公开(公告)号：US06280407B1

公开(公告)日：2001-08-28

申请号：US09521440

申请日：2000-03-07

申请人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranyi

发明人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranyi

IPC分类号： A61B1720

CPC分类号： A61B17/320092 ,  A61B2017/2929 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2944 ,  A61B2017/2948 ,  A61B2017/320072

摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is spaced form the cutting surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.

摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可从其中组织接触表面从切割表面间隔开的打开位置移动到夹紧位置，在该夹紧位置中，组织接触表面与 切割表面以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。

公开(公告)号：US6063050A

公开(公告)日：2000-05-16

申请号：US174276

申请日：1998-10-16

申请人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranvi

发明人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranvi

IPC分类号： A61B17/3201 ,  A61B17/28 ,  A61B17/32 ,  A61B18/00 ,  A61B17/20

CPC分类号： A61B17/320092 ,  A61B2017/2929 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2944 ,  A61B2017/2948 ,  A61B2017/320072

摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.

摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可以从打开位置移动，在打开位置，组织接触表面与切割表面紧密地并置对准以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。

公开(公告)号：US6036667A

公开(公告)日：2000-03-14

申请号：US911207

申请日：1997-08-14

申请人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranvi

发明人： Ronald Manna ,  Scott Isola ,  H. Jonathan Tovey ,  Dominick L. Mastri ,  Corbett W. Stone ,  Ernie Aranvi

IPC分类号： A61B17/3201 ,  A61B17/28 ,  A61B17/32 ,  A61B18/00 ,  A61B17/20

CPC分类号： A61B17/320092 ,  A61B2017/2929 ,  A61B2017/2933 ,  A61B2017/2936 ,  A61B2017/2944 ,  A61B2017/2948 ,  A61B2017/320072

摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a pedal actuator. The ultrasonic actuator has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting blade by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting blade. The cutting blade has a cutting surface which is angled with respect to the longitudinal axis of the elongated body portion and, thus, with respect to the axis of vibration. A clamp member having a tissue contact surface is positioned adjacent to the blade member and is movable from an open position in which the tissue contact surface is spaced form the cutting surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the cutting surface to clamp tissue therebetween. The clamp member and the angled blade combine to enhance contact between tissue and the cutting surface of the blade member.

摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和踏板致动器。 超声波致动器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割刀片。 振动耦合器将高频振动从超声波传感器传导到切割刀片。 切割刀片具有相对于细长主体部分的纵向轴线成角度并且因此相对于振动轴线成角度的切割表面。 具有组织接触表面的夹紧构件定位成与刀片构件相邻，并且可从其中组织接触表面从切割表面间隔开的打开位置移动到夹紧位置，在该夹紧位置中，组织接触表面与 切割表面以夹紧组织。 夹紧构件和成角度的刀片组合以增强组织与刀片构件的切割表面之间的接触。

公开(公告)号：US6024750A

公开(公告)日：2000-02-15

申请号：US911205

申请日：1997-08-14

申请人： Dominick L. Mastri ,  Corbett W. Stone

发明人： Dominick L. Mastri ,  Corbett W. Stone

IPC分类号： A61B17/28 ,  A61B17/32 ,  A61M17/32

CPC分类号： A61B17/320092 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/2825 ,  A61B2017/320072

摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.

公开(公告)号：US06468286B2

公开(公告)日：2002-10-22

申请号：US09948014

申请日：2001-09-06

申请人： Dominick L. Mastri ,  Corbett W. Stone

发明人： Dominick L. Mastri ,  Corbett W. Stone

IPC分类号： A61B1732

CPC分类号： A61B17/320092 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/2825 ,  A61B2017/320072

摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.

摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和远程致动器。 超声波仪器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割钳口。 振动耦合器将超声波传感器的高频振动传导到切割钳口。 切割钳具有刀片表面，刀片表面相对于细长主体部分的纵向轴线在远端方向上沿其长度向下和向外弯曲，使得由与叶片表面相切的线和纵向轴线 细长主体部分在5度和75度之间变化。 具有组织接触表面的夹紧构件定位成与切割钳口相邻，并且可从组织接触表面从叶片表面间隔开的打开位置移动到夹紧位置，在该夹紧位置，组织接触表面与 叶片表面以夹紧组织。 夹紧构件和弯曲切割钳组合以在切割期间增强组织与切割钳口的刀片表面之间的接触。 此外，叶片表面相对于细长主体部分的纵向轴线的连续变化的角度有助于选择性使用者控制在切割或解剖过程中在组织上的施加力。

公开(公告)号：US20090030440A1

公开(公告)日：2009-01-29

申请号：US12241565

申请日：2008-09-30

申请人： Dominick L. Mastri ,  Corbett W. Stone

发明人： Dominick L. Mastri ,  Corbett W. Stone

IPC分类号： A61B17/32

CPC分类号： A61B17/320092 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/2825 ,  A61B2017/320075 ,  A61B2017/320094 ,  A61B2017/320095

摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.

摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和远程致动器。 超声波仪器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割钳口。 振动耦合器将超声波传感器的高频振动传导到切割钳口。 切割钳具有刀片表面，刀片表面相对于细长主体部分的纵向轴线在远端方向上沿其长度向下和向外弯曲，使得由与叶片表面相切的线和纵向轴线 细长主体部分在5度和75度之间变化。 具有组织接触表面的夹紧构件定位成与切割钳口相邻，并且可从组织接触表面从叶片表面间隔开的打开位置移动到夹紧位置，在该夹紧位置，组织接触表面与 叶片表面以夹紧组织。 夹紧构件和弯曲切割钳组合以在切割期间增强组织与切割钳口的刀片表面之间的接触。 此外，叶片表面相对于细长主体部分的纵向轴线的连续变化的角度有助于选择性使用者控制在切割或解剖过程中在组织上的施加力。

公开(公告)号：US06682544B2

公开(公告)日：2004-01-27

申请号：US10241936

申请日：2002-09-11

申请人： Dominick L. Mastri ,  Corbett W. Stone

发明人： Dominick L. Mastri ,  Corbett W. Stone

IPC分类号： A61B1732

CPC分类号： A61B17/320092 ,  A61B17/29 ,  A61B17/295 ,  A61B2017/2825 ,  A61B2017/320072

摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. The cutting jaw has a blade surface which is curved downwardly and outwardly in the distal direction with respect to the longitudinal axis of the elongated body portion along its length such that an angle defined by a line drawn tangent to the blade surface and the longitudinal axis of the elongated body portion varies between 5 degrees and 75 degrees. A clamp member having a tissue contact surface is positioned adjacent to the cutting jaw and is movable from an open position in which the tissue contact surface is spaced form the blade surface to a clamped position in which the tissue contact surface is in close juxtaposed alignment with the blade surface to clamp tissue therebetween. The clamp member and the curved cutting jaw combine to enhance contact between tissue and the blade surface of the cutting jaw during cutting. Further, the continuously varying angle of the blade surface with respect to the longitudinal axis of the elongated body portion facilitates selective user control over the application of force on tissue during a cutting or dissecting procedure.

摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和远程致动器。 超声波仪器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割钳口。 振动耦合器将超声波传感器的高频振动传导到切割钳口。 切割钳具有刀片表面，刀片表面相对于细长主体部分的纵向轴线在远端方向上沿其长度向下和向外弯曲，使得由与叶片表面相切的线和纵向轴线 细长主体部分在5度和75度之间变化。 具有组织接触表面的夹紧构件定位成与切割钳口相邻，并且可从组织接触表面从叶片表面间隔开的打开位置移动到夹紧位置，在该夹紧位置，组织接触表面与 叶片表面以夹紧组织。 夹紧构件和弯曲切割钳组合以在切割期间增强组织与切割钳口的刀片表面之间的接触。 此外，叶片表面相对于细长主体部分的纵向轴线的连续变化的角度有助于选择性使用者控制在切割或解剖过程中在组织上的施加力。

公开(公告)号：US20120179182A1

公开(公告)日：2012-07-12

申请号：US13312069

申请日：2011-12-06

申请人： Dominick L. Mastri ,  Corbett W. Stone

发明人： Dominick L. Mastri ,  Corbett W. Stone

IPC分类号： A61B17/32

CPC分类号： A61B17/00234 ,  A61B17/29 ,  A61B17/295 ,  A61B17/320092 ,  A61B2017/00973 ,  A61B2017/2825 ,  A61B2017/320069 ,  A61B2017/320071 ,  A61B2017/320075 ,  A61B2017/320094 ,  A61B2017/320095

摘要： An ultrasonic dissection and coagulation system for surgical use is provided. The system includes an ultrasonic instrument, a control module, and a remote actuator. The ultrasonic instrument has a housing and an elongated body portion extending from the housing. An ultrasonic transducer supported within the housing is operatively connected to a cutting jaw by a vibration coupler. The vibration coupler conducts high frequency vibration from the ultrasonic transducer to the cutting jaw. A trocar assembly including a cannula may be provided to slidably receive the elongated portion of the ultrasonic instrument.

摘要翻译： 提供了一种外科用超声波解剖和凝血系统。 该系统包括超声波仪器，控制模块和远程致动器。 超声波仪器具有壳体和从壳体延伸的细长主体部分。 支撑在壳体内的超声换能器通过振动耦合器可操作地连接到切割钳口。 振动耦合器将超声波传感器的高频振动传导到切割钳口。 可以提供包括套管的套管针组件以可滑动地容纳超声波仪器的细长部分。

公开(公告)号：US5674230A

公开(公告)日：1997-10-07

申请号：US527125

申请日：1995-09-12

申请人： H. Jonathan Tovey ,  Corbett W. Stone ,  Stephen W. Zlock ,  David A. Nicholas ,  Paul A. Scirica ,  Philip Richardson ,  Margaret Pamela Richardson

发明人： H. Jonathan Tovey ,  Corbett W. Stone ,  Stephen W. Zlock ,  David A. Nicholas ,  Paul A. Scirica ,  Philip Richardson ,  Margaret Pamela Richardson

IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/28 ,  A61B17/10

CPC分类号： A61B17/2909 ,  A61B17/0469 ,  A61B17/0625 ,  A61B17/0491 ,  A61B17/06114 ,  A61B2017/0479 ,  A61B2017/0609 ,  A61B2017/292 ,  A61B2017/2936

摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.

摘要翻译： 公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端 所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收 手术针的一部分。 第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。 该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进 另一个。 还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动 以及与另一个钳口间隔开的第二位置。

公开(公告)号：US5871488A

公开(公告)日：1999-02-16

申请号：US862055

申请日：1997-05-22

申请人： H. Jonathan Tovey ,  Corbett W. Stone ,  Stephen W. Zlock ,  David A. Nicholas ,  Paul A. Scirica ,  Philip Richardson ,  Margaret Pamela Richardson

发明人： H. Jonathan Tovey ,  Corbett W. Stone ,  Stephen W. Zlock ,  David A. Nicholas ,  Paul A. Scirica ,  Philip Richardson ,  Margaret Pamela Richardson

IPC分类号： A61B17/04 ,  A61B17/06 ,  A61B17/28 ,  A61B17/10

CPC分类号： A61B17/2909 ,  A61B17/0469 ,  A61B17/0625 ,  A61B17/0491 ,  A61B17/06114 ,  A61B2017/0479 ,  A61B2017/0609 ,  A61B2017/292 ,  A61B2017/2936

摘要： An apparatus for manipulating a surgical needle is disclosed, comprising a body portion, a first needle receiving jaw mounted for movement on a distal end of the body portion and having a first needle engaging member, a second needle receiving jaw mounted for movement on the distal end of the body portion and having a second needle engaging member, the second needle engaging member being operatively interconnected to the first needle engaging member for relative reciprocal movement therewith, wherein each of the first and second needle receiving jaws has a recess for receipt of a portion of a surgical needle therein. The first and second needle engaging members are mounted for alternate reciprocal movement into and out of locking engagement with the surgical needle. The apparatus also includes a wheel rotatably mounted within the body portion with a proximal end portion of each of the first and second needle engaging members connected to opposing sides of the wheel such that rotation of the wheel simultaneously retracts one of the needle engaging members and advances the other. Also disclosed is a method of manipulating a surgical needle inside a body cavity using a surgical instrument having a control mechanism, a first jaw and a second jaw, where at least one of the jaws is mounted for movement between a first position adjacent the other jaw and a second position spaced apart from the other jaw.

摘要翻译： 公开了一种用于操纵外科用针的装置，包括主体部分，第一针接收钳口，其安装成用于在主体部分的远端上运动并具有第一针接合构件;第二针接收钳口，其安装成在远端 所述主体部分的端部并且具有第二针接合构件，所述第二针接合构件可操作地互连到所述第一针接合构件以与其相对的往复运动，其中所述第一和第二针接收爪中的每一个具有用于接收 手术针的一部分。 第一和第二针接合构件安装成用于与外科手术针的锁定接合的交替往复运动。 该装置还包括可旋转地安装在主体部分内的轮，其中每个第一和第二针接合构件的每个的近端部分连接到车轮的相对侧，使得轮的旋转同时缩回针接合构件中的一个并且前进 另一个。 还公开了一种使用具有控制机构，第一钳口和第二钳口的外科器械在体腔内操作手术针的方法，其中至少一个钳口被安装用于在邻近另一钳口的第一位置之间移动 以及与另一个钳口间隔开的第二位置。