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1. 发明申请

WO2009046394A1 ELECTRICALLY SELF-POWERED SURGICAL INSTRUMENT WITH MANUAL RELEASE 审中-公开
标题翻译：电动自动手术仪器，手动释放
公开(公告)号：WO2009046394A1
公开(公告)日：2009-04-09
申请号：PCT/US2008/078876
申请日：2008-10-04
申请人： ETHICON ENDO-SURGERY, INC. , SMITH, Kevin, W. , BALES, Thomas , DEVILLE, Derek, Dee , RIVERA, Carlos , PALMER, Matthew, A.
发明人： SMITH, Kevin, W. , BALES, Thomas , DEVILLE, Derek, Dee , RIVERA, Carlos , PALMER, Matthew, A.
IPC分类号： A61B17/04 , A61B17/10
CPC分类号： A61B17/07207 , A61B17/115 , A61B17/1155 , A61B2017/00017 , A61B2017/00398 , A61B2017/00734 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052 , G06F19/00 , Y02A90/26
摘要： An electrically operated surgical instalment includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self-contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.
摘要翻译：电操作的手术装置包括手术末端执行器，其具有致动组件，该致动组件在致动时实现外科手术，并且手柄连接到末端执行器以致动组件。组件的一部分在启动位置和完全启动位置之间移动。手柄具有独立的电源和完全设置在手柄内的驱动组件。驱动组件具有电动马达和电连接到电源和马达的控制器。控制器选择性地操作电动机。变速器机械地将电动机连接到移动部件，并且当电动机被操作时，在起动和完全伸出位置之间的任何位置选择性地移动运动部件。手动释放机械耦合到变速器以选择性地中断变速器，并且在中断期间，独立于电动机操作将运动部件移向起始位置。

2. 发明申请

WO2007016060A8 SURGICAL STAPLING AND CUTTING DEVICE AND METHOD FOR USING THE DEVICE 审中-公开
标题翻译：手术缝合和切割装置以及使用该装置的方法
公开(公告)号：WO2007016060A8
公开(公告)日：2007-05-10
申请号：PCT/US2006028752
申请日：2006-07-25
申请人： KMS MEDICAL LLC , SMITH KEVIN W , PALMER MATTHEW A , KLINE KOREY ROBERT , DEVILLE DEREK DEE
发明人： SMITH KEVIN W , PALMER MATTHEW A , KLINE KOREY ROBERT , DEVILLE DEREK DEE
IPC分类号： A61B17/00
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 having an articulation joint actuator, a surgical end effector, and a passive articulating joint connecting the end effector to the control handle. The articulation joint actuator, when unactuated, holds the passive articulation joint and, thereby, the end effector, in a substantially fixed articulation position, and, when actuated, releases the passive articulation joint into a freely articulating state to permit free articulation of the end effector with respect to the control handle dependent upon external forces acting upon the end effector. A method for operating the end effector includes retaining the passive articulation joint in a stable position with an articulation lock and actuating a release of the articulation lock to unlock the passive articulation joint and, thereby, permit articulating motion of the end effector through the passive articulation joint dependent upon the external forces acting upon the end effector.
摘要翻译：医疗装置包括控制手柄，所述控制手柄具有关节运动关节致动器，外科端部执行器以及将端部执行器连接到控制手柄的被动铰接接头。当未被致动时，关节运动关节致动器将被动关节运动关节以及由此的末端执行器保持在基本上固定的关节运动位置中，并且当被启动时将被动关节运动关节释放到自由关节运动状态中以允许自由关节的末端取决于作用在末端执行器上的外力，相对于控制手柄的效应器。用于操作末端执行器的方法包括用关节运动锁将该被动关节运动关节保持在稳定位置并且促动关节运动锁的释放以解锁该被动关节运动关节，从而允许末端执行器通过被动关节运动进行关节运动关节取决于作用在末端执行器上的外力。

3. 发明申请

WO2006083728A2 END EFFECTOR FOR SURGICAL INSTRUMENT, SURGICAL INSTRUMENT, AND METHOD FOR FORMING THE END EFFECTOR 审中-公开
标题翻译：手术器械，外科器械的终末效应及其形成终末效应的方法
公开(公告)号：WO2006083728A2
公开(公告)日：2006-08-10
申请号：PCT/US2006/003029
申请日：2006-01-31
申请人： KMS BIOPSY, LLC , BALES, Thomas, O. , PALMER, Matthew, A. , SMITH, Kevin, W. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
发明人： BALES, Thomas, O. , PALMER, Matthew, A. , SMITH, Kevin, W. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
IPC分类号： A61B17/28
CPC分类号： A61B10/06 , A61B10/04 , A61B17/29 , A61B2017/2902 , A61B2017/2905 , A61B2017/2919 , A61B2017/2926 , A61B2017/2932 , A61B2017/320064
摘要： An end effector for an endoscopic surgical instrument having a longitudinal body with proximal and distal ends and an actuator at the proximal end of the body includes a clevis to be connected to the distal end of the body and two jaws. Each of the jaws has a tang portion (240) pivotally connected to the clevis and to be connected to the actuator for pivoting the jaw. The jaw has body portion (221, 223) with a lateral side (223) having substantially straight opposing edges and a proximal portion (227) connecting the lateral side to the tang portion and a nose portion (225, 229) connected to the lateral side and having substantially linear edges at an angle to the edges of the lateral side. The hollow body and nose portions define a biopsy cup for receiving a tissue sample therein and the opposing and linear edges form a pinching surface for contacting extremities of the tissue sample.
摘要翻译：用于内窥镜手术器械的端部执行器具有具有近端和远端的纵向主体和在主体的近端处的致动器，包括要连接到主体的远端的U形夹和两个钳口。每个钳口具有枢转地连接到U形夹上并且连接到致动器以使枢转爪的柄部分（240）。钳口具有主体部分（221,223），其具有基本上直的相对边缘的侧面（223）和将侧面连接到柄脚部分的近端部分（227）和连接到侧面部分的鼻部分（225,229）并且具有与侧面的边缘成一定角度的基本上线性的边缘。中空体和鼻部分限定了用于在其中接收组织样本的活检杯，并且相对和线性边缘形成用于接触组织样本的四肢的夹紧表面。

4. 发明申请

WO2011031980A1 SURGICAL STERILIZER WITH INTEGRATED BATTERY CHARGING DEVICE AND METHOD FOR SURGICAL BATTERY STERILIZATION WHILE CHARGING 审中-公开
标题翻译：具有集成电池充电装置的外科灭菌器和充电时的手术电池灭菌方法
公开(公告)号：WO2011031980A1
公开(公告)日：2011-03-17
申请号：PCT/US2010/048442
申请日：2010-09-10
申请人： SYNTHEON, LLC , SMITH, Kevin, W. , MCBRAYER, Michael, Sean , DEVILLE, Derek, Dee , BALES, Thomas, O.
发明人： SMITH, Kevin, W. , MCBRAYER, Michael, Sean , DEVILLE, Derek, Dee , BALES, Thomas, O.
IPC分类号： A61F9/00
CPC分类号： H02J7/00 , A61B2017/00734 , A61L2/00 , A61L2202/20 , H01F38/14 , H02J5/005 , H02J7/025 , H02J50/10
摘要： A device for sterilizing and charging a battery of a surgical instrument, comprising a surgical sterilization device that has a sealable sterilization enclosure and is operable to surgically sterilize a rechargeable battery of a battery-operated surgical instrument when the battery is sealed in the sterilization enclosure. An inductively powered battery-charging platform is also disposed inside the sterilization enclosure and has a charger that conductively charges the battery when the battery is placed at the charger. A power receiver sub-assembly that is electrically coupled to the charger receives electrical power inductively from a power supply that is disposed outside the sterilization enclosure. Thus, the battery is charged without breaching the sealed sterilization enclosure and simultaneously while the battery is being sterilized.
摘要翻译：一种用于对外科器械的电池进行消毒和充电的装置，包括具有可密封灭菌器外壳的外科手术消毒装置，并且可操作以在所述电池密封在所述灭菌器外壳中时对电池供电的手术器械的可再充电电池进行手术式灭菌。电感充电电池充电平台还设置在灭菌箱内，并具有一个充电器，当电池放置在充电器时对电池进行导电充电。电耦合到充电器的电源接收器子组件从设置在灭菌外壳外部的电源感应地接收电力。因此，电池在不破坏密封的灭菌包装的同时进行充电，同时电池被消毒。

5. 发明申请

WO2011025857A1 TWO -STAGE SWITCH FOR CORDLESS HAND-HELD ULTRASONIC CAUTERY CUTTING DEVICE 审中-公开
标题翻译：无缝手持式超声波切割装置的两级开关
公开(公告)号：WO2011025857A1
公开(公告)日：2011-03-03
申请号：PCT/US2010/046749
申请日：2010-08-26
申请人： SYNTHEON, LLC , PALMER, Matthew, A. , SMITH, Kevin, W. , BALES, Thomas, O., Jr. , DEVILLE, Derek, Dee
发明人： PALMER, Matthew, A. , SMITH, Kevin, W. , BALES, Thomas, O., Jr. , DEVILLE, Derek, Dee
IPC分类号： H01H5/00
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00367 , A61B2017/00389 , A61B2017/00734
摘要： An ultrasonic, self-powered surgical device includes a handle, a self-contained power supply associated with the handle, and a control circuit disposed within the handle and/or the power supply. The control circuit is operable to carry out at least two operational conditions of the surgical device. A two-stage switch is electrically connected to the control circuit and effects the at least two operational conditions of the surgical device. A first stage of the switch effects a first of the at least two operational conditions and a second stage of the switch effects a second of the at least two operational conditions that is different from the first operational condition.
摘要翻译：超声波自动手术装置包括手柄，与手柄相关联的独立电源以及设置在手柄和/或电源内的控制电路。控制电路可操作以执行外科装置的至少两个操作条件。两级开关电连接到控制电路并且实现手术装置的至少两个操作条件。开关的第一阶段影响至少两个操作条件中的第一阶段，并且开关的第二阶段影响与第一操作条件不同的至少两个操作条件中的第二阶段。

6. 发明申请

WO2006083728A3 END EFFECTOR FOR SURGICAL INSTRUMENT, SURGICAL INSTRUMENT, AND METHOD FOR FORMING THE END EFFECTOR 审中-公开
标题翻译：手术器械，外科器械的终末效应及其形成终末效应的方法
公开(公告)号：WO2006083728A3
公开(公告)日：2007-10-18
申请号：PCT/US2006003029
申请日：2006-01-31
申请人： KMS BIOPSY LLC , BALES THOMAS O , PALMER MATTHEW A , SMITH KEVIN W , KLINE KOREY ROBERT , DEVILLE DEREK DEE
发明人： BALES THOMAS O , PALMER MATTHEW A , SMITH KEVIN W , KLINE KOREY ROBERT , DEVILLE DEREK DEE
IPC分类号： A61B10/00 , A61B17/00
CPC分类号： A61B10/06 , A61B10/04 , A61B17/29 , A61B2017/2902 , A61B2017/2905 , A61B2017/2919 , A61B2017/2926 , A61B2017/2932 , A61B2017/320064
摘要： An end effector for an endoscopic surgical instrument having a longitudinal body with proximal and distal ends and an actuator at the proximal end of the body includes a clevis to be connected to the distal end of the body and two jaws. Each of the jaws has a tang portion (240) pivotally connected to the clevis and to be connected to the actuator for pivoting the jaw. The jaw has body portion (221, 223) with a lateral side (223) having substantially straight opposing edges and a proximal portion (227) connecting the lateral side to the tang portion and a nose portion (225, 229) connected to the lateral side and having substantially linear edges at an angle to the edges of the lateral side. The hollow body and nose portions define a biopsy cup for receiving a tissue sample therein and the opposing and linear edges form a pinching surface for contacting extremities of the tissue sample.
摘要翻译：用于内窥镜手术器械的端部执行器具有具有近端和远端的纵向主体和在主体的近端处的致动器，包括要连接到主体的远端的U形夹和两个钳口。每个钳口具有枢转地连接到U形夹上并且连接到致动器以使枢转爪的柄部分（240）。钳口具有主体部分（221,223），其具有基本上直的相对边缘的侧面（223）和将侧面连接到柄脚部分的近端部分（227）和连接到侧面部分的鼻部分（225,229）并且具有与侧面的边缘成一定角度的基本上线性的边缘。中空体和鼻部分限定了用于在其中接收组织样本的活检杯，并且相对和线性边缘形成用于接触组织样本的四肢的夹紧表面。

7. 发明申请

WO2007035931A2 METHODS FOR OPERATING A SELECTIVE STIFFENING CATHETER 审中-公开
标题翻译：操作选择性强化导管的方法
公开(公告)号：WO2007035931A2
公开(公告)日：2007-03-29
申请号：PCT/US2006/037305
申请日：2006-09-25
申请人： KMS MEDICAL, LLC , SMITH, Kevin, W. , PALMER, Matthew, A. , MCBRAYER, Sean , BALES, Thomas, O. , DEVILLE, Derek, Dee , ABELLIERA, Joe
发明人： SMITH, Kevin, W. , PALMER, Matthew, A. , MCBRAYER, Sean , BALES, Thomas, O. , DEVILLE, Derek, Dee , ABELLIERA, Joe
IPC分类号： A61M31/00
CPC分类号： A61B18/1492 , A61B18/00 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61F2/01 , A61F2230/005 , A61M25/005 , A61M25/0053 , A61M25/0054 , A61M25/01 , A61M25/104 , A61M2025/0063 , A61M2025/0064
摘要： A method for delivering RF energy to living tissue includes the steps of extending a guidewire to a tissue treatment site in a body. A controllable stiffness catheter is provided with a stiffness device and a temperature-changing device. The stiffness device is in a stiff state below a given temperature and in a soft state above the given temperature. While supplying power to the temperature-changing device, the catheter is threaded along the guidewire up to the treatment site in the flexible state of the catheter. Power is removed from the temperature-changing device to change stiffness of the stiffness device to the stiff state without straightening the catheter. The RF energy supply device is physically contacted with the treatment site and RF energy is delivered to the treatment site from the RF energy supply device.
摘要翻译：用于将RF能量递送到活组织的方法包括将导丝延伸到身体中的组织处理部位的步骤。可控刚度导管设置有刚度装置和温度变化装置。刚度装置处于低于给定温度的刚性状态，并且处于高于给定温度的软状态。在向变温装置供电的同时，导管在导管的柔性状态下沿着导丝穿过治疗部位。将功率从变温装置中移除，以将刚度装置的刚度改变到刚性状态，而不使导管矫直。 RF能量供应装置与处理部位物理接触，RF能量从RF能量供应装置输送到治疗部位。

8. 发明申请

WO2011025857A9 TWO -STAGE SWITCH FOR CORDLESS HAND-HELD ULTRASONIC CAUTERY CUTTING DEVICE 审中-公开
标题翻译：无级手持超声波CAUTERY切割装置的两级开关
公开(公告)号：WO2011025857A9
公开(公告)日：2011-04-14
申请号：PCT/US2010046749
申请日：2010-08-26
申请人： SYNTHEON LLC , PALMER MATTHEW A , SMITH KEVIN W , BALES THOMAS O JR , DEVILLE DEREK DEE
发明人： PALMER MATTHEW A , SMITH KEVIN W , BALES THOMAS O JR , DEVILLE DEREK DEE
IPC分类号： H01H5/00
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00367 , A61B2017/00389 , A61B2017/00734
摘要： An ultrasonic, self-powered surgical device includes a handle, a self-contained power supply associated with the handle, and a control circuit disposed within the handle and/or the power supply. The control circuit is operable to carry out at least two operational conditions of the surgical device. A two-stage switch is electrically connected to the control circuit and effects the at least two operational conditions of the surgical device. A first stage of the switch effects a first of the at least two operational conditions and a second stage of the switch effects a second of the at least two operational conditions that is different from the first operational condition.
摘要翻译：超声自供电手术装置包括手柄，与手柄相关的自备电源以及设置在手柄和/或电源内的控制电路。控制电路可操作以执行手术装置的至少两个操作状况。两级开关电连接到控制电路并且实现手术装置的至少两个操作状况。所述开关的第一阶段实现所述至少两个操作条件中的第一操作条件，并且所述开关的第二阶段实现与所述第一操作条件不同的所述至少两个操作条件中的第二操作条件。

9. 发明申请

WO2008089050A2 ADJUSTABLE COMPRESSION STAPLE AND METHOD FOR STAPLING WITH ADJUSTABLE COMPRESSION 审中-公开
标题翻译：可调整压缩机和可调节压缩装置的方法
公开(公告)号：WO2008089050A2
公开(公告)日：2008-07-24
申请号：PCT/US2008/050829
申请日：2008-01-11
申请人： SMITH, Kevin, W. , PALMER, Matthew, A. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
发明人： SMITH, Kevin, W. , PALMER, Matthew, A. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
IPC分类号： F16B15/00 , A61B17/064
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 die bridge and a deformabie 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。每个腿部具有与模座桥一体的基端，并且可变形的远端限定成形为刺穿要缝合的材料的缝合点。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

10. 发明申请

WO2010014971A1 MEDICAL ULTRASONIC CAUTERIZATION AND CUTTING DEVICE AND METHOD 审中-公开
标题翻译：医疗超声切割和切割装置及方法
公开(公告)号：WO2010014971A1
公开(公告)日：2010-02-04
申请号：PCT/US2009/052518
申请日：2009-08-01
申请人： SYNTHEON, LLC , PALMER, Matthew, A. , DEVILLE, Derek, Dee , SMITH, Kevin, W.
发明人： PALMER, Matthew, A. , DEVILLE, Derek, Dee , SMITH, Kevin, W.
IPC分类号： A61B5/0275
CPC分类号： A61B17/320092 , A61B17/285
摘要： An ultrasonic surgical instrument includes a shaft having a proximal end and a distal end and a first jaw having a proximal end and a distal end, the distal end of the shaft terminating at the proximal end of the first jaw and the first jaw has an internal trough running from and through the proximal end of the first jaw and terminating at a point prior to the distal end of the first jaw and a surface having a plurality of teeth on either side of the trough and at the distal end of the first jaw. A second jaw has a surface facing the surface of the first jaw and having a plurality of teeth thereat. An ultrasonic waveguide extends beyond the shaft and is slidably engagable with the trough, where the ultrasonic waveguide has a distal end, a proximal end, a top surface portion, and a tissue compressing surface upwardly sloping from the distal end of the ultrasonic waveguide to the proximal end of the ultrasonic waveguide, at least one of the tissue compressing surface and the top surface portion forming a cutting surface and wherein the jaws are operable to compress tissue therebetween and the ultrasonic waveguide is operable to slide within the trough to further compress and cut the compressed tissue as the ultrasonic waveguide moves in a direction from the proximal end of the first jaw to the distal end of the first jaw.
摘要翻译：超声波手术器械包括具有近端和远端的轴和具有近端和远端的第一钳口，所述轴的远端终止于第一钳口的近端，并且第一钳口具有内部槽从第一钳口的近端延伸并且通过第一钳夹的近端延伸并终止于在第一钳口的远端之前的点和在槽的任一侧上和第一钳口的远端具有多个齿的表面。第二钳口具有面向第一钳口表面的表面，并且在其上具有多个齿。超声波波导延伸超过轴并且与槽可滑动地接合，其中超声波导具有从超声波导的远端向上倾斜的远端，近端，顶表面部分和组织压缩表面，超声波波导的近端，组织压缩表面和顶表面部分中的至少一个形成切割表面，并且其中夹爪可操作以在其间压缩组织，并且超声波导可操作以在槽内滑动以进一步压缩和切割作为超声波导的压缩组织在从第一钳口的近端到第一钳夹的远端的方向上移动。

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