公开(公告)号：US20070191712A1

公开(公告)日：2007-08-16

申请号：US11354372

申请日：2006-02-15

申请人： Jeffrey Messerly ,  Steven Neuenfeldt

发明人： Jeffrey Messerly ,  Steven Neuenfeldt

IPC分类号： A61B8/00

CPC分类号： A61B17/320068 ,  A61B2017/320084 ,  A61B2017/320089 ,  A61M37/0092

摘要： A medical instrument includes a medical end effector and a user-actuated media transporter. The medical end effector includes an ultrasound propagating element and includes a path adapted for directing a medical agent, when conveyed therealong, to the ultrasound propagating element. The user-actuated media transporter is adapted for conveying the medical agent along the path and into contact with the ultrasound propagating element. A medical system includes a medical instrument and a user-actuated hemostatic-agent transporter. The medical instrument is adapted for treating patient tissue and is a mechanical-based ligation instrument or an energy-based ligation instrument. The user-actuated hemostatic-agent transporter is adapted for conveying a hemostatic agent to the patient tissue. A method for sealing a blood vessel of a patient includes applying a hemostatic agent to the blood vessel and includes treating the blood vessel with a medical instrument which is a mechanical-based ligation instrument or an energy-based ligation instrument.

摘要翻译： 医疗器械包括医疗末端执行器和用户致动的媒体运送器。 医疗末端执行器包括超声波传播元件，并且包括适于指导医疗药剂的路径，当被输送到超声传播元件时。 用户致动的媒体传送器适于沿着路径输送医疗剂并与超声传播元件接触。 医疗系统包括医疗器械和用户驱动的止血剂运送器。 该医疗器械适用于治疗患者组织，并且是一种基于机械的结扎器械或基于能量的结扎器械。 用户驱动的止血剂运送器适于将止血剂输送到患者组织。 用于密封患者的血管的方法包括将抗血剂施用于血管，并且包括用作为基于机械的结扎器械或能量结扎器械的医疗器械来处理血管。

公开(公告)号：US08444663B2

公开(公告)日：2013-05-21

申请号：US12357846

申请日：2009-01-22

申请人： Kevin L. Houser ,  Sarah A. Noschang ,  Steven Neuenfeldt ,  Craig N. Faller ,  Jeffrey J. Vaitekunas

发明人： Kevin L. Houser ,  Sarah A. Noschang ,  Steven Neuenfeldt ,  Craig N. Faller ,  Jeffrey J. Vaitekunas

IPC分类号： A61B17/32

CPC分类号： A61B17/320092 ,  A61B2017/00831 ,  A61B2017/2825

摘要： An ultrasonic-surgical-shears tissue pad has a tissue-pad body including a base material and at least one filler material. An alternate ultrasonic-surgical-shears tissue pad has a tissue-pad body having adjoining first and second regions, wherein the first region includes a first material and wherein the second region includes a second material. An ultrasonic surgical shears includes an ultrasonic surgical blade and a clamping arm which is operable to open and close toward the blade and which has a transversely and resiliently flexible distal tip. An alternate ultrasonic surgical shears includes an ultrasonic surgical blade, a clamping arm operable to open and close toward the blade, and a tissue pad attached to the clamping arm and having a clamping surface, wherein at least a portion of the tissue pad is resiliently flexible in a direction substantially perpendicular to the clamping surface.

摘要翻译： 超声外科剪切组织垫具有包括基材和至少一种填充材料的组织垫体。 替代的超声外科剪切组织垫具有具有邻接的第一和第二区域的组织垫体，其中第一区域包括第一材料，并且其中第二区域包括第二材料。 超声手术剪刀包括超声手术刀片和夹持臂，其可操作以朝向刀片打开和关闭，并且具有横向和弹性柔性的远侧末端。 替代的超声手术剪刀包括超声手术刀片，可操作以朝向刀片打开和关闭的夹持臂以及附接到夹持臂并具有夹紧表面的组织垫，其中组织垫的至少一部分具有弹性柔性 在大致垂直于夹紧表面的方向上。

公开(公告)号：US20070073325A1

公开(公告)日：2007-03-29

申请号：US11555889

申请日：2006-11-02

申请人： Foster Stulen ,  Steven Neuenfeldt ,  Kevin Houser

发明人： Foster Stulen ,  Steven Neuenfeldt ,  Kevin Houser

IPC分类号： A61B17/32

CPC分类号： A61B17/320068 ,  A61B2017/22018 ,  A61B2017/320072 ,  A61B2017/32008 ,  A61B2017/320089 ,  A61B2217/005

摘要： An ultrasonic surgical blade, and an instrument, having a gain step. The blade body has, in any half wave length of the ultrasonic-surgical-blade body, a first vibration antinode, a vibration node, a second vibration antinode, and a gain step. The gain step is located between the second vibration antinode and the first vibration antinode. The gain step is spaced apart from the vibration node by a gain-step distance greater than 5% of the distance between the second vibration antinode and the first vibration antinode. The instrument includes the blade, a handpiece having an ultrasonic transducer, and an ultrasonic transmission rod whose proximal end is operatively connected to the ultrasonic transducer and whose distal end activates the blade. In one option, the first vibration antinode is the distal tip, and the gain step is located between the vibration node and the distal tip, resulting in an increased active length of the blade.

摘要翻译： 一种具有增益步长的超声手术刀和仪器。 刀片体在超声外科手术刀体的任何半波长中具有第一振动波腹，振动节点，第二振动波腹和增益步长。 增益步骤位于第二振动波腹与第一振动波腹之间。 增益步长与振动节点间的距离大于第二振动波腹与第一振动波腹之间距离的5％。 仪器包括刀片，具有超声波换能器的手持件和超声波传输杆，其近端可操作地连接到超声波换能器，其远端激活刀片。 在一个选择中，第一振动波腹是远端，并且增益步骤位于振动节点和远侧末端之间，导致叶片的有效长度增加。

公开(公告)号：US20060079876A1

公开(公告)日：2006-04-13

申请号：US11246330

申请日：2005-10-07

申请人： Kevin Houser ,  Mark Neurohr ,  Steven Neuenfeldt ,  Scott Barton

发明人： Kevin Houser ,  Mark Neurohr ,  Steven Neuenfeldt ,  Scott Barton

IPC分类号： A61B18/18

CPC分类号： A61B17/320092 ,  A61B17/2909 ,  A61B2017/00353 ,  A61B2017/00424 ,  A61B2017/2825 ,  A61B2017/2911 ,  Y10T29/49005 ,  Y10T29/49998

摘要： An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a two-piece pad design and pad material that enables the higher tissue clamping forces and a force-limiting mechanism that effectively smooths out abusive tissue forces. The assembly also features hand activation configured to provide an ergonomical grip and operation for the surgeon. Hand switches are placed in the range of the natural swing of the surgeon's thumb, whether gripping the surgical instrument right-handed or left handed.

摘要翻译： 超声波夹具凝固器组件，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。 仪器的细长部分可以配置为内窥镜应用，外径小于6毫米。 该结构包括夹紧机构，其包括枢转地安装在仪器的远端部分处的夹紧臂，其特别构造成当触发器完全关闭时产生超过4磅的组织夹紧力。 夹紧机构包括两件式垫片设计和垫片材料，其能够实现较高的组织夹紧力，以及有效地平滑滥用组织力的力限制机构。 组件还具有手动激活，其被配置为为外科医生提供人体工程学的握持和操作。 手动开关放置在外科医生拇指的自然摆动的范围内，无论是右手还是左手握住手术器械。

公开(公告)号：US20100023044A1

公开(公告)日：2010-01-28

申请号：US12357846

申请日：2009-01-22

申请人： Kevin L. Houser ,  Sarah A. Noschang ,  Steven Neuenfeldt ,  Craig N. Faller ,  Jeffrey J. Vaitekunas

发明人： Kevin L. Houser ,  Sarah A. Noschang ,  Steven Neuenfeldt ,  Craig N. Faller ,  Jeffrey J. Vaitekunas

IPC分类号： A61B17/3201

CPC分类号： A61B17/320092 ,  A61B2017/00831 ,  A61B2017/2825

摘要： An ultrasonic-surgical-shears tissue pad has a tissue-pad body including a base material and at least one filler material. An alternate ultrasonic-surgical-shears tissue pad has a tissue-pad body having adjoining first and second regions, wherein the first region includes a first material and wherein the second region includes a second material. An ultrasonic surgical shears includes an ultrasonic surgical blade and a clamping arm which is operable to open and close toward the blade and which has a transversely and resiliently flexible distal tip. An alternate ultrasonic surgical shears includes an ultrasonic surgical blade, a clamping arm operable to open and close toward the blade, and a tissue pad attached to the clamping arm and having a clamping surface, wherein at least a portion of the tissue pad is resiliently flexible in a direction substantially perpendicular to the clamping surface.

摘要翻译： 超声外科剪切组织垫具有包括基材和至少一种填充材料的组织垫体。 替代的超声外科剪切组织垫具有具有邻接的第一和第二区域的组织垫体，其中第一区域包括第一材料，并且其中第二区域包括第二材料。 超声手术剪刀包括超声手术刀片和夹持臂，其可操作以朝向刀片打开和关闭，并且具有横向和弹性柔性的远侧末端。 替代的超声手术剪刀包括超声手术刀片，可操作以朝向刀片打开和关闭的夹持臂以及附接到夹持臂并具有夹紧表面的组织垫，其中组织垫的至少一部分具有弹性柔性 在大致垂直于夹紧表面的方向上。

公开(公告)号：US5545223A

公开(公告)日：1996-08-13

申请号：US413588

申请日：1995-03-30

申请人： Steven Neuenfeldt ,  James Brauker ,  Robert Clarke

发明人： Steven Neuenfeldt ,  James Brauker ,  Robert Clarke

IPC分类号： A61B5/00 ,  A61F2/02 ,  A61K9/22 ,  A61L27/38 ,  A61L27/56 ,  A61L29/00 ,  A61L29/14 ,  C12M3/06 ,  C12N5/00

CPC分类号： A61L29/146 ,  A61F2/022 ,  A61L27/38 ,  A61L27/56 ,  A61L29/005 ,  A61B5/14532 ,  Y10S623/902

摘要： A method and apparatus for implanting cells in a host is provided. In an embodiment, an implant assembly for a host tissue is provided comprising wall means defining a chamber for holding cells for implantation, the wall means including means for foxing a porous boundary between the host tissue and the implanted cells in the chamber, the pore size of the boundary being sufficient to isolate the implanted cells from the immune response of the host tissue, and port means for providing selective access to the chamber.

摘要翻译： 提供了一种用于在主机中植入细胞的方法和装置。 在一个实施例中，提供了一种用于宿主组织的植入物组件，其包括限定用于保持用于植入的细胞的室的壁装置，所述壁装置包括用于在宿主组织和腔室中的植入细胞之间激发多孔边界的装置， 的边界足以将植入的细胞与宿主组织的免疫应答隔离，以及用于提供对腔室的选择性接近的端口装置。

公开(公告)号：US20070173872A1

公开(公告)日：2007-07-26

申请号：US11337405

申请日：2006-01-23

申请人： Steven Neuenfeldt

发明人： Steven Neuenfeldt

IPC分类号： A61B17/32

CPC分类号： A61B17/320092 ,  A61B17/3201 ,  A61B18/1442 ,  A61B2017/00778 ,  A61B2017/2927 ,  A61B2017/320078 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61B2018/1452 ,  A61B2018/1467

摘要： A first medical instrument is for cutting and coagulating patient tissue and includes a two-pronged end effector. The end effector has a first prong which includes a medical ultrasonic blade, has a second prong which includes an arm opposing the ultrasonic blade, and has a surgical knife. A second medical instrument is for a medical instrument for cutting and coagulating patient tissue and includes a two-pronged end effector. The end effector has a first prong which includes a first bipolar radio-frequency electrode, has a second prong which includes an arm opposing the electrodes, and has a surgical knife.

摘要翻译： 第一种医疗器械用于切割和凝固患者组织，并且包括双管齐下的末端执行器。 末端执行器具有包括医用超声波刀片的第一插脚，具有包括与超声波刀片相对的臂的第二插脚，并且具有手术刀。 第二医疗器械用于切割和凝固患者组织的医疗器械，并且包括双管齐下的末端执行器。 末端执行器具有包括第一双极射频电极的第一插脚，具有包括与电极相对的臂的第二插脚，并且具有手术刀。

公开(公告)号：US20060079877A1

公开(公告)日：2006-04-13

申请号：US11246384

申请日：2005-10-07

申请人： Kevin Houser ,  Steven Neuenfeldt ,  Mark Neurohr ,  Craig Faller

发明人： Kevin Houser ,  Steven Neuenfeldt ,  Mark Neurohr ,  Craig Faller

IPC分类号： A61B18/18

CPC分类号： A61B17/320092 ,  A61B17/2909 ,  A61B2017/00353 ,  A61B2017/00424 ,  A61B2017/2825 ,  A61B2017/2911 ,  A61B2017/320094 ,  A61B2017/320095 ,  Y10T29/49005 ,  Y10T29/49998

摘要： An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a two-piece pad design and pad material that enables the higher tissue clamping forces and a force-limiting mechanism that effectively smooths out abusive tissue forces. The assembly also features hand activation configured to provide an ergonomical grip and operation for the surgeon. Hand switches are placed in the range of the natural swing of the surgeon's thumb, whether gripping the surgical instrument right-handed or left handed.

摘要翻译： 超声波夹具凝固器组件，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。 仪器的细长部分可以配置为内窥镜应用，外径小于6毫米。 该结构包括夹紧机构，其包括枢转地安装在仪器的远端部分处的夹紧臂，其特别构造成当触发器完全关闭时产生超过4磅的组织夹紧力。 夹紧机构包括两件式垫片设计和垫片材料，其能够实现较高的组织夹紧力，以及有效地平滑滥用组织力的力限制机构。 组件还具有手动激活，其被配置为为外科医生提供人体工程学的握持和操作。 手动开关放置在外科医生拇指的自然摆动的范围内，无论是右手还是左手握住手术器械。

公开(公告)号：US20060030848A1

公开(公告)日：2006-02-09

申请号：US11243585

申请日：2005-10-05

申请人： H. Craig ,  John Cummings ,  James Giordano ,  Kevin Houser ,  Steven Neuenfeldt ,  Richard Schwemberger ,  David Yates ,  Scott Wampler

发明人： H. Craig ,  John Cummings ,  James Giordano ,  Kevin Houser ,  Steven Neuenfeldt ,  Richard Schwemberger ,  David Yates ,  Scott Wampler

IPC分类号： A61B18/18

CPC分类号： A61B17/320092 ,  A61B2017/320078 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2017/320095

摘要： An ultrasonic surgical clamp coagulator apparatus is configured to effect cutting, coagulation and clamping of tissue by cooperation of a clamping mechanism of the apparatus with an associated ultrasonic end-effector. The clamping mechanism includes a pivotal clamp arm, which cooperates with the end-effector for gripping tissue. The clamp arm is provided with a clamp tissue pad that has at least one raised portion to achieve the desired cutting and coagulation effect on the tissue.

公开(公告)号：US5421923A

公开(公告)日：1995-06-06

申请号：US161639

申请日：1993-12-03

申请人： Robert A. Clarke ,  Steven Neuenfeldt

发明人： Robert A. Clarke ,  Steven Neuenfeldt

IPC分类号： B06B3/00 ,  B29C65/00 ,  B29C65/08 ,  B32B31/16

CPC分类号： B29C65/08 ,  B06B3/00 ,  B29C66/1122 ,  B29C66/433 ,  B29C66/81431 ,  B29C66/8167 ,  B29C66/73921 ,  B29C66/9516

摘要： An ultrasonic welding horn is provided that has an insert connected to the body of the horn proximal to the welding edge, the insert being dampened from the ultrasonic operating frequency by attaching it to the horn body at a nodal point that has little or no vibration during the operational vibrational mode of the horn. During a welding operation, the insert is positioned to secure living cell tissue that is between two plastic layers, preventing undesirable vibration of the cell tissue. The welding edge, which extends around the periphery of the insert, contacts the plastic layers around the cell tissue, welding a seal between the layers.

摘要翻译： 提供了一种超声波焊接喇叭，其具有连接到靠近焊接边缘的喇叭体的插入件，插入件通过在具有很小或没有振动的节点处将其附接到喇叭主体上而从超声操作频率中​​被衰减 喇叭的操作振动模式。 在焊接操作期间，插入件定位成固定位于两个塑料层之间的活细胞组织，防止细胞组织的不期望的振动。 围绕插入件的周边延伸的焊接边缘围绕细胞组织接触塑料层，在层之间焊接密封。