公开(公告)号：US5871490A

公开(公告)日：1999-02-16

申请号：US881978

申请日：1997-06-25

申请人： Dale R. Schulze ,  Sean P. Conlon ,  Saleem U. Qureshi ,  Rudolph H. Nobis ,  Bennie Thompson ,  Kip M. Rupp

发明人： Dale R. Schulze ,  Sean P. Conlon ,  Saleem U. Qureshi ,  Rudolph H. Nobis ,  Bennie Thompson ,  Kip M. Rupp

IPC分类号： A61B17/04 ,  A61B17/12 ,  A61B17/28 ,  D04G5/00

CPC分类号： A61B17/0469 ,  A61B17/0483 ,  A61B17/062 ,  A61B17/0625 ,  A61B17/12013 ,  A61B2017/00827 ,  A61B2017/0474 ,  A61B2017/0475 ,  A61B2017/0477 ,  A61B2017/0479 ,  A61B2017/2931

摘要： A suture cartridge assembly is disclosed. The assembly has a suture cartridge containing a slot for receiving a suture filament and a cartridge top for covering at least a portion of the filament. A grasping jaw faces the cartridge top, and it is movable from an open position spaced from the cartridge top to a closed position adjacent the cartridge top. The slot in the cartridge for receiving the filament facilitates the formation and placement of surgical knots made from the suture filament, particularly when knots are needed at remote surgical sites such as during minimally invasive surgery. The placement and deployment of the knot is further facilitated because the grasping jaw can grasp the filament or the tissue which is desired to be sutured when the jaw is moved from its open to closed positions. The ability to grasp the filament or tissue enables the surgeon to manipulate the filament or tissue during the procedure for deploying and placing the knot, further facilitating the ease with which the surgeon can deploy and place the knots in a minimally invasive procedure.

摘要翻译： 公开了一种缝合筒组件。 组件具有缝合筒，其包含用于接收缝合线丝的狭槽和用于覆盖长丝的至少一部分的药筒顶部。 抓取爪面向盒顶，并且其可从与盒顶部间隔开的打开位置移动到与盒顶部相邻的关闭位置。 用于接收细丝的盒中的槽有助于形成和放置由缝合线制成的手术结，特别是当在远程手术部位需要结时，例如在微创手术期间。 进一步促进结的放置和部署，因为当钳口从其打开位置移动到关闭位置时，抓持钳可以抓住期望被缝合的细丝或组织。 掌握细丝或组织的能力使得外科医生能够在用于部署和放置结的过程中操纵细丝或组织，进一步促进外科医生能够部署的容易程度，并将结放置在微创程序中。

公开(公告)号：US5634584A

公开(公告)日：1997-06-03

申请号：US652149

申请日：1996-05-23

申请人： Livyn O. Okorocha ,  Sean P. Conlon

发明人： Livyn O. Okorocha ,  Sean P. Conlon

IPC分类号： A61B1/00 ,  A61B17/068 ,  A61B17/10 ,  A61B17/28 ,  A61B17/34

CPC分类号： A61B17/0682 ,  A61B17/0684 ,  A61B17/3421 ,  A61B2017/2903 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2929

摘要： Various mechanisms are provided for use in a surgical instrument. A shaft and an engaged lost motion operating knob are provided for rotation relative to a handle portion. A latch system prevents rotation of the shaft unless the shaft is rotated by the knob. A cartridge is provided for rotation at the distal end of the shaft. Engaging structures are provided for preventing rotation of the cartridge relative to the shaft when axial forces are applied to the cartridge. A loading tool is provided for engaging the cartridge to install the cartridge on the instrument. The cartridge includes a washer for engaging a carrier on which the cartridge is mounted so as to prevent rotation of the washer. The washer is adapted to engage a fastener advancing member in a first angular orientation and is disengaged when the cartridge is rotated to establish a second relative angular orientation. In the first angular orientation, the fastener advancing member is restrained against longitudinal movement to assist in installation of the cartridge onto the instrument. The distal end of the instrument can be articulated, and a helical gear operator is provided for effecting the articulation.

摘要翻译： 提供了用于外科器械的各种机构。 提供轴和啮合的空转操作旋钮以相对于手柄部分旋转。 闩锁系统防止轴的旋转，除非轴被旋钮旋转。 设置有用于在轴的远端旋转的盒。 提供接合结构，用于当轴向力施加到盒时防止盒相对于轴旋转。 提供装载工具用于接合盒以将盒安装在仪器上。 盒包括用于接合载体的垫圈，在该托架上安装盒，以防止垫圈旋转。 垫圈适于以第一角度定向接合紧固件前进构件，并且当盒被旋转以建立第二相对角度取向时，该垫圈脱离。 在第一角度定位中，紧固件前进构件被限制在纵向运动中，以帮助将盒安装到仪器上。 仪器的远端可以铰接，并且提供斜齿轮操作器来实现铰接。

公开(公告)号：US5588581A

公开(公告)日：1996-12-31

申请号：US652266

申请日：1996-05-23

申请人： Sean P. Conlon ,  Saleem U. Oureshi ,  John A. Hibner ,  Livyn O. Okorocha ,  Gregory D. Bishop

发明人： Sean P. Conlon ,  Saleem U. Oureshi ,  John A. Hibner ,  Livyn O. Okorocha ,  Gregory D. Bishop

IPC分类号： A61B1/00 ,  A61B17/068 ,  A61B17/10 ,  A61B17/28 ,  A61B17/34

CPC分类号： A61B17/0682 ,  A61B17/0684 ,  A61B17/3421 ,  A61B2017/2903 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2929

摘要： Various mechanisms are provided for use in a surgical instrument. A shaft and an engaged lost motion operating knob are provided for rotation relative to a handle portion. A latch system prevents rotation of the shaft unless the shaft is rotated by the knob. A cartridge is provided for rotation at the distal end of the shaft. Engaging structures are provided for preventing rotation of the cartridge relative to the shaft when axial forces are applied to the cartridge. A loading tool is provided for engaging the cartridge to install the cartridge on the instrument. The cartridge includes a washer for engaging a carrier on which the cartridge is mounted so as to prevent rotation of the washer. The washer is adapted to engage a fastener advancing member in a first angular orientation and is disengaged when the cartridge is rotated to establish a second relative angular orientation. In the first angular orientation, the fastener advancing member is restrained against longitudinal movement to assist in installation of the cartridge onto the instrument. The distal end of the instrument can be articulated, and a helical gear operator is provided for effecting the articulation.

公开(公告)号：US09220559B2

公开(公告)日：2015-12-29

申请号：US13235683

申请日：2011-09-19

申请人： Barry C. Worrell ,  Sean P. Conlon ,  Gary W. Knight ,  Matthew C. Miller ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Geoffrey S. Strobl ,  Jeffrey S. Swayze ,  Aaron C. Voegele ,  Charles S. Black ,  Kreena R. Modi

发明人： Barry C. Worrell ,  Sean P. Conlon ,  Gary W. Knight ,  Matthew C. Miller ,  Charles J. Scheib ,  Frederick E. Shelton, IV ,  Geoffrey S. Strobl ,  Jeffrey S. Swayze ,  Aaron C. Voegele ,  Charles S. Black ,  Kreena R. Modi

IPC分类号： A61B18/14 ,  A61B18/00

CPC分类号： A61B18/1447 ,  A61B18/1445 ,  A61B2017/00314 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/126 ,  A61B2018/1455

摘要： An electrosurgical device comprises a body, an end effector, a cutting member, and a shaft extending between the body and the end effector. The end effector includes a pair of jaws and at least one electrode operable to deliver RF energy to tissue clamped between the jaws. The cutting member is operable to cut tissue clamped between the jaws. 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. The articulation section may include beads, segments, asymmetric features, preformedly bent features, an integral hinge, a helical cutout or spring, clevis features, an angled joint, a beaded actuation linkage, and/or an offset pivot, among other things. The device may also include a crimped cutting member, a retroacting cutting member, dual pivoting jaws, and/or a wire tensioning assembly.

摘要翻译： 电外科装置包括主体，端部执行器，切割构件以及在主体和端部执行器之间延伸的轴。 末端执行器包括一对钳口和至少一个电极，其可操作以将RF能量递送到钳夹在钳口之间的组织。 切割构件可操作以切割夹在夹爪之间的组织。 轴包括铰接部分，其可操作以选择性地将末端执行器定位在相对于轴的纵向轴线的非平行位置。 关节运动部分可以包括珠，段，不对称特征，预成型弯曲特征，整体铰链，螺旋切口或弹簧，U形夹特征，成角度接头，串珠致动连杆，和/或偏移枢轴等。 该装置还可以包括卷曲切割构件，追溯切割构件，双重枢转夹爪和/或线张紧组件。

公开(公告)号：US08876761B2

公开(公告)日：2014-11-04

申请号：US13104313

申请日：2011-05-10

申请人： Thomas E. Albrecht ,  Jeffrey L. Aldridge ,  Sean P. Conlon ,  Michael S. Cropper ,  Denzel Z. Herrera-Davis ,  Daniel F. Dlugos, Jr. ,  Jason L. Harris ,  Christopher J. Hess ,  Prasanna Malaviya ,  Glenda C. Marsh ,  Mark S. Ortiz ,  Mark D. Overmyer ,  Alessandro Pastorelli ,  Galen C. Robertson ,  Frederick E. Shelton, IV ,  Michael J. Stokes ,  James W. Voegele ,  Lauren S. Weaner ,  William B. Weisenburgh, II ,  Christopher W. Widenhouse ,  Tamara S. Vetro Widenhouse ,  James A. Woodard, Jr. ,  David C. Yates ,  Mark S. Zeiner ,  Andrew M. Zwolinski

发明人： Thomas E. Albrecht ,  Jeffrey L. Aldridge ,  Sean P. Conlon ,  Michael S. Cropper ,  Denzel Z. Herrera-Davis ,  Daniel F. Dlugos, Jr. ,  Jason L. Harris ,  Christopher J. Hess ,  Prasanna Malaviya ,  Glenda C. Marsh ,  Mark S. Ortiz ,  Mark D. Overmyer ,  Alessandro Pastorelli ,  Galen C. Robertson ,  Frederick E. Shelton, IV ,  Michael J. Stokes ,  James W. Voegele ,  Lauren S. Weaner ,  William B. Weisenburgh, II ,  Christopher W. Widenhouse ,  Tamara S. Vetro Widenhouse ,  James A. Woodard, Jr. ,  David C. Yates ,  Mark S. Zeiner ,  Andrew M. Zwolinski

IPC分类号： A61M31/00 ,  A61K9/00 ,  A61M5/142 ,  A61F5/00 ,  A61N1/05 ,  A61M39/02 ,  A61F2/04 ,  A61N1/36 ,  A61N1/372

CPC分类号： A61M31/002 ,  A61F2/04 ,  A61F5/0013 ,  A61F5/0026 ,  A61F2002/045 ,  A61K9/0065 ,  A61M5/14276 ,  A61M39/0208 ,  A61M2210/106 ,  A61M2210/1064 ,  A61N1/0509 ,  A61N1/36007 ,  A61N1/37205

摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems and ingestible pills. In one embodiment, a method of producing satiety comprising the steps of accessing a gastrointestinal tract of a patient and implanting an intraintestinal therapeutic substance eluting implant. The implant is capable of eluting a satiety inducing substance selected from at least one of a nutrient, a specific satiety inducing bio-active substance, pancreatic polypeptides, free fatty acids, cholecystokinin, amino acids, glutamine, lipids, linoleic acid, or a combination thereof, from the implant into the gastrointestinal tract.

摘要翻译： 方法和装置产生肠道制动效果，是非侵入性的或微创的，并且可以是可逆的。 这些方法和装置通过稳定的可植入系统和可摄取的药丸来实现。 在一个实施方案中，产生饱腹感的方法包括以下步骤：进入患者的胃肠道并植入肠内治疗物质洗脱植入物。 植入物能够洗脱选自营养物，特定饱腹感生物活性物质，胰腺多肽，游离脂肪酸，缩胆囊素，氨基酸，谷氨酰胺，脂质，亚油酸或组合中的至少一种的饱腹感受物质 从植入物到胃肠道。

公开(公告)号：US08672830B2

公开(公告)日：2014-03-18

申请号：US12562310

申请日：2009-09-18

申请人： Daniel F. Dlugos, Jr. ,  Thomas E. Adams ,  Randal T. Byrum ,  Toralf Bork ,  Christine H. Chen ,  Sean P. Conlon ,  Rocco Crivelli ,  Dean L. Garner ,  Alec J. Ginggen ,  David T. Krumanaker ,  Amy L. Marcotte ,  Anil K. Nalagatla ,  Bret W. Smith ,  Jeffrey S. Swayze ,  Richard W. Timm

发明人： Daniel F. Dlugos, Jr. ,  Thomas E. Adams ,  Randal T. Byrum ,  Toralf Bork ,  Christine H. Chen ,  Sean P. Conlon ,  Rocco Crivelli ,  Dean L. Garner ,  Alec J. Ginggen ,  David T. Krumanaker ,  Amy L. Marcotte ,  Anil K. Nalagatla ,  Bret W. Smith ,  Jeffrey S. Swayze ,  Richard W. Timm

IPC分类号： A61F2/00 ,  A61F13/00

CPC分类号： A61F5/003 ,  A61F2/0036 ,  A61F5/0053 ,  A61F5/0056 ,  A61F5/0059

摘要： An apparatus for regulating the functioning of a patient's organ or duct includes an elongated member having a first end and a second end. A fastener is disposed on the first end of the elongated member. The fastener is configured to engage the second end of the elongated member so that the elongated member forms a loop around the organ or duct. A tension element is disposed for movement within the elongated member. A drive element is associated with and engaging the tension element for causing the tension element to control the tension applied by the elongated member against a patient's body organ or duct. A release mechanism is provided for the tension element.

摘要翻译： 用于调节患者器官或管道的功能的装置包括具有第一端和第二端的细长构件。 紧固件设置在细长构件的第一端上。 紧固件构造成接合细长构件的第二端，使得细长构件围绕器官或管道形成环。 张力元件设置成在细长构件内移动。 驱动元件与张力元件相关联并与其接合，用于使张紧元件控制由细长构件施加的抵抗患者身体器官或管道的张力。 为张力元件提供释放机构。

公开(公告)号：US08603023B2

公开(公告)日：2013-12-10

申请号：US13105029

申请日：2011-05-11

申请人： Thomas E. Albrecht ,  Jeffrey L. Aldridge ,  Sean P. Conlon ,  Michael S. Cropper ,  Denzel Z. Herrera-Davis ,  Daniel F. Dlugos, Jr. ,  Jason L. Harris ,  Christopher J. Hess ,  Thomas W. Huitema ,  John V. Hunt ,  Prasanna Malaviya ,  Mark S. Ortiz ,  Mark D. Overmyer ,  Alessandro Pastorelli ,  Galen C. Robertson ,  Frederick E. Shelton, IV ,  Michael J. Stokes ,  Foster B. Stulen ,  James W. Voegele ,  William B. Weisenburgh, II ,  Christopher W. Widenhouse ,  Tamara S. Vetro Widenhouse ,  James A. Woodard, Jr. ,  David C. Yates ,  Mark S. Zeiner ,  Andrew M. Zwolinski

发明人： Thomas E. Albrecht ,  Jeffrey L. Aldridge ,  Sean P. Conlon ,  Michael S. Cropper ,  Denzel Z. Herrera-Davis ,  Daniel F. Dlugos, Jr. ,  Jason L. Harris ,  Christopher J. Hess ,  Thomas W. Huitema ,  John V. Hunt ,  Prasanna Malaviya ,  Mark S. Ortiz ,  Mark D. Overmyer ,  Alessandro Pastorelli ,  Galen C. Robertson ,  Frederick E. Shelton, IV ,  Michael J. Stokes ,  Foster B. Stulen ,  James W. Voegele ,  William B. Weisenburgh, II ,  Christopher W. Widenhouse ,  Tamara S. Vetro Widenhouse ,  James A. Woodard, Jr. ,  David C. Yates ,  Mark S. Zeiner ,  Andrew M. Zwolinski

IPC分类号： A61M5/00 ,  A61M29/00

CPC分类号： A61F5/0076 ,  A61F2/04 ,  A61F5/0013 ,  A61F5/0026 ,  A61F5/0079 ,  A61F2002/045

摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient.

摘要翻译： 方法和装置产生肠道制动效果，是非侵入性的或微创的，并且可以是可逆的。 这些方法和装置通过稳定的可植入系统和可摄取的药丸来实现。 在一个实施方案中，可植入系统包括将治疗物质递送到患者胃肠道内的目标位置的装置，以便开始肠促动作用，其将促进饱腹感，并刺激患者多余的体重减轻。

公开(公告)号：US08531064B2

公开(公告)日：2013-09-10

申请号：US12703860

申请日：2010-02-11

申请人： Galen C. Robertson ,  Richard W. Timm ,  Daniel J. Mumaw ,  Foster B. Stulen ,  Gregory W. Johnson ,  Jerome R. Morgan ,  Kevin L. Houser ,  Kristi M. Bodin ,  Mark A. Neurohr ,  Prasanna Malaviya ,  Reginald D. Fortson ,  Sean P. Conlon ,  William S. Joachim, Jr. ,  William D. Dannaher ,  Eitan T. Wiener

发明人： Galen C. Robertson ,  Richard W. Timm ,  Daniel J. Mumaw ,  Foster B. Stulen ,  Gregory W. Johnson ,  Jerome R. Morgan ,  Kevin L. Houser ,  Kristi M. Bodin ,  Mark A. Neurohr ,  Prasanna Malaviya ,  Reginald D. Fortson ,  Sean P. Conlon ,  William S. Joachim, Jr. ,  William D. Dannaher ,  Eitan T. Wiener

IPC分类号： H02K7/12

CPC分类号： A61B17/320068 ,  A61B17/32002 ,  A61B17/320092 ,  A61B17/320758 ,  A61B2017/00075 ,  A61B2017/00106 ,  A61B2017/00477 ,  A61B2017/320072

摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a handpiece housing that rotatably supports an ultrasonic transducer assembly therein that may be selectively rotated by various motor configurations. Various slip ring arrangements are disclosed for supplying ultrasonic electrical signals and motor drive signals from a control system. Various forms of blade and cutting implements are disclosed for attachment to the ultrasonic transducer assembly such that such implements may be selectively rotatable within a hollow outer sheath. Vacuum may be applied to the cutting implement or through the outer sheath to draw tissue through an opening in the sheath and into contact with the cutting implement.

摘要翻译： 在一个一般方面，各种实施例涉及一种超声波手术器械，其包括可旋转地支撑超声波换能器组件的手持件壳体，该超声波换能器组件可以通过各种电机配置选择性地旋转。 公开了用于从控制系统提供超声波电信号和电机驱动信号的各种滑环装置。 公开了各种形式的刀片和切割工具用于附接到超声换能器组件，使得这样的器具可以在中空的外护套内选择性地旋转。 可以将真空施加到切割工具或通过外护套将组织穿过护套中的开口并与切割工具接触。

公开(公告)号：US08480686B2

公开(公告)日：2013-07-09

申请号：US12237877

申请日：2008-09-25

申请人： Gregory J. Bakos ,  William D. Fox ,  Duane Linenkugel ,  Sean P. Conlon

发明人： Gregory J. Bakos ,  William D. Fox ,  Duane Linenkugel ,  Sean P. Conlon

IPC分类号： A61B17/10

CPC分类号： A61B17/0401 ,  A61B2017/0409 ,  A61B2017/0417 ,  A61B2090/034 ,  A61B2090/036

摘要： Methods and devices are provided for deploying and applying a suture anchor. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body and to deliver a suture anchor with a coil of suture attached thereto to tissue. The shaft can be configured to deploy the suture anchor through tissue and to deliver the coil of suture into a body cavity such that the suture extending from the coil extends through the tissue to allow the anchor to engage the tissue. The coil can remain in the body cavity for subsequent use.

摘要翻译： 提供了用于部署和应用缝合锚的方法和装置。 在一个实施例中，提供了一种手术装置，其具有构造成被引入到身体中并且将具有附接到其上的线圈的线圈的缝合锚锚输送到组织的轴。 轴可以构造成将缝合线锚定件穿过组织展开并将缝合线输送到体腔中，使得从线圈延伸的缝合线延伸穿过组织以允许锚固体接合组织。 线圈可以保留在体腔中以备后续使用。

公开(公告)号：US20120241493A1

公开(公告)日：2012-09-27

申请号：US13433141

申请日：2012-03-28

申请人： Chester O. Baxter, III ,  Frederick E. Shelton, IV ,  Charles J. Scheib ,  Christopher W. Widenhouse ,  William B. Weisenburgh, II ,  John L. Stammen ,  Mark H. Ransick ,  Stephanie A. Mutchler ,  Gary W. Knight ,  Michael S. Cropper ,  Sean P. Conlon ,  Jeffrey S. Swayze

发明人： Chester O. Baxter, III ,  Frederick E. Shelton, IV ,  Charles J. Scheib ,  Christopher W. Widenhouse ,  William B. Weisenburgh, II ,  John L. Stammen ,  Mark H. Ransick ,  Stephanie A. Mutchler ,  Gary W. Knight ,  Michael S. Cropper ,  Sean P. Conlon ,  Jeffrey S. Swayze

IPC分类号： A61B17/068 ,  B05D7/00

CPC分类号： A61B17/07207 ,  A61B17/00491 ,  A61B17/0643 ,  A61B17/0644 ,  A61B17/072 ,  A61B17/07292 ,  A61B17/1155 ,  A61B17/2909 ,  A61B2017/00004 ,  A61B2017/00314 ,  A61B2017/00327 ,  A61B2017/00477 ,  A61B2017/00495 ,  A61B2017/00526 ,  A61B2017/0053 ,  A61B2017/00818 ,  A61B2017/00862 ,  A61B2017/00884 ,  A61B2017/00889 ,  A61B2017/00893 ,  A61B2017/00898 ,  A61B2017/07228 ,  A61B2017/07235 ,  A61B2017/07242 ,  A61B2017/0725 ,  A61B2017/07257 ,  A61B2017/07264 ,  A61B2017/07271 ,  A61B2017/07278 ,  A61B2017/07285 ,  A61B2017/2908 ,  A61B2017/2919 ,  A61B2017/2923 ,  A61B2017/2927 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2946 ,  A61B2017/320052 ,  F04C2270/0421

摘要： 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.

摘要翻译： 组织厚度补偿器通常可以包括密封地封闭在不透水材料中的第一生物相容性材料的第一层和包含至少一种封装的第二生物相容性材料的第二层，其中当与流体接触时第一生物相容性材料膨胀。 组织厚度补偿器可以包括止血剂，抗炎剂，抗生素剂，抗微生物剂，抗粘连剂，抗凝剂，药物和/或药物活性剂。 包封可以包括在体内和/或原位降解的可生物降解的材料。 组织厚度补偿器可以包括水凝胶。 反应产物可以包含流体可溶胀组合物。 还描述了包括组织厚度补偿器的制品以及制造和使用组织厚度补偿器的方法。