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21. 发明授权

US08888809B2 Surgical instrument with jaw member 有权
标题翻译：手术仪器带钳口构件
公开(公告)号：US08888809B2
公开(公告)日：2014-11-18
申请号：US12896420
申请日：2010-10-01
申请人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , Gregory A. Trees , Kevin D. Felder , Bingshi Wang , Nathaniel F. Barbera
发明人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , Gregory A. Trees , Kevin D. Felder , Bingshi Wang , Nathaniel F. Barbera
IPC分类号： A61B18/14 , A61B19/00 , A61B18/00
CPC分类号： A61B18/1445 , A61B2018/00142 , A61B2018/0063 , A61B2018/1455 , A61B2090/034 , A61B2090/037
摘要： A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise an end effector. The end effector may comprise a cammed compression surface. The end effector may comprise an electrode comprising a tapered tissue contacting surface. Some surgical instruments may comprise an overload member.
摘要翻译：用于向组织供应能量的外科器械可以包括手柄，触发器，电输入和从手柄延伸的轴。外科器械可以包括末端执行器。端部执行器可以包括凸轮压缩表面。端部执行器可以包括包括锥形组织接触表面的电极。一些手术器械可以包括过载部件。

22. 发明授权

US08747404B2 Surgical instrument for transmitting energy to tissue comprising non-conductive grasping portions 有权
标题翻译：用于将能量传递到包括非导电抓握部分的组织的外科器械
公开(公告)号：US08747404B2
公开(公告)日：2014-06-10
申请号：US12576789
申请日：2009-10-09
申请人： Chad P. Boudreaux , Jonathan T. Batross
发明人： Chad P. Boudreaux , Jonathan T. Batross
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1402 , A61B2018/1412 , A61B2018/1455
摘要： A surgical instrument for supplying energy to tissue can comprise an end effector comprising a first jaw member and a second jaw member, wherein at least one of the first jaw member and the second jaw member is movable relative to the other of the first jaw member and the second jaw member to clamp tissue intermediate the first jaw member and the second jaw member. The instrument can further comprise an electrode configured to generate heat when electrical energy is supplied to the electrode, and, in addition, a tissue-grasping portion comprising a plurality of teeth, wherein the tissue-grasping portion is comprised of an electrically non-conductive material.
摘要翻译：用于向组织供应能量的手术器械可以包括端部执行器，其包括第一钳口构件和第二钳口构件，其中第一钳口构件和第二钳口构件中的至少一个可相对于第一钳口构件中的另一个移动，所述第二钳口构件将组织夹在所述第一钳口构件和所述第二钳口构件的中间。该仪器可进一步包括一电极，该电极构造成当向该电极提供电能时产生热量，另外，该组合夹持部分包括多个齿，其中该组织夹持部分由不导电的材料。

23. 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。

24. 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。

25. 发明授权

US08574231B2 Surgical instrument for transmitting energy to tissue comprising a movable electrode or insulator 有权
标题翻译：用于将能量传递到包括可移动电极或绝缘体的组织的外科器械
公开(公告)号：US08574231B2
公开(公告)日：2013-11-05
申请号：US12576808
申请日：2009-10-09
申请人： Chad P. Boudreaux , James R. Giordano
发明人： Chad P. Boudreaux , James R. Giordano
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00083 , A61B2018/00196 , A61B2018/1412 , 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 generate heat when electrical energy is supplied to the electrode, and wherein the electrode comprises a top surface. The surgical instrument can further comprise an insulator positioned adjacent to the electrode, wherein the insulator comprises a top surface movable between a first position and a second position relative to the top surface of the electrode, and wherein the top surface of the insulator is closer to the top surface of the electrode when the insulator is in the first position than when the insulator is in the second position.
摘要翻译：用于向组织供应能量的手术器械可以包括包括电极的钳口构件，其中电极被配置为当电能被供应到电极时产生热量，并且其中电极包括顶表面。所述外科器械还可以包括邻近所述电极定位的绝缘体，其中所述绝缘体包括相对于所述电极的顶表面在第一位置和第二位置之间移动的顶表面，并且其中所述绝缘体的顶表面更靠近当绝缘体处于比绝缘体处于第二位置的第一位置时电极的顶表面。

26. 发明申请

US20130090577A1 ULTRASONIC SURGICAL INSTRUMENT WITH MODULAR END EFFECTOR 有权
公开(公告)号：US20130090577A1
公开(公告)日：2013-04-11
申请号：US13269899
申请日：2011-10-10
申请人： Chad P. Boudreaux , Kevin L. Houser
发明人： Chad P. Boudreaux , Kevin L. Houser
IPC分类号： A61N7/00
CPC分类号： A61B17/320092 , A61B18/1442 , A61B2017/0046 , A61B2017/00477 , A61B2017/2929 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/1452 , A61N7/00
摘要： A surgical instrument having a transmission assembly, a transducer, and a handle assembly is configured for coupling the transmission assembly to the handle assembly using a locking mechanism. The locking mechanism is operable to restrict the rotational movement of an actuator coupling member and the transducer relative to the handle assembly. The locking mechanism may also be operable to lock a trigger of the handle assembly in a first position. An inner tubular actuating member of the transmission assembly may be threadably attachable to the actuator coupling member or the actuator coupling member may include a latching mechanism to couple to a flared portion of the inner tubular actuating member. A waveguide of the transmission assembly may also be threadably attachable to the transducer. In one alternative, the trigger may be configured to operate the locking mechanism, either in the first position or when pivoted distally to a third position.

27. 发明申请

US20130075445A1 ANVIL CARTRIDGE FOR SURGICAL FASTENING DEVICE 有权
标题翻译：用于外科手术装置的ANVIL CARTRIDGE
公开(公告)号：US20130075445A1
公开(公告)日：2013-03-28
申请号：US13239919
申请日：2011-09-22
申请人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Edward A. Rhad
发明人： Stephen J. Balek , Chad P. Boudreaux , Matthew D. Holcomb , Edward A. Rhad
IPC分类号： A61B17/068
CPC分类号： A61B17/00491 , A61B17/07207 , A61B17/07292 , A61B2017/07257 , A61B2017/320052
摘要： A surgical instrument includes a handle portion, a shaft housing a firing bar, an end effector comprising an anvil, a lower jaw, and a stapling and severing assembly responsive to a longitudinal closing motion produced by the handle portion and the shaft. The lower jaw is configured to receive a removable cartridge. The cartridge includes a housing, a plurality of staples disposed in the housing, and a deck disposed over the plurality of staples. The deck defines apertures, with each aperture being substantially disposed over each staple. The instrument includes an anvil cartridge removably received in an anvil frame. The anvil cartridge is severed by the firing bar when the firing bar is advanced through tissue such that material from the anvil cartridge is released onto the severed tissue.
摘要翻译：手术器械包括手柄部分，容纳击球杆的轴，包括砧座的末端执行器，下颚和响应于由手柄部分和轴产生的纵向关闭运动的装订和切割组件。下颌构造成接收可移除的盒。盒包括壳体，设置在壳体中的多个钉，以及设置在多个钉上的甲板。甲板限定孔，每个孔基本上设置在每个钉上。仪器包括可拆卸地容纳在砧架中的砧座。当燃烧棒推进穿过组织时，砧筒被击发杆切断，使得来自砧座筒的材料被释放到被切断的组织上。

28. 发明授权

US08333313B2 Surgical stapling instrument with a firing member return mechanism 有权
标题翻译：具有击发构件返回机构的手术吻合器械
公开(公告)号：US08333313B2
公开(公告)日：2012-12-18
申请号：US13152952
申请日：2011-06-03
申请人： Chad P. Boudreaux , Alessandro Pastorelli
发明人： Chad P. Boudreaux , Alessandro Pastorelli
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/2913 , A61B2017/2916 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/2946 , A61B2090/0811
摘要： A surgical instrument including a firing drive configured to selectively advance a firing member and/or cutting member relative to an end effector and, in addition, a reversing drive configured to selectively retract the firing member and/or cutting member relative to the end effector.
摘要翻译：一种外科器械，包括击发驱动器，其构造成相对于端部执行器选择性地推进击发构件和/或切割构件，另外，构造成相对于末端执行器选择性地退回击发构件和/或切割构件的反转驱动器。

29. 发明授权

US07954684B2 Surgical stapling instrument with a firing member return mechanism 有权
标题翻译：具有击发构件返回机构的手术吻合器械
公开(公告)号：US07954684B2
公开(公告)日：2011-06-07
申请号：US12008266
申请日：2008-01-10
申请人： Chad P. Boudreaux
发明人： Chad P. Boudreaux
IPC分类号： A61B17/068 , A61B19/00
CPC分类号： A61B17/07207 , A61B2017/2913 , A61B2017/2916 , A61B2017/2923 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/2946 , A61B2090/0811
摘要： A surgical instrument including a firing drive configured to selectively advance a firing member and/or cutting member relative to an end effector and, in addition, a reversing drive configured to selectively retract the firing member and/or cutting member relative to the end effector. In various embodiments, the surgical instrument can further include a switch including relatively movable first and second portions, wherein the first portion can be configured to operably disengage the firing drive from the firing member and, in addition, operably engage the reversing drive with the firing member. In at least one embodiment, the second portion can include a handle extending therefrom which can be motivated by the surgeon in order to engage the second portion with the first portion and move the first portion into position.
摘要翻译：一种外科器械，包括击发驱动器，其构造成相对于端部执行器选择性地推进击发构件和/或切割构件，另外，构造成相对于末端执行器选择性地缩回击发构件和/或切割构件的反转驱动器。在各种实施例中，手术器械还可包括开关，其包括相对可移动的第一和第二部分，其中第一部分可构造成将击发驱动器与击发构件可操作地分离，并且另外可操作地与反转驱动器接合，会员。在至少一个实施例中，第二部分可以包括从其延伸的手柄，其可由外科医生激励，以便将第二部分与第一部分接合并将第一部分移动到位。

30. 发明申请

US20110006101A1 MOTOR DRIVEN SURGICAL FASTENER DEVICE WITH CUTTING MEMBER LOCKOUT ARRANGEMENTS 审中-公开
标题翻译：具有切割构件的电机驱动的外科紧固件装置锁定装置
公开(公告)号：US20110006101A1
公开(公告)日：2011-01-13
申请号：US12846228
申请日：2010-07-29
申请人： Steven G. Hall , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , Ryan J. Laurent , David C. Yates , Frederick E. Shelton, IV , Chad P. Boudreaux
发明人： Steven G. Hall , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , Ryan J. Laurent , David C. Yates , Frederick E. Shelton, IV , Chad P. Boudreaux
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/30 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2946 , A61B2017/320052 , A61B2090/304 , A61B2090/306 , A61B2090/309
摘要： A surgical fastener apparatus having a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector including a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position. A cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners, the actuator having a power source and a motor. A first trigger attached to the handle for moving the end effector from the open to the closed position, and a second trigger attached to the handle for activating the actuator. A first lockout mechanism for preventing current from flowing from the power source to the motor unless the end effector is in its closed position a second lockout mechanism having a locked and unlocked position, the second lockout mechanism for preventing movement of the second trigger until the second lockout mechanism is moved to the unlocked position.
摘要翻译：具有手柄的外科紧固器装置，具有附接到手柄的近端的细长轴和从其延伸的远端。一个末端执行器，包括在其近端枢转并可在打开和关闭位置之间移动的一对夹爪。一个包含多个外科紧固件的药筒，该药筒连接在末端执行器上。一种用于部署外科紧固件的电动致动器，致动器具有动力源和马达。附接到手柄的第一触发器，用于将末端执行器从打开位置移动到关闭位置，以及附接到手柄的第二触发器，用于启动致动器。第一锁定机构，用于防止电流从电源流到电动机，除非末端执行器处于其关闭位置，具有锁定和解锁位置的第二锁定机构，第二锁定机构，用于防止第二触发器的运动直到第二触发器锁定机构移动到解锁位置。

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