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1. 发明专利

JP2009189833A Disposable loading unit with user feedback features and surgical instrument for use therewith 有权
标题翻译：具有用户反馈功能和手术仪器的便携式装载单元
公开(公告)号：JP2009189833A
公开(公告)日：2009-08-27
申请号：JP2009031740
申请日：2009-02-13
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： DOLL KEVIN R , SMITH BRET W , KELLY WILLIAM D , KOLATA RONALD J , UTH JOSHUA R , SCHEIB CHARLES J , HUEIL GEOFFREY C , ORTIZ MARK S , HOFFMAN DOUGLAS B , WEIZMAN PATRICK A , BRUEWER DEAN B , BLAIR GREGORY B , SHELTON FREDERICK E IV
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B2017/0023 , A61B2017/00473 , A61B2017/07271 , A61B2017/07278 , A61B2090/0811
摘要： PROBLEM TO BE SOLVED: To provide a disposable loading unit for operable attachment to a surgical stapling apparatus. SOLUTION: The disposable loading unit may have a spent cartridge indication system for providing an indication of whether the loading unit has been previously fired. Other embodiments are disclosed that employ a blade monitoring system for providing feedback to a user concerning the amount of strain being experienced by a blade during cutting and stapling. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供一种可手术连接到外科缝合装置的一次性装载单元。解决方案：一次性装载单元可以具有废料盒指示系统，用于提供装载单元是否已经被先前烧制的指示。公开了其他实施例，其采用叶片监控系统，用于向用户提供关于在切割和装订期间由叶片经历的应变量的反馈。版权所有（C）2009，JPO＆INPIT

2. 发明专利

JP2009189843A Disposable loading unit for surgical incision and stapling instrument 审中-公开
标题翻译：用于外科手术和装订仪器的可拆卸装载单元
公开(公告)号：JP2009189843A
公开(公告)日：2009-08-27
申请号：JP2009032017
申请日：2009-02-13
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： SMITH BRET W , DOLL KEVIN R , KELLY WILLIAM D , KOLATA RONALD J , UTH JOSHUA R , SCHEIB CHARLES J , SHELTON FREDERICK E IV , WEISENBURGH WILLIAM B II , MORGAN JEROME R , MOORE KYLE P , RANSICK MARK H , HALL STEVEN G , TANGUAY RANDALL J , MESSERLY JEFFREY D , ROBERTSON GALEN C , ZWOLINSKI ANDREW M
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B2017/0023 , A61B2017/00473 , A61B2017/07214 , A61B2017/0725 , A61B2017/2927
摘要： PROBLEM TO BE SOLVED: To provide improvement to a surgical stapling instrument for sequentially applying a plurality of fasteners to body tissue and incising the body tissue. SOLUTION: The surgical stapling instrument includes an actuator configured to be retracted relative to the distal end of the disposable loading unit and rotate an anvil between an open position and a closed position. The actuator can include a cam, where the cam can include an arcuate profile having an apex configured to be in contact with the anvil when the anvil is in a closed position. In at least one embodiment, the anvil can apply a clamping force to the soft tissue prior to the staples being deployed to prevent, or at least inhibit, soft tissue from flowing, or 'milking', out of the distal end of the disposable loading unit. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供一种外科缝合器械的改进，用于将多个紧固件顺次施加到身体组织并切割身体组织。解决方案：外科缝合器械包括致动器，其构造成相对于一次性加载单元的远端缩回并且在打开位置和关闭位置之间旋转砧座。致动器可以包括凸轮，其中凸轮可以包括弧形轮廓，其具有顶点，其被配置为当砧座处于关闭位置时与砧座接触。在至少一个实施例中，砧座可以在缝钉被展开之前向软组织施加夹紧力，以防止或至少抑制软组织从一次性装载物的远端流出或“挤奶” 单元。版权所有（C）2009，JPO＆INPIT

3. 发明专利

JP2009189842A Disposable loading unit for surgical incising and stapling instrument 有权
标题翻译：手术放置和装订仪器的可拆卸装载单元
公开(公告)号：JP2009189842A
公开(公告)日：2009-08-27
申请号：JP2009032008
申请日：2009-02-13
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 , SCHEIB CHARLES J , ORTIZ MARK S , HOFFMAN DOUGLAS B , WEIZMAN PATRICK A , BRUEWER DEAN B , DOLL KEVIN R , SMITH BRET W , KELLY WILLIAM D , KOLATA RONALD J , UTH JOSHUA R , WEISENBURGH WILLIAM B II , MORGAN JEROME R , MOORE KYLE P , RANSICK MARK H , HALL STEVEN G , TANGUAY RANDALL J , MESSERLY JEFFREY D , ROBERTSON GALEN C , ZWOLINSKI ANDREW M , SWAYZE JEFFREY S , HUITEMA THOMAS W , ARMSTRONG GLEN A , PARIHAR SHAILENDRA K , KORVICK DONNA L , TIMM RICHARD W , BLAIR GREGORY B , HUEIL GEOFFREY C
IPC分类号： A61B17/072 , A61B17/32
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/07214 , A61B2017/320052
摘要： PROBLEM TO BE SOLVED: To provide improved points for a surgical stapling instrument to continuously actuate fasteners to body tissue and incise the body tissue. SOLUTION: In various embodiments, the anvil of a disposable loading unit includes a first member having staple pockets for deforming staples, a first cover plate secured to the first member, and a second cover plate secured to at least one of the first member and the first cover plate, wherein the first and second cover plates can be configured to support the first member. In at least one embodiment, an anvil can include a first member inserted into a second member, where at least one of the first and second members can be deformed to retain one to the other. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：为外科缝合器械提供改进的点，以连续致动紧固件到身体组织并切开身体组织。解决方案：在各种实施例中，一次性装载单元的砧座包括具有用于使订书钉变形的订书钉仓的第一构件，固定到第一构件的第一盖板和固定到第一构件中的至少一个的第二盖板构件和第一盖板，其中第一和第二盖板可以构造成支撑第一构件。在至少一个实施例中，砧可以包括插入第二构件中的第一构件，其中第一构件和第二构件中的至少一个可以变形以保持彼此。版权所有（C）2009，JPO＆INPIT

4. 发明专利

JP2009189830A Interchangable tool for surgical instrument 有权
标题翻译：手术器械互换工具
公开(公告)号：JP2009189830A
公开(公告)日：2009-08-27
申请号：JP2009031218
申请日：2009-02-13
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： SWAYZE JEFFREY S , HUITEMA THOMAS W , ARMSTRONG GLEN A , PARIHAR SHAILENDRA K , KORVICK DONNA L , TIMM RICHARD W , SHELTON FREDERICK E IV , DOLL KEVIN R , SMITH BRET W , KELLY WILLIAM D , KOLATA RONALD J , UTH JOSHUA R , SCHEIB CHARLES J , TIMPERMAN EUGENE L
IPC分类号： A61B17/072 , A61B17/11 , A61B17/12 , A61B17/28 , A61B17/32 , A61B18/04 , A61M5/14
CPC分类号： A61B17/00234 , A61B10/00 , A61B17/00491 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/1285 , A61B17/29 , A61B17/295 , A61B17/320016 , A61B17/3205 , A61B17/3401 , A61B18/1206 , A61B18/1445 , A61B2017/0023 , A61B2017/00287 , A61B2017/003 , A61B2017/00464 , A61B2017/00473 , A61B2017/00734 , A61B2017/07214 , A61B2017/07221 , A61B2017/1157 , A61B2017/2905 , A61B2017/2926 , A61B2017/2939 , A61B2018/00595 , A61B2018/1226 , A61B2090/061 , A61B2090/0807 , A61M5/1782 , A61M5/28 , A61M5/3135 , A61M5/31581
摘要： PROBLEM TO BE SOLVED: To provide a surgical tool system. SOLUTION: Embodiments of the surgical tool system may include surgical instruments. The surgical instrument has a handle assembly which supports operably within itself an actuation system for causing actuating operation when starting a movable handle section connected operably to the handle assembly. An elongated body protrudes from the handle assembly, and a control rod interfacing with the actuation system is supported operably within the elongated body. The surgical tool system further includes at least two kinds of surgical tools selected from a group of surgical tools comprising a manipulator, a nipper, scissors, an endocutter, a tissue thickness measurement device, a stapling instrument, a clipping instrument, a syringe for applying an adhesive, a sealant, medicaments or pharmacological agents, and an cauterization device. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供外科手术工具系统。解决方案：手术工具系统的实施例可以包括手术器械。外科器械具有手柄组件，该手柄组件在其自身内可操作地支撑用于在启动可操作地连接到手柄组件的可动手柄部分时引起致动操作的致动系统。细长的主体从手柄组件突出，并且与致动系统相连接的控制杆可操作地支撑在细长主体内。外科手术工具系统还包括至少两种外科手术工具，其选自包括操纵器，钳子，剪刀，内切割器，组织厚度测量装置，缝合器械，夹持器械，用于施加的注射器粘合剂，密封剂，药物或药理剂，以及烧灼装置。版权所有（C）2009，JPO＆INPIT

5. 发明专利

JP2009189820A Surgical instrument articulation joint cover 有权
标题翻译：手术仪器联合接头
公开(公告)号：JP2009189820A
公开(公告)日：2009-08-27
申请号：JP2009030718
申请日：2009-02-13
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： SCHALL CHRISTOPHER J , UTH JOSHUA R , JAWOREK GARY S , ZERKLE JASON E
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B2017/00336 , A61B2017/2927 , A61B2017/2943 , A61B2017/2946
摘要： PROBLEM TO BE SOLVED: To provide a surgical instrument including a shaft, an end effector, and a joint. SOLUTION: The end effector can be moved relative to the shaft about the joint. In various embodiments, the joint can include a cover configured to be positioned intermediate the end effector and the shaft. In at least one embodiment, the cover can be connected to at least one of the end effector and the shaft and can be configured to at least partially surround the joint in order to prevent soft tissue positioned adjacent to the joint from being pulled into and/or pinched by the joint. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供包括轴，末端执行器和关节的外科器械。
解决方案：末端执行器可以围绕关节相对于轴移动。在各种实施例中，接头可以包括构造成定位在端部执行器和轴之间的盖。在至少一个实施例中，盖可以连接到端部执行器和轴中的至少一个，并且可以构造成至少部分地围绕接头，以防止邻近接头定位的软组织被拉入和/ 或由关节捏住。版权所有（C）2009，JPO＆INPIT

6. 发明专利

JP2005342517A Surgically implantable injection port 有权
标题翻译：强制注入口
公开(公告)号：JP2005342517A
公开(公告)日：2005-12-15
申请号：JP2005160203
申请日：2005-05-31
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： CONLON SEAN P , UTH JOSHUA R , CHEN HOW-LUN
IPC分类号： A61B17/00 , A61F5/00 , A61M37/00 , A61M39/02
CPC分类号： A61M39/0208 , A61F5/0003 , A61M2039/0223
摘要： PROBLEM TO BE SOLVED: To provide a surgically implantable injection port which can be attached to a patient without suturing. SOLUTION: This is an implantable surgical injection port having an undeployed position, and a deployed position wherein it is attached to tissue. The injection port 10 includes a housing 12 having a closed distal end part 14, an open proximal end part 18, and housing 12 with a fluid reservoir 20 between the distal and proximal end parts. The injection port further includes a needle penetrable septum 22 attached to the housing 12 centering on the opening. The port even further includes at least one attachment mechanism mounted to the housing 12 at a pivot point 80 along an outer periphery 13 of the housing 12. The injection port even further includes at least one attachment mechanism 70 mounted to the housing 12 at a pivot point 80 along an outer periphery 13 of the housing 12. The attachment mechanism 70 is an arcuate hook pivotable with respect to the housing 12, wherein the arcuate hook having a length extending substantially greater than 90° about the pivot point 80 as center. COPYRIGHT: (C)2006,JPO&NCIPI
摘要翻译：要解决的问题：提供可以在不缝合的情况下连接到患者的手术可植入注射口。解决方案：这是具有未部署位置的可植入手术注射口和其附接到组织的展开位置。注射口10包括具有闭合的远端部分14，开放的近端部分18和在远端部分和近端部分之间具有流体储存器20的壳体12的壳体12。注射口还包括一针头可穿透的隔膜22，其以开口为中心附接到壳体12。该端口甚至还包括至少一个连接机构，该连接机构沿着壳体12的外周缘13在枢轴点80处安装到壳体12.喷射端口甚至还包括至少一个附接机构70，该附接机构70在枢轴点80沿着壳体12的外周边13连接。连接机构70是相对于壳体12可枢转的弓形钩，其中弓形钩具有围绕作为中心的枢转点80基本上大于90°的长度。版权所有（C）2006，JPO＆NCIPI

7. 发明专利

JP2009189844A Disposable loading unit for surgical incision and stapling instrument 审中-公开
标题翻译：用于外科手术和装订仪器的可拆卸装载单元
公开(公告)号：JP2009189844A
公开(公告)日：2009-08-27
申请号：JP2009032019
申请日：2009-02-13
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： WEISENBURGH WILLIAM B II , MORGAN JEROME R , MOORE KYLE P , RANSICK MARK H , HALL STEVEN G , TANGUAY RANDALL J , MESSERLY JEFFREY D , ROBERTSON GALEN C , ZWOLINSKI ANDREW M , SWAYZE JEFFREY S , HUITEMA THOMAS W , ARMSTRONG GLEN A , PARIHAR SHAILENDRA K , KORVICK DONNA L , TIMM RICHARD W , DOLL KEVIN R , SMITH BRET W , KELLY WILLIAM D , KOLATA RONALD J , UTH JOSHUA R , SCHEIB CHARLES J , HUEIL GEOFFREY C , ORTIZ MARK S , HOFFMAN DOUGLAS B , WEIZMAN PATRICK A , BRUEWER DEAN B , BLAIR GREGORY B , SHELTON FREDERICK E IV
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B17/3205 , A61B17/3209 , A61B2017/00473 , A61B2017/07214 , A61B2017/2931
摘要： PROBLEM TO BE SOLVED: To provide improving points for a surgical stapling instrument to continuously actuate fasteners to body tissue and incise body tissue. SOLUTION: In various embodiments, the surgical stapling instrument can include a handle part, a shaft part extending from the handle part, wherein the shaft part defines an axis, and the disposable loading unit which is fitted to the shaft part in a direction which is transverse to the shaft part axis. Such a connection between the disposable loading unit and the shaft part can prevent, or at least inhibit, the disposable loading unit from being unintentionally displaced proximally and/or distally relative to the shaft part of the surgical stapling instrument. The surgical stapling instrument and/or disposable loading unit can further include a threaded collar part and/or detent assembly part configured to hold the disposable loading unit at an appropriate place. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：为外科缝合器械提供改进点，以连续地致动紧固件到身体组织并切开身体组织。解决方案：在各种实施例中，外科缝合器械可以包括手柄部分，从手柄部分延伸的轴部分，其中轴部限定轴线，并且一次性加载单元在一个装配到轴部的一部分中横向于轴部分轴线的方向。一次性加载单元和轴部分之间的这种连接可以防止或至少阻止一次性加载单元相对于外科缝合器械的轴部件向近侧和/或远侧不经意地移位。外科缝合器械和/或一次性装载单元还可以包括被配置成将一次性装载单元保持在适当位置处的螺纹套环部件和/或止动器组件部件。版权所有（C）2009，JPO＆INPIT

8. 发明专利

JP2009189829A Surgical stapling apparatus with articulatable components 有权
标题翻译：手术装置与可变组件
公开(公告)号：JP2009189829A
公开(公告)日：2009-08-27
申请号：JP2009031166
申请日：2009-02-13
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： DOLL KEVIN R , SMITH BRET W , KELLY WILLIAM D , KOLATA RONALD J , UTH JOSHUA R , SCHEIB CHARLES J , SHELTON FREDERICK E IV
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B90/70 , A61B2017/00473 , A61B2017/2901 , A61B2017/2905 , A61B2017/2906 , A61B2017/291 , A61B2017/2923 , A61B2017/2925 , A61B2017/2927
摘要： PROBLEM TO BE SOLVED: To provide a surgical stapling apparatus for use with a disposable loading unit. SOLUTION: Various embodiments include an elongated body assembly that comprises a distal body segment and a proximal body segment. The distal body segment and the proximal body segment are operably coupled together by an intermediate articulation joint so as to define a longitudinal axis. The intermediate articulation joint may be configured to facilitate articulation of the distal body segment about an intermediate articulation axis that is substantially transverse to the longitudinal axis. The elongated body assembly may be configured to transfer actuation motions from an actuation shaft housed in a handle assembly to the disposable loading unit. In various embodiments, the intermediate articulation joint may be adjacent to the handle assembly. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供一种与一次性装载单元一起使用的外科缝合装置。解决方案：各种实施例包括细长主体组件，其包括远端主体部分和近侧主体部分。远侧主体段和近端主体段通过中间关节接合部可操作地联接在一起，以便限定纵向轴线。中间关节运动关节可以构造成便于围绕基本上横向于纵向轴线的中间关节运动轴线的远侧本体区段的关节运动。细长主体组件可以被配置为将致动运动从容纳在手柄组件中的致动轴传递到一次性装载单元。在各种实施例中，中间关节运动关节可以与手柄组件相邻。版权所有（C）2009，JPO＆INPIT

9. 发明专利

JP2009189827A Surgical stapling apparatus with reprocessible handle assembly 有权
标题翻译：手术装置与可替代手柄组装
公开(公告)号：JP2009189827A
公开(公告)日：2009-08-27
申请号：JP2009030961
申请日：2009-02-13
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： DOLL KEVIN R , SMITH BRET W , KELLY WILLIAM D , KOLATA RONALD J , UTH JOSHUA R , SCHEIB CHARLES J , SHELTON FREDERICK E IV
IPC分类号： A61B17/072 , A61B17/32
CPC分类号： A61B17/07207 , A61B90/70 , A61B2017/00473 , A61B2017/2901 , A61B2017/2905 , A61B2017/2906 , A61B2017/291 , A61B2017/2923 , A61B2017/2925 , A61B2017/2927 , A61B2090/0813
摘要： PROBLEM TO BE SOLVED: To provide a reusable surgical stapling apparatus that is configured for use with disposable loading units. SOLUTION: Various embodiments include a first handle segment and a second handle segment that is detachably coupled to the first handle segment to form a handle housing. A firing assembly may be removably supported in the handle housing as a lift out removable unit for sterilization purposes. Various sterilization methods are disclosed as well. COPYRIGHT: (C)2009,JPO&INPIT

10. 发明专利

JP2009189826A Disposable loading unit for surgical stapling apparatus 有权
标题翻译：用于外科手术装置的可拆卸装载单元
公开(公告)号：JP2009189826A
公开(公告)日：2009-08-27
申请号：JP2009030899
申请日：2009-02-13
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： SWAYZE JEFFREY S , HUITEMA THOMAS W , ARMSTRONG GLEN A , PARIHAR SHAILENDRA K , KORVICK DONNA L , TIMM RICHARD W , DOLL KEVIN R , SMITH BRET W , KELLY WILLIAM D , KOLATA RONALD J , UTH JOSHUA R , SCHEIB CHARLES J , SHELTON FREDERICK E IV , WEISENBURGH WILLIAM B II , MORGAN JEROME R , MOORE KYLE P , RANSICK MARK H
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B2017/07214 , A61B2017/07285
摘要： PROBLEM TO BE SOLVED: To provide a disposable loading unit for attaching to a surgical stapling apparatus. SOLUTION: The disposable loading unit may have a carrier that supports a staple cartridge and an anvil assembly coupled movably to the carrier. In one embodiment, the disposable loading unit may further have an axial drive assembly that is configured to impart a closing motion to the anvil assembly and also supports a cutting blade thereon. The axial drive assembly is configured to receive firing motions and retraction motions from the surgical stapling apparatus. In another embodiment, the disposable loading unit may have an anvil release assembly that enables the anvil assembly to be released from a clamping arrangement or a clamping orientation when the cutting blade becomes jammed during operation. COPYRIGHT: (C)2009,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于附接到外科缝合装置的一次性装载单元。解决方案：一次性加载单元可以具有支撑钉仓的托架和可移动地联接到托架的砧座组件。在一个实施例中，一次性加载单元还可以具有轴向驱动组件，该轴向驱动组件被配置为向砧组件施加关闭运动，并且还在其上支撑切割刀片。轴向驱动组件构造成接收来自外科缝合装置的发射运动和缩回运动。在另一个实施例中，一次性装载单元可以具有砧座释放组件，当铲刀在操作期间卡住时，能够使砧座组件从夹紧装置或夹紧方向释放。版权所有（C）2009，JPO＆INPIT

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