公开(公告)号：US20110306966A1

公开(公告)日：2011-12-15

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：US07108695B2

公开(公告)日：2006-09-19

申请号：US10197794

申请日：2002-07-18

申请人： David A. Witt ,  Jerome R. Morgan ,  Foster B. Stulen ,  James R. Giordano

发明人： David A. Witt ,  Jerome R. Morgan ,  Foster B. Stulen ,  James R. Giordano

IPC分类号： A61B18/18 ,  A61B17/32

CPC分类号： A61B17/320092 ,  A61B2017/00092

摘要： A temperature monitoring device and/or method which control the tissue temperature at the end-effector of a therapeutic ultrasonic cutting and coagulating instrument as the tissue is being heated with ultrasonic vibrations from the end-effector. One or more temperature sensors are located at the end-effector, preferably on a clamping member. The temperature sensors measure the temperature of the tissue engaged by the end-effector either directly or indirectly. An alternate method and apparatus provides an electrical tissue impedance measure in combination with an ultrasonic cutting and coagulating instrument to provide active feedback control of an ultrasonic generator.

摘要翻译： 一种温度监测装置和/或方法，用于当来自末端执行器的超声振动正在加热组织时，控制处理超声波切割和凝结仪器的末端执行器处的组织温度。 一个或多个温度传感器位于末端执行器处，优选地位于夹紧构件上。 温度传感器直接或间接地测量由末端执行器接合的组织的温度。 替代方法和装置提供与超声波切割和凝结仪器结合的电组​​织阻抗测量值，以提供超声发生器的主动反馈控制。

公开(公告)号：US06454781B1

公开(公告)日：2002-09-24

申请号：US09573650

申请日：2000-05-18

申请人： David A. Witt ,  Jerome R. Morgan ,  Foster B. Stulen ,  James R. Giordano

发明人： David A. Witt ,  Jerome R. Morgan ,  Foster B. Stulen ,  James R. Giordano

IPC分类号： A61B1732

CPC分类号： A61B17/320092 ,  A61B2017/00092

摘要： A temperature or impedance sensing device monitors the tissue temperature or impedance at the end-effector of a therapeutic ultrasonic cutting and coagulating instrument as the tissue is being heated with ultrasonic vibrations from the end-effector. One or more sensors are located at the end-effector, preferably on a clamping member. The signals from the sensors provide feedback to control circuitry and a device for selecting a function of the instrument for either cutting mode or coagulating mode.

摘要翻译： 温度或阻抗感测装置在用来自末端执行器的超声振动加热组织时监测治疗超声波切割和凝固仪器的末端执行器处的组织温度或阻抗。 一个或多个传感器位于末端执行器处，优选地位于夹紧构件上。 来自传感器的信号向控制电路提供反馈，以及用于为切割模式或凝固模式选择仪器的功能的装置。

公开(公告)号：US06588277B2

公开(公告)日：2003-07-08

申请号：US09861870

申请日：2001-05-21

申请人： James R. Giordano ,  Foster B. Stulen

发明人： James R. Giordano ,  Foster B. Stulen

IPC分类号： G01N2904

CPC分类号： A61B17/320068 ,  A61B2017/00106 ,  A61B2017/00123 ,  G01N2291/02881

摘要： A method for detecting transverse mode vibrations in an ultrasonic hand piece/blade for determining the existence of unwanted vibration in the hand piece/blade. A tracking filter centered at the drive frequency of the generator, is used to monitor the drive frequency of the ultrasonic generator and attenuate the drive signal when it exceeds a predetermined level. The tracking filter has a wide pass band. Alternatively, a tracking filter having a pass band which is divided into several regions is used to avoid other longitudinal resonances, such as a resonance at a second harmonic, or other spectral features that would otherwise detract from the tracking accuracy of the filter.

公开(公告)号：US10143513B2

公开(公告)日：2018-12-04

申请号：US13274507

申请日：2011-10-17

申请人： Kevin L. Houser ,  Matthew C. Miller ,  Cory G. Kimball ,  John W. Willis ,  Timothy G. Dietz ,  Foster B. Stulen

发明人： Kevin L. Houser ,  Matthew C. Miller ,  Cory G. Kimball ,  John W. Willis ,  Timothy G. Dietz ,  Foster B. Stulen

IPC分类号： A61B18/14 ,  H01M2/26 ,  H01M2/10 ,  A61B18/12 ,  A61B17/00 ,  A61B17/32 ,  A61B18/00 ,  A61B18/04 ,  H02J7/00 ,  A61B17/28 ,  A61N7/00 ,  A61B34/00 ,  A61B90/40 ,  A61B46/10 ,  H01M10/46 ,  H02J7/02 ,  H01M10/48 ,  A61B90/00 ,  A61B17/064 ,  A61B17/285 ,  A61B17/29

摘要： A surgical instrument is separable into a transducer unit and a lower body portion. The lower body portion includes a waveguide and a casing. The transducer unit includes a transducer and a geared mechanism operable to couple the transducer to the waveguide. In some versions the geared mechanism includes bevel gears coupled to a rack and pinion such that linear motion may be used to rotatably couple a transducer to a waveguide. The rack gear may further include a handle extending out of the transducer unit casing to be actuatable by a user. The rack gear may also be flexible or rigid. In other versions, the bevel gears may be coupled to a threaded shaft that is operable to translate the transducer into the waveguide to form an interference fit. The transducer unit may also include a slide lock mechanism to couple to the casing of the lower body portion.

公开(公告)号：US09763674B2

公开(公告)日：2017-09-19

申请号：US14140681

申请日：2013-12-26

申请人： Joseph Peterson ,  Matthew L. Parsons ,  Cory G. Kimball ,  Foster B. Stulen ,  Ashvani K. Madan ,  Roman Lomeli

发明人： Joseph Peterson ,  Matthew L. Parsons ,  Cory G. Kimball ,  Foster B. Stulen ,  Ashvani K. Madan ,  Roman Lomeli

IPC分类号： A61B17/00 ,  A61B17/16 ,  A61B17/32

CPC分类号： A61B17/1624 ,  A61B17/1604 ,  A61B17/320068 ,  A61B2017/320078 ,  A61B2017/320084 ,  A61B2217/007

摘要： A system includes an ultrasonic instrument and a bone insertion element. The instrument includes an ultrasonic transducer and an ultrasonic blade. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The ultrasonic blade is in acoustic communication with the ultrasonic transducer such that the ultrasonic transducer drives the ultrasonic blade to vibrate ultrasonically to form an opening within bone. The bone insertion element is configured to be inserted within the opening formed by the ultrasonic blade.

公开(公告)号：US09393037B2

公开(公告)日：2016-07-19

申请号：US13538588

申请日：2012-06-29

申请人： William A. Olson ,  Foster B. Stulen ,  Jeffrey D. Messerly ,  Daniel W. Price ,  Kevin L. Houser ,  William D. Dannaher ,  Sora Rhee ,  Tylor C. Muhlenkamp

发明人： William A. Olson ,  Foster B. Stulen ,  Jeffrey D. Messerly ,  Daniel W. Price ,  Kevin L. Houser ,  William D. Dannaher ,  Sora Rhee ,  Tylor C. Muhlenkamp

IPC分类号： A61B17/32 ,  A61B17/29 ,  A61B17/295 ,  A61B17/00 ,  A61B17/22

CPC分类号： A61B17/320092 ,  A61B17/22004 ,  A61B17/2202 ,  A61B17/295 ,  A61B17/320068 ,  A61B2017/003 ,  A61B2017/00327 ,  A61B2017/00331 ,  A61B2017/00336 ,  A61B2017/22014 ,  A61B2017/22015 ,  A61B2017/2927 ,  A61B2017/320072

摘要： Various embodiments described herein are directed to ultrasonic blades. For example, an ultrasonic blade may comprise a proximally positioned straight section extending along a longitudinal axis and a distally positioned curved section coupled to the straight section and curved away from the longitudinal axis. The curved section may define a radius of curvature and subtend a first angle. A point of tangency between the curved section and the straight section may be positioned at either a node of the ultrasonic blade or an anti-node of the ultrasonic blade.

摘要翻译： 本文描述的各种实施例涉及超声波刀片。 例如，超声波刀片可以包括沿着纵向轴线延伸的向近侧定位的直线部分，以及连接到直线部分并远离纵向轴线弯曲的远侧定位的弯曲部分。 弯曲部分可以限定曲率半径并对准第一角度。 弯曲部分和直线部分之间的相切点可以位于超声刀片的一个节点或超声刀片的反节点上。

公开(公告)号：US09271751B2

公开(公告)日：2016-03-01

申请号：US11807474

申请日：2007-05-29

申请人： Kevin L. Houser ,  Foster B. Stulen ,  Stephanie J. Muir

发明人： Kevin L. Houser ,  Foster B. Stulen ,  Stephanie J. Muir

IPC分类号： A61B17/32 ,  A61B17/3203

CPC分类号： A61B17/320068 ,  A61B17/3203 ,  A61B2017/320044 ,  A61B2017/320072 ,  A61B2017/320084

摘要： An ultrasonic surgical system includes an ultrasonic transmission member having a proximal end and a distal end. An ultrasonically actuated end-effector is attached at the distal end of the transmission member. A pressurized fluid delivery system includes a fluid nozzle in communication with at least one fluid source. The fluid nozzle is arranged and configured to deliver pressurized fluid to soft tissue at a rate to move the soft tissue away from the end-effector during use.

摘要翻译： 超声波手术系统包括具有近端和远端的超声波传播部件。 超声致动的末端执行器附接在传动构件的远端。 加压流体输送系统包括与至少一个流体源连通的流体喷嘴。 流体喷嘴被布置和构造成将加压流体以在使用期间使软组织远离端部执行器的速率输送到软组织。

公开(公告)号：US20130090576A1

公开(公告)日：2013-04-11

申请号：US13269894

申请日：2011-10-10

申请人： Foster B. Stulen ,  John W. Willis ,  Timothy G. Dietz

发明人： Foster B. Stulen ,  John W. Willis ,  Timothy G. Dietz

IPC分类号： A61N7/00

CPC分类号： A61B17/320092 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61B2017/320097 ,  A61B2217/005 ,  A61B2217/007

摘要： A surgical system comprises an ultrasonic surgical instrument and a conduit. The conduit may be coupled with a vacuum source and/or a fluid source. The instrument comprises an ultrasonic transducer, a waveguide, and an end effector. The waveguide extends fully through the transducer, such that a distal end of the waveguide is distal to the distal end of the transducer and such that a proximal end of the waveguide is proximal to the proximal end of the transducer. The waveguide is operable to transmit ultrasonic vibrations from the transducer to the end effector. The waveguide defines a lumen in fluid communication with the conduit. The lumen is also in fluid communication with the end effector. The end effector may thus be used to deliver one or more of ultrasonic energy, suction, and/or fluid to a surgical site, in any suitable sequence or simultaneously.

摘要翻译： 手术系统包括超声手术器械和导管。 导管可以与真空源和/或流体源耦合。 仪器包括超声换能器，波导和末端执行器。 波导完全穿过换能器，使得波导的远端远离换能器的远端，并且使得波导的近端靠近换能器的近端。 波导可操作以将超声振动从换能器传递到末端执行器。 波导限定了与导管流体连通的内腔。 内腔也与末端执行器流体连通。 因此，端部执行器可以用于以任何合适的顺序或同时将一种或多种超声波能量，抽吸和/或流体输送到外科手术部位。

公开(公告)号：US20130009606A1

公开(公告)日：2013-01-10

申请号：US13176875

申请日：2011-07-06

申请人： Bret W. Smith ,  John A. Hibner ,  David N. Plescia ,  Foster B. Stulen ,  Emmanuel V. Tanghal

发明人： Bret W. Smith ,  John A. Hibner ,  David N. Plescia ,  Foster B. Stulen ,  Emmanuel V. Tanghal

IPC分类号： H02J7/00 ,  B65D1/34 ,  H01M2/10

CPC分类号： A61B50/20 ,  A61B50/33 ,  A61B2017/00734 ,  A61B2050/002 ,  A61B2050/005 ,  A61B2050/0056 ,  A61B2050/3006 ,  A61B2050/3008 ,  A61B2050/3014 ,  A61B2050/3015 ,  A61B2050/314 ,  A61B2050/316

摘要： An apparatus for delivering electrical power to an electrically powered medical device includes a battery, a first compartment, and a second compartment where the second compartment can hold the first compartment and the first compartment can hold the battery. A sterile space is defined between the first compartment and the second compartment. The first compartment and the battery may be selectively electrically coupled with the electrically powered medical device such that the first compartment does not compromise the sterility of the electrically powered medical device.

摘要翻译： 用于将电力传送到电动医疗装置的装置包括电池，第一隔室和第二隔间，其中第二隔室可以容纳第一隔室，并且第一隔室可以容纳电池。 在第一隔室和第二隔室之间限定无菌空间。 第一隔室和电池可以与电动医疗设备选择性地电耦合，使得第一隔室不损害电动医疗设备的不可靠性。