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公开(公告)号：US08425545B2
公开(公告)日：2013-04-23
申请号：US12547999
申请日：2009-08-26
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/320068 , A61B2017/00424 , A61B2017/0046 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a battery, and an ultrasonic-signal-generator assembly, includes a handle body having a power supply portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, an ultrasonic-signal-generator assembly dock exposed to the environment and shaped to selectively removably secure the ultrasonic-signal-generator assembly to the handle body and electrically couple the ultrasonic-signal-generator assembly to the battery contacts, and a transducer attachment dock exposed to the environment and shaped to substantially simultaneously place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock and electrically couple the ultrasonic transducer to the ultrasonic-signal-generator assembly when the ultrasonic-signal-generator assembly is secured to the ultrasonic-signal-generator assembly dock. The battery can be removable.
摘要翻译： 可连接到超声波换能器，超声波导，电池和超声波信号发生器组件的一次性超声手术手柄包括具有限定电池保持室的电源部分的手柄主体，电池保持室具有 至少两个电池触点，暴露于环境并被成形为接受其中的波导的波导附件基座，暴露于环境的超声波信号发生器组件基座并成形为选择性地可移除地将超声信号发生器组件固定到手柄主体 并且将所述超声波信号发生器组件电耦合到所述电池触点，以及在所述波导设置在所述波导附件底座内时，暴露于所述环境并且被成形为基本上同时地将所述超声波换能器放置在与所述波导同轴对准的换能器附接基座，以及 将超声换能器电耦合到超声波 - 当超声波信号发生器组件被固定到超声波信号发生器组装座时，信号发生器组件。 电池可以拆卸。
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公开(公告)号：US08403949B2
公开(公告)日：2013-03-26
申请号：US12269629
申请日：2008-11-12
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic assembly that is removably connectable to an ultrasonic waveguide of an ultrasonic surgical handle includes a cordless ultrasonic-movement-generation assembly having an ultrasonic generator and an ultrasonic transducer electrically coupled to the generator and having an output couple, a shell housing therein the ultrasonic-movement-generation assembly and having a securing connection shaped to removably connect to the ultrasonic surgical handle. The output couple is operable to impart ultrasonic movement to the ultrasonic waveguide when the securing connection is connected to the ultrasonic surgical handle and the waveguide is connected to the output couple.
摘要翻译： 可移除地连接到超声手术手柄的超声波导的超声波组件包括无电极超声波移动发生组件，其具有电耦合到发生器的超声波发生器和超声波换能器，并且具有输出耦合，壳体在其中容纳超声波 - 移动发生组件，并且具有成形为可移除地连接到超声手术手柄的固定连接。 当固定连接连接到超声手术手柄并且波导连接到输出对时，输出对可操作以向超声波导施加超声波运动。
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公开(公告)号：US07771411B2
公开(公告)日：2010-08-10
申请号：US11395903
申请日：2006-03-31
申请人： Kevin W. Smith , Matthew A. Palmer , Sean McBrayer , Thomas O. Bales , Derek Dee Deville , Joe Abelleira
发明人： Kevin W. Smith , Matthew A. Palmer , Sean McBrayer , Thomas O. Bales , Derek Dee Deville , Joe Abelleira
IPC分类号： A61M25/00
CPC分类号： A61B18/1492 , A61B18/00 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61F2/01 , A61F2230/005 , A61M25/005 , A61M25/0053 , A61M25/0054 , A61M25/01 , A61M25/104 , A61M2025/0063 , A61M2025/0064
摘要： A method for delivering RF energy to living tissue includes the steps of extending a guidewire to a tissue treatment site in a body. A controllable stiffness catheter is provided with a stiffness device and a temperature-changing device. The stiffness device is in a stiff state below a given temperature and in a soft state above the given temperature. While supplying power to the temperature-changing device, the catheter is threaded along the guidewire up to the treatment site in the flexible state of the catheter. Power is removed from the temperature-changing device to change stiffness of the stiffness device to the stiff state without straightening the catheter. The RF energy supply device is physically contacted with the treatment site and RF energy is delivered to the treatment site from the RF energy supply device.
摘要翻译： 用于将RF能量递送到活组织的方法包括将导丝延伸到身体中的组织处理部位的步骤。 可控刚度导管设置有刚度装置和温度变化装置。 刚度装置处于低于给定温度的刚性状态，并且处于高于给定温度的软状态。 在向变温装置供电的同时，导管在导管的柔性状态下沿着导丝穿过治疗部位。 将功率从变温装置中移除，以将刚度装置的刚度改变到刚性状态，而不使导管矫直。 RF能量供应装置与处理部位物理接触，RF能量从RF能量供应装置输送到治疗部位。
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公开(公告)号：US20100004669A1
公开(公告)日：2010-01-07
申请号：US12547999
申请日：2009-08-26
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/320068 , A61B2017/00424 , A61B2017/0046 , A61B2017/00734
摘要： A disposable ultrasonic surgical handle connectable to an ultrasonic transducer, an ultrasonic waveguide, a battery, and an ultrasonic-signal-generator assembly, includes a handle body having a power supply portion defining a battery-holding compartment, the battery-holding compartment having at least two battery contacts, a waveguide attachment dock exposed to the environment and shaped to accept the waveguide therein, an ultrasonic-signal-generator assembly dock exposed to the environment and shaped to selectively removably secure the ultrasonic-signal-generator assembly to the handle body and electrically couple the ultrasonic-signal-generator assembly to the battery contacts, and a transducer attachment dock exposed to the environment and shaped to substantially simultaneously place the ultrasonic transducer in coaxial alignment with the waveguide when the waveguide is disposed within the waveguide attachment dock and electrically couple the ultrasonic transducer to the ultrasonic-signal-generator assembly when the ultrasonic-signal-generator assembly is secured to the ultrasonic-signal-generator assembly dock. The battery can be removable.
摘要翻译： 可连接到超声波换能器，超声波导，电池和超声波信号发生器组件的一次性超声手术手柄包括具有限定电池保持室的电源部分的手柄主体，电池保持室具有 至少两个电池触点，暴露于环境并被成形为接受其中的波导的波导附件基座，暴露于环境的超声波信号发生器组件基座并成形为选择性地可移除地将超声信号发生器组件固定到手柄主体 并且将所述超声波信号发生器组件电耦合到所述电池触点，以及在所述波导设置在所述波导附件底座内时，暴露于所述环境并且被成形为基本上同时地将所述超声波换能器放置在与所述波导同轴对准的换能器附接基座，以及 将超声换能器电耦合到超声波 - 当超声波信号发生器组件被固定到超声波信号发生器组装座时，信号发生器组件。 电池可以拆卸。
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75.发明申请公开(公告)号：US20100000074A1
公开(公告)日：2010-01-07
申请号：US12547898
申请日：2009-08-26
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/0046 , A61B2017/00477 , A61B2017/00734 , B06B3/00 , H04R31/00 , Y10T29/49005 , Y10T29/49169
摘要： A method for assembling an ultrasonic surgical assembly includes the steps of substantially simultaneously removably coupling an ultrasonic-driving-wave-signal generating circuit to an ultrasonic surgical handle body and removably inserting an ultrasonic-movement-producing distal end of a rotatably free ultrasonic transducer into the ultrasonic surgical handle body. An ultrasonic waveguide is inserted into the ultrasonic surgical handle body opposite the ultrasonic-movement-producing distal end. The ultrasonic waveguide is rotated with respect to the ultrasonic transducer to fixedly couple the ultrasonic waveguide to the ultrasonic-movement-producing distal end of the ultrasonic transducer.
摘要翻译： 一种用于组装超声外科手术组件的方法包括以下步骤：将超声波驱动波信号产生电路基本上同时可移除地耦合到超声手术手柄本体，并将可旋转自由的超声换能器的超声波移动产生远端可移除地插入到 超声手术手柄。 将超声波波导插入与超声波产生运动的远端相对的超声手术手柄体内。 超声波波导相对于超声波换能器旋转，将超声波波导固定地连接到超声波换能器的超声波移动产生远端。
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公开(公告)号：US20080251569A1
公开(公告)日：2008-10-16
申请号：US12102181
申请日：2008-04-14
IPC分类号： A61B17/10
CPC分类号： A61B17/072 , A61B17/068 , A61B17/07207 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B90/03 , A61B2017/00017 , A61B2017/00115 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/07257 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2090/032 , A61B2090/064 , G06F19/00
摘要： An OTC surgical device includes a handle having therein a compression controller and thereat an end effector, which has an electrically controlled tissue-compressor coupled to the controller and powered thereby to selectively control tissue compression. A mechanical binary-output electrical switch is disposed in-line with the compressor to place a compressing force directed upon the compressed tissue proportionally upon the switch. The switch has two switching states initiated and changed only by mechanical movement. The switch includes a biasing device retaining the switch in a first switching state until a force imparted thereupon overcomes the bias force to change to the second switching state. A switching-state-status output provides information identifying a current state and communicates with the compression controller to selectively control compression of tissue based upon the information. With appropriate feedback, the controller can keep the tissue at OTC while the surgical procedure is carried out.
摘要翻译： OTC手术装置包括手柄，其中具有压缩控制器，并且其末端执行器具有耦合到控制器并由此供电的电控组织压缩机，从而选择性地控制组织压缩。 机械二进制输出电开关设置成与压缩机成一直线，以将压缩的压缩力按比例放置在开关上。 开关具有两个开关状态，仅通过机械运动启动和更改。 开关包括偏置装置，该偏置装置将开关保持在第一开关状态，直到其上施加的力克服偏压力以改变到第二开关状态。 开关状态输出提供识别当前状态并与压缩控制器通信的信息，以便基于该信息选择性地控制组织的压缩。 通过适当的反馈，控制器可以在执行外科手术时将组织保持在OTC处。
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公开(公告)号：US09247953B2
公开(公告)日：2016-02-02
申请号：US12534030
申请日：2009-07-31
IPC分类号： A61B17/32 , A61B17/285
CPC分类号： A61B17/320092 , A61B17/285
摘要： An ultrasonic surgical instrument includes a shaft having a proximal end and a distal end and a first jaw having a proximal end and a distal end, the distal end of the shaft terminating at the proximal end of the first jaw and the first jaw has an internal trough running from and through the proximal end of the first jaw and terminating at a point prior to the distal end of the first jaw and a surface having a plurality of teeth on either side of the trough and at the distal end of the first jaw. A second jaw has a surface facing the surface of the first jaw and having a plurality of teeth thereat. An ultrasonic waveguide extends beyond the shaft and is slidably engagable with the trough, where the ultrasonic waveguide has a distal end, a proximal end, a top surface portion, and a tissue compressing surface upwardly sloping from the distal end of the ultrasonic waveguide to the proximal end of the ultrasonic waveguide, at least one of the tissue compressing surface and the top surface portion forming a cutting surface and wherein the jaws are operable to compress tissue therebetween and the ultrasonic waveguide is operable to slide within the trough to further compress and cut the compressed tissue as the ultrasonic waveguide moves in a direction from the proximal end of the first jaw to the distal end of the first jaw.
摘要翻译： 超声波手术器械包括具有近端和远端的轴和具有近端和远端的第一钳口，所述轴的远端终止于第一钳口的近端，并且第一钳口具有内部 槽从第一钳口的近端延伸并且通过第一钳夹的近端延伸并终止于在第一钳口的远端之前的点和在槽的任一侧上和第一钳口的远端具有多个齿的表面。 第二钳口具有面向第一钳口表面的表面，并且在其上具有多个齿。 超声波波导延伸超过轴并且与槽可滑动地接合，其中超声波导具有从超声波导的远端向上倾斜的远端，近端，顶表面部分和组织压缩表面， 超声波波导的近端，组织压缩表面和顶表面部分中的至少一个形成切割表面，并且其中夹爪可操作以在其间压缩组织，并且超声波导可操作以在槽内滑动以进一步压缩和切割 作为超声波导的压缩组织在从第一钳口的近端到第一钳夹的远端的方向上移动。
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78.发明授权Variably flexible insertion device and method for variably flexing an insertion device 有权用于可变地弯曲插入装置的可变柔性插入装置和方法公开(公告)号：US08696639B2
公开(公告)日：2014-04-15
申请号：US13311145
申请日：2011-12-05
IPC分类号： A61M5/178
CPC分类号： A61M29/00 , A61B1/00078 , A61B1/005 , A61B1/0055
摘要： A variably flexible insertion device includes a hollow body having a proximal end with an entrance for receiving an instrument and a distal end with a tip for protrusion of the instrument. A device transitions the hollow body between a relatively flexible condition and a relatively stiff condition. Tendons within the hollow body maintain the hollow body in the relatively flexible and relatively stiff conditions. A method for variably flexing an insertion device for receiving an instrument, includes providing a hollow body having inner and outer sleeves defining a space therebetween in which tendons are disposed. Suction is applied to create a vacuum in the space for frictionally locking the tendons in place between the sleeves in a relatively stiff condition of the hollow body. The vacuum is relieved to release the tendons in a relatively flexible condition of the hollow body.
摘要翻译： 可变弹性插入装置包括具有近端的中空本体，其具有用于容纳器械的入口和具有用于突出仪器的尖端的远端。 一种装置在相对柔性的状态和较硬的状态之间转变中空体。 中空体内的肌腱将中空体保持在相对柔韧和相对僵硬的状态。 一种用于可变地弯曲用于接收器械的插入装置的方法，包括提供具有限定其间布置有腱的空间的内部和外部套筒的中空本体。 施加抽吸以在空间中产生真空，以在中空体的相对刚硬的状态下将钢筋摩擦锁定在套筒之间的适当位置。 真空被释放以在中空体的相对柔性的状态下释放腱。
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79.发明授权公开(公告)号：US08679156B2
公开(公告)日：2014-03-25
申请号：US13222758
申请日：2011-08-31
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A method for applying and maintaining optimal tissue compression with a staple includes piercing tissue with deformable distal ends of staple legs, each distal end defining a stapling point shaped to pierce material, the two staple legs coupled to each other at base ends thereof by a bridge and together forming a substantially U-shaped staple body. The two staple legs enter the tissue until the tissue applies a compressive force to a compression device disposed at least partly between the two staple legs. The compression device has a compression surface movably disposed between the two staple legs and a compression resistor that is connected to the bridge and to the compression surface and operable to resist movement of the compression surface towards the bridge with a force. The two staple legs are deformed to maintain the compressive force between the tissue and the compression device.
摘要翻译： 一种用于用钉子施加和保持最佳组织压缩的方法包括用可变形的钉腿的远端刺穿组织，每个远端限定成形为刺穿材料的吻合点，两个钉腿在其基端通过桥接件相互连接 并且一起形成基本上U形的钉体。 两个钉腿进入组织，直到组织对至少部分地设置在两个钉腿之间的压缩装置施加压缩力。 压缩装置具有可移动地设置在两个钉腿之间的压缩表面和压缩电阻器，压缩电阻器连接到桥接器和压缩表面并且可操作以抵抗压缩表面朝向桥梁的力的作用。 两个钉腿变形以保持组织和压缩装置之间的压缩力。
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80.发明授权公开(公告)号：US08679154B2
公开(公告)日：2014-03-25
申请号：US11971998
申请日：2008-01-10
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A compression-self-adjusting staple includes a substantially U-shaped staple body and a compression device. The staple body has a bridge and two legs extending from the bridge at an angle thereto. Each of the legs has a base end integral with the bridge and a deformable distal end defining a stapling point shaped to pierce material to be stapled. The compression device is at least partly disposed between the legs and has a bias portion with a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and formed to resist movement of the compression surface towards the bridge with a force.
摘要翻译： 压缩自调节钉包括基本上U形的订书钉主体和压缩装置。 订书钉主体具有一桥和两个腿，其一角度从桥延伸。 每个腿具有与桥一体的基端，并且可变形远端限定成形为刺穿待缝合材料的缝合点。 压缩装置至少部分地设置在腿之间并且具有偏压部分，其具有可移动地设置在腿部之间的压缩表面和连接到桥梁和压缩表面的压缩电阻器，并且形成为抵抗压缩表面朝向桥梁的运动 用力
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