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61. 发明授权

US07753904B2 Endoscopic surgical instrument with a handle that can articulate with respect to the shaft 有权
标题翻译：具有能够相对于轴铰接的手柄的内窥镜手术器械
公开(公告)号：US07753904B2
公开(公告)日：2010-07-13
申请号：US11343547
申请日：2006-01-31
申请人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Mark S. Ortiz , Leslie M. Fugikawa
发明人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Mark S. Ortiz , Leslie M. Fugikawa
IPC分类号： A61B18/12
CPC分类号： A61B17/00234 , A61B17/07207 , A61B17/2812 , A61B2017/0069 , A61B2017/291 , A61B2017/2919
摘要： A surgical instrument particular suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to said the effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of said elongated shaft assembly to enable the surgeon to move the handle portion to a more ergonomically comfortable position while carrying out the endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed.
摘要翻译：公开了特别适用于内窥镜使用的手术器械。各种实施例包括尺寸适于插入穿过套管针的端部执行器。细长轴组件联接到末端执行器和控制手柄。细长轴组件具有与所述效应器相邻的远侧部分，用于插入套管针。细长轴组件还具有远离远侧部分的近端部分，使得当端部执行器和远端部分插入其中时，近端部分从套针针突出。控制手柄可铰接地连接到所述细长轴组件的近端部分，以使得外科医生能够在执行内窥镜手术时将手柄部分移动到更符合人体工程学的舒适位置。公开了各种关节连接实施例和锁定装置。

62. 发明授权

US07686831B2 Method for securing a suture 有权
标题翻译：固定缝合线的方法
公开(公告)号：US07686831B2
公开(公告)日：2010-03-30
申请号：US11394168
申请日：2006-03-31
申请人： Michael J. Stokes , Mark S. Zeiner , Jeffrey S. Swayze , Mark S. Ortiz , Frederick E. Shelton, IV
发明人： Michael J. Stokes , Mark S. Zeiner , Jeffrey S. Swayze , Mark S. Ortiz , Frederick E. Shelton, IV
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/1114 , A61B2017/00407 , A61B2017/0053 , A61B2017/0608 , A61B2017/306 , A61F5/0086
摘要： A method of securing a suture includes the steps of inserting the suture through a passageway into a body of a patient, inserting the suture into and back out of tissue, tying a knot along a length of the suture, and fusing the knot.
摘要翻译：固定缝合线的方法包括以下步骤：将缝合线穿过通道插入患者体内，将缝合线插入和退出组织，沿着缝合线的长度捆扎结，并将结融合。

63. 发明申请

US20090206142A1 BUTTRESS MATERIAL FOR A SURGICAL STAPLING INSTRUMENT 审中-公开
标题翻译：手术包装仪器的外用材料
公开(公告)号：US20090206142A1
公开(公告)日：2009-08-20
申请号：US12031974
申请日：2008-02-15
申请人： Thomas W. Huitema , Frederick E. Shelton, IV , Jeffrey S. Swayze , Douglas J. Siebenaler
发明人： Thomas W. Huitema , Frederick E. Shelton, IV , Jeffrey S. Swayze , Douglas J. Siebenaler
IPC分类号： A61B17/068 , A61B17/08
摘要： A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector.
摘要翻译：一种支撑材料和外科器械的末端执行器，其包括能够帮助外科医生将该支撑物质适当且快速地连接到末端执行器的特征。在各种实施例中，一块支撑材料可以包括保持特征，其可以与末端执行器的部分接合以可释放地将该支撑材料保持在末端执行器的至少一部分上。类似地，端部执行器可以包括构造成接合一块支撑材料的部分以将该支撑件材料可释放地保持到端部执行器的特征。在至少一个实施例中，多于一个支撑材料可以可释放地保持在末端执行器上。

64. 发明申请

US20090206126A1 BUTTRESS MATERIAL WITH ALIGNMENT AND RETENTION FEATURES FOR USE WITH SURGICAL END EFFECTORS 审中-公开
标题翻译：具有对照和保留特征的外用材料与外科终末效应
公开(公告)号：US20090206126A1
公开(公告)日：2009-08-20
申请号：US12031978
申请日：2008-02-15
申请人： Thomas W. Huitema , Frederick E. Shelton, IV , Jeffrey S. Swayze , Jerome R. Morgan
发明人： Thomas W. Huitema , Frederick E. Shelton, IV , Jeffrey S. Swayze , Jerome R. Morgan
IPC分类号： A61B17/10
摘要： A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector.
摘要翻译：一种支撑材料和外科器械的末端执行器，其包括能够帮助外科医生将该支撑物质适当且快速地连接到末端执行器的特征。在各种实施例中，一块支撑材料可以包括保持特征，其可以与末端执行器的部分接合以可释放地将该支撑材料保持在末端执行器的至少一部分上。类似地，端部执行器可以包括构造成接合一块支撑材料的部分以将该支撑件材料可释放地保持到端部执行器的特征。在至少一个实施例中，多于一个支撑材料可以可释放地保持在末端执行器上。

65. 发明授权

US07434715B2 Surgical stapling instrument having multistroke firing with opening lockout 有权
标题翻译：手术缝合器具有多次点火开启锁定
公开(公告)号：US07434715B2
公开(公告)日：2008-10-14
申请号：US10674236
申请日：2003-09-29
申请人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Douglas B. Hoffman
发明人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Douglas B. Hoffman
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B2017/2923 , A61B2017/2925 , A61B2017/2946 , A61B2090/0811
摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.
摘要翻译：特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄，其产生分开的关闭和发射运动来致动末端执行器。特别地，手柄产生多个点火冲程，以便减少火焰所需的所需力量（即订书钉和切断）末端执行器。连接的传动减少了所需的手柄纵向长度，而在拉直时用于烧制，实现了刚性的强结构。牵引偏压发射机构与防抱死机构协作，避免了在驱动该矫直联接架时的装订，其中锁定机构防止在击发期间释放闭合触发器。此外，外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。

66. 发明授权

US07364061B2 Surgical stapling instrument incorporating a multistroke firing position indicator and retraction mechanism 有权
标题翻译：外科缝合器械结合了多中射击位置指示器和回缩机构
公开(公告)号：US07364061B2
公开(公告)日：2008-04-29
申请号：US10674026
申请日：2003-09-29
申请人： Jeffrey S. Swayze , Frederick E. Shelton, IV
发明人： Jeffrey S. Swayze , Frederick E. Shelton, IV
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/29 , A61B2017/2923 , A61B2017/2925 , A61B2017/2946 , A61B2090/0811
摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.
摘要翻译：特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄，其产生分开的关闭和发射运动来致动末端执行器。特别地，手柄产生多个点火冲程，以便减少火焰所需的所需力量（即订书钉和切断）末端执行器。连接的传动减少了所需的手柄纵向长度，而在拉直时用于烧制，实现了刚性的强结构。牵引偏压发射机构与防抱死机构协作，避免了在驱动该矫直联接架时的装订，其中锁定机构防止在击发期间释放闭合触发器。此外，外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。

67. 发明授权

US07143926B2 Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system 有权
公开(公告)号：US07143926B2
公开(公告)日：2006-12-05
申请号：US11052387
申请日：2005-02-07
申请人： Frederick E. Shelton, IV , Kevin Ross Doll , Douglas B. Hoffman , Michael Earl Setser , Jeffrey S. Swayze
发明人： Frederick E. Shelton, IV , Kevin Ross Doll , Douglas B. Hoffman , Michael Earl Setser , Jeffrey S. Swayze
IPC分类号： A61B17/068 , A61B17/072 , A61B17/03
CPC分类号： A61B17/07207 , A61B2017/2923
摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.

68. 发明授权

US07000819B2 Surgical stapling instrument having multistroke firing incorporating a traction-biased ratcheting mechanism 有权
标题翻译：具有牵引偏压棘轮机构的具有多次射击的手术吻合器械
公开(公告)号：US07000819B2
公开(公告)日：2006-02-21
申请号：US10673662
申请日：2003-09-29
申请人： Jeffrey S. Swayze , Frederick E. Shelton, IV
发明人： Jeffrey S. Swayze , Frederick E. Shelton, IV
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B2017/2923 , A61B2017/2925
摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.
摘要翻译：特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄，其产生分开的关闭和发射运动来致动末端执行器。特别地，手柄产生多个点火冲程，以便减少火焰所需的所需力量（即订书钉和切断）末端执行器。连接的传动减少了所需的手柄纵向长度，而在拉直时用于烧制，实现了刚性的强结构。牵引偏压发射机构与防抱死机构协作，避免了在驱动该矫直联接架时的装订，其中锁定机构防止在击发期间释放闭合触发器。此外，外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。

69. 发明授权

US08517243B2 Surgical instrument with wireless communication between control unit and remote sensor 有权
公开(公告)号：US08517243B2
公开(公告)日：2013-08-27
申请号：US13026493
申请日：2011-02-14
申请人： James R. Giordano , Jeffrey S. Swayze , Frederick E. Shelton, IV
发明人： James R. Giordano , Jeffrey S. Swayze , Frederick E. Shelton, IV
IPC分类号： A61B17/068 , A61B17/94 , A61B17/32
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/98 , A61B2017/00022 , A61B2017/00221 , A61B2017/00398 , A61B2017/00734 , A61B2017/07271 , A61B2017/2927 , A61B2090/065 , A61B2090/0814
摘要： A surgical instrument, such as an endoscopic or laparoscopic instrument. The surgical instrument may comprise an end effector comprising at least one sensor. The surgical instrument may also comprise an electrically conductive shaft having a distal end connected to the end effector wherein the sensor is electrically insulated from the shaft. The surgical instrument may also comprise a handle connected to a proximate end of the shaft. The handle may comprise a control unit electrically coupled to the shaft such that the shaft radiates signals as an antenna from the control unit to the sensor and receives radiated signals from the sensor. Other components electrically coupled to the shaft may also radiate the signals.

70. 发明授权

US08371491B2 Surgical end effector having buttress retention features 有权
标题翻译：手术末端执行器具有支撑保持特征
公开(公告)号：US08371491B2
公开(公告)日：2013-02-12
申请号：US12032002
申请日：2008-02-15
申请人： Thomas W. Huitema , Frederick E. Shelton, IV , Jeffrey S. Swayze , Jerome R. Morgan
发明人： Thomas W. Huitema , Frederick E. Shelton, IV , Jeffrey S. Swayze , Jerome R. Morgan
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/07292 , A61B17/32 , A61B50/30 , A61B2017/00477 , A61B2017/00495 , A61B2017/005 , A61B2017/00951 , A61B2017/07214 , A61B2017/07242 , A61B2017/0725 , A61B2017/07285 , A61B2050/002 , A61B2050/314
摘要： A piece of buttress material and an end-effector of a surgical instrument including features which can aid a surgeon in properly and quickly attaching the piece of buttress material to the end-effector. In various embodiments, a piece of buttress material can include retention features which can be engaged with portions of an end-effector to releasably retain the piece of buttress material to at least a portion of the end-effector. Similarly, an end-effector can include features configured to engage portions of a piece of buttress material to releasably retain the piece of buttress material to the end-effector. In at least one embodiment, more than one piece of buttress material can be releasably retained to an end-effector.
摘要翻译：一种支撑材料和外科器械的末端执行器，其包括能够帮助外科医生将该支撑物质适当且快速地连接到末端执行器的特征。在各种实施例中，一块支撑材料可以包括保持特征，其可以与末端执行器的部分接合以可释放地将该支撑材料保持在末端执行器的至少一部分上。类似地，端部执行器可以包括构造成接合一块支撑材料的部分以将该支撑件材料可释放地保持到端部执行器的特征。在至少一个实施例中，多于一个支撑材料可以可释放地保持在末端执行器上。

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