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公开(公告)号:US09750497B2
公开(公告)日:2017-09-05
申请号:US14275753
申请日:2014-05-12
发明人: Vincent Mata , Alan Bachman , Richard N. Granger , Gerald Wheeler , Allison Lyle
IPC分类号: A61B17/068 , A61B17/072 , A61B17/32 , A61B17/00 , A61B17/29
CPC分类号: A61B17/068 , A61B17/07207 , A61B2017/00991 , A61B2017/2901 , A61B2017/2902 , A61B2017/320052
摘要: A device for use in laparoscopic surgery is provided. The device has a sheath, a surgical action mechanism configured to deliver an action and to limit the device to a single use, at least one telescoping section configured to structurally support the surgical action mechanism, a first spacer, and a second spacer. The surgical action mechanism, the telescoping section, the first spacer, and the second spacer are configured to move within the sheath from a pre-action configuration, to an action configuration, and to a return configuration.
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公开(公告)号:US09144455B2
公开(公告)日:2015-09-29
申请号:US13153513
申请日:2011-06-06
申请人: Jenifer Kennedy , Dale Schmaltz , David Schechter , Joel Helfer , David Ross
发明人: Jenifer Kennedy , Dale Schmaltz , David Schechter , Joel Helfer , David Ross
CPC分类号: A61B18/1233 , A61B18/1206 , A61B18/1445 , A61B18/1482 , A61B2017/00141 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61B2018/00642 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/0072 , A61B2018/00767 , A61B2018/00875
摘要: A surgical system and associated method for sealing the passageway of a fluid-carrying vessel with a diameter up to 5 millimeters comprises an electrosurgical generator capable of delivering electrosurgical power, a surgical instrument electrically connected to the electrosurgical generator and adapted to transfer electrosurgical power from the electrosurgical generator to a pair of end effectors disposed at a distal end of the surgical instrument. The system also includes a power control circuit for controlling the delivery of radio frequency energy to the vessel through the end effectors, wherein the delivery of the radio frequency energy to the vessel comprises, raising the output current to a range below 1.75 Amperes RMS and the output voltage to a range below 135 Volts RMS. Radio frequency energy is applied to the vessel for a period of time while the power is held approximately constant. The flow of radio frequency energy is terminated when the impedance of the vessel being sealed reaches a predetermined level.
摘要翻译: 用于密封直径达5毫米的流体输送容器的通道的手术系统和相关联的方法包括能够递送电外科电力的电外科发生器,电连接到电外科发生器的外科手术器械,并且适于将电外科手术功率从 电外科发生器设置在外科器械的远端处的一对末端执行器。 该系统还包括一个功率控制电路,用于通过端部执行器控制向容器传送射频能量,其中将射频能量递送到容器包括将输出电流提升到低于1.75安培RMS的范围,并且 输出电压范围低于135伏RMS。 无线电频率能量被持续一段时间,而电力保持大致恒定。 当被密封的容器的阻抗达到预定水平时,射频能量的流动被终止。
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公开(公告)号:US20140249560A1
公开(公告)日:2014-09-04
申请号:US14275753
申请日:2014-05-12
发明人: Vincent Mata , Alan Bachman , Richard N. Granger
IPC分类号: A61B17/32 , A61B17/068
CPC分类号: A61B17/068 , A61B17/07207 , A61B2017/00991 , A61B2017/2901 , A61B2017/2902 , A61B2017/320052
摘要: A device for use in laparoscopic surgery is provided. The device has a sheath, a surgical action mechanism configured to deliver an action and to limit the device to a single use, at least one telescoping section configured to structurally support the surgical action mechanism, a first spacer, and a second spacer. The surgical action mechanism, the telescoping section, the first spacer, and the second spacer are configured to move within the sheath from a pre-action configuration, to an action configuration, and to a return configuration.
摘要翻译: 提供了一种用于腹腔镜手术的装置。 该装置具有护套,外科作用机构,构造成传递动作并将装置限制为单次使用,至少一个伸缩部分构造成结构地支撑外科作用机构,第一间隔件和第二间隔件。 外科手术机构,伸缩部分,第一间隔件和第二间隔件构造成在护套内从预作用构型移动到动作构造,并且返回到构造。
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公开(公告)号:US08517240B1
公开(公告)日:2013-08-27
申请号:US13733815
申请日:2013-01-03
发明人: Vincent Mata , Alan Bachman , Richard N. Granger
IPC分类号: A61B17/068
CPC分类号: A61B17/3205 , A61B17/07207 , A61B2017/00336 , A61B2017/00991 , A61B2017/2901 , A61B2017/320052 , A61B2090/0814
摘要: A medical device comprising an actuator, an extension portion, and a tissue interaction portion. The extension portion is coupled to the actuator and comprises at least first and second telescoping sections with each telescoping section having (i) at least one extended hook section having a head portion and a neck portion, and (ii) at least one body section being one of coupled and integrated to the at least one extended hook section. The at least one extended hook section of the first telescoping section is operatively coupled to the body section of the second telescoping section. The tissue interaction portion is operatively coupled to the extension portion and comprises at least one of a gripping mechanism, a stapling mechanism, and a cutting mechanism. The actuator is adapted to control at least one of the extension portion and tissue interaction portion.
摘要翻译: 一种包括致动器,延伸部分和组织相互作用部分的医疗装置。 延伸部分联接到致动器并且包括至少第一和第二伸缩部分,每个伸缩部分具有(i)至少一个延伸的钩部分,其具有头部部分和颈部部分,以及(ii)至少一个主体部分 一个耦合并且被集成到所述至少一个延伸钩部分中。 第一伸缩部分的至少一个延伸的钩部分可操作地联接到第二伸缩部分的主体部分。 组织相互作用部分可操作地联接到延伸部分并且包括夹持机构,缝合机构和切割机构中的至少一个。 致动器适于控制延伸部分和组织相互作用部分中的至少一个。
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公开(公告)号:US10342599B2
公开(公告)日:2019-07-09
申请号:US15484645
申请日:2017-04-11
发明人: David Ross , Joel Helfer
摘要: Systems, methods, and apparatus for providing power to an electrosurgical instrument. A method of providing power to an electrosurgical instrument includes generating a non-sinusoidal driving voltage having a substantially constant driving frequency; providing the non-sinusoidal driving voltage to a series LC circuit having a resonant frequency of substantially twice the substantially constant driving frequency and configured to present an impedance that limits current spikes and voltage transient spikes during load fluctuations; generating a quasi-sinusoidal current in the series LC circuit from the non-sinusoidal driving voltage; and providing the quasi-sinusoidal current to an electrical output, wherein the electrical output is configured for coupling to an electrical input of a bipolar tissue-sealing surgical instrument.
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公开(公告)号:US09539021B2
公开(公告)日:2017-01-10
申请号:US13952630
申请日:2013-07-28
发明人: Vincent Mata , Alan Bachman , Richard N. Granger
IPC分类号: A61B17/3205 , A61B17/115 , A61B17/068 , A61B17/072 , A61B17/32 , A61B17/00 , A61B17/29
CPC分类号: A61B17/3205 , A61B17/07207 , A61B2017/00336 , A61B2017/00991 , A61B2017/2901 , A61B2017/320052 , A61B2090/0814
摘要: A medical device comprising an actuator, an extension portion, and a tissue interaction portion. The extension portion is coupled to the actuator and comprises at least first and second telescoping sections with each telescoping section having (i) at least one extended hook section having a head portion and a neck portion, and (ii) at least one body section being one of coupled and integrated to the at least one extended hook section. The at least one extended hook section of the first telescoping section is operatively coupled to the body section of the second telescoping section. The tissue interaction portion is operatively coupled to the extension portion and comprises at least one of a gripping mechanism, a stapling mechanism, and a cutting mechanism. The actuator is adapted to control at least one of the extension portion and tissue interaction portion.
摘要翻译: 一种包括致动器,延伸部分和组织相互作用部分的医疗装置。 延伸部分联接到致动器并且包括至少第一和第二伸缩部分,每个伸缩部分具有(i)至少一个延伸的钩部分,其具有头部部分和颈部部分,以及(ii)至少一个主体部分 一个耦合并且被集成到所述至少一个延伸钩部分中。 第一伸缩部分的至少一个延伸的钩部分可操作地联接到第二伸缩部分的主体部分。 组织相互作用部分可操作地联接到延伸部分并且包括夹持机构,缝合机构和切割机构中的至少一个。 致动器适于控制延伸部分和组织相互作用部分中的至少一个。
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公开(公告)号:US09039694B2
公开(公告)日:2015-05-26
申请号:US13277979
申请日:2011-10-20
申请人: David Ross , Joel Helfer
发明人: David Ross , Joel Helfer
CPC分类号: A61B18/1233 , A61B18/1442 , A61B2018/0063 , A61B2018/00702 , A61B2018/00779 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , H02M7/48 , H02M7/539
摘要: Systems, methods, and apparatus for providing power to an electrosurgical instrument. In particular, a power supply is disclosed in which non-sinusoidal (e.g., pulsed) constant frequency voltage having a variable amplitude is passed to an LC circuit to produce a quasi-sinusoidal current in the LC circuit. The constant driving frequency can be one half the resonant frequency of the LC circuit allowing the LC circuit to operate as an impedance, and thus limit current spikes and arcing. The frequency and phasing of the driving voltage also enables the LC circuit to discharge energy back into a power provider of the power supply so that energy does not build up in the LC circuit. These features result in less severe current spikes and arcing, as well as reduced cutoff times.
摘要翻译: 用于向电外科器械提供电力的系统,方法和装置。 特别地,公开了一种电源,其中具有可变幅度的非正弦(例如,脉冲)恒定频率电压被传递到LC电路以在LC电路中产生准正弦电流。 恒定驱动频率可以是允许LC电路作为阻抗工作的LC电路的谐振频率的一半,从而限制电流尖峰和电弧。 驱动电压的频率和定相也使得LC电路能够将能量放回到电源的供电器中,使得在LC电路中不会积聚能量。 这些特征导致电流尖峰和电弧不太严重,并且截止时间减少。
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公开(公告)号:US09649149B2
公开(公告)日:2017-05-16
申请号:US14704587
申请日:2015-05-05
发明人: David Ross , Joel Helfer
CPC分类号: A61B18/1233 , A61B18/1442 , A61B2018/0063 , A61B2018/00702 , A61B2018/00779 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , H02M7/48 , H02M7/539
摘要: Systems, methods, and apparatus for providing power to an electrosurgical instrument. A method of providing power to an electrosurgical instrument includes generating a non-sinusoidal driving voltage having a substantially constant driving frequency; providing the non-sinusoidal driving voltage to a series LC circuit having a resonant frequency of substantially twice the substantially constant driving frequency and configured to present an impedance that limits current spikes and voltage transient spikes during load fluctuations; generating a quasi-sinusoidal current in the series LC circuit from the non-sinusoidal driving voltage; and providing the quasi-sinusoidal current to an electrical output, wherein the electrical output is configured for coupling to an electrical input of a bipolar tissue-sealing surgical instrument.
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公开(公告)号:US20140188147A1
公开(公告)日:2014-07-03
申请号:US13952630
申请日:2013-07-28
发明人: Vincent Mata , Alan Bachman , Richard N. Granger
IPC分类号: A61B17/3205
CPC分类号: A61B17/3205 , A61B17/07207 , A61B2017/00336 , A61B2017/00991 , A61B2017/2901 , A61B2017/320052 , A61B2090/0814
摘要: A medical device comprising an actuator, an extension portion, and a tissue interaction portion. The extension portion is coupled to the actuator and comprises at least first and second telescoping sections with each telescoping section having (i) at least one extended hook section having a head portion and a neck portion, and (ii) at least one body section being one of coupled and integrated to the at least one extended hook section. The at least one extended hook section of the first telescoping section is operatively coupled to the body section of the second telescoping section. The tissue interaction portion is operatively coupled to the extension portion and comprises at least one of a gripping mechanism, a stapling mechanism, and a cutting mechanism. The actuator is adapted to control at least one of the extension portion and tissue interaction portion.
摘要翻译: 一种包括致动器,延伸部分和组织相互作用部分的医疗装置。 延伸部分联接到致动器并且包括至少第一和第二伸缩部分,每个伸缩部分具有(i)至少一个延伸的钩部分,其具有头部部分和颈部部分,以及(ii)至少一个主体部分 一个耦合并且被集成到所述至少一个延伸钩部分中。 第一伸缩部分的至少一个延伸的钩部分可操作地联接到第二伸缩部分的主体部分。 组织相互作用部分可操作地联接到延伸部分并且包括夹持机构,缝合机构和切割机构中的至少一个。 致动器适于控制延伸部分和组织相互作用部分中的至少一个。
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公开(公告)号:US20110319882A1
公开(公告)日:2011-12-29
申请号:US13153513
申请日:2011-06-06
申请人: Jenifer Kennedy , Dale Schmaltz , David Schechter , Joel Helfer , David Ross
发明人: Jenifer Kennedy , Dale Schmaltz , David Schechter , Joel Helfer , David Ross
IPC分类号: A61B18/18
CPC分类号: A61B18/1233 , A61B18/1206 , A61B18/1445 , A61B18/1482 , A61B2017/00141 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61B2018/00642 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/0072 , A61B2018/00767 , A61B2018/00875
摘要: A surgical system and associated method for sealing the passageway of a fluid-carrying vessel with a diameter up to 5 millimeters comprises an electrosurgical generator capable of delivering electrosurgical power, a surgical instrument electrically connected to the electrosurgical generator and adapted to transfer electrosurgical power from the electrosurgical generator to a pair of end effectors disposed at a distal end of the surgical instrument. The system also includes a power control circuit for controlling the delivery of radio frequency energy to the vessel through the end effectors, wherein the delivery of the radio frequency energy to the vessel comprises, raising the output current to a range below 1.75 Amperes RMS and the output voltage to a range below 135 Volts RMS. Radio frequency energy is applied to the vessel for a period of time while the power is held approximately constant. The flow of radio frequency energy is terminated when the impedance of the vessel being sealed reaches a predetermined level.
摘要翻译: 用于密封直径达5毫米的流体输送容器的通道的手术系统和相关联的方法包括能够递送电外科电力的电外科发生器,电连接到电外科发生器的外科手术器械,并且适于将电外科手术功率从 电外科发生器设置在外科器械的远端处的一对末端执行器。 该系统还包括一个功率控制电路,用于通过端部执行器控制向容器传送射频能量,其中将射频能量递送到容器包括将输出电流提升到低于1.75安培RMS的范围,并且 输出电压范围低于135伏RMS。 无线电频率能量被持续一段时间,而电力保持大致恒定。 当被密封的容器的阻抗达到预定水平时,射频能量的流动被终止。
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