公开(公告)号：US20050154387A1

公开(公告)日：2005-07-14

申请号：US10962116

申请日：2004-10-08

申请人： Michael Moses ,  Paul Romero ,  Kristin Johnson ,  Duane Kerr ,  Sean Dycus

发明人： Michael Moses ,  Paul Romero ,  Kristin Johnson ,  Duane Kerr ,  Sean Dycus

IPC分类号： A61B17/3201 ,  A61B17/12 ,  A61B17/125 ,  A61B17/28 ,  A61B18/00 ,  A61B18/12 ,  A61B18/14 ,  A61B18/18

CPC分类号： A61B17/2812 ,  A61B17/285 ,  A61B17/32 ,  A61B17/3211 ,  A61B18/1442 ,  A61B2017/2945 ,  A61B2018/00196 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/00922 ,  A61B2018/00946 ,  A61B2018/1412 ,  A61B2018/1432 ,  A61B2018/1455

摘要： An open electrosurgical forceps for sealing tissue includes a pair of first and second shaft members each having a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to at least one subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a knife channel defined along a length thereof which is dimensioned to reciprocate a cutting blade therealong. An actuator is included which is operatively connected to one of the shaft members and selectively advances the cutting mechanism from a first position wherein the cutting blade is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting blade is disposed distal to tissue held between the jaw members. The cutting blade is a generally hourglass-shaped flexible cutting blade having a notch disposed generally midway therealong which facilitates distal translation of the knife within the knife channel.

摘要翻译： 用于密封组织的开放的电外科钳包括一对第一和第二轴构件，每个第一和第二轴构件具有设置在其远端处的钳口构件。 钳口构件可以从相对于彼此间隔开的第一位置移动到至少一个随后的位置，其中钳口构件协作以抓住其间的组织。 每个钳口构件包括用于通过保持在其间的组织传导电外科能量的导电密封板。 钳口构件中的至少一个包括沿着其长度限定的刀槽，其尺寸被设计成使其上的切割刀片往复运动。 包括致动器，其可操作地连接到轴构件中的一个，并且选择性地将切割机构从第一位置前进，其中切割刀片设置在保持在夹爪构件之间的组织的近侧至少一个后续位置，其中切割刀片设置 远离组织夹持在钳口构件之间。 切割刀片是通常为沙漏形的柔性切割刀片，其具有通常沿着其中间设置的凹口，其有助于刀在刀具通道内的远端平移。

公开(公告)号：US20050107784A1

公开(公告)日：2005-05-19

申请号：US10873860

申请日：2004-06-22

申请人： Michael Moses ,  Paul Romero ,  Kristin Johnson ,  Duane Kerr ,  Sean Dycus

发明人： Michael Moses ,  Paul Romero ,  Kristin Johnson ,  Duane Kerr ,  Sean Dycus

IPC分类号： A61B17/3201 ,  A61B17/12 ,  A61B17/125 ,  A61B17/28 ,  A61B18/00 ,  A61B18/12 ,  A61B18/14

CPC分类号： A61B17/285 ,  A61B17/2812 ,  A61B17/2833 ,  A61B17/32 ,  A61B18/1442 ,  A61B2017/2923 ,  A61B2017/2945 ,  A61B2018/00196 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/00922 ,  A61B2018/1412 ,  A61B2018/1432 ,  A61B2018/1455 ,  A61B2018/146

摘要： An open electrosurgical forceps for sealing tissue includes a pair of first and second shaft members each having a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to a subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a knife channel defined along a length thereof which is dimensioned to reciprocate a cutting mechanism therealong for cutting tissue disposed between jaw members. An actuator having a rack and pinion system advances the cutting mechanism from a first position wherein the cutting mechanism is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting mechanism is disposed distal to tissue held between the jaw members.

摘要翻译： 用于密封组织的开放的电外科钳包括一对第一和第二轴构件，每个第一和第二轴构件具有设置在其远端处的钳口构件。 钳口构件可以从相对于彼此间隔开的第一位置移动到随后的位置，其中钳口构件协作以在其间抓握组织。 每个钳口构件包括用于通过保持在其间的组织传导电外科能量的导电密封板。 钳口构件中的至少一个包括沿着其长度限定的刀槽，其尺寸被设计成使其上的切割机构往复运动，用于切割设置在颚构件之间的组织。 具有齿条和小齿轮系统的致动器将切割机构从第一位置推进，其中切割机构设置在夹持在夹爪构件之间的组织的近侧至少一个后续位置，其中切割机构设置在夹持在夹爪构件之间的组织的远侧 。

公开(公告)号：US20070088356A1

公开(公告)日：2007-04-19

申请号：US11546838

申请日：2006-10-12

申请人： Michael Moses ,  Paul Romero ,  Kristin Johnson ,  Duane Kerr ,  Sean Dycus

发明人： Michael Moses ,  Paul Romero ,  Kristin Johnson ,  Duane Kerr ,  Sean Dycus

IPC分类号： A61B18/14

CPC分类号： A61B18/1442 ,  A61B17/32 ,  A61B17/3201 ,  A61B2017/2945 ,  A61B2018/00196 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/00922 ,  A61B2018/1455

摘要： An open electrosurgical forceps for sealing tissue includes a pair of first and second shaft members each having a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to a subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a cutting slot defined along a length thereof which is dimensioned to reciprocate a cutting instrument therealong for cutting tissue disposed between jaw members. An actuator advances the cutting instrument from a first position wherein the cutting instrument is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting instrument is disposed distal to tissue held between the jaw members.

摘要翻译： 用于密封组织的开放的电外科钳包括一对第一和第二轴构件，每个第一和第二轴构件具有设置在其远端处的钳口构件。 钳口构件可以从相对于彼此间隔开的第一位置移动到随后的位置，其中钳口构件协作以在其间抓握组织。 每个钳口构件包括用于通过保持在其间的组织传导电外科能量的导电密封板。 钳口构件中的至少一个包括沿着其长度限定的切割槽，其尺寸被设计成使切割器具往复运动，以切割设置在颚构件之间的组织。 致动器将切割仪器从第一位置推进，其中切割仪器被设置在保持在钳口构件之间的组织的近侧至少一个后续位置，其中切割器械设置在夹持在钳口构件之间的组织的远侧。

公开(公告)号：US20050119655A1

公开(公告)日：2005-06-02

申请号：US10991157

申请日：2004-11-17

申请人： Michael Moses ,  Paul Romero ,  Kristin Johnson ,  Duane Kerr ,  Sean Dycus

发明人： Michael Moses ,  Paul Romero ,  Kristin Johnson ,  Duane Kerr ,  Sean Dycus

IPC分类号： A61B17/3201 ,  A61B17/12 ,  A61B17/125 ,  A61B17/28 ,  A61B18/00 ,  A61B18/12 ,  A61B18/14

CPC分类号： A61B18/1442 ,  A61B17/32 ,  A61B17/3201 ,  A61B2017/2945 ,  A61B2018/00196 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/00922 ,  A61B2018/1455

摘要： An open electrosurgical forceps for sealing tissue includes a pair of first and second shaft members each having a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to a subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a cutting slot defined along a length thereof which is dimensioned to reciprocate a cutting instrument therealong for cutting tissue disposed between jaw members. An actuator advances the cutting instrument from a first position wherein the cutting instrument is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting instrument is disposed distal to tissue held between the jaw members.

摘要翻译： 用于密封组织的开放的电外科钳包括一对第一和第二轴构件，每个第一和第二轴构件具有设置在其远端处的钳口构件。 钳口构件可以从相对于彼此间隔开的第一位置移动到随后的位置，其中钳口构件协作以在其间抓握组织。 每个钳口构件包括用于通过保持在其间的组织传导电外科能量的导电密封板。 钳口构件中的至少一个包括沿着其长度限定的切割槽，其尺寸被设计成使切割器具往复运动，以切割设置在颚构件之间的组织。 致动器将切割仪器从第一位置推进，其中切割仪器被设置在保持在钳口构件之间的组织的近侧至少一个后续位置，其中切割器械设置在夹持在钳口构件之间的组织的远侧。

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：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：US20070142833A1

公开(公告)日：2007-06-21

申请号：US11640683

申请日：2006-12-18

申请人： Sean Dycus ,  Duane Kerr ,  Darion Peterson

发明人： Sean Dycus ,  Duane Kerr ,  Darion Peterson

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B17/32 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2018/1861 ,  A61B2090/034

摘要： An endoscopic bipolar forceps includes a housing and a shaft affixed to the housing. The shaft includes a longitudinal axis defined therethrough and a pair of jaw members attached to a distal end thereof. The forceps also includes a drive assembly for moving one of the jaw members relative to the other jaw member. A movable handle is included which moves the jaw members from the open and closed positions. The forceps is adapted to connect to a source of electrosurgical energy such that the jaw members are capable of conducting bipolar energy through tissue held therebetween to effect a tissue seal. A trigger assembly is operatively disposed relative to the movable handle for selectively advancing a knife assembly for cutting tissue along the tissue seal. The trigger assembly includes a safety mechanism which operatively cooperates with the movable handle such that the trigger assembly automatically deploys from a retracted position when the movable handle is moved to the closed position

摘要翻译： 内窥镜双极镊子包括壳体和附接到壳体的轴。 该轴包括一个通过其限定的纵向轴线和一对连接到其远端的钳口构件。 镊子还包括用于相对于另一颚构件移动颚构件中的一个的驱动组件。 包括一个可移动手柄，可以将颚构件从打开和关闭位置移动。 钳子适于连接到电外科能量源，使得钳口构件能够通过夹在其间的组织传导双极能，从而实现组织密封。 触发器组件相对于可移动手柄可操作地设置，用于选择性地推进用于沿组织密封件切割组织的刀组件。 触发器组件包括与可动手柄可操作地配合的安全机构，使得当可动手柄移动到关闭位置时，触发器组件自动地从缩回位置展开

公开(公告)号：US20060129146A1

公开(公告)日：2006-06-15

申请号：US11348072

申请日：2006-02-06

申请人： Sean Dycus ,  Duane Kerr ,  Darion Peterson

发明人： Sean Dycus ,  Duane Kerr ,  Darion Peterson

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B17/32 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2018/146 ,  A61B2018/1861 ,  A61B2090/034

摘要： An endoscopic bipolar forceps includes a housing and a shaft, the shaft having an end effector assembly at its distal end, which includes two jaw members for grasping tissue therebetween. Each jaw member is adapted to connect to an electrosurgical energy source, enabling them to affect a tissue seal to tissue held therebetween. A drive assembly is included within the housing for moving the jaw members and it includes first and second gear-like cam members. A movable handle is also included, such that movement of the handle rotates the first gear-like cam member into cooperation with the second gear-like cam member to actuate the drive assembly to move the jaw members relative to each other.

摘要翻译： 内窥镜双极镊子包括壳体和轴，所述轴在其远端具有末端执行器组件，其包括用于抓握其间的组织的两个钳口构件。 每个钳口构件适于连接到电外科能量源，使得它们能够影响到组织之间的组织密封。 驱动组件包括在壳体内用于移动钳口构件，并且它包括第一和第二齿轮状凸轮构件。 还包括可动手柄，使得手柄的运动使第一齿轮状凸轮部件与第二齿轮状凸轮部件协作旋转，以驱动驱动组件以相对于彼此移动夹爪部件。

公开(公告)号：US20070043353A1

公开(公告)日：2007-02-22

申请号：US11588482

申请日：2006-10-27

申请人： Sean Dycus ,  Duane Kerr ,  Darion Peterson

发明人： Sean Dycus ,  Duane Kerr ,  Darion Peterson

IPC分类号： A61B18/14 ,  A61B17/32

CPC分类号： A61B18/1445 ,  A61B17/32 ,  A61B18/00 ,  A61B18/085 ,  A61B18/1482 ,  A61B2017/2902 ,  A61B2017/294 ,  A61B2018/00196 ,  A61B2018/00202 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00916 ,  A61B2018/1412 ,  A61B2018/1452 ,  A61B2018/1455 ,  A61B2018/1861 ,  A61B2090/034

摘要： An endoscopic bipolar forceps includes a housing and a shaft affixed to the housing. The shaft includes a longitudinal axis defined therethrough and a pair of jaw members attached to a distal end thereof. The forceps also includes a drive assembly for moving one of the jaw members relative to the other jaw member from a first position wherein the movable jaw members are disposed in spaced relation relative to each other to a second position wherein the jaw members are closer one another for manipulating tissue. A movable handle is included which is rotatable about a pivot to force a drive flange of the movable handle into mechanical cooperation with the drive assembly to move the jaw members from the open and closed positions. The pivot is located a fixed distance from the longitudinal axis and the drive flange is located generally along the longitudinal axis. The forceps is connected to a source of electrosurgical energy connected to each jaw member such that the jaw members are capable of conducting bipolar energy through tissue held therebetween to effect a tissue seal.

摘要翻译： 内窥镜双极镊子包括壳体和附接到壳体的轴。 该轴包括一个通过其限定的纵向轴线和一对连接到其远端的钳口构件。 镊子还包括驱动组件，用于从第一位置相对于另一钳口构件移动钳口构件中的一个，其中可动钳口构件相对于彼此以间隔开的关系设置到第二位置，其中钳口构件彼此靠近 用于操纵组织。 包括可移动手柄，其可围绕枢轴旋转，以迫使可移动手柄的驱动凸缘与驱动组件机械配合，以使夹爪构件从打开和关闭位置移动。 枢轴位于距纵向轴线固定的距离处，并且驱动凸缘大致沿着纵向轴线定位。 镊子连接到连接到每个钳口构件的电外科能量源，使得钳口构件能够通过保持在其间的组织传导双极能以实现组织密封。

公开(公告)号：US20050107785A1

公开(公告)日：2005-05-19

申请号：US10953757

申请日：2004-09-29

申请人： Sean Dycus ,  Duane Kerr ,  Darion Peterson

发明人： Sean Dycus ,  Duane Kerr ,  Darion Peterson

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B17/32 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2018/146 ,  A61B2018/1861 ,  A61B2090/034

摘要： An endoscopic bipolar forceps includes a housing and a shaft affixed to the housing. The shaft includes a longitudinal axis defined therethrough and a pair of jaw members attached to a distal end thereof. The forceps also includes a drive assembly for moving one of the jaw members relative to the other jaw member. A movable handle is included which moves the jaw members from the open and closed positions. The forceps is adapted to connect to a source of electrosurgical energy such that the jaw members are capable of conducting bipolar energy through tissue held therebetween to effect a tissue seal. A trigger assembly is operatively disposed relative to the movable handle for selectively advancing a knife assembly for cutting tissue along the tissue seal. The knife assembly includes a knife collar which cooperates with a knife shaft to advance a knife through tissue upon activation of the trigger assembly.

摘要翻译： 内窥镜双极镊子包括壳体和附接到壳体的轴。 该轴包括一个通过其限定的纵向轴线和一对连接到其远端的钳口构件。 镊子还包括用于相对于另一颚构件移动颚构件中的一个的驱动组件。 包括一个可移动手柄，可以将颚构件从打开和关闭位置移动。 钳子适于连接到电外科能量源，使得钳口构件能够通过夹在其间的组织传导双极能，从而实现组织密封。 触发器组件相对于可移动手柄可操作地设置，用于选择性地推进用于沿组织密封件切割组织的刀组件。 刀组件包括与刀轴配合以在激活扳机组件时使刀推进组织的刀套。