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91. 发明申请

US20110290854A1 ROBOTICALLY-CONTROLLED SHAFT BASED ROTARY DRIVE SYSTEMS FOR SURGICAL INSTRUMENTS 有权
标题翻译：用于手术仪器的机动控制轴转动驱动系统
公开(公告)号：US20110290854A1
公开(公告)日：2011-12-01
申请号：US13118223
申请日：2011-05-27
申请人： Richard W. Timm , Frederick E. Shelton, IV
发明人： Richard W. Timm , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/0684 , A61B17/072 , A61B17/07207 , A61B17/105 , A61B17/32 , A61B17/320068 , A61B18/1445 , A61B34/30 , A61B50/30 , A61B50/36 , A61B2017/00115 , A61B2017/00314 , A61B2017/00323 , A61B2017/00367 , A61B2017/00398 , A61B2017/00473 , A61B2017/00477 , A61B2017/00685 , A61B2017/00734 , A61B2017/0688 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2905 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2937 , A61B2017/2943 , A61B2018/1455 , A61B2034/302 , A61B2090/0811 , Y10T29/53
摘要： A surgical instrument including an end effector that has a selectively reciprocatable implement movably supported therein. The implement is selectively advanceable in a distal direction upon application of a rotary actuation motion thereto and retractable in a proximal direction upon application of a rotary retraction motion thereto. An elongate shaft assembly is coupled to the end effector and is configured to transmit the rotary actuation motion and rotary retraction motion to the reciprocatable implement from a robotic system that is configured to generate the rotary actuation motion and said rotary retraction motion.
摘要翻译：包括端部执行器的手术器械具有可移动地支撑在其中的可选择的往复运动的器具。当向其施加旋转致动运动时，该工具可以在远端方向上选择性地前进，并且在对其施加旋转回缩运动时可在近端方向上缩回。细长轴组件联接到末端执行器，并且被配置为将旋转致动运动和旋转回缩运动从被配置为产生旋转致动运动和所述旋转回缩运动的机器人系统传递到可往复运动的工具。

92. 发明申请

US20110251612A1 ELECTROSURGICAL CUTTING AND SEALING INSTRUMENTS WITH CAM-ACTUATED JAWS 有权
标题翻译：电动切割和密封仪器与CAM执行的JAWS
公开(公告)号：US20110251612A1
公开(公告)日：2011-10-13
申请号：US12758253
申请日：2010-04-12
申请人： Craig N. Faller , Matthew C. Miller , Omar J. Vakharia , Robert J. Laird , Gavin M. Monson , John V. Hunt , Richard W. Timm , David A. Witt , Zhifan F. Huang , Timothy G. Dietz , Jeffrey L. Aldridge , Mary E. Mootoo , Raymond M. Banks , Frederick E. Shelton, IV
发明人： Craig N. Faller , Matthew C. Miller , Omar J. Vakharia , Robert J. Laird , Gavin M. Monson , John V. Hunt , Richard W. Timm , David A. Witt , Zhifan F. Huang , Timothy G. Dietz , Jeffrey L. Aldridge , Mary E. Mootoo , Raymond M. Banks , Frederick E. Shelton, IV
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1447 , A61B2018/00083 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455 , A61B2018/1467
摘要： Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.
摘要翻译：各种实施例涉及包括轴和端部执行器的外科器械。轴可以联接到手柄并且可以沿着纵向轴线向远侧延伸。末端执行器可以定位在轴的远端，并且可以包括第一和第二钳口构件和往复运动构件。第一和第二钳口构件可以限定第一和第二纵向槽。一个或两个钳口构件可相对于另一个枢转点枢转。往复运动构件可以在远侧和近侧平行于纵向轴线并通过第一和第二纵向狭槽平移。往复运动构件的远侧部分可以限定一个叶片。该仪器可以包括一个可以向远端平移的外套管，以在第一和第二钳口构件的一部分上施加力，以便关闭第一和第二钳口构件。

93. 发明申请

US20110196399A1 ULTRASONIC SURGICAL INSTRUMENTS WITH ROTATABLE BLADE AND HOLLOW SHEATH ARRANGEMENTS 有权
标题翻译：具有可旋转刀片和中空护垫安装的超声外科仪器
公开(公告)号：US20110196399A1
公开(公告)日：2011-08-11
申请号：US12703870
申请日：2010-02-11
申请人： Galen C. Robertson , Richard W. Timm , Daniel J. Mumaw , Kevin L. Houser , Matthew C. Miller , Stacey J. Sell
发明人： Galen C. Robertson , Richard W. Timm , Daniel J. Mumaw , Kevin L. Houser , Matthew C. Miller , Stacey J. Sell
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/22004 , A61B17/32002 , A61B17/3207 , A61B17/320783
摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a handpiece housing that rotatably supports an ultrasonic transducer assembly therein that may be selectively rotated by a motor housed therein. Various forms of blades are disclosed for attachment to the ultrasonic transducer assembly such that the blade may be selectively rotatable within a hollow outer sheath. The hollow outer sheath has at least one opening therein through which the blade tip may be exposed to tissue. Vacuum may be applied to the cutting implement or through the outer sheath to draw tissue through the opening(s) in the sheath and into contact with a portion of the blade.
摘要翻译：在一个一般方面，各种实施例涉及一种超声波手术器械，其包括可旋转地支撑其中的超声换能器组件的手机壳体，其可由容纳在其中的马达选择性地旋转。公开了各种形式的叶片用于附接到超声换能器组件，使得叶片可以在中空的外护套内选择性地旋转。中空的外护套具有至少一个开口，刀尖可以通过该开口暴露于组织。可以将真空施加到切割工具或通过外护套将组织穿过护套中的开口并与刀片的一部分接触。

94. 发明申请

US20110144419A1 Support Apparatus for Gastric Band System Injector 有权
标题翻译：胃带系统注射器支架
公开(公告)号：US20110144419A1
公开(公告)日：2011-06-16
申请号：US12637095
申请日：2009-12-14
申请人： Richard W. Timm , Scott A. Woodruff
发明人： Richard W. Timm , Scott A. Woodruff
IPC分类号： A61F2/04
CPC分类号： A61F5/0056 , A61B2090/036 , A61M5/3287 , A61M5/46 , A61M5/486
摘要： A support apparatus connects with and provides fluid communication between a needle and a syringe. The support apparatus includes at least one arm that is configured to provide cantilever support of the needle and syringe while the needle is inserted in a patient. The arm engages the patient's skin, and may be rigid, malleable, hinged, stretchable, telescoping, and/or have other properties. The support apparatus may form part of an adapter that also includes a pressure sensor. The pressure sensor senses the pressure of fluid in a gastric band system when the needle is inserted in an injection port of the gastric band system. A cable may extend from the pressure sensor to a display device, and may include markings configured to provide measurement from the needle to a patient's xyphoid process. Such a measurement may be factored into a calculation to account for hydrostatic pressure differences in pressure readings.
摘要翻译：支撑装置连接并提供针和注射器之间的流体连通。所述支撑装置包括至少一个臂，所述至少一个臂构造成在将针插入患者体内时提供针和注射器的悬臂支撑。手臂与患者的皮肤接合，并且可以是刚性的，可延展的，铰链的，可拉伸的，伸缩的和/或具有其它性质的。支撑装置可以形成还包括压力传感器的适配器的一部分。当针插入胃束带系统的注射口时，压力传感器感测胃束带系统中的流体的压力。电缆可以从压力传感器延伸到显示装置，并且可以包括被配置为提供从针到患者的刺齿过程的测量的标记。这样的测量可以考虑到计算中以考虑压力读数中的静水压差。

95. 发明申请

US20110121051A1 SHAFT BASED ROTARY DRIVE SYSTEM FOR SURGICAL INSTRUMENTS 有权
标题翻译：用于手术仪器的基于轴的旋转驱动系统
公开(公告)号：US20110121051A1
公开(公告)日：2011-05-26
申请号：US13020053
申请日：2011-02-03
申请人： Frederick E. Shelton, IV , Richard W. Timm
发明人： Frederick E. Shelton, IV , Richard W. Timm
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B17/072 , A61B2017/00367 , A61B2017/07285 , A61B2017/2923 , A61B2090/0811
摘要： A surgical instrument including a drive mechanism configured to advance a staple driver and/or cutting member at a first rate and retract the staple driver and/or cutting member at a different rate. In at least one embodiment, the rate at which the driver and cutting member is advanced and/or retracted is the distance that the driver and/or cutting member is translated per actuation of a trigger, for example. In various embodiments, the cutting member can be retracted at a faster rate as compared to the rate in which it is advanced. In such embodiments, the surgical instrument can, owing to the slower advancing rate, provide a greater torque or advancing force to the cutting member while, owing to the faster retracting rate, reduce the time required for the surgeon to retract the cutting member.
摘要翻译：一种手术器械，包括驱动机构，其构造成以第一速率推进缝钉驱动器和/或切割构件，并以不同的速率使钉驱动器和/或切割构件缩回。在至少一个实施例中，例如，驱动器和切割构件前进和/或缩回的速率是驾驶员和/或切割构件按照触发器的致动而平移的距离。在各种实施例中，与其前进的速率相比，切割构件可以以更快的速度缩回。在这样的实施例中，由于较慢的推进速率，手术器械可以向切割构件提供更大的扭矩或推进力，同时由于更快的收缩速度，外科医生缩短了切割构件所需的时间。

96. 发明申请

US20110071341A1 IMPLANTABLE RESTRICTION SYSTEM WITH RELEASE MECHANISM 有权
标题翻译：具有释放机制的可植入限制系统
公开(公告)号：US20110071341A1
公开(公告)日：2011-03-24
申请号：US12562310
申请日：2009-09-18
申请人： Daniel F. Dlugos, JR. , Thomas E. Adams , Randal T. Byrum , Toralf Bork , Christine H. Chen , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , David T. Krumanaker , Amy L. Marcotte , Anil K. Nalagatla , Bret W. Smith , Jeffrey S. Swayze , Richard W. Timm
发明人： Daniel F. Dlugos, JR. , Thomas E. Adams , Randal T. Byrum , Toralf Bork , Christine H. Chen , Sean P. Conlon , Rocco Crivelli , Dean L. Garner , Alec J. Ginggen , David T. Krumanaker , Amy L. Marcotte , Anil K. Nalagatla , Bret W. Smith , Jeffrey S. Swayze , Richard W. Timm
IPC分类号： A61F2/00
CPC分类号： A61F5/003 , A61F2/0036 , A61F5/0053 , A61F5/0056 , A61F5/0059
摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engaging the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A release mechanism is provided for the tension element.
摘要翻译：用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。紧固件设置在细长构件的第一端上。紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。张力元件设置成在细长构件内移动。驱动元件与张力元件相关联并与其接合，用于使张紧元件控制由细长构件施加的抵抗患者身体器官或管道的张力。为张力元件提供释放机构。

97. 发明授权

US07588176B2 Surgical cutting instrument with improved closure system 有权
标题翻译：手术切割仪器具有改进的闭合系统
公开(公告)号：US07588176B2
公开(公告)日：2009-09-15
申请号：US11820119
申请日：2007-06-18
申请人： Richard W. Timm , Frederick E. Shelton, IV , Eugene L. Timperman , Leslie M. Fugikawa
发明人： Richard W. Timm , Frederick E. Shelton, IV , Eugene L. Timperman , Leslie M. Fugikawa
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/0069 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2916 , A61B2017/292 , A61B2017/2927 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2937 , A61B2017/2939 , A61B2017/294 , A61B2017/2946 , A61B2017/320052 , A61B2034/715
摘要： Closure systems for applying a closure motion to an anvil assembly of a surgical instrument. In various embodiments, the surgical instrument includes a cable drive knife assembly and the anvil assembly thereof is moved to a closed position when contacted by a closure tube assembly that has a pushing force applied thereto. Other embodiments include closure systems that may be actuated by rotary motion. Various lockable articulation joints are also disclosed.
摘要翻译：用于对外科器械的砧组件施加闭合运动的闭合系统。在各种实施例中，手术器械包括电缆驱动刀组件，并且当其被具有施加到其上的推力的闭合管组件接触时，其砧组件移动到关闭位置。其他实施例包括可以通过旋转运动来致动的闭合系统。还公开了各种可锁定的铰接接头。

98. 发明授权

US07588175B2 Surgical stapling and cutting instrument with improved firing system 有权
标题翻译：具有改进射击系统的手术吻合和切割仪器
公开(公告)号：US07588175B2
公开(公告)日：2009-09-15
申请号：US11820049
申请日：2007-06-18
申请人： Richard W. Timm , Frederick E. Shelton, IV , Eugene L. Timperman , Leslie M. Fugikawa
发明人： Richard W. Timm , Frederick E. Shelton, IV , Eugene L. Timperman , Leslie M. Fugikawa
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/0069 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2916 , A61B2017/292 , A61B2017/2927 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2937 , A61B2017/2939 , A61B2017/294 , A61B2017/2946 , A61B2017/320052 , A61B2034/715
摘要： A surgical instrument comprising an elongate channel assembly that has a distal end and a proximal end and is constructed to operably support a staple cartridge assembly therein. The instrument may further include a knife assembly that is oriented for travel within the elongate channel assembly. At least one first cable transition support is operably mounted to the distal end of the elongate channel and at least one second cable transition support is operably attached to the knife assembly. A first cable is affixed to the distal end of the elongate channel assembly and extends around the first and second cable transition supports to interface with a cable drive system. In various embodiments, the cable drive system may comprise a winch assembly or a pinion driven rack.
摘要翻译：一种手术器械，其包括细长通道组件，该细长通道组件具有远端和近端并构造成在其中可操作地支撑钉仓组件。仪器还可以包括定向成在细长通道组件内行进的刀组件。至少一个第一电缆过渡支撑件可操作地安装到细长通道的远端，并且至少一个第二电缆过渡支撑件可操作地附接到刀具组件。第一电缆固定到细长通道组件的远端并且围绕第一和第二电缆过渡支撑件延伸以与电缆驱动系统接合。在各种实施例中，电缆驱动系统可以包括绞盘组件或小齿轮驱动机架。

99. 发明申请

US20080308604A1 Cable driven surgical stapling and cutting instrument with apparatus for preventing inadvertant cable disengagement 有权
标题翻译：电缆驱动的外科缝合和切割仪器具有用于防止意外的电缆脱离的装置
公开(公告)号：US20080308604A1
公开(公告)日：2008-12-18
申请号：US11820161
申请日：2007-06-18
申请人： Richard W. Timm , Frederick E. Shelton
发明人： Richard W. Timm , Frederick E. Shelton
IPC分类号： A61B17/04 , B25D9/00
CPC分类号： A61B17/07207 , A61B2017/00473 , A61B2017/0069 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2916 , A61B2017/292 , A61B2017/2927 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/2937 , A61B2017/2939 , A61B2017/294 , A61B2017/2946 , A61B2017/320052 , A61B2034/715
摘要： A cable driven surgical instrument that has an elongate channel assembly that is constructed to operably support a staple cartridge assembly therein. The instrument may have a knife assembly that is oriented for travel within the elongate channel assembly and at least one cable transition support that is operably mounted to at least one of the elongate channel assembly and the knife assembly. A drive cable operably extends around at least a portion of the cable transition support and interfaces with a cable drive system to drive the knife assembly within the elongate channel. A cable retention arrangement may be included for retaining the drive cable around at least a portion of the cable transition support.
摘要翻译：一种电缆驱动的外科器械，其具有细长通道组件，其构造成可操作地支撑其中的钉仓组件。仪器可以具有定向成在细长通道组件内行进的刀组件，以及可操作地安装到细长通道组件和刀组件中的至少一个的至少一个电缆过渡支撑件。驱动电缆可操作地围绕电缆过渡支撑件的至少一部分延伸并且与电缆驱动系统接合以在细长通道内驱动刀具组件。可以包括电缆保持装置，用于将驱动电缆保持在电缆过渡支架的至少一部分周围。

100. 发明申请

US20080296345A1 Surgical instrument having a common trigger for actuating an end effector closing system and a staple firing system 有权
标题翻译：手术器械具有用于致动末端执行器关闭系统和钉枪射击系统的共同触发器
公开(公告)号：US20080296345A1
公开(公告)日：2008-12-04
申请号：US11809935
申请日：2007-06-04
申请人： Frederick E. Shelton, IV , Richard W. Timm
发明人： Frederick E. Shelton, IV , Richard W. Timm
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/2909 , A61B2017/00367 , A61B2017/2923 , A61B2017/2925
摘要： A surgical instrument including a trigger which can be configured to close a jaw member upon a first actuation of the trigger and advance a staple driver and/or cutting member upon a subsequent, or second, actuation of the trigger. Such a surgical instrument can allow a surgeon to position the surgical instrument in a surgical site and close the jaw member with an initial actuation of the trigger without deploying any staples into, or incising, the tissue. As a result, the surgeon can manipulate the position of the surgical instrument and then actuate the trigger a second time to deploy staples into, and/or incise, the tissue. In at least one such embodiment, the first actuation of the trigger which closes the jaw member can also unlock a firing drive configured to advance the staple driver and cutting member during the second actuation of the trigger.
摘要翻译：一种外科器械，包括触发器，其可构造成在触发器的第一次致动时闭合钳口构件，并且在触发器的随后或第二致动时使推进器钉驱动器和/或切割构件前进。这种手术器械可以允许外科医生将手术器械定位在外科手术部位，并且通过触发器的初始致动而关闭钳口构件，而不会将任何钉子部署到组织中或切割组织。结果，外科医生可以操纵手术器械的位置，然后再次致动触发器以将缝钉部署到和/或切开组织。在至少一个这样的实施例中，闭合钳口构件的触发器的第一致动还可以解除构造成在触发器的第二次致动期间使钉驱动器和切割构件前进的击发驱动器。

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