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51. 发明申请

WO2015038528A1 SURGICAL CLIP HAVING COMPLIANT PORTION 审中-公开
标题翻译：符合部分的外科手术夹
公开(公告)号：WO2015038528A1
公开(公告)日：2015-03-19
申请号：PCT/US2014/054756
申请日：2014-09-09
申请人： ETHICON ENDO-SURGERY, INC.
发明人： SHELTON, Frederick, E., IV
IPC分类号： A61B17/122
CPC分类号： A61B17/122 , A61B2017/00004 , A61B2017/00862 , A61B2017/00946
摘要： A clip (100) is provided that can be used for ligating tissue, such as vessels, other tubular ducts, and the like. The clip has opposed first and second leg members (120, 140) having proximal and distal ends. The proximal end of each leg member is connected by an apex (220). The clip has a compliant portion (110) formed on the inner surface of at least one of the first and second leg members. The compliant portion can fill gaps left by springback of the clip after formation.
摘要翻译：提供了可用于结扎组织的夹子（100），例如血管，其他管状导管等。该夹具具有相对的具有近端和远端的第一和第二支腿构件（120,140）。每个腿构件的近端通过顶点（220）连接。夹具具有形成在第一和第二支腿构件中的至少一个的内表面上的柔性部分（110）。柔性部分可填充形成后回弹所留下的空隙。

52. 发明申请

WO2015031156A2 SURGICAL DEVICES WITH CLOSE QUARTER ARTICULATION FEATURES 审中-公开
标题翻译：具有近四分之一特征的手术装置
公开(公告)号：WO2015031156A2
公开(公告)日：2015-03-05
申请号：PCT/US2014/052100
申请日：2014-08-21
申请人： ETHICON ENDO-SURGERY, INC.
发明人： SHELTON, IV, Frederick E. , BAXTER, Chester O., III , SWAYZE, Jeffrey S. , DUGAN, John R.
IPC分类号： A61B18/14
CPC分类号： A61B18/082 , A61B17/22004 , A61B17/320092 , A61B18/1445 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/2903 , A61B2017/2927 , A61B2017/2936 , A61B2017/2938 , A61B2017/2939 , A61B2017/2941 , A61B2017/2943 , A61B2018/00184 , A61B2018/00202 , A61B2018/00601 , A61B2018/0063 , A61B2018/00916 , A61B2018/1226 , A61B2018/1455
摘要： The disclosure provides various apparatuses comprising a shaft section extending longitudinally along a first plane. An end effector comprises a first jaw and a second jaw configured to pivotally open and close in a second plane relative to the first plane about a pivot point. The first plane is orthogonal to the second plane. An articulation section is disposed between the shaft section and the end effector. The articulation section is configured to articulate in the second plane relative to the first plane in response to a rotatable articulation control mechanism. Also disclosed are configuration where at least one of the first and second jaws comprises an electrode. Also disclosed are configurations in which the end effector pivots and articulates about the same pivot point.
摘要翻译：本公开提供了包括沿着第一平面纵向延伸的轴部分的各种装置。端部执行器包括第一钳口和第二钳口，第二钳口构造成围绕枢轴点相对于第一平面在第二平面中枢转地打开和关闭。第一平面与第二平面正交。铰链部分设置在轴部和端部执行器之间。铰接部分构造成响应于可旋转的关节运动控制机构而相对于第一平面在第二平面中铰接。还公开了第一和第二钳口中的至少一个包括电极的构造。还公开了一种结构，其中末端执行器围绕相同的枢转点枢转和铰接。

53. 发明申请

WO2015031153A1 ENDOSCOPIC TRANSORAL DUODENAL SLEEVE APPLIER 审中-公开
标题翻译：内窥镜式多功能套管套管
公开(公告)号：WO2015031153A1
公开(公告)日：2015-03-05
申请号：PCT/US2014/052085
申请日：2014-08-21
申请人： ETHICON ENDO-SURGERY, INC.
发明人： ZEINER, Mark S. , ORTIZ, Mark S. , GRIFFITH, David B.
IPC分类号： A61F5/00
CPC分类号： A61F5/0089 , A61F2/04 , A61F5/0076
摘要： A duodenal sleeve assembly comprises a sleeve, an expandable sealing member, a tether, and an expandable anchor. The sleeve is secured to the sealing member. The tether couples the anchor with the sealing member. A deployment instrument comprises a shaft assembly, a first retention member, and a second retention member. The first retention member selectively secures the sealing member to the shaft assembly. The second retention member selectively secures the anchor to the shaft assembly. When the first retention member is relelased, the sealing member expands outwardly to seal the proximal end of the sleeve against the mucosa of the patient's duodenum. When the second retention member is released, the anchor expands outwardly within the stomach to anchor the sleeve assembly relative to the stomach. The tether traverses the pylorus. The sleeve isolates chyme from enzymes in the duodenum; and the mucosa of the duodenum from nutrients in the chyme.
摘要翻译：十二指肠套管组件包括套筒，可膨胀密封件，系绳和可膨胀锚固件。套筒固定在密封件上。系绳将锚固件与密封构件连接。部署仪器包括轴组件，第一保持构件和第二保持构件。第一保持构件将密封构件选择性地固定到轴组件。第二保持构件选择性地将锚固件固定到轴组件。当第一保持构件相关时，密封构件向外膨胀以将套筒的近端密封抵靠患者十二指肠的粘膜。当第二保持构件被释放时，锚固体在胃内向外膨胀以相对于胃锚定套筒组件。系绳穿过幽门。套管将食糜与十二指肠中的酶分离; 和十二指肠的粘膜从食糜中的营养物质。

54. 发明申请

WO2015026784A1 CONDUCTOR ARRANGEMENTS FOR ELECTRICALLY POWERED SURGICAL INSTRUMENTS WITH ROTATABLE END EFFECTORS 审中-公开
标题翻译：具有可旋转终端效应器的电动外科仪器的导体安装
公开(公告)号：WO2015026784A1
公开(公告)日：2015-02-26
申请号：PCT/US2014/051633
申请日：2014-08-19
申请人： ETHICON ENDO-SURGERY, INC.
发明人： YATES, David C. , HALL, Steven G. , SCHELLIN, Emily A. , SHELTON, IV, Frederick E.
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/105 , A61B34/10 , A61B34/25 , A61B34/30 , A61B34/74 , A61B34/76 , A61B90/90 , A61B90/96 , A61B90/98 , A61B2017/00017 , A61B2017/00119 , A61B2017/00137 , A61B2017/00154 , A61B2017/0019 , A61B2017/00199 , A61B2017/00221 , A61B2017/00367 , A61B2017/00398 , A61B2017/00402 , A61B2017/00407 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2901 , A61B2017/2927 , A61B2034/252 , A61B2034/256 , A61B2090/0807 , A61B2090/0808 , A61B2090/0811 , G06F3/016 , G06F3/0416 , G06F3/0488 , G06F19/00 , G06F21/60 , G06T11/60 , G09G5/14 , G16H40/63 , H01M10/48 , H02J7/0068 , H03K2217/96062 , Y10T307/625
摘要： A surgical instrument that includes a housing (12) that has an elongated shaft assembly (16) attached thereto that is configured to be rotated relative to the housing. The surgical instrument further includes a conductor arrangement (930, 932, 936, 944) that facilitates transfer of electrical power or current from a power source (200) which may be located in the housing or external to the housing to a distal portion of the elongated shaft assembly or to a surgical end effector coupled thereto. The surgical instrument may further include a travel limiting arrangement (950) for limiting the amount of rotary travel of the elongated shaft assembly relative to the housing to a predetermined range of rotary travel.
摘要翻译：一种外科器械，其包括具有附接到其上的细长轴组件（16）的壳体（12），所述细长轴组件被构造成相对于所述壳体旋转。手术器械还包括导体装置（930,932,936,944），其有助于将电力或电流从电源（200）传递，电源（200）可位于外壳中或外部位于壳体的远端部分细长轴组件或与其耦合的外科末端执行器。外科器械还可以包括行程限制装置（950），用于将细长轴组件相对于壳体的旋转行程的数量限制在预定的旋转行程范围内。

55. 发明申请

WO2015026779A1 SURGICAL END EFFECTORS WITH A CLOSURE INDICATOR DISPLAY 审中-公开
标题翻译：具有闭合指示器显示的手术终点效应器
公开(公告)号：WO2015026779A1
公开(公告)日：2015-02-26
申请号：PCT/US2014/051624
申请日：2014-08-19
申请人： ETHICON ENDO-SURGERY, INC.
发明人： SHELTON, IV, Frederick, E. , SCHELLIN, Emily, A.
IPC分类号： A61B17/068 , A61B17/072 , A61B19/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/105 , A61B34/10 , A61B34/25 , A61B34/30 , A61B34/74 , A61B34/76 , A61B90/90 , A61B90/96 , A61B90/98 , A61B2017/00017 , A61B2017/00119 , A61B2017/00137 , A61B2017/00154 , A61B2017/0019 , A61B2017/00199 , A61B2017/00221 , A61B2017/00367 , A61B2017/00398 , A61B2017/00402 , A61B2017/00407 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2901 , A61B2017/2927 , A61B2034/252 , A61B2034/256 , A61B2090/0807 , A61B2090/0808 , A61B2090/0811 , G06F3/016 , G06F3/0416 , G06F3/0488 , G06F19/00 , G06F21/60 , G06T11/60 , G09G5/14 , G16H40/63 , H01M10/48 , H02J7/0068 , H03K2217/96062 , Y10T307/625
摘要： A surgical instrument system can comprise a surgical instrument (10) and an end effector (10360), wherein the end effector can comprise a distal end, a proximal connection portion configured to attach the end effector to the surgical instrument, a first jaw (10362), and a second jaw (10364) movable relative to the first jaw, wherein the second jaw is movable between an open orientation, a partially-closed orientation, and a closed orientation. The end effector can further comprise at least one sensor configured to detect the orientation of the second jaw and an array of indicators (10390) configured to simulate the orientation of the second jaw.
摘要翻译：手术器械系统可以包括外科器械（10）和末端执行器（10360），其中末端执行器可以包括远端，被配置为将末端执行器附接到手术器械的近端连接部分，第一钳口（10362 ）和相对于第一钳口可移动的第二钳口（10364），其中第二钳口可以在开放取向，部分闭合取向和闭合取向之间移动。端部执行器还可包括至少一个传感器，其构造成检测第二钳口的取向和被配置为模拟第二钳口的取向的指示器阵列（10390）。

56. 发明申请

WO2015026641A2 SECONDARY BATTERY ARRANGEMENTS FOR POWERED SURGICAL INSTRUMENTS 审中-公开
标题翻译：供电手术器械的二次电池安装
公开(公告)号：WO2015026641A2
公开(公告)日：2015-02-26
申请号：PCT/US2014/051211
申请日：2014-08-15
申请人： ETHICON ENDO-SURGERY, INC.
发明人： YATES, David C. , HALL, Steven G. , SCHELLIN, Emily A. , SHELTON, Frederick E., IV
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/00234 , A61B17/068 , A61B17/072 , A61B17/105 , A61B34/10 , A61B34/25 , A61B34/30 , A61B34/74 , A61B34/76 , A61B90/90 , A61B90/96 , A61B90/98 , A61B2017/00017 , A61B2017/00119 , A61B2017/00137 , A61B2017/00154 , A61B2017/0019 , A61B2017/00199 , A61B2017/00221 , A61B2017/00367 , A61B2017/00398 , A61B2017/00402 , A61B2017/00407 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/07214 , A61B2017/07228 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2901 , A61B2017/2927 , A61B2034/252 , A61B2034/256 , A61B2090/0807 , A61B2090/0808 , A61B2090/0811 , G06F3/016 , G06F3/0416 , G06F3/0488 , G06F19/00 , G06F21/60 , G06T11/60 , G09G5/14 , G16H40/63 , H01M10/48 , H02J7/0068 , H03K2217/96062 , Y10T307/625
摘要： A power system, for powering a surgical instrument including an end effector and a motor configured to generate at least one motion to effectuate the end effector, includes a primary power source configured to supply a first power to operate the surgical instrument, wherein the primary power source is detachable from the surgical instrument, a secondary power source configured to supply a second power to operate the surgical instrument when the primary power source is detached from the surgical instrument, wherein the secondary power source is rechargeable, and wherein the primary power source is configured to charge the secondary power system, and a power management circuit configured to selectively transmit the first power from the primary power source and the secondary power from the secondary power source to operate the surgical instrument.
摘要翻译：一种电力系统，用于对包括末端执行器和被配置为产生至少一个运动以实现末端执行器的电动机的外科器械供电的动力系统包括被配置为提供第一功率以操作外科器械的主电源，其中主电源源可与外科器械分离，辅助电源被配置为当主电源与外科器械分离时提供第二电力来操作手术器械，其中次电源是可再充电的，并且其中主电源是被配置为对所述次级电力系统进行充电;以及功率管理电路，其被配置为选择性地从所述主电源发射所述第一电力和从所述次级电源传输所述次级电力以操作所述外科器械。

57. 发明申请

WO2014158882A3 SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS 审中-公开
标题翻译：用于手术器械绝对定位系统的传感器装置
公开(公告)号：WO2014158882A3
公开(公告)日：2014-12-11
申请号：PCT/US2014020652
申请日：2014-03-05
申请人： ETHICON ENDO SURGERY INC
发明人： LEIMBACH RICHARD L , OVERMYER MARK D , SWENSGARD BRETT E , ADAMS SHANE R
IPC分类号： A61B19/00 , A61B17/00 , A61B17/068 , A61B17/072 , A61B17/29 , G01D5/14
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00734 , A61B2017/07271 , A61B2017/2903 , A61B2017/2927 , A61B2017/2943 , A61B2034/2059 , A61B2090/0811 , G01D5/145
摘要： A surgical instrument is disclosed. The surgical instrument may include an absolute position sensor system (7000). The absolute position sensor system includes a sensor element (7026) operatively coupled to a movable drive member (7104) of the surgical instrument. A position sensor (7012) is operably coupled to the sensor element and is configured to sense the absolute position of the sensor element.
摘要翻译：公开了一种外科器械。手术器械可以包括绝对位置传感器系统（7000）。绝对位置传感器系统包括可操作地联接到外科器械的可移动驱动构件（7104）的传感器元件（7026）。位置传感器（7012）可操作地耦合到传感器元件并被配置为感测传感器元件的绝对位置。

58. 发明申请

WO2014134007A3 ARTICULATABLE SURGICAL INSTRUMENTS WITH CONDUCTIVE PATHWAYS FOR SIGNAL COMMUNICATION 审中-公开
标题翻译：用于信号通信的具有导电通路的可折叠外科手术器械
公开(公告)号：WO2014134007A3
公开(公告)日：2014-12-11
申请号：PCT/US2014018224
申请日：2014-02-25
申请人： ETHICON ENDO SURGERY INC
发明人： JAWOREK GARY S , KOCH ROBERT L JR , AULD MICHAEL D
IPC分类号： A61B17/072 , A61B17/068 , A61B17/29
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/1155 , A61B17/2202 , A61B17/320068 , A61B17/320092 , A61B18/085 , A61B18/1445 , A61B34/30 , A61B34/74 , A61B90/90 , A61B90/98 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/00039 , A61B2017/00075 , A61B2017/00115 , A61B2017/00123 , A61B2017/00128 , A61B2017/00199 , A61B2017/00221 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00367 , A61B2017/00393 , A61B2017/00398 , A61B2017/0046 , A61B2017/00464 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/0069 , A61B2017/00734 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2903 , A61B2017/2923 , A61B2017/2925 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2018/00607 , A61B2018/00619 , A61B2018/00791 , A61B2018/00875 , A61B2018/1455 , A61B2034/742 , A61B2090/033 , A61B2090/034 , A61B2090/061 , A61B2090/064 , A61B2090/065 , A61B2090/0811 , G05G9/04796 , G05G2009/04777
摘要： A cover for an articulation joint that is supported in an elongate shaft assembly of a surgical instrument that is operably coupled to a surgical end effector that includes at least one end effector conductor therein. The cover includes at least one electrically conductive pathway that extends from the distal end of the cover to form an electrically conductive pathway from the end effector conductor to a shaft conductor on the elongate shaft assembly while facilitating operation of the articulation joint. Various conductor arrangements facilitating the passage of electrical current between an end effector to a control system across the articulation joint are also disclosed.
摘要翻译：用于铰接接头的盖子被支撑在手术器械的细长轴组件中，所述手术器械可操作地联接到外科端部执行器，所述外科端部执行器包括其中的至少一个端部执行器导体。所述盖子包括至少一个导电路径，所述导电路径从盖子的远端延伸以形成从端部执行器导体到细长轴组件上的轴导体的导电路径，同时促进关节运动接头的操作。还公开了促进横跨关节运动接头的末端执行器与控制系统之间的电流通过的各种导体布置。

59. 发明申请

WO2014124255A3 ANVIL LAYER ATTACHED TO A PROXIMAL END OF AN END EFFECTOR 审中-公开
标题翻译：连接到末端效应的末端的ANVIL层
公开(公告)号：WO2014124255A3
公开(公告)日：2014-12-04
申请号：PCT/US2014015299
申请日：2014-02-07
申请人： ETHICON ENDO SURGERY INC
发明人： ARONHALT TAYLOR W , SMITH BRET W , SCHMID KATHERINE J , SWAYZE JEFFREY S , HENDERSON CORTNEY E , SCHEIB CHARLES J , SHELTON IV FREDERICK E
IPC分类号： A61B17/068 , A61B17/072
CPC分类号： A61B17/07207 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/0686 , A61B17/072 , A61B17/07292 , A61B17/105 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00314 , A61B2017/00327 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/00951 , A61B2017/0641 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2908 , A61B2017/2916 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , B25C5/1686
摘要： An anvil-attachable layer for use with a surgical stapler, or fastening instrument, wherein a proximal end portion of the layer is attached to a staple cartridge assembly, for example. The layer may be attached to the staple cartridge assembly by an adhesive, weld, or a staple-cartridge-based clamp, wherein the attachment is weak enough to allow the layer to pull away from the staple cartridge assembly with stapled tissue. Alternatively, the layer can include two or more lateral slits that define a connector region that can be cut by a knife of a surgical stapler to release the layer.
摘要翻译：一种与外科缝合器或紧固器械一起使用的砧可附接层，其中该层的近端部分例如附接到钉仓组件。该层可以通过粘合剂，焊接或基于钉仓的夹具附接到钉仓组件，其中附件是足够弱的，以允许该层用缝合的组织从钉仓组件拉出。或者，该层可以包括限定可由外科缝合器的刀切割以释放该层的连接器区域的两个或更多个横向狭缝。

60. 发明申请

WO2014179199A2 ELECTROSURGICAL INSTRUMENT WITH DUAL BLADE END EFFECTOR 审中-公开
标题翻译：具有双叶片末端效应器的电磁仪器
公开(公告)号：WO2014179199A2
公开(公告)日：2014-11-06
申请号：PCT/US2014/035638
申请日：2014-04-28
申请人： ETHICON ENDO-SURGERY, INC.
发明人： STROBL, Geoffrey S.
IPC分类号： A61B18/14
CPC分类号： A61B17/320016 , A61B17/320068 , A61B18/1445 , A61B18/18 , A61B2017/00353 , A61B2018/00196 , A61B2018/00482 , A61B2018/00559 , A61B2018/00619 , A61B2018/00815 , A61B2018/00875 , A61B2018/00892 , A61B2018/1415 , A61B2018/1455 , A61B2090/065 , A61B2218/008
摘要： An apparatus for operating on tissue includes an end effector having a first jaw, a second jaw, a first blade, and a second blade. The second jaw pivots relative to the first jaw from an open position to a closed position. The first blade moves from a proximal position to a distal position to pivot the second jaw to the closed position. The second blade moves from a proximal position to a distal position when the second jaw is in the open position. The second blade is exposed between the first and second jaws when the second blade is in the distal position.
摘要翻译：用于在组织上操作的装置包括具有第一钳口，第二钳口，第一刀片和第二刀片的末端执行器。第二钳口相对于第一钳口从打开位置枢转到关闭位置。第一刀片从近侧位置移动到远端位置以将第二钳口枢转到关闭位置。当第二钳口处于打开位置时，第二刀片从近侧位置移动到远端位置。当第二刀片处于远侧位置时，第二刀片在第一和第二钳口之间暴露。

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