公开(公告)号：US09113943B2

公开(公告)日：2015-08-25

申请号：US13435835

申请日：2012-03-30

申请人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, Jr. ,  Arlen K. Ward

发明人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, Jr. ,  Arlen K. Ward

IPC分类号： A61B17/32 ,  A61B17/16

CPC分类号： A61B17/320092 ,  A61B2017/1651 ,  A61B2217/007

摘要： An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration. A cutting blade extends from a distal end the shaft and operably couples to the housing and adjacent the jaw member. The cutting blade includes top and bottom portions. The top portion configured to cool the bottom portion while the cutting blade treats tissue.

摘要翻译： 提供超声波手术器械。 超声波手术器械包括具有从其延伸的细长轴的壳体。 轴限定穿过其的纵向轴线，并且具有设置在其远端处的钳口构件。 钳口构件可在打开构型和夹紧构型之间移动。 切割刀片从轴的远端延伸并且可操作地连接到壳体并且邻近钳口构件。 切割刀片包括顶部和底部。 顶部部分构造成在切割刀片处理组织时冷却底部部分。

公开(公告)号：US20140012297A1

公开(公告)日：2014-01-09

申请号：US14006532

申请日：2012-03-30

申请人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr, JR. ,  William H. Nau, JR. ,  Arlen K. Ward

发明人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr, JR. ,  William H. Nau, JR. ,  Arlen K. Ward

IPC分类号： A61B17/32

CPC分类号： A61B17/320092 ,  A61B17/295 ,  A61B90/04 ,  A61B2017/00088 ,  A61B2017/00092 ,  A61B2017/00336 ,  A61B2018/00095 ,  A61B2018/00101 ,  A61B2090/0472

摘要： An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has at least one jaw member disposed at a distal end thereof. The jaw member(s) is movable between open and clamping configurations. A probe extends through the shaft and operably couples to the housing, The probe includes a cutting blade at a distal end thereof adjacent the jaw member(s) to treat tissue of interest. The jaw member(s) and cutting blade are configured such that heat damage to tissue adjacent tissue of interest that has been treated by the cutting blade is reduced and/or eliminated.

摘要翻译： 提供超声波手术器械。 超声波手术器械包括具有从其延伸的细长轴的壳体。 轴限定穿过其的纵向轴线，并且具有设置在其远端处的至少一个钳口构件。 钳口构件可在打开和夹紧构型之间移动。 探头延伸穿过轴并且可操作地连接到壳体。探针在其远端处包括切割刀片，其邻近钳口构件以处理感兴趣的组织。 钳口构件和切割刀片被构造成使得已经被切割刀片处理的相关组织的组织的热损伤减少和/或消除。

公开(公告)号：US20120253372A1

公开(公告)日：2012-10-04

申请号：US13435922

申请日：2012-03-30

申请人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Arlen K. Ward

发明人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Arlen K. Ward

IPC分类号： A61B17/295

CPC分类号： A61B17/320092 ,  A61B2017/00022 ,  A61B2017/0084 ,  A61B2017/00853 ,  A61B2017/2829 ,  A61B2017/2926

摘要： An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration and includes a tissue contacting surface thereon. A cutting blade extends from a distal end of the shaft and operably couples to the housing and adjacent the jaw member to treat tissue. A selectively removable laminate liner is positionable over the tissue contacting surface of the jaw member and configured to prevent contact between the tissue contacting surface and the cutting blade when the cutting blade is treating tissue.

摘要翻译： 提供超声波手术器械。 超声波手术器械包括具有从其延伸的细长轴的壳体。 轴具有设置在其远端处的钳口构件。 钳口构件可以在打开构型和夹紧构型之间移动并且在其上包括组织接触表面。 切割刀片从轴的远端延伸并且可操作地联接到壳体并且邻近钳口构件以处理组织。 可选择性地移除的层压衬里可定位在钳口构件的组织接触表面上方，并且构造成当切割刀片处理组织时防止组织接触表面与切割刀片之间的接触。

公开(公告)号：US20120253370A1

公开(公告)日：2012-10-04

申请号：US13435765

申请日：2012-03-30

申请人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Arlen K. Ward

发明人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Arlen K. Ward

IPC分类号： A61B17/295

CPC分类号： A61B17/320092 ,  A61B2017/00026 ,  A61B2017/2926

摘要： An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. A first jaw member disposed at a distal end of the shaft is movable between open and clamping configurations. A pair of second jaw members disposed at the distal end of the shaft are movable between open and clamping configurations. A cutting blade extending to the distal end of the shaft is operably coupled to the housing. The pair of second jaw members and first jaw member are moveable to the clamping configuration to compress tissue of interest for removing moisture therefrom prior to the tissue of interest being treated.

摘要翻译： 提供超声波手术器械。 超声波手术器械包括具有从其延伸的细长轴的壳体。 设置在轴的远端处的第一钳口构件可在打开和夹紧构型之间移动。 设置在轴的远端处的一对第二钳口构件可在打开和夹紧构型之间移动。 延伸到轴的远端的切割刀片可操作地联接到壳体。 一对第二钳口构件和第一钳口构件可移动到夹紧构型以在感兴趣的组织被处理之前压缩感兴趣的组织以从中去除水分。

公开(公告)号：US09028515B2

公开(公告)日：2015-05-12

申请号：US13435922

申请日：2012-03-30

申请人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, Jr. ,  Arlen K. Ward

发明人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, Jr. ,  Arlen K. Ward

IPC分类号： A61B17/32 ,  A61B17/00 ,  A61B17/28 ,  A61B17/29

CPC分类号： A61B17/320092 ,  A61B2017/00022 ,  A61B2017/0084 ,  A61B2017/00853 ,  A61B2017/2829 ,  A61B2017/2926

摘要： An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration and includes a tissue contacting surface thereon. A cutting blade extends from a distal end of the shaft and operably couples to the housing and adjacent the jaw member to treat tissue. A selectively removable laminate liner is positionable over the tissue contacting surface of the jaw member and configured to prevent contact between the tissue contacting surface and the cutting blade when the cutting blade is treating tissue.

摘要翻译： 提供超声波手术器械。 超声波手术器械包括具有从其延伸的细长轴的壳体。 轴具有设置在其远端处的钳口构件。 钳口构件可以在打开构型和夹紧构型之间移动并且在其上包括组织接触表面。 切割刀片从轴的远端延伸并且可操作地联接到壳体并且邻近钳口构件以处理组织。 可选择性地移除的层压衬里可定位在钳口构件的组织接触表面上方，并且构造成当切割刀片处理组织时防止组织接触表面与切割刀片之间的接触。

公开(公告)号：US08974478B2

公开(公告)日：2015-03-10

申请号：US13236768

申请日：2011-09-20

申请人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, Jr. ,  Arlen K. Ward

发明人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, Jr. ,  Arlen K. Ward

IPC分类号： A61B17/32 ,  A61B17/34 ,  A61B17/22

CPC分类号： A61B17/320068 ,  A61B17/3211 ,  A61B17/3474 ,  A61B2017/00106 ,  A61B2017/22021 ,  A61B2017/320084

摘要： The present disclosure is directed to a fluid cooled ultrasonic surgical instrument and related systems and methods of use therefor. In some embodiments, the disclosed ultrasonic surgical instrument is adapted for used within an insufflated cavity or pneumoperitoneum of a patient. The instrument includes a housing having an elongate shaft, a waveguide disposed at a distal end of the shaft, a coolant inlet port defined in an outer surface of the housing, and a coolant pump disposed within the housing and configured to move coolant from the coolant inlet port to the waveguide. During use, insufflation gas from within the pneumoperitoneum is drawn into the instrument shaft by the coolant pump, and blown over the waveguide to provide cooling. The delivery of ultrasonic energy and activation of the pump may be controlled by a processor in response to user input and waveguide temperature.

摘要翻译： 本公开涉及一种流体冷却的超声外科器械及其相关系统及其使用方法。 在一些实施例中，所公开的超声外科器械适于在患者的吹入腔或气腹内使用。 仪器包括具有细长轴的壳体，设置在轴的远端的波导，限定在壳体的外表面中的冷却剂入口端口和设置在壳体内并被配置为从冷却剂移动冷却剂的冷却剂泵 入口到波导管。 在使用过程中，气腹内的吹入气体通过冷却剂泵吸入仪器轴，并在波导上吹过以提供冷却。 响应于用户输入和波导温度，可以由处理器控制超声能量的输送和泵的激活。

公开(公告)号：US20130072950A1

公开(公告)日：2013-03-21

申请号：US13236768

申请日：2011-09-20

申请人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Arlen K. Ward

发明人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Arlen K. Ward

IPC分类号： A61B17/32

CPC分类号： A61B17/320068 ,  A61B17/3211 ,  A61B17/3474 ,  A61B2017/00106 ,  A61B2017/22021 ,  A61B2017/320084

摘要： The present disclosure is directed to a fluid cooled ultrasonic surgical instrument and related systems and methods of use therefor. In some embodiments, the disclosed ultrasonic surgical instrument is adapted for used within an insufflated cavity or pneumoperitoneum of a patient. The instrument includes a housing having an elongate shaft, a waveguide disposed at a distal end of the shaft, a coolant inlet port defined in an outer surface of the housing, and a coolant pump disposed within the housing and configured to move coolant from the coolant inlet port to the waveguide. During use, insufflation gas from within the pneumoperitoneum is drawn into the instrument shaft by the coolant pump, and blown over the waveguide to provide cooling. The delivery of ultrasonic energy and activation of the pump may be controlled by a processor in response to user input and waveguide temperature.

摘要翻译： 本公开涉及一种流体冷却的超声外科器械及其相关系统及其使用方法。 在一些实施例中，所公开的超声外科器械适于在患者的吹入腔或气腹内使用。 仪器包括具有细长轴的壳体，设置在轴的远端的波导，限定在壳体的外表面中的冷却剂入口端口和设置在壳体内并被配置为从冷却剂移动冷却剂的冷却剂泵 入口到波导管。 在使用过程中，气腹内的吹入气体通过冷却剂泵吸入仪器轴，并在波导上吹过以提供冷却。 响应于用户输入和波导温度，可以由处理器控制超声能量的输送和泵的激活。

公开(公告)号：US20120253371A1

公开(公告)日：2012-10-04

申请号：US13435835

申请日：2012-03-30

申请人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Arlen K. Ward

发明人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Arlen K. Ward

IPC分类号： A61B17/295

CPC分类号： A61B17/320092 ,  A61B2017/1651 ,  A61B2217/007

摘要： An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration. A cutting blade extends from a distal end the shaft and operably couples to the housing and adjacent the jaw member. The cutting blade includes top and bottom portions. The top portion configured to cool the bottom portion while the cutting blade treats tissue.

摘要翻译： 提供超声波手术器械。 超声波手术器械包括具有从其延伸的细长轴的壳体。 轴限定穿过其的纵向轴线，并且具有设置在其远端处的钳口构件。 钳口构件可在打开构型和夹紧构型之间移动。 切割刀片从轴的远端延伸并且可操作地连接到壳体并且邻近钳口构件。 切割刀片包括顶部和底部。 顶部部分构造成在切割刀片处理组织时冷却底部部分。

公开(公告)号：US09375230B2

公开(公告)日：2016-06-28

申请号：US14006532

申请日：2012-03-30

申请人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr, Jr. ,  William H. Nau, Jr. ,  Arlen K. Ward

发明人： Anthony B. Ross ,  Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempstead ,  Eric R. Larson ,  Duane E. Kerr, Jr. ,  William H. Nau, Jr. ,  Arlen K. Ward

IPC分类号： A61B17/32 ,  A61B17/00 ,  A61B18/00

CPC分类号： A61B17/320092 ,  A61B17/295 ,  A61B90/04 ,  A61B2017/00088 ,  A61B2017/00092 ,  A61B2017/00336 ,  A61B2018/00095 ,  A61B2018/00101 ,  A61B2090/0472

摘要： An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has at least one jaw member disposed at a distal end thereof. The jaw member(s) is movable between open and clamping configurations. A probe extends through the shaft and operably couples to the housing. The probe includes a cutting blade at a distal end thereof adjacent the jaw member(s) to treat tissue of interest. The jaw member(s) and cutting blade are configured such that heat damage to tissue adjacent tissue of interest that has been treated by the cutting blade is reduced and/or eliminated.

摘要翻译： 提供超声波手术器械。 超声波手术器械包括具有从其延伸的细长轴的壳体。 轴限定穿过其的纵向轴线，并且具有设置在其远端处的至少一个钳口构件。 钳口构件可在打开和夹紧构型之间移动。 探头延伸穿过轴并且可操作地连接到壳体。 探针在其远端处包括切割刀片，其邻近钳口构件以处理感兴趣的组织。 钳口构件和切割刀片被构造成使得已经被切割刀片处理的相关组织的组织的热损伤减少和/或消除。

公开(公告)号：US20140012299A1

公开(公告)日：2014-01-09

申请号：US14006601

申请日：2012-03-30

申请人： Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempsetad ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Anthony B. Ross ,  John J. Kappus

发明人： Robert B. Stoddard ,  James S. Cunningham ,  William J. Dickhans ,  Russell D. Hempsetad ,  Eric R. Larson ,  Duane E. Kerr ,  William H. Nau, JR. ,  Anthony B. Ross ,  John J. Kappus

IPC分类号： A61B17/32

摘要： An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft has a jaw member disposed at a distal end thereof. The jaw member is movable between an open configuration and a clamping configuration and includes a tissue contacting surface thereon. A cutting blade extends from a distal end of the shaft and operably couples to the housing and adjacent the jaw member to treat tissue. At least one sensor is configured to sense at least one operational parameter of the ultrasonic surgical instrument. At least one controller in operable communication with the at least one sensor is configured to terminate delivery of ultrasonic energy to the cutting blade when the at least one sensor senses the at least one operational parameter.

摘要翻译： 提供超声波手术器械。 超声波手术器械包括具有从其延伸的细长轴的壳体。 轴具有设置在其远端处的钳口构件。 钳口构件可以在打开构型和夹紧构型之间移动并且在其上包括组织接触表面。 切割刀片从轴的远端延伸并且可操作地联接到壳体并且邻近钳口构件以处理组织。 至少一个传感器构造成感测超声外科器械的至少一个操作参数。 与所述至少一个传感器可操作地通信的至少一个控制器被配置成当所述至少一个传感器感测所述至少一个操作参数时，终止将超声能量传递到所述切割刀片。