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    • 5. 发明授权
    • Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
    • 手术器具带有单个枢轴闭合和双枢轴框架接地的铰接轴
    • US07784662B2
    • 2010-08-31
    • US11100772
    • 2005-04-07
    • Kenneth S. WalesChad P. Boudreaux
    • Kenneth S. WalesChad P. Boudreaux
    • A61B17/04A61B17/10
    • A61B17/07207A61B2017/2927A61B2017/2937A61B2017/294A61B2017/2943Y10T403/32221
    • A surgical stapling and severing instrument particularly suited to endoscopic use includes a proximal portion that is manipulated external to a patient to position an attached elongate shaft and end effector to a desired surgical site inside of the patient. An articulation joint pivotally attaches the end effector to the elongate shaft to give further clinical flexibility in reaching tissue at a desired angle. A closure tube assembly includes a single pivoting portion that overrides the articulation joint in order to distally translate to the end effector to close, yet pass over an articulated shaft by having a multiple pivot frame ground encompassed therein to accommodate the longitudinal change in closure sleeve pivot. Thereby, additional clinical flexibility in positioning the end effector is achieved without losing the ability for separate closure and firing motions transferred by the shaft.
    • 特别适用于内窥镜使用的外科缝合和切断器械包括在患者外部操纵的近端部分,以将附接的细长轴和末端执行器定位到患者内部期望的手术部位。 关节接头将末端执行器枢转地附接到细长轴,以在达到所需角度的组织处提供进一步的临床灵活性。 闭合管组件包括单个枢转部分,该枢转部分覆盖关节运动关节,以便远端地平移至末端执行器以关闭,但通过具有包围在其中的多个枢轴框架接地以适应闭合套筒枢轴的纵向变化而越过铰接轴 。 因此,在不失去由轴转移的单独闭合和点火运动的能力的情况下实现了定位末端执行器的额外的临床灵活性。
    • 7. 发明授权
    • Surgical instrument with articulating shaft with rigid firing bar supports
    • 手术器具带铰链轴,带有刚性射击杆支架
    • US07455208B2
    • 2008-11-25
    • US11238358
    • 2005-09-29
    • Kenneth S. WalesChad P. Boudreaux
    • Kenneth S. WalesChad P. Boudreaux
    • A61B17/068A61B17/115
    • A61B17/07207A61B1/0051A61B17/00234A61B2017/00309A61B2017/00557A61B2017/2927
    • A surgical stapling and severing instrument particularly suited to endoscopic use includes a proximal portion that is manipulated external to a patient to position an attached elongate shaft and end effector to a desired surgical site inside of the patient. An articulation joint pivotally attaches the end effector to the elongate shaft to give further clinical flexibility in reaching tissue at a desired angle. A firing bar translates within the elongate shaft and articulates through the articulation joint with a reduced force to fire, supported within a knife slot formed in a link that pivots at both ends, thereby reducing the radius of curvature of the firing bar by half at a particular location. One version includes a link that connects across portions of a closure sleeve assembly and another version includes a link that connects proximal and frame ground portions.
    • 特别适用于内窥镜使用的外科缝合和切断器械包括在患者外部操纵的近端部分,以将附接的细长轴和末端执行器定位到患者内部期望的手术部位。 关节接头将末端执行器枢转地附接到细长轴,以在达到所需角度的组织处提供进一步的临床灵活性。 击发杆在细长轴内平移并且通过铰接接合件以较小的力发挥作用,支撑在形成在两端枢转的连杆中的刀槽内,从而将击发杆的曲率半径减小一半 特定位置。 一个版本包括连接到封闭套筒组件的一部分的连接件,另一个版本包括连接近端和框架接地部分的连杆。
    • 9. 发明授权
    • Ultrasonic surgical instrument with modular end effector
    • 具有模块化末端执行器的超声波手术器械
    • US09050125B2
    • 2015-06-09
    • US13269899
    • 2011-10-10
    • Chad P. BoudreauxKevin L. Houser
    • Chad P. BoudreauxKevin L. Houser
    • A61B17/32A61B17/00A61B17/29
    • A61B17/320092A61B18/1442A61B2017/0046A61B2017/00477A61B2017/2929A61B2018/00595A61B2018/00601A61B2018/00607A61B2018/1452A61N7/00
    • A surgical instrument having a transmission assembly, a transducer, and a handle assembly is configured for coupling the transmission assembly to the handle assembly using a locking mechanism. The locking mechanism is operable to restrict the rotational movement of an actuator coupling member and the transducer relative to the handle assembly. The locking mechanism may also be operable to lock a trigger of the handle assembly in a first position. An inner tubular actuating member of the transmission assembly may be threadably attachable to the actuator coupling member or the actuator coupling member may include a latching mechanism to couple to a flared portion of the inner tubular actuating member. A waveguide of the transmission assembly may also be threadably attachable to the transducer. In one alternative, the trigger may be configured to operate the locking mechanism, either in the first position or when pivoted distally to a third position.
    • 具有传动组件,换能器和手柄组件的外科器械被配置为使用锁定机构将传动组件联接到手柄组件。 锁定机构可操作地限制致动器联接构件和换能器相对于手柄组件的旋转运动。 锁定机构还可操作以将手柄组件的触发器锁定在第一位置。 变速器组件的内部管状致动构件可以可螺纹连接到致动器联接构件,或者致动器联接构件可以包括闩锁机构,以联接到内部管状致动构件的扩口部分。 变速器组件的波导也可以螺纹连接到换能器。 在一个替代方案中,触发器可被配置成在第一位置或当向远侧枢转到第三位置时操作锁定机构。