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1. 发明申请

WO2019130106A1 DETERMINING THE STATE OF AN ULTRASONIC ELECTROMECHANICAL SYSTEM ACCORDING TO FREQUENCY SHIFT 审中-公开
公开(公告)号：WO2019130106A1
公开(公告)日：2019-07-04
申请号：PCT/IB2018/057938
申请日：2018-10-12
申请人： ETHICON LLC
发明人： NOTT, Cameron R. , QUIGLEY, Fergus P. , SHELTON, IV, Frederick E. , HOUSER, Kevin L. , YATES, David C. , FALLER, Craig N. , JAYME, Madeleine C. , SCOGGINS, Patrick J.
IPC分类号： A61B17/32 , A61B18/12 , A61B34/30 , A61B17/068 , A61B17/00
CPC分类号： A61B17/320092 , A61B18/12 , A61B34/30 , A61B90/37 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/0003 , A61B2017/00075 , A61B2017/00084 , A61B2017/00106 , A61B2017/00115 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/00464 , A61B2017/07285 , A61B2018/00994 , A61B2090/064 , A61B2090/066 , A61B2090/0809 , A61B2090/0811 , A61B2217/005 , A61B2217/007
摘要： Various systems and methods for determining the state of an ultrasonic electromechanical system are disclosed. A control circuit can be configured to monitor the change in resonant frequency of an ultrasonic electromechanical system of the ultrasonic surgical instrument as the ultrasonic blade oscillates and determine the state or change in state of the ultrasonic electromechanical system accordingly. The change in state of the ultrasonic electromechanical system can include, for example, the change in temperature of the system. In some aspects, the control circuit can be configured to modify the operation of the ultrasonic electromechanical system or other operational parameters of the ultrasonic surgical instrument according to the state or change in state of the system.

2. 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.

3. 发明申请

WO2019130083A1 CONTROLLING A SURGICAL INSTRUMENT ACCORDING TO SENSED CLOSURE PARAMETERS 审中-公开
公开(公告)号：WO2019130083A1
公开(公告)日：2019-07-04
申请号：PCT/IB2018/057322
申请日：2018-09-21
申请人： ETHICON LLC
发明人： SHELTON, IV, Frederick E. , HARRIS, Jason L. , ECKERT, Chad E. , WONG, Jordan B. , YATES, David C.
IPC分类号： A61B17/00
CPC分类号： A61B17/07207 , A61B18/1445 , A61B90/37 , A61B90/98 , A61B2017/00017 , A61B2017/00022 , A61B2017/00026 , A61B2017/00061 , A61B2017/00084 , A61B2017/00119 , A61B2017/00199 , A61B2017/00221 , A61B2017/00398 , A61B2017/00734 , A61B2017/00938 , A61B2017/07214 , A61B2017/07257 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2018/00607 , A61B2018/00994 , A61B2090/065 , A61B2090/0807 , A61B2090/0811 , A61B2218/008 , G16H20/40 , G16H30/40 , G16H40/67
摘要： A surgical instrument includes an end effector, a motor for opening and closing the jaws, a sensor configured to detect a tissue compression parameter associated with a tissue between the jaws, and a control circuit. The control circuit is configured to determine a value of the tissue compression parameter via the sensor as the jaws transition from the open configuration to the closed configuration, cause the motor to increase a time to transition the jaws to the closed configuration according to whether the value of the tissue compression parameter is above a first threshold, and provide feedback according to whether the value of the tissue compression parameter is below a second threshold.

4. 发明申请

WO2019126718A1 EXPANDABLE TISSUE ENGAGEMENT APPARATUS AND METHOD 审中-公开
公开(公告)号：WO2019126718A1
公开(公告)日：2019-06-27
申请号：PCT/US2018/067229
申请日：2018-12-21
申请人： NEOTRACT, INC.
发明人： LAMSON, Theodore , BENDER, Theodore , CUTTS, Jolene , GEORGE, Robert , KIYOI, Jennifer , MERRICK, Daniel , PHAM, Ailee , RAO, Mahesh , ZALER, Christopher , YARRA, Curtis , LESSARD, Kevin Alexander
IPC分类号： A61B17/34 , A61B17/22 , A61B17/02 , A61B17/00
CPC分类号： A61B17/3468 , A61B17/0218 , A61B17/22031 , A61B17/3478 , A61B2017/00274 , A61B2017/00349 , A61B2017/00358 , A61B2017/00858 , A61B2017/00951 , A61B2017/2212 , A61B2090/0811
摘要： A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes an expandable structure (200, 954) for enhancing engagement with median lobe prostate tissue.

5. 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.

6. 发明申请

WO2017160773A1 SUBCUTANEOUS TUNNELING DEVICE WITH ELONGATED OPEN SLOT SHEATH 审中-公开
标题翻译：皮下隧道装置与长开口缝合鞘
公开(公告)号：WO2017160773A1
公开(公告)日：2017-09-21
申请号：PCT/US2017/022185
申请日：2017-03-13
申请人： CARDIAC PACEMAKERS, INC.
发明人： GORDAN, Jack
IPC分类号： A61B17/34 , A61N1/05
CPC分类号： A61M25/0668 , A61B17/3415 , A61B17/3417 , A61B2017/320056 , A61B2090/0811 , A61M25/0068 , A61M25/0097 , A61M25/0194 , A61M2025/0006 , A61M2025/0188 , A61M2025/0681 , A61M2205/582 , A61M2205/583 , A61N1/0504
摘要： An introducer sheath (14) includes an elongated outer sheath (24) and an elongated inner sheath (26) coaxially disposed within the outer sheath. The elongated outer sheath includes an outer sheath wall extending circumferentially about a longitudinal axis of the outer sheath to an extent greater than 180° and less than 360° to define an outer sheath slot (44). The elongated inner sheath includes an inner sheath wall extending circumferentially about a longitudinal axis of the inner sheath to an extent greater than the difference between 360° and the circumferential extent of the outer sheath wall, and less than 360° to define an inner sheath slot (46). The inner sheath is rotatable relative to the outer sheath to form an enclosed lumen when the outer and inner sheath slots are not aligned, and to form an open slot along the entire length of the introducer sheath when the outer and inner sheath slots are aligned.
摘要翻译：引导器鞘（14）包括细长外部鞘（24）和同轴地设置在外部鞘内的细长内部鞘（26）。细长外护套包括外护套壁，该外护套壁围绕外护套的纵向轴线周向延伸大于180°的程度; 并小于360°; 以限定外鞘槽（44）。细长内护套包括内护套壁，该内护套壁围绕内护套的纵向轴线周向延伸的程度大于360°与360°之间的差。和外护套壁的周向范围之间，小于360°; 以限定内部鞘槽（46）。内护套相对于外护套可旋转以在外护套狭槽和内护套狭槽未对齐时形成封闭的内腔，并且当外护套狭槽和内护套狭槽对齐时沿着导入器护套的整个长度形成开口狭槽。

7. 发明申请

WO2017132932A1 CIRCULAR STAPLER WITH VISUAL INDICATOR MECHANISM 审中-公开
标题翻译：具有视觉指示器机构的圆形钉书机
公开(公告)号：WO2017132932A1
公开(公告)日：2017-08-10
申请号：PCT/CN2016/073471
申请日：2016-02-04
申请人： COVIDIEN LP , COVIDIEN (CHINA) MEDICAL DEVICES TECHNOLOGY CO., LTD.
发明人： ZHANG, Xiliang
IPC分类号： A61B17/115 , A61B17/068
CPC分类号： A61B17/1155 , A61B2090/0811
摘要： A surgical stapling device (10) includes a visual indicator mechanism (28) that provides a clinician with greater visualization of the movement of an anvil assembly (18) in relation to a cartridge assembly (16) after the anvil assembly (18) and cartridge assembly (16) have been approximated to within a firing zone. The visual indicator mechanism (28) improves visualization of the different degrees of approximation within the firing zone by providing an indicator cover (62) having spaced slots (76a-c) that allow indicia (84) formed on an indicator member (60) to sequentially appear within the spaced slots (76a-c) to identify the different degrees of approximation within the firing zone.
摘要翻译：手术吻合装置（10）包括视觉指示器机构（28），该视觉指示器机构为临床医生提供砧座组件（18）相对于钉仓组件（16）相对于钉仓组件（16）的运动之后的更大可视化砧座组件（18）和钉仓组件（16）已经接近于烧制区域内。视觉指示器机构28通过提供具有允许形成在指示器构件60上的标记84的间隔槽76a-c的指示器盖62来改善点火区内不同近似程度的可视化，顺序地出现在间隔开的狭槽（76a-c）内以识别烧制区域内不同的近似程度。

8. 发明申请

WO2017115355A2 ARTHROSCOPIC SURGICAL DEVICE 审中-公开
标题翻译：关节外科手术器械
公开(公告)号：WO2017115355A2
公开(公告)日：2017-07-06
申请号：PCT/IL2016/051379
申请日：2016-12-25
申请人： MININVASIVE LTD.
发明人： HARARI, Boaz , RAZ, Ronen , ROSNER, Dror , MRAZ, Paul
IPC分类号： A61B17/06
CPC分类号： A61B17/062 , A61B17/0469 , A61B17/0482 , A61B17/1604 , A61B17/1642 , A61B2017/00407 , A61B2017/00455 , A61B2017/00464 , A61B2017/06042 , A61B2090/062 , A61B2090/0811
摘要： An arthroscopic bone channel forming and suturing system useful following formation of a first and a second generally straight channel in a bone, the second channel not intersecting the first channel, the system including a curved bone puncture needle configured to be insertable into the first channel, a curved needle driving assembly configured to manipulate the curved needle to form a curved junction between the first channel and the second channel, a suture snare wire assembly configured to insert a suture snare wire to a suture snare wire pick-up location via the second channel in the bone and a coordinated multi-function driving assembly operative to operate the curved needle driving assembly and the suture snare wire assembly in coordinated operation to cause the suture snare wire to be pulled from the suture pick up location and through the first channel via the junction.
摘要翻译：关节镜骨通道形成和缝合系统可用于在骨头中形成第一和第二大致直的通道之后，第二通道不与第一通道相交，所述系统包括弯曲的骨头穿刺针可被插入到第一通道中;弯针驱动组件，其被配置成操纵弯针以在第一通道和第二通道之间形成弯曲的连接;缝线圈套线组件，其被配置为将缝线圈套线插入到缝线圈套线通过骨中的第二通道拾取位置以及协调的多功能驱动组件，所述多功能驱动组件协调地操作弯曲针驱动组件和缝线圈套器电线组件，以使缝线圈套器电线从缝线器拾取器位置并通过第一个通道通过交叉点。

9. 发明申请

WO2017112467A2 ULTRASONIC SURGICAL INSTRUMENT WITH BLADE REPLACEMENT FEATURES 审中-公开
标题翻译：带刀片更换特性的超声波手术器械
公开(公告)号：WO2017112467A2
公开(公告)日：2017-06-29
申请号：PCT/US2016/066451
申请日：2016-12-14
申请人： ETHICON ENDO-SURGERY, LLC
发明人： HIBNER, John, A. , SMITH, Richard, C. , CORBETT, Catherine, A. , FALLER, Craig, N. , WITT, David, A.
CPC分类号： A61B17/320092 , A61B2017/00389 , A61B2017/0042 , A61B2017/00455 , A61B2017/00477 , A61B2017/00526 , A61B2017/2926 , A61B2017/2931 , A61B2017/2947 , A61B2018/00589 , A61B2018/00619 , A61B2018/0063 , A61B2090/0808 , A61B2090/0811 , A61B2090/0813 , A61N7/02 , A61N2007/0056
摘要： An apparatus includes a shaft assembly and an end effector. The shaft assembly includes a first coupling member and a second coupling member. The first coupling member and the second coupling member are configured to flex toward each other from a first position to a second position. The first coupling member and the second coupling member define a pivot axis in the first position. The end effector includes an ultrasonic blade and a clamp arm. The clamp arm is configured to couple or decouple with the shaft assembly when the first coupling member and the second coupling member are in the second position. The clamp arm is configured to pivot toward and away the ultrasonic blade about the pivot axis when the first coupling member and the second coupling member are in the first position.
摘要翻译：装置包括轴组件和端部执行器。轴组件包括第一联接构件和第二联接构件。第一联接构件和第二联接构件构造成从第一位置朝向第二位置朝向彼此弯曲。第一联接构件和第二联接构件在第一位置限定枢转轴线。末端执行器包括超声刀和夹臂。夹紧臂构造成当第一联接构件和第二联接构件处于第二位置时与轴组件联接或分离。夹持臂构造成当第一联接构件和第二联接构件处于第一位置时朝向和远离超声刀片绕枢转轴线枢转。

10. 发明申请

WO2017079970A1 CIRCULAR STAPLER WITH AUDIBLE INDICATOR MECHANISM 审中-公开
标题翻译：带有可听指示器机构的圆形钉书机
公开(公告)号：WO2017079970A1
公开(公告)日：2017-05-18
申请号：PCT/CN2015/094557
申请日：2015-11-13
申请人： COVIDIEN LP , COVIDIEN (CHINA) MEDICAL DEVICES TECHNOLOGY CO., LTD.
发明人： ZHANG, Xiliang
IPC分类号： A61B17/115 , A61B17/068 , A61B17/072
CPC分类号： A61B17/1155 , A61B2017/00115 , A61B2090/0811
摘要： A surgical stapling device includes a handle assembly that supports an audible indicator mechanism including a spring biased clicker. The spring biased clicker includes a pin that is received within a pin slot or cavity in the housing of a stationary handle of the handle assembly. The pin is movable through the cavity in response to actuation of the firing trigger assembly and unapproximation of the anvil assembly to guide movement of the clicker such that the clicker 1) provides an enhanced audible indication to a clinician that the firing stroke of a firing trigger has been completed, and 2) provides an enhanced indication to a clinician that the anvil assembly has been moved back to the unapproximated or spaced position after the firing stroke has been completed.
摘要翻译：手术吻合装置包括手柄组件，该手柄组件支撑包括弹簧偏压发声器的可听指示器机构。弹簧偏压发声器包括销，该销容纳在手柄组件的固定手柄的壳体中的销槽或空腔内。响应于击发触发器组件的致动和钉砧组件的非近似以引导咔哒发声器的运动，销可以移动通过空腔，使得咔哒发声器1）向临床医生提供增强的可听指示：击发触发器的击发行程已经完成，并且2）为临床医生提供了增强的指示，即在击发行程完成之后，砧座组件已经移回到非接近或间隔位置。

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