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1. 发明申请

WO2003002189A2 AN ULTRASONIC SURGICAL INSTRUMENT FOR INTRACORPOREAL SONODYNAMIC THERAPY 审中-公开
标题翻译：超声波手术治疗超声心动图
公开(公告)号：WO2003002189A2
公开(公告)日：2003-01-09
申请号：PCT/US2002/020431
申请日：2002-06-27
申请人： ETHICON ENDO-SURGERY, INC. , ETHICON ENDO-SURGERY, INC.
发明人： MAKIN, Inder,, Raj., S., , JURGEN,, Noppe, , JOHANNES, MARIA,, Marcus,
IPC分类号： A61N
CPC分类号： A61M37/0092 , A61N7/00
摘要： The present invention relates, in general, to ultrasonic surgical instruments and, more particularly, to an intracorporeal ultrasonic surgical instrument for sonodynamic therapy. Disclosed is an ultrasonic surgical system comprising: a generator and an instrument comprising: a housing; a transducer; a semi-permeable membrane; a pharmaceutical agent; and an agent delivery system. The transducer is adapted to convert the electrical energy of the generator into mechanical energy. The pharmaceutical agent, delivered into a chamber of the semi-permeable membrane, is driven through the semi-permeable membrane by the mechanical energy. A method in accordance with the present invention comprises the steps of: providing a surgical instrument comprising: a housing; a transducer connected to the housing; a semi-permeable membrane; a pharmaceutical agent; and an agent delivery system; inserting the surgical instrument into a patient; delivering a drug to the patient; and locally activating the drug with the surgical instrument.
摘要翻译：本发明一般涉及超声外科器械，更具体地，涉及用于声波动力学治疗的体外超声外科器械。公开了一种超声波手术系统，包括：发生器和器械，包括：壳体; 换能器半透膜; 药剂; 和代理分发系统。换能器适于将发电机的电能转换为机械能。输送到半透膜的室中的药剂通过机械能驱动通过半透膜。根据本发明的方法包括以下步骤：提供外科器械，包括：外壳; 连接到壳体的换能器; 半透膜; 药剂; 和代理交付系统; 将外科器械插入患者体内; 向患者运送药物; 并用手术器械局部活化药物。

2. 发明申请

WO2016036818A3 MODULAR POWER SUPPLY WITH OVERCURRENT PROTECTION FOR MEDICAL DEVICE 审中-公开
标题翻译：用于医疗设备的过电流保护的模块化电源
公开(公告)号：WO2016036818A3
公开(公告)日：2016-08-04
申请号：PCT/US2015048086
申请日：2015-09-02
申请人： ETHICON ENDO SURGERY INC
发明人： BABER DANIEL L , SWAYZE JEFFREY S , BECKMAN ANDREW T , SHELTON IV FREDERICK E
IPC分类号： G06F1/26 , A61B8/00 , A61B17/00 , A61B17/072 , A61B17/115 , A61B17/29 , A61B90/00 , A61B90/92 , A61B90/98 , G06F1/28 , G06F1/30 , G06F1/32 , H02H3/04 , H02H3/087 , H02J7/00
CPC分类号： H02J1/10 , A61B5/067 , A61B5/1076 , A61B5/6847 , A61B5/6885 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/32 , A61B90/92 , A61B90/98 , A61B2017/00022 , A61B2017/00026 , A61B2017/00075 , A61B2017/00106 , A61B2017/00123 , A61B2017/00199 , A61B2017/00393 , A61B2017/00398 , A61B2017/0046 , A61B2017/00477 , A61B2017/00725 , A61B2017/00734 , A61B2017/00876 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2090/061 , A61B2090/064 , A61B2090/0803 , A61B2090/0807 , A61B2090/0811 , A61B2090/0814 , A61B2505/05 , A61B2562/0223 , A61B2562/0247 , A61B2562/0257 , A61B2562/0261 , A61B2562/029 , G06F1/266 , G06F1/28 , G06F1/30 , G06F1/305 , G06F1/3215 , G06F1/3287 , H02H3/04 , H02H3/087 , H02H3/18 , H02H3/202 , H02H3/207 , H02H3/243 , H02H11/002 , H02J7/0068
摘要： Surgical instrument electronic subsystem 7006 comprising a short circuit protection circuit 7012 for the sensors and/or electronic components 7005. A main power supply circuit 7010 is connected to a primary circuit comprising a microprocessor and other electronic components 7008. The main power supply circuit 7010 is also connected to a short circuit protection circuit 7012. The short circuit protection circuit 7012 is coupled to a supplementary power supply circuit 7014, which supplies power to the sensors and/or electronic components 7005 via the electrical conductors 7002, 7004. To reduce damage to the processor 7008 connected to the main power supply terminals 7018, 7020, during a short circuit between the electrical conductors 7002, 7004 of the power supply terminals feeding the sensors and/or electronic components 7005, a self isolating/restoring short circuit protection circuit 7012 is provided.
摘要翻译：手术器械电子子系统7006包括用于传感器和/或电子部件7005的短路保护电路7012.主电源电路7010连接到包括微处理器和其他电子部件7008的主电路。主电源电路7010是也连接到短路保护电路7012.短路保护电路7012耦合到辅助电源电路7014，辅助电源电路7014通过电导体7002,7004向传感器和/或电子部件7005供电。为了减少对在馈送传感器和/或电子部件7005的电源端子的电导体7002,7004之间的短路期间连接到主电源端子7018,7020的处理器7008，自隔离/恢复短路保护电路7012 被提供。

3. 发明申请

WO2016048646A3 SURGICAL STAPLE AND DRIVER ARRANGEMENTS FOR STAPLE CARTRIDGES 审中-公开
标题翻译：手术刀具的手术装置和驱动装置
公开(公告)号：WO2016048646A3
公开(公告)日：2016-05-19
申请号：PCT/US2015048869
申请日：2015-09-08
申请人： ETHICON ENDO SURGERY INC
发明人： HARRIS JASON L , MORGAN JEROME R , ZEINER MARK S , SHELTON IV FREDERICK E
IPC分类号： A61B17/072
CPC分类号： A61B17/1155 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1222 , A61B2017/00004 , A61B2017/00526 , A61B2017/00884 , A61B2017/00898 , A61B2017/00942 , A61B2017/0688 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2927
摘要： An end effector and a staple cartridge are disclosed. The staple cartridge includes an array of staples in which at least one staple is angularly-oriented relative to the longitudinal axis of the staple cartridge. The angled staple(s) provide longitudinal flexibility to the stapled tissue. Additionally, the staple cartridge and/or the end effector are configured to provide variable degrees of compression to tissue. For example, the compression of tissue before, during and/or after stapling can be optimized.
摘要翻译：公开了端部执行器和钉仓。钉仓包括一排钉，其中至少一个钉相对于钉仓的纵向轴线成角度定向。成角度的钉子为缝合的组织提供纵向柔性。另外，钉仓和/或端部执行器被配置成向组织提供可变程度的压缩。例如，可以优化在缝合之前，期间和/或之后对组织的压缩。

4. 发明申请

WO2016073538A1 STAPLE CARTRIDGE COMPRISING A RELEASABLE ADJUNCT MATERIAL 审中-公开
标题翻译：包装可拆卸适配材料的包装盒
公开(公告)号：WO2016073538A1
公开(公告)日：2016-05-12
申请号：PCT/US2015/058916
申请日：2015-11-04
申请人： ETHICON ENDO-SURGERY, INC.
发明人： BAXTER, III, Chester O. , MORGAN, Jerome R. , SHELTON, IV, Frederick E.
IPC分类号： A61B17/072
CPC分类号： A61B17/07292 , A61B17/00491 , A61B17/068 , A61B17/07207 , A61B17/105 , A61B17/115 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285
摘要： A surgical stapling apparatus is disclosed which comprises cartridge body and a layer. The layer is implantable against tissue by staples deployed from the cartridge body and deformed by an anvil. The cartridge and the layer comprise co-operating features which reduce relative movement between the cartridge and the layer. Such co-operating features can also releasably retain the layer to the cartridge body. In addition to or in lieu of the above, the anvil and the layer comprise co-operating features which reduce relative movement between the anvil and the layer. Such co-operating features can also releasably retain the layer to the anvil. In certain instances, the layer can be positioned against the anvil, but releasably attached to the cartridge. The layer can comprise buttress material and/or a tissue thickness compensator, for example.
摘要翻译：公开了一种外科缝合装置，其包括筒体和一层。该层通过从药筒主体展开并由砧骨变形的钉子植入到组织中。盒和层包括减少盒和层之间的相对运动的协同特征。这种配合特征也可以将层可释放地保持在盒体上。除了或代替上述之外，砧座和该层包括减少砧座和该层之间的相对运动的协同作用特征。这种配合特征也可以将层可释放地保持在砧座上。在某些情况下，该层可以抵靠砧座定位，但是可释放地附接到该盒。该层可以包括例如支撑材料和/或组织厚度补偿器。

5. 发明申请

WO2016036653A3 MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION 审中-公开
标题翻译：基于组件评估的监控设备退化
公开(公告)号：WO2016036653A3
公开(公告)日：2016-04-28
申请号：PCT/US2015047705
申请日：2015-08-31
申请人： ETHICON ENDO SURGERY INC
发明人： BABER DANIEL L , SWAYZE JEFFREY S , BECKMAN ANDREW T , HOUSER KEVIN L
IPC分类号： A61B17/072 , A61B17/00 , A61B17/115 , A61B17/29 , A61B90/00 , A61B90/30 , A61B90/92
CPC分类号： A61B17/07207 , A61B5/6847 , A61B17/07292 , A61B17/1155 , A61B90/92 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/00039 , A61B2017/00061 , A61B2017/00066 , A61B2017/00119 , A61B2017/00123 , A61B2017/00199 , A61B2017/00398 , A61B2017/0046 , A61B2017/00725 , A61B2017/00734 , A61B2017/00876 , A61B2017/07257 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2090/064 , A61B2090/065 , A61B2090/0803 , A61B2090/0806 , A61B2090/0807 , A61B2090/0808 , A61B2090/081 , A61B2090/0811 , A61B2090/309 , A61B2562/06 , A61B2562/223
摘要： A surgical instrument is disclosed. The surgical instrument includes a first jaw and a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other one of the first jaw and the second jaw between an open configuration and an approximated configuration. In addition the surgical instrument includes a cutting member movable during a firing stroke to cut tissue captured between the first jaw and the second jaw, the cutting member comprising a cutting surface at a distal portion thereof. In addition, the surgical instrument further includes a sensing module operable to measure a characteristic of the cutting surface.
摘要翻译：公开了一种手术器械。外科器械包括第一钳口和第二钳口，其中第一钳口和第二钳口中的至少一个能够相对于第一钳口和第二钳口中的另一个在打开构造和接近构造之间移动。另外，手术器械包括在击发行程期间可移动的切割构件，以切割在第一钳夹和第二钳夹之间捕获的组织，切割构件在其远侧部分包括切割表面。另外，手术器械还包括可操作以测量切割表面的特征的感测模块。

6. 发明申请

WO2016060835A2 ACTIVATION FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT 审中-公开
标题翻译：超声外科仪器的活动特点
公开(公告)号：WO2016060835A2
公开(公告)日：2016-04-21
申请号：PCT/US2015052780
申请日：2015-09-29
申请人： ETHICON ENDO SURGERY INC
发明人： ALDRIDGE JEFFREY L , CONLON SEAN P , BOYD BENJAMIN M , PRICE DANIEL W , LEE JAMES G
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00017 , A61B2017/00367 , A61B2017/00371 , A61B2017/00389 , A61B2017/00407 , A61B2017/0042 , A61B2017/00424 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2018/00916 , A61B2018/0094 , A61N7/00 , H01H2221/016 , H01H2221/036 , H01H2300/014
摘要： An ultrasonic instrument comprises a handle assembly or other kind of body configured to receive an ultrasonic transducer and a shaft assembly having an acoustic waveguide and an ultrasonic blade. The ultrasonic blade is in acoustic communication with the acoustic waveguide such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically via the acoustic waveguide. The ultrasonic instrument further comprises an actuation assembly disposed within the handle assembly. The actuation assembly includes a plurality of buttons disposed about the handle assembly in an angularly spaced array. Each button may be depressed independently of the rest to thereby actuate a switch assembly such that power is provided to the ultrasonic transducer, the acoustic waveguide, and the ultrasonic blade. The actuation assembly is operable to convert radial movement of the buttons into longitudinal, transverse, and/or pivotal movement that actuates the switch assembly.
摘要翻译：超声波仪器包括手柄组件或其他类型的主体，其构造成接收超声波换能器和具有声波导和超声波叶片的轴组件。超声波刀片与声波导声声通信，使得超声波换能器可操作以驱动超声波刀片经由声波导进行超声波振动。超声波仪器还包括设置在手柄组件内的致动组件。致动组件包括以角度间隔的阵列围绕手柄组件设置的多个按钮。每个按钮可以独立于其余按钮被按压，从而致动开关组件，使得向超声波换能器，声波导和超声波叶片提供功率。致动组件可操作以将按钮的径向移动转换成致动开关组件的纵向，横向和/或枢转运动。

7. 发明申请

WO2016057281A1 SURGICAL DEVICE WITH OVERLOAD MECHANISM 审中-公开
标题翻译：具有过载机制的外科手术
公开(公告)号：WO2016057281A1
公开(公告)日：2016-04-14
申请号：PCT/US2015/053108
申请日：2015-09-30
申请人： ETHICON ENDO-SURGERY, INC.
发明人： BINGHAM, Scott R.
IPC分类号： A61B17/072 , A61B17/29
CPC分类号： A61B17/00 , A61B17/072 , A61B17/07207 , A61B17/2841 , A61B17/2909 , A61B90/03 , A61B2017/2925 , A61B2090/065
摘要： Methods and devices are provided for preventing surgical devices used in laparoscopic procedures including opposed jaws and an overload mechanism from overloading the opposed jaws of the device. In one embodiment a surgical device, includes a handle and an elongate shaft extending distally therefrom with opposed jaws coupled to a distal end thereof. The surgical device can include a trigger pivotally movable about a first pivot axis during a first range of motion from an open position toward a closed position, to cause the opposed jaws of the end effector to move from an open position to a partially closed position. The trigger can further be pivotally movable about a second pivot axis during a second range of motion from the partially closed position to the fully closed position, without causing corresponding movement of the opposed jaws from the open position to the closed position.
摘要翻译：提供了用于防止在腹腔镜手术中使用的手术装置的方法和装置，包括相对的钳口和过载机构，从而使装置的相对的钳口过载。在一个实施例中，手术装置包括手柄和从其向远侧延伸的细长轴，所述细长轴具有联接到其远端的相对的钳口。手术装置可以包括在从打开位置朝向关闭位置的第一运动范围内围绕第一枢转轴线枢转运动的触发器，以使端部执行器的相对的钳口从打开位置移动到部分关闭位置。在从部分关闭位置到完全关闭位置的第二运动范围内，触发器可以进一步围绕第二枢转轴线枢转运动，而不会使相对的钳口从打开位置相对移动到关闭位置。

8. 发明申请

WO2016057280A2 METHODS AND DEVICES FOR ARTICULATING LAPAROSCOPIC ENERGY DEVICE 审中-公开
标题翻译：用于绘制LAPAROSCOPIC ENERGY DEVICE的方法和装置
公开(公告)号：WO2016057280A2
公开(公告)日：2016-04-14
申请号：PCT/US2015/053105
申请日：2015-09-30
申请人： ETHICON ENDO-SURGERY, INC.
发明人： BOUDREAUX, Chad P. , BINGHAM, Scott R. , MILLER, Matthew C.
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2017/00314 , A61B2017/2902 , A61B2017/2929 , A61B2017/2938 , A61B2017/294 , A61B2018/00202 , A61B2018/00607 , A61B2018/0063 , A61B2018/1455
摘要： Electrosurgical instruments and associated methods are disclosed herein. Embodiments of the electrosurgical instruments can include an elongate shaft that can articulate an end effector relative to the elongate shaft, with the end effector including opposed jaws and positioned at a distal end of the elongate shaft. In addition, electrosurgical instruments are provided that include a cutting feature or knife that is coupled to the end effector and can axially translate relative to the elongate shaft. Furthermore, the knife can be rotated relative to the elongate shaft, which can cause simultaneous rotation of the end effector. Electrosurgical instruments are also provided that include an end effector including opposed jaws that are configured to rotate relative to the elongate shaft and grasp objects (i.e., via opening and closing the opposed jaws). Electrical energy can also be passed through the electrosurgical instrument for performing electrosurgical procedures.
摘要翻译：本文公开了电外科手术器械和相关方法。电外科器械的实施例可以包括细长轴，该细长轴可以相对于细长轴联接端部执行器，其中端部执行器包括相对的钳口并且定位在细长轴的远端。此外，提供电外科器械，其包括切割特征或刀，其联接到端部执行器并且可相对于细长轴轴向平移。此外，刀可以相对于细长轴旋转，这可以引起端部执行器的同时旋转。还提供了电外科器械，其包括端部执行器，其包括相对的钳口，该钳口构造成相对于细长轴旋转并且抓住物体（即，通过打开和关闭相对的钳口）。电能还可以通过电外科手术器械进行电外科手术。

9. 发明申请

WO2016032725A3 SIMULTANEOUS I-BEAM AND SPRING DRIVEN CAM JAW CLOSURE MECHANISM 审中-公开
标题翻译：同步I型和弹簧驱动凸轮封闭机构
公开(公告)号：WO2016032725A3
公开(公告)日：2016-04-07
申请号：PCT/US2015044210
申请日：2015-08-07
申请人： ETHICON ENDO SURGERY INC
发明人： BOUDREAUX CHAD P
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1447 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B2018/00196 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/00922 , A61B2018/0094 , A61B2018/00946 , A61B2018/00958 , A61B2018/1455
摘要： A surgical instrument includes an end effector and a handle assembly. The end effector includes a movable jaw and a cutting element slidably movable within the end effector. The handle assembly includes an energy button configured to deliver energy to at least one electrode located in the end effector, a trigger plate operably coupled to a jaw closure mechanism, the trigger plate configured to close the movable jaw, a firing plate operably coupled to a cutting element drive mechanism. The firing plate is configured to drive the cutting element independently of the jaw closure mechanism. The cutting element drive mechanism is configured to close the movable jaw when the cutting element is driven. The handle assembly further includes a trigger operatively coupled to the trigger plate and the firing plate. The jaw closure mechanism and the cutting element drive mechanism are configured to simultaneously close the movable jaw.
摘要翻译：外科器械包括末端执行器和手柄组件。末端执行器包括可移动的钳口和可在端部执行器内滑动的切割元件。所述手柄组件包括能量按钮，所述能量按钮构造成将能量传递至位于所述端部执行器中的至少一个电极，可操作地联接至颚板闭合机构的触发板，所述触发板构造成闭合所述可动颚板，可操作地联接至切割元件驱动机构。触发板构造成独立于夹爪闭合机构驱动切割元件。切割元件驱动机构构造成当切割元件被驱动时闭合可动夹爪。手柄组件还包括可操作地联接到触发板和触发板的触发器。颚板关闭机构和切割元件驱动机构构造成同时关闭可动颚板。

10. 发明申请

WO2016048647A1 SURGICAL STAPLING BUTTRESSES AND ADJUNCT MATERIALS 审中-公开
标题翻译：手术包扎和矫形材料
公开(公告)号：WO2016048647A1
公开(公告)日：2016-03-31
申请号：PCT/US2015/048876
申请日：2015-09-08
申请人： ETHICON ENDO-SURGERY, INC.
发明人： HARRIS, Jason L. , SCHEIB, Charles J. , SMITH, Bret W. , CASELLA, Lucia M. , MORGAN, Jerome R. , SHELTON, IV, Frederick E.
IPC分类号： A61B17/072 , A61B17/068
CPC分类号： A61B17/1155 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B17/07292 , A61B17/105 , A61B17/1222 , A61B2017/00004 , A61B2017/00526 , A61B2017/00884 , A61B2017/00898 , A61B2017/00942 , A61B2017/0688 , A61B2017/07214 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2927
摘要： A buttress material for use with a surgical staple cartridge. In various forms, the buttress material comprises a buttress body that is sized to be operably received on a deck of the surgical staple cartridge. The buttress body includes at least four edges and a central portion. At least two of the edges have a plurality of edge notches formed therein. The central portion may include a plurality of cutout openings therein.
摘要翻译：用于外科手术钉仓的支撑材料。在各种形式中，支撑材料包括尺寸适于可操作地容纳在手术钉仓的甲板上的支撑体。支撑体包括至少四个边缘和中心部分。至少两个边缘在其中形成有多个边缘凹口。中心部分可以在其中包括多个切口。

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