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11. 发明授权

EP2997905B1 SURGICAL CUTTING AND STAPLING DEVICE WITH CLOSURE APPARATUS FOR LIMITING MAXIMUM TISSUE COMPRESSION FORCE 有权
标题翻译：具有用于限制最大组织压缩力的封闭装置的手术切割和钉书机
公开(公告)号：EP2997905B1
公开(公告)日：2018-04-25
申请号：EP15185345.4
申请日：2007-03-28
申请人： Ethicon Endo-Surgery, Inc.
发明人： SHELTON IV, Frederick E. , SWAYZE, Jeffrey S.
IPC分类号： A61B17/00 , A61B17/064 , A61B17/115 , A61B17/34 , A61B17/29 , A61B17/32 , A61B17/072 , A61B90/00 , A61B18/00
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A staple having a crown (1471) and first and second deformable members (1466, 1467) extending from the crown. In at least one embodiment, the staple further includes a base (1468) connecting the first and second deformable members where the base is not entirely co-planar with the first and second deformable members. The crown can be overmolded onto, or attached to, the base and provide a larger and/or more stable tissue-contacting surface for supporting the tissue captured by the staple. As a result, the possibility of the staple being pulled through the tissue and/or the tissue tearing within or around the staple is reduced.

12. 发明公开

EP3130291A3 IMPROVED BUTTRESS MATERIAL FOR USE WITH A SURGICAL STAPLER 有权转让
标题翻译：用手术缝合器改进的外套材料
公开(公告)号：EP3130291A3
公开(公告)日：2017-05-03
申请号：EP16169842.8
申请日：2008-01-10
申请人： Ethicon Endo-Surgery, Inc.
发明人： SHELTON IV, Frederick E.
IPC分类号： A61B17/072
摘要： In various embodiments of the present invention, a piece of buttress material can be configured to match a curved profile of the anvil and/or staple cartridge of a surgical stapler. In at least one embodiment, the piece of buttress material can include first and second edges extending between first and second ends. In these embodiments, the first edge can be defined by a first radius of curvature and the second edge can be defined by a second radius of curvature wherein the second radius of curvature is larger than the first radius of curvature. In at least one embodiment, the anvil and/or staple cartridge can include a surface configured for receiving a piece of buttress material thereon and a lip which at least partially extends along the periphery thereof wherein the lip can be configured to reduce relative movement between the piece of buttress material and the surface.
摘要翻译：在本发明的各种实施例中，一片支撑材料可被配置为匹配手术吻合器的砧座和/或钉仓的弯曲轮廓。在至少一个实施例中，该片支撑材料可以包括在第一和第二端之间延伸的第一和第二边缘。在这些实施例中，第一边缘可以由第一曲率半径限定，第二边缘可以由第二曲率半径限定，其中第二曲率半径大于第一曲率半径。在至少一个实施例中，砧座和/或钉仓可包括构造成用于在其上接收一片支撑材料的表面和至少部分地沿其周边延伸的唇缘，其中唇缘可构造成减小一块支撑材料和表面。

13. 发明公开

EP2941199A2 MOTOR DRIVEN ROTARY INPUT CIRCULAR STAPLER WITH MODULAR END EFFECTOR 有权转让
标题翻译： MOTORGETRIEBENEKREISFÖRMIGEHEFTVORRICHTUNG MIT DREHEINGABE UND EINEM MODULAREN ENDEFFEKTOR
公开(公告)号：EP2941199A2
公开(公告)日：2015-11-11
申请号：EP13815643.5
申请日：2013-12-16
申请人： Ethicon Endo-Surgery, Inc.
发明人： SWAYZE, Jeffrey S. , BAXTER III, Chester O. , SHELTON IV, Frederick E.
IPC分类号： A61B17/115
CPC分类号： A61B17/1155 , A61B2017/00393 , A61B2017/00398 , A61B2017/00473 , A61B2017/00477 , A61B2017/07214 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285
摘要： A surgical stapling device comprises a handle assembly, a shaft assembly, and a stapling head assembly. The shaft assembly comprises a rotary drive shaft that translates between two longitudinal positions to alternate between a tissue clamping mode and a tissue cutting/stapling mode. The stapling head assembly includes a first set of rotary drive elements that convert rotary motion of the drive shaft into a tissue clamping action when the drive shaft is in a distal position. The stapling head assembly also includes a second set of rotary drive elements that convert rotary motion of the drive shaft into a tissue cutting/stapling action when the drive shaft is in a proximal position. The drive shaft may be driven manually or by a motor. The stapling head assembly may be provided in a cartridge form that is removable from the shaft assembly.
摘要翻译：外科缝合装置包括手柄组件，轴组件和装订头组件。轴组件包括旋转驱动轴，其在两个纵向位置之间平移，以在组织夹紧模式和组织切割/装订模式之间交替。装订头组件包括第一组旋转驱动元件，当驱动轴处于远侧位置时，第一组旋转驱动元件将驱动轴的旋转运动转换成组织夹持动作。缝合头组件还包括第二组旋转驱动元件，当驱动轴处于近侧位置时，其将驱动轴的旋转运动转换成组织切割/缝合动作。驱动轴可以手动地或由电动机驱动。装订头组件可以设置成可从轴组件移除的盒形式。

14. 发明公开

EP2621353A1 FASTENERS SUPPORTED BY A FASTENER CARTRIDGE SUPPORT 有权
标题翻译： BASIS杂志基于载波的紧固件
公开(公告)号：EP2621353A1
公开(公告)日：2013-08-07
申请号：EP11770273.8
申请日：2011-09-29
申请人： Ethicon Endo-Surgery, Inc.
发明人： RIESTENBERG, Paul, F. , SHELTON IV, Frederick E. , SWAYZE, Jeffrey, S. , MORGAN, Jerome R.
IPC分类号： A61B17/064 , A61B17/072 , A61B17/115
CPC分类号： A61B17/072 , A61B1/00064 , A61B1/0051 , A61B1/008 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/08 , A61B17/1155 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00946 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , Y10T29/49863
摘要： A surgical fastening instrument can comprise a handle and an end effector, wherein the end effector can comprise a first jaw comprising a first cartridge attachment portion and a second jaw comprising a second cartridge attachment portion, and wherein one of the first jaw and the second jaw is movable relative to the other of the first jaw and the second jaw. The surgical fastening instrument can further comprise a first cartridge that is insertable into the first jaw and attachable to the first cartridge attachment portion and, in addition, a second cartridge that is insertable into the second jaw and attachable to the second cartridge attachment portion. In various embodiments, the first cartridge can comprise first fastener portions which are engageable with second fastener portions in the second cartridge.

15. 发明公开

EP2997905A1 SURGICAL CUTTING AND STAPLING DEVICE WITH CLOSURE APPARATUS FOR LIMITING MAXIMUM TISSUE COMPRESSION FORCE 有权
标题翻译：外科切割和夹紧装置具有封闭装置，用于限制最大组织压缩力
公开(公告)号：EP2997905A1
公开(公告)日：2016-03-23
申请号：EP15185345.4
申请日：2007-03-28
申请人： Ethicon Endo-Surgery, Inc.
发明人： SHELTON IV, Frederick E. , SWAYZE, Jeffrey S.
IPC分类号： A61B17/072 , A61B17/00 , A61B90/00
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes an elongate channel that is configured to operably support a staple cartridge therein. An anvil is operably coupled to the elongate channel and is selectively movable between open and closed positions. A closure tube assembly interfaces with the anvil to selectively apply a closing force thereto in response to a closing motion applied to the closure tube assembly. At least one force limiting member interacts with the closure tube assembly to limit an amount of the closing force applied to the anvil by the closure tube assembly in response to a resistive force experienced by the anvil when clamping tissue between the anvil and the elongate channel. The force limitiing member may comprise one or more spring sections in the closure tube assembly or at least one leaf spring in the distal end of the closure tube assembly. Other embodiments may include steps formed in a ramp portion of the anvil for engaging the distal end of the closure tube assembly.
摘要翻译：为是一种外科手术器械经内窥镜或腹腔镜插入到外科手术部位，用于同时缝合和组织切割包括细长通道没有被配置为可操作地支撑钉仓其中。砧座可操作地联接到所述细长通道和处于打开位置和关闭位置之间选择性地移动。与砧座的闭合管组件的接口，以响应于施加到所述闭合管组件上的闭合运动选择性地施加闭合力于此。至少一个力限制与所述闭合管组件构件间作用，以限制由所述闭合管组件响应施加到所述砧座由所述砧经历当夹紧在砧座和细长通道之间的组织的阻力的闭合力的量。力limitiing构件可以包括在闭合管组件的一个或多个弹簧段或者在闭合管组件的远端的至少一个片簧。其它实施例可以包括在砧座的斜坡部上形成用于接合所述闭合管组件的远端的步骤。

16. 发明公开

EP2941200A2 MOTOR DRIVEN ROTARY INPUT CIRCULAR STAPLER WITH LOCKABLE FLEXIBLE SHAFT 有权
标题翻译：带旋转输入和可锁定的软轴电动圆形Book设备
公开(公告)号：EP2941200A2
公开(公告)日：2015-11-11
申请号：EP13815645.0
申请日：2013-12-16
申请人： Ethicon Endo-Surgery, Inc.
发明人： SWAYZE, Jeffrey S. , BAXTER III, Chester O. , SHELTON IV, Frederick E.
IPC分类号： A61B17/115
CPC分类号： A61B17/1155 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327
摘要： A circular stapler apparatus and method for stapling tissue include a shaft assembly and an anvil. The anvil is configured to proximally retract toward the shaft assembly, which at least severs or staples tissue based on a single rotary input. The shaft assembly includes a plurality of joint segments, and each joint segment includes a resilient member. The plurality of joint segments are configured to pivot relative to one another in a first, uncompressed position and are configured to lock against one another to prevent pivoting in a second, compressed position. A first plurality of joint segments defines a proximal portion that is attached to a first cable or shaft. A second plurality of joint segments defines a distal portion that is selectively lockable independent of the proximal portion and that is attached to a second cable or shaft.

17. 发明公开

EP2086424A1 SURGICAL CUTTING AND STAPLING DEVICE WITH CLOSURE APPARATUS FOR LIMITING MAXIMUM TISSUE COMPRESSION FORCE 有权
标题翻译：外科切割和缝合器闭合装置限制织物应用的功率最大压缩
公开(公告)号：EP2086424A1
公开(公告)日：2009-08-12
申请号：EP07754179.5
申请日：2007-03-28
申请人： Ethicon Endo-Surgery, Inc.
发明人： SHELTON IV, Frederick E. , SWAYZE, Jeffrey S.
IPC分类号： A61B17/072 , A61B19/00
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A staple having a crown (1471) and first and second deformable members (1466, 1467) extending from the crown. In at least one embodiment, the staple further includes a base (1468) connecting the first and second deformable members where the base is not entirely co-planar with the first and second deformable members. The crown can be overmolded onto, or attached to, the base and provide a larger and/or more stable tissue-contacting surface for supporting the tissue captured by the staple. As a result, the possibility of the staple being pulled through the tissue and/or the tissue tearing within or around the staple is reduced.
摘要翻译：具有冠（1471）和第一和第二可变形构件（1466，1467）从所述冠部延伸的钉。在至少一个实施方式中，钉进一步包括基部（1468）连接所述第一和第二可变形构件，其中的碱是不与第一和第二可变形构件完全共面的。冠可包覆模制到或连接到，基部和用于支撑由所述钉捕获的组织提供一个更大和/或更稳定的组织接触表面。其结果是，在钉的可能性穿过组织被拉动和/或组织内或周围的钉撕裂减小。

18. 发明授权

EP2621353B1 CARTRIDGE FOR SURGICAL FASTENERS 有权
公开(公告)号：EP2621353B1
公开(公告)日：2019-03-27
申请号：EP11770273.8
申请日：2011-09-29
申请人： Ethicon Endo-Surgery, Inc.
发明人： RIESTENBERG, Paul, F. , SHELTON IV, Frederick E. , SWAYZE, Jeffrey, S. , MORGAN, Jerome R.
IPC分类号： A61B17/064 , A61B17/072 , A61B17/115

19. 发明公开

EP2941202A2 CIRCULAR STAPLER WITH SELECTABLE MOTORIZED AND MANUAL CONTROL, INCLUDING A CONTROL RING 有权转让
标题翻译：与BETWEEN机动和手动操作和控制环CHOICE圆Book设备
公开(公告)号：EP2941202A2
公开(公告)日：2015-11-11
申请号：EP13821022.4
申请日：2013-12-16
申请人： Ethicon Endo-Surgery, Inc.
发明人： SWAYZE, Jeffrey S. , BAXTER III, Chester O. , SHELTON IV, Frederick E. , JOHNSON, Gregory W.
IPC分类号： A61B17/115
摘要： An apparatus for stapling tissue comprises a stapling head assembly, a rotary drive shaft, and a mode selector. The stapling head assembly comprises a closure assembly and a firing assembly. The closure assembly is operable to clamp tissue against an anvil. The firing assembly is operable to drive at least one staple through tissue toward the anvil. The mode selector is operable to select between a tissue clamping mode and a firing mode. The rotary drive shaft is operable to actuate the closure assembly in response to selection of the tissue clamping mode. The rotary drive shaft is operable to actuate the firing assembly in response to selection of the firing mode. The mode selector may translate the rotary drive shaft between a first longitudinal position and a second longitudinal position to select between the tissue clamping mode and the firing mode. The mode selector may comprise a sliding ring.
摘要翻译：用于缝合组织的装置包括：缝合头组件，一个旋转驱动轴，和模式选择器。缝合头组件包括封闭组件和发射组件。封闭组件可操作以夹紧组织靠在砧座。击发组件可操作以通过朝向砧座组织驱动至少一个缝钉。该模式选择器可操作的组织夹紧模式和发射模式之间进行选择。旋转驱动轴可操作来致动闭合组件响应于所述组织夹紧方式的选择。旋转驱动轴是能够致动击发组件响应于击发模式的选择。该模式选择器可平移的第一纵向位置和第二纵向位置处的组织夹紧模式和发射模式之间进行选择之间的旋转驱动轴。模式选择器可以包括一个滑动环。

20. 发明公开

EP2928387A1 TRANS-ORAL CIRCULAR ANVIL INTRODUCTION SYSTEM WITH DILATION FEATURE 有权转让
标题翻译：转基因食品麻醉药物
公开(公告)号：EP2928387A1
公开(公告)日：2015-10-14
申请号：EP13821008.3
申请日：2013-12-04
申请人： Ethicon Endo-Surgery, Inc.
发明人： SCHEIB, Charles J. , MEASAMER, John P. , SHELTON IV, Frederick E.
IPC分类号： A61B17/11 , A61B17/115
CPC分类号： A61B17/068 , A61B17/1114 , A61B17/1155 , A61B34/30 , A61B2017/00278 , A61B2017/00473 , A61B2017/00557 , A61B2017/00818 , A61B2017/0725 , A61B2017/1132 , A61B2017/1142 , A61B2017/1157 , A61B2090/08021 , A61B2217/007
摘要： An anvil introduction system is operable to provide smooth insertion of an anvil (240) of a surgical stapling device (10) through a bodily lumen such as the esophagus. The anvil introduction system is coupled to the anvil (240) and includes a dilation feature (210). The dilation feature (210) has a collapsed position and an expanded position. The dilation feature (210) may cover staple pockets (252) and an outer edge of the anvil (240) with the dilation feature (210) is in the expanded position. The anvil (240) may be inserted through the bodily lumen with the dilation feature (210) in the expanded position. The dilation feature (210) may then be collapsed in order to complete an end-to-end anastomosis of the bodily lumen.
摘要翻译：砧座引入系统可操作以提供外科缝合装置的砧板通过诸如食道的体腔的平滑插入。砧座引入系统连接到砧座上并且包括扩张特征。扩张特征具有折叠位置和展开位置。扩张特征可以覆盖缝合袋，并且具有扩张特征的砧座的外边缘处于展开位置。砧座可以通过体腔插入，扩张特征处于展开位置。然后膨胀特征可以被折叠以便完成体腔的端对端吻合。

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