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1. 发明授权

US09884456B2 Implantable layers and methods for altering one or more properties of implantable layers for use with fastening instruments 有权
公开(公告)号：US09884456B2
公开(公告)日：2018-02-06
申请号：US14187386
申请日：2014-02-24
申请人： Ethicon Endo-Surgery, Inc.
发明人： Emily A. Schellin , Michael J. Vendely , Lauren S. Weaner , Christopher W. Widenhouse , Taylor W. Aronhalt , Donald L. Reynolds, II , Michael J. Miller , Frederick E. Shelton, IV , Trevor J. Barton
IPC分类号： B29C67/00 , B29C67/20 , B29C43/00 , B29C43/52 , A61B17/072 , B29K105/04 , B29L31/00 , A61B17/064 , A61B17/00
CPC分类号： B29C67/20 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B2017/00004 , A61B2017/00526 , A61B2017/0688 , A61B2017/07242 , A61B2017/07278 , A61B2017/07285 , A61L31/04 , A61L31/146 , B29C43/00 , B29C43/52 , B29C55/00 , B29K2105/04 , B29K2995/0056 , B29L2031/7546
摘要： A method is disclosed for changing the spring rate of an implantable layer for use with a surgical instrument which includes the steps of obtaining an implantable layer having a first spring rate, wherein the implantable layer is at least partially comprised of a material having a glass transition temperature and a melting temperature, heating the implantable layer to a temperature higher than the glass transition temperature and lower than the melting temperature, deforming the implantable layer to change the first spring rate to a second spring rate, wherein the second spring rate is different than the first spring rate, allowing the implantable layer to cool below the glass transition temperature, and releasing the implantable layer.

2. 发明授权

US09795384B2 Fastener cartridge comprising a tissue thickness compensator and a gap setting element 有权
公开(公告)号：US09795384B2
公开(公告)日：2017-10-24
申请号：US13851684
申请日：2013-03-27
申请人： Ethicon Endo-Surgery, Inc.
发明人： Lauren S. Weaner , Taylor W. Aronhalt , Michael J. Vendely , Emily A. Schellin , Frederick E. Shelton, IV
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/07292 , A61B17/07207 , A61B2017/07214 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271
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 arranged 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. The fastener cartridge can further comprise a gap setting element which can be configured to control the distance between the anvil, the support portion, and/or the tissue thickness compensator.

3. 发明申请

US20150297210A1 SURGICAL BOWEL RETRACTOR DEVICES 审中-公开
标题翻译：外科手术器械回缩装置
公开(公告)号：US20150297210A1
公开(公告)日：2015-10-22
申请号：US14788923
申请日：2015-07-01
申请人： Ethicon Endo-Surgery, Inc.
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： A61B17/02
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。

4. 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。

5. 发明申请

US20140291379A1 TISSUE THICKNESS COMPENSATOR COMPRISING A CUTTING MEMBER PATH 审中-公开
标题翻译：组织厚度补偿器包括切割构件路径
公开(公告)号：US20140291379A1
公开(公告)日：2014-10-02
申请号：US13851676
申请日：2013-03-27
申请人： ETHICON ENDO-SURGERY, INC.
发明人： Emily A. Schellin , Lauren S. Weaner , Taylor W. Aronhalt , Michael J. Vendely
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/07292 , A61B2017/07285 , A61B2090/037
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. In use, the fastener cartridge can be arranged in a jaw of a surgical fastening device. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward an anvil wherein 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. The cartridge body can further comprise a first knife path configured to receive a cutting member and the tissue thickness compensator can further comprise a second knife path aligned with the first knife path. The second knife path can comprise different portions configured to apply different resistances to the cutting member as the cutting member is advanced through the fastener cartridge.
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，以及多个紧固件。在使用中，紧固件盒可布置在手术紧固装置的钳口中。为了部署紧固件，订书钉展开构件被推进穿过紧固件卡盘以将紧固件移向砧座，其中紧固件可将至少一部分组织厚度补偿器与至少一部分被紧固的组织一起捕获在其中。盒体还可以包括构造成接收切割构件的第一刀路径，并且组织厚度补偿器还可以包括与第一刀路对准的第二刀路。第二刀路径可以包括不同的部分，其被配置为当切割构件前进穿过紧固件卡盘时对切割构件施加不同的电阻。

6. 发明授权

US09924944B2 Staple cartridge comprising an adjunct material 有权
公开(公告)号：US09924944B2
公开(公告)日：2018-03-27
申请号：US14516277
申请日：2014-10-16
申请人： Ethicon Endo-Surgery, Inc.
发明人： Frederick E. Shelton, IV , Lauren S. Weaner , Jerome R. Morgan , Michael J. Vendely , Taylor W. Aronhalt
IPC分类号： A61B17/072 , A61B17/068 , A61B17/00
CPC分类号： A61B17/072 , A61B17/068 , A61B17/0684 , A61B17/07207 , A61B17/07292 , A61B2017/00477 , A61B2017/07214 , A61B2017/07228 , A61B2017/07271 , A61B2017/07285
摘要： A surgical stapling apparatus is disclosed which comprises cartridge body and a layer. The layer is implantable against tissue by staples deployed from the cartridge body and deformed by an anvil. The cartridge and the layer comprise co-operating features which reduce relative movement between the cartridge and the layer. Such co-operating features can also releasably retain the layer to the cartridge body. The layer can comprise buttress material and/or a tissue thickness compensator, for example.

7. 发明授权

US09861361B2 Releasable tissue thickness compensator and fastener cartridge having the same 有权
公开(公告)号：US09861361B2
公开(公告)日：2018-01-09
申请号：US13763042
申请日：2013-02-08
申请人： Ethicon Endo-Surgery, Inc.
发明人： Taylor W. Aronhalt , Michael J. Vendely , Frederick E. Shelton, IV , Emily A. Schellin , Donald L. Reynolds, II
IPC分类号： A61B17/04 , A61B17/072 , A61B17/068 , B25C5/16 , A61B17/064 , A61B17/115 , A61B17/10 , A61B90/00 , A61B17/00 , A61B17/29 , A61B17/32
CPC分类号： A61B17/0643 , A61B17/00491 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00314 , A61B2017/00327 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/00951 , A61B2017/0641 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2908 , A61B2017/2916 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , B25C5/1686
摘要： A fastener cartridge assembly for use with a surgical end effector. The fastener cartridge assembly can comprise a cartridge body, fasteners, and a layer of material releasably secured to the cartridge body. The layer of material can be a tissue thickness compensator. The cartridge body, the fasteners, the tissue thickness compensator and/or the end effector can comprise various features to releasably secure the tissue thickness compensator relative to the cartridge body. For example, the cartridge body can comprise slots, projections, cavities, drivers, locks, and/or keys, the fasteners can comprise barbs, and/or the tissue thickness compensator can comprise mounts and/or connectors.

8. 发明授权

US09839422B2 Implantable layers and methods for altering implantable layers for use with surgical fastening instruments 有权
公开(公告)号：US09839422B2
公开(公告)日：2017-12-12
申请号：US14187383
申请日：2014-02-24
申请人： Ethicon Endo-Surgery, Inc.
发明人： Emily A. Schellin , Michael J. Vendely , Lauren S. Weaner , Frederick E. Shelton, IV , Taylor W. Aronhalt , Donald L. Reynolds, II , Mark D. Timmer , Jackie J. Donners , Trevor J. Barton
IPC分类号： A61B17/04 , A61B17/10 , A61B17/068 , A61L31/04 , A61L31/14 , A61B17/072 , A61B17/064 , A61B17/00
CPC分类号： B29C67/20 , A61B17/0644 , A61B17/068 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B2017/00004 , A61B2017/00526 , A61B2017/0688 , A61B2017/07242 , A61B2017/07278 , A61B2017/07285 , A61L31/04 , A61L31/146 , B29C43/00 , B29C43/52 , B29C55/00 , B29K2105/04 , B29K2995/0056 , B29L2031/7546
摘要： A method is disclosed for altering a implantable layer which includes the steps of obtaining an implantable layer comprising a surface at least partially comprised from a material with a glass transition temperature and a melting temperature, heating the surface to a temperature higher than the glass transition temperature and lower than the melting temperature, manipulating the surface, allowing the manipulated surface to cool below the glass transition temperature, and releasing the surface.

9. 发明申请

US20160106427A1 STAPLE CARTRIDGE COMPRISING A TISSUE THICKNESS COMPENSATOR 审中-公开
标题翻译：包装组织厚度包装盒
公开(公告)号：US20160106427A1
公开(公告)日：2016-04-21
申请号：US14587192
申请日：2014-12-31
申请人： Ethicon Endo-Surgery, Inc.
发明人： Frederick E. Shelton, IV , Lauren S. Weaner , Jerome R. Morgan , Michael J. Vendely , Taylor W. Aronhalt , Chester O. Baxter, III , Mark S. Zeiner
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B17/068 , A61B17/0684 , A61B17/07207 , A61B17/07292 , A61B2017/00477 , A61B2017/07214 , A61B2017/07228 , A61B2017/07271 , A61B2017/07285
摘要： A staple cartridge is disclosed. The staple cartridge can comprise a cartridge body comprising a deck and a bottom surface opposite the deck. The staple cartridge can comprise a plurality of staple cavities, wherein each staple cavity extends into the cartridge body from the deck to the bottom surface. Additionally, a plurality of wells can be defined into the staple cartridge from the deck to a lowermost surface of the well. A plurality of staples can be removably positioned in the staple cavities. The staple cartridge can comprise a tissue thickness compensator releasably secured to the cartridge body, wherein the tissue thickness compensator comprises a compensator body and a plurality of extensions extending from the compensator body into the wells, wherein at least one extension is compressed within one of the wells. Each well can surround at least one staple cavity and/or can extend between at least two staple cavities.
摘要翻译：公开了一种钉仓。钉仓可以包括一个盒体，它包括甲板和与甲板相对的底面。钉仓可以包括多个钉仓，其中每个钉仓从甲板延伸到底部表面。此外，多个井可以从甲板到井的最下表面被限定到钉仓中。多个缝钉可以可拆卸地定位在钉腔中。钉仓可以包括可释放地固定到药筒主体的组织厚度补偿器，其中组织厚度补偿器包括补偿器主体和从补偿器本体延伸到井中的多个延伸部分，其中至少一个延伸部分在井。每个孔可以围绕至少一个缝合腔和/或可以在至少两个缝合腔之间延伸。

10. 发明申请

US20150297234A1 END EFFECTOR COMPRISING AN ANVIL INCLUDING PROJECTIONS EXTENDING THEREFROM 审中-公开
标题翻译：包含ANVIL的终端效果，包括扩展其的投影
公开(公告)号：US20150297234A1
公开(公告)日：2015-10-22
申请号：US14319014
申请日：2014-06-30
申请人： Ethicon Endo-Surgery, Inc.
发明人： Emily A. Schellin , Bret W. Smith , Jason L. Harris , Charles J. Scheib , Jerome R. Morgan , Lauren S. Weaner , Michael J. Vendely , Taylor W. Aronhalt , Trevor J. Barton
IPC分类号： A61B17/10 , A61B17/068
摘要： An end effector can comprise, one, a fastener cartridge including a plurality of fasteners stored therein and, two, an anvil configured to deform the fasteners. The anvil can further comprise extensions extending therefrom which can control the flow of tissue relative to the fastener cartridge and/or support the fasteners as they are ejected from the fastener cartridge. The extensions can having different sizes and/or configurations.
摘要翻译：端部执行器可以包括一个紧固件仓，其包括存储在其中的多个紧固件，以及两个构造成使紧固件变形的砧座。砧座还可以包括从其延伸的延伸部，其可以控制组织相对于紧固件盒的流动和/或在紧固件从紧固件盒弹出时支撑紧固件。扩展可以具有不同的大小和/或配置。

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