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51. 发明公开

EP3192454A2 STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS 无效转让
标题翻译：用于形成具有不同形状的钉书钉高度的钉书针的钉书钉盒
公开(公告)号：EP3192454A2
公开(公告)日：2017-07-19
申请号：EP16190938.7
申请日：2009-03-02
申请人： Ethicon Endo-Surgery, LLC
发明人： SHELTON, IV, Frederick E. , POWELL, Darrel M. , MURRAY, Michael A. , HESS, Christopher J. , WEISENBURGH, II, William B. , MORGAN, Jerome R. , HALL, Steven G.
IPC分类号： A61B17/072 , A61B17/064
CPC分类号： A61B17/07207 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/32 , A61B2017/00004 , A61B2017/0023 , A61B2017/00371 , A61B2017/00898 , A61B2017/00929 , A61B2017/0641 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07278 , A61B2017/2923 , A61B2017/320052 , A61B2090/034 , A61B2090/037
摘要： A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied so as to apply various clamping forces and pressures to soft tissue captured within the staples. In at least one embodiment, the staples can include crowns formed thereon which can be utilized to adjust or control the clamping force and/or pressure applied by the staples.
摘要翻译：公开了一种与吻合装置一起使用的钉仓，该钉合装置具有可沿轴向方向选择性致动的致动器和可在打开和闭合位置之间选择性地移动的砧座部分。本发明的各种实施例包括可移动地支撑第一和第二钉驱动器的仓体。钉驱动器每个在其上支撑钉并且用于在致动器致动时驱动钉与钉砧形成接触。本发明的各种实施例能够改变钉的最终成形高度，从而向捕获在钉内的软组织施加各种夹持力和压力。在至少一个实施例中，钉可以包括形成在其上的冠，所述冠可以用于调节或控制由钉施加的夹紧力和/或压力。

52. 发明公开

EP3034013A1 DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS 无效转让
标题翻译： ANTRIEBSANORDNUNGENFÜRABWINKELBARE CHIRURGISCHE INSTRUMENTE
公开(公告)号：EP3034013A1
公开(公告)日：2016-06-22
申请号：EP15200655.7
申请日：2015-12-17
申请人： Ethicon Endo-Surgery, LLC
发明人： OVERMYER, Mark D. , MORGAN, Jerome R. , SHELTON, IV, Frederick E. , BAXTER, III, Chester O.
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B2017/00017 , A61B2017/00367 , A61B2017/00371 , A61B2017/00398 , A61B2017/00464 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2947
摘要： A shaft assembly for a surgical instrument that includes a movable drive member. In at least one form, the surgical instrument includes a spine assembly that is couplable to the surgical instrument and has a surgical end effector coupled thereto by an articulation joint. The shaft assembly in one form includes a proximal firing member and an intermediate firing member that is coupled to a distal firing member. The distal firing member is configured for selective travel through the surgical end effector. At least one articulation driver is coupled to the surgical end effector to apply articulation motions thereto. A clutch assembly interfaces with the primary and intermediate firing members and the articulation driver such that when in an articulation orientation, movement of the drive member results in movement of the articulation driver and when in a firing orientation, movement of the drive member results in movement of the intermediate and distal firing members. A separate articulation motor may be employed to actuate the articulation driver.
摘要翻译：一种用于外科器械的轴组件，其包括可移动的驱动构件。在至少一种形式中，手术器械包括可与手术器械联接的脊柱组件，并且具有通过关节连接件联接到其上的外科末端执行器。一种形式的轴组件包括近端击发构件和联接到远侧击发构件的中间击发构件。远端击发构件构造成用于选择性地穿过外科末端执行器。至少一个关节运动驱动器联接到外科末端执行器以向其施加关节运动。离合器组件与主要和中间击发构件和关节运动驱动器接合，使得当处于关节运动方向时，驱动构件的运动导致关节运动驱动器的运动，并且当处于点火方向时，驱动构件的运动导致运动的中间和远端击发构件。可以使用单独的关节运动马达来致动关节运动驾驶员。

53. 发明授权

EP2744420B1 DEVICES FOR MANIPULATING AND FASTENING TISSUE 有权
标题翻译：器件进行操纵和组织的固定
公开(公告)号：EP2744420B1
公开(公告)日：2016-05-04
申请号：EP12830054.8
申请日：2012-09-07
申请人： EndoGastric Solutions, Inc.
发明人： ROMLEY, Richard
IPC分类号： A61B17/00 , A61B17/068 , A61B17/072
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0218 , A61B17/0644 , A61B17/072 , A61B2017/00296 , A61B2017/00349 , A61B2017/00371 , A61B2017/00473 , A61B2017/00557 , A61B2017/00818 , A61B2017/00827 , A61B2017/0645 , A61B2017/0648 , A61B2017/0649 , A61B2017/07271 , A61B2017/2905 , A61B2017/306 , A61B2017/3488 , A61B2090/064
摘要： A tissue displacing and fastening device is provided for manipulating and fastening tissue together. The device includes a tissue displacing elements, which displaces tissue. A fold is formed from the displaced tissue and the tissue is fastened together to secure the fold.

54. 发明公开

EP2929841A1 SUTURE PASSERS ADAPTED FOR USE IN CONSTRAINED REGIONS 有权
标题翻译： NAHTDURCHGÄNGE，DIE GEEIGNET SINE ZUR VERWENDUNG在EINGESCHRÄNKTENBEREICHEN
公开(公告)号：EP2929841A1
公开(公告)日：2015-10-14
申请号：EP15162829.4
申请日：2015-04-08
申请人： Ceterix Orthopaedics, Inc.
发明人： Hendricksen, Michael J. , Murillo, Michael , Bender, Christopher P. , Hirostuka, Mark Y. , Peter, Stephen J.
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0485 , A61B17/0625 , A61B2017/00371 , A61B2017/0475 , A61B2017/06042 , A61B2017/06047 , A61B2017/0646
摘要： Described herein suture passer apparatus (devices and systems) that may be used to suture tissue within a narrow, confined space. In particular, described herein are suture passers having an elongate body (101, 3607) connected to a proximal handle, and a lower jaw member (107, 3605) that houses a tissue penetrator (118) that is adapted to extend laterally from the lower jaw member and be deflected by a second jaw member (109, 3603). The second jaw member typically deflects the tissue penetrator either distally or proximally. The upper jaw member is configured to retract and extend away from the distal end region of the elongate body, wherein the upper jaw member curves away from the long axis of the elongate body as it is extended
摘要翻译：这里描述了可用于在狭窄的有限空间内缝合组织的缝合线传送器装置（装置和系统）。特别地，这里描述的是具有连接到近侧手柄的细长主体（101,3607）和缝合组件穿孔器（108,3605）的下钳口构件（107,3605），缝合路径适合于从下侧并且由第二钳口构件（109,3603）偏转。第二钳口构件通常使组织穿透器向远端或近端偏转。上钳口构件被构造成从细长体的远端区域缩回和延伸，其中上钳口构件在其延伸时远离细长体的长轴线弯曲

55. 发明公开

EP2904977A1 CHIRURGISCHES INSTRUMENT UND HANDHABE FÜR SELBIGES 有权转让
标题翻译：手术器械，以及处理selbiges
公开(公告)号：EP2904977A1
公开(公告)日：2015-08-12
申请号：EP15153749.5
申请日：2015-02-04
申请人： Karl Storz GmbH & Co. KG
发明人： Merz, Robin , Stefan, Jochen
IPC分类号： A61B17/00 , A61B17/29
CPC分类号： A61B17/00 , A61B17/00234 , A61B17/0218 , A61B17/221 , A61B17/2909 , A61B17/3201 , A61B2017/00371 , A61B2017/00424 , A61B2017/00429 , A61B2017/00433 , A61B2017/0046 , A61B2017/00469 , A61B2017/2912 , A61B2017/292 , A61B2090/034 , A61B2090/0813 , Y10T29/49815
摘要： Die vorliegende Erfindung offenbart eine Handhabe (1) für ein chirurgisches Instrument, die einen längsaxial verschiebbaren Schlitten (13) aufweist, der zur längsaxialen Bewegung einer Betätigungsstange eines Schafts des chirurgischen Instruments ausgebildet ist. Ein zweites Betätigungselement (14) ist längsaxial benachbart zu dem ersten Betätigungselement (11) und um die Längsachse (L) des länglichen Grundkörpers (17) drehbar über diesem angeordnet. Das zweite Betätigungselement (14) ist zumindest an seinem dem ersten Betätigungselement (11) zugewandten Ende ringförmig ausgebildet ist und trägt innenumfänglich drehfest einen Sperrring (16), der eine radial in den Sperrring (16) weisende Auswölbung (161) hat. Der Schlitten (13) weist einen Finger (132) auf, der sich von einer zum Sperrring (16) weisenden Stirnfläche (B) des Schlittens (13) exzentrisch zu der Längsachse (L) des Grundkörpers (17) erstreckt, wobei in einem Sperrzustand des zweiten Betätigungselements (14) die Auswölbung (161) einen Anschlag für den Schlitten (13) bereitstellt, indem der Finger (132) daran zur Anlage kommt. Im Freigabezustand des zweiten Betätigungselements (14) weist der Finger (132) versetzt zur Auswölbung und es ist ein Verschiebewegabschnitt (L') des Schlittens (14) freigegeben. Ferner werden das chirurgische Instruments selbst sowie ein Bedienverfahren und ein Zerlegeverfahren dafür offenbart.
摘要翻译：本发明公开了具有用于具有纵向轴向移动的滑动件（13），其被设计用于外科器械的轴的致动杆的纵向轴向移动的外科手术器械的手柄（1）。第二致动器（14）是纵向轴向邻近所述第一致动元件（11）和关于所述细长主体（17）可旋转地安装在其上的纵向轴线（L）。所述第二致动元件（14）是面向端环状的至少在其所述第一致动元件（11）和承载在所述锁定环（16）凸起（161）具有径向定向的旋转固定的锁定环（16）内圆周上。滑架（13）包括在锁定状态下延伸的面向所述滑架的所述锁定环（16）面（B）（13）偏心于所述基体（17）的纵向轴线（L），其特征在于，手指（132）所述第二致动元件（14），凸起（161）具有用于所述滑动件（13）提供，通过将其贴靠在手指（132）的止挡。在释放状态的第二致动元件（14），指状件（132）从所述隆起偏移和有释放滑架（14）的Verschiebewegabschnitt（L“）。此外，外科器械本身，以及一个控制方法和切割技术中公开了它。

56. 发明公开

EP2893885A1 Surgical device 有权
公开(公告)号：EP2893885A1
公开(公告)日：2015-07-15
申请号：EP15157343.3
申请日：2011-09-09
申请人： Covidien LP
发明人： Nicholas, David A. , Zeichner, David A. , Malinouskas, Donald
IPC分类号： A61B17/11 , A61B17/072 , A61B17/29 , A61B17/00 , A61B19/00
CPC分类号： A61B17/068 , A61B17/07207 , A61B34/76 , A61B2017/00017 , A61B2017/003 , A61B2017/00371 , A61B2017/00398 , A61B2017/00734 , A61B2017/00818 , A61B2017/07214 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2034/742
摘要： A surgical device includes a shaft portion coupled to a handle, the handle defining a longitudinal axis. The surgical device also includes a first driver configured to actuate a rotational movement via a first drive shaft and a second driver configured to actuate an articulation movement via a second drive shaft. The surgical device also includes a controller having a first dial and a second dial, the first dial actuated by the first driver and the second dial actuated by the second driver, the second dial positioned within the first dial.

57. 发明授权

EP2594218B1 Surgical instrument and system 有权
标题翻译：的手术仪器和系统
公开(公告)号：EP2594218B1
公开(公告)日：2014-07-23
申请号：EP12191146.5
申请日：2012-11-02
申请人： Gyrus Medical Limited
发明人： Benn, Christopher Charles
IPC分类号： A61B18/14 , A61B18/12 , A61B17/00 , A61B18/00
CPC分类号： A61B17/00 , A61B17/32 , A61B17/320068 , A61B18/1206 , A61B18/1477 , A61B18/18 , A61B2017/00371 , A61B2018/00916
摘要： A surgical instrument (3) comprises a housing (10), an end effector carried by the housing, and one or more connections adapted to connect the surgical instrument to a controller (1) such as an electrosurgical generator (1). The housing includes a plurality of handswitches (13A, 13B, 13C; 14A, 14B, 14C) located at different rotational positions around the housing. Sets (13A, 13B, 13C), (14A, 14B, 14C) of the handswitches are connected in common so as to send the same signal to the controller (1) whichever one of the handswitches is activated. In this way a user of the surgical instrument (3) can send signals to the controller (1) using any of the handswitches within a particular set, depending on the orientation of the surgical instrument.

58. 发明公开

EP2704642A1 SUTURE PASSER DEVICES AND METHODS 有权
标题翻译：焊接，在设备和程序
公开(公告)号：EP2704642A1
公开(公告)日：2014-03-12
申请号：EP12782643.6
申请日：2012-05-04
申请人： Ceterix Orthopaedics, Inc.
发明人： MURILLO, Michael , BENDER, Chris, P. , HIROTSUKA, Mark, Y. , HENDRICKSEN, Michael, J. , SALIMAN, Justin, D. , MCCUTCHEON, John, G.
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/0483 , A61B17/0625 , A61B2017/00371 , A61B2017/047 , A61B2017/0475 , A61B2017/06042 , A61B2017/06047 , A61B2017/0646
摘要： Devices, systems and methods for passing a suture. In general, described herein are suturing devices, such as suture passers, as well as methods of suturing tissue. These suture passing devices may include dual deployment suture passers in which a first distal jaw member is movable at an angle with respect to the longitudinal axis of the elongate body of the device and the second distal jaw member is retractable proximally to the distal end region of the elongate body and/or the first jaw member. Also described herein are suture passers in which the tissue penetrator passing the suture travels in an approximately sigmoidal pathway, with the distal end of the tissue penetrator extending distally from one jaw of the device.

59. 发明授权

EP2282678B1 A REMOTE CONTROL MECHANISM FOR ATRAUMATIC SURGICAL NEEDLE 有权
标题翻译：远程控制机构，手术针无创
公开(公告)号：EP2282678B1
公开(公告)日：2013-03-27
申请号：EP09758638.2
申请日：2009-06-05
申请人： Aksakal, Orhan Seyfi
发明人： Aksakal, Orhan Seyfi
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0482 , A61B2017/00371

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