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31. 发明授权

US07766209B2 Surgical stapling instrument with improved firing trigger arrangement 有权
标题翻译：具有改进的触发触发装置的手术吻合器械
公开(公告)号：US07766209B2
公开(公告)日：2010-08-03
申请号：US12030424
申请日：2008-02-13
申请人： Chester O. Baxter, III , James Bedi
发明人： Chester O. Baxter, III , James Bedi
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/115 , A61B2017/00367 , A61B2017/2912
摘要： A surgical stapling instrument including an actuator knob which can be moved from one side of the stapling instrument to another side in order to reposition the actuator knob without having to reposition the stapling instrument within a surgical site. A stapling instrument can include a pusher bar, a housing having a first side and a second side, and an actuator knob rotatably mounted to the pusher bar wherein the actuator knob can be configured to be rotated between a first position in which the actuator knob can be moved along the first side of the housing and a second position where the actuator knob can be moved along a second side of the housing. Alternatively, a surgical stapling instrument can comprise one or more actuator knobs which can be operably engaged and disengaged with a pusher bar in order to selectively utilize the actuator knobs.
摘要翻译：一种外科缝合器械，其包括能够从缝合器械的一侧移动到另一侧的致动器旋钮，以便重新定位致动器旋钮，而不必在缝合部位内重新定位吻合器械。装订器可以包括推杆，具有第一侧和第二侧的壳体，以及可旋转地安装到推杆的致动器旋钮，其中致动器旋钮可以构造成在致动器旋钮可以在其中的第一位置之间旋转沿着壳体的第一侧移动，并且第二位置可以使致动器旋钮沿壳体的第二侧移动。或者，外科缝合器械可以包括一个或多个致动器旋钮，其可以与推杆可操作地接合和分离，以便选择性地使用致动器旋钮。

32. 发明申请

US20080071295A1 Suturing device with angled head 有权
标题翻译：带角度头的缝合装置
公开(公告)号：US20080071295A1
公开(公告)日：2008-03-20
申请号：US11521580
申请日：2006-09-15
申请人： Chester O. Baxter , James J. Bedi , Lawrence Crainich , Robert C. Allman
发明人： Chester O. Baxter , James J. Bedi , Lawrence Crainich , Robert C. Allman
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B2017/00991 , A61B2017/2927
摘要： A suturing apparatus for the continuous application of a suture includes a suturing head shaped and dimensioned for attachment to a distal end of a support member. The suturing head includes a track shaped and dimensioned for receiving a needle for movement about the track. A support arm includes first and second lateral arms connected by a central connecting member supporting the track, wherein the support arm includes a longitudinal axis and the track lies in a transverse plane. Angular orientation of the support arm relative to the track is achieved by positioning the transverse plane of the track at an oblique angle relative to the longitudinal axis of the support arm such that operators are provided with improved access to the surgical site. A drive assembly is coupled to the needle for controlled movement about the track.
摘要翻译：用于连续施加缝合线的缝合装置包括形状和尺寸用于附接到支撑构件的远端的缝合头。缝合头包括形状和尺寸用于接收围绕轨道运动的针的轨道。支撑臂包括通过支撑轨道的中心连接构件连接的第一和第二侧臂，其中支撑臂包括纵向轴线，并且轨道位于横向平面中。通过将轨道的横向平面相对于支撑臂的纵向轴线以倾斜角定位，使得操作者被提供到改善的手术部位的进入，实现支撑臂相对于轨道的角度取向。驱动组件联接到针上以便围绕轨道受控地移动。

33. 发明授权

US06458142B1 Force limiting mechanism for an ultrasonic surgical instrument 有权
标题翻译：超声手术器械的力限制机制
公开(公告)号：US06458142B1
公开(公告)日：2002-10-01
申请号：US09412996
申请日：1999-10-05
申请人： Craig N. Faller , Chester O. Baxter, III , David A. Witt
发明人： Craig N. Faller , Chester O. Baxter, III , David A. Witt
IPC分类号： A61B1700
CPC分类号： A61B17/320068 , A61B17/320092 , A61B90/03 , A61B2017/2933
摘要： The present invention relates, in general, to ultrasonic surgical clamping instruments and, more particularly, to an improved force limiting mechanism for an ultrasonic surgical clamping instrument. An ultrasonic clamp coagulator apparatus is described including a housing, an actuator, an outer tube having a proximal end joined to the housing, and a distal end. An actuating element is reciprocably positioned within the outer tube and operatively connected to the actuator. An ultrasonic waveguide is positioned within the outer tube, with an end-effector extending distally from the distal end of the outer tube. A clamp arm is pivotally mounted on the distal end of the outer tube for pivotal movement with respect to the end-effector for clamping tissue between the clamp arm and the end-effector. The clamp arm is operatively connected to the actuating element so that reciprocal movement of the actuating element pivots the clamp arm. There is an actuation mechanism within the housing, connected between the clamp arm and the actuator. The actuation mechanism is adapted to actuate the clamp arm pivotably with respect to the end-effector. In one embodiment the actuation mechanism includes a wave spring for limiting the force applied to the clamp arm from the actuator.
摘要翻译：本发明一般涉及超声手术夹紧装置，更具体地，涉及用于超声手术夹紧装置的改进的力限制机构。描述了一种超声波夹具凝结器装置，包括壳体，致动器，具有接合到壳体的近端的外管和远端。致动元件可往复地定位在外管内并可操作地连接到致动器。超声波波导位于外管内，末端执行器从外管的远端向远端延伸。夹紧臂枢转地安装在外管的远端上，用于相对于端部执行器枢转运动，用于夹紧夹紧臂和末端执行器之间的组织。夹臂可操作地连接到致动元件，使得致动元件的往复运动枢转夹紧臂。在壳体内有一个致动机构，连接在夹紧臂和致动器之间。致动机构适于相对于端部执行器可枢转地致动夹臂。在一个实施例中，致动机构包括用于限制从致动器施加到夹紧臂的力的波形弹簧。

34. 发明授权

US5954736A Coagulator apparatus having indexed rotational positioning 失效
标题翻译：具有分度旋转定位的凝结器装置
公开(公告)号：US5954736A
公开(公告)日：1999-09-21
申请号：US948952
申请日：1997-10-10
申请人： Gregory D. Bishop , Chester O. Baxter, III , Richrad W. Flaker
发明人： Gregory D. Bishop , Chester O. Baxter, III , Richrad W. Flaker
IPC分类号： A61B17/28 , A61B17/32 , A61B18/00 , A61B17/00
CPC分类号： A61B17/320092 , A61B2017/292 , A61B2017/2929
摘要： An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation, and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. Selective, indexed rotational positioning of the clamping mechanism and end-effector is achieved by the provision of a detent mechanism incorporated into the clamp drive mechanism of the apparatus. The arrangement permits an elongated portion of the apparatus to be selectively rotatably positioned with respect to an apparatus housing, with an associated ultrasonic drive unit operatively coupled to a waveguide of the apparatus for rotation together with the clamping mechanism. The detent mechanism desirably resists relative rotation of the apparatus unless a predetermined torque is applied thereto, thus facilitating efficient and convenient use during surgical procedures.
摘要翻译：超声外科夹具凝固器装置被配置为通过所述装置的夹持机构与相关联的超声末端执行器协作来实现组织的切割，凝结和夹紧。通过设置结合到装置的夹紧驱动机构中的制动机构来实现夹紧机构和末端执行器的选择性，分度的旋转定位。该装置允许设备的细长部分相对于装置壳体选择性地可旋转地定位，相关联的超声波驱动单元可操作地耦合到装置的波导以与夹紧机构一起旋转。止动机构希望抵抗装置的相对旋转，除非施加预定的扭矩，从而便于在外科手术过程中有效和方便地使用。

35. 发明申请

US20220054158A1 SURGICAL CLIP APPLIER COMPRISING AN AUTOMATIC CLIP FEEDING SYSTEM 有权
公开(公告)号：US20220054158A1
公开(公告)日：2022-02-24
申请号：US17466616
申请日：2021-09-03
申请人： Frederick E. Shelton, IV , Jason L. Harris , Chester O. Baxter, III
发明人： Frederick E. Shelton, IV , Jason L. Harris , Chester O. Baxter, III
IPC分类号： A61B17/29 , A61B17/00 , A61B17/128 , A61B17/28 , A61B17/10
摘要： A surgical clip applier is disclosed which is configured to automatically feed a clip from a clip cartridge once the surgical clip applier is positioned in the patient.

36. 发明授权

US09549738B2 Ratcheting feature on tissue staple trigger to prevent premature jaw opening 有权
标题翻译：组织钉触发器上的棘轮特征，以防止过早的颌开口
公开(公告)号：US09549738B2
公开(公告)日：2017-01-24
申请号：US13344093
申请日：2012-01-05
申请人： Venkataramanan Mandakolathur Vasudevan , Adam R. Dunki-Jacobs , Chester O. Baxter, III , Jerome R. Morgan , Cortney E. Henderson , Christopher C. Miller , Kent P. Baker , John V. Hunt , Barry T. Jamison , Patrick A. Weizman , Joseph E. Young , Cory G. Kimball , Carl J. Shurtleff , Edward G. Chekan , Kevin D. Felder , Johnny H. Alexander, III , Patrick J. Swindon , Joseph P. Schowalter , John F. Cummings
发明人： Venkataramanan Mandakolathur Vasudevan , Adam R. Dunki-Jacobs , Chester O. Baxter, III , Jerome R. Morgan , Cortney E. Henderson , Christopher C. Miller , Kent P. Baker , John V. Hunt , Barry T. Jamison , Patrick A. Weizman , Joseph E. Young , Cory G. Kimball , Carl J. Shurtleff , Edward G. Chekan , Kevin D. Felder , Johnny H. Alexander, III , Patrick J. Swindon , Joseph P. Schowalter , John F. Cummings
IPC分类号： A61B17/00 , A61B17/115 , A61B17/072 , A61B17/29
CPC分类号： A61B17/1155 , A61B17/072 , A61B2017/00407 , A61B2017/2923
摘要： A surgical instrument includes a body, a pivotable trigger, and a ratcheting assembly. The ratcheting assembly may include a rotary ratchet coupled to the trigger and a pawl coupled to the body. The rotary ratchet may further include a ramp that disengages the ratchet from the pawl. A release feature may be included to selectively disengage a second member of the ratcheting assembly from a first member. In some versions, the release feature may include a rotation knob or a slidable handle. In another configuration, the ratcheting assembly may have a first member coupled to an actuator and a second member coupled to the body. The assembly may include a lock member coupled to the body that selectively engages a plurality of teeth disposed on the actuator. Alternatively, the assembly may include a pivotable pawl coupled to the actuator that engages one or more notches formed in the body.
摘要翻译：手术器械包括主体，可枢转扳机和棘轮组件。棘轮组件可以包括联接到扳机的旋转棘轮和联接到主体的棘爪。旋转棘轮还可以包括使棘轮与棘爪脱离的斜坡。可以包括释放特征以选择性地将棘轮组件的第二构件与第一构件分离。在一些版本中，释放特征可以包括旋转旋钮或可滑动的手柄。在另一种构造中，棘轮组件可以具有联接到致动器的第一构件和联接到主体的第二构件。组件可以包括联接到主体的锁定构件，其选择性地接合设置在致动器上的多个齿。或者，组件可以包括联接到致动器的可枢转的棘爪，其接合形成在主体中的一个或多个凹口。

37. 发明授权

US09364230B2 Surgical stapling instruments with rotary joint assemblies 有权
标题翻译：带旋转接头组件的手术吻合器械
公开(公告)号：US09364230B2
公开(公告)日：2016-06-14
申请号：US13536335
申请日：2012-06-28
申请人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Chester O. Baxter, III
发明人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Chester O. Baxter, III
IPC分类号： A61B17/068 , B25J17/00 , A61B17/072 , A61M39/00 , A61M39/10 , A61B17/00 , A61B17/29
CPC分类号： A61B17/07207 , A61B34/30 , A61B2017/00309 , A61B2017/00314 , A61B2017/00398 , A61B2017/0046 , A61B2017/00477 , A61B2017/00876 , A61B2017/2908 , A61B2017/2927 , A61B2017/2929 , A61M39/00 , A61M39/1055 , A61M2039/1061 , Y10T29/49826 , Y10T74/20329
摘要： A rotary support joint assembly for coupling a first portion of a surgical instrument to a second portion of a surgical instrument. In various forms the joint assembly includes a first annular race in the first portion and a second annular race in the second portion. The second race is configured for substantial registration with the first annular race when the second portion is joined with the first portion. A ring-like bearing is supported within the registered first and second annular races.
摘要翻译：一种用于将外科器械的第一部分联接到手术器械的第二部分的旋转支撑关节组件。在各种形式中，接头组件包括第一部分中的第一环形座圈和第二部分中的第二环形座圈。当第二部分与第一部分接合时，第二座圈构造成与第一环形座圈基本对准。在注册的第一和第二环形座中支撑环状轴承。

38. 发明授权

US09301752B2 Tissue thickness compensator comprising a plurality of capsules 有权
标题翻译：组织厚度补偿器，包括多个胶囊
公开(公告)号：US09301752B2
公开(公告)日：2016-04-05
申请号：US13433096
申请日：2012-03-28
申请人： Venkataramanan Mandakolathur Vasudevan , Taylor W. Aronhalt , Jeffrey L. Aldridge , Charles J. Scheib , Chunlin Yang , Christopher J. Schall , Chester O. Baxter, III , Iksoo Chun , Rao S. Bezwada , Sean P. Conlon , Michael S. Cropper , Joshua R. Uth , Richard L. Leimbach , Donna L. Korvick
发明人： Venkataramanan Mandakolathur Vasudevan , Taylor W. Aronhalt , Jeffrey L. Aldridge , Charles J. Scheib , Chunlin Yang , Christopher J. Schall , Chester O. Baxter, III , Iksoo Chun , Rao S. Bezwada , Sean P. Conlon , Michael S. Cropper , Joshua R. Uth , Richard L. Leimbach , Donna L. Korvick
IPC分类号： A61B17/10 , A61B17/04 , A61B17/064 , A61B17/00 , A61B17/068 , A61B17/115 , A61B17/072 , A61B17/29 , A61B17/32
CPC分类号： A61B17/0643 , A61B17/00491 , A61B17/0644 , A61B17/0684 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00314 , A61B2017/00327 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/00938 , A61B2017/00942 , A61B2017/00951 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811 , A61L31/042 , A61L31/129 , A61L31/14 , A61L31/148 , A61L31/16 , C08L1/04
摘要： A tissue thickness compensator can comprise a plurality of layers. Various embodiments are disclosed herein for manufacturing a tissue thickness compensator. In certain embodiments, a tissue thickness compensator can comprise at least one medicament tube, capsule, and/or packet contained therein.
摘要翻译：组织厚度补偿器可以包括多个层。本文公开了用于制造组织厚度补偿器的各种实施例。在某些实施例中，组织厚度补偿器可以包括其中包含的至少一个药物管，胶囊和/或包装。

39. 发明授权

US09295464B2 Surgical stapler anvil comprising a plurality of forming pockets 有权
标题翻译：包括多个成形袋的手术吻合器砧座
公开(公告)号：US09295464B2
公开(公告)日：2016-03-29
申请号：US13097865
申请日：2011-04-29
申请人： Frederick E. Shelton, IV , Chester O. Baxter, III
发明人： Frederick E. Shelton, IV , Chester O. Baxter, III
IPC分类号： A61B17/068 , A61B17/00 , A61B17/064 , A61B17/072 , A61B17/115 , A61B17/29 , A61B17/32 , A61B19/00 , A61B17/295 , A61B17/04
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译：紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第二钳口或砧座可以定位成与第一钳口相对。为了部署紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。

40. 发明授权

US09232941B2 Tissue thickness compensator comprising a reservoir 有权
标题翻译：组织厚度补偿器，包括储存器
公开(公告)号：US09232941B2
公开(公告)日：2016-01-12
申请号：US13433102
申请日：2012-03-28
申请人： Venkataramanan Mandakolathur Vasudevan , Cortney E. Henderson , Taylor W. Aronhalt , Jeffrey L. Aldridge , Charles J. Scheib , Chunlin Yang , Christopher J. Schall , Chester O. Baxter, III , Frederick E. Shelton, IV , Joseph H. Contiliano , Tamara Widenhouse , Donna L. Korvick
发明人： Venkataramanan Mandakolathur Vasudevan , Cortney E. Henderson , Taylor W. Aronhalt , Jeffrey L. Aldridge , Charles J. Scheib , Chunlin Yang , Christopher J. Schall , Chester O. Baxter, III , Frederick E. Shelton, IV , Joseph H. Contiliano , Tamara Widenhouse , Donna L. Korvick
IPC分类号： A61B17/04 , A61B17/10 , A61B17/064 , A61B17/00 , A61B17/072 , A61B17/115 , A61B17/29 , A61B17/32
CPC分类号： A61B17/0643 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B50/30 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00327 , A61B2017/00473 , A61B2017/00477 , A61B2017/00495 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/0641 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2050/3008 , A61B2050/314 , A61B2090/037
摘要： In various embodiments, a tissue thickness compensator can comprise a compressible extracellular matrix and a bioabsorbable material dispersed within the extracellular matrix, wherein the bioapsorption of the bioabsorbable material is configured to leave behind channels in the extracellular matrix. The tissue thickness compensator can also comprise generation means for generating the ingrowth of tissue into the channels. In at least one embodiment, the tissue thickness compensator can comprise dissolvable wicking members which, when dissolved, can leave behind channels in the tissue thickness compensator. In certain embodiments, the tissue thickness compensator can comprise at least one rupturable capsule.
摘要翻译：在各种实施方案中，组织厚度补偿器可以包含分散在细胞外基质内的可压缩细胞外基质和生物可吸收材料，其中生物可吸收材料的生物吸收被配置为留在细胞外基质中的通道。组织厚度补偿器还可以包括用于产生组织进入通道的向内生长的产生装置。在至少一个实施例中，组织厚度补偿器可以包括可溶解的芯吸构件，其在溶解时可以留在组织厚度补偿器中的通道之后。在某些实施例中，组织厚度补偿器可以包括至少一个可破裂胶囊。

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