公开(公告)号：US07909822B2

公开(公告)日：2011-03-22

申请号：US12714970

申请日：2010-03-01

申请人： Paul Guerra

发明人： Paul Guerra

IPC分类号： A61B18/18

CPC分类号： A61B18/14 ,  A61B17/32002 ,  A61B2017/320032 ,  A61B2018/00589 ,  A61B2018/00595

摘要： A debrider apparatus is disclosed. The debrider includes a first tubular member that is adapted to connect to a first potential of an electrosurgical generator. A second tubular member is at least partially disposed within the first tubular member and is adapted to connect to a second potential of the electrosurgical generator. At least one tubular member is selectively movable relative to the other. A first set of teeth is disposed around at least a portion of a distal periphery of the first tubular member. A second set of teeth is disposed around at least a portion of a distal periphery of the second tubular member. At least one switch is operably coupled to at least one of the tubular members and activates movement of one tubular member and supplies respective electrical potentials to the tubular members.

摘要翻译： 公开了一种清除器装置。 去纤维器包括适于连接到电外科发生器的第一电位的第一管状构件。 第二管状构件至少部分地设置在第一管状构件内并且适于连接到电外科发生器的第二电位。 至少一个管状构件可相对于另一个选择性地移动。 第一组齿围绕第一管状构件的远端周边的至少一部分设置。 第二组齿围绕第二管状构件的远端周边的至少一部分设置。 至少一个开关可操作地联接到至少一个管状构件，并且启动一个管状构件的运动，并将相应的电势提供给管状构件。

公开(公告)号：US07722607B2

公开(公告)日：2010-05-25

申请号：US11594396

申请日：2006-11-08

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

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

IPC分类号： A61B18/18

CPC分类号： A61B18/085 ,  A61B18/1445 ,  A61B2018/0063 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1412 ,  A61B2018/1455

摘要： An endoscopic forceps includes a housing having a shaft attached thereto, the shaft including a pair of jaw members disposed at a distal end thereof. The forceps also includes a drive assembly disposed in the housing which moves 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 are closer to one another for manipulating tissue. A pair of handles is operatively connected to the drive assembly and the handles are movable relative to the housing to actuate the drive assembly to move the jaw members. Each of the jaw members is adapted to connect to a source of electrical energy such that the jaw members are capable of conducting energy for treating tissue. The forceps also includes a first switch disposed on the housing which is activatable to selectively deliver energy of a first electrical potential to at least one jaw member for treating tissue in a monopolar fashion. A second switch is disposed on the housing and is activatable to selectively deliver energy of a first electrical potential to one jaw member and selectively deliver energy of a second electrical potential to the other jaw member for treating tissue in a bipolar fashion.

摘要翻译： 内窥镜钳包括具有附接到其上的轴的壳体，所述轴包括设置在其远端处的一对钳口构件。 镊子还包括设置在壳体中的驱动组件，其将钳口构件相对于彼此从第一位置移动，其中钳口构件相对于彼此以间隔开的关系设置到第二位置，其中钳口构件彼此更靠近 用于操纵组织。 一对把手可操作地连接到驱动组件，并且手柄相对于壳体可移动，以驱动驱动组件以移动钳口构件。 每个钳口构件适于连接到电能源，使得钳口构件能够传导用于治疗组织的能量。 镊子还包括设置在壳体上的第一开关，其可激活以将第一电位的能量选择性地传递到至少一个钳口构件，以以单极方式处理组织。 第二开关设置在壳体上并且可激活以将第一电势的能量选择性地传递到一个钳口构件，并且选择性地将第二电势的能量传递到另一钳口构件，以双极方式处理组织。

公开(公告)号：US07682360B2

公开(公告)日：2010-03-23

申请号：US11635754

申请日：2006-12-07

申请人： Paul Guerra

发明人： Paul Guerra

IPC分类号： A61B18/18

CPC分类号： A61B18/14 ,  A61B17/32002 ,  A61B2017/320032 ,  A61B2018/00589 ,  A61B2018/00595

摘要： A debrider apparatus is disclosed. The debrider includes a first tubular member that is adapted to connect to a first potential of an electrosurgical generator. A second tubular member is at least partially disposed within the first tubular member and is adapted to connect to a second potential of the electrosurgical generator. At least one tubular member is selectively movable relative to the other. A first set of teeth is disposed around at least a portion of a distal periphery of the first tubular member. A second set of teeth is disposed around at least a portion of a distal periphery of the second tubular member. At least one switch is operably coupled to at least one of the tubular members and activates movement of one tubular member and supplies respective electrical potentials to the tubular members.

摘要翻译： 公开了一种清除器装置。 去纤维器包括适于连接到电外科发生器的第一电位的第一管状构件。 第二管状构件至少部分地设置在第一管状构件内并且适于连接到电外科发生器的第二电位。 至少一个管状构件可相对于另一个选择性地移动。 第一组齿围绕第一管状构件的远端周边的至少一部分设置。 第二组齿围绕第二管状构件的远端周边的至少一部分设置。 至少一个开关可操作地联接到至少一个管状构件，并且启动一个管状构件的运动，并将相应的电势提供给管状构件。

公开(公告)号：US07628792B2

公开(公告)日：2009-12-08

申请号：US11232410

申请日：2005-09-22

申请人： Paul Guerra

发明人： Paul Guerra

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B2017/2933 ,  A61B2017/2947 ,  A61B2018/0013 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/0063 ,  A61B2018/126

摘要： A surgical instrument is provided and includes a drive rod assembly having a hollow shaft portion. A central shaft is slidably disposed in and axially aligned with the hollow shaft portion. The instrument may further include a handle assembly coupled to hollow shaft portion and the central shaft of the drive rod assembly. A pair of opposing jaw members each operatively associated with the distal end of the hollow shaft portion, the jaw members being movable relative to one another between a first position wherein the jaw members are disposed in spaced relation relative to one another and a second position wherein the jaw members are approximated towards one another. The instrument may further include a source of electrical energy connected to each jaw member for conducting energy therebetween.

摘要翻译： 提供了一种手术器械，并且包括具有中空轴部分的驱动杆组件。 中心轴可滑动地设置在空心轴部分中并与空心轴部分轴向对准。 仪器还可以包括联接到空心轴部分的手柄组件和驱动杆组件的中心轴。 一对相对的钳口构件，每个与所述中空轴部分的远端可操作地相关联，所述钳口构件可在第一位置之间相对于彼此移动，其中所述钳口构件相对于彼此以间隔开的关系设置，其中第二位置 钳口构件彼此近似。 仪器还可以包括连接到每个钳口构件的电能源，以在它们之间传导能量。

公开(公告)号：US20090112206A1

公开(公告)日：2009-04-30

申请号：US12349331

申请日：2009-01-06

申请人： Patrick L. Dumbauld ,  David M. Garrison ,  Paul Guerra ,  Darion Peterson ,  Sean T. Dycus ,  Sean T. Dycus

发明人： Patrick L. Dumbauld ,  David M. Garrison ,  Paul Guerra ,  Darion Peterson ,  Sean T. Dycus ,  Sean T. Dycus

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B2018/00196 ,  A61B2018/0063 ,  A61B2018/126 ,  A61B2018/1475

摘要： An endoscopic forceps for treating tissue includes a housing having a shaft affixed thereto which has first and second jaw members attached to a distal end thereof. The forceps also includes an actuator for moving 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 therebetween. Each of the jaw members is adapted to connect to a source of electrosurgical energy such that the jaw members are selectively capable of operating in a bipolar mode which enables the jaw members to conduct bipolar energy through tissue held therebetween to treat tissue. The forceps also includes a monopolar element housed within the first jaw member and integrally associated with the knife. The monopolar element is selectively movable from a first position within the first jaw member to a second position distal to the first jaw member. The monopolar element is adapted to connect to the source of electrosurgical energy such that the monopolar element is selectively activateable independent of the bipolar mode.

摘要翻译： 用于治疗组织的内窥镜钳包括具有固定到其上的轴的壳体，其具有附接到其远端的第一和第二钳口构件。 镊子还包括用于从第一位置相对于彼此移动钳口构件的致动器，其中钳口构件相对于彼此以间隔开的关系设置到第二位置，其中钳口构件协作以抓住其间的组织。 每个钳口构件适于连接到电外科能量源，使得钳口构件选择性地能够以双极模式操作，这使得钳口构件能够通过夹持在其间的组织传导双极能量来治疗组织。 镊子还包括容纳在第一钳口构件内并与刀整体相关联的单极元件。 单极元件可选择性地从第一钳口构件内的第一位置移动到远离第一钳口构件的第二位置。 单极性元件适于连接到电外科能量源，使得独立于双极模式的单极性元件选择性地激活。

公开(公告)号：US20070078456A1

公开(公告)日：2007-04-05

申请号：US11540335

申请日：2006-09-29

申请人： Patrick Dumbauld ,  David Garrison ,  Paul Guerra ,  Dylan Hushka ,  Darion Peterson

发明人： Patrick Dumbauld ,  David Garrison ,  Paul Guerra ,  Dylan Hushka ,  Darion Peterson

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B2018/0063 ,  A61B2018/1253 ,  A61B2018/126

摘要： An endoscopic forceps includes a housing having a shaft attached thereto, the shaft including a pair of jaw members disposed at a distal end thereof. The forceps also includes a drive assembly disposed in the housing which moves 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 are closer to one another for manipulating tissue. A pair of handles is operatively connected to the drive assembly and the handles are movable relative to the housing to actuate the drive assembly to move the jaw members. Each of the jaw members is adapted to connect to a source of electrical energy such that the jaw members are capable of conducting energy for treating tissue. The forceps also includes a first switch disposed on the housing which is activatable to selectively deliver energy of a first electrical potential to at least one jaw member for treating tissue in a monopolar fashion. A second switch is disposed on the housing and is activatable to selectively deliver energy of a first electrical potential to one jaw member and selectively deliver energy of a second electrical potential to the other jaw member for treating tissue in a bipolar fashion.

公开(公告)号：US08795276B2

公开(公告)日：2014-08-05

申请号：US12797305

申请日：2010-06-09

申请人： Timothy G. Dietz ,  Zhifan F. Huang ,  David A. Witt ,  Jeffrey L. Aldridge ,  Raymond M. Banks ,  Mary E. Mootoo ,  Jeffrey S. Swayze ,  Foster B. Stulen ,  Prasanna Malaviya ,  Gregory W. Johnson ,  Paul Guerra

发明人： Timothy G. Dietz ,  Zhifan F. Huang ,  David A. Witt ,  Jeffrey L. Aldridge ,  Raymond M. Banks ,  Mary E. Mootoo ,  Jeffrey S. Swayze ,  Foster B. Stulen ,  Prasanna Malaviya ,  Gregory W. Johnson ,  Paul Guerra

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/124 ,  A61B2018/1455

摘要： An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. The second jaw can comprise a first electrode and a second electrode while the first jaw can comprise an opposing electrode positioned opposite the first electrode and the second electrode when the jaws are in their closed position. The first and second electrodes can be independently and/or sequentially operated in order to conduct current between the first and second electrodes and opposing electrode in order to draw the tissue positioned between the first and second jaws toward the center of the first and second jaws and weld the tissue. In various other embodiments, other firing sequences of the electrodes are contemplated. During and/or after such tissue welding processes, a cutting member can be advanced to cut the tissue.

摘要翻译： 电外科手术器械可以包括手柄和末端执行器，其中末端执行器可以包括第一和第二钳口，其可以打开和关闭以在其间捕获组织。 第二钳口可以包括第一电极和第二电极，而当钳口处于其闭合位置时，第一钳口可以包括与第一电极相对定位的对置电极和第二电极。 第一和第二电极可以独立地和/或顺序地操作，以便在第一和第二电极和相对的电极之间传导电流，以便将位于第一和第二钳口之间的组织朝向第一和第二钳口的中心抽取，并且 焊接组织。 在各种其他实施例中，预期电极的其它点火序列。 在这种组织焊接过程中和/或之后，切割构件可被推进以切割组织。

公开(公告)号：US08613383B2

公开(公告)日：2013-12-24

申请号：US12836366

申请日：2010-07-14

申请人： Andrew T. Beckman ,  Paul Guerra ,  Jason L. Harris ,  Prasanna Malaviya ,  Foster B. Stulen ,  Jeffrey S. Swayze ,  Bradley E. White

发明人： Andrew T. Beckman ,  Paul Guerra ,  Jason L. Harris ,  Prasanna Malaviya ,  Foster B. Stulen ,  Jeffrey S. Swayze ,  Bradley E. White

IPC分类号： A61B17/068

CPC分类号： A61B17/07207 ,  A61B17/0644 ,  A61B17/1114 ,  A61B17/115 ,  A61B17/1155 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/1447 ,  A61B2017/00026 ,  A61B2017/00088 ,  A61B2017/0647 ,  A61B2017/07214 ,  A61B2017/07228 ,  A61B2017/07271 ,  A61B2017/2923 ,  A61B2018/00071 ,  A61B2018/00404 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00678 ,  A61B2018/00708 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/126 ,  A61B2018/145 ,  A61B2018/1455 ,  A61B2090/061

摘要： A surgical stapling assembly is configured to be used to form a tissue seal having an arcuate portion. The surgical stapling assembly comprises an end-effector extending from the distal end of the shaft. The end-effector comprises a first portion and a second portion. The first portion comprises a first face at least partially surrounding the aperture, a staple cavity defined in the first face, a staple removably positioned within the staple cavity, and a first electrode positioned one of on and proximate to the first face. The second portion comprises a second face, an anvil pocket defined in the second face, and a second electrode positioned one of on and proximate to the second face, and a second electrode. The first electrode and the second electrode each comprise an arcuate portion. The first electrode has a different polarity than the second electrode.

摘要翻译： 外科缝合组件被构造成用于形成具有弓形部分的组织密封。 外科缝合组件包括从轴的远端延伸的端部执行器。 末端执行器包括第一部分和第二部分。 第一部分包括至少部分地围绕孔的第一面，限定在第一面中的缝合腔，可拆卸地定位在缝合腔内的缝合线，以及定位在第一面之上且靠近第一面的第一电极。 第二部分包括第二面，限定在第二面中的砧座，以及定位在第二面和其附近的第二电极和第二电极。 第一电极和第二电极各自包括弓形部分。 第一电极具有与第二电极不同的极性。

公开(公告)号：US08496682B2

公开(公告)日：2013-07-30

申请号：US12758268

申请日：2010-04-12

申请人： Paul Guerra ,  Jason L. Harris ,  Gregory W. Johnson ,  Prasanna Malaviya ,  Jeffrey S. Swayze

发明人： Paul Guerra ,  Jason L. Harris ,  Gregory W. Johnson ,  Prasanna Malaviya ,  Jeffrey S. Swayze

IPC分类号： A61B17/00 ,  A61B18/14

CPC分类号： A61B17/295 ,  A61B18/1445 ,  A61B2017/2933 ,  A61B2017/2934 ,  A61B2017/2936 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1412

摘要： Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along an longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members, a reciprocating member, a shuttle and at least one cam pin. The first and second jaw members may define first and second longitudinal slots and first and second cam slots and may be pivotable towards one another about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The shuttle may be translatable distally and proximally parallel to the longitudinal axis. The cam pin may be coupled to the shuttle and positioned within the first cam slot and the second cam slots.

摘要翻译： 各种实施例涉及包括轴和端部执行器的外科器械。 轴可以联接到手柄并且可以沿着纵向轴线向远侧延伸。 端部执行器可以定位在轴的远端，并且可以包括第一和第二钳口构件，往复运动构件，梭和至少一个凸轮销。 第一和第二钳口构件可以限定第一和第二纵向槽以及第一和第二凸轮槽，并且可以围绕枢转点彼此可枢转。 往复运动构件可以在远侧和近侧平行于纵向轴线并通过第一和第二纵向狭槽平移。 往复运动构件的远侧部分可以限定一个叶片。 梭子可以在远端和向近端平行于纵向轴线平移。 凸轮销可以联接到梭子并且定位在第一凸轮槽和第二凸轮槽内。

公开(公告)号：US20120012638A1

公开(公告)日：2012-01-19

申请号：US12836383

申请日：2010-07-14

申请人： Zhifan F. Huang ,  Jason L. Harris ,  Prasanna Malaviya ,  Foster B. Stulen ,  Jeffrey S. Swayze ,  Scott A. Woodruff ,  Gwendolyn P. Payne ,  Donna L. Korvick ,  David K. Norvell ,  Aron O. Zingman ,  Paul Guerra ,  Mary E. Mootoo ,  Jeffrey L. Aldridge ,  Timothy G. Dietz ,  David A. Witt

发明人： Zhifan F. Huang ,  Jason L. Harris ,  Prasanna Malaviya ,  Foster B. Stulen ,  Jeffrey S. Swayze ,  Scott A. Woodruff ,  Gwendolyn P. Payne ,  Donna L. Korvick ,  David K. Norvell ,  Aron O. Zingman ,  Paul Guerra ,  Mary E. Mootoo ,  Jeffrey L. Aldridge ,  Timothy G. Dietz ,  David A. Witt

IPC分类号： A61B17/068

CPC分类号： A61B17/115 ,  A61B17/0643 ,  A61B17/07207 ,  A61B17/1114 ,  A61B17/1155 ,  A61B18/1445 ,  A61B2017/0647 ,  A61B2017/320052

摘要： An end-effector assembly configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw and a second jaw comprising a staple cavity. At least one of the first jaw and the second jaw is movable relative to the other jaw. The end-effector assembly comprises a staple removably positioned within the staple cavity and an electrically-conductive driver configured to move the staple between a first stored position in which the staple is at least partially positioned within the staple cavity and a second position in which the staple is at least partially deployed from the staple cavity into tissue positioned intermediate the first jaw and the second jaw. The staple comprises an electrode.

摘要翻译： 构造成附接到手术器械的端部执行器组件。 末端执行器组件包括第一钳口和包括钉腔的第二钳口。 第一钳口和第二钳口中的至少一个相对于另一个钳口可移动。 末端执行器组件包括可拆卸地定位在缝合腔内的缝合线和导电的驱动器，该导电驱动器被配置成在第一存储位置和第二位置之间移动订书钉，第一存储位置至少部分地定位在缝合钉腔内， 订书针至少部分地从缝钉放置到位于第一颚和第二颚之间的组织中。 订书钉包括电极。