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1. 发明申请

WO2019139808A1 SURGICAL FASTENERS FOR ARTICULATING SURGICAL INSTRUMENTS 审中-公开
公开(公告)号：WO2019139808A1
公开(公告)日：2019-07-18
申请号：PCT/US2019/012135
申请日：2019-01-03
申请人： C.R. BARD, INC.
发明人： CAULDWELL, Nathan, Stewart , FELIX, Augustus , AFFONCE, Derek , RANUCCI, Kevin, J.
IPC分类号： A61B17/86 , A61B17/04 , A61B17/064 , A61B17/00
摘要： Surgical fasteners for use with articulating surgical instruments are disclosed. In one embodiment, a surgical fastener may include a head, a shaft extending distally from the head, and a through bore extending through the shaft from a proximal surface of the head to a distal end of the shaft. A fastener carrier of a surgical instrument may be slidably received in the through bore, and the through bore may be sized and shaped to have two or fewer contact points with the fastener carrier when the fastener carrier is in a fully articulated configuration. In another embodiment, a fastener may include a head, a shaft extending distally from the head and including a distal tip, a sloped surface sloping toward the distal tip, and a through bore passing through the head, shaft, and sloped surface. The sloped surface may terminate at two shoulders located on opposing sides of the through bore.

2. 发明申请

WO2019139808A9 SURGICAL FASTENERS FOR ARTICULATING SURGICAL INSTRUMENTS 审中-公开
公开(公告)号：WO2019139808A9
公开(公告)日：2019-07-18
申请号：PCT/US2019/012135
申请日：2019-01-03
申请人： C.R. BARD, INC.
发明人： CAULDWELL, Nathan, Stewart , FELIX, Augustus , AFFONCE, Derek , RANUCCI, Kevin, J.
IPC分类号： A61B17/86 , A61B17/04 , A61B17/064 , A61B17/00
摘要： Surgical fasteners for use with articulating surgical instruments are disclosed. In one embodiment, a surgical fastener may include a head, a shaft extending distally from the head, and a through bore extending through the shaft from a proximal surface of the head to a distal end of the shaft. A fastener carrier of a surgical instrument may be slidably received in the through bore, and the through bore may be sized and shaped to have two or fewer contact points with the fastener carrier when the fastener carrier is in a fully articulated configuration. In another embodiment, a fastener may include a head, a shaft extending distally from the head and including a distal tip, a sloped surface sloping toward the distal tip, and a through bore passing through the head, shaft, and sloped surface. The sloped surface may terminate at two shoulders located on opposing sides of the through bore.

3. 发明申请

WO2014158509A1 POWER ASSIST DEVICE FOR A SURGICAL INSTRUMENT 审中-公开
标题翻译：手术仪器的电源辅助装置
公开(公告)号：WO2014158509A1
公开(公告)日：2014-10-02
申请号：PCT/US2014/017551
申请日：2014-02-21
申请人： C.R. BARD, INC.
发明人： RANUCCI, Kevin, J. , CAULDWELL, Nathan, Stewart , FELIX, Augustus
IPC分类号： A61B17/92 , A61B17/068
CPC分类号： A61B17/10 , A61B17/068 , A61B2017/0647 , A61B2017/2912 , A61B2017/2919 , A61B2017/2929 , A61B2090/0807 , A61F2/0063 , A61F2002/0072
摘要： A surgical instrument including a power assist device, and its method of use for deploying surgical fasteners, is disclosed. The surgical instrument may include a handle, an elongated shaft extending from the handle, and a surgical fastener deployment system including a driveshaft. The driveshaft is actuatable between at least a first proximal position and a second distal position. A striker is movable relative to the driveshaft and an impact surface is associated with the driveshaft. The impact surface is constructed and arranged to be struck by the striker member to displace the driveshaft to the second distal position and deploy the surgical fastener.
摘要翻译：公开了一种包括动力辅助装置的外科器械及其部署手术紧固件的方法。外科器械可以包括手柄，从手柄延伸的细长轴和包括驱动轴的手术紧固件展开系统。驱动轴可在至少第一近端位置和第二远端位置之间致动。撞针相对于驱动轴可移动，并且冲击表面与驱动轴相关联。撞击表面被构造和布置成被撞针构件撞击，以将驱动轴移动到第二远端位置并展开手术紧固件。

4. 发明申请

WO2014143525A1 HANDLING OF FASTENERS WITHIN A SURGICAL INSTRUMENT 审中-公开
标题翻译：在手术仪器中处理紧固件
公开(公告)号：WO2014143525A1
公开(公告)日：2014-09-18
申请号：PCT/US2014/017657
申请日：2014-02-21
申请人： C.R. BARD, INC.
发明人： RANUCCI, Kevin, J. , CAULDWELL, Nathan, Stewart , FELIX, Augustus
IPC分类号： A61B17/068
CPC分类号： A61B17/064 , A61B17/068 , A61B2017/00309 , A61B2017/0647 , A61B2017/2905 , A61B2017/2927 , A61B2017/2941
摘要： Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle (4) and an elongated shaft assembly (6) extending distally from the handle. The surgical instrument may also include a fastener deployment system (15) for deploying fasteners (30) from the elongated shaft assembly including a reciprocating driveshaft (26) disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface (136) shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower (34) disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position.
摘要翻译：公开了手术器械及其使用方法。在一些实施例中，手术器械可以包括手柄（4）和从手柄向远侧延伸的细长轴组件（6）。外科器械还可以包括用于从细长轴组件展开紧固件（30）的紧固件展开系统（15），其包括设置在细长轴组件内的往复驱动轴（26）。驱动轴可以包括内部通道和至少一个引导表面（136），其形状和布置成保持至少一个紧固件在驱动轴的通道中的取向。在其他实施例中，紧固件展开系统可以包括设置在细长轴组件内的从动件（34），用于将细长轴组件内的一个或多个紧固件朝向远端紧固件展开位置移位。

5. 发明申请

WO2019139811A8 ARTICULATING SURGICAL INSTRUMENTS 审中-公开
公开(公告)号：WO2019139811A8
公开(公告)日：2019-07-18
申请号：PCT/US2019/012145
申请日：2019-01-03
申请人： C.R. BARD, INC.
发明人： FELIX, Augustus , LEATZOW, Derek, J. , CAULDWELL, Nathan, Stewart , AFFONCE, Derek , RANUCCI, Kevin, J. , MATUSAITIS, Tomas , BACHMAN, Alan
IPC分类号： A61B17/29 , A61B17/00 , A61B17/064 , A61B17/068
摘要： Articulating surgical instruments (2) are disclosed. In one embodiment, a surgical instrument (2) may include an elongated shaft assembly (6) including an articulable portion (8) moveable between a non-articulated configuration and an articulated configuration. First (32) and second (34) articulating shafts of the elongated shaft assembly (6) may be coaxially arranged and axially fixed at an attachment point located distally from the articulable portion. Proximal portions of the first (32) and second (34) articulating shafts may be displaceable in opposing directions to articulate the articulable portion (8) from the non-articulated configuration to the articulated configuration. In another embodiment, an articulation control (10) may be movable from a first position to a second position to move an articulation lock (36) from a locked configuration to an unlocked configuration to selectively permit articulation of a surgical instrument (2). The articulation lock (36) also may be movable from the second position to a third position to articulate the surgical instrument (2).

6. 发明申请

WO2014158523A1 ARTICULATING SURGICAL INSTRUMENTS 审中-公开
标题翻译：仪器仪表
公开(公告)号：WO2014158523A1
公开(公告)日：2014-10-02
申请号：PCT/US2014/017680
申请日：2014-02-21
申请人： C.R. BARD, INC.
发明人： RANUCCI, Kevin, J. , CAULDWELL, Nathan, Stewart , FELIX, Augustus
IPC分类号： A61B17/29
CPC分类号： A61B17/00234 , A61B17/068 , A61B17/07207 , A61B17/10 , A61B17/29 , A61B2017/003 , A61B2017/00309 , A61B2017/0647 , A61B2017/2905 , A61B2017/2908 , A61B2017/2927 , A61F2/0063 , A61M25/0138 , A61M25/0147 , A61M25/0662
摘要： A surgical instrument and its method of use are disclosed. In one embodiment, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The elongated shaft assembly may include an articulable portion with an articulation direction. The elongated shaft assembly may also include a tubular member with a flexible portion with a preferential bending direction and a direction of bending resistance. The tubular member may permit articulation of the elongated shaft assembly when the preferential bending direction is aligned with the articulation direction.
摘要翻译：公开了一种手术器械及其使用方法。在一个实施例中，外科器械可以包括手柄和从手柄向远侧延伸的细长轴组件。细长轴组件可以包括具有铰接方向的铰接部分。细长轴组件还可以包括具有柔性部分的管状构件，具有优先弯曲方向和抗弯曲方向。当优先弯曲方向与铰接方向对准时，管状构件可以允许细长轴组件的铰接。

7. 发明申请

WO2014158518A1 HANDLING OF FASTENERS WITHIN A SURGICAL INSTRUMENT 审中-公开
标题翻译：在手术仪器中处理紧固件
公开(公告)号：WO2014158518A1
公开(公告)日：2014-10-02
申请号：PCT/US2014/017640
申请日：2014-02-21
申请人： C.R. BARD, INC.
发明人： RANUCCI, Kevin, J. , CAULDWELL, Nathan, Stewart , FELIX, Augustus
IPC分类号： A61B17/068 , A61B17/064 , A61B17/29
CPC分类号： A61B17/10 , A61B17/064 , A61B17/068 , A61B2017/003 , A61B2017/00309 , A61B2017/00986 , A61B2017/0647 , A61B2017/2919
摘要： Surgical instruments and their methods of use are disclosed. In some embodiments, the surgical instrument may include a handle and an elongated shaft assembly extending distally from the handle. The surgical instrument may also include a fastener deployment system for deploying fasteners from the elongated shaft assembly including a reciprocating driveshaft disposed within the elongated shaft assembly. The driveshaft may include an internal channel and at least one guide surface shaped and arranged to maintain an orientation of at least one fastener in the channel of the driveshaft. In other embodiments, the fastener deployment system may include a follower disposed within the elongated shaft assembly for displacing one or more fasteners within the elongated shaft assembly towards a distal fastener deployment position.
摘要翻译：公开了手术器械及其使用方法。在一些实施例中，手术器械可以包括手柄和从手柄向远侧延伸的细长轴组件。外科器械还可以包括用于从细长轴组件展开紧固件的紧固件展开系统，其包括设置在细长轴组件内的往复式驱动轴。驱动轴可以包括内部通道和至少一个引导表面，其被成形和布置成保持至少一个紧固件在驱动轴的通道中的取向。在其他实施例中，紧固件展开系统可以包括设置在细长轴组件内的随动件，用于将细长轴组件内的一个或多个紧固件朝向远端紧固件展开位置移位。

8. 发明申请

WO2019139811A1 ARTICULATING SURGICAL INSTRUMENTS 审中-公开
公开(公告)号：WO2019139811A1
公开(公告)日：2019-07-18
申请号：PCT/US2019/012145
申请日：2019-01-03
申请人： C.R. BARD, INC.
发明人： FELIX, Augustus , LEATZOW, Derek, J. , CAULDWELL, Nathan, Stewart , AFFONCE, Derek , RANUCCI, Kevin, J. , MATUSAITIS, Tomas , BACHMAN, Alan
IPC分类号： A61B17/29 , A61B17/00 , A61B17/064 , A61B17/068
CPC分类号： A61B17/00234 , A61B17/0401 , A61B17/068 , A61B17/10 , A61B17/1285 , A61B17/29 , A61B2017/00292 , A61B2017/003 , A61B2017/00309 , A61B2017/00367 , A61B2017/00407 , A61B2017/0409 , A61B2017/2913 , A61B2090/0803 , A61B2090/0807
摘要： Articulating surgical instruments (2) are disclosed. In one embodiment, a surgical instrument (2) may include an elongated shaft assembly (6) including an articulable portion (8) moveable between a non-articulated configuration and an articulated configuration. First (32) and second (34) articulating shafts of the elongated shaft assembly (6) may be coaxially arranged and axially fixed at an attachment point located distally from the articulable portion. Proximal portions of the first (32) and second (34) articulating shafts may be displaceable in opposing directions to articulate the articulable portion (8) from the non-articulated configuration to the articulated configuration. In another embodiment, an articulation control (10) may be movable from a first position to a second position to move an articulation lock (36) from a locked configuration to an unlocked configuration to selectively permit articulation of a surgical instrument (2). The articulation lock (36) also may be movable from the second position to a third position to articulate the surgical instrument (2).

9. 发明申请

WO2019139810A1 ARTICULATING SURGICAL INSTRUMENTS 审中-公开
公开(公告)号：WO2019139810A1
公开(公告)日：2019-07-18
申请号：PCT/US2019/012144
申请日：2019-01-03
申请人： C.R. BARD, INC.
发明人： FELIX, Augustus , LEATZOW, Derek, J. , CAULDWELL, Nathan, Stewart , AFFONCE, Derek , RANUCCI, Kevin, J. , MATUSAITIS, Tomas , BACHMAN, Alan
IPC分类号： A61B17/29 , A61B17/00 , A61B17/064 , A61B17/068
摘要： Articulating surgical instruments (2) are disclosed. In one embodiment, a surgical instrument (2) may include an elongated shaft assembly (6) including an articulable portion (8) moveable between a non-articulated configuration and an articulated configuration. First (32) and second (34) articulating shafts of the elongated shaft assembly (6) may be coaxially arranged and axially fixed at an attachment point located distally from the articulable portion (8). Proximal portions of the first (32) and second (34) articulating shafts may be displaceable in opposing directions to articulate the articulable portion from the non-articulated configuration to the articulated configuration. In another embodiment, an articulation control (10) may be movable from a first position to a second position to move an articulation lock (36) from a locked configuration to an unlocked configuration to selectively permit articulation of a surgical instrument (2). The articulation lock (36) also may be movable from the second position to a third position to articulate the surgical instrument (2).

10. 发明申请

WO2019139807A1 ARTICULATING SURGICAL INSTRUMENTS 审中-公开
公开(公告)号：WO2019139807A1
公开(公告)日：2019-07-18
申请号：PCT/US2019/012129
申请日：2019-01-03
申请人： C.R. BARD, INC.
发明人： FELIX, Augustus , LEATZOW, Derek, J. , CAULDWELL, Nathan, Stewart , AFFONCE, Derek , RANUCCI, Kevin, J. , MATUSAITIS, Tomas , BACHMAN, Alan
IPC分类号： A61B17/128 , A61B17/10 , A61B17/00 , A61B17/04 , A61B17/29
CPC分类号： A61B17/0469 , A61B1/0055 , A61B17/00234 , A61B17/0218 , A61B17/0487 , A61B17/068 , A61B17/10 , A61B17/2909 , A61B17/320016 , A61B2017/00309 , A61B2017/0488 , A61B2017/0647 , A61B2017/2908 , A61B2017/2929 , A61B2017/2932
摘要： Articulating surgical instruments are disclosed. In one embodiment, a surgical instrument may include an elongated shaft assembly including an articulable portion moveable between a non- articulated configuration and an articulated configuration. First and second articulating shafts of the elongated shaft assembly may be coaxially arranged and axially fixed at an attachment point located distally from the articulable portion. Proximal portions of the first and second articulating shafts may be displaceable in opposing directions to articulate the articulable portion from the non-articulated configuration to the articulated configuration. In another embodiment, an articulation control may be movable from a first position to a second position to move an articulation lock from a locked configuration to an unlocked configuration to selectively permit articulation of a surgical instrument. The articulation lock also may be movable from the second position to a third position to articulate the surgical instrument.

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