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21. 发明授权

US08262675B2 Methods and devices for applying multiple suture anchors 有权
标题翻译：用于应用多个缝合锚的方法和装置
公开(公告)号：US08262675B2
公开(公告)日：2012-09-11
申请号：US12260414
申请日：2008-10-29
申请人： Michael S. Cropper , David Martin , Jonathan A. Coe , Richard F. Schwemberger
发明人： Michael S. Cropper , David Martin , Jonathan A. Coe , Richard F. Schwemberger
IPC分类号： A61B17/10
CPC分类号： A61B17/0057 , A61B17/0401 , A61B2017/00663 , A61B2017/0409 , A61B2017/0417
摘要： Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors, each having a suture attached thereto, into tissue, preferably without the need to remove the shaft from the body. The shaft can be configured to penetrate tissue and to deploy one or more of the suture anchors through the tissue such that the sutures extending from the deployed suture anchors extend through the tissue to allow the anchors to engage the tissue. The surgical device can also include a knotting mechanism configured to secure the sutures attached to the deployed anchors, thereby securing the anchors to the tissue.
摘要翻译：提供了用于部署和应用多个缝合锚的方法和装置。在一个实施例中，提供了一种手术装置，其具有构造成被引入到身体中的轴的轴，例如通过观察装置，并且将多个缝合锚（每个具有附接到其上的缝合线）输送到组织中，优选地不需要将轴从身体上取下。轴可以构造成穿透组织并且将一个或多个缝合锚定件部署穿过组织，使得从展开的缝合线锚延伸的缝合线延伸穿过组织以允许锚固件接合组织。手术装置还可以包括构造成固定附接到展开的锚定件上的缝合线的打结机构，从而将锚定件固定到组织上。

22. 发明申请

US20120080477A1 SURGICAL INSTRUMENT HAVING A POWER CONTROL CIRCUIT 有权
标题翻译：具有电源控制电路的外科仪器
公开(公告)号：US20120080477A1
公开(公告)日：2012-04-05
申请号：US12896381
申请日：2010-10-01
申请人： Richard L. Leimbach , Richard F. Schwemberger , Brett E. Swensgard
发明人： Richard L. Leimbach , Richard F. Schwemberger , Brett E. Swensgard
IPC分类号： A61B17/068
CPC分类号： A61B17/10 , A61B17/068 , A61B17/07207 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/2923 , G06F19/00 , H01M10/42 , H01M2200/103 , H01M2220/30 , H02J7/0068
摘要： Various embodiments are directed to a powered surgical instrument for cutting and fastening tissue. The instrument may comprise an end effector comprising a first jaw member and a second jaw member. The second jaw member may be coupled to move relative to the first jaw member from an open position, where the jaw members are apart from one another, to a closed position. The end effector may also comprise a firing bar positioned to fire by translating within the end effector when the first and second jaw members are in the closed position. Additionally, the surgical instrument may comprise a drive device, a clamping trigger and a control circuit. The drive device may be mechanically coupled to the firing bar. The clamping trigger may be mechanically coupled to the end effector such that actuation of the clamping trigger causes the second jaw member to pivot towards the first jaw member. The control circuit may comprise a firing switch, a clamp switch, a latching device and an end-of-stroke sensor. The firing switch may be configured to be in electrical communication with a power supply for powering the drive device and in electrical communication with the drive device. The clamp switch may be in mechanical communication with the clamping trigger. The latching device may be in electrical communication with the clamp switch, the power supply and the drive device. The end-of-stroke switch may be in electrical communication with the latching device. Additionally, the firing switch may be electrically connected to, upon actuation, connect the power supply to the drive device via a first connection comprising the latching device and the firing switch. Further, the end-of-stroke switch may be electrically connected to, upon sensing an end of a stroke of the firing bar, cause a change in a state of the latching device to break the first connection between the power supply and the drive device.
摘要翻译：各种实施例涉及用于切割和紧固组织的动力手术器械。仪器可以包括端部执行器，其包括第一钳口构件和第二钳口构件。第二钳口构件可以联接成相对于第一钳口构件从打开位置移动，其中钳口构件彼此分开到关闭位置。末端执行器还可以包括击发杆，其通过在第一和第二钳口构件处于关闭位置时在端部执行器内平移而定位成起火。另外，外科器械可以包括驱动装置，夹紧触发器和控制电路。驱动装置可以机械地联接到击发杆。夹紧扳机可以机械地联接到端部执行器，使得夹紧扳机的致动使得第二钳口构件朝向第一钳口构件枢转。控制电路可以包括点火开关，夹紧开关，闭锁装置和行程终点传感器。点火开关可以被配置为与用于为驱动装置供电并与驱动装置电气通信的电源电连通。夹紧开关可能与夹紧扳机机械连通。闩锁装置可以与夹紧开关，电源和驱动装置电连通。行程终点开关可以与闩锁装置电连通。此外，点火开关可以在致动时电连接到经由包括闩锁装置和点火开关的第一连接器将电源连接到驱动装置。此外，行程结束开关可以在感测到击发杆的冲程的结束时电连接到引起闩锁装置的状态的改变以断开电源和驱动装置之间的第一连接。

23. 发明申请

US20120071866A1 POWER CONTROL ARRANGEMENTS FOR SURGICAL INSTRUMENTS AND BATTERIES 有权
标题翻译：手术器械和电池的功率控制装置
公开(公告)号：US20120071866A1
公开(公告)日：2012-03-22
申请号：US12884995
申请日：2010-09-17
申请人： Wendy A. Kerr , Richard F. Schwemberger , Richard L. Leimbach , Brett E. Swensgard
发明人： Wendy A. Kerr , Richard F. Schwemberger , Richard L. Leimbach , Brett E. Swensgard
IPC分类号： A61B18/14 , A61B17/068 , A61B17/32 , A61B17/00 , A61B18/18 , A61B18/20
CPC分类号： A61B17/00 , A61B17/07207 , A61B17/2833 , A61B17/320092 , A61B18/085 , A61B18/10 , A61B18/1445 , A61B18/20 , A61B2017/00398 , A61B2017/00734 , A61B2017/07285 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , A61B2018/00196 , A61B2018/00297 , A61B2018/00589 , A61B2018/00601 , A61B2018/00702 , A61B2018/00755 , A61B2018/1412 , H01M2/1022 , H02J7/0042
摘要： Various embodiments are directed to battery unit for use with surgical instruments. The battery units may comprise a plurality of cells and include a translatable discharge drain. When attached to the surgical instrument, the discharge drain may electrically connect an anode of the battery unit to a cathode of the battery unit, for example, via a resistive element in order to drain the battery unit.
摘要翻译：各种实施例涉及用于手术器械的电池单元。电池单元可以包括多个电池并且包括可平移的排放管。当附接到手术器械时，排放排水口可以例如通过电阻元件将电池单元的阳极电连接到电池单元的阴极，以便排出电池单元。

24. 发明授权

US07886953B2 Fired device lockout for a curved cutter stapler with a free moving trigger 有权
标题翻译：用于具有自由移动触发器的弯曲切割订书机的装置锁定
公开(公告)号：US07886953B2
公开(公告)日：2011-02-15
申请号：US11206298
申请日：2005-08-18
申请人： Richard F. Schwemberger , William D. Kelly
发明人： Richard F. Schwemberger , William D. Kelly
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B17/32 , A61B2017/0023 , A61B2017/07214 , A61B2017/07221 , A61B2017/320052 , A61B2090/038 , A61B2090/0814
摘要： A linear surgical stapler adapted for applying a plurality of surgical fasteners to body tissue includes an anvil structure and a cartridge housing containing a plurality of surgical fasteners and a knife. The cartridge housing and anvil structure are relatively movable between a first spaced apart position and a second position in close approximation with one another. A firing mechanism is associated with the cartridge housing for ejecting the surgical fasteners from the cartridge housing to be driven against the anvil structure. The firing mechanism includes a slide bar at its distal end adjacent the cartridge housing. A lockout mechanism interacts with the cartridge housing for selective activation and deactivation of the firing mechanism by disconnecting the distal end of the slide bar from a component housed within the cartridge housing.
摘要翻译：适于将多个外科紧固件应用于身体组织的线性外科缝合器包括砧结构和容纳多个手术紧固件和刀的药筒外壳。盒壳体和砧座结构在第一间隔开的位置和彼此近似近似的第二位置之间相对可移动。击发机构与药筒外壳相关联，用于将外科紧固件从药筒外壳排出以抵靠砧座结构被驱动。击发机构包括在其远端处与盒壳体相邻的滑杆。锁定机构与盒壳体相互作用，以通过将滑动杆的远端与容纳在盒壳体内的部件分离来选择性地激活和停用击发机构。

25. 发明授权

US07883465B2 Finger operated switch for controlling a surgical handpiece 有权
标题翻译：用于控制外科手机的手指开关
公开(公告)号：US07883465B2
公开(公告)日：2011-02-08
申请号：US10716127
申请日：2003-11-17
申请人： William T. Donofrio , Richard M. Harper , Richard F. Schwemberger , Robert P. Gill , Mary E. Schramm , Jason A. Born
发明人： William T. Donofrio , Richard M. Harper , Richard F. Schwemberger , Robert P. Gill , Mary E. Schramm , Jason A. Born
IPC分类号： A61B8/00
CPC分类号： A61B17/320068 , A61B2017/00367 , H01H2300/014 , H01H2300/022
摘要： According to the invention, a finger-operated switch for activating and operating an ultrasonic surgical handpiece is provided. The power output of the surgical handpiece is responsive and proportional to the pressure applied to the finger-operated switch. The finger-operated switch includes, but not limited to, force sensitive resistors whose resistance is proportional to the force applied by the finger of the human operator of the surgical handpiece, force sensitive capacitors whose capacitance is proportional to the pressure, deflection or compression of the insulation layer between two electrodes or is proportional to the spacing between the two conductive layers, strain gauges mounted underneath or integral to the housing of the surgical handpiece such that the pressure applied thereto results in an output change in the strain gauges, magnets or ferromagnets encased or embedded in an elastomer with a sensor inside the surgical handpiece that detects the field strength of the magnet and monitors changes relative to the force applied to the handpiece housing, and piezo film or piezo ceramic whose charge or voltage is proportional to the force applied.
摘要翻译：根据本发明，提供了一种用于激活和操作超声外科手术器械的手指操作开关。外科手持式手持件的动力输出响应并与施加到手指操作的开关上的压力成比例。手指操作的开关包括但不限于其电阻与外科手持机的操作人员的手指所施加的力成比例的力敏电阻器，其电容与压力，偏转或压缩成比例的强力敏感电容器两个电极之间的绝缘层或与两个导电层之间的间隔成比例，应变计安装在外科手术机壳的外壳下面或与外科手持机壳的外壳一体，使得施加到其上的压力导致应变仪，磁体或铁磁体中的输出变化封装或嵌入弹性体中，外科手术器具中的传感器检测磁体的场强，并监测相对于施加到手持件壳体的力的变化，以及压电膜或压电陶瓷，其电荷或电压与施加的力成比例。

26. 发明授权

US07837080B2 Surgical stapling instrument with device for indicating when the instrument has cut through tissue 有权
标题翻译：手术吻合仪器，用于指示仪器切断组织时的装置
公开(公告)号：US07837080B2
公开(公告)日：2010-11-23
申请号：US12212928
申请日：2008-09-18
申请人： Richard F. Schwemberger
发明人： Richard F. Schwemberger
IPC分类号： A61B17/64
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/00115 , A61B2017/00876 , A61B2017/07214 , A61B2017/07285 , A61B2090/0811
摘要： Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of feedback systems designed to provide at least one mode of feedback to the surgeon when the knife has cut through tissue clamped between a staple cartridge and an anvil portion.
摘要翻译：公开了用于将一个或多个外科缝合钉切割并施加到组织的圆形缝合器械。仪器包括各种形式的反馈系统，其被设计成当刀已经穿过夹在钉仓和砧座部分之间的组织时向外科医生提供至少一种反馈模式。

27. 发明申请

US20080300627A1 Surgical Instrument 有权
标题翻译：手术器械
公开(公告)号：US20080300627A1
公开(公告)日：2008-12-04
申请号：US11755454
申请日：2007-05-30
申请人： John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
发明人： John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
IPC分类号： A61B17/068
CPC分类号： A61B17/0643 , A61B17/068 , A61B2017/00827
摘要： A surgical instrument for applying a fastener to tissue. The fastener includes a male component including a base having a hole, a needle receivable in the hole, and a female component including a base and a recess for receiving the needle. The instrument includes a shaft, a first jaw pivotally mounted on the shaft including a receiver for holding the base one component, and a second jaw statically mounted on the shaft including a receiver for releasably holding the base the other component. The first jaw is moveable between an open position and a closed position. The first and/or second jaw includes a channel for slideably receiving a needle. The instrument includes a mechanism for moving the first jaw between the open and closed positions and an ejector for driving the needle through the hole in the male component, through tissue and into the recess of the female component.
摘要翻译：一种用于将紧固件施加到组织的手术器械。紧固件包括：阳部件，其包括具有孔的基部，可接收在孔中的针，以及包括基部和用于接收针的凹部的阴部件。该仪器包括轴，枢转地安装在轴上的第一夹爪，包括用于保持基部一个部件的接收器，以及静态安装在轴上的第二钳口，其包括用于可释放地将基座保持在另一个部件上的接收器。第一钳口可在打开位置和关闭位置之间移动。第一和/或第二钳口包括用于可滑动地接收针的通道。该仪器包括用于在打开和关闭位置之间移动第一钳口的机构和用于通过组件通过组件并进入阴部件的凹部中的用于驱动针穿过阳部件中的孔的喷射器。

28. 发明申请

US20080275474A1 SUTURE ANCHOR LOADER 有权
标题翻译： SUTURE锚固装载机
公开(公告)号：US20080275474A1
公开(公告)日：2008-11-06
申请号：US11744279
申请日：2007-05-04
申请人： David T. Martin , Richard F. Schwemberger , Michael J. Andreyko , Michael S. Cropper , Scott A. Woodruff , John V. Hunt
发明人： David T. Martin , Richard F. Schwemberger , Michael J. Andreyko , Michael S. Cropper , Scott A. Woodruff , John V. Hunt
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417
摘要： A suture anchor loader comprises a housing with a port. A channel extends into the housing from the port, the channel being dimensioned to receive a surgical needle. A suture anchor is preloaded in the channel with a length of suture connected to the suture anchor and stored in the housing. A push rod is slideably positioned in the channel such that the suture anchor is intermediate the push rod and the port. An actuator is operatively connected to push rod to selectively deploy the anchor into the needle.
摘要翻译：缝合锚装载机包括具有端口的壳体。通道从端口延伸到壳体中，通道的尺寸被设计成接收外科用针。缝合锚固件预先加载在通道中，其长度的缝合线连接到缝合锚固件并存储在壳体中。推杆可滑动地定位在通道中，使得缝合锚固件在推杆和端口之间。致动器可操作地连接到推杆以选择性地将锚固件部署到针中。

29. 发明申请

US20080234705A1 TISSUE APPROXIMATION METHODS 有权
标题翻译：组织近似方法
公开(公告)号：US20080234705A1
公开(公告)日：2008-09-25
申请号：US11690196
申请日：2007-03-23
申请人： Michael S. Cropper , John P. Measamer , Richard C. Smith , Richard F. Schwemberger
发明人： Michael S. Cropper , John P. Measamer , Richard C. Smith , Richard F. Schwemberger
IPC分类号： A61B17/08
CPC分类号： A61B17/128 , A61B17/1227 , A61B17/1285 , A61B2017/00349 , A61B2017/00827
摘要： Methods and devices for approximating tissue are disclosed. The methods and devices utilize a device for applying an implantable tissue fastener and a variety of implantable tissue fasteners. The tissue-fastening device can be delivered endoscopically and can be adapted to function along side or in conjunction with a flexible endoscope. In general, the device can include a flexible shaft having an implantable tissue fastener applier disposed at a distal end thereof and a handle for operating the implantable tissue fastener applier disposed at a proximal end thereof. A variety of self-deploying implantable tissue fasteners can be used with the tissue fastener applier device.
摘要翻译：公开了近似组织的方法和装置。所述方法和装置利用用于施加可植入组织紧固件和各种可植入组织紧固件的装置。组织紧固装置可以内窥镜传送并且可以适于沿着柔性内窥镜的侧面或与柔性内窥镜一起工作。通常，该装置可以包括柔性轴，其具有设置在其远端处的可植入组织紧固件施放器和用于操作设置在其近端处的可植入组织紧固件施放器的手柄。可以使用组织紧固件施加器装置使用各种自展开植入式组织紧固件。

30. 发明申请

US20080046007A1 Surgical fastener 审中-公开
标题翻译：手术紧固件
公开(公告)号：US20080046007A1
公开(公告)日：2008-02-21
申请号：US11507117
申请日：2006-08-21
申请人： Richard F. Schwemberger , John P. Measamer , Michael S. Cropper
发明人： Richard F. Schwemberger , John P. Measamer , Michael S. Cropper
IPC分类号： A61B17/08
CPC分类号： A61B17/0643 , A61B17/068 , A61B2017/00004 , A61B2017/00827 , A61B2017/0608
摘要： A surgical fastener for fastening tissue. The fastener includes a first piece having a curved needle, a second piece having an opening sized for receiving the needle, and a lock for holding the needle of the first piece in the opening of the second piece.
摘要翻译：用于紧固组织的手术紧固件。紧固件包括具有弯曲针的第一件，具有用于接收针的尺寸的开口的第二件和用于将第一件的针保持在第二件的开口中的锁。

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