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1. 发明申请

WO2012125635A3 SURGICAL INSTRUMENTS WITH ARTICULATABLE AND ROTATABLE END EFFECTOR 审中-公开
标题翻译：具有可转动和可旋转末端效应的手术器械
公开(公告)号：WO2012125635A3
公开(公告)日：2013-04-18
申请号：PCT/US2012028925
申请日：2012-03-13
申请人： ETHICON ENDO SURGERY INC , MOLLERE REBECCA J , SCHEIB CHARLES J , BOUDREAUX CHAD P , VENDELY MICHAEL J , ZINGMAN ARON O , SWAYZE JEFFREY S , WORRELL BARRY C , VOLZ JANNA B , SCHUCKMANN JOHN C , O'CONNOR MEGAN A
发明人： MOLLERE REBECCA J , SCHEIB CHARLES J , BOUDREAUX CHAD P , VENDELY MICHAEL J , ZINGMAN ARON O , SWAYZE JEFFREY S , WORRELL BARRY C , VOLZ JANNA B , SCHUCKMANN JOHN C , O'CONNOR MEGAN A
IPC分类号： A61B17/29 , A61B17/072
CPC分类号： A61B17/07207 , A61B2017/00367 , A61B2017/291 , A61B2017/2927 , A61B2017/2929 , A61B2017/293
摘要： Hand-held surgical instruments that have and end effector attached to an elongate shaft are disclosed. The end effector is articulatable and rotatable relative to the shaft by a nozzle arrangement supported by a handle from which the elongate shaft extends. In various embodiments, the nozzle is operable by the same hand that is used to support the handle.
摘要翻译：公开了具有连接到细长轴的末端执行器的手持式手术器械。末端执行器可通过由细长轴从其延伸的手柄支撑的喷嘴装置相对于轴铰接并可旋转。在各种实施例中，喷嘴可通过用于支撑手柄的相同的手来操作。

2. 发明申请

WO2012044853A8 FASTENING INSTRUMENT FOR DEPLOYING A FASTENER SYSTEM COMPRISING A RETENTION MATRIX 审中-公开
标题翻译：用于配置包含保持矩阵的紧固件系统的紧固件
公开(公告)号：WO2012044853A8
公开(公告)日：2013-09-19
申请号：PCT/US2011054063
申请日：2011-09-29
申请人： ETHICON ENDO SURGERY INC , WOODARD JAMES A JR , SCHEIB CHARLES J , BOUDREAUX CHAD P , BRUEWER DEAN B , SCHWEMBERGER RICHARD F , SCHALL CHRISTOPHER J , MORGAN JEROME R , SIMMS ROBERT J , SWAYZE JEFFREY S , OUWERKERK JOHN N
发明人： WOODARD JAMES A JR , SCHEIB CHARLES J , BOUDREAUX CHAD P , BRUEWER DEAN B , SCHWEMBERGER RICHARD F , SCHALL CHRISTOPHER J , MORGAN JEROME R , SIMMS ROBERT J , SWAYZE JEFFREY S , OUWERKERK JOHN N
IPC分类号： A61B17/072 , A61B17/064
CPC分类号： A61B17/068 , A61B1/00064 , A61B1/0051 , A61B1/008 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0642 , A61B17/0643 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/08 , A61B17/1155 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00946 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2902 , A61B2017/2905 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , Y10T29/49863
摘要： A surgical stapling instrument can comprise, one, a handle comprising an actuator and, two, an end effector comprising a proximal end, a distal end, and a longitudinal axis extending between the proximal end and the distal end. The end effector can further comprise a first jaw configured to support staples comprising staple legs and, in addition, a second jaw supporting a matrix element opposite the staples, wherein one of the jaws is movable toward the other in order to engage the matrix element with the staple legs. The stapling instrument can further comprise a cam operably coupled with the actuator, wherein the cam is movable along the longitudinal axis to deform the staple legs.
摘要翻译：外科缝合器械可以包括一个包括致动器的手柄，以及两个端部执行器，其包括近端，远端和在近端和远端之间延伸的纵向轴线。端部执行器还可以包括第一钳口，其构造成支撑包括钉腿的钉，并且还包括支撑与缝钉相对的矩阵元件的第二爪，其中夹爪之一可向另一侧移动，以便将矩阵元件与钉腿。缝合器械还可以包括与致动器可操作地联接的凸轮，其中凸轮可沿着纵向轴线移动以使钉腿变形。

3. 发明申请

WO2012044606A2 SURGICAL INSTRUMENT WITH JAW MEMBER 审中-公开
标题翻译：手术仪器与JAW会员
公开(公告)号：WO2012044606A2
公开(公告)日：2012-04-05
申请号：PCT/US2011053413
申请日：2011-09-27
申请人： ETHICON ENDO SURGERY INC , DAVISON MARK A , BOUDREAUX CHAD P , KILLINGER SCOTT B , BATROSS JONATHAN T , GIORDANO JAMES R , TREES GREGORY A , WANG BINGSHI , VOEGELE AARON C , NORVELL DAVID , BARBERA NATHANIEL F , FELDER KEVIN D
发明人： DAVISON MARK A , BOUDREAUX CHAD P , KILLINGER SCOTT B , BATROSS JONATHAN T , GIORDANO JAMES R , TREES GREGORY A , WANG BINGSHI , VOEGELE AARON C , NORVELL DAVID , BARBERA NATHANIEL F , FELDER KEVIN D
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00607 , A61B2018/0063 , A61B2018/1455
摘要： A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise and end effector first and second tissue engaging surfaces that are slanted with respect to a transection plane. The end effector may, for example, have an electrode defining a V-shaped cross sectional profile. The end effector may comprise a plurality of raised surfaces that are received by a plurality of indentions when the end effector is in the closed position. The end effector may comprise a cutting member having a plurality of bands. A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise an end effector. The end effector may comprise a cammed compression surface. The end effector may comprise an electrode comprising a tapered tissue contacting surface. Some surgical instruments may comprise an overload member.
摘要翻译：用于向组织供应能量的外科器械可以包括手柄，触发器，电输入和从手柄延伸的轴。外科器械可以包括相对于横切平面倾斜的并且结束执行器第一和第二组织接合表面。端部执行器可以例如具有限定V形横截面轮廓的电极。端部执行器可以包括多个凸起表面，当顶端执行器处于关闭位置时，多个凸起表面被多个压痕接收。端部执行器可以包括具有多个带的切割构件。用于向组织供应能量的外科器械可以包括手柄，触发器，电输入和从手柄延伸的轴。外科器械可以包括末端执行器。端部执行器可以包括凸轮压缩表面。端部执行器可以包括包括锥形组织接触表面的电极。一些手术器械可以包括过载部件。

4. 发明申请

WO2011063038A3 COMPONENTS FOR USE IN STERILE ENVIRONMENTS 审中-公开
标题翻译：用于固体环境的组件
公开(公告)号：WO2011063038A3
公开(公告)日：2011-07-14
申请号：PCT/US2010057101
申请日：2010-11-17
申请人： ETHICON ENDO SURGERY INC , BOUDREAUX CHAD P , SHELTON FREDERICK E , SMITH PRET W , ABBOTT DANIEL J
发明人： BOUDREAUX CHAD P , SHELTON FREDERICK E , SMITH PRET W , ABBOTT DANIEL J
IPC分类号： A61B17/00 , A61B19/00 , A61B19/02 , A61B19/08
CPC分类号： A61B17/07207 , A61B17/2833 , A61B46/10 , A61B50/30 , A61B90/40 , A61B2017/00362 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/2927 , A61B2017/2943 , A61B2017/320052 , A61B2050/314 , A61B2050/316 , A61B2090/037 , A61B2090/0813 , A61B2090/0815 , A61L2/00 , A61L2202/24
摘要： A surgical instrument comprises a first portion encapsulated by a membrane and a second portion comprising a surgical instrument body and a cavity in the surgical instrument body. The cavity is configured to receive the first portion. The second portion comprises a first region comprising an opening in communication with the cavity, and a closure member movable between a first position and a second position. The closure member is in sealable engagement with the second region when it is in the first position and is at least partially free from sealable engagement with the second region when it is in the second position. One or more electrical contacts on the first portion or the second portion are configured to penetrate the membrane to allow a connection to be made between the first portion and the second portion when the closure member moves from the second position into the first position.
摘要翻译：手术器械包括由膜封装的第一部分和包括手术器械主体和外科器械主体中的空腔的第二部分。空腔被配置为接收第一部分。第二部分包括第一区域，其包括与空腔连通的开口，以及可在第一位置和第二位置之间移动的封闭构件。当所述闭合构件处于所述第一位置时，所述闭合构件与所述第二区域可密封地接合，并且当所述闭合构件处于所述第二位置时至少部分地不与所述第二区域可密封地接合。第一部分或第二部分上的一个或多个电触点构造成穿透膜，以允许当封闭构件从第二位置移动到第一位置时在第一部分和第二部分之间形成连接。

5. 发明申请

WO2011044343A2 SURGICAL INSTRUMENT 审中-公开
标题翻译：手术器械
公开(公告)号：WO2011044343A2
公开(公告)日：2011-04-14
申请号：PCT/US2010051794
申请日：2010-10-07
申请人： ETHICON ENDO SURGERY INC , TREES GREGORY A , BOUDREAUX CHAD P , ANDREYKO MICHAEL J , FELDER KEVIN , BATROSS JONATHAN T , GIORDANO JAMES R , MCFARLAND TERRY A
发明人： TREES GREGORY A , BOUDREAUX CHAD P , ANDREYKO MICHAEL J , FELDER KEVIN , BATROSS JONATHAN T , GIORDANO JAMES R , MCFARLAND TERRY A
IPC分类号： A61B17/29 , A61B17/00 , A61B17/28 , A61B18/00 , A61B18/08
CPC分类号： A61B17/29 , A61B17/295 , A61B18/085 , A61B18/1445 , A61B2017/2922 , A61B2017/2923 , A61B2017/2934 , A61B2018/00625 , A61B2018/00916 , A61B2018/1412 , A61B2018/1455
摘要： A surgical instrument can comprise a first drive system for advancing a knife bar between a first position and a second position in order to close a jaw, and a second drive system for advancing the knife bar between the second position and a third position. The instrument can comprise a lock engaged with a drive shaft in order to prevent the drive shaft from being advanced. The instrument can further comprise an electrical input and, a switch and an end effector wherein, a tissue-grasping portion can comprise a plurality of teeth, of an electrically non-conductive material. The instrument for supplying energy to tissue can comprise an electrode, and an insulator positioned adjacent to the electrode, insulator comprising a top surface movable relative to the top surface of the electrode. The instrument can comprise at least one steam path within the electrode, configured to vent steam generated when the tissue is heated.
摘要翻译：手术器械可以包括第一驱动系统，用于在第一位置和第二位置之间推进刀杆以闭合钳口;以及第二驱动系统，用于使刀杆在第二位置和第三位置之间前进。仪器可以包括与驱动轴接合的锁，以防止驱动轴前进。仪器还可以包括电输入，以及开关和端部执行器，其中组织抓握部分可包括多个不导电材料的齿。用于向组织提供能量的仪器可以包括电极和邻近电极定位的绝缘体，绝缘体包括相对于电极的顶表面可移动的顶表面。仪器可以包括电极内的至少一个蒸汽路径，构造成排出当组织被加热时产生的蒸汽。

6. 发明申请

WO2010042786A2 POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM 审中-公开
标题翻译：动力手术切割和装订设备，具有手动可重复启动系统
公开(公告)号：WO2010042786A2
公开(公告)日：2010-04-15
申请号：PCT/US2009060109
申请日：2009-10-09
申请人： ETHICON ENDO SURGERY INC , SMITH BRET W , ABBOTT DANIEL J , SCHWEMBERGER RICHARD F , SHELTON FREDERICK E IV , BOUDREAUX CHAD P , SWENSGARD BRETT E , LAURENT RYAN J
发明人： SMITH BRET W , ABBOTT DANIEL J , SCHWEMBERGER RICHARD F , SHELTON FREDERICK E IV , BOUDREAUX CHAD P , SWENSGARD BRETT E , LAURENT RYAN J
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/10 , A61B2017/00398 , A61B2017/00734 , A61B2017/2923 , A61B2017/2927 , A61B2017/2946 , A61B2017/320052
摘要： In one general aspect, various embodiments of the present invention can include a motorized surgical cutting and fastening instrument having a drive shaft, a motor selectively engageable with the drive shaft, and a manual return mechanism configured to operably disengage the motor from the drive shaft and retract the drive shaft. In at least one embodiment, a surgeon, or other operator of the surgical instrument, can utilize the manual return mechanism to retract the drive shaft after it has been advanced, especially when the motor, or a power source supplying the motor, has failed or is otherwise unable to provide a force sufficient to retract the drive shaft.
摘要翻译：在一个一般方面，本发明的各种实施例可以包括具有驱动轴的电动外科切割和紧固器具，可选择地与驱动轴接合的电机以及被配置为将马达与驱动轴可操作地分离的手动返回机构，以及缩回驱动轴。在至少一个实施例中，手术器械的外科医生或其他操作者可以利用手动返回机构在推动驱动轴之后缩回驱动轴，特别是当马达或供应马达的动力源已经失效或者否则不能提供足以缩回驱动轴的力。

7. 发明申请

WO2011063038A2 SURGICAL INSTRUMENTS AND COMPONENTS FOR USE IN STERILE ENVIRONMENTS 审中-公开
标题翻译：手术仪器和组件用于无菌环境
公开(公告)号：WO2011063038A2
公开(公告)日：2011-05-26
申请号：PCT/US2010057101
申请日：2010-11-17
申请人： ETHICON ENDO SURGERY INC , BOUDREAUX CHAD P , SHELTON FREDERICK E , SMITH PRET W , ABBOTT DANIEL J
发明人： BOUDREAUX CHAD P , SHELTON FREDERICK E , SMITH PRET W , ABBOTT DANIEL J
IPC分类号： A61B17/00 , A61B19/00 , A61B19/02 , A61B19/08
CPC分类号： A61B17/07207 , A61B17/2833 , A61B46/10 , A61B50/30 , A61B90/40 , A61B2017/00362 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/2927 , A61B2017/2943 , A61B2017/320052 , A61B2050/314 , A61B2050/316 , A61B2090/037 , A61B2090/0813 , A61B2090/0815 , A61L2/00 , A61L2202/24
摘要： A surgical instrument comprises a first portion encapsulated by a membrane and a second portion comprising a surgical instrument body and a cavity in the surgical instrument body. The cavity is configured to receive the first portion. The second portion comprises a first region comprising an opening in communication with the cavity, and a closure member movable between a first position and a second position. The closure member is in sealable engagement with the second region when it is in the first position and is at least partially free from sealable engagement with the second region when it is in the second position. One or more electrical contacts on the first portion or the second portion are configured to penetrate the membrane to allow a connection to be made between the first portion and the second portion when the closure member moves from the second position into the first position.
摘要翻译：手术器械包括由膜封装的第一部分和包括手术器械主体和外科器械主体中的空腔的第二部分。空腔被配置为接收第一部分。第二部分包括第一区域，其包括与空腔连通的开口，以及可在第一位置和第二位置之间移动的封闭构件。当所述闭合构件处于所述第一位置时，所述闭合构件与所述第二区域可密封地接合，并且当所述闭合构件处于所述第二位置时至少部分地不与所述第二区域可密封地接合。第一部分或第二部分上的一个或多个电触点构造成穿透膜，以允许当封闭构件从第二位置移动到第一位置时在第一部分和第二部分之间形成连接。

8. 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。

9. 发明申请

WO2016057280A3 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：WO2016057280A3
公开(公告)日：2016-06-02
申请号：PCT/US2015053105
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 (30) that can articulate an end effector (40) relative to the elongate shaft, with the end effector including opposed jaws (42, 44) 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（30），其能够相对于细长轴铰接端部执行器（40），其中端部执行器包括相对的夹爪（42,44）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。

10. 发明申请

WO2015057387A3 ELECTROSURGICAL DEVICES WITH FLUID FLOW CONTROL 审中-公开
标题翻译：带有流体流量控制的电外科装置
公开(公告)号：WO2015057387A3
公开(公告)日：2015-07-09
申请号：PCT/US2014058514
申请日：2014-10-01
申请人： ETHICON ENDO SURGERY INC
发明人： BOUDREAUX CHAD P , MILLER MATTHEW C , KIMBALL CORY G
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B2018/00196 , A61B2018/00595 , A61B2018/0091 , A61B2018/1475
摘要： The disclosure provides various electrosurgical devices comprising a handle assembly comprising a valve having an input port and an output port. The input port is fluidically coupled to either an irrigation source or a suction source. At least one button is operatively coupled to the valve to control flow through the valve. At least one switch is provided to electrically couple energy from an energy source. A trigger and a shaft comprising a slidable element is operatively coupled to the trigger. An electrode is electrically coupled to the switch. The trigger is operable to position the slidable element relative to the electrode to conceal or expose the electrode. The handle assembly may comprise an articulating joint. The handle assembly may comprise a trigger lockout mechanism.
摘要翻译：本公开提供了包括手柄组件的各种电外科装置，该手柄组件包括具有输入端口和输出端口的阀。输入端口流体耦合到灌注源或抽吸源。至少一个按钮可操作地连接到阀以控制通过阀的流量。提供至少一个开关来电耦合来自能量源的能量。触发器和包括可滑动元件的轴可操作地联接到触发器。电极电耦合到开关。触发器可操作以将可滑动元件相对于电极定位以隐藏或暴露电极。手柄组件可以包括铰接接头。手柄组件可以包括扳机锁定机构。

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