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61. 发明授权

US07404508B2 Surgical stapling and cutting device 有权
标题翻译：手术缝合切割装置
公开(公告)号：US07404508B2
公开(公告)日：2008-07-29
申请号：US11540255
申请日：2006-09-29
申请人： Kevin W. Smith , Matthew A. Palmer , Korey Robert Kline , Derek Dee Deville
发明人： Kevin W. Smith , Matthew A. Palmer , Korey Robert Kline , Derek Dee Deville
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A medical device includes a control handle, an end effector, and a passive articulating joint connecting the end effector to the handle. The handle has a stapling actuator, an articulation joint actuator different from the stapling actuator, and a body through which the stapling and articulation joint actuators traverse. The end effector has an anvil, a stapler cartridge with staples, and an anvil-cartridge control device connected thereto and to the stapling actuator and staples when the stapling actuator is actuated. The stapling actuator passes through the articulating joint and flexes correspondingly to articulation of the articulating joint. The articulation joint actuator, when unactuated, holds the articulation joint and, thereby, the end effector, in a substantially fixed articulation position, and, when actuated, releases the articulation joint into its freely articulating state to permit free articulation of the end effector dependent upon external forces acting upon the end effector.
摘要翻译：医疗装置包括控制手柄，末端执行器和将端部执行器连接到手柄的被动铰接接头。手柄具有装订致动器，与装订致动器不同的关节运动执行器，以及装订和关节运动关节致动器穿过的主体。末端执行器具有砧座，具有订书钉的订书机盒和连接到其上的砧座控制装置，并且当装订致动器被致动时，钉砧致动器和订书钉。缝合致动器穿过铰接接头并相应于铰接接头的铰接而弯曲。当未致动时，关节运动关节致动器将关节运动关节保持在基本上固定的关节位置，并且在致动时将关节运动关节释放到其自由关节状态，以允许末端执行器依赖的自由关节外力作用在末端执行器上。

62. 发明申请

US20080172088A1 Adjustable Compression Staple and Method for Stapling with Adjustable Compression 有权
标题翻译：可调压缩装订和可调节压缩装订方法
公开(公告)号：US20080172088A1
公开(公告)日：2008-07-17
申请号：US11971998
申请日：2008-01-10
申请人： Kevin W. Smith , Matthew A. Palmer , Korey Robert Kline , Derek Dee Deville
发明人： Kevin W. Smith , Matthew A. Palmer , Korey Robert Kline , Derek Dee Deville
IPC分类号： A61B17/064 , F16B15/00
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A compression-self-adjusting staple includes a substantially U-shaped staple body and a compression device. The staple body has a bridge and two legs extending from the bridge at an angle thereto. Each of the legs has a base end integral with the bridge and a deformable distal end defining a stapling point shaped to pierce material to be stapled. The compression device is at least partly disposed between the legs and has a bias portion with a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and formed to resist movement of the compression surface towards the bridge with a force.
摘要翻译：压缩自调节钉包括基本上U形的订书钉主体和压缩装置。订书钉主体具有一桥和两个腿，其一角度从桥延伸。每个腿具有与桥一体的基端，并且可变形远端限定成形为刺穿待缝合材料的缝合点。压缩装置至少部分地设置在腿之间并且具有偏压部分，其具有可移动地设置在腿部之间的压缩表面和连接到桥梁和压缩表面的压缩电阻器，并且形成为抵抗压缩表面朝向桥梁的运动用力

63. 发明授权

US09681873B2 Electrical surgical stapling instrument with tissue compressive force control 有权
公开(公告)号：US09681873B2
公开(公告)日：2017-06-20
申请号：US12793962
申请日：2010-06-04
申请人： Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales, Jr. , Derek Dee Deville , Carlos Riveria
发明人： Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales, Jr. , Derek Dee Deville , Carlos Riveria
IPC分类号： A61B17/068 , A61B17/072 , A61B17/115 , A61B17/11 , A61B17/00 , A61B90/00
CPC分类号： A61B17/072 , A61B17/068 , A61B17/07207 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B90/03 , A61B2017/00017 , A61B2017/00115 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2090/032 , A61B2090/064 , G06F19/00
摘要： A surgical stapling instrument includes a handle having a stapler-closing device. A surgical stapling end effector is connected to the handle and has a pair of opposing stapling surfaces. At least one of the stapling surfaces is operable to move with respect to the other of the stapling surfaces upon actuation of the stapler-closing device to apply a compressive force to tissue therebetween. At least one variable member is operable to receive the compressive force applied to the tissue and to exhibit at least one of mechanical and electrical change associated with the received compressive force. The change influences a surgical procedure on the compressed tissue.

64. 发明授权

US09107690B2 Battery-powered hand-held ultrasonic surgical cautery cutting device 有权
标题翻译：电池供电手持式超声手术切割装置
公开(公告)号：US09107690B2
公开(公告)日：2015-08-18
申请号：US13307750
申请日：2011-11-30
申请人： Thomas O. Bales, Jr. , Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer
发明人： Thomas O. Bales, Jr. , Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer
IPC分类号： H02J7/00 , A61B17/32 , A61B17/00
CPC分类号： A61B17/320092 , A61B2017/00734 , A61B2018/00988 , Y10T307/766
摘要： A battery assembly for use with a surgical device having a battery terminal and operational parameters includes a housing having a shape formed to removably connect with the terminal. The housing contains a modular battery operable to supply power to the device at the terminal and has a control circuit with a microprocessor, a memory, and a real-time clock. The control circuit is communicatively coupled to the battery and is operable to detect an identity of the surgical device, to determine at least one piece of information pertaining to at least one of the operational parameters of the surgical device based upon the detected identity, to record the piece of information at least in the memory, and to selectively allow or prevent the battery from supplying power to the surgical device dependent upon the piece of information.
摘要翻译：一种与具有电池端子和操作参数的手术装置一起使用的电池组件包括形成为可移除地与端子连接的形状的壳体。壳体包含可操作以在终端处向设备供电的模块化电池，并具有具有微处理器，存储器和实时时钟的控制电路。控制电路通信地耦合到电池并且可操作以检测手术装置的身份，以基于检测到的身份来确定与手术装置的至少一个操作参数有关的至少一条信息，以记录所述信息至少在所述存储器中，并且根据所述信息选择性地允许或防止所述电池向所述外科装置供电。

65. 发明授权

US08758342B2 Cordless power-assisted medical cauterization and cutting device 有权
标题翻译：无绳电动辅助医疗烧灼切割装置
公开(公告)号：US08758342B2
公开(公告)日：2014-06-24
申请号：US12324873
申请日：2008-11-27
申请人： Thomas O. Bales , Kevin W. Smith , Korey Kline , Matthew A. Palmer , Derek Dee Deville
发明人： Thomas O. Bales , Kevin W. Smith , Korey Kline , Matthew A. Palmer , Derek Dee Deville
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1206 , A61B2017/00734 , A61B2018/00958 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455
摘要： A cordless cautery and cutting surgical device includes a modular battery and a surgical handle operable to removably hold the battery thereto. The handle has a cordless radio-frequency-signal-generation assembly and a surgical bipolar end effector having jaws and a cutting blade therebetween. The signal-generation assembly selectively supplies radio-frequency signal to the end effector when powered for electrocautery of tissue between the jaws. The handle defines therein an aseptically sealable battery-holding compartment selectively exposed to the environment and removably holding therein the battery. A motor assembly is disposed in the handle and is electrically connected to the battery and/or the signal-generation assembly and is powered and controlled thereby. The motor assembly physically couples to the blade and/or at least one jaw for moving the blade/jaw(s). The second connector part electrically connects the battery to the signal-generation assembly and/or the motor assembly when the battery is removably disposed in the compartment.
摘要翻译：无绳电烧和切割手术装置包括模块化电池和可操作地将电池可拆卸地保持在其上的外科手柄。手柄具有无绳射频信号发生组件和手术双极端部执行器，其具有钳口和切割刀片。当用于钳口之间的组织的电烙术供电时，信号发生组件选择性地向末端执行器提供射频信号。手柄在其中限定了选择性地暴露于环境的可无菌密封的电池保持室，并且可拆卸地将电池保持在其中。马达组件设置在手柄中并且电连接到电池和/或信号发生组件，并由此驱动和控制。电动机组件物理耦合到叶片和/或至少一个用于移动叶片/钳口的钳口。当电池可拆卸地设置在隔室中时，第二连接器部件将电池电连接到信号发生组件和/或电动机组件。

66. 发明授权

US08573462B2 Electrical surgical instrument with optimized power supply and drive 有权
标题翻译：电动手术仪器具有优化的电源和驱动
公开(公告)号：US08573462B2
公开(公告)日：2013-11-05
申请号：US11705334
申请日：2007-02-12
申请人： Kevin W. Smith , Thomas O. Bales , Derek Dee Deville , Carlos Rivera , Matthew A. Palmer
发明人： Kevin W. Smith , Thomas O. Bales , Derek Dee Deville , Carlos Rivera , Matthew A. Palmer
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B17/068 , A61B17/07207 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B90/03 , A61B2017/00017 , A61B2017/00115 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2090/032 , A61B2090/064 , G06F19/00
摘要： A surgical instrument includes an end effector having an actuator effecting a surgical procedure when actuated, an electric motor operating the actuator, and a power supply actuating the actuator when power is supplied to the motor. The power supply has a battery cell with a given rated power for an operating period of over 15 seconds and for a total aggregate operating time of over 300 seconds. The motor and power supply are configured to utilize the battery cell at a power greater than the given rated power. The motor characteristics are selected to utilize the battery cell for periods of operation of less than 16 seconds and for a total aggregate operating time of less than 300 seconds. A one-handed handle contains all of the power supply, at least part of an anvil control assembly, and at least part of an electrically-powered stapler/cutter control assembly.
摘要翻译：手术器械包括末端执行器，其具有致动器执行外科手术的致动器，操作致动器的电动机以及当向马达供电时致动致动器的电源。电源具有一个额定功率的电池，工作时间超过15秒，总工作时间超过300秒。电动机和电源被配置为以大于给定额定功率的功率利用电池单元。选择电动机特性以利用电池单元小于16秒的操作周期，并且总的总操作时间小于300秒。单手柄包含所有电源，至少一部分砧座控制组件，以及电动订书机/切割器控制组件的至少一部分。

67. 外观设计

USD691265S1 Control assembly for portable surgical device 有权
标题翻译：便携式手术器械的控制组件
公开(公告)号：USD691265S1
公开(公告)日：2013-10-08
申请号：US29404140
申请日：2011-10-17
申请人： Jeremiah O'Leary , Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Luke Waaler
设计人： Jeremiah O'Leary , Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Luke Waaler

68. 发明授权

US08444662B2 Cordless hand-held ultrasonic cautery cutting device 有权
标题翻译：无绳手持式超声波烧灼切割装置
公开(公告)号：US08444662B2
公开(公告)日：2013-05-21
申请号：US12269544
申请日：2008-11-12
申请人： Matthew A. Palmer , Kevin W. Smith , Thomas O. Bales , Derek Dee Deville
发明人： Matthew A. Palmer , Kevin W. Smith , Thomas O. Bales , Derek Dee Deville
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic surgical assembly includes an ultrasonic waveguide and a cordless ultrasonic-movement-generation assembly that has a selectively removable securing connector and an output couple operable to impart ultrasonic movement to the ultrasonic waveguide when the waveguide is connected thereto. The assembly also includes a removable battery and a surgical handle that has a first handle body portion defining therein an aseptically sealable battery-holding compartment selectively exposed to the environment, aseptically removably holding therein the battery and electrically connecting the battery therein to the ultrasonic-movement-generation assembly. A second handle body portion is connected to the first handle body portion and has a waveguide attachment dock that is exposed to the environment and has a first couple operable to connect the waveguide thereto and an ultrasonic-movement-generation assembly dock that is exposed to the environment and shaped to removably secure the second handle body portion to the securing connector and connect the ultrasonic waveguide in the attachment dock to the output couple through the second handle body portion.
摘要翻译：超声外科组件包括超声波波导和无绳超声波移动发生组件，其具有可选择性地移除的固定连接器和可操作以在波导连接到超声波波导时向超声波波导施加超声波运动的输出耦合。组件还包括可移除电池和外科手柄，其具有在其中限定有选择性地暴露于环境的无菌密封电池保持室的第一手柄主体部分，无菌地可移除地保持其中的电池并将其中的电池电连接到超声波运动生成装配。第二手柄主体部分连接到第一手柄主体部分并且具有暴露于环境的波导附件底座，并且具有可操作以将波导连接到其上的第一耦合件和暴露于该第二手柄主体部分的超声波移动发生组装基座并且成形为将第二把手主体部分可移除地固定到固定连接器，并且通过第二把手主体部分将连接座中的超声波导连接到输出对。

69. 发明授权

US08419757B2 Cordless hand-held ultrasonic cautery cutting device 有权
标题翻译：无绳手持式超声波烧灼切割装置
公开(公告)号：US08419757B2
公开(公告)日：2013-04-16
申请号：US12266101
申请日：2008-11-06
申请人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
发明人： Kevin W. Smith , Thomas O. Bales , Matthew A. Palmer , Derek Dee Deville
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic surgical assembly includes a reusable cordless ultrasonic transducer and a disposable handle body that defines a battery-holding compartment therewithin, having an ultrasonic surgical waveguide, and operable to removably couple the transducer to the waveguide, the transducer being removably couplable to the handle body.
摘要翻译：超声外科组件包括可重复使用的无绳超声波换能器和一次性手柄本体，其在其中限定电池保持室，具有超声手术波导，并且可操作地将换能器可拆卸地耦合到波导，换能器可拆卸地联接到手柄本体。

70. 发明授权

US08403948B2 Cordless hand-held ultrasonic cautery cutting device 有权
标题翻译：无绳手持式超声波烧灼切割装置
公开(公告)号：US08403948B2
公开(公告)日：2013-03-26
申请号：US12266320
申请日：2008-11-06
申请人： Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales
发明人： Derek Dee Deville , Kevin W. Smith , Matthew A. Palmer , Thomas O. Bales
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： A disposable ultrasonic surgical handle includes a disposable handle body that has a first handle body portion defining a handgrip and a second handle body portion connected to the first handle body portion, where the second handle body portion has a waveguide attachment dock exposed to the environment and having a first couple operable to connect an ultrasonic waveguide thereto and an aseptically sealable powered-ultrasonic-motion-generator assembly dock shaped to connect the ultrasonic waveguide in the attachment dock to an assembly within the assembly dock through the second handle body portion. The disposable ultrasonic surgical handle also includes a disposable compartment door movably connected to the second handle body portion to selectively expose the assembly dock to the environment, where the handle has an open position exposing the assembly dock to the environment and permitting entry and removal of the powered-ultrasonic-motion-generator assembly respectively into and from the assembly dock and a closed position aseptically sealing the assembly dock from the environment.
摘要翻译：一次性超声波手术手柄包括一次性手柄本体，其具有限定手柄的第一手柄主体部分和连接到第一手柄主体部分的第二手柄主体部分，其中第二手柄本体部分具有暴露于环境的波导附件支架，具有可操作以将超声波波导连接到其上的第一对和无菌可密封的动力超声波运动发生器组件座，其形状适于将附接基座中的超声波导连接到组装座内的通过第二手柄主体部分的组件。一次性超声手术手柄还包括可移动地连接到第二手柄主体部分的一次性隔间门，以选择性地将组装基座暴露于环境中，其中手柄具有将组件基座暴露于环境的开放位置，并允许进入和移除动力 - 超声波运动发生器组件分别进入和离开装配坞，并且闭合位置无菌地将组装基座与环境密封。

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