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51. 发明授权

US07628792B2 Bilateral foot jaws 有权
标题翻译：双侧脚颚
公开(公告)号：US07628792B2
公开(公告)日：2009-12-08
申请号：US11232410
申请日：2005-09-22
申请人： Paul Guerra
发明人： Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2017/2933 , A61B2017/2947 , A61B2018/0013 , A61B2018/00345 , A61B2018/00404 , A61B2018/0063 , A61B2018/126
摘要： A surgical instrument is provided and includes a drive rod assembly having a hollow shaft portion. A central shaft is slidably disposed in and axially aligned with the hollow shaft portion. The instrument may further include a handle assembly coupled to hollow shaft portion and the central shaft of the drive rod assembly. A pair of opposing jaw members each operatively associated with the distal end of the hollow shaft portion, the jaw members being movable relative to one another between a first position wherein the jaw members are disposed in spaced relation relative to one another and a second position wherein the jaw members are approximated towards one another. The instrument may further include a source of electrical energy connected to each jaw member for conducting energy therebetween.
摘要翻译：提供了一种手术器械，并且包括具有中空轴部分的驱动杆组件。中心轴可滑动地设置在空心轴部分中并与空心轴部分轴向对准。仪器还可以包括联接到空心轴部分的手柄组件和驱动杆组件的中心轴。一对相对的钳口构件，每个与所述中空轴部分的远端可操作地相关联，所述钳口构件可在第一位置之间相对于彼此移动，其中所述钳口构件相对于彼此以间隔开的关系设置，其中第二位置钳口构件彼此近似。仪器还可以包括连接到每个钳口构件的电能源，以在它们之间传导能量。

52. 发明申请

US20090112206A1 Bipolar Forceps Having Monopolar Extension 审中-公开
标题翻译：具有单极延伸的双极钳
公开(公告)号：US20090112206A1
公开(公告)日：2009-04-30
申请号：US12349331
申请日：2009-01-06
申请人： Patrick L. Dumbauld , David M. Garrison , Paul Guerra , Darion Peterson , Sean T. Dycus , Sean T. Dycus
发明人： Patrick L. Dumbauld , David M. Garrison , Paul Guerra , Darion Peterson , Sean T. Dycus , Sean T. Dycus
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00196 , A61B2018/0063 , A61B2018/126 , A61B2018/1475
摘要： An endoscopic forceps for treating tissue includes a housing having a shaft affixed thereto which has first and second jaw members attached to a distal end thereof. The forceps also includes an actuator for moving jaw members relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members is adapted to connect to a source of electrosurgical energy such that the jaw members are selectively capable of operating in a bipolar mode which enables the jaw members to conduct bipolar energy through tissue held therebetween to treat tissue. The forceps also includes a monopolar element housed within the first jaw member and integrally associated with the knife. The monopolar element is selectively movable from a first position within the first jaw member to a second position distal to the first jaw member. The monopolar element is adapted to connect to the source of electrosurgical energy such that the monopolar element is selectively activateable independent of the bipolar mode.
摘要翻译：用于治疗组织的内窥镜钳包括具有固定到其上的轴的壳体，其具有附接到其远端的第一和第二钳口构件。镊子还包括用于从第一位置相对于彼此移动钳口构件的致动器，其中钳口构件相对于彼此以间隔开的关系设置到第二位置，其中钳口构件协作以抓住其间的组织。每个钳口构件适于连接到电外科能量源，使得钳口构件选择性地能够以双极模式操作，这使得钳口构件能够通过夹持在其间的组织传导双极能量来治疗组织。镊子还包括容纳在第一钳口构件内并与刀整体相关联的单极元件。单极元件可选择性地从第一钳口构件内的第一位置移动到远离第一钳口构件的第二位置。单极性元件适于连接到电外科能量源，使得独立于双极模式的单极性元件选择性地激活。

53. 发明授权

US08795276B2 Electrosurgical instrument employing a plurality of electrodes 有权
标题翻译：电外科器械采用多个电极
公开(公告)号：US08795276B2
公开(公告)日：2014-08-05
申请号：US12797305
申请日：2010-06-09
申请人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00619 , A61B2018/0063 , A61B2018/124 , A61B2018/1455
摘要： An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. The second jaw can comprise a first electrode and a second electrode while the first jaw can comprise an opposing electrode positioned opposite the first electrode and the second electrode when the jaws are in their closed position. The first and second electrodes can be independently and/or sequentially operated in order to conduct current between the first and second electrodes and opposing electrode in order to draw the tissue positioned between the first and second jaws toward the center of the first and second jaws and weld the tissue. In various other embodiments, other firing sequences of the electrodes are contemplated. During and/or after such tissue welding processes, a cutting member can be advanced to cut the tissue.
摘要翻译：电外科手术器械可以包括手柄和末端执行器，其中末端执行器可以包括第一和第二钳口，其可以打开和关闭以在其间捕获组织。第二钳口可以包括第一电极和第二电极，而当钳口处于其闭合位置时，第一钳口可以包括与第一电极相对定位的对置电极和第二电极。第一和第二电极可以独立地和/或顺序地操作，以便在第一和第二电极和相对的电极之间传导电流，以便将位于第一和第二钳口之间的组织朝向第一和第二钳口的中心抽取，并且焊接组织。在各种其他实施例中，预期电极的其它点火序列。在这种组织焊接过程中和/或之后，切割构件可被推进以切割组织。

54. 发明授权

US08613383B2 Surgical instruments with electrodes 有权
标题翻译：带电极的手术器械
公开(公告)号：US08613383B2
公开(公告)日：2013-12-24
申请号：US12836366
申请日：2010-07-14
申请人： Andrew T. Beckman , Paul Guerra , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Bradley E. White
发明人： Andrew T. Beckman , Paul Guerra , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Bradley E. White
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B17/0644 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B18/1442 , A61B18/1445 , A61B18/1447 , A61B2017/00026 , A61B2017/00088 , A61B2017/0647 , A61B2017/07214 , A61B2017/07228 , A61B2017/07271 , A61B2017/2923 , A61B2018/00071 , A61B2018/00404 , A61B2018/0063 , A61B2018/00642 , A61B2018/00678 , A61B2018/00708 , A61B2018/00791 , A61B2018/00875 , A61B2018/126 , A61B2018/145 , A61B2018/1455 , A61B2090/061
摘要： A surgical stapling assembly is configured to be used to form a tissue seal having an arcuate portion. The surgical stapling assembly comprises an end-effector extending from the distal end of the shaft. The end-effector comprises a first portion and a second portion. The first portion comprises a first face at least partially surrounding the aperture, a staple cavity defined in the first face, a staple removably positioned within the staple cavity, and a first electrode positioned one of on and proximate to the first face. The second portion comprises a second face, an anvil pocket defined in the second face, and a second electrode positioned one of on and proximate to the second face, and a second electrode. The first electrode and the second electrode each comprise an arcuate portion. The first electrode has a different polarity than the second electrode.
摘要翻译：外科缝合组件被构造成用于形成具有弓形部分的组织密封。外科缝合组件包括从轴的远端延伸的端部执行器。末端执行器包括第一部分和第二部分。第一部分包括至少部分地围绕孔的第一面，限定在第一面中的缝合腔，可拆卸地定位在缝合腔内的缝合线，以及定位在第一面之上且靠近第一面的第一电极。第二部分包括第二面，限定在第二面中的砧座，以及定位在第二面和其附近的第二电极和第二电极。第一电极和第二电极各自包括弓形部分。第一电极具有与第二电极不同的极性。

55. 发明授权

US08496682B2 Electrosurgical cutting and sealing instruments with cam-actuated jaws 有权
标题翻译：电动切割和密封仪器带凸轮驱动的夹爪
公开(公告)号：US08496682B2
公开(公告)日：2013-07-30
申请号：US12758268
申请日：2010-04-12
申请人： Paul Guerra , Jason L. Harris , Gregory W. Johnson , Prasanna Malaviya , Jeffrey S. Swayze
发明人： Paul Guerra , Jason L. Harris , Gregory W. Johnson , Prasanna Malaviya , Jeffrey S. Swayze
IPC分类号： A61B17/00 , A61B18/14
CPC分类号： A61B17/295 , A61B18/1445 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412
摘要： Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along an longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members, a reciprocating member, a shuttle and at least one cam pin. The first and second jaw members may define first and second longitudinal slots and first and second cam slots and may be pivotable towards one another about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The shuttle may be translatable distally and proximally parallel to the longitudinal axis. The cam pin may be coupled to the shuttle and positioned within the first cam slot and the second cam slots.
摘要翻译：各种实施例涉及包括轴和端部执行器的外科器械。轴可以联接到手柄并且可以沿着纵向轴线向远侧延伸。端部执行器可以定位在轴的远端，并且可以包括第一和第二钳口构件，往复运动构件，梭和至少一个凸轮销。第一和第二钳口构件可以限定第一和第二纵向槽以及第一和第二凸轮槽，并且可以围绕枢转点彼此可枢转。往复运动构件可以在远侧和近侧平行于纵向轴线并通过第一和第二纵向狭槽平移。往复运动构件的远侧部分可以限定一个叶片。梭子可以在远端和向近端平行于纵向轴线平移。凸轮销可以联接到梭子并且定位在第一凸轮槽和第二凸轮槽内。

56. 发明申请

US20120012638A1 SURGICAL INSTRUMENTS WITH ELECTRODES 有权
标题翻译：带电极的手术仪器
公开(公告)号：US20120012638A1
公开(公告)日：2012-01-19
申请号：US12836383
申请日：2010-07-14
申请人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
发明人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/0643 , A61B17/07207 , A61B17/1114 , A61B17/1155 , A61B18/1445 , A61B2017/0647 , A61B2017/320052
摘要： An end-effector assembly configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw and a second jaw comprising a staple cavity. At least one of the first jaw and the second jaw is movable relative to the other jaw. The end-effector assembly comprises a staple removably positioned within the staple cavity and an electrically-conductive driver configured to move the staple between a first stored position in which the staple is at least partially positioned within the staple cavity and a second position in which the staple is at least partially deployed from the staple cavity into tissue positioned intermediate the first jaw and the second jaw. The staple comprises an electrode.
摘要翻译：构造成附接到手术器械的端部执行器组件。末端执行器组件包括第一钳口和包括钉腔的第二钳口。第一钳口和第二钳口中的至少一个相对于另一个钳口可移动。末端执行器组件包括可拆卸地定位在缝合腔内的缝合线和导电的驱动器，该导电驱动器被配置成在第一存储位置和第二位置之间移动订书钉，第一存储位置至少部分地定位在缝合钉腔内，订书针至少部分地从缝钉放置到位于第一颚和第二颚之间的组织中。订书钉包括电极。

57. 发明申请

US20110306968A1 HEAT MANAGEMENT CONFIGURATIONS FOR CONTROLLING HEAT DISSIPATION FROM ELECTROSURGICAL INSTRUMENTS 有权
标题翻译：用于控制静电放电加热器的热管理配置
公开(公告)号：US20110306968A1
公开(公告)日：2011-12-15
申请号：US12797866
申请日：2010-06-10
申请人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/32 , A61B18/1482 , A61B2018/00005 , A61B2018/00011 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00047 , A61B2018/00619 , A61B2018/0063 , A61B2018/1412 , A61B2018/1452 , A61B2018/1455 , A61B2018/1472 , A61B2218/002
摘要： In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.
摘要翻译：在各种实施例中，提供了可以包括用于在组织上执行外科手术的端部执行器的外科器械。末端执行器可以包括至少一个能量输送表面和用于从末端执行器的至少一部分散热的散热装置。例如，在至少一个实施例中，端部执行器可以包括第一钳口，第二钳口和切割构件。切割构件可以包括切割表面和主体，其可以限定空腔和与空腔连通的至少一个开口。流体可以通过空腔移动到和/或从开口移动。另外，在至少一个实施例中，手术器械的末端执行器可以包括第一钳口，第二钳口，切割构件和至少一个热管。还公开了各种其它散热装置。

58. 发明申请

US20110306966A1 ELECTROSURGICAL INSTRUMENT EMPLOYING A PLURALITY OF ELECTRODES 有权
标题翻译：使用多种电极的电磁仪器
公开(公告)号：US20110306966A1
公开(公告)日：2011-12-15
申请号：US12797305
申请日：2010-06-09
申请人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00619 , A61B2018/0063 , A61B2018/124 , A61B2018/1455
摘要： An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. The second jaw can comprise a first electrode and a second electrode while the first jaw can comprise an opposing electrode positioned opposite the first electrode and the second electrode when the jaws are in their closed position. The first and second electrodes can be independently and/or sequentially operated in order to conduct current between the first and second electrodes and opposing electrode in order to draw the tissue positioned between the first and second jaws toward the center of the first and second jaws and weld the tissue. In various other embodiments, other firing sequences of the electrodes are contemplated. During and/or after such tissue welding processes, a cutting member can be advanced to cut the tissue.
摘要翻译：电外科手术器械可以包括手柄和末端执行器，其中末端执行器可以包括第一和第二钳口，其可以打开和关闭以在其间捕获组织。第二钳口可以包括第一电极和第二电极，而当钳口处于其闭合位置时，第一钳口可以包括与第一电极相对定位的对置电极和第二电极。第一和第二电极可以独立地和/或顺序地操作，以便在第一和第二电极和相对的电极之间传导电流，以便将位于第一和第二钳口之间的组织朝向第一和第二钳口的中心抽取，并且焊接组织。在各种其他实施例中，预期电极的其它点火序列。在这种组织焊接过程中和/或之后，切割构件可被推进以切割组织。

59. 发明申请

US20110306964A1 ELECTROSURGICAL INSTRUMENT EMPLOYING PRESSURE-VARIATION ELECTRODES 有权
标题翻译：使用压力变化电极的电磁仪器
公开(公告)号：US20110306964A1
公开(公告)日：2011-12-15
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： A61B18/16
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。

60. 发明授权

US07922953B2 Method for manufacturing an end effector assembly 有权
标题翻译：用于制造端部执行器组件的方法
公开(公告)号：US07922953B2
公开(公告)日：2011-04-12
申请号：US11529414
申请日：2006-09-28
申请人： Paul Guerra
发明人： Paul Guerra
IPC分类号： B29C45/14 , B29B13/00 , A61B18/18
CPC分类号： A61B18/1445 , A61B2017/2945 , A61B2018/00083 , A61B2018/0063 , A61B2018/1432 , B29C70/72 , B29C70/84
摘要： A method of manufacturing a jaw member of an end effector assembly for use with an electrosurgical instrument is disclosed that includes the steps of providing an electrically conductive tissue engaging plate and a jaw support; covering one side of the electrically conductive tissue engaging plate with an electrically insulative, thermally non-degrading coating; placing and securing the electrically conductive tissue engaging plate and the jaw support into a jaw mold; and introducing a liquid substance into the jaw mold and allowing the liquid substance to cure around the electrically conductive tissue engaging plate and the jaw support. Alternatively, the method includes the steps of: providing an electrically conductive tissue engaging plate and a jaw support; covering one side of the electrically conductive tissue engaging plate with an electrically insulative, thermally non-degrading coating; and securing the side of the electrically conductive tissue engaging plate onto the jaw support with an adhesive.
摘要翻译：公开了一种制造用于电外科器械的末端执行器组件的钳口构件的方法，其包括提供导电组织接合板和钳夹支撑件的步骤; 用电绝缘的热不降解涂层覆盖导电组织接合板的一侧; 将导电组织接合板和钳口支撑件放置并固定到钳口模具中; 并将液体物质引入到所述钳口模具中，并允许液体物质在导电组织接合板和钳口支撑件周围固化。或者，该方法包括以下步骤：提供导电组织接合板和钳口支撑件; 用电绝缘的热不降解涂层覆盖导电组织接合板的一侧; 并且用粘合剂将导电组织接合板的侧面固定到钳口支撑件上。

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