公开(公告)号：US20160038224A1

公开(公告)日：2016-02-11

申请号：US14795546

申请日：2015-07-09

Applicant: COVIDIEN LP

Inventor： GARY M. COUTURE ,  RYAN C. ARTALE ,  JOHN R. TWOMEY ,  REBECCA J. COULSON ,  DAVID J. VAN TOL

IPC: A61B18/14

CPC classification number: A61B18/1445 ,  A61B17/26 ,  A61B17/295 ,  A61B2017/2926 ,  A61B2017/320069 ,  A61B2017/32007 ,  A61B2018/00327 ,  A61B2018/1452 ,  A61B2018/1457

Abstract: An end effector assembly for a surgical instrument includes a pair of jaw members each including one or more tissue-contacting plates. One or both jaw members is movable relative to the other between spaced-apart and approximated positions for grasping tissue between the tissue-contacting plates. The tissue-contacting plates are adapted to connect to a source of energy for conducting energy through tissue grasped between. One of the jaw members includes an insulative member extending towards the other member. The insulative member includes a plurality of crests each defining a blunt apex and a proximally-facing sharpened edge. The blunt apexes contact tissue upon approximation of the first and second jaw members to grasp tissue, while the proximally-facing sharpened edges facilitate tissue cutting in a ripping fashion upon proximal translation of the end effector assembly relative to tissue.

Abstract translation: 用于外科器械的端部执行器组件包括一对钳口构件，每个钳口构件包括一个或多个组织接触板。 一个或两个钳口构件可相对于另一个在间隔开和近似的位置之间移动，用于抓住组织接触板之间的组织。 组织接触板适于连接到能量源，以通过夹在其间的组织传导能量。 其中一个钳口构件包括朝向另一个构件延伸的绝缘构件。 绝缘构件包括多个峰，每个顶点限定钝顶点和面向近侧的锋利边缘。 平直顶点在近似第一和第二钳口构件以接近组织时接触组织，而面向近侧的锐化边缘便于在端部执行器组件相对于组织近端平移时以撕裂方式进行组织切割。

公开(公告)号：US20150150573A1

公开(公告)日：2015-06-04

申请号：US14548919

申请日：2014-11-20

Applicant: COVIDIEN LP

Inventor： DAVID J. VAN TOL ,  ANTHONY B. ROSS ,  ALEXANDER M. WASKIEWICZ ,  ERIC R. LARSON

IPC: A61B17/28 ,  A61B18/12 ,  A61B18/14

CPC classification number: A61B18/1445 ,  A61B17/29 ,  A61B17/320092 ,  A61B18/1206 ,  A61B18/1447 ,  A61B18/1482 ,  A61B2017/2926 ,  A61B2017/2929 ,  A61B2017/2938 ,  A61B2018/00601 ,  A61B2018/0063

Abstract: A surgical device includes an elongated shaft having an end-effector assembly at a distal end thereof. The end-effector assembly includes movable first, second and third jaw members. The first and second jaw members controllably movable from a first position, wherein the first and second jaw members are disposed in spaced relation relative to the third jaw member disposed therebetween, to a second position, wherein the first, second and third jaw members cooperate to grasp tissue therebetween.

Abstract translation: 手术装置包括细长轴，其具有在其远端处的末端执行器组件。 末端执行器组件包括可移动的第一，第二和第三钳口构件。 第一和第二钳口构件可控制地从第一位置移动，其中第一和第二钳口构件相对于设置在它们之间的第三钳口构件以间隔开的关系设置到第二位置，其中第一，第二和第三钳口构件协作 掌握其间的组织。

公开(公告)号：US20130331874A1

公开(公告)日：2013-12-12

申请号：US13840432

申请日：2013-03-15

Applicant: COVIDIEN LP

Inventor： ANTHONY B. ROSS ,  DAVID J. VAN TOL ,  DAVID PRICE

IPC: A61B17/32 ,  G01N29/44

Abstract: An ultrasonic surgical apparatus and method, the apparatus including a signal generator outputting a drive signal having a frequency, an oscillating structure, receiving the drive signal and oscillating at the frequency of the drive signal, and a bridge circuit, detecting the mechanical motion of the oscillating structure and outputting a signal representative of the mechanical motion. The ultrasonic surgical apparatus also includes a microcontroller receiving the signal output by the bridge circuit, the microcontroller determining an instantaneous frequency at which the oscillating structure is oscillating based on the received signal, and determining a frequency adjustment necessary to maintain the oscillating structure oscillating at its resonance frequency, the microcontroller further determining the quality (Q value) of the signal received from the bridge circuit and determining material type contacting the oscillating structure.

Abstract translation: 一种超声波手术装置和方法，所述装置包括输出具有频率的驱动信号，振荡结构，接收驱动信号并以驱动信号的频率振荡的信号发生器，以及桥接电​​路，检测所述驱动信号的机械运动 振荡结构并输出表示机械运动的信号。 超声手术装置还包括微控制器，其接收由桥接电路输出的信号，微控制器基于接收到的信号确定振荡结构振荡的瞬时频率，以及确定维持振荡结构在其上振荡所必需的频率调整 谐振频率，微控制器进一步确定从桥接电路接收的信号的质量（Q值），并确定与振荡结构接触的材料类型。

公开(公告)号：US20180185055A1

公开(公告)日：2018-07-05

申请号：US15904606

申请日：2018-02-26

Applicant: COVIDIEN LP

Inventor： DAVID J. VAN TOL ,  ANTHONY B. ROSS ,  ROBERT B. STODDARD

IPC: A61B17/32

CPC classification number: A61B17/320092 ,  A61B17/320068 ,  A61B2017/2929 ,  A61B2017/2948 ,  A61B2017/320072 ,  A61B2017/320074 ,  A61B2017/320075 ,  A61B2017/320078 ,  A61B2017/320089 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61N7/00

Abstract: A method for ultrasonically treating tissue includes accessing a surgical site with an ultrasonic surgical instrument, dissecting tissue with a first portion of the blade, and sealing tissue with a second portion of the blade. The instrument includes a blade that defines a longitudinal axis. The blade is configured to oscillate along the longitudinal axis to ultrasonically treat tissue.

公开(公告)号：US20180008298A1

公开(公告)日：2018-01-11

申请号：US15205067

申请日：2016-07-08

Applicant: COVIDIEN LP

Inventor： THOMAS E. DROCHNER ,  JAMES D. ALLEN, IV ,  GARY M. COUTURE ,  WILLIAM H. NAU, JR. ,  ROBERT M. SHARP ,  DAVID J. VAN TOL

IPC: A61B17/285 ,  A61B17/00

CPC classification number: A61B17/285 ,  A61B17/00234 ,  A61B17/28 ,  A61B18/1442 ,  A61B18/1445 ,  A61B34/30 ,  A61B34/71 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/2927 ,  A61B2017/2938 ,  A61B2018/1452 ,  A61B2018/1455 ,  A61B2034/306

Abstract: A surgical system includes an attaching device having an end effector disposed at the distal end thereof. The end effector includes a support member, a wrist pivot pivotably coupling the end effector to the attaching device, and first and second jaw members pivotably coupled to one another and the support member. A first cable is operably coupled to the wrist pivot and configured to articulate the end effector relative to the attaching device. Second and third cables are operably coupled to the jaw members and configured to pivot the jaw members relative to the support member. A first actuation of the second and third cables collectively pivots the first and second jaw members relative to the support member. A second actuation of the second and third cables pivots the first and second jaw members relative to one another and the support member between a spaced-apart position and an approximated position.

公开(公告)号：US20150092958A1

公开(公告)日：2015-04-02

申请号：US14335508

申请日：2014-07-18

Applicant: COVIDIEN LP

Inventor： DAVID J. VAN TOL ,  ANTHONY B. ROSS

IPC: H04R27/00

CPC classification number: H04R27/00 ,  H04R2217/03

Abstract: Methods, systems, and devices are described for providing audio to one or more individuals in an operating room. An ultrasonic signal generator may be provided that generates two or more ultrasonic signals that combine to produce an audible signal at a desired location. The audio signal may be perceived by individuals in the operating room to emanate from a surface or location within the operating room, or the audio signal may be generated to provide an audible signal to one or more persons within a particular location within the operating room. Multiple audio signals may be generated to emanate from multiple different locations. Likewise, multiple audio signals may be generated to provide different audible signals in different locations in the operating room.

Abstract translation: 描述了用于向手术室中的一个或多个个人提供音频的方法，系统和装置。 可以提供产生两个或更多个超声信号的超声信号发生器，其组合以在期望的位置产生可听信号。 音频信号可以由手术室中的个体感知为从手术室内的表面或位置发出，或者可以产生音频信号以向手术室内的特定位置内的一个或多个人提供可听见的信号。 可以生成多个音频信号以从多个不同的位置发出。 同样地，可以产生多个音频信号以在手术室中的不同位置提供不同的可听信号。

公开(公告)号：US20130331873A1

公开(公告)日：2013-12-12

申请号：US13840267

申请日：2013-03-15

Applicant: COVIDIEN LP

Inventor： ANTHONY B. ROSS ,  DAVID J. VAN TOL ,  DAVID PRICE

IPC: A61B17/32

CPC classification number: A61B17/320092 ,  A61B2017/0003 ,  A61B2017/00075 ,  A61B2017/00084 ,  A61B2017/00106 ,  A61B2017/00734 ,  A61B2017/320094 ,  A61B2017/320095

Abstract: An ultrasonic surgical apparatus including a first signal generator outputting a drive signal at a predetermined voltage and frequency, a first oscillating structure receiving the drive signal and oscillating at the frequency of the drive signal, and a bridge circuit, detecting the mechanical motion of the first oscillating structure and outputting a signal representative of the mechanical motion. The apparatus also includes a second oscillating structure integrally formed within a portion of the first oscillating structure, the second oscillating structure outputting an electrical signal, and a microcontroller receiving the signal output by the bridge circuit and output by the second oscillating structure, the microcontroller determining an instantaneous frequency at which the first oscillating structure is oscillating based on the received signal, comparing the electrical signal from the second oscillating structure with a known signal value and determining the temperature of the second oscillating structure based on a the comparison.

Abstract translation: 一种超声波手术装置，包括以预定电压和频率输出驱动信号的第一信号发生器，接收驱动信号并以驱动信号的频率振荡的第一振荡结构，以及桥接电​​路，检测第一 振荡结构并输出表示机械运动的信号。 该装置还包括整体地形成在第一振荡结构的一部分内的第二振荡结构，输出电信号的第二振荡结构，以及由桥电路输出并由第二振荡结构输出的微控制器，微控制器确定 基于接收信号使第一振荡结构振荡的瞬时频率，将来自第二振荡结构的电信号与已知信号值进行比较，并且基于比较确定第二振荡结构的温度。

公开(公告)号：US20160361083A1

公开(公告)日：2016-12-15

申请号：US14739011

申请日：2015-06-15

Applicant: COVIDIEN LP

Inventor： DAVID J. VAN TOL ,  KEITH W. MALANG

IPC: A61B17/32

Abstract: An ultrasonic surgical device includes a power source configured to generate power, an ultrasonic transducer electrically coupled to the power source and generating ultrasonic motion in response to the generated power, a sensor sensing current of the generated power supplied to the ultrasonic transducer, an ultrasonic probe mechanically couplable to the ultrasonic transducer, and a controller that receive a sensed current from the sensor, performs a frequency response analysis based on the sensed current, calculates a first resonant frequency and a first anti-resonant frequency of the transducer prior to coupling the ultrasonic probe based on the frequency response analysis, calculates a second resonant and second anti-resonant frequencies of the transducer based on the frequency response analysis prior to determining coupling to the ultrasonic transducer, and determines whether the ultrasonic probe is mechanically coupled to the ultrasonic transducer based on the first and second resonant and anti-resonant frequencies.

Abstract translation: 超声手术装置包括被配置为产生电力的电源，电耦合到电源并且响应于所产生的电力而产生超声波运动的超声波换能器，感测提供给超声换能器的所产生的电力的电流的传感器，超声波探头 机械地耦合到超声波换能器，以及控制器，其接收来自传感器的感测电流，基于感测到的电流执行频率响应分析，在耦合超声波之前计算换能器的第一谐振频率和第一反谐振频率 基于所述频率响应分析的探测器，在确定与所述超声换能器的耦合之前，基于所述频率响应分析来计算所述换能器的第二谐振和第二反谐振频率，并且确定所述超声波探头是否机械耦合到所述超声换能器 在第一和第二个reso nant和反谐振频率。

公开(公告)号：US20160038225A1

公开(公告)日：2016-02-11

申请号：US14795660

申请日：2015-07-09

Applicant: COVIDIEN LP

Inventor： GARY M. COUTURE ,  RYAN C. ARTALE ,  JOHN R. TWOMEY ,  REBECCA J. COULSON ,  DAVID J. VAN TOL

IPC: A61B18/14

CPC classification number: A61B18/1445 ,  A61B17/26 ,  A61B17/295 ,  A61B2017/2926 ,  A61B2017/320069 ,  A61B2017/32007 ,  A61B2018/00327 ,  A61B2018/1452 ,  A61B2018/1457

Abstract: A method of surgery includes grasping tissue between tissue-contacting surfaces of first and second jaw members of an end effector assembly, supplying energy to at least one of the tissue-contacting surfaces to treat tissue grasped therebetween, and translating and/or manipulating the end effector assembly to cut tissue in a ripping fashion.

Abstract translation: 一种手术方法包括在末端执行器组件的第一和第二钳口构件的组织接触表面之间抓取组织，向组织接触表面中的至少一个提供能量以处理在其间夹持的组织，以及翻译和/或操纵端部 效应器组件以撕裂方式切割组织。

公开(公告)号：US20160038222A1

公开(公告)日：2016-02-11

申请号：US14793859

申请日：2015-07-08

Applicant: COVIDIEN LP

Inventor： DAVID J. VAN TOL ,  GARY M. COUTURE ,  ROBERT M. SHARP ,  JOHN R. TWOMEY ,  BARRY J. KAUP

IPC: A61B18/14

CPC classification number: A61B18/1445 ,  A61B18/1442 ,  A61B18/18 ,  A61B90/04 ,  A61B2018/1455 ,  A61B2090/0427 ,  A61B2090/0481

Abstract: A method of surgery utilizing an end effector assembly having first and second jaw members defining a grasping area therebetween and a tissue-treating area therebetween. Each of the first and second jaw members defines a knife channel positioned within the grasping area and outside of the tissue-treating area. The end effector assembly is positioned such that the knife channels are positioned adjacent tissue to be removed. Thereafter, the first and/or second jaw members are moved from a spaced-apart position to an approximated position to grasp tissue therebetween, the jaw members are energized for conducting energy through tissue disposed within the tissue-treating area to treat tissue disposed within the tissue-treating area, and a knife is advanced through the knife channels to cut tissue adjacent the tissue-treating area thereby separating tissue.

Abstract translation: 一种使用端部执行器组件的手术方法，所述端部执行器组件具有限定其间的抓握区域的第一和第二钳口构件以及它们之间的组织处理区域。 第一和第二钳口构件中的每一个限定了位于抓握区域内和组织处理区域外部的刀通道。 端部执行器组件被定位成使得刀具通道被定位在要被移除的组织附近。 此后，第一和/或第二钳口构件从间隔位置移动到接近位置以抓住它们之间的组织，钳夹构件被激励以通过设置在组织处理区域内的组织传导能量，以处理设置在组织处理区域内的组织 组织处理区域和刀推进通过刀通道以切割组织处理区域附近的组织，从而分离组织。