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公开(公告)号：US10987123B2
公开(公告)日：2021-04-27
申请号：US15393990
申请日：2016-12-29
发明人： Michael P. Weir , Joseph B. Kraimer , Frederick E. Shelton, IV , Stephen J. Balek , Zhifan F. Huang , Sora Rhee , Carl J. Draginoff, Jr.
IPC分类号： A61B17/32 , A61B18/14 , A61B34/37 , A61B17/00 , A61B18/08 , A61B34/30 , A61B17/29 , A61B17/22
摘要： Various example embodiments described herein are directed to articulating surgical instruments for treating tissue comprising an end effector and a shaft extending proximally from the end effector along a longitudinal axis. In certain embodiments, the shaft comprises a plurality of transverse spacer members as well as first and second rotatable members extending through at least a portion of the plurality of transverse spacer members. The first and second rotatable members may both be biased away from the longitudinal axis such that their respective directions of bias vary with rotation of the first rotatable member. When the respective directions of bias of the first and second rotatable members oppose one another, the shaft may be substantially straight. When the respective directions of bias of the first and second rotatable members are aligned with one another, the shaft may articulate away from the longitudinal axis in the direction of the alignment.
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公开(公告)号：US10660663B2
公开(公告)日：2020-05-26
申请号：US15163830
申请日：2016-05-25
发明人： Ashvani K. Madan , David A. Witt , John A. Weed, III , Stephen J. Balek , Joseph Isosaki , Peter K. Shires , William D. Dannaher
IPC分类号： A61B17/32
摘要： A bone cutting surgical instrument includes features to mitigate heat generation during use. Excessive heat can be detrimental to bone health as well as to the instrument itself. In one example a liquid dispensing feature provides a flow of cooling liquid to an ultrasonic blade via a lumen in a waveguide of the instrument. In another example, the blade has a serrated edge with a plurality of teeth arranged in a pattern to provide dimension and space during cutting actions. In another example, the blade has an oversize distal portion that creates an oversize slot when cutting to avoid excessive contact between the cut bone and proximal portions of the blade. In another example the blade includes an irrigation slot and also a micro slot in a distal end of the blade that connects with the irrigation slot.
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公开(公告)号：US20170340339A1
公开(公告)日：2017-11-30
申请号：US15163830
申请日：2016-05-25
发明人： Ashvani K. Madan , David A. Witt , John A. Weed, III , Stephen J. Balek , Joseph Isosaki , Peter K. Shires , William D. Dannaher
摘要： A bone cutting surgical instrument includes features to mitigate heat generation during use. Excessive heat can be detrimental to bone health as well as to the instrument itself. In one example a liquid dispensing feature provides a flow of cooling liquid to an ultrasonic blade via a lumen in a waveguide of the instrument. In another example, the blade has a serrated edge with a plurality of teeth arranged in a pattern to provide dimension and space during cutting actions. In another example, the blade has an oversize distal portion that creates an oversize slot when cutting to avoid excessive contact between the cut bone and proximal portions of the blade. In another example the blade includes an irrigation slot and also a micro slot in a distal end of the blade that connects with the irrigation slot.
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公开(公告)号：US20170105757A1
公开(公告)日：2017-04-20
申请号：US15393990
申请日：2016-12-29
发明人： Michael P. Weir , Joseph B. Kraimer , Frederick E. Shelton, IV , Stephen J. Balek , Zhifan F. Huang , Sora Rhee , Foster B. Stulen , Carl J. Draginoff, JR.
CPC分类号： A61B17/320092 , A61B17/00234 , A61B18/08 , A61B18/082 , A61B18/1445 , A61B34/30 , A61B34/37 , A61B2017/00314 , A61B2017/00318 , A61B2017/00323 , A61B2017/00327 , A61B2017/00331 , A61B2017/00477 , A61B2017/22018 , A61B2017/2923 , A61B2017/2927 , A61B2017/320088 , A61B2017/320094 , A61B2017/320095
摘要： Various example embodiments described herein are directed to articulating surgical instruments for treating tissue comprising an end effector and a shaft extending proximally from the end effector along a longitudinal axis. In certain embodiments, the shaft comprises a plurality of transverse spacer members as well as first and second rotatable members extending through at least a portion of the plurality of transverse spacer members. The first and second rotatable members may both be biased away from the longitudinal axis such that their respective directions of bias vary with rotation of the first rotatable member. When the respective directions of bias of the first and second rotatable members oppose one another, the shaft may be substantially straight. When the respective directions of bias of the first and second rotatable members are aligned with one another, the shaft may articulate away from the longitudinal axis in the direction of the alignment.
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公开(公告)号：US10299817B2
公开(公告)日：2019-05-28
申请号：US15093028
申请日：2016-04-07
IPC分类号： A61B17/32 , A61B17/072 , A61B17/068 , A61B34/00 , A61B17/10 , A61B17/00
摘要： In various embodiments, a fastening assembly comprising a first jaw, a second jaw, a closure member, a rotatable drive shaft, a firing member, an electric motor, a sensing device, and a control system is disclosed. The second jaw is movable between an open position and a closed position relative to the first jaw. The closure member is movable between a first position and a second position. The second jaw is in the closed position when the closure member is in the second position. The electric motor is operable to rotate the rotatable drive shaft and advance the firing member through a firing stroke. The sensing device is configured to sense when the closure member is in the second position. The control system is configured to prevent advancement of the firing member through the firing stroke until after the second jaw is in the closed position.
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6.发明授权公开(公告)号：US10029125B2
公开(公告)日：2018-07-24
申请号：US14688424
申请日：2015-04-16
发明人： Cara L. Shapiro , Ryan M. Asher , Kristen Denzinger , William B. Weisenburgh, II , David J. Cagle , Benjamin D. Dickerson , Barry C. Worrell , Gregory W. Johnson , Joseph E. Hollo , Jason R. Sullivan , Tylor C. Muhlenkamp , Stephen J. Balek
摘要： A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, an acoustic waveguide, an articulation section, an end effector, and a rigidizing member. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The shaft couples the end effector and the body together. The acoustic waveguide is coupled with the transducer. The articulation section is operable to flex to thereby deflect the end effector from a longitudinal axis defined by the shaft. The rigidizing member is operable to selectively rigidize the articulation section and thereby prevent deflection of the end effector by preventing flexibility of the articulation section. Such rigidization includes removing any “play” or other small movement that might otherwise be provided by the articulation section due to manufacturing tolerances and/or looseness between parts.
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公开(公告)号：US09737302B2
公开(公告)日：2017-08-22
申请号：US15064113
申请日：2016-03-08
IPC分类号： A61B17/068 , A61B17/072 , A61B34/30 , A61B50/20 , A61B17/064 , A61B17/10 , A61B34/37 , A61B17/32 , A61B18/14 , A61B17/00 , A61B17/29 , A61B18/00 , A61B50/36
CPC分类号： A61B17/105 , A61B17/064 , A61B17/068 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/320092 , A61B18/1445 , A61B34/30 , A61B34/37 , A61B50/20 , A61B50/36 , A61B2017/00017 , A61B2017/00398 , A61B2017/00473 , A61B2017/00734 , A61B2017/0688 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , A61B2018/0063 , A61B2034/302
摘要： A surgical severing and stapling instrument, suitable for laparoscopic and endoscopic clinical procedures, clamps tissue within an end effector of an elongate channel pivotally opposed by an anvil. An E-beam firing bar moves distally through the clamped end effector to sever tissue and to drive staples on each side of the cut. The E-beam firing bar affirmatively spaces the anvil from the elongate channel to assure properly formed closed staples, especially when an amount of tissue is clamped that is inadequate to space the end effector. In particular, an upper pin of the firing bar longitudinally moves through an anvil slot and a channel slot is captured between a lower cap and a middle pin of the firing bar to assure a minimum spacing. Forming the E-beam from a thickened distal portion and a thinned proximal strip enhances manufacturability and facilitates use in such articulating surgical instruments.
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公开(公告)号：US20160242783A1
公开(公告)日：2016-08-25
申请号：US15143803
申请日：2016-05-02
IPC分类号： A61B17/10 , A61B17/068
摘要： The present invention includes a surgical stapler having a staple cartridge, an anvil, and a cutting member having a cutting surface, wherein the cutting member is relatively movable with respect to the anvil and the staple cartridge. In at least one embodiment, one of the anvil and the staple cartridge defines a slot which is configured to receive at least a portion of the cutting member and guide the cutting member as it is moved relative to the anvil and the staple cartridge. In these embodiments, the slot can define a path having linear and/or curved portions. In various embodiments, the path can include a curved portion having a first portion that extends away from the shaft axis and a second portion that extends toward the axis. In one embodiment, the path can include a curved portion defined by an arc corresponding to an angle greater than 90 degrees.
摘要翻译： 本发明包括具有钉仓，砧座和具有切割表面的切割构件的外科缝合器，其中切割构件相对于砧座和钉仓相对移动。 在至少一个实施例中，砧座和钉仓中的一个限定了狭槽，其被配置为接收切割构件的至少一部分并且当切割构件相对于砧座和钉仓移动时引导切割构件。 在这些实施例中，槽可以限定具有线性和/或弯曲部分的路径。 在各种实施例中，路径可以包括具有远离轴线延伸的第一部分的弯曲部分和朝向轴线延伸的第二部分。 在一个实施例中，路径可以包括由对应于大于90度的角度的弧限定的弯曲部分。
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公开(公告)号：US10893853B2
公开(公告)日：2021-01-19
申请号：US15066839
申请日：2016-03-10
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B17/29
摘要： A stapling assembly comprising a proximal end, a distal end, a first jaw, a second jaw, a staple cartridge, a first motor-driven system, and a second motor-driven system is disclosed. The first jaw comprises a first bottom surface. The second iaw is rotatably coupled to the first iaw about a pivot and is movable between an unclamped position and a fully-clamped position. The second jaw comprises a second bottom surface. The staple cartridge comprises a plurality of staples removably stored therein. The first motor-driven system is configured to engage the second bottom surface of the second iaw to move the second iaw toward the fully-clamped position. The second motor-driven system is configured to engage the second jaw and the first bottom surface of the first jaw and hold the second jaw in the fully-clamped position. The second motor-driven system is actuatable after the first motor-driven system has been actuated.
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公开(公告)号：US10743849B2
公开(公告)日：2020-08-18
申请号：US15067913
申请日：2016-03-11
IPC分类号： A61B17/00 , A61B17/072 , A61B17/28 , A61B17/29
摘要： A stapling system comprising an end effector, a staple cartridge, a rigid shaft, an articulation joint, an articulation system, a clamping member, and a firing system comprising a sled movable within the staple cartridge to eject staples from the staple cartridge during a staple firing stroke, an electric motor, and a firing actuator is disclosed. The end effector comprises a first jaw and a second jaw rotatable relative to the first jaw between an unclamped position and a clamped position. The clamping member is configured to rotate the second iaw into the clamped position. The stapling system further comprises a system responsive to the clamping of the second iaw which enables the staple firing stroke to be performed after the second jaw has been rotated into the clamped position, and a system configured to maintain an orientation of the end effector about the articulation joint during the staple firing stroke.
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