公开(公告)号：US09603599B2

公开(公告)日：2017-03-28

申请号：US13328344

申请日：2011-12-16

申请人： Christopher C. Miller ,  Edward G. Chekan ,  Johnny H. Alexander, III ,  John F. Cummings ,  Carl J. Shurtleff ,  Adam R. Dunki-Jacobs ,  Barry T. Jamison ,  Joseph E. Young ,  Cortney E. Henderson

发明人： Christopher C. Miller ,  Edward G. Chekan ,  Johnny H. Alexander, III ,  John F. Cummings ,  Carl J. Shurtleff ,  Adam R. Dunki-Jacobs ,  Barry T. Jamison ,  Joseph E. Young ,  Cortney E. Henderson

IPC分类号： A61B17/068 ,  A61B17/115

CPC分类号： A61B17/1155 ,  A61B17/115 ,  A61B2017/00367 ,  A61B2017/00407 ,  A61B2017/00862 ,  A61B2090/034 ,  A61B2090/0811

摘要： A surgical instrument includes an anvil selectively coupleable to a stapling head assembly and a trigger operable to fire staples into tissue compressed between the anvil and the stapling head assembly. In some versions, a lockout member may engage a securing feature to prevent actuation of the anvil relative to the stapling head assembly. For instance, a tab may engage a slot on an actuator, a screen door lock may provide frictional resistance or engage teeth on the actuator, a door may actuate into engagement with one or more recesses, geared teeth may mesh with teeth on the actuator, the lockout member may include a ratcheting assembly to engage actuator, and/or a push button may actuate into a recess while disengaging the lockout member. Alternatively, in some versions, the trigger actuation assembly may be disengaged prior to firing. An anvil position indicator may restrict engagement of the trigger actuation assembly.

公开(公告)号：US20130175319A1

公开(公告)日：2013-07-11

申请号：US13344071

申请日：2012-01-05

申请人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Julia F. Serber

发明人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Julia F. Serber

IPC分类号： A61B17/068

CPC分类号： A61B17/1155 ,  A61B2017/2946 ,  A61B2090/0811

摘要： A surgical stapler comprises an anvil assembly, an anvil shaft, a driver, an actuating arm, a safety switch, and a safety feature. The anvil assembly couples with the anvil shaft. The driver drives a plurality of staples into tissue. The actuating arm is in communication with the surgical stapler and is configured to actuate the driver to drive the plurality of staples into tissue. The safety switch is moveable between a locked and an unlocked position. The safety switch prevents operation of the actuating arm when the safety switch is in the locked position. The safety switch enables operation of the actuating arm when the safety switch is in the unlocked position. The safety feature may prevent operation of the driver even when the safety switch is in the unlocked position or prevent operation of the safety switch.

摘要翻译： 手术吻合器包括砧组件，砧座轴，驱动器，致动臂，安全开关和安全特征。 砧组件与砧轴相连。 驱动器将多个订书钉驱动到组织中。 所述致动臂与所述外科缝合器连通并且构造成致动所述驱动器以将所述多个钉驱动到组织中。 安全开关可在锁定位置和解锁位置之间移动。 当安全开关处于锁定位置时，安全开关可防止操作臂的操作。 当安全开关处于未锁定位置时，安全开关可操作执行臂。 即使当安全开关处于解锁位置或防止安全开关的操作时，安全功能也可以防止驾驶员的操作。

公开(公告)号：US09186148B2

公开(公告)日：2015-11-17

申请号：US13344061

申请日：2012-01-05

申请人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Patrick A. Weizman ,  Cory G. Kimball ,  Edward G. Chekan ,  Joseph E. Young ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Cortney E. Henderson ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Adam R. Dunki-Jacobs ,  Venkataramanan Mandakolathur Vasudevan ,  Carl J. Shurtleff ,  Julia F. Serber

发明人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Patrick A. Weizman ,  Cory G. Kimball ,  Edward G. Chekan ,  Joseph E. Young ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Cortney E. Henderson ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Adam R. Dunki-Jacobs ,  Venkataramanan Mandakolathur Vasudevan ,  Carl J. Shurtleff ,  Julia F. Serber

IPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/072 ,  A61B17/00 ,  A61B17/29 ,  A61B19/00

CPC分类号： A61B17/064 ,  A61B17/0686 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/115 ,  A61B17/1155 ,  A61B2017/00876 ,  A61B2017/07214 ,  A61B2017/0725 ,  A61B2017/2946 ,  A61B2090/0811

摘要： A surgical instrument includes a handle assembly having a trigger operable to fire a staple driver to staple tissue. The instrument includes a pointed rod to which an anvil may be coupled. An anvil detection feature is included to determine when the anvil is coupled to the rod. In some versions, the anvil detection feature comprises a translatable rod that inhibits a lockout feature from disengaging. In other versions, an anvil sensing tube is disposed about the pointed rod and interferes with actuation of the trigger in a first position. A recess in the tube permits trigger to actuate when the anvil sensing tube is in the second position. Alternatively, a resilient tab is coupled to the pointed rod and resists actuation of the staple driver. A trigger lockout assembly may include a spring-loaded button that “pops” out when a push rod is actuated, thereby freeing a pivotable lockout feature.

摘要翻译： 一种手术器械包括具有触发器的手柄组件，该触发器可操作以将钉子驱动器射击至钉组织。 该仪器包括可连接砧座的尖杆。 包括砧检测功能以确定砧座何时与杆连接。 在一些形式中，砧座检测特征包括一个能够阻止锁定特征脱离的可平移杆。 在其他形式中，砧感知管围绕尖的杆设置并且在第一位置上干扰触发器的致动。 当砧座感测管处于第二位置时，管中的凹部允许触发器致动。 或者，弹性突舌连接到尖的杆并抵抗钉驱动器的致动。 触发器锁定组件可以包括弹簧加载的按钮，当按压推杆时“弹出”按钮，从而释放可枢转的锁定特征。

公开(公告)号：US08764747B2

公开(公告)日：2014-07-01

申请号：US12797844

申请日：2010-06-10

申请人： John F. Cummings ,  Andrew T. Beckman ,  Bradley E. White ,  Christopher J. Schall ,  Cory G. Kimball ,  Al Mirel

发明人： John F. Cummings ,  Andrew T. Beckman ,  Bradley E. White ,  Christopher J. Schall ,  Cory G. Kimball ,  Al Mirel

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B18/1447 ,  A61B2018/00654 ,  A61B2018/124 ,  A61B2090/0811

摘要： An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. One or both of the first and second jaws can comprise a plurality of electrodes which can be sequentially activated. The electrodes can be activated in a predetermined order in connection with a cutting member being advanced through the tissue. In various embodiments, the electrodes can be deactivated in a predetermined order. In certain embodiments, the electrodes can be comprised of a positive temperature coefficient material which can allow the electrodes to be sequentially deactivated.

摘要翻译： 电外科手术器械可以包括手柄和末端执行器，其中末端执行器可以包括第一和第二钳口，其可以打开和关闭以在其间捕获组织。 第一和第二钳口中的一个或两个可以包括可以被顺序地激活的多个电极。 电极可以以预定的顺序与通过组织前进的切割构件相关联地被激活。 在各种实施例中，电极可以以预定顺序去激活。 在某些实施例中，电极可以由正温度系数材料构成，其可以允许电极被顺序地去激活。

公开(公告)号：US20120022528A1

公开(公告)日：2012-01-26

申请号：US12842518

申请日：2010-07-23

申请人： Bradley E. White ,  John F. Cummings ,  Cory G. Kimball ,  Andrew T. Beckman ,  Christopher J. Schall ,  Al Mirel

发明人： Bradley E. White ,  John F. Cummings ,  Cory G. Kimball ,  Andrew T. Beckman ,  Christopher J. Schall ,  Al Mirel

IPC分类号： A61B18/04

CPC分类号： A61B18/1445 ,  A61B2018/00196 ,  A61B2018/00607 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/1455 ,  A61B2090/065

摘要： A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by an electromagnetic brake.

摘要翻译： 用于向组织提供能量的外科器械可以包括包括电极的钳口构件，其中所述电极被配置为从电源向捕获的组织供应能量。 手术器械包括用于横切所捕获的组织的组织切割元件。 在操作冲程期间组织切割元件的远端平移的速率可以由电磁制动器调节。

公开(公告)号：US20110306968A1

公开(公告)日：2011-12-15

申请号：US12797866

申请日：2010-06-10

申请人： Andrew T. Beckman ,  Bradley E. White ,  Cory G. Kimball ,  John F. Cummings ,  Al Mirel ,  Christopher J. Schall ,  Jeffrey L. Aldridge ,  Timothy G. Dietz ,  David A. Witt ,  Mary E. Mootoo ,  Zhifan F. Huang ,  Raymond M. Banks ,  Tamara Widenhouse ,  Frederick E. Shelton, IV ,  Jason L. Harris ,  Jeffrey S. Swayze ,  Foster B. Stulen ,  Prasanna Malaviya ,  Gregory W. Johnson ,  Paul Guerra

发明人： Andrew T. Beckman ,  Bradley E. White ,  Cory G. Kimball ,  John F. Cummings ,  Al Mirel ,  Christopher J. Schall ,  Jeffrey L. Aldridge ,  Timothy G. Dietz ,  David A. Witt ,  Mary E. Mootoo ,  Zhifan F. Huang ,  Raymond M. Banks ,  Tamara Widenhouse ,  Frederick E. Shelton, IV ,  Jason L. Harris ,  Jeffrey S. Swayze ,  Foster B. Stulen ,  Prasanna Malaviya ,  Gregory W. Johnson ,  Paul Guerra

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B17/32 ,  A61B18/1482 ,  A61B2018/00005 ,  A61B2018/00011 ,  A61B2018/00017 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00047 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1452 ,  A61B2018/1455 ,  A61B2018/1472 ,  A61B2218/002

摘要： In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.

摘要翻译： 在各种实施例中，提供了可以包括用于在组织上执行外科手术的端部执行器的外科器械。 末端执行器可以包括至少一个能量输送表面和用于从末端执行器的至少一部分散热的散热装置。 例如，在至少一个实施例中，端部执行器可以包括第一钳口，第二钳口和切割构件。 切割构件可以包括切割表面和主体，其可以限定空腔和与空腔连通的至少一个开口。 流体可以通过空腔移动到和/或从开口移动。 另外，在至少一个实施例中，手术器械的末端执行器可以包括第一钳口，第二钳口，切割构件和至少一个热管。 还公开了各种其它散热装置。

公开(公告)号：US1004150A

公开(公告)日：1911-09-26

申请号：US1911605531

申请日：1911-01-30

申请人： JOHN F CUMMINGS MFG COMPANY

发明人： CUMMINGS JOHN F

CPC分类号： B65C11/004 ,  Y10T156/1383

公开(公告)号：US09549738B2

公开(公告)日：2017-01-24

申请号：US13344093

申请日：2012-01-05

申请人： Venkataramanan Mandakolathur Vasudevan ,  Adam R. Dunki-Jacobs ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Cortney E. Henderson ,  Christopher C. Miller ,  Kent P. Baker ,  John V. Hunt ,  Barry T. Jamison ,  Patrick A. Weizman ,  Joseph E. Young ,  Cory G. Kimball ,  Carl J. Shurtleff ,  Edward G. Chekan ,  Kevin D. Felder ,  Johnny H. Alexander, III ,  Patrick J. Swindon ,  Joseph P. Schowalter ,  John F. Cummings

发明人： Venkataramanan Mandakolathur Vasudevan ,  Adam R. Dunki-Jacobs ,  Chester O. Baxter, III ,  Jerome R. Morgan ,  Cortney E. Henderson ,  Christopher C. Miller ,  Kent P. Baker ,  John V. Hunt ,  Barry T. Jamison ,  Patrick A. Weizman ,  Joseph E. Young ,  Cory G. Kimball ,  Carl J. Shurtleff ,  Edward G. Chekan ,  Kevin D. Felder ,  Johnny H. Alexander, III ,  Patrick J. Swindon ,  Joseph P. Schowalter ,  John F. Cummings

IPC分类号： A61B17/00 ,  A61B17/115 ,  A61B17/072 ,  A61B17/29

CPC分类号： A61B17/1155 ,  A61B17/072 ,  A61B2017/00407 ,  A61B2017/2923

摘要： A surgical instrument includes a body, a pivotable trigger, and a ratcheting assembly. The ratcheting assembly may include a rotary ratchet coupled to the trigger and a pawl coupled to the body. The rotary ratchet may further include a ramp that disengages the ratchet from the pawl. A release feature may be included to selectively disengage a second member of the ratcheting assembly from a first member. In some versions, the release feature may include a rotation knob or a slidable handle. In another configuration, the ratcheting assembly may have a first member coupled to an actuator and a second member coupled to the body. The assembly may include a lock member coupled to the body that selectively engages a plurality of teeth disposed on the actuator. Alternatively, the assembly may include a pivotable pawl coupled to the actuator that engages one or more notches formed in the body.

摘要翻译： 手术器械包括主体，可枢转扳机和棘轮组件。 棘轮组件可以包括联接到扳机的旋转棘轮和联接到主体的棘爪。 旋转棘轮还可以包括使棘轮与棘爪脱离的斜坡。 可以包括释放特征以选择性地将棘轮组件的第二构件与第一构件分离。 在一些版本中，释放特征可以包括旋转旋钮或可滑动的手柄。 在另一种构造中，棘轮组件可以具有联接到致动器的第一构件和联接到主体的第二构件。 组件可以包括联接到主体的锁定构件，其选择性地接合设置在致动器上的多个齿。 或者，组件可以包括联接到致动器的可枢转的棘爪，其接合形成在主体中的一个或多个凹口。

公开(公告)号：US09149324B2

公开(公告)日：2015-10-06

申请号：US12832345

申请日：2010-07-08

申请人： Zhifan F. Huang ,  David A. Witt ,  Raymond M. Banks ,  Timothy G. Dietz ,  Mary E. Mootoo ,  Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Prasanna Malaviya ,  Richard W. Timm ,  John V. Hunt ,  Suzanne E. Thompson ,  Gavin M. Monson ,  Robert J. Laird ,  Omar J. Vakharia ,  Christopher J. Schall ,  Cory G. Kimball ,  Al Mirel ,  John F. Cummings ,  Andrew T. Beckman

发明人： Zhifan F. Huang ,  David A. Witt ,  Raymond M. Banks ,  Timothy G. Dietz ,  Mary E. Mootoo ,  Gregory W. Johnson ,  Jeffrey S. Swayze ,  Jason L. Harris ,  Prasanna Malaviya ,  Richard W. Timm ,  John V. Hunt ,  Suzanne E. Thompson ,  Gavin M. Monson ,  Robert J. Laird ,  Omar J. Vakharia ,  Christopher J. Schall ,  Cory G. Kimball ,  Al Mirel ,  John F. Cummings ,  Andrew T. Beckman

IPC分类号： A61B18/14 ,  A61B17/00 ,  A61B18/00

CPC分类号： A61B18/1445 ,  A61B2017/00084 ,  A61B2018/00601 ,  A61B2018/0063

摘要： An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector.

摘要翻译： 电外科器械可以包括手柄，轴和端部执行器，其中末端执行器可以通过铰接接头可旋转地联接到轴。 仪器还可以包括驱动构件，并且铰接接头可以包括可配置成支撑驱动构件的柔性支撑构件。 仪器还可以包括电耦合到末端执行器中的电极的电线，以及配置成防止供电线在铰接接头内累积松弛的电线张紧装置。 驱动构件可以包括多个柔性层，其中一些层可以由电绝缘材料构成，并且其它层可以由与末端执行器中的切割构件电连通的导电材料和/或 位于末端执行器内的电极。

公开(公告)号：US09095340B2

公开(公告)日：2015-08-04

申请号：US13344071

申请日：2012-01-05

申请人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Julia F. Serber

发明人： Kevin D. Felder ,  John F. Cummings ,  Joseph P. Schowalter ,  Patrick J. Swindon ,  Johnny H. Alexander, III ,  Christopher C. Miller ,  Barry T. Jamison ,  John V. Hunt ,  Kent P. Baker ,  Julia F. Serber

IPC分类号： A61B17/068 ,  A61B17/115 ,  A61B17/29 ,  A61B19/00

CPC分类号： A61B17/1155 ,  A61B2017/2946 ,  A61B2090/0811

摘要： A surgical stapler comprises an anvil assembly, an anvil shaft, a driver, an actuating arm, a safety switch, and a safety feature. The anvil assembly couples with the anvil shaft. The driver drives a plurality of staples into tissue. The actuating arm is in communication with the surgical stapler and is configured to actuate the driver to drive the plurality of staples into tissue. The safety switch is moveable between a locked and an unlocked position. The safety switch prevents operation of the actuating arm when the safety switch is in the locked position. The safety switch enables operation of the actuating arm when the safety switch is in the unlocked position. The safety feature may prevent operation of the driver even when the safety switch is in the unlocked position or prevent operation of the safety switch.

摘要翻译： 手术吻合器包括砧组件，砧座轴，驱动器，致动臂，安全开关和安全特征。 砧组件与砧轴相连。 驱动器将多个订书钉驱动到组织中。 所述致动臂与所述外科缝合器连通并且构造成致动所述驱动器以将所述多个钉驱动到组织中。 安全开关可在锁定位置和解锁位置之间移动。 当安全开关处于锁定位置时，安全开关可以防止操作臂的操作。 当安全开关处于未锁定位置时，安全开关可操作执行臂。 即使当安全开关处于解锁位置或防止安全开关的操作时，安全功能也可以防止驾驶员的操作。