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1. 发明公开

EP3603538A1 SURGICAL STAPLER WITH SMALL DIAMETER ENDOSCOPIC PORTION 无效
公开(公告)号：EP3603538A1
公开(公告)日：2020-02-05
申请号：EP19195971.7
申请日：2017-02-10
申请人： Covidien LP
发明人： KOSTRZEWSKI, Stanislaw , ARANYI, Ernest , MARCZYK, Stanislaw
IPC分类号： A61B17/115 , A61B17/072 , A61B17/12 , A61B17/32 , A61B17/00
摘要： A reload for a surgical stapler comprising a body portion and a mounting assembly configured to be releasably secured to an actuation device of the stapler, the reload having a large diameter portion and a smaller diameter portion, and a tool assembly dimensioned to pass through a trocar wherein the tool assembly comprises a stapling end effector further comprising a cartridge assembly and an anvil assembly, wherein the cartridge assembly has a cartridge body that defines only two rows of staple retention slots (104) on each side of a knife slot (106) of the cartridge body (92) and is provided with a plurality of pushers (114) disposed on each side of the knife slot (106), each of the pushers supporting two staples, the staples being: 1) all of the same size, or 2) the staples being staples of an inner row and staples of an outer row on each side of the knife slot (106), the staples of the inner row being smaller than the staples of the outer row, an actuation sled (116) being positioned to pass longitudinally through the cartridge body (92), the sled (116) having only a first cam member(166) and a second cam member (168) on each side of the knife slot (106) of the cartridge body; and the sled being positioned to pass through the cartridge body (92) to sequentially engage the pushers (114); wherein the reload further comprises a lockout assembly (170) supported within the large diameter portion and a tissue dissector tip (30) having a tapered configuration located on a distal end of the anvil.

2. 发明公开

EP3572009A3 SHIPPING WEDGE FOR END EFFECTOR INSTALLATION ONTO SURGICAL DEVICES 审中-公开
公开(公告)号：EP3572009A3
公开(公告)日：2020-01-22
申请号：EP19172130.7
申请日：2019-05-01
申请人： Covidien LP
发明人： WILLIAMS, Justin , FARASCIONI, David M. , YONG, Jin , BEARDSLEY, John W. , LEVEILLEE, Joseph , KOSTRZEWSKI, Stanislaw , KOLB, Michael J. , SNIFFIN, Kevin S. , RUSSO, Mark A. , LAIRD, Brian S.
IPC分类号： A61B17/064 , A61B17/068
摘要： Shipping wedges for installing end effectors onto an endoscopic assembly of a surgical tack applier are provided. In aspects, a shipping wedge (300) includes an elongate body (310) extending along a longitudinal axis (A) and defining a channel (311) therethrough, and an arm (330) disposed within a slot (313) defined in a side wall (314) of the elongate body (310). The arm includes a first end (330a) coupled to the side wall and a second end (330b) that is movable laterally with respect to the side wall (314). In aspects, a shipping wedge includes an elongate body extending along a longitudinal axis and defining a channel therethrough. A proximal portion of the elongate body includes a first arm extending proximally from a distal portion of the elongate body and a locking tab extending laterally into the channel of the elongate body.

3. 发明授权

EP3135225B1 SURGICAL STAPLING APPARATUS 有权
公开(公告)号：EP3135225B1
公开(公告)日：2019-08-14
申请号：EP16187137.1
申请日：2014-03-12
申请人： Covidien LP
发明人： KOSTRZEWSKI, Stanislaw , WILLIAMS, Justin , ARANYI, Ernest , OLSON, Lee Ann , CAPPOLA, Kenneth M. , MARCZYK, Stanislaw , HESSLER, Thomas R. , PENNA, Christopher
IPC分类号： A61B17/072 , A61B17/28 , A61B17/00 , A61B17/10 , A61B17/29 , A61B90/00

4. 发明公开

EP3173029A1 SURGICAL APPARATUS HAVING A FIRING CAM BAR AND A CANTILEVER FOR APPROXIMATION OF THE JAWS 有权
标题翻译：有滑动，并控制烘烤CAM手术设备
公开(公告)号：EP3173029A1
公开(公告)日：2017-05-31
申请号：EP16192621.7
申请日：2014-12-22
申请人： Covidien LP
发明人： KOSTRZEWSKI, Stanislaw , ARANYI, Ernest
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00473 , A61B2017/00477 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2933
摘要： A reload (10) configured for use with a surgical stapling apparatus, the reload comprising: a shaft (20) including a proximal end and distal end, the proximal end adapted to couple to a surgical apparatus; a tool assembly (14) disposed on the distal end of the shaft, the tool assembly including a first jaw member (13) supporting a cartridge assembly (15) having a plurality of fasteners (11) and a plurality of pushers (9) positioned to eject the fasteners from the cartridge assembly and a second jaw member (17) supporting an anvil (19), the first jaw member being movable in relation to the second jaw member between spaced and approximated positions; a firing cam bar assembly (34) including a first firing cam bar (36) having an elongated configuration defined by left and right side walls (37a, 37b), the cam bar including a cam surface (33) having a first cam portion (39) and a second cam portion (40), the configuration of the first cam portion of the cam surface facilitating movement of the first jaw towards the second jaw member from a spaced position to an approximated position; and a cantilever (52) provided at a proximal end of the first jaw member (13), the cantilever supporting a cam member (57) positioned to be slidably engaged by the cam portions of the firing cam bar when the firing cam bar assembly is advanced distally within the cartridge; wherein, in the unapproximated position, a distal end of the firing cam bar is positioned proximally of the plurality of pushers (9) and the plurality of fasteners (11) and an engagement portion of the first cam portion of the firing cam bar is positioned proximally of the cam member (57) and, when the firing cam bar is advanced distally, the first cam portion of the firing cam bar engages the cam member (57) to pivot the first jaw member (13) including the cartridge (15) towards the anvil of the second jaw member to move the first jaw member including the cartridge to the approximated position.
摘要翻译：配置成用于与手术吻合装置一起使用的重载（10），所述重载包括：包括近端和远端，所述近端angepasst成耦合到手术装置的轴（20）; 布置在所述轴，所述工具组件包括第一钳夹构件（13）支撑具有紧固件的多个（11）和推动器（9）定位的多个A筒组件（15）的远端处的工具组件（14）从钉仓组件和支撑在砧座（19）的第二钳夹构件（17），所述第一钳口部件相对于间隔开的位置和接近位置之间的第二钳夹构件是可移动的退出紧固件; 击发凸轮杆组件（34）包括由左右侧壁所限定的第一击发凸轮杆（36），其具有细长的构型（37A，37B），所述凸轮杆包括具有第一凸轮部的凸轮面（33）（ 39）和第二凸轮部（40），所述凸轮表面便于从间隔开的位置到接近位置朝向所述第二钳口构件的第一夹爪的移动的第一凸轮部的结构; 并在所述第一钳口构件（13）的近端提供了一个悬臂（52），支承定位在凸轮构件（57）的悬臂，以可滑动地通过击发凸轮杆的凸轮部啮合。当击发凸轮杆组件是盒内远侧前进; worin在unapproximated位置，击发凸轮杆的远端近侧定位推进器（9）的多元性和紧固件（11）的多个和击发凸轮杆的第一凸轮部的接合部分位于近侧的凸轮构件（57），并且当击发凸轮杆被向远侧推进时，击发凸轮杆的第一凸轮部分接合所述凸轮构件（57）枢转，所述第一钳夹构件（13）包括盒（15）朝所述第二钳口部件的砧座移动所述第一钳口部件，其包括药筒到接近位置。

5. 发明公开

EP3158979A1 DEVICES AND METHODS FACILITATING SLEEVE GASTRECTOMY AND OTHER PROCEDURES 有权
标题翻译：装置和方法，用于使软管胃等操作
公开(公告)号：EP3158979A1
公开(公告)日：2017-04-26
申请号：EP16199748.1
申请日：2014-11-07
申请人： Covidien LP
发明人： MARCZYK, Stanislaw , KOSTRZEWSKI, Stanislaw , MIESSE, Andrew , SHAH, Sachin
IPC分类号： A61F5/00
摘要： A medical device (10, 110, 210, 310, 410), comprising: a flexible hollow tube (20, 120, 220, 320, 420, 520, 620, 720, 820, 920, 1020, 1120, 1220, 1320, 1420, 1520) extending from a proximal end (24, 124, 324) to a distal end (22, 122, 322, 422, 1522) and defining a channel (26, 126, 326) therebetween, at least one opening (28, 128, 328) being defined in a distal portion of the tube; a flexible member (40, 140, 240, 340, 440) having an initial position disposed alongside the tube and being deployable to a subsequent position, the flexible member being configured to be deployable to automatically assume a shape of a greater curvature of a stomach; and a reusable portion (11) having a first tank (T1) including a fluid, a second tank (T2) for receiving material, and a third tank (T3) communicating with atmospheric pressure, the reusable portion having a first valve (V1), a second valve (V2), and a third valve (V3), the first valve and the second valve each having a first position ('A'), a second position ('B'), and a third position ('C'), the channel being delivered with pressurized fluid when the first valve and the second valve are moved to the first position.
摘要翻译：一种医疗装置（10，110，210，310，410），包括：一个柔性的中空管（20，120，220，320，420，520，620，720，820，920，1020，1120，1220，1320， 1420，1520）从近端（24，124，324）延伸到远端（22，122，322，422，1522），并限定一个通道（26，126，326）在它们之间，至少一个开口（28 ，128，328）在所述管的远端部分被限定; 具有initialPosition并列配置在管和被部署到一个随后的位置上的柔性构件（40，140，240，340，440），所述柔性构件被构造为被展开以自动假设一个胃的大弯的形状 ; 且具有第1箱（T1），其包括流体，第2箱（T2），用于接收材料，和第三箱（T3）与大气压力连通的可重复使用的部分（11），具有第一阀可再用部分（V1），一个第二阀（V2），以及第三阀（V3），所述第一阀和第二阀均具有第一位置（ 'A'），第二位置（ 'B'），和第三位置（“C “），该通道与加压流体输送当第一阀和第二阀被移动到第一位置。

6. 发明公开

EP4070737A1 SURGICAL STAPLES WITH EXPANDABLE BACKSPAN 审中-公开
公开(公告)号：EP4070737A1
公开(公告)日：2022-10-12
申请号：EP22172853.8
申请日：2018-05-04
申请人： Covidien LP
发明人： KOSTRZEWSKI, Stanislaw
IPC分类号： A61B17/064 , A61B17/072 , A61B17/00
摘要： A staple cartridge assembly for use with a surgical stapling instrument, the staple cartridge assembly comprising a plurality of surgical staples supported in a spaced relation to each other, each of the plurality of surgical staples including a first leg having a first end portion and a second end portion, a second leg having a first end portion and a second end portion, and a backspan including a first portion having a looped member, the looped member including a first end portion and a second end portion, a second portion extending between the first end portion of the first leg and the first end portion of the looped member and a third portion extending between the first end portion of the second leg and the second end portion of the looped member, a staple cartridge having a plurality of staple pockets disposed in rows and skewingly positioned relative to a longitudinal axis ("A-A") of the staple cartridge, wherein each of the plurality of staple pockets is configured to receive at least one of the plurality of surgical staples such that the first leg and the second leg of each of the plurality of surgical staples is longitudinally aligned relative to the first leg and the second leg of each of the other plurality of surgical staples and a plurality of pushers, each of the plurality of pushers associated with a respective one of the plurality of staple pockets and each of the plurality of pushers configured to advance one of the plurality of surgical staples from the respective one of the plurality of staple pockets.

7. 发明授权

EP3078332B1 ENDOSCOPIC STAPLER 有权
公开(公告)号：EP3078332B1
公开(公告)日：2018-12-05
申请号：EP16164369.7
申请日：2016-04-08
申请人： Covidien LP
发明人： KOSTRZEWSKI, Stanislaw
IPC分类号： A61B17/064 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/0644 , A61B2017/0046 , A61B2017/07228 , A61B2017/07271 , A61B2017/07278
摘要： A surgical stapler is described herein which includes a shaft portion and a tool assembly suppored on a distal end of the shaft portion. The tool assembly includes an anvil and a cartridge body which rotatably supports a plurality of staples within notches. At least one firing cam is provided to stequentially to engage and rotate each of the staples to fire the staples from the cartridge body. Each of the staples includes first and second legs axially offset from each other and interconnected by an intermediate portion. At least one firing cam is provided to sequentially to engage and rotate each of the staples to fire the staples from the cartridge body. The at least one firing cam includes axially offset cam members.

8. 发明公开

EP3187154A1 STENTS AND STENT DEPLOYMENT DEVICES 审中-公开
标题翻译：支架和支架装置
公开(公告)号：EP3187154A1
公开(公告)日：2017-07-05
申请号：EP16204716.1
申请日：2016-12-16
申请人： Covidien LP
发明人： PRIBANIC, Russell , MARCZYK, Stanislaw , KOSTRZEWSKI, Stanislaw , RACENET, David , HODGKINSON, Gerald
IPC分类号： A61F2/82 , A61F2/95 , A61F2/04 , A61F2/07
CPC分类号： A61F2/95 , A61F2/04 , A61F2/07 , A61F2/82 , A61F2/848 , A61F2/915 , A61F2/92 , A61F2002/041 , A61F2002/044 , A61F2002/045 , A61F2002/9517
摘要： A method of deploying a stent includes receiving a delivery system loaded with a stent and securing the stent in a compressed arrangement by a stent holding assembly including first and second holders having a first protective cover disposed at one end for enclosing a first fastening assembly and a second protective cover disposed at one end of the second holder for enclosing a second fastening assembly, respectively, the stent coupled to the first and second holders members by the first and second fastening assemblies, respectively. The method further includes delivering the stent in an axially expanded and a radially compressed arrangement to an implantation site, retracting the first and second protective covers to expose the first and second fastening assemblies, and actuating the first and second fastening assemblies such that the stent radially expands to engage an inner wall of a lumen.
摘要翻译：部署支架的方法包括接收装载有支架的输送系统并且通过支架保持组件固定支架，该支架保持组件包括第一和第二支架，该第一和第二支架具有设置在一端用于封闭第一紧固组件的第一保护盖和设置在第二支架一端的第二保护盖，用于分别封闭第二紧固组件，支架分别通过第一和第二紧固组件与第一和第二支架构件相连。该方法进一步包括将支架以轴向扩张和径向压缩布置输送到植入部位，缩回第一和第二保护盖以暴露第一和第二紧固组件，并且致动第一和第二紧固组件，使得支架径向地膨胀以接合内腔的内壁。

9. 发明公开

EP3135225A3 SURGICAL STAPLING APPARATUS 有权
标题翻译：手术装订设备
公开(公告)号：EP3135225A3
公开(公告)日：2017-07-05
申请号：EP16187137.1
申请日：2014-03-12
申请人： Covidien LP
发明人： KOSTRZEWSKI, Stanislaw , WILLIAMS, Justin , ARANYI, Ernest , OLSON, Lee Ann , CAPPOLA, Kenneth M. , MARCZYK, Stanislaw , HESSLER, Thomas R. , PENNA, Christopher
IPC分类号： A61B17/072 , A61B17/28 , A61B17/00 , A61B17/10 , A61B17/29 , A61B90/00
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/105 , A61B2017/00473 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2927 , A61B2090/0814
摘要： A surgical stapling apparatus, comprising: a first jaw member; a second jaw member; a cartridge (412) configured to be selectively coupled to the first jaw member, the cartridge including a plurality of fasteners and defining a knife channel (414) and an aperture; a drive member translatable from a retracted position to an advanced position to drive the plurality of fasteners from the cartridge toward the second jaw member; an actuator (432) rotatably supported on the cartridge and having a tip (451a), the actuator having a first position in which the tip extends into the channel and a second position in which the tip is positioned outside of the channel; and an interlock (450) having a nonblocking configuration and a blocking configuration, the interlock being configured to prevent translation of the drive member from the retracted position towards the advanced position in the blocking configuration, wherein the interlock rotates to the blocking configuration in response to the actuator rotating to the second position.
摘要翻译：一种外科缝合器械，包括：第一钳口构件; 第二钳口构件; 药筒（412），其构造成选择性地联接到所述第一钳口构件，所述药筒包括多个紧固件并且限定刀通道（414）和孔口; 驱动构件，所述驱动构件从收缩位置平移到前进位置以将所述多个紧固件从所述药筒朝向所述第二钳口构件驱动; 致动器（432），其可旋转地支撑在所述盒上并具有尖端（451a），所述致动器具有所述尖端延伸到所述通道中的第一位置和其中所述尖端位于所述通道外的第二位置; 以及具有非阻挡构造和阻挡构造的互锁（450），所述互锁构造成防止所述驱动构件在所述阻挡构造中从所述缩回位置向所述前进位置的平移，其中所述互锁响应于所述阻挡构造旋转到所述阻挡构造致动器旋转到第二位置。

10. 发明公开

EP2982314A1 APPARATUS FOR ENDOSCOPIC PROCEDURES 有权
标题翻译： VORRICHTUNGFÜR内窥镜VERFAHREN
公开(公告)号：EP2982314A1
公开(公告)日：2016-02-10
申请号：EP15184915.5
申请日：2013-07-19
申请人： Covidien LP
发明人： WILLIAMS, Justin , SCIRICA, Paul A , ARANYI, Ernest , KOSTRZEWSKI, Stanislaw
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B17/072 , A61B17/07292 , A61B2017/00314 , A61B2017/00327 , A61B2017/00367 , A61B2017/00398 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734 , A61B2017/07278 , A61B2017/07285 , A61B2017/2903 , F04C2270/041
摘要： A shaft assembly configured to selectively connect to an end effector, the shaft assembly including: at least one drive shaft; and a distal neck assembly including: an outer tubular housing defining at least one tooth extending radially inward therefrom; and a gear box configured to convert rotational input of the at least one drive shaft into at least a first and a second output force, the gear box including: a lock member slidably disposed in the gear box; and a first planetary gear system, wherein the lock member slides between an engaged position and a disengage position with respect to the first planetary gear system, wherein engagement of the lock member with the first planetary gear system directs the first output force of the gear box, and wherein disengagement of the lock member from the first planetary gear system directs the second output force of the gear box.
摘要翻译：轴组件，其构造成选择性地连接到末端执行器，所述轴组件包括：至少一个驱动轴; 以及远端颈部组件，其包括：外管状壳体，其限定从其向内径向向内延伸的至少一个齿; 以及齿轮箱，其构造成将所述至少一个驱动轴的旋转输入转换成至少第一和第二输出力，所述齿轮箱包括：可滑动地设置在所述齿轮箱中的锁定构件; 以及第一行星齿轮系统，其中所述锁定构件相对于所述第一行星齿轮系统在接合位置和脱离位置之间滑动，其中所述锁定构件与所述第一行星齿轮系统的接合引导所述齿轮箱的所述第一输出力并且其中锁定构件与第一行星齿轮系统的分离引导齿轮箱的第二输出力。

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