公开(公告)号：US10507035B2

公开(公告)日：2019-12-17

申请号：US15285167

申请日：2016-10-04

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Chad P. Boudreaux ,  Jeffrey D. Messerly ,  Ion V. Nicolaescu ,  Foster B. Stulen ,  Charles J. Scheib ,  Mary E. Mootoo ,  Matthew C. Miller

IPC: A61B17/3203 ,  A61B17/32 ,  A61B18/14

Abstract: An instrument includes an ultrasonic blade, a first fluid port in communication with the distal opening of the ultrasonic blade, a clamp arm, an irrigation member positioned adjacent to the distal end of the ultrasonic blade, and a second fluid port in communication with the irrigation member. The ultrasonic blade defines a distal opening. The ultrasonic blade is operable in a first mode to emulsify tissue that is distally positioned relative to the ultrasonic blade. The ultrasonic blade is further operable in a second mode to transect and seal tissue that is transversely positioned relative to the ultrasonic blade. The clamp arm is pivotable toward and away from the ultrasonic blade.

公开(公告)号：US10478187B2

公开(公告)日：2019-11-19

申请号：US14667919

申请日：2015-03-25

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Frederick E. Shelton, IV ,  Charles J. Scheib ,  Prudence A. Turner ,  Jason L. Harris

IPC: A61B17/00 ,  A61B17/10 ,  A61B17/072 ,  A61B17/068

Abstract: A surgical stapler end effector comprises a staple cartridge, an anvil, and a buttress assembly. The staple cartridge comprises a plurality of staples and a deck. The staple cartridge is operable to drive the staples through the deck. The anvil is movable from an open position toward the staple cartridge to reach a closed position. The anvil includes an underside having staple forming surface configured to receive staples driven through the deck. The buttress assembly comprises a buttress body and an adhesive material. The buttress body defines a plurality of cells. The adhesive material comprises a polymer. The polymer is bioabsorbable. A first portion of the adhesive material is located within cells of the plurality of cells. A second portion of the adhesive material is located on the buttress body outside the plurality of cells.

公开(公告)号：US10245034B2

公开(公告)日：2019-04-02

申请号：US14841147

申请日：2015-08-31

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Frederick E. Shelton, IV ,  Jason L. Harris ,  Michael J. Vendely ,  Charles J. Scheib

IPC: A61B17/04 ,  A61B17/10 ,  A61B17/072 ,  A61L31/16 ,  A61B17/00

Abstract: Tissue adhesions using surgical adjuncts and medicants are provided. In general, an implantable adjunct can have one or more medicants releasably retained therein that are configured to induce tissue adhesions. The adjunct can be configured to be applied to lung tissue in conjunction with surgical staples using a surgical stapler. Pleurodesis can be encouraged through delivery of the adjunct to the lung tissue.

公开(公告)号：US10226253B2

公开(公告)日：2019-03-12

申请号：US14751486

申请日：2015-06-26

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Brian F. DiNardo ,  Charles J. Scheib

IPC: A61B17/068 ,  A61B17/115 ,  A61B17/10 ,  A61B17/00 ,  A61B17/29

Abstract: A surgical instrument includes a body, a shaft assembly, a stapling head assembly, and a drive assembly. The shaft assembly includes an actuator. The stapling head assembly is operable to drive an annularly arranged array of staples into tissue in response to translation of the actuator along a first axis relative to the body. The drive assembly is operable to translate the actuator along the first axis. The drive assembly comprises first and second rotary members. The first rotary member is rotatable about a second axis. The second axis is non-parallel with the first axis. The second rotary member is rotatable about a third axis. The third axis is non-parallel with the first axis and non-parallel with the second axis. The first rotary member is operable to drive the second rotary member to rotate about the third axis to thereby drive the actuator along the first axis.

公开(公告)号：US10226251B2

公开(公告)日：2019-03-12

申请号：US14884117

申请日：2015-10-15

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Charles J. Scheib ,  Frederick E. Shelton, IV

IPC: A61B17/10 ,  A61B17/072 ,  A61B17/068 ,  A61B90/00

Abstract: A surgical instrument includes an end effector with a staple cartridge. The staple cartridge includes a deck, a terminal driver assembly, and a wedge sled. The terminal driver assembly is positioned adjacent to a distal tip of the staple cartridge. The terminal driver assembly is configured to receive a first terminal portion of staples in the staple cartridge. The terminal driver assembly at least partially defines a storage space therebelow within jaw of the end effector. The wedge sled is configured to longitudinally slide proximate to the deck and engage the terminal driver assembly and force the terminal portion of the plurality of staples toward the anvil for formation in tissue. At least a majority of the wedge sled is configured to fit within the storage space and not slide distally beyond the terminal driver assembly when the wedge sled is in the distal sled position.

公开(公告)号：US10172635B2

公开(公告)日：2019-01-08

申请号：US15391304

申请日：2016-12-27

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Frederick E. Shelton, IV ,  Chester O. Baxter, III ,  Charles J. Scheib ,  Gregory W. Johnson ,  John R. Dugan

IPC: A61B17/29 ,  A61B17/00

Abstract: Methods and devices for using surgical devices with articulating end effectors are provided. Surgical devices with articulating end effectors can provide rotary driven pivoting of the end effector. In some embodiments, the device can include a handle, a first and a second tube extending from the handle, the second tube disposed within the first tube, and an end effector that includes a pair of distal jaws configured to move in response to rotation of the first tube about a longitudinal axis thereof and rotation of the second tube about a longitudinal axis thereof. The jaws can move in two different ways depending on whether the first and second tubes are rotating in a same direction as one another or in different ways than each other. The jaws can open/close and articulate using the same mechanical mechanism. The device can be powered, or the device can be non-powered.

公开(公告)号：US09867608B1

公开(公告)日：2018-01-16

申请号：US14740924

申请日：2015-06-16

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Frederick E. Shelton, IV ,  Trevor J. Barton ,  Charles J. Scheib ,  Andrew C. Deck ,  David T. Martin ,  William J. White ,  Emily A. Schellin

IPC: A61B17/04

CPC classification number: A61B17/0469 ,  A61B17/0482 ,  A61B2017/0498

Abstract: A surgical instrument includes a body, an input feature, an elongate shaft, and a needle applier. The needle applier is coupled to the elongate shaft, which extends distally from the body. The needle applier includes a needle, a drive assembly, and a guide assembly. The drive assembly includes a link configured to drive the needle orbitally about a rotation axis that is transverse to the longitudinal axis of the shaft in response to actuation of the input feature. The guide assembly is in communication with the input feature and the drive assembly. The guide assembly is responsive to the input feature to guide a distal portion of the link along a semi-circular path.

公开(公告)号：US09833238B2

公开(公告)日：2017-12-05

申请号：US15175888

申请日：2016-06-07

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Chester O. Baxter, III ,  Frederick E. Shelton, IV ,  Katherine J. Schmid ,  Jerome R. Morgan ,  Charles J. Scheib ,  Michael S. Cropper ,  Taylor W. Aronhalt ,  Steven G. Hall ,  Richard W. Timm ,  Matthew M. Lang

IPC: A61B17/068 ,  A61B17/072 ,  A61B17/30 ,  A61B17/064 ,  A61B17/10 ,  A61B17/115 ,  A61B17/00 ,  A61B17/29

CPC classification number: A61B17/068 ,  A61B17/00491 ,  A61B17/064 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/07292 ,  A61B17/105 ,  A61B17/1155 ,  A61B17/30 ,  A61B2017/00004 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00893 ,  A61B2017/00991 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/2916 ,  A61B2017/2923 ,  A61B2017/2937

Abstract: A retainer for assembling tissue thickness compensators to a surgical stapler can comprise a grip, a first surface for supporting a first tissue thickness compensator, a second surface for supporting a second tissue thickness compensator, and clips for aligning and attaching the retainer to the surgical stapler. The clips may align and attach the retainer to a staple cartridge of the surgical instrument. The clips may align the retainer with an anvil of the surgical instrument. An insertion tool may be used in combination with the retainer to insert the retainer into the surgical stapler and to push the tissue thickness compensators against the anvil and/or the staple cartridge of the surgical instrument.

公开(公告)号：US20170296189A1

公开(公告)日：2017-10-19

申请号：US15130575

申请日：2016-04-15

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Michael J. Vendely ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Jason L. Harris ,  Robert S. Moir ,  Sofia Maria Consonni ,  Stephen Sams ,  Ismail Akram ,  Howell T. Goldrein

IPC: A61B17/10 ,  A61B17/068

Abstract: A medical instrument has an elongated channel configured to support a staple cartridge, the staple cartridge comprising a plurality of staples. The medical instrument also has an anvil mechanically coupled to the elongated channel, wherein the anvil comprises an exterior surface extending between a proximal end and a distal end. In addition, the medical instrument has at least one electrical circuit at least partially positioned on the exterior surface of the anvil, an indicator system comprising at least one indicator, and a logic circuit electrically in electrical communication with the at least one electrical circuit and the indicator system, wherein the logic circuit is configured to activate the at least one indicator when an electrical continuity of the at least one electrical circuit is interrupted.

公开(公告)号：US09730753B2

公开(公告)日：2017-08-15

申请号：US15204083

申请日：2016-07-07

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Barry C. Worrell ,  David K. Norvell ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Geoffrey S. Strobl ,  Jeffrey S. Swayze ,  Gregory A. Trees ,  Jason E. Zerkle ,  Kevin M. Montgomery

IPC: A61B18/14 ,  A61B18/00 ,  A61B17/00 ,  A61B18/12

CPC classification number: A61B18/1447 ,  A61B18/1445 ,  A61B2017/00314 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/126 ,  A61B2018/1455

Abstract: An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft. The end effector includes a pair of jaws that are operable to deliver RF energy to tissue that is clamped between the jaws. The cutting member is operable to sever tissue that is clamped between the jaws. The shaft extends between the body and the end effector. The shaft includes an articulation section that is operable to selectively position the end effector at non-parallel positions relative to the longitudinal axis of the shaft. Some versions include a rotation section that is distal to the articulation section. The rotation section is operable to rotate the end effector relative to the articulation section.