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：WO2017074842A3

公开(公告)日：2017-06-22

申请号：PCT/US2016058392

申请日：2016-10-24

申请人： ETHICON ENDO-SURGERY LLC

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

IPC分类号： A61B17/072

CPC分类号： A61B17/105 ,  A61B17/068 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/32 ,  A61B2017/00004 ,  A61B2017/00398 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/00884 ,  A61B2017/00951 ,  A61B2017/07271 ,  A61B2017/2936

摘要： A staple cartridge includes a plurality of staples and a deck defining a plurality of openings. Each opening of the plurality of openings is associated with a corresponding staple of the plurality of staples, such that each staple is configured to pass through a corresponding opening of the plurality of openings. The deck further includes a first mechanical coupling feature and a buttress assembly. The buttress assembly includes a buttress body and a second mechanical coupling feature. The second mechanical coupling feature is configured to engage the first mechanical coupling feature to releasably couple the buttress body to the deck.

摘要翻译： 钉仓包括多个钉和限定多个开口的平台。 多个开口中的每个开口与多个钉中的对应钉相关联，使得每个钉被配置成穿过多个开口中的对应开口。 该甲板还包括第一机械联接特征和支撑组件。 支撑组件包括支撑体和第二机械联接特征。 第二机械联接特征构造成接合第一机械联接特征以将支撑体可释放地联接到甲板。

公开(公告)号：WO2017066083A1

公开(公告)日：2017-04-20

申请号：PCT/US2016/055877

申请日：2016-10-07

申请人： ETHICON ENDO-SURGERY, LLC

发明人： SCHEIB, Charles J. ,  SHELTON, IV, Frederick E.

IPC分类号： A61B17/072

CPC分类号： A61B17/07207 ,  A61B2017/07221 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61B2017/07278

摘要： A surgical instrument includes an end effector with a staple cartridge. The end effector and staple cartridge extend along a centerline and have an arcuate portion. The staple cartridge includes a deck and a plurality of staples. The plurality of staples include an outer set of staples and an inner set of staples for respective receipt within outer and inner rows of staple openings formed through the deck. At least one staple of the outer set of staples has an elongated crown relative to the inner set of staples such that the outer set of staples are configured to overlap with the inner set of staples in a direction transverse to the centerline.

摘要翻译： 手术器械包括具有钉仓的末端执行器。 末端执行器和钉仓沿中心线延伸并具有弓形部分。 钉仓包括甲板和多个钉。 多个吻合钉包括外部吻合钉组和内部吻合钉组，用于分别接收在形成为穿过甲板的吻合钉开口的外部和内部排内。 外部组钉中的至少一个钉相对于内部钉组具有伸长的冠部，使得外部钉组在与横向于中心线的方向上与内部钉组重叠。

公开(公告)号：WO2017058608A1

公开(公告)日：2017-04-06

申请号：PCT/US2016/052836

申请日：2016-09-21

申请人： ETHICON ENDO-SURGERY, LLC

发明人： HARRIS, Jason L. ,  SHELTON, IV, Frederick E. ,  VENDELY, Michael J. ,  LANDGREBE, Susanne

IPC分类号： A61B17/072

CPC分类号： A61B17/105 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00955 ,  A61B2017/00964 ,  A61B2017/07221 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2017/07278

摘要： A staple cartridge assembly is disclosed which comprises a cartridge body and an implantable layer. The implantable layer includes fibers comprised of a first material and a second material. The first material and the second material have different glass transition temperatures. After the fibers comprised of the first material and the second material have been intermixed or interwoven, the layer is exposed to a temperature which exceeds the lower of the two glass transition temperatures. This heating process causes the layer to constrict and increase in thickness. The layer, when implanted, can compensate for variations in tissue thickness within the staples.

摘要翻译： 公开了一种钉仓组件，其包括筒体和可植入层。 可植入层包括由第一材料和第二材料组成的纤维。 第一种材料和第二种材料具有不同的玻璃化转变温度。 在由第一材料和第二材料组成的纤维已经混合或交织后，该层暴露于超过两个玻璃化转变温度较低的温度。 这种加热过程导致层收缩并且增加厚度。 该植入层可以补偿缝钉内组织厚度的变化。

公开(公告)号：WO2017058603A2

公开(公告)日：2017-04-06

申请号：PCT/US2016/052815

申请日：2016-09-21

申请人： ETHICON ENDO-SURGERY, LLC

发明人： VENDELY, Michael J. ,  SCHELLIN, Emily A. ,  ARONHALT, Taylor W. ,  BARTON, Trevor J. ,  WEANER, Lauren S. ,  HARRIS, Jason L. ,  SHELTON, IV, Frederick E.

IPC分类号： A61B17/072 ,  A61B17/064

CPC分类号： A61B17/105 ,  A61B17/0644 ,  A61B17/068 ,  A61B17/07207 ,  A61B17/07292 ,  A61B2017/00477 ,  A61B2017/00526 ,  A61B2017/00955 ,  A61B2017/00964 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07271 ,  A61B2017/07278

摘要： A compressible adjunct is used with a surgical instrument including a staple cartridge deck. The compressible adjunct includes a first biocompatible material, a second biocompatible material with a lower melting temperature than the first biocompatible material, and a body including a face positionable against a length of the staple cartridge deck. The face includes a plurality of attachment regions spaced apart from one another, wherein the plurality of attachment regions include the second biocompatible material, wherein the face is selectively attachable to the staple cartridge deck at said plurality of attachment regions, and a plurality of non-attachment regions extending between the plurality of attachment regions, wherein the second biocompatible material is selectively disposed outside said non-attachment regions.

摘要翻译： 可压缩附件与包括钉仓甲板的手术器械一起使用。 可压缩附件包括第一生物相容性材料，具有比第一生物相容性材料低的熔化温度的第二生物相容性材料，以及包括可抵靠钉仓甲板长度定位的面的主体。 所述面包括彼此间隔开的多个附接区域，其中所述多个附接区域包括所述第二生物相容性材料，其中所述面部在所述多个附接区域选择性地附接到钉仓甲板上， 附接区域在所述多个附接区域之间延伸，其中所述第二生物相容性材料选择性地设置在所述非附着区域的外部。