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1. 发明申请

US20080078803A1 Surgical staples having attached drivers and stapling instruments for deploying the same 有权
标题翻译：手术钉具有附带的驱动器和装订器械用于部署它
公开(公告)号：US20080078803A1
公开(公告)日：2008-04-03
申请号：US11529935
申请日：2006-09-29
申请人： Frederick E. Shelton , William B. Weisenburgh , Christopher J. Hess , Jerome R. Morgan , Michael Clem
发明人： Frederick E. Shelton , William B. Weisenburgh , Christopher J. Hess , Jerome R. Morgan , Michael Clem
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A surgical stapling system including a driver and a staple where the driver is connected to the staple. In previous surgical stapling systems, the driver and the staple were not connected. A surgical stapling system in accordance with the present invention may have fewer components, less assembly and manufacturing time, and may accommodate larger staples which are at least partially embedded in the driver. In various embodiments, a surgical stapling system comprises a staple, the staple including a deformable member, and a stapler, the stapler including an anvil, a staple cartridge for removably storing the staple, and a cam movable between a first position and a second position. In these embodiments, the surgical stapling system further comprises a driver attached to the staple, the driver being operatively engaged with the cam to move the staple toward the anvil when the cam is moved between the first position and the second position.
摘要翻译：一种外科缝合系统，包括驱动器和订书钉，其中驱动器连接到订书钉。在以前的外科缝合系统中，驱动器和钉子没有连接。根据本发明的外科缝合系统可以具有更少的部件，更少的组装和制造时间，并且可以容纳至少部分地嵌入在驱动器中的更大的钉。在各种实施例中，外科缝合系统包括订书钉，订书钉包括可变形构件和订书机，订书机包括砧座，用于可拆卸地存储订书钉的订书钉盒，以及可在第一位置和第二位置之间移动的凸轮。在这些实施例中，外科缝合系统还包括附接到钉的驱动器，当凸轮在第一位置和第二位置之间移动时，驱动器与凸轮可操作地接合以将订书钉移向砧座。

2. 发明申请

US20080078800A1 Surgical stapling instruments and staples 有权
标题翻译：手术吻合器械和钉书钉
公开(公告)号：US20080078800A1
公开(公告)日：2008-04-03
申请号：US11529904
申请日：2006-09-29
申请人： Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , James W. Voegele , Frederick E. Shelton , Joshua Uth
发明人： Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , James W. Voegele , Frederick E. Shelton , Joshua Uth
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A surgical staple including a crown and a deformable member extending from the crown, the deformable member having a notch configured to cause the deformable member to bend at the notch when the staple is deformed from a first shape into a second shape. The crown of the surgical staple, in various embodiments, further includes a forming surface, or anvil, which is configured to deform the deformable member and/or guide a distal end of the deformable member when the distal end contacts the crown.
摘要翻译：一种包括冠部和从所述冠部延伸的可变形构件的外科用缝合钉，所述可变形构件具有凹口，所述凹口构造成当所述缝合钉从第一形状变形为第二形状时使所述可变形构件在所述凹口处弯曲。在各种实施例中，外科缝合钉的冠部还包括成形表面或砧座，其构造成当远端接触牙冠时可变形构件变形和/或引导可变形构件的远端。

3. 发明申请

US20080210738A1 STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS 有权
标题翻译：用于形成具有不同形状的高跟鞋的图案
公开(公告)号：US20080210738A1
公开(公告)日：2008-09-04
申请号：US12038939
申请日：2008-02-28
申请人： Frederick E. Shelton , Darrel M. Powell , Michael A. Murray , Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , Steven G. Hall
发明人： Frederick E. Shelton , Darrel M. Powell , Michael A. Murray , Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , Steven G. Hall
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/0682 , A61B17/072 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/32 , A61B2017/00004 , A61B2017/0023 , A61B2017/00371 , A61B2017/00898 , A61B2017/00929 , A61B2017/0641 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07278 , A61B2017/2923 , A61B2017/320052 , A61B2090/034 , A61B2090/037
摘要： A staple cartridge for use with a stapling device that has an actuator that is selectively actuatable in an axial direction and an anvil portion that is selectively movable between open and closed positions is disclosed. Various embodiments of the present invention include a cartridge body that movably supports first and second staple drivers. The staple drivers each support a staple thereon and serve to drive the staples into forming contact with the anvil upon actuation by the actuator. The various embodiments of the present invention enable the final formed heights of the staples to be varied so as to apply various clamping forces and pressures to soft tissue captured within the staples. In at least one embodiment, the staples can include crowns formed thereon which can be utilized to adjust or control the clamping force and/or pressure applied by the staples.
摘要翻译：公开了一种用于装订装置的钉仓，其具有可沿轴向方向可选择性地致动的致动器和可在打开位置和关闭位置之间选择性移动的砧座部分。本发明的各种实施例包括可移动地支撑第一和第二订书钉驱动器的盒体。订书钉驱动器各自在其上支撑钉，并且用于在致动器致动时将订书钉驱动成与砧形成接触。本发明的各种实施例使得订书钉的最终成形高度可以变化，以便对捕获在缝钉内的软组织施加各种夹紧力和压力。在至少一个实施例中，缝钉可以包括形成在其上的冠，其可用于调节或控制由钉施加的夹紧力和/或压力。

4. 发明申请

US20080082124A1 Surgical staples having compressible or crushable members for securing tissue therein and stapling instruments for deploying the same 有权
标题翻译：具有用于固定其中的组织的可压缩或可压碎构件的手术订书钉，以及用于展开其的装订工具
公开(公告)号：US20080082124A1
公开(公告)日：2008-04-03
申请号：US11541123
申请日：2006-09-29
申请人： Christopher J. Hess , Jerome R. Morgan , William B. Weisenburgh , James W. Voegele , Mark S. Ortiz , Michael J. Stokes , Carl Shurtleff , Frederick E. Shelton , Jeffrey S. Swayze
发明人： Christopher J. Hess , Jerome R. Morgan , William B. Weisenburgh , James W. Voegele , Mark S. Ortiz , Michael J. Stokes , Carl Shurtleff , Frederick E. Shelton , Jeffrey S. Swayze
IPC分类号： A61B17/08
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A staple having a crown, a deformable leg extending from the crown, and a spring extending from the crown configured to compress tissue between the spring and the deformable member. Owing to the flexibility of the spring, the staple can accommodate a wide range of tissue thicknesses while still compressing the tissue captured therein. As a result, a single staple design can be used in a wide variety of surgical procedures thereby reducing the amount of staple designs that must be provided to the surgeon. In at least one embodiment, the staple includes a crushable member. This crushable member can include a plastically deformable first portion and an elastically deformable second portion. The present invention can also include, in various embodiments, a crown, a first deformable member extending from the crown, and means for compressing the tissue against the first deformable member.
摘要翻译：具有冠部的钉，从冠部延伸的可变形腿部以及从冠部延伸的弹簧，其构造成在弹簧和可变形构件之间压缩组织。由于弹簧的灵活性，订书钉可以适应宽范围的组织厚度，同时仍然压缩其中捕获的组织。结果，单个钉设计可以用于各种各样的手术过程，从而减少必须提供给外科医生的钉设计的数量。在至少一个实施例中，订书钉包括可压碎构件。该可压碎构件可以包括可塑性变形的第一部分和可弹性变形的第二部分。在各种实施例中，本发明还可以包括冠部，从冠部延伸的第一可变形构件以及用于将组织压靠在第一可变形构件上的装置。

5. 发明申请

US20080078802A1 Surgical staples and stapling instruments 审中-公开
标题翻译：手术钉和装订器械
公开(公告)号：US20080078802A1
公开(公告)日：2008-04-03
申请号：US11541182
申请日：2006-09-29
申请人： Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , Frederick E. Shelton , Darrel Powell
发明人： Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , Frederick E. Shelton , Darrel Powell
IPC分类号： A61B17/10
摘要： A staple having a crown and first and second deformable members extending from the crown. In at least one embodiment, the staple further includes a base connecting the first and second deformable members where the base is not entirely co-planar with the first and second deformable members. In these embodiments, the crown can be overmolded onto, or attached to, the base and provide a larger and/or more stable tissue-contacting surface for supporting the tissue captured by the staple. As a result, the possibility of the staple being pulled through the tissue and/or the tissue tearing within or around the staple is reduced.
摘要翻译：具有冠部的钉，其具有从冠部延伸的第一和第二可变形构件。在至少一个实施例中，订书钉还包括连接第一和第二可变形构件的底座，其中基座与第一和第二可变形构件不完全共面。在这些实施例中，冠部可以包覆模制到基座上或附接到基座上，并提供较大和/或更稳定的组织接触表面，用于支撑由钉子捕获的组织。结果，减少了订书钉被拉动通过组织和/或组织在订书钉内或周围撕裂的可能性。

6. 发明申请

US20080078807A1 Connected surgical staples and stapling instruments for deploying the same 有权
标题翻译：连接的外科缝合钉和装订器械用于部署
公开(公告)号：US20080078807A1
公开(公告)日：2008-04-03
申请号：US11541098
申请日：2006-09-29
申请人： Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , Frederick E. Shelton , Leslie M. Fugikawa , Eugene L. Timperman
发明人： Christopher J. Hess , William B. Weisenburgh , Jerome R. Morgan , Frederick E. Shelton , Leslie M. Fugikawa , Eugene L. Timperman
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/11 , A61B17/1155 , A61B17/34 , A61B90/03 , A61B2017/00004 , A61B2017/00128 , A61B2017/00539 , A61B2017/00831 , A61B2017/00862 , A61B2017/0641 , A61B2017/07228 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2932 , A61B2017/2943 , A61B2017/320052 , A61B2018/00666 , A61B2090/032 , A61B2090/036 , A61B2090/065 , A61B2090/0811
摘要： A surgical stapling system comprising a first staple, a second staple, and a bridge connecting the first staple and the second staple. In at least one embodiment, the first staple and the second staple are part of a strip of staples. For example, the first and second staples can be included in a strip of staples that includes several staples that are attached end-to-end and/or attached side-by side. In use, the strip, or strips, of staples are inserted into a stapler which can be used to insert the staples into soft tissue, for example, and deform at least a portion of the staples to hold the tissue, or several layers of tissue, together.
摘要翻译：一种外科缝合系统，包括第一缝合钉，第二钉和连接第一钉和第二钉的桥。在至少一个实施例中，第一缝合钉和第二缝合钉是钉条的一部分。例如，第一和第二订书钉可以包括在包括端对端和/或并排附接的多个订书钉的缝钉条中。在使用中，缝钉的条带或条带被插入到吻合器中，缝合器可以用于将钉子插入软组织中，例如，并使钉的至少一部分变形以保持组织或几层组织，在一起

7. 发明授权

US08905977B2 Surgical stapling instrument having an electroactive polymer actuated medical substance dispenser 有权
标题翻译：具有电活性聚合物致动的药物分配器的手术吻合器械
公开(公告)号：US08905977B2
公开(公告)日：2014-12-09
申请号：US11141753
申请日：2005-06-01
申请人： Frederick E. Shelton , Joseph C. Hueil , Jerome R. Morgan
发明人： Frederick E. Shelton , Joseph C. Hueil , Jerome R. Morgan
IPC分类号： A61M5/00 , A61B17/072 , A61B17/00 , A61B17/29
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00871 , A61B2017/2912
摘要： A surgical stapling and severing instrument enables minimally invasive surgical procedures by having upper and lower jaws (i.e., anvil and staple channel) that are positioned with an elongate shaft and handle through a surgical opening, and in particular through a cannula of a trocar. A pair of fluid bladders (lift bags) are positioned in the staple channel beneath a proximally projecting lever tray so that transfer of fluid from the handle causes closing and clamping of the anvil. The bi-directional fluid control may be mechanically produced at the handle or by activating an electroactive polymer actuator. Once firing is sensed, an EAP plunger in a medical substance syringe inserted into the elongate shaft is activated to dispense a medical substance (e.g., anesthetics, adhesives, cauterizing substances, antibiotics, etc.) and is guided along a firing bar to a cutting surface of an E-beam placing the substance on tissue as severed.
摘要翻译：外科缝合和切割器械通过具有上下钳口（即，砧座和缝合通道）来进行微创外科手术，所述上钳口和下颚定位成具有细长轴和手柄通过手术开口，并且特别是通过套管针的插管。一对流体囊（提升袋）被定位在近侧突出的杆托板下方的钉通道中，使得来自手柄的流体的传送导致砧座的闭合和夹紧。双向流体控制可以在手柄处或通过激活电活性聚合物致动器机械地产生。一旦感测到烧灼，则插入到细长轴中的药物注射器中的EAP柱塞被激活以分配医疗物质（例如麻醉剂，粘合剂，烧灼物质，抗生素等），并且沿着击球杆被引导至切割电子束的表面将物质放置在组织上切断。

8. 发明申请

US20080169327A1 Apparatus for closing a curved anvil of a surgical stapling device 有权
公开(公告)号：US20080169327A1
公开(公告)日：2008-07-17
申请号：US11652188
申请日：2007-01-11
申请人： Frederick E. Shelton , Jerome R. Morgan
发明人： Frederick E. Shelton , Jerome R. Morgan
IPC分类号： A61B17/64
CPC分类号： A61B17/205 , A61B17/068 , A61B17/0686 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/32 , A61B17/320016 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/0725 , A61B2017/07278 , A61B2017/2936 , A61B2017/2944 , A61B2017/2945 , A61B2017/3456 , A61B2090/08021
摘要： The present invention includes a surgical stapler having a staple cartridge, an anvil, and a cutting member having a cutting surface, wherein the cutting member is relatively movable with respect to the anvil and the staple cartridge. In at least one embodiment, the anvil is movable between an open position and a partially-closed position. When the anvil is in its partially-closed position, the anvil and the staple cartridge can be configured to capture tissue therebetween without fully compressing the tissue. In at least one embodiment, the anvil includes a proximal portion, a distal portion, and a middle portion intermediate the proximal portion and the distal portion. In these embodiments, the tissue can be captured between the proximal and distal portions of the anvil before the middle portion of the anvil is brought into contact with the tissue.

9. 发明申请

US20080029574A1 Pneumatically powered surgical cutting and fastening instrument with actuator at distal end 审中-公开
标题翻译：气动外科切割和紧固仪器，带远程执行器
公开(公告)号：US20080029574A1
公开(公告)日：2008-02-07
申请号：US11497832
申请日：2006-08-02
申请人： Frederick E. Shelton , Jerome R. Morgan , Eugene L. Timperman , Leslie M. Fugikawa
发明人： Frederick E. Shelton , Jerome R. Morgan , Eugene L. Timperman , Leslie M. Fugikawa
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00544 , A61B2017/2927 , A61B2017/320052
摘要： A surgical instrument that includes a distal member configured to receive a pneumatically operated tool assembly therein. The instrument may also include an elongate shaft assembly that has a distal end portion that is coupled to the distal member and a proximal end portion. A drive member may be supported by the distal end portion of the elongate shaft assembly and may be configured to apply at least two actuation motions to the pneumatically operated tool assembly upon receipt of at least one pneumatic drive signal from a source of pneumatic power. The drive member may comprise a dual-acting cylinder, a single-acting cylinder, a bellows assembly, etc. The distal end portion of the elongate shaft member may articulate relative to the proximal end portion thereof and/or the distal end portion of the elongate shaft assembly may be detachable from the proximal end portion.
摘要翻译：一种外科器械，包括构造成在其中接收气动操作的工具组件的远端构件。仪器还可以包括细长轴组件，其具有联接到远侧构件的远端部分和近端部分。驱动构件可以由细长轴组件的远端部分支撑，并且可构造为在从气动动力源接收到至少一个气动驱动信号时将至少两个致动运动施加到气动操作的工具组件。驱动构件可以包括双作用缸，单作用缸，波纹管组件等。细长轴构件的远端部分可以相对于其基端部和/或远端部分细长轴组件可以从近端部分拆卸。

10. 发明申请

US20080169333A1 Surgical stapler end effector with tapered distal end 审中-公开
标题翻译：具有锥形远端的手术吻合器末端执行器
公开(公告)号：US20080169333A1
公开(公告)日：2008-07-17
申请号：US11652170
申请日：2007-01-11
申请人： Frederick E. Shelton , Jerome R. Morgan
发明人： Frederick E. Shelton , Jerome R. Morgan
IPC分类号： A61B17/10
摘要： An end effector for a surgical stapler. Various embodiments include a channel configured to operably support a staple cartridge therein. A first tip portion is attached to or formed on a distal end of one of the channel and staple cartridge wherein the first tip portion may have a first upwardly extending curved outer surface. An anvil is movably coupled to the channel and is selectively movable between open and closed positions relative to the staple cartridge in response to opening and closing motions applied to the anvil. A second tip portion is attached to or formed on a distal end thereof. The second tip portion may have a second downwardly extending curved surface such that when the anvil is in the closed position, the second tip portion cooperates with the first tip portion to define a blunt end effector nose. In various embodiments, the end effector nose has a substantially paraboloid outer surface.
摘要翻译：用于外科缝合器的端部执行器。各种实施例包括构造成在其中可操作地支撑钉仓的通道。第一尖端部分附接到或形成在通道和钉仓之一的远端上，其中第一末端部分可以具有第一向上延伸的弯曲外表面。砧座可移动地联接到通道并且响应于施加到砧座的打开和关闭运动而相对于钉仓可选择性地在打开位置和关闭位置之间移动。第二尖端部分附接到或形成在其远端上。第二末端部分可以具有第二向下延伸的弯曲表面，使得当砧座处于关闭位置时，第二末端部分与第一末端部分配合以限定钝的末端执行器鼻部。在各种实施例中，末端执行器鼻部具有基本上抛物面的外表面。

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