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1. 发明申请

US20070175949A1 Surgical instrument having a feedback system 有权
标题翻译：手术器具有反馈系统
公开(公告)号：US20070175949A1
公开(公告)日：2007-08-02
申请号：US11343545
申请日：2006-01-31
申请人： Frederick Shelton , Jerome Morgan , Kevin Doll , Jeffrey Swayze , Eugene Timperman
发明人： Frederick Shelton , Jerome Morgan , Kevin Doll , Jeffrey Swayze , Eugene Timperman
IPC分类号： A61B17/10
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/28 , A61B17/285 , A61B34/76 , A61B2017/00119 , A61B2017/00128 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/07214 , A61B2017/07271 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , G08B21/18
摘要： A surgical instrument. The surgical instrument comprises a plurality of sensors, and a status module releasably connected to the surgical instrument. The status module comprises a plurality of contacts, a circuit, and a plurality of indicators. Each individual contact is in electrical communication with a different sensor. The circuit is in electrical communication with at least one of the contacts. At least one of the indicators is in electrical communication with the circuit.
摘要翻译：手术器械。手术器械包括多个传感器，以及可释放地连接到外科器械的状态模块。状态模块包括多个触点，电路和多个指示器。每个单独的触点与不同的传感器电连通。电路与至少一个触点电连通。指示器中的至少一个与电路电连通。

2. 发明申请

US20070175956A1 Electronic lockouts and surgical instrument including same 有权
标题翻译：电子锁具和包括其的手术器械
公开(公告)号：US20070175956A1
公开(公告)日：2007-08-02
申请号：US11343439
申请日：2006-01-31
申请人： Jeffrey Swayze , Frederick Shelton , Kevin Doll , Eugene Timperman
发明人： Jeffrey Swayze , Frederick Shelton , Kevin Doll , Eugene Timperman
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B34/76 , A61B90/03 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/2923 , A61B2017/2927 , A61B2090/08021
摘要： A surgical cutting and stapling instrument is disclosed. The instrument includes an end effector and a handle. The end effector includes a channel, an anvil pivotally attached to the channel, a moveable cutting instrument for cutting an object positioned between the anvil and the channel, and a staple cartridge configured for removable receipt by the channel. The staple cartridge includes a sled that is engaged by the cutting instrument during a cutting stoke. The handle includes a motor for actuating the cutting instrument via a main drive shaft assembly. The instrument further includes a first interlock circuit for enabling initiation of motor operation based upon a position of the staple cartridge.
摘要翻译：公开了一种外科切割和缝合器械。仪器包括末端执行器和手柄。末端执行器包括通道，可枢转地连接到通道的砧座，用于切割定位在砧座和通道之间的物体的可移动切割工具以及被配置为可被通道移动接收的钉仓。钉仓包括在切割过程中由切割工具接合的滑雪板。手柄包括用于通过主驱动轴组件致动切割仪器的马达。仪器还包括第一互锁电路，用于基于钉仓的位置启动电机操作。

3. 发明申请

US20060175375A1 Surgical stapling instrument incorporating a multi-stroke firing mechanism with return spring rotary manual retraction system 有权
标题翻译：具有复位弹簧旋转手动回缩系统的多冲程发射机构的手术吻合器械
公开(公告)号：US20060175375A1
公开(公告)日：2006-08-10
申请号：US11052387
申请日：2005-02-07
申请人： Frederick Shelton , Kevin Doll , Douglas Hoffman , Michael Setser , Jeffrey Swayze
发明人： Frederick Shelton , Kevin Doll , Douglas Hoffman , Michael Setser , Jeffrey Swayze
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B2017/2923
摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.
摘要翻译：特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄，其产生分开的关闭和发射运动来致动末端执行器。特别地，手柄产生多个点火冲程，以便减少火焰所需的所需力量（即订书钉和切断）末端执行器。连接的传动减少了所需的手柄纵向长度，而在拉直时用于烧制，实现了刚性的强结构。牵引偏压发射机构与防抱死机构协作，避免了在驱动该矫直联接架时的装订，其中锁定机构防止在击发期间释放闭合触发器。此外，外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。

4. 发明申请

US20050178813A1 Surgical stapling instrument incorporating a multi-stroke firing mechanism with automatic end of firing travel retraction 有权
标题翻译：具有多次击发机构的手术吻合器械，自动终点击退行程缩回
公开(公告)号：US20050178813A1
公开(公告)日：2005-08-18
申请号：US11052632
申请日：2005-02-07
申请人： Jeffrey Swayze , Frederick Shelton , Kevin Doll , Douglas Hoffman
发明人： Jeffrey Swayze , Frederick Shelton , Kevin Doll , Douglas Hoffman
IPC分类号： A61B17/072 , A61B17/28 , A61B17/04
CPC分类号： A61B17/07207 , A61B17/2909 , A61B2017/2923 , A61B2017/2925
摘要： A surgical stapling and severing instrument particularly suited to endoscopic procedures incorporates a handle that produces separate closing and firing motions to actuate an end effector. In particular, the handle produces multiple firing strokes in order to reduce the required amount of force required to fire (i.e., staple and sever) the end effector. A linked transmission reduces the required handle longitudinal length, yet achieves a rigid, strong configuration when straightened for firing. A traction biased firing mechanism avoids binding in driving this straightened linked rack in cooperation with an anti-backup mechanism, with a lockout mechanism that prevents releasing the closure trigger during firing. Furthermore, an external indicator gives feedback to the surgeon as to how far firing has progressed, as well as providing a manual retraction capability.
摘要翻译：特别适用于内窥镜手术的手术吻合器和切断器具有一个手柄，其产生分开的关闭和发射运动来致动末端执行器。特别地，手柄产生多个点火冲程，以便减少火焰所需的所需力量（即订书钉和切断）末端执行器。连接的传动减少了所需的手柄纵向长度，而在拉直时用于烧制，实现了刚性的强结构。牵引偏压发射机构与防抱死机构协作，避免了在驱动该矫直联接架时的装订，其中锁定机构防止在击发期间释放闭合触发器。此外，外部指示器向外科医生反馈射击进展的程度以及提供手动回缩能力。

5. 发明申请

US20050263562A1 Articulating surgical stapling instrument incorporating a two-piece E-beam firing mechanism 有权
标题翻译：铰接手术吻合器具有两片式电子束射击机构
公开(公告)号：US20050263562A1
公开(公告)日：2005-12-01
申请号：US10955042
申请日：2004-09-30
申请人： Frederick Shelton , Kevin Doll , Jerry Morgan , Michael Setser
发明人： Frederick Shelton , Kevin Doll , Jerry Morgan , Michael Setser
IPC分类号： A61B17/00 , A61B17/04 , A61B17/068 , A61B17/072 , A61B17/28 , A61B17/32
CPC分类号： A61B17/0686 , A61B17/07207 , A61B17/32 , A61B2017/00292 , A61B2017/00309 , A61B2017/07214 , A61B2017/0725 , A61B2017/07271 , A61B2017/07278 , A61B2017/2905 , A61B2017/2927
摘要： A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.
摘要翻译：一种适用于腹腔镜和内窥镜临床手术的手术切割和吻合器械夹紧在由砧座枢转的细长通道的末端执行器内的组织。电子束射击杆通过夹紧的末端执行器向远侧移动以切断组织并且在切割的每一侧上驱动钉。电子束射击棒肯定地将砧座与细长通道隔开，以确保适当形成的封闭缝钉，特别是当夹紧的组织量不足以使末端执行器空间时。特别地，击发杆的上销纵向移动通过砧槽，并且通道狭槽被捕获在击发杆的下盖和中间销之间以确保最小间隔。从增厚的远端部分和薄的近端条带形成电子束增强了可制造性并且便于在这种关节式手术器械中使用。

6. 发明申请

US20070175955A1 Surgical cutting and fastening instrument with closure trigger locking mechanism 审中-公开
标题翻译：手术切割和紧固仪器带闭合扳机锁定机构
公开(公告)号：US20070175955A1
公开(公告)日：2007-08-02
申请号：US11343321
申请日：2006-01-31
申请人： Frederick Shelton , Kevin Doll
发明人： Frederick Shelton , Kevin Doll
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B34/76 , A61B2017/00398 , A61B2017/00734 , A61B2017/2925 , A61B2017/2946
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, a main drive shaft assembly for actuating the cutting instrument in the end effector, and a handle connected to the main drive shaft assembly. The handle may comprises a pistol grip portion, a closure trigger, and a separate firing trigger. Retraction of the closure trigger toward the pistol grip portion causes the end effector to clamp an object positioned in the end effector and retraction of the firing trigger toward the pistol grip portion causes actuation of the main drive shaft assembly. The instrument also includes a closure trigger locking assembly for locking the closure trigger to the pistol grip portion 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，其包括可移动切割仪器，用于致动末端执行器中的切割仪器的主驱动轴组件和连接到主驱动轴组件的手柄。手柄可以包括手枪把手部分，闭合触发器和单独的触发器。闭合触发器朝向手枪把手部分的缩回使得末端执行器夹紧位于末端执行器中的物体并且将击发触发器朝向手枪把手部分的缩回导致主驱动轴组件的致动。仪器还包括闭合触发器锁定组件，用于当闭合触发器缩回时将闭合触发器锁定到手枪把手部分。

7. 发明申请

US20050023324A1 Surgical stapling instrument having a single lockout mechanism for prevention of firing 有权
标题翻译：具有用于防止烧制的单个锁定机构的手术吻合器械
公开(公告)号：US20050023324A1
公开(公告)日：2005-02-03
申请号：US10687503
申请日：2003-10-15
申请人： Kevin Doll , Michael Setser , Frederick Shelton , Kenneth Wales
发明人： Kevin Doll , Michael Setser , Frederick Shelton , Kenneth Wales
IPC分类号： A61B17/068 , A61B17/072 , A61B17/04
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/07214 , A61B2017/07285 , A61B2017/2923 , A61B2090/0814
摘要： A surgical instrument for laparoscopic and endoscopic clinical procedures simultaneously severs and staples tissue clamped in an end effector comprising an elongate channel, which holds a staple cartridge, and a pivotally attached anvil. An E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular, a wedge integral to the staple cartridge is driven distally by a middle pin of the firing bar to effect stapling. A single lockout of the elongate channel responds to the presence of the wedge sled in its unfired position to allow the firing bar to fire. Otherwise, the single lockout prevents firing when the staple cartridge is missing or spent.
摘要翻译：用于腹腔镜和内窥镜临床手术的手术器械同时切断并钉入夹在末端执行器中的组织，其包括保持钉仓的细长通道和枢轴连接的砧座。电子束发射杆接合通道并且在远侧击发运动期间选择性地接合砧座，其中组织被切断并被装订从钉仓向上驱动以形成抵靠砧座。特别地，与订书钉盒一体的楔形物由射击杆的中间销向远侧驱动以实现装订。细长通道的单个锁定响应于楔形滑轨在其未燃位置的存在，以允许击发杆起火。否则，当钉仓丢失或消耗时，单个锁定可防止点火。

8. 发明申请

US20070084897A1 ARTICULATING SURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRING MECHANISM 审中-公开
标题翻译：配备双层电子束发射机构的外科装订仪
公开(公告)号：US20070084897A1
公开(公告)日：2007-04-19
申请号：US11538154
申请日：2006-10-03
申请人： FREDERICK SHELTON , Kevin Doll , Jerry Doll , Michael Setser
发明人： FREDERICK SHELTON , Kevin Doll , Jerry Doll , Michael Setser
IPC分类号： A61B17/10
CPC分类号： A61B17/07207 , A61B2017/2927 , A61B2017/320052
摘要： A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.
摘要翻译：一种适用于腹腔镜和内窥镜临床手术的手术切割和吻合器械夹紧在由砧座枢转的细长通道的末端执行器内的组织。电子束射击杆通过夹紧的末端执行器向远侧移动以切断组织并且在切割的每一侧上驱动钉。电子束射击棒肯定地将砧座与细长通道隔开，以确保适当形成的封闭缝钉，特别是当夹紧的组织量不足以使末端执行器空间时。特别地，击发杆的上销纵向移动通过砧槽，并且通道狭槽被捕获在击发杆的下盖和中间销之间以确保最小间隔。从增厚的远端部分和薄的近端条带形成电子束增强了可制造性并且便于在这种关节式手术器械中使用。

9. 发明申请

US20090149874A1 METHODS FOR IMPLANTING A GASTRIC RESTRICTION DEVICE 有权
标题翻译：用于植入气体限制装置的方法
公开(公告)号：US20090149874A1
公开(公告)日：2009-06-11
申请号：US11953504
申请日：2007-12-10
申请人： Mark S. Ortiz , Daniel F. Dlugos, JR. , Amy L. Marcotte , Randal T. Byrum , Kevin Doll
发明人： Mark S. Ortiz , Daniel F. Dlugos, JR. , Amy L. Marcotte , Randal T. Byrum , Kevin Doll
IPC分类号： A61B17/12
CPC分类号： A61F5/0056 , A61M39/0208
摘要： Various exemplary methods are disclosed for implanting a restriction device for forming a restriction in a patient. The methods can be used with a variety of restriction devices, but in an exemplary embodiment the methods are used for implanting a gastric restriction device.
摘要翻译：公开了用于植入用于在患者体内形成限制的限制装置的各种示例性方法。该方法可以与各种限制装置一起使用，但是在示例性实施例中，该方法用于植入胃限制装置。

10. 发明申请

US20070084896A1 SURGICAL STAPLING INSTRUMENT HAVING AN ELECTROACTIVE POLYMER ACTUATED SINGLE LOCKOUT MECHANISM FOR PREVENTION OF FIRING 有权
标题翻译：具有电动聚合物致动单个锁定机构的手术包装仪器，用于防止发火
公开(公告)号：US20070084896A1
公开(公告)日：2007-04-19
申请号：US11538237
申请日：2006-10-03
申请人： Kevin Doll , Michael Setser
发明人： Kevin Doll , Michael Setser
IPC分类号： A61B17/04
CPC分类号： A61B17/07207 , A61B2017/00367 , A61B2017/00398 , A61B2017/07214 , A61B2017/07285 , A61B2090/08021 , A61B2090/0814
摘要： A surgical instrument includes an E-beam firing bar engages the channel and selectively engages the anvil during distal firing movements, wherein the tissue is severed and stapled driven upward from the staple cartridge to form against the anvil. In particular, a wedge integral to the staple cartridge is driven distally by a middle pin of the firing bar to effect stapling. A single lockout of the staple channel responds to the presence of the wedge sled in its unfired position to allow the firing bar to fire. Otherwise, the single lockout prevents firing when the staple cartridge is missing or spent. Further, some versions include an Electroactive Polymer (EAP) actuator that presents an abutting surface, or acts as a trapdoor to a ramped recess in a staple channel to block the firing bar, as an active approach to preventing firing for one or more conditions.
摘要翻译：手术器械包括电子束发射杆接合通道并且在远侧击发运动期间选择性地接合砧座，其中组织被切断并且从钉仓向上驱动以形成抵靠砧座。特别地，与订书钉盒一体的楔形物由射击杆的中间销向远侧驱动以实现装订。缝钉通道的单一锁定响应于楔形滑板在其未被燃烧位置的存在，以允许射击杆起火。否则，当钉仓丢失或消耗时，单个锁定可防止点火。此外，一些版本包括电活性聚合物（EAP）致动器，其呈现邻接表面，或者用作入口通道中的斜坡凹槽以阻挡击发杆的陷门，作为防止一种或多种条件的发射的主动方法。

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