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    Apparatus for Activating an Electrosurgical Vessel Sealing Instrument Having an Electrical Cutting Mechanism
    1.
    发明申请
    Apparatus for Activating an Electrosurgical Vessel Sealing Instrument Having an Electrical Cutting Mechanism 审中-公开
    用于激活具有电切割机构的电外科手术装置密封装置的装置

    公开(公告)号：US20130304066A1

    公开(公告)日：2013-11-14

    申请号：US13467767

    申请日：2012-05-09

    申请人： Duane E. Kerr ,  Robert J. Behnke, II ,  Alexander M. Waskiewicz ,  Paul R. Romero ,  Gary M. Couture

    发明人： Duane E. Kerr ,  Robert J. Behnke, II ,  Alexander M. Waskiewicz ,  Paul R. Romero ,  Gary M. Couture

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1445 ,  A61B2018/00107 ,  A61B2018/0063 ,  A61B2018/0094 ,  A61B2018/00958 ,  A61B2018/1452

    摘要： An electrosurgical forceps is provided and includes a housing, a shaft and a pair of opposing first and second jaw members. Each jaw member including a pair of spaced apart, electrically conductive tissue sealing surfaces adapted to connect to a source of electrosurgical energy such that the tissue sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween to effect a seal. One or both of the first and second jaw members includes an electrically conductive cutting element disposed thereon. A switch assembly operably disposed on the housing includes an activation member in operable communication with the source of electrosurgical energy for supplying electrosurgical energy to the first and second jaw members. Activation of the activation member provides electrosurgical energy to the tissue sealing surfaces for sealing tissue and electrosurgical energy to the cutting element for cutting the sealed tissue.

    摘要翻译： 提供电外科钳，其包括壳体，轴和一对相对的第一和第二钳口构件。 每个钳口构件包括一对间隔开的导电组织密封表面，其适于连接到电外科能量源，使得组织密封表面能够通过保持在其间的组织进行电外科能量以实现密封。 第一和第二钳口构件中的一个或两个包括设置在其上的导电切割元件。 可操作地设置在壳体上的开关组件包括与电外科手术能源可操作地连通的激活构件，用于向第一和第二钳口构件提供电外科能量。 激活构件的激活向组织密封表面提供电外科能量，用于将组织和电外科能量密封到切割元件以切割密封的组织。

    Asymmetrical electrodes for bipolar vessel sealing
    3.
    发明授权
    Asymmetrical electrodes for bipolar vessel sealing 有权
    用于双极容器密封的不对称电极

    公开(公告)号：US09498278B2

    公开(公告)日：2016-11-22

    申请号：US12877482

    申请日：2010-09-08

    申请人： Gary M. Couture ,  Rebecca Coulson

    发明人： Gary M. Couture ,  Rebecca Coulson

    IPC分类号： A61B18/14 ,  A61B17/00 ,  A61B18/00 ,  A61B18/18

    CPC分类号： A61B18/1445 ,  A61B18/1442 ,  A61B2017/00526 ,  A61B2018/00083 ,  A61B2018/00178 ,  A61B2018/00404 ,  A61B2018/00428 ,  A61B2018/00595 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00732 ,  A61B2018/00761 ,  A61B2018/126 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2018/1861 ,  A61B2090/3937

    摘要： Bipolar electrosurgical instrument having a first and a second opposing jaw member at a distal end thereof, wherein each jaw member includes an outer housing, and an inner tissue engaging surface corresponding to the inner tissue engaging surface of the opposing jaw. The instruments includes the ability to move the jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue. The jaws include asymmetrical electrodes disposed on the inner tissue engaging surfaces. A first contact region of the electrode has a greater surface area than that of the second contact region. During resection procedures wider electrodes impart improved sealing energy to the patient-side vessel while providing sufficient energy to resected tissue to effect hemostasis.

    摘要翻译： 双极电外科器械在其远端处具有第一和第二相对的钳口构件，其中每个钳口构件包括外壳体和与相对的钳口的内部组织接合表面相对应的内部组织接合表面。 这些仪器包括将钳口构件相对于彼此从第一位置移动的能力，其中钳口构件相对于彼此间隔开地设置到第二位置，其中钳口构件协作以抓住组织。 夹爪包括设置在内部组织接合表面上的不对称电极。 电极的第一接触区域具有比第二接触区域更大的表面积。 在切除过程中，较宽的电极对患者侧血管提供改善的密封能量，同时向切除的组织提供足够的能量以进行止血。

    Bipolar electrosurgical instrument for sealing vessels
    6.
    发明授权
    Bipolar electrosurgical instrument for sealing vessels 有权
    用于密封容器的双极电外科仪器

    公开(公告)号：US07963965B2

    公开(公告)日：2011-06-21

    申请号：US11801618

    申请日：2007-05-10

    申请人： Steven P. Buysse ,  Dale F. Schmaltz ,  Gary M. Couture ,  Lap P. Nguyen ,  Kristin D. Johnson

    发明人： Steven P. Buysse ,  Dale F. Schmaltz ,  Gary M. Couture ,  Lap P. Nguyen ,  Kristin D. Johnson

    IPC分类号： A61B18/12

    CPC分类号： A61B18/1442 ,  A61B2017/2945 ,  A61B2018/00083 ,  A61B2018/0063 ,  A61B2018/1432

    摘要： A bipolar electrosurgical instrument has opposable seal surfaces on its jaws for grasping and sealing vessels and vascular tissue. Inner and outer instrument members allow arcuate motion of the seal surfaces. An open lockbox provides a pivot with lateral support to maintain alignment of the lateral surfaces. Ratchets on the instrument members hold a constant closure force on the tissue during the seal process. A shank portion on each member is tuned to provide an appropriate spring force to hold the seal surfaces together. During surgery, the instrument can be used to grasp and clamp vascular tissue and apply bipolar electrosurgical current through the clamped tissue. In one embodiment, the seal surfaces are partially insulated to prevent a short circuit when the instrument jaws are closed together. In another embodiment, the seal surfaces are removably mounted on the jaws.

    摘要翻译： 双极电外科器械在其钳口上具有对置的密封表面，用于抓住和密封容器和血管组织。 内部和外部仪器构件允许密封表面的弓形运动。 开放的锁箱提供具有侧向支撑的枢轴以保持侧面的对准。 仪器构件上的棘轮在密封过程中在组织上保持恒定的闭合力。 调整每个构件上的柄部分以提供适当的弹簧力以将密封表面保持在一起。 在手术过程中，仪器可用于掌握和夹紧血管组织，并通过钳夹的组织施加双极电外科电流。 在一个实施例中，密封表面是部分绝缘的，以防止当仪器钳口闭合在一起时发生短路。 在另一个实施例中，密封表面可拆卸地安装在夹爪上。

    Switch mechanisms for safe activation of energy on an electrosurgical instrument
    7.
    发明授权
    Switch mechanisms for safe activation of energy on an electrosurgical instrument 有权
    电外科仪器上能量安全激活的切换机制

    公开(公告)号：US07837685B2

    公开(公告)日：2010-11-23

    申请号：US11180949

    申请日：2005-07-13

    申请人： Craig Weinberg ,  Robert Sharp ,  Gary M. Couture ,  Darren Odom

    发明人： Craig Weinberg ,  Robert Sharp ,  Gary M. Couture ,  Darren Odom

    IPC分类号： A61B18/14

    CPC分类号： A61B18/14 ,  A61B18/1445 ,  A61B2017/00973 ,  H01H9/0066 ,  H01H13/64 ,  H01H2300/014

    摘要： Various safe switching mechanisms are provided for use with electrosurgical instruments which prevent arcing between the high-energy contacts as the high-energy source is activated. The switching mechanisms generally include a pair of high-energy contacts and a pair of activation contacts. An actuator is provided which initially engages the high-energy contacts in advance of engagement of the activation contacts to prevent arcing and subsequently disengages the activation contacts in advance of the high-energy contacts as the energy source is deactivated. A method of switching power to an electrosurgical instrument while avoiding damage to high-energy contacts is also disclosed.

    摘要翻译： 提供了各种安全切换机构，用于电外科器械，当高能量源被激活时防止高能量接触之间的电弧。 开关机构通常包括一对高能触点和一对激活触点。 提供了致动器，其在启动触头的接合之前最初接合高能触点，以防止电弧，并且随着能量源被去激活而在高能触点之前脱离激活触点。 还公开了一种将电力切换到电外科器械同时避免对高能量接触的损害的方法。

    Dynamic and static bipolar electrical sealing and cutting device
    8.
    发明授权
    Dynamic and static bipolar electrical sealing and cutting device 有权
    动态和静态双极电气密封和切割装置

    公开(公告)号：US08663222B2

    公开(公告)日：2014-03-04

    申请号：US12876668

    申请日：2010-09-07

    申请人： Sara E. Anderson ,  William H. Nau, Jr. ,  Gary M. Couture ,  Rebecca Coulson

    发明人： Sara E. Anderson ,  William H. Nau, Jr. ,  Gary M. Couture ,  Rebecca Coulson

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1445 ,  A61B17/285 ,  A61B18/085 ,  A61B18/1206 ,  A61B2018/00083 ,  A61B2018/00428 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/126 ,  A61B2018/1452 ,  A61B2018/1467

    摘要： An end effector assembly includes opposed jaws moveable from an open to a closed position for grasping tissue therebetween. Each jaw includes an electrically conductive surface adapted to conduct electrosurgical energy through tissue disposed between the jaws. A static bipolar cutting portion including at least one electrically conductive cutting element and at least one insulating element having a first configuration is disposed on at least one of the jaws. The static cutting portion is configured to electrically cut tissue disposed between the jaws upon activation of the cutting element and at least one of an opposing sealing surface and an opposing cutting element. A dynamic cutting portion including at least one electrically conductive cutting element and at least one insulating element having a second configuration is disposed on at least one of the jaws. The dynamic cutting portion electrically transects tissue during movement relative to tissue.

    摘要翻译： 末端执行器组件包括可从打开位置移动到关闭位置的相对的爪，用于在其间夹持组织。 每个钳口包括适于通过设置在钳口之间的组织进行电外科能量的导电表面。 包括至少一个导电切割元件和至少一个具有第一构造的绝缘元件的静态双极切割部分设置在至少一个夹爪上。 静态切割部分构造成在激活切割元件和相对的密封表面和相对的切割元件中的至少一个时，电气地切割设置在夹爪之间的纸巾。 包括至少一个导电切割元件的动态切割部分和具有第二构造的至少一个绝缘元件设置在至少一个夹爪上。 动态切割部分相对于组织在移动期间电穿透组织。

    Local optimization of electrode current densities
    9.
    发明授权
    Local optimization of electrode current densities 有权
    电极电流密度的局部优化

    公开(公告)号：US08641712B2

    公开(公告)日：2014-02-04

    申请号：US12845203

    申请日：2010-07-28

    申请人： Gary M. Couture

    发明人： Gary M. Couture

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2017/00526 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/1412 ,  A61B2018/1457

    摘要： An end effector assembly for use with a bipolar forceps includes a pair of opposing first and second jaw members at least one of which being movable relative to the other to grasp tissue therebetween. Each jaw member includes a pair of spaced apart, electrically conductive tissue sealing surfaces. Each tissue sealing surface is adapted to connect to a source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue seal. The forceps also includes an insulator disposed between each pair of electrically conductive sealing surfaces and an electrically conductive cutting element disposed within each insulator and defining a geometrical configuration including a plurality of peaks having a period that is a multiple of an operating frequency of the electrosurgical energy. The cutting elements are adapted to connect to the source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue cut.

    摘要翻译： 与双极镊子一起使用的端部执行器组件包括一对相对的第一和第二钳口构件，其中至少一个可相对于另一个夹持构件移动以在其间夹住组织。 每个钳口构件包括一对间隔开的导电组织密封表面。 每个组织密封表面适于连接到电外科能量源，以通过在其间保持的组织进行电外科能量以实现组织密封。 镊子还包括设置在每对导电密封表面之间的绝缘体和设置在每个绝缘体内的导电切割元件，并且限定几何构型，其包括多个峰值，周期为电外科能量的工作频率的倍数 。 切割元件适于连接到电外科能量源，以通过在其间保持的组织进行电外科能量以实现组织切割。

    Vessel sealing instrument with multiple electrode configurations
    10.
    发明授权
    Vessel sealing instrument with multiple electrode configurations 有权
    具有多个电极配置的容器密封仪器

    公开(公告)号：US08597297B2

    公开(公告)日：2013-12-03

    申请号：US11511640

    申请日：2006-08-29

    申请人： Gary M. Couture ,  Robert Sharp ,  Craig Weinberg

    发明人： Gary M. Couture ,  Robert Sharp ,  Craig Weinberg

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2017/00084 ,  A61B2018/00083 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/145

    摘要： An electrode assembly for use with an instrument for sealing and cutting vessels and/or tissue is provided. The assembly includes a pair of opposing first and second jaw members. Each jaw member includes at least one electrically conductive tissue sealing surfaces extending along a length thereof. Each tissue sealing surface is adapted to connect to a source of electrosurgical energy to effect a tissue seal. An insulator is disposed adjacent to the at least one the electrically conductive sealing surfaces. The jaw members include an electrically conductive cutting element which effectively cuts tissue within pre-defined cutting zone between the jaw members. The polarity of the cutting element and electrically conductive sealing surfaces may be manipulated depending upon whether tissue sealing or tissue cutting is desired.

    摘要翻译： 提供了一种用于密封和切割容器和/或组织的仪器的电极组件。 组件包括一对相对的第一和第二钳口构件。 每个钳口构件包括沿其长度延伸的至少一个导电组织密封表面。 每个组织密封表面适于连接到电外科能量源以实现组织密封。 绝缘体邻近于至少一个导电密封表面设置。 钳口构件包括导电切割元件，其有效地在颚构件之间的预定切割区域内切割组织。 切割元件和导电密封表面的极性可以根据是否需要组织密封或组织切割来操纵。