公开(公告)号：US11497520B2

公开(公告)日：2022-11-15

申请号：US16549821

申请日：2019-08-23

Applicant: Ethicon LLC

Inventor： Benjamin D. Dickerson ,  Steven P. Smolik ,  David J. Cagle ,  Jeffrey D. Messerly ,  Frederick L. Estera ,  Paul F. Riestenberg ,  Charles J. Scheib ,  Tylor C. Muhlenkamp ,  Kristen G. Denzinger ,  Ryan M. Asher

IPC: A61B17/00 ,  A61B17/32 ,  A61B17/28

Abstract: An ultrasonic instrument includes a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The shaft assembly includes an acoustic waveguide configured to acoustically couple with an ultrasonic transducer. The end effector includes an ultrasonic blade, a clamp arm and a clamp pad. The ultrasonic blade is in acoustic communication with the waveguide. The clamp arm is pivotally coupled with the shaft assembly. The clamp pad is configured to removably couple with the clamp arm while the clamp arm is pivotally coupled to the shaft assembly.

公开(公告)号：US11364026B2

公开(公告)日：2022-06-21

申请号：US16506030

申请日：2019-07-09

Applicant: Ethicon LLC

Inventor： Jerome R. Morgan ,  Frederick E. Shelton, IV ,  Emily A. Schellin ,  Jeffrey S. Swayze ,  Gary W. Knight ,  Brian F. Dinardo ,  Adam R. Dunki-Jacobs ,  Charles J. Scheib

IPC: A61B17/064 ,  A61B17/072 ,  A61B17/29 ,  A61B17/00 ,  A61B90/00

Abstract: Devices and methods are provided for stabilizing fasteners post-deployment. Devices and methods are also provided for facilitating ejection of surgical fasteners from a cartridge. Devices and methods are also provided for guiding surgical fasteners. Devices and methods are also provided for facilitating closing and clamping of an end effector of a surgical device. Devices and methods are also provided for securing fasteners and adjunct materials to tissue. Devices and methods are also provided for removably coupling a cartridge to an end effector of a surgical device. Devices and methods are also provided for locking a surgical device based on loading of a fastener cartridge in the surgical device. Devices and methods are provided for adjusting a tissue gap of an end effector of a surgical device. Devices and methods are also provided for manually retracting a drive shaft, drive beam, and associated components.

公开(公告)号：US11253253B2

公开(公告)日：2022-02-22

申请号：US16377348

申请日：2019-04-08

Applicant: Ethicon LLC

Inventor： Michael J. Vendely ,  Trevor J. Barton ,  Jason L. Harris ,  Charles J. Scheib ,  Emily A. Schellin ,  Prudence A. Turner ,  Steven G. Hall ,  Victoria Dalessandro ,  Jackie Donners ,  Mark Timmer ,  Rao S. Bezwada ,  Aidan Craigwood ,  Caroline Hagerman ,  Ashley Easter ,  Kathrin Holtzmann ,  Frederick E. Shelton, IV ,  Mark S. Zeiner

IPC: A61B17/068 ,  A61B17/072 ,  A61B50/30 ,  A61B90/90 ,  A61B50/31 ,  A61B42/00 ,  A61B17/00 ,  A61B90/00 ,  A61B50/00

Abstract: A buttress is applied to an end effector of a surgical stapler. The buttress is loaded on a platform of a buttress applier cartridge. The end effector is closed upon the platform. An adhesive layer of the buttress secures the buttress to the end effector. The buttress is thus adhered to the end effector when the end effector is opened. The end effector is then actuated on tissue of a patient, thereby stapling the buttress to the tissue.

公开(公告)号：US11129612B2

公开(公告)日：2021-09-28

申请号：US16288356

申请日：2019-02-28

Applicant: Ethicon LLC

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

IPC: A61B17/072 ,  A61B17/10 ,  A61L31/16 ,  A61B17/00 ,  A61B17/115

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：US20210290231A1

公开(公告)日：2021-09-23

申请号：US17197524

申请日：2021-03-10

Applicant: Ethicon LLC

Inventor： Chester O. Baxter, III ,  Frederick E. Shelton, IV ,  Charles J. Scheib ,  Christopher W. Widenhouse ,  William B. Weisenburgh, II

IPC: A61B17/072 ,  A61B17/115 ,  A61B17/064 ,  A61B17/00

Abstract: A tissue thickness compensator may generally comprise a first layer comprising a first biocompatible material sealingly enclosed in a water impermeable material and a second layer comprising a second biocompatible material comprising at least one encapsulation, wherein the first biocompatible material expands when contacted with a fluid. The tissue thickness compensator may comprise a haemostatic agent, an anti-inflammatory agent, an antibiotic agent, anti-microbial agent, an anti-adhesion agent, an anti-coagulant agent, a medicament, and/or pharmaceutically active agent. The encapsulation may comprise a biodegradable material to degrade in vivo and/or in situ. The tissue thickness compensator may comprise a hydrogel. The reaction product may comprise a fluid-swellable composition. Articles of manufacture comprising the tissue thickness compensator and methods of making and using the tissue thickness compensator are also described.

公开(公告)号：US20210282767A1

公开(公告)日：2021-09-16

申请号：US17194562

申请日：2021-03-08

Applicant: Ethicon LLC

Inventor： Frederick E. Shelton, IV ,  Katherine J. Schmid ,  Charles J. Scheib ,  Taylor W. Aronhalt ,  Matthew M. Lang ,  Steven G. Hall ,  Chester O. Baxter, III

IPC: A61B17/068 ,  A61B17/072 ,  A61L17/00 ,  A61B17/00 ,  A61B17/064 ,  A61B17/115 ,  A61B90/92

Abstract: In various embodiments, a tissue thickness compensator can comprise one or more capsules and/or pockets comprising at least one medicament therein. In at least one embodiment, staples can be fired through the tissue thickness compensator to rupture the capsules. In certain embodiments, a firing member, or knife, can be advanced through the tissue thickness compensator to rupture the capsules.

公开(公告)号：US11109864B2

公开(公告)日：2021-09-07

申请号：US16507304

申请日：2019-07-10

Applicant: ETHICON LLC

Inventor： Chester O. Baxter, III ,  Jerome R. Morgan ,  Frederick E. Shelton, IV ,  Charles J. Scheib ,  Michael J. Vendely

IPC: A61B17/10 ,  A61B17/068 ,  A61B17/072 ,  A61B17/3209

Abstract: An apparatus comprises a body, a shaft assembly, an end effector, a cartridge, and a staple driver actuator. The end effector is operable to manipulate tissue. The end effector comprises a lower jaw, a pivotable anvil, and a translating cutter. The translating cutter is operable to translate relative to the lower jaw and the anvil when the anvil is pivoted toward the lower jaw to manipulate tissue. The cartridge is insertable into the lower jaw and includes a plurality of staples. The staple driver actuator is disposed within the cartridge. The staple driver actuator comprises a secondary cutting element. The translating cutter of the end effector is operable to drive the staple driver actuator distally to staple and cut tissue substantially simultaneously.

公开(公告)号：US11096694B2

公开(公告)日：2021-08-24

申请号：US16291055

申请日：2019-03-04

Applicant: Ethicon 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：US11076877B2

公开(公告)日：2021-08-03

申请号：US16211396

申请日：2018-12-06

Applicant: Ethicon 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：US20210204947A1

公开(公告)日：2021-07-08

申请号：US17130929

申请日：2020-12-22

Applicant: Ethicon LLC

Inventor： Frederick E. Shelton, IV ,  Rao S. Bezwada ,  Jason L. Harris ,  Prudence A. Vulhop ,  Mark S. Zeiner ,  Charles J. Scheib

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

Abstract: A method of applying a buttress to a surgical stapler end effector comprises positioning a buttress assembly between an anvil and a staple cartridge of the end effector. The buttress assembly comprises a buttress body and an adhesive material. The adhesive material faces either an underside of the anvil or a deck of the staple cartridge. The anvil is in an open position relative to the staple cartridge during the act of positioning the buttress assembly between the anvil and the staple cartridge. The method further comprises moving the anvil toward the staple cartridge then moving the anvil back to the open position. The buttress assembly is adhered to the underside of the anvil or the deck of the staple cartridge via the adhesive material with the anvil moved back to the open position. The adhesive material comprises a bioabsorbable polymer.