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1. 发明专利

JP2013192954A Surgical instrument usage data management 有权
标题翻译：手术仪器使用数据管理
公开(公告)号：JP2013192954A
公开(公告)日：2013-09-30
申请号：JP2013057932
申请日：2013-03-21
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： KIMBALL CORY G , PRICE DANIEL W , CLEM WILLIAM E , MARCOTTE AMY L , SILKAITIS DANIUS P , SCHULTE JOHN B , LAMPING MICHAEL R , BALEK STEPHEN J
IPC分类号： A61B18/00 , G06Q50/22
CPC分类号： H04L67/32 , A61B17/28 , A61B17/320092 , A61B18/1445 , A61B90/90 , A61B90/98 , A61B2017/00017 , A61B2017/00026 , A61B2017/00221 , A61B2017/0046 , A61B2017/00464 , A61B2017/00477 , A61B2017/00725 , A61B2017/2931 , A61B2018/0063 , A61B2018/00988 , A61B2090/0803 , A61B2090/0804 , A61B2090/0807 , G06F19/3481 , G06Q20/085
摘要： PROBLEM TO BE SOLVED: To provide a surgical instrument with which tissues can be cut.SOLUTION: This surgical instrument includes a body assembly and a selectively couplable end effector assembly. The end effector assembly may include a transmission assembly and an end effector. The body assembly includes a trigger and a casing configured to couple with the transmission assembly. An information transmission system transmits instrument information received from a sensor, for example, to a secure server via a secure gateway connected to the surgical instrument. The surgical instrument may be previously tested on a calibration kit to predetermine and load surgeon-specific set values onto the surgical instrument prior to use.
摘要翻译：要解决的问题：提供可以切割组织的外科器械。解决方案：该外科器械包括主体组件和可选择性地联接的端部执行器组件。末端执行器组件可以包括传动组件和末端执行器。主体组件包括触发器和配置成与变速器组件联接的壳体。信息传输系统通过连接到外科器械的安全网关将例如从传感器接收的仪器信息发送到安全服务器。可以在校准套件上预先对外科手术器械进行测试，以在使用前预先确定并将外科医生特定的设定值加载到手术器械上。

2. 发明专利

JP2013208456A Ergonomic surgical instrument 有权
标题翻译：人工外科仪器
公开(公告)号：JP2013208456A
公开(公告)日：2013-10-10
申请号：JP2013107910
申请日：2013-05-22
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： PRICE DANIEL W , ROBERTSON GALEN C , KIMBALL CORY G , WOODRUFF SCOTT A , MILLER MATTHEW C , RUPP KIP M , FIHE CARRIE I , SHEETZ JANE A , DRAGINOFF CARL J JR
IPC分类号： A61B18/00
CPC分类号： A61B17/320092 , A61B2017/00424 , A61B2017/00429 , A61B2017/2925 , A61B2017/2929
摘要： PROBLEM TO BE SOLVED: To provide an ergonomic handle assembly for an ultrasonic surgical instrument that provides ability of a user to comfortably access and operate multiple functions.SOLUTION: A surgical instrument hand assembly 102 includes housings 102a, 102b having a proximal end and a distal end. A proximal opening 156 is formed at the proximal end 102 of the housing.A distal opening is formed at the distal end of the housing. The proximal and distal openings define an axis in a longitudinal direction. A handle 122 extends downward from the axis in the longitudinal direction. The handle defines a proximal contacting surface 128, a saddle surface 130 and a stabilizing tail part 131. A trigger 120 is pivotally attached to the housing, and is pivotally movable with respect to the handle.
摘要翻译：要解决的问题：提供一种用于超声外科器械的符合人体工程学的手柄组件，其提供使用者舒适地接近和操作多种功能的能力。解剖：手术器械手组件102包括具有近端和远端的外壳102a，102b 结束。近端开口156形成在壳体的近端102处。远端开口形成在壳体的远端。近端和远端开口在纵向上限定一个轴线。手柄122在纵向方向上从轴线向下延伸。手柄限定近侧接触表面128，鞍座表面130和稳定尾部131.触发器120可枢转地附接到壳体，并且可相对于手柄枢转地移动。

3. 发明专利

JP2013192953A Method and apparatus for programming modular surgical instrument 有权
标题翻译：用于编程模块化外科仪器的方法和装置
公开(公告)号：JP2013192953A
公开(公告)日：2013-09-30
申请号：JP2013057917
申请日：2013-03-21
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： KIMBALL CORY G , PRICE DANIEL W , CLEM WILLIAM E , DANNAHER WILLIAM D , MARCOTTE AMY L , DIETZ TIMOTHY G , KORVICK DONNA L , MADAN ASHVANI K
IPC分类号： A61B18/00 , A61B18/12
CPC分类号： A61B17/320092 , A61B18/1206 , A61B18/1442 , A61B90/90 , A61B90/98 , A61B2017/00221 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/2931 , A61B2018/00642 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875
摘要： PROBLEM TO BE SOLVED: To provide a surgical instrument in which tissues can be cut.SOLUTION: A surgical instrument 10 includes a body assembly and a selectively couplable end effector assembly 16. The end effector assembly includes a transmission assembly and an end effector. The body assembly includes a trigger 18 and a casing having a distal aperture configured to receive a portion of the end effector assembly. First and second coupling mechanism portions cooperatively couple the end effector assembly to the body assembly. A cartridge 26 positionable between the surgical instrument and a generator 28 includes information regarding operating parameters unique to the selectively couplable end effector assembly and/or the desired surgical treatment. The surgical instrument is programmable with operating parameter information while within a sealed and sterilized packaging unit.
摘要翻译：要解决的问题：提供可以切割组织的外科器械。解决方案：手术器械10包括主体组件和可选择性地连接的端部执行器组件16.端部执行器组件包括传动组件和端部执行器。主体组件包括触发器18和壳体，该壳体具有构造成容纳端部执行器组件的一部分的远端开口。第一和第二联接机构部分将端部执行器组件协作地耦合到主体组件。定位在外科器械和发生器28之间的药筒26包括关于可选择性地联接的末端执行器组件和/或期望的手术治疗独特的操作参数的信息。手术器械可以在密封和灭菌的包装单元内由操作参数信息编程。

4. 发明专利

JP2013192952A Activation feature section for surgical instrument with pencil grip 有权
标题翻译：手术仪器的激活功能部分
公开(公告)号：JP2013192952A
公开(公告)日：2013-09-30
申请号：JP2013057910
申请日：2013-03-21
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： KIMBALL CORY G , PRICE DANIEL W , CLEM WILLIAM E
IPC分类号： A61B18/00
CPC分类号： A61B17/320068 , A61B2017/00017 , A61B2017/00367 , A61B2017/00384 , A61B2017/0042 , H01H9/06 , H01H15/005 , H01H15/24
摘要： PROBLEM TO BE SOLVED: To provide a surgical instrument configured to direct an energy source so as to supply a selected energy level to a device, and including a microprocessor and an input device.SOLUTION: An exemplary surgical instrument includes a handpiece, an end effector, and an activation and control feature section which is operable to selectively activate an end effector and select an energy level for the end effector. One version of the activation and control feature section includes a "floating" button feature where activation and control is accomplished based on the displacement of the button from a home position. In some versions the activation and control feature section is sealed within the handpiece, but controllable by the user's touch with the handpiece. The sealed configuration can allow the handpiece to be sterilizable, e.g., using steam sterilization. The activation and control feature section may include capacitive switches, resistive sensors, resonant cavity switching technology, infrared sensing technology, technology using a resonant standing wave on a surface which is perturbed by the presence of a finger, and/or any other suitable type of technology.
摘要翻译：要解决的问题：提供一种外科器械，其被配置为引导能量源，以将选定的能量水平提供给装置，并且包括微处理器和输入装置。解决方案：示例性手术器械包括手持件，末端执行器以及激活和控制特征部分，其可操作以选择性地激活末端执行器并为末端执行器选择能量水平。激活和控制特征部分的一个版本包括“浮动”按钮特征，其中基于按钮从原始位置的位移来实现激活和控制。在一些版本中，激活和控制特征部分被密封在手持件内，但是可以通过用户与手持件的接触来控制。密封构造可以允许手持件可以消毒，例如使用蒸汽灭菌。激活和控制特征部分可以包括电容开关，电阻传感器，谐振腔切换技术，红外感测技术，在由手指的存在所扰动的表面上使用共振驻波的技术和/或任何其它合适类型技术。

5. 发明专利

JP2013078585A Surgical generator for ultrasonic and electrosurgical device 审中-公开
标题翻译：超声和静电装置的外科发生器
公开(公告)号：JP2013078585A
公开(公告)日：2013-05-02
申请号：JP2012220201
申请日：2012-10-02
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： ALDRIDGE JEFFREY L , KEMERLING ROBERT A , TEBBE MARK E , PAPA CHRISTOPHER A , PRICE DANIEL W , WIENER EITAN T , MESSERLY JEFFREY D , YATES DAVID C , DAVISON MARK A , KILLINGER SCOTT B , MONSON GAVIN M , LAIRD ROBERT J , MILLER MATTHEW C
IPC分类号： A61B18/00 , A61B18/12
CPC分类号： A61B18/1206 , A61B17/320092 , A61B18/1445 , A61B2017/00199 , A61B2017/00482 , A61B2017/00973 , A61B2018/0016 , A61B2018/00172 , A61B2018/00875 , A61B2018/00928 , A61B2018/00988 , A61B2018/1273
摘要： PROBLEM TO BE SOLVED: To provide a generator to generate a drive signal to a surgical device.SOLUTION: The generator includes: an ultrasonic generator module to generate a first drive signal to drive an ultrasonic device; an electrosurgery/radio frequency (RF) generator module to generate a second drive signal to drive an electrosurgical device; and a foot switch coupled to each of the ultrasonic generator module and the electrosurgery/RF generator module. The foot switch is configured to operate in a first mode when the ultrasonic device is coupled to the ultrasonic generator module and the foot switch is configured to operate in a second mode when the electrosurgical device is coupled to the electrosurgery/RF generator module. The generator further includes a user interface to provide feedback in accordance with the operation of any one of the ultrasonic device and the electrosurgical device in accordance with a predetermined algorithm.
摘要翻译：要解决的问题：提供发电机以产生对外科装置的驱动信号。解决方案：发电机包括：超声波发生器模块，用于产生驱动超声装置的第一驱动信号; 一个电外科/射频（RF）发生器模块，用于产生驱动电外科装置的第二驱动信号; 以及耦合到每个超声波发生器模块和电外科/ RF发生器模块的脚踏开关。当超声波装置耦合到超声波发生器模块时，脚踏开关被配置为以第一模式操作，并且当电外科设备耦合到电外科/ RF发生器模块时，脚踏开关被配置为以第二模式操作。发生器还包括用户接口，以根据预定算法根据超声波装置和电外科设备中的任何一个的操作来提供反馈。版权所有（C）2013，JPO＆INPIT

6. 发明申请

WO2016060835A2 ACTIVATION FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT 审中-公开
标题翻译：超声外科仪器的活动特点
公开(公告)号：WO2016060835A2
公开(公告)日：2016-04-21
申请号：PCT/US2015052780
申请日：2015-09-29
申请人： ETHICON ENDO SURGERY INC
发明人： ALDRIDGE JEFFREY L , CONLON SEAN P , BOYD BENJAMIN M , PRICE DANIEL W , LEE JAMES G
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00017 , A61B2017/00367 , A61B2017/00371 , A61B2017/00389 , A61B2017/00407 , A61B2017/0042 , A61B2017/00424 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2018/00916 , A61B2018/0094 , A61N7/00 , H01H2221/016 , H01H2221/036 , H01H2300/014
摘要： An ultrasonic instrument comprises a handle assembly or other kind of body configured to receive an ultrasonic transducer and a shaft assembly having an acoustic waveguide and an ultrasonic blade. The ultrasonic blade is in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide. The ultrasonic instrument further comprises an actuation assembly disposed within the handle assembly. The actuation assembly includes a plurality of buttons disposed about the handle assembly in an angularly spaced array. Each button may be depressed independently of the rest to thereby actuate a switch assembly such that power is provided to the ultrasonic transducer, the acoustic waveguide, and the ultrasonic blade. The actuation assembly is operable to convert radial movement of the buttons into longitudinal, transverse, and/or pivotal movement that actuates the switch assembly.
摘要翻译：超声波仪器包括手柄组件或其他类型的主体，其构造成接收超声波换能器和具有声波导和超声波叶片的轴组件。超声波刀片与声波导声声通信，使得超声波换能器可操作以驱动超声波刀片经由声波导进行超声波振动。超声波仪器还包括设置在手柄组件内的致动组件。致动组件包括以角度间隔的阵列围绕手柄组件设置的多个按钮。每个按钮可以独立于其余按钮被按压，从而致动开关组件，使得向超声波换能器，声波导和超声波叶片提供功率。致动组件可操作以将按钮的径向移动转换成致动开关组件的纵向，横向和/或枢转运动。

7. 发明申请

WO2013181098A2 SURGICAL INSTRUMENT WITH ORIENTATION SENSING 审中-公开
标题翻译：手术仪器与方位感应
公开(公告)号：WO2013181098A2
公开(公告)日：2013-12-05
申请号：PCT/US2013042664
申请日：2013-05-24
申请人： ETHICON ENDO SURGERY INC
发明人： PRICE DANIEL W , RHEE SORA , KIMBALL CORY G , DIETZ TIMOTHY G , MADAN ASHVANI K , KORVICK DONNA L , STULEN FOSTER B , MESSERLY JEFFREY D , ARONHALT JACQUELINE C , DANNAHER WILLIAM D , SCHULTE JOHN B , SILKAITUS DANIUS P , BALEK STEPHEN J , LAMPING MICHAEL R , CLEM WILLIAM E
IPC分类号： A61B17/32 , A61B18/14
CPC分类号： A61B17/320092 , A61B18/1445 , A61B2017/00115 , A61B2017/00207 , A61B2017/0046 , A61B2017/00473 , A61B2018/00702 , A61B2018/00898 , A61B2018/00988 , A61B2034/2048 , A61B2090/064 , A61B2090/0814 , F04C2270/041
摘要： A surgical instrument comprises a body assembly and an end effector. The body assembly includes a control module, an orientation sensor communicatively coupled to the control module, and an energy component. The energy component is operable to activate the end effector at a plurality of energy settings. A storage device is communicatively coupled to the control module and includes a plurality of gesture profiles and corresponding energy settings. The control module is configured to set the energy setting of the energy component to a corresponding energy setting in response to a correlation between the output of the orientation sensor and a gesture profile. In some versions, the control module modifies the energy setting based upon output from a force sensor that measures the force on the end effector. The control module may also decrease the energy setting in response to an anomalous acceleration or deceleration detected by an accelerometer.
摘要翻译：手术器械包括主体组件和端部执行器。主体组件包括控制模块，通信地耦合到控制模块的定向传感器和能量部件。能量分量可操作以在多个能量设置下激活末端执行器。存储设备通信地耦合到控制模块并且包括多个手势简档和相应的能量设置。控制模块被配置为响应于定向传感器的输出和手势简档之间的相关性，将能量分量的能量设置设置为相应的能量设置。在一些版本中，控制模块基于来自测量末端执行器上的力的力传感器的输出来修改能量设定。控制模块还可以响应于由加速度计检测到的异常加速或减速而减小能量设定。

8. 发明申请

WO2013181099A2 SURGICAL INSTRUMENT WITH STRESS SENSOR 审中-公开
标题翻译：带应力传感器的手术仪器
公开(公告)号：WO2013181099A2
公开(公告)日：2013-12-05
申请号：PCT/US2013042668
申请日：2013-05-24
申请人： ETHICON ENDO SURGERY INC
发明人： DANNAHER WILLIAM D , PRICE DANIEL W , KIMBALL CORY G , STULEN FOSTER B , WIENER EITAN T , SCHULTE JOHN B , SILKAITUS DANIUS P , BALEK STEPHEN J , LAMPING MICHAEL R , ARONHALT JACQUELINE C , CLEM WILLIAM E
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B18/1402 , A61B2017/00473 , A61B2018/00702 , A61B2018/00708 , A61B2018/00988 , A61B2090/064
摘要： An apparatus includes an end effector, an energy component, a control module, and a directional force sensor assembly associated with the energy component and control module. The directional force assembly can include a piezoelectric disc, a piezoresistive element, an accelerometer, and/or a Hall Effect sensor. The end effector of the apparatus can include ultrasonic blade, an RF electrode. or a staple driving assembly. In some versions, the energy component includes an ultrasonic transducer. The control module may be configured to operate the energy component at a first energy setting in response to a first detected force and at a second energy setting in response to a second detected force. The apparatus may also include an activation feature to be operated by a user. In some versions the piezoelectric disc may include a plurality of segments and may be configured to induce movement in at least part of the energy component.
摘要翻译：一种装置包括端部执行器，能量部件，控制模块和与能量部件和控制模块相关联的定向力传感器组件。定向力组件可以包括压电盘，压阻元件，加速度计和/或霍尔效应传感器。该装置的末端执行器可以包括超声刀片，RF电极。或钉驱动组件。在一些版本中，能量分量包括超声换能器。控制模块可以被配置为响应于第一检测到的力而响应于第二检测力在第二能量设定下以第一能量设定操作能量分量。该装置还可以包括要由用户操作的激活特征。在一些形式中，压电盘可以包括多个段，并且可以被配置为在至少部分能量分量中引起运动。

9. 发明申请

WO2013154921A3 SWITCH ARRANGEMENTS FOR ULTRASONIC SURGICAL INSTRUMENTS 审中-公开
标题翻译：超声波手术器械的开关装置
公开(公告)号：WO2013154921A3
公开(公告)日：2013-12-05
申请号：PCT/US2013035364
申请日：2013-04-05
申请人： ETHICON ENDO SURGERY INC
发明人： TIMM RICHARD W , PRICE DANIEL W , KIRK JEFFREY T , VASQUEZ JOSE DOMINGO , DIETZ TIMOTHY G , SMITH RICHARD C , ASHER RYAN M , ALDRIDGE JEFFREY L , DAVIS CRAIG T , HENRY EMRON J , VOEGELE JAMES W , JOHNSON GREGORY W
IPC分类号： A61B17/32 , A61B18/12
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00367 , A61B2017/00371 , A61B2017/00424 , F04C2270/041
摘要： Switch assemblies for handheld ultrasonic surgical instruments. The switch assemblies may include a first switch arrangement that is operably supported on a forward portion of a handle housing of the surgical instrument and is selectively movable relative to at least one first switch contact. The switch assembles may further include a second switch arrangement that comprises at least one of a right switch button that is movably supported on a right side of the handle housing relative to at least one right contact and a left switch button that is movably supported on a left side of the handle housing that is selectively movable relative to at least one left contact.
摘要翻译：手持超声波手术器械的开关组件。开关组件可以包括第一开关装置，其可操作地支撑在手术器械的手柄壳体的前部上，并且可相对于至少一个第一开关触点选择性地移动。开关组件还可以包括第二开关装置，该第二开关装置包括相对于至少一个右接触件可移动地支撑在手柄壳体的右侧的右开关按钮和可移动地支撑在手柄壳体上的左开关按钮中的至少一个手柄壳体的左侧相对于至少一个左触点可选择性地移动。

10. 发明申请

WO2016044404A3 THERAPEUTIC AGENT DELIVERY DEVICE 审中-公开
标题翻译：治疗剂递送装置
公开(公告)号：WO2016044404A3
公开(公告)日：2016-06-09
申请号：PCT/US2015050394
申请日：2015-09-16
申请人： ETHICON ENDO SURGERY INC
发明人： TSAI MARK C , GATTON JR BRIAN M , KEANE MICHAEL F , KHAN ISAAC J , OBERKIRCHER BRENDAN J , PRICE DANIEL W
IPC分类号： A61M5/315
CPC分类号： A61F9/0008 , A61M5/2053 , A61M5/3137 , A61M5/31501 , A61M5/31505 , A61M5/3158 , A61M5/31595 , A61M2005/2086 , A61M2005/31508 , A61M2005/3154 , A61M2039/1077
摘要： A system (406) for storing and delivering a predetermined amount of fluid includes a syringe (402) including a barrel (408), a flange (422) disposed at the proximal end of the barrel, and a plunger assembly (436) configured to be received in the lumen (424) of the barrel. The plunger assembly includes a piston and a plunger rod (440). The plunger rod is removably couplable to the piston at the distal end of the plunger rod and includes a thumb press flange (438) at the proximal end of the plunger rod. The system further includes a stop feature (404) that is removably couplable to the syringe or the plunger assembly. The stop feature is configured to arrest distal advancement of the plunger assembly relative to the syringe when the plunger assembly reaches a predetermined position relative to the syringe. The stop thus ensures that a predetermined amount of fluid remains in the barrel.
摘要翻译：用于存储和输送预定量的流体的系统（406）包括：注射器（402），其包括筒体（408），设置在所述筒体的近端的凸缘（422）和柱塞组件（436）被容纳在枪管的内腔（424）中。柱塞组件包括活塞和柱塞杆（440）。柱塞杆可移动地联接到柱塞杆的远端处的活塞，并且在柱塞杆的近端处包括拇指按压凸缘（438）。系统还包括可拆卸地联接到注射器或柱塞组件的停止部件（404）。停止特征被配置为当柱塞组件相对于注射器到达预定位置时阻止柱塞组件相对于注射器的远端前进。因此，止挡件确保了预定量的流体保留在筒体中。

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