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1. 发明申请

WO2008045355A8 FLEXIBLE ENDOSCOPIC STITCHING DEVICES 审中-公开
公开(公告)号：WO2008045355A8
公开(公告)日：2008-04-17
申请号：PCT/US2007/021449
申请日：2007-10-05
申请人： TYCO HEALTHCARE GROUP LP , VIOLA, Frank, J. , TAYLOR, Eric, J. , HATHAWAY, Peter , HORTON, Kenneth, W.
发明人： VIOLA, Frank, J. , TAYLOR, Eric, J. , HATHAWAY, Peter , HORTON, Kenneth, W.
IPC分类号： A61B17/32
摘要： An endoscopic stitching device is provided including a handle assembly and an end effector operatively connected to the handle assembly. The handle assembly includes a housing; a trigger operatively supported on the housing; and an actuation cable operatively connected to the trigger and extending from the housing in such a manner that an actuation of the trigger imparts axial translation and rotation to the actuation cable. The end effector includes a tool assembly configured and adapted to perform at least a pair of operations. The actuation cable is operatively connected to the tool assembly in such a manner that the actuation cable is capable of effecting a first operation of the pair of operations of the end effector upon the axial translation thereof and/or effecting a second operation of the pair of operations of the end effector upon the rotation thereof.

2. 发明申请

WO2008045394A2 FLEXIBLE ENDOSCOPIC STITCHING DEVICES 审中-公开
标题翻译：柔性内窥镜缝合装置
公开(公告)号：WO2008045394A2
公开(公告)日：2008-04-17
申请号：PCT/US2007/021506
申请日：2007-10-05
申请人： TYCO HEALTHCARE GROUP LP , TAYLOR, Eric, J. , HATHAWAY, Peter , VIOLA, Frank, J. , HORTON, Kenneth, W.
发明人： TAYLOR, Eric, J. , HATHAWAY, Peter , VIOLA, Frank, J. , HORTON, Kenneth, W.
IPC分类号： A61B17/94
CPC分类号： A61B17/0469 , A61B17/04 , A61B17/0491 , A61B17/0625 , A61B2017/00323 , A61B2017/06042 , A61B2017/0609 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/2943
摘要： An endoscopic stitching device is provided including an end effector configured and adapted to perform at least a pair of functions; and a single actuation cable operatively connected to the end effector, wherein the actuation cable is capable of effecting operation of at least the pair of functions. The actuation cable is capable of effecting a first operation of the pair of functions upon an axial translation thereof, and a second operation of the pair of functions upon a rotation thereof.
摘要翻译：提供了一种内窥镜缝合装置，包括构造并适于执行至少一对功能的端部执行器; 以及可操作地连接到末端执行器的单个致动电缆，其中所述致动电缆能够实现至少所述一对功能的操作。致动电缆能够在其一对轴向平移时实现一对功能的第一操作，以及一对功能在其旋转时的第二操作。

3. 发明申请

WO2008045333A3 FLEXIBLE ENDOSCOPIC STITCHING DEVICES 审中-公开
公开(公告)号：WO2008045333A3
公开(公告)日：2008-04-17
申请号：PCT/US2007/021412
申请日：2007-10-05
申请人： TYCO HEALTHCARE GROUP LP , VIOLA, Frank, J. , TAYLOR, Eric, J. , HATHAWAY, Peter , HORTON, Kenneth, W.
发明人： VIOLA, Frank, J. , TAYLOR, Eric, J. , HATHAWAY, Peter , HORTON, Kenneth, W.
IPC分类号： A61B17/04
摘要： A handle assembly for operating a surgical instrument is provided and includes a housing; a trigger operatively supported on the housing; and at least one actuation cable operatively associated with the trigger and extending from the housing in such a manner that an actuation of the trigger imparts both an axial translation of the actuation cable and a rotation to the actuation cable. Each of the axial translation and rotation of the actuation cable performs a separate function.

4. 发明申请

WO2008045376A2 AXIAL STITCHING DEVICE 审中-公开
标题翻译：轴向缝合装置
公开(公告)号：WO2008045376A2
公开(公告)日：2008-04-17
申请号：PCT/US2007/021482
申请日：2007-10-04
申请人： TYCO HEALTHCARE GROUP LP , VIOLA, Frank, J. , TAYLOR, Eric, J.
发明人： VIOLA, Frank, J. , TAYLOR, Eric, J.
IPC分类号： A61B17/94
CPC分类号： A61B17/0625 , A61B17/0401 , A61B17/0469 , A61B17/0482 , A61B2017/00309 , A61B2017/00327 , A61B2017/0417 , A61B2017/047 , A61B2017/06047 , A61B2017/0609 , A61B2017/06176 , A61B2017/2905 , A61B2017/2923 , A61B2017/2936 , A61B2017/2943
摘要： An endoscopic stitching device is provided including an end effector configured and adapted to perform at least a pair of functions; and a single actuation cable operatively connected to the end effector, wherein the actuation cable is capable of effecting operation of at least the pair of functions. The actuation cable is capable of effecting a first operation of the pair of functions upon an axial translation thereof, and a second operation of the pair of functions upon a rotation thereof.
摘要翻译：提供了一种内窥镜缝合装置，该内窥镜缝合装置包括：末端执行器，其被配置并且适于执行至少一对功能; 以及可操作地连接到末端执行器的单个致动缆线，其中致动缆线能够实现至少一对功能的操作。致动缆线在其轴向平移时能够实现该对功能中的第一操作，并且能够在该对功能旋转时执行第二操作。

5. 发明申请

WO2004086987A1 ENERGY STORED IN SPRING WITH CONTROLLED RELEASE 审中-公开
标题翻译：能量储存在控制释放
公开(公告)号：WO2004086987A1
公开(公告)日：2004-10-14
申请号：PCT/US2004/009442
申请日：2004-03-26
申请人： TYCO HEALTHCARE GROUP, LP , VIOLA, Frank, J.
发明人： VIOLA, Frank, J.
IPC分类号： A61B17/28
CPC分类号： A61B17/068 , A61B17/128 , A61B18/1445 , A61B2017/00398 , A61B2017/925 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875
摘要： There is provided a surgical instrument including a handle having an elongated tubular member extending distally from the handle and one or more end effectors mounted on the distal end of the elongate tubular member. A driver is movably mounted within the handle and elongate tubular member in order to operate the end effectors. The surgical instrument includes an energy storage mechanism for storing and providing energy to move the driver and thereby actuate the surgical instrument. Various actuation mechanisms are disclosed which are operable on the energy storage mechanism to control the rate of release of the energy stored in the energy storage mechanism.
摘要翻译：提供了一种手术器械，其包括具有从手柄向远侧延伸的细长管状构件的手柄和安装在细长管状构件的远端上的一个或多个端部执行器。驱动器可移动地安装在手柄和细长管状构件中，以便操作末端执行器。手术器械包括用于存储和提供能量以移动驾驶员并由此致动外科器械的能量存储机构。公开了可在能量存储机构上操作的各种致动机构，以控制存储在能量存储机构中的能量的释放速率。

6. 发明申请

WO2003094745A1 ELECTROSURGICAL STAPLING APPARATUS 审中-公开
标题翻译：静电手术装置
公开(公告)号：WO2003094745A1
公开(公告)日：2003-11-20
申请号：PCT/US2003/014520
申请日：2003-05-09
申请人： TYCO HEALTHCARE GROUP, LP , HEINRICH, Russell , VIOLA, Frank, J.
发明人： HEINRICH, Russell , VIOLA, Frank, J.
IPC分类号： A61B17/072
CPC分类号： A61B17/07207 , A61B17/072 , A61B18/1445 , A61B2017/00853 , A61B2017/07264 , A61B2017/07278 , A61B2017/07285 , A61B2017/320052 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063
摘要： An electrosurgical stapling apparatus is provided which uses thermogenic energy as well as surgical fasteners or staples for strengthening tissue, providing hemostasis, tissue joining or welding. The thermogenic energy also strengthens tissue in proximity to a staple line and knife cut line and provides hemostasis along the staple and cut lines formed by the staples and a knife blade during surgical stapling. The use thermogenic energy provides short-term hemostasis and sealing, and reduces or prevents staple line and cut line bleeding, while the stapling features provide short and long-term tissue strength and hemostasis. The stapling apparatus further substantially reduces or prevents knife cut line bleeding by energizing a knife blade for cauterizing tissue while it is being cut. In one embodiment, energy is applied to the anvil to energize the staples as they make contact with the anvil.
摘要翻译：提供了一种使用生热能的电外科缝合装置以及用于加强组织的手术紧固件或缝钉，提供止血，组织接合或焊接。生热能还加强了缝合线和刀切割线附近的组织，并且在外科缝合期间沿着缝钉和由钉和刀片形成的切割线提供止血。使用生热能提供短期止血和密封，减少或防止缝合线和切口出血，同时缝合特征提供短期和长期的组织强度和止血。缝合装置进一步大大地减少或防止在切割组织时激活刀片以切割组织的刀切割线渗色。在一个实施例中，当砧座与砧座接触时，将能量施加到砧座以激励订书钉。

7. 发明申请

WO2004032761A1 ANGLED SURGICAL FASTENER APPARATUS 审中-公开
标题翻译： ANGLED手术紧固器装置
公开(公告)号：WO2004032761A1
公开(公告)日：2004-04-22
申请号：PCT/US2003/031649
申请日：2003-10-06
申请人： TYCO HEALTHCARE GROUP, LP , VIOLA, Frank, J. , RACENET, David, C. , ARANYI, Ernest , GRESHAM, Richard, D. , SCIRICA, Paul, A. , FARASCIONI, David , WHITFIELD, Kenneth, H. , ROY, Philip, C.
发明人： VIOLA, Frank, J. , RACENET, David, C. , ARANYI, Ernest , GRESHAM, Richard, D. , SCIRICA, Paul, A. , FARASCIONI, David , WHITFIELD, Kenneth, H. , ROY, Philip, C.
IPC分类号： A61B17/072
CPC分类号： A61B17/072 , A61B17/2816 , A61B2017/07214 , A61B2017/2904 , A61B2017/2905 , A61B2017/2927 , A61B2017/2929 , A61B2017/2932
摘要： A surgical fastening apparatus (10) includes a handle (12), an elongated member (14) extending distally from the handle and a fastener applier (26) and anvil head (28) disposed at the distal end of the elongated member. The elongated member defines a distal offset end portion (24) upon which the fastener applier and the anvil head are mounted. The offset end portion is angularly oriented with respect to the axis of the instrument at a predetermined fixed angle (e.g., either 45°, 60° and 75° relative to the axis of the instrument) thereby positioning the fastener applier and the anvil head at the fixed angle. This feature facilitates positioning of the tissue with respect to the instrument and enhances visual access to the tissue when appropriately disposed within the fastener applier and the anvil head. Various mechanisms for effectuating the clamping of the tissue between the fastener holder and anvil, and the firing of the instrument are disclosed.
摘要翻译：手术紧固装置（10）包括手柄（12），从手柄向远侧延伸的细长构件（14）和设置在细长构件的远端处的紧固件敷贴器（26）和砧座头（28）。细长构件限定远端偏移端部分（24），紧固件施加器和砧头安装在该远端上。偏置端部以相对于仪器的轴线成一定角度定向（例如，相对于仪器的轴线为45°，60°和75°），从而将紧固件施加器和砧座头定位在固定角度。该特征有助于组织相对于器械的定位，并且当适当地设置在紧固件施加器和砧座头部内时，增强了对组织的视觉访问。公开了用于实现紧固件保持器和砧座之间的组织夹紧的各种机构以及仪器的点火。

8. 发明申请

WO2004032754A2 TOOL ASSEMBLY FOR SURGICAL STAPLING DEVICE 审中-公开
标题翻译：手术缝合装置的工具组装
公开(公告)号：WO2004032754A2
公开(公告)日：2004-04-22
申请号：PCT/US2003/031653
申请日：2003-10-06
申请人： TYCO HEALTHCARE GROUP, LP , VIOLA, Frank, J.
发明人： VIOLA, Frank, J.
IPC分类号： A61B17/00
CPC分类号： A61B17/07207 , A61B2017/00367 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/2934 , A61B2017/2936 , A61B2017/2944
摘要： A tool assembly having a pair of jaws is disclosed. Each of the jaws has a proximal end and a distal end and the first jaw is movable in relation to the second jaw between a spaced position and an approximated position. First and second cam followers are supported on the first jaw. An approximation member is movable in relation to the first jaw and includes at least one cam surface positioned to engage the first and second cam followers. The approximation member is movable in relation to the first jaw to move the at least one cam surface in relation to the first and second cam followers to effect movement of the first and second jaws from the spaced position to the approximated position. The at least one cam channel is configured to approximate the distal ends of the first and second jaws prior to approximation of the proximal ends of the first and second jaws. In another preferred embodiment, the tool assembly includes an articulation and firing actuator. The articulation and firing actuator includes a flexible band having a first end portion extending at least partially through the body portion and through the cartridge assembly, a central portion extending from the first end portion operably associated with the dynamic clamping member and a second end portion extending from the central portion through the cartridge assembly and at least partially through the body portion to a position adjacent the first end. The articulation and firing actuator is operably associated with the tool assembly such that movement of either the first end portion or the second end portion of the flexible band proximally and independently of the other end portion effects pivoting of the tool assembly in relation to the body portion, and movement of both the first and second end portions of the flexible band simultaneously effects movement of the dynamic clamping member to eject the staples from the cartridge assembly.
摘要翻译：公开了一种具有一对钳口的工具组件。每个钳口具有近端和远端，并且第一钳口相对于第二钳口在间隔位置和接近位置之间可移动。第一和第二凸轮从动件支撑在第一钳口上。近似构件相对于第一钳口是可移动的并且包括定位成接合第一和第二凸轮从动件的至少一个凸轮表面。接近构件相对于第一钳口可移动，以使至少一个凸轮表面相对于第一凸轮从动件和第二凸轮从动件移动，以实现第一钳口和第二钳口从间隔位置到接近位置的运动。该至少一个凸轮通道被构造成在第一和第二钳口的近端接近之前逼近第一和第二钳口的远端。在另一个优选实施例中，该工具组件包括一个铰接和击发致动器。该铰接和击发致动器包括柔性带，该柔性带具有至少部分地延伸穿过主体部分并且穿过钉仓组件的第一端部，从动力夹紧部件可操作地关联的第一端部延伸的中央部分，从中心部分穿过钉仓组件并且至少部分地穿过主体部分到邻近第一端的位置。关节运动和击发致动器可操作地与工具组件相关联，使得挠性带的第一端部或第二端部向近侧且独立于另一端部的移动实现工具组件相对于主体部的枢转并且柔性带的第一端部和第二端部两者的移动同时实现动态夹紧构件的移动以将钉从钉仓组件中弹出。

9. 发明申请

WO2003086207A1 SURGICAL CLIP APPLIER WITH HIGH TORQUE JAWS 审中-公开
标题翻译：具有高扭矩力的手术夹具
公开(公告)号：WO2003086207A1
公开(公告)日：2003-10-23
申请号：PCT/US2003/010231
申请日：2003-04-03
申请人： TYCO HEALTHCARE GROUP, LP , VIOLA, Frank, J.
发明人： VIOLA, Frank, J.
IPC分类号： A61B17/128
CPC分类号： A61B17/1285 , A61B2017/320044
摘要： Jaw blades (100) for use in surgical clip appliers are disclosed. The jaw blades include a first leg (102A) and a second leg (102B), each leg having a jaw (104A, 104B) integrally connected thereto and at least one inter-leg engaging member (108A, 108B) that extends from one of the first and second legs and is engageable with the other of the first and second legs. When the at least one inter-leg engaging member is engaged with the other of the first and second legs, a displacement in a first direction of one of the first and second legs causes a first corresponding displacement in the first direction of the other of the first and second legs, and such that a displacement in a second direction, opposite the first direction, of the one of the first and second legs causes a second corresponding displacement in the second direction of the other of the first and second legs.
摘要翻译：公开了用于外科夹具施放器的颚刀（100）。颚形刀片包括第一腿部（102A）和第二腿部（102B），每个腿部具有与其一体连接的颚部（104A，104B）和至少一个腿部接合构件（108A，108B）第一腿和第二腿，并且可与第一和第二腿中的另一个接合。当至少一个腿间接合构件与第一和第二腿中的另一个接合时，第一和第二腿中的一个的第一方向的位移在第一和第二腿中的另一个的第一方向上引起第一对应的位移第一和第二腿，并且使得在第一和第二腿中的一个的第二方向上的第二方向上的位移在第一和第二腿中的另一个的第二方向上引起第二对应位移。

10. 发明申请

WO2006132992A3 BATTERY POWERED SURGICAL INSTRUMENT 审中-公开
公开(公告)号：WO2006132992A3
公开(公告)日：2006-12-14
申请号：PCT/US2006/021510
申请日：2006-06-02
申请人： TYCO HEALTHCARE GROUP LP , VIOLA, Frank, J. , KREHEL, Gregg , PEDROS, Guido
发明人： VIOLA, Frank, J. , KREHEL, Gregg , PEDROS, Guido
IPC分类号： A61B17/068
摘要： A surgical stapler has a handle assembly including a stationary handle and a trigger. The stapler also has a drive assembly with a body having a working end and a cam member supported on the working end. The cam member is positioned to translate relative to the anvil to maintain the anvil in the closed position during firing of the stapler. The trigger is operatively connected to a power cell. The power cell is operably connected to a motor of the drive assembly. The manipulation of the trigger actuates the power cell such that the power cell powers the drive assembly to effect translation of the cam member relative to the anvil. The stapler also has a channel for supporting the staple cartridge and the motor of the drive assembly controls the actuation sled supported within the cartridge. The actuation sled urges the plurality of staples from the cartridge when the anvil is in the closed position and in cooperative alignment with the staple cartridge.

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