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41. 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。

42. 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。

43. 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。

44. 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。

45. 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。

46. 发明申请

US20120080486A1 FASTENER SYSTEM COMPRISING A PLURALITY OF FASTENER CARTRIDGES 有权
标题翻译：包含多个紧固件盒的紧固系统
公开(公告)号：US20120080486A1
公开(公告)日：2012-04-05
申请号：US12894376
申请日：2010-09-30
申请人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Jeffrey S. Swayze , John N. Ouwerkerk
发明人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Jeffrey S. Swayze , John N. Ouwerkerk
IPC分类号： A61B17/072
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.
摘要翻译：外科固定器具可以包括手柄和端部执行器，其中末端执行器可以包括第一钳口，第一钳口包括第一药筒附接部分和包括第二药筒附接部分的第二钳夹，并且其中第一钳口和第二钳口相对于第一钳口和第二钳口中的另一个可移动。手术紧固器械还可以包括可插入到第一钳口中并可附接到第一药筒附接部分的第一药筒，此外还包括可插入第二钳夹并可附接到第二药筒附接部分的第二药筒。在各种实施例中，第一盒可以包括可与第二盒中的第二紧固件部分接合的第一紧固件部分。

47. 发明申请

US20120080333A1 FASTENER SYSTEM COMPRISING A RETENTION MATRIX 有权
标题翻译：包括保持矩阵的紧固系统
公开(公告)号：US20120080333A1
公开(公告)日：2012-04-05
申请号：US12894361
申请日：2010-09-30
申请人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Douglas J. Siebenaler , Jeffrey S. Swayze , John N. Ouwerkerk
发明人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Douglas J. Siebenaler , Jeffrey S. Swayze , John N. Ouwerkerk
IPC分类号： A61B17/064
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 fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.
摘要翻译：手术紧固件系统可以包括多个紧固件，其可以通过保持基体彼此连接，所述保持基体组装到紧固件上以便在其间捕获组织。在各种实施例中，每个紧固件可以包括基部，并且保持基体相对于紧固件基座就位的距离可由外科医生选择性地确定，以便向组织施加期望的压力。在某些实施例中，每个紧固件还可以包括紧固件腿，并且保持矩阵可以包括构造成接合紧固件腿的第一层。保留基质还可以包括安装到第一层的第二层，其可以包含一种或多种在其中含有药物的包封物。封装可以与保持基体中的保持孔对准，使得它们可以被紧固件腿刺穿。

48. 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。

49. 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。

50. 发明申请

US20110087208A1 SURGICAL INSTRUMENT FOR TRANSMITTING ENERGY TO TISSUE COMPRISING A MOVABLE ELECTRODE OR INSULATOR 有权
标题翻译：用于传输包含可动电极或绝缘体的组织的能量的外科仪器
公开(公告)号：US20110087208A1
公开(公告)日：2011-04-14
申请号：US12576808
申请日：2009-10-09
申请人： Chad P. Boudreaux , James R. Giordano
发明人： Chad P. Boudreaux , James R. Giordano
IPC分类号： A61B18/08
CPC分类号： A61B18/1445 , A61B2018/00083 , A61B2018/00196 , A61B2018/1412 , A61B2018/1455
摘要： A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to generate heat when electrical energy is supplied to the electrode, and wherein the electrode comprises a top surface. The surgical instrument can further comprise an insulator positioned adjacent to the electrode, wherein the insulator comprises a top surface movable between a first position and a second position relative to the top surface of the electrode, and wherein the top surface of the insulator is closer to the top surface of the electrode when the insulator is in the first position than when the insulator is in the second position.
摘要翻译：用于向组织供应能量的手术器械可以包括包括电极的钳口构件，其中电极被配置为当电能被供应到电极时产生热量，并且其中电极包括顶表面。所述外科器械还可以包括邻近所述电极定位的绝缘体，其中所述绝缘体包括相对于所述电极的顶表面在第一位置和第二位置之间移动的顶表面，并且其中所述绝缘体的顶表面更靠近当绝缘体处于比绝缘体处于第二位置的第一位置时电极的顶表面。

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