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1. 发明申请

WO2011020097A2 ULTRASONIC SURGICAL APPARATUS AND SILICON WAVEGUIDE AND METHODS FOR USE THEREOF 审中-公开
标题翻译：超声外科装置及其使用的方法及其使用方法
公开(公告)号：WO2011020097A2
公开(公告)日：2011-02-17
申请号：PCT/US2010/045622
申请日：2010-08-16
申请人： ETHICON ENDO-SURGERY, INC. , DIETZ, Timothy, G. , DANNAHER, William D. , HOUSER, Kevin L. , OLSON. William A. , RHEE, Sora , STULEN, Foster B. , WILLIS, John W.
发明人： DIETZ, Timothy, G. , DANNAHER, William D. , HOUSER, Kevin L. , OLSON. William A. , RHEE, Sora , STULEN, Foster B. , WILLIS, John W.
IPC分类号： A61M37/00 , A61N7/00 , A61K41/00
CPC分类号： A61N7/00 , A61B17/320068 , A61B2017/22015 , A61B2017/2253 , A61B2017/306 , A61B2017/320098 , A61N2007/0034 , A61N2007/0078 , A61N2007/0082 , B06B3/00
摘要： Ultrasound surgical apparatus are disclosed, including: medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal guide members for control of focal point depth; medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal rolling members for manipulability and control of focal point depth; medical ultrasound handpiece assemblies with coupled end effectors providing a probe with a probe dilation region configured to have an average outside diameter that is equal to or greater than the average outside diameter of a probe tip and neck; as well as junctions to an ultrasonically inactive probe sheath; medical ultrasound handpiece assemblies with coupled end effectors having positionable, ultrasonically inactive probe sheath ends slidably operable to both cover and expose at least a probe tip; and ultrasound transducer cores including a transducing structure affixed to a longitudinally elongated, generally planar, single crystal or polycrystalline material waveguide.
摘要翻译：公开了超声手术装置，包括：具有近端安装的超声波辐射器的医疗超声手机，其被配置为产生远端聚焦的超声能量束，与用于控制焦点深度的远端引导构件组合; 具有近端安装的超声波辐射器的医疗超声手机被配置为创建远端聚焦的超声能量束，与用于可操纵性和控制焦点深度的远侧滚动构件组合; 具有耦合端部执行器的医用超声手持组件，其提供具有构造成具有等于或大于探针尖端和颈部的平均外径的平均外径的探针扩张区域的探针; 以及到超声波无活性的探针鞘的接合处; 具有耦合端部执行器的医疗超声手持组件具有可定位的超声波无源探针护套端部，其可滑动地可操作以覆盖和暴露至少一个探针尖端; 以及超声换能器芯，包括固定在纵向细长的，大致平面的单晶或多晶材料波导上的换能结构。

2. 发明申请

WO2008076712A2 BIOPSY DEVICE, SYSTEM AND METHOD 审中-公开
标题翻译：生物装置，系统和方法
公开(公告)号：WO2008076712A2
公开(公告)日：2008-06-26
申请号：PCT/US2007/087075
申请日：2007-12-11
申请人： ETHICON ENDO-SURGERY, INC. , HIBNER, John A. , RITCHIE, Paul G. , HABETSTITCH, Wells D. , SPEEG, Trevow W.v. , HOGUE, Kenneth E. , D'ARCANGELO, Michele , MOORE, Kyle P. , RHAD, Edward A. , JOHNSON, Gregory W. , MONSON, Gavin M. , NOCK, Andrew P. , DEUPREE, David , DANNAHER, William D. , WEIKEL, JR., Robert F. , ANDREYKO, Michael J. , ANDRISEK, John R. , PARIHAR, Shailendra K. , JOHNSON, Michael E.
发明人： HIBNER, John A. , RITCHIE, Paul G. , HABETSTITCH, Wells D. , SPEEG, Trevow W.v. , HOGUE, Kenneth E. , D'ARCANGELO, Michele , MOORE, Kyle P. , RHAD, Edward A. , JOHNSON, Gregory W. , MONSON, Gavin M. , NOCK, Andrew P. , DEUPREE, David , DANNAHER, William D. , WEIKEL, JR., Robert F. , ANDREYKO, Michael J. , ANDRISEK, John R. , PARIHAR, Shailendra K. , JOHNSON, Michael E.
IPC分类号： A61B10/02
CPC分类号： A61B10/0275 , A61B10/0096 , A61B10/0283 , A61B2010/0208 , A61B2010/0225 , A61B2017/00199 , A61B2217/005 , A61M1/0023
摘要： A biopsy system may have modes whereby fluid communication varies as a function of an axial position of a cutter. A tissue sample holder may be rotatable to index tissue chambers defined by removable trays, and may include a passage for inserting an instrument. A controller may control a tissue sample holder rotation mechanism based on the sensed position of a rotatable manifold, such as to present a collected biopsy sample to a user before collecting another biopsy sample in another chamber. A biopsy system may have an interface including visual features and user input devices. A vacuum canister may come packaged with tubing, and may include a port configured to mate with a port in a vacuum control module upon engagement of the canister with the module. A biopsy device may include features for sharps reduction, light sources, a motor driven firing mechanism, or a fine pitch drivetrain.
摘要翻译：活检系统可以具有模式，其中流体连通作为切割器的轴向位置的函数而变化。组织样本保持器可以是可旋转的，用于索引由可移除托盘限定的组织室，并且可以包括用于插入器械的通道。控制器可以基于感测到的可旋转歧管的位置来控制组织样本保持器旋转机构，例如在将另一个活检样本收集在另一个室中之前将收集的活检样本呈现给使用者。活检系统可以具有包括视觉特征和用户输入装置的界面。真空罐可以与管道一起包装，并且可以包括配置成在罐与模块接合时在真空控制模块中与端口配合的端口。活检装置可以包括用于锐减的特征，光源，马达驱动的发射机构或细间距传动系。

3. 发明申请

WO2015116519A1 TROCAR 审中-公开
标题翻译：套管针
公开(公告)号：WO2015116519A1
公开(公告)日：2015-08-06
申请号：PCT/US2015/012848
申请日：2015-01-26
申请人： ETHICON ENDO-SURGERY, INC.
发明人： DANNAHER, William D.
IPC分类号： A61B17/34 , A61B17/00
CPC分类号： A61B17/3439 , A61B17/34 , A61B17/3421 , A61B17/3462 , A61B17/3474 , A61B17/3498
摘要： Disclosed is a trocar, comprising a trocar sleeve, a sealing structure and obturator, wherein the trocar sleeve comprises a bowl-shaped proximal end housing part, a distal end portion and a sheath portion between the two; the sealing structure comprises a top shell and a bottom shell integrated with each other; and the obturator comprises a central shaft and a proximal end portion which is located at the proximal end of the obturator designed to be held by a surgeon; the axial direction of the trocar is defined by the extension direction of the central shaft which also has an obturator tip at the distal end to perform puncturing; the central shaft runs through the sheath portion of the trocar sleeve and the sealing structure in a sealed manner and the obturator tip of the central shaft extends out of the distal end portion of the trocar sleeve when the trocar is assembled. The trocar disclosed by the present invention is characterized in that: the axial dimensions of the proximal end housing portion of the trocar sleeve, the top shell of the sealing structure and the proximal end portion of the obturator in the axial direction of the trocar respectively are d1, d2 and d3, and d3 is equal to or greater than 1/2 of the sum of d1, d2 and d3. The trocar disclosed by the present invention is advantageous in that when the trocar is in use, the trocar sleeve housing and the sealing structure are unlikely to be separated from each other due to the torque exerted by the surgeon to the joined portion between the trocar sleeve and the sealing structure.
摘要翻译：公开了一种套管针，其包括套针套管，密封结构和闭孔器，其中套针套筒包括碗形近端收纳部分，两端之间的远端部分和护套部分; 所述密封结构包括彼此结合的顶壳和底壳; 并且所述闭孔器包括中心轴和近端部分，所述近端部分位于设计为由外科医生保持的闭塞器的近端处; 套针针的轴向方向由中心轴的延伸方向限定，中心轴在远端也具有闭孔尖端以进行穿刺; 中心轴以密封的方式穿过套管针套管的护套部分和密封结构，并且当组装套管针时，中心轴的封闭器末端延伸出套管针套管的远端部分。本发明公开的套针针的特征在于，套管针套筒的基端收容部的轴向尺寸，密封结构的顶壳和密封件的基端部分别在套管针的轴向上分别为 d1，d2和d3，d3等于或大于d1，d2和d3之和的1/2。本发明公开的套针针的优点在于，当套管针在使用中时，由于外科医生施加到套管套筒之间的连接部分的扭矩，套针套筒壳体和密封结构不可能彼此分离和密封结构。

4. 发明申请

WO2014088899A1 ULTRASONIC SURGICAL BLADE 审中-公开
标题翻译：超声外科刀片
公开(公告)号：WO2014088899A1
公开(公告)日：2014-06-12
申请号：PCT/US2013/072139
申请日：2013-11-27
申请人： ETHICON ENDO-SURGERY, INC.
发明人： DIETZ, Timothy G. , BALEK, Stephen J. , BOYD, Benjamin M. , DANNAHER, William D. , GROENE, David C. , HORTON, III, William C. , WITT, David A. , VINS, Benjamin V.
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B2017/320072 , A61B2017/320098
摘要： An ultrasonic instrument comprises an ultrasonic transducer, an acoustic waveguide, and an ultrasonic blade. The blade includes a pair of obliquely extending edges. The obliquely extending edges diverge away from the longitudinal axis of the waveguide and away from each other along respective paths extending distally in relation to the waveguide. A distal portion of the blade is wider than a proximal portion of the blade along a plane. The blade further includes a curved distal edge and several laterally presented surfaces. The laterally presented surfaces may provide combinations of concave and convex curvatures. The laterally presented surfaces may be angled and/or curved along one or more orthogonal planes associated with the longitudinal axis of the waveguide.
摘要翻译：超声波仪器包括超声波换能器，声波导和超声波刀片。刀片包括一对倾斜延伸的边缘。倾斜延伸的边缘沿着相对于波导向远侧延伸的相应路径彼此远离波导的纵向轴线而远离彼此。叶片的远侧部分沿着平面宽于叶片的近端部分。刀片还包括弯曲的远侧边缘和几个横向呈现的表面。横向呈现的表面可以提供凹曲率和凸曲率的组合。横向呈现的表面可以沿着与波导的纵向轴线相关联的一个或多个正交平面成角度和/或弯曲。

5. 发明申请

WO2014004113A2 SURGICAL INSTRUMENTS WITH ARTICULATING SHAFTS 审中-公开
标题翻译：外科手术器械
公开(公告)号：WO2014004113A2
公开(公告)日：2014-01-03
申请号：PCT/US2013/045805
申请日：2013-06-14
申请人： ETHICON ENDO-SURGERY, INC.
发明人： OLSON, William A. , STULEN, Foster B. , MESSERLY, Jeffrey D. , PRICE, Daniel W. , HOUSER, Kevin L. , FALLER, Craig N. , DANNAHER, William D. , RHEE, Sora , MUHLENKAMP, Tylor C.
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/22004 , A61B17/2202 , A61B17/295 , A61B17/320068 , A61B2017/003 , A61B2017/00327 , A61B2017/00331 , A61B2017/00336 , A61B2017/22014 , A61B2017/22015 , A61B2017/2927 , A61B2017/320072
摘要： Various embodiments described herein are directed to ultrasonic blades. For example, an ultrasonic blade may comprise a proximally positioned straight section extending along a longitudinal axis and a distally positioned curved section coupled to the straight section and curved away from the longitudinal axis. The curved section may define a radius of curvature and subtend a first angle. A point of tangency between the curved section and the straight section may be positioned at either a node of the ultrasonic blade or an anti-node of the ultrasonic blade.
摘要翻译：这里描述的各种实施例涉及超声刀片。例如，超声刀可以包括沿着纵向轴线延伸的定位在近侧的直线段和联接到直线段并远离纵向轴线弯曲的远侧定位的弯曲段。弯曲部分可以限定曲率半径并且对着第一角度。弯曲部分和直线部分之间的切点可以位于超声刀的节点或超声刀的反节点处。

6. 发明申请

WO2013181099A3 SURGICAL INSTRUMENT WITH STRESS SENSOR 审中-公开
公开(公告)号：WO2013181099A3
公开(公告)日：2013-12-05
申请号：PCT/US2013/042668
申请日：2013-05-24
申请人： ETHICON ENDO-SURGERY, INC.
发明人： DANNAHER, William D. , PRICE, Daniel W. , KIMBALL, Cory G. , STULEN, Foster B. , WIENER, Eitan T. , SCHULTE, John B. , SILKAITUS, Danius P. , BALEK, Stephen J. , LAMPING, Michael R. , ARONHALT, Jacqueline C. , CLEM, William E.
IPC分类号： A61B17/32 , A61B18/14 , A61B18/00 , A61B19/00
摘要： An apparatus includes an end effector, an energy component, a control module, and a directional force sensor assembly associated with the energy component and control module. The directional force assembly can include a piezoelectric disc, a piezoresistive element, an accelerometer, and/or a Hall Effect sensor. The end effector of the apparatus can include ultrasonic blade, an RF electrode. or a staple driving assembly. In some versions, the energy component includes an ultrasonic transducer. The control module may be configured to operate the energy component at a first energy setting in response to a first detected force and at a second energy setting in response to a second detected force. The apparatus may also include an activation feature to be operated by a user. In some versions the piezoelectric disc may include a plurality of segments and may be configured to induce movement in at least part of the energy component.

7. 发明申请

WO2015041849A2 TRANSDUCER FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT 审中-公开
标题翻译：超声波手术器械的传感器特征
公开(公告)号：WO2015041849A2
公开(公告)日：2015-03-26
申请号：PCT/US2014/053857
申请日：2014-09-03
申请人： ETHICON ENDO-SURGERY, INC.
发明人： STULEN, Foster B. , LAMPING, Michael R. , NIELD, Scott A. , DIETZ, Timothy G. , KIMBALL, Cory G. , SCHULTE, John B. , RHEE, Sora , GEE, Jacob S. , BALEK, Stephen J. , DANNAHER, William D. , MONSON, Gavin M.
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00477 , A61B2017/22027 , A61N7/02 , H01L41/0475
摘要： An apparatus for operating on tissue includes a body, a shaft, an ultrasonic blade, and an acoustic assembly. The shaft extends distally from the body. The blade is disposed at the distal end of the shaft. The acoustic assembly comprises an acoustic waveguide coupled with the blade, a piezoelectric transducer element, a fastener, and a coupling member. The transducer element defines an inner diameter surface and an outer diameter surface. The fastener is configured to secure the transducer element relative to the waveguide. The coupling member is configured to provide electrical continuity between the fastener and the inner diameter surface of the transducer element. The outer diameter surface of the transducer element includes an annular recess. Another coupling member is configured to provide electrical continuity between the annular recess of the piezoelectric transducer element and a power source while permitting the piezoelectric transducer element to rotate relative to the body.
摘要翻译：用于在组织上操作的装置包括主体，轴，超声波叶片和声学组件。轴从身体向远侧延伸。叶片设置在轴的远端。声学组件包括与叶片耦合的声波导，压电换能器元件，紧固件和联接构件。换能器元件限定内径表面和外径表面。紧固件被配置成相对于波导固定换能器元件。联接构件构造成在紧固件和换能器元件的内径表面之间提供电连续性。换能器元件的外径表面包括环形凹部。另一耦合构件被配置为在压电换能器元件的环形凹部和电源之间提供电连续性，同时允许压电换能器元件相对于主体旋转。

8. 发明申请

WO2015041846A2 ALIGNMENT FEATURES FOR ULTRASONIC SURGICAL INSTRUMENT 审中-公开
标题翻译：超声波手术仪器的对准功能
公开(公告)号：WO2015041846A2
公开(公告)日：2015-03-26
申请号：PCT/US2014/053842
申请日：2014-09-03
申请人： ETHICON ENDO-SURGERY, INC.
发明人： SCHULTE, John B. , FALLER, Craig N. , SMITH, Eric B. , SCOGGINS, Patrick J. , STEGEMAN, JoAnn M. , MUHLENKAMP, Tylor C. , DANNAHER, William D. , LAMPING, Michael R. , GEE, Jacob S. , WEISENBURGH, William B., II , BERTKE, Brian D.
IPC分类号： A61B17/3201
CPC分类号： A61B17/2816 , A61B17/285 , A61B17/320092 , A61B2017/2825 , A61B2017/2929 , A61B2017/2945
摘要： An ultrasonic instrument comprises a body, a shaft assembly, an ultrasonic blade, and a pivoting member. The shaft assembly extends distally from the body. The ultrasonic blade is positioned distal to the shaft assembly. The pivoting member is pivotable with respect to the blade from an open position to a closed position to thereby clamp tissue between the pivoting member and the blade. One or both of the shaft assembly or the pivoting member comprise a guide feature. The guide feature is configured to provide lateral alignment of the distal portion of the pivoting member with the blade as the pivoting member is pivoted to the closed position.
摘要翻译：超声波仪器包括主体，轴组件，超声波刀片和枢转构件。轴组件从身体向远侧延伸。超声波刀片定位在轴组件的远侧。枢转构件可相对于叶片从打开位置枢转到关闭位置，从而将组织夹在枢转构件和叶片之间。轴组件或枢转构件中的一个或两个包括引导特征。引导特征构造成当枢转构件枢转到关闭位置时，提供枢转构件的远侧部分与叶片的横向对准。

9. 发明申请

WO2014004099A1 ULTRASONIC SURGICAL INSTRUMENTS WITH CONTROL MECHANISMS 审中-公开
标题翻译：超声波手术仪器与控制机制
公开(公告)号：WO2014004099A1
公开(公告)日：2014-01-03
申请号：PCT/US2013/045641
申请日：2013-06-13
申请人： ETHICON ENDO-SURGERY, INC.
发明人： GEE, Jacob S. , STULEN, Foster B. , HOUSER, Kevin L. , FALLER, Craig N. , STROBL, Geoffrey S. , RHEE, Sora , DANNAHER, William D. , WORRELL, Barry C. , JOHNSON, Gregory W.
IPC分类号： A61B19/00 , A61B17/32 , A61F9/007 , A61B17/29
CPC分类号： A61B17/320092 , A61B34/30 , A61B34/71 , A61B2017/003 , A61B2017/00305 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/00734 , A61B2017/22015 , A61B2017/22018 , A61B2090/508 , A61F9/00745
摘要： Various embodiments are directed to surgical instruments for use in handheld applications or with robotic surgical systems. The surgical instruments may comprise an end effector to treat tissue and a shaft extending proximally from the end effector along a longitudinal axis. Some embodiments may be usable with an instrument mounting portion of a robotic surgical instrument. For example, the shaft may extend proximally to the instrument mounting portion.
摘要翻译：各种实施例涉及用于手持应用或机器人手术系统的手术器械。手术器械可以包括用于治疗组织的末端执行器和沿着纵向轴线从端部执行器向近侧延伸的轴。一些实施例可以与机器人手术器械的器械安装部分一起使用。例如，轴可以向近侧延伸到仪器安装部分。

10. 发明申请

WO2015034682A1 SURGICAL CLIP APPLIER WITH ARTICULATION SECTION 审中-公开
标题翻译：手术夹具应用章节
公开(公告)号：WO2015034682A1
公开(公告)日：2015-03-12
申请号：PCT/US2014/052091
申请日：2014-08-21
申请人： ETHICON ENDO-SURGERY, INC.
发明人： DANNAHER, William D.
IPC分类号： A61B17/10 , A61B17/128 , A61B17/29
CPC分类号： A61B17/1285 , A61B17/083 , A61B17/10 , A61B17/122 , A61B2017/00309 , A61B2017/00986 , A61B2017/00991 , A61B2017/2902 , A61B2017/2908 , A61B2017/2927 , A61B2017/2936
摘要： An instrument (100) for clamping a surgical clip (10) has a handle assembly (170), a shaft assembly (140), and an end effector (110). The handle assembly has a trigger (174) and an articulation knob (172). The shaft assembly has an outer ground tube (160), a middle articulation tube (150), and a push/pull tube (142) disposed within the middle articulation tube. The trigger is operable to cause longitudinal translation of the push/pull tube. The outer ground tube and the middle articulation tube present mating angled faces (152,162) sloped in opposing directions. Rotation of the articulation knob causes rotation of the middle articulation tube. Rotation of the middle articulation tube changes the orientation of the angled faces and thus causes articulation of the middle articulation tube and the push/pull tube. The end effector has a pair of jaws (120,130) configured to apply a surgical clip to a vessel. Longitudinal translation of the push/pull tube causes closure of the pair of jaws.
摘要翻译：用于夹紧手术夹子（10）的器械（100）具有手柄组件（170），轴组件（140）和末端执行器（110）。手柄组件具有触发器（174）和关节旋钮（172）。轴组件具有外接地管（160），中间铰接管（150）和设置在中间铰接管内的推/拉管（142）。触发器可操作以引起推/拉管的纵向平移。外接地管和中间连接管呈现在相反方向上倾斜的配合的倾斜面（152,162）。铰接旋钮的旋转引起中间铰接管的旋转。中间铰接管的旋转改变了倾斜面的方向，从而引起了中间连接管和推/拉管的铰接。末端执行器具有一对钳口（120,130），其构造成将外科夹子施加到血管。推/拉管的纵向平移导致一对夹爪闭合。

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