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公开(公告)号：WO2019155297A1
公开(公告)日：2019-08-15
申请号：PCT/IB2019/050351
申请日：2019-01-16
申请人： ETHICON LLC
IPC分类号： A61B17/128 , A61B17/00 , A61B34/37 , A61B17/29
CPC分类号： A61B17/1285 , A61B17/10 , A61B17/122 , A61B17/2909 , A61B34/25 , A61B34/37 , A61B34/70 , A61B2017/00017 , A61B2017/00371 , A61B2017/00398 , A61B2017/00477 , A61B2017/2927 , A61B2017/2939 , A61B2034/305
摘要： An end effector for a surgical clip applier includes a body having a proximal end and a distal end, a clip cartridge coupled to the body and containing one or more surgical clips, and a head rotatably coupled to the distal end. First and second jaw members are mounted to the head such that rotation of the head correspondingly moves the first and second jaw members. The head is rotatable between a loading position, where the first and second jaw members are aligned to receive a distal-most surgical clip of the one or more surgical clips, and a clamping position, where the first and second jaw members are positioned to crimp a surgical clip interposing the first and second jaw members.
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公开(公告)号：WO2019148046A1
公开(公告)日：2019-08-01
申请号：PCT/US2019/015300
申请日：2019-01-25
申请人： MITRE MEDICAL CORP. , ANDERSON, Evan , MACMAHON, John , BOYETTE, Jeremy , PELL, Christopher , STEWART, Michael , JURAVIC, Mark
发明人： ANDERSON, Evan , MACMAHON, John , BOYETTE, Jeremy , PELL, Christopher , STEWART, Michael , JURAVIC, Mark
CPC分类号： A61F2/2481 , A61B17/064 , A61B17/068 , A61B17/10 , A61B17/2812 , A61B90/06 , A61B2017/00243 , A61B2017/00398 , A61B2017/00407 , A61B2017/00473 , A61B2017/00738 , A61B2017/00858 , A61B2017/0649 , A61B2090/061 , A61B2090/0801 , A61F2/2442 , A61F2/2451 , A61F2/246 , A61F2/2478 , A61F2002/2484 , A61F2210/0033 , A61F2210/0076 , A61F2220/0016 , A61F2220/0025 , A61F2220/0033 , A61F2230/0013 , A61F2230/0023 , A61F2250/0002 , A61F2250/0003 , A61F2250/0004 , A61F2250/001 , A61F2250/0029 , A61F2250/0036 , A61F2250/006 , A61F2250/0064
摘要： Devices, systems and methods for altering functioning of a tissue/organ by application of force thereto. In one preferred embodiment, a device for reducing or preventing regurgitation of blood through a valve of a heart is provided. A device may include a main body having a segment adapted to apply force to a surface of tissue/organ and a member that applies counterforce to the force applied by the segment. Kits are provided in which devices having varying lengths and widths can be selected for the best fit for a particular location of treatment. A width sizing instrument may be provided. A length sizing instrument may be provided. A separate sleeve and/or pad may be provided which may be first anchored to the tissue/organ before fixing the device thereto.
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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
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.
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公开(公告)号：WO2019130110A1
公开(公告)日：2019-07-04
申请号：PCT/IB2018/057942
申请日：2018-10-12
申请人： ETHICON LLC
发明人： SHELTON, IV, Frederick E. , MESSERLY, Jeffrey D. , HARRIS, Jason L. , YATES, David C. , SAWHUEY, Amrita S. , LEUCK, Stephen M. , BLACK, Brian D. , ROBERSON, Eric M.
CPC分类号： A61B17/320092 , A61B18/1442 , A61B18/1445 , A61B34/37 , A61B2017/0003 , A61B2017/00075 , A61B2017/00084 , A61B2017/00398 , A61B2017/00734 , A61B2018/0063 , A61B2018/00994 , A61B2018/1226 , A61B2090/065 , A61B2090/066 , A61B2090/0811
摘要： A surgical instrument is disclosed. The surgical instrument comprises an end effector comprising an ultrasonic blade and a clamp arm. The clamp arm is movable relative to the ultrasonic blade to transition the end effector between an open configuration and a closed configuration to clamp tissue between the ultrasonic blade and the clamp arm. The surgical instrument further comprises an ultrasonic transducer configured to generate an ultrasonic energy output and a waveguide configured to transmit the ultrasonic energy output to the ultrasonic blade. The surgical instrument further comprises a control circuit, configured to detect an immersion of the end effector in a liquid and compensate for heat flux lost due to the immersion of the end effector in the liquid.
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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.
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.
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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
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.
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公开(公告)号：WO2017208400A1
公开(公告)日：2017-12-07
申请号：PCT/JP2016/066262
申请日：2016-06-01
申请人： オリンパス株式会社
IPC分类号： A61B17/29
CPC分类号： A61B18/1445 , A61B17/068 , A61B17/29 , A61B17/320092 , A61B18/085 , A61B2017/00314 , A61B2017/00398 , A61B2017/00424 , A61B2017/2929 , A61B2018/0091 , A61B2018/00994
摘要： 処置具において、エンドエフェクタ（５）に作用する力に起因するエンドエフェクタ（５）及びシャフト（３）の回転を有効に防止するため、シャフト及びエンドエフェクタと一緒に、ハウジングに対して所定の回転軸回りに回転する回転部材（２５）を備える。前記回転部材（２５）は、外周側に突出する第１の突起（３５）及び第２の突起（３６）を備える。前記第２の突起（３６）は、前記第１の突起（３５）の先端側に連続し、前記所定の回転軸から前記第１の突起（３５）の突出端までの第１の距離に比べ、前記所定の回転軸から前記第２の突起（３６）の突出端までの第２の距離は、大きい。
摘要翻译： 在
处置器械中，为了有效地防止端部执行器的旋转由于作用在端部执行器（5）（5）和轴（3）的力，一起与轴和端部执行器 以及相对于壳体绕预定旋转轴线旋转的旋转构件（25）。 旋转部件（25）具有向外周侧突出的第一突起（35）和第二突起（36）。 第二突起36与第一突起35的前端侧连续，并且与从预定旋转轴到第一突起35的突出端的第一距离相比较， 并且从预定旋转轴线到第二突起（36）的突出端的第二距离大。
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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
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.
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9.发明申请FORCE TRANSMISSION MECHANISM FOR SURGICAL INSTRUMENT, AND RELATED DEVICES, SYSTEMS, AND METHODS 审中-公开用于手术器械的力传输机构以及相关器件，系统和方法
公开(公告)号：WO2017156070A1
公开(公告)日：2017-09-14
申请号：PCT/US2017/021284
申请日：2017-03-08
CPC分类号： A61B34/71 , A61B17/1285 , A61B17/29 , A61B34/35 , A61B2017/00398 , A61B2017/2936 , A61B2017/2944 , A61B2034/301
摘要： A force transmission mechanism for a teleoperated surgical instrument includes a drive pulley, a drive cable operably coupled with the drive pulley, a driven pulley operably coupled with the drive cable, and an actuation member operably coupled to the driven pulley. The actuation member is configured to transmit force to actuate an end effector of the surgical instrument. Rotational motion of the driven pulley causes translational movement of the actuation element to actuate the end effector. Methods relate to operating a force transmission mechanism.
摘要翻译： 用于遥控手术器械的力传递机构包括驱动皮带轮，与驱动皮带轮可操作地联接的驱动索，与驱动索可操作地联接的从动皮带轮以及可操作地联接至驱动皮带的致动构件 从动皮带轮。 致动构件构造成传递力以致动手术器械的末端执行器。 从动滑轮的旋转运动引起致动元件的平移运动以致动端部执行器。 方法涉及操作力传递机构。
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10.发明申请SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLE DRIVEN ARTICULATION SYSTEMS 审中-公开张拉装置用于绳索驱动系统的手术器械
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。
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