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1. 发明授权

US08083120B2 End effector for use with a surgical cutting and stapling instrument 有权
标题翻译：末端执行器，用于手术切割和缝合器械
公开(公告)号：US08083120B2
公开(公告)日：2011-12-27
申请号：US12212938
申请日：2008-09-18
申请人： Frederick E. Shelton, IV , Richard F. Schwemberger , David C. Yates , Richard C. Smith
发明人： Frederick E. Shelton, IV , Richard F. Schwemberger , David C. Yates , Richard C. Smith
IPC分类号： A61B17/68
CPC分类号： A61B17/07207 , A61B90/30 , A61B2017/07214 , A61B2017/07271 , A61B2090/0811
摘要： An end effector for a surgical cutting and stapling instrument. In various embodiments, the end effector may include an elongate channel that is configured to support a staple cartridge therein and which is also operably coupled to a surgical cutting and stapling instrument. An anvil may be movably supported relative to the elongate channel for selective movement between an open position and a closed position wherein tissue is clamped between the anvil and a staple cartridge supported within the elongate channel in response to a closing motion applied thereto from the surgical cutting and stapling instrument. At least one light source may be provided on at least one of the staple cartridge and the elongate channel. The light sources may interface with the anvil to provide a visual indication viewable through a portion of the anvil to indicate a position of tissue clamped between the anvil and the staple cartridge.
摘要翻译：用于外科切割和吻合器械的末端执行器。在各种实施例中，末端执行器可以包括细长通道，该细长通道被配置成在其中支撑钉仓，并且还可操作地联接到手术切割和缝合器械。可以相对于细长通道可移动地支撑砧座，用于在打开位置和关闭位置之间进行选择性移动，其中组织被夹持在砧座和支撑在细长通道内的钉仓筒之间，以响应于从外科切割器施加到其上的闭合运动和装订仪器。至少一个光源可以设置在钉仓和细长通道中的至少一个上。光源可以与砧座接触以提供通过砧座的一部分可视的可视指示，以指示夹在砧座和钉仓之间的组织的位置。

2. 发明授权

US08453907B2 Motor driven surgical fastener device with cutting member reversing mechanism 有权
标题翻译：具有切割构件反转机构的电机驱动手术紧固装置
公开(公告)号：US08453907B2
公开(公告)日：2013-06-04
申请号：US12846249
申请日：2010-07-29
申请人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
发明人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/30 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2946 , A61B2017/320052 , A61B2090/304 , A61B2090/306 , A61B2090/309
摘要： A surgical fastener apparatus including a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector comprising a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position, and a cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners. An electrically activated reverse mechanism for moving the elongated member from a distal most position within the end effector to a proximal position, the electrically activated reverse mechanism moves the elongated member proximally after the elongated member has moved to the distal most position by moving the trigger to the open position, and wherein after activation of the reverse mechanism proximal movement of the elongated member can be stopped by returning the trigger to its closed position.
摘要翻译：一种手术紧固装置，其包括手柄，细长轴，其具有附接到手柄的近端和从其延伸的远端。末端执行器包括在其近端处枢转并且可在打开和关闭位置之间枢转的一对钳口和包含多个外科紧固件的药筒，所述药筒附接到末端执行器。用于部署外科紧固件的电动致动器。一种用于将细长构件从末端执行器中的最远位置移动到近端位置的电激活反向机构，电激活的反向机构在细长构件已经通过将触发器移动到最远位置之后向近侧移动细长构件打开位置，并且其中在启动反向机构之后，细长构件的近端运动可以通过使扳机返回到其关闭位置来停止。

3. 发明申请

US20110006103A1 MOTOR DRIVEN SURGICAL FASTENER DEVICE WITH CUTTING MEMBER REVERSING MECHANISM 有权
标题翻译：具有切割构件反转机构的电机驱动手术紧固器装置
公开(公告)号：US20110006103A1
公开(公告)日：2011-01-13
申请号：US12846249
申请日：2010-07-29
申请人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
发明人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/30 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2946 , A61B2017/320052 , A61B2090/304 , A61B2090/306 , A61B2090/309
摘要： A surgical fastener apparatus including a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector comprising a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position, and a cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners. An electrically activated reverse mechanism for moving the elongated member from a distal most position within the end effector to a proximal position, the electrically activated reverse mechanism moves the elongated member proximally after the elongated member has moved to the distal most position by moving the trigger to the open position, and wherein after activation of the reverse mechanism proximal movement of the elongated member can be stopped by returning the trigger to its closed position.
摘要翻译：一种手术紧固装置，其包括手柄，细长轴，其具有附接到手柄的近端和从其延伸的远端。末端执行器包括在其近端处枢转并且可在打开和关闭位置之间枢转的一对钳口和包含多个外科紧固件的药筒，所述药筒附接到末端执行器。用于部署外科紧固件的电动致动器。一种用于将细长构件从末端执行器中的最远位置移动到近端位置的电激活反向机构，电激活的反向机构在细长构件已经通过将触发器移动到最远位置之后向近侧移动细长构件打开位置，并且其中在启动反向机构之后，细长构件的近端运动可以通过使扳机返回到其关闭位置来停止。

4. 发明申请

US20110006101A1 MOTOR DRIVEN SURGICAL FASTENER DEVICE WITH CUTTING MEMBER LOCKOUT ARRANGEMENTS 审中-公开
标题翻译：具有切割构件的电机驱动的外科紧固件装置锁定装置
公开(公告)号：US20110006101A1
公开(公告)日：2011-01-13
申请号：US12846228
申请日：2010-07-29
申请人： Steven G. Hall , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , Ryan J. Laurent , David C. Yates , Frederick E. Shelton, IV , Chad P. Boudreaux
发明人： Steven G. Hall , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , Ryan J. Laurent , David C. Yates , Frederick E. Shelton, IV , Chad P. Boudreaux
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/30 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2946 , A61B2017/320052 , A61B2090/304 , A61B2090/306 , A61B2090/309
摘要： A surgical fastener apparatus having a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector including a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position. A cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners, the actuator having a power source and a motor. A first trigger attached to the handle for moving the end effector from the open to the closed position, and a second trigger attached to the handle for activating the actuator. A first lockout mechanism for preventing current from flowing from the power source to the motor unless the end effector is in its closed position a second lockout mechanism having a locked and unlocked position, the second lockout mechanism for preventing movement of the second trigger until the second lockout mechanism is moved to the unlocked position.
摘要翻译：具有手柄的外科紧固器装置，具有附接到手柄的近端的细长轴和从其延伸的远端。一个末端执行器，包括在其近端枢转并可在打开和关闭位置之间移动的一对夹爪。一个包含多个外科紧固件的药筒，该药筒连接在末端执行器上。一种用于部署外科紧固件的电动致动器，致动器具有动力源和马达。附接到手柄的第一触发器，用于将末端执行器从打开位置移动到关闭位置，以及附接到手柄的第二触发器，用于启动致动器。第一锁定机构，用于防止电流从电源流到电动机，除非末端执行器处于其关闭位置，具有锁定和解锁位置的第二锁定机构，第二锁定机构，用于防止第二触发器的运动直到第二触发器锁定机构移动到解锁位置。

5. 发明授权

US09289212B2 Surgical instruments and batteries for surgical instruments 有权
标题翻译：手术器械和手术器械电池
公开(公告)号：US09289212B2
公开(公告)日：2016-03-22
申请号：US12884838
申请日：2010-09-17
申请人： Frederick E. Shelton, IV , Richard F. Schwemberger , Daniel J. Abbott , Bret W. Smith , David C. Yates , Patrick M. Schleitweiler , Chad P. Boudreaux
发明人： Frederick E. Shelton, IV , Richard F. Schwemberger , Daniel J. Abbott , Bret W. Smith , David C. Yates , Patrick M. Schleitweiler , Chad P. Boudreaux
IPC分类号： A61B17/00 , A61B17/072 , A61B17/10 , A61B1/00 , A61B1/313 , H01M2/10 , H02J7/00 , A61B17/29 , A61B17/32
CPC分类号： A61B17/105 , A61B1/00027 , A61B1/3132 , A61B17/07207 , A61B18/00 , A61B2017/00398 , A61B2017/00734 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , A61B2018/1226 , H01M2/105 , H02J7/0042
摘要： Various embodiments are directed to battery packs for use with surgical instruments. The battery packs may comprise a plurality of cells and at least a portion of the plurality of cells may not be electrically connected to one another. The battery packs may comprise a switch or other mechanism for interconnecting the plurality of cells and may also comprise, or be used in conjunction with, a discharge switch or plug configured to electrically connect an anode of the battery pack to a cathode of the battery pack, for example, via a resistive element.
摘要翻译：各种实施例涉及用于手术器械的电池组。电池组可以包括多个电池，并且多个电池的至少一部分可以不彼此电连接。电池组可以包括用于互连多个单元的开关或其他机构，并且还可以包括放电开关或插头，其被配置为将电池组的阳极电连接到电池组的阴极例如通过电阻元件。

6. 发明申请

US20120071711A1 SURGICAL INSTRUMENTS AND BATTERIES FOR SURGICAL INSTRUMENTS 有权
标题翻译：外科手术器械和手术器械电池
公开(公告)号：US20120071711A1
公开(公告)日：2012-03-22
申请号：US12884838
申请日：2010-09-17
申请人： Frederick E. Shelton, IV , Richard F. Schwemberger , Daniel J. Abbott , Bret W. Smith , David C. Yates , Patrick M. Schleitweiler , Chad P. Boudreaux
发明人： Frederick E. Shelton, IV , Richard F. Schwemberger , Daniel J. Abbott , Bret W. Smith , David C. Yates , Patrick M. Schleitweiler , Chad P. Boudreaux
IPC分类号： A61B1/00
CPC分类号： A61B17/105 , A61B1/00027 , A61B1/3132 , A61B17/07207 , A61B18/00 , A61B2017/00398 , A61B2017/00734 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , A61B2018/1226 , H01M2/105 , H02J7/0042
摘要： Various embodiments are directed to battery packs for use with surgical instruments. The battery packs may comprise a plurality of cells and at least a portion of the plurality of cells may not be electrically connected to one another. The battery packs may comprise a switch or other mechanism for interconnecting the plurality of cells and may also comprise, or be used in conjunction with, a discharge switch or plug configured to electrically connect an anode of the battery pack to a cathode of the battery pack, for example, via a resistive element.
摘要翻译：各种实施例涉及用于手术器械的电池组。电池组可以包括多个电池，并且多个电池的至少一部分可以不彼此电连接。电池组可以包括用于互连多个单元的开关或其他机构，并且还可以包括放电开关或插头，其被配置为将电池组的阳极电连接到电池组的阴极例如通过电阻元件。

7. 发明授权

US07922061B2 Surgical instrument with automatically reconfigurable articulating end effector 有权
标题翻译：具有自动可重新配置的关节末端执行器的手术器械
公开(公告)号：US07922061B2
公开(公告)日：2011-04-12
申请号：US12124655
申请日：2008-05-21
申请人： Frederick E. Shelton, IV , David C. Yates , Richard C. Smith
发明人： Frederick E. Shelton, IV , David C. Yates , Richard C. Smith
IPC分类号： A61B17/32
CPC分类号： A61B17/07207 , A61B2017/00022 , A61B2017/0003 , A61B2017/00039 , A61B2017/00539 , A61B2017/2927 , A61B2090/067
摘要： A surgical instrument, such as a surgical cutting and fastening instrument, with an automatically articulatable end effector. The surgical instrument may comprise an end effector, a shaft, and an articulatable joint assembly connected between the end effector and the shaft. The joint assembly comprises at least one motor for articulating the end effector relative to the shaft. The joint assembly comprises at least one articulation sensor for sensing articulation of the end effector relative to the shaft. The instrument further comprises a control unit in communication with the articulation sensor and the motor. The control unit comprises at least one memory unit for storing articulation data from the at least one articulation sensor. When activated, the control unit sends control signals to the motor of the joint assembly to articulate automatically the end effector to a desired position based on the articulation data from the articulation sensor that is stored in the memory unit of the control unit.
摘要翻译：外科手术器械，例如手术切割和紧固器械，具有可自动铰接的端部执行器。外科器械可以包括端部执行器，轴和连接在端部执行器和轴之间的可铰接接头组件。接头组件包括至少一个用于使端部执行器相对于轴铰接的马达。接头组件包括至少一个关节传感器，用于感测端部执行器相对于轴的铰接。该仪器还包括与关节传感器和马达连通的控制单元。控制单元包括用于存储来自至少一个关节传感器的关节数据的至少一个存储单元。当被激活时，控制单元将控制信号发送到接头组件的电动机，以基于存储在控制单元的存储单元中的关节传感器的关节数据自动地将端部执行器自动地关闭到期望的位置。

8. 发明申请

US20090289096A1 SURGICAL INSTRUMENT WITH AUTOMATICALLY RECONFIGURABLE ARTICULATING END EFFECTOR 有权
标题翻译：手术仪器具有自动可重新配置的终点效应
公开(公告)号：US20090289096A1
公开(公告)日：2009-11-26
申请号：US12124655
申请日：2008-05-21
申请人： Frederick E. Shelton, IV , David C. Yates , Richard C. Smith
发明人： Frederick E. Shelton, IV , David C. Yates , Richard C. Smith
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00022 , A61B2017/0003 , A61B2017/00039 , A61B2017/00539 , A61B2017/2927 , A61B2090/067
摘要： A surgical instrument, such as a surgical cutting and fastening instrument, with an automatically articulatable end effector. The surgical instrument may comprise an end effector, a shaft, and an articulatable joint assembly connected between the end effector and the shaft. The joint assembly comprises at least one motor for articulating the end effector relative to the shaft. The joint assembly comprises at least one articulation sensor for sensing articulation of the end effector relative to the shaft. The instrument further comprises a control unit in communication with the articulation sensor and the motor. The control unit comprises at least one memory unit for storing articulation data from the at least one articulation sensor. When activated, the control unit sends control signals to the motor of the joint assembly to articulate automatically the end effector to a desired position based on the articulation data from the articulation sensor that is stored in the memory unit of the control unit.
摘要翻译：外科手术器械，例如手术切割和紧固器械，具有可自动铰接的端部执行器。外科器械可以包括端部执行器，轴和连接在端部执行器和轴之间的可铰接接头组件。接头组件包括至少一个用于使端部执行器相对于轴铰接的马达。接头组件包括至少一个关节传感器，用于感测端部执行器相对于轴的铰接。该仪器还包括与关节传感器和马达连通的控制单元。控制单元包括用于存储来自至少一个关节传感器的关节数据的至少一个存储单元。当被激活时，控制单元将控制信号发送到接头组件的电动机，以基于存储在控制单元的存储单元中的关节传感器的关节数据自动地将端部执行器自动地关闭到期望的位置。

9. 发明授权

US08608045B2 Powered surgical cutting and stapling apparatus with manually retractable firing system 有权
标题翻译：动力手术切割和手动收缩装置
公开(公告)号：US08608045B2
公开(公告)日：2013-12-17
申请号：US12249117
申请日：2008-10-10
申请人： Bret W. Smith , Daniel J. Abbott , Richard F. Schwemberger , Frederick E. Shelton, IV , Chad P. Boudreaux , Brelt E. Swensgard , Ryan J. Laurent
发明人： Bret W. Smith , Daniel J. Abbott , Richard F. Schwemberger , Frederick E. Shelton, IV , Chad P. Boudreaux , Brelt E. Swensgard , Ryan J. Laurent
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/10 , A61B2017/00398 , A61B2017/00734 , A61B2017/2923 , A61B2017/2927 , A61B2017/2946 , A61B2017/320052 , G06F19/00
摘要： In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.
摘要翻译：在一个一般方面，本发明的各种实施例可以包括具有驱动轴的电动外科切割和紧固器具，可选择地与驱动轴接合的电机以及被配置为将马达与驱动轴可操作地分离的手动返回机构，以及缩回驱动轴。在至少一个实施例中，手术器械的外科医生或其他操作者可以使用手动返回机构在驱动轴前进后缩回，特别是当马达或供应马达的电源发生故障时，或否则不能提供足以缩回驱动轴的力。

10. 发明授权

US09289256B2 Surgical end effectors having angled tissue-contacting surfaces 有权
标题翻译：外科终端执行器具有成角度的组织接触表面
公开(公告)号：US09289256B2
公开(公告)日：2016-03-22
申请号：US13536326
申请日：2012-06-28
申请人： Frederick E. Shelton, IV , Chester O. Baxter, III , David C. Yates
发明人： Frederick E. Shelton, IV , Chester O. Baxter, III , David C. Yates
IPC分类号： A61B18/14 , A61B17/29 , A61B17/00
CPC分类号： A61B34/70 , A61B17/29 , A61B17/295 , A61B17/320016 , A61B18/1442 , A61B18/18 , A61B2017/00199 , A61B2017/00212 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00327 , A61B2017/2927
摘要： Surgical end effectors are disclosed having angled tissue-contacting surfaces. The end effectors may have a first jaw member that is movable relative to a second jaw member between an open position and a closed position. The first jaw member may have a first positively-angled tissue-contacting surface. The second jaw member may have a second positively-angled tissue-contacting surface. At least one of the jaw members may have at least one active electrode configured to deliver RF energy to tissue located between the first jaw member and the second jaw member when in the closed position.
摘要翻译：公开了具有成角度的组织接触表面的手术末端执行器。末端执行器可以具有第一钳口构件，其可以在打开位置和关闭位置之间相对于第二钳口构件移动。第一钳口构件可以具有第一有角度的组织接触表面。第二钳口构件可以具有第二主角组织接触表面。至少一个钳口构件可以具有至少一个有源电极，其构造成当处于关闭位置时将RF能量递送到位于第一钳口构件和第二钳口构件之间的组织。

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