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    • 77. 发明授权
    • Surgical stapling apparatus with powered articulation
    • 具有动力铰接的手术吻合装置
    • US08240537B2
    • 2012-08-14
    • US13313451
    • 2011-12-07
    • Stanislaw Marczyk
    • Stanislaw Marczyk
    • A61B17/068
    • A61B17/068A61B17/0686A61B17/072A61B17/07207A61B2017/00398A61B2017/00734A61B2017/2927A61B2017/2929A61B2090/031
    • The surgical stapling apparatus includes a handle assembly, an elongated body extending distally from the handle assembly, and an articulation mechanism for articulating a tool assembly. The articulation mechanism includes a first gear rotatably mounted on a transmission shaft and configured to engage a second gear, a clutch interconnecting the second gear and a main shaft; and a yoke shaft coupled to the main shaft and adapted to linearly advance a J-channel, the J-channel operatively connected to an articulation link. A motor assembly may rotate the transmission shaft of the articulation mechanism. Alternatively, the articulation mechanism may include an articulation knob. Users may manually rotate the articulation knob to articulate the tool assembly of the surgical stapling apparatus.
    • 外科缝合装置包括手柄组件,从手柄组件向远侧延伸的细长体,以及用于铰接工具组件的关节运​​动机构。 铰接机构包括可旋转地安装在传动轴上并构造成接合第二齿轮的第一齿轮,将第二齿轮和主轴互连的离合器; 以及耦合到所述主轴并适于线性前进J通道的轭轴,所述J通道可操作地连接到铰接连杆。 马达组件可旋转铰接机构的传动轴。 或者,关节运动机构可以包括关节运动旋钮。 用户可以手动旋转关节旋钮,以便将外科缝合装置的工具组件铰接。
    • 78. 发明授权
    • Powered surgical stapling device
    • 动力手术吻合装置
    • US08240536B2
    • 2012-08-14
    • US13213332
    • 2011-08-19
    • Stanislaw Marczyk
    • Stanislaw Marczyk
    • A61B17/068
    • A61B17/07207A61B17/068A61B17/072A61B17/115A61B2017/00181A61B2017/00398A61B2017/00734A61B2017/2923
    • A medical instrument having a tool assembly attachable to a distal end of the medical instrument is disclosed. The tool assembly includes a pair of opposing tissue engaging surfaces for clamping tissue therebetween. The medical instrument also includes a housing having a fixed handle and a movable handle mounted to the housing and selectively movable relative to the fixed handle from a first position in spaced relation relative to the fixed handle to a second position closer to the fixed handle to actuate the clamping of tissue. The instrument further includes a selectively activatable drive assembly including a power source and a motor which is operatively coupled to the movable handle, wherein upon actuation the motor actuates the pair of opposing tissue engaging surfaces. The drive assembly also includes a controller configured to variably control the rate at which the motor actuates the pair of opposing tissue engaging surfaces in response to the force exerted on the movable handle.
    • 公开了具有可附接到医疗器械的远端的工具组件的医疗器械。 工具组件包括一对相对的组织接合表面,用于在其间夹紧组织。 医疗器械还包括具有固定把手的壳体和安装到壳体的可移动手柄,并且可相对于固定手柄相对于固定手柄以间隔开的关系相对于固定手柄选择性地移动到靠近固定手柄的第二位置以致动 夹紧组织。 仪器还包括可选择性激活的驱动组件,其包括动力源和可操作地联接到可动手柄的马达,其中在致动时马达致动一对相对的组织接合表面。 驱动组件还包括控制器,其被配置为响应于施加在可移动手柄上的力,可变地控制马达致动一对相对的组织接合表面的速率。