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1. 发明授权

US09198644B2 Anvil cartridge for surgical fastening device 有权
标题翻译：用于外科紧固装置的砧筒
公开(公告)号：US09198644B2
公开(公告)日：2015-12-01
申请号：US13239919
申请日：2011-09-22
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Edward A. Rhad
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Edward A. Rhad
IPC分类号： A61B17/068 , A61B17/00 , A61B17/072 , A61B17/32
CPC分类号： A61B17/00491 , A61B17/07207 , A61B17/07292 , A61B2017/07257 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The instrument includes an anvil cartridge removably received in an anvil frame. The anvil cartridge is severed by the firing bar when the firing bar is advanced through tissue such that material from the anvil cartridge is released onto the severed tissue.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。仪器包括可拆卸地容纳在砧架中的砧座。当燃烧棒推进穿过组织时，砧筒被击发杆切断，使得来自砧座筒的材料被释放到被切断的组织上。

2. 发明申请

US20130062391A1 SURGICAL INSTRUMENT WITH FLUID FILLABLE BUTTRESS 有权
标题翻译：手术仪器与流体可充气胸针
公开(公告)号：US20130062391A1
公开(公告)日：2013-03-14
申请号：US13232401
申请日：2011-09-14
申请人： Chad P. Boudreaux , Stephen J. Balek , Matthew D. Holcomb , Edward A. Rhad , Donald F. Wilson, JR.
发明人： Chad P. Boudreaux , Stephen J. Balek , Matthew D. Holcomb , Edward A. Rhad , Donald F. Wilson, JR.
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B17/07292 , A61B2017/00495
摘要： An apparatus comprises a surgical instrument and a buttress configured to hold a fluid adhesive. In some versions, the buttress contains a two-part fluid adhesive where two fluid materials form a fluid adhesive when combined. In some versions, the buttress is configured to be compressed by the surgical instrument thereby pressurizing a portion of the buttress. Thereafter, the buttress may be severed and the pressurized region may be operable to urge the fluid adhesive to a tissue site.
摘要翻译：一种装置包括外科器械和构造成保持流体粘合剂的支柱。在一些版本中，支撑件包含两部分流体粘合剂，其中两种流体材料组合时形成流体粘合剂。在一些形式中，支撑构造成被手术器械压缩，从而对支撑物的一部分进行加压。此后，支柱可能被切断，并且加压区域可操作以将流体粘合剂推动到组织部位。

3. 发明授权

US09999408B2 Surgical instrument with fluid fillable buttress 有权
公开(公告)号：US09999408B2
公开(公告)日：2018-06-19
申请号：US13232401
申请日：2011-09-14
申请人： Chad P. Boudreaux , Stephen J. Balek , Matthew D. Holcomb , Edward A. Rhad , Donald F. Wilson, Jr.
发明人： Chad P. Boudreaux , Stephen J. Balek , Matthew D. Holcomb , Edward A. Rhad , Donald F. Wilson, Jr.
IPC分类号： A61B17/04 , A61B17/10 , A61B17/072 , A61B17/00
CPC分类号： A61B17/00491 , A61B17/07207 , A61B17/07292 , A61B2017/00495
摘要： An apparatus comprises a surgical instrument and a buttress configured to hold a fluid adhesive. In some versions, the buttress contains a two-part fluid adhesive where two fluid materials form a fluid adhesive when combined. In some versions, the buttress is configured to be compressed by the surgical instrument thereby pressurizing a portion of the buttress. Thereafter, the buttress may be severed and the pressurized region may be operable to urge the fluid adhesive to a tissue site.

4. 发明申请

US20130075451A1 Surgical Stapling Device with Adjunct Material Application Feature 有权
标题翻译：具有辅助材料应用特征的外科手术装置
公开(公告)号：US20130075451A1
公开(公告)日：2013-03-28
申请号：US13242164
申请日：2011-09-23
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, JR. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further includes an agent. The firing bar is operable to assist with releasing the agent onto a severed line of tissue when the firing bar is advanced.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切断组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该盒还包括一个代理。射击杆可操作以帮助当射击杆前进时将药剂释放到组织切断线上。

5. 发明申请

US20130075445A1 ANVIL CARTRIDGE FOR SURGICAL FASTENING DEVICE 有权
标题翻译：用于外科手术装置的ANVIL CARTRIDGE
公开(公告)号：US20130075445A1
公开(公告)日：2013-03-28
申请号：US13239919
申请日：2011-09-22
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Edward A. Rhad
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Edward A. Rhad
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B17/07292 , A61B2017/07257 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The instrument includes an anvil cartridge removably received in an anvil frame. The anvil cartridge is severed by the firing bar when the firing bar is advanced through tissue such that material from the anvil cartridge is released onto the severed tissue.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。仪器包括可拆卸地容纳在砧架中的砧座。当燃烧棒推进穿过组织时，砧筒被击发杆切断，使得来自砧座筒的材料被释放到被切断的组织上。

6. 发明授权

US08985429B2 Surgical stapling device with adjunct material application feature 有权
标题翻译：具有附加材料应用功能的手术吻合装置
公开(公告)号：US08985429B2
公开(公告)日：2015-03-24
申请号：US13242164
申请日：2011-09-23
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, Jr. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Thomas W. Lytle, IV , Matthew C. Miller , Charles J. Scheib , Bret W. Smith , Yi-Lan Wang , Donald F. Wilson, Jr. , Edward A. Rhad , Kreena R. Modi , Joseph Zavatsky , Aron O. Zingman
IPC分类号： A61B17/068 , A61B17/00 , A61B17/072 , A61B17/32
CPC分类号： A61B17/00491 , A61B17/07207 , A61B2017/07271 , A61B2017/07285 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further includes an agent. The firing bar is operable to assist with releasing the agent onto a severed line of tissue when the firing bar is advanced.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。该盒还包括一个代理。射击杆可操作以帮助当射击杆前进时将药剂释放到组织切断线上。

7. 发明授权

US07597229B2 End effector closure system for a surgical stapling instrument 有权
标题翻译：用于外科缝合器械的末端执行器闭合系统
公开(公告)号：US07597229B2
公开(公告)日：2009-10-06
申请号：US11821425
申请日：2007-06-22
申请人： Chad P. Boudreaux , Stephen J. Balek
发明人： Chad P. Boudreaux , Stephen J. Balek
IPC分类号： A61B17/068
CPC分类号： A61B17/072
摘要： A surgical instrument including a closure system configured to move an anvil of an end effector between an open position, a partially closed position, and a closed position. The surgical instrument can further include a lock member configured to selectively engage and lock the closure system when the anvil is positioned in at least one of its partially closed and closed positions. In at least one embodiment, the surgical instrument can include a trigger configured to pivot the anvil, the lock member can include a follower portion, and the closure drive can include a lock spring configured to bias the follower portion against a cam surface of the trigger such that the follower portion can engage a notch in the cam surface when the anvil is pivoted into its partially closed position, or closed position, and prevent the anvil from being pivoted into its open position.
摘要翻译：一种外科器械，包括闭合系统，其构造成使末端执行器的砧座在打开位置，部分闭合位置和关闭位置之间移动。外科器械还可以包括锁定构件，其构造成当砧座位于其部分关闭和关闭位置中的至少一个位置时选择性地接合和锁定闭合系统。在至少一个实施例中，外科器械可以包括构造成枢转砧座的触发器，锁定构件可以包括从动部分，并且闭合驱动器可以包括锁定弹簧，该锁定弹簧构造成将随动部分抵靠触发器的凸轮表面使得当砧座枢转到其部分关闭位置或关闭位置时，从动部分可以接合凸轮表面中的凹口，并且防止砧座枢转到其打开位置。

8. 发明申请

US20080314961A1 End effector closure system for a surgical stapling instrument 有权
标题翻译：用于外科缝合器械的末端执行器闭合系统
公开(公告)号：US20080314961A1
公开(公告)日：2008-12-25
申请号：US11821425
申请日：2007-06-22
申请人： Chad P. Boudreaux , Stephen J. Balek
发明人： Chad P. Boudreaux , Stephen J. Balek
IPC分类号： A61B17/068
CPC分类号： A61B17/072
摘要： A surgical instrument including a closure system configured to move an anvil of an end effector between an open position, a partially closed position, and a closed position. The surgical instrument can further include a lock member configured to selectively engage and lock the closure system when the anvil is positioned in at least one of its partially closed and closed positions. In at least one embodiment, the surgical instrument can include a trigger configured to pivot the anvil, the lock member can include a follower portion, and the closure drive can include a lock spring configured to bias the follower portion against a cam surface of the trigger such that the follower portion can engage a notch in the cam surface when the anvil is pivoted into its partially closed position, or closed position, and prevent the anvil from being pivoted into its open position.
摘要翻译：一种外科器械，包括闭合系统，其构造成使末端执行器的砧座在打开位置，部分闭合位置和关闭位置之间移动。外科器械还可以包括锁定构件，其构造成当砧座位于其部分关闭和关闭位置中的至少一个位置时选择性地接合和锁定闭合系统。在至少一个实施例中，外科器械可以包括构造成枢转砧座的触发器，锁定构件可以包括从动部分，并且闭合驱动器可以包括锁定弹簧，该锁定弹簧构造成将随动部分抵靠触发器的凸轮表面使得当砧座枢转到其部分关闭位置或关闭位置时，从动部分可以接合凸轮表面中的凹口，并且防止砧座枢转到其打开位置。

9. 发明授权

US09375255B2 Surgical instrument handpiece with resiliently biased coupling to modular shaft and end effector 有权
标题翻译：手术器械手柄，与模块化轴和末端执行器弹性偏置耦合
公开(公告)号：US09375255B2
公开(公告)日：2016-06-28
申请号：US13271352
申请日：2011-10-12
申请人： Kevin L. Houser , Barry C. Worrell , Stephen J. Balek , Galen C. Robertson , Frederick E. Shelton, IV , Richard W. Timm , Kyle P. Moore , Gregory W. Johnson , John B. Schulte , Daniel J. Mumaw
发明人： Kevin L. Houser , Barry C. Worrell , Stephen J. Balek , Galen C. Robertson , Frederick E. Shelton, IV , Richard W. Timm , Kyle P. Moore , Gregory W. Johnson , John B. Schulte , Daniel J. Mumaw
IPC分类号： A61B17/00 , A61B18/14 , A61B17/32 , A61B18/00 , A61B18/04 , H02J7/00 , A61B17/28 , H01M2/26 , H01M2/10 , A61B18/12 , A61B19/00 , A61B17/064 , A61B17/285 , A61B17/29
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An ultrasonic surgical instrument includes a reusable handle assembly and a removable and disposable transmission assembly. The handle assembly includes a trigger, a housing having a distal aperture formed in a distal end of the housing, a button disposed on a top surface of the housing, and a biasing member in communication with the button. The transmission assembly includes a proximal shaft, a rotator knob having a coupling feature, a distal shaft assembly extending distally from the proximal shaft, and an end effector at the distal end of the distal shaft assembly. The biasing member of the handle assembly is adjustably coupled to the coupling feature of the transmission assembly. Another version includes a movable yoke configured to engage an inner tube of the transmission assembly. Yet another version includes a waveguide of the transmission assembly non-threadably coupled to a transducer via a biasing force.
摘要翻译：超声波手术器械包括可重复使用的手柄组件和可拆卸和一次性传输组件。手柄组件包括触发器，具有形成在壳体的远端中的远端孔的壳体，设置在壳体的顶表面上的按钮和与按钮连通的偏置构件。变速器组件包括近端轴，具有联接特征的旋转器旋钮，从近侧轴向远侧延伸的远端轴组件以及在远侧轴组件的远端处的末端执行器。手柄组件的偏置构件可调节地联接到变速器组件的联接特征。另一个版本包括被配置为接合传动组件的内管的可移动轭。另一个版本包括通过偏置力不可螺纹地耦合到换能器的变速器组件的波导。

10. 发明申请

US20110282446A1 Methods and Apparatus for Delivering Tissue Treatment Compositions to Stapled Tissue 有权
标题翻译：用于将组织处理组合物递送至装订组织的方法和装置
公开(公告)号：US20110282446A1
公开(公告)日：2011-11-17
申请号：US12777424
申请日：2010-05-11
申请人： John B. Schulte , Rebecca J. Mollere , Patrick D. Dugan , Michael D. Cronin , Jerome R. Morgan , Stuart K. Morgan , Gary B. McAlister , Tamara S. Vetro Widenhouse , Stephen J. Balek , Joseph P. Schowalter , David A. Witt , Prasanna Malaviya , Frederick E. Shelton, IV
发明人： John B. Schulte , Rebecca J. Mollere , Patrick D. Dugan , Michael D. Cronin , Jerome R. Morgan , Stuart K. Morgan , Gary B. McAlister , Tamara S. Vetro Widenhouse , Stephen J. Balek , Joseph P. Schowalter , David A. Witt , Prasanna Malaviya , Frederick E. Shelton, IV
IPC分类号： A61B17/068 , A61F2/02 , A61B10/02
CPC分类号： A61B17/115 , A61B17/00491 , A61B17/07292 , A61B17/1155 , A61B50/30 , A61B2017/00889 , A61B2017/00893 , A61B2050/314
摘要： A surgical stapler includes first and second tissue clamping members and a knife member. The first tissue clamping member is configured to receive a plurality of staples. The second tissue clamping member comprises an anvil configured to form the staples. A tissue treatment member is positionable between the first and second tissue clamping members. The tissue treatment member comprises a rupturable pouch or baffle that is configured to receive a medical fluid including at least one tissue cell. The tissue treatment member may have a spiral shape, an annular disc shape, or an elongate sleeve shape. The tissue treatment member may also include outwardly extending tabs. The tissue treatment member may also include an injection port. In use, the staples and/or the knife pierce the tissue treatment member to release at least a portion of the medical fluid held by the tissue treatment member.
摘要翻译：手术吻合器包括第一和第二组织夹紧构件和刀构件。第一组织夹紧构件构造成容纳多个钉。第二组织夹紧构件包括构造成形成钉的砧座。组织处理构件可定位在第一和第二组织夹紧构件之间。组织处理构件包括可破裂袋或挡板，其构造成接收包括至少一个组织细胞的医用流体。组织处理构件可以具有螺旋形状，环形盘形或细长的套筒形状。组织处理构件还可以包括向外延伸的突片。组织处理构件还可以包括注射口。在使用中，订书针和/或刀刺穿组织处理构件以释放由组织处理构件保持的医用液体的至少一部分。

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