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1. 发明申请

US20100264194A1 SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR 有权
标题翻译：外科手术器械具有可靠的终点效应
公开(公告)号：US20100264194A1
公开(公告)日：2010-10-21
申请号：US12765330
申请日：2010-04-22
申请人： Zhifan F. Huang , Chad P. Boudreaux , Joseph C. Hueil , Dean B. Bruewer , Aron O. Zingman , David B. Smith , Geoffrey C. Hueil , Hector Chow , Mark R. Shaw
发明人： Zhifan F. Huang , Chad P. Boudreaux , Joseph C. Hueil , Dean B. Bruewer , Aron O. Zingman , David B. Smith , Geoffrey C. Hueil , Hector Chow , Mark R. Shaw
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00318 , A61B2017/00734 , A61B2017/07214 , A61B2017/07285 , A61B2017/2913 , A61B2017/2916 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/2946 , A61B2090/0811
摘要： A surgical instrument can comprise a channel configured to support a staple cartridge and, in addition, an anvil pivotable between open and closed positions relative to the channel. The surgical instrument can further comprise a cutting member configured to incise tissue positioned captured between the staple cartridge and the anvil and, in addition, means for stopping the cutting member prior to a distal end datum, wherein the distal end datum can be defined by the distal-most staple cavity in the staple cartridge. In such embodiments, the incision within the tissue may not extend beyond the portion of the tissue that has been stapled.
摘要翻译：外科器械可以包括构造成支撑钉仓的通道，并且还包括相对于通道在可开启和关闭位置之间枢转的砧座。外科器械还可以包括切割构件，其被配置为切割捕获在钉仓和砧座之间的组织，并且还包括用于在远端基准之前停止切割构件的装置，其中远端基准可以由钉仓中最常见的缝隙腔。在这样的实施例中，组织内的切口不能延伸超过已被装订的组织的部分。

2. 发明授权

US08308040B2 Surgical stapling instrument with an articulatable end effector 有权
标题翻译：具有可铰接端部执行器的手术吻合器械
公开(公告)号：US08308040B2
公开(公告)日：2012-11-13
申请号：US12765330
申请日：2010-04-22
申请人： Zhifan F. Huang , Chad P. Boudreaux , Joseph C. Hueil , Dean B. Bruewer , Aron O. Zingman , David B. Smith , Geoffrey C. Hueil , Hector Chow , Mark R. Shaw
发明人： Zhifan F. Huang , Chad P. Boudreaux , Joseph C. Hueil , Dean B. Bruewer , Aron O. Zingman , David B. Smith , Geoffrey C. Hueil , Hector Chow , Mark R. Shaw
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00318 , A61B2017/00734 , A61B2017/07214 , A61B2017/07285 , A61B2017/2913 , A61B2017/2916 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/2946 , A61B2090/0811
摘要： A surgical instrument can comprise a channel configured to support a staple cartridge and, in addition, an anvil pivotable between open and closed positions relative to the channel. The surgical instrument can further comprise a cutting member configured to incise tissue positioned captured between the staple cartridge and the anvil and, in addition, means for stopping the cutting member prior to a distal end datum, wherein the distal end datum can be defined by the distal-most staple cavity in the staple cartridge. In such embodiments, the incision within the tissue may not extend beyond the portion of the tissue that has been stapled.
摘要翻译：外科器械可以包括构造成支撑钉仓的通道，并且还包括相对于通道在可开启和关闭位置之间枢转的砧座。外科器械还可以包括切割构件，其被配置为切割捕获在钉仓和砧座之间的组织，并且还包括用于在远端基准之前停止切割构件的装置，其中远端基准可以由钉仓中最常见的缝隙腔。在这样的实施例中，组织内的切口不能延伸超过已被装订的组织的部分。

3. 发明申请

US20100264193A1 SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR 有权
标题翻译：外科手术器械具有可靠的终点效应
公开(公告)号：US20100264193A1
公开(公告)日：2010-10-21
申请号：US12765337
申请日：2010-04-22
申请人： Zhifan F. Huang , Chad P. Boudreaux , Joseph C. Hueil , Dean B. Bruewer , David B. Smith
发明人： Zhifan F. Huang , Chad P. Boudreaux , Joseph C. Hueil , Dean B. Bruewer , David B. Smith
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00318 , A61B2017/00734 , A61B2017/07214 , A61B2017/07285 , A61B2017/2913 , A61B2017/2916 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/2946 , A61B2090/0811
摘要： In various embodiments, a surgical instrument can comprise an end effector including a channel configured to support a staple cartridge and, in addition, an anvil pivotable between open and closed positions relative to the staple cartridge channel. The surgical instrument can further comprise a closure tube configured to at least partially surround the anvil and the staple cartridge channel to hold the anvil in a closed position. The closure tube can extend around the anvil a greater distance than the staple cartridge channel. The surgical instrument can further comprise a shaft and, in addition, an articulation joint pivotably connecting the end effector to the shaft. The articulation joint can further comprise a floating guide member which can guidably support a knife bar extending into the end effector and, at the same time, move independently of the end effector and the shaft to provide such support.
摘要翻译：在各种实施例中，外科器械可以包括端部执行器，其包括构造成支撑钉仓的通道，并且还包括可相对于钉仓通道在打开和关闭位置之间枢转的砧座。外科器械还可包括闭合管，其构造成至少部分地围绕砧座和钉仓通道以将砧座保持在关闭位置。闭合管可以围绕砧座延伸比钉仓通道更大的距离。外科器械还可以包括轴，另外还包括可枢转地将端部执行器连接到轴的关节连接。铰接接头还可包括浮动引导构件，该浮动引导构件可引导地支撑延伸到端部执行器中的刀杆，并且同时独立于末端执行器和轴移动以提供这种支撑。

4. 发明授权

US07654431B2 Surgical instrument with guided laterally moving articulation member 有权
标题翻译：手术仪器带导向横向移动铰接构件
公开(公告)号：US07654431B2
公开(公告)日：2010-02-02
申请号：US11100847
申请日：2005-04-07
申请人： Joseph C. Hueil , Kenneth S. Wales , Chad P. Boudreaux
发明人： Joseph C. Hueil , Kenneth S. Wales , Chad P. Boudreaux
IPC分类号： A61B1/00
CPC分类号： A61B17/07207 , A61B2017/00535 , A61B2017/2927 , A61B2017/2943
摘要： A surgical instrument particularly suited to endoscopic use articulates an end effector by including a laterally sliding member in a proximal portion of a shaft that pivots the end effector to a selected side. Differentially opposing actuating forces (e.g., hydraulic, fluidic, mechanical) act against the laterally sliding member without binding by incorporating guidance mechanisms between the laterally sliding member and a frame of the shaft.
摘要翻译：特别适用于内窥镜使用的手术器械通过将侧向滑动构件包括在将末端执行器枢转到选定侧的轴的近侧部分中来铰接末端执行器。差异相对的致动力（例如，液压的，流体的，机械的）通过在横向滑动构件和轴的框架之间引入引导机构而抵抗横向滑动构件而不绑定。

5. 发明授权

US07673781B2 Surgical stapling device with staple driver that supports multiple wire diameter staples 有权
标题翻译：手术缝合装置，其具有支撑多个线直径订书钉的订书钉驱动器
公开(公告)号：US07673781B2
公开(公告)日：2010-03-09
申请号：US11711977
申请日：2007-02-28
申请人： Jeffrey S. Swayze , Joseph C. Hueil , Jerome R. Morgan , Frederick E. Shelton, IV
发明人： Jeffrey S. Swayze , Joseph C. Hueil , Jerome R. Morgan , Frederick E. Shelton, IV
IPC分类号： A61B17/072
CPC分类号： A61B17/0682 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B17/32053 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07278 , A61B2017/320052 , B25C5/0292
摘要： A staple cartridge for use with a surgical stapling device. The stapling device has an actuator that is selectively actuatable in an axial direction and an anvil that is moveable between open and closed positions. The staple cartridge comprises a plurality of staples and a first plurality of staple drivers. Each staple driver has an upper staple supporting surface for supporting one of the staples such that, when actuated, each staple driver drives the staple into the anvil. The upper staple supporting surface supports staples of different wire diameters in an upright position.
摘要翻译：用于外科缝合装置的钉仓。装订装置具有可沿轴向选择性地致动的致动器和可在打开位置和关闭位置之间移动的砧座。钉仓包括多个订书钉和第一多个订书钉驱动器。每个钉子驱动器具有用于支撑其中一个钉的上钉支撑表面，使得当致动时，每个钉持器驱动器将钉钉驱动到砧座中。上钉支撑表面支撑直立位置的不同线径的钉。

6. 发明授权

US08636187B2 Surgical stapling systems that produce formed staples having different lengths 有权
标题翻译：产生具有不同长度的成形钉的外科缝合系统
公开(公告)号：US08636187B2
公开(公告)日：2014-01-28
申请号：US13020263
申请日：2011-02-03
申请人： Joseph C. Hueil , Jeffrey S. Swayze , Frederick E. Shelton, IV , Jerome R. Morgan
发明人： Joseph C. Hueil , Jeffrey S. Swayze , Frederick E. Shelton, IV , Jerome R. Morgan
IPC分类号： A61B17/068
CPC分类号： A61B17/0682 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B17/32053 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07278 , A61B2017/320052 , B25C5/0292
摘要： A surgical stapling device that comprises an end effector. According to various embodiments, the end effector comprises a circular anvil having a staple forming surface and a plurality of staples facing the staple forming surface of the anvil. The end effector also comprises a staple driver assembly comprising a plurality of staple drivers. Each staple driver supports one of the plurality of staples and is configured such that, when the staple driver assembly is actuated, each staple driver drives the staple into the staple forming surface of the anvil. A first quantity of the plurality of staple drivers has a first height and a second quantity of the plurality of staple drivers has a second height, wherein the first height is less than the second height.
摘要翻译：一种外科缝合装置，其包括端部执行器。根据各种实施例，末端执行器包括具有钉形成表面的圆形砧和面向砧座的钉形成表面的多个钉。末端执行器还包括包括多个钉驱动器的钉驱动器组件。每个订书钉驱动器支撑多个订书钉中的一个，并且构造成使得当订书钉驱动器组件被致动时，每个订书钉驱动器将订书钉驱动到砧座的订书钉形成表面中。多个订书钉驱动器的第一数量具有第一高度，并且第二数量的订书钉驱动器具有第二高度，其中第一高度小于第二高度。

7. 发明授权

US5878938A Surgical stapler with improved locking mechanism 失效
标题翻译：手术吻合器具有改进的锁定机构
公开(公告)号：US5878938A
公开(公告)日：1999-03-09
申请号：US909037
申请日：1997-08-11
申请人： John R. Bittner , William G. Bowser , Joseph C. Hueil , David H. Ruder
发明人： John R. Bittner , William G. Bowser , Joseph C. Hueil , David H. Ruder
IPC分类号： A61B17/072 , A61B17/04
CPC分类号： A61B17/07207 , A61B2017/07285 , A61B2017/2945
摘要： A surgical stapler for effecting simultaneous cutting and stapling of tissue includes a frame and a staple cartridge positionable in the frame. The stapler includes a knife blade mounted for movement distally of the staple cartridge, the knife blade having a retraction lock feature including a locking portion for abutment to a roof member of a spacer carried on the frame in a locked position, to prevent movement of the knife blade, unless the stapler is fitted with a fresh, unused staple cartridge. The locking portion is spring loaded by a leaf spring into the locked position. The knife blade includes a spring notch which coacts with the leaf spring to mechanically lift and pivotally thrust the knife blade to the locked position when the knife blade is retracted after use. The lift or thrust feature clears out tissue accumulation which enhances the ability of the knife to restore to its full elevated return position.
摘要翻译：用于同时切割和缝合组织的外科缝合器包括框架和可定位在框架中的钉仓。订书机包括安装成用于使钉仓向远侧移动的刀片，刀片具有缩回锁定特征，该缩回锁定特征包括锁定部分，该锁定部分用于在锁定位置抵靠承载在框架上的间隔件的顶部部件，以防止刀片，除非订书机装有新鲜的未使用的订书钉盒。锁定部分由板簧弹簧加载到锁定位置。刀片包括弹簧切口，当刀片在使用后缩回时，弹簧切口与片簧共同作用以机械地提升并将刀片枢转地推动到锁定位置。提升或推力特征清除组织堆积，这增强了刀恢复到其完全升高的返回位置的能力。

8. 发明授权

US5452836A Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism 失效
标题翻译：手术吻合器具，具有改进的颚关闭和缝合射击致动器机构
公开(公告)号：US5452836A
公开(公告)日：1995-09-26
申请号：US192885
申请日：1994-02-07
申请人： Thomas W. Huitema , Thomas J. Sierocuk , Eric J. Butterfield , Joseph C. Hueil , Kirk M. Nicola , Robert L. Koch, Jr.
发明人： Thomas W. Huitema , Thomas J. Sierocuk , Eric J. Butterfield , Joseph C. Hueil , Kirk M. Nicola , Robert L. Koch, Jr.
IPC分类号： A61B17/068 , A61B17/072 , A61B17/28
CPC分类号： A61B17/072 , A61B2017/07214 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929
摘要： An improved surgical stapling instrument is provided for applying surgical staples to human tissue. The instrument has an articulated stapling head assembly mounted by a rotatable and flexible support shaft on an actuator handle assembly with an improved actuator mechanism for closing and firing the stapling head assembly. The stapling head assembly comprises a fixed jaw with a staple cartridge and a movable jaw with an anvil for clamping the tissue therebetween. The actuator mechanism comprises a jaw closure lever for closing the jaws and a staple firing lever for actuating a staple driver to drive the staples from the staple cartridge into the tissue and against the anvil. The actuator mechanism also includes a cam pulley mounted for rotation by the staple firing lever and secured to a firing cable for actuating the staple driver. A set of drive gears rotatably positioned on opposite sides of the cam pulley mesh with gear sectors on the staple firing lever to rotate the cam pulley and apply tension to the firing cable when the staple firing lever is actuated. The cam pulley has a contoured cam lobe for actuating the firing cable with different mechanical advantages as the pulley is rotated. An anti-backup member engages the cam pulley to prevent the pay-out of the firing cable before and after the staple firing lever is actuated. The length of the support shaft can be adjusted to set the tension in the closure cable so that the jaws are completely closed by the jaw closure lever to produce staples of uniform height when the staple firing lever is actuated.
摘要翻译：提供改进的外科缝合器械用于将外科缝合钉应用于人体组织。仪器具有铰接式装订头组件，其通过可旋转和柔性的支撑轴安装在致动器手柄组件上，所述致动器手柄组件具有改进的致动器机构，用于关闭和点燃缝合头部组件。装订头组件包括具有钉仓的固定夹爪和具有砧座的活动钳口，用于夹紧组织。致动器机构包括用于封闭钳口的钳口闭合杆和用于致动钉仓驱动器以将订书钉从钉仓驱动到组织中并抵靠砧座的订书钉启动杆。致动器机构还包括凸轮皮带轮，该凸轮皮带轮安装成用于由订书钉激发杆旋转并固定到用于致动订书针驱动器的击打电缆。可旋转地定位在凸轮滑轮的相对侧上的一组驱动齿轮与订书钉发射杆上的齿轮部分啮合，以旋转凸轮滑轮并且当订书钉发射杆被致动时向张开线施加张力。凸轮滑轮具有轮廓凸轮凸角，用于在滑轮旋转时用于致动具有不同机械优点的点火线缆。防抱构件与凸轮滑轮接合，以防止在钉子击发杆被致动之前和之后发射击打电缆。支撑轴的长度可以被调整以设定闭合电缆中的张力，使得钳口完全由钳口闭合杆闭合，以在钉子击发杆被致动时产生均匀高度的钉。

9. 发明授权

US5433721A Endoscopic instrument having a torsionally stiff drive shaft for applying fasteners to tissue 失效
标题翻译：内窥镜仪器具有用于将紧固件施加到组织的扭转刚性的驱动轴
公开(公告)号：US5433721A
公开(公告)日：1995-07-18
申请号：US91807
申请日：1993-07-15
申请人： Michael D. Hooven , Joseph C. Hueil
发明人： Michael D. Hooven , Joseph C. Hueil
IPC分类号： A61B17/00 , A61B17/068 , A61B17/072 , A61B17/128 , A61B17/28 , A61B17/32
CPC分类号： A61B17/072 , A61B17/068 , A61B17/07207 , A61B17/1155 , A61B17/1285 , A61B17/00234 , A61B17/320016 , A61B2017/00022 , A61B2017/00199 , A61B2017/00314 , A61B2017/00327 , A61B2017/00389 , A61B2017/00393 , A61B2017/00398 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2929 , A61B2017/32113
摘要： A drive mechanism for an endoscopic surgical instrument which has a rotatable drive shaft and a mechanism for translating the rotational force of the shaft for applying fasteners to tissue during endoscopic surgery.
摘要翻译：一种用于内窥镜外科器械的驱动机构，其具有可旋转的驱动轴和用于在内窥镜手术期间平移用于将紧固件施加到组织的轴的旋转力的机构。

10. 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。

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