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    • 22. 发明授权
    • Surgical stapling instrument with a firing member return mechanism
    • 具有击发构件返回机构的手术吻合器械
    • US07954684B2
    • 2011-06-07
    • US12008266
    • 2008-01-10
    • Chad P. Boudreaux
    • Chad P. Boudreaux
    • A61B17/068A61B19/00
    • A61B17/07207A61B2017/2913A61B2017/2916A61B2017/2923A61B2017/2927A61B2017/2929A61B2017/2943A61B2017/2946A61B2090/0811
    • A surgical instrument including a firing drive configured to selectively advance a firing member and/or cutting member relative to an end effector and, in addition, a reversing drive configured to selectively retract the firing member and/or cutting member relative to the end effector. In various embodiments, the surgical instrument can further include a switch including relatively movable first and second portions, wherein the first portion can be configured to operably disengage the firing drive from the firing member and, in addition, operably engage the reversing drive with the firing member. In at least one embodiment, the second portion can include a handle extending therefrom which can be motivated by the surgeon in order to engage the second portion with the first portion and move the first portion into position.
    • 一种外科器械,包括击发驱动器,其构造成相对于端部执行器选择性地推进击发构件和/或切割构件,另外,构造成相对于末端执行器选择性地缩回击发构件和/或切割构件的反转驱动器。 在各种实施例中,手术器械还可包括开关,其包括相对可移动的第一和第二部分,其中第一部分可构造成将击发驱动器与击发构件可操作地分离,并且另外可操作地与反转驱动器接合, 会员。 在至少一个实施例中,第二部分可以包括从其延伸的手柄,其可由外科医生激励,以便将第二部分与第一部分接合并将第一部分移动到位。
    • 24. 发明授权
    • Surgical instrument with articulating shaft with single pivot closure and double pivot frame ground
    • 手术器具带有单个枢轴闭合和双枢轴框架接地的铰接轴
    • US07784662B2
    • 2010-08-31
    • US11100772
    • 2005-04-07
    • Kenneth S. WalesChad P. Boudreaux
    • Kenneth S. WalesChad P. Boudreaux
    • A61B17/04A61B17/10
    • A61B17/07207A61B2017/2927A61B2017/2937A61B2017/294A61B2017/2943Y10T403/32221
    • A surgical stapling and severing instrument particularly suited to endoscopic use includes a proximal portion that is manipulated external to a patient to position an attached elongate shaft and end effector to a desired surgical site inside of the patient. An articulation joint pivotally attaches the end effector to the elongate shaft to give further clinical flexibility in reaching tissue at a desired angle. A closure tube assembly includes a single pivoting portion that overrides the articulation joint in order to distally translate to the end effector to close, yet pass over an articulated shaft by having a multiple pivot frame ground encompassed therein to accommodate the longitudinal change in closure sleeve pivot. Thereby, additional clinical flexibility in positioning the end effector is achieved without losing the ability for separate closure and firing motions transferred by the shaft.
    • 特别适用于内窥镜使用的外科缝合和切断器械包括在患者外部操纵的近端部分,以将附接的细长轴和末端执行器定位到患者内部期望的手术部位。 关节接头将末端执行器枢转地附接到细长轴,以在达到所需角度的组织处提供进一步的临床灵活性。 闭合管组件包括单个枢转部分,该枢转部分覆盖关节运动关节,以便远端地平移至末端执行器以关闭,但通过具有包围在其中的多个枢轴框架接地以适应闭合套筒枢轴的纵向变化而越过铰接轴 。 因此,在不失去由轴转移的单独闭合和点火运动的能力的情况下实现了定位末端执行器的额外的临床灵活性。
    • 26. 发明申请
    • Surgical stapling instruments
    • 手术吻合器械
    • US20080314955A1
    • 2008-12-25
    • US11821277
    • 2007-06-22
    • Chad P. BoudreauxJeffrey S. Swayze
    • Chad P. BoudreauxJeffrey S. Swayze
    • A61B17/10
    • A61B17/07207A61B2017/2913A61B2017/2916A61B2017/2923A61B2017/2927A61B2017/2929A61B2017/2943A61B2017/2946A61B2090/0811
    • A surgical instrument including a shaft, an end effector movable relative to the shaft, a locking mechanism configured to engage the shaft and/or end effector to fix the relative relationship between the shaft and end effector, and a closure system configured to close the end effector and engage the locking mechanism to prevent it from becoming unlocked. The instrument can further include a firing drive comprising a trigger, a firing member, and a pawl, where the pawl is rotatable between a first position in which the pawl is disengaged from the firing member and a second position in which the trigger can advance the pawl and firing member toward the end effector. The instrument can also include a reel, a band, where the band can be wound around the reel to retract the firing member, and a return mechanism for selectively engaging the trigger with the firing member and the reel.
    • 一种手术器械,包括轴,相对于所述轴可移动的末端执行器,锁定机构,其构造成接合所述轴和/或末端执行器以固定所述轴和末端执行器之间的相对关系,以及闭合系统, 效应器并接合锁定机构以防止其解锁。 该仪器还可以包括一个击发驱动器,其包括扳机,击发构件和棘爪,其中该棘爪可在第一位置和第二位置之间转动,在该第二位置,该棘爪与击发构件脱离啮合, 棘爪和击发构件朝向末端执行器。 仪器还可以包括卷轴,带,其中带可以卷绕在卷轴上以使击发构件缩回,以及用于选择性地将触发器与击发构件和卷轴接合的返回机构。
    • 30. 发明授权
    • Dampening device for endoscopic surgical stapler
    • 内窥镜手术吻合器防潮装置
    • US08267300B2
    • 2012-09-18
    • US12650334
    • 2009-12-30
    • Chad P. Boudreaux
    • Chad P. Boudreaux
    • A61B17/064
    • A61B17/068A61B17/072A61B17/07207A61B17/28A61B2017/00367
    • A surgical instrument including a shaft and an end effector. The end effector may comprise a first jaw and a second jaw. The first jaw may be movable relative to the second jaw between an open configuration and a closed configuration. The surgical instrument may comprise a closure assembly which may be operably engaged with the first jaw. The closure assembly may comprise a closure trigger and a dampening system. The closure trigger may be configured to be actuated from a first position to a second position to close the first jaw. The dampening system may be configured to retard the opening of the closure trigger. The dampening system may comprise an aperture configured to receive the projection at a first end of the aperture and a seal configured to form a fluid seal between said projection and said aperture sidewall.
    • 包括轴和端部执行器的手术器械。 末端执行器可以包括第一钳口和第二钳口。 第一钳口可以在打开构型和闭合构型之间相对于第二钳口移动。 外科器械可以包括可以与第一钳口可操作地接合的闭合组件。 闭合组件可以包括闭合触发器和阻尼系统。 闭合触发器可被构造成从第一位置致动到第二位置以闭合第一钳口。 阻尼系统可以被配置为延迟闭合触发器的打开。 阻尼系统可以包括被配置为在孔的第一端处接收突起的孔,以及被配置为在所述突起和所述孔侧壁之间形成流体密封的密封件。