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91. 发明授权

US08790342B2 Electrosurgical instrument employing pressure-variation electrodes 有权
标题翻译：采用压力变异电极的电外科仪器
公开(公告)号：US08790342B2
公开(公告)日：2014-07-29
申请号：US12797252
申请日：2010-06-09
申请人： Foster B. Stulen , Jeffrey S. Swayze , Prasanna Malaviya , Gregory W. Johnson , Jason L. Harris , Paul Guerra
发明人： Foster B. Stulen , Jeffrey S. Swayze , Prasanna Malaviya , Gregory W. Johnson , Jason L. Harris , Paul Guerra
IPC分类号： A61B18/14 , A61B18/00
CPC分类号： A61B18/1445 , A61B2018/00077 , A61B2018/00083 , A61B2018/0063 , A61B2018/1455
摘要： A surgical instrument can comprise a handle, a first conductor, a second conductor, and an end effector. The end effector can comprise a first jaw, a second jaw, wherein the first jaw is movable relative to the second jaw in order to capture tissue intermediate the first jaw and the second jaw, a first electrode electrically coupled with the first conductor, and a second electrode electrically coupled with the second conductor, wherein the second electrode is comprised of a material configured to have a first electrical resistance when a first pressure is applied to the material, and wherein the material is configured to have a second electrical resistance when a second pressure is applied to the material. In various circumstances, the material can be configured such that, once the applied pressure has exceeded a switching pressure, the resistance of the material can switch from the first resistance to the second resistance.
摘要翻译：手术器械可以包括手柄，第一导体，第二导体和末端执行器。末端执行器可以包括第一钳口和第二钳口，其中第一钳口相对于第二钳口可移动，以便捕获第一钳夹和第二钳夹中间的组织，与第一导体电耦合的第一电极和所述第二电极与所述第二导体电耦合，其中所述第二电极包括被配置为当向所述材料施加第一压力时具有第一电阻的材料，并且其中所述材料被配置为当第二电极具有第二电阻时，对材料施加压力。在各种情况下，材料可以被配置为使得一旦施加的压力超过开关压力，材料的电阻就可以从第一阻力转换到第二阻力。

92. 发明授权

US08714360B2 Tissue processing device with ultrasonic tissue particle separator 有权
标题翻译：超声波组织颗粒分离机组织处理装置
公开(公告)号：US08714360B2
公开(公告)日：2014-05-06
申请号：US12778806
申请日：2010-05-12
申请人： Jeffrey S. Swayze , Mark H. Ransick , Foster B. Stulen
发明人： Jeffrey S. Swayze , Mark H. Ransick , Foster B. Stulen
IPC分类号： C02F1/36
CPC分类号： C12M47/04 , B01D21/283 , B33Y80/00 , C12M47/02
摘要： A device is operable to separate tissue particles. The device comprises a reservoir and an ultrasonic transducer. The reservoir is configured to receive tissue particles in a fluid. The ultrasonic transducer is operable to emit ultrasonic energy toward tissue particles in the reservoir. Control circuitry is configured to drive the ultrasonic transducer at parameters selected to provide movement of tissue particles in the first reservoir based on the size of the tissue particles. The ultrasonic transducer may thus drive the tissue particles toward respective outlets or at particular times based on their particle size. An electrically driven screen may be used to separate tissue particles from liquid. An ultrasonic mincing device may be used to mince tissue particles whose size exceeds a predetermined size range.
摘要翻译：装置可操作以分离组织颗粒。该装置包括储存器和超声换能器。储存器构造成接收流体中的组织颗粒。超声波换能器可操作地朝储存器中的组织颗粒发射超声波能量。控制电路被配置为在选择的参数下驱动超声波换能器，以根据组织颗粒的尺寸提供组织颗粒在第一储存器中的移动。因此，超声换能器可以基于它们的粒度将组织颗粒驱动到相应的出口或特定时间。可以使用电驱动屏幕来将组织颗粒与液体分离。可以使用超声波切碎装置来破碎其尺寸超过预定尺寸范围的组织颗粒。

93. 发明授权

US08709035B2 Electrosurgical cutting and sealing instruments with jaws having a parallel closure motion 有权
标题翻译：具有并联闭合运动的钳口的电外科切割和密封仪器
公开(公告)号：US08709035B2
公开(公告)日：2014-04-29
申请号：US12758298
申请日：2010-04-12
申请人： Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Foster B. Stulen
发明人： Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Foster B. Stulen
IPC分类号： A61B17/00 , A61B18/14
CPC分类号： A61B17/3205 , A61B17/2804 , A61B18/1445 , A61B18/1447 , A61B18/1492 , A61B2017/2933 , A61B2018/1412 , A61B2018/145 , A61B2018/1455
摘要： A surgical instrument comprising, a shaft, and an end effector comprising first and second jaw members and a reciprocating member. The end effector may additionally comprise a first push rod member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to the shaft at a first pivot point as well as a first linkage member having a distally directed end pivotably coupled to the first jaw member and a proximally directed end pivotably coupled to a second pivot point. In this way, distal motion of the reciprocating member may exert a force on the first and second jaw members causing the first and second jaw members to translate towards one another in a substantially parallel motion.
摘要翻译：一种手术器械，包括轴，以及包括第一和第二钳口构件和往复运动构件的端部执行器。端部执行器可以另外包括第一推杆构件，其具有可枢转地联接到第一钳口构件的远侧定向的端部，以及在第一枢转点可枢转地联接到所述轴的向近侧指向的端部以及具有远端指向的端部可枢转地联接到第一钳口构件和可枢转地联接到第二枢转点的近端指向的端部。以这种方式，往复构件的远端运动可以对第一和第二钳口构件施加力，导致第一和第二钳口构件以基本平行的运动彼此平移。

94. 发明申请

US20140005667A1 CLOSED FEEDBACK CONTROL FOR ELECTROSURGICAL DEVICE 有权
标题翻译：封闭式电子装置的反馈控制
公开(公告)号：US20140005667A1
公开(公告)日：2014-01-02
申请号：US13539117
申请日：2012-06-29
申请人： Foster B. Stulen , Randolph Stewart , Chad P. Boudreaux
发明人： Foster B. Stulen , Randolph Stewart , Chad P. Boudreaux
IPC分类号： A61B19/00 , A61B18/14
CPC分类号： A61B34/37 , A61B17/320092 , A61B18/12 , A61B18/14 , A61B18/1445 , A61B34/30 , A61B2017/00026 , A61B2017/00477 , A61B2017/2929 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/00642 , A61B2018/00702 , A61B2018/00755 , A61B2018/00875 , A61B2018/00994 , A61B2018/1455 , A61B2034/301 , A61B2090/0807
摘要： Various example embodiments are directed towards a system and method for closed feedback control of a robotically controlled electrosurgical instrument. In one embodiment, the method comprises applying at least one electrosurgical signal to an electrosurgical end effector a robotically controlled surgical instrument. A feedback signal may be generated by the electrosurgical end effector and provided to a control logic. The control logic may be configured to determine a rate of change of the impedance of a target tissue based on the feedback signal received from the electrosurgical end effector. The control logic may be configured to control or modify the at least one electrosurgical signal such that the rate of change of impedance determined from the feedback signal is maintained at a predetermined rate or within a predetermined range.
摘要翻译：各种示例性实施例涉及用于机器人控制的电外科器械的闭合反馈控制的系统和方法。在一个实施例中，该方法包括将至少一个电外科信号施加到电外科末端执行器，其由机器人控制的手术器械。反馈信号可以由电外科末端执行器产生并提供给控制逻辑。控制逻辑可以被配置为基于从电外科末端执行器接收的反馈信号来确定目标组织的阻抗的变化率。控制逻辑可以被配置为控制或修改至少一个电外科信号，使得从反馈信号确定的阻抗变化率保持在预定速率或预定范围内。

95. 发明申请

US20140005654A1 LOCKOUT MECHANISM FOR USE WITH ROBOTIC ELECTROSURGICAL DEVICE 有权
标题翻译：使用机器人电磁设备的锁定机构
公开(公告)号：US20140005654A1
公开(公告)日：2014-01-02
申请号：US13539110
申请日：2012-06-29
申请人： Jonathan T. Batross , Gregory A. Trees , Foster B. Stulen , Randolph Stewart , Chad P. Boudreaux
发明人： Jonathan T. Batross , Gregory A. Trees , Foster B. Stulen , Randolph Stewart , Chad P. Boudreaux
IPC分类号： A61B17/295 , A61B18/18 , A61B18/14
CPC分类号： A61B18/1445 , A61B17/320092 , A61B18/14 , A61B34/30 , A61B90/03 , A61B2017/2927 , A61B2017/2929 , A61B2018/00642 , A61B2018/00994 , A61B2018/1455
摘要： A robotically controlled surgical tool comprising including a lockout mechanism is provided. The surgical tool may comprise an instrument mounting portion. The instrument mounting portion includes a housing, a plate, a shaft assembly comprising an end effector, and a coupler to couple the shaft assembly to the instrument mounting portion. The end effector comprises a first jaw member and a second jaw member, the first and second jaw members defining a channel therebetween, and a blade slideably receivable within the channel to cut tissue located between the first and second jaw members. The surgical tool may include an actuation mechanism to actuate the end effector to provide reciprocating movement of the blade within the channel. A lockout mechanism is coupled to the actuation mechanism. The lockout mechanism may selectively enable reciprocating movement of the blade. An interface mechanically and electrically couples the instrument mounting portion to a robotic manipulator.
摘要翻译：提供了包括锁定机构的机器人控制的外科手术工具。手术工具可以包括器械安装部分。仪器安装部分包括壳体，板，包括末端执行器的轴组件和将轴组件连接到仪器安装部分的联接器。末端执行器包括第一钳口构件和第二钳口构件，第一和第二钳口构件在其间限定通道，以及可滑动地容纳在通道内的刀片，以切割位于第一和第二钳口构件之间的组织。手术工具可以包括致动机构以致动末端执行器以提供刀片在通道内的往复运动。锁定机构联接到致动机构。锁定机构可以选择性地实现叶片的往复运动。接口将仪器安装部分机械和电耦合到机器人操纵器。

96. 发明申请

US20130324999A1 SURGICAL INSTRUMENT WITH ORIENTATION SENSING 有权
标题翻译：手术仪器与方位感应
公开(公告)号：US20130324999A1
公开(公告)日：2013-12-05
申请号：US13484584
申请日：2012-05-31
申请人： Daniel W. Price , Sora Rhee , Cory G. Kimball , Timothy G. Dietz , Ashvani K. Madan , Donna L. Korvick , Foster B. Stulen , Jeffrey D. Messerly , William E. Clem , Jacqueline C. Aronhalt , William D. Dannaher , John B. Schulte , Danius P. Silkaitis , Stephen J. Balek , Michael R. Lamping
发明人： Daniel W. Price , Sora Rhee , Cory G. Kimball , Timothy G. Dietz , Ashvani K. Madan , Donna L. Korvick , Foster B. Stulen , Jeffrey D. Messerly , William E. Clem , Jacqueline C. Aronhalt , William D. Dannaher , John B. Schulte , Danius P. Silkaitis , Stephen J. Balek , Michael R. Lamping
IPC分类号： A61B18/18 , A61B17/00
CPC分类号： A61B17/320092 , A61B18/1445 , A61B2017/00115 , A61B2017/00207 , A61B2017/0046 , A61B2017/00473 , A61B2018/00702 , A61B2018/00898 , A61B2018/00988 , A61B2034/2048 , A61B2090/064 , A61B2090/0814 , F04C2270/041
摘要： A surgical instrument comprises a body assembly and an end effector. The body assembly includes a control module, an orientation sensor communicatively coupled to the control module, and an energy component. The energy component is operable to activate the end effector at a plurality of energy settings. A storage device is communicatively coupled to the control module and includes a plurality of gesture profiles and corresponding energy settings. The control module is configured to set the energy setting of the energy component to a corresponding energy setting in response to a correlation between the output of the orientation sensor and a gesture profile. In some versions, the control module modifies the energy setting based upon output from a force sensor that measures the force on the end effector. The control module may also decrease the energy setting in response to an anomalous acceleration or deceleration detected by an accelerometer.
摘要翻译：手术器械包括主体组件和端部执行器。主体组件包括控制模块，通信地耦合到控制模块的定向传感器和能量部件。能量分量可操作以在多个能量设置下激活末端执行器。存储设备通信地耦合到控制模块并且包括多个手势简档和相应的能量设置。控制模块被配置为响应于定向传感器的输出和手势简档之间的相关性，将能量分量的能量设置设置为相应的能量设置。在一些版本中，控制模块基于来自测量末端执行器上的力的力传感器的输出来修改能量设定。控制模块还可以响应于由加速度计检测到的异常加速或减速而减小能量设定。

97. 发明申请

US20130324991A1 SURGICAL INSTRUMENT WITH STRESS SENSOR 有权
标题翻译：带应力传感器的手术仪器
公开(公告)号：US20130324991A1
公开(公告)日：2013-12-05
申请号：US13484563
申请日：2012-05-31
申请人： William E. Clem , William D. Dannaher , Daniel W. Price , Cory G. Kimball , Foster B. Stulen , Eitan T. Wiener , John B. Schulte , Danius P. Silkaitus , Stephen J. Balek , Michael R. Lamping , Jacqueline C. Aronhalt
发明人： William E. Clem , William D. Dannaher , Daniel W. Price , Cory G. Kimball , Foster B. Stulen , Eitan T. Wiener , John B. Schulte , Danius P. Silkaitus , Stephen J. Balek , Michael R. Lamping , Jacqueline C. Aronhalt
IPC分类号： A61B18/18
CPC分类号： A61B17/320068 , A61B18/1402 , A61B2017/00473 , A61B2018/00702 , A61B2018/00708 , A61B2018/00988 , A61B2090/064
摘要： An apparatus includes an end effector, an energy component, a control module, and a directional force sensor assembly associated with the energy component and control module. The directional force assembly can include a piezoelectric disc, a piezoresistive element, an accelerometer, and/or a Hall Effect sensor. The end effector of the apparatus can include ultrasonic blade, an RF electrode, or a staple driving assembly. In some versions, the energy component includes an ultrasonic transducer. The control module may be configured to operate the energy component at a first energy setting in response to a first detected force and at a second energy setting in response to a second detected force. The apparatus may also include an activation feature to be operated by a user. In some versions the piezoelectric disc may include a plurality of segments and may be configured to induce movement in at least part of the energy component.
摘要翻译：一种装置包括端部执行器，能量部件，控制模块和与能量部件和控制模块相关联的定向力传感器组件。定向力组件可以包括压电盘，压阻元件，加速度计和/或霍尔效应传感器。该装置的末端执行器可以包括超声刀片，RF电极或钉驱动组件。在一些版本中，能量分量包括超声换能器。控制模块可以被配置为响应于第一检测到的力并响应于第二检测力而在第二能量设定下以第一能量设定操作能量分量。该装置还可以包括要由用户操作的激活特征。在一些形式中，压电盘可以包括多个段，并且可以被配置成在至少部分能量分量中引起运动。

98. 发明授权

US08334635B2 Transducer arrangements for ultrasonic surgical instruments 有权
标题翻译：超声波手术器械的传感器装置
公开(公告)号：US08334635B2
公开(公告)日：2012-12-18
申请号：US12490906
申请日：2009-06-24
申请人： Aaron C. Voegele , Scott A. Nield , Foster B. Stulen , Shan Wan
发明人： Aaron C. Voegele , Scott A. Nield , Foster B. Stulen , Shan Wan
IPC分类号： H01L41/04 , A61B17/32
CPC分类号： A61B17/320068 , A61B8/4209 , A61B8/4494 , A61B2017/0023 , A61B2017/00402 , A61B2017/320072 , A61B2017/320078 , A61B2017/320088 , A61B2018/00607 , A61N7/02 , H01L41/0906 , Y10T29/42 , Y10T29/49005 , Y10T29/49155
摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that comprises a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. In various embodiments, an ultrasonic blade extends along the longitudinal axis and is coupled to the transducer. In various embodiments, the ultrasonic blade includes a body having a proximal end and a distal end, wherein the distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer.
摘要翻译：在一个一般方面，各种实施例涉及一种超声手术器械，其包括被配置为以预定频率沿着纵向轴线产生振动的换能器。在各种实施例中，超声刀片沿着纵向轴线延伸并且耦合到换能器。在各种实施例中，超声波叶片包括具有近端和远端的主体，其中远端可以通过换能器产生的振动而相对于纵向轴线移动。

99. 发明授权

US08252012B2 Ultrasonic surgical instrument with modulator 有权
标题翻译：超声波手术器械与调制器
公开(公告)号：US08252012B2
公开(公告)日：2012-08-28
申请号：US11888081
申请日：2007-07-31
申请人： Foster B. Stulen
发明人： Foster B. Stulen
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/00234 , A61B17/320092 , A61B2017/00146 , A61B2017/0015 , A61B2017/00172 , A61B2017/00477 , A61B2017/22014 , A61B2017/22018
摘要： A surgical instrument includes a transducer configured to produce vibrations along a longitudinal axis at a predetermined frequency. An end effector is adapted to couple to the transducer and extends along the longitudinal axis. The end effector includes a body having a proximal end and a distal end. The distal end is movable relative to the longitudinal axis by the vibrations produced by the transducer. A drive module is coupled to the transducer to generate a modulated drive signal. The distal end of the end effector is movable in response to the vibrations produced by the transducer in response to the modulated drive signal.
摘要翻译：手术器械包括被配置为以预定频率沿纵轴产生振动的换能器。端部执行器适于联接到换能器并且沿着纵向轴线延伸。末端执行器包括具有近端和远端的主体。远端可以通过换能器产生的振动相对于纵向轴线移动。驱动模块耦合到换能器以产生调制的驱动信号。端部执行器的远端响应于调制驱动信号而响应于换能器产生的振动而是可移动的。

100. 发明申请

US20120112690A1 Medical Device Packaging with Charging Interface 有权
标题翻译：带充电接口的医疗器械封装
公开(公告)号：US20120112690A1
公开(公告)日：2012-05-10
申请号：US13151471
申请日：2011-06-02
申请人： Foster B. Stulen , Christopher B. Anderson , Frederick E. Shelton, IV , Michael J. Stokes , Timothy G. Dietz , Ashvani K. Madan , Bret W. Smith
发明人： Foster B. Stulen , Christopher B. Anderson , Frederick E. Shelton, IV , Michael J. Stokes , Timothy G. Dietz , Ashvani K. Madan , Bret W. Smith
IPC分类号： H02J7/00
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An apparatus for delivering power to an electrically powered medical device includes a package and an electrical coupling feature. The package comprises an interior portion and a wall. The interior portion of the package is able to hold a sterile, electrically powered medical device having a rechargeable battery. The package is able to maintain sterility of the interior portion of the package. The electrical coupling feature may be in communication with the wall of the package and in further communication with the medical device. The electrical coupling feature may be able to deliver power from an external power source to the medical device to charge the battery of the medical device without compromising the sterility of the package or the sterility of the medical device.
摘要翻译：用于向电动医疗装置递送电力的装置包括封装和电耦合特征。包装件包括内部部分和壁部。包装的内部部分能够容纳具有可再充电电池的无菌的，电动医疗装置。包装能够保持包装内部的无菌性。电耦合特征可以与封装的壁连通并且与医疗装置进一步连通。电耦合特征可以能够将功率从外部电源传送到医疗装置，以对医疗装置的电池进行充电，而不会影响包装的无菌性或医疗装置的不育性。

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