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1. 发明申请

WO2011143429A1 INSTRUMENT FOR DEBRIDING FISTULA AND APPLYING THERAPEUTIC CELLS 审中-公开
标题翻译：用于切除假体和应用治疗细胞的仪器
公开(公告)号：WO2011143429A1
公开(公告)日：2011-11-17
申请号：PCT/US2011/036249
申请日：2011-05-12
申请人： ETHICON ENDO-SURGERY, INC. , HALL, Steven, G. , HIBNER, John, A. , HWANG, Julia, J. , CARTER, Yolanda, F.
发明人： HALL, Steven, G. , HIBNER, John, A. , HWANG, Julia, J. , CARTER, Yolanda, F.
IPC分类号： A61B17/00 , A61B17/32 , A61B18/14 , A61F2/46 , A61B10/02
CPC分类号： A61B17/00491 , A61B10/0266 , A61B10/0283 , A61B17/0057 , A61B17/32002 , A61B18/1492 , A61B2017/00398 , A61B2017/00623 , A61B2017/00641 , A61B2017/00654 , A61B2017/00893 , A61B2017/00969 , A61B2017/320004 , A61B2017/320775 , A61B2018/1472 , A61B2217/005 , A61B2217/007 , A61M1/0084
摘要： A treatment system comprises an outer sheath (80) and an end effector (110). The end effector has a plurality of cutting features (116), at least a portion of which are configured to debride a tissue surface when the end effector is actuated. The cutting features may also be configured to harvest tissue. A medical fluid reservoir (50) is in fluid communication with the end effector, such that the end effector may deliver a medical fluid to a target site such as a fistula. The medical fluid may include harvested tissue cells and a scaffold material. A vacuum cannula may be positioned coaxially within the interior cavity of the end effector, and an RF probe (120) may be positioned co- axially within the interior cavity of the vacuum cannula. The vacuum cannula and RF probe may be used together to seal a fistula in which medical fluid has been dispensed.
摘要翻译：治疗系统包括外护套（80）和末端执行器（110）。末端执行器具有多个切割特征（116），其中至少一部分被配置为当端部执行器被致动时清除组织表面。切割特征也可以被配置成收获组织。医疗液体储存器（50）与末端执行器流体连通，使得末端执行器可以将医用流体输送到诸如瘘的目标部位。医疗流体可以包括收获的组织细胞和支架材料。真空插管可以同轴地定位在端部执行器的内部空腔内，并且RF探针（120）可以在真空插管的内部腔内同轴地定位。真空插管和RF探针可以一起使用以密封已经分配了药液的瘘管。

2. 发明申请

WO2010080300A1 BIOPSY DEVICE WITH DETACHABLE NEEDLE 审中-公开
标题翻译：具有可拆卸针的生物装置
公开(公告)号：WO2010080300A1
公开(公告)日：2010-07-15
申请号：PCT/US2009/067176
申请日：2009-12-08
申请人： ETHICON ENDO-SURGERY, INC. , PARIHAR, Shailendra, K. , LEIMBACH, Jessica, P. , HIBNER, John, A.
发明人： PARIHAR, Shailendra, K. , LEIMBACH, Jessica, P. , HIBNER, John, A.
IPC分类号： A61B10/02 , A61B17/00 , A61B17/32 , A61B19/00
CPC分类号： A61B10/0275 , A61B10/0283 , A61B17/32002 , A61B2010/0208 , A61B2010/0225 , A61B2017/00398 , A61B2017/0046 , A61B2090/0801
摘要： A biopsy device comprises a targeting set assembly (22;23), a probe assembly (14;18;19), and a holster assembly (16;20;21), which are detachable from one another. The targeting set assembly comprises a needle assembly (28; 29) having a tissue piercing tip (212) and tissue receiving aperture (278). The needle assembly further comprises a needle portion (42), a needle hub (88), and a connecting member (36). The connecting member permits attachment of the needle assembly to the probe assembly. The needle portion is provided with a dual lumen structure. The needle hub comprises a mounting portion (48) configured to couple with a distal end of the probe assembly and a sleeve (90) configured to translate longitudinally with respect to the mounting portion under influence of an actuation member (92) to permit access to the dual lumen structure of the needle portion, while managing fluid and vacuum within the device.
摘要翻译：活检装置包括靶组件组件（22; 23），探针组件（14; 18; 19）和可彼此分离的机架组件（16; 20; 21）。靶组件包括具有组织穿刺尖端（212）和组织接收孔（278）的针组件（28; 29）。针组件还包括针部分（42），针座（88）和连接构件（36）。连接构件允许将针组件附接到探针组件。针部分设置有双腔结构。针座包括构造成与探针组件的远端联接的安装部分（48）和构造成在致动构件（92）的影响下相对于安装部分纵向平移的套筒（90），以允许进入针部分的双腔结构，同时在装置内管理流体和真空。

3. 发明申请

WO2010071752A1 BIOPSY DEVICE WITH CENTRAL THUMBWHEEL 审中-公开
标题翻译：生物装置与中央THUMBWHEEL
公开(公告)号：WO2010071752A1
公开(公告)日：2010-06-24
申请号：PCT/US2009/067306
申请日：2009-12-09
申请人： ETHICON ENDO-SURGERY, INC. , PARIHAR, Shailendra, K. , HIBNER, John, A. , NOCK, Andrew, P. , HABERSTICH, Wells, D. , JOHNSON, Gregory, W. , LEIMBACH, Jessica, Pyzoha , LUDZACK, Michael, R.
发明人： PARIHAR, Shailendra, K. , HIBNER, John, A. , NOCK, Andrew, P. , HABERSTICH, Wells, D. , JOHNSON, Gregory, W. , LEIMBACH, Jessica, Pyzoha , LUDZACK, Michael, R.
IPC分类号： A61B10/02
CPC分类号： A61B10/0275 , A61B10/0283 , A61B2010/0208 , A61B2010/0225 , A61B2090/0813
摘要： A biopsy device comprises a probe and a holster. The probe has a distally extending needle and a central thumbwheel coupled with the needle. The needle has a transverse tissue receiving aperture. A cutter is translatable relative to the needle to sever tissue protruding through the aperture. The central thumbwheel is manually operable to rotate the needle to reorient the angular position of the aperture about the longitudinal axis defined by the needle. The central thumbwheel is positioned coaxially with the longitudinal axis. An elongate sleeve unitarily couples the needle with the central thumbwheel. A cable driven mechanism in the holster drives the cutter. A rotatable tissue sample holder is coupled with the probe, and has chambers configured to receive tissue samples communicated proximally through a lumen defined by the cutter. A piezoelectric motor in the holster drives the tissue sample holder.
摘要翻译：活检装置包括探针和皮套。探针具有远端延伸的针和与针连接的中心指轮。针具有横向组织接收孔。刀具相对于针可平移以切断通过孔突出的组织。中心指轮可手动操作以旋转针来重新定位围绕由针定义的纵向轴线的孔的角位置。中心指轮与纵向轴线同轴设置。细长的套筒将针与中央指轮整体地连接起来。皮套中的电缆驱动机构驱动切割器。可旋转的组织样本保持器与探针联接，并且具有被配置为接收通过由切割器限定的内腔近端连通的组织样本的腔室。皮套中的压电马达驱动组织样品架。

4. 发明申请

WO2012161986A1 TETHERLESS BIOPSY DEVICE 审中-公开
标题翻译：无菌生物装置
公开(公告)号：WO2012161986A1
公开(公告)日：2012-11-29
申请号：PCT/US2012/037435
申请日：2012-05-11
申请人： DEVICOR MEDICAL PRODUCTS, INC. , HIBNER, John, A.
发明人： HIBNER, John, A.
IPC分类号： A61B10/02 , A61B17/34 , A61B17/32
CPC分类号： A61B10/0275 , A61B10/0241 , A61B10/0266 , A61B10/0283 , A61B2010/0093 , A61B2010/0208 , A61B2010/0225
摘要： A biopsy device comprises a body, a needle, and a cutter operable to sever tissue protruding through a lateral aperture of the needle. A vacuum pump is in fluid communication with the cutter. A fluid pump is in fluid communication with the needle. A fluid pump actuation assembly is operable to actuate the fluid pump to deliver a bolus of fluid to the needle based on movement of the cutter. A valve assembly responsive to cutter movement is operable to selectively couple the needle with the fluid pump, couple the needle with atmospheric air, or seal the needle relative to the fluid pump and atmospheric air. The fluid from the fluid pump and atmospheric air cooperate with the vacuum to urge severed tissue samples proximally through the cutter. Components operable to actuate the cutter and the fluid pump include coaxial lead screws having different pitch diameters.
摘要翻译：活检装置包括主体，针和切割器，其可操作以切断穿过针的侧向孔突出的组织。真空泵与切割器流体连通。流体泵与针流体连通。流体泵致动组件可操作以基于切割器的移动来致动流体泵以将大量液体输送到针。响应于切割器运动的阀组件可操作以选择性地将针与流体泵相耦合，将针与大气连接，或者相对于流体泵和大气空气密封针。来自流体泵和大气的流体与真空配合以通过切割器向近侧推动切割的组织样品。可操作以致动切割器和流体泵的部件包括具有不同节距直径的同轴导螺杆。

5. 发明申请

WO2012060968A2 HANDHELD BIOPSY DEVICE WITH NEEDLE FIRING 审中-公开
标题翻译：手指生物装置与针刺
公开(公告)号：WO2012060968A2
公开(公告)日：2012-05-10
申请号：PCT/US2011/054892
申请日：2011-10-05
申请人： DEVICOR MEDICAL PRODUCTS, INC. , HIBNER, John, A. , NUCHOLS, Richard, P. , RHAD, Edward, A.
发明人： HIBNER, John, A. , NUCHOLS, Richard, P. , RHAD, Edward, A.
IPC分类号： A61B10/02 , A61B17/32 , A61B17/34
CPC分类号： A61B10/0266 , A61B10/0275 , A61B10/0283 , A61B2010/0208
摘要： A biopsy device includes a body, a needle, and a cutter. A motor is operable to both move the cutter relative to the needle and actuate a needle firing assembly to retract and fire the needle relative to the body. The biopsy device also includes a needle rotation assembly that is configured to substantially prevent rotation of the needle about the longitudinal axis when the needle is in a proximal position yet permit rotation of the needle about the longitudinal axis when the needle is in a distal position. A valve assembly of the biopsy device includes a slider that selectively couples a secondary lumen in the needle with either atmospheric air or saline based on the longitudinal position of the slider. The cutter passes through the slider.
摘要翻译：活检装置包括主体，针和切割器。电动机可操作以相对于针移动切割器并致动针发射组件以使针相对于身体缩回和点燃。活检装置还包括针旋转组件，其被配置为当针处于近侧位置时基本上防止针绕纵向轴线的旋转，但当针处于远侧位置时允许针绕纵向轴线旋转针头。活检装置的阀组件包括滑块，该滑块基于滑块的纵向位置，将针中的次内腔与大气或盐水选择性地联接。刀具通过滑块。

6. 发明专利

CA2151358A1 SURGICAL INSTRUMENT AND METHOD 未知
公开(公告)号：CA2151358A1
公开(公告)日：1995-12-11
申请号：CA2151358
申请日：1995-06-08
申请人： BISHOP GREGORY D , CONLON SEAN P , GUTIERREZ JORGE , HIBNER JOHN A , PAUL MICHEL A , OKOROCHA LIVYN O , SAMBI NARINDERJIT , RHAD EDWARD
发明人： BISHOP GREGORY D , CONLON SEAN P , GUTIERREZ JORGE , HIBNER JOHN A , PAUL MICHEL A , OKOROCHA LIVYN O , SAMBI NARINDERJIT , RHAD EDWARD
IPC分类号： A61B17/03 , A61B17/068
摘要： Various mechanisms, and a method of operating them, are provided for use in a surgical instrument. A shaft and an engaged lost motion operating knob are provided for rotation relative to a handle portion. A latch system prevents rotation of the shaft unless the shaft is rotated by means of the knob. A cartridge is provided for rotation at the distal end of the shaft. Engaging structures are provided for preventing rotation of the cartridge relative to the shaft when axial forces are applied to the cartridge. A loading tool is provided for engaging the cartridge to install the cartridge on the instrument. The cartridge includes a washer for engaging a carrier on which the cartridge is mounted so as to prevent rotation of the washer. The washer is adapted to engage a fastener advancing member in a first angular orientation and is disengaged when the cartridge is rotated to establish a second relative angular orientation. In the first angular orientation, the fastener advancing member is restrained against longitudinal movement to assist in installation of the cartridge onto the instrument. The distal end of the instrument can be articulated, and a helical gear operator is provided for effecting the articulation. The helical gear pitch decreases in a direction such that the mechanical advantage is increased as the articulation angle increases. A trigger actuating system includes a trigger lever with a cam channel, a pin in the cam channel, and a link connected at one end to the pin and at the other end to a reciprocatable driver. A frame is provided with a guide channel for guiding an end of the pin. The trigger lever is pivotally mounted to the frame and biased to a normally unactuated position.

7. 发明申请

WO2013006598A3 STERILE BATTERY CONTAINMENT 审中-公开
公开(公告)号：WO2013006598A3
公开(公告)日：2013-01-10
申请号：PCT/US2012/045359
申请日：2012-07-03
申请人： ETHICON ENDO-SURGERY, INC. , SMITH, Bret, W. , HIBNER, John, A. , PLESCIA, David, N. , STULEN, Foster, B. , TANGHAL, Emmanuel, V.
发明人： SMITH, Bret, W. , HIBNER, John, A. , PLESCIA, David, N. , STULEN, Foster, B. , TANGHAL, Emmanuel, V.
IPC分类号： A61B19/02
摘要： An apparatus for delivering electrical power to an electrically powered medical device includes a battery, a first compartment, and a second compartment where the second compartment can hold the first compartment and the first compartment can hold the battery. A sterile space is defined between the first compartment and the second compartment. The first compartment and the batten' may be selectively electrically coupled with the electrically powered medical device such that the first compartment does not compromise the sterility of the electrically powered medical device.

8. 发明申请

WO2013006598A2 STERILE BATTERY CONTAINMENT 审中-公开
标题翻译：无菌电池容器
公开(公告)号：WO2013006598A2
公开(公告)日：2013-01-10
申请号：PCT/US2012045359
申请日：2012-07-03
申请人： ETHICON ENDO SURGERY INC , SMITH BRET W , HIBNER JOHN A , PLESCIA DAVID N , STULEN FOSTER B , TANGHAL EMMANUEL V
发明人： SMITH BRET W , HIBNER JOHN A , PLESCIA DAVID N , STULEN FOSTER B , TANGHAL EMMANUEL V
IPC分类号： A61B19/02
CPC分类号： A61B50/20 , A61B50/33 , A61B2017/00734 , A61B2050/002 , A61B2050/005 , A61B2050/0056 , A61B2050/3006 , A61B2050/3008 , A61B2050/3014 , A61B2050/3015 , A61B2050/314 , A61B2050/316
摘要： An apparatus for delivering electrical power to an electrically powered medical device includes a battery, a first compartment, and a second compartment where the second compartment can hold the first compartment and the first compartment can hold the battery. A sterile space is defined between the first compartment and the second compartment. The first compartment and the batten' may be selectively electrically coupled with the electrically powered medical device such that the first compartment does not compromise the sterility of the electrically powered medical device.
摘要翻译：一种用于将电力输送到电动医疗装置的设备包括电池，第一隔室和第二隔室，其中第二隔室可以容纳第一隔室并且第一隔室可以容纳电池。在第一隔室和第二隔室之间限定无菌空间。第一隔室和板条可以选择性地与电动医疗设备电耦合，使得第一隔室不损害电动医疗设备的无菌性。

9. 发明申请

WO2011143560A1 INSTRUMENT FOR DEBRIDING TISSUE AND APPLYING THERAPEUTIC CELLS 审中-公开
标题翻译：用于破坏组织和应用治疗细胞的仪器
公开(公告)号：WO2011143560A1
公开(公告)日：2011-11-17
申请号：PCT/US2011/036440
申请日：2011-05-13
申请人： ETHICON ENDO-SURGERY, INC. , HALL, Steven, G. , HIBNER, John, A. , HWANG, Julia, J. , CARTER, Yolanda, F.
发明人： HALL, Steven, G. , HIBNER, John, A. , HWANG, Julia, J. , CARTER, Yolanda, F.
IPC分类号： A61B17/00 , A61L27/36 , A61M5/14 , A61M5/19 , A61B10/02
CPC分类号： A61B17/0057 , A61B17/00491 , A61B17/12099 , A61B17/12186 , A61B2017/00641 , A61L27/225 , A61L27/3683 , A61L2400/06 , A61M5/19
摘要： A tissue treatment device comprises a housing having a chamber that receives a treatment fluid mixture of tissue morsels and a scaffold material. A debriding shaft including a plurality of cutters is coupled with the housing. The debriding shaft extends proximally within the chamber and extends distally from the end of the housing. The debriding shaft is inserted within a treatment site such as a fistula tract and is rotated and reciprocated such that the debriding shaft removes tissue cells along the site. The site is flushed with saline or other irrigating fluid followed by application of the treatment fluid mixture. The chamber of the housing comprises agitators positioned adjacent the debriding shaft. The treatment fluid mixture passes through the chamber of the housing along and between the outer surface of the debriding shaft and the agitators for thorough mixing before exiting the device at the treatment site.
摘要翻译：组织处理装置包括具有容纳组织小块和支架材料的处理流体混合物的腔室的壳体。包括多个切割器的清创轴与壳体联接。清创轴在腔室内向近侧延伸并且从壳体的端部向远侧延伸。清创轴插入到诸如瘘管的治疗部位内并且被旋转和往复运动，使得清创轴沿着部位去除组织细胞。用盐水或其他冲洗液冲洗部位，然后施用治疗液混合物。外壳的腔室包括邻近清创轴定位的搅拌器。治疗液混合物沿着清除轴的外表面和搅拌器之间穿过壳体的腔室，以便在处理部位离开装置之前进行充分混合。

10. 发明申请

WO2011022122A1 MULTI- BUTTON BIOPSY DEVICE 审中-公开
标题翻译：多针生物设备
公开(公告)号：WO2011022122A1
公开(公告)日：2011-02-24
申请号：PCT/US2010/040315
申请日：2010-06-29
申请人： DEVICOR MEDICAL PRODUCTS, INC. , HIBNER, John, A.
发明人： HIBNER, John, A.
IPC分类号： A61B10/02
CPC分类号： A61B10/0275 , A61B10/0283 , A61B2010/0208 , A61B2017/00367 , A61B2017/00398 , A61B2017/0042
摘要： A handheld biopsy device (10) comprises a needle (20), cutter (50), and body (30). The cutter is movable relative to the needle to sever tissue protruding into a transverse aperture (24) of the needle. The body includes a cutter actuation mechanism (60), at least two trigger buttons (302,304), and a control module (330). The biopsy device is configured such that the at least two trigger buttons are selectively enabled and disabled. A selectively enabled trigger button is operable to activate the cutter actuation mechanism. A selectively disabled trigger button is not operable to activate the cutter activation mechanism. The enabled trigger button may be selected electronically, such that the control module receives a user' s button selection input and enables or disables the trigger buttons accordingly. Alternatively, the body may include movable covers (350) to selectively cover or expose trigger buttons in accordance with the user's preference. The biopsy device may thus accommodate different operators having different gripping styles.
摘要翻译：手术活检装置（10）包括针（20），切割器（50）和主体（30）。切割器相对于针可移动以切断突出到针的横向孔（24）中的组织。主体包括切割器致动机构（60），至少两个触发按钮（302,304）和控制模块（330）。活检装置被配置为使得至少两个触发按钮被选择性地启用和禁用。有选择地启用的触发按钮可操作以激活切割器致动机构。选择性地禁用的触发按钮不可操作以激活切割器激活机构。可以电子地选择启用的触发按钮，使得控制模块接收用户的按钮选择输入并相应地启用或禁用触发按钮。或者，主体可以包括可移动盖（350），以根据用户的偏好选择性地覆盖或暴露触发按钮。因此，活检装置可适应具有不同夹持方式的不同操作者。

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