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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：US20150148834A1
公开(公告)日：2015-05-28
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： 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, 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.
摘要翻译： 一种装置包括主体，轴组件和端部执行器。 轴组件从身体向远侧延伸。 末端执行器位于轴组件的远端。 末端执行器包括超声波刀片和夹紧臂。 超声波刀片被配置为以超声波频率振动。 夹紧臂包括夹紧垫。 夹臂能够朝向超声波刀片移动，以分两个阶段压缩夹板与超声波刀片之间的组织。 在第一阶段期间，夹紧臂构造成仅用夹紧垫的远端部分压缩组织。 在第二阶段期间，夹紧臂构造成用夹紧垫的远侧部分和近端部分压缩组织。 因此，组织压缩从远端部分开始，并且随后朝向近端部分前进。
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公开(公告)号：US20150148831A1
公开(公告)日：2015-05-28
申请号：US14090444
申请日：2013-11-26
发明人： Craig N. Faller , Ryan M. Asher , John B. Schulte , Randal T. Byrum , Jose D. Vasquez , Thomas C. Gallmeyer , Benjamin M. Boyd , Amy L. Marcotte , Jacob S. Gee , Jonathan T. Batross , Jeffrey D. Messerly
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/29 , A61B17/2909 , A61B17/320068 , A61B90/03 , A61B2017/00367 , A61B2017/292 , A61B2017/320078 , A61B2090/031
摘要： A surgical apparatus comprises a body, an ultrasonic transducer, a shaft, and an end effector. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The body comprises a pivotal trigger. The shaft couples the end effector and the body together. The end effector comprises a clamp arm and an ultrasonic blade in acoustic communication with the ultrasonic transducer. The ultrasonic blade is operable to deliver ultrasonic vibrations to tissue. Pivotal movement of the trigger causes movement of the clamp arm. The trigger includes a compliant feature configured to limit the amount of force delivered to tissue by the clamp arm. The flexible feature may comprise a flexible band, living hinge, a series of living hinges, or a flexible tab.
摘要翻译： 手术装置包括主体，超声换能器，轴和端部执行器。 超声波换能器可操作以将电力转换成超声波振动。 主体包括枢轴扳机。 轴将末端执行器和身体连接在一起。 末端执行器包括与超声换能器声学连通的夹臂和超声波刀片。 超声波刀片可操作以将超声波振动输送到组织。 触发器的枢轴运动导致夹紧臂的移动。 触发器包括被配置为限制由夹持臂传递到组织的力的量的柔顺特征。 柔性特征可以包括柔性带，活动铰链，一系列活动铰链或柔性翼片。
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公开(公告)号：US20130103065A1
公开(公告)日：2013-04-25
申请号：US13653497
申请日：2012-10-17
发明人： Richard W. Timm , Charles J. Scheib , Amy L. Marcotte , Ryan M. Asher , John B. Schulte , Jacob S. Gee
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/2804 , A61B17/295 , A61B2017/2926 , A61B2017/2938 , A61B2017/320076 , A61B2017/320078 , F04C2270/041
摘要： An ultrasonic clamp coagulator assembly configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. The assembly includes a blade having a first and second tissue contact surface and a clamping mechanism, including a first and second clamp arm pivotally mounted at the distal portion of the instrument for clamping tissue between first and second tissue contact surfaces, respectively.
摘要翻译： 一种超声波夹具凝结器组件，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。 组件包括具有第一和第二组织接触表面的刀片和夹持机构，包括可枢转地安装在器械的远端部分处的第一和第二夹持臂，用于分别在第一和第二组织接触表面之间夹紧组织。
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