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1. 发明申请

WO2017116784A1 SURGICAL STAPLER WITH VARIABLE HEIGHT DRIVERS FOR UNIFORM STAPLE FORMATION 审中-公开
标题翻译：具有可变高度驱动器的手术装订器用于均匀成形
公开(公告)号：WO2017116784A1
公开(公告)日：2017-07-06
申请号：PCT/US2016/067433
申请日：2016-12-19
申请人： ETHICON ENDO-SURGERY, LLC
发明人： ADAMS, Thomas , NALAGATLA, Anil K. , LABHASETWAR, Disha V. , JAMISON, Barry T. , TOWERS, Mary R.
IPC分类号： A61B17/072 , A61B17/00
CPC分类号： A61B17/07207 , A61B17/068 , A61B17/072 , A61B2017/00526 , A61B2017/00818 , A61B2017/07221 , A61B2017/07242 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278
摘要： A surgical instrument and method for forming a plurality of staples in tissue of a patient includes a body having a firing mechanism, a shaft assembly, an end effector with an anvil, and a cartridge received within the end effector that is operatively connected to the firing mechanism. The cartridge includes a cartridge housing having a plurality of staple slots, a plurality of staples respectively positioned within the plurality of staple slots, and a driver assembly. The driver assembly has a plurality of drivers respectively supporting the plurality of staples within the plurality of staple slots. The firing mechanism is configured to selectively move the plurality of drivers distally toward the anvil for forming the plurality of staples therebetween. At least one driver of the plurality of drivers has a variable distal height relative to at least another driver of the plurality of drivers in a predetermined variable height pattern.
摘要翻译：用于在患者的组织中形成多个吻合钉的手术器械和方法包括具有发射机构，轴组件，具有砧座的末端执行器以及容纳在末端操作性地连接到发射机构的效应器。所述盒包括具有多个钉槽的钉仓壳体，分别位于所述多个钉槽内的多个钉以及驱动器组件。驱动器组件具有多个驱动器，所述多个驱动器分别支撑多个钉槽内的多个钉。击发机构构造成选择性地将多个驱动器向远侧朝砧座移动，以在其间形成多个钉。所述多个驱动器中的至少一个驱动器相对于所述多个驱动器中的至少另一个驱动器在预定的可变高度模式中具有可变的远端高度。

2. 发明申请

WO2017034889A1 STAPLE CARTRIDGE ASSEMBLY COMPRISING VARIOUS TISSUE COMPRESSION GAPS AND STAPLE FORMING GAPS 审中-公开
标题翻译：包装各种组织压缩成型和成型胶囊的包装盒组件
公开(公告)号：WO2017034889A1
公开(公告)日：2017-03-02
申请号：PCT/US2016/047383
申请日：2016-08-17
申请人： ETHICON ENDO-SURGERY, LLC
发明人： NALAGATLA, Anil K. , DINARDO, Brian , LABHASETWAR, Disha V. , BAXTER, III, Chester O. , SWAYZE, Jeffrey S. , SHELTON, IV, Frederick E. , MORGAN, Jerome R. , HARRIS, Jason L.
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B2017/00004 , A61B2017/00526 , A61B2017/00893 , A61B2017/00964 , A61B2017/0464 , A61B2017/0645 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/1142 , A61B2090/037 , A61B2090/08021 , A61L31/022 , A61L31/10 , A61L31/148
摘要： An end effector including an anvil and a staple cartridge assembly is disclosed. The staple cartridge assembly comprises a deck having steps defined thereon for compressing tissue positioned between the anvil and the staple cartridge assembly to different pressures. The staple cartridge assembly further comprises staples having different unformed heights removably stored therein. The staples are deformed against the anvil to different formed heights.
摘要翻译：公开了一种包括砧座和钉仓组件的端部执行器。钉仓组件包括具有限定在其上的台阶的甲板，用于将位于砧座和钉仓组件之间的组织压缩到不同的压力。钉仓组件还包括具有可移除地存储在其中的不同未成形高度的钉。钉子相对于砧座变形到不同的形成的高度。

3. 发明申请

WO2017116785A1 SURGICAL STAPLER WITH CURVED OUTER SURFACE ON ANVIL 审中-公开
标题翻译：手术吻合器在ANVIL上具有弯曲的外表面
公开(公告)号：WO2017116785A1
公开(公告)日：2017-07-06
申请号：PCT/US2016/067436
申请日：2016-12-19
申请人： ETHICON ENDO-SURGERY, LLC
发明人： ADAMS, Thomas , NALAGATLA, Anil K. , JAMISON, Barry T.
IPC分类号： A61B17/072
CPC分类号： A61B17/068 , A61B17/072 , A61B2017/00743 , A61B2017/07221 , A61B2017/07257 , A61B2017/07278 , A61B2017/07285 , A61B2017/320052 , A61B2090/036
摘要： A surgical instrument and method of manipulating colon tissue of a patient includes a body having a firing mechanism, a shaft assembly, and an end effector operatively connected to the firing mechanism via the shaft assembly. The end effector is configured to receive a cartridge selectively actuated by the selective manipulation of the firing mechanism. A distal end portion of the end effector includes a first end, a second end laterally opposite the first end, and a distal crest laterally positioned between the first and second ends that projects distally beyond the first and second ends. The distal end portion also includes an arcuate distal surface extending along the distal with a radius of curvature configured to be received against the pelvic bowl of the patient to position the end effector relative to colon tissue for manipulating the colon tissue with the cartridge.
摘要翻译：控制患者结肠组织的手术器械和方法包括具有发射机构，轴组件和通过轴组件可操作地连接到发射机构的端部执行器的主体。末端执行器构造成接收通过对发射机构的选择性操纵而选择性地致动的盒。末端执行器的远端部分包括第一端部，与第一端部横向相对的第二端部以及横向地定位在第一端部和第二端部之间的远侧冠部，所述远侧冠部向远侧突出超过第一端部和第二端部。远端部分还包括沿着远端以曲率半径延伸的弧形远端表面，该弧形远端表面被构造为抵靠患者的骨盆接收，以将端部执行器相对于结肠组织定位，以用于使用筒管操纵结肠组织。 p>

4. 发明申请

WO2017019352A2 SURGICAL INSTRUMENT COMPRISING SYSTEMS FOR ASSURING THE PROPER SEQUENTIAL OPERATION OF THE SURGICAL INSTRUMENT 审中-公开
标题翻译：包含系统的手术仪器，用于确保手术仪器的正确顺序操作
公开(公告)号：WO2017019352A2
公开(公告)日：2017-02-02
申请号：PCT/US2016/042744
申请日：2016-07-18
申请人： ETHICON ENDO-SURGERY, LLC
发明人： NALAGATLA, Anil K. , PATEL, Sudhir B. , SHELTON, IV, Frederick E.
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B17/068 , A61B17/072 , A61B17/1155 , A61B2017/00115 , A61B2017/00393 , A61B2017/00398 , A61B2017/00407 , A61B2017/07285 , A61B2017/2915 , A61B2017/2923 , A61B2090/034 , A61B2090/037 , A61B2090/0801 , A61B2090/0811
摘要： A surgical instrument is disclosed which comprises a tissue clamping system, a staple firing system, and a tissue cutting system. The systems of the surgical instrument can co-operate with one another to prevent the systems from being operated out of order, and/or prevent the systems from being operated in an undesirable order.
摘要翻译：公开了一种外科器械，其包括组织夹持系统，缝合钉射出系统和组织切割系统。手术器械的系统可以彼此协作，以防止系统无序操作，和/或防止系统以不期望的顺序操作。

5. 发明申请

WO2016137809A1 SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF-LIFE PARAMETER 审中-公开
标题翻译：配置的跟踪终生参数的外科手术器械
公开(公告)号：WO2016137809A1
公开(公告)日：2016-09-01
申请号：PCT/US2016/018415
申请日：2016-02-18
申请人： ETHICON ENDO-SURGERY, LLC
发明人： BECKMAN, Andrew T. , NALAGATLA, Anil K. , KOCH, Robert L., Jr. , HIBNER, John A. , SHELTON, IV, Frederick E.
IPC分类号： A61B17/072 , A61B17/00 , A61B90/00
CPC分类号： A61B17/072 , A61B17/068 , A61B17/07207 , A61B17/1155 , A61B17/1628 , A61B17/2909 , A61B50/33 , A61B90/70 , A61B90/98 , A61B2017/0003 , A61B2017/00084 , A61B2017/00115 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/0046 , A61B2017/00464 , A61B2017/00716 , A61B2017/00725 , A61B2017/00734 , A61B2017/2925 , A61B2090/0803 , A61B2090/0809 , A61B2090/0812 , A61B2090/0813 , A61B2090/0814 , A61L2/26 , A61L2/28 , B25F3/00 , B25F5/006 , B25H3/006 , G06F19/00 , G16H40/20 , G16H40/40 , H01M2/1022 , H01M2/1027 , H01M2/1055 , H01M2/1066 , H01M2/1094 , H01M10/0445 , H01M10/4257 , H01M10/613 , H01M10/6235 , H01M10/658 , H01M2220/30 , H02J7/00 , H02J7/0004 , H02J7/0014 , H02J7/0027 , H02J7/0042 , H02J7/0045 , H02J7/0047 , H02J7/0054 , H02J7/0055 , H02J2007/005 , H02J2007/0098
摘要： A surgical apparatus is disclosed which comprises a handle module and a detachable shaft module for collectively performing a surgical procedure. The handle module comprises a rotary drive system for driving the detachable shaft module, an electric motor coupled to the rotary drive system for powering the rotary drive system, one or more sensors, and a handle module processor circuit in communication with the one or more sensors and the electric motor. The handle module processor circuit is programmed to control the electric motor. The handle module processor circuit is also programmed to track and/or count an end-of-life parameter for the handle module based on input from the one or more sensors.
摘要翻译：公开了一种手术装置，其包括手柄模块和用于共同执行外科手术的可拆卸轴模块。手柄模块包括用于驱动可拆卸轴模块的旋转驱动系统，耦合到用于为旋转驱动系统供电的一个或多个传感器的旋转驱动系统的电动马达以及与该一个或多个传感器通信的手柄模块处理器电路和电动机。手柄模块处理器电路被编程以控制电动机。手柄模块处理器电路还被编程为基于来自一个或多个传感器的输入来跟踪和/或计数手柄模块的寿命终止参数。

6. 发明申请

WO2017034887A1 SURGICAL STAPLING CONFIGURATIONS FOR CURVED AND CIRCULAR STAPLING INSTRUMENTS 审中-公开
标题翻译：弯曲和圆形包装仪器的外科手术配置
公开(公告)号：WO2017034887A1
公开(公告)日：2017-03-02
申请号：PCT/US2016/047371
申请日：2016-08-17
申请人： ETHICON ENDO-SURGERY, LLC
发明人： NALAGATLA, Anil K. , DINARDO, Brian , BAXTER, III, Chester O. , SWAYZE, Jeffrey S. , SHELTON, IV, Frederick E. , LABHASETWAR, Disha V.
IPC分类号： A61B17/064 , A61B17/072 , A61B17/115
CPC分类号： A61B17/105 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B2017/00004 , A61B2017/00526 , A61B2017/00893 , A61B2017/00964 , A61B2017/0464 , A61B2017/0645 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/1142 , A61B2090/037 , A61B2090/08021 , A61L31/022 , A61L31/10 , A61L31/148
摘要： Circular and curved surgical stapling instruments are disclosed comprising a circular and curved stapling configurations. A circular staple cartridge comprises a plurality of staples arranged in an inner row, an intermediate row, and an outer row. Staples in certain rows can vary in crown width to overlap gaps defined between staples in certain other rows which provide a stretch zone.
摘要翻译：公开了圆形和弯曲的外科缝合器械，其包括圆形和弯曲的缝合构型。圆形钉仓包括布置在内排，中间行和外排中的多个订书钉。某些行中的钉书钉可以在冠宽度上变化以重叠在提供拉伸区域的某些其他行中的钉之间限定的间隙。

7. 发明申请

WO2017019347A1 SURGICAL INSTRUMENT COMPRISING A SYSTEM FOR BYPASSING AN OPERATIONAL STEP OF THE SURGICAL INSTRUMENT 审中-公开
标题翻译：包含外科手术器械操作系统的外科手术器械
公开(公告)号：WO2017019347A1
公开(公告)日：2017-02-02
申请号：PCT/US2016/042728
申请日：2016-07-18
申请人： ETHICON ENDO-SURGERY, LLC
发明人： NALAGATLA, Anil K. , PATEL, Sudhir B.
IPC分类号： A61B17/072 , A61B90/00
CPC分类号： A61B17/105 , A61B17/068 , A61B17/072 , A61B17/1155 , A61B2017/00115 , A61B2017/00393 , A61B2017/00398 , A61B2017/00407 , A61B2017/07285 , A61B2017/2915 , A61B2017/2923 , A61B2090/034 , A61B2090/037 , A61B2090/0801 , A61B2090/0811
摘要： A surgical instrument is disclosed which comprises a staple firing system and a tissue cutting system. In various instances, the surgical instrument further comprises a lockout configured to prevent the retraction of the staple firing system until the tissue cutting system has been completely actuated. The surgical instrument can also comprise a bypass configured to deactivate the lockout.
摘要翻译：公开了一种外科器械，其包括切割射出系统和组织切割系统。在各种情况下，手术器械进一步包括锁定件，其被构造成防止缝合钉射出系统的缩回，直到组织切割系统已被完全致动。手术器械还可以包括被配置为停用锁定的旁路。

8. 发明申请

WO2017116782A1 SURGICAL STAPLER WITH END OF STROKE INDICATOR 审中-公开
标题翻译：具有脑卒中终点指示器的外科手术器械
公开(公告)号：WO2017116782A1
公开(公告)日：2017-07-06
申请号：PCT/US2016/067429
申请日：2016-12-19
申请人： ETHICON ENDO-SURGERY, LLC
发明人： ADAMS, Thomas , JAMISON, Barry T. , DICKINSON, Steven , NALAGATLA, Anil K.
IPC分类号： A61B17/072
CPC分类号： A61B90/08 , A61B17/0686 , A61B17/072 , A61B2017/0038 , A61B2017/07221 , A61B2017/07228 , A61B2017/07271 , A61B2017/07285 , A61B2017/2945 , A61B2090/0811
摘要： A surgical instrument and method for indicating that a cartridge has been fired includes an end effector receiving a cartridge having at least one of a knife and a plurality of staples, a shaft assembly connected to the end effector, and a handle assembly. The handle assembly has a handle housing, a firing member configured to selectively actuate from a first position to a second position as a firing stroke, and a feedback generator operatively connected to the firing member. The firing member is configured to actuate the cartridge from an unfired cartridge position to a fired cartridge position when the firing member is actuated. The feedback generator is configured to communicate an audible sound and a visual indicia to an operator indicative of the firing member completing the firing stroke for actuating the cartridge to the fired cartridge position.
摘要翻译：用于指示盒已经被发射的手术器械和方法包括：端部执行器，接收具有刀和多个钉中的至少一个的盒;轴组件，连接至端部执行器; 和一个手柄组件。手柄组件具有手柄壳体，配置成作为击发行程从第一位置选择性地致动到第二位置的击发构件以及可操作地连接到击发构件的反馈发生器。击发构件被配置成当击发构件被致动时将盒从未击发的仓位致动到击发的仓位。反馈生成器被配置为向操作者传达可听见的声音和视觉标记，指示击发构件完成击发行程以用于将盒致动至击发的盒的位置。

9. 发明申请

WO2017019353A1 SURGICAL INSTRUMENT COMPRISING SEPARATE TISSUE SECURING AND TISSUE CUTTING SYSTEMS 审中-公开
标题翻译：包含独立组织安全和组织切割系统的手术仪器
公开(公告)号：WO2017019353A1
公开(公告)日：2017-02-02
申请号：PCT/US2016/042746
申请日：2016-07-18
申请人： ETHICON ENDO-SURGERY, LLC
发明人： NALAGATLA, Anil K. , PATEL, Sudhir B. , SHELTON, IV, Frederick E.
IPC分类号： A61B17/072
CPC分类号： A61B17/105 , A61B17/068 , A61B17/072 , A61B2017/00115 , A61B2017/00367 , A61B2017/00389 , A61B2017/00398 , A61B2090/034 , A61B2090/0811
摘要： A surgical instrument is disclosed which comprises a staple firing system and a tissue cutting system. In various instances, the instrument is configured to prevent the tissue cutting system from being operated before the staple firing system has been fully actuated. In certain instances, the instrument is configured to prevent the tissue cutting system from being operated before the staple firing system has been actuated to sufficiently deform the staples.
摘要翻译：公开了一种外科器械，其包括切割射出系统和组织切割系统。在各种情况下，该仪器被配置成防止组织切割系统在完全启动订书钉之前被操作。在某些情况下，该仪器构造成防止组织切割系统在已经致动订书钉点火系统以使订书钉充分变形之前被操作。

10. 发明申请

WO2016138056A1 SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCE PARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND 审中-公开
标题翻译：手术设备配置为评估外科手术器械的性能参数是否在可接受的性能条带内
公开(公告)号：WO2016138056A1
公开(公告)日：2016-09-01
申请号：PCT/US2016/019216
申请日：2016-02-24
申请人： ETHICON ENDO-SURGERY, LLC
发明人： BECKMAN, Andrew T. , NALAGATLA, Anil K. , HIBNER, John A. , SHELTON, IV, Frederick E.
IPC分类号： A61B17/072 , A61B17/115 , A61L2/24 , A61B90/00 , A61L2/26 , H01M10/42 , H02J7/00
CPC分类号： A61B17/072 , A61B17/068 , A61B17/07207 , A61B17/115 , A61B17/1155 , A61B50/33 , A61B90/70 , A61B90/98 , A61B2017/00017 , A61B2017/0003 , A61B2017/00084 , A61B2017/00115 , A61B2017/00199 , A61B2017/00398 , A61B2017/0046 , A61B2017/00464 , A61B2017/00716 , A61B2017/00725 , A61B2017/00734 , A61B2017/07214 , A61B2050/3008 , A61B2090/0803 , A61B2090/0809 , A61B2090/0812 , A61B2090/0813 , A61B2090/0814 , A61L2/00 , B25F3/00 , H01M2/1022 , H01M2/1055 , H01M2/34 , H01M2220/30 , H02J7/0027 , H02J7/0042 , H02J7/0045 , H02J2007/005
摘要： A surgical apparatus is disclosed which comprises a handle module that is attachable to a detachable shaft module for collectively performing a surgical procedure. The handle module comprises a rotary drive system for driving the detachable shaft module, an electric motor coupled to the rotary drive system for powering the rotary drive system, one or more sensors for sensing the performance of the electric motor, and a handle module processor circuit in communication with the one or more sensors. The handle module processor circuit is programmed to monitor a performance parameter of the handle module based on input from the one or more sensors by monitoring whether the performance parameter is outside an acceptable performance band.
摘要翻译：公开了一种手术装置，其包括可附接到可拆卸轴模块的手柄模块，用于共同执行外科手术。手柄模块包括用于驱动可拆卸轴模块的旋转驱动系统，耦合到用于为旋转驱动系统供电的旋转驱动系统的电动机，用于感测电动机的性能的一个或多个传感器，以及手柄模块处理器电路与一个或多个传感器通信。手柄模块处理器电路被编程为通过监视性能参数是否在可接受的性能频带之外，基于来自一个或多个传感器的输入来监视手柄模块的性能参数。

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