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1. 发明申请

WO2019069180A1 SURGICAL TOOLS WITH OCCLUDED BLADE 审中-公开
公开(公告)号：WO2019069180A1
公开(公告)日：2019-04-11
申请号：PCT/IB2018/057467
申请日：2018-09-26
申请人： ETHICON LLC
发明人： CREWS, Andrew , CHIRUMBOLO, Michael , HIBNER, John A. , NOBIS, Rudolph H.
IPC分类号： A61B17/04 , A61B17/295
CPC分类号： A61B17/0467 , A61B17/0469 , A61B17/0483 , A61B17/062 , A61B17/295 , A61B17/3201 , A61B34/30 , A61B34/71 , A61B2017/047 , A61B2017/2941 , A61B2017/2947 , A61B2034/305
摘要： Surgical tools that are capable of both manipulating a needle and cutting surgical thread during a suturing operation can sometimes be problematic due to inadvertent severing of the surgical thread. Surgical tools capable of exposing a bladed cutting surface only when severing of surgical thread is desired can substantially alleviate this issue. Such surgical tools may comprise an end effector comprising an end effector axle, a first jaw and a second jaw rotatably mounted to the end effector axle, and a first cutting body having a first blade and second cutting body having a second blade. The first cutting body is configured to move in tandem with the first jaw and the second cutting body is configured to move in tandem with the second jaw, such that the first and second blades are occluded when the first and second jaws are closed or partially opened.

2. 发明申请

WO2018093536A1 METHOD OF TREATING TISSUE USING END EFFECTOR WITH ULTRASONIC AND ELECTROSURGICAL FEATURES 审中-公开
公开(公告)号：WO2018093536A1
公开(公告)日：2018-05-24
申请号：PCT/US2017/057871
申请日：2017-10-23
申请人： ETHICON LLC
发明人： JOHNSON, Gregory W. , LESKO, Jason R. , ESTERA, Frederick , KRUMM, Amy M. , CORBETT, Catherine A. , WEISENBURGH, II, William B. , WORRELL, Barry C. , DAVISON, Mark A. , BOUDREAUX, Chad P. , HIBNER, John A. , CUMMINGS, Nathan , GENTRY, Ellen , DANNAHER, William D. , HOUGH, Christina M. , ISOSAKI, Joseph , FALLER, Craig N. , WAN, Shan , BROWN, Adam , OTREMBIAK, Candice , WIENER, Eitan T. , MESSERLY, Jeffrey D. , CHEN, Kai , MILLER, Matthew C. , CLEM, William E.
IPC分类号： A61B18/14 , A61B17/32
摘要： An end effector of an instrument is positioned in a patient. An ultrasonic blade of the end effector is positioned against tissue in the patient. The ultrasonic blade is activated to vibrate ultrasonically while the ultrasonic blade is positioned against tissue. At least one electrode of the end effector is positioned against tissue in the patient. The at least one electrode is activated to apply RF electrosurgical energy to tissue against which the at least one electrode is positioned against tissue.

3. 发明申请

WO2017173061A1 SURGICAL INSTRUMENT WITH DUAL MODE ARTICULATION DRIVE 审中-公开
标题翻译：带双模式手术器械的手术器械
公开(公告)号：WO2017173061A1
公开(公告)日：2017-10-05
申请号：PCT/US2017/024983
申请日：2017-03-30
申请人： ETHICON LLC
发明人： HIBNER, John A.
IPC分类号： A61B17/32 , A61B17/29
摘要： A surgical instrument includes a shaft assembly and an articulation control assembly. The shaft assembly includes an articulation section. The distal end of the shaft assembly is configured to receive an end effector. The articulation section is configured to deflect the end effector from the longitudinal axis. The articulation control assembly includes a first articulation control member, a second articulation control member, and a transmission assembly. The transmission assembly includes a high ratio drive and a low ratio drive. The high ratio drive is configured to drive the articulation section to deflect the end effector at a high rate of articulation in response to actuation of the first articulation control member. The low ratio drive is configured to drive the articulation section to deflect the end effector at a low rate of articulation in response to actuation of the second articulation control member.
摘要翻译：手术器械包括轴组件和关节运动控制组件。轴组件包括关节部分。轴组件的远端构造成接收端部执行器。关节部分构造成使端部执行器从纵向轴线偏转。关节运动控制组件包括第一关节运动控制构件，第二关节运动控制构件和传动组件。变速器组件包括高比率驱动器和低比率驱动器。高比率驱动器构造成响应于第一关节控制构件的致动而驱动关节运动区段以高关节运动速度偏转末端执行器。低比率驱动器被配置为响应于第二关节控制构件的致动而驱动关节运动区段以低关节运动速度偏转末端执行器。

4. 发明申请

WO2017176755A3 SURGICAL INSTRUMENT WITH LOCKING ARTICULATION DRIVE WHEEL 审中-公开
标题翻译：带锁定传动轮的外科手术器械
公开(公告)号：WO2017176755A3
公开(公告)日：2017-10-12
申请号：PCT/US2017/025944
申请日：2017-04-04
申请人： ETHICON LLC
发明人： HIBNER, John A. , WORRELL, Barry C. , JOHNSON, Gregory W. , DICKERSON, Benjamin D. , MARTIN, David T , MUMAW, Daniel J.
IPC分类号： A61B17/32 , A61B17/29
摘要： A surgical instrument (210) includes a shaft assembly (212) and an articulation control assembly (218). The shaft assembly (212) includes an articulation section (130) that is configured to deflect a distal end portion from the longitudinal axis. The articulation control assembly (218) includes an articulation control member (222) and a transmission assembly (226, 426, 726). The articulation control member (222) is rotatably mounted relative to the shaft assembly (212, 214, 216, 30, 712). The transmission assembly (226) is operatively connected between the articulation control member (222) and the articulation section (130) of the shaft assembly (212). The transmission assembly (226) is configured to transmit selective manipulation of the articulation control member (222) to the articulation section (130) and selectively actuate the articulation section (130). The articulation control assembly (218) is configured to lock without selective manipulation of the articulation control member (222) to thereby inhibit actuation of the articulation section (130) and unlock with selective manipulation of the articulation control member (222) to thereby actuate the articulation section (130).
摘要翻译：外科器械（210）包括轴组件（212）和关节运动控制组件（218）。轴组件（212）包括铰接部分（130），该铰接部分构造成使远端部分从纵向轴线偏转。关节运动控制组件（218）包括关节运动控制构件（222）和传动组件（226,426,726）。关节运动控制构件（222）相对于轴组件（212,214,216,30,712）可旋转地安装。传动组件（226）可操作地连接在关节运动控制构件（222）和轴组件（212）的关节运动区段（130）之间。传动组件（226）构造成将关节运动控制构件（222）的选择性操纵传递到关节运动区段（130）并且选择性地启动关节运动区段（130）。关节式运动控制组件218构造成在没有选择性地操纵关节式运动控制构件222的情况下锁定，从而通过选择性地操纵关节式运动控制构件222来禁止关节式运动区段130的致动并且解锁以由此致动关节部分（130）。

5. 发明申请

WO2018104815A1 SURGICAL TOOL WRISTS 审中-公开
公开(公告)号：WO2018104815A1
公开(公告)日：2018-06-14
申请号：PCT/IB2017/057074
申请日：2017-11-13
申请人： ETHICON LLC
发明人： REMM, Thomas B. , HIBNER, John A. , ZIMMER, Timothy J. , BIRRI, Christopher William Long
IPC分类号： A61B34/30 , A61B34/00 , A61B17/29
摘要： Various exemplary surgical tool wrists are provided. In general, a surgical tool can include an elongate shaft and a wrist that couples an end effector to a distal end of the shaft. The surgical tool can include multiple elongate members configured to move, either individually or as a group of two or more of the elongate members, to cause movement of the end effector relative to the shaft. Each of the surgical tool's elongate members can be configured to extend along a helical path. Each of the elongate members can extend proximally from its associated helical path to a pulley at the wrist. The helical paths can be configured to guide the elongate members to approach and engage their respective pulleys at a substantially zero angle.

6. 发明申请

WO2017176761A1 SURGICAL INSTRUMENT WITH SELECTIVELY LOCKED ARTICULATION ASSEMBLY 审中-公开
标题翻译：手术器械选择性锁定组合
公开(公告)号：WO2017176761A1
公开(公告)日：2017-10-12
申请号：PCT/US2017/025952
申请日：2017-04-04
申请人： ETHICON LLC
发明人： HIBNER, John A. , BYRUM, Randal T. , TELLIO, Karalyn R. , GROENE, David C. , DICKERSON, Benjamin D.
IPC分类号： A61B17/32 , A61B17/29
摘要： An apparatus for operating on tissue includes a body (22) assembly, a shaft assembly (30), an acoustic waveguide (180), an articulation section (130), an articulation control assembly (100), an end effector (40), and an articulation lock. A portion of the articulation section (130) encompasses a flexible portion (166) of the waveguide (180). The articulation includes a first member (161) and a second member (162) that is longitudinally translatable relative to the first member. The articulation control assembly (100) is configured to move relative to the shaft assembly (30) in order to longitudinally translate the second member (162) relative to the first member (161). The end effector (40) includes an ultrasonic blade (160) in acoustic communication with the waveguide (180). The articulation lock is configured to prevent movement of the articulation control assembly (100) relative to the shaft assembly (30).
摘要翻译：用于在组织上操作的设备包括主体（22）组件，轴组件（30），声波导（180），关节部分（130），关节式运动控制组件（100），末端执行器（40）和关节运动锁。关节部分130的一部分包围波导180的柔性部分166。铰接件包括相对于第一构件纵向可平移的第一构件（161）和第二构件（162）。关节运动控制组件（100）构造成相对于轴组件（30）运动，以便相对于第一构件（161）纵向平移第二构件（162）。末端执行器（40）包括与波导（180）声学连通的超声刀（160）。关节运动锁构造成防止关节运动控制组件（100）相对于轴组件（30）的运动。

7. 发明申请

WO2020099982A1 USAGE AND PROCEDURE COUNTER FOR SURGICAL TOOLS 审中-公开
公开(公告)号：WO2020099982A1
公开(公告)日：2020-05-22
申请号：PCT/IB2019/059510
申请日：2019-11-05
申请人： ETHICON LLC
发明人： HIBNER, John A. , CREWS, Andrew
IPC分类号： A61B17/00 , A61B34/37 , A61B90/00
摘要： A method of operating a surgical tool includes mounting the surgical tool to a tool driver. The surgical tool includes one or more drive cables movable to actuate an end effector, and one or more segments are defined along a portion of at least one of the one or more drive cables and each segment exhibits a usage value. Usage of the drive cables is monitored with a computer system in communication with the tool driver, and the usage value of one or more of the segments is altered based on usage of the surgical tool.

8. 发明申请

WO2019069181A1 ELECTRICAL ISOLATION OF ELECTROSURGICAL INSTRUMENTS 审中-公开
公开(公告)号：WO2019069181A1
公开(公告)日：2019-04-11
申请号：PCT/IB2018/057468
申请日：2018-09-26
申请人： ETHICON LLC
发明人： ZABOTKIN, Konstantin , WORRELL, Barry C. , MURRELL, Niko , HIBNER, John A.
IPC分类号： A61B18/14 , A61B34/00 , A61B18/00 , A61B34/30
CPC分类号： A61B18/1445 , A61B18/1206 , A61B18/16 , A61B34/30 , A61B34/37 , A61B34/71 , A61B34/74 , A61B2017/00473 , A61B2018/00077 , A61B2018/00083 , A61B2018/00208 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/1253 , A61B2018/126 , A61B2018/1422 , A61B2018/146 , A61B2034/305
摘要： A surgical tool that includes a drive housing, an elongate shaft that extends from the drive housing, and an end effector arranged at a distal end of the elongate shaft and having a jaw and a jaw holder that secures the jaw. A wrist couples the end effector to the elongate shaft and includes a distal clevis having an axle that rotatably mounts the jaw holder to the distal clevis. An electrical conductor extends from the drive housing and supplies electrical energy to the jaw via a supply conductor. At least one of the jaw holder and the axle is made of a non- conductive material that insulates the distal clevis from the electrical energy provided to the jaw.

9. 发明申请

WO2018005478A1 ULTRASONIC SURGICAL INSTRUMENT WITH CLAMP ARM DEFLECTION FEATURE 审中-公开
标题翻译：超声手术仪器与钳位臂挠曲特征
公开(公告)号：WO2018005478A1
公开(公告)日：2018-01-04
申请号：PCT/US2017/039485
申请日：2017-06-27
申请人： ETHICON LLC
发明人： HIBNER, John A.
IPC分类号： A61B17/32 , A61B17/29
摘要： An apparatus includes a shaft assembly (350) and an end effector (380). The shaft assembly (350) includes a first tube (352), a second tube (370), and a distally projecting tongue (372). The second tube (370) is coaxially disposed within the first tube (352). One of the first tube (352) or the second tube (370) is configured to translate relative to the other of the first tube (352) or the second tube (370). The tongue (372) is fixed to either the first tube (352) or the second tube (370). The end effector (380) includes an ultrasonic blade (390) and a clamp arm (382). The clamp arm (382) is pivotally coupled to the tongue (372). The clamp arm (382) is configured to pivot toward and away from the ultrasonic blade (390) in response to relative translation between the first and second tubes (352,370). The tongue (372) is configured to flex relative to the first tube (352) and the second tube (370) in response to the clamp arm (382) grasping tissue.
摘要翻译：装置包括轴组件（350）和端部执行器（380）。轴组件（350）包括第一管（352），第二管（370）以及远侧突出的舌状物（372）。第二管（370）同轴地设置在第一管（352）内。第一管（352）或第二管（370）中的一个被构造成相对于第一管（352）或第二管（370）中的另一个平移。舌（372）固定到第一管（352）或第二管（370）。末端执行器（380）包括超声刀（390）和夹臂（382）。夹臂（382）枢转地联接到舌部（372）。夹臂（382）构造成响应于第一和第二管（352,370）之间的相对平移而朝向和远离超声刀（390）枢转。舌片（372）构造成响应夹持臂（382）抓握组织而相对于第一管（352）和第二管（370）弯曲。

10. 发明申请

WO2017176755A2 SURGICAL INSTRUMENT WITH LOCKING ARTICULATION DRIVE WHEEL 审中-公开
标题翻译：带锁定传动轮的外科手术器械
公开(公告)号：WO2017176755A2
公开(公告)日：2017-10-12
申请号：PCT/US2017/025944
申请日：2017-04-04
申请人： ETHICON LLC
发明人： HIBNER, John A. , WORRELL, Barry C. , JOHNSON, Gregory W. , DICKERSON, Benjamin D. , MARTIN, David T , MUMAW, Daniel J.
IPC分类号： A61B17/32 , A61B17/29
CPC分类号： A61B17/00234 , A61B17/2909 , A61B17/320092 , A61B2017/00327 , A61B2017/00424 , A61B2017/2905 , A61B2017/2913 , A61B2017/2916 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2946 , A61B2017/320094 , A61B2017/320095
摘要： A surgical instrument includes a shaft assembly and an articulation control assembly. The shaft assembly includes an articulation section that is configured to deflect a distal end portion from the longitudinal axis. The articulation control assembly includes an articulation control member and a transmission assembly. The articulation control member is rotatably mounted relative to the shaft assembly. The transmission assembly is operatively connected between the articulation control member and the articulation section of the shaft assembly. The transmission assembly is configured to transmit selective manipulation of the articulation control member to the articulation section and selectively actuate the articulation section. The articulation control assembly is configured to lock without selective manipulation of the articulation control member to thereby inhibit actuation of the articulation section and unlock with selective manipulation of the articulation control member to thereby actuate the articulation section.
摘要翻译：手术器械包括轴组件和关节运动控制组件。轴组件包括铰接部分，该铰接部分构造成使远端部分从纵向轴线偏转。关节运动控制组件包括关节运动控制构件和传动组件。关节运动控制构件相对于轴组件可旋转地安装。变速器组件可操作地连接在关节式运动控制构件和轴组件的关节式运动部分之间。传动组件构造成将关节运动控制构件的选择性操纵传递到关节运动区段并选择性地启动关节运动区段。关节式运动控制组件被构造成在没有选择性地操纵关节式运动控制构件的情况下进行锁定，从而禁止关节式运动区段的致动，并且通过选择性地操纵关节式运动控制构件来解锁，从而致动关节式运动区段。

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