公开(公告)号：US20080039831A1

公开(公告)日：2008-02-14

申请号：US11500687

申请日：2006-08-08

申请人： Darren Odom ,  Craig Weinberg ,  Amy Denham

发明人： Darren Odom ,  Craig Weinberg ,  Amy Denham

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00875

摘要： An electrosurgical system and method are disclosed. The system includes an electrosurgical generator adapted to supply electrosurgical energy to tissue. The generator is further adapted to supply an electrical signal having at least one substantially constant value to tissue to determine initial tissue impedance response. The generator includes sensor circuitry adapted to continuously monitor initial tissue impedance response, wherein the initial tissue impedance response includes one of an initial impedance, an impedance drop, an impedance minimum and a first impedance rise. The generator also includes a microprocessor adapted to generate at least one tissue parameter based as a function of the initial impedance, the impedance drop, the impedance minimum and the first impedance rise. The system also includes an electrosurgical instrument including at least one active electrode adapted to apply electrosurgical energy to tissue for treatment.

摘要翻译： 公开了电外科系统和方法。 该系统包括适于向组织提供电外科能量的电外科发生器。 发生器还适于向组织提供具有至少一个基本上恒定的值的电信号以确定初始组织阻抗响应。 发生器包括适于连续监测初始组织阻抗响应的传感器电路，其中初始组织阻抗响应包括初始阻抗，阻抗降低，阻抗最小值和第一阻抗上升之一。 发生器还包括微处理器，其适于基于初始阻抗，阻抗降低，阻抗最小值和第一阻抗上升来产生至少一个组织参数。 该系统还包括电外科器械，其包括适于将电外科能量施加到组织用于治疗的至少一个活性电极。

公开(公告)号：US20080015575A1

公开(公告)日：2008-01-17

申请号：US11487297

申请日：2006-07-14

申请人： Darren Odom ,  Craig Weinberg ,  Amy Denham

发明人： Darren Odom ,  Craig Weinberg ,  Amy Denham

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B18/08 ,  A61B18/1442 ,  A61B2017/2945 ,  A61B2018/00041 ,  A61B2018/0063 ,  A61B2018/1432

摘要： An electrode assembly having a pair of opposing first and second jaw members is provided. Each jaw member includes an electrically conductive tissue sealing surface extending along a length thereof, each tissue sealing surface is adapted to connect to a source of electrosurgical energy such that the tissue sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween to effect a seal. The assembly includes at least one heating element disposed within at least one of the jaw members. The heating element is configured to pre-heat the electrically conductive tissue sealing surfaces before electrosurgical energy is applied.

摘要翻译： 提供具有一对相对的第一和第二钳口构件的电极组件。 每个钳口构件包括沿着其长度延伸的导电组织密封表面，每个组织密封表面适于连接到电外科能量源，使得组织密封表面能够通过保持在其间的组织进行电外科能量以实现密封 。 组件包括设置在至少一个钳口构件内的至少一个加热元件。 加热元件构造成在施加电外科能量之前预先加热导电组织密封表面。

公开(公告)号：US20070016187A1

公开(公告)日：2007-01-18

申请号：US11180949

申请日：2005-07-13

申请人： Craig Weinberg ,  Robert Sharp ,  Gary Couture ,  Darren Odom

发明人： Craig Weinberg ,  Robert Sharp ,  Gary Couture ,  Darren Odom

IPC分类号： A61B18/14

CPC分类号： A61B18/14 ,  A61B18/1445 ,  A61B2017/00973 ,  H01H9/0066 ,  H01H13/64 ,  H01H2300/014

摘要： Various safe switching mechanisms are provided for use with electrosurgical instruments which prevent arcing between the high-energy contacts as the high-energy source is activated. The switching mechanisms generally include a pair of high-energy contacts and a pair of activation contacts. An actuator is provided which initially engages the high-energy contacts in advance of engagement of the activation contacts to prevent arcing and subsequently disengages the activation contacts in advance of the high-energy contacts as the energy source is deactivated. A method of switching power to an electrosurgical instrument while avoiding damage to high-energy contacts is also disclosed.

摘要翻译： 提供了各种安全切换机构，用于电外科器械，当高能量源被激活时防止高能量接触之间的电弧。 开关机构通常包括一对高能触点和一对激活触点。 提供了致动器，其在启动触头的接合之前最初接合高能触点，以防止电弧，并且随着能量源被去激活而在高能触点之前脱离激活触点。 还公开了一种将电力切换到电外科器械同时避免对高能量接触的损害的方法。

公开(公告)号：US08267935B2

公开(公告)日：2012-09-18

申请号：US11732556

申请日：2007-04-04

申请人： Gary M. Couture ,  Robert M. Sharp ,  Craig Weinberg

发明人： Gary M. Couture ,  Robert M. Sharp ,  Craig Weinberg

IPC分类号： A61B18/14

CPC分类号： A61B18/1442 ,  A61B2017/0088 ,  A61B2017/2945 ,  A61B2018/00083 ,  A61B2018/00107 ,  A61B2018/1432

摘要： An electrosurgical instrument having opposing end effectors and a handle for effecting movement of the end effectors relative to one another, includes a pair of electrodes each including an electrically conductive surface (e.g., which can be dimensioned for sealing, clamping and/or cutting), an insulating substrate having a first edge, and an insulating layer positioned in a channel formed by the electrically conductive surface within the first edge between the conductive surface and the first edge of the insulating substrate. The insulating layer has a portion proximal to the electrically conductive surface and a portion distal from the electrically conductive surface and a gradient such that the proximal portion has a lower dielectric strength than the distal portion. A coating on one of the pair of electrodes may be disposed in at least partial non-vertical registration with a coating on the opposing one of the pair of electrodes.

摘要翻译： 具有相对的末端执行器和用于实现端部执行器相对于彼此的移动的手术的电外科器械包括一对电极，每对电极包括导电表面（例如，其尺寸可用于密封，夹紧和/或切割） 具有第一边缘的绝缘基板和位于导电表面与绝缘基板的第一边缘之间的第一边缘内的由导电表面形成的通道中的绝缘层。 绝缘层具有靠近导电表面的部分和远离导电表面的部分，并且梯度使得近端部分具有比远端部分更低的介电强度。 一对电极中的一个上的涂层可以布置成与该对电极中相对的一个电极上的涂层至少部分非垂直配准。

公开(公告)号：US08128624B2

公开(公告)日：2012-03-06

申请号：US11442849

申请日：2006-05-30

申请人： Gary M. Couture ,  Robert Sharp ,  Craig Weinberg

发明人： Gary M. Couture ,  Robert Sharp ,  Craig Weinberg

IPC分类号： A61B18/18

CPC分类号： A61B18/1442 ,  A61B2018/00023 ,  A61B2018/00047 ,  A61B2018/0063 ,  A61B2018/146

摘要： An electrode sealing assembly is designed for use with an electrosurgical instrument for sealing tissue and includes first and second jaw members each having an insulative housing and being movable from a first position in spaced relation relative to one another to at least one second position for grasping tissue therebetween. Each of the jaw members includes an electrically conductive sealing member disposed within the respective insulative housing. At least one of the insulative housings includes at least one tissue engaging surface configured to extend beyond the electrically conductive sealing member of one of the jaw members. The tissue engaging surface of the insulative housing cooperates with the opposing insulative housing of the opposing jaw member to both pinch and spread tissue when the jaw members are moved to the second position to decrease extraneous energy transmittance to tissue surrounding the jaw members.

摘要翻译： 电极密封组件设计用于与用于密封组织的电外科器械一起使用，并且包括第一和第二钳口构件，每个钳口构件具有绝缘壳体，并且可从第一位置相对于彼此以间隔开的关系移动到用于抓握组织的至少一个第二位置 之间。 每个钳口构件包括设置在相应绝缘壳体内的导电密封构件。 绝缘壳体中的至少一个包括至少一个组织接合表面，其构造成延伸超过其中一个钳口构件的导电密封构件。 当钳口构件移动到第二位置时，绝缘壳体的组织接合表面与相对的钳口构件的相对的绝缘壳体配合，以便夹紧和展开组织，以减少对夹持构件周围的组织的外来能量透射率。

公开(公告)号：US20070118111A1

公开(公告)日：2007-05-24

申请号：US11285432

申请日：2005-11-22

申请人： Craig Weinberg

发明人： Craig Weinberg

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B18/1442 ,  A61B2018/0019 ,  A61B2018/00404 ,  A61B2018/00601

摘要： An electrosurgical bipolar forceps for sealing and dividing tissue is disclosed. The forceps includes one or more shaft members having an end effector assembly disposed at a distal end thereof. The end effector assembly includes two jaw members movable from a first position to a second position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive surface adapted to connect to a first energy source which communicates electrosurgical energy through tissue held therebetween. The forceps also include an energy-based cutting element adapted to connect to a second energy source and disposed between the jaw members. The energy-based cutting element is moveable from a first configuration when said jaw members are in the first position to a second configuration wherein the energy-based cutting element is disposed at an angle between the jaw members.

摘要翻译： 公开了用于密封和分割组织的电外科双极钳。 镊子包括一个或多个轴构件，其具有设置在其远端处的末端执行器组件。 末端执行器组件包括从第一位置移动到第二位置的两个钳口构件，其中钳口构件协作以在其间夹住组织。 每个钳口构件包括适于连接到第一能量源的导电表面，所述第一能量源通过其间保持的组织传导电外科能量。 镊子还包括适于连接到第二能量源并且设置在颚构件之间的基于能量的切割元件。 当所述钳口构件处于第一位置时，能量切割元件可从第一构造移动到第二构造，其中基于能量的切割元件以颚构件之间的角度设置。

公开(公告)号：US08551091B2

公开(公告)日：2013-10-08

申请号：US13075847

申请日：2011-03-30

申请人： Gary M. Couture ,  Craig Weinberg ,  Philip Mark Tetzlaff

发明人： Gary M. Couture ,  Craig Weinberg ,  Philip Mark Tetzlaff

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B18/1442 ,  A61B2017/2945 ,  A61B2018/0016 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/1432 ,  A61B2018/1472 ,  A61B2218/002 ,  A61B2218/007

摘要： An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes an electrically conductive tissue contacting surface connected to an electrosurgical energy source. At least one of the jaw members includes an electrically conductive cutting element disposed within an insulator defined in the jaw member. At least one channel is included in the insulator which is configured to deliver fluid between the jaw members.

摘要翻译： 用于与用于密封容器和切割容器的仪器一起使用的端部执行器组件包括一对相对的第一和第二钳口构件，其可以相对于彼此从第一间隔开的位置移动到第二位置，用于抓握其间的组织。 每个钳口构件包括连接到电外科能源的导电组织接触表面。 至少一个钳口构件包括设置在限定在钳口构件中的绝缘体内的导电切割元件。 至少一个通道被包括在绝缘体中，该通道构造成在钳口构件之间输送流体。

公开(公告)号：US07731717B2

公开(公告)日：2010-06-08

申请号：US11500688

申请日：2006-08-08

申请人： Darren Odom ,  Craig Weinberg ,  Amy Denham

发明人： Darren Odom ,  Craig Weinberg ,  Amy Denham

IPC分类号： A61B18/18

CPC分类号： A61B18/1442 ,  A61B17/32 ,  A61B18/1445 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00684 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2090/033 ,  A61B2090/061

摘要： An electrosurgical system for sealing tissue is disclosed which includes an electrosurgical forceps having a shaft member and a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members including a sealing plate which communicates electrosurgical energy through tissue held therebetween. The jaw members are adapted to connect to an electrosurgical generator. The system also includes one or more sensors which determine a gap distance between the sealing plates of the jaw members and a microprocessor which is adapted to communicate with the sensor and measure an initial gap distance between the sealing plates as well as to generate a desired gap distance trajectory based on the initial gap distance. The microprocessor is further adapted to communicate with the at least one sensor in real time to adjust output level of the electrosurgical generator as a function of the measured gap distance during the sealing process.

摘要翻译： 公开了一种用于密封组织的电外科系统，其包括具有设置在其远端处的轴构件和钳口构件的电外科钳。 钳口构件可以从相对于彼此间隔开的第一位置移动到至少一个随后的位置，其中钳口构件协作以抓住其间的组织。 每个钳口构件包括密封板，其通过在其间保持的组织传导电外科能量。 钳口构件适于连接到电外科发生器。 该系统还包括一个或多个传感器，其确定夹爪构件的密封板和适于与传感器连通并测量密封板之间的初始间隙距离的微处理器之间的间隙距离，并且产生期望的间隙 基于初始间隙距离的距离轨迹。 微处理器进一步适于实时地与至少一个传感器通信，以根据测量的密封过程中的间隙距离来调整电外科发生器的输出水平。

公开(公告)号：US07270664B2

公开(公告)日：2007-09-18

申请号：US11418876

申请日：2006-05-05

申请人： Kristin D. Johnson ,  Gary M. Couture ,  Jeff Unger ,  Robert Sharp ,  David M. Garrison ,  Sean T. Dycus ,  David Hixson ,  Craig Weinberg

发明人： Kristin D. Johnson ,  Gary M. Couture ,  Jeff Unger ,  Robert Sharp ,  David M. Garrison ,  Sean T. Dycus ,  David Hixson ,  Craig Weinberg

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B17/07207 ,  A61B18/1442 ,  A61B18/18 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2017/2945 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/1432 ,  A61B2090/034 ,  Y10T29/49826

摘要： An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes an electrically conductive tissue contacting surface connected to an electrosurgical energy source. At least one of the jaw members includes an electrically conductive cutting element disposed within an insulator defined in the jaw member. A rigid structural support is included which is configured to support the electrically conductive tissue sealing surface and includes at least one flow channel defined therein.

摘要翻译： 用于与用于密封容器和切割容器的仪器一起使用的端部执行器组件包括一对相对的第一和第二钳口构件，其可以相对于彼此从第一间隔开的位置移动到第二位置，用于抓握其间的组织。 每个钳口构件包括连接到电外科能源的导电组织接触表面。 至少一个钳口构件包括设置在限定在钳口构件中的绝缘体内的导电切割元件。 包括刚性结构支撑件，其构造成支撑导电组织密封表面并且包括限定在其中的至少一个流动通道。

公开(公告)号：US20070173811A1

公开(公告)日：2007-07-26

申请号：US11338552

申请日：2006-01-24

申请人： Gary Couture ,  Kristin Johnson ,  Robert Sharp ,  Jeff Unger ,  Craig Weinberg ,  Robert Wham

发明人： Gary Couture ,  Kristin Johnson ,  Robert Sharp ,  Jeff Unger ,  Craig Weinberg ,  Robert Wham

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B18/1206 ,  A61B18/1442 ,  A61B2017/00154 ,  A61B2018/00601 ,  A61B2018/00702 ,  A61B2018/00875

摘要： System and method for controlling delivery of energy to divide tissue are disclosed. The system comprises an electrosurgical instrument having an electrically energizable cutting element which communicates electrical energy to the tissue and a generator to supply the energy to the electrosurgical instrument which supplies the energy to the tissue in a first pulse to react the tissue, in slow pulses to create a desiccation line until impedance at the tissue has reached a threshold, and in rapid pulses to divide tissue across the desiccation line.

摘要翻译： 公开了用于控制能量分配组织递送的系统和方法。 该系统包括具有电能切割元件的电外科器械，其将电能传递到组织和发电机，以将能量提供给电外科器械，该电外科仪器以第一脉冲将组织提供能量以对组织反应，以慢脉冲 创建干燥线，直到组织的阻抗达到阈值，并且以快速脉冲将组织划分在干燥线上。