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公开(公告)号：US10231747B2
公开(公告)日：2019-03-19
申请号：US14032842
申请日：2013-09-20
发明人： Foster B. Stulen , Michael R. Lamping , Scott A. Nield , Timothy G. Dietz , John B. Schulte , Sora Rhee , Jacob S. Gee , Stephen J. Balek , William D. Dannaher , Gavin M. Monson
IPC分类号： A61B17/32 , H01L41/047 , A61N7/02 , A61B17/22 , A61B17/00
摘要： An apparatus for operating on tissue includes a body, a shaft, an ultrasonic blade, and an acoustic assembly. The shaft extends distally from the body. The blade is disposed at the distal end of the shaft. The acoustic assembly comprises an acoustic waveguide coupled with the blade, a piezoelectric transducer element, a fastener, and a coupling member. The transducer element defines an inner diameter surface and an outer diameter surface. The fastener is configured to secure the transducer element relative to the waveguide. The coupling member is configured to provide electrical continuity between the fastener and the inner diameter surface of the transducer element. The outer diameter surface of the transducer element includes an annular recess. Another coupling member is configured to provide electrical continuity between the annular recess of the piezoelectric transducer element and a power source while permitting the piezoelectric transducer element to rotate relative to the body.
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公开(公告)号：US10004527B2
公开(公告)日：2018-06-26
申请号：US14552614
申请日：2014-11-25
发明人： Jacob S. Gee , David J. Cagle , Frederick L. Estera , William B. Weisenburgh, II , Frederick E. Shelton, IV , Craig N. Faller , Shan Wan , David A. Monroe , Jeffrey D. Messerly , William A. Olson , Richard W. Timm
CPC分类号： A61N7/00 , A61B17/320068 , A61B17/320092 , A61B18/1442 , A61B2017/00353 , A61B2017/2825 , A61B2017/320071 , A61B2017/320078 , A61B2017/320084 , A61B2017/320089 , A61B2017/320093 , A61B2017/320094 , A61B2018/00011 , A61B2018/00107 , A61B2018/0063 , A61B2090/0436 , A61B2090/0472
摘要： An apparatus comprises a body, a shaft assembly, and an end effector. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm comprises a clamp pad. The clamp arm is movable toward the ultrasonic blade to compress tissue between the clamp pad and the ultrasonic blade in two stages. During the first stage, the clamp arm is configured to compress tissue with only a distal portion of the clamp pad. During the second stage, the clamp arm is configured to compress tissue with the distal portion and a proximal portion of the clamp pad. Thus, the tissue compression begins at the distal portion and subsequently progresses toward the proximal portion.
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公开(公告)号：US09743946B2
公开(公告)日：2017-08-29
申请号：US14109013
申请日：2013-12-17
发明人： Craig N. Faller , Elizabeth DeBenedictis , William D. Kelly , Michael R. Lamping , Timothy G. Dietz , Patrick A. Weizman , Jacob S. Gee , John B. Schulte , Tylor C. Muhlenkamp , Douglas J. Turner , Eric B. Smith , Sean P. Conlon , Richard W. Timm , Jeffrey D. Messerly , Brian D. Bertke
CPC分类号： A61B17/320092 , A61B2017/00026 , A61B2017/2825 , A61B2017/2929 , A61B2017/2947 , A61B2017/320072 , A61B2017/320088 , A61B2090/0811
摘要： An apparatus includes a shaft assembly, an ultrasonic blade, and a clamp assembly. The shaft assembly includes an acoustic waveguide operable to transmit ultrasonic vibrations to the blade. The clamp assembly includes a clamp arm pivotable toward and away from the blade about a pivot axis, to clamp tissue between the clamp arm and the blade. A rotation feature may provide rotation of the blade relative to the clamp arm about the longitudinal axis of the waveguide. Alternatively, the rotation feature may provide rotation of the clamp arm relative to the blade about the longitudinal axis. The rotation feature may be driven based on pivotal positioning of the clamp arm relative to the blade about the pivot axis. The rotation feature may selectively lock and unlock the angular position of either the blade or the clamp arm about the longitudinal axis at any of a number of predetermined angular positions.
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4.发明申请公开(公告)号：US20160143658A1
公开(公告)日：2016-05-26
申请号：US14553329
申请日：2014-11-25
发明人： Michael J. Stokes , Scott R. Bingham , Ryan M. Asher , Charles J. Scheib , Rudolph H. Nobis , Frederick L. Estera , Benjamin D. Dickerson , Carl J. Draginoff, Jr. , Jeffrey D. Messerly , David J. Cagle , Jacob S. Gee , William B. Weisenburgh, II , Omar E. Rios Perez , Chester O. Baxter, III , Karalyn R. Tellio , Benjamin M. Boyd , Rafael J. Ruiz Ortiz , Joël Fontannaz , Lukas S. Glutz , Amir Feriani , Emmanuel Gremion
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B2017/2825 , A61B2017/2929 , A61B2017/320084 , A61B2018/00011
摘要： A surgical apparatus comprises a body, a user input feature, a shaft assembly, an end effector, and a blade cooling system. The end effector comprises a clamp arm and an ultrasonic blade that may be coupled with an ultrasonic transducer. The clamp arm is configured to pivot toward and away from the ultrasonic blade. The cooling system is operable to deliver liquid coolant to the ultrasonic blade to thereby cool the ultrasonic blade. The user input feature is operable to both actuate the clamp arm and actuate the cooling system.
摘要翻译： 手术装置包括主体，用户输入特征，轴组件，末端执行器和叶片冷却系统。 末端执行器包括可与超声波换能器耦合的夹紧臂和超声刀片。 夹持臂构造成朝向和远离超声波叶片枢转。 冷却系统可操作以将液体冷却剂输送到超声刀片，从而冷却超声刀片。 用户输入功能可操作以致动夹紧臂并致动冷却系统。
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公开(公告)号：US20150201953A1
公开(公告)日：2015-07-23
申请号：US14158248
申请日：2014-01-17
IPC分类号： A61B17/28 , A61B17/285
CPC分类号： A61B18/1445 , A61B2017/2923 , A61B2018/00196 , A61B2018/00601 , A61B2018/00916 , A61B2018/1455 , A61B2090/0811
摘要： In various embodiments, a surgical instrument comprising a handle assembly, a shaft assembly, and an end effector are disclosed. In one embodiment, the handle assembly comprises a closure trigger and a yoke coupled to the closure trigger. Actuation of the closure trigger drives the yoke longitudinally in a first direction. A closure spring is coupled to the yoke. Longitudinal movement of the yoke in the first direction compresses the closure spring. A directional return stroke damper is coupled to the yoke. The directional return stroke damper is configured to provide a dampening force to longitudinal movement of the yoke in a second direction. A shaft assembly comprising a proximal end and a distal end is coupled to the handle. An end effector comprising a first jaw member and a second jaw member is coupled to the distal end of the shaft assembly.
摘要翻译： 在各种实施例中，公开了一种包括手柄组件，轴组件和末端执行器的手术器械。 在一个实施例中，手柄组件包括闭合触发器和联接到闭合触发器的轭。 闭合触发器的驱动沿第一方向纵向驱动轭。 闭合弹簧联接到轭。 轭在第一方向上的纵向运动压缩闭合弹簧。 方向返回行程阻尼器联接到轭。 方向返回行程阻尼器构造成为轭在第二方向上的纵向运动提供阻尼力。 包括近端和远端的轴组件联接到手柄。 包括第一钳口构件和第二钳口构件的端部执行器联接到轴组件的远端。
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公开(公告)号：US20150164533A1
公开(公告)日：2015-06-18
申请号：US14627772
申请日：2015-02-20
发明人： Kevin D. Felder , Jacob S. Gee , Robert J. Laird , Amy L. Marcotte , Jeffrey D. Messerly , Emily H. Monroe , Daniel W. Price , Patrick J. Scoggins , John A. Weed, III , William B. Weisenburgh, II , John W. Willis
CPC分类号： A61B17/29 , A61B17/320092 , A61B18/1206 , A61B18/1445 , A61B2017/005 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2017/2939 , A61B2017/320074 , A61B2017/320078 , A61B2017/320084 , A61B2017/320088 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2018/00023 , A61B2018/00083 , A61B2018/00101 , A61B2018/00107 , A61B2018/00178 , A61B2018/00916 , A61B2018/00922 , A61B2018/00958 , A61B2018/00994 , A61B2090/035 , A61B2090/0436 , A61B2090/0472 , A61B2090/0813 , A61B2217/005 , F15D1/0015 , Y10T137/2087
摘要： Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising an ultrasonic waveguide including a proximal end and a distal end. The proximal end may be configured to couple to an ultrasonic transducer. The surgical instrument may comprise a first tube, and end effector, and an impedance mechanism. The first tube may define a lumen, wherein the waveguide is located within the lumen. The end effector may be coupled to the distal end of the waveguide. The end effector may comprise an ultrasonic blade and a clamp arm. The clamp arm is movable from a clamped position to a non-clamped position. The impedance mechanism may be configured to operatively couple to the end effector to prevent materials from accumulating within the lumen during a surgical procedure.
摘要翻译： 公开了超声波和电外科装置。 所公开的实施例包括包括包括近端和远端的超声波导的手术器械。 近端可以被配置为耦合到超声换能器。 外科器械可以包括第一管，末端执行器和阻抗机构。 第一管可以限定管腔，其中波导位于管腔内。 端部执行器可以联接到波导的远端。 末端执行器可以包括超声刀片和夹紧臂。 夹臂可以从夹紧位置移动到非夹紧位置。 阻抗机构可以被配置为可操作地耦合到端部执行器，以防止在外科手术期间材料积聚在内腔内。
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7.发明申请公开(公告)号：US20140207124A1
公开(公告)日：2014-07-24
申请号：US13804417
申请日：2013-03-14
发明人： Jeffrey L. Aldridge , Eitan T. Wiener , Robert A. Kemerling , James R. Giordano , Vincent P. Battaglia, JR. , Daniel W. Price , Sean P. Conlon , Gregory W. Johnson , Jeffrey D. Messerly , Shan Wan , Kevin L. Houser , Foster B. Stulen , Jacob S. Gee , Jeffrey A. Bullock , John A. Hibner , William B. Weisenburgh, II
IPC分类号： A61B17/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B18/1445 , A61B2017/00017 , A61B2017/00026 , A61B2017/00115 , A61B2017/00119 , A61B2017/00221 , A61B2017/00225 , A61B2017/00398 , A61B2017/00411 , A61B2017/0046 , A61B2017/00464 , A61B2017/00734 , A61B2017/2927 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2017/320097 , A61B2018/00791 , A61B2018/1226 , A61B2560/0443 , H01M2/1066 , H01M2220/30 , H01R13/6675 , H01R2201/12
摘要： A surgical instrument includes a body, a shaft, and an end effector. The shaft extends distally from the body. The end effector is located at a distal end of the shaft. The end effector includes an active feature configured to operate on tissue. The body includes a drive feature operable to drive the active feature of the end effector. The body is operable to selectively couple with a variety of power sources such that the drive feature may receive electrical power form a battery or from a corded power source, based on a user's preference. The body may include a handpiece that has a socket configured to receive a battery or cable adapter. The body may removably receive various kinds of shaft assemblies to provide various operating modalities. The shaft assemblies may include user interface features.
摘要翻译： 手术器械包括主体，轴和末端执行器。 轴从身体向远侧延伸。 末端执行器位于轴的远端。 末端执行器包括被配置为在组织上操作的主动特征。 主体包括可操作以驱动末端执行器的主动特征的驱动特征。 主体可操作以选择性地与各种电源耦合，使得驱动特征可以基于用户的偏好从电池或从有线的电源接收电力。 身体可以包括具有被配置为接收电池或电缆适配器的插座的手持件。 主体可以可拆卸地接收各种轴组件以提供各种操作模式。 轴组件可以包括用户界面特征。
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公开(公告)号：US09993260B2
公开(公告)日：2018-06-12
申请号：US14552552
申请日：2014-11-25
发明人： Michael J. Stokes , Jacob S. Gee , Kevin D. Felder , Taylor C. Muhlenkamp , Patrick J. Scoggins , Craig N. Faller , Jeffrey D. Messerly , David J. Cagle , William B. Weisenburgh
CPC分类号： A61B17/320092 , A61B17/320068 , A61B18/1442 , A61B2017/00353 , A61B2017/2825 , A61B2017/320078 , A61B2017/320084 , A61B2018/00011 , A61B2018/00107 , A61B2018/0063 , A61B2090/0436 , A61B2090/0472 , A61N7/00
摘要： An apparatus comprises a body, a shaft assembly, an end effector, and a shield member. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm is movable toward the ultrasonic blade to compress tissue against the ultrasonic blade. The shield member is selectively movable from a first position to a second position in response to movement of the clamp arm toward the ultrasonic blade. The shield member is configured cover at least a first portion of the ultrasonic blade in the first position. The shield member is configured to uncover the first portion of the ultrasonic blade in the second position.
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公开(公告)号：US20150230783A1
公开(公告)日：2015-08-20
申请号：US14703109
申请日：2015-05-04
发明人： Frederick E. Shelton, IV , Jerome R. Morgan , Taylor W. Aronhalt , Gregory W. Johnson , Chester O. Baxter, III , Joseph E. Young , Barry C. Worrell , Christopher J. Schall , Mark S. Ortiz , Jason K. Rupert , Steven G. Hall , Daniel J. Mumaw , Aron O. Zingman , Katherine J. Schmid , Jacob S. Gee , Richard W. Timm
IPC分类号： A61B17/00
CPC分类号： A61B17/0293 , A61B17/00234 , A61B17/0218 , A61B17/068 , A61B17/072 , A61B17/1155 , A61B17/3417 , A61B2017/00287 , A61B2017/00353 , A61B2017/00477 , A61B2017/0225 , A61B2017/0287 , A61B2017/07257 , A61B2560/0443 , F04C2270/0421
摘要： A surgical instrument is disclosed. The surgical instrument includes an actuation system, a drive system, and a tool head. The drive system is coupled to the actuation system and includes a rotatable shaft which defines a longitudinal axis. The tool head is coupled to the drive system and includes an annular cartridge and a pliable bunchable ring. The annular cartridge includes a plurality of staples. The pliable bunchable ring surrounds the annular cartridge. The surgical instrument is configured to drive the staples through the pliable bunchable ring substantially transverse to the longitudinal axis.
摘要翻译： 公开了一种外科器械。 手术器械包括致动系统，驱动系统和工具头。 驱动系统联接到致动系统并且包括限定纵向轴线的可旋转轴。 工具头联接到驱动系统并且包括环形筒和柔韧的可束缚的环。 环形筒包括多个钉。 柔韧的可缠绕环围绕环形盒。 手术器械构造成驱动缝钉穿过基本上横向于纵向轴线的柔韧可束缚环。
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公开(公告)号：US20150164538A1
公开(公告)日：2015-06-18
申请号：US14627792
申请日：2015-02-20
发明人： Jeffrey L. Aldridge , Craig N. Faller , Kevin D. Felder , Jacob S. Gee , William D. Kelly , Robert J. Laird , Amy L. Marcotte , Jeffrey D. Messerly , Emily H. Monroe , Scott A. Nield , Daniel W. Price , Patrick J. Scoggins , John B. Schulte , Geoffrey S. Strobl , James W. Voegele , John A. Weed, III , William B. Weisenburgh, II , Patrick A. Weizman , John W. Willis
CPC分类号： A61B17/29 , A61B17/320092 , A61B18/1206 , A61B18/1445 , A61B2017/005 , A61B2017/2927 , A61B2017/2929 , A61B2017/2936 , A61B2017/2939 , A61B2017/320074 , A61B2017/320078 , A61B2017/320084 , A61B2017/320088 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2018/00023 , A61B2018/00083 , A61B2018/00101 , A61B2018/00107 , A61B2018/00178 , A61B2018/00916 , A61B2018/00922 , A61B2018/00958 , A61B2018/00994 , A61B2090/035 , A61B2090/0436 , A61B2090/0472 , A61B2090/0813 , A61B2217/005 , F15D1/0015 , Y10T137/2087
摘要： Disclosed are ultrasonic and electrosurgical devices. The disclosed embodiments include a surgical instrument comprising a waveguide, and end effector and an electrical switch. The waveguide may comprise a proximal end and a distal end, wherein the proximal end is configured to couple to an ultrasonic transducer and one output of a radio frequency (RF) generator. The end effector may comprise an ultrasonic blade and a clamp arm coupled. The ultrasonic blade may be mechanically coupled to the distal end of the waveguide and electrically coupled to the waveguide. The clamp arm may comprise a movable jaw member electrically coupled to another output of the RF generator such that an electrical current can pass through the movable jaw member and the ultrasonic blade through tissue located between the movable jaw member and the ultrasonic blade. The electrical switch may be configured to electrically couple to the RF generator and the movable jaw member, wherein the switch is operable to cause the surgical instrument to deliver electrical current from the RF generator to the movable jaw member for a first period, and to cause the surgical instrument to deliver ultrasonic energy to the ultrasonic blade for a second period.
摘要翻译： 公开了超声波和电外科装置。 所公开的实施例包括包括波导，端部执行器和电开关的手术器械。 波导可以包括近端和远端，其中近端被配置为耦合到超声换能器和射频（RF）发生器的一个输出）。 端部执行器可以包括超声波刀片和连接的夹紧臂。 超声波刀片可以机械耦合到波导的远端并电耦合到波导。 夹持臂可以包括电耦合到RF发生器的另一个输出的可移动钳口构件，使得电流可以通过位于可动钳口构件和超声波刀片之间的组织穿过可移动钳口构件和超声波刀片。 电开关可以被配置为电耦合到RF发生器和可动钳口构件，其中开关可操作以使外科器械将电流从RF发生器输送到可移动钳口构件一段时间，并且引起 所述手术器械将超声能量递送到所述超声波刀片第二周期。
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