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11. 发明申请

US20070175957A1 Motor-driven surgical cutting and fastening instrument with adaptive user feedback 有权
标题翻译：电动外科切割和紧固仪器，具有自适应用户反馈
公开(公告)号：US20070175957A1
公开(公告)日：2007-08-02
申请号：US11343447
申请日：2006-01-31
申请人： Frederick Shelton , John Ouwerkerk , Jerome Morgan
发明人： Frederick Shelton , John Ouwerkerk , Jerome Morgan
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B34/76 , A61B2017/00017 , A61B2017/00398 , A61B2017/00734 , A61B2017/2925 , A61B2017/2927 , A61B2017/2943 , A61B2017/2946
摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector, a main drive shaft assembly, and a handle. The end effector comprising a cutting instrument for cutting an object positioned therein. The handle comprises a motor for actuating the shaft via a gear drive train, a firing trigger, and a run motor sensor for sensing retracting of the firing trigger. When retraction of the firing trigger is sensed by the run motor sensor, the motor is signaled to forward rotate to cause cutting of the object positioned in the end effector by the cutting instrument. The instrument may also include a reverse motor sensor for sensing a condition indicative of an end of a cutting stroke by the cutting instrument and a stop motor sensor for sensing a condition indicative of retraction of the cutting instrument.
摘要翻译：公开了一种外科切割和紧固器械。根据各种实施例，仪器包括端部执行器，主驱动轴组件和手柄。末端执行器包括用于切割位于其中的物体的切割工具。手柄包括用于通过齿轮传动系，击发扳机和行程马达传感器来驱动轴的马达，用于感测击发扳机的缩回。当运行电机传感器感测到触发触发器的退回时，马达被发出信号，以向前旋转，以通过切割仪器切割位于末端执行器中的物体。仪器还可以包括用于感测通过切割仪器指示切割行程结束的状态的反向马达传感器和用于感测指示切割仪器缩回的状态的停止马达传感器。

12. 发明申请

US20070175952A1 Motor-driven surgical cutting and fastening instrument with loading force feedback 有权
标题翻译：电动外科切割和紧固仪器，带负载力反馈
公开(公告)号：US20070175952A1
公开(公告)日：2007-08-02
申请号：US11343573
申请日：2006-01-31
申请人： Frederick Shelton , John Ouwerkerk , Jerome Morgan , Jeffrey Swayze
发明人： Frederick Shelton , John Ouwerkerk , Jerome Morgan , Jeffrey Swayze
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B34/76 , A61B2017/00398 , A61B2017/00734
摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector, a main drive shaft assembly, and a handle. The handle comprises a gear drive train connected to the main drive shaft assembly, a motor for actuating the gear drive train, and a firing trigger. Retraction of the firing trigger actuates the motor. Further, the firing trigger is connected to the gear drive train such that the loading force applied to the firing trigger is related to the loading force experienced by the cutting instrument in the end effector.
摘要翻译：公开了一种外科切割和紧固器械。根据各种实施例，仪器包括端部执行器，主驱动轴组件和手柄。手柄包括连接到主驱动轴组件的齿轮传动系，用于致动齿轮传动系的马达和击发扳机。触发触发器的退回启动电机。此外，点火触发器连接到齿轮传动系，使得施加到击发扳机的加载力与末端执行器中的切割工具所经受的加载力相关。

13. 发明申请

US20070175949A1 Surgical instrument having a feedback system 有权
标题翻译：手术器具有反馈系统
公开(公告)号：US20070175949A1
公开(公告)日：2007-08-02
申请号：US11343545
申请日：2006-01-31
申请人： Frederick Shelton , Jerome Morgan , Kevin Doll , Jeffrey Swayze , Eugene Timperman
发明人： Frederick Shelton , Jerome Morgan , Kevin Doll , Jeffrey Swayze , Eugene Timperman
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/28 , A61B17/285 , A61B34/76 , A61B2017/00119 , A61B2017/00128 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/07214 , A61B2017/07271 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , G08B21/18
摘要： A surgical instrument. The surgical instrument comprises a plurality of sensors, and a status module releasably connected to the surgical instrument. The status module comprises a plurality of contacts, a circuit, and a plurality of indicators. Each individual contact is in electrical communication with a different sensor. The circuit is in electrical communication with at least one of the contacts. At least one of the indicators is in electrical communication with the circuit.
摘要翻译：手术器械。手术器械包括多个传感器，以及可释放地连接到外科器械的状态模块。状态模块包括多个触点，电路和多个指示器。每个单独的触点与不同的传感器电连通。电路与至少一个触点电连通。指示器中的至少一个与电路电连通。

14. 发明申请

US20070175947A1 SURGICAL FASTENER AND CUTTER WITH SINGLE CABLE ACTUATOR 有权
标题翻译：手术紧固器和切割器与单电缆执行器
公开(公告)号：US20070175947A1
公开(公告)日：2007-08-02
申请号：US11277320
申请日：2006-03-23
申请人： Mark Ortiz , Frederick Shelton
发明人： Mark Ortiz , Frederick Shelton
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B90/361 , A61B90/37 , A61B2017/00292 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929
摘要： Methods and devices are provided for controlling rotation and actuation of an end effector on a surgical fastening device. In an exemplary embodiment, a single cable actuator is provided and is movable between a first position, in which it is effective to rotate an end effector without actuating (i.e., closing and firing) the end effector, and a second position, in which it is effective to actuate the end effector without rotating the end effector. The single cable can also be effective to close opposed jaws of the end effector.
摘要翻译：提供了用于控制手术紧固装置上的端部执行器的旋转和致动的方法和装置。在示例性实施例中，提供单个电缆致动器并且可在第一位置和第二位置之间移动，在第一位置，有效地旋转端部执行器而不致动（即，闭合和点火）末端执行器，以及第二位置，有效地致动末端执行器而不旋转端部执行器。单个电缆还可以有效地封闭端部执行器的相对的钳口。

15. 发明申请

US20070125826A1 ROTARY HYDRAULIC PUMP ACTUATED MULTI-STROKE SURGICAL INSTRUMENT 有权
标题翻译：旋转液压泵激活多功能手术仪器
公开(公告)号：US20070125826A1
公开(公告)日：2007-06-07
申请号：US11294584
申请日：2005-12-05
申请人： Frederick Shelton
发明人： Frederick Shelton
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B17/068 , A61B17/1285 , A61B2017/00398 , A61B2017/00539
摘要： A surgical instrument (e.g., endocutter, grasper, cutter, staplers, clip applier, access device, drug/gene therapy delivery device, and energy device using ultrasound, RF, laser, etc.) may benefit from having a plurality of hydraulically actuated subsystems (e.g., severing, stapling, articulation, locking/unlocking, lockout enabling/disabling, grasping, etc.) supplied with hydraulic power from a trigger actuated rotary pump (e.g., lobe pump, rotary gear pump, internal rotating gear pump, flexible vane rotor pump, rotary vane pump). Thereby, an available amount of mechanical advantage available at a firing trigger may be optimally distributed to various end effector components, perhaps sequenced by an electroactive polymer or piezoelectrically actuated function switch block.
摘要翻译：手术器械（例如，切割器，抓取器，切割器，吻合器，夹子施放器，进入装置，药物/基因治疗递送装置以及使用超声波，RF，激光等的能量装置）可以受益于具有多个液压致动子系统（例如，从触发器驱动的旋转泵（例如，叶片泵，旋转齿轮泵，内部旋转齿轮泵，柔性叶片）提供液压动力的（例如，切断，装订，铰接，锁定/解锁，锁定使能/禁止，抓取等）转子泵，旋片泵）。因此，可以在击发触发器处可获得的机械优势的可用量可以最佳地分布到各种末端执行器部件，可能由电活性聚合物或压电致动功能开关块排序。

16. 发明申请

US20070102452A1 Surgical stapling instruments structured for pump-assisted delivery of medical agents 有权
标题翻译：结构化用于泵辅助输送医疗药物的手术吻合器械
公开(公告)号：US20070102452A1
公开(公告)日：2007-05-10
申请号：US11267383
申请日：2005-11-04
申请人： Frederick Shelton , Jerome Morgan
发明人： Frederick Shelton , Jerome Morgan
IPC分类号： B67D5/06 , A61B17/10
CPC分类号： A61B17/07207 , A61B17/07292 , A61B2017/00495 , A61B2017/00893 , A61B2017/07214
摘要： A medical agent dispensing system and surgical instruments that employ the medical agent dispensing system are provided. The dispensing system may be structured for use with a surgical severing/stapling instrument structured for severing and stapling tissue. The dispensing system may include at least one storage reservoir structured for storing at least a component of a medical agent and a pump in communication with the storage reservoir; a delivery tube in communication with the pump which is structured to receive a quantity of the medical agent from the storage reservoir during operation of the pump; and, at least one agent tube in communication with the delivery tube which is structured for communication with a least one agent port formed in a staple cartridge or an anvil of the surgical instrument for dispensing the medical agent therethrough.
摘要翻译：提供了一种医疗剂分配系统和采用医药剂分配系统的外科器械。分配系统可以构造成与用于切断和缝合组织的外科切割/缝合器械一起使用。分配系统可以包括至少一个储存容器，其被构造用于存储至少一个医疗剂的一个部件和一个与存储容器连通的泵; 与所述泵连通的输送管，其构造成在所述泵的操作期间从所述存储容器接收一定数量的所述药剂; 以及与所述输送管连通的至少一个药剂管，其被构造为与形成在所述外科器械的钉仓或砧座中的至少一个药剂口相通以用于分配所述医药。

17. 发明申请

US20070084897A1 ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM 审中-公开
标题翻译：配备双层电子束发射机构的外科装订仪
公开(公告)号：US20070084897A1
公开(公告)日：2007-04-19
申请号：US11538154
申请日：2006-10-03
申请人： FREDERICK SHELTON , Kevin Doll , Jerry Doll , Michael Setser
发明人： FREDERICK SHELTON , Kevin Doll , Jerry Doll , Michael Setser
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B2017/2927 , A61B2017/320052
摘要： A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.
摘要翻译：一种适用于腹腔镜和内窥镜临床手术的手术切割和吻合器械夹紧在由砧座枢转的细长通道的末端执行器内的组织。电子束射击杆通过夹紧的末端执行器向远侧移动以切断组织并且在切割的每一侧上驱动钉。电子束射击棒肯定地将砧座与细长通道隔开，以确保适当形成的封闭缝钉，特别是当夹紧的组织量不足以使末端执行器空间时。特别地，击发杆的上销纵向移动通过砧槽，并且通道狭槽被捕获在击发杆的下盖和中间销之间以确保最小间隔。从增厚的远端部分和薄的近端条带形成电子束增强了可制造性并且便于在这种关节式手术器械中使用。

18. 发明申请

US20060282094A1 Surgical suturing apparatus 有权
标题翻译：手术缝合装置
公开(公告)号：US20060282094A1
公开(公告)日：2006-12-14
申请号：US11394162
申请日：2006-03-31
申请人： Michael Stokes , Frederick Shelton , Mark Ortiz
发明人： Michael Stokes , Frederick Shelton , Mark Ortiz
IPC分类号： A61B17/04
CPC分类号： A61B17/0482 , A61B1/00087 , A61B1/00094 , A61B1/00133 , A61B1/0014 , A61B1/005 , A61B1/2736 , A61B1/313 , A61B5/026 , A61B5/0261 , A61B17/00491 , A61B17/0466 , A61B17/0469 , A61B17/0487 , A61B17/0493 , A61B17/06066 , A61B17/062 , A61B34/20 , A61B90/36 , A61B2017/00022 , A61B2017/00292 , A61B2017/00296 , A61B2017/00407 , A61B2017/00469 , A61B2017/00477 , A61B2017/00561 , A61B2017/0479 , A61B2017/0496 , A61B2017/06076 , A61B2017/0608 , A61B2017/06185 , A61B2017/306 , A61B2090/037 , A61B2090/0811 , A61B2090/374 , A61B2090/378
摘要： A surgical suturing apparatus includes a suture housing, a needle mounted within the suture housing for movement about an arcuate path, and a drive assembly operably associated with the needle for controlling movement of the needle with a suture secured thereto about the arcuate path in a manner facilitating application of the suture to tissue. The drive assembly includes a friction camming member that moves along the suture housing under the control of the drive mechanism, wherein actuation of the drive mechanism causes the friction camming member to selectively engage and disengage the needle causing the needle to move about the arcuate path.
摘要翻译：手术缝合装置包括缝合线壳体，安装在缝合线壳体内用于围绕弓形路径运动的针和与该针可操作地相关联的驱动组件，用于控制针头以围绕弓形路径固定到其周围的缝合线的运动，促进将缝合线应用于组织。驱动组件包括在驱动机构的控制下沿着缝合线壳体移动的摩擦凸轮构件，其中驱动机构的致动使得摩擦凸轮构件选择性地接合和脱离针，导致针在弓形路径上移动。

19. 发明申请

US20060282092A1 Surgical suturing apparatus with needle position indicator 有权
标题翻译：手术缝合器具针位置指示器
公开(公告)号：US20060282092A1
公开(公告)日：2006-12-14
申请号：US11394155
申请日：2006-03-31
申请人： Michael Stokes , Frederick Shelton , Mark Ortiz , David Plescia
发明人： Michael Stokes , Frederick Shelton , Mark Ortiz , David Plescia
IPC分类号： A61B17/04
CPC分类号： A61B1/005 , A61B1/00087 , A61B1/00094 , A61B1/00133 , A61B1/0014 , A61B1/2736 , A61B1/313 , A61B5/026 , A61B5/0261 , A61B17/00491 , A61B17/0466 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B17/0493 , A61B17/06066 , A61B17/062 , A61B34/20 , A61B90/36 , A61B2017/00022 , A61B2017/00292 , A61B2017/00296 , A61B2017/00407 , A61B2017/00469 , A61B2017/00477 , A61B2017/00561 , A61B2017/0479 , A61B2017/0496 , A61B2017/06076 , A61B2017/0608 , A61B2017/06185 , A61B2017/306 , A61B2090/037 , A61B2090/0811 , A61B2090/374 , A61B2090/378
摘要： A surgical suturing apparatus includes a suture housing, a needle having a proximal end and a distal end, the needle being mounted within the suture housing for movement about an arcuate path, a drive assembly operably associated with the needle for controlling movement of the needle with a suture secured thereto about the arcuate path in a manner facilitating application of the suture to tissue, and mechanism for determining the position of at least one of the distal end of the needle and the proximal end of the needle at all points along the arcuate path about which the needle moves.
摘要翻译：手术缝合装置包括缝合线壳体，具有近端和远端的针，针安装在缝合线壳体内以用于围绕弓形路径移动;与针可操作地相关联的驱动组件，用于控制针的运动，以便于将缝合线施加到组织的方式围绕弓形路径固定到其上的缝合线，以及用于在沿着弓形路径的所有点处确定针的远端和针的近端中的至少一个的位置的机构针移动。

20. 发明申请

US20060212069A1 Surgical stapling instrument having load sensing control circuitry 有权
标题翻译：具有负载感测控制电路的手术吻合器械
公开(公告)号：US20060212069A1
公开(公告)日：2006-09-21
申请号：US11240836
申请日：2005-09-30
申请人： Frederick Shelton
发明人： Frederick Shelton
IPC分类号： A61B17/00
CPC分类号： A61B17/07207 , A61B17/072 , A61B17/07292 , A61B2017/00022 , A61B2017/00115 , A61B2017/07214 , A61B2090/064 , A61B2090/065 , A61B2090/0807
摘要： A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes load sensing pressure transducers strategically placed for closed loop control and monitoring. Load sensing within a staple applying assembly (end effector) may provide feedback for preventing firing with insufficient or too much tissue, or to sense appropriate presence buttress material, to deploy buttress material after firing is sensed.
摘要翻译：用于内窥镜或腹腔镜插入到外科手术部位以用于同时缝合和切断组织的手术器械包括用于闭环控制和监测的策略性放置的负载感测压力传感器。订书钉施加组件（端部执行器）内的载荷感测可以提供用于防止在组织不足或过多的情况下发射的反馈，或者感测到适当的存在支撑材料，以便在感测到烧结之后展开支撑材料。

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