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1. 发明申请

WO2015148135A2 INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS 审中-公开
标题翻译：用于手术仪器的界面系统
公开(公告)号：WO2015148135A2
公开(公告)日：2015-10-01
申请号：PCT/US2015/020083
申请日：2015-03-12
申请人： ETHICON ENDO-SURGERY, INC.
发明人： OVERMYER, Mark D. , SWENSGARD, Brett E. , ADAMS, Shane R. , LYTLE, Thomas W., IV , LEIMBACH, Richard L. , SHELTON, Frederick E., IV , HOUSER, Kevin L.
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B34/25 , A61B90/98 , A61B2017/00017 , A61B2017/00115 , A61B2017/00199 , A61B2017/00212 , A61B2017/00221 , A61B2017/00225 , A61B2017/00398 , A61B2017/0046 , A61B2017/00482 , A61B2017/2927 , A61B2090/0805 , A61B2090/0807 , A61B2090/0808 , A61B2090/0811 , G06F19/00 , G06F19/3481 , G16H10/60 , G16H20/40 , G16H40/63 , Y10T29/49826
摘要： A surgical instrument for use by an operator in a surgical procedure includes an elongate shaft, an end effector extending from the elongate shaft, and a control system. The end effector is articulatable relative to the elongate shaft between a home state position and an articulated position. The control system includes a processor and a memory coupled to the processor to store program instructions. The processor can alert the operator when the end effector reaches the home state position from the articulated position.
摘要翻译：用于外科手术的操作者使用的手术器械包括细长轴，从细长轴延伸的末端执行器和控制系统。末端执行器相对于细长轴在本地状态位置和铰接位置之间可铰接。控制系统包括处理器和耦合到处理器以存储程序指令的存储器。当末端执行器从关节位置到达本地状态位置时，处理器可以警告操作者。

2. 发明申请

WO2014159183A2 CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS 审中-公开
标题翻译：手术仪器控制系统
公开(公告)号：WO2014159183A2
公开(公告)日：2014-10-02
申请号：PCT/US2014/022418
申请日：2014-03-10
申请人： ETHICON ENDO-SURGERY, INC.
发明人： LEIMBACH, Richard L. , OVERMYER, Mark D. , ADAMS, Shane R.
CPC分类号： A61B17/07207 , A61B2017/00017 , A61B2017/00398 , A61B2017/0046 , A61B2017/00734 , A61B2017/2927 , A61B2090/0808
摘要： Surgical instruments and control systems therefor are disclosed. A surgical instrument can comprise: a power circuit comprising a power source and a switch, a microcontroller coupled to the power circuit, a handle comprising an attachment portion, and a control circuit in signal communication with the microcontroller. The attachment portion can comprise a first electrical contact in signal communication with the microcontroller. The control circuit can comprise a sensor configured to detect an attachment state of the attachment portion. The control circuit can communicate the detected attachment state to the microcontroller, and the microcontroller can ignore signals from the first electrical contact when the control circuit communicates a detached state. The attachment portion can comprise a second electrical contact coupled to a second power circuit, and the second power circuit can decouple the second electrical contact and the second power source when the sensor detects the detached state.
摘要翻译：公开了外科手术器械及其控制系统。手术器械可以包括：电源电路，包括电源和开关，耦合到电源电路的微控制器，包括附接部分的手柄以及与微控制器进行信号通信的控制电路。附接部分可以包括与微控制器进行信号通信的第一电触头。控制电路可以包括被配置为检测附接部分的附接状态的传感器。控制电路可以将检测到的附着状态传送到微控制器，并且当控制电路通信分离状态时，微控制器可以忽略来自第一电触点的信号。附接部分可以包括耦合到第二电源电路的第二电触点，并且当传感器检测到分离状态时，第二电源电路可以解耦第二电触点和第二电源。

3. 发明申请

WO2015042367A2 SURGICAL STAPLER WITH ROTARY CAM DRIVE 审中-公开
标题翻译：带旋转凸轮驱动的外科手术台
公开(公告)号：WO2015042367A2
公开(公告)日：2015-03-26
申请号：PCT/US2014/056510
申请日：2014-09-19
申请人： ETHICON ENDO-SURGERY, INC.
发明人： LEIMBACH, Richard L. , SCHWEMBERGER, Richard F. , MEASAMER, John P. , ALEXANDER, Johnny H., III , MILLER, Christopher C. , DINARDO, Brian F. , RECTOR, Jason M.
IPC分类号： A61B17/115
CPC分类号： A61B17/068 , A61B17/1155 , A61B2017/00367 , A61B2017/00398
摘要： A surgical circular stapler has a handle assembly, a shaft, a stapling assembly, a motor, a drive assembly, and a firing assembly. The shaft extends distally from the handle assembly. The stapling assembly is secured to a distal end of the shaft. Longitudinal translation of the firing assembly causes the stapling assembly to drive a plurality of staples in a circular array to secure two lumens of tissue together. The stapling assembly may further drive a blade to sever any excess tissue interior of the circular array of staples. The motor is operable to rotate the drive assembly to thereby translate the firing assembly. A resilient member biases the firing assembly proximally. Through cooperation between the firing assembly and the resilient member, the firing assembly is driven distally and proximally to complete a firing stroke in response to rotation of the drive assembly through a single revolution.
摘要翻译：外科圆形订书机具有手柄组件，轴，钉书钉组件，马达，驱动组件和发射组件。轴从手柄组件向远侧延伸。装订组件固定到轴的远端。射击组件的纵向平移导致缝合组件以圆形阵列驱动多个钉，以将两个组织的组织固定在一起。缝合组件可以进一步驱动刀片以切断圆形排列的钉的任何多余的组织内部。马达可操作以使驱动组件旋转，从而平移击发组件。弹性构件向近侧偏压击发组件。通过射击组件和弹性构件之间的协作，射击组件被向远侧和近侧驱动，以响应于驱动组件通过单次旋转的旋转来完成击发冲程。

4. 发明申请

WO2015026561A1 END EFFECTOR DETECTION SYSTEMS FOR SURGICAL INSTRUMENTS 审中-公开
标题翻译：手术器械的终端效应检测系统
公开(公告)号：WO2015026561A1
公开(公告)日：2015-02-26
申请号：PCT/US2014/050668
申请日：2014-08-12
申请人： ETHICON ENDO-SURGERY, INC.
发明人： LEIMBACH, Richard L. , SHELTON, Frederick E., IV , MORGAN, Jerome R. , SCHELLIN, Emily A.
IPC分类号： A61B17/072 , A61B17/32 , A61B17/068
CPC分类号： A61B17/07207 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/105 , A61B34/10 , A61B34/25 , A61B34/30 , A61B34/74 , A61B34/76 , A61B90/90 , A61B90/96 , A61B90/98 , A61B2017/00017 , A61B2017/00119 , A61B2017/00137 , A61B2017/00154 , A61B2017/0019 , A61B2017/00199 , A61B2017/00221 , A61B2017/00367 , A61B2017/00398 , A61B2017/00402 , A61B2017/00407 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2901 , A61B2017/2927 , A61B2034/252 , A61B2034/256 , A61B2090/0807 , A61B2090/0808 , A61B2090/0811 , G06F3/016 , G06F3/0416 , G06F3/0488 , G06F19/00 , G06F21/60 , G06T11/60 , G09G5/14 , G16H40/63 , H01M10/48 , H02J7/0068 , H03K2217/96062 , Y10T307/625
摘要： A surgical instrument system can comprise a surgical instrument, a first end effector, and a second end effector, wherein the end effectors are attachable to the surgical instrument. The first end effector can comprise a first set of stored data pertaining to the first end effector, wherein the surgical instrument is configured to ascertain the first set of data and enter a first operating state. The second end effector can comprise a second set of stored data pertaining to the second end effector, wherein the surgical instrument is configured to ascertain the second set of data and enter a second operating state. The surgical instrument is further configured to enter a default operating state if said surgical instrument is unable to ascertain a set of stored data from an end effector.
摘要翻译：手术器械系统可以包括手术器械，第一端部执行器和第二端部执行器，其中末端执行器可附接到手术器械。第一末端执行器可以包括与第一末端执行器有关的第一组存储数据，其中所述手术器械配置成确定第一组数据并进入第一操作状态。第二末端执行器可以包括与第二末端执行器有关的第二组存储数据，其中所述手术器械被配置为确定所述第二组数据并进入第二操作状态。如果所述外科器械不能从末端执行器确定一组存储的数据，则外科器械还被配置为进入默认操作状态。

5. 发明申请

WO2014134034A2 SURGICAL INSTRUMENT SOFT STOP 审中-公开
标题翻译：手术仪器软停
公开(公告)号：WO2014134034A2
公开(公告)日：2014-09-04
申请号：PCT/US2014/018304
申请日：2014-02-25
申请人： ETHICON ENDO-SURGERY, INC.
发明人： HALL, Steven G. , BABER, Daniel L. , LEIMBACH, Richard L.
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/1155 , A61B17/2202 , A61B17/320068 , A61B17/320092 , A61B18/085 , A61B18/1445 , A61B34/30 , A61B34/74 , A61B90/90 , A61B90/98 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/00039 , A61B2017/00075 , A61B2017/00115 , A61B2017/00123 , A61B2017/00128 , A61B2017/00199 , A61B2017/00221 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00367 , A61B2017/00393 , A61B2017/00398 , A61B2017/0046 , A61B2017/00464 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/0069 , A61B2017/00734 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2903 , A61B2017/2923 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2018/00607 , A61B2018/00619 , A61B2018/00791 , A61B2018/00875 , A61B2018/1455 , A61B2034/742 , A61B2090/033 , A61B2090/034 , A61B2090/061 , A61B2090/064 , A61B2090/065 , A61B2090/0811 , G05G9/04796 , G05G2009/04777
摘要： A surgical instrument includes a drive member movable by a drive motor between a home position and an end of stroke. A mechanical stop is disposed at or near the end of stroke and is structured to increase resistance to movement of the drive member from a first position to a second position. A control system detects a current spike associated with the increased resistance and interrupts power to the drive motor.
摘要翻译：手术器械包括可由主动位置和行程末端之间的驱动马达移动的驱动构件。机械止动件设置在行程结束处或附近，并且构造成增加对驱动构件从第一位置移动到第二位置的阻力。控制系统检测与增加的电阻相关联的电流尖峰并中断驱动电机的电力。

6. 发明申请

WO2015042378A2 CONTROL FEATURES FOR MOTORIZED SURGICAL STAPLING INSTRUMENT 审中-公开
标题翻译：电动外科缝合器的控制特性
公开(公告)号：WO2015042378A2
公开(公告)日：2015-03-26
申请号：PCT/US2014/056525
申请日：2014-09-19
申请人： ETHICON ENDO-SURGERY, INC.
发明人： MEASAMER, John P. , LEIMBACH, Richard L.
IPC分类号： A61B17/115
CPC分类号： A61B17/068 , A61B17/1155 , A61B2017/00398 , A61B2017/00734 , A61B2090/08021 , A61B2090/0811 , A61B2090/0814
摘要： An apparatus includes a body, a motorized end effector, and a control system. The end effector extends distally from the body and comprises a stapling assembly operable to drive staples into tissue. The control system is in communication with the end effector. The control system comprises a motor, a firing trigger, a switch assembly, and a movable member in communication with the firing trigger. A resilient member is engaged with the movable member. The firing trigger and the resilient member are configured to cooperate to move the movable member into engagement with the switch to thereby activate the motor. The switch assembly is configured to couple a power source with the motor to thereby activate the motor in response to actuation of the firing trigger.
摘要翻译：一种设备包括主体，机动末端执行器和控制系统。末端执行器从身体向远侧延伸并且包括可操作以将钉驱动到组织中的吻合组件。控制系统与末端执行器进行通信。控制系统包括马达，击发扳机，开关组件以及与击发触发器连通的可动构件。弹性构件与可动构件接合。击发触发器和弹性构件配置为协作以将可移动构件移动到与开关接合从而激活电动机。开关组件配置成将动力源与马达联接，从而响应于击发触发器的致动而启动马达。

7. 发明申请

WO2014134023A1 SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH TROCAR 审中-公开
标题翻译：传感器末端效应器通过TROCAR去除
公开(公告)号：WO2014134023A1
公开(公告)日：2014-09-04
申请号：PCT/US2014/018271
申请日：2014-02-25
申请人： ETHICON ENDO-SURGERY, INC.
发明人： BABER, Daniel L. , LEIMBACH, Richard L. , ALBRECHT, Thomas E.
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/1155 , A61B17/2202 , A61B17/320068 , A61B17/320092 , A61B18/085 , A61B18/1445 , A61B34/30 , A61B34/74 , A61B90/90 , A61B90/98 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/00039 , A61B2017/00075 , A61B2017/00115 , A61B2017/00123 , A61B2017/00128 , A61B2017/00199 , A61B2017/00221 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00367 , A61B2017/00393 , A61B2017/00398 , A61B2017/0046 , A61B2017/00464 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/0069 , A61B2017/00734 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2903 , A61B2017/2923 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2018/00607 , A61B2018/00619 , A61B2018/00791 , A61B2018/00875 , A61B2018/1455 , A61B2034/742 , A61B2090/033 , A61B2090/034 , A61B2090/061 , A61B2090/064 , A61B2090/065 , A61B2090/0811 , G05G9/04796 , G05G2009/04777
摘要： In various forms, a sensor-straightened end effector 5802 is disclosed. The sensor-straightened end effector may comprise an end effector coupled to a shaft 5831 at an articulation point. The end effector may be articulable at an angle with respect to the shaft. A sensor 5826 may be disposed on the sensor-straightened end effector, such as on the shaft or on the end effector. The sensor is configured to detect a gross proximal movement. When detecting a gross proximal movement, the sensor may generate a signal to control a motor 402 to begin a straightening process to straighten the end effector with respect to the shaft.
摘要翻译：在各种形式中，公开了传感器矫正端部执行器5802。传感器矫正端部执行器可以包括在关节点处联接到轴5831的端部执行器。端部执行器可以相对于轴以一定角度铰接。传感器5826可以设置在传感器矫直端部执行器上，例如在轴上或端部执行器上。传感器被配置为检测粗近端运动。当检测到粗近端运动时，传感器可以产生信号以控制马达402开始矫直过程，以相对于轴拉直末端执行器。

8. 发明申请

WO2013148838A2 MOVABLE MEMBER FOR USE WITH A TISSUE THICKNESS COMPENSATOR 审中-公开
标题翻译：可移动组件与组织厚度补偿器一起使用
公开(公告)号：WO2013148838A2
公开(公告)日：2013-10-03
申请号：PCT/US2013/034106
申请日：2013-03-27
申请人： ETHICON ENDO-SURGERY, INC.
发明人： SWAYZE, Jeffrey S. , UTH, Joshua R. , LEIMBACH, Richard L. , STAMMEN, John L. , TIDWELL, Samuel P. , SHELTON, Frederick E., IV
IPC分类号： A61B17/068
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B50/30 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00327 , A61B2017/00473 , A61B2017/00477 , A61B2017/00495 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/0641 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2050/3008 , A61B2050/314 , A61B2090/037
摘要： A cutting blade for a surgical cutting and stapling instrument is disclosed therein. The cutting blade can include one or more features to direct or displace substances released from within the tissue thickness compensators used with the surgical instrument. The cutting blade may include a textured surface that can cause substances from the tissue thickness compensator to spread across the blade surface.
摘要翻译：公开了一种用于外科切割和缝合器械的切割刀片。切割刀片可以包括一个或多个特征来引导或置换从与外科器械一起使用的组织厚度补偿器内释放的物质。切割刀片可以包括纹理表面，其可以导致来自组织厚度补偿器的物质扩展穿过刀片表面。

9. 发明申请

WO2015148136A1 MODULAR SURGICAL INSTRUMENT SYSTEM 审中-公开
标题翻译：模块化手术仪器系统
公开(公告)号：WO2015148136A1
公开(公告)日：2015-10-01
申请号：PCT/US2015/020088
申请日：2015-03-12
申请人： ETHICON ENDO-SURGERY, INC.
发明人： OVERMYER, Mark D. , HOUSER, Kevin L. , SHELTON, Frederick E., IV , SWENSGARD, Brett E. , LEIMBACH, Richard L. , LYTLE, Thomas W., IV , ADAMS, Shane R.
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B34/25 , A61B90/98 , A61B2017/00017 , A61B2017/00115 , A61B2017/00199 , A61B2017/00212 , A61B2017/00221 , A61B2017/00225 , A61B2017/00398 , A61B2017/0046 , A61B2017/00482 , A61B2017/2927 , A61B2090/0805 , A61B2090/0807 , A61B2090/0808 , A61B2090/0811 , G06F19/00 , G06F19/3481 , G16H10/60 , G16H20/40 , G16H40/63 , Y10T29/49826
摘要： A method for updating a component of a modular surgical instrument. The method can comprise comparing control modules and/or control systems of various modular components of a surgical system. For example, if corresponding control modules are different, at least one of the control modules can be updated and/or overwritten. If corresponding control modules have different effective dates, the outdated control module can be updated and/or overwritten, for example.
摘要翻译：一种用于更新模块化外科器械的部件的方法。该方法可以包括比较外科系统的各种模块化部件的控制模块和/或控制系统。例如，如果相应的控制模块不同，则可以更新和/或覆盖至少一个控制模块。如果相应的控制模块具有不同的生效日期，则例如过时的控制模块可被更新和/或覆盖。

10. 发明申请

WO2015026786A2 FIRING TRIGGER LOCKOUT ARRANGEMENTS FOR SURGICAL INSTRUMENTS 审中-公开
标题翻译：手术仪器的触发器锁定装置
公开(公告)号：WO2015026786A2
公开(公告)日：2015-02-26
申请号：PCT/US2014/051635
申请日：2014-08-19
申请人： ETHICON ENDO-SURGERY, INC.
发明人： SHELTON, IV, Frederick E. , MORGAN, Jerome R. , HALL, Steven G. , LEIMBACH, Richard L. , SCHELLIN, Emily A.
IPC分类号： A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/105 , A61B34/10 , A61B34/25 , A61B34/30 , A61B34/74 , A61B34/76 , A61B90/90 , A61B90/96 , A61B90/98 , A61B2017/00017 , A61B2017/00119 , A61B2017/00137 , A61B2017/00154 , A61B2017/0019 , A61B2017/00199 , A61B2017/00221 , A61B2017/00367 , A61B2017/00398 , A61B2017/00402 , A61B2017/00407 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2901 , A61B2017/2927 , A61B2034/252 , A61B2034/256 , A61B2090/0807 , A61B2090/0808 , A61B2090/0811 , G06F3/016 , G06F3/0416 , G06F3/0488 , G06F19/00 , G06F21/60 , G06T11/60 , G09G5/14 , G16H40/63 , H01M10/48 , H02J7/0068 , H03K2217/96062 , Y10T307/625
摘要： A surgical instrument system can comprise, one, a surgical instrument including a handle, a shaft comprising a distal end, and a trigger and, two, an end effector attachable to the shaft. The instrument can further include a firing member and a motor configured to move the firing member toward the distal end, wherein the trigger is configured to operate the motor. The surgical instrument system can further include a plurality of sensors configured to detect one or more error conditions, a plurality of indicators, and a controller in communication with the plurality of sensors and the indicators, wherein the controller is configured to selectively activate the indicators to indicate the error conditions detected. A surgical instrument can comprise a plurality of actuators and a plurality of actuator locks, wherein the controller can actuate one or more of the actuator locks to indicate the error condition detected.
摘要翻译：手术器械系统可以包括一个手术器械，其包括手柄，包括远端的轴和触发器，以及两个可连接到所述轴的末端执行器。仪器还可以包括击发构件和构造成使击发构件朝向远端移动的马达，其中触发器构造成操作马达。手术器械系统还可以包括被配置为检测一个或多个错误状况的多个传感器，多个指示器以及与多个传感器和指示器通信的控制器，其中控制器被配置为选择性地激活指示器指示检测到的错误条件。手术器械可以包括多个致动器和多个致动器锁，其中控制器可以致动一个或多个致动器锁以指示检测到的错误状况。

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