[특허]Surgical instrument with sequential clamping and cutting

[미국특허] Surgical instrument with sequential clamping and cutting 원문보기

IPC분류정보
국가/구분	United States(US) Patent 등록
국제특허분류(IPC7판)	A61B-017/04 A61B-017/10 A61B-017/068 A61B-017/072 A61B-017/3205 A61B-017/29 A61B-017/295 A61B-017/00
출원번호	US-0568231 (2014-12-12)
등록번호	US-9737297 (2017-08-22)
발명자 / 주소	Racenet, Danyel Farascioni, David M. Kasvikis, Dino O'Donnell, Katelyn
출원인 / 주소	Covidien LP
인용정보	피인용 횟수 : 37 인용 특허 : 60

초록 ▼

A surgical fastening instrument including a handle portion, an elongated portion, an end effector and a clamp is disclosed. The elongated portion extends distally from the handle portion. The end effector includes a pair of jaws having a tissue contacting surface disposed substantially transverse to the longitudinal axis of the elongated portion. The end effector is disposed adjacent a distal end of the elongated portion, and at least one of the jaw members is movable with respect to the other between an open position and an approximated position for engaging body tissue therebetween. The clamp has a clamping surface extending substantially transversely from an elongated member and has a height exceeding a height of the elongated member to extend adjacent a side surface of the jaw containing the plurality of fasteners. The clamp is movable from a proximal position to a distal position for engaging body tissue.

대표청구항 ▼

1. A surgical instrument comprising: an elongated portion defining a longitudinal axis;a first jaw member and a second jaw member disposed adjacent a distal end of the elongated portion, the first jaw member being movable with respect to the second jaw member in a longitudinal direction between an open position and an approximated position for engaging body tissue therebetween; anda clamp including a clamping surface having a width, the width of the clamping surface exceeding a width of the elongated portion, wherein the width of the clamping surface and the width of the elongated portion are transverse to the longitudinal axis, the clamp being movable in the longitudinal direction relative to the first jaw member to engage body tissue. 2. The surgical instrument of claim 1, wherein the clamp is independently movable in a linear direction with respect to the first jaw member. 3. The surgical instrument of claim 1, wherein the first jaw member is linearly movable along the longitudinal axis. 4. The surgical instrument of claim 1, further including a knife movable from a proximal position to a distal position, the knife including a longitudinally tapered tissue-contacting surface. 5. The surgical instrument of claim 1, further including a knife movable from a proximal position to a distal position, the knife including a tissue-contacting surface having a raised middle portion with respect to its side portions. 6. The surgical instrument of claim 1, further including a handle disposed adjacent a proximal portion of the elongated portion, wherein the handle includes a first mechanism to longitudinally advance the clamp and a second mechanism to longitudinally advance the first jaw member. 7. The surgical instrument of claim 1, wherein the elongated portion includes at least one of a curved portion or a bend. 8. The surgical instrument of claim 1, wherein a tissue-contacting surface of each of the first jaw member and the second jaw member is disposed substantially transverse to the longitudinal axis. 9. The surgical instrument of claim 1, wherein the first jaw member is configured to house a plurality of rows of fasteners positioned substantially transverse to the longitudinal axis. 10. The surgical instrument of claim 1, wherein an entirety of the clamp is disposed externally of the first jaw member. 11. The surgical instrument of claim 1, wherein the second jaw member is fixed from movement with respect to the elongated portion, and wherein the clamp is distally translatable toward the second jaw member. 12. The surgical instrument of claim 1, wherein a distal portion of the clamp is movable distally beyond a distal-most portion of the first jaw member. 13. The surgical instrument of claim 1, wherein the width of the clamping surface of the clamp exceeds a width of the first jaw member, and wherein the width of the first jaw member is defined as being transverse to the longitudinal axis. 14. The surgical instrument of claim 1, wherein the clamp is fixed from moving toward the longitudinal axis. 15. The surgical instrument of claim 1, wherein the first jaw member is movable toward the second jaw member prior to longitudinal movement of the clamp. 16. The surgical instrument of claim 9, wherein the fasteners are ejectable from the first jaw member prior to longitudinal movement of the clamp.

이 특허에 인용된 특허 (60) 인용/피인용 타임라인 분석

Green David T. (Westport CT) Bolanos Henry (East Norwalk CT) Ratcliff Keith (Sandy Hook CT) Heaton Lisa W. (Norwalk CT) Robertson John C. (Bloomfield CT), Apparatus for applying surgical fasteners.
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Green David T. (Westport CT) Bolanos Henry (East Norwalk CT) Ratcliff Keith (Sandy Hook CT) Heaton Lisa W. (Norwalk CT) Viola Frank J. (Sandy Hook CT), Apparatus for applying surgical fasteners.
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Green David T. (Westport CT) Kappel Gary S. (Stamford CT) Ehrenfels Karl H. (Danbury CT), Apparatus for applying surgical fasteners.
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Green David T. ; Bolanos Henry ; Ratcliff Keith ; Heaton Lisa M. ; Robertson John C., Apparatus for applying surgical fasteners.
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Green David T. ; Bolanos Henry ; Ratcliff Keith ; Heaton Lisa W. ; Viola Frank J., Apparatus for applying surgical fasteners.
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Green David T. (Norwalk CT), Apparatus for applying two-part surgical fasteners.
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Green David T. (Westport CT) Bolanos Henry (East Norwalk CT) Geiste Robert J. (Milford CT) Young Wayne P. (Brewster NY) Gerry Stephen W. (Bethel CT) Rende ; III Frank M. (Stamford CT), Arcuate apparatus for applying two-part surgical fasteners.
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Green David T. (Norwalk CT) Aranyi Ernie (Shelton CT), Articulated surgical fastener applying apparatus.
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Green David T. (Norwalk CT) Aranyi Ernie (Shelton CT), Articulated surgical fastener applying apparatus.
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Bilotti Federico (Madeira OH), Cartridge and driver assembly for a surgical stapling instrument.
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Wukusick,Peter Michael; Schwemberger,Richard F., Cartridge with locking knife for a curved cutter stapler.
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Schwemberger,Richard F.; Wukusick,Peter Michael; Kelly,William David; Mather,Michael T.; Garner,Dean L.; Dawson,Kristin Nicole Werner, Closure plate lockout for a curved cutter stapler.
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Machek James E. (Valencia PA) Rhinehart Edward J. (Monroeville PA), Device for producing incremental joint movement in a patient.
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Porter David S. (Middlebury CT), Flexible support shaft assembly.
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Fontayne Diego (Norwalk CT) Robertson John C. (Bloomfield CT) Van Leeuwen Timothy O. (Brookfield CT) Pelletier Thomas A. (Wallingford CT) Gerry Stephen W. (Bethel CT), Fragmentable ring applier.
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Hamblin Steven W. (Loveland OH) Witt David A. (Loveland OH) Sierocuk Thomas J. (West Chester OH) Nicola Kirk M. (West Chester OH) Otten Matthew R. (Cincinnati OH) Berky Craig B. (Milford OH), Handle actuator for surgical instrument having clamp lock and emergency release.
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Crainich Lawrence ; Kangas David, Ratchet assembly for surgical instrument.
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Schwemberger,Richard F.; Forester,Craig F.; Mather,Michael T., Retaining pin lever advancement mechanism for a curved cutter stapler.
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Marczyk, Stanislaw, Segmented drive member for surgical instruments.
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Nguyen,Anthony; Kelly,William David; Wukusick,Peter Michael; Schwemberger,Richard F.; Smith,Richard C.; Kruszynski,Michael L.; Bilotti,Federico, Slotted pins guiding knife in a curved cutter stapler.
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Gary McAlister ; Robert L. Sakal, Stapling and cutting in resectioning for full thickness resection devices.
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Tsuruta Minoru (Tokyo JPX) Bito Shiro (Tokyo JPX) Kimura Shuichi (Tokyo JPX) Mukaizawa Akito (Tokyo JPX) Kuramoto Seiji (Tokyo JPX) Tsukagoshi Tsuyoshi (Tokyo JPX) Nakata Akio (Tokyo JPX) Taguchi Aki, Surgical device for stapling and/or fastening body tissues.
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Gravener Roy (Southport CT) Aranyi Ernie (Easton CT) Zvenyatsky Boris (Bronx NY), Surgical fastener apparatus.
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Gravener Roy (Southport CT) Aranyi Ernie (Easton CT) Zvenyatsky Boris (Bronx NY), Surgical fastener apparatus.
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Green David T. (Norwalk CT), Surgical fastener applying apparatus.
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Green David T. (Norwalk CT), Surgical fastener applying apparatus.
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Green David T. (Norwalk CT), Surgical fastener applying apparatus.
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Roehr ; Jr. William H. (Ridgefield CT) Goodman Richard L. (White Plains NY), Surgical fastener applying apparatus with tissue edge control.
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Robertson John C., Surgical fastener applying device.
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Green David T. (Westport CT), Surgical fastener cartridge.
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Isaacs Jack L. (Trumbull CT) Zvenyatsky Boris (Bronx NY), Surgical fastener cartridge with improved body tissue cutting knife assembly.
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Rodak Daniel P. (Milford CT) Aranyi Ernest (Easton CT), Surgical fastening apparatus with activation lockout.
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Akopov Ernest M. (ulitsa Borisa Galushkina ; 12 ; korpus 2 ; kv. 28 Moscow SUX) Schitinin Valery E. (ulitsa Butyrskaya ; 53/63 ; kv. 104 Moscow SUX) Arapova Anna V. (Krasnostudenchesky proezd ; 21 ; , Surgical instrument.
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Schulze Dale R. (Lebanon OH) Paraschac Joseph (Cincinnati OH) Fox William D. (New Richmond OH) Setser Michael E. (Burlington KY) Wales Kenneth S. (Mason OH) Zeiner Mark S. (Milford OH), Surgical instrument.
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Schulze Dale R. (Lebanon OH) Paraschac Joseph (Cincinnati OH) Fox William D. (New Richmond OH) Setser Michael E. (Burlington KY) Wales Kenneth S. (Mason OH) Zeiner Mark S. (Milford OH), Surgical instrument.
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Akopov Ernest (Moscow SUX) Astashev Vyacheslav (Moscow SUX) Ramm Anatoly (Moscow SUX) Reztsov Alexandr (Moscow SUX), Surgical instrument and staples for applying purse string sutures.
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Strekopytov Alexei A. (ulitsa Vsevoloda Vishnevskogo ; 10 kv. 67 Moscow SUX) Smirnov Boris A. (ulitsa Borisa Galushkina ; 17 ; kv. 26 Moscow SUX) Danilov Mikhail V. (ulitsa Bolshaya Cherkizovskaya ; , Surgical instrument for applying linear staple sutures and intersecting the tissue therebetween.
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Alfranca Jos-Mara P. (Santa Teresa ; 29-35 ; esc. 1a-6o A 50006 Saragossa ESX), Surgical instrument for practicing mechanical sutures and biopsies.
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Green,David T., Surgical instrument for progressively stapling and incising tissue.
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Racenet, Danyel; Farascioni, David M.; Kasvikis, Dino; O'Donnell, Katelyn, Surgical instrument with sequential clamping and cutting.
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Racenet, Danyel; Farascioni, David M.; Kasvikis, Dino; O'Donnell, Katelyn, Surgical instrument with sequential clamping and cutting.
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Schossau,Tom M., Surgical knives for large, self-sealing corneal incisions coupled to a universal intraocular lens (IOL) injector.
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Forder William C. F. (33 Rosehill Ave. ; Apt. 1903 Toronto ; Ontario CAX M4T 1G4), Surgical retractor.
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Yoon InBae (2101 Highland Ridge Dr. Phoenix MD 21131), Surgical staple cartridge.
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Behlke Harold O. (4060 Toenges St. Louis MO 63116), Surgical stapler.
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Green David T. (Westport CT) Bolanos Henry (Norwalk CT) Ratcliff Keith (Sandy Hook CT), Surgical stapler apparatus.
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Green David T. (Norwalk CT), Surgical stapler apparatus having pivotally related staple holder and anvil.
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Green, David T., Surgical stapler apparatus with pivotally mounted actuator assemblies.
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Green David T. (Westport CT), Surgical stapler apparatus with tissue shield.
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Plyley Alan K. ; Vidal Claude A. ; Redmond Russell J., Surgical stapler with alignment pin locking mechanism.
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Green David T. (Norwalk CT) Sienkiewicz Henry R. (Stamford CT), Surgical stapling instrument and cartridge.
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Clark George A. (East Windsor NJ) Burwell Malcolm C. (Princeton NJ) Gola John A. (Bordentown NJ) Robinson Christopher (Lawrenceville NJ) Snyder Fred E. (Princeton Junction NJ), Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft.
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Clark George A. (East Windsor NJ) Burwell Malcolm C. (Princeton NJ) Gola John A. (Bordentown NJ) Robinson Christopher (Lawrenceville NJ) Snyder Fred E. (Princeton Junction NJ), Surgical stapling instrument with articulated stapling head assembly on rotatable and flexible support shaft.
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Huitema Thomas W. (Cincinnati OH) Sierocuk Thomas J. (West Chester OH) Butterfield Eric J. (Morrisville NC) Hueil Joseph C. (Loveland OH) Nicola Kirk M. (West Chester OH) Koch ; Jr. Robert L. (Cincin, Surgical stapling instrument with improved jaw closure and staple firing actuator mechanism.
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Holsten,Henry; Viola,Frank J.; Emmons,Clifford L.; Beardsley,John W.; Heinrich,Russell, Surgical stapling instruments including a cartridge having multiple staple sizes.
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Sugarbaker David J. ; Levine Andy H. ; Warner Nicholas F. ; May Eric E. ; Crainich Lawrence, Tissue grasping device.
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IPC	Description
A	생활필수품
A62	인명구조; 소방(사다리 E06C)
A62B	인명구조용의 기구, 장치 또는 방법(특히 의료용에 사용되는 밸브 A61M 39/00; 특히 물에서 쓰이는 인명구조 장치 또는 방법 B63C 9/00; 잠수장비 B63C 11/00; 특히 항공기에 쓰는 것, 예. 낙하산, 투출좌석 B64D; 특히 광산에서 쓰이는 구조장치 E21F 11/00)
A62B-1/08	.. 윈치 또는 풀리에 제동기구가 있는 것

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[미국특허] Surgical instrument with sequential clamping and cutting 원문보기

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[미국특허] Surgical instrument with sequential clamping and cutting 원문보기

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