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1. 发明申请

WO2013090221A1 FEATURE TO REENGAGE SAFETY SWITCH OF TISSUE STAPLER 审中-公开
标题翻译：重新组装组织安全开关的特点
公开(公告)号：WO2013090221A1
公开(公告)日：2013-06-20
申请号：PCT/US2012/068859
申请日：2012-12-11
申请人： ETHICON ENDO-SURGERY, INC.
发明人： MILLER, Christopher C. , CHEKAN, Edward G. , ALEXANDER, Johnny H., III , CUMMINGS, John F. , SHURTLEFF, Carl J. , DUNKI-JACOBS, Adam R. , JAMISON, Barry T. , YOUNG, Joseph E. , HENDERSON, Cortney E.
IPC分类号： A61B17/115
CPC分类号： A61B17/1155 , A61B17/115 , A61B2017/00367 , A61B2017/00407 , A61B2017/00862 , A61B2090/034 , A61B2090/0811
摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.
摘要翻译：手术器械包括可选择性地联接到缝合头组件的砧座和可操作地将钉钉钉入压缩在砧座和缝合头组件之间的组织的触发器。在一些形式中，锁定构件可以接合固定特征以防止相对于缝合头组件的砧座的致动。例如，突片可以接合致动器上的槽，屏幕门锁可以提供摩擦阻力或接合致动器上的齿，门可以致动与一个或多个凹部接合，齿轮齿可以与致动器上的齿啮合，锁定构件可以包括棘轮组件以接合致动器，和/或按钮可以在释放锁定构件的同时致动到凹部中。或者，在一些版本中，触发器致动组件可以在点火之前脱开。砧位置指示器可以限制触发器致动组件的接合。

2. 发明申请

WO2013103507A1 RATCHETING FEATURE ON TISSUE STAPLE TRIGGER TO PREVENT PREMATURE JAW OPENING 审中-公开
标题翻译：将组装式触发器上的特征加以防止预防措施打开
公开(公告)号：WO2013103507A1
公开(公告)日：2013-07-11
申请号：PCT/US2012/069998
申请日：2012-12-17
申请人： ETHICON ENDO-SURGERY, INC.
发明人： VASUDEVAN, Venkataramanan Mandakolathur , DUNKI-JACOBS, Adam R. , BAXTER, Chester O., III , MORGAN, Jerome R. , HENDERSON, Cortney E. , MILLER, Christopher C. , BAKER, Kent P. , HUNT, John V. , JAMISON, Barry T. , WEIZMAN, Patrick A. , YOUNG, Joseph E. , KIMBALL, Cory G. , SHURTLEFF, Carl J. , CHEKAN, Edward G. , FELDER, Kevin D. , ALEXANDER, Johnny H., III , SWINDON, Patrick J. , SCHOWALTER, Joseph , CUMMINGS, John F. , SERBER, Julia F.
IPC分类号： A61B17/072 , A61B17/115
CPC分类号： A61B17/1155 , A61B17/072 , A61B2017/00407 , A61B2017/2923
摘要： A surgical instrument includes a body, a pivotable trigger, and a ratcheting assembly. The ratcheting assembly may include a rotary ratchet coupled to the trigger and a pawl coupled to the body. The rotary ratchet may further include a ramp that disengages the ratchet from the pawl. A release feature may be included to selectively disengage a second member of the ratcheting assembly from a first member. In some versions, the release feature may include a rotation knob or a slidable handle. In another configuration, the ratcheting assembly may have a first member coupled to an actuator and a second member coupled to the body. The assembly may include a lock member coupled to the body that selectively engages a plurality of teeth disposed on the actuator. Alternatively, the assembly may include a pivotable pawl coupled to the actuator that engages one or more notches formed in the body.
摘要翻译：外科器械包括主体，可枢转扳机和棘轮组件。棘轮组件可以包括联接到扳机的旋转棘轮和联接到主体的棘爪。旋转棘轮还可以包括使棘轮与棘爪脱离的斜坡。可以包括释放特征以选择性地将棘轮组件的第二构件与第一构件分离。在一些版本中，释放特征可以包括旋转旋钮或可滑动的手柄。在另一种构造中，棘轮组件可以具有联接到致动器的第一构件和联接到主体的第二构件。组件可以包括联接到主体的锁定构件，其选择性地接合设置在致动器上的多个齿。或者，组件可以包括联接到致动器的可枢转的棘爪，其接合形成在主体中的一个或多个凹口。

3. 发明申请

WO2013090223A1 FEATURE TO LOCK KNOB OF TISSUE STAPLER 审中-公开
标题翻译：特征锁定组织架的KNOB
公开(公告)号：WO2013090223A1
公开(公告)日：2013-06-20
申请号：PCT/US2012/068861
申请日：2012-12-11
申请人： ETHICON ENDO-SURGERY, INC.
发明人： VASUDEVAN, Venkataramanan Mandakolathur , CHEKAN, Edward G. , FELDER, Kevin D. , MORGAN, Jerome R. , SHURTLEFF, Carl J. , ALEXANDER, Johnny H., III , CUMMINGS, John F. , MILLER, Christopher C.
IPC分类号： A61B17/115
CPC分类号： A61B17/068 , A61B17/115 , A61B17/1155
摘要： A surgical stapling instrument for performing a circular anastomosis comprises a stapling head assembly, an actuator handle assembly, a shaft assembly, a safety latch, and a locking member. The stapling head assembly includes an anvil that moves relative to a staple holder and a staple driver to drive staples from the staple holder into tissue and against the anvil. The actuator handle assembly has a first actuator that controls motion of the anvil and a second actuator that controls motion of the staple driver. The shaft assembly couples the stapling head assembly to the actuator handle assembly. The safety latch prevents operation of the second actuator when the gap between the anvil and staple holder is outside a predetermined range. The locking member is configured to prevent adjustment of the anvil gap after the desired staple height has been set inside the predetermined range.
摘要翻译：用于执行圆形吻合的外科缝合器械包括装订头组件，致动器手柄组件，轴组件，安全闩锁和锁定构件。缝合头组件包括相对于缝合钉保持器和缝钉驱动器移动的砧座，以将钉从钉钉保持器驱动到组织中并抵靠砧座。致动器手柄组件具有控制砧座运动的第一致动器和用于控制订书针驱动器运动的第二致动器。轴组件将装订头组件耦合到致动器手柄组件。当砧座和钉仓之间的间隙在预定范围之外时，安全闩锁防止第二致动器的操作。锁定构件被构造成在期望的钉高度已经设定在预定范围内之前防止砧座间隙的调节。

4. 发明公开

EP2790592A1 FEATURE TO REENGAGE SAFETY SWITCH OF TISSUE STAPLER 有权
标题翻译：功能重合闸安全开关织物夹紧装置
公开(公告)号：EP2790592A1
公开(公告)日：2014-10-22
申请号：EP12809454.7
申请日：2012-12-11
申请人： Ethicon Endo-Surgery, Inc.
发明人： MILLER, Christopher C. , CHEKAN, Edward G. , ALEXANDER, Johnny H., III , CUMMINGS, John F. , SHURTLEFF, Carl J. , DUNKI-JACOBS, Adam R. , JAMISON, Barry T. , YOUNG, Joseph E. , HENDERSON, Cortney E.
IPC分类号： A61B17/115
CPC分类号： A61B17/1155 , A61B17/115 , A61B2017/00367 , A61B2017/00407 , A61B2017/00862 , A61B2090/034 , A61B2090/0811
摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.

5. 发明公开

EP3031406A3 FEATURE TO REENGAGE SAFETY SWITCH OF TISSUE STAPLER 有权转让
标题翻译：功能重合闸安全开关织物夹紧装置
公开(公告)号：EP3031406A3
公开(公告)日：2016-10-05
申请号：EP15188530.8
申请日：2012-12-11
申请人： Ethicon Endo-Surgery, Inc.
发明人： MILLER, Christopher C. , CHEKAN, Edward G. , ALEXANDER, Johnny H., III , CUMMINGS, John F. , SHURTLEFF, Carl J. , DUNKI-JACOBS, Adam R. , JAMISON, Barry T. , YOUNG, Joseph E. , HENDERSON, Cortney E.
IPC分类号： A61B17/115
摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.

6. 发明公开

EP3031406A2 FEATURE TO REENGAGE SAFETY SWITCH OF TISSUE STAPLER 有权转让
标题翻译： FUNKTION ZUR WIEDEREINSCHALTUNG EINES SICHERHEITSSCHALTERSFÜREINE GEWEBEKLAMMERVORRICHTUNG
公开(公告)号：EP3031406A2
公开(公告)日：2016-06-15
申请号：EP15188530.8
申请日：2012-12-11
申请人： Ethicon Endo-Surgery, Inc.
发明人： MILLER, Christopher C. , CHEKAN, Edward G. , ALEXANDER, Johnny H., III , CUMMINGS, John F. , SHURTLEFF, Carl J. , DUNKI-JACOBS, Adam R. , JAMISON, Barry T. , YOUNG, Joseph E. , HENDERSON, Cortney E.
IPC分类号： A61B17/115
摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.
摘要翻译：手术器械包括可选择性地联接到缝合头组件的砧座和可操作地将钉钉钉入压缩在砧座和缝合头组件之间的组织的触发器。在一些形式中，锁定构件可以接合固定特征以防止砧座相对于缝合头组件的致动。例如，突片可以接合致动器上的狭槽，屏幕门锁可以提供摩擦阻力或接合致动器上的齿，门可以致动与一个或多个凹部接合，齿轮齿可以与致动器上的齿啮合，锁定构件可以包括棘轮组件以接合致动器，和/或按钮可以在释放锁定构件的同时致动到凹部中。或者，在一些版本中，触发器致动组件可以在点火之前脱离。砧位置指示器可以限制触发器致动组件的接合。

7. 发明授权

EP2790592B1 FEATURE TO REENGAGE SAFETY SWITCH OF TISSUE STAPLER 有权
标题翻译：功能重合闸安全开关织物夹紧装置
公开(公告)号：EP2790592B1
公开(公告)日：2015-10-07
申请号：EP12809454.7
申请日：2012-12-11
申请人： Ethicon Endo-Surgery, Inc.
发明人： MILLER, Christopher C. , CHEKAN, Edward G. , ALEXANDER, Johnny H., III , CUMMINGS, John F. , SHURTLEFF, Carl J. , DUNKI-JACOBS, Adam R. , JAMISON, Barry T. , YOUNG, Joseph E. , HENDERSON, Cortney E.
IPC分类号： A61B17/115
CPC分类号： A61B17/1155 , A61B17/115 , A61B2017/00367 , A61B2017/00407 , A61B2017/00862 , A61B2090/034 , A61B2090/0811
摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.

8. 发明公开

EP2800525A1 RATCHETING FEATURE ON TISSUE STAPLE TRIGGER TO PREVENT PREMATURE JAW OPENING 有权转让
标题翻译：棘轮装置在组织CLAMP触发预防初开MAUL
公开(公告)号：EP2800525A1
公开(公告)日：2014-11-12
申请号：EP12814067.0
申请日：2012-12-17
申请人： Ethicon Endo-Surgery, Inc.
发明人： VASUDEVAN, Venkataramanan Mandakolathur , DUNKI-JACOBS, Adam R. , BAXTER, Chester O., III , MORGAN, Jerome R. , HENDERSON, Cortney E. , MILLER, Christopher C. , BAKER, Kent P. , HUNT, John V. , JAMISON, Barry T. , WEIZMAN, Patrick A. , YOUNG, Joseph E. , KIMBALL, Cory G. , SHURTLEFF, Carl J. , CHEKAN, Edward G. , FELDER, Kevin D. , ALEXANDER, Johnny H., III , SWINDON, Patrick J. , SCHOWALTER, Joseph , CUMMINGS, John F. , SERBER, Julia F.
IPC分类号： A61B17/072 , A61B17/115
CPC分类号： A61B17/1155 , A61B17/072 , A61B2017/00407 , A61B2017/2923
摘要： A surgical instrument includes a body, a pivotable trigger, and a ratcheting assembly. The ratcheting assembly may include a rotary ratchet coupled to the trigger and a pawl coupled to the body. The rotary ratchet may further include a ramp that disengages the ratchet from the pawl. A release feature may be included to selectively disengage a second member of the ratcheting assembly from a first member. In some versions, the release feature may include a rotation knob or a slidable handle. In another configuration, the ratcheting assembly may have a first member coupled to an actuator and a second member coupled to the body. The assembly may include a lock member coupled to the body that selectively engages a plurality of teeth disposed on the actuator. Alternatively, the assembly may include a pivotable pawl coupled to the actuator that engages one or more notches formed in the body.

9. 发明公开

EP3222224A1 FEATURE TO REENGAGE SAFETY SWITCH OF TISSUE STAPLER 有权
标题翻译：改变组织装订机安全开关的特点
公开(公告)号：EP3222224A1
公开(公告)日：2017-09-27
申请号：EP17169772.5
申请日：2012-12-11
申请人： Ethicon Endo-Surgery, Inc.
发明人： MILLER, Christopher C. , CHEKAN, Edward G. , ALEXANDER, Johnny H., III , CUMMINGS, John F. , SHURTLEFF, Carl J. , DUNKI-JACOBS, Adam R. , JAMISON, Barry T. , YOUNG, Joseph E. , HENDERSON, Cortney E.
IPC分类号： A61B17/115 , A61B17/072
CPC分类号： A61B17/1155 , A61B17/115 , A61B2017/00367 , A61B2017/00407 , A61B2017/00862 , A61B2090/034 , A61B2090/0811
摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.
摘要翻译：外科器械包括可选择性地连接到吻合头组件的砧座和触发器，所述砧座可操作以将吻合钉射入压缩在砧座和吻合头组件之间的组织中。在一些版本中，闭锁构件可以接合固定特征以防止砧座相对于缝合头组件的致动。例如，突片可以接合致动器上的狭槽，筛门锁可以提供摩擦阻力或啮合致动器上的齿，门可以致动成与一个或多个凹槽接合，齿轮齿可以与致动器上的齿啮合，锁定构件可以包括棘轮组件以接合致动器，和/或按钮可以在脱开锁定构件的同时致动到凹部中。或者，在一些版本中，触发器致动组件可在击发之前分离。砧座位置指示器可以限制触发器致动组件的接合。

10. 发明公开

EP3031404A1 SURGICAL STAPLING SYSTEMS AND STAPLE CARTRIDGES FOR DEPLOYING SURGICAL STAPLES WITH TISSUE COMPRESSION FEATURES 有权转让
标题翻译：手术钳系统和剪辑TAPE引入外科剪辑组织压缩功能
公开(公告)号：EP3031404A1
公开(公告)日：2016-06-15
申请号：EP15195022.7
申请日：2008-06-11
申请人： Ethicon Endo-Surgery, Inc.
发明人： WEISENBURGH, William B. II , HESS, Christopher J. , WELLS, Lawrence, E., Jr. , SIEBENALER, Douglas J. , HUITEMA, Thomas W. , MORGAN, Jerome R. , MURRAY, Michael A. , ZWOLINSKI, Andrew M. , SHURTLEFF, Carl J. , BORDOLOI, Binoy K. , VOEGELE, James W.
IPC分类号： A61B17/072 , A61B17/115 , A61B17/064 , A61F5/00
CPC分类号： A61B17/068 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B17/135 , A61B90/39 , A61B2017/00004 , A61B2017/00526 , A61B2017/00818 , A61B2017/00893 , A61B2017/00898 , A61B2017/07228 , A61B2017/07257 , A61B2017/07264 , A61B2017/2905 , A61B2017/2927 , A61B2017/320052 , A61B2090/037 , A61F5/0086 , Y10S227/902
摘要： A surgical staple (302) having at least one projection (344) formed thereon. In various embodiments, the projection is formed on a crown (310) of the surgical staple. In one various embodiment, the projection surrounds, or is positioned adjacent to, at least one deformable member (306, 308) of the surgical staple. In one embodiment, the projection can apply an increased compressive force or pressure to soft tissue surrounding the deformable member prior to the deformable members puncturing a hole in the soft tissue. As a result of the increased compressive force or pressure on the tissue, after staple deployment, blood flow proximate deformable member puncture holes can be reduced.
摘要翻译：一种外科缝合钉（302），其具有至少一个凸出部（344）在其上形成。在各种实施方式中订书钉，所述突起形成在所述手术的胎冠（310）。钉在一个不同的实施中，投影包围，或位于邻近，手术中的至少一个可变形件（306，308）。在一个实施例中，突出物可以适用于获得增加的压缩力或压力以周围之前的可变形构件的软组织穿刺所述可变形构件的软组织。作为组织上的增加的压缩力或压力的结果，缝钉展开之后，血液流动近端变形构件穿刺孔可以减少。

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