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1. 发明申请

WO2008101077A1 SURGICAL DEVICES USING MAGNETIC FORCE TO FORM AN ANASTOMOSIS 审中-公开
标题翻译：使用磁力形成分析的外科手术
公开(公告)号：WO2008101077A1
公开(公告)日：2008-08-21
申请号：PCT/US2008/053961
申请日：2008-02-14
申请人： ETHICON ENDO-SURGERY, INC , FOX, William D.
发明人： FOX, William D.
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/32053 , A61B2017/00876 , A61B2017/1103 , A61B2017/1117 , A61B2017/1139
摘要： A method for forming an anastomosis between first and second organs in a patient using a hollow receptacle that is inflatable with magnetic material. The method may include forming openings through the first and second organs utilizing a hole-forming instrument inserted into the organs through a natural orifice in the patient. The hollow receptacle may be supported on a catheter assembly that is also inserted through the patient's natural orifice and through the openings in the first and second organs and is positioned within the second organ. The hollow receptacle is then inflated with magnetic material and magnetic force is applied within the force organ to draw the inflated receptacle toward the first organ such that the inflated receptacle retains the second organ in sealing contact with the first organ while maintaining the alignment between the first and second openings to create an anastomosis between the first and second organs.
摘要翻译：一种使用可与磁性材料充气的中空容器在患者中形成第一和第二器官之间的吻合的方法。该方法可以包括通过第一和第二器官形成开口，利用穿过病人自然孔插入器官的孔形成器械。中空的容器可以被支撑在导管组件上，导管组件也插入穿过患者的自然孔口并穿过第一和第二器官的开口并且位于第二器官内。空心容器然后用磁性材料充气，并且在力器官内施加磁力以将充气的容器拉向第一器官，使得充气的容器保持第二器官与第一器官密封接触，同时保持第一和第二开口以在第一和第二器官之间产生吻合。

2. 发明申请

WO2010009070A1 ENDOSCOPIC TRANSLUMENAL ARTICULATABLE AND STEERABLE FLEXIBLE OVERTUBE 审中-公开
标题翻译：内镜透视可弯曲和可变柔性超音波
公开(公告)号：WO2010009070A1
公开(公告)日：2010-01-21
申请号：PCT/US2009/050451
申请日：2009-07-14
申请人： ETHICON ENDO-SURGERY, INC. , BAKOS, Gregory J. , FOX, William D. , SPIVEY, James T. , MCDERMOTT, Bernard C. , KELLY, Micheal E. , GUINAN, Michelle M.
发明人： BAKOS, Gregory J. , FOX, William D. , SPIVEY, James T. , MCDERMOTT, Bernard C. , KELLY, Micheal E. , GUINAN, Michelle M.
IPC分类号： A61B1/005 , A61B1/313 , A61B17/34
CPC分类号： A61B1/3132 , A61B1/00135 , A61B1/00137 , A61B1/00154 , A61B1/005 , A61B1/015 , A61B17/3478 , A61B2017/00278 , A61B2017/003 , A61B2017/3452 , A61B2017/3486 , A61B2017/3488
摘要： Apparatus, system, and method for use with an endoscope are disclosed. A flexible overtube (12) having a proximal end and a distal end defines a hollow lumen therebetween to receive a flexible shaft portion of an endoscope (14) therein. The proximal end (17a) of the flexible overtube is configured to remain outside of a patient and the distal end (17b) is configured to enter the patient through a natural orifice. At least one fluid tight seal (26) is located at the proximal end of the flexible overtube to prevent leakage of fluids around the flexible shaft of the endoscope when the flexible shaft of the endoscope is positioned within the flexible overtube. The system further includes a flexible endoscope. An apparatus having an elongate hollow metal body extending along a longitudinal axis is disclosed. The hollow body defines a central opening and has a predetermined wall thickness. A pattern of laser cut slits is formed into the body. The slits define a plurality of articulatable elements. The plurality of articulatable elements enable active articulation of the body in a first plane and passive deflection in planes orthogonal to the first plane.
摘要翻译：公开了一种用于内窥镜的装置，系统和方法。具有近端和远端的柔性外套管（12）在其间限定中空管腔，以在其中容纳内窥镜（14）的柔性轴部分。柔性外套管的近端（17a）构造成保持在患者体外，并且远端（17b）构造成通过自然孔进入患者。至少一个流体密封密封件（26）位于柔性外套管的近端处，以防止当内窥镜的柔性轴定位在柔性外套管内时流体在内窥镜的柔性轴上的泄漏。该系统还包括柔性内窥镜。公开了一种具有沿着纵向轴线延伸的细长中空金属体的装置。中空体限定中心开口并具有预定的壁厚。激光切割狭缝的图案形成在体内。狭缝限定多个可铰接元件。多个可铰接元件使得主体能够在第一平面中主动地铰接并且在与第一平面垂直的平面中的被动偏转。

3. 发明申请

WO2008051785A2 STERILE TRANSCOLONIC ACCESS DEVICE 审中-公开
公开(公告)号：WO2008051785A2
公开(公告)日：2008-05-02
申请号：PCT/US2007/081741
申请日：2007-10-18
申请人： ETHICON ENDO-SURGERY, INC , ORTIZ, Mark S. , GHABRIAL, Ragae , FOX, William D.
发明人： ORTIZ, Mark S. , GHABRIAL, Ragae , FOX, William D.
IPC分类号： A61B17/00 , A61B17/32 , A61M25/00
CPC分类号： A61B17/00234 , A61B1/00137 , A61B2017/00278 , A61B2017/306
摘要： Devices and methods useful for translumenally accessing a body cavity are disclosed. In one embodiment, a translumenal access device adapted to be inserted through a body lumen is provided and can include an inner shaft having an opening at its distal end and adapted to be positioned adjacent to an inner wall of a body lumen. The inner shaft can include one or more sealing mechanisms, such as one or more seals with suction ports formed thereon for isolating a portion of a body lumen. The isolated portion may be sterilized and serve as an access point or otomy site for penetrating the wall of the body lumen to access a body cavity.
摘要翻译：公开了用于经心脏进入体腔的装置和方法。在一个实施例中，提供适于插入通过体腔的经腔进入装置，并且可以包括内轴，其在其远端具有开口并适于邻近体腔的内壁定位。内轴可以包括一个或多个密封机构，例如一个或多个密封件，其上形成有用于隔离身体内腔的一部分的吸入口。隔离部分可以被灭菌并且用作穿透体腔的壁以进入体腔的接入点或穿孔部位。

4. 发明申请

WO2015164193A1 ULTRASONIC SURGICAL INSTRUMENT WITH END EFFECTOR HAVING RESTRICTED ARTICULATION 审中-公开
标题翻译：具有限制性结构的终端效应超声外科仪器
公开(公告)号：WO2015164193A1
公开(公告)日：2015-10-29
申请号：PCT/US2015/026322
申请日：2015-04-17
申请人： ETHICON ENDO-SURGERY, INC.
发明人： ALDRIDGE, Jeffrey L. , DICKERSON, Benjamin D. , FALLER, Craig N. , FOX, William D. , MONROE, David A. , STOKES, Michael J. , WEISENBURGH, II, William B. , WORRELL, Barry C. , OLSON, William A. , STULEN, Foster B.
IPC分类号： A61B17/32
CPC分类号： A61B17/320016 , A61B17/320068 , A61B17/320092 , A61B2017/22018 , A61B2017/2929 , A61B2017/2932 , A61B2018/0063 , A61N7/00
摘要： An apparatus comprises a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and an articulation drive assembly. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide comprises a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section comprises a plurality of body portions aligned along the longitudinal axis and a flexible locking member. The flexible locking member is operable to secure the body portions in relation to each other and in relation to the shaft. The end effector comprises an ultrasonic blade in acoustic communication with the waveguide. The articulation drive assembly is operable to drive articulation of the articulation section to thereby deflect the end effector from the longitudinal axis.
摘要翻译：一种装置包括主体组件，轴，声波导，关节运动部分，末端执行器和关节运动驱动组件。轴从主体组件向远侧延伸并且限定纵向轴线。声波导包括柔性部分。铰接部分与轴连接。关节运动部分的一部分包围波导的柔性部分。铰接部分包括沿着纵向轴线对准的多个主体部分和柔性锁定部件。柔性锁定构件可操作以相对于彼此并相对于轴固定主体部分。末端执行器包括与波导声声连通的超声波叶片。铰接驱动组件可操作以驱动关节运动部分的关节运动，从而使末端执行器从纵向轴线偏转。

5. 发明申请

WO2015122998A1 DELIVERABLE SURGICAL INSTRUMENT 审中-公开
标题翻译：可交付的手术仪器
公开(公告)号：WO2015122998A1
公开(公告)日：2015-08-20
申请号：PCT/US2015/012165
申请日：2015-01-21
申请人： ETHICON ENDO-SURGERY, INC.
发明人： SCHEIB, Charles J. , FOX, William D.
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/07292 , A61B17/072 , A61B2017/00336 , A61B2017/0046 , A61B2017/07242 , A61B2017/07257 , A61B2017/07271 , A61B2017/07285 , A61B2017/2933 , A61B2090/037 , A61B2090/0807
摘要： In various embodiments, a shaftless end effector is disclosed. The end effector can comprise an anvil assembly including a staple forming surface. The end effector can also comprise a staple cartridge channel configured to receive a staple cartridge therein. The end effector can include a closure system configured to close the anvil. In various instances, the closure system can also form the staples contained within the staple cartridge. The end effector can also include a cutting member configured to cut tissue positioned intermediate the anvil and the staple cartridge. In various instances, the cutting member can be actuated by the closure system. In other instances, the end effector can include an independent system for actuating the cutting member. In various instances, the end effector can be delivered to a surgical site through a trocar and then operated by one or more actuators that are assembled to the end effector.
摘要翻译：在各种实施例中，公开了一种无轴末端执行器。端部执行器可以包括砧组件，其包括钉成形表面。末端执行器还可以包括构造成在其中容纳钉仓的钉仓通道。末端执行器可以包括构造成关闭砧座的闭合系统。在各种情况下，封闭系统还可以形成包含在钉仓内的钉。末端执行器还可以包括切割构件，该切割构件构造成切割位于砧座和钉仓之间的组织。在各种情况下，切割构件可由闭合系统致动。在其他情况下，末端执行器可以包括用于致动切割构件的独立系统。在各种情况下，端部执行器可以通过套管针被输送到手术部位，然后由组装到末端执行器的一个或多个致动器操作。

6. 发明申请

WO2014172194A1 METHOD AND APPARATUS FOR JOINING HOLLOW ORGAN SECTIONS IN ANASTOMOSIS 审中-公开
标题翻译：方法和装置在分析中加入中空组织部分
公开(公告)号：WO2014172194A1
公开(公告)日：2014-10-23
申请号：PCT/US2014/033779
申请日：2014-04-11
申请人： ETHICON ENDO-SURGERY, INC.
发明人： BAKOS, Gregory J. , FOX, William D. , SHERRILL, Justin W. , DUNKI-JACOBS, Adam R. , ZEINER, Mark S.
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B2017/00862 , A61B2017/00876 , A61B2017/1117 , A61B2017/1139
摘要： An apparatus is operable to provide an anastomosis coupling two hollow organs, such as a duodenum and ileum. The apparatus includes a first component that is inserted through an enterotomy in a first hollow organ and a second component that is inserted through an enterotomy in a second hollow organ. The first and second components are brought together to o align the enterotomies and compress apposed layers of tissue adjacent to the enterotomies. The compressed tissue eventually necroses and the apparatus may be removed or simply pass through the hollow organ. Each component may include a set of pivoting links and a resilient member that is configured to both bias the links to an expanded configuration and grip the tissue adjacent to the enterotomy. The components may include magnets that secure the positioning of the components relative to each other and provide a compressive force on the apposed tissue.
摘要翻译：一种装置可操作地提供联接两个中空器官如十二指肠和回肠的吻合。该装置包括通过第一中空器官中的肠切开术插入的第一部件和穿过第二中空器官中的肠切开术插入的第二部件。将第一和第二部件组合在一起以便对齐肠切开术并压缩与肠切开术相邻的组织层。压缩的组织最终坏死，并且装置可以被去除或简单地通过中空器官。每个部件可以包括一组枢转连接件和一个弹性部件，该弹性部件构造成将连接件偏压到扩张构型并且夹紧邻近肠切除术的组织。这些部件可以包括固定部件相对于彼此的定位的磁体，并且在附着的组织上提供压缩力。

7. 发明申请

WO2015100097A1 SURGICAL STAPLES AND STAPLE CARTRIDGES 审中-公开
标题翻译：外科手术和标签盒
公开(公告)号：WO2015100097A1
公开(公告)日：2015-07-02
申请号：PCT/US2014/070797
申请日：2014-12-17
申请人： ETHICON ENDO-SURGERY, INC.
发明人： SHELTON, IV, Frederick E. , BAXTER, III, Chester O. , DUNKI-JACOBS, Adam R. , SCHEIB, Charles J. , FOX, William D. , STOKES, Michael J. , DUGAN, John R.
IPC分类号： A61B17/064
CPC分类号： A61B17/0644 , A61B17/064 , A61B17/068 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/105 , A61B34/37 , A61B2017/00398 , A61B2017/00526 , A61B2017/00734 , A61B2017/07228 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , Y10T29/49995
摘要： A surgical staple and staple cartridge for removably storing the surgical staple. The surgical staple can comprise a plurality of separate and discrete staple drive surfaces. The staple drive surfaces can be configured to move along parallel paths in the staple cartridge. Additionally, the staple cartridge can comprise a staple cavity, and a plurality of lift planes can extend through the staple cavity.
摘要翻译：一种用于可拆卸地存储外科手术钉的外科缝合钉和钉仓。外科缝合钉可以包括多个单独的和离散的钉驱动表面。钉驱动表面可以被配置成沿着钉仓中的平行路径移动。此外，钉仓可以包括钉仓，并且多个提升平面可以延伸穿过钉仓。

8. 发明公开

EP3536251A1 DELIVERABLE SURGICAL INSTRUMENT 审中-公开
公开(公告)号：EP3536251A1
公开(公告)日：2019-09-11
申请号：EP19171116.7
申请日：2015-02-11
申请人： Ethicon Endo-Surgery, Inc.
发明人： SCHEIB, Charles J. , FOX, William D.
IPC分类号： A61B17/072
摘要： An end effector, comprising: a frame comprising a first end and a second end; an anvil comprising a staple forming surface, wherein said anvil is moveably coupled to said frame between an open position and a closed position; a staple cartridge, comprising a cartridge body comprising a plurality of staple cavities and a plurality of staples removably positioned within said staple cavities, a first cam movable relative to said first end and a second cam movable relative to said second end, wherein the movement of said first cam relative to said first end and said second cam relative to said second end transitions said anvil between said open position and said closed position.

9. 发明公开

EP2341815A1 ENDOSCOPIC TRANSLUMENAL ARTICULATABLE AND STEERABLE FLEXIBLE OVERTUBE 审中-公开
标题翻译：内镜腔内关节和应纳税灵活ÜEBRTUBUS
公开(公告)号：EP2341815A1
公开(公告)日：2011-07-13
申请号：EP09790361.1
申请日：2009-07-14
申请人： Ethicon Endo-Surgery, Inc.
发明人： BAKOS, Gregory J. , FOX, William D. , SPIVEY, James T. , MCDERMOTT, Bernard C. , KELLY, Micheal E. , GUINAN, Michelle M.
IPC分类号： A61B1/005 , A61B1/313 , A61B17/34
CPC分类号： A61B1/3132 , A61B1/00135 , A61B1/00137 , A61B1/00154 , A61B1/005 , A61B1/015 , A61B17/3478 , A61B2017/00278 , A61B2017/003 , A61B2017/3452 , A61B2017/3486 , A61B2017/3488
摘要： Apparatus, system, and method for use with an endoscope are disclosed. A flexible overtube (12) having a proximal end and a distal end defines a hollow lumen therebetween to receive a flexible shaft portion of an endoscope (14) therein. The proximal end (17a) of the flexible overtube is configured to remain outside of a patient and the distal end (17b) is configured to enter the patient through a natural orifice. At least one fluid tight seal (26) is located at the proximal end of the flexible overtube to prevent leakage of fluids around the flexible shaft of the endoscope when the flexible shaft of the endoscope is positioned within the flexible overtube. The system further includes a flexible endoscope. An apparatus having an elongate hollow metal body extending along a longitudinal axis is disclosed. The hollow body defines a central opening and has a predetermined wall thickness. A pattern of laser cut slits is formed into the body. The slits define a plurality of articulatable elements. The plurality of articulatable elements enable active articulation of the body in a first plane and passive deflection in planes orthogonal to the first plane.

10. 发明公开

EP2131752A1 SURGICAL DEVICES USING MAGNETIC FORCE TO FORM AN ANASTOMOSIS 审中-公开
标题翻译：与采用磁力的教育吻合手术器械
公开(公告)号：EP2131752A1
公开(公告)日：2009-12-16
申请号：EP08729859.2
申请日：2008-02-14
申请人： Ethicon Endo-Surgery, Inc.
发明人： FOX, William D.
IPC分类号： A61B17/11
CPC分类号： A61B17/1114 , A61B17/32053 , A61B2017/00876 , A61B2017/1103 , A61B2017/1117 , A61B2017/1139
摘要： A method for forming an anastomosis between first and second organs in a patient using a hollow receptacle that is inflatable with magnetic material. The method may include forming openings through the first and second organs utilizing a hole-forming instrument inserted into the organs through a natural orifice in the patient. The hollow receptacle may be supported on a catheter assembly that is also inserted through the patient's natural orifice and through the openings in the first and second organs and is positioned within the second organ. The hollow receptacle is then inflated with magnetic material and magnetic force is applied within the force organ to draw the inflated receptacle toward the first organ such that the inflated receptacle retains the second organ in sealing contact with the first organ while maintaining the alignment between the first and second openings to create an anastomosis between the first and second organs.

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