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。

公开(公告)号：US20050240179A1

公开(公告)日：2005-10-27

申请号：US11122346

申请日：2005-05-05

申请人： Steven Buysse ,  Kate Lawes ,  Dale Schmaltz ,  Michael Lands ,  S. Lukianow ,  Kristin Johnson ,  Gary Couture ,  Lap Nguyen

发明人： Steven Buysse ,  Kate Lawes ,  Dale Schmaltz ,  Michael Lands ,  S. Lukianow ,  Kristin Johnson ,  Gary Couture ,  Lap Nguyen

IPC分类号： A61B18/14 ,  A61B19/00

CPC分类号： A61B18/1445 ,  A61B2018/00083 ,  A61B2018/0063 ,  A61B2018/00666 ,  A61B2090/034

摘要： A laparoscopic bipolar electrosurgical instrument for sealing tissue includes a handle having an elongated tube affixed thereto. The tube includes first and second jaw members having electrically conductive sealing surfaces attached to a distal end thereof which are movable from a first position for approximating tissue to a second position for grasping tissue therebetween. The handle includes a fixed handle and a handle which is movable relative to the fixed handle to effect movement of the jaw members from the first position to the second position for grasping tissue. The jaw members connect to a source of electrosurgical energy such that the opposable sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A stop is included for maintaining a minimum separation distance between opposing sealing surfaces. A ratchet is also included to maintain a closure force in the range of about 7 kg/cm2 to about 13 kg/cm2 between opposing sealing surfaces.

摘要翻译： 用于密封组织的腹腔镜双极电外科器械包括具有固定到其上的细长管的手柄。 管包括第一和第二钳口构件，其具有附接到其远端的导电密封表面，其可从用于近似组织的第一位置移动到用于抓握其间的组织的第二位置。 手柄包括固定手柄和手柄，该手柄可相对于固定手柄移动，以实现卡爪构件从第一位置到第二位置的移动，从而抓住组织。 钳口构件连接到电外科能量源，使得相对的密封表面能够通过保持在其间的组织进行电外科能量。 包括一个止动件，用于保持相对的密封表面之间的最小间隔距离。 还包括棘轮以在相对的密封表面之间保持约7kg / cm 2至约13kg / cm 2的范围内的闭合力。

公开(公告)号：US20070213712A1

公开(公告)日：2007-09-13

申请号：US11801618

申请日：2007-05-10

申请人： Steven Buysse ,  Dale Schmaltz ,  Gary Couture ,  Lap Nguyen ,  Kristin Johnson

发明人： Steven Buysse ,  Dale Schmaltz ,  Gary Couture ,  Lap Nguyen ,  Kristin Johnson

IPC分类号： A61B18/12

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

摘要： A bipolar electrosurgical instrument has opposable seal surfaces on its jaws for grasping and sealing vessels and vascular tissue. Inner and outer instrument members allow arcuate motion of the seal surfaces. An open lockbox provides a pivot with lateral support to maintain alignment of the lateral surfaces. Ratchets on the instrument members hold a constant closure force on the tissue during the seal process. A shank portion on each member is tuned to provide an appropriate spring force to hold the seal surfaces together. During surgery, the instrument can be used to grasp and clamp vascular tissue and apply bipolar electrosurgical current through the clamped tissue. In one embodiment, the seal surfaces are partially insulated to prevent a short circuit when the instrument jaws are closed together. In another embodiment, the seal surfaces are removably mounted on the jaws.

摘要翻译： 双极电外科器械在其钳口上具有对置的密封表面，用于抓住和密封容器和血管组织。 内部和外部仪器构件允许密封表面的弓形运动。 开放的锁箱提供具有侧向支撑的枢轴以保持侧面的对准。 仪器构件上的棘轮在密封过程中在组织上保持恒定的闭合力。 调整每个构件上的柄部分以提供适当的弹簧力以将密封表面保持在一起。 在手术过程中，仪器可用于掌握和夹紧血管组织，并通过钳夹的组织施加双极电外科电流。 在一个实施例中，密封表面是部分绝缘的，以防止当仪器钳口闭合在一起时发生短路。 在另一个实施例中，密封表面可移除地安装在夹爪上。

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：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：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：US20060189981A1

公开(公告)日：2006-08-24

申请号：US11358180

申请日：2006-02-21

申请人： Sean Dycus ,  Gary Couture ,  Lap Nguyen ,  Kristin Johnson ,  Michael Moses

发明人： Sean Dycus ,  Gary Couture ,  Lap Nguyen ,  Kristin Johnson ,  Michael Moses

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B2018/0013 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2018/1861 ,  A61B2090/034

摘要： An endoscopic bipolar forceps for sealing and dividing tissue which includes an elongated shaft having opposing jaw members at a distal end thereof. The jaw members are movable relative to one another about a pivot from a first spaced position to a second closed position to grasp tissue. Each jaw member is adapted to couple to a generator for conducting energy to effect a seal. The forceps also includes a handle assembly and a longitudinally reciprocating knife assembly which is translatable to sever tissue. The knife assembly includes a bifurcated knife bar having two forks which ride about the pivot during translation of the knife. One or more non-conductive stop members are operatively associated with the jaw members to regulate the distance between the jaw members when closed.

公开(公告)号：US20060167450A1

公开(公告)日：2006-07-27

申请号：US11328767

申请日：2006-01-10

申请人： Kristin Johnson ,  Steven Buysse

发明人： Kristin Johnson ,  Steven Buysse

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B2017/2929 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/1861 ,  A61B2090/034

摘要： An electrosurgical instrument includes a housing having a shaft attached thereto which defines a longitudinal axis therethrough. The instrument also includes first and second opposing jaw members coupled to the shaft, the first jaw member having a conductive surface and being movable relative to the second jaw member and the second jaw member being fixed relative to the shaft having an electrode rotatable along the longitudinal axis. The rotatable electrode has a sealing surface and a cutting edge. At least one non-conductive stop member is disposed on at least one of the first and second jaw members which controls the distance between the electrically conductive surfaces when tissue is held therebetween. The jaw member are connected to an electrosurgical energy source such that the jaw members are capable of conducting energy through tissue held therebetween.

摘要翻译： 电外科器械包括具有连接到其上的轴的壳体，其限定穿过其中的纵向轴线。 仪器还包括联接到轴的第一和第二相对的钳口构件，第一钳口构件具有导电表面并且可相对于第二钳口构件运动，并且第二钳口构件相对于轴固定，该杆具有沿着纵向可旋转的电极 轴。 可旋转电极具有密封面和切削刃。 至少一个非导电止动构件设置在第一和第二钳口构件中的至少一个上，当组织保持在其间时，其控制导电表面之间的距离。 钳口构件连接到电外科能量源，使得钳口构件能够通过保持在其间的组织传导能量。

公开(公告)号：US20060259036A1

公开(公告)日：2006-11-16

申请号：US11489319

申请日：2006-07-19

申请人： Philip Tetzlaff ,  James Cunningham ,  Michael Moses ,  Roger Smith ,  Kristin Johnson ,  Paul Romero

发明人： Philip Tetzlaff ,  James Cunningham ,  Michael Moses ,  Roger Smith ,  Kristin Johnson ,  Paul Romero

IPC分类号： A61B18/14

CPC分类号： A61B18/1442 ,  A61B17/29 ,  A61B18/1445 ,  A61B2017/2945 ,  A61B2018/1432 ,  A61B2018/145 ,  A61B2018/146 ,  A61B2018/1495 ,  A61B2090/034

摘要： A removable electrode assembly for use in combination with a forceps having opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The electrode assembly includes a housing which is removably engageable with the forceps and a pair of electrodes which are attachable to a distal end of the housing. The electrodes are removably engageable with the end effectors of the forceps such that the electrodes reside in opposing relation relative to one another. The electrode assembly also includes a cover plate which is removably attachable to the housing and at least one stop member for controlling the distance between the opposing electrodes. The stop member is selectively engageable with the electrodes.

公开(公告)号：US20070173811A1

公开(公告)日：2007-07-26

申请号：US11338552

申请日：2006-01-24

申请人： Gary Couture ,  Kristin Johnson ,  Robert Sharp ,  Jeff Unger ,  Craig Weinberg ,  Robert Wham

发明人： Gary Couture ,  Kristin Johnson ,  Robert Sharp ,  Jeff Unger ,  Craig Weinberg ,  Robert Wham

IPC分类号： A61B18/18

CPC分类号： A61B18/1445 ,  A61B18/1206 ,  A61B18/1442 ,  A61B2017/00154 ,  A61B2018/00601 ,  A61B2018/00702 ,  A61B2018/00875

摘要： System and method for controlling delivery of energy to divide tissue are disclosed. The system comprises an electrosurgical instrument having an electrically energizable cutting element which communicates electrical energy to the tissue and a generator to supply the energy to the electrosurgical instrument which supplies the energy to the tissue in a first pulse to react the tissue, in slow pulses to create a desiccation line until impedance at the tissue has reached a threshold, and in rapid pulses to divide tissue across the desiccation line.

摘要翻译： 公开了用于控制能量分配组织递送的系统和方法。 该系统包括具有电能切割元件的电外科器械，其将电能传递到组织和发电机，以将能量提供给电外科器械，该电外科仪器以第一脉冲将组织提供能量以对组织反应，以慢脉冲 创建干燥线，直到组织的阻抗达到阈值，并且以快速脉冲将组织划分在干燥线上。