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1. 发明授权

US5906595A Trocar having protector with flexible end and improved seal assembly 失效
标题翻译：套管针具有柔性端部和改进的密封组件的保护器
公开(公告)号：US5906595A
公开(公告)日：1999-05-25
申请号：US846221
申请日：1997-04-25
申请人： Darrel M. Powell , Richard F. Schwemberger , Salvatore Privitera , William D. Kelly , David J. Keilholz
发明人： Darrel M. Powell , Richard F. Schwemberger , Salvatore Privitera , William D. Kelly , David J. Keilholz
IPC分类号： A61B17/34
CPC分类号： A61B17/3496 , A61B17/3498 , A61B2017/3464 , A61B2017/349
摘要： A surgical trocar has a cannula assembly including a sleeve having a proximal end, a distal end and a passageway therethrough. A housing having an opening is located at the proximal end of the sleeve and is aligned with the passageway of the sleeve. The trocar also includes an obturator assembly which is insertable in the cannula assembly. The obturator assembly includes a handle and an obturator shaft. The obturator shaft has a proximal end connected to the handle and a distal end opposite the proximal end. A penetrating tip is located at the shaft distal end for penetrating tissue. A protector having a distal end is slidably disposed around the obturator shaft for covering the penetrating tip. The protector has an aperture at its distal end for permitting the penetrating tip to pass therethrough. The protector also includes a flexible proximal end movable against the obturator handle to expose the penetrating tip when a proximal force is asserted against the protector. A seal assembly is located in the housing for sealing against the obturator assembly or surgical instruments passed through the cannula assembly. The seal assembly includes an upper seal arrangement having an aperture. The seal assembly also includes a pressure seal located beneath the upper seal arrangement. The pressure seal includes a pair of side walls. At least one rib is located on the inner surface of each side wall.
摘要翻译：手术套管针具有插管组件，其包括具有近端，远端和穿过其的通道的套管。具有开口的壳体位于套筒的近端并且与套筒的通道对准。套针还包括可插入插管组件中的闭塞器组件。闭塞器组件包括手柄和闭孔轴。闭孔轴具有连接到手柄的近端和与近端相对的远端。穿透尖端位于轴远端，用于穿透组织。具有远端的保护器可滑动地设置在封闭器轴周围以覆盖穿透尖端。保护器在其远端具有允许穿透尖端通过的孔。保护器还包括柔性近端，当近侧力抵靠保护器被断定时，该近端可抵靠闭塞手柄移动以暴露穿透尖端。密封组件位于壳体中，用于密封抵靠通过插管组件的闭塞器组件或外科器械。密封组件包括具有孔的上密封装置。密封组件还包括位于上密封装置下方的压力密封件。压力密封件包括一对侧壁。至少一个肋位于每个侧壁的内表面上。

2. 发明授权

US5879332A Trocar having protector with flexible end 失效
标题翻译：套管针具有灵活的保护器
公开(公告)号：US5879332A
公开(公告)日：1999-03-09
申请号：US827317
申请日：1997-03-26
申请人： Richard F. Schwemberger , Darrel M. Powell , Salvatore Privitera , William D. Kelly , David J. Keilholz
发明人： Richard F. Schwemberger , Darrel M. Powell , Salvatore Privitera , William D. Kelly , David J. Keilholz
IPC分类号： A61B17/34 , A61M5/178
CPC分类号： A61B17/3496 , A61B17/3498
摘要： A surgical trocar has a cannula assembly including a sleeve having a proximal end, a distal end and a passageway therethrough. A housing having an opening is located at the proximal end of the sleeve and is aligned with the passageway of the sleeve. The trocar also includes an obturator assembly which is insertable in the cannula assembly. The obturator assembly includes a handle and an obturator shaft. The obturator shaft has a proximal end connected to the handle and a distal end opposite the proximal end. A penetrating tip is located at the shaft distal end for penetrating tissue. A protector having a distal end is slidably disposed around the obturator shaft for covering the penetrating tip. The protector has an aperture at its distal end for permitting the penetrating tip to pass therethrough. The protector also includes a flexible proximal end movable against the obturator handle to expose the penetrating tip when a proximal force is asserted against the protector.
摘要翻译：手术套管针具有插管组件，其包括具有近端，远端和穿过其的通道的套管。具有开口的壳体位于套筒的近端并且与套筒的通道对准。套针还包括可插入插管组件中的闭塞器组件。闭塞器组件包括手柄和闭孔轴。闭孔轴具有连接到手柄的近端和与近端相对的远端。穿透尖端位于轴远端，用于穿透组织。具有远端的保护器可滑动地设置在封闭器轴周围以覆盖穿透尖端。保护器在其远端具有允许穿透尖端通过的孔。保护器还包括柔性近端，当近侧力抵靠保护器被断定时，该近端可抵靠闭塞手柄移动以暴露穿透尖端。

3. 发明授权

US5947930A Trocar having protector with sinusoidal member 有权
标题翻译：套管针具有正弦构件的保护器
公开(公告)号：US5947930A
公开(公告)日：1999-09-07
申请号：US226430
申请日：1999-01-06
申请人： Richard F. Schwemberger , Darrel M. Powell , Salvatore Privitera , William D. Kelly , David J. Keilholz
发明人： Richard F. Schwemberger , Darrel M. Powell , Salvatore Privitera , William D. Kelly , David J. Keilholz
IPC分类号： A61B17/34 , A61M5/178
CPC分类号： A61B17/3496 , A61B17/3498
摘要： A surgical trocar has a cannula assembly including a sleeve having a proximal end, a distal end and a passageway therethrough. A housing having an opening is located at the proximal end of the sleeve and is aligned with the passageway of the sleeve. The trocar also includes an obturator assembly which is insertable in the cannula assembly. The obturator assembly includes a handle and an obturator shaft. The obturator shaft has a proximal end connected to the handle and a distal end opposite the proximal end. A penetrating tip is located at the shaft distal end for penetrating tissue. A protector having a distal end is slidably disposed around the obturator shaft for covering the penetrating tip. The protector has an aperture at its distal end for permitting the penetrating tip to pass therethrough. The protector also includes a flexible proximal end movable against the obturator handle to expose the penetrating tip when a proximal force is asserted against the protector. The flexible proximal end of the protector includes a sinusoidal member for contacting the obturator handle.
摘要翻译：手术套管针具有插管组件，其包括具有近端，远端和穿过其的通道的套管。具有开口的壳体位于套筒的近端并且与套筒的通道对准。套针还包括可插入插管组件中的闭塞器组件。闭塞器组件包括手柄和闭孔轴。闭孔轴具有连接到手柄的近端和与近端相对的远端。穿透尖端位于轴远端，用于穿透组织。具有远端的保护器可滑动地设置在封闭器轴周围以覆盖穿透尖端。保护器在其远端具有允许穿透尖端通过的孔。保护器还包括柔性近端，当近侧力抵靠保护器被断定时，该近端可抵靠闭塞手柄移动以暴露穿透尖端。保护器的柔性近端包括用于接触闭塞手柄的正弦构件。

4. 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。

5. 发明授权

US5904699A Trocar for penetration and skin incision 失效
标题翻译：套管针穿透和皮肤切口
公开(公告)号：US5904699A
公开(公告)日：1999-05-18
申请号：US934508
申请日：1997-09-19
申请人： Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
发明人： Richard F. Schwemberger , William D. Kelly , Joseph F. Paraschac , John P. Measamer
IPC分类号： A61B17/32 , A61B17/34
CPC分类号： A61B17/3496 , A61B17/32093 , A61B17/3211 , A61B17/3417 , A61B2017/346
摘要： A trocar which has an obturator assembly for establishment of a surgical port for endoscopic or arthroscopic surgery is disclosed. The obturator includes a flat cutting blade, a shield that moves proximally and distally, 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 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. The exposed flat cutting blade of the precocked trocar can be used to incise or pierce tissue, thus avoiding the need to use a separate surgical sharp.
摘要翻译：公开了一种套管针，其具有用于建立用于内窥镜或关节镜手术的外科手术口的闭塞器组件。闭塞器包括平切刀片，向近侧和远端移动的护罩，用于将护罩向近侧移动以露出平切刀片的防护杆，以及用于将护罩约束在近侧位置的护罩保持组件。 “套管”套管针将护罩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，并且屏蔽被护罩保持组件约束。预制套管针的裸露平切刀可用于切割或刺穿组织，从而避免需要使用单独的外科手术。

6. 发明授权

US07886953B2 Fired device lockout for a curved cutter stapler with a free moving trigger 有权
标题翻译：用于具有自由移动触发器的弯曲切割订书机的装置锁定
公开(公告)号：US07886953B2
公开(公告)日：2011-02-15
申请号：US11206298
申请日：2005-08-18
申请人： Richard F. Schwemberger , William D. Kelly
发明人： Richard F. Schwemberger , William D. Kelly
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B17/32 , A61B2017/0023 , A61B2017/07214 , A61B2017/07221 , A61B2017/320052 , A61B2090/038 , A61B2090/0814
摘要： A linear surgical stapler adapted for applying a plurality of surgical fasteners to body tissue includes an anvil structure and a cartridge housing containing a plurality of surgical fasteners and a knife. The cartridge housing and anvil structure are relatively movable between a first spaced apart position and a second position in close approximation with one another. A firing mechanism is associated with the cartridge housing for ejecting the surgical fasteners from the cartridge housing to be driven against the anvil structure. The firing mechanism includes a slide bar at its distal end adjacent the cartridge housing. A lockout mechanism interacts with the cartridge housing for selective activation and deactivation of the firing mechanism by disconnecting the distal end of the slide bar from a component housed within the cartridge housing.
摘要翻译：适于将多个外科紧固件应用于身体组织的线性外科缝合器包括砧结构和容纳多个手术紧固件和刀的药筒外壳。盒壳体和砧座结构在第一间隔开的位置和彼此近似近似的第二位置之间相对可移动。击发机构与药筒外壳相关联，用于将外科紧固件从药筒外壳排出以抵靠砧座结构被驱动。击发机构包括在其远端处与盒壳体相邻的滑杆。锁定机构与盒壳体相互作用，以通过将滑动杆的远端与容纳在盒壳体内的部件分离来选择性地激活和停用击发机构。

7. 发明授权

US09788851B2 Surgical instrument with tissue density sensing 有权
公开(公告)号：US09788851B2
公开(公告)日：2017-10-17
申请号：US13449837
申请日：2012-04-18
申请人： William D. Dannaher , Daniel W. Price , Cory G. Kimball , William D. Kelly , Sora Rhee , Jacob S. Gee , Brian D. Bertke , Alissa L. Welling
发明人： William D. Dannaher , Daniel W. Price , Cory G. Kimball , William D. Kelly , Sora Rhee , Jacob S. Gee , Brian D. Bertke , Alissa L. Welling
IPC分类号： A61B17/32 , A61B17/00 , A61B90/00
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00026 , A61B2017/00075 , A61B2017/00084 , A61B2017/00119 , A61B2090/065
摘要： An apparatus comprises an end effector, a body assembly, a power source, and a control module. The end effector is operable for use in a surgical procedure and can deliver energy to a surgical site. The end effector comprises at least one sensor. The sensor is able to measure at least one physical characteristic associated with the surgical site. The body assembly is in communication with the end effector. The power source is in communication with the body assembly and is operable to deliver power to the end effector. The control module is in communication with the sensor and is operable to change delivery of power to the end effector based on data from the sensor indicating a change in tissue density.

8. 发明授权

US07959051B2 Closure systems for a surgical cutting and stapling instrument 有权
标题翻译：手术切割和缝合器械的闭合系统
公开(公告)号：US07959051B2
公开(公告)日：2011-06-14
申请号：US12031820
申请日：2008-02-15
申请人： Bret W. Smith , Kevin R. Doll , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Charles J. Scheib , Frederick E. Shelton, IV , William B. Weisenburgh, II , Jerome R. Morgan , Kyle P. Moore , Mark H. Ransick , Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski
发明人： Bret W. Smith , Kevin R. Doll , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Charles J. Scheib , Frederick E. Shelton, IV , William B. Weisenburgh, II , Jerome R. Morgan , Kyle P. Moore , Mark H. Ransick , Steven G. Hall , Randall J. Tanguay , Jeffrey D. Messerly , Galen C. Robertson , Andrew M. Zwolinski
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B2017/0023 , A61B2017/00473 , A61B2017/07214 , A61B2017/0725 , A61B2017/2927
摘要： A surgical stapling instrument including an actuator configured to be retracted relative to the distal end of the disposable loading unit and rotate an anvil between an open position and a closed position. The actuator can include a cam, where the cam can include an arcuate profile having an apex configured to be in contact with the anvil when the anvil is in a closed position. In at least one such embodiment, the anvil can apply a clamping force to the soft tissue prior to the staples being deployed to prevent, or at least inhibit, soft tissue from flowing, or ‘milking’, out of the distal end of the disposable loading unit. In various embodiments, a surgical stapling instrument can include a disposable loading unit having an anvil which can be moved between open, closed, and/or collapsed positions to facilitate the insertion of the disposable loading unit through a trocar.
摘要翻译：一种外科缝合器械，包括致动器，其构造成相对于一次性装载单元的远端缩回并且在打开位置和关闭位置之间旋转砧座。致动器可以包括凸轮，其中凸轮可以包括弧形轮廓，其具有顶点，其被配置为当砧座处于关闭位置时与砧座接触。在至少一个这样的实施例中，砧座可以在缝钉被展开之前向软组织施加夹紧力，以防止或至少抑制软组织从一次性物品的远端流出或“挤奶” 装载单位。在各种实施例中，外科缝合器械可以包括具有砧座的一次性加载单元，所述砧可以在打开的，闭合的和/或折叠的位置之间移动，以便于通过套管针插入一次性装载单元。

9. 发明授权

US07641092B2 Swing gate for device lockout in a curved cutter stapler 有权
标题翻译：摆动门用于弯曲切割订书机中的装置锁定
公开(公告)号：US07641092B2
公开(公告)日：2010-01-05
申请号：US11197520
申请日：2005-08-05
申请人： Michael L. Kruszynski , Michael R. Ludzack , William D. Kelly , Howard N. Flaxman
发明人： Michael L. Kruszynski , Michael R. Ludzack , William D. Kelly , Howard N. Flaxman
IPC分类号： A61B17/10
CPC分类号： A61B17/072 , A61B2017/07214 , A61B2017/07221 , A61B2017/2945 , A61B2090/0814
摘要： A linear surgical stapler adapted for applying a plurality of surgical fasteners to body tissue includes an anvil structure and a cartridge housing containing a plurality of surgical fasteners. The cartridge housing and anvil structure are relatively movable between a first spaced apart position and a second position in close approximation with one another. A firing mechanism is associated with the cartridge housing for ejecting the surgical fasteners from the cartridge housing to be driven against the anvil structure. A lockout mechanism interacts with the cartridge housing for selective activation and deactivation. The lockout mechanism includes a swing gate tab secured to the cartridge housing at a position adjacent a lockout lever, such that firing of the linear surgical stapler rotates the swing gate tab releasing the lockout lever for preventing further firing of the used cartridge housing.
摘要翻译：适于将多个手术紧固件应用于身体组织的线性手术吻合器包括砧结构和容纳多个手术紧固件的药筒外壳。盒壳体和砧座结构在第一间隔开的位置和彼此近似近似的第二位置之间可相对移动。击发机构与药筒外壳相关联，用于将外科紧固件从药筒外壳排出以抵靠砧座结构被驱动。锁定机构与盒壳体相互作用以选择性地激活和去激活。锁定机构包括在邻近锁定杆的位置处固定到盒壳体的摆动闸板突出部，使得线性手术吻合器的点火使摆动闸板拉片旋转以释放锁定杆，以防止进一步对已使用的盒壳体进行点火。

10. 发明申请

US20090209946A1 INTERCHANGEABLE TOOLS FOR SURGICAL INSTRUMENTS 有权
标题翻译：手术器械交换工具
公开(公告)号：US20090209946A1
公开(公告)日：2009-08-20
申请号：US12031611
申请日：2008-02-14
申请人： Jeffrey S. Swayze , Thomas W. Huitema , Glen A. Armstrong , Shailendra K. Parihar , Donna L. Korvick , Richard W. Timm , Frederick E. Shelton, IV , Kevin R. Doll , Bret W. Smith , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Charles J. Scheib , Eugene L. Timperman
发明人： Jeffrey S. Swayze , Thomas W. Huitema , Glen A. Armstrong , Shailendra K. Parihar , Donna L. Korvick , Richard W. Timm , Frederick E. Shelton, IV , Kevin R. Doll , Bret W. Smith , William D. Kelly , Ronald J. Kolata , Joshua R. Uth , Charles J. Scheib , Eugene L. Timperman
IPC分类号： A61B17/00 , A61B17/068 , A61B17/32
CPC分类号： A61B17/00234 , A61B10/00 , A61B17/00491 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/1285 , A61B17/29 , A61B17/295 , A61B17/320016 , A61B17/3205 , A61B17/3401 , A61B18/1206 , A61B18/1445 , A61B2017/0023 , A61B2017/00287 , A61B2017/003 , A61B2017/00464 , A61B2017/00473 , A61B2017/00734 , A61B2017/07214 , A61B2017/07221 , A61B2017/1157 , A61B2017/2905 , A61B2017/2926 , A61B2017/2939 , A61B2018/00595 , A61B2018/1226 , A61B2090/061 , A61B2090/0807 , A61M5/1782 , A61M5/28 , A61M5/3135 , A61M5/31581
摘要： A surgical tool system. Various embodiments of the surgical tool system may comprise surgical instrument that has a handle assembly that operably supports a drive system therein for generating drive motions upon actuation of a movable handle portion operably coupled to the handle assembly. An elongated body protrudes from the handle assembly and operably supports a control rod therein that interfaces with the drive system. The surgical tool system further includes at least two surgical tools selected from the group of surgical tools consisting of: manipulators, nippers, scissors, endocutters, tissue thickness measurement devices, staple appliers, clip appliers, syringes for applying glue, sealant, drugs or medicaments and cauterization devices wherein each of the surgical tool within the group of surgical tools at least has a housing that is removably couplable to the elongated body and a drive assembly that is removably couplable to the control rod for receiving the drive motions therefrom.
摘要翻译：手术工具系统手术工具系统的各种实施例可以包括手术器械，其具有手柄组件，该手柄组件可操作地支撑其中的驱动系统，用于在可操作地联接到手柄组件的可动手柄部分的致动时产生驱动运动。细长的主体从手柄组件突出并且可操作地支撑其中与驱动系统接合的控制杆。所述外科手术工具系统还包括至少两个手术工具，所述手术工具选自由以下组成的一组手术工具：手术器械，钳子，剪刀，内插套管，组织厚度测量装置，缝合施放器，夹具装置，用于施加胶水的注射器，密封剂，药物或药物和烧灼装置，其中该组手术工具组中的每个外科手术工具至少具有可拆卸地联接到细长主体的壳体和可移除地联接到控制杆的驱动组件，用于从其接收驱动运动。

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