公开(公告)号：US20070282335A1

公开(公告)日：2007-12-06

申请号：US11751741

申请日：2007-05-22

申请人： Joseph E. Young ,  David A. Witt ,  Reginald D. Fortson ,  Thomas E. Adams ,  John A. Weed ,  William D. Dannaher

发明人： Joseph E. Young ,  David A. Witt ,  Reginald D. Fortson ,  Thomas E. Adams ,  John A. Weed ,  William D. Dannaher

IPC分类号： A61B18/18

CPC分类号： A61B17/320068 ,  A61B17/320092 ,  A61B2017/2825 ,  A61B2090/031 ,  A61B2090/033 ,  B25B23/142 ,  G10K11/24

摘要： An ultrasonic clamp coagulator system that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The system includes a one-piece torque wrench that is provided with cantilever arms aligned in an annular fashion about the centerline of the torque wrench. The cantilever arms include teeth in an inward perpendicular fashion in relation to cantilever arms. The clamp coagulator includes an outer tube retainer that includes spline gears projecting in a perpendicular fashion along the outer circumference of retainer. Torque is transmitted through the cantilever arms to the spline gears for attaching a handpiece to the clamp coagulator.

摘要翻译： 超声波夹具凝结器系统，其被配置为允许在外科手术期间选择性地切割，凝结和夹紧组织。 仪器的细长部分可以配置为内窥镜应用，外径小于6毫米。 该系统包括一体式扭矩扳手，其具有围绕扭矩扳手的中心线以环形方式对准的悬臂。 悬臂包括相对于悬臂的向内垂直方式的齿。 夹具凝结器包括外管保持器，其包括沿保持器的外圆周以垂直方式突出的花键齿轮。 扭矩通过悬臂传递到花键齿轮，用于将手持件附接到夹具凝结器。

公开(公告)号：US08366727B2

公开(公告)日：2013-02-05

申请号：US11751733

申请日：2007-05-22

申请人： David A. Witt ,  Reginald D. Fortson ,  Joseph E. Young

发明人： David A. Witt ,  Reginald D. Fortson ,  Joseph E. Young

IPC分类号： A61B17/32

CPC分类号： A61B17/320068 ,  A61B17/320092 ,  A61B2017/2825 ,  A61B2090/031 ,  A61B2090/033 ,  B25B23/142 ,  G10K11/24

摘要： An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces. The clamping mechanism includes a two-piece pad design and pad material that enables the higher tissue clamping forces and a force-limiting mechanism that effectively smoothes out abusive tissue forces.

摘要翻译： 超声波夹具凝固器组件，其构造成允许在外科手术期间选择性地切割，凝结和夹紧组织。 仪器的细长部分可以配置为内窥镜应用，外径小于6毫米。 该结构包括夹紧机构，其包括枢转地安装在器械的远端部分处的夹臂，其特别地构造成产生期望水平的组织夹紧力。 夹紧机构包括两件式垫设计和垫材料，其能够实现较高的组织夹紧力，以及有效地平滑出滥用组织力的力限制机构。

公开(公告)号：US20120253373A1

公开(公告)日：2012-10-04

申请号：US13525808

申请日：2012-06-18

申请人： Joseph E. Young ,  David A. Witt ,  Reginald D. Fortson ,  Thomas E. Adams ,  John A. Weed, III ,  William D. Dannaher

发明人： Joseph E. Young ,  David A. Witt ,  Reginald D. Fortson ,  Thomas E. Adams ,  John A. Weed, III ,  William D. Dannaher

IPC分类号： A61B17/32 ,  B25B23/142 ,  B25B23/143

CPC分类号： A61B17/320068 ,  A61B17/320092 ,  A61B2017/2825 ,  A61B2090/031 ,  A61B2090/033 ,  B25B23/142 ,  G10K11/24

摘要： An ultrasonic clamp coagulator system that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The system includes a one-piece torque wrench that is provided with cantilever arms aligned in an annular fashion about the centerline of the torque wrench. The cantilever arms include teeth in an inward perpendicular fashion in relation to cantilever arms. The clamp coagulator includes an outer tube retainer that includes spline gears projecting in a perpendicular fashion along the outer circumference of retainer. Torque is transmitted through the cantilever arms to the spline gears for attaching a handpiece to the clamp coagulator.

摘要翻译： 超声波夹具凝结器系统，其被配置为允许在外科手术期间选择性地切割，凝结和夹紧组织。 仪器的细长部分可以配置为内窥镜应用，外径小于6毫米。 该系统包括一体式扭矩扳手，其设置有围绕扭矩扳手的中心线以环形方式对准的悬臂。 悬臂包括相对于悬臂的向内垂直方式的齿。 夹具凝结器包括外管保持器，其包括沿保持器的外圆周以垂直方式突出的花键齿轮。 扭矩通过悬臂传递到花键齿轮，用于将手持件附接到夹具凝结器。

公开(公告)号：US08114104B2

公开(公告)日：2012-02-14

申请号：US11751741

申请日：2007-05-22

申请人： Joseph E. Young ,  David A. Witt ,  Reginald D. Fortson ,  Thomas E. Adams ,  John A. Weed, III ,  William D. Dannaher

发明人： Joseph E. Young ,  David A. Witt ,  Reginald D. Fortson ,  Thomas E. Adams ,  John A. Weed, III ,  William D. Dannaher

IPC分类号： A61B17/32

CPC分类号： A61B17/320068 ,  A61B17/320092 ,  A61B2017/2825 ,  A61B2090/031 ,  A61B2090/033 ,  B25B23/142 ,  G10K11/24

摘要： An ultrasonic clamp coagulator system that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The system includes a one-piece torque wrench that is provided with cantilever arms aligned in an annular fashion about the centerline of the torque wrench. The cantilever arms include teeth in an inward perpendicular fashion in relation to cantilever arms. The clamp coagulator includes an outer tube retainer that includes spline gears projecting in a perpendicular fashion along the outer circumference of retainer. Torque is transmitted through the cantilever arms to the spline gears for attaching a handpiece to the clamp coagulator.

摘要翻译： 超声波夹具凝结器系统，其被配置为允许在外科手术期间选择性地切割，凝结和夹紧组织。 仪器的细长部分可以配置为内窥镜应用，外径小于6毫米。 该系统包括一体式扭矩扳手，其具有围绕扭矩扳手的中心线以环形方式对准的悬臂。 悬臂包括相对于悬臂的向内垂直方式的齿。 夹具凝结器包括外管保持器，其包括沿保持器的外圆周以垂直方式突出的花键齿轮。 扭矩通过悬臂传递到花键齿轮，用于将手持件附接到夹具凝结器。

公开(公告)号：US08435258B2

公开(公告)日：2013-05-07

申请号：US13525808

申请日：2012-06-18

申请人： Joseph E. Young ,  David A. Witt ,  Reginald D. Fortson ,  Thomas E. Adams ,  John A. Weed, III ,  William D. Dannaher

发明人： Joseph E. Young ,  David A. Witt ,  Reginald D. Fortson ,  Thomas E. Adams ,  John A. Weed, III ,  William D. Dannaher

IPC分类号： A61B17/32

CPC分类号： A61B17/320068 ,  A61B17/320092 ,  A61B2017/2825 ,  A61B2090/031 ,  A61B2090/033 ,  B25B23/142 ,  G10K11/24

摘要： An ultrasonic clamp coagulator system that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The system includes a one-piece torque wrench that is provided with cantilever arms aligned in an annular fashion about the centerline of the torque wrench. The cantilever arms include teeth in an inward perpendicular fashion in relation to cantilever arms. The clamp coagulator includes an outer tube retainer that includes spline gears projecting in a perpendicular fashion along the outer circumference of retainer. Torque is transmitted through the cantilever arms to the spline gears for attaching a handpiece to the clamp coagulator.

公开(公告)号：US20070282332A1

公开(公告)日：2007-12-06

申请号：US11751733

申请日：2007-05-22

申请人： David A. Witt ,  Reginald D. Fortson ,  Joseph E. Young

发明人： David A. Witt ,  Reginald D. Fortson ,  Joseph E. Young

IPC分类号： A61B18/18

CPC分类号： A61B17/320068 ,  A61B17/320092 ,  A61B2017/2825 ,  A61B2090/031 ,  A61B2090/033 ,  B25B23/142 ,  G10K11/24

摘要： An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces. The clamping mechanism includes a two-piece pad design and pad material that enables the higher tissue clamping forces and a force-limiting mechanism that effectively smoothes out abusive tissue forces.

摘要翻译： 超声波夹具凝固器组件，其构造成允许在外科手术期间选择性地切割，凝结和夹紧组织。 仪器的细长部分可以配置为内窥镜应用，外径小于6毫米。 该结构包括夹紧机构，其包括枢转地安装在器械的远端部分处的夹臂，其特别地构造成产生期望水平的组织夹紧力。 夹紧机构包括两件式垫设计和垫材料，其能够实现较高的组织夹紧力，以及有效地平滑出滥用组织力的力限制机构。

公开(公告)号：US06591998B2

公开(公告)日：2003-07-15

申请号：US09745684

申请日：2000-12-21

申请人： Clinton A. Haynes ,  Reginald D. Fortson ,  Kenneth D. Waeber ,  Douglas L. Marriot ,  Thomas William Lytle, IV

发明人： Clinton A. Haynes ,  Reginald D. Fortson ,  Kenneth D. Waeber ,  Douglas L. Marriot ,  Thomas William Lytle, IV

IPC分类号： B65D4530

CPC分类号： A61F2/0095 ,  A61F2/24

摘要： A packaging for an implantable medical device such as a heart valve wherein the implantable medical device is immersed in a liquid medium. The packaging comprises a jar and a lid assembly having a seal and a ridge therebetween, the ridge being adapted to contact the seal. At least one circumferential leg is interposed between the lid assembly and the jar. The leg maintains a predetermined spacing between the lid and the jar and may be loaded in compression. The lid assembly may comprise a lid and an overcap. The overcap may turn independently of the lid and may apply compressive pressure to the lid over the ridge and seal. The lid and overcap may be coupled together by, for example, mating snap hooks. At least one of the lid or overcap may have a plurality of snap hooks. At least one of the plurality of snap hooks may be of different length than other of the snap hooks, whereby an asymmetric force may be applied to the lid when the overcap is loosened from the jar.

摘要翻译： 用于可植入医疗装置例如心脏瓣膜的包装，其中可植入医疗装置浸入液体介质中。 该包装包括一个罐子和一个盖子组件，它们之间具有一个密封和一个脊，该脊部适于接触密封件。 在盖组件和罐之间插入至少一个圆周腿。 腿部保持在盖子和瓶子之间的预定间隔并且可以被加载在压缩中。 盖组件可以包括盖和顶盖。 盖子可以独立于盖子转动，并且可以在盖子上方施加压缩压力并且密封。 盖子和盖子可以通过例如配合卡扣钩连接在一起。 盖子或盖子中的至少一个可以具有多个卡扣钩。 多个卡扣钩中的至少一个可以具有与其它卡扣钩不同的长度，从而当盖子从罐中松开时，可以向盖子施加不对称的力。

公开(公告)号：US08323302B2

公开(公告)日：2012-12-04

申请号：US12703864

申请日：2010-02-11

申请人： Galen C. Robertson ,  Richard W. Timm ,  Daniel J. Mumaw ,  Foster B. Stulen ,  Gregory W. Johnson ,  Jerome R. Morgan ,  Kevin L. Houser ,  Kristi M. Bodin ,  Mark A. Neurohr ,  Prasanna Malaviya ,  Reginald D. Fortson ,  Sean P. Conlon ,  William S. Joachim, Jr. ,  William D. Dannaher ,  Eitan T. Wiener

发明人： Galen C. Robertson ,  Richard W. Timm ,  Daniel J. Mumaw ,  Foster B. Stulen ,  Gregory W. Johnson ,  Jerome R. Morgan ,  Kevin L. Houser ,  Kristi M. Bodin ,  Mark A. Neurohr ,  Prasanna Malaviya ,  Reginald D. Fortson ,  Sean P. Conlon ,  William S. Joachim, Jr. ,  William D. Dannaher ,  Eitan T. Wiener

IPC分类号： A61B17/32

CPC分类号： A61B17/320068

摘要： In one general aspect, various embodiments are directed to methods for treating tissue within an aqueous environment. Various methods may include introducing a cutting implement of a surgical instrument into the aqueous environment. The cutting implement may have at least one cutting surface thereon and at least one ultrasonic portion thereon and be selectively rotatable within a hollow sheath. The methods may include rotating or rotatably oscillating the cutting implement within the hollow sheath for tissue cutting purposes. The cutting implement may also be retained in a position wherein the ultrasonic portion of the cutting implement may be applied to tissue and then have ultrasonic motion applied thereto.

摘要翻译： 在一个一般方面，各种实施方案涉及用于在水性环境中处理组织的方法。 各种方法可以包括将外科器械的切割工具引入到水性环境中。 切割工具可以在其上具有至少一个切割表面和其上的至少一个超声部分，并且可在中空护套内选择性地旋转。 这些方法可以包括在中空护套内旋转或可旋转地摆动切割工具以用于组织切割目的。 切割工具还可以保持在切割工具的超声部分可以施加到组织上并且随之施加超声波运动的位置。

公开(公告)号：US20110196287A1

公开(公告)日：2011-08-11

申请号：US12703864

申请日：2010-02-11

申请人： Galen C. Robertson ,  Richard W. Timm ,  Daniel J. Mumaw ,  Foster B. Stulen ,  Gregory W. Johnson ,  Jerome R. Morgan ,  Kevin L. Houser ,  Kristi M. Bodin ,  Mark A. Neurohr ,  Prasanna Malaviya ,  Reginald D. Fortson ,  Sean P. Conlon ,  William S. Joachim, JR. ,  William D. Dannaher ,  Eitan T. Wiener

发明人： Galen C. Robertson ,  Richard W. Timm ,  Daniel J. Mumaw ,  Foster B. Stulen ,  Gregory W. Johnson ,  Jerome R. Morgan ,  Kevin L. Houser ,  Kristi M. Bodin ,  Mark A. Neurohr ,  Prasanna Malaviya ,  Reginald D. Fortson ,  Sean P. Conlon ,  William S. Joachim, JR. ,  William D. Dannaher ,  Eitan T. Wiener

IPC分类号： A61B17/32 ,  A61M37/00

CPC分类号： A61B17/320068

摘要： In one general aspect, various embodiments are directed to methods for treating tissue within an aqueous environment. Various methods may include introducing a cutting implement of a surgical instrument into the aqueous environment. The cutting implement may have at least one cutting surface thereon and at least one ultrasonic portion thereon and be selectively rotatable within a hollow sheath. The methods may include rotating or rotatably oscillating the cutting implement within the hollow sheath for tissue cutting purposes. The cutting implement may also be retained in a position wherein the ultrasonic portion of the cutting implement may be applied to tissue and then have ultrasonic motion applied thereto.

摘要翻译： 在一个一般方面，各种实施方案涉及用于在水性环境中处理组织的方法。 各种方法可以包括将外科器械的切割工具引入到水性环境中。 切割工具可以在其上具有至少一个切割表面和其上的至少一个超声部分，并且可在中空护套内选择性地旋转。 这些方法可以包括在中空护套内旋转或可旋转地摆动切割工具以用于组织切割目的。 切割工具还可以保持在切割工具的超声部分可以施加到组织上并且随之施加超声波运动的位置。

公开(公告)号：US08531064B2

公开(公告)日：2013-09-10

申请号：US12703860

申请日：2010-02-11

申请人： Galen C. Robertson ,  Richard W. Timm ,  Daniel J. Mumaw ,  Foster B. Stulen ,  Gregory W. Johnson ,  Jerome R. Morgan ,  Kevin L. Houser ,  Kristi M. Bodin ,  Mark A. Neurohr ,  Prasanna Malaviya ,  Reginald D. Fortson ,  Sean P. Conlon ,  William S. Joachim, Jr. ,  William D. Dannaher ,  Eitan T. Wiener

发明人： Galen C. Robertson ,  Richard W. Timm ,  Daniel J. Mumaw ,  Foster B. Stulen ,  Gregory W. Johnson ,  Jerome R. Morgan ,  Kevin L. Houser ,  Kristi M. Bodin ,  Mark A. Neurohr ,  Prasanna Malaviya ,  Reginald D. Fortson ,  Sean P. Conlon ,  William S. Joachim, Jr. ,  William D. Dannaher ,  Eitan T. Wiener

IPC分类号： H02K7/12

CPC分类号： A61B17/320068 ,  A61B17/32002 ,  A61B17/320092 ,  A61B17/320758 ,  A61B2017/00075 ,  A61B2017/00106 ,  A61B2017/00477 ,  A61B2017/320072

摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a handpiece housing that rotatably supports an ultrasonic transducer assembly therein that may be selectively rotated by various motor configurations. Various slip ring arrangements are disclosed for supplying ultrasonic electrical signals and motor drive signals from a control system. Various forms of blade and cutting implements are disclosed for attachment to the ultrasonic transducer assembly such that such implements may be selectively rotatable within a hollow outer sheath. Vacuum may be applied to the cutting implement or through the outer sheath to draw tissue through an opening in the sheath and into contact with the cutting implement.

摘要翻译： 在一个一般方面，各种实施例涉及一种超声波手术器械，其包括可旋转地支撑超声波换能器组件的手持件壳体，该超声波换能器组件可以通过各种电机配置选择性地旋转。 公开了用于从控制系统提供超声波电信号和电机驱动信号的各种滑环装置。 公开了各种形式的刀片和切割工具用于附接到超声换能器组件，使得这样的器具可以在中空的外护套内选择性地旋转。 可以将真空施加到切割工具或通过外护套将组织穿过护套中的开口并与切割工具接触。