公开(公告)号：WO2017087189A1

公开(公告)日：2017-05-26

申请号：PCT/US2016/060611

申请日：2016-11-04

Applicant: COVIDIEN LP

Inventor： COULSON, Rebecca J. ,  PETERSON, Darion R. ,  ALLEN, James D., IV ,  ROSS, Anthony B. ,  NAU, William H., JR.

IPC: A61B18/18

CPC classification number: A61M31/00 ,  A61B18/08 ,  A61B18/1485 ,  A61B18/1492 ,  A61B18/1815 ,  A61B2018/00214 ,  A61B2018/00494 ,  A61B2018/1861 ,  A61B2218/002 ,  A61F7/007 ,  A61F2007/0018 ,  A61F2007/0071 ,  A61N5/0603 ,  A61N5/062 ,  A61N5/0625 ,  A61N2005/0608 ,  A61N2005/0609

Abstract: An apparatus for treating inflammatory bowel diseases is provided. The apparatus includes a handle, a shaft extending distally from the handle, and an end effector disposed on a distal end of the shaft. The shaft is configured to be advanced within the colon of a patient. The end effector includes a radiating portion and a nozzle disposed thereon. The radiating portion is configured to emit energy therefrom and the nozzle is configured to emit a fluid therefrom. A method of treating inflammatory bowel diseases is also provided.

Abstract translation: 提供了一种治疗炎症性肠病的装置。 该装置包括手柄，从手柄向远侧延伸的轴以及设置在轴的远端上的端部执行器。 轴被配置为在患者的结肠内前进。 末端执行器包括散热部分和设置在其上的喷嘴。 辐射部分构造成从其发射能量，并且喷嘴构造成从其中发射流体。 还提供了一种治疗炎症性肠病的方法。

公开(公告)号：WO2016025122A3

公开(公告)日：2016-02-18

申请号：PCT/US2015/040839

申请日：2015-07-17

Applicant: COVIDIEN LP

Inventor： COUTURE, Gary M. ,  ARTALE, Ryan C. ,  TWOMEY, John R. ,  COULSON, Rebecca J. ,  VAN TOL, David J.

IPC: A61B18/14 ,  A61B18/18 ,  A61B17/26 ,  A61B17/32

Abstract: An end effector assembly for a surgical instrument includes a pair of jaw members each including one or more tissue-contacting plates. One or both jaw members is movable relative to the other between spaced-apart and approximated positions for grasping tissue between the tissue-contacting plates. The tissue-contacting plates are adapted to connect to a source of energy for conducting energy through tissue grasped between. One of the jaw members includes an insulative member extending towards the other member. The insulative member includes a plurality of crests each defining a blunt apex and a proximally-facing sharpened edge. The blunt apexes contact tissue upon approximation of the first and second jaw members to grasp tissue, while the proximally-facing sharpened edges facilitate tissue cutting in a ripping fashion upon proximal translation of the end effector assembly relative to tissue.

公开(公告)号：WO2017087191A1

公开(公告)日：2017-05-26

申请号：PCT/US2016/060623

申请日：2016-11-04

Applicant: COVIDIEN LP

Inventor： SHARP, Robert M. ,  PETERSON, Darion R. ,  KERR, Duane E. ,  WARD, Arlen K. ,  ROSS, Anthony B. ,  COULSON, Rebecca J. ,  NAU, JR., William H.

IPC: A61B18/04 ,  A61B18/18

CPC classification number: A61B18/04 ,  A61B18/1492 ,  A61B18/1815 ,  A61B2018/00029 ,  A61B2018/00285 ,  A61B2018/00494 ,  A61B2018/046 ,  A61M37/00 ,  A61N7/02

Abstract: A method of treating bowel diseases includes introducing a fluid into a portion of a patients colon and applying energy thereto from an external energy source such that the fluid and the energy cooperate to treat tissue of the portion of the patients colon in contact with the fluid. Another method of treating inflammatory bowel diseases includes sealing a portion of a patients colon, introducing an electrically-conductive fluid thereto, and energizing an electrode disposed therein to treat tissue of the portion of the patients colon in contact with the electrically-conductive fluid. Another method of treating inflammatory bowel diseases includes sealing a portion of a patients colon and introducing a heated fluid at a temperature equal to or above 60 °C to treat tissue of the portion of the patients colon in contact with the heated fluid.

Abstract translation: 治疗肠疾病的方法包括将流体引入患者结肠的一部分中，并且从外部能量源向其施加能量，使得流体和能量合作以治疗肠道疾病的一部分的组织 患者结肠与液体接触。 治疗炎症性肠病的另一种方法包括密封患者结肠的一部分，向其中引入导电流体，并激励设置在其中的电极以治疗与导电流体接触的患者结肠的一部分的组织。 治疗炎性肠病的另一种方法包括密封患者结肠的一部分并引入温度等于或高于60℃的加热流体以治疗与加热流体接触的患者结肠部分的组织。 p>

公开(公告)号：WO2017087193A1

公开(公告)日：2017-05-26

申请号：PCT/US2016/060628

申请日：2016-11-04

Applicant: COVIDIEN LP

Inventor： NAU, JR., William H. ,  KERR, Duane E. ,  ROOKS, Kathy E. ,  PETERSON, Darion R. ,  SHARP, Robert M. ,  COULSON, Rebecca J.

IPC: A61B18/04

CPC classification number: A61B18/082 ,  A61B18/28 ,  A61B2017/00818 ,  A61B2018/00047 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00494 ,  A61B2018/00577 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61N7/022

Abstract: A surgical instrument includes a flexible tube defining a proximal end and a distal end. An end effector, disposed at the distal end of the flexible tube, is configured for insertion into and advancement through a body cavity to a treatment target. The end effector is adapted to connect to a source of energy. The end effector includes an expandable member which can expand from an un-expanded state to an expanded state in order to circumferentially contact a bodily treatment target. The end effector further includes at least one heating member that may hear the expandable member such that the expandable member may thermally treat tissue that the expandable member contacts.

Abstract translation: 手术器械包括限定近端和远端的柔性管。 设置在柔性管的远端处的末端执行器构造成用于插入并穿过体腔前进到治疗目标。 末端执行器适用于连接到能源。 末端执行器包括可膨胀构件，该可膨胀构件能够从未膨胀状态膨胀到膨胀状态，以便周向地接触身体治疗目标。 末端执行器进一步包括至少一个加热构件，其可以聆听可扩张构件，使得可扩张构件可以热处理可扩张构件接触的组织。

公开(公告)号：WO2015017989A1

公开(公告)日：2015-02-12

申请号：PCT/CN2013/080944

申请日：2013-08-07

Applicant: COVIDIEN LP ,  COVIDIEN (CHINA) MEDICAL DEVICES TECHNOLOGY CO., LTD.

Inventor： HART, Keir ,  COULSON, Rebecca J. ,  COUTURE, Gary M. ,  LADTKOW, Geneva ,  LEE, Weng-Kai K. ,  NETZEL, Kenneth E. ,  PRAKASH, Manley ,  RESCHKE, Arlen J. ,  RICKE, Anthony D. ,  TOWNSEND, Jeffrey R.

IPC: A61B18/12 ,  A61B17/295

CPC classification number: A61B18/1442 ,  A61B18/1206 ,  A61B2017/00526 ,  A61B2018/00083 ,  A61B2018/00345 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/126 ,  A61B2018/1452 ,  A61B2018/1457 ,  A61B2018/1495

Abstract: A bipolar forceps (10) includes a mechanical forceps (20) including first and second shafts (12, 14) each having a jaw member (42, 44) extending from a distal end (17, 19) thereof and a handle (16, 18) disposed at a proximal end (13, 15) thereof for effecting movement of the jaw members (42, 44) relative to one another about a pivot (25). A disposable housing (70) is configured to releasably couple to at least one of the shafts (12, 14) and an electrode assembly (21) has electrodes (110, 120) releasably coupleable to the jaw members (42, 44) and adapted to connect to a source of electrosurgical energy to allow selective conduction of electrosurgical energy through tissue (150) held therebetween to effect a tissue seal. An electrically conductive cutting element (85) is disposed on at least one of the electrodes (110, 120) and is adapted to connect to the source of electrosurgical energy to allow selective conduction of electrosurgical energy through tissue (150) held between the electrodes (110, 120) to effect a tissue cut.

Abstract translation: 双极镊子（10）包括机械镊子（20），其包括第一和第二轴（12,14），每个轴具有从其远端（17,19）延伸的颚构件（42,44）和手柄（16， 18）设置在其近端（13,15）处，用于相对于彼此围绕枢轴（25）彼此相对地移动所述钳口构件（42,44）。 一次性外壳（70）构造成可释放地联接到至少一个轴（12,14），并且电极组件（21）具有可释放地联接到钳口构件（42,44）的电极（110,120）并且适于 以连接到电外科能量源，以允许电外科手术能量通过保持在其间的组织（150）选择性地传导以实现组织密封。 导电切割元件（85）设置在至少一个电极（110,120）上，并且适于连接到电外科能量源，以允许电外科能量通过保持在电极之间的组织（150） 110,120）以进行组织切割。