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公开(公告)号：US09987033B2
公开(公告)日：2018-06-05
申请号：US14564629
申请日：2014-12-09
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00477 , A61B2017/320078 , A61B2017/320084 , A61B2017/320088
摘要： A surgical instrument comprising a transducer configured to produce vibrations along a longitudinal axis. The surgical instrument further comprises an ultrasonic blade extending along the longitudinal axis. The ultrasonic blade is coupled to the transducer and comprises a body and a treatment region. The body comprises a proximal end, a distal end, and a bottom surface. The distal end of the body is movable relative to the longitudinal axis by the vibrations produced by the transducer. The treatment region extends from the proximal end to the distal end. The surgical instrument further comprises a protective sheath disposed adjacent to the bottom surface of the ultrasonic blade.
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公开(公告)号：US09907600B2
公开(公告)日：2018-03-06
申请号：US14081190
申请日：2013-11-15
发明人： Foster B. Stulen , Timothy G. Dietz
CPC分类号： A61B18/04 , A61B17/11 , A61B17/1155 , A61B2017/00504 , A61B2017/00513 , A61B2018/00184 , A61B2018/00619 , A61N7/00 , A61N2007/0043
摘要： An apparatus includes a body, a shaft, an ultrasonic element, and an annular clamp pad. The shaft extends distally from the body. The ultrasonic element is located at the distal end of the shaft. The ultrasonic element includes a distally presented annular face. The clamp pad is movable toward the distally presented annular face of the ultrasonic element. When tissue is compressed between the clamp pad and the distally presented annular face of the ultrasonic element, the ultrasonic element may be activated with ultrasonic energy. The resulting ultrasonic vibrations may sever and seal the tissue captured between the distally presented annular face and the clamp pad, resulting in an anastomosis. The apparatus may thus be used to join two hollow tubular tissue structures, such as portions of a gastrointestinal tract.
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公开(公告)号：US09895161B2
公开(公告)日：2018-02-20
申请号：US13834248
申请日：2013-03-15
发明人： Jeffrey D. Messerly , David A. Witt , Foster B. Stulen , Christopher A. Papa , Vincent P. Battaglia, Jr.
IPC分类号： A61B17/32
CPC分类号： A61B17/320092
摘要： An apparatus for operating on tissue comprises a shaft, an acoustic waveguide, and an end effector. The acoustic waveguide extends along the shaft and is configured to transmit ultrasonic vibration. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is in acoustic communication with the acoustic waveguide. The clamp arm is pivotable toward the ultrasonic blade. The end effector defines a first longitudinal region and a second longitudinal region. The end effector is configured to clamp tissue between the clamp arm and the ultrasonic blade in the first longitudinal region. The end effector is configured to sever tissue with the ultrasonic blade in the second longitudinal region.
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公开(公告)号：US09795405B2
公开(公告)日：2017-10-24
申请号：US14625349
申请日：2015-02-18
CPC分类号： A61B17/320092 , A61B17/320068 , A61B34/30 , A61B34/37 , A61B90/03 , A61B2017/00327 , A61B2017/00477 , A61B2017/320072
摘要： In one embodiment, a surgical instrument comprises an articulable waveguide. The articulable waveguide may be configured to transmit ultrasonic energy therealong. The articulable waveguide comprises a proximal drive section, an end effector and a first flexible. The proximal drive section is configured to couple to an ultrasonic transducer. The end effector is located at a distal portion of the articulable waveguide. The first flexible section comprises a flex bias and be positioned between the proximal drive section and the end effector. The surgical instrument further comprises a first tine extending longitudinally relative to the articulable waveguide.
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公开(公告)号：US09445832B2
公开(公告)日：2016-09-20
申请号：US13923954
申请日：2013-06-21
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00084 , A61B2017/00106 , A61B2017/00128 , A61B2017/00353 , A61B2018/00607 , A61B2018/00642 , A61B2018/00791 , A61N7/02
摘要： A surgical device. The surgical device may comprise a transducer, an end effector, a generator and a control circuit. The transducer may be configured to provide vibrations. The end effector may be coupled to the transducer and may extend from the transducer along the longitudinal axis. The generator may provide an electrical signal to the transducer. Also, the control circuit may modify a current amplitude of the electrical signal in response to a change in a vibration frequency of the end effector. Accordingly to various embodiments, the control circuit may detect a first contribution to a vibration frequency of the end effector, the first contribution originating from tissue in contact with the end effector. Also, according to various embodiments, the control circuit may indicate a change in a vibration frequency of the end effector.
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公开(公告)号：US09314308B2
公开(公告)日：2016-04-19
申请号：US13798766
申请日：2013-03-13
CPC分类号： A61B34/37 , A61B17/320092 , A61B18/1445 , A61B34/30 , A61B2017/00128 , A61B2017/00199 , A61B2017/00221 , A61B2017/00309 , A61B2017/00327 , A61B2017/00477 , A61B2017/2929 , A61B2034/305
摘要： An apparatus for operating on tissue comprises an end effector, a shaft assembly, and an interface assembly. The end effector comprises an ultrasonic blade. The shaft assembly includes an articulation section operable to deflect the end effector away from the longitudinal axis. The interface assembly is operable to drive the end effector. The interface assembly comprises a base and a plurality of drive shafts. The base is configured to couple with a dock of a robotic control system. The drive shafts are oriented perpendicular to the longitudinal axis of the shaft assembly. A first drive shaft may be operable to rotate the shaft assembly relative to the base. A second drive shaft may be operable to drive the articulation section. A third drive shaft may be operable to drive a clamping arm to pivot toward the ultrasonic blade.
摘要翻译： 用于在组织上操作的装置包括端部执行器，轴组件和接口组件。 末端执行器包括超声刀片。 轴组件包括可操作以使末端执行器远离纵向轴线偏转的关节运动部分。 接口组件可操作以驱动末端执行器。 接口组件包括基座和多个驱动轴。 基座被配置成与机器人控制系统的坞站相连。 驱动轴垂直于轴组件的纵向轴线定向。 第一驱动轴可操作以相对于底座旋转轴组件。 第二驱动轴可操作以驱动关节运动部分。 第三驱动轴可操作以驱动夹紧臂朝向超声波叶片枢转。
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公开(公告)号：US20150328484A1
公开(公告)日：2015-11-19
申请号：US14810318
申请日：2015-07-27
发明人： Jeffrey D. Messerly , Eitan T. Wiener , Brian T. Noyes , Jeffrey L. Aldridge , James R. Giordano , Robert J. Beetel, III , Daniel J. Abbott , Foster B. Stulen , Matthew C. Miller , Aaron C. Voegele , Jeffrey P. Wiley , Nathan J. Price , Daniel W. Price , Robert L. Koch, JR.
CPC分类号： A61N7/00 , A61B5/053 , A61B5/4836 , A61B17/320092 , A61B18/14 , A61B2017/00026 , A61B2017/00084 , A61B2017/00176 , A61B2017/00203 , A61B2017/00973 , A61B2018/00005 , A61B2018/00303 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00791 , A61B2018/00845 , A61B2018/00875 , A61B2018/00994 , A61N7/02 , B06B1/0284 , B06B2201/76 , G05B15/02
摘要： Various embodiments are directed to a method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. In accordance with the method, a generator is configured to generate at least one time varying electrical signal having a resonant frequency, monitor the resonant frequency of the at least one electrical signal, calculate a frequency slope between frequency data points of the time varying electrical signal, where the frequency slope is the change in resonant frequency over time, compare the frequency slope to a threshold frequency slope, and trigger a first response of the generator when the frequency slope crosses the threshold frequency slope.
摘要翻译： 各种实施例涉及驱动与外科器械的超声波驱动系统相连的端部执行器的方法。 根据该方法，发电机被配置为产生具有谐振频率的至少一个时变电信号，监测至少一个电信号的谐振频率，计算时变电信号的频率数据点之间的频率斜率 其中频率斜率是随时间的谐振频率的变化，将频率斜率与阈值频率斜率进行比较，并且当频率斜率跨越阈值频率斜率时触发发生器的第一响应。
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公开(公告)号：US20150297286A1
公开(公告)日：2015-10-22
申请号：US14255242
申请日：2014-04-17
发明人： Chad P. Boudreaux , David A. Monroe , Rafael J. Ruiz Ortiz , Foster B. Stulen , Jeffrey L. Aldridge , Catherine A. Corbett , Terry A. McFarland
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2017/2946 , A61B2018/00607 , A61B2018/0063 , A61B2018/00958 , A61B2018/1455 , A61B2018/1457 , A61B2090/0801 , A61B2090/0811
摘要： A surgical instrument includes an end effector and a feedback system. The end effector includes a first jaw and a second jaw, wherein at least one of the first jaw and the second jaw is movable relative to the other one of the first jaw and the second jaw to transition the end effector during a closure stroke between an open configuration, a first approximated configuration, and a second approximated configuration. The feedback system includes an indicator, the indicator transitionable between a first indicator position, a second indicator position, and a third indicator position, wherein the indicator is in the first indicator position when the end effect is in the open configuration, wherein the indicator is in the second indicator position when the end effector is in the first approximated configuration, and wherein the indicator is in the third indicator position when the end effector is in the second approximated configuration.
摘要翻译： 手术器械包括端部执行器和反馈系统。 末端执行器包括第一钳口和第二钳口，其中第一钳口和第二钳口中的至少一个可相对于第一钳口和第二钳口中的另一个移动，以在闭合行程期间使末端执行器转动 开放配置，第一近似配置和第二近似配置。 反馈系统包括指示器，指示器可在第一指示器位置，第二指示器位置和第三指示器位置之间可转换，其中当最终效果处于打开配置时，指示器处于第一指示器位置，其中指示器是 在末端执行器处于第一近似配置时位于第二指示器位置，并且其中当末端执行器处于第二近似配置时，指示器处于第三指示器位置。
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9.发明申请公开(公告)号：US20150196352A1
公开(公告)日：2015-07-16
申请号：US14664249
申请日：2015-03-20
发明人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/32 , A61B18/1482 , A61B2018/00005 , A61B2018/00011 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00047 , A61B2018/00619 , A61B2018/0063 , A61B2018/1412 , A61B2018/1452 , A61B2018/1455 , A61B2018/1472 , A61B2218/002
摘要： In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.
摘要翻译： 在各种实施例中，提供了可以包括用于在组织上执行外科手术的端部执行器的外科器械。 末端执行器可以包括至少一个能量输送表面和用于从末端执行器的至少一部分散热的散热装置。 例如，在至少一个实施例中，端部执行器可以包括第一钳口，第二钳口和切割构件。 切割构件可以包括切割表面和主体，其可以限定空腔和与空腔连通的至少一个开口。 流体可以通过空腔移动到和/或从开口移动。 另外，在至少一个实施例中，手术器械的末端执行器可以包括第一钳口，第二钳口，切割构件和至少一个热管。 还公开了各种其它散热装置。
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公开(公告)号：US20150196318A1
公开(公告)日：2015-07-16
申请号：US14664233
申请日：2015-03-20
发明人： Jeffrey D. Messerly , Eitan T. Wiener , Brian T. Noyes , Jeffrey L. Aldridge , James R. Giordano , Robert J. Beetel, III , Daniel J. Abbott , Foster B. Stulen , Matthew C. Miller , Aaron C. Voegele , Jeffrey P. Wiley , Nathan J. Price , Daniel W. Price , Robert L. Koch, JR.
CPC分类号： A61N7/00 , A61B5/053 , A61B5/4836 , A61B17/320092 , A61B18/14 , A61B2017/00026 , A61B2017/00084 , A61B2017/00176 , A61B2017/00203 , A61B2017/00973 , A61B2018/00005 , A61B2018/00303 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00791 , A61B2018/00845 , A61B2018/00875 , A61B2018/00994 , A61N7/02 , B06B1/0284 , B06B2201/76 , G05B15/02
摘要： Various embodiments are directed to a method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions. A first response is triggered when the first set of logic conditions is met. A parameter is determined from the at least one electrical signal.
摘要翻译： 各种实施例涉及驱动与外科器械的超声波驱动系统相连的端部执行器的方法。 该方法包括产生至少一个电信号。 根据第一组逻辑条件来监视至少一个电信号。 当满足第一组逻辑条件时，触发第一响应。 从至少一个电信号确定参数。
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