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1. 发明申请

US20070233053A1 Articulatable drive shaft arrangements for surgical cutting and fastening instruments 有权
标题翻译：手术切割和紧固器具的可旋转驱动轴装置
公开(公告)号：US20070233053A1
公开(公告)日：2007-10-04
申请号：US11807693
申请日：2007-05-30
申请人： Frederick Shelton , Christoph Gillum
发明人： Frederick Shelton , Christoph Gillum
IPC分类号： A61B17/00 , A61B17/58 , A61B18/04
CPC分类号： A61B17/07207 , A61B34/76 , A61B2017/00398 , A61B2017/00685 , A61B2017/00734 , A61B2017/07278 , A61B2017/2927
摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising a moveable cutting instrument. The instrument also includes a main drive shaft assembly for actuating the cutting instrument in the end effector. The instrument also includes a handle comprising a gear drive train connected to the main drive shaft assembly, a motor for actuating the gear drive train, a closure trigger for causing the end effector to clamp an object positioned in the end effector when the closure trigger is retracted, and a firing trigger separate from the closure trigger for actuating the motor when the firing trigger is retracted. The instrument further comprises means for articulating the end effector.
摘要翻译：公开了一种外科切割和紧固器械。根据各种实施例，仪器包括端部执行器，其包括可移动切割仪器。仪器还包括用于致动末端执行器中的切割仪器的主驱动轴组件。仪器还包括手柄，其包括连接到主驱动轴组件的齿轮传动系，用于致动齿轮传动系的马达，用于当闭合触发器为闭合触发器时使末端执行器夹紧位于末端执行器中的物体的闭合触发器并且当触发触发器被缩回时，触发触发器与闭合触发器分离以用于致动马达。该仪器还包括用于铰接末端执行器的装置。

2. 发明申请

US20070175959A1 Motor-driven surgical cutting and fastening instrument with articulatable end effector 有权
标题翻译：电动外科手术切割和紧固器具，具有可铰接端部执行器
公开(公告)号：US20070175959A1
公开(公告)日：2007-08-02
申请号：US11343562
申请日：2006-01-31
申请人： Frederick Shelton , Christoph Gillum
发明人： Frederick Shelton , Christoph Gillum
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B34/76 , A61B2017/00398 , A61B2017/00685 , A61B2017/00734 , A61B2017/07278 , A61B2017/2927
摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising a moveable cutting instrument. The instrument also includes a main drive shaft assembly for actuating the cutting instrument in the end effector. The instrument also includes a handle comprising a gear drive train connected to the main drive shaft assembly, a motor for actuating the gear drive train, a closure trigger for causing the end effector to clamp an object positioned in the end effector when the closure trigger is retracted, and a firing trigger separate from the closure trigger for actuating the motor when the firing trigger is retracted. The instrument further comprises means for articulating the end effector.
摘要翻译：公开了一种外科切割和紧固器械。根据各种实施例，仪器包括端部执行器，其包括可移动切割仪器。仪器还包括用于致动末端执行器中的切割仪器的主驱动轴组件。仪器还包括手柄，其包括连接到主驱动轴组件的齿轮传动系，用于致动齿轮传动系的马达，用于当闭合触发器为闭合触发器时使末端执行器夹紧位于末端执行器中的物体的闭合触发器并且当触发触发器被缩回时，触发触发器与闭合触发器分离以用于致动马达。该仪器还包括用于铰接末端执行器的装置。

3. 发明申请

US20070175953A1 Motor-driven surgical cutting and fastening instrument with mechanical closure system 有权
标题翻译：电机驱动外科切割和紧固仪器具有机械闭合系统
公开(公告)号：US20070175953A1
公开(公告)日：2007-08-02
申请号：US11344024
申请日：2006-01-31
申请人： Frederick Shelton , Christoph Gillum
发明人： Frederick Shelton , Christoph Gillum
IPC分类号： A61B17/10
CPC分类号： A61B17/32 , A61B17/068 , A61B17/07207 , A61B17/105 , A61B17/320016 , A61B34/76 , A61B2017/00398 , A61B2017/00734
摘要： A surgical cutting and fastening instrument is disclosed. According to various embodiments, the instrument includes an end effector comprising an elongate channel, a clamping member pivotably connected to the channel, and a moveable cutting instrument for traversing the channel to cut an object clamped in the end effector by the clamping member when the clamping member is in a clamped position. The instrument may also comprise a main drive shaft assembly for actuating the cutting instrument in the end effector, a gear drive train connected to the main drive shaft assembly, and a motor for actuating the gear drive train. The instrument may also includes a closure trigger and a firing trigger, separate from the closure trigger, for actuating the motor when the firing trigger is retracted. Also, the instrument may comprise a mechanical closure system connected to the closure trigger and to the clamping member for causing the clamping member to pivot to the clamped position when the closure trigger is retracted.
摘要翻译：公开了一种外科切割和紧固器械。根据各种实施例，仪器包括端部执行器，其包括细长通道，可枢转地连接到通道的夹紧构件，以及可移动切割工具，用于横跨通道，以在夹紧时将夹紧在端部执行器中的物体夹紧在夹紧构件中会员处于夹紧位置。仪器还可以包括用于致动末端执行器中的切割仪器的主驱动轴组件，连接到主驱动轴组件的齿轮传动系以及用于致动齿轮传动系的马达。仪器还可以包括闭合触发器和与闭合触发器分离的击发触发器，用于当击发触发器缩回时用于致动马达。此外，仪器可以包括连接到闭合触发器和夹紧构件的机械闭合系统，用于当闭合触发器缩回时使夹紧构件枢转到夹紧位置。

4. 发明申请

US20070239177A1 Method for instrument insertion through a body orifice 有权
标题翻译：仪器通过体孔插入的方法
公开(公告)号：US20070239177A1
公开(公告)日：2007-10-11
申请号：US11394174
申请日：2006-03-31
申请人： Michael Stokes , Thomas Albrecht , Mark Ortiz , Mark Zeiner , Andrew Zwolinski , Frederick Shelton
发明人： Michael Stokes , Thomas Albrecht , Mark Ortiz , Mark Zeiner , Andrew Zwolinski , Frederick Shelton
IPC分类号： A61B17/04
CPC分类号： A61B17/0469
摘要： A method for inserting an instrument through a natural orifice. The instrument has a low profile orientation and a deployed orientation which is larger than the size of the natural orifice through which it is to be inserted. The method is achieved by coupling the instrument to an endoscope and placing the instrument in its low profile orientation, insetting the endoscope and the instrument through a natural orifice to a target position within a body while the instrument is in its low profile orientation, actuating the instrument to it is deployed orientation, and returning the instrument to its low profile orientation and withdrawing the instrument from the body through the natural orifice.
摘要翻译：一种通过天然孔口插入仪器的方法。仪器具有低轮廓取向和展开方向，其大于被插入的自然孔的尺寸。该方法通过将仪器连接到内窥镜并将仪器置于其低轮廓取向来实现，其将内窥镜和仪器通过自然孔口内插到身体内的目标位置，同时仪器处于低度方向，致动仪器部署方向，并将仪器返回到其低调方向，并将仪器从身体通过自然孔抽出。

5. 发明申请

US20070232850A1 ENDOSCOPIC ANCILLARY ATTACHMENT DEVICES 有权
标题翻译：内窥镜附件装置
公开(公告)号：US20070232850A1
公开(公告)日：2007-10-04
申请号：US11278016
申请日：2006-03-30
申请人： Michael Stokes , Mark Ortiz , Frederick Shelton
发明人： Michael Stokes , Mark Ortiz , Frederick Shelton
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，附件通道，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。

6. 发明申请

US20070175951A1 Gearing selector for a powered surgical cutting and fastening instrument 审中-公开
标题翻译：用于动力手术切割和紧固器械的选择器
公开(公告)号：US20070175951A1
公开(公告)日：2007-08-02
申请号：US11343563
申请日：2006-01-31
申请人： Frederick Shelton , Jeffrey Swayze , Eugene Timperman
发明人： Frederick Shelton , Jeffrey Swayze , Eugene Timperman
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B2017/00367 , A61B2017/00398 , A61B2017/00734
摘要： A powered surgical cutting and fastening instrument includes a drive shaft; a motor; and a gear shifting assembly connected to the drive shaft and the motor. The gear shifting assembly may include at least a first stage gear assembly coupled to the motor and to the drive shaft for operating the gear shifting assembly in a first gear setting; and a gear coupling assembly for selectively coupling at least one additional gear to the drive shaft for operating the gear shifting assembly in a second gear setting.
摘要翻译：动力手术切割和紧固器械包括驱动轴; 电机以及连接到驱动轴和马达的变速组件。变速组件可以包括至少第一级齿轮组件，其联接到电动机和驱动轴，用于在第一档位设置中操作变速组件; 以及齿轮联接组件，用于选择性地将至少一个附加齿轮联接到驱动轴，以在第二齿轮设置中操作变速组件。

7. 发明申请

US20070106317A1 Hydraulically and electrically actuated articulation joints for surgical instruments 审中-公开
标题翻译：用于手术器械的液压和电动关节接头
公开(公告)号：US20070106317A1
公开(公告)日：2007-05-10
申请号：US11270866
申请日：2005-11-09
申请人： Frederick Shelton , Jeffrey Swayze
发明人： Frederick Shelton , Jeffrey Swayze
IPC分类号： A61B17/32
CPC分类号： A61B17/068 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/105 , A61B17/29 , A61B17/3205 , A61B2017/00017 , A61B2017/003 , A61B2017/00367 , A61B2017/00398 , A61B2017/00535 , A61B2017/0645 , A61B2017/07242 , A61B2017/07257 , A61B2017/07271 , A61B2017/07285 , A61B2017/2901 , A61B2017/2925 , A61B2017/2927
摘要： Articulation joints for use in connection with a surgical instrument that has a portion that must be passed through a trocar or similar structure and then articulated relative to another portion of the instrument received within the trocar. Various embodiments of the articulation joint include at least one fluid-actuated cylinder or flexible driven member to articulate the surgical implement relative to the handle assembly of the instrument.
摘要翻译：用于与外科器械结合使用的铰接接头，其具有必须穿过套管针或相似结构的部分，然后相对于套管针内的仪器的另一部分铰接。关节运动关节的各种实施例包括至少一个流体致动圆柱体或柔性从动构件，用于相对于器械的手柄组件铰接外科器械。

8. 发明申请

US20070083234A1 Surgical stapling instruments having flexible channel and anvil features for adjustable staple heights 有权
标题翻译：手术吻合器械具有柔性通道和砧座功能，可调节手钉高度
公开(公告)号：US20070083234A1
公开(公告)日：2007-04-12
申请号：US11540735
申请日：2006-09-29
申请人： Frederick Shelton , Jerome Morgan , Michael Murray , Richard Timm , James Spivey , James Voegele , Leslie Fugikawa , Eugene Timperman
发明人： Frederick Shelton , Jerome Morgan , Michael Murray , Richard Timm , James Spivey , James Voegele , Leslie Fugikawa , Eugene Timperman
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B90/03 , A61B2017/00535 , A61B2017/00557 , A61B2017/07242 , A61B2017/0725 , A61B2017/07278 , A61B2017/320052 , A61B2017/32113 , A61B2090/032 , A61B2090/08021
摘要： A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw (anvil) and a lower jaw (staple cartridge engaged to an elongate staple channel) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, resilient structures may be formed into one or more of the elongate channel that supports the staple cartridge, the anvil that is pivotally attached to the elongate channel, and/or a firing member that includes a cutting surface (knife) that severs tissue between a top pin that engages the anvil and a lower foot that engage the elongate channel. The resilience responds to the force exerted by clamped tissue to vary the spacing between the anvil and the staple cartridge supported within the elongate channel.
摘要翻译：用于内窥镜或腹腔镜插入外科手术部位以用于同时缝合和切断组织的手术器械包括上钳口（砧座）和下钳口（钉仓与细长缝合钉通道接合）之间的力调节间距，使得缝钉形成对应于组织的厚度，但不超过可由钉的长度适应的高度范围。特别地，弹性结构可以形成为支撑钉仓的细长通道中的一个或多个，可枢转地附接到细长通道的砧座和/或包括切割组织的切割表面（刀）的击发构件在与砧座接合的顶部销和与细长通道接合的下部脚之间。弹性响应由夹紧的组织施加的力以改变砧座和支撑在细长通道内的钉仓之间的间隔。

9. 发明申请

US20060281970A1 Attachment apparatus for coupling with an endoscope 有权
标题翻译：用于与内窥镜连接的附接装置
公开(公告)号：US20060281970A1
公开(公告)日：2006-12-14
申请号：US11394150
申请日：2006-03-31
申请人： Michael Stokes , Thomas Albrecht , Mark Ortiz , Mark Zeiner , Andrew Zwolinski , Frederick Shelton
发明人： Michael Stokes , Thomas Albrecht , Mark Ortiz , Mark Zeiner , Andrew Zwolinski , Frederick Shelton
IPC分类号： A61B1/00
CPC分类号： A61B17/00234 , A61B1/00087 , A61B1/00094 , A61B1/00133 , A61B1/0014 , A61B1/005 , A61B1/2736 , A61B1/313 , A61B5/026 , A61B5/0261 , A61B17/00491 , A61B17/0466 , A61B17/0469 , A61B17/0482 , 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 , A61B2017/045 , A61B2017/0464 , A61B2017/0479 , A61B2017/0496 , A61B2017/06076 , A61B2017/0608 , A61B2017/06185 , A61B2017/0619 , A61B2017/306 , A61B2090/037 , A61B2090/0811 , A61B2090/374 , A61B2090/378
摘要： An endoscopic apparatus shaped and dimensioned for passage through an orifice in the body includes a scope attachment member coupled to an endoscopic instrument, and a connection member attaching the scope attachment member to the endoscopic instrument. The connection member has an insertion orientation sized for passage through the orifice and a deployed orientation too large to pass though the orifice. When the connection member is in its insertion orientation the endoscopic instrument is positioned closely adjacent an exterior of an endoscope for low profile insertion of the endoscopic instrument through an orifice, and when the connection is in its deployed orientation the endoscopic instrument is spaced from the endoscope to improve visibility.
摘要翻译：成形和尺寸设计用于穿过主体中的孔的内窥镜装置包括联接到内窥镜器械的镜架附接构件和将镜架附接构件附接到内窥镜器械的连接构件。连接构件具有尺寸适于通过孔口的插入取向和展开的取向太大而不能通过孔口。当连接构件处于其插入方向时，内窥镜器械紧邻内窥镜的外部定位，用于通过孔口对内窥镜器械进行低轮廓插入，并且当连接处于其展开方向时，内窥镜器械与内窥镜间隔开提高知名度。

10. 发明申请

US20060047307A1 ELECTROACTIVE POLYMER-BASED ARTICULATION MECHANISM FOR CIRCULAR STAPLER 有权
标题翻译：基于聚合物的基于聚合物的圆形印刷机构造机理
公开(公告)号：US20060047307A1
公开(公告)日：2006-03-02
申请号：US11162989
申请日：2005-09-30
申请人： Mark Ortiz , Frederick Shelton , Joseph Hueil , Jeffrey Swayze
发明人： Mark Ortiz , Frederick Shelton , Joseph Hueil , Jeffrey Swayze
IPC分类号： A61B17/04
CPC分类号： A61B17/115 , A61B17/072 , A61B17/1155 , A61B17/29 , A61B2017/00017 , A61B2017/003 , A61B2017/00309 , A61B2017/00398 , A61B2017/00871 , A61B2017/2927 , A61B2017/2946 , A61B2017/320052
摘要： Methods and devices are provided for actuating and/or articulating a circular stapler. In one exemplary embodiment, a circular stapler is provided having an elongate shaft with a stapling apparatus coupled thereto. An electrically expandable and contractible actuator, such as an electroactive polymer actuator, can be used to pivotally or angularly adjust a position of the stapling apparatus relative to the elongate shaft by delivering energy to the electroactive polymer actuator. In another embodiment, an electroactive polymer actuator can be used to actuate the stapling apparatus, thereby driving one or more staples, preferably in a substantially curved pattern, into tissue. The actuator can alternatively or additionally drive a blade distally to cut tissue being stapled.
摘要翻译：提供了用于致动和/或铰接圆形缝合器的方法和装置。在一个示例性实施例中，提供了具有细长轴的圆形缝合器，其具有联接到其上的缝合装置。可以使用电可膨胀和收缩的致动器，例如电活性聚合物致动器，通过将能量递送到电活性聚合物致动器来枢转或角度地调节缝合装置相对于细长轴的位置。在另一个实施例中，电活性聚合物致动器可用于致动装订装置，从而将一个或多个钉，优选地以基本上弯曲的图案驱动到组织中。致动器可以替代地或附加地驱动刀片向远侧切割被装订的组织。

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