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1. 发明申请

WO2013043687A3 ADJUNCT THERAPY DEVICE FOR APPLYING HEMOSTATIC AGENT 审中-公开
标题翻译： ADJUNCT治疗装置用于应用止血剂
公开(公告)号：WO2013043687A3
公开(公告)日：2013-05-23
申请号：PCT/US2012056057
申请日：2012-09-19
申请人： ETHICON ENDO SURGERY INC , WEISENBURGH WILLIAM B II , SMITH CRAIG S , BLAIR GREGORY B , HUANG ZHIFAN F , HOFFMAN DOUGLAS B , GEIER KRISTI S , SMITH BRET W , LYTLE THOMAS W IV , OVERMYER MARK D , BEAR BRIAN W , SETSER MICHAEL E , LE THU ANH , WOODARD JAMES A JR , MODI KREENA R , ZAVATSKY JOSEPH
发明人： WEISENBURGH WILLIAM B II , SMITH CRAIG S , BLAIR GREGORY B , HUANG ZHIFAN F , HOFFMAN DOUGLAS B , GEIER KRISTI S , SMITH BRET W , LYTLE THOMAS W IV , OVERMYER MARK D , BEAR BRIAN W , SETSER MICHAEL E , LE THU ANH , WOODARD JAMES A JR , MODI KREENA R , ZAVATSKY JOSEPH
IPC分类号： A61B17/072 , A61B17/00
CPC分类号： A61B17/00491 , A61B17/07207 , A61B17/07292 , A61B2017/00495 , A61B2017/00893 , A61B2017/07228 , A61B2017/07257 , A61B2017/07271 , A61B2017/2927 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The cartridge further receives a buttress material stored in one or both of the anvil or cartridge. The material is releasable onto severed tissue via a firing bar severing the buttress material in response to the longitudinal closing motion.
摘要翻译：外科器械包括手柄部分，容纳击发杆的杆身，包括砧座的末端执行器，下颚和响应于手柄部分和杆身产生的纵向闭合运动的钉合和切断组件。下颚被配置为接收可移除的盒。盒包括壳体，设置在壳体中的多个钉以及布置在多个钉上的平台。该平台限定孔，每个孔基本上布置在每个钉上方。盒还接收存储在砧或盒中的一个或两个中的支撑物材料。响应于纵向闭合运动，材料可通过击发杆切断支撑材料而被释放到切断的组织上。

2. 发明申请

WO2015199931A2 LOCKOUT ENGAGEMENT FEATURES FOR SURGICAL STAPLER 审中-公开
标题翻译：手术缝合器的锁定接合功能
公开(公告)号：WO2015199931A2
公开(公告)日：2015-12-30
申请号：PCT/US2015034095
申请日：2015-06-04
申请人： ETHICON ENDO SURGERY INC
发明人： LAURENT RYAN J , RECTOR JASON M , SIMMS ROBERT J , GAGEL JEFFREY C , FANELLI NICHOLAS , HOFFMAN DOUGLAS B , SHELTON FREDERICK E IV
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/105 , A61B2017/0046 , A61B2017/07271 , A61B2017/07278 , A61B2090/0814
摘要： A surgical instrument comprises a body, shaft, and end effector. The shaft couples the end effector and body together. The end effector comprises an anvil and lower jaw configured to receive a surgical staple cartridge. The anvil is configured to pivot toward and away from the staple cartridge and lower jaw. The shaft assembly comprises a knife member configured to longitudinally translate to thereby substantially simultaneously cut clamped tissue and staple the severed tissue. The end effector may comprise lockout features configure to prevent longitudinal translation of the knife member. The end effector or staple cartridge may comprise lockout bypass features configured to prevent lockout of the knife member.
摘要翻译：手术器械包括主体，轴和端部执行器。轴将端部执行器和机身连接在一起。末端执行器包括构造成接收外科钉仓的砧和下颚。砧被构造成朝向和远离钉仓和下颚枢转。轴组件包括构造成纵向平移的刀构件，从而基本上同时切割夹紧的组织并缝合被切断的组织。末端执行器可以包括构造成防止刀构件的纵向平移的锁定特征。末端执行器或钉仓可以包括锁定旁路结构，其被配置为防止刀构件的锁定。

3. 发明申请

WO2014133774A3 JAW CLOSURE FEATURE FOR END EFFECTOR OF SURGICAL INSTRUMENT 审中-公开
标题翻译：手术器械终末效应的JAW闭合特征
公开(公告)号：WO2014133774A3
公开(公告)日：2014-12-31
申请号：PCT/US2014016208
申请日：2014-02-13
申请人： ETHICON ENDO SURGERY INC
发明人： ZERKLE JASON E , SIMMS ROBERT J , HOFFMAN DOUGLAS B , DUNKI-JACOBS ADAM R
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/07207 , A61B2017/07257 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936
摘要： An end effector (212) for use with a surgical instrument includes a first jaw (216), a second jaw (218), and a closure ring (233). The second jaw is pivotable relative to the first jaw. The second jaw has a proximal end with a first ramped surface (224) and a second ramped surface (226) distal of the first ramped surface. The closure ring is coupled with the second jaw to engage the first and second ramped surfaces of the second jaw. The closure ring translates from a proximal position to a distal position to engage the first ramped surface of the second jaw and then the second ramped surface of the second jaw. The camming engagement of the closure ring with the first and second ramped surfaces of the second jaw pivots the second jaw toward the first jaw. The closure ring may also provide camming engagement to pivot the second jaw away from the first jaw.
摘要翻译：与外科器械一起使用的端部执行器（212）包括第一钳口（216），第二钳口（218）和闭合环（233）。第二钳口可相对于第一钳口枢转。第二钳口具有近端，其具有第一倾斜表面（224）和位于第一倾斜表面远侧的第二倾斜表面（226）。闭合环与第二钳口联接以接合第二钳口的第一和第二斜坡表面。封闭环从近端位置转移到远端位置以接合第二钳口的第一斜坡表面，然后接合第二钳口的第二斜坡表面。封闭环与第二钳口的第一和第二倾斜表面的凸轮啮合将第二钳口向第一钳口枢转。闭合环还可以提供凸轮接合以使第二钳口远离第一钳口枢转。

4. 发明申请

WO0152717A3 TISSUE STABILIZATION DEVICE FOR USE WITH SURGICAL RETRACTORS 审中-公开
标题翻译：组织稳定装置，与外科手术器械一起使用
公开(公告)号：WO0152717A3
公开(公告)日：2002-01-03
申请号：PCT/US0101016
申请日：2001-01-11
申请人： ETHICON ENDO SURGERY INC
发明人： STEFANCHIK DAVID , PAPA CHRISTOPHER A , HOFFMAN DOUGLAS B , SWAYZE JEFFREY S , GEORGE CHRISTOPHER M
IPC分类号： A61B17/02 , A61B17/30 , A61B1/32
CPC分类号： A61B17/02 , A61B2017/0243 , A61B2017/306
摘要： The present invention is a device for stabilizing moving tissues or an organ such as the heart within the body during a surgical procedure such as a coronary artery bypass graft procedure. The device comprises a stem (65) having proximal and distal ends, a compressible ball (66) slideably attached onto the stem, and at least one foot (68 or 69) connected to the distal end of the stem. Each foot extends laterally from the stem and has a distal surface for placement on moving tissue (138). The device also comprises a retractor mount (20) with a first locking means for operational engagement with the compressible ball on the stem for adjustably holding the stem in a desired orientation during the surgical procedure. The device also comprises a second locking means for releaseably attaching the stem to the surgical retractor.
摘要翻译：本发明是一种在诸如冠状动脉旁路移植手术的外科手术过程中稳定运动组织或身体内的器官如心脏的装置。该装置包括具有近端和远端的杆（65），可滑动地附接到杆上的可压缩球（66）和连接到杆的远端的至少一个脚（68或69）。每个脚从杆横向延伸并且具有用于放置在移动的组织（138）上的远侧表面。该装置还包括具有第一锁定装置的牵开器支架（20），该第一锁定装置用于与杆上的可压缩球的操作接合，用于在外科手术过程中可调节地将杆保持在期望的取向。该装置还包括用于将柄可释放地附接到手术牵开器的第二锁定装置。

5. 发明申请

WO2014133773A3 INTEGRATED TISSUE POSITIONING AND JAW ALIGNMENT FEATURES FOR SURGICAL STAPLER 审中-公开
标题翻译：一体化组织定位和手术切口的法线对齐功能
公开(公告)号：WO2014133773A3
公开(公告)日：2015-01-08
申请号：PCT/US2014016203
申请日：2014-02-13
申请人： ETHICON ENDO SURGERY INC
发明人： SIMMS ROBERT J , HOFFMAN DOUGLAS B , ZERKLE JASON E , SCHEIB CHARLES J , VOLZ JANNA B
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B17/068 , A61B17/0682 , A61B17/07207 , A61B2017/00115 , A61B2017/00398 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2090/0807
摘要： An apparatus includes a body, a shaft in communication with the body, and an end effector in communication with the shaft. The end effector is operable to drive staples through tissue. The end effector comprises an anvil and a cartridge. The anvil is operable to move pivotally relative to the cartridge. The cartridge is positioned to drive staples upwardly toward the anvil. The cartridge comprises a plurality of protrusions operable to prevent lateral rocking of the anvil. The plurality of protrusions is pointed toward the anvil. In some versions, an alignment member and/or a lateral stabilization member may be used between the anvil and the cartridge.
摘要翻译：一种装置包括主体，与主体连通的轴以及与轴连通的端部执行器。末端执行器可操作以通过组织驱动钉。末端执行器包括砧和筒。砧座可操作以相对于盒移动。钉仓被定位成向上朝向砧座驱动订书钉。盒包括多个可操作以防止砧座的横向摆动的突起。多个突起指向砧座。在一些形式中，可以在砧和筒之间使用对准构件和/或侧向稳定构件。

6. 发明申请

WO2014133856A3 DISTAL TIP FEATURES FOR END EFFECTOR OF SURGICAL INSTRUMENT 审中-公开
标题翻译：手术仪器终端效果的远程提示功能
公开(公告)号：WO2014133856A3
公开(公告)日：2014-12-04
申请号：PCT/US2014017298
申请日：2014-02-20
申请人： ETHICON ENDO SURGERY INC
发明人： SIMMS ROBERT J , HOFFMAN DOUGLAS B , GETTINGER REBECCA J , BEDARD TIMOTHY S , GARNER DEAN L , ARMSTRONG GLEN A , VOLZ JANNA B
IPC分类号： A61B17/072 , A61B17/00 , A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00398 , A61B2017/00734 , A61B2017/00738 , A61B2017/00858 , A61B2017/07257 , A61B2017/07271 , A61B2090/08021
摘要： An apparatus comprises a body, a shaft, and an end effector that is operable to compress, staple, and cut tissue. The end effector comprises and anvil and a cartridge. A longitudinal axis intersects the distal tip of the anvil when the anvil is in a closed position. The cartridge defines a sight line extending along a distal surface of the cartridge from a first side of the cartridge toward the anvil. The first side of the cartridge is opposite to the anvil. The distal surface of the cartridge is neither parallel to nor perpendicular to the longitudinal axis. The sight line intersects the longitudinal axis near the distal tip when the anvil is in the closed position. A segment of the sight line and a segment the longitudinal axis define an angle &thetas;. The angle &thetas; is larger than 90º.
摘要翻译：一种装置包括主体，轴和端部执行器，其可操作以压缩，订书钉和切割组织。末端执行器包括和砧座和筒。当砧座处于关闭位置时，纵向轴线与砧座的远端相交。该盒限定了从盒的远端表面延伸的视线，从盒的第一侧朝向砧座。墨盒的第一面与砧座相对。盒的远端表面既不平行于也不垂直于纵向轴线。当砧座处于关闭位置时，视线与远端附近的纵向轴线相交。视线的一段和纵轴定义角度的段。角度和角度大于90º。

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