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1. 发明公开

KR20070079051A ENDOSCOPIC SURGICAL INSTRUMENT WITH A HANDLE THAT CAN ARTICULATE WITH RESPECT TO THE SHAFT 审中-公开
标题翻译：内窥镜手术器具有可与手柄相关的手柄
公开(公告)号：KR20070079051A
公开(公告)日：2007-08-03
申请号：KR20070009931
申请日：2007-01-31
申请人： ETHICON ENDO SURGERY INC
发明人： SHELTON FREDERICK E IV , SWAYZE JEFFREY S , ORTIZ MARK S , FUGIKAWA LESLIE M
IPC分类号： A61B17/94 , A61B17/03 , A61B17/072
CPC分类号： A61B17/00234 , A61B17/07207 , A61B17/2812 , A61B2017/0069 , A61B2017/291 , A61B2017/2919
摘要： An endoscopic surgical instrument is provided to enhance user convenience by using a handle which is articulated with respect to a shaft. An operation stapling and cutting apparatus(10) includes a handle(6), a closed tube assembly(1000), and an end effector(12). The end effector is connected to the closed tube assembly. The handle includes a firing trigger(20) and a closing trigger(18) which drive the end effector. The end effector includes a staple channel(22) and an anvil(24), which is pivot-moved with respect to the staple channel. The closing trigger is pulled toward a pistol grasping unit(26), so that the anvil is clamped and closed. The firing trigger is arranged outside the closing trigger. The firing trigger is pivot-pulled, so that an organ is stapled and cut by the end effector.
摘要翻译：提供内窥镜手术器械以通过使用相对于轴铰接的手柄来增强使用者的便利性。操作装订和切割装置（10）包括手柄（6），闭合管组件（1000）和端部执行器（12）。末端执行器连接到封闭管组件。手柄包括驱动末端执行器的击发扳机（20）和关闭扳机（18）。末端执行器包括相对于钉通道枢转运动的缝合通道（22）和砧座（24）。关闭触发器被拉向手枪把持单元（26），使得砧座被夹紧和关闭。击发触发器设置在关闭触发器的外部。触发器被枢转拉动，使得器官被末端执行器装订和切割。

2. 发明专利

JP2007229449A Endoscopic surgical instrument with handle that can articulate with respect to shaft 有权
标题翻译：内窥镜手术仪器，可与手柄相关的手柄
公开(公告)号：JP2007229449A
公开(公告)日：2007-09-13
申请号：JP2007020044
申请日：2007-01-30
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： SHELTON FREDERICK E IV , SWAYZE JEFFREY S , ORTIZ MARK S , FUGIKAWA LESLIE M
IPC分类号： A61B17/32 , A61B1/00 , A61B17/10 , A61B17/28
CPC分类号： A61B17/00234 , A61B17/07207 , A61B17/2812 , A61B2017/0069 , A61B2017/291 , A61B2017/2919
摘要： PROBLEM TO BE SOLVED: To provide an end cutter that has a handle portion that can be positioned to more ergonomically favorable positions relative to a portion that is extending through a trocar. SOLUTION: The surgical instrument particularly suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to the end effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of the elongated shaft assembly to enable a surgeon to move the handle portion to a more ergonomically comfortable position while carrying out an endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed as well. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一种具有手柄部分的端部切割器，该手柄部分可以相对于延伸穿过套管针的部分定位成更符合人体工程学的有利位置。解决方案：公开了特别适用于内窥镜使用的手术器械。各种实施例包括尺寸适于插入穿过套管针的端部执行器。细长轴组件联接到末端执行器和控制手柄。细长轴组件具有与端部执行器相邻的远端部分，用于插入套管针。细长轴组件还具有远离远侧部分的近端部分，使得当端部执行器和远端部分插入其中时，近端部分从套针针突出。控制手柄可铰接地联接到细长轴组件的近端部分，以使得外科医生能够在执行内窥镜手术的同时将手柄部分移动到更符合人体工程学的舒适位置。还公开了各种关节连接实施例和锁定装置。版权所有（C）2007，JPO＆INPIT

3. 发明专利

JP2007130479A Disposable loading unit and surgical instrument including this unit 有权
标题翻译：包括本装置在内的散装装置和手术仪器
公开(公告)号：JP2007130479A
公开(公告)日：2007-05-31
申请号：JP2006304231
申请日：2006-11-09
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： SHELTON FREDERICK E IV , FUGIKAWA LESLIE M
IPC分类号： A61B17/3201 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/00491 , A61B2017/0023 , A61B2017/00473 , A61B2017/00893 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285
摘要： PROBLEM TO BE SOLVED: To provide a disposable loading unit to be attached to a reusable surgical instrument. SOLUTION: This disposable loading unit includes a housing assembly body, a knife assembly body connected to the housing assembly body, and a medical matter cartridge connected to the housing assembly body. This medical matter cartridge houses a medical matter. The disposable loading unit is designed to send the medical matter near to the cutting surface of the knife assembly body. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一个可重复使用的手术器械的一次性装载单元。解决方案：该一次性装载单元包括壳体组件本体，连接到壳体组件主体的刀具组合体以及连接到壳体组件主体的医疗用药物盒。该药物盒容纳医疗物品。一次性装载单元被设计成将医疗物质靠近刀组件主体的切割表面。版权所有（C）2007，JPO＆INPIT

4. 发明专利

JP2007117725A Surgical stapling instrument having preloaded firing assistance mechanism 有权
标题翻译：具有预防性帮助机制的手术包装仪
公开(公告)号：JP2007117725A
公开(公告)日：2007-05-17
申请号：JP2006265248
申请日：2006-09-28
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： SHELTON FREDERICK E IV , SWAYZE JEFFREY S , TIMPERMAN EUGENE L , FUGIKAWA LESLIE M
IPC分类号： A61B17/072 , A61B1/00
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/2923 , A61B2017/320052
摘要： PROBLEM TO BE SOLVED: To provide a surgical stapling/severing instrument which reduces the force for a firing trigger for severing or stapling tissues. SOLUTION: A surgical stapling/severing instrument clamps tissues in a staple applying assembly comprising a lower jaw of an elongate channel member holding a staple cartridge and a pivotally opposed upper jaw (anvil). A firing handle drives a rack in a handle connected to a firing rod and a bar that passes an elongate shaft and into the staple applying assembly to sever and staple tissues. Upon release of the firing handle, a retraction spring assists in withdrawing the rack and other firing components. To advantageously assist in firing, a spring-biased plunger is cocked prior to firing to impart assistance upon depression of the firing trigger. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：要解决的问题：提供一种减少用于切断或缝合组织的击发触发器的力的外科缝合/切断器械。解决方案：外科缝合/切断器械夹紧钉子施加组件中的组织，其包括保持钉仓和可枢转地相对的上钳口（砧座）的细长通道构件的下钳口。触发手柄驱动连接到击发杆和杆的手柄上的杆，所述杆通过细长轴并进入钉施加组件以切断和切割组织。在释放点火手柄时，缩回弹簧有助于取出架子和其他点火部件。为了有利地有助于燃烧，在击发之前弹簧偏置的柱塞被起动以在按下击发扳机时给予辅助。版权所有（C）2007，JPO＆INPIT

5. 发明专利

JP2009028517A Surgical stapler/cutter with improved closing system 有权
标题翻译：具有改进闭合系统的手术切口机/切割机
公开(公告)号：JP2009028517A
公开(公告)日：2009-02-12
申请号：JP2008157378
申请日：2008-06-17
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： TIMM RICHARD W , SHELTON FREDERICK E IV , TIMPERMAN EUGENE L , FUGIKAWA LESLIE M
IPC分类号： A61B17/072 , A61B17/32
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/0069 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2916 , A61B2017/292 , A61B2017/2927 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2937 , A61B2017/2939 , A61B2017/294 , A61B2017/2946 , A61B2017/320052 , A61B2034/715
摘要： PROBLEM TO BE SOLVED: To provide an improved closing system to be used for a cable-driven surgical instrument, capable of solving problems in using the closing system driven by one or a plurality of cables. SOLUTION: The closing system is for applying the closing motion to an anvil assembly of the surgical instrument. In various embodiments, the surgical instrument includes a cable driving knife assembly and the anvil assembly to be moved to the closed position when contacted with a closing tube assembly to apply pressure. In another embodiment, the surgical instrument includes the closing system to be operated with the rotation motion. Various lockable articulation joints are also disclosed. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于电缆驱动的外科器械的改进的关闭系统，其能够解决使用由一根或多根电缆驱动的关闭系统的问题。解决方案：关闭系统用于将闭合运动施加到外科器械的砧组件上。在各种实施例中，手术器械包括电缆驱动刀组件，当与闭合管组件接触以施加压力时，砧座组件将移动到关闭位置。在另一个实施例中，手术器械包括随着旋转运动而操作的关闭系统。还公开了各种可锁定的铰接接头。版权所有（C）2009，JPO＆INPIT

6. 发明专利

JP2008036430A Pneumatically powered surgical cutting and fastening instrument with manually operated retraction apparatus 有权
标题翻译：具有手动操作的手术装置的气动外科切割和紧固件
公开(公告)号：JP2008036430A
公开(公告)日：2008-02-21
申请号：JP2007201182
申请日：2007-08-01
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： SHELTON FREDERICK E IV , MORGAN JEROME R , TIMPERMAN EUGENE L , FUGIKAWA LESLIE M
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B2017/003 , A61B2017/00398 , A61B2017/00544 , A61B2017/00548 , A61B2017/2902 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/064 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , A61B2090/0814 , F17C2270/0545
摘要： PROBLEM TO BE SOLVED: To provide a pneumatically powered surgical cutting and fastening instrument. SOLUTION: The surgical instrument is used in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. A drive system operably communicates with the pneumatically powered tool and is configured to selectively apply at least a drive system generated firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to the drive system. A retraction member communicates with the drive system to enable a manually generated retraction motion to be applied thereto to manually move the firing mechanism in a distal direction from the actuated position to the unactuated position. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供气动外科切割和紧固器械。解决方案：外科器械与气动工具结合使用，其具有可操作地支撑在其中的击发机构，其可在未致动位置和致动位置之间移动。驱动系统与气动工具工作地可操作地连通并且构造成选择性地将产生的击发运动的至少一个驱动系统应用于气动工具的击发机构，以使得击发机构从未致动位置移动到致动位置以作出响应涉及从流体耦合到驱动系统的气体源的气流。缩回构件与驱动系统通信以使手动产生的撤回运动能够施加到其上，以便将致动机构从远离方向从致动位置移动到未致动位置。版权所有（C）2008，JPO＆INPIT

7. 发明专利

JP2008036425A Pneumatically powered surgical cutting and fastening with mechanical linkage coupling end effector and trigger motion 有权
标题翻译：气动切割和机械连接联合终端效应器和触发器运动的气动切割
公开(公告)号：JP2008036425A
公开(公告)日：2008-02-21
申请号：JP2007201074
申请日：2007-08-01
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： SHELTON FREDERICK E IV , MORGAN JEROME R , TIMPERMAN EUGENE L , FUGIKAWA LESLIE M
IPC分类号： A61B17/32 , A61B17/072
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B2017/003 , A61B2017/00398 , A61B2017/00544 , A61B2017/00548 , A61B2017/2902 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/064 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , A61B2090/0814 , F17C2270/0545
摘要： PROBLEM TO BE SOLVED: To provide a pneumatically powered surgical cutting and fastening instrument. SOLUTION: The surgical instrument used in connection with a pneumatically powered tool has a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. A drive system is supported by at least one of a handle assembly and an elongate shaft assembly and is configured to selectively apply a firing motion to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to the drive system. A travel monitoring member is operably supported by the handle assembly and is linked to the drive system to provide an indication of progress of the firing mechanism of the pneumatically powered tool as the firing mechanism moves from the unactuated position to the actuated position. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供气动外科切割和紧固器械。解决方案：与气动工具结合使用的手术器械具有可操作地支撑在其中的致动机构，其可在未致动位置和致动位置之间移动。驱动系统由手柄组件和细长轴组件中的至少一个支撑，并且构造成选择性地将击发运动施加到气动工具的击发机构，以使击发机构从未致动位置移动到被致动响应于来自流体耦合到驱动系统的气体源的气体流动的位置。旅行监视构件由手柄组件可操作地支撑并且连接到驱动系统，以提供当发动机构从未致动位置移动到致动位置时气动工具的击发机构的进展的指示。版权所有（C）2008，JPO＆INPIT

8. 发明专利

JP2008272457A Laparoscopic tissue thickness and clamp load measuring device 有权
标题翻译： LAPAROSCOPIC组织厚度和夹钳负载测量装置
公开(公告)号：JP2008272457A
公开(公告)日：2008-11-13
申请号：JP2008083010
申请日：2008-03-27
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： BOUDREAUX CHAD P , TIMPERMAN EUGENE L , FUGIKAWA LESLIE M
IPC分类号： A61B19/00 , A61B1/00
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/29 , A61B90/06 , A61B2017/07214 , A61B2090/061 , A61B2090/064
摘要： PROBLEM TO BE SOLVED: To provide an endoscope surgical instrument configured to enable a surgeon to measure a tissue the thickness of tissue and a clamp load. SOLUTION: A surgical instrument having opposed jaws that can be selectively moved between open and closed positions. Various embodiments include components for measuring the thickness of tissue clamped between the opposed jaws. Some embodiments are configured to ascertain the amount of compressive force that is applied to the tissue while the thickness of the tissue is determined. The tissue thickness data is displayed on the instrument itself and/or on a display that is remote from the instrument. The various embodiments can comprise different types of surgical instruments such as surgical staplers and graspers. A jaw arrangement with jaws shaped to define a cradle that corresponds to a cross-sectional shape of an object is also disclosed. The components that generate the thickness data can be electrically or mechanically actuated. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供一种内窥镜外科器械，其被配置为使得外科医生能够测量组织的厚度和夹紧负载。解决方案：具有相对的钳口的手术器械可以在打开位置和闭合位置之间选择性地移动。各种实施例包括用于测量夹在相对的夹爪之间的组织的厚度的部件。一些实施例被配置为确定施加到组织的压缩力的量，同时确定组织的厚度。组织厚度数据显示在仪器本身和/或远离仪器的显示器上。各种实施例可以包括不同类型的手术器械，例如外科缝合器和抓紧器。还公开了具有成形为限定对应于物体的横截面形状的支架的夹爪的钳口装置。产生厚度数据的部件可以是电气或机械致动的。版权所有（C）2009，JPO＆INPIT

9. 发明专利

JP2008036428A Pneumatically powered surgical cutting and fastening instrument with replaceable power sources 有权
标题翻译：具有可更换电源的气动外科切割和紧固件
公开(公告)号：JP2008036428A
公开(公告)日：2008-02-21
申请号：JP2007201141
申请日：2007-08-01
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： SHELTON FREDERICK E IV , MORGAN JEROME R , TIMPERMAN EUGENE L , FUGIKAWA LESLIE M
IPC分类号： A61B17/11
CPC分类号： A61B17/068 , A61B17/072 , A61B17/07207 , A61B2017/003 , A61B2017/00398 , A61B2017/00544 , A61B2017/00548 , A61B2017/2902 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2090/064 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , A61B2090/0814 , F17C2270/0545
摘要： PROBLEM TO BE SOLVED: To provide a pneumatically powered surgical cutting and fastening instrument. SOLUTION: The surgical instrument includes a handle assembly which detachably supports a gas power source. A pneumatically powered drive system is supported by the surgical instrument in such a way as can be operated, and is fluidly coupled to the gas power source. The handle assembly may comprise a lock-out system. The lock-out system is configured to prevent the connection of the gas power source to a part of the handle assembly and the pneumatically powered driving system if the gas power source is separated from the part of the handle assembly and the pneumatically powered driving system for a prescribed number of times. In an alternative embodiment, the handle assembly may have an attaching component which will be broken or can not be used in other ways to prevent re-attachment of the gas power source to the handle assembly if the gas power source is separated from the handle assembly. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供气动外科切割和紧固器械。解决方案：手术器械包括可拆卸地支撑气体源的手柄组件。气动驱动系统由外科器械以可操作的方式支撑，并且流体地联接到气体动力源。手柄组件可以包括锁定系统。锁定系统被配置为如果气体动力源与手柄组件的一部分和气动驱动系统分离，则防止气体动力源连接到手柄组件和气动驱动系统的一部分，用于规定次数。在替代实施例中，手柄组件可以具有附接部件，其将被破坏或不能以其他方式用于防止气体动力源与手柄组件分离的情况下将气体动力源重新附接到手柄组件。版权所有（C）2008，JPO＆INPIT

10. 发明专利

JP2008036426A Pneumatically powered surgical cutting and fastening instrument with variable control of actuating rate of firing with mechanical power assist 有权
标题翻译：具有机械动力辅助功能的火焰致动速度可变控制的气动外科切割和紧固仪器
公开(公告)号：JP2008036426A
公开(公告)日：2008-02-21
申请号：JP2007201088
申请日：2007-08-01
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： SHELTON FREDERICK E IV , MORGAN JEROME R , TIMPERMAN EUGENE L , FUGIKAWA LESLIE M
IPC分类号： A61B17/11
CPC分类号： A61B17/07207 , A61B2017/00544 , A61B2017/2927 , A61B2017/2929
摘要： PROBLEM TO BE SOLVED: To provide a pneumatically powered surgical cutting and fastening instrument. SOLUTION: The surgical instrument includes a distal member configured to receive a pneumatically operated tool assembly therein. The instrument may also include pneumatically powered drive member configured to generate at least one actuation motion upon receipt of at least one pneumatic signal from a source of pneumatic power fluidically coupled thereto. A drive shaft assembly communicates with the pneumatically powered drive member for transmitting the actuation motions to the distally mounted pneumatically operated tool. The device further includes a power assist member that communicates with the drive shaft assembly for transmitting additional manually generated actuation motions to the drive shaft assembly. COPYRIGHT: (C)2008,JPO&INPIT
摘要翻译：要解决的问题：提供气动外科切割和紧固器械。解决方案：手术器械包括构造成在其中接收气动操作的工具组件的远端构件。该仪器还可以包括气动驱动构件，其构造成在从与其流体耦合的气动功率源接收到至少一个气动信号时产生至少一个致动运动。驱动轴组件与气动驱动构件连通，用于将致动运动传递到远侧安装的气动操作工具。该装置还包括动力辅助构件，其与驱动轴组件连通，用于将附加的手动产生的致动运动传递到驱动轴组件。版权所有（C）2008，JPO＆INPIT

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