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1. 发明授权

US08851354B2 Surgical cutting instrument that analyzes tissue thickness 有权
标题翻译：手术切割仪器，分析组织厚度
公开(公告)号：US08851354B2
公开(公告)日：2014-10-07
申请号：US12647134
申请日：2009-12-24
申请人： Brett E. Swensgard , Bret W. Smith , Ryan J. Laurent
发明人： Brett E. Swensgard , Bret W. Smith , Ryan J. Laurent
IPC分类号： A61B17/04 , A61B17/10 , A61B17/00 , A61B19/00 , A61B17/072 , A61B18/14 , A61B17/32
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B17/32 , A61B18/1445 , A61B2017/00022 , A61B2017/0023 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/320052 , A61B2090/061 , A61B2090/064
摘要： A surgical instrument with a tissue-clamping end effector, where actuation of the instrument is locked out when the thickness of the tissue clamped in the end effector is not within a specified thickness range. The end effector may comprise a tissue thickness module that senses the thickness of the tissue clamped in the end effector. The surgical instrument also comprises a control circuit in communication with the tissue thickness module. The control circuit prevents actuation of a working portion of the end effector when the thickness of the tissue clamped in the end effector is not within the specified thickness range.
摘要翻译：具有组织夹紧末端执行器的外科器械，当夹在末端执行器中的组织的厚度不在规定的厚度范围内时，仪器的致动被锁定。末端执行器可以包括组织厚度模块，其感测夹在末端执行器中的组织的厚度。手术器械还包括与组织厚度模块连通的控制电路。当夹在末端执行器中的组织的厚度不在规定的厚度范围内时，控制电路防止端部执行器的工作部分的致动。

2. 发明申请

US20110155781A1 SURGICAL CUTTING INSTRUMENT THAT ANALYZES TISSUE THICKNESS 有权
标题翻译：分析组织厚度的外科切割仪器
公开(公告)号：US20110155781A1
公开(公告)日：2011-06-30
申请号：US12647134
申请日：2009-12-24
申请人： Brett E. Swensgard , Bret W. Smith , Ryan J. Laurent
发明人： Brett E. Swensgard , Bret W. Smith , Ryan J. Laurent
IPC分类号： A61B17/068 , A61B17/32
CPC分类号： A61B17/105 , A61B17/068 , A61B17/07207 , A61B17/32 , A61B18/1445 , A61B2017/00022 , A61B2017/0023 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/320052 , A61B2090/061 , A61B2090/064
摘要： A surgical instrument with a tissue-clamping end effector, where actuation of the instrument is locked out when the thickness of the tissue clamped in the end effector is not within a specified thickness range. The end effector may comprise a tissue thickness module that senses the thickness of the tissue clamped in the end effector. The surgical instrument also comprises a control circuit in communication with the tissue thickness module. The control circuit prevents actuation of a working portion of the end effector when the thickness of the tissue clamped in the end effector is not within the specified thickness range.
摘要翻译：具有组织夹紧末端执行器的外科器械，当夹在末端执行器中的组织的厚度不在规定的厚度范围内时，仪器的致动被锁定。末端执行器可以包括组织厚度模块，其感测夹在末端执行器中的组织的厚度。手术器械还包括与组织厚度模块连通的控制电路。当夹在末端执行器中的组织的厚度不在规定的厚度范围内时，控制电路防止端部执行器的工作部分的致动。

3. 发明申请

US20110006103A1 MOTOR DRIVEN SURGICAL FASTENER DEVICE WITH CUTTING MEMBER REVERSING MECHANISM 有权
标题翻译：具有切割构件反转机构的电机驱动手术紧固器装置
公开(公告)号：US20110006103A1
公开(公告)日：2011-01-13
申请号：US12846249
申请日：2010-07-29
申请人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
发明人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/30 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2946 , A61B2017/320052 , A61B2090/304 , A61B2090/306 , A61B2090/309
摘要： A surgical fastener apparatus including a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector comprising a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position, and a cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners. An electrically activated reverse mechanism for moving the elongated member from a distal most position within the end effector to a proximal position, the electrically activated reverse mechanism moves the elongated member proximally after the elongated member has moved to the distal most position by moving the trigger to the open position, and wherein after activation of the reverse mechanism proximal movement of the elongated member can be stopped by returning the trigger to its closed position.
摘要翻译：一种手术紧固装置，其包括手柄，细长轴，其具有附接到手柄的近端和从其延伸的远端。末端执行器包括在其近端处枢转并且可在打开和关闭位置之间枢转的一对钳口和包含多个外科紧固件的药筒，所述药筒附接到末端执行器。用于部署外科紧固件的电动致动器。一种用于将细长构件从末端执行器中的最远位置移动到近端位置的电激活反向机构，电激活的反向机构在细长构件已经通过将触发器移动到最远位置之后向近侧移动细长构件打开位置，并且其中在启动反向机构之后，细长构件的近端运动可以通过使扳机返回到其关闭位置来停止。

4. 发明授权

US08210411B2 Motor-driven surgical cutting instrument 有权
标题翻译：电动手术切割仪
公开(公告)号：US08210411B2
公开(公告)日：2012-07-03
申请号：US12235782
申请日：2008-09-23
申请人： David C. Yates , Frederick E. Shelton, IV , Bret W. Smith , Brett E. Swensgard , Ryan J. Laurent
发明人： David C. Yates , Frederick E. Shelton, IV , Bret W. Smith , Brett E. Swensgard , Ryan J. Laurent
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/105 , A61B17/32 , A61B17/3205 , A61B2017/00017 , A61B2017/00154 , A61B2017/00398 , A61B2017/00734 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , G06F19/00
摘要： A motor-driven surgical cutting and fastening instrument that comprises an end effector, a shaft connected to the end effector, and handle connected to the shaft. The end effector may comprise a cutting instrument that, when actuated, longitudinally traverses the end effector to cut tissue clamped in the end effector. The handle may comprise an electric motor for actuating the cutting instrument and a motor control circuit for controlling the motor. The motor control circuit may comprise a power source connected to the motor for electrically powering the motor and a current control circuit, connected to the power source, for varying the current supplied to the motor from the power source. The current control circuit may vary the current supplied to the motor, and consequently, the output torque supplied by the motor, such that the motor has at least (i) a first, low power operational mode for a first portion of a cutting stroke cycle of the cutting instrument, and (ii) a second, high power operational mode for a second portion the cutting stroke cycle of the cutting instrument.
摘要翻译：一种电动外科切割和紧固器械，包括端部执行器，连接到端部执行器的轴和连接到轴的手柄。末端执行器可以包括切割器械，当被致动时，该切割器械纵向地横过末端执行器以切割夹在末端执行器中的组织。手柄可以包括用于致动切割仪器的电动马达和用于控制马达的马达控制电路。电动机控制电路可以包括连接到电动机的电源，用于为电动机供电，以及连接到电源的电流控制电路，用于从电源改变供应给电动机的电流。电流控制电路可以改变提供给电动机的电流，从而改变由电动机提供的输出转矩，使得电动机至少具有（i）用于切削行程循环的第一部分的第一低功率操作模式的切割仪器的切割行程循环的第二部分的第二高功率操作模式。

5. 发明申请

US20110163147A1 TEST DEVICE FOR A SURGICAL TOOL 有权
标题翻译：手术工具的测试装置
公开(公告)号：US20110163147A1
公开(公告)日：2011-07-07
申请号：US12683754
申请日：2010-01-07
申请人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Craig S. Smith , Cory G. Kimball , Wendy A. Kerr
发明人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Craig S. Smith , Cory G. Kimball , Wendy A. Kerr
IPC分类号： A61B17/068
CPC分类号： A61B17/072 , A61B17/0686 , A61B17/10 , A61B17/1285 , A61B50/00 , A61B2017/00707 , A61B2017/00725 , A61B2017/00734 , A61B2017/00907 , A61B2017/07214 , A61B2090/038 , A61B2090/0801 , A61B2090/0807 , A61B2090/0811
摘要： In various embodiments, a surgical test device for a surgical tool, such as a severing and/or sealing tool (e.g., a surgical stapler), is provided. In at least one embodiment, the surgical tool can be configured to supply at least one actuation motion to an end effector. The actuation motion(s) may cause a cutting member to move within and/or sealing members (e.g., staples) to eject from the end effector. Further, in at least one embodiment, the surgical test device can be releasably engaged to a portion of the surgical tool, such as the end effector. Additionally, the surgical test device can be configured to permit the surgical tool to supply the actuation motion(s) while preventing the tool from performing its intended surgical function. Accordingly, the surgical tool may be test fired without wasting a sealing member cartridge, while preventing inappropriate use of the tool when the test device is attached thereto.
摘要翻译：在各种实施例中，提供了用于外科手术工具的手术测试装置，例如切断和/或密封工具（例如外科缝合器）。在至少一个实施例中，外科手术工具可被构造成向末端执行器提供至少一个致动运动。致动运动可能导致切割构件在内部和/或密封构件（例如，钉）中移动以从端部执行器喷射。此外，在至少一个实施例中，手术测试装置可以可释放地接合到手术工具的一部分，例如端部执行器。另外，手术测试装置可以被配置为允许外科手术工具提供致动运动，同时防止工具执行其预期的手术功能。因此，可以在不消耗密封构件筒的情况下对外科手术工具进行测试，同时防止当测试装置附接到工具时不适合使用工具。

6. 发明申请

US20110024479A1 Driven Surgical Stapler Improvements 有权
标题翻译：驱动手术订书机改进
公开(公告)号：US20110024479A1
公开(公告)日：2011-02-03
申请号：US12693462
申请日：2010-01-26
申请人： Brett E. Swensgard , Ryan J. Laurent , Bret W. Smith , David C. Yates
发明人： Brett E. Swensgard , Ryan J. Laurent , Bret W. Smith , David C. Yates
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00017 , A61B2017/00367 , A61B2017/00398 , A61B2017/00734
摘要： A surgical fastener apparatus including a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector comprising a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position, and a cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners. An electrically activated reverse mechanism for moving the elongated member from a distal most position within the end effector to a proximal position, the electrically activated reverse mechanism moves the elongated member proximally after the elongated member has moved to the distal most position by moving the trigger to the open position, and wherein after activation of the reverse mechanism proximal movement of the elongated member can be stopped by returning the trigger to its closed position.
摘要翻译：一种手术紧固装置，其包括手柄，细长轴，其具有附接到手柄的近端和从其延伸的远端。末端执行器包括在其近端处枢转并且可在打开和关闭位置之间枢转的一对钳口和包含多个外科紧固件的药筒，所述药筒附接到末端执行器。用于部署外科紧固件的电动致动器。一种用于将细长构件从末端执行器中的最远位置移动到近端位置的电激活反向机构，电激活的反向机构在细长构件已经通过将触发器移动到最远位置之后向近侧移动细长构件打开位置，并且其中在启动反向机构之后，细长构件的近端运动可以通过使扳机返回到其关闭位置来停止。

7. 发明授权

US08608046B2 Test device for a surgical tool 有权
标题翻译：外科手术工具的测试装置
公开(公告)号：US08608046B2
公开(公告)日：2013-12-17
申请号：US12683754
申请日：2010-01-07
申请人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Craig S. Smith , Cory G. Kimball , Wendy A. Kerr
发明人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Craig S. Smith , Cory G. Kimball , Wendy A. Kerr
IPC分类号： A61B17/068 , A61B19/02
CPC分类号： A61B17/072 , A61B17/0686 , A61B17/10 , A61B17/1285 , A61B50/00 , A61B2017/00707 , A61B2017/00725 , A61B2017/00734 , A61B2017/00907 , A61B2017/07214 , A61B2090/038 , A61B2090/0801 , A61B2090/0807 , A61B2090/0811
摘要： In various embodiments, a surgical test device for a surgical tool, such as a severing and/or sealing tool (e.g., a surgical stapler), is provided. In at least one embodiment, the surgical tool can be configured to supply at least one actuation motion to an end effector. The actuation motion(s) may cause a cutting member to move within and/or sealing members (e.g., staples) to eject from the end effector. Further, in at least one embodiment, the surgical test device can be releasably engaged to a portion of the surgical tool, such as the end effector. Additionally, the surgical test device can be configured to permit the surgical tool to supply the actuation motion(s) while preventing the tool from performing its intended surgical function. Accordingly, the surgical tool may be test fired without wasting a sealing member cartridge, while preventing inappropriate use of the tool when the test device is attached thereto.
摘要翻译：在各种实施例中，提供了用于外科手术工具的手术测试装置，例如切断和/或密封工具（例如外科缝合器）。在至少一个实施例中，外科手术工具可被构造成向末端执行器提供至少一个致动运动。致动运动可能导致切割构件在内部和/或密封构件（例如，钉）中移动以从端部执行器喷射。此外，在至少一个实施例中，手术测试装置可以可释放地接合到手术工具的一部分，例如端部执行器。另外，手术测试装置可以被配置为允许外科手术工具提供致动运动，同时防止工具执行其预期的手术功能。因此，可以在不消耗密封构件筒的情况下对外科手术工具进行测试，同时防止当测试装置附接到工具时不适合使用工具。

8. 发明授权

US08602287B2 Motor driven surgical cutting instrument 有权
标题翻译：电机驱动手术切割仪
公开(公告)号：US08602287B2
公开(公告)日：2013-12-10
申请号：US13486175
申请日：2012-06-01
申请人： David C. Yates , Frederick E. Shelton, IV , Bret W. Smith , Brett E. Swensgard , Ryan J. Laurent
发明人： David C. Yates , Frederick E. Shelton, IV , Bret W. Smith , Brett E. Swensgard , Ryan J. Laurent
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/105 , A61B17/32 , A61B17/3205 , A61B2017/00017 , A61B2017/00154 , A61B2017/00398 , A61B2017/00734 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , G06F19/00
摘要： A motor-driven surgical cutting and fastening instrument that comprises an end effector, an electric motor, and a motor control circuit. The motor control circuit is for monitoring a parameter of the electric motor that is indicative of movement of a moveable member of the end effector, and for adjustably controlling the electric motor based on the monitored parameter to thereby adjustably control movement of the moveable member of the end effector during forward rotation of the electric motor.
摘要翻译：一种电动外科切割和紧固器械，包括末端执行器，电动马达和马达控制电路。电动机控制电路用于监视电动机的参数，其指示末端执行器的可移动部件的运动，并且用于基于所监视的参数可调节地控制电动机，从而可调节地控制电动机的运动部件的运动末端执行器在电动机正转期间。

9. 发明申请

US20120239012A1 MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY 有权
标题翻译：带电动执行器方向控制装置的电动驱动手术切割仪
公开(公告)号：US20120239012A1
公开(公告)日：2012-09-20
申请号：US13482179
申请日：2012-05-29
申请人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith
发明人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith
IPC分类号： A61B17/00
CPC分类号： A61B17/320016 , A61B17/068 , A61B17/072 , A61B2017/00017 , H01H3/16 , H01H13/18 , Y10T74/18976
摘要： A motor-driven surgical instrument having a control assembly for controlling a switch of the instrument. The surgical instrument may comprise a motor control circuit, a drive member, and a slider. The drive member comprises a first shoulder at a first position and a second shoulder at a second position. A first portion of the slider interfaces the drive member such that the slider is moveable in a direction of movement of the drive member when either the first shoulder or the second shoulder of the drive member engages the first portion of the slider. A second portion of the slider actuates a switch of the motor control circuit when the drive member moves the slider to a first position relative to the first switch. In various embodiments, the switches of the control circuit are not embodied as a part of an IC.
摘要翻译：一种具有用于控制仪器的开关的控制组件的电动手术器械。外科器械可以包括马达控制电路，驱动构件和滑块。驱动构件包括在第一位置处的第一肩部和在第二位置处的第二肩部。滑动件的第一部分与驱动构件接合，使得当驱动构件的第一肩部或第二肩部接合滑块的第一部分时，滑动件可以在驱动构件的移动方向上移动。当驱动构件将滑动件相对于第一开关移动到第一位置时，滑块的第二部分致动马达控制电路的开关。在各种实施例中，控制电路的开关没有体现为IC的一部分。

10. 发明申请

US20100076474A1 MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT 有权
标题翻译：电动驱动手术切割仪
公开(公告)号：US20100076474A1
公开(公告)日：2010-03-25
申请号：US12235782
申请日：2008-09-23
申请人： David C. Yates , Frederick E. Shelton, IV , Bret W. Smith , Brett E. Swensgard , Ryan J. Laurent
发明人： David C. Yates , Frederick E. Shelton, IV , Bret W. Smith , Brett E. Swensgard , Ryan J. Laurent
IPC分类号： A61B17/32 , A61B17/10
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/105 , A61B17/32 , A61B17/3205 , A61B2017/00017 , A61B2017/00154 , A61B2017/00398 , A61B2017/00734 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , G06F19/00
摘要： A motor-driven surgical cutting and fastening instrument that comprises an end effector, a shaft connected to the end effector, and handle connected to the shaft. The end effector may comprise a cutting instrument that, when actuated, longitudinally traverses the end effector to cut tissue clamped in the end effector. The handle may comprise an electric motor for actuating the cutting instrument and a motor control circuit for controlling the motor. The motor control circuit may comprise a power source connected to the motor for electrically powering the motor and a current control circuit, connected to the power source, for varying the current supplied to the motor from the power source. The current control circuit may vary the current supplied to the motor, and consequently, the output torque supplied by the motor, such that the motor has at least (i) a first, low power operational mode for a first portion of a cutting stroke cycle of the cutting instrument, and (ii) a second, high power operational mode for a second portion the cutting stroke cycle of the cutting instrument.
摘要翻译：一种电动外科切割和紧固器械，包括端部执行器，连接到端部执行器的轴和连接到轴的手柄。末端执行器可以包括切割器械，当被致动时，该切割器械纵向地横过末端执行器以切割夹在末端执行器中的组织。手柄可以包括用于致动切割仪器的电动马达和用于控制马达的马达控制电路。电动机控制电路可以包括连接到电动机的电源，用于为电动机供电，以及连接到电源的电流控制电路，用于从电源改变供应给电动机的电流。电流控制电路可以改变提供给电动机的电流，从而改变由电动机提供的输出转矩，使得电动机至少具有（i）用于切削行程循环的第一部分的第一低功率操作模式的切割仪器的切割行程循环的第二部分的第二高功率操作模式。

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