起关节运动线缆在第一和第二关节运动方向上围绕近侧滑轮旋转。 一个可调节的张紧组件与近端皮带轮连接，以选择性地调节张紧距离。

公开(公告)号：WO2017074847A3

公开(公告)日：2017-07-06

申请号：PCT/US2016058403

申请日：2016-10-24

申请人： ETHICON ENDO-SURGERY LLC

发明人： TURNER PRUDENCE A ,  SCHELLIN EMILY A ,  VENDELY MICHAEL J ,  BARTON TREVOR J ,  HARRIS JASON L ,  SCHEIB CHARLES J ,  SHELTON FREDERICK E IV

IPC分类号： A61B17/072

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/00004 ,  A61B2017/00398 ,  A61B2017/00526 ,  A61B2017/00951 ,  A61B2017/00964

摘要： An apparatus includes an end effector, a cartridge, and a buttress assembly. The end effector includes an anvil and a lower jaw. The anvil is configured to move toward and away from the lower jaw. The lower jaw is configured to receive the cartridge. The cartridge includes a housing, staples disposed in the housing, and a deck disposed over the staples. The buttress assembly is configured to be attached to either the anvil or the cartridge. The buttress assembly includes an adhesive layer, a film layer, and a buttress body. The adhesive layer is configured to adhere to either the anvil or the deck of the cartridge. The adhesive layer is attached to a first side of the film layer. The buttress body is attached to a second side of the film layer such that the film layer is interposed between the adhesive layer and the buttress body.

摘要翻译： 一种装置包括末端执行器，药筒和支撑组件。 末端执行器包括砧座和下颚。 砧座配置为朝向和远离下颚移动。 下颚被配置为接收盒。 盒包括壳体，设置在壳体中的钉，以及设置在钉上方的甲板。 支撑组件被配置为连接到砧座或套筒。 支撑组件包括粘合剂层，薄膜层和支撑体。 粘合剂层被构造成粘附到匣的砧座或甲板上。 粘合剂层附着到膜层的第一侧。 支撑体附接到膜层的第二侧，使得膜层介于粘合剂层和支撑体之间。

公开(公告)号：WO2017083129A1

公开(公告)日：2017-05-18

申请号：PCT/US2016/059646

申请日：2016-10-31

申请人： INTUITIVE SURGICAL OPERATIONS, INC.

发明人： SMITH, Jeffrey A.

IPC分类号： A61B17/068 ,  A61B17/00 ,  A61B34/37

CPC分类号： A61B34/37 ,  A61B17/07207 ,  A61B34/30 ,  A61B2017/07257 ,  A61B2034/305 ,  A61B2090/08021 ,  A61B2090/0807

摘要： A surgical stapler is provided that includes a first jaw and a second jaw. The first jaw includes a proximal end portion and a distal end portion. The second jaw includes a proximal end portion and a distal end portion. The proximal end portion of the first jaw is pivotally mounted to the proximal end portion of the second jaw. A flexible guide is secured to the distal end portion of the first jaw.

摘要翻译： 提供了包括第一钳口和第二钳口的外科缝合器。 第一钳口包括近端部分和远端部分。 第二钳口包括近端部分和远端部分。 第一钳夹的近端部分枢转地安装到第二钳夹的近端部分。 柔性导向件固定在第一钳口的远端部分上。

公开(公告)号：WO2017074840A1

公开(公告)日：2017-05-04

申请号：PCT/US2016/058389

申请日：2016-10-24

申请人： ETHICON ENDO-SURGERY, LLC

发明人： SHELTON, IV, Frederick E. ,  VENDELY, Michael J. ,  TURNER, Prudence A. ,  DONNERS, Jack ,  BEZWADA, Rao S. ,  CRAIGWOOD, Aidan ,  HAGERMAN, Caroline ,  EASTER, Ashley ,  HOLTZMANN, Katherin

IPC分类号： A61L24/00 ,  A61L24/04 ,  C08G81/02 ,  C08G63/08 ,  C08G63/664 ,  C09J167/04

CPC分类号： A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/00951 ,  A61L24/0042 ,  A61L24/046 ,  A61L31/06 ,  A61L31/148 ,  C08G63/664 ,  C09J167/04 ,  C08L67/04 ,  C08L71/02

摘要： A buttress assembly is configured to temporarily adhere to a wet surgical stapler end effector. The buttress assembly includes a buttress body and a humidity tolerant adhesive. The adhesive includes a bioabsorbable polymer having a block configuration selected from the group consisting of A-B-A and A-B-C. The A block is a bioabsorbable homopolymer characterized by a glass transition temperature of at least about 0°C, a crystallinity as measured by X-ray diffraction of at least about 30%, and a melting temperature of at least about 50°C. The B block is a bioabsorbable homopolymer or co-polymer that is characterized by a glass transition temperature of at least about -40°C, a crystallinity as measured by X-ray diffraction of at most about 25%, and2 a molecular weight of from about 20 to about 80kDa. The C block is a bioabsorbable hydrophilic homopolymer or co-polymer that is miscible with water at 37°C.

摘要翻译： 一个支撑组件被配置为临时粘附到湿手术缝合器末端执行器。 支撑组件包括支撑体和耐湿粘合剂。 粘合剂包括具有选自A-B-A和A-B-C的嵌段构型的生物可吸收聚合物。 A嵌段是生物可吸收均聚物，其特征在于至少约0℃的玻璃化转变温度，通过X射线衍射测量的至少约30％的结晶度和至少约50℃的熔融温度。 B嵌段是生物可吸收的均聚物或共聚物，其特征在于玻璃化转变温度至少约-40℃，通过X射线衍射测得的结晶度至多约25％，和2的分子量 约20至约80kDa。 C嵌段是在37℃与水混溶的生物可吸收亲水均聚物或共聚物。