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公开(公告)号：US08752264B2
公开(公告)日：2014-06-17
申请号：US13412897
申请日：2012-03-06
申请人： Joanna Ackley , James D. Allen, IV , Ryan C. Artale , Kim V. Brandt , Dennis W. Butcher , Edward M. Chojin , Gary M. Couture , James S. Cunningham , David M. Garrison , Keir Hart , Russell D. Hempstead , Glenn A. Horner , Daniel A. Joseph , Duane E. Kerr , Dylan R. Kingsley , Peter M. Mueller , Jessica E. C. Olson , Sean T. O'Neill , Jason T. Sanders , Robert M. Sharp , John R. Twomey , Jeffrey R. Unger
发明人： Joanna Ackley , James D. Allen, IV , Ryan C. Artale , Kim V. Brandt , Dennis W. Butcher , Edward M. Chojin , Gary M. Couture , James S. Cunningham , David M. Garrison , Keir Hart , Russell D. Hempstead , Glenn A. Horner , Daniel A. Joseph , Duane E. Kerr , Dylan R. Kingsley , Peter M. Mueller , Jessica E. C. Olson , Sean T. O'Neill , Jason T. Sanders , Robert M. Sharp , John R. Twomey , Jeffrey R. Unger
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2017/00526 , A61B2018/0063 , A61B2090/034 , B29C31/008 , Y10T29/49771 , Y10T29/4984 , Y10T29/49895
摘要： A method for manufacturing an end effector assembly is provided. The method includes grasping a gap-setting gauge between first and second jaw members moveable relative to one another about a pivot between a first, spaced-apart position and a second position proximate tissue and setting the first and second jaw members such that in the approximated position the jaw members cooperate to define a gap distance between the jaw members equivalent to the thickness of the gap-setting gauge such that when positioning tissue between the jaw members full approximation of the jaws is limited to the gap distance.
摘要翻译： 提供一种用于制造端部执行器组件的方法。 该方法包括抓住第一和第二钳口构件之间的间隙设定量规围绕彼此相对于第一间隔开的位置和靠近组织的第二位置之间的枢轴移动，并且将第一和第二钳口构件设置成近似的 位置钳口构件协作以限定等同于间隙设定规格厚度的钳口构件之间的间隙距离，使得当在爪构件之间定位组织时，爪的全部近似被限制在间隙距离上。
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公开(公告)号：US08845636B2
公开(公告)日：2014-09-30
申请号：US13234357
申请日：2011-09-16
申请人： James D. Allen, IV , Ryan C. Artale , Dennis W. Butcher , Russell D. Hempstead , Glenn A. Horner , Duane E. Kerr , Jessica E. C. Olson , Jason T. Sanders , Jeffrey R. Unger
发明人： James D. Allen, IV , Ryan C. Artale , Dennis W. Butcher , Russell D. Hempstead , Glenn A. Horner , Duane E. Kerr , Jessica E. C. Olson , Jason T. Sanders , Jeffrey R. Unger
CPC分类号： A61B18/1445 , A61B18/1442 , A61B2018/00053 , A61B2018/00184 , A61B2018/1452 , A61B2018/1495 , H01R4/242 , Y10T29/49002 , Y10T29/49204
摘要： An end effector assembly having first and second jaw members is provided where one or both of the jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One (or both) of the jaw members includes an inwardly-facing surface having a slot defined therein and a wire having an insulative coating. A seal plate has at least one protrusion that is configured to be disposed in the slot. The at least one protrusion of the seal plate is configured to displace the insulative coating from the wire thereby forming an electrical connection therewith when the at least one protrusion is disposed in the slot.
摘要翻译： 提供具有第一和第二钳口构件的端部执行器组件，其中一个或两个钳口构件可相对于另一个在间隔开的位置和近似位置之间移动，用于抓握其间的组织。 一个（或两个）钳口构件包括具有限定在其中的槽的向内表面和具有绝缘涂层的线。 密封板具有至少一个突出部，其构造成设置在槽中。 密封板的至少一个突起构造成使绝缘涂层从导线移位，从而当至少一个突起设置在槽中时与之形成电连接。
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公开(公告)号：US20130072927A1
公开(公告)日：2013-03-21
申请号：US13236168
申请日：2011-09-19
申请人： James D. Allen, IV , Ryan C. Artale , Kim V. Brandt , Dennis W. Butcher , Edward M. Chojin , Keir Hart , Russell D. Hempstead , Glenn A. Horner , Daniel A. Joseph , Duane E. Kerr , Dylan R. Kingsley , Peter M. Mueller , Jessica E. C. Olson , John R. Twomey , Jeffrey R. Unger
发明人： James D. Allen, IV , Ryan C. Artale , Kim V. Brandt , Dennis W. Butcher , Edward M. Chojin , Keir Hart , Russell D. Hempstead , Glenn A. Horner , Daniel A. Joseph , Duane E. Kerr , Dylan R. Kingsley , Peter M. Mueller , Jessica E. C. Olson , John R. Twomey , Jeffrey R. Unger
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/28 , A61B17/2812 , A61B17/2816 , A61B17/282 , A61B17/29 , A61B17/32 , A61B18/1442 , A61B18/1447 , A61B2017/2936 , A61B2017/2939 , A61B2017/2946 , A61B2018/0063 , A61B2018/1455
摘要： An electrosurgical forceps is provided with a shaft that extends from a housing of the electrosurgical forceps. An end effector assembly includes a pair of first and second jaw members pivotably coupled to one another via a pivot pin. One or both of the first and second jaw members may be movable from an open position for positioning tissue therebetween to a clamping position for grasping tissue. A detent is operably disposed proximal the pivot pin and extends radially outward from a proximal flange of one of the jaw members. The detent is configured to releasably engage a corresponding slot disposed on a proximal flange of the other jaw member. The detent and slot are configured to control a gap distance between the first and second jaw members when the first and second jaw members are in the clamping position.
摘要翻译： 电外科钳具有从电外科钳的壳体延伸的轴。 端部执行器组件包括一对通过枢轴销可枢转地彼此联接的第一和第二钳口构件。 第一和第二钳口构件中的一个或两个可以从用于将组织间隔开的打开位置移动到用于抓握组织的夹紧位置。 棘爪可操作地设置在枢轴销附近并且从钳口构件之一的近侧凸缘径向向外延伸。 制动器构造成可释放地接合设置在另一钳口构件的近侧凸缘上的相应狭槽。 棘爪和狭槽构造成当第一和第二爪构件处于夹紧位置时控制第一和第二钳口构件之间的间隙距离。
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公开(公告)号：US09636169B2
公开(公告)日：2017-05-02
申请号：US13236168
申请日：2011-09-19
申请人： James D. Allen, IV , Ryan C. Artale , Kim V. Brandt , Dennis W. Butcher , Edward M. Chojin , Keir Hart , Russell D. Hempstead , Glenn A. Horner , Daniel A. Joseph , Duane E. Kerr , Dylan R. Kingsley , Peter M. Mueller , Jessica E. C. Olson , John R. Twomey , Jeffrey R. Unger
发明人： James D. Allen, IV , Ryan C. Artale , Kim V. Brandt , Dennis W. Butcher , Edward M. Chojin , Keir Hart , Russell D. Hempstead , Glenn A. Horner , Daniel A. Joseph , Duane E. Kerr , Dylan R. Kingsley , Peter M. Mueller , Jessica E. C. Olson , John R. Twomey , Jeffrey R. Unger
CPC分类号： A61B18/1445 , A61B17/28 , A61B17/2812 , A61B17/2816 , A61B17/282 , A61B17/29 , A61B17/32 , A61B18/1442 , A61B18/1447 , A61B2017/2936 , A61B2017/2939 , A61B2017/2946 , A61B2018/0063 , A61B2018/1455
摘要： An electrosurgical forceps is provided with a shaft that extends from a housing of the electrosurgical forceps. An end effector assembly includes a pair of first and second jaw members pivotably coupled to one another via a pivot pin. One or both of the first and second jaw members may be movable from an open position for positioning tissue therebetween to a clamping position for grasping tissue. A detent is operably disposed proximal the pivot pin and extends radially outward from a proximal flange of one of the jaw members. The detent is configured to releasably engage a corresponding slot disposed on a proximal flange of the other jaw member. The detent and slot are configured to control a gap distance between the first and second jaw members when the first and second jaw members are in the clamping position.
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公开(公告)号：US20130072919A1
公开(公告)日：2013-03-21
申请号：US13234357
申请日：2011-09-16
申请人： James D. Allen, IV , Ryan C. Artale , Dennis W. Butcher , Russell D. Hempstead , Glenn A. Horner , Duane E. Kerr , Jessica E.C. Olson , Jason T. Sanders , Jeffrey R. Unger
发明人： James D. Allen, IV , Ryan C. Artale , Dennis W. Butcher , Russell D. Hempstead , Glenn A. Horner , Duane E. Kerr , Jessica E.C. Olson , Jason T. Sanders , Jeffrey R. Unger
CPC分类号： A61B18/1445 , A61B18/1442 , A61B2018/00053 , A61B2018/00184 , A61B2018/1452 , A61B2018/1495 , H01R4/242 , Y10T29/49002 , Y10T29/49204
摘要： An end effector assembly having first and second jaw members is provided where one or both of the jaw members is moveable relative to the other between a spaced-apart position and an approximated position for grasping tissue therebetween. One (or both) of the jaw members includes an inwardly-facing surface having a slot defined therein and a wire having an insulative coating. A seal plate has at least one protrusion that is configured to be disposed in the slot. The at least one protrusion of the seal plate is configured to displace the insulative coating from the wire thereby forming an electrical connection therewith when the at least one protrusion is disposed in the slot.
摘要翻译： 提供具有第一和第二钳口构件的端部执行器组件，其中一个或两个钳口构件可相对于另一个在间隔开的位置和近似位置之间移动，用于抓握其间的组织。 一个（或两个）钳口构件包括具有限定在其中的槽的向内表面和具有绝缘涂层的线。 密封板具有至少一个突出部，其构造成设置在槽中。 密封板的至少一个突起构造成使绝缘涂层从导线移位，从而当至少一个突起设置在槽中时与之形成电连接。
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公开(公告)号：US09060780B2
公开(公告)日：2015-06-23
申请号：US13249024
申请日：2011-09-29
申请人： John R. Twomey , James D. Allen, IV , Ryan C. Artale , Dennis W. Butcher , Russell D. Hempstead , Glenn A. Horner , Jessica E. C. Olson , Jeffrey R. Unger
发明人： John R. Twomey , James D. Allen, IV , Ryan C. Artale , Dennis W. Butcher , Russell D. Hempstead , Glenn A. Horner , Jessica E. C. Olson , Jeffrey R. Unger
IPC分类号： A61B18/00 , A61B18/14 , A61B17/295 , A61B17/29
CPC分类号： A61B18/1445 , A61B17/295 , A61B2017/2901 , A61B2017/2902 , A61B2018/1455 , Y10T29/49826 , Y10T29/4998
摘要： A surgical instrument includes a shaft formed via extrusion. The shaft has one or more lumens extending therethrough. The lumen(s) each define a cross-sectional configuration. An end effector assembly is coupled to a distal end of the shaft. One or more components are coupled to the end effector assembly. The component(s) extend proximally from the end effector into the lumen(s) of the shaft. One or more of the components is formed via stamping. The component(s) define a cross-sectional configuration substantially complementary to the cross-section configuration of the lumen into which they extend.
摘要翻译： 手术器械包括通过挤压形成的轴。 轴具有一个或多个延伸穿过其中的腔。 管腔各自限定横截面构造。 端部执行器组件联接到轴的远端。 一个或多个部件联接到末端执行器组件。 部件从末端执行器向近侧延伸到轴的内腔中。 通过冲压形成一个或多个部件。 部件限定了与其延伸的管腔的横截面构造基本上互补的横截面构造。
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7.发明申请公开(公告)号：US20130085491A1
公开(公告)日：2013-04-04
申请号：US13249024
申请日：2011-09-29
申请人： John R. Twomey , James D. Allen, IV , Ryan C. Artale , Dennis W. Butcher , Russell D. Hempstead , Glenn A. Horner , Jessica E.C. Olson , Jeffrey R. Unger
发明人： John R. Twomey , James D. Allen, IV , Ryan C. Artale , Dennis W. Butcher , Russell D. Hempstead , Glenn A. Horner , Jessica E.C. Olson , Jeffrey R. Unger
CPC分类号： A61B18/1445 , A61B17/295 , A61B2017/2901 , A61B2017/2902 , A61B2018/1455 , Y10T29/49826 , Y10T29/4998
摘要： A surgical instrument includes a shaft formed via extrusion. The shaft has one or more lumens extending therethrough. The lumen(s) each define a cross-sectional configuration. An end effector assembly is coupled to a distal end of the shaft. One or more components are coupled to the end effector assembly. The component(s) extend proximally from the end effector into the lumen(s) of the shaft. One or more of the components is formed via stamping. The component(s) define a cross-sectional configuration substantially complementary to the cross-section configuration of the lumen into which they extend.
摘要翻译： 手术器械包括通过挤压形成的轴。 轴具有一个或多个延伸穿过其中的腔。 管腔各自限定横截面构造。 端部执行器组件联接到轴的远端。 一个或多个部件联接到末端执行器组件。 部件从末端执行器向近侧延伸到轴的内腔中。 通过冲压形成一个或多个部件。 部件限定了与其延伸的管腔的横截面构造基本上互补的横截面构造。
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8.发明申请公开(公告)号：US20130304059A1
公开(公告)日：2013-11-14
申请号：US13470775
申请日：2012-05-14
申请人： James D. Allen, IV , Ryan C. Artale , Glenn A. Horner , Duane E. Kerr , Peter M. Mueller , Arlen J. Reschke , Robert M. Sharp , Robert B. Stoddard
发明人： James D. Allen, IV , Ryan C. Artale , Glenn A. Horner , Duane E. Kerr , Peter M. Mueller , Arlen J. Reschke , Robert M. Sharp , Robert B. Stoddard
CPC分类号： A61B18/1482 , A61B17/285 , A61B17/2909 , A61B17/295 , A61B18/1206 , A61B18/1445 , A61B2017/2948 , A61B2018/00196 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/0091 , A61B2018/00916 , A61B2018/00982 , A61B2018/1455
摘要： A surgical instrument includes an elongated shaft module and a handle module selectively separable from one another. The elongated shaft module includes an elongated shaft member and a pair of jaw members supported at a distal end of the elongated shaft member, at least one of the jaw members moveable relative to the other jaw member between open and closed positions. The handle module includes a housing including an opening extending longitudinally therethrough. The opening is dimensioned to permit passage of the pair of jaw members in the closed position. The handle module also includes a movable handle movable relative to the housing to move the pair of jaw members between open and closed positions, and a lock to secure the elongated shaft module in place within the housing.
摘要翻译： 手术器械包括细长轴模块和可选择性地彼此分离的手柄模块。 细长轴模块包括细长轴构件和支撑在细长轴构件的远端处的一对钳口构件，所述钳口构件中的至少一个可相对于另一钳口构件在打开位置和闭合位置之间移动。 手柄模块包括壳体，其包括纵向延伸通过的开口。 开口的尺寸被设计成允许一对钳口构件在关闭位置通过。 手柄模块还包括可相对于壳体移动的可移动手柄，以在打开和关闭位置之间移动该对夹爪构件，以及锁定件，以将细长轴模块固定在壳体内的适当位置。
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9.发明授权公开(公告)号：US09113901B2
公开(公告)日：2015-08-25
申请号：US13470775
申请日：2012-05-14
申请人： James D. Allen, IV , Ryan C. Artale , Glenn A. Horner , Duane E. Kerr , Peter M. Mueller , Arlen J. Reschke , Robert M. Sharp , Robert B. Stoddard
发明人： James D. Allen, IV , Ryan C. Artale , Glenn A. Horner , Duane E. Kerr , Peter M. Mueller , Arlen J. Reschke , Robert M. Sharp , Robert B. Stoddard
IPC分类号： A61B18/14 , A61B17/285 , A61B17/29 , A61B18/00
CPC分类号： A61B18/1482 , A61B17/285 , A61B17/2909 , A61B17/295 , A61B18/1206 , A61B18/1445 , A61B2017/2948 , A61B2018/00196 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/0091 , A61B2018/00916 , A61B2018/00982 , A61B2018/1455
摘要： A surgical instrument includes an elongated shaft module and a handle module selectively separable from one another. The elongated shaft module includes an elongated shaft member and a pair of jaw members supported at a distal end of the elongated shaft member, at least one of the jaw members moveable relative to the other jaw member between open and closed positions. The handle module includes a housing including an opening extending longitudinally therethrough. The opening is dimensioned to permit passage of the pair of jaw members in the closed position. The handle module also includes a movable handle movable relative to the housing to move the pair of jaw members between open and closed positions, and a lock to secure the elongated shaft module in place within the housing.
摘要翻译： 手术器械包括细长轴模块和可选择性地彼此分离的手柄模块。 细长轴模块包括细长轴构件和支撑在细长轴构件的远端处的一对钳口构件，所述钳口构件中的至少一个可相对于另一钳口构件在打开位置和闭合位置之间移动。 手柄模块包括壳体，其包括纵向延伸通过的开口。 开口的尺寸被设计成允许一对钳口构件在关闭位置通过。 手柄模块还包括可相对于壳体移动的可移动手柄，以在打开和关闭位置之间移动该对夹爪构件，以及锁定件，以将细长轴模块固定在壳体内的适当位置。
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公开(公告)号：US09186200B2
公开(公告)日：2015-11-17
申请号：US13483815
申请日：2012-05-30
申请人： Jeffrey R. Unger , Ryan C. Artale , Joshua A. Keller , Gregory P. Milner , Kenneth C. Brockmann , Alexander M. Waskiewicz , Rebecca J. Coulson , Jessica E. C. Olson
发明人： Jeffrey R. Unger , Ryan C. Artale , Joshua A. Keller , Gregory P. Milner , Kenneth C. Brockmann , Alexander M. Waskiewicz , Rebecca J. Coulson , Jessica E. C. Olson
CPC分类号： A61B18/1206 , A61B18/1445 , A61B2017/00115 , A61B2018/00345 , A61B2018/00404 , A61B2018/00619 , A61B2018/0063 , A61B2018/00642 , A61B2018/00678 , A61B2018/00702 , A61B2018/00755 , A61B2018/00875
摘要： An electrosurgical generator is disclosed. The generator includes an RF output stage configured to supply electrosurgical energy to tissue via at least one active electrode configured to apply electrosurgical energy to tissue; sensing circuitry configured to measure impedance of tissue; and a controller. The controller is configured to determine occurrence of a tissue reaction as a function of a minimum impedance value and a predetermined rise in impedance, wherein tissue reaction corresponds to a boiling point of tissue fluid; generate a target impedance trajectory as a function of measured impedance and desired rate of change based on the tissue reaction determination, wherein the target impedance trajectory includes a plurality of target impedance values; and drive tissue impedance along the target impedance trajectory by adjusting the output of the electrosurgical generator to substantially match tissue impedance to a corresponding target impedance for at least a predetermined minimum time period.
摘要翻译： 公开了一种电外科发生器。 所述发生器包括RF输出级，所述RF输出级被配置为经由构造成将电外科能量施加到组织的至少一个有效电极向组织提供电外科能量; 感测电路，被配置为测量组织的阻抗; 和控制器。 控制器被配置为根据最小阻抗值和预定的阻抗上升来确定组织反应的发生，其中组织反应对应于组织液的沸点; 基于所述组织反应确定，产生作为测量阻抗和期望变化率的函数的目标阻抗轨迹，其中所述目标阻抗轨迹包括多个目标阻抗值; 并且通过调节所述电外科发生器的输出以使组织阻抗基本上与至少预定的最小时间段相对应的目标阻抗相匹配来沿着所述目标阻抗轨迹驱动组织阻抗。
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