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31. 发明申请

US20120239009A1 SURGICAL INSTRUMENTS WITH ARTICULATABLE AND ROTATABLE END EFFECTOR 有权
标题翻译：手术仪器与可变和可旋转的终端效应器
公开(公告)号：US20120239009A1
公开(公告)日：2012-09-20
申请号：US13048579
申请日：2011-03-15
申请人： Rebecca J. Mollere , Charles J. Scheib , Chad P. Boudreaux , Michael J. Vendely , Aron O. Zingman , Jeffrey S. Swayze , Barry C. Worrell , Janna B. Volz , John C. Schuckmann , Megan A. O'Connor
发明人： Rebecca J. Mollere , Charles J. Scheib , Chad P. Boudreaux , Michael J. Vendely , Aron O. Zingman , Jeffrey S. Swayze , Barry C. Worrell , Janna B. Volz , John C. Schuckmann , Megan A. O'Connor
IPC分类号： A61B17/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00367 , A61B2017/291 , A61B2017/2927 , A61B2017/2929 , A61B2017/293
摘要： Hand-held surgical instruments that have and end effector attached to an elongate shaft are disclosed. The end effector is articulatable and rotatable relative to the shaft by a nozzle arrangement supported by a handle from which the elongate shaft extends. In various embodiments, the nozzle is operable by the same hand that is used to support the handle.
摘要翻译：公开了具有连接到细长轴的末端效应器的手持式手术器械。末端执行器通过由细长轴延伸的手柄支撑的喷嘴装置相对于轴可铰接并可旋转。在各种实施例中，喷嘴可通过用于支撑手柄的相同的手来操作。

32. 发明授权

US09101359B2 Surgical staple cartridge with self-dispensing staple buttress 有权
标题翻译：手术钉盒，具有自分散钉支撑
公开(公告)号：US09101359B2
公开(公告)日：2015-08-11
申请号：US13231064
申请日：2011-09-13
申请人： Bret W. Smith , Thomas W. Lytle, IV , Matthew C. Miller , Yi-Lan Wang , Joseph Zavatsky , Kreena Modi , Aron O. Zingman
发明人： Bret W. Smith , Thomas W. Lytle, IV , Matthew C. Miller , Yi-Lan Wang , Joseph Zavatsky , Kreena Modi , Aron O. Zingman
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/07292 , A61B2017/07214 , A61B2017/07271
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge when in an open position. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The instrument includes a movable buttress that is integral with the housing of the cartridge or integral with the lower jaw of the end effector. The buttress may attach to the anvil and include a portion to receive tissue. The receipt of tissue urges and moves the buttress proximally inwards to further encompass the tissue.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。下颚构造成在处于打开位置时接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该仪器包括一个可移动的支柱，该活动支撑件与盒的壳体成一体，或与末端执行器的下颚一体。支撑件可以附接到砧座并且包括接收组织的部分。组织的接收促使支撑向内侧移动以进一步包围组织。

33. 发明授权

US08926598B2 Surgical instruments with articulatable and rotatable end effector 有权
标题翻译：具有可铰接和可旋转末端执行器的外科器械
公开(公告)号：US08926598B2
公开(公告)日：2015-01-06
申请号：US13048579
申请日：2011-03-15
申请人： Rebecca J. Mollere , Charles J. Scheib , Chad P. Boudreaux , Michael J. Vendely , Aron O. Zingman , Jeffrey S. Swayze , Barry C. Worrell , Janna B. Volz , John C. Schuckmann , Megan A. O'Connor
发明人： Rebecca J. Mollere , Charles J. Scheib , Chad P. Boudreaux , Michael J. Vendely , Aron O. Zingman , Jeffrey S. Swayze , Barry C. Worrell , Janna B. Volz , John C. Schuckmann , Megan A. O'Connor
IPC分类号： A61B17/00 , A61B17/072 , A61B17/29
CPC分类号： A61B17/07207 , A61B2017/00367 , A61B2017/291 , A61B2017/2927 , A61B2017/2929 , A61B2017/293
摘要： Hand-held surgical instruments that have and end effector attached to an elongate shaft are disclosed. The end effector is articulatable and rotatable relative to the shaft by a nozzle arrangement supported by a handle from which the elongate shaft extends. In various embodiments, the nozzle is operable by the same hand that is used to support the handle.
摘要翻译：公开了具有连接到细长轴的末端效应器的手持式手术器械。末端执行器通过由细长轴延伸的手柄支撑的喷嘴装置相对于轴可铰接并可旋转。在各种实施例中，喷嘴可通过用于支撑手柄的相同的手来操作。

34. 发明授权

US08814025B2 Fibrin pad matrix with suspended heat activated beads of adhesive 有权
标题翻译：纤维蛋白垫基质与悬浮热活化的粘合剂珠
公开(公告)号：US08814025B2
公开(公告)日：2014-08-26
申请号：US13233633
申请日：2011-09-15
申请人： Matthew C. Miller , Yi-Lan Wang , Israel Nur , Aron O. Zingman
发明人： Matthew C. Miller , Yi-Lan Wang , Israel Nur , Aron O. Zingman
IPC分类号： A61B17/068 , A61B17/00 , A61B17/072 , A61B17/29
CPC分类号： A61B17/07207 , A61B17/00491 , A61B17/07292 , A61B2017/005 , A61B2017/2929
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a cartridge when in an open position. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further receives a matrix including glue beads suspended in the matrix. The staples are driven through the matrix to secure the matrix to tissue. The glue beads are activated when the matrix is secured to the tissue, such that the activated adhesive further secures the staple line in the tissue.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切断组件。下颚构造成在处于打开位置时接收盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。墨盒进一步接收包括悬浮在基质中的胶珠的基质。订书钉被驱动通过矩阵将矩阵固定在组织上。当基质被固定到组织上时，胶珠被活化，使得活化的粘合剂进一步固定组织中的缝合线。

35. 发明授权

US08517932B2 Methods and devices for providing access through tissue to a surgical site 有权
标题翻译：用于提供通过组织进入手术部位的方法和装置
公开(公告)号：US08517932B2
公开(公告)日：2013-08-27
申请号：US12636191
申请日：2009-12-11
申请人： Kiyoto Benjamin Sakai, Jr. , Shailendra K. Parihar , Mark S. Zeiner , Edgar V. Menezes , Aron O. Zingman
发明人： Kiyoto Benjamin Sakai, Jr. , Shailendra K. Parihar , Mark S. Zeiner , Edgar V. Menezes , Aron O. Zingman
IPC分类号： A61B1/32
CPC分类号： A61B1/32 , A61B17/3421 , A61B17/3423 , A61B2017/2905 , A61B2017/2908 , A61B2017/3443 , A61B2017/3484 , A61B2017/349
摘要： Methods and devices are provided for providing surgical access into a body cavity. A surgical access port is provided that has an adjustable longitudinal length, such as by being formed from multiple segments configured to move relative to one another. An anchor can be coupled to a distal end of the surgical access port to help secure the surgical access port within a tissue opening by engaging a distal side of the tissue. Optionally, the anchor can be removably coupled to the distal end of the surgical access port, thereby allowing any one of a plurality of anchors to be selectively coupled thereto.
摘要翻译：提供了用于提供进入体腔的外科手术的方法和装置。提供具有可调节纵向长度的外科进入口，例如通过被构造为相对于彼此移动的多个部分形成。锚固件可以联接到外科进入口的远端，以通过接合组织的远侧侧面来帮助将外科进入端口固定在组织开口内。可选地，锚固件可以可移除地联接到手术进入口的远端，从而允许多个锚定件中的任何一个选择性地联接到其上。

36. 发明申请

US20130075451A1 Surgical Stapling Device with Adjunct Material Application Feature 有权
标题翻译：具有辅助材料应用特征的外科手术装置
公开(公告)号：US20130075451A1
公开(公告)日：2013-03-28
申请号：US13242164
申请日：2011-09-23
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further includes an agent. The firing bar is operable to assist with releasing the agent onto a severed line of tissue when the firing bar is advanced.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切断组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该盒还包括一个代理。射击杆可操作以帮助当射击杆前进时将药剂释放到组织切断线上。

37. 发明申请

US20130062394A1 SURGICAL STAPLE CARTRIDGE WITH SELF-DISPENSING STAPLE BUTTRESS 有权
标题翻译：手术包装盒与自我分配的胸带
公开(公告)号：US20130062394A1
公开(公告)日：2013-03-14
申请号：US13231064
申请日：2011-09-13
申请人： Bret W. Smith , Thomas W. Lytle, IV , Matthew C. Miller , Yi-Lan Wang , Joseph Zavatsky , Kreena Modi , Aron O. Zingman
发明人： Bret W. Smith , Thomas W. Lytle, IV , Matthew C. Miller , Yi-Lan Wang , Joseph Zavatsky , Kreena Modi , Aron O. Zingman
IPC分类号： A61B17/068
CPC分类号： A61B17/07292 , A61B2017/07214 , A61B2017/07271
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge when in an open position. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The instrument includes a movable buttress that is integral with the housing of the cartridge or integral with the lower jaw of the end effector. The buttress may attach to the anvil and include a portion to receive tissue. The receipt of tissue urges and moves the buttress proximally inwards to further encompass the tissue.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切断组件。下颚构造成在处于打开位置时接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该仪器包括一个可移动的支柱，该活动支撑件与盒的壳体成一体，或与末端执行器的下颚一体。支撑件可以附接到砧座并且包括接收组织的部分。组织的接收促使支撑向内侧移动以进一步包围组织。

38. 发明授权

US08360296B2 Surgical stapling head assembly with firing lockout for a surgical stapler 有权
标题翻译：手术缝合头组件，具有用于外科缝合器的击发锁定
公开(公告)号：US08360296B2
公开(公告)日：2013-01-29
申请号：US12878065
申请日：2010-09-09
申请人： Aron O. Zingman
发明人： Aron O. Zingman
IPC分类号： A61B17/068
CPC分类号： A61B17/1155 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/0046 , A61B2017/00473
摘要： In various embodiments, a surgical stapling head is provided that may comprise a staple cartridge for supporting one or more staples, a core movable relative to the staple cartridge, at least one staple driver extending from the core, and a casing configured to at least partially hold the staple cartridge and movably receive the core and the staple driver(s). The casing may further comprise at least one retention member that is configured to move from a first position to a second position when sufficient external force is applied to the retention member, such as that provided by a shaft of a surgical stapler during insertion of the stapling head assembly into the shaft. When the retention member(s) are at the second position, the staple driver(s) may be prevented from driving staples from the staple cartridge, thereby providing a firing lockout feature to the stapling head assembly during insertion into at least a portion of a surgical stapler.
摘要翻译：在各种实施例中，提供外科缝合头，其可以包括用于支撑一个或多个钉的钉仓，可相对于钉仓移动的芯，从芯延伸的至少一个钉驱动器，以及壳体，其被构造成至少部分地握住钉仓并可移动地接收芯部和钉子驱动器。壳体还可以包括至少一个保持构件，其被构造成当足够的外力施加到保持构件上时，例如由插入吻合器期间由外科缝合器的轴提供的第一位置移动到第二位置头组件进入轴。当保持构件处于第二位置时，可以防止订书钉驱动器从订书钉钉钉上移动订书钉，从而在插入至少部分一个或多个第一位置时向装订头组件提供击打锁定特征手术吻合器

39. 发明申请

US20120238824A1 SURGICAL BOWEL RETRACTOR DEVICES 有权
标题翻译：外科手术器械回缩装置
公开(公告)号：US20120238824A1
公开(公告)日：2012-09-20
申请号：US13181827
申请日：2011-07-13
申请人： Tamara Widenhouse , Andrew Yoo , Frederick E. Shelton, IV , Katherine J. Schmid , Aron O. Zingman , Richard W. Timm , Jacob S. Gee , Steven G. Hall , Daniel J. Mumaw , Taylor W. Aronhalt , Gregory W. Johnson , Michael J. Vendely , Andrew T. Beckman , James R. Janszen
发明人： Tamara Widenhouse , Andrew Yoo , Frederick E. Shelton, IV , Katherine J. Schmid , Aron O. Zingman , Richard W. Timm , Jacob S. Gee , Steven G. Hall , Daniel J. Mumaw , Taylor W. Aronhalt , Gregory W. Johnson , Michael J. Vendely , Andrew T. Beckman , James R. Janszen
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/00234 , A61B17/0218 , A61B17/068 , A61B17/072 , A61B17/1155 , A61B17/3417 , A61B2017/00287 , A61B2017/00353 , A61B2017/00477 , A61B2017/0225 , A61B2017/0287 , A61B2017/07257 , A61B2560/0443 , F04C2270/0421
摘要： Bowel retractor devices. In various forms, the bowel retractor devices are configurable from a collapsed position wherein the retractor may be inserted through a trocar cannula or other opening in a patient's body to a second expanded position wherein at least a portion of the patient's bowel may be advantageously supported in a desired position.
摘要翻译：肠收缩器装置以各种形式，肠绞痛器装置可以从折叠位置配置，其中牵开器可以穿过套管针插管或患者身体中的其他开口插入到第二扩张位置，其中患者肠的至少一部分可以有利地支撑在一个期望的位置。

40. 发明申请

US20100331873A1 ULTRASONIC DEVICE FOR CUTTING AND COAGULATING 审中-公开
标题翻译：用于切割和凝固的超声波装置
公开(公告)号：US20100331873A1
公开(公告)日：2010-12-30
申请号：US12823231
申请日：2010-06-25
申请人： William D. Dannaher , Brian D. Bertke , Kenneth Moran , Aron O. Zingman , Matthew L. Reed , Larry A. Pummill, JR. , Robert D. Weaver , John S. Frazier
发明人： William D. Dannaher , Brian D. Bertke , Kenneth Moran , Aron O. Zingman , Matthew L. Reed , Larry A. Pummill, JR. , Robert D. Weaver , John S. Frazier
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/2804 , A61B17/2816 , A61B2017/00469 , A61B2017/00477 , A61B2017/2936 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2017/447
摘要： An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The assembly includes a clamping mechanism, including a clamp arm pivotally-mounted at the distal portion of the instrument using a ball-bearing assembly, which is specifically configured to create a desired level of tissue clamping forces.
摘要翻译：一种超声波夹具凝固器组件，其被配置为允许在精细和微妙的外科手术中进行选择性切割，凝结和精细解剖。该组件包括夹紧机构，其包括使用滚珠轴承组件枢转地安装在仪器的远端部分处的夹紧臂，其特别地构造成产生期望水平的组织夹紧力。

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