-
公开(公告)号:US07625370B2
公开(公告)日:2009-12-01
申请号:US10504279
申请日:2003-01-16
CPC分类号: A61B17/12013 , A61B18/1442 , A61B18/1445 , A61B18/1477 , A61B2017/320052 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1425 , A61B2018/143 , A61B2018/1455
摘要: A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.
摘要翻译: 组织焊接装置适于将第一片组织熔合到第二片组织中,所述第二片组织布置在表面邻近关系中。 细长轴承载第一钳口和相对于第一钳口可移动的第二相对钳口。 至少一个穿透构件由第一钳口承载并且可相对于第二钳口移动以形成穿过第一块材料和第二块材料的通道。 热源耦合到穿透构件,用于使限定通道的组织变性。 这种变性组织形成将第一片组织结合到第二片组织的柱。 化学试剂可以用穿透构件携带到组织。
-
公开(公告)号:US20090248022A1
公开(公告)日:2009-10-01
申请号:US12416695
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated.
摘要翻译: 提供相位终点确定以自动停止向组织施加能量。 在施加能量之前,通过测量待处理组织的介电常数和电导率的乘积来确定相位终点确定。
-
73.
公开(公告)号:US08715441B2
公开(公告)日:2014-05-06
申请号:US12877245
申请日:2010-09-08
申请人: John R. Brustad , Said S. Hilal , Nabil Hilal , Charles C. Hart , Gary M. Johnson , Serene Hilal , Ghassan Sakakine , Donald L. Gadberry , Edward D. Pingleton , Matthew N. Petrime , Payam Adlparvar , Carl B. Hadley , Kenneth K. Vu
发明人: John R. Brustad , Said S. Hilal , Nabil Hilal , Charles C. Hart , Gary M. Johnson , Serene Hilal , Ghassan Sakakine , Donald L. Gadberry , Edward D. Pingleton , Matthew N. Petrime , Payam Adlparvar , Carl B. Hadley , Kenneth K. Vu
IPC分类号: B29C65/02
CPC分类号: A61M25/0012 , A61B1/0011 , A61B1/0055 , A61B17/3421 , A61B2017/003 , A61M25/0043
摘要: The invention primarily is directed to a medical tubing adapted for insertion into a body tissue or cavity and method of manufacturing different variations of the tubing along a length of the tubing. The tubing comprises a plurality of individual, discrete, generally ring-shaped elements arranged in series and fused or bonded together forming a continuous tubular structure. The ring-shaped elements may include a combination of flexible and rigid ring-shaped elements assembled along different portions or sections of the tubular structure. In another aspect of the invention, the medical tubing may further comprise a secondary lumen and a pull wire to control the tubular structure. In another aspect of the invention, the ring-shaped elements may vary in diameter and/or composition in different portions or sections of the tubular structure.
摘要翻译: 本发明主要针对适于插入身体组织或空腔的医用管道以及沿管道长度制造管道的不同变化的方法。 管道包括多个单独的离散的大体环形元件,其串联布置并且熔合或粘合在一起形成连续的管状结构。 环形元件可以包括沿着管状结构的不同部分或部分组装的柔性和刚性环形元件的组合。 在本发明的另一方面,医疗管道还可包括用于控制管状结构的次管腔和拉线。 在本发明的另一方面,环形元件可以在管状结构的不同部分或部分中的直径和/或组成变化。
-
公开(公告)号:US08308746B2
公开(公告)日:2012-11-13
申请号:US12102719
申请日:2008-04-14
申请人: Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
发明人: Boun Pravong , Kennii Pravongviengkham , Matthew M. Becerra , Matthew A. Wixey , Haruyasu Yawata , Gary M. Johnson , Zoran Falkenstein , John R. Brustad , Charles C. Hart
IPC分类号: A61B17/32
CPC分类号: A61B17/32002 , A61B17/29 , A61B17/32053 , A61B90/361 , A61B2017/00902 , A61B2017/2948 , A61B2017/320024 , A61B2017/320775
摘要: The invention relates to a tissue morcellator for minimally invasive surgery. The morcellator has a metallic cutting ring mounted on a visually transparent hollow cylinder, which in combination with a visually transparent outer morcellator tube enables a surgeon to visualize the inside of the morcellator shaft for detection of loose tissue fragments in the device. A tenaculum used with the morcellation device has a spacer for preventing contact with the blade. The cutting tube can oscillate, rather than rotate, along the longitudinal axis of the cutting tube. The morcellator utilizes an extendable tissue guide on the outer tube of the morcellator shaft for preventing the tissue from rotating along the longitudinal axis of the morcellator tube. This allows the tissue to be continuously rotated into the morcellator device for continuous peel. The tissue guide can also be fully retracted to allow for coring of the bulk tissue.
摘要翻译: 本发明涉及用于微创手术的组织移植器。 旋转器具有安装在视觉上透明的中空圆柱体上的金属切割环,其与视觉上透明的外部致动器管结合,使得外科医生能够将morcellator轴的内部可视化,以检测装置中松散的组织碎片。 与切割装置一起使用的搭扣具有用于防止与叶片接触的间隔件。 切割管可以沿着切割管的纵向轴线而摆动而不是旋转。 morcellator在morcellator轴的外管上使用可延伸的组织引导件,用于防止组织沿着morcellator管的纵向轴线旋转。 这允许组织连续地旋转到morcellator装置中用于连续剥离。 组织引导件也可以完全缩回以允许大块组织的取芯。
-
公开(公告)号:US20090248020A1
公开(公告)日:2009-10-01
申请号:US12416751
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: An electrosurgical tool can be used to fuse tissue. The electrosurgical tool can include a jaw assembly, an elongate shaft, and a handle assembly. Actuation of the handle assembly can actuate the jaw assembly. The elongate shaft can be rotatable without disrupting electrical connection to the jaw assembly. The electrosurgical tool can include a cutting blade to separate fused tissue. The electrosurgical tool can also include a jaw assembly configuration or an exterior cutting electrode to improve surgical access with the tool.
摘要翻译: 可以使用电外科工具来熔合组织。 电外科手术工具可以包括钳口组件,细长轴和手柄组件。 手柄组件的致动可以致动钳口组件。 细长轴可以旋转而不中断与钳口组件的电连接。 电外科手术工具可以包括用于分离熔融组织的切割刀片。 电外科手术工具还可以包括钳口组件配置或外部切割电极,以利用该工具改善手术进入。
-
公开(公告)号:US20090248019A1
公开(公告)日:2009-10-01
申请号:US12416128
申请日:2009-03-31
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/14
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: An electrosurgical tool can be used for tissue dissection. The tool can include several electrodes positioned on a jaw assembly. The electrodes can be selectively connected to a power source in a cutting arrangement or a coagulation arrangement. Switching from the cutting arrangement to the coagulation arrangement can be provided by opening and closing a handle to actuate the jaw assembly.
摘要翻译: 电外科手术可用于组织剥离。 工具可以包括位于钳口组件上的多个电极。 电极可以选择性地连接到切割装置或凝结装置中的电源。 可以通过打开和关闭手柄来致动钳口组件来提供从切割装置到凝结装置的切换。
-
公开(公告)号:US08915910B2
公开(公告)日:2014-12-23
申请号:US12416765
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated. An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
摘要翻译: 提供相位终点确定以自动停止向组织施加能量。 在施加能量之前,通过测量待处理组织的介电常数和电导率的乘积来确定相位终点确定。 电外科系统可以包括电外科发生器,反馈电路或控制器以及电外科手术工具。 反馈电路可以通过确定待治疗的组织的相位终点来提供电外科终点。 电外科系统可以包括多个用于不同电外科手术的电外科工具,并且可以包括各种用户界面特征和音频/视觉性能指标。 电外科系统还可以为传统的双极电外科手术工具和直流手术器械提供电力。
-
公开(公告)号:US08551088B2
公开(公告)日:2013-10-08
申请号:US12416695
申请日:2009-04-01
申请人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
发明人: Zoran Falkenstein , Christopher J. Cappello , Gary M. Johnson , Benjamin A. Gianneschi , Olivia J. Tran , Matthew A. Wixey , Kennii Pravongviengkham , Boun Pravong , Haruyasu Yawata , Matthew M. Becerra , John R. Brustad , Adam J. Cohen , Nabil Hilal , Edward D. Pingleton , Said S. Hilal , Charles C. Hart , Chris R. Wikoff
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要: Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated.
摘要翻译: 提供相位终点确定以自动停止向组织施加能量。 在施加能量之前,通过测量待处理组织的介电常数和电导率的乘积来确定相位终点确定。
-
公开(公告)号:US08007477B2
公开(公告)日:2011-08-30
申请号:US10805864
申请日:2004-03-22
IPC分类号: A61M25/00
CPC分类号: A61B17/3417 , A61B17/34 , A61B2017/00473 , A61B2017/3482 , A61B2017/3484 , A61M39/02
摘要: A surgical access port for insertion into a body cavity can have an elongate tubular body extending along an axis between a proximal end and a distal end, and a tip at the distal end of the tubular body for penetrating through a body wall and into the body cavity. The distal tip moves from a first, penetrating position to a second, retaining position when the body wall has been traversed. The surgical access port may further comprise a seal housing connected to the proximal end of the tubular body, the seal housing having an access port providing an opening into the tubular body to allow passage of surgical instruments. The distal tip may be sharp, pointed or bladed. The distal tip may also be substantially blunt or have a conical surface. The access port may further comprise a retention member for connecting the tubular body and the distal tip.
摘要翻译: 用于插入体腔的外科进入口可以具有沿着近端和远端之间的轴延伸的细长管状体,以及在管状体的远端处的尖端,用于穿透体壁并进入体内 腔。 当身体壁已经穿过时,远端从第一穿透位置移动到第二保持位置。 外科进入口还可以包括连接到管状体的近端的密封外壳,密封壳体具有进入端口,该入口端口提供管状体的开口以允许外科器械通过。 远侧尖端可以是尖锐的,尖的或叶片的。 远侧末端也可以是基本上钝的或具有锥形表面。 进入端口还可以包括用于连接管状体和远侧末端的保持构件。
-
公开(公告)号:US20100049194A1
公开(公告)日:2010-02-25
申请号:US12611352
申请日:2009-11-03
IPC分类号: A61B18/14
CPC分类号: A61B17/12013 , A61B18/1442 , A61B18/1445 , A61B18/1477 , A61B2017/320052 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1425 , A61B2018/143 , A61B2018/1455
摘要: A tissue welding apparatus is adapted to fuse a first piece of tissue to a second piece of tissue which are disposed in a surface proximate relationship. An elongate shaft carries a first jaw, and a second opposing jaw moveable relative to the first jaw. At least one penetrating member is carried by the first jaw and moveable relative to the second jaw to create a channel through the first piece of material and the second piece of material. A source of heat is coupled to the penetrating member for denaturing the tissue defining the channel. This denatured tissue forms a column binding the first piece of tissue to the second piece of tissue. A chemical agent can be carried to the tissue with the penetrating member.
摘要翻译: 组织焊接装置适于将第一片组织熔合到第二片组织中,所述第二片组织布置在表面邻近关系中。 细长轴承载第一钳口和相对于第一钳口可移动的第二相对钳口。 至少一个穿透构件由第一钳口承载并且可相对于第二钳口移动以形成穿过第一块材料和第二块材料的通道。 热源耦合到穿透构件,用于使限定通道的组织变性。 这种变性组织形成将第一片组织结合到第二片组织的柱。 化学试剂可以用穿透构件携带到组织。
-
-
-
-
-
-
-
-
-