公开(公告)号：US20070038209A1

公开(公告)日：2007-02-15

申请号：US11585506

申请日：2006-10-24

申请人： Steven Buysse ,  Bret Felton ,  David Heard ,  David Keppel ,  Ronald Podhajsky ,  Dale Schamltz ,  Robert Wham ,  Edward Meagher ,  Kate Lawes ,  David Schechter ,  Chelsea Shields ,  Philip Tetzlaff

发明人： Steven Buysse ,  Bret Felton ,  David Heard ,  David Keppel ,  Ronald Podhajsky ,  Dale Schamltz ,  Robert Wham ,  Edward Meagher ,  Kate Lawes ,  David Schechter ,  Chelsea Shields ,  Philip Tetzlaff

IPC分类号： A61B18/12

CPC分类号： A61B18/1445 ,  A61B18/1206 ,  A61B18/1442 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00726 ,  A61B2018/00791 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892

摘要： A closed-loop control system is disclosed for use with an electrosurgical generator that generates electrosurgical energy. The closed loop control system includes a user interface for allowing a user to select at least one pre-surgical parameter, such as the type of surgical instrument operatively connected to the generator, the type of tissue and the desired surgical effect. A sensor module is also included for continually sensing at least one of electrical and physical properties proximate a surgical site and generating at least one signal relating thereto. The system also includes a control module for continually receiving the at least one selected pre-surgical parameter from the user interface and each of the signals from the sensor module, and processing each of the signals in accordance with the at least one pre-surgical parameter using at least one of a microprocessor, computer algorithm and a mapping. The control module generates at least one corresponding control signal relating to each signal from the sensor module, and relays the control signal to the electrosurgical generator for controlling the same. A method is also disclosed for performing an electrosurgical procedure at a surgical site on a patient. The method includes the steps of: applying at least one electrical pulse to the surgical site; continually sensing electrical and physical properties proximate the surgical site; and varying pulse parameters of individual pulses of the at least one pulse in accordance with the continually-sensed properties.

摘要翻译： 公开了一种用于产生电外科能量的电外科发生器的闭环控制系统。 闭环控制系统包括用户界面，用于允许用户选择至少一个手术前参数，例如可操作地连接到发生器的手术器械的类型，组织的类型和期望的手术效果。 还包括传感器模块，用于连续感测手术部位附近的电气和物理属性中的至少一个，并且产生与其相关的至少一个信号。 该系统还包括控制模块，用于从用户界面连续接收至少一个选择的手术前参数，以及来自传感器模块的每个信号，以及根据至少一个手术前参数处理每个信号 使用微处理器，计算机算法和映射中的至少一个。 控制模块生成与来自传感器模块的每个信号相关的至少一个相应的控制信号，并且将控制信号中继到电外科发生器以进行控制。 还公开了一种在患者的手术部位进行电外科手术的方法。 该方法包括以下步骤：将至少一个电脉冲施加到手术部位; 持续感测手术部位附近的电气和物理特性; 以及根据连续感测的特性改变至少一个脉冲的各个脉冲的脉冲参数。

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：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：US20050113823A1

公开(公告)日：2005-05-26

申请号：US10718113

申请日：2003-11-20

申请人： Arlan Reschke ,  Steven Buysse ,  David Heard ,  Joe Sartor ,  Dale Schmaltz ,  Ronald Podhajsky

发明人： Arlan Reschke ,  Steven Buysse ,  David Heard ,  Joe Sartor ,  Dale Schmaltz ,  Ronald Podhajsky

IPC分类号： A61B18/14

CPC分类号： A61B18/1402 ,  A61B2018/00726

摘要： An electrosurgical pencil is provided which includes an elongated housing, an electrocautery blade supported within the housing and extending distally from the housing. The electrocautery blade is connected to a source of electrosurgical energy. The pencil also includes at least one activation switch supported on the housing which is configured and adapted to complete a control loop extending from the source of electrosurgical energy. At least one voltage divider network is also supported on the housing and is electrically connected to the source of electrosurgical energy.

摘要翻译： 提供一种电外科手术笔，其包括细长壳体，电动刀片，其支撑在壳体内并从壳体向远侧延伸。 电烙刀连接到电外科手术能源。 铅笔还包括支撑在壳体上的至少一个启动开关，该启动开关被配置并适于完成从电外科能量源延伸的控制回路。 至少一个分压器网络也被支撑在壳体上并且电连接到电外科能量源。

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：US20060173452A1

公开(公告)日：2006-08-03

申请号：US10516480

申请日：2003-06-03

申请人： Steven Buysse ,  Kate Lawes ,  Dale Schmaltz ,  Michael Lands

发明人： Steven Buysse ,  Kate Lawes ,  Dale Schmaltz ,  Michael Lands

IPC分类号： A61B18/18

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

摘要： A laparoscopic bipolar electrosurgical instrument (10) for sealing tissue includes a handle (14) having an elongated tube (13) affixed thereto. The tube includes first (15) and second (16) jaw members having electrically conductive sealing surfaces (39, 40) attached to a distal end (12) thereof which are movable from a first position for approximating tissue to a second position for grasping tissue therebetween. The handle (14) includes a fixed handle (50) and a handle (52) which is movable relative to the fixed handle to effect movement of the jaw members (15, 16) 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 (33, 90, 95) is included for maintaining a minimum separation distance between opposing sealing surfaces (39, 40). A ratchet (60, 62) 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（10）包括具有固定到其上的细长管（13）的手柄（14）。 管包括第一（15）和第二（16）钳口构件，其具有连接到其远端（12）的导电密封表面（39,40），其可从用于近似组织的第一位置移动到用于抓握组织的第二位置 之间。 手柄（14）包括固定手柄（50）和手柄（52），手柄52可相对于固定手柄移动，以使夹钳构件（15,16）从第一位置移动到第二位置，以便抓紧组织。 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。 包括用于在相对的密封表面（39,40）之间保持最小间隔距离的止挡件（33,90,95）。 还包括棘轮（60,62）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：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：US20050101951A1

公开(公告)日：2005-05-12

申请号：US10919613

申请日：2004-12-27

申请人： Robert Wham ,  Steven Buysse ,  James Orszulak

发明人： Robert Wham ,  Steven Buysse ,  James Orszulak

IPC分类号： A61B17/12 ,  A61B18/12 ,  A61B18/14

CPC分类号： A61B18/1445 ,  A61B17/12 ,  A61B18/1206 ,  A61B18/1442 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00684 ,  A61B2018/00702 ,  A61B2018/00726 ,  A61B2018/00791 ,  A61B2018/00827 ,  A61B2018/00875

摘要： A method for electrosurgically sealing a tissue includes steps of: (A) applying a first pulse of RF energy to the tissue; and (B) applying at least one subsequent RF energy pulse to the tissue and keeping constant or varying RF energy parameters of individual pulses in accordance with at least one characteristic of an electrical transient that occurs during the individual RF energy pulses. The method terminates the generation of subsequent RF pulses upon a determination that the electrical transient has passed a predetermined limit.

摘要翻译： 用于电外科密封组织的方法包括以下步骤：（A）向组织施加RF能量的第一脉冲; 以及（B）根据在各个RF能量脉冲期间发生的电瞬态的至少一个特性，向组织施加至少一个后续RF能量脉冲并保持各个脉冲的恒定或变化的RF能量参数。 该方法在确定电瞬变已经达到预定极限时终止随后的RF脉冲的产生。

公开(公告)号：US20060079887A1

公开(公告)日：2006-04-13

申请号：US11242391

申请日：2005-10-03

申请人： Steven Buysse ,  Gary Dobbins ,  Brandon Gay ,  David Heard ,  James McPherson

发明人： Steven Buysse ,  Gary Dobbins ,  Brandon Gay ,  David Heard ,  James McPherson

IPC分类号： A61B18/14

CPC分类号： A61B18/1206 ,  A61B18/1477 ,  A61B2018/00011 ,  A61B2018/00797 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/124 ,  A61B2018/1425 ,  A61B2018/143

摘要： A system and method for heat ablation of tissue in which energy is sequentially applied to at least two electrodes inserted into tissue. The system is comprised of a radiofrequency (RF) source for supplying RF energy, at least two electrodes configured to apply RF energy to tissue, at least one return electrode for returning the RF energy to the RF source, and a controller configured to sequentially apply the RF energy to each of the at least two electrodes. The sequential delivery of energy is determined by the measured current and voltage, the calculated impedance at each of the electrodes and the timing for each electrode. An internal load may be activated with the previously activated channel and remain on until the next channel is activated to avoid the generator from having an open circuit.