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31. 发明授权

US09211120B2 Tissue thickness compensator comprising a plurality of medicaments 有权
标题翻译：组织厚度补偿器，包括多种药物
公开(公告)号：US09211120B2
公开(公告)日：2015-12-15
申请号：US13433129
申请日：2012-03-28
申请人： Charles J. Scheib , Frederick E. Shelton, IV
发明人： Charles J. Scheib , Frederick E. Shelton, IV
IPC分类号： A61B17/068 , A61B17/072 , A61L17/00 , A61B17/064 , A61B17/115 , A61B17/00 , A61B17/29 , A61B17/32 , A61B19/00
CPC分类号： A61B17/068 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00561 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , 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 , A61B2090/0811 , A61L17/005 , A61L2300/102 , A61L2300/232 , A61L2300/45 , F04C2270/0421 , Y10T29/49826
摘要： In various embodiments, a compensator can comprise a compensator body comprising a plurality of first packets and a plurality of second packets wherein, in at least one embodiment, each second packet is positioned intermediate two or more first packets. The compensator can further comprise a first medicament positioned within each first packet and a second medicament positioned within each second packet, wherein the first medicament is different than the second medicament.
摘要翻译：在各种实施例中，补偿器可以包括补偿器主体，其包括多个第一分组和多个第二分组，其中在至少一个实施例中，每个第二分组位于两个或更多个第一分组之间。补偿器还可以包括位于每个第一分组内的第一药物和位于每个第二分组内的第二药物，其中第一药物不同于第二药物。

32. 发明授权

US09198662B2 Tissue thickness compensator having improved visibility 有权
标题翻译：组织厚度补偿器具有提高的可见度
公开(公告)号：US09198662B2
公开(公告)日：2015-12-01
申请号：US13532825
申请日：2012-06-26
申请人： Trevor J. Barton , Michael J. Vendely , Stephen M. Torain , John V. Hunt , Geoffrey C. Hueil , Jacqueline A. Anim , Pamela M. Attenweiler , Frederick E. Shelton, IV , Richard L. Leimbach , Donna L. Korvick , Joshua R. Uth , Samardh Onukuri
发明人： Trevor J. Barton , Michael J. Vendely , Stephen M. Torain , John V. Hunt , Geoffrey C. Hueil , Jacqueline A. Anim , Pamela M. Attenweiler , Frederick E. Shelton, IV , Richard L. Leimbach , Donna L. Korvick , Joshua R. Uth , Samardh Onukuri
IPC分类号： A61B17/068 , A61B17/072 , A61B17/00 , A61B19/00
CPC分类号： A61B17/068 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B90/92 , A61B2017/00004 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00561 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , 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 , A61B2090/0811 , A61B2090/3966 , A61L17/005 , A61L2300/102 , A61L2300/232 , A61L2300/45 , F04C2270/0421 , Y10T29/49826
摘要： A staple cartridge assembly for use with a surgical stapler. The assembly has a cartridge body having a support portion with a plurality of staple cavities with openings. There is also a plurality of staples, wherein at least a portion of each the staple is removably stored within a the staple cavity. Each the staple is movable between an unfired position and a fired position, and is deformable between an unfired configuration and a fired configuration. The assembly also includes a compressible tissue thickness compensator configured to be captured within the staples. The compressible tissue thickness compensator at least partially covers the staple cavity openings. The compressed tissue thickness compensator is configured to assume different compressed heights within different the staples. The compressible tissue thickness compensator includes a visualization indicator.
摘要翻译：用于外科缝合器的钉仓组件。该组件具有一个带有主体的盒体，该主体具有多个具有开口的缝合腔的支撑部分。还有多个钉，其中每个钉的至少一部分可移除地存储在钉腔内。每个订书钉可以在未燃位置和点火位置之间移动，并且可在未烧制配置和烧制配置之间变形。组件还包括构造成捕获在钉内的可压缩组织厚度补偿器。可压缩组织厚度补偿器至少部分地覆盖钉腔开口。压缩的组织厚度补偿器构造成在不同的钉内具有不同的压缩高度。可压缩组织厚度补偿器包括可视化指示器。

33. 发明授权

US09186220B2 Surgical system and methods for mimicked motion 有权
标题翻译：手术系统和模拟运动的方法
公开(公告)号：US09186220B2
公开(公告)日：2015-11-17
申请号：US12971491
申请日：2010-12-17
申请人： David Stefanchik , Michael J. Stokes
发明人： David Stefanchik , Michael J. Stokes
IPC分类号： A61B19/00 , A61B17/29 , A61B17/34 , A61B17/00
CPC分类号： A61B34/30 , A61B17/29 , A61B17/3417 , A61B34/35 , A61B34/37 , A61B34/70 , A61B34/71 , A61B34/74 , A61B2017/00477 , A61B2034/302 , A61B2034/305 , A61B2090/506 , B25J9/1689
摘要： The present invention generally provides methods and devices for controlling movement of an end effector, and in particular for causing mimicked motion between an input tool and an end effector during a surgical procedure. In an exemplary embodiment, a surgical system is provided having a master assembly with an input tool and a slave assembly with an end effector. The master assembly and the slave assembly can be coupled together by a mechanical assembly that is configured to mechanically transfer mimicked, rather than mirrored, motion from the input tool to the end effector. A floating frame is also provided and can be utilized with the surgical system. The floating frame can have a counterbalance that allows the surgical system to “float” above a patient and provide a weightless feel to movement of the surgical system. The floating frame can provides additional degrees of freedom for movement of the surgical system.
摘要翻译：本发明总体上提供了用于控制末端执行器的运动的方法和装置，特别是用于在外科手术过程中在输入工具和末端执行器之间引起模拟运动。在示例性实施例中，提供了具有主组件的外科系统，其具有输入工具和具有端部执行器的从动组件。主组件和从属组件可以通过机械组件耦合在一起，机械组件被配置为将模拟而不是镜像的运动从输入工具机械地传递到端部执行器。还提供浮动框架并且可以与外科系统一起使用。浮动框架可以具有允许手术系统在患者身上“漂浮”的平衡物，并且为外科系统的移动提供失重的感觉。浮动框架可为手术系统的移动提供额外的自由度。

34. 发明授权

US09168000B2 Meal detection devices and methods 有权
标题翻译：膳食检测装置和方法
公开(公告)号：US09168000B2
公开(公告)日：2015-10-27
申请号：US13802089
申请日：2013-03-13
申请人： ETHICON ENDO-SURGERY INC.
发明人： Adam Dunki-Jacobs , Jason L. Harris , Mathieu Lemay , Martin Pfleiderer , Martin Proença , Thierry Utard
IPC分类号： A61B5/00 , A61B5/053 , A61N1/36 , A61F5/00 , A61B7/00 , A61B5/01 , A61B5/0402 , A61B5/0488 , A61B5/11
CPC分类号： A61B5/4839 , A61B5/01 , A61B5/0402 , A61B5/0488 , A61B5/04884 , A61B5/0537 , A61B5/1107 , A61B5/4238 , A61B5/4836 , A61B5/4866 , A61B7/008 , A61B2505/07 , A61F5/0013 , A61F5/0059 , A61F2005/002 , A61M5/1723 , A61N1/36007 , G06F19/00
摘要： Devices and methods for detecting meal intake are disclosed herein. In some embodiments, one or more sensors can be used to detect or monitor physiological parameters of a user (e.g., heart rate, body movements, temperature, pH, impedance, gastric stretch, sound emissions, and the like). The outputs of the sensors can be received by a computer system configured to analyze the sensor data and make a determination as to whether meal intake has occurred or is presently occurring. The computer system's determination can be used to trigger, modulate, or otherwise control one or more therapeutic devices. Other types of devices can also be controlled using this determination, such as monitoring or logging devices.
摘要翻译：本文公开了用于检测膳食摄入的装置和方法。在一些实施例中，可以使用一个或多个传感器来检测或监测用户的生理参数（例如，心率，身体运动，温度，pH，阻抗，胃伸展，声音发射等）。传感器的输出可以被配置成分析传感器数据的计算机系统接收，并且确定饭食是否已经发生或正在发生。计算机系统的确定可用于触发，调制或以其他方式控制一个或多个治疗装置。也可以使用此确定来控制其他类型的设备，例如监视或记录设备。

35. 发明授权

US09161803B2 Motor driven electrosurgical device with mechanical and electrical feedback 有权
标题翻译：电机驱动的电外科手术器具有机械和电气反馈
公开(公告)号：US09161803B2
公开(公告)日：2015-10-20
申请号：US13151481
申请日：2011-06-02
申请人： David C. Yates , Aron O. Zingman , Ashvani K. Madan , Kevin L. Houser , Danius P. Silkaitis , William D. Dannaher , Timothy G. Dietz , Richard W. Timm , Robert J. Laird , Gavin M. Monson
发明人： David C. Yates , Aron O. Zingman , Ashvani K. Madan , Kevin L. Houser , Danius P. Silkaitis , William D. Dannaher , Timothy G. Dietz , Richard W. Timm , Robert J. Laird , Gavin M. Monson
IPC分类号： A61B18/14 , A61B17/00 , A61B17/32 , A61B18/00 , A61B18/04 , H02J7/00 , H01M2/26 , H01M2/10 , A61B18/12 , A61B19/00 , A61B17/064 , A61B17/285 , A61B17/29
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An electrosurgical device comprises an end effector, a cutting member, and en electromechanical driver. The end effector comprises a pair of jaws that clamp tissue. The jaws include electrodes that deliver RF energy to clamped tissue. The cutting member cuts tissue clamped between the jaws. The electromechanical driver drives the cutting member. A control module commands the electromechanical driver, and regulates the delivery of RF energy to the electrodes, based on a combination of user input and feedback signals from the electrodes and from the electromechanical driver. The device may provide tactile feedback to the user through the user input feature, based on a load encountered by the cutting member. The device may alert the user when the exterior of end effector makes incidental contact with tissue, to avoid inadvertently burning the tissue. The device may include a removable battery pack to power the electromechanical driver and the electrodes.
摘要翻译：电外科装置包括端部执行器，切割构件和机电驱动器。末端执行器包括夹持组织的一对钳口。钳口包括将RF能量提供给夹紧的组织的电极。切割构件切割夹在夹爪之间的组织。机电驱动器驱动切割构件。控制模块命令机电驱动器，并且基于来自电极和来自机电驱动器的用户输入和反馈信号的组合来调节对电极的RF能量的传递。该装置可以基于切割构件遇到的负载，通过用户输入特征向用户提供触觉反馈。当末端执行器的外部与组织偶然接触时，该装置可以警告用户，以避免无意中燃烧组织。该装置可以包括可拆卸的电池组，以为机电驱动器和电极提供动力。

36. 发明授权

US09149325B2 End effector with compliant clamping jaw 有权
标题翻译：末端执行器带有顺从的夹爪
公开(公告)号：US09149325B2
公开(公告)日：2015-10-06
申请号：US13749889
申请日：2013-01-25
申请人： Ethicon Endo-Surgery, Inc.
发明人： Barry C. Worrell , Frederick E. Shelton, IV , Jerome R. Morgan , Michael S. Cropper , Michael J. Vendely , David C. Yates , David A. Witt , David K. Norvell
IPC分类号： A61B18/12 , A61B18/14 , A61B18/00
CPC分类号： A61B18/1445 , A61B2018/0063 , A61B2018/1455 , A61B2018/1495
摘要： An apparatus for operating on tissue includes an end effector assembly, a body, and a shaft. The shaft extends from the body to the end effector assembly. The body is operable to communicate with the end effector assembly via the shaft. The end effector assembly includes a pair of pivoting jaws and a firing beam. The firing beam is operable to advance distally through slots in the jaws to close the jaws. One of the jaws comprises a plurality of segments that are movable relative to each other. The segments may be joined by living hinges, pivoting hinges, or sliding features. One of the jaws may be formed by a combination of a distally projecting tongue of the shaft and two members that are secured above and below the tongue, respectively. An end effector jaw may also include a resiliently biased electrode cartridge.
摘要翻译：用于在组织上操作的装置包括端部执行器组件，主体和轴。轴从主体延伸到末端执行器组件。主体可操作以经由轴与端部执行器组件连通。末端执行器组件包括一对枢转夹爪和击发梁。射击梁可操作以通过夹爪中的狭槽向远侧前进，以闭合钳口。夹爪中的一个包括可相对于彼此移动的多个段。节段可以通过活动铰链，枢转铰链或滑动特征连接。夹爪中的一个可以由轴的远端突出的舌头和分别固定在舌头上方和下方的两个构件的组合形成。末端执行器钳口还可以包括弹性偏置的电极盒。

37. 发明申请

US20150280424A1 POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION 有权
标题翻译：通过分段电路进行电源管理和可变电压保护
公开(公告)号：US20150280424A1
公开(公告)日：2015-10-01
申请号：US14226076
申请日：2014-03-26
申请人： Ethicon Endo-Surgery, Inc.
发明人： Richard L. Leimbach , Shane R. Adams , Mark D. Overmyer , Brett E. Swensgard , Frederick E. Shelton, IV , Kevin L. Houser
IPC分类号： H02H7/12 , A61B17/068
CPC分类号： G06F1/3296 , A61B17/068 , A61B17/07207 , A61B2017/00017 , A61B2017/00022 , A61B2017/00075 , A61B2017/00084 , A61B2017/00115 , A61B2017/00123 , A61B2017/00132 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/0046 , A61B2017/00734 , A61B2017/07285 , A61B2017/2927 , A61B2090/0803 , A61B2090/0808 , A61B2090/081 , A61B2090/0811 , A61B2090/0813 , B25F3/00 , B25F5/00 , G05F1/563 , G05F1/61 , G05F5/00 , H02H3/18 , H02H7/1213 , H02H11/006 , H02M2001/0067
摘要： The present disclosure provides a surgical instrument control circuit. The control circuit includes a primary processor, a safety processor, and a segmented circuit. The segmented circuit includes a plurality of circuit segments in signal communication with the primary processor. The plurality of circuit segments includes a power segment configured to provide a segment voltage to the primary processor, the safety processor, and each of the plurality of circuit segments. The power segment is configured to provide variable voltage protection of each segment.
摘要翻译：本公开提供了一种外科器械控制电路。控制电路包括主处理器，安全处理器和分段电路。分段电路包括与主处理器信号通信的多个电路段。多个电路段包括被配置为向主处理器，安全处理器和多个电路段中的每一个提供段电压的电源段。电源段配置为提供每个段的可变电压保护。

38. 发明申请

US20150272659A1 TWO STAGE TRIGGER, CLAMP AND CUT BIPOLAR VESSEL SEALER 审中-公开
标题翻译：两级触发器，夹钳和切割双极型容器密封件
公开(公告)号：US20150272659A1
公开(公告)日：2015-10-01
申请号：US14227699
申请日：2014-03-27
申请人： ETHICON ENDO-SURGERY, INC.
发明人： Chad P. Boudreaux , John M. Sarley , Gregory A. Trees , Catherine A. Corbett
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2018/0063 , A61B2018/1455
摘要： In various embodiments, a surgical instrument is disclosed. In one embodiment, the surgical instrument comprises a handle assembly. The handle assembly comprises a closure trigger, a push plate, a clamp plate, and a firing plate. Actuation of the closure trigger rotates the push plate. Rotation of the push plate to a first rotation rotates the clamp plate and rotation between the first rotation and a second rotation rotates the firing plate. A shaft assembly is coupled to the handle assembly. An end effector is coupled to the shaft assembly. The end effector comprises a jaw assembly. The jaw assembly defines a longitudinal slot. Rotation of the clamp plate pivotally moves a first jaw member from an open position to a closed position relative to a second jaw member. A cutting member is deployable within the longitudinal slot.
摘要翻译：在各种实施例中，公开了一种外科器械。在一个实施例中，手术器械包括手柄组件。手柄组件包括闭合触发器，推板，夹板和击发板。关闭触发器的启动旋转推板。推板旋转到第一旋转使夹板转动，第一旋转和第二旋转之间的旋转使击发板旋转。轴组件联接到手柄组件。端部执行器联接到轴组件。端部执行器包括钳口组件。钳口组件限定纵向槽。夹板的旋转将第一钳口构件从打开位置枢转地移动到相对于第二钳口构件的关闭位置。切割构件可在纵向槽内展开。

39. 发明申请

US20150272579A1 MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES 有权
标题翻译：具有可拆卸轴组件的模块化动力外科仪器
公开(公告)号：US20150272579A1
公开(公告)日：2015-10-01
申请号：US14226075
申请日：2014-03-26
申请人： Ethicon Endo-Surgery, Inc.
发明人： Richard L. Leimbach , Mark D. Overmyer , Shane R. Adams
IPC分类号： A61B17/072
CPC分类号： A61B17/320016 , A61B17/068 , A61B17/0686 , A61B17/07207 , A61B18/1445 , A61B34/76 , A61B90/90 , A61B90/98 , A61B2017/00017 , A61B2017/00115 , A61B2017/00119 , A61B2017/00123 , A61B2017/00137 , A61B2017/00199 , A61B2017/00212 , A61B2017/00221 , A61B2017/00225 , A61B2017/00398 , A61B2017/0046 , A61B2017/00464 , A61B2017/00477 , A61B2017/00725 , A61B2017/00734 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2929 , A61B2090/065 , A61B2090/0803 , A61B2090/0807 , A61B2090/0808 , A61B2090/081 , A61B2090/0811 , A61B2090/0813 , A61L2/07 , A61L2/081 , A61L2/082 , A61L2/087 , A61L2/16 , A61L2/206 , A61L2202/14 , A61L2202/24 , B25F5/00 , H01M2/1055 , H01M10/425 , H01M10/48 , H01M2010/4278 , H01M2220/30 , H01R35/025
摘要： An interchangeable shaft assembly for a surgical instrument that includes first and second drive systems. The interchangeable shaft assembly is configured for removable attachment to a housing of the surgical instrument. Various embodiments include a latch system that enables the interchangeable shaft assembly to be detached from the housing when the first drive system is unactuated but prevents the interchangeable shaft assembly from being detached from the housing when the first drive system is in an actuated position.
摘要翻译：一种用于外科器械的可互换轴组件，包括第一和第二驱动系统。可互换轴组件被配置为可拆卸地附接到外科器械的壳体。各种实施例包括闩锁系统，当第一驱动系统未致动时，使得可互换的轴组件能够与壳体分离，但是当第一驱动系统处于致动位置时，防止可互换的轴组件与壳体脱离。

40. 发明申请

US20150272578A1 SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR 有权
标题翻译：具有安全处理器的外科仪器控制电路
公开(公告)号：US20150272578A1
公开(公告)日：2015-10-01
申请号：US14226071
申请日：2014-03-26
申请人： ETHICON ENDO-SURGERY, INC.
发明人： Richard L. Leimbach , Shane R. Adams , Mark D. Overmyer , Brett E. Swensgard , Thomas W. Lytle, IV , Frederick E. Shelton, IV , Kevin L. Houser
IPC分类号： A61B17/072
CPC分类号： G06F1/3296 , A61B17/068 , A61B17/07207 , A61B2017/00017 , A61B2017/00022 , A61B2017/00075 , A61B2017/00084 , A61B2017/00115 , A61B2017/00123 , A61B2017/00132 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/0046 , A61B2017/00734 , A61B2017/07285 , A61B2017/2927 , A61B2090/0803 , A61B2090/0808 , A61B2090/081 , A61B2090/0811 , A61B2090/0813 , B25F3/00 , B25F5/00 , G05F1/563 , G05F1/61 , G05F5/00 , H02H3/18 , H02H7/1213 , H02H11/006 , H02M2001/0067
摘要： The present disclosure provides a surgical instrument control circuit. The control circuit includes a primary processor, a safety processor in signal communication with the primary processor, the safety processor, and a segmented circuit. The segmented circuit includes a plurality of circuit segments in signal communication with the primary processor. The plurality of circuit segments is configured to control one or more operations of the surgical instrument. The safety processor is configured to monitor one or more parameters of the plurality of circuit segments.
摘要翻译：本公开提供了一种外科器械控制电路。控制电路包括主处理器，与主处理器信号通信的安全处理器，安全处理器和分段电路。分段电路包括与主处理器信号通信的多个电路段。多个电路段被配置为控制外科器械的一个或多个操作。安全处理器被配置为监视多个电路段的一个或多个参数。

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