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31. 发明授权

US07784662B2 Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground 有权
标题翻译：手术器具带有单个枢轴闭合和双枢轴框架接地的铰接轴
公开(公告)号：US07784662B2
公开(公告)日：2010-08-31
申请号：US11100772
申请日：2005-04-07
申请人： Kenneth S. Wales , Chad P. Boudreaux
发明人： Kenneth S. Wales , Chad P. Boudreaux
IPC分类号： A61B17/04 , A61B17/10
CPC分类号： A61B17/07207 , A61B2017/2927 , A61B2017/2937 , A61B2017/294 , A61B2017/2943 , Y10T403/32221
摘要： A surgical stapling and severing instrument particularly suited to endoscopic use includes a proximal portion that is manipulated external to a patient to position an attached elongate shaft and end effector to a desired surgical site inside of the patient. An articulation joint pivotally attaches the end effector to the elongate shaft to give further clinical flexibility in reaching tissue at a desired angle. A closure tube assembly includes a single pivoting portion that overrides the articulation joint in order to distally translate to the end effector to close, yet pass over an articulated shaft by having a multiple pivot frame ground encompassed therein to accommodate the longitudinal change in closure sleeve pivot. Thereby, additional clinical flexibility in positioning the end effector is achieved without losing the ability for separate closure and firing motions transferred by the shaft.
摘要翻译：特别适用于内窥镜使用的外科缝合和切断器械包括在患者外部操纵的近端部分，以将附接的细长轴和末端执行器定位到患者内部期望的手术部位。关节接头将末端执行器枢转地附接到细长轴，以在达到所需角度的组织处提供进一步的临床灵活性。闭合管组件包括单个枢转部分，该枢转部分覆盖关节运动关节，以便远端地平移至末端执行器以关闭，但通过具有包围在其中的多个枢轴框架接地以适应闭合套筒枢轴的纵向变化而越过铰接轴。因此，在不失去由轴转移的单独闭合和点火运动的能力的情况下实现了定位末端执行器的额外的临床灵活性。

32. 发明授权

US07559450B2 Surgical instrument incorporating a fluid transfer controlled articulation mechanism 有权
标题翻译：手术器械包含流体传递控制的关节运动机构
公开(公告)号：US07559450B2
公开(公告)日：2009-07-14
申请号：US11061908
申请日：2005-02-18
申请人： Kenneth S. Wales , Chad P. Boudreaux
发明人： Kenneth S. Wales , Chad P. Boudreaux
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B1/0051 , A61B17/00234 , A61B2017/00309 , A61B2017/00557 , A61B2017/2927
摘要： A surgical instrument particularly suited to endoscopic use articulates an end effector by including a fluid transfer articulation mechanism that is proximally controlled. A fluid control, which is attached to a proximal portion, transfers fluid through the elongate shaft through a first fluid passage to a first fluid actuator that responds by articulating an articulation joint. Two opposing fluid actuators may respond to differential fluid transfer to effect articulation. Thereby, design flexibility is achieved by avoiding the design constraints of transferring a mechanical motion through the tight confines of the elongate shaft sufficient to effect articulation.
摘要翻译：特别适用于内窥镜使用的手术器械通过包括近侧控制的流体传递关节运动机构来使末端执行器相连接。附接到近端部分的流体控制器将流体通过细长轴通过第一流体通道传递到第一流体致动器，所述第一流体致动器通过铰接铰接接头来响应。两个相对的流体致动器可以响应差动流体传递来实现铰接。因此，通过避免将机械运动通过足以影响铰接的细长轴的紧密限制来转移机械运动来实现设计灵活性。

33. 发明申请

US20080314955A1 Surgical stapling instruments 有权
标题翻译：手术吻合器械
公开(公告)号：US20080314955A1
公开(公告)日：2008-12-25
申请号：US11821277
申请日：2007-06-22
申请人： Chad P. Boudreaux , Jeffrey S. Swayze
发明人： Chad P. Boudreaux , Jeffrey S. Swayze
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B2017/2913 , A61B2017/2916 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/2946 , A61B2090/0811
摘要： A surgical instrument including a shaft, an end effector movable relative to the shaft, a locking mechanism configured to engage the shaft and/or end effector to fix the relative relationship between the shaft and end effector, and a closure system configured to close the end effector and engage the locking mechanism to prevent it from becoming unlocked. The instrument can further include a firing drive comprising a trigger, a firing member, and a pawl, where the pawl is rotatable between a first position in which the pawl is disengaged from the firing member and a second position in which the trigger can advance the pawl and firing member toward the end effector. The instrument can also include a reel, a band, where the band can be wound around the reel to retract the firing member, and a return mechanism for selectively engaging the trigger with the firing member and the reel.
摘要翻译：一种手术器械，包括轴，相对于所述轴可移动的末端执行器，锁定机构，其构造成接合所述轴和/或末端执行器以固定所述轴和末端执行器之间的相对关系，以及闭合系统，效应器并接合锁定机构以防止其解锁。该仪器还可以包括一个击发驱动器，其包括扳机，击发构件和棘爪，其中该棘爪可在第一位置和第二位置之间转动，在该第二位置，该棘爪与击发构件脱离啮合，棘爪和击发构件朝向末端执行器。仪器还可以包括卷轴，带，其中带可以卷绕在卷轴上以使击发构件缩回，以及用于选择性地将触发器与击发构件和卷轴接合的返回机构。

34. 发明授权

US08926598B2 Surgical instruments with articulatable and rotatable end effector 有权
标题翻译：具有可铰接和可旋转末端执行器的外科器械
公开(公告)号：US08926598B2
公开(公告)日：2015-01-06
申请号：US13048579
申请日：2011-03-15
申请人： Rebecca J. Mollere , Charles J. Scheib , Chad P. Boudreaux , Michael J. Vendely , Aron O. Zingman , Jeffrey S. Swayze , Barry C. Worrell , Janna B. Volz , John C. Schuckmann , Megan A. O'Connor
发明人： Rebecca J. Mollere , Charles J. Scheib , Chad P. Boudreaux , Michael J. Vendely , Aron O. Zingman , Jeffrey S. Swayze , Barry C. Worrell , Janna B. Volz , John C. Schuckmann , Megan A. O'Connor
IPC分类号： A61B17/00 , A61B17/072 , A61B17/29
CPC分类号： A61B17/07207 , A61B2017/00367 , A61B2017/291 , A61B2017/2927 , A61B2017/2929 , A61B2017/293
摘要： Hand-held surgical instruments that have and end effector attached to an elongate shaft are disclosed. The end effector is articulatable and rotatable relative to the shaft by a nozzle arrangement supported by a handle from which the elongate shaft extends. In various embodiments, the nozzle is operable by the same hand that is used to support the handle.
摘要翻译：公开了具有连接到细长轴的末端效应器的手持式手术器械。末端执行器通过由细长轴延伸的手柄支撑的喷嘴装置相对于轴可铰接并可旋转。在各种实施例中，喷嘴可通过用于支撑手柄的相同的手来操作。

35. 发明申请

US20140005682A1 HAPTIC FEEDBACK DEVICES FOR SURGICAL ROBOT 有权
标题翻译：用于手术机器人的快速反馈装置
公开(公告)号：US20140005682A1
公开(公告)日：2014-01-02
申请号：US13539096
申请日：2012-06-29
申请人： Barry C. Worrell , Geoffrey S. Strobl , Gregory A. Trees , Jonathan T. Batross , Nicholas G. Molitor , Kristen T. Shoger , David K. Norvell , Michael J. Andreyko , Gregory W. Johnson , Shawn C. Snyder , Chad P. Boudreaux
发明人： Barry C. Worrell , Geoffrey S. Strobl , Gregory A. Trees , Jonathan T. Batross , Nicholas G. Molitor , Kristen T. Shoger , David K. Norvell , Michael J. Andreyko , Gregory W. Johnson , Shawn C. Snyder , Chad P. Boudreaux
IPC分类号： A61B19/00
CPC分类号： A61B17/320092 , A61B18/12 , A61B18/1442 , A61B34/30 , A61B34/37 , A61B34/74 , A61B34/76 , A61B34/77 , A61B90/90 , A61B2018/00303
摘要： Various embodiments of surgical robot control systems are disclosed. In one example embodiment, the surgical robot control system comprises a housing. A controller is located within the housing and is coupled to a socket. The socket receives a handheld surgical user interface therein to control a surgical instrument. The surgical instrument is connected to the surgical robot and comprises an end effector and a mechanical interface to manipulate the end effector. The mechanical interface is coupled to the controller. At least one sensor is coupled to the controller and the socket to convert movement of the handheld surgical user interface into electrical signals corresponding to the movement of the surgical instrument. At least one feedback device is coupled to the controller to provide feedback to a user. The feedback is associated with a predetermined function of the surgical instrument.
摘要翻译：公开了外科手术机器人控制系统的各种实施例。在一个示例性实施例中，手术机器人控制系统包括壳体。控制器位于壳体内并且联接到插座。插座在其中接收手持式手术用户界面以控制手术器械。手术器械连接到手术机器人，并且包括端部执行器和用于操纵端部执行器的机械接口。机械接口耦合到控制器。至少一个传感器耦合到控制器和插座，以将手持式手术用户界面的移动转换为对应于手术器械的运动的电信号。至少一个反馈装置耦合到控制器以向用户提供反馈。反馈与外科器械的预定功能相关联。

36. 发明授权

US08414577B2 Surgical instruments and components for use in sterile environments 有权
标题翻译：用于无菌环境的手术器械和组件
公开(公告)号：US08414577B2
公开(公告)日：2013-04-09
申请号：US12621732
申请日：2009-11-19
申请人： Chad P. Boudreaux , Frederick E. Shelton, IV , Bret W. Smith , Daniel J. Abbott
发明人： Chad P. Boudreaux , Frederick E. Shelton, IV , Bret W. Smith , Daniel J. Abbott
IPC分类号： A61B18/18
CPC分类号： A61B17/07207 , A61B17/2833 , A61B46/10 , A61B50/30 , A61B90/40 , A61B2017/00362 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/2927 , A61B2017/2943 , A61B2017/320052 , A61B2050/314 , A61B2050/316 , A61B2090/037 , A61B2090/0813 , A61B2090/0815 , A61L2/00 , A61L2202/24
摘要： A surgical instrument comprises a first portion encapsulated by a membrane and a second portion comprising a surgical instrument body and a cavity in the surgical instrument body. The cavity is configured to receive the first portion. The second portion comprises a first region comprising an opening in communication with the cavity, and a closure member movable between a first position and a second position. The closure member is in sealable engagement with the second region when it is in the first position and is at least partially free from sealable engagement with the second region when it is in the second position. One or more electrical contacts on the first portion or the second portion are configured to penetrate the membrane to allow a connection to be made between the first portion and the second portion when the closure member moves from the second position into the first position.
摘要翻译：手术器械包括由膜封装的第一部分和包括外科器械主体和外科器械主体中的空腔的第二部分。空腔被配置为接收第一部分。第二部分包括第一区域，其包括与空腔连通的开口，以及可在第一位置和第二位置之间移动的封闭构件。当所述闭合构件处于所述第一位置时，所述闭合构件与所述第二区域可密封地接合，并且当所述闭合构件处于所述第二位置时至少部分地不与所述第二区域可密封地接合。第一部分或第二部分上的一个或多个电触点构造成穿透膜，以允许当封闭构件从第二位置移动到第一位置时在第一部分和第二部分之间形成连接。

37. 发明申请

US20130075451A1 Surgical Stapling Device with Adjunct Material Application Feature 有权
标题翻译：具有辅助材料应用特征的外科手术装置
公开(公告)号：US20130075451A1
公开(公告)日：2013-03-28
申请号：US13242164
申请日：2011-09-23
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further includes an agent. The firing bar is operable to assist with releasing the agent onto a severed line of tissue when the firing bar is advanced.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切断组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该盒还包括一个代理。射击杆可操作以帮助当射击杆前进时将药剂释放到组织切断线上。

38. 发明授权

US08267300B2 Dampening device for endoscopic surgical stapler 有权
标题翻译：内窥镜手术吻合器防潮装置
公开(公告)号：US08267300B2
公开(公告)日：2012-09-18
申请号：US12650334
申请日：2009-12-30
申请人： Chad P. Boudreaux
发明人： Chad P. Boudreaux
IPC分类号： A61B17/064
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/28 , A61B2017/00367
摘要： A surgical instrument including a shaft and an end effector. The end effector may comprise a first jaw and a second jaw. The first jaw may be movable relative to the second jaw between an open configuration and a closed configuration. The surgical instrument may comprise a closure assembly which may be operably engaged with the first jaw. The closure assembly may comprise a closure trigger and a dampening system. The closure trigger may be configured to be actuated from a first position to a second position to close the first jaw. The dampening system may be configured to retard the opening of the closure trigger. The dampening system may comprise an aperture configured to receive the projection at a first end of the aperture and a seal configured to form a fluid seal between said projection and said aperture sidewall.
摘要翻译：包括轴和端部执行器的手术器械。末端执行器可以包括第一钳口和第二钳口。第一钳口可以在打开构型和闭合构型之间相对于第二钳口移动。外科器械可以包括可以与第一钳口可操作地接合的闭合组件。闭合组件可以包括闭合触发器和阻尼系统。闭合触发器可被构造成从第一位置致动到第二位置以闭合第一钳口。阻尼系统可以被配置为延迟闭合触发器的打开。阻尼系统可以包括被配置为在孔的第一端处接收突起的孔，以及被配置为在所述突起和所述孔侧壁之间形成流体密封的密封件。

39. 发明申请

US20110155780A1 DAMPENING DEVICE FOR ENDOSCOPIC SURGICAL STAPLER 有权
标题翻译：用于内窥镜手术的防眩装置
公开(公告)号：US20110155780A1
公开(公告)日：2011-06-30
申请号：US12650334
申请日：2009-12-30
申请人： Chad P. Boudreaux
发明人： Chad P. Boudreaux
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/28 , A61B2017/00367
摘要： A surgical instrument including a shaft and an end effector. The end effector may comprise a first jaw and a second jaw. The first jaw may be movable relative to the second jaw between an open configuration and a closed configuration. The surgical instrument may comprise a closure assembly which may be operably engaged with the first jaw. The closure assembly may comprise a closure trigger and a dampening system. The closure trigger may be configured to be actuated from a first position to a second position to close the first jaw. The dampening system may be configured to retard the opening of the closure trigger. The dampening system may comprise an aperture configured to receive the projection at a first end of the aperture and a seal configured to form a fluid seal between said projection and said aperture sidewall.
摘要翻译：包括轴和端部执行器的手术器械。末端执行器可以包括第一钳口和第二钳口。第一钳口可以在打开构型和闭合构型之间相对于第二钳口移动。外科器械可以包括可以与第一钳口可操作地接合的闭合组件。闭合组件可以包括闭合触发器和阻尼系统。闭合触发器可被构造成从第一位置致动到第二位置以闭合第一钳口。阻尼系统可以被配置为延迟闭合触发器的打开。阻尼系统可以包括被配置为在孔的第一端处接收突起的孔，以及被配置为在所述突起和所述孔侧壁之间形成流体密封的密封件。

40. 发明申请

US20110087219A1 SURGICAL INSTRUMENT FOR TRANSMITTING ENERGY TO TISSUE COMPRISING NON-CONDUCTIVE GRASPING PORTIONS 有权
标题翻译：用于传输能量的外科手术器械，包括非导电性成像部件
公开(公告)号：US20110087219A1
公开(公告)日：2011-04-14
申请号：US12576789
申请日：2009-10-09
申请人： Chad P. Boudreaux , Jonathan T. Batross
发明人： Chad P. Boudreaux , Jonathan T. Batross
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1402 , A61B2018/1412 , A61B2018/1455
摘要： A surgical instrument for supplying energy to tissue can comprise an end effector comprising a first jaw member and a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member to clamp tissue intermediate the first jaw member and the second jaw member. The instrument can further comprise an electrode configured to generate heat when electrical energy is supplied to the electrode, and, in addition, a tissue-grasping portion comprising a plurality of teeth, wherein the tissue-grasping portion is comprised of an electrically non-conductive material.
摘要翻译：用于向组织供应能量的手术器械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，其中第一钳口构件和第二钳口构件中的至少一个可相对于第一钳口构件中的另一个移动，所述第二钳口构件将组织夹在所述第一钳口构件和所述第二钳口构件的中间。该仪器可进一步包括一电极，该电极构造成当向该电极提供电能时产生热量，另外，该组合夹持部分包括多个齿，其中该组织夹持部分由不导电的材料。

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