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    • 61. 发明申请
    • SURGICAL DEVICE
    • 外科手术
    • WO2016100667A2
    • 2016-06-23
    • PCT/US2015/066381
    • 2015-12-17
    • MAQUET CARDIOVASCULAR LLCABBOTT, Ryan, C.
    • ABBOTT, Ryan, C.
    • A61B17/50
    • A61B18/1445A61B17/07207A61B2017/00061A61B2017/00066A61B2017/00115A61B2017/00119A61B2017/2936A61B2018/1455A61B2090/034A61B2090/0807
    • In accordance with one aspect of the disclosure, a surgical device includes: a handle portion including a movable handle; an elongated tubular portion extending distally from the handle portion; a first jaw having a first engagement surface; a second jaw having a second engagement surface, wherein at least the first jaw moves between open and closed configurations, wherein the jaws are arranged to receive tissue therebetween when open and to exert force on tissue when in the closed configuration; and a drive assembly operates to drive at least the first jaw to transition the jaws between the open and closed configurations, wherein the drive assembly actuates by the movable handle that has an initial position and at least first and second preset positions, wherein in the first preset position the jaws exert a first clamping force and in the second preset position the jaws exert a second clamping force that is greater than the first clamping force. In accordance with another aspect of the disclosure, a surgical device for treatment of parenchyma includes: a handle portion including a movable handle; an elongated tubular portion extending distally from the handle portion, the elongated tubular portion having a transverse cross-sectional dimension at least at a distal region not exceeding 12 millimeters; a first jaw at a distal portion of the device having a first engagement surface; a second jaw at the distal portion of the device having a second engagement surface, wherein at least the first jaw is movable to transition the jaws between an open and closed configurations, wherein the jaws are arranged to receive parenchyma therebetween when open and to exert force on the tissue via the first and second engagement surfaces when in the closed configuration without causing blunt dissection of the parenchyma, wherein the first and second jaws in the closed configuration have a transverse cross-sectional dimension not exceeding 12 millimeters.
    • 根据本公开的一个方面,一种手术装置包括:手柄部分,其包括可移动手柄; 从手柄部分向远端延伸的细长管状部分; 具有第一接合表面的第一钳口; 具有第二接合表面的第二钳口,其中至少所述第一钳口在打开和闭合构型之间移动,其中所述钳口设置成在打开时接收组织,并且当处于所述关闭构型时在所述组织上施加力; 并且驱动组件操作以驱动至少第一钳口以在打开和关闭构型之间转换夹爪,其中驱动组件由具有初始位置和至少第一和第二预定位置的可动手柄致动,其中在第一 预设位置,钳口施加第一夹紧力,并且在第二预设位置,钳口施加大于第一夹紧力的第二夹紧力。 根据本公开的另一方面,用于治疗实质的手术装置包括:手柄部分,其包括可移动手柄; 细长管状部分,其从手柄部分向远端延伸,所述细长管状部分至少在不超过12毫米的远端区域处具有横截面尺寸; 在装置的远端部分处的第一钳口具有第一接合表面; 所述装置的远端部分处的第二钳口具有第二接合表面,其中至少所述第一钳口可移动以在开口和闭合构型之间过渡所述钳口,其中所述钳口设置成在打开时接收其间的薄壁并施加力 在处于闭合构型的情况下经由第一和第二接合表面在组织上,而不引起薄壁的钝性剥离,其中处于闭合构型的第一和第二钳口的横截面尺寸不超过12毫米。
    • 62. 发明申请
    • SURGICAL DEVICE
    • 外科手术
    • WO2016100650A1
    • 2016-06-23
    • PCT/US2015/066354
    • 2015-12-17
    • MAQUET CARDIOVASCULAR LLCABBOTT, Ryan, C.
    • ABBOTT, Ryan, C.
    • A61B17/285A61B17/295A61B18/14
    • A61B17/295A61B18/085A61B18/1445A61B2017/00867A61B2017/2927A61B2017/2936A61B2018/00601A61B2018/0063A61B2018/1455A61B2090/0811
    • A surgical device includes a handle portion including a movable handle, an elongated tubular portion extending from the handle portion, a first jaw having a first engagement surface and a second jaw having a second engagement surface, wherein at least the first jaw moves to transition the jaws between open and closed configurations. The jaws are arranged to receive tissue therebetween when open and to clamp tissue via the first and second engagement surfaces when closed. A drive assembly drives at least the first jaw to transition the jaws between the open and closed configurations, and the drive assembly is actuable by the movable handle, which has an initial position, a first preset position and a second preset position, wherein in the first preset position the jaws exert a first clamping force on tissue and in the second preset position the jaws exert a second different clamping force on tissue.
    • 手术装置包括手柄部分,其包括可移动手柄,从手柄部分延伸的细长管状部分,具有第一接合表面的第一钳口和具有第二接合表面的第二钳口,其中至少第一钳口移动以使 开口和关闭配置之间的夹爪。 钳口被布置成在打开时接收组织,并且当关闭时通过第一和第二接合表面夹紧组织。 驱动组件至少驱动第一钳口以在打开和关闭构型之间转动钳口,并且驱动组件可通过具有初始位置,第一预设位置和第二预设位置的可动手柄致动,其中在 第一预设位置,钳口在组织上施加第一夹紧力,并且在第二预定位置中,钳口在组织上施加第二不同的夹紧力。
    • 64. 发明申请
    • SURGICAL DEVICE
    • 外科手术
    • WO2016100682A1
    • 2016-06-23
    • PCT/US2015/066405
    • 2015-12-17
    • MAQUET CARDIOVASCULAR LLCABBOTT, Ryan, C.
    • ABBOTT, Ryan, C.
    • A61B18/14
    • A61B18/1445A61B2017/2912A61B2017/2919A61B2017/2927A61B2017/2936A61B2018/1455
    • A surgical device including a handle assembly, an elongated shaft having a first longitudinal axis, an end effector assembly including first and second jaws, a pivot located distally of the handle assembly and rotatable about a second axis oriented transversely with respect to the first longitudinal axis, and an articulation assembly. The articulation assembly includes a rotatable driver rotatable with respect to a third axis oriented transversely with respect to the first longitudinal axis and at least one elongated member eccentrically mounted to the rotatable driver extending through the elongated shaft and connected between the rotatable driver and the end effector assembly, wherein rotation of the rotatable driver exerts a force on the end effector assembly via the at least one elongated member to articulate (rotate) the end effector assembly about the pivot.
    • 一种手术装置,包括手柄组件,具有第一纵向轴线的细长轴,包括第一和第二钳口的末端执行器组件,位于手柄组件的远侧的枢轴,可围绕相对于第一纵向轴线横向定向的第二轴线旋转 ,以及铰接组件。 铰接组件包括相对于相对于第一纵向轴线横向定向的第三轴线可旋转的可旋转驱动器,以及偏心地安装到可旋转驱动器的至少一个细长构件,其延伸穿过细长轴并且连接在可旋转驱动器和端部执行器 组件,其中所述可旋转驱动器的旋转通过所述至少一个细长构件在所述端部执行器组件上施加力,以围绕所述枢轴铰接(旋转)所述端部执行器组件。
    • 65. 发明申请
    • SURGICAL DEVICE
    • 外科手术
    • WO2016100664A1
    • 2016-06-23
    • PCT/US2015/066376
    • 2015-12-17
    • MAQUET CARDIOVASCULAR LLCABBOTT, Ryan, C.
    • ABBOTT, Ryan, C.
    • A61B17/072A61B18/12A61B18/14
    • A61B18/1442A61B2017/2912A61B2017/2927A61B2017/2936A61B2018/00404A61B2018/00601A61B2018/0063A61B2018/1455
    • In accordance with one aspect of this disclosure, an end effector assembly for a surgical device includes: a first jaw having a first engagement surface; a second jaw having a second engagement surface, wherein the jaws are movable between open and closed configurations, and are arranged to receive tissue therebetween when open and to exert force on tissue when closed; and a drive assembly operatively connected to at least the first jaw to move at least the first jaw to transition the jaws between the open and closed configurations. The jaws variably exert force on tissue as a function of distance between engagement surfaces so forces applied to tissue by the jaws progressively increase when the engagement surfaces are spaced a first set of distances from each other and these forces substantially plateau when the engagement surfaces are spaced a second set of distances from each other, wherein the first distances are greater than the second distances. In accordance with another aspect of this disclosure, an end effector assembly for a surgical device includes first and second jaws having first and second engagement surfaces, respectively, wherein one or both jaws are movable with respect to the other jaw to transition between open and closed configurations. The jaws receive tissue therebetween when open and exert force on tissue via the engagement surfaces when closed. A drive assembly is operatively connected to at least one jaw, and is operable to transition the jaws between the open and closed configurations, so the jaws variably exert force on tissue as a function of distance between the first and second engagement surfaces. A first electrode is disposed on the first jaw and a second electrode is disposed on the second jaw, so distance between the first and second electrodes varies along a width of the jaws to provide multiple varied distances along the width of the jaws. In accordance with yet another aspect of this disclosure, a surgical device includes a handle portion at a proximal portion, an elongated portion extending distally from the handle portion, and first and second jaws at a distal portion of the device, each jaw having an engagement surface. A drive assembly extends through the elongated portion, and is operable to move at least the first jaw to transition the jaws between open and closed positions. The jaws are arranged to receive tissue therebetween when in the open position and to exert force on tissue via the engagement surfaces when in the closed position. A first electrode is disposed on the first jaw, a second electrode is disposed on the second jaw, and a power switch positioned at the proximal portion is operable to supply energy to the first and second electrodes, although energy cannot be applied to the first and second electrodes unless the first and second jaws are closed. In accordance with still another aspect of this disclosure, a method for minimally invasively sealing parenchyma includes the steps of: preparing a device having a handle portion at a proximal portion, an elongated tubular portion extending distally from the proximal portion, and first and second jaws at a distal portion of the device; minimally invasively inserting the device so the first and second jaws are adjacent the parenchyma; positioning the jaws in an open position around the parenchyma; actuating a jaw actuator so the jaws transition to a closed position to clamp parenchyma, wherein force exerted by the jaws on parenchyma varies dependent on a gap between the jaws, the force increasing a first percentage upon initial clamping and subsequently varying a second percentage upon further clamping of the jaws, wherein the second percentage is substantially less than the first percentage; and applying energy to electrodes carried by the first jaw and by the second jaw.
    • 根据本公开的一个方面,用于手术装置的末端执行器组件包括:具有第一接合表面的第一钳口; 具有第二接合表面的第二钳口,其中所述钳口可在打开和关闭构型之间移动,并且被布置成在打开时接收组织,并且在关闭时对组织施加力; 以及驱动组件,其可操作地连接到至少所述第一钳口以移动至少所述第一钳口以在所述开闭构型之间转换所述钳口。 钳口作为接合表面之间的距离的函数可变地施加在组织上的力,因此当接合表面彼此间隔开第一组距离时,由钳口施加到组织的力逐渐增加,并且当接合表面间隔开时这些力基本上是平稳的 彼此之间的第二组距离,其中所述第一距离大于所述第二距离。 根据本公开的另一方面,用于手术装置的端部执行器组件包括分别具有第一和第二接合表面的第一和第二钳口,其中一个或两个钳口可相对于另一个钳口移动以在打开和关闭之间过渡 配置。 当打开时,钳口在其间接收组织,并且当关闭时通过接合表面在组织上施加力。 驱动组件可操作地连接到至少一个钳口,并且可操作以在打开和关闭构型之间转换钳口,因此钳口作为第一和第二接合表面之间的距离的函数可变地施加在组织上的力。 第一电极设置在第一钳口上,第二电极设置在第二钳口上,因此第一和第二电极之间的距离沿钳口的宽度变化,以沿钳口的宽度提供多个不同的距离。 根据本公开的另一方面,外科装置包括在近端部分处的手柄部分,从手柄部分向远侧延伸的细长部分,以及在装置的远端部分处的第一和第二钳口,每个钳口具有接合 表面。 驱动组件延伸穿过细长部分,并且可操作以至少移动第一钳口以在打开位置和闭合位置之间转换钳口。 夹爪布置成在处于打开位置时接收组织,并且当处于关闭位置时通过接合表面对组织施加力。 第一电极设置在第一钳口上,第二电极设置在第二钳口上,并且位于近端部分的电源开关可操作以向第一和第二电极提供能量,尽管能量不能施加到第一钳口 第二电极,除非第一和第二钳口关闭。 根据本公开的另一方面,一种用于最小限度地密封实质的方法包括以下步骤:准备在近端部分处具有手柄部分的装置,从近端部分向远侧延伸的细长管状部分,以及第一和第二钳口 在装置的远端部分; 最小程度地侵入性地插入装置,使得第一和第二钳口与实质相邻; 将钳口定位在实质周围的打开位置; 致动钳口致动器,使得钳口转换到闭合位置以夹紧实质,其中由钳口施加在实质上的力取决于钳口之间的间隙而变化,该力在初始夹紧时增加第一百分比,并且随后在进一步改变第二百分比时变化 钳口夹紧,其中第二百分比基本上小于第一百分比; 以及将能量施加到由第一钳口和第二钳口承载的电极。
    • 66. 发明申请
    • MULTI POWER SOURCE POWER SUPPLY
    • 多电源电源
    • WO2012145424A2
    • 2012-10-26
    • PCT/US2012/034116
    • 2012-04-18
    • MAQUET Cardiovascular LLCKAUSHANSKY, Yefim
    • KAUSHANSKY, Yefim
    • H05K5/02
    • H02J9/061A61M1/106A61M1/1072A61M1/125A61M1/127A61M2205/8206F04C2270/041H01M2/1022
    • A multiple power-source housing adapted to prevent simultaneous removal of more than a single power source, such as a battery, at a time. In an example embodiment, the power-source housing is used to house batteries for an intra-aortic balloon pump, which use battery power during transport. The power-source housing holds a first and second power source. When the first power source is removed, a mechanism, such as a knob, prevents simultaneous removal of the second power source or removal of the second power source until the first power source is replaced. Similarly, when the second power source is removed the mechanism prevents simultaneous removal of the first power source or removal of the first power source until the second power source is replaced.
    • 多个电源壳体,一次适于防止同时移除多于一个电源的电源,例如电池。 在示例性实施例中,电源壳体用于容纳主动脉内球囊泵的电池,其在运输期间使用电池电力。 电源壳体保持第一和第二电源。 当第一电源被去除时,例如旋钮的机构防止同时移除第二电源或移除第二电源,直到第一电源被更换为止。 类似地,当第二电源被去除时,该机构防止同时移除第一电源或移除第一电源,直到第二电源被更换为止。