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公开(公告)号：US09510850B2
公开(公告)日：2016-12-06
申请号：US14076472
申请日：2013-11-11
IPC分类号： A61B17/3205 , A61B17/32 , A61B17/3207 , A61B17/00
CPC分类号： A61B17/320068 , A61B17/320783 , A61B2017/00261 , A61B2017/320072 , A61B2017/320084 , A61B2017/320791 , A61B2217/005
摘要： In various embodiments, a surgical instrument is provided. The surgical instrument comprises a blade defining a longitudinal axis, wherein the blade comprises a distal end, a lumen, a first opening adjacent to the distal end and communicating with the lumen, and a first cutting edge positioned over the first opening and projecting away from the longitudinal axis, wherein the first cutting edge extends along a curved contour defined in a cutting plane, and wherein the cutting plane is transverse to the longitudinal axis. The surgical instrument further comprises, one, a suction port communicating with the lumen, wherein the blade is configured to allow suction to be applied from the suction port to the first opening and, two, at least one ultrasonic transducer operably coupled to the blade.
摘要翻译： 在各种实施例中，提供了外科器械。 手术器械包括限定纵向轴线的刀片，其中所述刀片包括远端，内腔，邻近所述远端并与所述内腔连通的第一开口以及位于所述第一开口上并且远离所述第一开口的第一切削刃 所述纵向轴线，其中所述第一切削刃沿着在切割平面中限定的弯曲轮廓延伸，并且其中所述切割平面横向于所述纵向轴线。 手术器械还包括一个与内腔连通的吸入口，其中所述刀片构造成允许从所述吸入口向所述第一开口施加抽吸，以及两个可操作地联接到所述刀片的超声换能器。
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公开(公告)号：US20140066962A1
公开(公告)日：2014-03-06
申请号：US14076472
申请日：2013-11-11
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320783 , A61B2017/00261 , A61B2017/320072 , A61B2017/320084 , A61B2017/320791 , A61B2217/005
摘要： In various embodiments, a surgical instrument for operation in an aqueous environment is provided. In at least one embodiment, the surgical instrument may include a hollow sheath, a blade disposed at least partially within the hollow sheath and extending through an opening in the sheath, and at least one ultrasonic transducer operably coupled to the blade. The blade may include a polygonal cross-sectional shape and the tip may project away from the sheath's longitudinal axis. In another embodiment, the surgical instrument may include a blade with suction disposed therethrough and at least one ultrasonic transducer operably coupled to the blade. The blade may include a cutting edge that is positioned over a blade opening. Also, the cutting edge may project away from the blade's longitudinal axis.
摘要翻译： 在各种实施例中，提供了用于在水性环境中操作的外科器械。 在至少一个实施例中，外科器械可以包括中空护套，至少部分地设置在中空护套内并且延伸穿过护套中的开口的刀片以及可操作地联接到刀片的至少一个超声换能器。 刀片可以包括多边形横截面形状，并且尖端可以突出远离护套的纵向轴线。 在另一个实施例中，外科器械可以包括具有穿过其中的抽吸的刀片和可操作地联接到刀片的至少一个超声换能器。 叶片可以包括位于叶片开口上方的切割边缘。 此外，切削刃可以从刀片的纵向轴线突出。
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公开(公告)号：US20140051950A1
公开(公告)日：2014-02-20
申请号：US14062276
申请日：2013-10-24
发明人： Jeffrey W. Clymer , Prasanna Malaviya , Donna L. Korvick , Kevin L. Houser , Cory G. Kimball , Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt
CPC分类号： A61B5/4839 , A61B5/14546 , A61B5/486 , A61B5/7282 , A61B5/742 , A61B10/0283 , A61B10/06 , A61B18/1445 , A61B2046/236 , A61B2218/008 , A61M2037/0007
摘要： Biomarkers are collected and used to determine biological propensities of a patient, to determine the efficacy of medical devices, to select and administer therapeutic agents, to select medical devices, to make adjustments to medical devices, and/or to adjust surgical techniques. An apparatus includes a port to draw a biological fluid (e.g., a mist) from a surgical site. The apparatus includes a sensor having a cantilevered beam. The beam includes substances selected to attract certain biomarkers as the fluid is communicated across the beam. The same apparatus or another apparatus is used to administer a therapeutic agent based at least in part on collected biomarker data. The therapeutic agent delivery apparatus may include a device that is also used to create a wound at a surgical site. For instance, a harmonic surgical instrument may be used to both collect biomarkers and administer a therapeutic agent (e.g., gene therapy using sonoporation).
摘要翻译： 生物标志物被收集并用于确定患者的生物倾向性，以确定医疗装置的功效，选择和施用治疗剂，选择医疗装置，调整医疗装置和/或调整手术技术。 一种装置包括从外科手术部位抽取生物流体（例如，雾）的端口。 该装置包括具有悬臂梁的传感器。 梁包括当流体在横梁上连通时选择用于吸引某些生物标志物的物质。 使用相同的装置或另一装置至少部分地基于收集的生物标志物数据来施用治疗剂。 治疗剂递送装置可以包括也用于在手术部位创建伤口的装置。 例如，可以使用谐波手术器械来收集生物标志物并施用治疗剂（例如，使用声波光刻的基因治疗）。
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公开(公告)号：US09456779B2
公开(公告)日：2016-10-04
申请号：US14062276
申请日：2013-10-24
发明人： Jeffrey W. Clymer , Prasanna Malaviya , Donna L. Korvick , Kevin L. Houser , Cory G. Kimball , Frederick E. Shelton, IV , Chester O. Baxter, III , Taylor W. Aronhalt
CPC分类号： A61B5/4839 , A61B5/14546 , A61B5/486 , A61B5/7282 , A61B5/742 , A61B10/0283 , A61B10/06 , A61B18/1445 , A61B2046/236 , A61B2218/008 , A61M2037/0007
摘要： Biomarkers are collected and used to determine biological propensities of a patient, to determine the efficacy of medical devices, to select and administer therapeutic agents, to select medical devices, to make adjustments to medical devices, and/or to adjust surgical techniques. An apparatus includes a port to draw a biological fluid (e.g., a mist) from a surgical site. The apparatus includes a sensor having a cantilevered beam. The beam includes substances selected to attract certain biomarkers as the fluid is communicated across the beam. The same apparatus or another apparatus is used to administer a therapeutic agent based at least in part on collected biomarker data. The therapeutic agent delivery apparatus may include a device that is also used to create a wound at a surgical site. For instance, a harmonic surgical instrument may be used to both collect biomarkers and administer a therapeutic agent (e.g., gene therapy using sonoporation).
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5.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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6.发明申请INTESTINAL BRAKE INDUCING INTRALUMINAL THERAPEUTIC SUBSTANCE ELUTING DEVICES AND METHODS 审中-公开INTESTINAL BRAKE INDING IN INTRALUMINAL THERAPEUTIC THEAPEUTIC TYSTURE ELDTING ELTERTING DEVICES AND METHODS公开(公告)号：US20140155807A1
公开(公告)日：2014-06-05
申请号：US14100218
申请日：2013-12-09
发明人： Thomas E. Albrecht , Jeffrey L. Aldridge , Sean P. Conlon , Michael S. Cropper , Denzel Z. Herrera-Davis , Daniel F. Dlugos , Jason L. Harris , Christopher J. Hess , Thomas W. Huitema , John W. Hunt , Prasanna Malaviya , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , Galen C. Robertson , Frederick E. Shelton, IV , Michael J. Stokes , Foster B. Stulen , James W. Voegele , William B. Weisenburgh, II , Christopher W. Widenhouse , Tamara S. Vetro Widenhouse , James A. Woodard, JR. , David C. Yates , Mark S. Zeiner , Andrew M. Zwolinksi
IPC分类号： A61F5/00
CPC分类号： A61F5/0076 , A61F2/04 , A61F5/0013 , A61F5/0026 , A61F5/0079 , A61F2002/045
摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices are accomplished via stabilized implantable systems, and ingestible pills. In one embodiment, the implantable system comprises a device delivering a therapeutic substance to a target location within the gastrointestinal tract of a patient in order to initiate an intestinal braking effect which would promote sensations of satiety and stimulate excess weight loss for the patient.
摘要翻译： 方法和装置产生肠道制动效果，是非侵入性的或微创的，并且可以是可逆的。 这些方法和装置通过稳定的可植入系统和可摄取的药丸来实现。 在一个实施方案中，可植入系统包括将治疗物质递送到患者胃肠道内的目标位置的装置，以便开始肠促动作用，其将促进饱腹感，并刺激患者多余的体重减轻。
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公开(公告)号：US09801648B2
公开(公告)日：2017-10-31
申请号：US14525459
申请日：2014-10-28
发明人： Kevin L. Houser , Andrew M. Zwolinski , Tracy D. Lopes , Prasanna Malaviya , Daniel W. Price , Louis T. DeLuca
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/0046 , A61B2017/00464 , A61B2017/00477 , A61B2017/2837 , A61B2017/2924 , A61B2017/2946 , A61B2090/036 , A61B2090/0807
摘要： A surgical instrument that may include a housing, a transducer engaged with the housing which can produce vibrations, and an end-effector engaged with the transducer. The surgical instrument can further include an adjustable sheath extending from the housing where the sheath is movable relative to the distal tip of the end-effector and where the distance between the distal tip of the sheath and the distal tip of the end-effector can be set such that the sheath can act as a depth stop. The sheath can be adjusted such that, when the distal tip of the sheath contacts the tissue or bone being incised, the surgeon can determine that the appropriate depth of the incision has been reached. In other embodiments, the end-effector can be moved with respect to the sheath in order to adjust the distance between the distal tip of the end-effector and the distal tip of the sheath.
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公开(公告)号：US09241728B2
公开(公告)日：2016-01-26
申请号：US13833706
申请日：2013-03-15
发明人： Daniel W. Price , Jeffrey D. Messerly , Prasanna Malaviya , Robert J. Beetel, III , Timothy G. Dietz , David A. Witt , Douglas J. Turner , David K. Norvell , John A. Weed, III , Kevin D. Felder , Kevin L. Houser , Paul T. Franer , Craig N. Faller , Craig T. Davis
CPC分类号： A61B17/320092 , A61B17/2909 , A61B18/1445 , A61B90/03 , A61B2017/2913 , A61B2017/2916 , A61B2017/2919 , A61B2017/2926 , A61B2017/320064 , A61B2018/00202 , A61B2018/1455 , A61B2090/037
摘要： A nested trigger assembly for a surgical instrument may generally comprise a first trigger and a second trigger, wherein the first trigger and the second trigger are movable together on a first stroke of the nested trigger assembly, wherein the second trigger is configured to be biased away from the first trigger after the first stroke and before a second stroke, and wherein the second trigger is configured to be moved toward to the first trigger during the second stroke. A surgical instrument may generally comprise a shaft comprising a proximal end and a distal end, a handle extending from the proximal end, wherein the handle comprises a gripping portion, and a nested trigger assembly extending from the handle. The nested trigger assemble may comprise one of a separable trigger assembly and a divisible trigger assembly.
摘要翻译： 用于外科器械的嵌套触发器组件通常可以包括第一触发器和第二触发器，其中第一触发器和第二触发器可以在嵌套触发器组件的第一冲程上一起移动，其中第二触发器被配置为被偏置 从所述第一触发之后的第一触发和第二笔划之前，并且其中所述第二触发器被配置为在所述第二笔划期间朝向所述第一触发器移动。 手术器械通常可包括轴，该轴包括近端和远端，从近端延伸的手柄，其中手柄包括抓握部分和从手柄延伸的嵌套扳机组件。 嵌套触发器组装可以包括可分离触发器组件和可分割触发器组件之一。
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9.发明申请SURGICAL CUTTING AND FASTENING DEVICE WITH DESCENDIBLE SECOND TRIGGER ARRANGEMENT 审中-公开具有可靠的第二个触发装置的外科切割和紧固装置公开(公告)号：US20150230853A1
公开(公告)日：2015-08-20
申请号：US14703432
申请日：2015-05-04
发明人： Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Foster B. Stulen , Prasanna Malaviya
CPC分类号： A61B18/085 , A61B17/00 , A61B17/068 , A61B17/2909 , A61B18/1445 , A61B2017/0042 , A61B2017/2912 , A61B2017/2923 , A61B2017/2925 , A61B2018/00619 , A61B2018/1455
摘要： A surgical instrument is disclosed. The surgical instrument can include an end effector, a shaft, and a handle. The handle can include a trigger assembly.
摘要翻译： 公开了一种外科器械。 手术器械可以包括端部执行器，轴和手柄。 手柄可以包括触发器组件。
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公开(公告)号：US20150045819A1
公开(公告)日：2015-02-12
申请号：US14525459
申请日：2014-10-28
发明人： Kevin L. Houser , Andrew M. Zwolinski , Tracy D. Lopes , Prasanna Malaviya , Daniel W. Price , Louis T. DeLuca
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/0046 , A61B2017/00464 , A61B2017/00477 , A61B2017/2837 , A61B2017/2924 , A61B2017/2946 , A61B2090/036 , A61B2090/0807
摘要： A surgical instrument that may include a housing, a transducer engaged with the housing which can produce vibrations, and an end-effector engaged with the transducer. The surgical instrument can further include an adjustable sheath extending from the housing where the sheath is movable relative to the distal tip of the end-effector and where the distance between the distal tip of the sheath and the distal tip of the end-effector can be set such that the sheath can act as a depth stop. The sheath can be adjusted such that, when the distal tip of the sheath contacts the tissue or bone being incised, the surgeon can determine that the appropriate depth of the incision has been reached. In other embodiments, the end-effector can be moved with respect to the sheath in order to adjust the distance between the distal tip of the end-effector and the distal tip of the sheath.
摘要翻译： 可以包括壳体的外科器械，与壳体接合以产生振动的换能器以及与换能器接合的端部执行器。 手术器械还可以包括从壳体延伸的可调节护套，其中护套可相对于末端执行器的远侧末端移动，并且护套的远端尖端与末端执行器的远端尖端之间的距离可以是 设置为使得护套可以用作深度停止。 可以调节护套，使得当护套的远侧末端接触被切开的组织或骨骼时，外科医生可以确定已经达到切口的适当深度。 在其他实施例中，端部执行器可以相对于护套移动，以便调节末端执行器的远端和护套的远端之间的距离。
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