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公开(公告)号：US08377085B2
公开(公告)日：2013-02-19
申请号：US13072345
申请日：2011-03-25
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00075 , A61B2017/00137 , A61B2017/00477 , A61B2017/00734 , A61B2017/320098 , Y10T29/49005 , Y10T29/49169
摘要： An ultrasonic surgical assembly includes an ultrasonic-movement-generator assembly having a shell and an ultrasonic-driving-wave-signal generating circuit housed within the shell, an ultrasonic transducer having a proximal end and an ultrasonic-movement-producing distal end, an ultrasonic waveguide having a proximal end for receiving ultrasonic movement thereat, and a handle body having a waveguide attachment dock operable to accept the waveguide therein, an ultrasonic-movement-generator assembly dock operable to selectively removably secure the ultrasonic-movement-generator assembly thereto, and a transducer attachment dock operable to substantially simultaneously selectively removably and rotatably freely couple the ultrasonic transducer to the handle body rotationally independent of the ultrasonic-movement-generator assembly and axially align the ultrasonic-movement-producing distal end opposite the proximal end of the ultrasonic waveguide when the ultrasonic waveguide is disposed within the waveguide attachment dock.
摘要翻译： 一种超声波外科手术组件，包括具有外壳的超声波运动发生器组件和容纳在外壳内的超声波驱动波信号发生电路，具有近端和超声波运动产生远端的超声波换能器，超声波 波导，其具有用于在其上接收超声波运动的近端，以及具有可操作以接纳其中的波导的波导连接托架的手柄主体，可操作以选择性地可移除地将超声波运动发生器组件固定到其上的超声波运动发生器组合座，以及 传感器附件底座，其可操作以基本上同时选择性地可移除地和可旋转地自由地将超声波换能器耦合到手柄主体，其独立于超声波运动发生器组件旋转地并且轴向对准与超声波波导的近端相对的超声波移动产生远端 当超声波波导被布置成w时 在波导连接坞。
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公开(公告)号：US08377059B2
公开(公告)日：2013-02-19
申请号：US12403785
申请日：2009-03-13
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B2017/00734 , A61B2018/00404 , A61B2018/00601 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2018/1861
摘要： A cordless surgical device includes a modular battery, a radio-frequency signal generating assembly, a surgical handle and an interchangeable circuit casing. The RF signal generating assembly includes RF-signal-generating circuitry, a voltage-control circuit and an external output. The voltage circuit is configured to control an output of the RF-signal-generating circuitry. The handle is configured to support a bipolar end effector having jaws with bipolar contacts and a cutting blade disposed between the jaws. The handle includes leads operable to receive RF signals from the external output and defines an aseptically sealable battery-holding compartment configured to hold the battery. The circuit casing is configured to house the RF signal generating assembly and includes a securing connection adapted to couple the external output of the RF signal generating assembly to the leads. The external output is operable to impart RF signals to the handle when the circuit casing connects to the handle.
摘要翻译： 无绳手术装置包括模块电池，射频信号发生组件，手术手柄和可互换电路套管。 RF信号产生组件包括RF信号发生电路，电压控制电路和外部输出。 电压电路被配置为控制RF信号发生电路的输出。 把手被构造成支撑具有双极触点的钳口的双极端部执行器和设置在钳口之间的切割刀片。 手柄包括可操作以从外部输出接收RF信号的引线并且限定被配置为保持电池的无菌密封电池容纳室。 电路外壳被配置为容纳RF信号产生组件，并且包括适于将RF信号发生组件的外部输出耦合到引线的固定连接。 当电路壳体连接到手柄时，外部输出可操作以将RF信号传递到手柄。
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公开(公告)号：US08372099B2
公开(公告)日：2013-02-12
申请号：US12266664
申请日：2008-11-07
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic surgical assembly includes a disposable ultrasonic waveguide, a reusable exterior body, and a cordless ultrasonic-movement-generation assembly removably disposed in the body and operable to generate ultrasonic movement of the waveguide when connected thereto. The assembly also includes a reusable and rechargeable battery disposed in the body, a disposable handle having both a waveguide attachment dock exposed to the environment and operably connecting the waveguide thereto and an aseptically sealable assembly dock exposed to the environment and shaped to connect the waveguide in the attachment dock to the assembly through the handle when the assembly is disposed in the assembly dock. The assembly further includes a disposable compartment door that is movably connected to the handle to selectively expose the assembly dock to the environment and has an open position, permitting entry and removal of the assembly respectively into and from the assembly dock, and a closed position, aseptically sealing the assembly dock from the environment.
摘要翻译： 超声外科组件包括一次性超声波波导，可重复使用的外部主体和可移除地设置在身体中并且可操作以在连接到波导时产生超声波移动的无绳超声波移动发生组件。 组件还包括设置在主体中的可重复使用和可再充电电池，一次性手柄，其具有暴露于环境的波导附件基座和可操作地连接其上的波导和暴露于环境的无菌密封的组装座，并且成形为将波导 当组件布置在装配座中时，附件通过手柄对接到组件。 组件还包括可移动地连接到手柄以便选择性地将组件基座暴露于环境并且具有打开位置的一次性隔室门，允许组件分别进入和离开组装座，以及关闭位置， 将组装基座与环境无菌密封。
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公开(公告)号：US08236020B2
公开(公告)日：2012-08-07
申请号：US13072221
申请日：2011-03-25
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00075 , A61B2017/00137 , A61B2017/00477 , A61B2017/00734 , A61B2017/320098 , Y10T29/49005 , Y10T29/49169
摘要： An ultrasonic surgical assembly includes an ultrasonic transducer operable to convert a received motional current into a movement of a cutting blade of an ultrasonic waveguide, a measurement circuit connected in a parallel configuration with the ultrasonic transducer, a variable power source operable to supply current through a set of connection points to the parallel configuration and thereby create the motional current in the ultrasonic transducer, and a current controller operable to regulate the motional current by varying an output of the variable power source, thereby maintaining a substantially constant rate of movement of the cutting blade across a variety of cutting loads.
摘要翻译： 超声波手术组件包括超声换能器，其可操作以将接收到的运动电流转换成超声波波导的切割刀片的运动，与超声波换能器并联配置的测量电路，可操作的电源， 一组连接点到并联配置，从而在超声换能器中产生运动电流，以及电流控制器，其可操作以通过改变可变电源的输出来调节运动电流，从而保持切割的基本恒定的运动速率 刀片跨越各种切削负载。
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公开(公告)号：US08211119B2
公开(公告)日：2012-07-03
申请号：US10867498
申请日：2004-06-14
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/2923 , A61B2090/0803 , Y10T29/53478
摘要： A flexible endoscopic clip applier includes a flexible coil with a manual actuator coupled to one end and a jaw assembly coupled to the other end. A store of clips is arranged adjacent to the jaw assembly and a clip pusher is arranged adjacent to the store of clips. The actuator includes a lever for opening and closing the jaws, a knob for rotating the jaw assembly, and a crank for dispensing clips. The knob and the lever are coupled to a single control member which extends through the coil to a joiner where it is joined to a pair of pull wires coupled to the jaws. The crank is coupled to a second control member which is threaded along a distal portion. The threaded portion engages a threaded member near the pusher and is coupled to the pusher such that rotation of the threaded control member by the crank causes the pusher to be moved distally.
摘要翻译： 灵活的内窥镜施夹器包括具有联接到一端的手动致动器的柔性线圈和联接到另一端的钳口组件。 夹子存放在邻近夹爪组件的位置，夹子推动器邻近夹子存放设置。 致动器包括用于打开和关闭夹爪的杆，用于旋转夹爪组件的旋钮和用于分配夹子的曲柄。 旋钮和杠杆联接到单个控制构件，该单个控制构件延伸穿过线圈到接合器，在该接合器处，接合到耦合到钳口的一对牵引线。 曲柄联接到沿着远端部分螺纹的第二控制构件。 螺纹部分接合推动器附近的螺纹构件并且联接到推动器，使得螺纹控制构件通过曲柄的旋转使得推动器向远侧移动。
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公开(公告)号：US20120071796A1
公开(公告)日：2012-03-22
申请号：US13215971
申请日：2011-08-23
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00353 , A61B2017/00734
摘要： A battery-powered, modular surgical device includes an electrically powered surgical instrument operable to surgically interface with human tissue and a handle assembly connected to the surgical instrument. The handle assembly has a removable hand grip and a handle body. The hand grip is shaped to permit handling of the surgical device by one hand of an operator, has an upper portion and a cordless internal battery assembly that powers the surgical instrument. The internal battery assembly has at least one energy storage cell. The handle body is operable to removably connect at least the upper portion of the hand grip thereto and create an aseptic seal around at least a portion of the hand grip when connected thereto and electrically couple the internal battery assembly of the hand grip to the surgical instrument and thereby power the surgical instrument for interfacing surgically with the human tissue.
摘要翻译： 电池供电的模块化手术装置包括可操作以与人体组织手术接触的电动手术器械和连接到外科器械的手柄组件。 手柄组件具有可拆卸的手柄和手柄主体。 手柄被成形为允许操作者的一只手操作手术装置，具有为外科器械提供动力的上部部分和无绳内部电池组件。 内部电池组件具有至少一个储能电池。 手柄主体可操作以至少将手柄的上部部分可移除地连接到其上，并且在连接到手柄的至少一部分周围产生无菌密封，并将手柄的内部电池组件电连接到手术器械 从而为手术器械供电以与人体组织手术接口。
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公开(公告)号：US20110257650A1
公开(公告)日：2011-10-20
申请号：US13022707
申请日：2011-02-08
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00734
摘要： A battery assembly is used in battery-powered surgical instruments with handles having a battery chamber and different handle types. The battery assembly includes a housing having an exterior shape formed to removably connect with the battery chamber of the handles and a voltage-control circuit. The housing has at least one energy storage cell operable to power a signal generation assembly of the surgical instruments and a battery/handle interface having a plurality of connectors shaped to mate with a plurality of corresponding connectors within the battery chamber of the handles. The voltage-control circuit is operable to communicatively couple with and provide power to the signal generation assembly, detect which one of the handle types is connected to the housing, provide a first output in response to a detection of a first handle type, and provide at least a second output in response to a detection of a second handle type.
摘要翻译： 电池组件用于具有手柄的电池供电手术器具，其具有电池室和不同的手柄类型。 电池组件包括具有形成为可移除地与手柄的电池室连接的外部形状的壳体和电压控制电路。 壳体具有至少一个能够存储手术器械的信号发生组件的能量存储单元和具有多个连接器的电池/手柄接口，该多个连接器成形为与手柄的电池室内的多个对应连接器配合。 电压控制电路可操作地与信号发生组件通信耦合并提供电力，检测手柄类型中的哪一个连接到壳体，响应于第一手柄类型的检测提供第一输出，并提供 至少第二输出响应于第二手柄类型的检测。
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138.发明授权Method for surgical stapling and cutting device with dual actuating control knob 有权具有双动作控制旋钮的外科缝合和切割装置的方法公开(公告)号：US08034077B2
公开(公告)日：2011-10-11
申请号：US12633292
申请日：2009-12-08
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A method for operating a surgical end effector, including providing a control shaft having a longitudinal axis with a distal end effector assembly at least partially actuated by a displacement of an actuating part along the longitudinal axis and providing the control shaft with a proximal handle connector having a rotating link operable to connect the control shaft to a control handle rotatably about the longitudinal axis. An end effector two-function control device is fixed rotationally to at least part of the control shaft to couple rotation of the two-function control device, the control shaft, and the end effector assembly about the longitudinal axis and is fixed longitudinally to the actuating part to couple longitudinal movement of the two-function control device and the actuating part with respect to the control shaft.
摘要翻译： 一种用于操作外科末端执行器的方法，包括提供具有纵向轴线的控制轴，远侧末端执行器组件至少部分地通过致动部件沿着纵向轴线移位而致动，并为控制轴提供近端手柄连接器， 旋转连杆可操作以将控制轴连接到围绕纵向轴线可旋转的控制手柄。 端部执行器两功能控制装置被旋转地固定到控制轴的至少一部分上，以将两功能控制装置，控制轴和端部执行器组件的旋转绕纵向轴线联接，并且纵向地固定到致动器 部分，以耦合所述两功能控制装置和所述致动部件相对于所述控制轴的纵向移动。
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139.发明申请公开(公告)号：US20110190800A1
公开(公告)日：2011-08-04
申请号：US13072273
申请日：2011-03-25
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00075 , A61B2017/00137 , A61B2017/00477 , A61B2017/00734 , A61B2017/320098 , Y10T29/49005 , Y10T29/49169
摘要： A method of maintaining constant movement of a cutting blade of an ultrasonic waveguide includes the steps of providing an ultrasonic transducer operable to convert a received motional voltage into a movement of a cutting blade of an ultrasonic waveguide, a motional feedback circuit connected in a parallel configuration with the ultrasonic transducer, and a variable power source operable to apply a first voltage between a set of connection points to the parallel configuration. A feedback voltage measured from the motional feedback circuit is determined and an output of the power source is varied based upon the measured feedback voltage to result in a substantially constant feedback voltage and, thereby, maintain a substantially constant rate of movement of the cutting blade across a variety of cutting loads.
摘要翻译： 一种保持超声波波导的切割刀片的恒定运动的方法包括以下步骤：提供超声换能器，其可操作以将接收到的运动电压转换成超声波波导的切割刀片的运动，运动反馈电路以并联配置 以及可变电源，可操作以将一组连接点之间的第一电压施加到并联配置。 确定从运动反馈电路测量的反馈电压，并且基于所测量的反馈电压来改变电源的输出，以产生基本恒定的反馈电压，从而保持切割刀片的基本恒定的运动速度 各种切割负载。
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140.发明申请Battery-Powered Electrosurgical Forceps With Multi-Turn Selectable-Ratio Transformer 有权具有多转可选比例变压器的电池供电电动镊子公开(公告)号：US20110172660A1
公开(公告)日：2011-07-14
申请号：US13004670
申请日：2011-01-11
IPC分类号： A61B18/18
CPC分类号： A61B18/1206 , A61B18/1442 , A61B2018/1226 , A61B2018/1286 , H01F27/28 , H01F27/40
摘要： An electrocautery surgical device includes a battery power source and radio-frequency signal generating circuitry electrically coupled to the battery power source and operable to deliver power to an electrosurgical forceps. The radio-frequency signal generating circuitry includes a transformer having a primary winding and a secondary winding. The primary winding includes first and second primary sub-windings. At least one switching component is electrically coupled to the first and second primary sub-windings and is operable to switch between engaging the first primary sub-winding and engaging the second primary sub-winding such that a current flows through the first and/or second primary sub-windings. The first and second primary sub-windings have a different number of turns such that the radio-frequency signal generating circuitry produces a different impedance value depending on which one of the first and second primary sub-windings is engaged.
摘要翻译： 电烙术手术装置包括电池电源和电耦合到电池电源的射频信号发生电路，并可操作以将电力传送到电外科钳子。 射频信号发生电路包括具有初级绕组和次级绕组的变压器。 初级绕组包括第一和第二初级次级绕组。 至少一个开关部件电耦合到第一和第二初级副绕组，并且可操作以在接合第一初级副绕组和接合第二初级副绕组之间切换，使得电流流过第一和/或第二副绕组 初级次级绕组。 第一和第二初级次级绕组具有不同的匝数，使得射频信号发生电路根据第一和第二主次级绕组中的哪一个接合而产生不同的阻抗值。
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