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51. 发明授权

US08905977B2 Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser 有权
标题翻译：具有电活性聚合物致动的药物分配器的手术吻合器械
公开(公告)号：US08905977B2
公开(公告)日：2014-12-09
申请号：US11141753
申请日：2005-06-01
申请人： Frederick E. Shelton , Joseph C. Hueil , Jerome R. Morgan
发明人： Frederick E. Shelton , Joseph C. Hueil , Jerome R. Morgan
IPC分类号： A61M5/00 , A61B17/072 , A61B17/00 , A61B17/29
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00871 , A61B2017/2912
摘要： A surgical stapling and severing instrument enables minimally invasive surgical procedures by having upper and lower jaws (i.e., anvil and staple channel) that are positioned with an elongate shaft and handle through a surgical opening, and in particular through a cannula of a trocar. A pair of fluid bladders (lift bags) are positioned in the staple channel beneath a proximally projecting lever tray so that transfer of fluid from the handle causes closing and clamping of the anvil. The bi-directional fluid control may be mechanically produced at the handle or by activating an electroactive polymer actuator. Once firing is sensed, an EAP plunger in a medical substance syringe inserted into the elongate shaft is activated to dispense a medical substance (e.g., anesthetics, adhesives, cauterizing substances, antibiotics, etc.) and is guided along a firing bar to a cutting surface of an E-beam placing the substance on tissue as severed.
摘要翻译：外科缝合和切割器械通过具有上下钳口（即，砧座和缝合通道）来进行微创外科手术，所述上钳口和下颚定位成具有细长轴和手柄通过手术开口，并且特别是通过套管针的插管。一对流体囊（提升袋）被定位在近侧突出的杆托板下方的钉通道中，使得来自手柄的流体的传送导致砧座的闭合和夹紧。双向流体控制可以在手柄处或通过激活电活性聚合物致动器机械地产生。一旦感测到烧灼，则插入到细长轴中的药物注射器中的EAP柱塞被激活以分配医疗物质（例如麻醉剂，粘合剂，烧灼物质，抗生素等），并且沿着击球杆被引导至切割电子束的表面将物质放置在组织上切断。

52. 发明授权

US08701958B2 Curved end effector for a surgical stapling device 有权
标题翻译：用于外科缝合装置的弯曲端部执行器
公开(公告)号：US08701958B2
公开(公告)日：2014-04-22
申请号：US11652164
申请日：2007-01-11
申请人： Frederick E. Shelton, IV , Jerome R. Morgan , Stephen J. Balek , Douglas J. Siebenaler
发明人： Frederick E. Shelton, IV , Jerome R. Morgan , Stephen J. Balek , Douglas J. Siebenaler
IPC分类号： A61B17/068
CPC分类号： A61B17/205 , A61B17/068 , A61B17/0686 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/32 , A61B17/320016 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/0725 , A61B2017/07278 , A61B2017/2936 , A61B2017/2944 , A61B2017/2945 , A61B2017/3456 , A61B2090/08021
摘要： The present invention includes a surgical stapler having a curved end-effector which is configured to deploy staples in at least one curved staple line. In various embodiments, the surgical stapler includes a staple cartridge, an anvil, and a cutting member having a cutting surface wherein the cutting member is relatively movable with respect to the anvil and the staple cartridge. In one embodiment, the staple cartridge can be configured to deploy staples along different, non-parallel axes. As a result, the staples can be deployed in a significantly curved staple line. In various embodiments, the surgical stapler includes a flexible driver operably engaged with the cutting member to move the cutting member relative to the anvil and the staple cartridge. In these embodiments, the driver can include an elongate cross-section defined by a width and a height wherein its width is greater, and in some cases, substantially greater, than its height.
摘要翻译：本发明包括具有弯曲端部执行器的手术吻合器，其被配置为在至少一个弯曲的缝合线中部署钉。在各种实施例中，外科缝合器包括钉仓，砧座和具有切割表面的切割构件，其中切割构件相对于砧座和钉仓相对移动。在一个实施例中，钉仓可以被配置成沿不同的非平行轴部署钉。结果，订书钉可以部署在显着弯曲的订书钉线中。在各种实施例中，外科缝合器包括与切割构件可操作地接合以使切割构件相对于砧座和钉仓移动的柔性驱动器。在这些实施例中，驾驶员可以包括由其宽度和高度限定的细长横截面，其宽度比其高度更大，并且在一些情况下基本上大得多。

53. 发明申请

US20130256369A1 TISSUE THICKNESS COMPENSATOR COMPRISING CHANNELS 有权
标题翻译：包括通道的组织厚度补偿器
公开(公告)号：US20130256369A1
公开(公告)日：2013-10-03
申请号：US13433147
申请日：2012-03-28
申请人： Katherine J. Schmid , Jerome R. Morgan , Donna L. Korvick , Frederick E. Shelton, IV
发明人： Katherine J. Schmid , Jerome R. Morgan , Donna L. Korvick , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00561 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/00942 , A61B2017/00951 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2090/0811 , A61L17/005 , A61L2300/102 , A61L2300/232 , A61L2300/45 , F04C2270/0421 , Y10T29/49826
摘要： A tissue thickness compensator can comprise a tissue contacting surface and a network of channels defined in the tissue contacting surface. In at least one embodiment, the channels can be configured to store at least one medicament therein. In certain embodiments, the channels can define gripping surfaces configured to grip tissue. In various embodiments, the tissue contacting surface can further comprise ridges extending therefrom.
摘要翻译：组织厚度补偿器可以包括组织接触表面和限定在组织接触表面中的通道网络。在至少一个实施例中，通道可被配置为在其中存储至少一种药物。在某些实施例中，通道可以限定被配置为夹紧组织的夹持表面。在各种实施例中，组织接触表面还可以包括从其延伸的脊。

54. 发明授权

US08540128B2 Surgical stapling device with a curved end effector 有权
标题翻译：具有弯曲末端执行器的手术吻合装置
公开(公告)号：US08540128B2
公开(公告)日：2013-09-24
申请号：US11652165
申请日：2007-01-11
申请人： Frederick E. Shelton, IV , Jerome R. Morgan , Stephen J. Balek
发明人： Frederick E. Shelton, IV , Jerome R. Morgan , Stephen J. Balek
IPC分类号： A61B17/04
CPC分类号： A61B17/205 , A61B17/068 , A61B17/0686 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/32 , A61B17/320016 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/0725 , A61B2017/07278 , A61B2017/2936 , A61B2017/2944 , A61B2017/2945 , A61B2017/3456 , A61B2090/08021
摘要： The present invention includes a surgical stapler having a staple cartridge, an anvil, and a cutting member having a cutting surface, wherein the cutting member is relatively movable with respect to the anvil and the staple cartridge. In at least one embodiment, one of the anvil and the staple cartridge defines a slot which is configured to receive at least a portion of the cutting member and guide the cutting member as it is moved relative to the anvil and the staple cartridge. In these embodiments, the slot can define a path having linear and/or curved portions. In various embodiments, the path can include a curved portion having a first portion that extends away from the shaft axis and a second portion that extends toward the axis. In one embodiment, the path can include a curved portion defined by an arc corresponding to an angle greater than 90 degrees.
摘要翻译：本发明包括具有钉仓，砧座和具有切割表面的切割构件的外科缝合器，其中切割构件相对于砧座和钉仓相对移动。在至少一个实施例中，砧座和钉仓中的一个限定了狭槽，其被配置为接收切割构件的至少一部分并且当切割构件相对于砧座和钉仓移动时引导切割构件。在这些实施例中，槽可以限定具有线性和/或弯曲部分的路径。在各种实施例中，路径可以包括具有远离轴线延伸的第一部分的弯曲部分和朝向轴线延伸的第二部分。在一个实施例中，路径可以包括由对应于大于90度的角度的弧限定的弯曲部分。

55. 发明授权

US08485412B2 Surgical staples having attached drivers and stapling instruments for deploying the same 有权
标题翻译：手术钉具有附带的驱动器和装订器械用于部署它
公开(公告)号：US08485412B2
公开(公告)日：2013-07-16
申请号：US11529935
申请日：2006-09-29
申请人： Frederick E. Shelton, IV , William B. Weisenburgh, II , Christopher J. Hess , Jerome R. Morgan , Michael Clem
发明人： Frederick E. Shelton, IV , William B. Weisenburgh, II , Christopher J. Hess , Jerome R. Morgan , Michael Clem
IPC分类号： A61B17/072
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 surgical stapling system including a driver and a staple where the driver is connected to the staple. In previous surgical stapling systems, the driver and the staple were not connected. A surgical stapling system in accordance with the present invention may have fewer components, less assembly and manufacturing time, and may accommodate larger staples which are at least partially embedded in the driver. In various embodiments, a surgical stapling system comprises a staple, the staple including a deformable member, and a stapler, the stapler including an anvil, a staple cartridge for removably storing the staple, and a cam movable between a first position and a second position. In these embodiments, the surgical stapling system further comprises a driver attached to the staple, the driver being operatively engaged with the cam to move the staple toward the anvil when the cam is moved between the first position and the second position.
摘要翻译：一种外科缝合系统，包括驱动器和订书钉，其中驱动器连接到订书钉。在以前的外科缝合系统中，驱动器和钉子没有连接。根据本发明的外科缝合系统可以具有更少的部件，更少的组装和制造时间，并且可以容纳至少部分地嵌入在驱动器中的更大的钉。在各种实施例中，外科缝合系统包括订书钉，订书钉包括可变形构件和订书机，订书机包括砧座，用于可拆卸地存储订书钉的订书钉盒，以及可在第一位置和第二位置之间移动的凸轮。在这些实施例中，外科缝合系统还包括附接到钉的驱动器，当凸轮在第一位置和第二位置之间移动时，驱动器与凸轮可操作地接合以将订书钉移向砧座。

56. 发明授权

US08444557B2 Methods and devices for providing access through tissue to a surgical site 有权
公开(公告)号：US08444557B2
公开(公告)日：2013-05-21
申请号：US12636232
申请日：2009-12-11
申请人： Patrick M. Schleitweiler , Salvatore G. Caldarise , Michael S. Cropper , Steven G. Hall , Jerome R. Morgan , Theodore R. Farrell , Frederick E. Shelton, IV
发明人： Patrick M. Schleitweiler , Salvatore G. Caldarise , Michael S. Cropper , Steven G. Hall , Jerome R. Morgan , Theodore R. Farrell , Frederick E. Shelton, IV
IPC分类号： A61B1/32
CPC分类号： A61B17/3421 , A61B2017/00986 , A61B2017/2905 , A61B2017/3443 , A61B2017/3484 , A61B2017/349 , A61B2017/3492
摘要： Methods and devices are provided for providing access through tissue to a surgical site. Generally, the methods and devices allow adjustment of a surgical access port's longitudinal length. In one embodiment, a surgical access port is provided that includes a housing having a cannula distally extending therefrom. The housing can be configured to cut a proximal portion of the cannula to adjust a longitudinal length of the cannula and hence of the surgical access port. In another embodiment, a surgical access port is provided that includes a cannula formed of a plurality of modular segments removably coupled together. One or more of the segments can be configured to be removable from the cannula to change the cannula's longitudinal length.

57. 发明授权

US08365976B2 Surgical staples having dissolvable, bioabsorbable or biofragmentable portions and stapling instruments for deploying the same 有权
标题翻译：具有可溶解的，生物可吸收的或生物可分割的部分的手术订书钉和用于展开它的装订器械
公开(公告)号：US08365976B2
公开(公告)日：2013-02-05
申请号：US11541374
申请日：2006-09-29
申请人： Christopher J. Hess , Michael A. Murray , Jerome R. Morgan , James W. Voegele , Robert Gill , Michael Clem
发明人： Christopher J. Hess , Michael A. Murray , Jerome R. Morgan , James W. Voegele , Robert Gill , Michael Clem
IPC分类号： A61B17/064
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 surgical staple including a crown comprised of a dissolvable, bioabsorbable, or biofragmentable material, a first deformable member, and a second member. In at least one embodiment, the crown connects the first member and the second member, however, after the crown has been dissolved, the first member is unconnected to the second member and, as a result, the first and second members can move relative to each other. Accordingly, the staple can be rigid during the early stages of healing and can be flexible during the latter stages of healing, for example. In various embodiments, the first and second members of the staple are also comprised of a dissolvable, bioabsorbable, or biofragmentable material. In these embodiments, the first and second members can be constructed so that the crown and first and second members dissolve at different rates and/or dissolve away at different times.
摘要翻译：一种外科手术钉，其包括由可溶解，生物可吸收或生物可分解材料构成的冠，第一可变形构件和第二构件。在至少一个实施例中，冠部连接第一构件和第二构件，然而，在冠已经被溶解之后，第一构件未与第二构件连接，因此第一构件和第二构件可以相对于彼此。因此，在愈合的早期阶段，钉可以是刚性的，并且例如在愈合的后期期间可以是柔性的。在各种实施方案中，订书钉的第一和第二构件也由可溶解的，生物可吸收的或可生物分片的材料组成。在这些实施例中，第一和第二构件可以被构造成使冠部和第一和第二构件以不同的速率溶解和/或在不同的时间溶解掉。

58. 发明授权

US08322455B2 Manually driven surgical cutting and fastening instrument 有权
标题翻译：手动切割和紧固手术器械
公开(公告)号：US08322455B2
公开(公告)日：2012-12-04
申请号：US11475412
申请日：2006-06-27
申请人： Frederick E. Shelton, IV , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze , Eugene L. Timperman , Leslie M. Fugikawa
发明人： Frederick E. Shelton, IV , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze , Eugene L. Timperman , Leslie M. Fugikawa
IPC分类号： E21B37/06
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/32 , A61B2017/00367 , A61B2017/00407 , A61B2017/07271 , A61B2017/07285 , B65B55/12
摘要： A surgical cutting and fastening instrument that includes an elongate channel that is attached to a handle assembly by an elongate shaft assembly. The elongate channel is configured to receive a cartridge and has a pivotally translatable anvil attached thereto and a knife bar supported therein. The anvil may be selectively opened and closed by manipulating a closure trigger supported by the handle assembly. The knife bar may be distally advanced through the elongate channel by actuating a firing trigger that cooperates with a reversible rotary drive supported by the handle assembly. The knife bar may also be retracted to its starting position by actuating the firing trigger after the reversible rotary drive has been shifted to a retraction orientation.
摘要翻译：一种手术切割和紧固器械，其包括通过细长轴组件附接到手柄组件的细长通道。细长通道被配置为容纳盒并且具有附接到其上的可枢转平移的砧座和支撑在其中的刀杆。可以通过操纵由手柄组件支撑的闭合触发器来选择性地打开和关闭砧座。刀杆可以通过致动与由手柄组件支撑的可逆旋转驱动器协作的击发触发器而通过细长通道向远侧推进。在可逆旋转驱动器已经移动到缩回方向之后，刀杆也可以通过致动击发扳机而缩回到其起始位置。

59. 发明授权

US08292155B2 Motor-driven surgical cutting and fastening instrument with tactile position feedback 有权
标题翻译：电动外科切割和紧固器具，具有触觉位置反馈
公开(公告)号：US08292155B2
公开(公告)日：2012-10-23
申请号：US13151501
申请日：2011-06-02
申请人： Frederick E. Shelton, IV , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze
发明人： Frederick E. Shelton, IV , John N. Ouwerkerk , Jerome R. Morgan , Jeffrey S. Swayze
IPC分类号： A61B17/072
CPC分类号： A61B17/32 , A61B17/068 , A61B17/07207 , A61B17/105 , A61B17/320016 , A61B34/76 , A61B2017/00398 , A61B2017/00734
摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising an elongate channel, a clamping member pivotably connected to the channel, and a moveable cutting instrument for traversing the channel to cut an object clamped in the end effector by the clamping member when the clamping member is in a clamped position. The instrument may also comprise a main drive shaft assembly for actuating the cutting instrument in the end effector, a gear drive train connected to the main drive shaft assembly, and a motor for actuating the gear drive train. The instrument may also includes a closure trigger and a firing trigger, separate from the closure trigger, for actuating the motor when the firing trigger is retracted. Also, the instrument may comprise a mechanical closure system connected to the closure trigger and to the clamping member for causing the clamping member to pivot to the clamped position when the closure trigger is retracted.
摘要翻译：公开了一种外科切割和紧固器械。根据各种实施例，仪器包括端部执行器，其包括细长通道，可枢转地连接到通道的夹紧构件，以及可移动切割工具，用于横跨通道，以在夹紧时将夹紧在端部执行器中的物体夹紧在夹紧构件中会员处于夹紧位置。仪器还可以包括用于致动末端执行器中的切割仪器的主驱动轴组件，连接到主驱动轴组件的齿轮传动系以及用于致动齿轮传动系的马达。仪器还可以包括闭合触发器和与闭合触发器分离的击发触发器，用于当击发触发器缩回时用于致动马达。此外，仪器可以包括连接到闭合触发器和夹紧构件的机械闭合系统，用于当闭合触发器缩回时使夹紧构件枢转到夹紧位置。

60. 发明申请

US20120203247A1 ROBOTICALLY-CONTROLLED SURGICAL END EFFECTOR SYSTEM 有权
标题翻译：机器人控制的外科效果系统
公开(公告)号：US20120203247A1
公开(公告)日：2012-08-09
申请号：US13369601
申请日：2012-02-09
申请人： Frederick E. Shelton, IV , Jerome R. Morgan
发明人： Frederick E. Shelton, IV , Jerome R. Morgan
IPC分类号： A61B19/00 , A61B17/068
CPC分类号： A61B17/105 , A61B17/064 , A61B17/068 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/320092 , A61B18/1445 , A61B34/30 , A61B34/37 , A61B50/20 , A61B50/36 , A61B2017/00017 , A61B2017/00398 , A61B2017/00473 , A61B2017/00734 , A61B2017/0688 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , A61B2018/0063 , A61B2034/302
摘要： A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. Various embodiments are configured to be operably attached to a robotic system to receive actuation/control motions therefrom.
摘要翻译：一种适用于腹腔镜和内窥镜临床手术的手术切割和吻合器械夹紧在由砧座枢转的细长通道的末端执行器内的组织。各种实施例被配置为可操作地附接到机器人系统以从其接收致动/控制运动。

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