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61. 发明授权

US07766925B2 Surgical suturing apparatus 有权
标题翻译：手术缝合装置
公开(公告)号：US07766925B2
公开(公告)日：2010-08-03
申请号：US11394162
申请日：2006-03-31
申请人： Michael J. Stokes , Frederick E. Shelton, IV , Mark S. Ortiz
发明人： Michael J. Stokes , Frederick E. Shelton, IV , Mark S. 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。

62. 发明授权

US07763036B2 Endoscopic instrument with secondary vacuum source 有权
标题翻译：内窥镜仪器具有二次真空源
公开(公告)号：US07763036B2
公开(公告)日：2010-07-27
申请号：US11394173
申请日：2006-03-31
申请人： Michael J. Stokes , Frederick E. Shelton, IV , Mark S. Ortiz
发明人： Michael J. Stokes , Frederick E. Shelton, IV , Mark S. Ortiz
IPC分类号： A61B17/10
CPC分类号： A61B17/00234 , A61B17/00491 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B2017/00292 , A61B2017/00561 , A61B2017/045 , A61B2017/0464 , A61B2017/0619 , A61B2017/306
摘要： An endoscopic instrument to be used with an endoscope. The instrument includes an elongated tube having a distal end and a proximal end, an end effector attached to the distal end of the elongated tube, and a handle attached to the proximal end. The handle includes a mechanism for attaching the instrument to a first vacuum source. The handle further includes a second vacuum source integral with the handle for amplifying the first vacuum source, whereby the first and second vacuum sources combine to operate the end effector.
摘要翻译：内窥镜用于内窥镜的内窥镜。仪器包括具有远端和近端的细长管，附接到细长管的远端的端部执行器和附接到近端的手柄。手柄包括用于将仪器附接到第一真空源的机构。手柄还包括与手柄一体的第二真空源，用于放大第一真空源，由此第一和第二真空源组合以操作末端执行器。

63. 发明授权

US07699191B2 Surgical multiple use adhesive applier 有权
标题翻译：手术多用胶贴剂
公开(公告)号：US07699191B2
公开(公告)日：2010-04-20
申请号：US11558138
申请日：2006-11-09
申请人： John W. Sheets, Jr. , Donna L. Korvick , Georgette A. Belair , Mark S. Ortiz , Wells D. Haberstich , Ronald J. Kolata , Frederick E. Shelton, IV , James W. Voegele , Margaret M. D'Aversa , Michael T. Mather
发明人： John W. Sheets, Jr. , Donna L. Korvick , Georgette A. Belair , Mark S. Ortiz , Wells D. Haberstich , Ronald J. Kolata , Frederick E. Shelton, IV , James W. Voegele , Margaret M. D'Aversa , Michael T. Mather
IPC分类号： B65D35/22 , B65D35/28 , B65D47/22 , B65D47/36
CPC分类号： A61B17/00491 , A61B50/30 , A61B2090/037
摘要： A multiple use adhesive dispenser facilitates precise, extended dispensing for a surgical procedure by sequentially positioning an ampoule containing a flowable material, such as a polymerizable monomer compound such as a cyanoacrylate adhesive. In one version particularly suited to an open surgical procedure, the ampoules are affixed to a tape substrate that is unreeled from an internal storage reel and transported proximate to an ampoule gripping mechanism with an underlying tape substrate peeled away and internally stored as each ampoule is positioned for dispensing. Actuating an ampoule advancement handle positions the next ampoule and squeezing a movable handle toward a fixed handle effects dispensing. Another version has an elongate shaft that internally augers each ampoule in succession into a pair of spaced jaws that are pinched together by actuating rods to dispense adhesive.
摘要翻译：多用途粘合剂分配器通过顺序地定位包含可流动材料（例如可聚合单体化合物例如氰基丙烯酸酯粘合剂）的安瓿，便于精确的，延伸的外科手术分配。在特别适用于开放式外科手术的一个版本中，安瓿被固定到带状基底上，该带基底从内部储存卷轴未被拉出并被运送到附近的安瓿夹持机构，下面的带基底被剥离并且在每个安瓿被定位时内部存储用于分配。执行安瓿升降手柄放置下一个安瓿，并向固定手柄挤压可动手柄，实现分配。另一个版本具有细长的轴，其内部将每个安瓿连续地螺旋连接成一对间隔开的夹爪，所述夹爪通过致动杆被夹在一起以分配粘合剂。

64. 发明授权

US07628796B2 Surgical suturing apparatus with anti-backup system 有权
标题翻译：具有反备份系统的手术缝合装置
公开(公告)号：US07628796B2
公开(公告)日：2009-12-08
申请号：US11394161
申请日：2006-03-31
申请人： Frederick E. Shelton, IV , James J. Bedi , Chester O. Baxter, III , Michael J. Stokes , Mark S. Ortiz
发明人： Frederick E. Shelton, IV , James J. Bedi , Chester O. Baxter, III , Michael J. Stokes , Mark S. Ortiz
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 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 an arcuate path in a first direction in a manner facilitating application of the suture to tissue, and an anti-backup mechanism associated with the needle for preventing movement of the needle in a second direction opposite to the first direction.
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以用于围绕弓形路径运动的针;可操作地与针头相关联的驱动组件，用于控制针头沿着第一方向围绕弓形路径固定到其上的缝合线的运动以便于将缝合线施加到组织的方式，以及与针相关联的防备用机构，用于防止针沿与第一方向相反的第二方向移动。

65. 发明授权

US07615004B2 Endoscopic ancillary attachment devices 有权
标题翻译：内窥镜附件装置
公开(公告)号：US07615004B2
公开(公告)日：2009-11-10
申请号：US11278016
申请日：2006-03-30
申请人： Michael J. Stokes , Mark S. Ortiz , Frederick E. Shelton, IV
发明人： Michael J. Stokes , Mark S. Ortiz , Frederick E. Shelton, IV
IPC分类号： A61B1/00
CPC分类号： A61B1/018 , A61B1/0014 , A61B1/005
摘要： Methods and devices are provided for attaching one or more ancillary devices to an endoscope. The ancillary device can be any device that is used in conjunction with endoscopic procedures, such as, by way of non-limiting example, an accessory channel, tube, or sleeve, an indwelling tube or feeding tube, and surgical tools such as graspers, snares, etc. The ancillary device(s) can be positioned adjacent to and along side an external surface of an insertion portion of an endoscope for inserting into a body lumen, and one or more attachment devices can be used to mate the ancillary device(s) to the endoscope at one or more attachment locations. In use, the attachment device(s) will allow the ancillary device to move in coordination with the endoscope, thus allowing the endoscope and the ancillary device(s) to be introduced and guided through a tortuous pathway. In certain exemplary embodiments, the attachment device(s) can be configured to prevent radial movement, i.e., twisting, of the ancillary device relative to the endoscope, yet allow axial sliding of the ancillary device relative to the endoscope.
摘要翻译：提供了用于将一个或多个辅助装置附接到内窥镜的方法和装置。辅助装置可以是与内窥镜程序结合使用的任何装置，例如通过非限制性示例，辅助通道，管或套管，留置管或进料管，以及外科手术工具，例如抓紧器，圈套等。辅助装置可以被定位成与内窥镜的插入部分的外表面相邻并且沿着侧面插入到体腔中，并且可以使用一个或多个附接装置来配合辅助装置（ s）到一个或多个附接位置处的内窥镜。在使用中，附接装置将允许辅助装置与内窥镜协调地移动，从而允许将内窥镜和辅助装置引入并引导通过曲折的路径。在某些示例性实施例中，附接装置可以构造成防止辅助装置相对于内窥镜的径向运动，即扭转，而允许辅助装置相对于内窥镜的轴向滑动。

66. 发明授权

US09301759B2 Robotically-controlled surgical instrument with selectively articulatable end effector 有权
标题翻译：机器人控制的手术器械，具有可选择性关节的末端执行器
公开(公告)号：US09301759B2
公开(公告)日：2016-04-05
申请号：US13369594
申请日：2012-02-09
申请人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV , Jerome R. Morgan
发明人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV , Jerome R. Morgan
IPC分类号： A61B17/04 , A61B17/10 , A61B17/072 , A61B19/00 , A61B17/115 , A61B17/3205 , A61B19/02 , A61B17/00 , A61B17/068 , A61B17/29 , A61B17/32
CPC分类号： A61B34/30 , A61B1/0052 , A61B1/0058 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B17/320016 , A61B17/32053 , A61B34/71 , A61B50/30 , A61B50/36 , A61B90/37 , A61B2017/00057 , A61B2017/00199 , A61B2017/0023 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00367 , A61B2017/0042 , A61B2017/00473 , A61B2017/00477 , A61B2017/00685 , A61B2017/00734 , A61B2017/0688 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2937 , A61B2017/2946 , A61B2017/2947 , A61B2017/320052 , A61B2034/306 , A61B2090/0811 , A61B2090/372
摘要： Devices and systems are provided for controlling movement of a working end of a surgical device by means of a robotic system. In one embodiment, systems and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting.
摘要翻译：提供了用于通过机器人系统来控制手术装置的工作端的移动的装置和系统。在一个实施例中，系统和装置被提供用于移动外科紧固装置的远端上的末端执行器。运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。

67. 发明授权

US09289225B2 Endoscopic surgical instrument with a handle that can articulate with respect to the shaft 有权
标题翻译：具有能够相对于轴铰接的手柄的内窥镜手术器械
公开(公告)号：US09289225B2
公开(公告)日：2016-03-22
申请号：US12820820
申请日：2010-06-22
申请人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Mark S. Ortiz , Leslie M. Fugikawa
发明人： Frederick E. Shelton, IV , Jeffrey S. Swayze , Mark S. Ortiz , Leslie M. Fugikawa
IPC分类号： A61B17/28 , A61B17/072 , A61B17/29
CPC分类号： A61B17/00234 , A61B17/07207 , A61B17/2812 , A61B2017/0069 , A61B2017/291 , A61B2017/2919
摘要： A surgical instrument particular suited to endoscopic use is disclosed. Various embodiments include an end effector that is sized to be inserted through a trocar. An elongated shaft assembly is coupled to the end effector and a control handle. The elongated shaft assembly has a distal portion that is adjacent to said the effector for insertion into the trocar. The elongated shaft assembly further has a proximal portion that is remote from the distal portion such that the proximal portion protrudes from the trocar when the end effector and distal portion are inserted therethrough. The control handle is articulatably coupled to the proximal portion of said elongated shaft assembly to enable the surgeon to move the handle portion to a more ergonomically comfortable position while carrying out the endoscopic procedure. Various articulation joint embodiments and locking arrangements are disclosed.
摘要翻译：公开了特别适用于内窥镜使用的手术器械。各种实施例包括尺寸适于插入穿过套管针的端部执行器。细长轴组件联接到末端执行器和控制手柄。细长轴组件具有与所述效应器相邻的远侧部分，用于插入套管针。细长轴组件还具有远离远侧部分的近端部分，使得当端部执行器和远端部分插入其中时，近端部分从套针针突出。控制手柄可铰接地连接到所述细长轴组件的近端部分，以使得外科医生能够在执行内窥镜手术时将手柄部分移动到更符合人体工程学的舒适位置。公开了各种关节连接实施例和锁定装置。

68. 发明授权

US09149274B2 Articulating endoscopic accessory channel 有权
标题翻译：铰接式内镜附件通道
公开(公告)号：US09149274B2
公开(公告)日：2015-10-06
申请号：US13029797
申请日：2011-02-17
申请人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV
发明人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV
IPC分类号： A61B1/00 , A61B17/068 , A61B17/32 , A61B1/005 , A61B19/00 , A61B17/00 , A61B17/29
CPC分类号： A61B17/068 , A61B1/0052 , A61B1/0057 , A61B17/32002 , A61B90/37 , A61B2017/003 , A61B2017/0042 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2927 , A61B2017/2947 , A61B2034/306 , A61B2090/372
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, 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. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.
摘要翻译：提供了用于控制手术装置的工作端的移动的方法和装置。在一个实施例中，提供了用于移动外科紧固装置的远端上的端部执行器的方法和装置。运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。在其它实施例中，提供单个电缆致动器并且可在第一位置之间移动，在第一位置中，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。在其他方面，提供了用于移动形成在附件通道的远端上的柔性颈部以用于内窥镜的方法和装置。弹性颈部的运动可用于控制延伸穿过柔性颈部的工具的定位。

69. 发明授权

US08911471B2 Articulatable surgical device 有权
标题翻译：可手术器械
公开(公告)号：US08911471B2
公开(公告)日：2014-12-16
申请号：US13616263
申请日：2012-09-14
申请人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV
发明人： James T. Spivey , Mark S. Ortiz , Frederick E. Shelton, IV
IPC分类号： A61B17/00 , A61B1/005 , A61B17/32 , A61B17/068 , A61B17/29 , A61B19/00
CPC分类号： A61B17/068 , A61B1/0052 , A61B1/0057 , A61B17/32002 , A61B90/37 , A61B2017/003 , A61B2017/0042 , A61B2017/2905 , A61B2017/291 , A61B2017/2919 , A61B2017/2927 , A61B2017/2947 , A61B2034/306 , A61B2090/372
摘要： Methods and devices are provided for controlling movement of a working end of a surgical device. In one embodiment, methods and devices are provided for moving an end effector on a distal end of a surgical fastening device. Movement can include rotational movement of the end effector about an axis of the shaft, articulation of the end effector relative to the shaft, and actuation of an end effector, e.g., closing, firing, and/or cutting. In other embodiments, 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. In other aspects, methods and devices are provided for moving a flexible neck formed on a distal end of an accessory channel for use with an endoscope. Movement of the flexible neck can be used to control positioning of a tool extending through the flexible neck.
摘要翻译：提供了用于控制手术装置的工作端的移动的方法和装置。在一个实施例中，提供了用于移动外科紧固装置的远端上的端部执行器的方法和装置。运动可以包括端部执行器围绕轴的轴线的旋转运动，端部执行器相对于轴的铰接，以及端部执行器的致动，例如闭合，点火和/或切割。在其它实施例中，提供单个电缆致动器并且可在第一位置之间移动，在第一位置中，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。在其他方面，提供了用于移动形成在附件通道的远端上的柔性颈部以用于内窥镜的方法和装置。柔性颈部的运动可用于控制延伸穿过柔性颈部的工具的定位。

70. 发明申请

US20130256374A1 TISSUE STAPLER HAVING A THICKNESS COMPENSATOR INCORPORATING A HYDROPHILIC AGENT 有权
标题翻译：装有疏水剂的厚度补偿器的组织包装机
公开(公告)号：US20130256374A1
公开(公告)日：2013-10-03
申请号：US13532820
申请日：2012-06-26
申请人： Frederick E. Shelton, IV , Rao S. Bezwada , Mark S. Ortiz
发明人： Frederick E. Shelton, IV , Rao S. Bezwada , Mark S. Ortiz
IPC分类号： A61B17/068
CPC分类号： A61B17/0643 , A61B17/00491 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00314 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00561 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/00938 , A61B2017/00942 , A61B2017/0641 , 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 , A61B2017/2937 , A61B2017/320052 , A61B2090/0807
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 comprising a lyophilized foam having a hydrophillic agent embedded therein.
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具有嵌入其中的亲水剂的冻干泡沫。

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