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公开(公告)号:US20120010616A1
公开(公告)日:2012-01-12
申请号:US12832345
申请日:2010-07-08
申请人: Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Foster B. Stulen , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
发明人: Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Foster B. Stulen , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B2017/00084 , A61B2018/00601 , A61B2018/0063
摘要: An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector.
摘要翻译: 电外科器械可以包括手柄,轴和端部执行器,其中末端执行器可以通过铰接接头可旋转地联接到轴。 仪器还可以包括驱动构件,并且铰接接头可以包括可配置成支撑驱动构件的柔性支撑构件。 仪器还可以包括电耦合到末端执行器中的电极的电线,以及配置成防止供电线在铰接接头内累积松弛的电线张紧装置。 驱动构件可以包括多个柔性层,其中一些层可以由电绝缘材料构成,并且其它层可以由与末端执行器中的切割构件电连通的导电材料和/或 位于末端执行器内的电极。
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公开(公告)号:US09149324B2
公开(公告)日:2015-10-06
申请号:US12832345
申请日:2010-07-08
申请人: Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
发明人: Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
CPC分类号: A61B18/1445 , A61B2017/00084 , A61B2018/00601 , A61B2018/0063
摘要: An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector.
摘要翻译: 电外科器械可以包括手柄,轴和端部执行器,其中末端执行器可以通过铰接接头可旋转地联接到轴。 仪器还可以包括驱动构件,并且铰接接头可以包括可配置成支撑驱动构件的柔性支撑构件。 仪器还可以包括电耦合到末端执行器中的电极的电线,以及配置成防止供电线在铰接接头内累积松弛的电线张紧装置。 驱动构件可以包括多个柔性层,其中一些层可以由电绝缘材料构成,并且其它层可以由与末端执行器中的切割构件电连通的导电材料和/或 位于末端执行器内的电极。
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公开(公告)号:US20120016413A1
公开(公告)日:2012-01-19
申请号:US12836396
申请日:2010-07-14
申请人: Richard W. Timm , Suzanne E. Thompson , John V. Hunt , Gavin M. Monson , Omar J. Vakharia , Robert J. Laird
发明人: Richard W. Timm , Suzanne E. Thompson , John V. Hunt , Gavin M. Monson , Omar J. Vakharia , Robert J. Laird
CPC分类号: A61B17/07207 , A61B17/0644 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B18/1442 , A61B18/1445 , A61B18/1447 , A61B2017/00026 , A61B2017/00088 , A61B2017/0647 , A61B2017/07214 , A61B2017/07228 , A61B2017/07271 , A61B2017/2923 , A61B2018/00071 , A61B2018/00404 , A61B2018/0063 , A61B2018/00642 , A61B2018/00678 , A61B2018/00708 , A61B2018/00791 , A61B2018/00875 , A61B2018/126 , A61B2018/145 , A61B2018/1455 , A61B2090/061
摘要: An end-effector assembly is configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw comprising an electrode, a second jaw comprising a rivet cavity, and a rivet. At least one of the first jaw and the second jaw is movable relative to the other jaw. At least a portion of the rivet is removably positioned within the rivet cavity. The rivet comprises a tissue-engaging portion, an elongate portion extending from the tissue-engaging portion, and a meltable portion. The end-effector assembly comprises a driver configured to move the rivet between a first position in which the rivet is stored at least partially within the rivet cavity and a second position in which the rivet is at least partially deployed from the rivet cavity. The meltable portion of the rivet is positioned against or adjacent to the electrode when the rivet is in the second position.
摘要翻译: 末端执行器组件构造成附接到外科器械。 末端执行器组件包括包括电极的第一钳口,包括铆钉腔的第二钳口和铆钉。 第一钳口和第二钳口中的至少一个相对于另一个钳口可移动。 铆钉的至少一部分可移除地定位在铆钉腔内。 铆钉包括组织接合部分,从组织接合部分延伸的细长部分和可熔化部分。 末端执行器组件包括驱动器,该驱动器构造成将铆钉移动到其中铆钉至少部分地存储在铆钉腔内的第一位置和铆钉至少部分地从铆钉腔部展开的第二位置之间移动铆钉。 当铆钉处于第二位置时,铆钉的可熔部分抵靠或邻近电极定位。
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公开(公告)号:US20110251608A1
公开(公告)日:2011-10-13
申请号:US12758284
申请日:2010-04-12
申请人: Richard W. Timm , Suzanne E. Thompson , John V. Hunt , Gavin M. Monson , Omar J. Vakharia , Robert J. Laird
发明人: Richard W. Timm , Suzanne E. Thompson , John V. Hunt , Gavin M. Monson , Omar J. Vakharia , Robert J. Laird
IPC分类号: A61B18/14 , A61B17/295 , A61B17/29
CPC分类号: A61B18/1445 , A61B17/295 , A61B18/1492 , A61B2017/2905 , A61B2017/2932 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/1455
摘要: Various embodiments are directed to a surgical instrument comprising a handle, a shaft coupled to the handle and extending along a longitudinal axis, an end effector, and a cable. The end effector may comprise a first jaw member, a second jaw member and a reciprocating member. The cable may extend distally from the handle through the shaft to a first pulley of the first jaw member. From the first pulley, the cable may extend proximally to the reciprocating member, such that proximally directed motion of the cable exerts a distally directed force on the reciprocating member.
摘要翻译: 各种实施例涉及一种手术器械,其包括手柄,联接到手柄并沿着纵向轴线延伸的轴,端部执行器和电缆。 末端执行器可以包括第一钳口构件,第二钳口构件和往复运动构件。 电缆可以从手柄通过轴向远侧延伸到第一钳口构件的第一滑轮。 电缆可以从第一滑轮向近端延伸到往复运动构件,使得电缆的向近侧的运动在往复运动构件上施加向远侧的力。
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公开(公告)号:US08979843B2
公开(公告)日:2015-03-17
申请号:US12842476
申请日:2010-07-23
申请人: Richard W. Timm , Robert J. Laird , Omar J. Vakharia , Suzanne E. Thompson , Gavin M. Monson , John V. Hunt
发明人: Richard W. Timm , Robert J. Laird , Omar J. Vakharia , Suzanne E. Thompson , Gavin M. Monson , John V. Hunt
CPC分类号: A61B18/1445 , A61B34/76 , A61B2017/2912 , A61B2018/00196 , A61B2018/1455
摘要: A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by a linear actuator, for example.
摘要翻译: 用于向组织提供能量的外科器械可以包括包括电极的钳口构件,其中所述电极被配置为从电源向捕获的组织供应能量。 手术器械包括用于横切所捕获的组织的组织切割元件。 例如,在操作冲程期间组织切割元件的远侧平移的速度可以由线性致动器调节。
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6.
公开(公告)号:US08696665B2
公开(公告)日:2014-04-15
申请号:US12732992
申请日:2010-03-26
申请人: John V. Hunt , Robert J. Laird , Omar J. Vakharia , Richard W. Timm , Gavin M. Monson , Suzanne E. Thompson
发明人: John V. Hunt , Robert J. Laird , Omar J. Vakharia , Richard W. Timm , Gavin M. Monson , Suzanne E. Thompson
CPC分类号: A61B17/3205 , A61B17/295 , A61B2017/2933 , A61B2017/2937
摘要: A surgical instrument is provided that can comprise and end effector including two jaws and a cutting member configured to move between the jaws. In at least one embodiment, one or both of the jaws may be flexible, such that a jaw is configured to flex when gripping tissue. Further, at least one of the jaws may include a thin cross-sectional area such that the jaw flexes when gripping tissue. Additionally, in at least one embodiment, one or more compression elements may extend from the cutting member and may be configured to cause the jaws to close when the cutting member is advanced. The compression elements may comprise a roller and/or a low-friction material. Moreover, in at least one embodiment, one or both of the jaws may be precurved, away from the cutting member's longitudinal axis. Accordingly, in various embodiments, the overall force required to advance the cutting member and/or close the jaws may be reduced.
摘要翻译: 提供了一种手术器械,其可以包括和末端执行器,包括两个钳口和被配置成在钳口之间移动的切割构件。 在至少一个实施例中,夹爪中的一个或两个可以是柔性的,使得钳夹构造成在夹持组织时弯曲。 此外,夹爪中的至少一个可以包括薄的横截面面积,使得当夹持组织时夹爪弯曲。 另外,在至少一个实施例中,一个或多个压缩元件可以从切割构件延伸,并且可以构造成当切割构件前进时使夹爪关闭。 压缩元件可以包括辊和/或低摩擦材料。 此外,在至少一个实施例中,一个或两个钳口可以是预先切割的,远离切割构件的纵向轴线。 因此,在各种实施例中,可以减少推进切割构件和/或关闭夹爪所需的总体力。
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公开(公告)号:US08623044B2
公开(公告)日:2014-01-07
申请号:US12758284
申请日:2010-04-12
申请人: Richard W. Timm , Suzanne E. Thompson , John V. Hunt , Gavin M. Monson , Omar J. Vakharia , Robert J. Laird
发明人: Richard W. Timm , Suzanne E. Thompson , John V. Hunt , Gavin M. Monson , Omar J. Vakharia , Robert J. Laird
CPC分类号: A61B18/1445 , A61B17/295 , A61B18/1492 , A61B2017/2905 , A61B2017/2932 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/1455
摘要: Various embodiments are directed to a surgical instrument comprising a handle, a shaft coupled to the handle and extending along a longitudinal axis, an end effector, and a cable. The end effector may comprise a first jaw member, a second jaw member and a reciprocating member. The cable may extend distally from the handle through the shaft to a first pulley of the first jaw member. From the first pulley, the cable may extend proximally to the reciprocating member, such that proximally directed motion of the cable exerts a distally directed force on the reciprocating member.
摘要翻译: 各种实施例涉及一种手术器械,其包括手柄,联接到手柄并沿着纵向轴线延伸的轴,端部执行器和电缆。 末端执行器可以包括第一钳口构件,第二钳口构件和往复运动构件。 电缆可以从手柄通过轴向远侧延伸到第一钳口构件的第一滑轮。 电缆可以从第一滑轮向近端延伸到往复运动构件,使得电缆的向近侧的运动在往复运动构件上施加向远侧的力。
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公开(公告)号:US20120022524A1
公开(公告)日:2012-01-26
申请号:US12842476
申请日:2010-07-23
申请人: Richard W. Timm , Robert J. Laird , Omar J. Vakharia , Suzanne E. Thompson , Gavin M. Monson , John V. Hunt
发明人: Richard W. Timm , Robert J. Laird , Omar J. Vakharia , Suzanne E. Thompson , Gavin M. Monson , John V. Hunt
IPC分类号: A61B18/14
CPC分类号: A61B18/1445 , A61B34/76 , A61B2017/2912 , A61B2018/00196 , A61B2018/1455
摘要: A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by a linear actuator, for example.
摘要翻译: 用于向组织提供能量的外科器械可以包括包括电极的钳口构件,其中所述电极被配置为从电源向捕获的组织供应能量。 手术器械包括用于横切所捕获的组织的组织切割元件。 例如,在操作冲程期间组织切割元件的远侧平移的速度可以由线性致动器调节。
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公开(公告)号:US20110238065A1
公开(公告)日:2011-09-29
申请号:US12732992
申请日:2010-03-26
申请人: John V. Hunt , Robert J. Laird , Omar J. Vakharia , Richard W. Timm , Gavin M. Monson , Suzanne E. Thompson
发明人: John V. Hunt , Robert J. Laird , Omar J. Vakharia , Richard W. Timm , Gavin M. Monson , Suzanne E. Thompson
IPC分类号: A61B18/14
CPC分类号: A61B17/3205 , A61B17/295 , A61B2017/2933 , A61B2017/2937
摘要: A surgical instrument is provided that can comprise and end effector including two jaws and a cutting member configured to move between the jaws. In at least one embodiment, one or both of the jaws may be flexible, such that a jaw is configured to flex when gripping tissue. Further, at least one of the jaws may include a thin cross-sectional area such that the jaw flexes when gripping tissue. Additionally, in at least one embodiment, one or more compression elements may extend from the cutting member and may be configured to cause the jaws to close when the cutting member is advanced. The compression elements may comprise a roller and/or a low-friction material. Moreover, in at least one embodiment, one or both of the jaws may be precurved, away from the cutting member's longitudinal axis. Accordingly, in various embodiments, the overall force required to advance the cutting member and/or close the jaws may be reduced.
摘要翻译: 提供了一种手术器械,其可以包括和末端执行器,包括两个钳口和被配置成在钳口之间移动的切割构件。 在至少一个实施例中,夹爪中的一个或两个可以是柔性的,使得钳夹构造成在夹持组织时弯曲。 此外,夹爪中的至少一个可以包括薄的横截面面积,使得当夹持组织时夹爪弯曲。 另外,在至少一个实施例中,一个或多个压缩元件可以从切割构件延伸,并且可以构造成当切割构件前进时使夹爪关闭。 压缩元件可以包括辊和/或低摩擦材料。 此外,在至少一个实施例中,一个或两个钳口可以是预先切割的,远离切割构件的纵向轴线。 因此,在各种实施例中,可以减少推进切割构件和/或关闭夹爪所需的总体力。
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公开(公告)号:US20120160891A1
公开(公告)日:2012-06-28
申请号:US13164963
申请日:2011-06-21
IPC分类号: A61B17/068
CPC分类号: A61B17/0644 , A61B17/0682 , A61B17/0684
摘要: A method of plicating a hollow organ by accessing the exterior of a hollow organ of a patient. The method includes the steps of grasping tissue on first and second sides of a greater curvature of the organ and forming a first fold along a length the greater curvature by attaching the first and second sides together along a first attachment line with a first plurality of fasteners. The fasteners have a first spacing therebetween. The method also involves the steps of grasping tissue on first and second sides of a greater curvature of the organ and forming a second fold about the first fold along a length the first attachment line by attaching the first and second sides together along a second attachment line with a second plurality of fasteners having a second spacing therebetween. Wherein the second spacing is less than the first spacing and wherein the second spacing is less than 2 cm.
摘要翻译: 通过进入患者的中空器官的外部来调节中空器官的方法。 该方法包括以下步骤:在器具的较大曲率的第一侧和第二侧上抓住组织,并通过沿着第一附接线将第一和第二侧附接在一起,并沿着第一多个紧固件 。 紧固件之间具有第一间隔。 该方法还包括以下步骤:在器官的较大曲率的第一侧和第二侧上抓住组织,并沿第一连接线的长度沿着第一连接线的长度沿着第二连接线附接第一和第二侧而形成第二折叠 其中第二多个紧固件之间具有第二间隔。 其中第二间距小于第一间隔,并且其中第二间距小于2cm。
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