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公开(公告)号：US20050137592A1
公开(公告)日：2005-06-23
申请号：US10996971
申请日：2004-11-24
申请人： Lap Nguyen , Steven Buysse , Dale Schmaltz , Stephen Lukianow , Michael Lands , Jenifer Kennedy , Kate Lawes , Daniel Trimberger , Mathew Mitchell , Kristin Johnson , Gary Couture , Philip Tetzlaff
发明人： Lap Nguyen , Steven Buysse , Dale Schmaltz , Stephen Lukianow , Michael Lands , Jenifer Kennedy , Kate Lawes , Daniel Trimberger , Mathew Mitchell , Kristin Johnson , Gary Couture , Philip Tetzlaff
IPC分类号： A61K47/26 , A61B18/12 , A61B18/14 , A61K20060101 , A61K9/00 , A61K9/20 , A61K9/26 , A61K9/70 , A61K47/02 , A61K47/32 , A61K47/38 , A61K47/42 , A61K47/48
CPC分类号： A61B18/1445 , A61B2017/2945 , A61B2018/126 , A61B2018/1412 , A61B2018/1432 , A61B2018/1455
摘要： A bipolar electrosurgical instrument for clamping, grasping, manipulating, and sealing tissue includes first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof. The handle being operable to effect movement of the jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. The bipolar instrument is connectable to a source of electrical energy having a first electrical potential connected to one of the jaw members and a second electrical potential connected to the other of the jaw members such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal. Both the first and second electrical potentials are transmitted to the jaw members through the first shaft.
摘要翻译： 用于夹紧，抓握，操作和密封组织的双极电外科器械包括第一和第二轴，每个具有从其远端延伸的钳口构件和设置在其近端处的手柄。 所述手柄可操作以实现所述钳口构件相对于彼此从第一位置的移动，其中所述钳口构件相对于彼此以间隔开的关系设置到第二位置，其中所述钳口构件协作以在其间抓握组织。 所述双极仪器可连接到具有连接到所述钳口构件中的一个的第一电势的电能源，以及连接到所述钳口构件中的另一个的第二电势，使得所述钳口构件能够选择性地通过组织保持的能量传导能量 之间进行密封。 第一和第二电位都通过第一轴传递到钳口构件。
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公开(公告)号：US20060009764A1
公开(公告)日：2006-01-12
申请号：US11169927
申请日：2005-06-29
申请人： Michael Lands , Stephen Lukianow , Donald Loeffler , James Cunnigham , Kate Lawes , Daniel Trimberger , Mathew Mitchell , Jenifer Kennedy
发明人： Michael Lands , Stephen Lukianow , Donald Loeffler , James Cunnigham , Kate Lawes , Daniel Trimberger , Mathew Mitchell , Jenifer Kennedy
IPC分类号： A61B18/14
CPC分类号： A61B18/1445
摘要： A laparoscopic bipolar electrosurgical instrument can apply a large closure force between its jaws without damaging the small yoke assembly. The instrument comprises: a first jaw having a first flange with a first slot, and a second jaw having a second flange with a second slot, wherein the first and second jaws are located at a distal end of the instrument and comprise an electrically conductive material for conducting bipolar electrosurgical current therebetween; a yoke attached to a pushrod and positioned to electrically insulate the first flange from the second flange, the yoke having a first side facing the first flange and a second side facing the second flange, the yoke further comprising a first shoulder and a second shoulder, a first pin located on the first side and movably engaged with the first slot; a second pin located on the second side and movably engaged with the second slot; the first slot and the second slot shaped such that an angle, subtended by the first and second jaws, decreases with distal motion of the pushrod, and first and second cul-de-sacs positioned respectively in the first and second slots to relieve shear stresses on the first and second pins approximately when the first and second shoulders respectively engage the first and second flanges to provide a closure force between the first and second jaws.
摘要翻译： 腹腔镜双极电外科器械可以在其钳口之间施加大的闭合力，而不会损坏小轭组件。 仪器包括：第一钳口，具有带有第一槽的第一凸缘和具有带有第二槽的第二凸缘的第二钳口，其中第一和第二钳口位于器械的远端，并且包括导电材料 用于在它们之间导电双极电外科电流; 轭架，其附接到推杆并且定位成将第一凸缘与第二凸缘电绝缘，所述轭具有面对第一凸缘的第一侧面和面向第二凸缘的第二侧面，所述轭架还包括第一肩部和第二肩部， 第一销，位于所述第一侧上并与所述第一槽可移动地接合; 位于所述第二侧上并与所述第二槽可移动地接合的第二销; 所述第一槽和所述第二槽成形为使得由所述第一和第二钳口对着的角度随着所述推杆的远端运动而减小，以及分别定位在所述第一槽和第二槽中的第一和第二凹槽以减轻剪切应力 在第一和第二销上大致当第一和第二肩部分别接合第一和第二凸缘以提供第一和第二夹爪之间的闭合力时。
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公开(公告)号：US06190383B1
公开(公告)日：2001-02-20
申请号：US09176292
申请日：1998-10-21
申请人： Dale Schmaltz , Jenifer Kennedy
发明人： Dale Schmaltz , Jenifer Kennedy
IPC分类号： A61B1732
CPC分类号： A61B18/1477 , A61B17/32002 , A61B2017/4216 , A61B2018/00208 , A61B2018/00559 , A61B2018/00577 , A61B2018/00589 , A61B2018/1253 , A61B2018/126 , A61B2018/1861 , A61B2218/002
摘要： An apparatus for thermal treatment of a tissue mass having an elongated housing having a proximal and a distal end and defining a longitudinal axis, and further including at least two electrodes supported at its distal end and mounted for rotation to facilitate entry and passage through a tissue mass. A drive shaft may be disposed within the elongated housing and operatively engageable with the electrodes for causing their rotational movement. The apparatus may include an electrode gear and a drive shaft gear in cooperative engagement whereby rotation of the drive shaft causes corresponding rotation of the electrodes. Preferably, a motor is operatively connected to the drive shaft causing its rotational movement. Desirably, the distal end of the electrodes are threaded. A method for thermally treating a tissue mass is disclosed.
摘要翻译： 一种用于热处理组织块的装置，其具有具有近端和远端并限定纵向轴线的细长壳体，并且还包括支撑在其远端处的至少两个电极，并被安装以便于进入和通过组织 质量 驱动轴可以设置在细长壳体内并且可操作地与电极接合以使其旋转运动。 该装置可以包括电极齿轮和协调啮合的驱动轴齿轮，由此驱动轴的旋转引起电极的相应旋转。 优选地，电动机可操作地连接到驱动轴，导致其旋转运动。 理想地，电极的远端是螺纹的。 公开了一种热处理组织块的方法。
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公开(公告)号：US20110319882A1
公开(公告)日：2011-12-29
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
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。
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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
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。
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公开(公告)号：US06923805B1
公开(公告)日：2005-08-02
申请号：US09713749
申请日：2000-11-14
CPC分类号： A61N1/44 , A61B18/1485 , A61B18/1492 , A61B2018/00065 , A61B2018/00214 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61B2018/1253 , A61B2018/1472 , A61B2218/003 , A61N1/40 , A61N1/403
摘要： Apparatus and methods are provided for ablating body tissue using radio frequency (RF) energy. A catheter having a lumen for delivering fluid can be inserted into a patient's body. A porous member, which may be expandable, is attached to the distal portion of the catheter. The porous member defines an interior region in communication with the lumen, such that the interior region is capable of receiving electrolyte fluid delivered from the proximal portion of the catheter. An RF electrode is disposed in the interior region and is configured for coupling to a source of RF energy, whereby RF energy may be transferred from the electrode to selected tissue areas in a patient's body via electrolyte fluid delivered through the lumen and into the interior region of the porous member.
摘要翻译： 提供了使用射频（RF）能量来消融身体组织的装置和方法。 具有用于输送流体的内腔的导管可插入患者体内。 可扩张的多孔构件附接到导管的远端部分。 多孔构件限定与内腔连通的内部区域，使得内部区域能够接收从导管的近端部分递送的电解质流体。 RF电极设置在内部区域中并且被配置为耦合到RF能量源，由此RF能量可以通过经由内腔输送的内部区域中的电解质流体从电极转移到患者体内的选定的组织区域 的多孔构件。
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公开(公告)号：US5902328A
公开(公告)日：1999-05-11
申请号：US746662
申请日：1996-11-14
CPC分类号： A61N1/44 , A61B18/1485 , A61B18/1492 , A61N1/04 , A61N1/06 , A61N1/40 , A61N1/403 , A61B2018/00065 , A61B2018/00214 , A61B2018/00351 , A61B2018/00357 , A61B2018/00392 , A61B2018/00577 , A61B2018/00839 , A61B2018/1253 , A61B2018/1472 , A61B2218/002 , A61B2218/003
摘要： An electrophysiology energy treatment device for treating tissues within a patient's body with electrical energy comprises an elongate catheter tube having a distal end insertable into the patient's body. An electrode is within the catheter tube adjacent the distal end and locatable within the patient's body, and an electrolyte fluid flows within the catheter tube for electrically connecting the electrode to the tissues to be treated within the patient's body. A method of treating tissues within a patient's body with electrical energy is also provided. The method comprises the steps of: providing an energy treatment device having an electrode and a distal tip, the electrode being located within the patient's body offset proximally of the distal tip; placing the distal tip within the patient's body adjacent the tissues to be treated with electrical energy; energizing the electrode with electrical energy; and electrically connecting the electrode to the tissues to be treated with an electrolyte fluid flowing from the electrode to the tissues for treating the tissues with electrical energy.
摘要翻译： 一种电生理能量治疗装置，用于利用电能来治疗患者体内的组织，包括具有可插入患者体内的远端的细长导管。 导管内的电极位于远端并位于患者体内，电解质流体在导管内流动，用于将电极与患者体内待治疗的组织电连接。 还提供了一种利用电能来治疗患者体内组织的方法。 该方法包括以下步骤：提供具有电极和远端尖端的能量治疗装置，所述电极位于所述患者体内，远离所述远端尖端偏移; 将远侧末端放置在患者体内邻近被电疗处理的组织; 用电能激励电极; 以及用从电极流向组织的电解质流体将电极与待处理的组织电连接，用电能处理组织。
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公开(公告)号：US06168594A
公开(公告)日：2001-01-02
申请号：US09248171
申请日：1999-02-09
IPC分类号： A61B1818
CPC分类号： A61N1/44 , A61B18/1485 , A61B18/1492 , A61B2018/00065 , A61B2018/00214 , A61B2018/00351 , A61B2018/00357 , A61B2018/00392 , A61B2018/00577 , A61B2018/00839 , A61B2018/1253 , A61B2018/1472 , A61B2218/002 , A61B2218/003 , A61N1/04 , A61N1/06 , A61N1/40 , A61N1/403
摘要： An electrophysiology energy treatment system for treating tissues within a patient's body with RF energy comprises an elongate catheter tube having a distal end, with a porous member thereon, insertable into the patient's body. An RF electrode is within the catheter tube adjacent the distal end and locatable within the patient's body, and an electrolyte fluid flows within the catheter tube for electrically connecting the electrode to the tissues to be treated within the patient's body.
摘要翻译： 一种利用RF能量治疗患者体内的组织的电生理能量治疗系统包括具有远端的细长导管，其上具有多孔构件，可插入患者体内。 RF电极位于导管管内，邻近远端并位于患者体内，电解质流体在导管内流动，用于将电极与患者体内待治疗的组织电连接。
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公开(公告)号：US5584872A
公开(公告)日：1996-12-17
申请号：US212297
申请日：1994-03-11
CPC分类号： A61N1/44 , A61B18/1485 , A61B18/1492 , A61N1/04 , A61N1/06 , A61N1/40 , A61N1/403 , A61B2018/00065 , A61B2018/00214 , A61B2018/00351 , A61B2018/00357 , A61B2018/00392 , A61B2018/00577 , A61B2018/00839 , A61B2018/1253 , A61B2018/1472 , A61B2218/002 , A61B2218/003
摘要： An electrophysiology energy treatment device for treating tissues within a patient's body with electrical energy comprises an elongate catheter tube having a distal end insertable into the patient's body. An electrode is within the catheter tube adjacent the distal end and locatable within the patient's body, and an electrolyte fluid flows within the catheter tube for electrically connecting the electrode to the tissues to be treated within the patient's body. A method of treating tissues within a patient's body with electrical energy is also provided. The method comprises the steps of: providing an energy treatment device having an electrode and a distal tip, the electrode being located within the patient's body offset proximally of the distal tip; placing the distal tip within the patient's body adjacent the tissues to be treated with electrical energy; energizing the electrode with electrical energy; and electrically connecting the electrode to the tissues to be treated with an electrolyte fluid flowing from the electrode to the tissues for treating the tissues with electrical energy.
摘要翻译： 一种电生理能量治疗装置，用于利用电能来治疗患者体内的组织，包括具有可插入患者体内的远端的细长导管。 导管内的电极位于远端并位于患者体内，电解质流体在导管内流动，用于将电极与患者体内待治疗的组织电连接。 还提供了一种利用电能来治疗患者体内组织的方法。 该方法包括以下步骤：提供具有电极和远端尖端的能量治疗装置，所述电极位于所述患者体内，远离所述远端尖端偏移; 将远侧末端放置在患者体内邻近被电疗处理的组织; 用电能激励电极; 以及用从电极流向组织的电解质流体将电极与待处理的组织电连接，用电能处理组织。
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