公开(公告)号：US20050004568A1

公开(公告)日：2005-01-06

申请号：US10474273

申请日：2001-04-06

申请人： Kate Lawes ,  Steven Buysse ,  Sean Dycus ,  Kristin Johnson ,  Michael Moses ,  David Schechter ,  Philip Tetzlaff ,  Carolyn Mihaichuk

发明人： Kate Lawes ,  Steven Buysse ,  Sean Dycus ,  Kristin Johnson ,  Michael Moses ,  David Schechter ,  Philip Tetzlaff ,  Carolyn Mihaichuk

IPC分类号： A61B17/12 ,  A61B17/28 ,  A61B18/12 ,  A61B18/14

CPC分类号： A61B18/1442 ,  A61B18/14 ,  A61B18/1445 ,  A61B2017/2945 ,  A61B2018/00083 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/126 ,  A61B2018/1432 ,  A61B2018/146 ,  A61B2018/1495

摘要： An electrosurgical instrument which includes opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The instrument includes a housing and a pair of electrodes. Each electode preferably includes an electrically conductive surface (e.g., which can be dimensioned for sealing, clamping and/or cutting) and an insulating substrate which is dimensioned to be engageable with the end effectors such that the electrodes reside in opposing relation relative to one another. The dimensions of the insulating substrate are different from the dimensions of the electrically conductive surface to reduce thermal spread to adjacent tissue structures. The insulating substrate is made from a material having a Comparative Tracking Index of about 300 volts to about 600 volts to reduce the incidence of flashover.

摘要翻译： 一种电外科器械，其包括相对的末端执行器和用于实现末端执行器相对于彼此运动的手柄。 仪器包括壳体和一对电极。 每个电极优选地包括导电表面（例如，其尺寸可以用于密封，夹紧和/或切割）以及绝缘基板，该绝缘基板的尺寸被设计成可与末端执行器接合，使得电极相对于彼此处于相对关系 。 绝缘基板的尺寸不同于导电表面的尺寸，以减少热传播到相邻的组织结构。 绝缘衬底由具有约300伏至约600伏特的比较跟踪指数的材料制成，以减少闪络的发生率。

公开(公告)号：US20050021025A1

公开(公告)日：2005-01-27

申请号：US10474168

申请日：2001-04-06

申请人： Steven Buysse ,  Michael Moses ,  David Schechter ,  Kristin Johnson ,  Philip Tetzlaff ,  Carolyn Mihaichuk

发明人： Steven Buysse ,  Michael Moses ,  David Schechter ,  Kristin Johnson ,  Philip Tetzlaff ,  Carolyn Mihaichuk

IPC分类号： A61B18/14

CPC分类号： A61B18/1442 ,  A61B2017/2945 ,  A61B2018/00083 ,  A61B2018/0063 ,  A61B2018/1432 ,  A61B2018/1495

摘要： An electrode assembly for use in combination with an electrosurgical instrument having opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The electrode assembly includes a housing having one portion which is removably engageable with the electrosurgical instrument and a pair of electrodes each having an electrically conductive sealing surface and an insulating substrate. The electrodes are removably engageable with the end effectors of the electrosurgical instrument such that the electrodes reside in opposing relation relative to one another. The dimensions of the insulating substrate are different from the dimensions of the electrically conductive sealing surface to reduce thermal spread to adjacent tissue structures.

摘要翻译： 一种用于与具有相对的末端执行器的电外科器械组合使用的电极组件和用于实现末端执行器相对于彼此运动的手柄。 电极组件包括具有可拆卸地与电外科器械接合的一部分的壳体和各自具有导电密封表面和绝缘基底的一对电极。 电极可移除地与电外科器械的末端执行器接合，使得电极相对于彼此处于相对关系。 绝缘基板的尺寸不同于导电密封表面的尺寸，以减少对相邻组织结构的热扩散。

公开(公告)号：US20070255279A1

公开(公告)日：2007-11-01

申请号：US11800583

申请日：2007-05-07

申请人： Steven Buysse ,  Michael Moses ,  David Schechter ,  Kristin Johnson ,  Philip Tetzlaff ,  Carolyn Mihaichuk

发明人： Steven Buysse ,  Michael Moses ,  David Schechter ,  Kristin Johnson ,  Philip Tetzlaff ,  Carolyn Mihaichuk

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B2017/00296 ,  A61B2017/2945 ,  A61B2018/0063 ,  A61B2018/1405 ,  A61B2018/1432

摘要： An electrode assembly for use in combination with an electrosurgical instrument having opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The electrode assembly includes a housing having one portion which is removably engageable with the electrosurgical instrument and a pair of electrodes each having an electrically conductive sealing surface and an insulating substrate. The electrodes are removably engageable with the end effectors of the electrosurgical instrument such that the electrodes reside in opposing relation relative to one another. The dimensions of the insulating substrate are different from the dimensions of the electrically conductive sealing surface to reduce thermal spread to adjacent tissue structures.

摘要翻译： 一种用于与具有相对的末端执行器的电外科器械组合使用的电极组件和用于实现末端执行器相对于彼此运动的手柄。 电极组件包括具有可拆卸地与电外科器械接合的一部分的壳体和各自具有导电密封表面和绝缘基底的一对电极。 电极可移除地与电外科器械的末端执行器接合，使得电极相对于彼此处于相对关系。 绝缘基板的尺寸不同于导电密封表面的尺寸，以减少对相邻组织结构的热扩散。

公开(公告)号：US20070038209A1

公开(公告)日：2007-02-15

申请号：US11585506

申请日：2006-10-24

申请人： Steven Buysse ,  Bret Felton ,  David Heard ,  David Keppel ,  Ronald Podhajsky ,  Dale Schamltz ,  Robert Wham ,  Edward Meagher ,  Kate Lawes ,  David Schechter ,  Chelsea Shields ,  Philip Tetzlaff

发明人： Steven Buysse ,  Bret Felton ,  David Heard ,  David Keppel ,  Ronald Podhajsky ,  Dale Schamltz ,  Robert Wham ,  Edward Meagher ,  Kate Lawes ,  David Schechter ,  Chelsea Shields ,  Philip Tetzlaff

IPC分类号： A61B18/12

CPC分类号： A61B18/1445 ,  A61B18/1206 ,  A61B18/1442 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00726 ,  A61B2018/00791 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892

摘要： A closed-loop control system is disclosed for use with an electrosurgical generator that generates electrosurgical energy. The closed loop control system includes a user interface for allowing a user to select at least one pre-surgical parameter, such as the type of surgical instrument operatively connected to the generator, the type of tissue and the desired surgical effect. A sensor module is also included for continually sensing at least one of electrical and physical properties proximate a surgical site and generating at least one signal relating thereto. The system also includes a control module for continually receiving the at least one selected pre-surgical parameter from the user interface and each of the signals from the sensor module, and processing each of the signals in accordance with the at least one pre-surgical parameter using at least one of a microprocessor, computer algorithm and a mapping. The control module generates at least one corresponding control signal relating to each signal from the sensor module, and relays the control signal to the electrosurgical generator for controlling the same. A method is also disclosed for performing an electrosurgical procedure at a surgical site on a patient. The method includes the steps of: applying at least one electrical pulse to the surgical site; continually sensing electrical and physical properties proximate the surgical site; and varying pulse parameters of individual pulses of the at least one pulse in accordance with the continually-sensed properties.

摘要翻译： 公开了一种用于产生电外科能量的电外科发生器的闭环控制系统。 闭环控制系统包括用户界面，用于允许用户选择至少一个手术前参数，例如可操作地连接到发生器的手术器械的类型，组织的类型和期望的手术效果。 还包括传感器模块，用于连续感测手术部位附近的电气和物理属性中的至少一个，并且产生与其相关的至少一个信号。 该系统还包括控制模块，用于从用户界面连续接收至少一个选择的手术前参数，以及来自传感器模块的每个信号，以及根据至少一个手术前参数处理每个信号 使用微处理器，计算机算法和映射中的至少一个。 控制模块生成与来自传感器模块的每个信号相关的至少一个相应的控制信号，并且将控制信号中继到电外科发生器以进行控制。 还公开了一种在患者的手术部位进行电外科手术的方法。 该方法包括以下步骤：将至少一个电脉冲施加到手术部位; 持续感测手术部位附近的电气和物理特性; 以及根据连续感测的特性改变至少一个脉冲的各个脉冲的脉冲参数。

公开(公告)号：US20070156139A1

公开(公告)日：2007-07-05

申请号：US10548683

申请日：2003-03-13

申请人： David Schechter ,  Philip Tetzlaff ,  Jeffrey Roy

发明人： David Schechter ,  Philip Tetzlaff ,  Jeffrey Roy

IPC分类号： A61B18/14

CPC分类号： A61B18/14 ,  A61B18/1445 ,  A61B2018/00083 ,  A61B2018/0016 ,  A61B2018/0063

摘要： A bipolar electrosurgical forceps for treating tissue includes a pair of opposing first and second jaw members each having a tissue engaging surface disposed thereon. Each of the jaw members is movable relative to one another from a first position to approximate tissue to a second position for engaging tissue therebetween. The first jaw member includes a plurality of ring electrodes disposed thereon having a first electrical potential and the second jaw member includes a corresponding plurality of post electrodes disposed thereon having a second electrical potential. Each of the plurality of post electrodes is inwardly disposed of a respective ring electrode to form an electrode micro-sealing pad wherein upon activation of the forceps tissue grasped between each electrode micro-sealing pad is sealed while tissue adjacent to each electrode micro-sealing pads remains viable.

摘要翻译： 用于治疗组织的双极电外科钳包括一对相对的第一和第二钳口构件，每个钳构件具有设置在其上的组织接合表面。 每个钳口构件可从第一位置相对于彼此移动以将组织接近到第二位置，用于在其间接合组织。 第一钳口构件包括设置在其上的多个环形电极，其具有第一电位，并且第二钳口构件包括布置在其上的相应的多个柱电极，其具有第二电位。 多个柱电极中的每一个向内设置相应的环形电极以形成电极微密封垫，其中在激活钳子组织之后，夹持在每个电极微密封垫之间的组织被密封，同时与每个电极微密封垫相邻的组件 依然可行

公开(公告)号：US09144455B2

公开(公告)日：2015-09-29

申请号：US13153513

申请日：2011-06-06

申请人： Jenifer Kennedy ,  Dale Schmaltz ,  David Schechter ,  Joel Helfer ,  David Ross

发明人： Jenifer Kennedy ,  Dale Schmaltz ,  David Schechter ,  Joel Helfer ,  David Ross

IPC分类号： A61B18/18 ,  A61B18/14 ,  A61B18/00

CPC分类号： A61B18/1233 ,  A61B18/1206 ,  A61B18/1445 ,  A61B18/1482 ,  A61B2017/00141 ,  A61B2018/00607 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/0072 ,  A61B2018/00767 ,  A61B2018/00875

摘要： A surgical system and associated method for sealing the passageway of a fluid-carrying vessel with a diameter up to 5 millimeters comprises an electrosurgical generator capable of delivering electrosurgical power, a surgical instrument electrically connected to the electrosurgical generator and adapted to transfer electrosurgical power from the electrosurgical generator to a pair of end effectors disposed at a distal end of the surgical instrument. The system also includes a power control circuit for controlling the delivery of radio frequency energy to the vessel through the end effectors, wherein the delivery of the radio frequency energy to the vessel comprises, raising the output current to a range below 1.75 Amperes RMS and the output voltage to a range below 135 Volts RMS. Radio frequency energy is applied to the vessel for a period of time while the power is held approximately constant. The flow of radio frequency energy is terminated when the impedance of the vessel being sealed reaches a predetermined level.

摘要翻译： 用于密封直径达5毫米的流体输送容器的通道的手术系统和相关联的方法包括能够递送电外科电力的电外科发生器，电连接到电外科发生器的外科手术器械，并且适于将电外科手术功率从 电外科发生器设置在外科器械的远端处的一对末端执行器。 该系统还包括一个功率控制电路，用于通过端部执行器控制向容器传送射频能量，其中将射频能量递送到容器包括将输出电流提升到低于1.75安培RMS的范围，并且 输出电压范围低于135伏RMS。 无线电频率能量被持续一段时间，而电力保持大致恒定。 当被密封的容器的阻抗达到预定水平时，射频能量的流动被终止。

公开(公告)号：US20060064085A1

公开(公告)日：2006-03-23

申请号：US11230027

申请日：2005-09-19

申请人： David Schechter ,  Stephen Solga ,  Duane Kerr ,  Scott Nelson ,  Mark Henault ,  Joseph Bucciaglia

发明人： David Schechter ,  Stephen Solga ,  Duane Kerr ,  Scott Nelson ,  Mark Henault ,  Joseph Bucciaglia

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B17/32 ,  A61B2017/2927 ,  A61B2017/2939 ,  A61B2017/2943

摘要： A bipolar electrosurgical instrument has a pair of pivotable juxtaposed jaw members and a locking mechanism operatively associated with a second of the jaw members. The locking mechanism has a first position engaged with the second jaw member for preventing movement of the second jaw member between an axially aligned orientation and at least one angled orientation, and a second position. The second position is disengaged from the second jaw member allowing for movement of the second jaw member between the axially aligned orientation and the at least one angled orientation. The instrument has an actuation mechanism operatively connected to a first of the jaw members with the actuation mechanism operable to move the first jaw member between an axially aligned first orientation and at least one angled orientation. An articulation knob is operatively associated with the locking mechanism and effectuates independent operation of the locking and actuation mechanisms.

公开(公告)号：US20050004570A1

公开(公告)日：2005-01-06

申请号：US10834764

申请日：2004-04-29

申请人： Troy Chapman ,  Chelsea Shields ,  David Schechter

发明人： Troy Chapman ,  Chelsea Shields ,  David Schechter

IPC分类号： A61B20060101 ,  A61B18/00 ,  A61B18/14 ,  A61B18/18

CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2018/00023 ,  A61B2018/00047 ,  A61B2018/0063 ,  A61B2018/146

摘要： An electrode sealing assembly for use in combination with an electrosurgical instrument includes first and second jaw members which are movable from a first, spaced-apart position to a second position to grasp tissue. Each of the jaw members includes an insulative housing, a thermally conductive, electrically non-conductive material and a sealing plate. The insulative housing has a series of electromechanical interfaces which mate with a corresponding series of electromechanical interfaces which extend from the sealing plate such that the sealing plates are a capable of conducting bipolar energy through tissue held between the jaw members. The thermally conductive, electrically non-conductive material is configured to encapsulate and secure the sealing plate to the insulative housing.

摘要翻译： 用于与电外科器械组合使用的电极密封组件包括第一和第二钳口构件，其可从第一间隔位置移动到第二位置以抓紧组织。 每个钳口构件包括绝缘壳体，导热的非导电材料和密封板。 绝缘壳体具有一系列机电接口，其与从密封板延伸的相应的一系列机电接口配合，使得密封板能够通过夹持在钳口构件之间的组织传导双极能。 导热的非导电材料构造成将密封板封装并固定到绝缘壳体上。

公开(公告)号：US20060264931A1

公开(公告)日：2006-11-23

申请号：US10552666

申请日：2004-04-29

申请人： Troy Chapman ,  Chelsea Shields ,  David Schechter

发明人： Troy Chapman ,  Chelsea Shields ,  David Schechter

IPC分类号： A61B18/14

CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2018/00023 ,  A61B2018/00047 ,  A61B2018/0063 ,  A61B2018/146

摘要： An electrode sealing assembly for use in combination with an electrosurgical instrument includes first and second jaw members which are movable from a first, spaced-apart position to a second position to grasp tissue. Each of the jaw members includes an insulative housing, a thermally conductive, electrically non-conductive material and a sealing plate. The insulative housing has a series of electromechanical interfaces which mate with a corresponding series of electromechanical interfaces which extend from the sealing plate such that the sealing plates are a capable of conducting bipolar energy through tissue held between the jaw members. The thermally conductive, configured to encapsulate and secure the sealing plate to the insulative housing.

摘要翻译： 用于与电外科器械组合使用的电极密封组件包括第一和第二钳口构件，其可从第一间隔位置移动到第二位置以抓紧组织。 每个钳口构件包括绝缘壳体，导热的非导电材料和密封板。 绝缘壳体具有一系列机电接口，其与从密封板延伸的相应的一系列机电接口配合，使得密封板能够通过夹持在钳口构件之间的组织传导双极能。 导热构件将密封板封装并固定到绝缘壳体上。

公开(公告)号：US20060257836A1

公开(公告)日：2006-11-16

申请号：US11314332

申请日：2005-12-21

申请人： Stanley Humphries ,  Kyle Rick ,  David Schechter ,  Nahum Goldberg

发明人： Stanley Humphries ,  Kyle Rick ,  David Schechter ,  Nahum Goldberg

IPC分类号： G09B23/28

CPC分类号： G09B23/30

摘要： A system and method for performing a simulation of an electrosurgical procedure are disclosed. The method includes the steps of generating a three-dimensional medium, which includes one or more material regions representing a physical object. The method also includes the steps of dividing the medium into multiple hexahedron elements to generate a three-dimensional conformal mesh and assigning each element to the material region. The method further includes the steps of calculating an electrical energy solution and a thermal transport solution and generating graphical representations illustrating one or more aspects of the electrical energy and the thermal transport solutions.

摘要翻译： 公开了一种用于执行电外科手术的仿真的系统和方法。 该方法包括产生三维介质的步骤，其包括表示物理对象的一个​​或多个材料区域。 该方法还包括将介质分成多个六面体元件以产生三维适形网格并将每个元素分配给材料区域的步骤。 该方法还包括以下步骤：计算电能解决方案和热传输解决方案，并产生说明电能和热传输解决方案的一个或多个方面的图形表示。