公开(公告)号：US08512336B2

公开(公告)日：2013-08-20

申请号：US12832772

申请日：2010-07-08

申请人： Gary M. Couture

发明人： Gary M. Couture

IPC分类号： A61B18/18

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

摘要： An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly has a first jaw member having a first pair of tissue contacting surfaces and an insulator disposed therebetween. The end effector assembly also has a second jaw member that includes a second pair of tissue contacting surfaces, a pair of insulators disposed between the second pair of tissue contacting surfaces, and a cutting element disposed between the pair of insulators. The relative movement of the first jaw member toward the second jaw member causes the insulator of the first jaw member and the pair of insulators of the second jaw member to pinch tissue disposed between the first jaw member and the second jaw member.

摘要翻译： 提供了一种用于电外科器械的端部执行器组件。 末端执行器组件具有第一钳口构件，其具有第一对组织接触表面和设置在它们之间的绝缘体。 末端执行器组件还具有包括第二对组织接触表面的第二钳口构件，设置在第二对组织接触表面之间的一对绝缘体以及设置在该对绝缘体之间的切割元件。 第一夹爪构件朝向第二钳口构件的相对运动导致第一钳口构件的绝缘体和第二钳口构件的一对绝缘体夹紧设置在第一钳口构件和第二钳口构件之间的组织。

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：US20120029515A1

公开(公告)日：2012-02-02

申请号：US12845203

申请日：2010-07-28

申请人： Gary M. Couture

发明人： Gary M. Couture

IPC分类号： A61B18/14

CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2017/00526 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/1412 ,  A61B2018/1457

摘要： An end effector assembly for use with a bipolar forceps includes a pair of opposing first and second jaw members at least one of which being movable relative to the other to grasp tissue therebetween. Each jaw member includes a pair of spaced apart, electrically conductive tissue sealing surfaces. Each tissue sealing surface is adapted to connect to a source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue seal. The forceps also includes an insulator disposed between each pair of electrically conductive sealing surfaces and an electrically conductive cutting element disposed within each insulator and defining a geometrical configuration including a plurality of peaks having a period that is a multiple of an operating frequency of the electrosurgical energy. The cutting elements are adapted to connect to the source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue cut.

摘要翻译： 与双极镊子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，其中至少一个可相对于另一个夹持构件移动以在其间夹住组织。 每个钳口构件包括一对间隔开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，以通过在其间保持的组织进行电外科能量以实现组织密封。 镊子还包括设置在每对导电密封表面之间的绝缘体和设置在每个绝缘体内的导电切割元件，并且限定几何构型，其包括多个峰值，周期为电外科能量的工作频率的倍数 。 切割元件适于连接到电外科能量源，以通过在其间保持的组织进行电外科能量以实现组织切割。

公开(公告)号：US20110301607A1

公开(公告)日：2011-12-08

申请号：US12793136

申请日：2010-06-03

申请人： Gary M. Couture

发明人： Gary M. Couture

IPC分类号： A61B18/12

CPC分类号： A61B18/1206 ,  A61B18/1442 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00767 ,  A61B2018/00875

摘要： A system and method for optimizing tissue separation using modulated or duty cycle controlled waveforms on desiccated tissue, where the desiccated tissue has a high electrical impedance. In bipolar electrosurgical procedures, tissue separation is separated with the application of an electrical signal. When tissue does not completely separate and becomes desiccated, generator may generate a duty cycle controlled waveform with specified duty cycle and frequency or modulated waveform. Modulated waveform is generated by adding or multiplying one or more waveforms together. Modulated or duty cycle waveforms create power pulses with higher voltages and a low RMS value. Power pulses drive power and create heat in the high impedance tissue. The creation of heat helps to mobilize water content adjacent to the desiccated tissue. The heating and mobilization of water induces motion into the tissue and aids in the complete separation of tissue while keeping the RMS power low.

摘要翻译： 一种用于利用干燥组织上的调制或占空比控制的波形优化组织分离的系统和方法，其中干燥的组织具有高的电阻抗。 在双极电外科手术中，通过应用电信号分离组织分离。 当组织不完全分离并变干时，发生器可以产生具有指定占空比和频率或调制波形的占空比控制波形。 通过将一个或多个波形相加或相乘来生成调制波形。 调制或占空比波形产生具有较高电压和低RMS值的功率脉冲。 电源脉冲驱动电源并在高阻抗组织中产生热量。 热量的产生有助于调动干燥组织附近的含水量。 水的加热和动员导致运动进入组织，并有助于组织的完全分离，同时保持RMS功率低。

公开(公告)号：US08961513B2

公开(公告)日：2015-02-24

申请号：US13358136

申请日：2012-01-25

申请人： James D. Allen, IV ,  Gary M. Couture ,  James S. Cunningham ,  David M. Garrison ,  Sean T. O'Neill ,  Jason T. Sanders ,  Robert M. Sharp ,  Jeffrey R. Unger

发明人： James D. Allen, IV ,  Gary M. Couture ,  James S. Cunningham ,  David M. Garrison ,  Sean T. O'Neill ,  Jason T. Sanders ,  Robert M. Sharp ,  Jeffrey R. Unger

IPC分类号： A61B18/18

CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2017/2825 ,  A61B2018/0063 ,  A61B2018/1455 ,  A61B2018/1465

摘要： A surgical instrument is provided. The surgical instrument includes an end effector assembly including first and second jaw members moveable relative to one another between a first, spaced-apart position and a second position proximate tissue, wherein, in the second position, the jaw members cooperate to define a cavity that is configured to receive tissue between the jaw members and a resilient electrically conductive sealing surface operably coupled to at least one jaw member, the resilient electrically conductive sealing surface selectively positionable from a first unflexed position to a second flexed position.

摘要翻译： 提供手术器械。 手术器械包括端部执行器组件，其包括第一和第二钳口构件，所述第一和第二钳口构件可相对于彼此在第一间隔开的位置和靠近组织的第二位置之间相对移动，其中，在第二位置，钳口构件协作以限定腔 构造成在钳口构件之间接收组织，并且弹性导电密封表面可操作地联接到至少一个钳口构件，所述弹性导电密封表面可选择性地从第一未弯曲位置定位到第二弯曲位置。

公开(公告)号：US08668690B2

公开(公告)日：2014-03-11

申请号：US12793136

申请日：2010-06-03

申请人： Gary M. Couture

发明人： Gary M. Couture

IPC分类号： A61B18/12

CPC分类号： A61B18/1206 ,  A61B18/1442 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00767 ,  A61B2018/00875

摘要： A system and method for optimizing tissue separation using modulated or duty cycle controlled waveforms on desiccated tissue, where the desiccated tissue has a high electrical impedance. In bipolar electrosurgical procedures, tissue separation is separated with the application of an electrical signal. When tissue does not completely separate and becomes desiccated, generator may generate a duty cycle controlled waveform with specified duty cycle and frequency or modulated waveform. Modulated waveform is generated by adding or multiplying one or more waveforms together. Modulated or duty cycle waveforms create power pulses with higher voltages and a low RMS value. Power pulses drive power and create heat in the high impedance tissue. The creation of heat helps to mobilize water content adjacent to the desiccated tissue. The heating and mobilization of water induces motion into the tissue and aids in the complete separation of tissue while keeping the RMS power low.

摘要翻译： 一种用于利用干燥组织上的调制或占空比控制的波形优化组织分离的系统和方法，其中干燥的组织具有高的电阻抗。 在双极电外科手术中，通过应用电信号分离组织分离。 当组织不完全分离并变干时，发生器可以产生具有指定占空比和频率或调制波形的占空比控制波形。 通过将一个或多个波形相加或相乘来生成调制波形。 调制或占空比波形产生具有较高电压和低RMS值的功率脉冲。 电源脉冲驱动电源并在高阻抗组织中产生热量。 热量的产生有助于调动干燥组织附近的含水量。 水的加热和动员导致运动进入组织，并有助于组织的完全分离，同时保持RMS功率低。

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：US20120059375A1

公开(公告)日：2012-03-08

申请号：US12877482

申请日：2010-09-08

申请人： Gary M. Couture ,  Rebecca Coulson

发明人： Gary M. Couture ,  Rebecca Coulson

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B18/1442 ,  A61B2017/00526 ,  A61B2018/00083 ,  A61B2018/00178 ,  A61B2018/00404 ,  A61B2018/00428 ,  A61B2018/00595 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00732 ,  A61B2018/00761 ,  A61B2018/126 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2018/1861 ,  A61B2090/3937

摘要： Bipolar electrosurgical instrument having a first and a second opposing jaw member at a distal end thereof, wherein each jaw member includes an outer housing, and an inner tissue engaging surface corresponding to the inner tissue engaging surface of the opposing jaw. The instruments includes the ability to move the jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue. The jaws include asymmetrical electrodes disposed on the inner tissue engaging surfaces. A first contact region of the electrode has a greater surface area than that of the second contact region. During resection procedures wider electrodes impart improved sealing energy to the patient-side vessel while providing sufficient energy to resected tissue to effect hemostasis.

摘要翻译： 双极电外科器械在其远端处具有第一和第二相对的钳口构件，其中每个钳口构件包括外壳体和与相对的钳口的内部组织接合表面相对应的内部组织接合表面。 这些仪器包括将钳口构件相对于彼此从第一位置移动的能力，其中钳口构件相对于彼此间隔开地设置到第二位置，其中钳口构件协作以抓住组织。 夹爪包括设置在内部组织接合表面上的不对称电极。 电极的第一接触区域具有比第二接触区域更大的表面积。 在切除过程中，较宽的电极对患者侧血管提供改善的密封能量，同时向切除的组织提供足够的能量以进行止血。

公开(公告)号：US20120010614A1

公开(公告)日：2012-01-12

申请号：US12832772

申请日：2010-07-08

申请人： Gary M. Couture

发明人： Gary M. Couture

IPC分类号： A61B18/14

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

摘要： An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly has a first jaw member having a first pair of tissue contacting surfaces and an insulator disposed therebetween. The end effector assembly also has a second jaw member that includes a second pair of tissue contacting surfaces, a pair of insulators disposed between the second pair of tissue contacting surfaces, and a cutting element disposed between the pair of insulators. The relative movement of the first jaw member toward the second jaw member causes the insulator of the first jaw member and the pair of insulators of the second jaw member to pinch tissue disposed between the first jaw member and the second jaw member.

摘要翻译： 提供了一种用于电外科器械的端部执行器组件。 末端执行器组件具有第一钳口构件，其具有第一对组织接触表面和设置在它们之间的绝缘体。 末端执行器组件还具有包括第二对组织接触表面的第二钳口构件，设置在第二对组织接触表面之间的一对绝缘体以及设置在该对绝缘体之间的切割元件。 第一钳口构件朝向第二钳口构件的相对运动导致第一钳口构件的绝缘体和第二钳口构件的一对绝缘体夹紧设置在第一钳口构件和第二钳口构件之间的组织。