公开(公告)号：US20110319886A1

公开(公告)日：2011-12-29

申请号：US12821253

申请日：2010-06-23

申请人： Edward M. Chojin ,  David M. Garrison ,  Jennifer S. Harper ,  Glenn A. Horner ,  Duane E. Kerr ,  Jessica E. C. Olson ,  Kathy E. Rooks ,  Geneva Ladtkow

发明人： Edward M. Chojin ,  David M. Garrison ,  Jennifer S. Harper ,  Glenn A. Horner ,  Duane E. Kerr ,  Jessica E. C. Olson ,  Kathy E. Rooks ,  Geneva Ladtkow

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1452 ,  A61B2018/1455

摘要： A forceps includes an end effector assembly including a pair of jaw members disposed in opposing relation relative to one another. At least one jaw member is moveable relative to the other between a spaced apart position, a first approximated position, and a second approximated position. The jaw members are configured to apply a pre-determined pressure to tissue disposed therebetween in each of the first and second approximated positions. A sealing pressure is applied to tissue disposed between the jaw members when the jaw members are in the first approximated position. A cutting pressure is applied to tissue disposed between the jaw members when the jaw members are in the second approximated position.

摘要翻译： 镊子包括端部执行器组件，其包括相对于彼此相对设置的一对钳口构件。 至少一个钳口构件可相对于彼此在间隔开的位置，第一近似位置和第二近似位置之间移动。 钳口构件构造成对第一和第二近似位置中的每一个施加预定压力到设置在其间的组织。 当钳口构件处于第一近似位置时，密封压力施加到设置在钳口构件之间的组织。 当钳口构件处于第二近似位置时，切割压力施加到设置在钳口构件之间的组织。

公开(公告)号：US20110301600A1

公开(公告)日：2011-12-08

申请号：US12792330

申请日：2010-06-02

申请人： David M. Garrison ,  Jeffrey M. Roy ,  Duane E. Kerr

发明人： David M. Garrison ,  Jeffrey M. Roy ,  Duane E. Kerr

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B17/2833 ,  A61B17/29 ,  A61B17/2909 ,  A61B18/1206 ,  A61B2017/2925 ,  A61B2017/2932 ,  A61B2017/2936 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2090/034

摘要： A forceps is provided and includes a housing having a shaft. An end effector assembly operatively connects to a distal end of the shaft and includes a pair of first and second jaw members. One or both of the first and second jaw members is movable relative to the other jaw member from a clamping position to an open position. A resilient member operably couples to the first and second jaw members. The resilient member is configured to bias the first and second jaw members in the clamping position and provide a closure force on tissue disposed therebetween.

摘要翻译： 提供镊子并且包括具有轴的壳体。 端部执行器组件可操作地连接到轴的远端并且包括一对第一和第二钳口构件。 第一和第二钳口构件中的一个或两个可相对于另一夹爪构件从夹紧位置移动到打开位置。 可操作地联接到第一和第二钳口构件的弹性构件。 弹性构件构造成在夹持位置偏置第一和第二钳口构件，并且在其间设置的组织上提供闭合力。

公开(公告)号：US08906018B2

公开(公告)日：2014-12-09

申请号：US12906672

申请日：2010-10-18

申请人： Kathy E. Rooks ,  Glenn A. Horner ,  Duane E. Kerr ,  Jeffrey R. Townsend ,  William H. Nau, Jr. ,  David M. Garrison ,  Edward M. Chojin

发明人： Kathy E. Rooks ,  Glenn A. Horner ,  Duane E. Kerr ,  Jeffrey R. Townsend ,  William H. Nau, Jr. ,  David M. Garrison ,  Edward M. Chojin

IPC分类号： A61B18/18 ,  A61B17/295 ,  A61B18/14 ,  A61B17/28 ,  A61B18/00 ,  A61B17/29 ,  A61B17/32

CPC分类号： A61B18/1445 ,  A61B17/28 ,  A61B17/295 ,  A61B17/320068 ,  A61B17/320092 ,  A61B18/1442 ,  A61B2017/2926 ,  A61B2018/00077 ,  A61B2018/0019 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1455

摘要： A forceps includes an end effector assembly having first and second jaw members moveable with respect to one another between an open position and a closed position. A knife channel having a body and a base is defined within each jaw member. A knife assembly includes a knife having a bifurcated distal end. The bifurcated end includes first and second cutting members each defining an opposed cutting surface and having a tab at a free end thereof for translation through the base of a knife channel. The knife is translatable into the channels when the jaw members are in the closed position such that the cutting members are approximated when translated through the channels. The knife is also translatable into the channels when the jaw members are in the open position such that the cutting members are flexed apart when translated through the jaw members.

摘要翻译： 镊子包括具有在打开位置和关闭位置之间可相对于彼此移动的第一和第二钳口构件的端部执行器组件。 具有主体和基部的刀槽定义在每个钳口构件内。 刀组件包括具有分叉远端的刀。 分叉端包括第一和第二切割构件，每个切割构件限定相对的切割表面，并且在其自由端具有突出部，用于平移通过刀具通道的基部。 当钳口构件处于关闭位置时，刀可平移到通道中，使得当通过通道翻转时，切割构件近似。 当钳口构件处于打开位置时，刀也可平移到通道中，使得切割构件在通过钳口构件平移时被弯曲分开。

公开(公告)号：US08394095B2

公开(公告)日：2013-03-12

申请号：US13004984

申请日：2011-01-12

申请人： David M. Garrison ,  Paul Guerra ,  Patrick L. Dumbauld ,  Dylan Hushka ,  James S. Cunningham

发明人： David M. Garrison ,  Paul Guerra ,  Patrick L. Dumbauld ,  Dylan Hushka ,  James S. Cunningham

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B17/32 ,  A61B18/1402 ,  A61B18/148 ,  A61B18/1482 ,  A61B18/1485 ,  A61B2017/2945 ,  A61B2018/00053 ,  A61B2018/00083 ,  A61B2018/00107 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1432 ,  A61B2018/1455 ,  A61B2018/1475 ,  A61B2090/034

摘要： Either an endoscopic or open bipolar forceps includes a flexible, generally tubular insulating boot for insulating patient tissue, while not impeding motion of the jaw members. The jaw members are movable from an open to a closed position and the jaw members are connected to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. A knife assembly may be included that allows a user to selectively divide tissue upon actuation thereof. The insulating boot may be made from a viscoelastic, elastomeric or flexible material suitable for use with a sterilization process including ethylene oxide. An interior portion of the insulating boot may have at least one mechanically interfacing surface that interfaces with a mechanically interfacing surface formed between the shaft and a jaw member or with a mechanically interfacing surface disposed or formed on the shaft or a jaw member.

摘要翻译： 内窥镜或开放式双极镊子包括用于绝缘患者组织的柔性的，通常为管状的绝缘护套，同时不阻碍钳口构件的运动。 钳口构件可以从打开位置移动到关闭位置，并且钳口构件连接到电外科能量源，使得钳口构件能够通过保持在其间的组织传导能量来实现组织密封。 可以包括刀组件，其允许使用者在其致动时选择性地分割组织。 绝缘靴可以由适用于包括环氧乙烷在内的灭菌方法使用的粘弹性，弹性或柔性材料制成。 绝缘靴的内部可以具有至少一个机械接合表面，其与形成在轴和钳口构件之间的机械接合表面或与轴或颚构件上设置或形成的机械接合表面相接合。

公开(公告)号：US20110106079A1

公开(公告)日：2011-05-05

申请号：US13004984

申请日：2011-01-12

申请人： David M. Garrison ,  Paul Guerra ,  Patrick L. Dumbauld ,  Dylan Hushka ,  James S. Cunningham

发明人： David M. Garrison ,  Paul Guerra ,  Patrick L. Dumbauld ,  Dylan Hushka ,  James S. Cunningham

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B17/32 ,  A61B18/1402 ,  A61B18/148 ,  A61B18/1482 ,  A61B18/1485 ,  A61B2017/2945 ,  A61B2018/00053 ,  A61B2018/00083 ,  A61B2018/00107 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1432 ,  A61B2018/1455 ,  A61B2018/1475 ,  A61B2090/034

摘要： Either an endoscopic or open bipolar forceps includes a flexible, generally tubular insulating boot for insulating patient tissue, while not impeding motion of the jaw members. The jaw members are movable from an open to a closed position and the jaw members are connected to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. A knife assembly may be included that allows a user to selectively divide tissue upon actuation thereof. The insulating boot may be made from a viscoelastic, elastomeric or flexible material suitable for use with a sterilization process including ethylene oxide. An interior portion of the insulating boot may have at least one mechanically interfacing surface that interfaces with a mechanically interfacing surface formed between the shaft and a jaw member or with a mechanically interfacing surface disposed or formed on the shaft or a jaw member.

摘要翻译： 内窥镜或开放式双极镊子包括用于绝缘患者组织的柔性的，通常为管状的绝缘护套，同时不阻碍钳口构件的运动。 钳口构件可以从打开位置移动到关闭位置，并且钳口构件连接到电外科能量源，使得钳口构件能够通过保持在其间的组织传导能量来实现组织密封。 可以包括刀组件，其允许使用者在其致动时选择性地分割组织。 绝缘靴可以由适用于包括环氧乙烷在内的灭菌方法使用的粘弹性，弹性或柔性材料制成。 绝缘靴的内部可以具有至少一个机械接合表面，其与形成在轴和钳口构件之间的机械接合表面或与轴或颚构件上设置或形成的机械接合表面相接合。

公开(公告)号：US07879035B2

公开(公告)日：2011-02-01

申请号：US11594276

申请日：2006-11-08

申请人： David M. Garrison ,  Paul Guerra ,  Patrick L. Dumbauld ,  Dylan Hushka ,  James S. Cunningham

发明人： David M. Garrison ,  Paul Guerra ,  Patrick L. Dumbauld ,  Dylan Hushka ,  James S. Cunningham

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B17/32 ,  A61B18/1402 ,  A61B18/148 ,  A61B18/1482 ,  A61B18/1485 ,  A61B2017/2945 ,  A61B2018/00053 ,  A61B2018/00083 ,  A61B2018/00107 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1432 ,  A61B2018/1455 ,  A61B2018/1475 ,  A61B2090/034

摘要： Either an endoscopic or open bipolar forceps includes a flexible, generally tubular insulating boot for insulating patient tissue, while not impeding motion of the jaw members. The jaw members are movable from an open to a closed position and the jaw members are connected to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. A knife assembly may be included that allows a user to selectively divide tissue upon actuation thereof. The insulating boot may be made from a viscoelastic, elastomeric or flexible material suitable for use with a sterilization process including ethylene oxide. An interior portion of the insulating boot may have at least one mechanically interfacing surface that interfaces with a mechanically interfacing surface formed between the shaft and a jaw member or with a mechanically interfacing surface disposed or formed on the shaft or a jaw member.

摘要翻译： 内窥镜或开放式双极镊子包括用于绝缘患者组织的柔性的，通常为管状的绝缘护套，同时不阻碍钳口构件的运动。 钳口构件可以从打开位置移动到关闭位置，并且钳口构件连接到电外科能量源，使得钳口构件能够通过保持在其间的组织传导能量来实现组织密封。 可以包括刀组件，其允许使用者在其致动时选择性地分割组织。 绝缘靴可以由适用于包括环氧乙烷在内的灭菌方法使用的粘弹性，弹性或柔性材料制成。 绝缘靴的内部可以具有至少一个机械接合表面，其与形成在轴和钳口构件之间的机械接合表面或与轴或颚构件上设置或形成的机械接合表面相接合。

公开(公告)号：US09333002B2

公开(公告)日：2016-05-10

申请号：US12950505

申请日：2010-11-19

申请人： David M. Garrison

发明人： David M. Garrison

IPC分类号： A61B18/14 ,  A61B17/29 ,  A61B17/00 ,  A61B18/00

CPC分类号： A61B18/1445 ,  A61B17/29 ,  A61B2017/00734 ,  A61B2017/2902 ,  A61B2017/2934 ,  A61B2017/2936 ,  A61B2017/2937 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1253 ,  A61B2018/126

摘要： An endoscopic forceps is provided and includes a housing having a shaft that extends therefrom. An end effector assembly is operatively connected to a distal end of the shaft and includes a pair of pivotably coupled first and second jaw members. The jaw members are movable relative to one another. A drive mechanism includes a driving structure that is operably associated with the shaft and is operably disposed adjacent the end effector assembly. One of a driving structure guide and movable cam operably couples to the driving structure and is configured to facilitate movement of the jaw members.

摘要翻译： 提供内窥镜钳，并且包括具有从其延伸的轴的壳体。 端部执行器组件可操作地连接到轴的远端并且包括一对可枢转地联接的第一和第二钳口构件。 钳口构件可相对于彼此移动。 驱动机构包括与轴可操作地相关联的驱动结构，并且可操作地设置成邻近末端执行器组件。 驱动结构引导件和可移动凸轮中的一个可操作地联接到驱动结构并且构造成便于夹爪构件的移动。

公开(公告)号：US08672939B2

公开(公告)日：2014-03-18

申请号：US12791112

申请日：2010-06-01

申请人： David M. Garrison

发明人： David M. Garrison

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B2017/2939 ,  A61B2018/0063

摘要： An electrosurgical forceps includes a handle and a shaft extending from the handle. The handle is selectively movable to actuate a pair of first and second opposable jaw members pivotably connected to each other at a distal end of the shaft. The jaw members are moveable from an open position to a closed position and are each adapted to connect to an electrosurgical energy source. A first linkage is disposed at least partially within the shaft and is operably coupled between the first jaw member and a second linkage disposed proximal to the first linkage. Selective movement of the handle rotates the second linkage in a first direction, thereby rotating the first linkage in an opposite second direction to move the jaw members between the open and closed positions. In some embodiments, the jaw members are configured in a releasably locked configuration when in the closed position.

摘要翻译： 电外科手术钳包括手柄和从手柄延伸的轴。 手柄是选择性地可移动的，以致动一对在轴的远端处可枢转地彼此连接的第一和第二可相对的颚构件。 钳口构件可以从打开位置移动到关闭位置，并且各自适于连接到电外科能量源。 第一联动装置至少部分地设置在轴内，并且可操作地联接在第一钳口构件和靠近第一联动装置设置的第二连杆之间。 手柄的选择性运动使第二连杆机构沿第一方向旋转，从而使第一连杆机构沿相反的第二方向转动，以便在打开位置和关闭位置之间移动夹爪部件。 在一些实施例中，当处于关闭位置时，钳口构件构造成可释放地锁定的构造。

公开(公告)号：US20130103031A1

公开(公告)日：2013-04-25

申请号：US13277962

申请日：2011-10-20

申请人： David M. Garrison

发明人： David M. Garrison

IPC分类号： A61B18/14 ,  A61B17/3201 ,  A61B17/285 ,  A61B18/12 ,  A61B17/00 ,  A61B17/28

CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2017/2945 ,  A61B2018/00404 ,  A61B2018/00428 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00916 ,  A61B2018/00922 ,  A61B2018/00928 ,  A61B2018/00958 ,  A61B2018/1407 ,  A61B2018/141 ,  A61B2018/1455 ,  A61B2018/1457 ,  A61B2018/146

摘要： A surgical instrument includes an end effector and a housing mechanically coupled to the end effector. The end effector includes a first actuating device configured to perform a first surgical procedure and a second actuating device integrally associated with the first actuating device and configured to perform a second surgical procedure, the second surgical procedure being independently operable and different than the first surgical procedure. An outer portion of the first actuating device and an outer portion of the second actuating device form a portion of an outer housing of the end effector. The housing includes a first actuator, mechanically coupled to the first actuating device and configured to impart movement to the first actuating device and a second actuator, mechanically coupled to the second actuating device and configured to impart movement to the second actuating device.

摘要翻译： 手术器械包括末端执行器和机械联接到末端执行器的壳体。 末端执行器包括构造成执行第一手术过程的第一致动装置和与第一致动装置整体相关联并被构造成执行第二外科手术的第二手术装置，第二外科手术程序可独立操作并且不同于第一外科手术 。 第一致动装置的外部部分和第二致动装置的外部部分形成端部执行器的外部壳体的一部分。 壳体包括第一致动器，其机械地联接到第一致动装置并且构造成将运动传递到第一致动装置和第二致动器，机械地联接到第二致动装置并且被配置为向第二致动装置施加运动。

公开(公告)号：US08409247B2

公开(公告)日：2013-04-02

申请号：US12792051

申请日：2010-06-02

申请人： David M. Garrison ,  Glenn A. Horner

发明人： David M. Garrison ,  Glenn A. Horner

IPC分类号： A61B17/28 ,  A61B18/14

CPC分类号： A61B17/29 ,  A61B18/1445 ,  A61B2017/00398 ,  A61B2017/00867 ,  A61B2018/0063

摘要： A surgical instrument is provided and includes a housing having a shaft. An end effector assembly is operatively connected to a distal end of the shaft and has a pair of first and second jaw members one of which is movable with respect to the other. A heat activated drive assembly operably couples to an actuation mechanism that is operably associated with the forceps and configured to supply thermal energy to the heat activated drive assembly. The heat activated drive assembly operably coupled to movable jaw member and configured to impart movement of the movable jaw member when the actuation mechanism is activated.