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1. 发明授权

US06214023B1 Ultrasonic surgical instrument with removable clamp arm 有权
标题翻译：超声波手术器具可拆卸夹臂
公开(公告)号：US06214023B1
公开(公告)日：2001-04-10
申请号：US09337077
申请日：1999-06-21
申请人： Gary Whipple , David L. Hunt , Richard F. Schwemberger
发明人： Gary Whipple , David L. Hunt , Richard F. Schwemberger
IPC分类号： A61B1732
CPC分类号： A61B17/320092 , A61B2017/00362 , A61B2017/2931
摘要： The present invention describes ultrasonic surgical instruments that include a mechanism for clamping tissue against an ultrasonic blade, including an arrangement for detachably mounting a clamp arm to the instrument. The ultrasonic surgical instrument comprises a waveguide adapted to be acoustically coupled to an ultrasonic transducer, and to transmit ultrasonic energy to an end-effector located at the distal end of the waveguide. A support tube extends from a handle assembly and surrounds at least a portion of the waveguide, terminating proximal to the end-effector. A clamp arm is detachably mounted to the distal end of the support tube. An actuation element is operatively coupled to the clamp arm. The ultrasonic surgical instrument may also include a clamp arm release. The actuation element comprises a first range of motion and a second range of motion, whereby moving the clamp arm release from a second position to a first position increases allowable motion of the actuation element from the second range of motion to the first range of motion, thereby facilitating release of the clamp arm from the support tube. The ultrasonic surgical instrument may include the capability for the clamp arm, actuation element, support tube and waveguide to rotate within the handle assembly.
摘要翻译：本发明描述了超声外科器械，其包括用于将组织夹紧在超声波刀片上的机构，包括用于将夹紧臂可拆卸地安装到仪器上的装置。超声波外科器械包括适于与超声波换能器声学耦合的波导，并将超声能量传输到位于波导远端的末端执行器。支撑管从手柄组件延伸并且围绕波导的至少一部分，终止于末端执行器。夹臂可拆卸地安装到支撑管的远端。致动元件可操作地联接到夹紧臂。超声外科器械还可以包括夹臂释放。致动元件包括第一运动范围和第二运动范围，由此将夹持臂释放从第二位置移动到第一位置增加致动元件从第二运动范围到第一运动范围的允许运动，从而便于夹持臂从支撑管释放。超声波手术器械可以包括夹持臂，致动元件，支撑管和波导在手柄组件内旋转的能力。

2. 发明授权

US08852216B2 Tissue approximation methods 有权
标题翻译：组织近似方法
公开(公告)号：US08852216B2
公开(公告)日：2014-10-07
申请号：US11690196
申请日：2007-03-23
申请人： Michael S. Cropper , John P. Measamer , Richard C. Smith , Richard F. Schwemberger
发明人： Michael S. Cropper , John P. Measamer , Richard C. Smith , Richard F. Schwemberger
IPC分类号： A61B17/08 , A61B17/128 , A61B17/00 , A61B17/122
CPC分类号： A61B17/128 , A61B17/1227 , A61B17/1285 , A61B2017/00349 , A61B2017/00827
摘要： Methods and devices for approximating tissue are disclosed. The methods and devices utilize a device for applying an implantable tissue fastener and a variety of implantable tissue fasteners. The tissue-fastening device can be delivered endoscopically and can be adapted to function along side or in conjunction with a flexible endoscope. In general, the device can include a flexible shaft having an implantable tissue fastener applier disposed at a distal end of the shaft and a handle for operating the implantable tissue fastener applier disposed at a proximal end of the shaft. A variety of self-deploying implantable tissue fasteners can be used with the tissue fastener applier device.
摘要翻译：公开了近似组织的方法和装置。所述方法和装置利用用于施加可植入组织紧固件和各种可植入组织紧固件的装置。组织紧固装置可以内窥镜传送并且可以适于沿着柔性内窥镜的侧面或与柔性内窥镜一起工作。通常，该装置可以包括柔性轴，其具有设置在轴的远端处的可植入组织紧固件施放器和用于操作设置在轴的近端处的可植入组织紧固件敷贴器的手柄。可以使用组织紧固件施加器装置使用各种自展开植入式组织紧固件。

3. 发明申请

US20120123471A1 NEEDLE FOR LAPAROSCOPIC SUTURING INSTRUMENT 有权
标题翻译：针灸仪器用针
公开(公告)号：US20120123471A1
公开(公告)日：2012-05-17
申请号：US13295186
申请日：2011-11-14
申请人： James A. Woodard, JR. , Michael V. Sherrill , Jason R. Lesko , David T. Martin , Katherine J. Schmid , Michael J. Miller , Gary W. Knight , Richard F. Schwemberger , Atul M. Godbole
发明人： James A. Woodard, JR. , Michael V. Sherrill , Jason R. Lesko , David T. Martin , Katherine J. Schmid , Michael J. Miller , Gary W. Knight , Richard F. Schwemberger , Atul M. Godbole
IPC分类号： A61B17/06
CPC分类号： A61B17/06004 , A61B17/0469 , A61B17/06066 , A61B17/062 , A61B2017/06009 , A61B2017/06019 , A61B2017/06023 , A61B2017/06047 , A61B2017/06052 , A61B2017/0609 , A61B2017/061 , A61B2017/2929
摘要： A surgical needle includes a pair of ends, a mid-region extending between the ends, and at least one grasping feature configured for grasping by a suturing instrument. An end of a suture is secured to the mid-region of the needle in a manner such that the end of the suture defines an oblique angle with at least part of the centerline defined by the mid-region of the needle. The end of the suture may be disposed in a hollow portion of the needle. The grasping feature may include a notch such as a scallop. The suture may be pivotally coupled with the needle via a ball or pin. The needle may have one or more sharp points. The sharp point may include three converging cutting edges, at least two planar surfaces bounded by the three cutting edges, and a rounded surface bounded by two of the three cutting edges.
摘要翻译：外科用针包括一对端部，在端部之间延伸的中间区域，以及构造成用于通过缝合器械夹持的至少一个抓握部件。缝合线的端部以这样的方式固定到针的中间区域，使得缝合线的端部限定与由针的中间区域限定的中心线的至少一部分的倾斜角度。缝线的末端可以设置在针的中空部分中。抓握功能可以包括诸如扇贝的凹口。缝合线可以经由球或针与针枢转地联接。针可能具有一个或多个尖锐点。锐点可以包括三个会聚的切割边缘，由三个切割边界限定的至少两个平面，以及由三个切割边缘中的两个限定的圆形表面。

4. 发明申请

US20120080486A1 FASTENER SYSTEM COMPRISING A PLURALITY OF FASTENER CARTRIDGES 有权
标题翻译：包含多个紧固件盒的紧固系统
公开(公告)号：US20120080486A1
公开(公告)日：2012-04-05
申请号：US12894376
申请日：2010-09-30
申请人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Jeffrey S. Swayze , John N. Ouwerkerk
发明人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Jeffrey S. Swayze , John N. Ouwerkerk
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B1/00064 , A61B1/0051 , A61B1/008 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/08 , A61B17/1155 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00946 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , Y10T29/49863
摘要： A surgical fastening instrument can comprise a handle and an end effector, wherein the end effector can comprise a first jaw comprising a first cartridge attachment portion and a second jaw comprising a second cartridge attachment portion, and wherein one of the first jaw and the second jaw is movable relative to the other of the first jaw and the second jaw. The surgical fastening instrument can further comprise a first cartridge that is insertable into the first jaw and attachable to the first cartridge attachment portion and, in addition, a second cartridge that is insertable into the second jaw and attachable to the second cartridge attachment portion. In various embodiments, the first cartridge can comprise first fastener portions which are engageable with second fastener portions in the second cartridge.
摘要翻译：外科固定器具可以包括手柄和端部执行器，其中末端执行器可以包括第一钳口，第一钳口包括第一药筒附接部分和包括第二药筒附接部分的第二钳夹，并且其中第一钳口和第二钳口相对于第一钳口和第二钳口中的另一个可移动。手术紧固器械还可以包括可插入到第一钳口中并可附接到第一药筒附接部分的第一药筒，此外还包括可插入第二钳夹并可附接到第二药筒附接部分的第二药筒。在各种实施例中，第一盒可以包括可与第二盒中的第二紧固件部分接合的第一紧固件部分。

5. 发明申请

US20120080333A1 FASTENER SYSTEM COMPRISING A RETENTION MATRIX 有权
标题翻译：包括保持矩阵的紧固系统
公开(公告)号：US20120080333A1
公开(公告)日：2012-04-05
申请号：US12894361
申请日：2010-09-30
申请人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Douglas J. Siebenaler , Jeffrey S. Swayze , John N. Ouwerkerk
发明人： James A. Woodard, JR. , Charles J. Scheib , Chad P. Boudreaux , Dean B. Bruewer , Richard F. Schwemberger , Christopher J. Schall , Jerome R. Morgan , Robert J. Simms , Douglas J. Siebenaler , Jeffrey S. Swayze , John N. Ouwerkerk
IPC分类号： A61B17/064
CPC分类号： A61B17/072 , A61B1/00064 , A61B1/0051 , A61B1/008 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/08 , A61B17/1155 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00946 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , Y10T29/49863
摘要： A surgical fastener system can comprise a plurality of fasteners which can be connected to one another by a retention matrix which is assembled to the fasteners in order to capture tissue therebetween. In various embodiments, each fastener can comprise a base and the distance in which the retention matrix is seated relative to the fastener bases can be selectively determined by a surgeon in order to apply a desired pressure to the tissue. In certain embodiments, each fastener can further comprise a fastener leg and the retention matrix can comprise a first layer configured to engage the fastener legs. The retention matrix can further comprise a second layer mounted to the first layer which can comprise one or more encapsulations containing a medicine therein. The encapsulations can be aligned with retention apertures in the retention matrix such that they can be punctured by the fastener legs.
摘要翻译：手术紧固件系统可以包括多个紧固件，其可以通过保持基体彼此连接，所述保持基体组装到紧固件上以便在其间捕获组织。在各种实施例中，每个紧固件可以包括基部，并且保持基体相对于紧固件基座就位的距离可由外科医生选择性地确定，以便向组织施加期望的压力。在某些实施例中，每个紧固件还可以包括紧固件腿，并且保持矩阵可以包括构造成接合紧固件腿的第一层。保留基质还可以包括安装到第一层的第二层，其可以包含一种或多种在其中含有药物的包封物。封装可以与保持基体中的保持孔对准，使得它们可以被紧固件腿刺穿。

6. 发明申请

US20100089970A1 POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM 有权
标题翻译：动力手术切割和装订设备，具有手动可重复启动系统
公开(公告)号：US20100089970A1
公开(公告)日：2010-04-15
申请号：US12249117
申请日：2008-10-10
申请人： Bret W. Smith , Daniel J. Abbott , Richard F. Schwemberger , Frederick Shelton, IV , Chad P. Boudreaux , Brelt E. Swensgard , Ryan J. Laurent
发明人： Bret W. Smith , Daniel J. Abbott , Richard F. Schwemberger , Frederick 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。

7. 发明申请

US20080228202A1 ENDOSCOPIC TISSUE APPROXIMATION SYSTEM 审中-公开
标题翻译：内分泌组织近似系统
公开(公告)号：US20080228202A1
公开(公告)日：2008-09-18
申请号：US11687484
申请日：2007-03-16
申请人： Michael S. Cropper , MIchael J. Andreyko , John P. Measamer , Richard C. Smith , Richard F. Schwemberger
发明人： Michael S. Cropper , MIchael J. Andreyko , John P. Measamer , Richard C. Smith , Richard F. Schwemberger
IPC分类号： A61B17/122
CPC分类号： A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/1285 , A61B2017/00349 , A61B2017/00827 , A61B2017/0647
摘要： The present invention generally provides methods and devices for approximating tissue. The methods and devices utilize a device for applying an implantable tissue fastener and a variety of implantable tissue fasteners. The tissue-fastening device can be delivered endoscopically and can be adapted to function along side or in conjunction with a flexible endoscope. In general, the device can include a flexible shaft having an implantable tissue fastener applier disposed at a distal end thereof and a handle for operating the implantable tissue fastener applier disposed at a proximal end thereof. A variety of implantable tissue fasteners can be used with the tissue fastener applier device including single and multi-anchor embodiments.
摘要翻译：本发明通常提供近似组织的方法和装置。所述方法和装置利用用于施加可植入组织紧固件和各种可植入组织紧固件的装置。组织紧固装置可以内窥镜传送并且可以适于沿着柔性内窥镜的侧面或与柔性内窥镜一起工作。通常，该装置可以包括柔性轴，其具有设置在其远端处的可植入组织紧固件施放器和用于操作设置在其近端处的可植入组织紧固件施放器的手柄。各种可植入组织紧固件可以与组织紧固件施加器装置一起使用，包括单锚和多锚实施例。

8. 发明申请

US20080103527A1 FLEXIBLE ENDOSCOPIC SUTURE ANCHOR APPLIER 审中-公开
标题翻译：柔性内窥镜固定器
公开(公告)号：US20080103527A1
公开(公告)日：2008-05-01
申请号：US11553489
申请日：2006-10-27
申请人： David T. Martin , Michael S. Cropper , Richard F. Schwemberger
发明人： David T. Martin , Michael S. Cropper , Richard F. Schwemberger
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/06109 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , A61B2017/06095 , A61B2017/2905
摘要： A suture anchor applier comprises a needle, a flexible shaft, and flexible sleeve. The suture anchor applier is flexible enough to allow passage through and manipulation within a working channel of an articulated endoscope. The suture anchor applier is also stiff enough to resist buckling or bending when extended distally beyond the end of an endoscope and as the needle penetrates into tissue.
摘要翻译：缝合锚钉施放器包括针，柔性轴和柔性套筒。缝合锚钉施放器足够灵活以允许在铰接式内窥镜的工作通道内通过和操纵。缝合锚钉施加器也足够坚硬以抵抗在向内延伸超过内窥镜的端部并且当针穿透到组织中时的弯曲或弯曲。

9. 发明授权

US06454782B1 Actuation mechanism for surgical instruments 有权
标题翻译：手术器械的启动机制
公开(公告)号：US06454782B1
公开(公告)日：2002-09-24
申请号：US09464567
申请日：1999-12-16
申请人： Richard F. Schwemberger
发明人： Richard F. Schwemberger
IPC分类号： A61B1732
CPC分类号： A61B17/320068 , A61B17/320016 , A61B17/3201 , A61B2017/2927 , A61B2017/320088
摘要： An improved articulation mechanism is described in conjunction with a therapeutic ultrasound instrument. Ultrasonic vibrations, when transmitted to organic tissue at suitable energy levels and using a suitable end-effector, may be used for the safe and effective treatment of many medical conditions. The mechanism includes an actuating arm with a collar operatively connected to the actuating arm. The collar converts rotation of the actuating arm into a plurality of actuations of the surgical instrument. In one embodiment the collar includes two ranges of motion, where the first range is used to articulate the surgical instrument, and the second range is used to actuate the surgical instrument. Such instruments are particularly suited for use in minimally invasive procedures, such as endoscopic or laparoscopic procedures.
摘要翻译：结合治疗性超声仪器描述改进的关节运动机制。当以适当的能量水平传播到有机组织并使用合适的末端执行器时，超声波振动可用于安全和有效地治疗许多医疗状况。该机构包括具有可操作地连接到致动臂的轴环的致动臂。套环将致动臂的旋转转换成手术器械的多个动作。在一个实施例中，套环包括两个运动范围，其中第一范围用于铰接外科器械，第二范围用于致动外科器械。这些器械特别适用于微创手术，如内窥镜或腹腔镜手术。

10. 发明授权

US6017356A Method for using a trocar for penetration and skin incision 失效
标题翻译：使用套针针穿透和皮肤切口的方法
公开(公告)号：US6017356A
公开(公告)日：2000-01-25
申请号：US933797
申请日：1997-09-19
申请人： Christopher J. Frederick , Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
发明人： Christopher J. Frederick , Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
IPC分类号： A61B17/34
CPC分类号： A61B17/3417 , A61B17/3211 , A61B17/3496 , A61B2017/346
摘要： A method for establishing a surgical port for endoscopic or arthroscopic surgery is disclosed. A trocar is initially provided, and the obturator of the trocar includes a flat cutting blade, a shield that moves proximally and distally from a precock position to an extended position, a precock lever to move the shield proximally to expose the flat cutting blade, and a shield retaining assembly to constrain the shield in the proximal position. "Precocking" the trocar of the present invention moves the shield from the distal position wherein the flat blade is covered, to a proximal position wherein the flat blade is exposed, and the shield is constrained by the shield retaining assembly. Once the flat cutting blade is exposed, the skin of the patient is incised with the flat cutting blade of the obturator. The flat blade of the trocar is inserted into the incision and a penetrating force is applied so that the flat blade penetrates into the internal body cavity of the patient. The obturator assembly is removed from the cannula assembly so that the surgical access port is provided into the internal body cavity of the patient. This method eliminates the need for a separate surgical sharp to initially incise the skin before penetration is effected.
摘要翻译：公开了一种建立内窥镜或关节镜手术的手术口的方法。套管针最初设有套管针，套管针的封闭器包括一个平切割刀片，一个护板，其近端和远端从一个预制座位移动到一个延伸位置;一个防护杆，用于向近侧移动护罩以露出平切刀; 屏蔽保持组件，以在近侧位置限制屏蔽。本发明的套管针的“预敷”将屏蔽件从扁平刀片被覆盖的远端位置移动到平坦刀片暴露的近侧位置，并且屏蔽件被屏蔽保持组件约束。一旦平面切割刀片被暴露，患者的皮肤就会被闭塞器的平面切割刀片切开。将套针针的扁平刀片插入切口中，并施加穿透力，使得扁平刀片穿透患者体内腔体。将闭塞器组件从套管组件移除，使得外科进入口被提供到患者的内部体腔中。该方法不需要单独的外科手术，以便在穿透之前最初切开皮肤。

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