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1. 发明申请

US20130075447A1 ADJUNCT THERAPY DEVICE FOR APPLYING HEMOSTATIC AGENT 审中-公开
标题翻译：用于施用化学药剂的ADJUNCT治疗装置
公开(公告)号：US20130075447A1
公开(公告)日：2013-03-28
申请号：US13240141
申请日：2011-09-22
申请人： William B. Weisenburgh, II , Craig S. Smith , Gregory B. Blair , Zhifan F. Huang , Douglas B. Hoffman , Kristi S. Geier , Bret W. Smith , Thomas W. Lytle, IV , Mark D. Overmyer , Brian W. Bear , Michael E. Setser , Thu Anh Le , James A. Woodard, JR. , Kreena R. Modi , Joseph Zavatsky
发明人： William B. Weisenburgh, II , Craig S. Smith , Gregory B. Blair , Zhifan F. Huang , Douglas B. Hoffman , Kristi S. Geier , Bret W. Smith , Thomas W. Lytle, IV , Mark D. Overmyer , Brian W. Bear , Michael E. Setser , Thu Anh Le , James A. Woodard, JR. , Kreena R. Modi , Joseph Zavatsky
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B17/07292 , A61B2017/00495 , A61B2017/00893 , A61B2017/07228 , A61B2017/07257 , A61B2017/07271 , A61B2017/2927 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further receives a buttress material stored in one or both of the anvil or cartridge. The material is releasable onto severed tissue via a firing bar severing the buttress material in response to the longitudinal closing motion.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该盒还容纳存储在一个或两个砧座或盒中的支撑材料。该材料通过响应于纵向关闭运动切断支撑材料的击发杆而可拆卸到切断的组织上。

2. 发明授权

US09492170B2 Device for applying adjunct in endoscopic procedure 有权
标题翻译：内窥镜手术应用辅助装置
公开(公告)号：US09492170B2
公开(公告)日：2016-11-15
申请号：US13206752
申请日：2011-08-10
申请人： Brian W. Bear , Thu Anh Le , Thomas W. Lytle, IV , Mark D. Overmyer , Michael Setser , Bret W. Smith , Joseph Zavatsky , Kreena Modi
发明人： Brian W. Bear , Thu Anh Le , Thomas W. Lytle, IV , Mark D. Overmyer , Michael Setser , Bret W. Smith , Joseph Zavatsky , Kreena Modi
IPC分类号： A61B17/04 , A61B17/10 , A61B17/072 , A61B17/00 , A61B17/29
CPC分类号： A61B17/07207 , A61B17/07292 , A61B2017/00495 , A61B2017/00893 , A61B2017/07271 , A61B2017/2927
摘要： A modular end effector delivers a therapeutic agent onto tissue that has been severed and/or stapled. The end effector is removably attached to a device. The device applies force to a piston of the end effector. The force causes a distal movement of a piston along a wall disposed within the end effector. The piston engages with agents stored on opposite sides of the wall, moving the agents distally to a mixture space. The agents are mixed in the mixture space and expelled through a tip. Staples may be embedded in or disposed below a foam block, which is disposed within a staple cartridge. Via an endoscopic stapling device, coated staples are driven through tissue while interacting with another agent on the device or the cartridge. The interaction forms a tissue restoring material that is applied onto the tissue.
摘要翻译：模块化的末端执行器将治疗剂递送到已被切断和/或装订的组织上。端部执行器可拆卸地连接到装置。该装置对末端执行器的活塞施加力。该力导致活塞沿着设置在末端执行器内的壁的远端移动。活塞与存储在壁的相对侧上的试剂接合，将试剂向远端移动到混合物空间。将试剂在混合物空间中混合并通过尖端排出。钉书钉可以嵌入或设置在布置在钉仓内的泡沫块的下方。通过内窥镜缝合装置，当与装置或药筒上的另一药剂相互作用时，涂布的钉被驱动通过组织。相互作用形成施加到组织上的组织恢复材料。

3. 发明申请

US20130037596A1 DEVICE FOR APPLYING ADJUNCT IN ENDOSCOPIC PROCEDURE 有权
标题翻译：内镜手术治疗的手段
公开(公告)号：US20130037596A1
公开(公告)日：2013-02-14
申请号：US13206752
申请日：2011-08-10
申请人： Brian W. Bear , Thu Anh Le , Thomas W. Lytle, IV , Mark D. Overmyer , Michael Setser , Bret W. Smith , Joseph Zavatsky , Kreena Modi
发明人： Brian W. Bear , Thu Anh Le , Thomas W. Lytle, IV , Mark D. Overmyer , Michael Setser , Bret W. Smith , Joseph Zavatsky , Kreena Modi
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/07292 , A61B2017/00495 , A61B2017/00893 , A61B2017/07271 , A61B2017/2927
摘要： A modular end effector delivers a therapeutic agent onto tissue that has been severed and/or stapled. The end effector is removably attached to a device. The device applies force to a piston of the end effector. The force causes a distal movement of a piston along a wall disposed within the end effector. The piston engages with agents stored on opposite sides of the wall, moving the agents distally to a mixture space. The agents are mixed in the mixture space and expelled through a tip. Staples may be embedded in or disposed below a foam block, which is disposed within a staple cartridge. Via an endoscopic stapling device, coated staples are driven through tissue while interacting with another agent on the device or the cartridge. The interaction forms a tissue restoring material that is applied onto the tissue.
摘要翻译：模块化的末端执行器将治疗剂递送到已被切断和/或装订的组织上。端部执行器可拆卸地连接到装置。该装置对末端执行器的活塞施加力。该力导致活塞沿着设置在末端执行器内的壁的远端移动。活塞与存储在壁的相对侧上的试剂接合，将试剂向远端移动到混合物空间。将试剂在混合物空间中混合并通过尖端排出。钉书钉可以嵌入或设置在布置在钉仓内的泡沫块的下方。通过内窥镜缝合装置，当与装置或药筒上的另一药剂相互作用时，涂布的钉被驱动通过组织。相互作用形成施加到组织上的组织恢复材料。

4. 发明授权

US08985429B2 Surgical stapling device with adjunct material application feature 有权
标题翻译：具有附加材料应用功能的手术吻合装置
公开(公告)号：US08985429B2
公开(公告)日：2015-03-24
申请号：US13242164
申请日：2011-09-23
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, Jr. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, Jr. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
IPC分类号： A61B17/068 , A61B17/00 , A61B17/072 , A61B17/32
CPC分类号： A61B17/00491 , A61B17/07207 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further includes an agent. The firing bar is operable to assist with releasing the agent onto a severed line of tissue when the firing bar is advanced.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该盒还包括一个代理。射击杆可操作以帮助当射击杆前进时将药剂释放到组织切断线上。

5. 发明申请

US20130075451A1 Surgical Stapling Device with Adjunct Material Application Feature 有权
标题翻译：具有辅助材料应用特征的外科手术装置
公开(公告)号：US20130075451A1
公开(公告)日：2013-03-28
申请号：US13242164
申请日：2011-09-23
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further includes an agent. The firing bar is operable to assist with releasing the agent onto a severed line of tissue when the firing bar is advanced.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切断组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该盒还包括一个代理。射击杆可操作以帮助当射击杆前进时将药剂释放到组织切断线上。

6. 发明授权

US09101359B2 Surgical staple cartridge with self-dispensing staple buttress 有权
标题翻译：手术钉盒，具有自分散钉支撑
公开(公告)号：US09101359B2
公开(公告)日：2015-08-11
申请号：US13231064
申请日：2011-09-13
申请人： Bret W. Smith , Thomas W. Lytle, IV , Matthew C. Miller , Yi-Lan Wang , Joseph Zavatsky , Kreena Modi , Aron O. Zingman
发明人： Bret W. Smith , Thomas W. Lytle, IV , Matthew C. Miller , Yi-Lan Wang , Joseph Zavatsky , Kreena Modi , Aron O. Zingman
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/07292 , A61B2017/07214 , A61B2017/07271
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge when in an open position. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The instrument includes a movable buttress that is integral with the housing of the cartridge or integral with the lower jaw of the end effector. The buttress may attach to the anvil and include a portion to receive tissue. The receipt of tissue urges and moves the buttress proximally inwards to further encompass the tissue.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。下颚构造成在处于打开位置时接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该仪器包括一个可移动的支柱，该活动支撑件与盒的壳体成一体，或与末端执行器的下颚一体。支撑件可以附接到砧座并且包括接收组织的部分。组织的接收促使支撑向内侧移动以进一步包围组织。

7. 发明申请

US20130062394A1 SURGICAL STAPLE CARTRIDGE WITH SELF-DISPENSING STAPLE BUTTRESS 有权
标题翻译：手术包装盒与自我分配的胸带
公开(公告)号：US20130062394A1
公开(公告)日：2013-03-14
申请号：US13231064
申请日：2011-09-13
申请人： Bret W. Smith , Thomas W. Lytle, IV , Matthew C. Miller , Yi-Lan Wang , Joseph Zavatsky , Kreena Modi , Aron O. Zingman
发明人： Bret W. Smith , Thomas W. Lytle, IV , Matthew C. Miller , Yi-Lan Wang , Joseph Zavatsky , Kreena Modi , Aron O. Zingman
IPC分类号： A61B17/068
CPC分类号： A61B17/07292 , A61B2017/07214 , A61B2017/07271
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge when in an open position. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The instrument includes a movable buttress that is integral with the housing of the cartridge or integral with the lower jaw of the end effector. The buttress may attach to the anvil and include a portion to receive tissue. The receipt of tissue urges and moves the buttress proximally inwards to further encompass the tissue.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切断组件。下颚构造成在处于打开位置时接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该仪器包括一个可移动的支柱，该活动支撑件与盒的壳体成一体，或与末端执行器的下颚一体。支撑件可以附接到砧座并且包括接收组织的部分。组织的接收促使支撑向内侧移动以进一步包围组织。

8. 发明授权

US09101358B2 Articulatable surgical instrument comprising a firing drive 有权
标题翻译：可手术的手术器械包括击发驱动器
公开(公告)号：US09101358B2
公开(公告)日：2015-08-11
申请号：US13524049
申请日：2012-06-15
申请人： Wendy A. Kerr , Thomas W. Lytle, IV , Mark D. Overmyer , Brett E. Swensgard , Richard L. Leimbach , Kevin D. Sackett
发明人： Wendy A. Kerr , Thomas W. Lytle, IV , Mark D. Overmyer , Brett E. Swensgard , Richard L. Leimbach , Kevin D. Sackett
IPC分类号： A61B17/072 , A61B17/00 , A61B17/29
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00327 , A61B2017/00398 , A61B2017/2923 , A61B2017/2927
摘要： A surgical instrument can comprise a handle, a shaft extending from the handle, and an end effector rotatably coupled to the shaft by an articulation joint. The surgical instrument can further include a staple cartridge positioned within the end effector and a firing drive operably coupled with a trigger wherein the operation of the trigger can advance and/or retract a firing member of the firing drive relative to the end effector. The surgical instrument can further comprise an articulation drive which is selectively engageable with the firing drive. When the articulation drive is engaged with the firing drive, the operation of the firing drive can operate the articulation drive and articulate the end effector. When the articulation drive is not engaged with the firing drive, the firing drive can be operated independently of the articulation drive.
摘要翻译：手术器械可以包括手柄，从手柄延伸的轴和通过铰接接头可旋转地联接到轴的端部执行器。外科器械还可以包括定位在末端执行器内的钉仓，以及与触发器可操作地联接的击发驱动器，其中触发器的操作可相对于末端执行器推进和/或缩回击发驱动器的击发构件。手术器械还可以包括能够与击发驱动器选择性地接合的关节运动。当铰接驱动器与击发驱动器接合时，起动驱动器的操作可以操作铰接驱动器并且关闭端部执行器。当关节运动驱动器不与击发驱动器接合时，可以独立于铰接驱动器来操作击发驱动。

9. 发明申请

US20130334278A1 ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE 有权
公开(公告)号：US20130334278A1
公开(公告)日：2013-12-19
申请号：US13524049
申请日：2012-06-15
申请人： Wendy A. Kerr , Thomas W. Lytle, IV , Mark D. Overmyer , Brett E. Swensgard , Richard L. Leimbach , Kevin D. Sackett
发明人： Wendy A. Kerr , Thomas W. Lytle, IV , Mark D. Overmyer , Brett E. Swensgard , Richard L. Leimbach , Kevin D. Sackett
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00327 , A61B2017/00398 , A61B2017/2923 , A61B2017/2927
摘要： A surgical instrument can comprise a handle, a shaft extending from the handle, and an end effector rotatably coupled to the shaft by an articulation joint. The surgical instrument can further include a staple cartridge positioned within the end effector and a firing drive operably coupled with a trigger wherein the operation of the trigger can advance and/or retract a firing member of the firing drive relative to the end effector. The surgical instrument can further comprise an articulation drive which is selectively engageable with the firing drive. When the articulation drive is engaged with the firing drive, the operation of the firing drive can operate the articulation drive and articulate the end effector. When the articulation drive is not engaged with the firing drive, the firing drive can be operated independently of the articulation drive.

10. 发明授权

US6093184A Flexible valve rotator 失效
标题翻译：柔性阀旋转器
公开(公告)号：US6093184A
公开(公告)日：2000-07-25
申请号：US850412
申请日：1997-05-02
申请人： Louis A. Campbell , Joseph A. Sauter , Thomas W. Lytle, IV
发明人： Louis A. Campbell , Joseph A. Sauter , Thomas W. Lytle, IV
IPC分类号： A61F2/24 , A61B17/00
CPC分类号： A61F2/2427
摘要： A heart valve prosthesis rotator having a flexible drive for flexibly turning a heart valve. One embodiment has a shaft constructed from elastically deformable metal alloy such as super elastic nickel-titanium alloy. Another embodiment has a shaft constructed of surgical tubing. Yet another embodiment also has an annealed stainless steel shaft which can be bent by the surgeon interoperatively. The shaft will retain its shape after bending. Surrounding the shaft is a drive coil which connects a rotator head at a proximal end of the shaft to a drive knob at a distal end of the shaft and adjacent a handle. By turning the drive knob, a surgeon can turn the rotator head, thus orienting the prosthetic heart valve. Torsional motion is carried along the path defined by the bendable shaft so that the rotator head can be turned without displacing the handle of the heart valve rotator.
摘要翻译：一种具有灵活转动心脏瓣膜的柔性驱动器的心脏瓣膜假体旋转器。一个实施例具有由诸如超弹性镍钛合金的弹性变形金属合金构成的轴。另一实施例具有由外科管构成的轴。另一实施例还具有可由外科医生互相弯曲的退火不锈钢轴。弯曲后轴将保持其形状。围绕轴是驱动线圈，其将轴的近端处的旋转头连接到轴的远端处的驱动旋钮并且与手柄相邻。通过旋转驱动旋钮，外科医生可以转动旋转头，从而定向假体心脏瓣膜。沿着由可弯曲轴限定的路径进行扭转运动，使得旋转头可以在不移动心脏瓣膜旋转器的手柄的情况下旋转。

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