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61. 发明申请

US20140005701A1 SURGICAL INSTRUMENTS WITH ARTICULATING SHAFTS 有权
标题翻译：外科手术器具
公开(公告)号：US20140005701A1
公开(公告)日：2014-01-02
申请号：US13538588
申请日：2012-06-29
申请人： William A. Olson , Foster B. Stulen , Jeffrey D. Messerly , Daniel W. Price , Kevin L. Houser , Craig N. Faller , William D. Dannaher , Sora Rhee , Tylor C. Muhlenkamp
发明人： William A. Olson , Foster B. Stulen , Jeffrey D. Messerly , Daniel W. Price , Kevin L. Houser , Craig N. Faller , William D. Dannaher , Sora Rhee , Tylor C. Muhlenkamp
IPC分类号： A61B17/32 , A61B17/29
CPC分类号： A61B17/320092 , A61B17/22004 , A61B17/2202 , A61B17/295 , A61B17/320068 , A61B2017/003 , A61B2017/00327 , A61B2017/00331 , A61B2017/00336 , A61B2017/22014 , A61B2017/22015 , A61B2017/2927 , A61B2017/320072
摘要： Various embodiments described herein are directed to ultrasonic blades. For example, an ultrasonic blade may comprise a proximally positioned straight section extending along a longitudinal axis and a distally positioned curved section coupled to the straight section and curved away from the longitudinal axis. The curved section may define a radius of curvature and subtend a first angle. A point of tangency between the curved section and the straight section may be positioned at either a node of the ultrasonic blade or an anti-node of the ultrasonic blade.
摘要翻译：本文描述的各种实施例涉及超声波刀片。例如，超声波刀片可以包括沿着纵向轴线延伸的向近侧定位的直线部分，以及连接到直线部分并远离纵向轴线弯曲的远侧定位的弯曲部分。弯曲部分可以限定曲率半径并对准第一角度。弯曲部分和直线部分之间的相切点可以位于超声刀片的一个节点或超声刀片的反节点上。

62. 外观设计

USD696631S1 Electrical connector 有权
公开(公告)号：USD696631S1
公开(公告)日：2013-12-31
申请号：US29392033
申请日：2011-05-17
申请人： Daniel W. Price , William E. Clem , Matthew C. Miller , Cory G. Kimball , Brennan G. McCabe , Jeffrey D. Messerly , Shawn C. Snyder
设计人： Daniel W. Price , William E. Clem , Matthew C. Miller , Cory G. Kimball , Brennan G. McCabe , Jeffrey D. Messerly , Shawn C. Snyder

63. 发明授权

US08546996B2 Devices and techniques for cutting and coagulating tissue 有权
公开(公告)号：US08546996B2
公开(公告)日：2013-10-01
申请号：US13585124
申请日：2012-08-14
申请人： Jeffrey D. Messerly , Eitan T. Wiener , Brian T. Noyes , Jeffrey L. Aldridge , James R. Giordano , Robert J. Beetel , Daniel J. Abbott , Foster B. Stulen , Matthew C. Miller , Nathan J. Price , Daniel W. Price
发明人： Jeffrey D. Messerly , Eitan T. Wiener , Brian T. Noyes , Jeffrey L. Aldridge , James R. Giordano , Robert J. Beetel , Daniel J. Abbott , Foster B. Stulen , Matthew C. Miller , Nathan J. Price , Daniel W. Price
IPC分类号： H01L41/09 , A61B17/32
CPC分类号： A61N7/00 , A61B5/053 , A61B5/4836 , A61B17/320092 , A61B18/14 , A61B2017/00026 , A61B2017/00084 , A61B2017/00176 , A61B2017/00203 , A61B2017/00973 , A61B2018/00005 , A61B2018/00303 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00791 , A61B2018/00845 , A61B2018/00875 , A61B2018/00994 , A61N7/02 , B06B1/0284 , B06B2201/76 , G05B15/02
摘要： Various embodiments are directed to an apparatus and method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions.

64. 发明授权

US08253303B2 Ultrasonic device for cutting and coagulating with stepped output 有权
标题翻译：超声波设备，用于带有阶梯式输出的切割和凝结
公开(公告)号：US08253303B2
公开(公告)日：2012-08-28
申请号：US13294576
申请日：2011-11-11
申请人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
发明人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
IPC分类号： H01L41/09
CPC分类号： A61B17/320092 , A61B5/0538 , A61B5/4836 , A61B5/6847 , A61B2017/00026 , A61B2017/00146 , A61B2017/00176 , A61B2018/00303 , A61B2018/00875 , B06B1/0284 , B06B2201/76
摘要： An apparatus, system, and method for driving an end effector in a surgical instrument are disclosed. The method comprises generating a first ultrasonic drive signal by a generator, actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period. The first drive signal second drive signal are different over the first and second periods. The first and second drive signals define a step function waveform over the first and second periods. The apparatus comprises a generator to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument comprising an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector. The ultrasonic drive system resonates at a resonate frequency.
摘要翻译：公开了用于驱动外科器械中的末端执行器的装置，系统和方法。该方法包括由发生器产生第一超声波驱动信号，在第一周期内用第一超声波驱动信号致动超声波换能器，由发生器产生第二超声波驱动信号，并用第二超声波驱动信号致动超声换能器在第一个时期之后的第二个时期。第一驱动信号第二驱动信号在第一和第二周期不同。第一和第二驱动信号在第一和第二周期定义阶跃函数波形。该装置包括耦合到超声仪器的发生器。该系统包括耦合到超声仪器的发生器，其包括超声波驱动系统，该超声波驱动系统包括耦合到波导和端部执行器的超声换能器。超声波驱动系统以共振频率共振。

65. 发明申请

US20120123458A1 ULTRASONIC DEVICE FOR CUTTING AND COAGULATING WITH STEPPED OUTPUT 有权
标题翻译：超声波设备，用于切割和凝固带有步进输出
公开(公告)号：US20120123458A1
公开(公告)日：2012-05-17
申请号：US13294576
申请日：2011-11-11
申请人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
发明人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
IPC分类号： A61B17/32 , H01L41/09
CPC分类号： A61B17/320092 , A61B5/0538 , A61B5/4836 , A61B5/6847 , A61B2017/00026 , A61B2017/00146 , A61B2017/00176 , A61B2018/00303 , A61B2018/00875 , B06B1/0284 , B06B2201/76
摘要： An apparatus, system, and method for driving an end effector in a surgical instrument are disclosed. The method comprises generating a first ultrasonic drive signal by a generator, actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period. The first drive signal second drive signal are different over the first and second periods. The first and second drive signals define a step function waveform over the first and second periods. The apparatus comprises a generator to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument comprising an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector. The ultrasonic drive system resonates at a resonate frequency.
摘要翻译：公开了用于驱动外科器械中的末端执行器的装置，系统和方法。该方法包括由发生器产生第一超声波驱动信号，在第一周期内用第一超声波驱动信号致动超声波换能器，由发生器产生第二超声波驱动信号，并用第二超声波驱动信号致动超声换能器在第一个时期之后的第二个时期。第一驱动信号第二驱动信号在第一和第二周期不同。第一和第二驱动信号在第一和第二周期定义阶跃函数波形。该装置包括耦合到超声仪器的发生器。该系统包括耦合到超声仪器的发生器，其包括超声波驱动系统，该超声波驱动系统包括耦合到波导和端部执行器的超声换能器。超声波驱动系统以共振频率共振。

66. 发明申请

US20120078139A1 SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES 审中-公开
标题翻译：超声和电疗装置的外科发生器
公开(公告)号：US20120078139A1
公开(公告)日：2012-03-29
申请号：US13251766
申请日：2011-10-03
申请人： Jeffrey L. Aldridge , Robert A. Kemerling , Mark E. Tebbe , Christopher A. Papa , Daniel W. Price , Eitan T. Wiener , Jeffrey D. Messerly , David C. Yates , Mark A. Davison , Scott B. Killinger , Gavin M. Monson , Robert J. Laird , Matthew C. Miller
发明人： Jeffrey L. Aldridge , Robert A. Kemerling , Mark E. Tebbe , Christopher A. Papa , Daniel W. Price , Eitan T. Wiener , Jeffrey D. Messerly , David C. Yates , Mark A. Davison , Scott B. Killinger , Gavin M. Monson , Robert J. Laird , Matthew C. Miller
IPC分类号： A61N7/00 , A61B18/18
CPC分类号： A61B17/320092 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B2017/00199 , A61B2017/00477 , A61B2017/00482 , A61B2017/00486 , A61B2017/00973 , A61B2017/2933 , A61B2017/2934 , A61B2017/2936 , A61B2017/320093 , A61B2017/320094 , A61B2018/0016 , A61B2018/00172 , A61B2018/00178 , A61B2018/00666 , A61B2018/00678 , A61B2018/00779 , A61B2018/00875 , A61B2018/00928 , A61B2018/00988 , A61B2018/00994 , A61B2018/1273
摘要： A generator is disclosed to generate a drive signal to a surgical device. The generator includes an ultrasonic generator module to generate a first drive signal to drive an ultrasonic device, an electrosurgery/radio frequency (RF) generator module to generate a second drive signal to drive an electrosurgical device, and a foot switch coupled to each of the ultrasonic generator module and the electrosurgery/RF generator module. The foot switch is configured to operate in a first mode when the ultrasonic device is coupled to the ultrasonic generator module and the foot switch is configured to operate in a second mode when the electrosurgical device is coupled to the electrosurgery/RF generator module. The generator further includes a user interface to provide feedback in accordance with the operation of any one of the ultrasonic device and the electrosurgical device in accordance with a predetermined algorithm.
摘要翻译：公开了一种发生器来产生到外科手术装置的驱动信号。所述发生器包括：超声波发生器模块，用于产生用于驱动超声波装置的第一驱动信号;电外科/射频（RF）发生器模块，用于产生驱动电外科装置的第二驱动信号;以及脚踏开关，超声波发生器模块和电外科/射频发生器模块。当超声波装置耦合到超声波发生器模块时，脚踏开关被配置为以第一模式操作，并且当电外科设备耦合到电外科/ RF发生器模块时，脚踏开关被配置为以第二模式操作。发生器还包括用户接口，以根据预定算法根据超声波装置和电外科设备中的任何一个的操作来提供反馈。

67. 发明申请

US20100036405A1 ULTRASONIC DEVICE FOR CUTTING AND COAGULATING WITH STEPPED OUTPUT 有权
标题翻译：超声波设备，用于切割和凝固带有步进输出
公开(公告)号：US20100036405A1
公开(公告)日：2010-02-11
申请号：US12503775
申请日：2009-07-15
申请人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
发明人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B5/0538 , A61B5/4836 , A61B5/6847 , A61B2017/00026 , A61B2017/00146 , A61B2017/00176 , A61B2018/00303 , A61B2018/00875 , B06B1/0284 , B06B2201/76
摘要： Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer in a surgical instrument. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period. The first drive signal is different from the second drive signal over the respective first and second periods. The first and second drive signals define a step function waveform over the first and second periods. The apparatus comprises a generator configured to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system is configured to resonate at a resonant frequency.
摘要翻译：各种实施例涉及用于驱动耦合到外科器械中的超声换能器的末端执行器的装置，系统和方法。该方法包括通过耦合到超声波驱动系统的发生器产生第一超声波驱动信号，在第一周期内用第一超声波驱动信号致动超声波换能器，由发生器产生第二超声波驱动信号，并用所述第二超声波驱动信号在所述第一周期之后的第二周期。第一驱动信号在相应的第一和第二周期上与第二驱动信号不同。第一和第二驱动信号在第一和第二周期定义阶跃函数波形。该装置包括配置成耦合到超声仪器的发生器。该系统包括耦合到超声波仪器的发生器。超声波仪器包括超声波驱动系统，其包括耦合到波导的超声波换能器和耦合到波导的端部执行器，并且其中超声波驱动系统被配置为以共振频率谐振。

68. 发明授权

US07621927B2 Medical instrument with a mechanical coupling 有权
标题翻译：具有机械联轴器的医疗器械
公开(公告)号：US07621927B2
公开(公告)日：2009-11-24
申请号：US11091224
申请日：2005-03-28
申请人： Jeffrey D. Messerly , Barry T Jamison , Steven P. Smolik
发明人： Jeffrey D. Messerly , Barry T Jamison , Steven P. Smolik
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B90/03 , A61B2017/2902 , A61B2017/2905 , A61B2017/292 , F16G11/048
摘要： A medical instrument is disclosed having a flexible tube, an end effector, and an actuator. A control member, such as a control wire, can extend through the flexible tube. A mechanical coupling is disclosed for attaching the control member to the actuator. A method for mechanically coupling the control member to the actuator is also disclosed.
摘要翻译：公开了一种具有柔性管，端部执行器和致动器的医疗器械。诸如控制线的控制构件可以延伸穿过柔性管。公开了用于将控制构件附接到致动器的机械联接器。还公开了一种用于将控制构件机械地联接到致动器的方法。

69. 发明授权

US06773444B2 Blades with functional balance asymmetries for use with ultrasonic surgical instruments 有权
标题翻译：具有功能平衡不对称的刀片用于超声外科器械
公开(公告)号：US06773444B2
公开(公告)日：2004-08-10
申请号：US09957174
申请日：2001-09-20
申请人： Jeffrey D. Messerly
发明人： Jeffrey D. Messerly
IPC分类号： A61B1732
CPC分类号： A61B17/320092 , A61B17/2816 , A61B2017/2825 , A61B2017/2929 , A61B2017/320072
摘要： Disclosed is an ultrasonic surgical instrument that combines end-effector geometry to best affect the multiple functions of a shears-type configuration. The shape of the blade is characterized by a radiused cut offset by some distance to form a curved geometry. The cut creates a curved surface with multiple asymmetries causing multiple imbalances within the blade. Imbalance due to the curve of the instrument is corrected by a non-functional asymmetry proximal to the functional asymmetry. Imbalance due to the asymmetric cross-section of the blade is corrected by the appropriate selection of the volume and location of material removed from a functional asymmetry. The shape of the blade in one embodiment of the present invention is characterized by two radiused cuts offset by some distance to form a curved and potentially tapered geometry. These two cuts create curved surfaces including a concave surface and a convex surface. The length of the radiused cuts affects, in part, the acoustic balancing of the transverse motion induced by the curved shape.
摘要翻译：公开了一种超声手术器械，其结合了末端执行器几何形状以最好地影响剪切型构型的多种功能。叶片的形状的特征在于圆角切割偏移一定距离以形成弯曲的几何形状。切割产生具有多个不对称性的弯曲表面，导致叶片内的多个不平衡。由于仪器曲线的不平衡是通过功能不对称的非功能不对称来校正的。通过适当选择从功能不对称中去除的材料的体积和位置来校正由于叶片的不对称横截面引起的不平衡。在本发明的一个实施例中，叶片的形状的特征在于两个圆角的切口偏移一定距离以形成弯曲和潜在的锥形几何形状。这两个切口产生包括凹面和凸面的曲面。圆弧切割的长度部分地影响由弯曲形状引起的横向运动的声学平衡。

70. 发明授权

US10441345B2 Surgical generator for ultrasonic and electrosurgical devices 有权
公开(公告)号：US10441345B2
公开(公告)日：2019-10-15
申请号：US13251766
申请日：2011-10-03
申请人： Jeffrey L. Aldridge , Robert A. Kemerling , Mark E. Tebbe , Christopher A. Papa , Daniel W. Price , Eitan T. Wiener , Jeffrey D. Messerly , David C. Yates , Mark A. Davison , Scott B. Killinger , Gavin M. Monson , Robert J. Laird , Matthew C. Miller
发明人： Jeffrey L. Aldridge , Robert A. Kemerling , Mark E. Tebbe , Christopher A. Papa , Daniel W. Price , Eitan T. Wiener , Jeffrey D. Messerly , David C. Yates , Mark A. Davison , Scott B. Killinger , Gavin M. Monson , Robert J. Laird , Matthew C. Miller
IPC分类号： A61B17/00 , A61B17/29 , A61B17/32 , A61B18/00 , A61B18/12 , A61B18/14
摘要： A generator is disclosed to generate a drive signal to a surgical device. The generator includes an ultrasonic generator module to generate a first drive signal to drive an ultrasonic device, an electrosurgery/radio frequency (RF) generator module to generate a second drive signal to drive an electrosurgical device, and a foot switch coupled to each of the ultrasonic generator module and the electrosurgery/RF generator module. The foot switch is configured to operate in a first mode when the ultrasonic device is coupled to the ultrasonic generator module and the foot switch is configured to operate in a second mode when the electrosurgical device is coupled to the electrosurgery/RF generator module. The generator further includes a user interface to provide feedback in accordance with the operation of any one of the ultrasonic device and the electrosurgical device in accordance with a predetermined algorithm.

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