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1. 发明申请

WO2016153872A1 ELECTROSURGICAL DEVICE HAVING CONTROLLABLE CURRENT PATHS 审中-公开
标题翻译：具有可控电流模式的电磁装置
公开(公告)号：WO2016153872A1
公开(公告)日：2016-09-29
申请号：PCT/US2016/022604
申请日：2016-03-16
申请人： ETHICON ENDO-SURGERY, LLC
发明人： STROBL, Geoffrey S. , DAVIS, Craig T. , FELDER, Kevin D. , YATES, David C. , WORRELL, Barry C.
IPC分类号： A61B18/14 , A61B18/00 , A61B18/12 , A61B90/00
CPC分类号： A61B18/1445 , A61B18/1447 , A61B2018/00083 , A61B2018/0016 , A61B2018/00601 , A61B2018/00619 , A61B2018/0063 , A61B2018/00642 , A61B2018/00648 , A61B2018/00654 , A61B2018/00791 , A61B2018/00797 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/124 , A61B2018/126 , A61B2018/1455 , A61B2018/1467 , A61B2090/065
摘要： An electrosurgical instrument. The electrosurgical instrument includes an end effector movable between a first position and a second position, a first jaw member which includes first and second electrically conductive members, and a second jaw member which includes a third electrically conductive member. The first jaw member is movable relative to the second jaw member from an open position to a closed position to grasp a tissue positioned between the first and second jaw members. At least one of the first and second jaw members is adapted to connect to an electrosurgical energy source such that electrosurgical energy can be selectively communicated through the tissue positioned between the first and second jaw members to effect a tissue seal. A distance between the first electrically conductive member and the third electrically conductive member is less than a distance between the second electrically conductive member and the third electrically conductive member.
摘要翻译：电外科器械。电外科器械包括可在第一位置和第二位置之间移动的端部执行器，包括第一和第二导电构件的第一钳口构件和包括第三导电构件的第二钳口构件。第一钳口构件可相对于第二钳口构件从打开位置移动到关闭位置，以抓握位于第一和第二钳口构件之间的组织。第一和第二钳口构件中的至少一个适于连接到电外科能源，使得电外科能量可以选择性地通过位于第一和第二钳口构件之间的组织传递以实现组织密封。第一导电构件和第三导电构件之间的距离小于第二导电构件和第三导电构件之间的距离。

2. 发明申请

WO2016148887A1 FLEXIBLE NECK FOR SURGICAL INSTRUMENTS 审中-公开
标题翻译：手术仪器的灵活性
公开(公告)号：WO2016148887A1
公开(公告)日：2016-09-22
申请号：PCT/US2016/020069
申请日：2016-02-29
申请人： ETHICON ENDO-SURGERY, LLC
发明人： STEWART, Randolph , STROBL, Geoffrey S. , WORRELL, Barry C.
IPC分类号： A61B17/29 , A61B17/00
CPC分类号： A61B18/1445 , A61B17/29 , A61B18/1482 , A61B2017/00309 , A61B2017/00526 , A61B2017/00986 , A61B2017/2927 , A61B2018/1455
摘要： Methods and devices for allowing articulation of an end effector on a surgical instrument are provided. In one embodiment, a surgical device (2) can include a flexible neck portion (40) having an end effector (8) coupled to a distal end thereof. The flexible neck portion (40) is configured to bend to as to allow the end effector (8) to articulate. The flexible neck portion (40) can include a monolithic flexible outer shell (42) defining an inner lumen (44) extending therethrough. At least one flexible divider (46, 46A, 46B) can be disposed within the inner lumen (44) such that it separates the outer shell (42) into elongate pathways configured to receive articulation members extending through the shaft assembly (6) and the flexible neck (40) and coupled to the end effector (8) to cause articulating movement thereof.
摘要翻译：提供了用于允许端部执行器在外科器械上的铰接的方法和装置。在一个实施例中，手术装置（2）可以包括具有联接到其远端的端部执行器（8）的柔性颈部（40）。柔性颈部（40）构造成弯曲成允许端部执行器（8）铰接。柔性颈部（40）可以包括限定从其延伸穿过的内腔（44）的整体柔性外壳（42）。至少一个柔性分隔器（46,46A，46B）可以设置在内腔（44）内，使得其将外壳（42）分离成细长通路，该通路构造成容纳延伸穿过轴组件（6）的铰接构件，并且柔性颈部（40）并且联接到末端执行器（8）以引起关节运动。

3. 发明申请

WO2016148888A1 SURGICAL JAW COUPLING METHODS AND DEVICES 审中-公开
标题翻译：外科手术联合方法和装置
公开(公告)号：WO2016148888A1
公开(公告)日：2016-09-22
申请号：PCT/US2016/020074
申请日：2016-02-29
申请人： ETHICON ENDO-SURGERY, LLC
发明人： WORRELL, Barry C. , KALLENBERGER, Kris E. , STEWART, Randolph C. , LESKO, Jason R. , SHAW, William D.
IPC分类号： A61B18/14 , A61B17/29 , A61B90/00 , A61B17/00
CPC分类号： A61B17/2816 , A61B17/282 , A61B18/1445 , A61B2017/00526 , A61B2017/2936 , A61B2017/2939 , A61B2018/1455 , A61B2090/032
摘要： A surgical end effector is provided having upper and lower jaws pivotally coupled to one another by at least one connecting member that is configured to allow a gap between the jaws to be set at a desired height. In one embodiment, the connecting member can be pivotably coupled to the upper jaw and fixed within a slot in the lower jaw. The connecting member can be fixed within the slot in one of multiple positions so as to position first and second tissue contacting surfaces of the upper and lower jaws at a predetermined distance from one another when the first and second jaws are in the closed position. The connecting member can include a pin formed thereon that extends into a bore formed in the upper jaw. Alternatively, the upper jaw can include a pin formed thereon that extends into a bore formed in the connecting member.
摘要翻译：提供外科末端执行器，其具有通过至少一个连接构件彼此可枢转地联接的上下爪，所述至少一个连接构件被构造成允许夹爪之间的间隙被设定在期望的高度。在一个实施例中，连接构件可以可枢转地联接到上钳口并固定在下钳口中的槽中。连接构件可以在多个位置中的一个位置中固定在槽内，以便当第一和第二钳口处于关闭位置时，使上钳口和下钳口的第一和第二组织接触表面彼此以预定距离彼此定位。连接构件可以包括形成在其上的销，该销延伸到形成在上颚中的孔中。或者，上钳口可以包括形成在其上的销，其延伸到形成在连接构件中的孔中。

4. 发明申请

WO2017100427A3 END EFFECTOR FOR INSTRUMENT WITH ULTRASONIC BLADE AND BIPOLAR CLAMP ARM 审中-公开
标题翻译：具有超声刀和双臂夹钳的终端执行器
公开(公告)号：WO2017100427A3
公开(公告)日：2017-06-15
申请号：PCT/US2016/065575
申请日：2016-12-08
申请人： ETHICON ENDO-SURGERY, LLC
发明人： LESKO, Jason R. , CORBETT, Catherine A. , WEISENBURGH, II, William B. , WORRELL, Barry C. , DAVISON, Mark A. , BOUDREAUX, Chad P. , CUMMINGS, Nathan , GENTRY, Ellen , DANNAHER, William D. , HOUGH, Christina M. , FALLER, Craig N. , MESSERLY, Jeffrey D. , BROWN, Adam , CHEN, Kai , CLEM, William E.
IPC分类号： A61B18/14 , A61B17/32
摘要： An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a first electrode and a second electrode. The first and second electrodes are operable to cooperate to apply bipolar RF energy to tissue.
摘要翻译：一种装置包括主体，轴组件和末端执行器。末端执行器包括超声刀和夹臂组件。超声刀片与轴组件的声波导声学连通。夹臂组件可朝向和远离超声刀片枢转。夹臂组件包括第一电极和第二电极。第一和第二电极可操作以协作以向组织施加双极RF能量。

5. 发明申请

WO2017100423A3 END EFFECTOR FOR INSTRUMENT WITH ULTRASONIC AND ELECTROSURGICAL FEATURES 审中-公开
公开(公告)号：WO2017100423A3
公开(公告)日：2017-06-15
申请号：PCT/US2016/065570
申请日：2016-12-08
申请人： ETHICON ENDO-SURGERY, LLC
发明人： JOHNSON, Gregory W. , LESKO, Jason R. , ESTERA, Frederick L. , KRUMM (PORTER), Amy M. , CORBETT, Catherine A. , WEISENBURGH, II, William B. , WORRELL, Barry C. , DAVISON, Mark A. , BOUDREAUX, Chad P. , HIBNER, John A. , ISOSAKI, Joseph , WAN, Shan , OTREMBIAK, Candice , WIENER, Eitan T. , MESSERLY, Jeffrey D. , MILLER, Matthew C.
IPC分类号： A61B18/14 , A61B17/32 , A61B17/00 , A61B17/29
摘要： An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a clamp pad and an electrode. The clamp pad is configured to compress tissue against the ultrasonic blade. The clamp pad has a proximal end, a distal end, and a pair of lateral sides extending from the proximal end to the distal end. The electrode is operable to apply RF energy to tissue. The electrode extends along both lateral sides of the clamp pad. The electrode further extends around the distal end of the clamp pad.

6. 发明申请

WO2017095770A1 DEVICES AND METHODS FOR INCREASING ROTATIONAL TORQUE DURING END EFFECTOR ARTICULATION 审中-公开
标题翻译：用于增加末端执行器磨合期间的旋转扭矩的装置和方法
公开(公告)号：WO2017095770A1
公开(公告)日：2017-06-08
申请号：PCT/US2016/063911
申请日：2016-11-29
申请人： ETHICON ENDO-SURGERY, LLC
发明人： WORRELL, Barry C. , LESKO, Jason R.
IPC分类号： A61B17/29 , A61B18/14
CPC分类号： A61B17/29 , A61B17/2816 , A61B17/282 , A61B17/2909 , A61B18/1445 , A61B2017/003 , A61B2017/2927 , A61B2017/2929 , A61B2018/1455
摘要： Devices and methods for increasing rotational torque during end effector articulation are provided. In general, a surgical device can include an end effector configured to articulate. The end effector can be configured to move between different angular orientations relative to an elongate shaft of the device having the end effector at a distal end thereof. The elongate shaft and the end effector can be configured to be rotated relative to a handle portion of the device. The device can include at least one friction member configured to provide increased resistance to rotation of the elongate shaft and the end effector when the end effector is articulated as compared to when the end effector is not articulated. The at least one friction member can thus be configured to increase rotational torque when the end effector is articulated as compared to when the end effector is not articulated.
摘要翻译：提供了用于在末端执行器关节运动期间增加旋转扭矩的装置和方法。通常，手术装置可以包括被配置为铰接的末端执行器。末端执行器可以构造成相对于在其远端具有末端执行器的装置的细长轴在不同的角度取向之间移动。细长轴和端部执行器可以构造成相对于装置的手柄部分旋转。该装置可以包括至少一个摩擦构件，该摩擦构件被构造成当末端执行器被铰接时与末端执行器未被铰接时相比，对细长轴和末端执行器的旋转提供增加的阻力。与末端执行器未被铰接时相比，该至少一个摩擦构件因此可以被构造成在端部执行器被铰接时增加旋转扭矩。

7. 发明申请

WO2016168549A1 ULTRASONIC SURGICAL INSTRUMENT WITH MOVABLE RIGIDIZING MEMBER 审中-公开
标题翻译：超声波手术器械与可移动的刚性器官
公开(公告)号：WO2016168549A1
公开(公告)日：2016-10-20
申请号：PCT/US2016/027684
申请日：2016-04-15
申请人： ETHICON ENDO-SURGERY, LLC
发明人： WEISENBURGH, II, William B. , WORRELL, Barry C. , MESSERLY, Jeffrey D. , PIROZZI, Kristen L. , FALLER, Craig N. , SCHULTE, John B. , DENZINGER, Kristen , HOLLO, Joseph E. , SULLIVAN, Jason R. , BLACK, Brian D. , ESTERA, Frederick L. , MONROE, David A. , LEUCK, Stephen M. , MUHLENKAMP, Tylor C. , TREES, Gregory A. , JOHNSON, Gregory W. , STULEN, Foster B.
IPC分类号： A61B17/295 , A61B17/32 , A61B17/22 , A61B17/29 , A61B17/00
CPC分类号： A61B17/320092 , A61B17/295 , A61B17/320068 , A61B2017/003 , A61B2017/00305 , A61B2017/00309 , A61B2017/00314 , A61B2017/00327 , A61B2017/00336 , A61B2017/00424 , A61B2017/0046 , A61B2017/2927 , A61B2017/2946
摘要： A surgical apparatus includes a body assembly, a shaft, an acoustic waveguide, an articulation section, an end effector, and a rigidizing member. The shaft extends distally from the body assembly and defines a longitudinal axis. The acoustic waveguide includes a flexible portion. The articulation section is coupled with the shaft. A portion of the articulation section encompasses the flexible portion of the waveguide. The articulation section includes a first member and a second member. The second member is longitudinally translatable relative to the first member. The end effector includes an ultrasonic blade in acoustic communication with the waveguide. The rigidizing member is configured to selectively engage at least a portion of the articulation section to thereby selectively provide rigidity to the articulation section.
摘要翻译：手术装置包括主体组件，轴，声波导，关节运动部分，末端执行器和刚性部件。轴从主体组件向远侧延伸并且限定纵向轴线。声波导包括柔性部分。铰接部分与轴连接。关节运动部分的一部分包围波导的柔性部分。铰接部分包括第一部件和第二部件。第二构件相对于第一构件纵向平移。末端执行器包括与波导声学连通的超声刀片。刚性构件构造成选择性地接合关节运动部分的至少一部分，从而选择性地为关节运动部分提供刚性。

8. 发明申请

WO2016168539A1 ULTRASONIC SURGICAL INSTRUMENT WITH ARTICULATION JOINT HAVING INTEGRAL STIFFENING MEMBERS 审中-公开
标题翻译：超声波手术仪器与具有整合性强化成员的关节联合
公开(公告)号：WO2016168539A1
公开(公告)日：2016-10-20
申请号：PCT/US2016/027672
申请日：2016-04-15
申请人： ETHICON ENDO-SURGERY, LLC
发明人： SHAPIRO, Cara L. , ASHER, Ryan M. , DENZINGER, Kristen , WEISENBURGH, II, William B. , CAGLE, David J. , DICKERSON, Benjamin D. , WORRELL, Barry C. , JOHNSON, Gregory W. , HOLLO, Joseph E. , SULLIVAN, Jason R. , MUHLENKAMP, Tylor C. , BALEK, Stephen J.
IPC分类号： A61B17/32 , A61B17/295 , A61B1/00 , A61B17/00 , A61B17/29
CPC分类号： A61N7/02 , A61B17/295 , A61B17/320068 , A61B17/320092 , A61B2017/003 , A61B2017/00309 , A61B2017/00314 , A61B2017/00327 , A61B2017/00336 , A61B2017/2927 , A61B2017/2946 , A61B2018/00607
摘要： A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and a rigidizing member. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section is operable to flex to thereby deflect the end effector from a longitudinal axis defined by the shaft. The rigidizing member is operable to selectively rigidize the articulation section and thereby prevent deflection of the end effector by preventing flexibility of the articulation section. Such rigidization includes removing any "play" or other small movement that might otherwise be provided by the articulation section due to manufacturing tolerances and/or looseness between parts.
摘要翻译：手术装置包括主体，超声波换能器，轴，声波导，关节运动部分，末端执行器和刚性构件。超声波换能器可操作以将电力转换成超声波振动。轴将末端执行器和身体连接在一起。声波导与传感器耦合。铰接部分可操作以弯曲，从而使端部执行器从由轴限定的纵向轴线偏转。刚性构件可操作以选择性地使关节运动部分刚性化，从而通过防止关节运动部分的柔性来防止末端执行器的偏转。这种刚性化包括由于制造公差和/或部件之间的松动而去除由铰接部分另外可能提供的任何“打”或其他小的运动。

9. 发明申请

WO2017100427A2 END EFFECTOR FOR INSTRUMENT WITH ULTRASONIC BLADE AND BIPOLAR CLAMP ARM 审中-公开
公开(公告)号：WO2017100427A2
公开(公告)日：2017-06-15
申请号：PCT/US2016/065575
申请日：2016-12-08
申请人： ETHICON ENDO-SURGERY, LLC
发明人： LESKO, Jason R. , CORBETT, Catherine A. , WEISENBURGH, II, William B. , WORRELL, Barry C. , DAVISON, Mark A. , BOUDREAUX, Chad P. , CUMMINGS, Nathan , GENTRY, Ellen , DANNAHER, William D. , HOUGH, Christina M. , FALLER, Craig N. , MESSERLY, Jeffrey D. , BROWN, Adam , CHEN, Kai , CLEM, William E.
IPC分类号： A61B18/14
CPC分类号： A61B17/320092 , A61B18/1206 , A61B18/1445 , A61B2018/00077 , A61B2018/00083 , A61B2018/00202 , A61B2018/00404 , A61B2018/00595 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61B2018/00791 , A61B2018/00922 , A61B2018/00994 , A61B2018/126 , A61B2018/142 , A61B2018/1455
摘要： An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a first electrode and a second electrode. The first and second electrodes are operable to cooperate to apply bipolar RF energy to tissue.

10. 发明申请

WO2017100423A2 END EFFECTOR FOR INSTRUMENT WITH ULTRASONIC AND ELECTROSURGICAL FEATURES 审中-公开
标题翻译：超声波和电外科器械的末端执行器
公开(公告)号：WO2017100423A2
公开(公告)日：2017-06-15
申请号：PCT/US2016/065570
申请日：2016-12-08
申请人： ETHICON ENDO-SURGERY, LLC
发明人： JOHNSON, Gregory W. , LESKO, Jason R. , ESTERA, Frederick L. , KRUMM (PORTER), Amy M. , CORBETT, Catherine A. , WEISENBURGH, II, William B. , WORRELL, Barry C. , DAVISON, Mark A. , BOUDREAUX, Chad P. , HIBNER, John A. , ISOSAKI, Joseph , WAN, Shan , OTREMBIAK, Candice , WIENER, Eitan T. , MESSERLY, Jeffrey D. , MILLER, Matthew C.
IPC分类号： A61B18/14
CPC分类号： A61B17/320092 , A61B18/1206 , A61B18/1445 , A61B18/1492 , A61B2017/00389 , A61B2018/00077 , A61B2018/00083 , A61B2018/00404 , A61B2018/00595 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61B2018/00791 , A61B2018/00922 , A61B2018/00994 , A61B2018/126 , A61B2018/142 , A61B2018/1455
摘要： An apparatus includes a body, a shaft assembly, and an end effector. The end effector includes an ultrasonic blade and a clamp arm assembly. The ultrasonic blade is in acoustic communication with an acoustic waveguide of the shaft assembly. The clamp arm assembly is pivotable toward and away from the ultrasonic blade. The clamp arm assembly includes a clamp pad and an electrode. The clamp pad is configured to compress tissue against the ultrasonic blade. The clamp pad has a proximal end, a distal end, and a pair of lateral sides extending from the proximal end to the distal end. The electrode is operable to apply RF energy to tissue. The electrode extends along both lateral sides of the clamp pad. The electrode further extends around the distal end of the clamp pad.
摘要翻译：一种装置包括主体，轴组件和末端执行器。末端执行器包括超声刀和夹臂组件。超声刀片与轴组件的声波导声学连通。夹臂组件可朝向和远离超声刀片枢转。夹臂组件包括夹持垫和电极。夹垫构造成将组织压靠在超声刀上。夹持垫具有近端，远端和从近端延伸到远端的一对横向侧。电极可操作以将RF能量施加到组织。电极沿着夹持垫的两个侧面延伸。电极进一步围绕夹持垫的远端延伸。

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