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1. 发明授权

US5531744A Alternative current pathways for bipolar surgical cutting tool 失效
标题翻译：双极手术切割工具的替代电流通路
公开(公告)号：US5531744A
公开(公告)日：1996-07-02
申请号：US348038
申请日：1994-12-01
申请人： Paul C. Nardella , David C. Yates , Jesse J. Kuhns , Richard P. Nuchols , Martin Madden , Steven H. Mersch
发明人： Paul C. Nardella , David C. Yates , Jesse J. Kuhns , Richard P. Nuchols , Martin Madden , Steven H. Mersch
IPC分类号： A61B18/12 , A61B17/32 , A61B18/14 , G01N30/02 , A61B17/36
CPC分类号： A61B18/1445 , A61B18/1447 , A61B17/32 , A61B18/1402 , A61B2018/126 , G01N30/02
摘要： A bipolar electrosurgical tool comprises a retractable cutting element movable along a cutting path and an electrical energy supply source which communicates electrical energy (e.g., radio frequency energy) through one or more energy delivering electrodes associated with a tissue affecting portion of the tool to tissue adjacent the electrodes. One or more additional electrodes, such as return electrodes, form a second pole of the bipolar electrical connection are also associated with the tissue affecting portion and are electrically isolated from the energy delivering electrode. Various combinations of electrically conductive and electrically isolated elements associated with the tissue affecting portion of the device can be used as the two poles of the bipolar system.
摘要翻译：双极电外科手术工具包括可沿着切割路径移动的可缩回切割元件和电能源，该电能源通过与工具的组织影响部分相关联的一个或多个能量输送电极将电能（例如射频能量）传递到邻近的组织电极。形成双极电连接的第二极的一个或多个附加电极，例如返回电极也与组织影响部分相关联并且与能量输送电极电隔离。可以使用与器件的组织影响部分相关联的导电和电隔离元件的各种组合作为双极系统的两极。

2. 发明授权

US5833690A Electrosurgical device and method 失效
标题翻译：电外科装置及方法
公开(公告)号：US5833690A
公开(公告)日：1998-11-10
申请号：US825842
申请日：1997-04-04
申请人： David C. Yates , Jesse J. Kuhns , Steven H. Mersch , Martin Madden , Richard P. Nuchols
发明人： David C. Yates , Jesse J. Kuhns , Steven H. Mersch , Martin Madden , Richard P. Nuchols
IPC分类号： A61B1/00 , A61B17/072 , A61B17/115 , A61B17/125 , A61B17/32 , A61B18/12 , A61B18/14 , A61B19/00 , A61B17/36
CPC分类号： A61B18/1206 , A61B17/07207 , A61B18/1447 , A61B17/115 , A61B17/1155 , A61B17/32 , A61B18/12 , A61B18/1402 , A61B2017/07214 , A61B2018/00404 , A61B2018/00601 , A61B2018/00642 , A61B2018/00666 , A61B2018/00672 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/00708 , A61B2018/00761 , A61B2018/00875 , A61B2018/00886 , A61B2018/1273 , A61B2018/1861 , A61B2090/032
摘要： An electrosurgical instrument is provided for cauterization and/or welding of tissue of varying impedances, thicknesses and vascularity especially in the performance of endoscopic procedures. The instrument compresses the tissue between one pole of a bipolar energy source located on one interfacing surface, and a second interfacing surface. A second pole is located one of the two interfacing surfaces. In a preferred embodiment, the second pole is located on the same interfacing surface as the first pole and an insulator electrically isolates the two poles. A preferred application of the invention is in a cutting instrument wherein a hemostatic line is formed along a cut line using RF energy.
摘要翻译：提供了一种电外科手术器械，用于对变化的阻抗，厚度和血管的组织进行烧灼和/或焊接，特别是在内窥镜手术的执行中。该仪器压缩位于一个界面表面上的双极能量源的一个极点与第二接口表面之间的组织。第二个极点位于两个接口表面之一。在优选实施例中，第二极位于与第一极相同的接口表面上，绝缘体电隔离两极。本发明的优选应用在切割仪器中，其中使用RF能量沿着切割线形成止血线。

3. 发明授权

US5403312A Electrosurgical hemostatic device 失效
标题翻译：电外科止血装置
公开(公告)号：US5403312A
公开(公告)日：1995-04-04
申请号：US95797
申请日：1993-07-22
申请人： David C. Yates , Jesse J. Kuhns , Steven H. Mersch , Martin Madden , Richard P. Nuchols
发明人： David C. Yates , Jesse J. Kuhns , Steven H. Mersch , Martin Madden , Richard P. Nuchols
IPC分类号： A61B1/00 , A61B17/072 , A61B17/115 , A61B17/125 , A61B17/32 , A61B18/12 , A61B18/14 , A61B19/00 , A61B17/39
CPC分类号： A61B18/1206 , A61B17/07207 , A61B18/1447 , A61B17/115 , A61B17/1155 , A61B17/32 , A61B18/12 , A61B18/1402 , A61B2017/07214 , A61B2018/00404 , A61B2018/00601 , A61B2018/00642 , A61B2018/00666 , A61B2018/00672 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/00708 , A61B2018/00761 , A61B2018/00875 , A61B2018/00886 , A61B2018/1273 , A61B2018/1861 , A61B2090/032
摘要： An electrosurgical instrument is provided for cauterization and/or welding of tissue of varying impedances, thicknesses and vascularity especially in the performance of endoscopic procedures. The instrument compresses the tissue between one pole of a bipolar energy source located on one interfacing surface, and a second interfacing surface. A second pole is located one of the two interfacing surfaces. In a preferred embodiment, the second pole is located on the same interfacing surface as the first pole and an insulator electrically isolates the two poles. A preferred application of the invention is in a cutting instrument wherein a hemostatic line is formed along a cut line using RF energy.
摘要翻译：提供了一种电外科手术器械，用于对变化的阻抗，厚度和血管的组织进行烧灼和/或焊接，特别是在内窥镜手术的执行中。该仪器压缩位于一个界面表面上的双极能量源的一个极点与第二接口表面之间的组织。第二个极点位于两个接口表面之一。在优选实施例中，第二极位于与第一极相同的接口表面上，绝缘体电隔离两极。本发明的优选应用在切割仪器中，其中使用RF能量沿着切割线形成止血线。

4. 发明授权

US5735848A Electrosurgical stapling device 失效
标题翻译：电外科装订装置
公开(公告)号：US5735848A
公开(公告)日：1998-04-07
申请号：US425705
申请日：1995-04-20
申请人： David C. Yates , Jesse J. Kuhns , Steven H. Mersch
发明人： David C. Yates , Jesse J. Kuhns , Steven H. Mersch
IPC分类号： A61B17/00 , A61B17/072 , A61B17/115 , A61B18/04 , A61B18/14 , A61B17/36
CPC分类号： A61B17/07207 , A61B17/115 , A61B18/1447 , A61B17/1155 , A61B18/1402 , A61B2017/00504 , A61B2018/00404 , A61B2018/00601 , A61B2018/1861
摘要： An surgical stapling instrument is provided which uses a thermogenic energy preferably bipolar radiofrequency energy for cauterization and/or welding tissue. The instrument compresses tissue between one pole of a bipolar energy sources contained on a first interfacing surface and a second pole of a bipolar energy source contained on a second interfacing surface. Staples and thermogenic energy are applied to the compressed tissue. In a preferred embodiment a cutting element for cutting tissue is incorporated into the instrument.
摘要翻译：提供了一种外科缝合器械，其使用产热能优选为双极射频能量用于烧灼和/或焊接组织。所述仪器在包含在第一接口表面上的双极能源的一极与包含在第二接口表面上的双极能量源的第二极之间压缩组织。订书钉和产热能被施加到压缩的组织上。在优选实施例中，用于切割组织的切割元件被并入到仪器中。

5. 发明申请

US20080077131A1 END EFFECTOR COATINGS FOR ELECTROSURGICAL INSTRUMENTS 有权
标题翻译：电磁力仪器的末端效应涂层
公开(公告)号：US20080077131A1
公开(公告)日：2008-03-27
申请号：US11534326
申请日：2006-09-22
申请人： David C. Yates , Philip Q. Shuster , Kenneth V. Moran , Chester O. Baxter , David A. Witt , James R. Giordano , Jesse J. Kuhns
发明人： David C. Yates , Philip Q. Shuster , Kenneth V. Moran , Chester O. Baxter , David A. Witt , James R. Giordano , Jesse J. Kuhns
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/068 , A61B17/07207 , A61B2017/320052 , A61B2018/00083 , A61B2018/00107 , A61B2018/1412 , A61B2018/1455
摘要： An electrosurgical stapling instrument includes an end effector capable of applying bipolar RF energy into tissue. The end effector has a first pole electrode and a second pole electrode for forming an RF contact circuit with tissue. At least one of the electrodes may have a dielectric coating thereon to create a RF circuit with tissue. The dielectric coating can cover one of the electrodes to create a capacitive coupling circuit with tissue, or can have at least one open passageway extending through the dielectric coating to enable tissue contact with the electrode and the passage of RF energy therethrough. The dielectric coating on the electrode can be masked to create passageways through the dielectric, or the dielectric coating can be locally removed with a variety of techniques to form passageways. The dielectric coating may provide a barrier to prevent shorting between the dielectrically coated electrode and a conductive fastener embedded within tissue. Alternately, a cartridge coating can be used to reduce an electric surface sheet charge on the cartridge thermoplastic that can occur during the application of RF energy to tissue.
摘要翻译：电外科缝合器械包括能够将双极RF能量施加到组织中的末端执行器。端部执行器具有用于与组织形成RF接触电路的第一极电极和第二极电极。电极中的至少一个可以在其上具有介电涂层以产生具有组织的RF电路。电介质涂层可以覆盖电极之一以产生具有组织的电容耦合电路，或者可以具有延伸穿过电介质涂层的至少一个开放通道，以使得能够组织与电极接触并通过RF能量的通过。可以对电极上的电介质涂层进行掩模以形成通过电介质的通道，或者可以用各种技术局部地去除电介质涂层以形成通道。电介质涂层可以提供屏障，以防止介电涂覆的电极与嵌入组织内的导电紧固件之间的短路。或者，可以使用盒式涂层来减少在将能量应用于组织期间可能发生的盒式热塑性塑料上的电表面片材电荷。

6. 发明授权

US5709680A Electrosurgical hemostatic device 失效
标题翻译：电外科止血装置
公开(公告)号：US5709680A
公开(公告)日：1998-01-20
申请号：US362065
申请日：1994-12-22
申请人： David C. Yates , Jesse J. Kuhns , Warren P. Williamson, IV
发明人： David C. Yates , Jesse J. Kuhns , Warren P. Williamson, IV
IPC分类号： A61B17/00 , A61B17/072 , A61B17/115 , A61B17/32 , A61B18/12 , A61B18/14 , A61B19/00 , A61B17/36
CPC分类号： A61B17/115 , A61B17/07207 , A61B18/1206 , A61B18/1447 , A61B17/32 , A61B18/1402 , A61B2017/00504 , A61B2017/07214 , A61B2017/07228 , A61B2018/00404 , A61B2018/00601 , A61B2018/00642 , A61B2018/00666 , A61B2018/00672 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/00708 , A61B2018/00875 , A61B2018/1273 , A61B2018/1861 , A61B2090/032
摘要： An electrosurgical instrument is provided for cauterization and/or welding of tissue of varying impedances, thicknesses and vascularity especially in the performance of endoscopic procedures. The instrument compresses the tissue in the compression zone between first interfacing surface and second interfacing surfaces. The compression zone is formed by an insulator which forms a compression ridge in one of the interfacing surfaces and separates first and second electrically opposite electrodes. A preferred application of the invention is in a cutting instrument wherein a hemostatic line is formed using RF along a cut line.
摘要翻译：提供了一种电外科手术器械，用于对变化的阻抗，厚度和血管的组织进行烧灼和/或焊接，特别是在内窥镜手术的执行中。仪器在第一接口表面和第二接口表面之间压缩压缩区域中的组织。压缩区由绝缘体形成，该绝缘体在一个接口表面中形成压缩脊，并分离第一和第二电相对的电极。本发明的优选应用在切割仪器中，其中使用沿着切割线的RF形成止血线。

7. 发明授权

US07780663B2 End effector coatings for electrosurgical instruments 有权
标题翻译：电外科器械的末端执行器涂层
公开(公告)号：US07780663B2
公开(公告)日：2010-08-24
申请号：US11534326
申请日：2006-09-22
申请人： David C. Yates , Phillip Q. Shuster , Kenneth V. Moran , Chester O. Baxter, III , David A. Witt , James R. Giordano , Jesse J. Kuhns
发明人： David C. Yates , Phillip Q. Shuster , Kenneth V. Moran , Chester O. Baxter, III , David A. Witt , James R. Giordano , Jesse J. Kuhns
IPC分类号： A61B18/18 , A61B17/08
CPC分类号： A61B18/1445 , A61B17/068 , A61B17/07207 , A61B2017/320052 , A61B2018/00083 , A61B2018/00107 , A61B2018/1412 , A61B2018/1455
摘要： An electrosurgical stapling instrument includes an end effector capable of applying bipolar RF energy into tissue. The end effector has a first pole electrode and a second pole electrode for forming an RF contact circuit with tissue. At least one of the electrodes may have a dielectric coating thereon to create a RF circuit with tissue. The dielectric coating can cover one of the electrodes to create a capacitive coupling circuit with tissue, or can have at least one open passageway extending through the dielectric coating to enable tissue contact with the electrode and the passage of RF energy therethrough. The dielectric coating on the electrode can be masked to create passageways through the dielectric, or the dielectric coating can be locally removed with a variety of techniques to form passageways. The dielectric coating may provide a barrier to prevent shorting between the dielectrically coated electrode and a conductive fastener embedded within tissue. Alternately, a cartridge coating can be used to reduce an electric surface sheet charge on the cartridge thermoplastic that can occur during the application of RF energy to tissue.
摘要翻译：电外科缝合器械包括能够将双极RF能量施加到组织中的末端执行器。端部执行器具有用于与组织形成RF接触电路的第一极电极和第二极电极。电极中的至少一个可以在其上具有介电涂层以产生具有组织的RF电路。电介质涂层可以覆盖电极之一以产生具有组织的电容耦合电路，或者可以具有延伸穿过电介质涂层的至少一个开放通道，以使得能够组织与电极接触并通过RF能量的通过。可以对电极上的电介质涂层进行掩模以形成通过电介质的通道，或者可以用各种技术局部地去除电介质涂层以形成通道。电介质涂层可以提供屏障，以防止介电涂覆的电极与嵌入组织内的导电紧固件之间的短路。或者，可以使用盒式涂层来减少在将能量应用于组织期间可能发生的盒式热塑性塑料上的电表面片材电荷。

8. 发明授权

US08845661B2 Device and method for the therapy of obesity 有权
标题翻译：用于治疗肥胖症的装置和方法
公开(公告)号：US08845661B2
公开(公告)日：2014-09-30
申请号：US11662041
申请日：2005-06-17
申请人： Michele D'Arcangelo , Jesse J. Kuhns , Federico Bilotti , Roberto Tacchino
发明人： Michele D'Arcangelo , Jesse J. Kuhns , Federico Bilotti , Roberto Tacchino
IPC分类号： A61B17/11 , A61B17/00 , A61B17/04 , A61B17/22
CPC分类号： A61B17/1114 , A61B2017/00862 , A61B2017/0404 , A61B2017/1103 , A61B2017/1139 , A61B2017/22038
摘要： An anastomotic device, particularly a positioning device (24) extending along a longitudinal axis (30) comprises a first component, or proximal component (26) and a second component, or distal component (28). The proximal and distal components are suitable to lock an elastic ring (52) in a deformed configuration therebetween. The proximal component (26) has a substantially cylindrical outer structure with a cavity (32) for receiving a proximal end (52a) of the elastic ring (52). The distal component (28) comprises a head (42) and a stem (44) developing along the longitudinal axis (30). The head (42) has a cone or truncated-cone shape.
摘要翻译：吻合装置，特别是沿着纵向轴线（30）延伸的定位装置（24）包括第一部件或近端部件（26）和第二部件或远端部件（28）。近端和远端部件适于将弹性环（52）锁定在其间的变形构造中。近端部件（26）具有基本上圆柱形的外部结构，其具有用于容纳弹性环（52）的近端（52a）的空腔（32）。远侧部件（28）包括头部（42）和沿着纵向轴线（30）展开的杆部（44）。头部（42）具有锥形或截头圆锥形状。

9. 发明授权

US07988619B2 Diagnostic device for tubular anatomical structures 有权
标题翻译：用于管状解剖结构的诊断装置
公开(公告)号：US07988619B2
公开(公告)日：2011-08-02
申请号：US11662032
申请日：2005-06-16
申请人： Antonio Longo , Jesse J. Kuhns , Federico Bilotti , Michele D'Arcangelo , Christopher J. Hess , William Bruce Weisenburgh, II
发明人： Antonio Longo , Jesse J. Kuhns , Federico Bilotti , Michele D'Arcangelo , Christopher J. Hess , William Bruce Weisenburgh, II
IPC分类号： A61B1/04 , A61M29/00
CPC分类号： A61B1/0008 , A61B1/31 , A61B1/32
摘要： A diagnostic device for pathologies of tubular anatomical structures comprises a tubular elongated structure having a proximal end and a distal end. The distal end is suitable to be inserted in the tubular anatomical structure. The device includes a means for locally dilating the walls of the tubular anatomical structure that are associated with the distal end of said elongated structure. The means for locally dilating is movable between a closed position for introducing the device and at least one open position for viewing and evaluating the pathology. The device also has a control means on the proximal end of the elongated structure. The control means is operatively connected to the means for locally dilating, in order to move them between the closed position and the open position, and vice versa.
摘要翻译：用于管状解剖结构病理学的诊断装置包括具有近端和远端的管状细长结构。远端适于插入管状解剖结构中。该装置包括用于局部扩张与所述细长结构的远端相关联的管状解剖结构的壁的装置。用于局部扩张的装置可以在用于引入装置的关闭位置和用于观察和评估病理学的至少一个打开位置之间移动。该装置还具有在细长结构的近端上的控制装置。控制装置可操作地连接到用于局部扩张的装置，以便在关闭位置和打开位置之间移动它们，反之亦然。

10. 发明授权

US07803137B2 Intubation system for use with an endoscope 有权
标题翻译：用于内窥镜的插管系统
公开(公告)号：US07803137B2
公开(公告)日：2010-09-28
申请号：US11386584
申请日：2006-03-22
申请人： David Stefanchik , James T. Spivey , Jesse J. Kuhns , Omar Vakharia , Rick D. Applegate
发明人： David Stefanchik , James T. Spivey , Jesse J. Kuhns , Omar Vakharia , Rick D. Applegate
IPC分类号： A61B1/00
CPC分类号： A61B1/00073 , A61B1/00154
摘要： An intubation system is provided for use with an endoscope. The intubation system includes a guide apparatus having a track that is adapted to be associated with the endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation system also includes a positioning device having a first coupling member on the distal end and an intubation device having a second coupling member on the proximal end. The intubation device and the positioning device each include a mating member that is adapted to slidingly engage the track external of the endoscope, whereby the first and second coupling members may be releasably attached together.
摘要翻译：提供一种用于内窥镜的插管系统。插管系统包括具有适于与内窥镜相关联的轨道的引导装置，使得轨道的弯曲与内窥镜的弯曲基本上脱离。所述插管系统还包括具有在远端上的第一联接构件的定位装置和在近端具有第二联接构件的插管装置。插管装置和定位装置各自包括配合构件，其适于滑动地接合内窥镜外部的轨道，由此第一和第二联接构件可以可释放地附接在一起。

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