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1. 发明申请

WO2013170245A2 APPLICATOR INSTRUMENTS WITH IMAGING SYSTEMS FOR DISPENSING SURGICAL FASTENERS DURING OPEN REPAIR PROCEDURES 审中-公开
标题翻译：具有成像系统的应用者仪器，用于在开放修复程序期间分配外科紧固件
公开(公告)号：WO2013170245A2
公开(公告)日：2013-11-14
申请号：PCT/US2013/040696
申请日：2013-05-13
申请人： ETHICON, INC.
发明人： CARDINALE, Michael , SOULS, Doug , COHN, Simon , GABEL, Jonathan B. , DANIEL, Matthew , FERREIRA, Danial Paul , SKULA, Emil Richard , TANNHAUSER, Robert J. , WORTHINGTON, Anthony
IPC分类号： A61F2/00
CPC分类号： A61B1/018 , A61B17/064 , A61B17/0682 , A61B17/08 , A61B2017/003 , A61B2017/00455 , A61B2017/2905 , A61B2017/2923 , A61B2017/2946 , A61B2090/08021 , A61B2090/0807 , A61B2090/309 , A61B2090/3614 , A61B2090/373 , A61F2/0063
摘要： An applicator instrument for dispensing surgical fasteners includes a housing, a firing system disposed in the housing and moveable in distal and proximal directions along a first axis, a handle extending upwardly from the housing along a second axis that defines an acute angle with the first axis, and a trigger mounted on the handle. The applicator instrument includes a non-linear elongated shaft extending from the housing that has a distal section that is extends upwardly toward a top of said applicator instrument. A distal end cap is secured to the distal end of the elongated shaft. The applicator has an imaging system including an imaging device for detecting images at the distal end of said applicator instrument, and a light source for illuminating a field of view for the imaging device at the distal end of the applicator instrument.
摘要翻译：一种用于分配外科紧固件的施用器具包括壳体，设置在壳体中并且沿着第一轴线在远侧和近侧方向上可移动的击发系统，从壳体沿着与第一轴线限定锐角的第二轴向上延伸的手柄，以及安装在手柄上的触发器。施用器械包括从壳体延伸的非线性细长轴，其具有朝向所述施用器械的顶部向上延伸的远侧部分。远端帽固定到细长轴的远端。施用器具有成像系统，该成像系统包括用于检测所述施用器械的远端处的图像的成像装置，以及用于在施用器械的远端照射成像装置的视野的光源。

2. 发明申请

WO2018106410A1 APPLICATOR INSTRUMENTS HAVING SURGICAL FASTENER INSERTION TOOLS FOR DISPENSING SURGICAL FASTENERS 审中-公开
公开(公告)号：WO2018106410A1
公开(公告)日：2018-06-14
申请号：PCT/US2017/061282
申请日：2017-11-13
申请人： ETHICON, INC.
发明人： KENYON, Mark D. , NORDMEYER, Michael , CARDINALE, Michael , COHN, Simon , GUO, Jianxin , SOULS, Doug , FERREIRA, Danial Paul
IPC分类号： A61B17/068
摘要： An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft, and an elongated conduit extending through the elongated shaft. A firing system is disposed within the housing. The firing system has an insertion tool having a top surface that extends proximal and distal ends thereof and a stripper ramp that projects above the top surface. An actuator activates the firing system to commence a firing cycle. During the firing cycle, the firing system drives the insertion tool toward the distal end of the elongated shaft. The elongated conduit has a top wall with a top notch formed therein. The stripper ramp slides through the top notch for guiding movement of the insertion tool as the firing system drives the insertion tool toward the distal end of the elongated shaft.

3. 发明申请

WO2018106406A1 APPLICATOR INSTRUMENTS HAVING DRIVE SYSTEMS WITH FLEXIBLE MEMBERS FOR DISPENSING SURGICAL FASTENERS 审中-公开
公开(公告)号：WO2018106406A1
公开(公告)日：2018-06-14
申请号：PCT/US2017/061273
申请日：2017-11-13
申请人： ETHICON, INC.
发明人： GUO, Jianxin , NORDMEYER, Michael , CARDINALE, Michael , COHN, Simon , KENYON, Mark D. , SOULS, Doug , FERREIRA, Danial Paul
IPC分类号： A61B17/068
摘要： An applicator instrument for dispensing surgical fasteners includes an elongated shaft, a housing connected with the elongated shaft, a trigger, a gear train, and a firing system disposed in the housing. The trigger is squeezed for commencing a firing cycle. The firing system includes a storage reel, a spool connected to the storage reel, a drive wheel located distal to the storage reel and the spool, a constant torque spring having a proximal end connected to the spool and a distal end connected to the drive wheel, and a flexible member in contact with the drive wheel. The flexible member has a proximal end connected to the storage reel and a length configured to be driven by the drive wheel toward the distal end of the elongated shaft. During an energy storing stage, the gear train is coupled with the storage reel for rotating the storage reel in a counterclockwise direction, which, in turn, retracts and winds the flexible member onto the storage reel, which rotates the drive wheel in a counterclockwise direction and winds the constant torque spring from the spool onto the drive wheel for storing energy in the constant torque spring.

4. 发明申请

WO2018106409A1 APPLICATOR INSTRUMENTS HAVING ARTICULATING SHAFTS FOR DISPENSING SURGICAL FASTENERS 审中-公开
公开(公告)号：WO2018106409A1
公开(公告)日：2018-06-14
申请号：PCT/US2017/061279
申请日：2017-11-13
申请人： ETHICON, INC.
发明人： CARDINALE, Michael , GUO, Jianxin , COHN, Simon , GUO, Xuelin , KENYON, Mark D. , SOULS, Doug , FERREIRA, Danial Paul , EPSTEIN, Lindsay
IPC分类号： A61B17/068
摘要： An applicator instrument for dispensing surgical fasteners includes a housing, an elongated shaft having a proximal shaft section and an articulating distal shaft section extending from the housing, a firing system disposed within the housing, an actuator that is engageable for commencing a firing cycle of the firing system, and an articulation lever provided on the housing for selectively articulating the articulating distal shaft section of the elongated shaft. The applicator instrument includes a cam plate disposed within the housing that is linked with the articulating distal shaft section and that coupled with the articulation lever for being rotated by the articulation lever between a first or horizontal position for straightening the articulating distal shaft section and a second or vertical position for articulating the articulating distal shaft section. An over-center assembly is coupled with the cam plate for forcing the cam plate into either the first position for straightening the articulating distal shaft section or the second position for articulating the articulating distal shaft section.

5. 发明申请

WO2018057149A1 APPLICATOR INSTRUMENTS FOR DISPENSING SURGICAL FASTENERS HAVING ARTICULATING SHAFTS 审中-公开
标题翻译：用于分配具有铰接轴的外科紧固件的涂药器
公开(公告)号：WO2018057149A1
公开(公告)日：2018-03-29
申请号：PCT/US2017/046849
申请日：2017-08-15
申请人： ETHICON, INC.
发明人： CARDINALE, Michael , COHN, Simon , GUO, Jianxin , FERREIRA, Danial Paul
IPC分类号： A61B17/10 , A61B17/064 , A61B17/068
摘要： An applicator instrument for dispensing surgical fasteners includes an elongated shaft having a proximal shaft section and a distal shaft section. The proximal shaft section includes an outer sheath and the distal shaft section includes a segmented member moveable between straight and articulated configurations. A handle is secured to the proximal shaft section, and an actuator is provided on the handle that is coupled with the outer sheath. An articulation band is disposed within the outer sheath and extends from the handle to the segmented member. The articulation band has a proximal end coupled with the actuator and a distal end attached to the segmented member. The actuator is moveable in a first direction for retracting the outer sheath, exposing the segmented member, and applying tension to the articulation band for moving the segmented member into the articulated configuration. The actuator is moveable in a second, opposite direction for extending the outer sheath, covering the segmented member, and releasing the tension on the articulation band to enable the segmented member to return to the straight configuration.
摘要翻译：用于分配外科紧固件的施用器械包括具有近侧轴部分和远侧轴部分的细长轴。近侧轴部分包括外部护套，并且远侧轴部分包括可在直线和铰接构造之间移动的分段构件。手柄固定到近侧轴部分，并且在与外部护套联接的手柄上设置致动器。铰接带设置在外护套内并从手柄延伸到分段构件。关节运动带具有与致动器连接的近端和连接到分段构件的远端。致动器可沿第一方向移动以缩回外部护套，暴露分段构件，并且向关节运动带施加张力以将分段构件移动到关节运动构造中。致动器可沿相反的第二方向移动，以延伸外护套，覆盖分段构件，并释放关节运动带上的张力，以使分段构件能够返回到直线构型。

6. 发明申请

WO2018106411A2 METHODS OF USING APPLICATOR INSTRUMENTS HAVING INSERTABLE, CHANGEABLE CARTRIDGES FOR DISPENSING SURGICAL FASTENERS 审中-公开
公开(公告)号：WO2018106411A2
公开(公告)日：2018-06-14
申请号：PCT/US2017/061284
申请日：2017-11-13
申请人： ETHICON, INC.
发明人： SOULS, Doug , COHN, Simon , CARDINALE, Michael , GUO, Jianxin , KENYON, Mark D. , SCHNEIDER, Jared , FERREIRA, Danial Paul , GUO, Xuelin , EPSTEIN, Lindsay , NORDMEYER, Michael
IPC分类号： A61B17/068 , A61B17/064 , A61B17/00

7. 发明申请

WO2018106408A1 APPLICATOR INSTRUMENTS HAVING INSERTABLE, CHANGEABLE CARTRIDGES FOR DISPENSING SURGICAL FASTENERS 审中-公开
公开(公告)号：WO2018106408A1
公开(公告)日：2018-06-14
申请号：PCT/US2017/061275
申请日：2017-11-13
申请人： ETHICON, INC.
发明人： COHN, Simon , NORDMEYER, Michael , CARDINALE, Michael , GUO, Jianxin , KENYON, Mark D. , SOULS, Doug , FERREIRA, Danial Paul , SCHNEIDER, Jared
IPC分类号： A61B17/068
摘要： An applicator instrument for dispensing surgical fasteners includes a housing having a cartridge opening, an elongated shaft extending from the housing, and a cartridge insertable into the cartridge opening, the cartridge having a plurality of surgical fasteners pre-loaded into the cartridge. The applicator instrument has a firing system disposed within the housing, and an actuator for activating the firing system to commence a firing cycle for removing one of the surgical fasteners from the cartridge and driving the removed surgical fastener from the housing to a distal end of the elongated shaft. In one embodiment, the cartridge includes a cartridge body having an upper end and a lower end insertable into the cartridge opening. The surgical fasteners are arrayed in a stack that extends between the upper and lower ends of the cartridge body. The cartridge has a constant force spring that normally urges the stack of surgical fasteners toward the lower end of the cartridge body for being fed into the firing system.

8. 发明申请

WO2018106405A1 APPLICATOR INSTRUMENTS WITH RECONFIGURABLE HANDLES FOR DISPENSING SURGICAL FASTENERS 审中-公开
公开(公告)号：WO2018106405A1
公开(公告)日：2018-06-14
申请号：PCT/US2017/061264
申请日：2017-11-13
申请人： ETHICON, INC.
发明人： SCHNEIDER, Jared , GUO, Jianxin , CARDINALE, Michael , COHN, Simon , KENYON, Mark D. , SOULS, Doug , FERREIRA, Danial Paul , GUO, Xuelin , EPSTEIN, Lindsay
IPC分类号： A61B17/068
摘要： An applicator instrument having a reconfigurable handle for dispensing surgical fasteners includes a housing having a proximal end and a distal end, an elongated shaft extending from the housing, a handle coupled with the proximal end of the housing, and a trigger coupled with the handle. The applicator instrument has a firing system including an energy storing assembly that is disposed within the housing, and a gear train disposed within the handle and coupled with the trigger. The trigger is squeezed for commencing a firing cycle and storing energy in the energy storing assembly. The applicator instrument includes a handle reconfiguration actuator having a first position for locking the handle in place relative to the housing and a second position for enabling the handle to rotate relative to the housing between a pistol configuration and an in-line configuration. The applicator instrument dispenses surgical fasteners with the handle in the pistol configuration, the in-line configuration, and at angles located between the pistol and in-line configurations.

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