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1. 发明申请

WO2019135907A1 PERCUTANEOUS IMPLANT RETRIEVAL CONNECTOR AND METHOD 审中-公开
公开(公告)号：WO2019135907A1
公开(公告)日：2019-07-11
申请号：PCT/US2018/066387
申请日：2018-12-19
申请人： EDWARDS LIFESCIENCES CORPORATION
发明人： PASSMAN, Joseph Arthur , AZANKI, Omar Fawzi
IPC分类号： A61F2/95
CPC分类号： A61F2/2427 , A61B17/22031 , A61B17/3468 , A61B2017/0046 , A61B2017/00477 , A61B2017/22035 , A61F2/2463 , A61F2/2466 , A61F2/95 , A61F2002/9528 , A61F2002/9534 , A61M39/0247 , A61M2039/0258 , A61M2039/0282
摘要： Devices and methods for retrieving percutaneously implanted catheter systems such as a heart valve repair system. The devices include at least one locking connector at the distal end of a flexible elongated extension for coupling to an implanted tubular member. The locking connector may be a tubular anchor having a pair of distal prongs which are biased outward and face in a proximal direction, as well as an expandable auxetic midsection. Inserting the tubular anchor into the implanted tubular member flexes the distal prongs inward such that they prevent proximal movement of the tubular anchor. A user pulls on the proximal end of the tubular anchor to expand the auxetic midsection and lock the two pieces together. The devices and methods are particularly useful to attach extensions to implanted concentric tubes to enable relative axial force application.

2. 发明申请

WO2019134366A1 一种双用手柄审中-公开
公开(公告)号：WO2019134366A1
公开(公告)日：2019-07-11
申请号：PCT/CN2018/100316
申请日：2018-08-14
申请人：上海锐植医疗器械有限公司 , 中国人民解放军第四军医大学
发明人：罗卓荆 , 黄孝敏
IPC分类号： A61B50/20 , A61B17/00
CPC分类号： A61B17/00234 , A61B50/20 , A61B2017/0046
摘要：一种双用手柄，包括：本体（1），在所述本体（1）上设置有安装孔（11），用于对功能件（3）进行连接。在本体（1）的轴向及径向均布置有安装孔（11）。在本体（1）设置的轴向及径向安装孔（111,112）可使得手柄与功能件（3）在直型与T型两种连接形式之间方便、快捷进行切换。不同的连接方式在同样的操作力作用下可以输出大小不同的扭转力矩。在安装孔（11）内设置有与功能件（3）相适配的卡止装置（2）。当功能件（3）与手柄进行连接时，卡止装置（2）可对功能件（3）进行固定，且防止其在手柄本体（1）腔体内进行转动。手柄轴向孔和手柄径向孔设置为通孔，使得手柄能够适合不同尺寸的导针穿过，适用于微创手术，进一步扩大了手柄的使用范围。

3. 发明申请

WO2019130088A1 SYSTEMS FOR DETECTING PROXIMITY OF SURGICAL END EFFECTOR TO CANCEROUS TISSUE 审中-公开
公开(公告)号：WO2019130088A1
公开(公告)日：2019-07-04
申请号：PCT/IB2018/057328
申请日：2018-09-21
申请人： ETHICON LLC
发明人： SHELTON, IV, Frederick E. , HARRIS, Jason L. , ECKERT, Chad E.
IPC分类号： G16H40/63 , A61B17/068
CPC分类号： G16H40/63 , A61B17/07207 , A61B17/320068 , A61B18/1445 , A61B34/30 , A61B90/36 , A61B90/37 , A61B2017/00017 , A61B2017/00022 , A61B2017/00035 , A61B2017/00115 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/0046 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2018/00666 , A61B2018/00898 , A61B2018/00904 , A61B2034/2048 , A61B2034/2059 , A61B2034/302 , A61B2090/065 , A61B2090/066 , A61B2090/0811 , A61B2217/005 , A61B2217/007 , A61B2218/002 , A61B2218/008
摘要： A surgical instrument includes an end effector having a first jaw, a second jaw movable relative to the first jaw to grasp tissue therebetween, an anvil, a staple cartridge comprising staples deployable into the tissue, wherein the staples are deformable by the anvil, and a sensor configured to provide a sensor signal according to a physiological parameter of the tissue. The surgical instrument further includes a control circuit coupled to the sensor, wherein the control circuit is configured to receive the sensor signal, and assess proximity of the sensor to cancerous tissue based on the sensor signal.

4. 发明申请

WO2019116275A1 SURGICAL END EFFECTORS WITH JAW STIFFENER ARRANGEMENTS CONFIGURED TO PERMIT MONITORING OF FIRING MEMBER 审中-公开
公开(公告)号：WO2019116275A1
公开(公告)日：2019-06-20
申请号：PCT/IB2018/059968
申请日：2018-12-12
申请人： ETHICON LLC
发明人： SHELTON, IV, Frederick E. , HARRIS, Jason L. , MORGAN, Jerome R.
IPC分类号： A61B17/072 , A61B90/00
CPC分类号： A61B17/07207 , A61B2017/00017 , A61B2017/00115 , A61B2017/0023 , A61B2017/00398 , A61B2017/00407 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00725 , A61B2017/00734 , A61B2017/0725 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2927 , A61B2018/0063 , A61B2018/00642 , A61B2090/034 , A61B2090/064 , A61B2090/0811 , A61B2090/0813 , A61B2562/0261 , H01M10/425 , H01M2010/4271 , H01M2220/30
摘要： An end effector for use with a surgical instrument. The end effector includes first and second jaws that are pivotally interconnected and moved between open and closed positions by a firing member. One or both of the jaws are configured with jaw stiffener features that are adapted to permit a user to monitor movement of the firing member during use.

5. 发明申请

WO2019116271A1 SURGICAL END EFFECTORS WITH CLAMPING ASSEMBLIES CONFIGURED TO INCREASE JAW APERTURE RANGES 审中-公开
公开(公告)号：WO2019116271A1
公开(公告)日：2019-06-20
申请号：PCT/IB2018/059962
申请日：2018-12-12
申请人： ETHICON LLC
发明人： SHELTON, IV, Frederick E. , HARRIS, Jason L.
IPC分类号： A61B17/072 , A61B17/00
CPC分类号： A61B17/07207 , A61B2017/00017 , A61B2017/00115 , A61B2017/0023 , A61B2017/00398 , A61B2017/00407 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00725 , A61B2017/00734 , A61B2017/0725 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2927 , A61B2017/2933 , A61B2017/2948 , A61B2090/034 , A61B2090/064 , A61B2090/0813 , H01M10/425 , H01M2010/4271 , H01M2220/30
摘要： An end effector for use with a surgical instrument. The end effector includes first and second jaws that are pivotally coupled to each other for pivotal travel about a pivot axis between open and closed positions by a dynamic clamping assembly that is selectively movable between a starting position and an ending position relative to the first and second jaws. At least a portion of the dynamic clamping assembly extends proximally beyond the pivot axis when in the starting position to facilitate improved jaw apertures.

6. 发明申请

WO2019104000A1 SINGLE PIECE CONNECTING MEMBER AND WORK TIP FOR SURGICAL HAND PIECE 审中-公开
公开(公告)号：WO2019104000A1
公开(公告)日：2019-05-31
申请号：PCT/US2018/061940
申请日：2018-11-20
申请人： SURGICAL DESIGN CORPORATION
发明人： BANKO, William
IPC分类号： A61B17/32 , A61F9/007
CPC分类号： A61B17/320068 , A61B2017/0023 , A61B2017/0046 , A61B2017/32007 , A61B2017/320075 , A61B2017/320084 , A61F9/00745
摘要： A surgical hand piece has a source of ultrasonic energy connected to a one-piece member that transmits the ultrasonic energy. A distal end of the member is a surgical work tip.

7. 发明申请

WO2018200799A1 METHODS AND APPARATUSES FOR FLUORO-LESS OR NEAR FLUORO-LESS PERCUTANEOUS SURGERY ACCESS 审中-公开
公开(公告)号：WO2018200799A1
公开(公告)日：2018-11-01
申请号：PCT/US2018/029550
申请日：2018-04-26
申请人： FACULTY PHYSICIANS AND SURGEONS OF LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
发明人： BALDWIN, Dalton, Duane , MUKHERJEE, Avijit , REDENBAUGH, Steven, Mark , PIRUCKI, Ronald, Steven
IPC分类号： A61B17/34
CPC分类号： A61B17/3403 , A61B90/13 , A61B2017/0046 , A61B2017/00907 , A61B2017/0092 , A61B2090/062 , A61B2090/3925 , A61B2090/3966
摘要： A needle access assembly and method for obtaining percutaneous needle access with little or no fluoroscopy is disclosed. The method includes selecting a target for percutaneous access, directing a laser guide at a desired needle-insertion angle and in line with the selected target, aligning the needle access assembly with the laser, and inserting the needle into the target.

8. 发明申请

WO2017216252A1 CHIRURGISCHES INSTRUMENT 审中-公开
标题翻译：手术器械
公开(公告)号：WO2017216252A1
公开(公告)日：2017-12-21
申请号：PCT/EP2017/064595
申请日：2017-06-14
申请人： SCHILLING, Hermann
发明人： SCHILLING, Hermann
IPC分类号： A61B17/16
CPC分类号： A61B17/1611 , A61B10/06 , A61B17/1608 , A61B90/08 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2090/0813
摘要： Die Erfindung geht aus von einem chirurgischen Instrument mit zumindest einer Bearbeitungseinheit (12a; 12b; 12c), welche zu einer Bearbeitung von Gewebe vorgesehen ist und welche zumindest ein erstes Element (14a; 14b; 14c) und zumindest ein zweites Element (16a; 16b; 16c) aufweist, und mit zumindest einer Handgriffeinheit (18a), welche zu einer Betätigung der Bearbeitungseinheit (12a; 12b; 12c) vorgesehen ist. Es wird vorgeschlagen, dass das chirurgische Instrument zumindest eine Sicherungseinheit (20a; 20b; 20c) aufweist, die das erste Element (14a; 14b; 14c) und das zweite Element (16a; 16b; 16c) in wenigstens einem von der Handgriffeinheit (18a) demontierten Zustand relativ zueinander beweglich und verliersicher miteinander verbindet.
摘要翻译：
本发明涉及具有至少一个处理单元的外科器械（12A; 12B; 12C），其被提供给组织的处理，并且包括至少一个第一元件（14A; 14B; 14C）和至少一个第二元件（16a; 16b; 16c）和至少一个用于支撑处理单元（12a; 12b; 12c）的手柄单元（18a）。它建议，所述外科器械的至少一个熔丝单元中的至少一个（把手部18a的（20A; 20C; 20B），所述第一构件（14A; 14B; 14C）和第二元件（16C 16A; 16B））拆卸状态相对于彼此可移动和捕获连接。

9. 发明申请

WO2017190302A1 VESSEL SEALING AND DIVIDING LAPAROSCOPIC DEVICE 审中-公开
标题翻译：血管密封和分开的腹腔镜装置
公开(公告)号：WO2017190302A1
公开(公告)日：2017-11-09
申请号：PCT/CN2016/081087
申请日：2016-05-05
申请人： COVIDIEN LP , DING, Weijiang
发明人： DING, Weijiang , XU, Mingfeng
IPC分类号： A61B18/14 , A61B18/12 , A61B17/28
CPC分类号： A61B18/14 , A61B17/2909 , A61B18/12 , A61B18/1445 , A61B2017/00367 , A61B2017/0046 , A61B2017/291 , A61B2017/292 , A61B2017/2947
摘要： An electrosurgical forceps includes a handle assembly including a movable handle pivotably connected to a fixed handle, an elongated shaft extending distally from the fixed handle, an end effector disposed at a distal end of the elongated shaft, and a drive member slidably disposed within the elongated shaft. The drive member includes a proximal end pivotably coupled to the movable handle and a distal end operably coupled to the end effector. A first movement of the movable handle relative to the distal handle causes a first distal movement of the drive member to effect a first function of the end effector, and a second movement of the movable handle relative to the fixed handle causes a second distal movement of the drive member to effect a second function of the end effector.
摘要翻译：电外科钳包括手柄组件，该手柄组件包括可枢转地连接到固定手柄的可动手柄，从固定手柄向远侧延伸的细长轴，设置在细长轴的远端处的端部执行器以及可滑动地设置在细长轴内的驱动构件。驱动构件包括可枢转地联接到可动手柄的近端和可操作地联接到端部执行器的远端。可动手柄相对于远侧手柄的第一运动引起驱动构件的第一远侧运动以实现端部执行器的第一功能，并且可动手柄相对于固定手柄的第二运动引起第二远侧运动驱动构件实现末端执行器的第二功能。

10. 发明申请

WO2017147103A1 INTRODUCER SHEATH HAVING A MULTI-LAYER HUB 审中-公开
标题翻译：介绍鞘具有多层集线器
公开(公告)号：WO2017147103A1
公开(公告)日：2017-08-31
申请号：PCT/US2017/018791
申请日：2017-02-22
申请人： ABIOMED, INC.
发明人： MURPHY, John
IPC分类号： A61M25/06
CPC分类号： A61B17/3468 , A61B17/3401 , A61B17/3423 , A61B2017/0046 , A61M1/122 , A61M1/125 , A61M25/0668
摘要： An introducer assembly includes an elongate sheath sized for insertion into a blood vessel of a patient and a hub. The hub can be coupled to a proximal portion of the sheath and can include a first hub portion and a second hub portion. The hub can include various features to facilitate breaking apart or separating the introducer assembly from a patient. For example, the first hub portion can have a first notch which can facilitate breaking, splitting, or fracturing the hub. The second hub portion can partially surround the first hub portion and can include two wings and an opening disposed above the first notch. The first hub portion can be formed from a first material and second hub portion can be formed from a second material. In some embodiments, the second material can be stiffer than the first material to facilitate fracturing the hub.
摘要翻译：导入器组件包括尺寸设计成用于插入患者血管和毂的细长护套。毂可以联接到护套的近侧部分并且可以包括第一毂部分和第二毂部分。毂可以包括各种特征以便于将导引器组件与患者分开或分开。例如，第一毂部分可以具有第一槽口，该第一槽口可以促进毂的破裂，分裂或破裂。第二毂部分可以部分地围绕第一毂部分并且可以包括两个翼部和设置在第一槽口上方的开口。第一毂部分可以由第一材料形成并且第二毂部分可以由第二材料形成。在一些实施例中，第二材料可以比第一材料更硬，以便于破裂轮毂。

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