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公开(公告)号：US20120083783A1
公开(公告)日：2012-04-05
申请号：US12896420
申请日：2010-10-01
申请人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , Gregory A. Trees , Kevin D. Felder , Bingshi Wang , Nathaniel F. Barbera
发明人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , Gregory A. Trees , Kevin D. Felder , Bingshi Wang , Nathaniel F. Barbera
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00142 , A61B2018/0063 , A61B2018/1455 , A61B2090/034 , A61B2090/037
摘要： A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise an end effector. The end effector may comprise a cammed compression surface. The end effector may comprise an electrode comprising a tapered tissue contacting surface. Some surgical instruments may comprise an overload member.
摘要翻译： 用于向组织供应能量的外科器械可以包括手柄，触发器，电输入和从手柄延伸的轴。 外科器械可以包括末端执行器。 端部执行器可以包括凸轮压缩表面。 端部执行器可以包括包括锥形组织接触表面的电极。 一些手术器械可以包括过载部件。
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公开(公告)号：US08888809B2
公开(公告)日：2014-11-18
申请号：US12896420
申请日：2010-10-01
申请人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , Gregory A. Trees , Kevin D. Felder , Bingshi Wang , Nathaniel F. Barbera
发明人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , Gregory A. Trees , Kevin D. Felder , Bingshi Wang , Nathaniel F. Barbera
CPC分类号： A61B18/1445 , A61B2018/00142 , A61B2018/0063 , A61B2018/1455 , A61B2090/034 , A61B2090/037
摘要： A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise an end effector. The end effector may comprise a cammed compression surface. The end effector may comprise an electrode comprising a tapered tissue contacting surface. Some surgical instruments may comprise an overload member.
摘要翻译： 用于向组织供应能量的外科器械可以包括手柄，触发器，电输入和从手柄延伸的轴。 外科器械可以包括末端执行器。 端部执行器可以包括凸轮压缩表面。 端部执行器可以包括包括锥形组织接触表面的电极。 一些手术器械可以包括过载部件。
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公开(公告)号：US20120083784A1
公开(公告)日：2012-04-05
申请号：US12896411
申请日：2010-10-01
申请人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , James R. Giordano , Gregory A. Trees , Bingshi Wang , Aaron C. Voegele , David K. Norvell
发明人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , James R. Giordano , Gregory A. Trees , Bingshi Wang , Aaron C. Voegele , David K. Norvell
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1442 , A61B2017/00526 , A61B2018/0063 , A61B2018/1452 , A61B2018/1455 , A61B2090/034 , Y10T29/49117 , Y10T29/49959
摘要： A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise and end effector first and second tissue engaging surfaces that are slanted with respect to a transection plane. The end effector may, for example, have an electrode defining a V-shaped cross sectional profile. The end effector may comprise a plurality of raised surfaces that are received by a plurality of indentions when the end effector is in the closed position. The end effector may comprise a cutting member having a plurality of bands.
摘要翻译： 用于向组织供应能量的外科器械可以包括手柄，触发器，电输入和从手柄延伸的轴。 外科器械可以包括相对于横切平面倾斜的并且结束执行器第一和第二组织接合表面。 端部执行器可以例如具有限定V形横截面轮廓的电极。 端部执行器可以包括多个凸起表面，当顶端执行器处于关闭位置时，多个凸起表面被多个压痕接收。 端部执行器可以包括具有多个带的切割构件。
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公开(公告)号：US10441345B2
公开(公告)日：2019-10-15
申请号：US13251766
申请日：2011-10-03
申请人： Jeffrey L. Aldridge , Robert A. Kemerling , Mark E. Tebbe , Christopher A. Papa , Daniel W. Price , Eitan T. Wiener , Jeffrey D. Messerly , David C. Yates , Mark A. Davison , Scott B. Killinger , Gavin M. Monson , Robert J. Laird , Matthew C. Miller
发明人： Jeffrey L. Aldridge , Robert A. Kemerling , Mark E. Tebbe , Christopher A. Papa , Daniel W. Price , Eitan T. Wiener , Jeffrey D. Messerly , David C. Yates , Mark A. Davison , Scott B. Killinger , Gavin M. Monson , Robert J. Laird , Matthew C. Miller
摘要： A generator is disclosed to generate a drive signal to a surgical device. The generator includes an ultrasonic generator module to generate a first drive signal to drive an ultrasonic device, an electrosurgery/radio frequency (RF) generator module to generate a second drive signal to drive an electrosurgical device, and a foot switch coupled to each of the ultrasonic generator module and the electrosurgery/RF generator module. The foot switch is configured to operate in a first mode when the ultrasonic device is coupled to the ultrasonic generator module and the foot switch is configured to operate in a second mode when the electrosurgical device is coupled to the electrosurgery/RF generator module. The generator further includes a user interface to provide feedback in accordance with the operation of any one of the ultrasonic device and the electrosurgical device in accordance with a predetermined algorithm.
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公开(公告)号：US20120078139A1
公开(公告)日：2012-03-29
申请号：US13251766
申请日：2011-10-03
申请人： Jeffrey L. Aldridge , Robert A. Kemerling , Mark E. Tebbe , Christopher A. Papa , Daniel W. Price , Eitan T. Wiener , Jeffrey D. Messerly , David C. Yates , Mark A. Davison , Scott B. Killinger , Gavin M. Monson , Robert J. Laird , Matthew C. Miller
发明人： Jeffrey L. Aldridge , Robert A. Kemerling , Mark E. Tebbe , Christopher A. Papa , Daniel W. Price , Eitan T. Wiener , Jeffrey D. Messerly , David C. Yates , Mark A. Davison , Scott B. Killinger , Gavin M. Monson , Robert J. Laird , Matthew C. Miller
CPC分类号： A61B17/320092 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B2017/00199 , A61B2017/00477 , A61B2017/00482 , A61B2017/00486 , A61B2017/00973 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/320093 , A61B2017/320094 , A61B2018/0016 , A61B2018/00172 , A61B2018/00178 , A61B2018/00666 , A61B2018/00678 , A61B2018/00779 , A61B2018/00875 , A61B2018/00928 , A61B2018/00988 , A61B2018/00994 , A61B2018/1273
摘要： A generator is disclosed to generate a drive signal to a surgical device. The generator includes an ultrasonic generator module to generate a first drive signal to drive an ultrasonic device, an electrosurgery/radio frequency (RF) generator module to generate a second drive signal to drive an electrosurgical device, and a foot switch coupled to each of the ultrasonic generator module and the electrosurgery/RF generator module. The foot switch is configured to operate in a first mode when the ultrasonic device is coupled to the ultrasonic generator module and the foot switch is configured to operate in a second mode when the electrosurgical device is coupled to the electrosurgery/RF generator module. The generator further includes a user interface to provide feedback in accordance with the operation of any one of the ultrasonic device and the electrosurgical device in accordance with a predetermined algorithm.
摘要翻译： 公开了一种发生器来产生到外科手术装置的驱动信号。 所述发生器包括：超声波发生器模块，用于产生用于驱动超声波装置的第一驱动信号;电外科/射频（RF）发生器模块，用于产生驱动电外科装置的第二驱动信号;以及脚踏开关， 超声波发生器模块和电外科/射频发生器模块。 当超声波装置耦合到超声波发生器模块时，脚踏开关被配置为以第一模式操作，并且当电外科设备耦合到电外科/ RF发生器模块时，脚踏开关被配置为以第二模式操作。 发生器还包括用户接口，以根据预定算法根据超声波装置和电外科设备中的任何一个的操作来提供反馈。
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公开(公告)号：US09050093B2
公开(公告)日：2015-06-09
申请号：US12896467
申请日：2010-10-01
CPC分类号： A61B18/1206 , A61B17/320068 , A61B17/320092 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B2017/00017 , A61B2017/00477 , A61B2017/00482 , A61B2017/00486 , A61B2017/2934 , A61B2017/2936 , A61B2018/00178 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/0072 , A61B2018/00732 , A61B2018/00767 , A61B2018/00779 , A61B2018/00803 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00988 , A61B2018/00994 , H01L41/042 , H01R2201/12
摘要： In accordance with various embodiments, methods to control electrical power provided to tissue via first and second electrodes may comprise providing a drive signal to the tissue via the first and second electrodes and modulating a power provided to the tissue via the drive signal based on a sensed tissue impedance according to a first power curve. The first power curve may define, for each of a plurality of potential sensed tissue impedances, a first corresponding power. The methods may also comprise monitoring a total energy provided to the tissue via the first and second electrodes. When the total energy reaches a first energy threshold, the methods may comprise determining whether an impedance of the tissue has reached a first impedance threshold. The methods may further comprise, conditioned upon the impedance of the tissue failing to reach the first impedance threshold, modulating the power provided to the tissue via the drive signal based on the sensed tissue impedance according to a second power curve. The second power curve may define, for each of the plurality of potential sensed tissue impedances, a second corresponding power.
摘要翻译： 根据各种实施例，通过第一和第二电极来控制提供给组织的电力的方法可以包括经由第一和第二电极向组织提供驱动信号，并且经由驱动信号调制提供给组织的功率 组织阻抗根据第一功率曲线。 对于多个潜在感测的组织阻抗中的每一个，第一功率曲线可以限定第一对应功率。 所述方法还可以包括通过第一和第二电极监测提供给组织的总能量。 当总能量达到第一能量阈值时，方法可以包括确定组织的阻抗是否已经达到第一阻抗阈值。 所述方法还可以包括：根据组织的阻抗达不到第一阻抗阈值，根据第二功率曲线，基于感测的组织阻抗，经由驱动信号调制提供给组织的功率。 对于多个潜在感测的组织阻抗中的每一个，第二功率曲线可以限定第二对应功率。
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公开(公告)号：US20110087217A1
公开(公告)日：2011-04-14
申请号：US12896470
申请日：2010-10-01
IPC分类号： A61B18/12
CPC分类号： A61B18/1206 , A61B17/320068 , A61B17/320092 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B2017/00017 , A61B2017/00477 , A61B2017/00482 , A61B2017/00486 , A61B2017/2934 , A61B2017/2936 , A61B2018/00178 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/0072 , A61B2018/00732 , A61B2018/00767 , A61B2018/00779 , A61B2018/00803 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00988 , A61B2018/00994 , H01L41/042 , H01R2201/12
摘要： In accordance with various embodiments, methods for controlling electrical power provided to tissue via a surgical device may comprise providing a drive signal. A power of the drive signal may be proportional to a power provided to the tissue via the surgical device. The methods may also comprise periodically receiving indications of an impedance of the tissue and applying a first composite power curve to the tissue, wherein applying the first composite power curve to the tissue comprises. Applying the first composite power curve to the tissue may comprise modulating a first predetermined number of first composite power curve pulses on the drive signal; and for each of the first composite power curve pulses, determining a pulse power and a pulse width according to a first function of the impedance of the tissue The methods may also comprise applying a second composite power curve to the tissue. Applying the second composite power curve to the tissue may comprise modulating at least one second composite power curve pulse on the drive signal; and for each of the at least one second composite power curve pulses, determining a pulse power and a pulse width according to a second function of the impedance of the tissue.
摘要翻译： 根据各种实施例，用于控制经由手术装置提供给组织的电功率的方法可包括提供驱动信号。 驱动信号的功率可以与通过手术装置提供给组织的功率成比例。 所述方法还可以包括周期性地接收组织阻抗的指示并向组织施加第一复合功率曲线，其中将第一复合功率曲线应用于组织包括。 将第一复合功率曲线应用于组织可以包括调制驱动信号上的第一预定数量的第一复合功率曲线脉冲; 并且对于每个第一复合功率曲线脉冲，根据组织的阻抗的第一函数来确定脉冲功率和脉冲宽度。所述方法还可以包括向组织施加第二复合功率曲线。 将第二复合功率曲线应用于组织可以包括调制驱动信号上的至少一个第二复合功率曲线脉冲; 并且对于所述至少一个第二复合功率曲线脉冲中的每一个，根据所述组织的阻抗的第二函数确定脉冲功率和脉冲宽度。
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公开(公告)号：US09060776B2
公开(公告)日：2015-06-23
申请号：US12896470
申请日：2010-10-01
CPC分类号： A61B18/1206 , A61B17/320068 , A61B17/320092 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B2017/00017 , A61B2017/00477 , A61B2017/00482 , A61B2017/00486 , A61B2017/2934 , A61B2017/2936 , A61B2018/00178 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/0072 , A61B2018/00732 , A61B2018/00767 , A61B2018/00779 , A61B2018/00803 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00988 , A61B2018/00994 , H01L41/042 , H01R2201/12
摘要： In accordance with various embodiments, methods for controlling electrical power provided to tissue via a surgical device may comprise providing a drive signal. A power of the drive signal may be proportional to a power provided to the tissue via the surgical device. The methods may also comprise periodically receiving indications of an impedance of the tissue and applying a first composite power curve to the tissue, wherein applying the first composite power curve to the tissue comprises. Applying the first composite power curve to the tissue may comprise modulating a first predetermined number of first composite power curve pulses on the drive signal; and for each of the first composite power curve pulses, determining a pulse power and a pulse width according to a first function of the impedance of the tissue The methods may also comprise applying a second composite power curve to the tissue. Applying the second composite power curve to the tissue may comprise modulating at least one second composite power curve pulse on the drive signal; and for each of the at least one second composite power curve pulses, determining a pulse power and a pulse width according to a second function of the impedance of the tissue.
摘要翻译： 根据各种实施例，用于控制经由手术装置提供给组织的电功率的方法可包括提供驱动信号。 驱动信号的功率可以与通过手术装置提供给组织的功率成比例。 所述方法还可以包括周期性地接收组织阻抗的指示并向组织施加第一复合功率曲线，其中将第一复合功率曲线应用于组织包括。 将第一复合功率曲线应用于组织可以包括调制驱动信号上的第一预定数量的第一复合功率曲线脉冲; 并且对于每个第一复合功率曲线脉冲，根据组织的阻抗的第一函数来确定脉冲功率和脉冲宽度。所述方法还可以包括向组织施加第二复合功率曲线。 将第二复合功率曲线应用于组织可以包括调制驱动信号上的至少一个第二复合功率曲线脉冲; 并且对于所述至少一个第二复合功率曲线脉冲中的每一个，根据所述组织的阻抗的第二函数确定脉冲功率和脉冲宽度。
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公开(公告)号：US20110087215A1
公开(公告)日：2011-04-14
申请号：US12896467
申请日：2010-10-01
IPC分类号： A61B18/12
CPC分类号： A61B18/1206 , A61B17/320068 , A61B17/320092 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B2017/00017 , A61B2017/00477 , A61B2017/00482 , A61B2017/00486 , A61B2017/2934 , A61B2017/2936 , A61B2018/00178 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/0072 , A61B2018/00732 , A61B2018/00767 , A61B2018/00779 , A61B2018/00803 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00988 , A61B2018/00994 , H01L41/042 , H01R2201/12
摘要： In accordance with various embodiments, methods to control electrical power provided to tissue via first and second electrodes may comprise providing a drive signal to the tissue via the first and second electrodes and modulating a power provided to the tissue via the drive signal based on a sensed tissue impedance according to a first power curve. The first power curve may define, for each of a plurality of potential sensed tissue impedances, a first corresponding power. The methods may also comprise monitoring a total energy provided to the tissue via the first and second electrodes. When the total energy reaches a first energy threshold, the methods may comprise determining whether an impedance of the tissue has reached a first impedance threshold. The methods may further comprise, conditioned upon the impedance of the tissue failing to reach the first impedance threshold, modulating the power provided to the tissue via the drive signal based on the sensed tissue impedance according to a second power curve. The second power curve may define, for each of the plurality of potential sensed tissue impedances, a second corresponding power.
摘要翻译： 根据各种实施例，通过第一和第二电极来控制提供给组织的电力的方法可以包括经由第一和第二电极向组织提供驱动信号，并且经由驱动信号调制提供给组织的功率 组织阻抗根据第一功率曲线。 对于多个潜在感测的组织阻抗中的每一个，第一功率曲线可以限定第一对应功率。 所述方法还可以包括通过第一和第二电极监测提供给组织的总能量。 当总能量达到第一能量阈值时，方法可以包括确定组织的阻抗是否已经达到第一阻抗阈值。 所述方法还可以包括：根据组织的阻抗达不到第一阻抗阈值，根据第二功率曲线，基于感测的组织阻抗，经由驱动信号调制提供给组织的功率。 对于多个潜在感测的组织阻抗中的每一个，第二功率曲线可以限定第二对应功率。
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公开(公告)号：US08216257B2
公开(公告)日：2012-07-10
申请号：US13111400
申请日：2011-05-19
IPC分类号： A61B17/08
CPC分类号： A61B17/1285 , A61B17/00234 , A61B17/068 , A61B17/0682 , A61B17/10 , A61B2017/00407 , A61B2090/032
摘要： A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and a shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween. The surgical clip applier can include a variety of features to facilitate use of the device, including features to align a clip with the jaws, features to prevent unintentional migration of a clip, and features to prevent clip fallout during formation.
摘要翻译： 提供外科手术夹具和在手术过程中将手术夹子应用于血管，导管，分流器等的方法。 在一个示例性实施例中，提供了具有壳体的手术夹具，其具有可移动地联接到其上的触发器和从其延伸的轴，其上形成有在其远端上的相对的夹爪。 触发器适于推进夹子以将夹子定位在钳口之间，并且将钳口从打开位置移动到关闭位置，以夹紧位于其间的夹子。 外科夹子施放器可以包括各种特征以便于使用该装置，包括将夹子与夹爪对准的特征，特征以防止夹子的无意移动，以及特征以防止在形成期间的夹子落下。
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