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61. 发明申请

US20120303021A1 Dual Durometer Insulating Boot for Electrosurgical Forceps 有权
标题翻译：电动镊子双硬度绝缘靴
公开(公告)号：US20120303021A1
公开(公告)日：2012-11-29
申请号：US13571055
申请日：2012-08-09
申请人： Paul Guerra , Curt D. Hammill , James S. Cunningham , Charles Schryver
发明人： Paul Guerra , Curt D. Hammill , James S. Cunningham , Charles Schryver
IPC分类号： A61B18/14
CPC分类号： A61B18/00 , A61B18/1445 , A61B2018/00053 , A61B2018/00083 , A61B2018/00107 , A61B2018/00589 , A61B2018/00601 , A61B2018/1497
摘要： An electrosurgical forceps includes a shaft having a pair of jaw members at a distal end and movable about a pivot from a first position and disposed in spaced relation relative to one another to a second position wherein the jaw members are closer to one another for grasping tissue, a movable handle that actuates a drive assembly to move the jaw members relative to one another. At least one jaw member conducts electrical energy to tissue held therebetween. A flexible insulating boot is disposed on an exterior surface of at least one jaw member and about the pivot and includes a first longitudinal portion made from a high durometer material and a second longitudinal portion made from a low durometer material. The high durometer material may operably retain the flexible insulating boot atop the proximal ends of the jaw members.
摘要翻译：电外科钳包括轴，其具有在远端处的一对钳口构件，并且可绕第一位置绕枢轴运动并相对于彼此以间隔开的方式移动到第二位置，其中钳口构件彼此靠近以用于抓握组织，可移动的手柄，其致动驱动组件以相对于彼此移动所述钳口构件。至少一个钳口构件对保持在其间的组织传导电能。柔性绝缘套管设置在至少一个钳口构件的外表面上并围绕枢轴设置，并且包括由高硬度材料制成的第一纵向部分和由低硬度材料制成的第二纵向部分。高硬度材料可以将柔性绝缘靴可操作地保持在钳口构件的近端顶部。

62. 发明授权

US08303586B2 Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument 有权
标题翻译：弹簧式往复式组织切割机构采用镊子式电外科器械
公开(公告)号：US08303586B2
公开(公告)日：2012-11-06
申请号：US12368815
申请日：2009-02-10
申请人： James S. Cunningham , Dennis J. Harvilla
发明人： James S. Cunningham , Dennis J. Harvilla
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B2018/00196 , A61B2018/00916 , A61B2018/00946 , A61B2018/1412 , A61B2018/1455
摘要： Open electrosurgical forceps for sealing tissue which include a pair of first and second shaft portions each having a jaw member disposed at a distal end thereof. Each of the jaw members includes an electrically conductive sealing surface which communicates electrosurgical energy through tissue held therebetween with at least one of the jaw members including a knife slot defined along a length thereof. The knife slot is dimensioned to reciprocate a knife blade therefrom. The forceps also have a cutting mechanism which selectively actuates the knife blade from a first position wherein the knife blade is disposed at least substantially entirely within the knife slot of the jaw member to at least one subsequent position wherein the knife blade is at least partially deployed from the knife slot of the jaw member. The knife blade is displaceable in a direction transverse to a longitudinal axis of the forceps.
摘要翻译：打开用于密封组织的电外科钳，其包括一对第一和第二轴部分，每个第一和第二轴部分都具有设置在其远端的钳口部件。每个钳口构件包括导电密封表面，其将电外科能量通过其间保持的组织连通，其中至少一个钳口构件包括沿其长度限定的刀槽。刀槽的尺寸被设计成使刀片从其往复运动。镊子还具有切割机构，其从第一位置选择性地致动刀片，其中刀片至少基本上完全设置在钳口构件的刀槽内至少一个后续位置，其中刀片至少部分地部署从钳口构件的刀槽。刀片可以在横向于镊子的纵向轴线的方向上移动。

63. 发明授权

US08162973B2 Method of transferring pressure in an articulating surgical instrument 有权
标题翻译：在关节式手术器械中传送压力的方法
公开(公告)号：US08162973B2
公开(公告)日：2012-04-24
申请号：US12192170
申请日：2008-08-15
申请人： James S. Cunningham
发明人： James S. Cunningham
IPC分类号： A61B17/00
CPC分类号： A61B17/29 , A61B2017/00398 , A61B2017/2931 , A61B2017/2932 , A61B2017/2936 , A61B2017/2937 , A61B2017/2943
摘要： An end effector for a surgical instrument includes a fixed bearing member, having an end effector axis defined therethrough, with mounting surfaces for attachment to a distal end of the surgical instrument. An input shaft is configured for rotational motion relative to the fixed bearing member about the end effector axis and a force transfer member is coupled to the input shaft such that rotary motion of the input shaft generates longitudinal motion in the force transfer member. At least one jaw member couples to the force transfer member such that longitudinal motion of the force transfer member results in the jaw member moving between an open and a closed configuration relative to an opposing jaw member.
摘要翻译：用于外科器械的端部执行器包括固定的轴承构件，其具有限定在其中的端部执行器轴线，其具有用于附接到外科器械的远端的安装表面。输入轴构造成围绕端部执行器轴线相对于固定轴承构件旋转运动，并且力传递构件联接到输入轴，使得输入轴的旋转运动在力传递构件中产生纵向运动。至少一个钳口构件联接到力传递构件，使得力传递构件的纵向运动导致钳口构件相对于相对的钳口构件在打开和闭合构型之间移动。

64. 发明授权

US08142473B2 Method of transferring rotational motion in an articulating surgical instrument 有权
标题翻译：在关节外科手术器械中转移旋转运动的方法
公开(公告)号：US08142473B2
公开(公告)日：2012-03-27
申请号：US12244873
申请日：2008-10-03
申请人： James S. Cunningham
发明人： James S. Cunningham
IPC分类号： A61B17/00
CPC分类号： A61B18/1445 , A61B17/29 , A61B2017/00336 , A61B2017/00738 , A61B2017/2902 , A61B2017/2903 , A61B2017/2905 , A61B2017/2908 , A61B2017/2929 , A61B2017/2933 , A61B2017/2936 , A61B2017/294 , A61B2018/0063
摘要： An endoscopic surgical instrument includes an elongated shaft, which may be articulated to facilitate positioning of an end effector. The instrument accommodates reactionary forces associated with closing the end effector without substantial disruption to the position of the end effector. The instrument includes an elongated shaft housing generally defining distal and proximal shaft axes, and a torsion member extending through the shaft housing. The torsion member transmits rotational displacement from a handle portion of the instrument to the end effector to selectively move the end effector between open and closed configurations. The torsion member comprises a flexible shaft exhibiting a plurality of generally radial slots spaced longitudinally along a length of the flexible shaft.
摘要翻译：内窥镜手术器械包括细长轴，其可被铰接以便于端部执行器的定位。该仪器适应与关闭末端执行器相关联的反作用力，而不会对末端执行器的位置造成实质的破坏。仪器包括通常限定远轴和近轴轴线的细长轴壳体和延伸穿过轴壳体的扭转构件。扭转构件将旋转位移从仪器的把手部分传递到末端执行器，以选择性地将末端执行器移动到打开和关闭构型之间。扭转构件包括柔性轴，该柔性轴具有沿柔性轴的长度纵向间隔开的多个大致径向槽。

65. 发明申请

US20100179546A1 Apparatus, System, and Method for Performing an Electrosurgical Procedure 有权
标题翻译：用于执行电外科手术的装置，系统和方法
公开(公告)号：US20100179546A1
公开(公告)日：2010-07-15
申请号：US12353470
申请日：2009-01-14
申请人： James S. Cunningham
发明人： James S. Cunningham
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B18/1206 , A61B2017/00867 , A61B2018/00011 , A61B2018/00601 , A61B2018/0063 , A61B2018/00875 , A61B2018/1412 , A61B2018/1455 , A61B2218/002 , C08L2201/12
摘要： An electrosurgical instrument for treating tissue includes a housing having a flexible shaft extending therefrom having an axis A-A defined therethrough. The flexible shaft has first and second jaw members attached at a distal end thereof and each jaw member includes an electrically conductive tissue contacting surface adapted to connect to a source of electrosurgical energy. A drive assembl is disposed in the housing and has a first actuator operably coupled to a drive rod for reciprocation thereof and a second actuator operably coupled to the drive rod for rotation thereof. A knife is operably coupled to a distal end of the drive rod. Actuation of the first actuator moves the jaw members relative to one another for engaging tissue and actuation of the second actuator rotates the drive rod about the axis A-A to translate the knife to cut tissue disposed between the jaw members.
摘要翻译：用于治疗组织的电外科器械包括具有从其延伸的柔性轴的壳体，其具有通过其限定的轴线A-A。柔性轴具有连接在其远端处的第一和第二钳口构件，并且每个钳口构件包括适于连接到电外科能量源的导电组织接触表面。驱动组件设置在壳体中并且具有可操作地联接到用于往复运动的驱动杆的第一致动器和可操作地联接到驱动杆以用于其旋转的第二致动器。刀可操作地联接到驱动杆的远端。第一致动器的致动使夹爪构件相对于彼此移动以接合组织，并且第二致动器的致动使驱动杆围绕轴线A-A旋转以平移刀来切割设置在钳口构件之间的组织。

66. 发明授权

US07500975B2 Spring loaded reciprocating tissue cutting mechanism in a forceps-style electrosurgical instrument 有权
标题翻译：弹簧式往复式组织切割机构采用镊子式电外科器械
公开(公告)号：US07500975B2
公开(公告)日：2009-03-10
申请号：US11242488
申请日：2005-10-03
申请人： James S. Cunningham , Dennis J. Harvilla
发明人： James S. Cunningham , Dennis J. Harvilla
IPC分类号： A61B18/18
CPC分类号： A61B18/1442 , A61B2018/00196 , A61B2018/00916 , A61B2018/00946 , A61B2018/1412 , A61B2018/1455
摘要： Open electrosurgical forceps for sealing tissue which include a pair of first and second shaft portions each having a jaw member disposed at a distal end thereof. Each of the jaw members includes an electrically conductive sealing surface which communicates electrosurgical energy through tissue held therebetween with at least one of the jaw members including a knife slot defined along a length thereof. The knife slot is dimensioned to reciprocate a knife blade therefrom. The forceps also have a cutting mechanism which selectively actuates the knife blade from a first position wherein the knife blade is disposed at least substantially entirely within the knife slot of the jaw member to at least one subsequent position wherein the knife blade is at least partially deployed from the knife slot of the jaw member. The knife blade is displaceable in a direction transverse to a longitudinal axis of the forceps.
摘要翻译：打开用于密封组织的电外科钳，其包括一对第一和第二轴部分，每个第一和第二轴部分都具有设置在其远端的钳口部件。每个钳口构件包括导电密封表面，其将电外科能量通过其间保持的组织连通，其中至少一个钳口构件包括沿其长度限定的刀槽。刀槽的尺寸被设计成使刀片从其往复运动。镊子还具有切割机构，其从第一位置选择性地致动刀片，其中刀片至少基本上完全设置在钳口构件的刀槽内至少一个后续位置，其中刀片至少部分地部署从钳口构件的刀槽。刀片可以在横向于镊子的纵向轴线的方向上移动。

67. 发明授权

US09114181B2 Process of cooling surgical device battery before or during high temperature sterilization 有权
标题翻译：在高温灭菌之前或期间冷却手术装置电池的过程
公开(公告)号：US09114181B2
公开(公告)日：2015-08-25
申请号：US13436107
申请日：2012-03-30
申请人： Robert B. Stoddard , James S. Cunningham , William J. Dickhans , Russell D. Hempstead , Eric R. Larson , Duane E. Kerr , William H. Nau, Jr. , Anthony B. Ross , John J. Kappus
发明人： Robert B. Stoddard , James S. Cunningham , William J. Dickhans , Russell D. Hempstead , Eric R. Larson , Duane E. Kerr , William H. Nau, Jr. , Anthony B. Ross , John J. Kappus
IPC分类号： H01M10/50 , H02J7/00 , A61L2/00 , A61L2/07 , G05D23/19
CPC分类号： A61L2/07 , A61L2202/14 , A61L2202/24 , G05D23/1904 , H02J7/0013 , H02J7/0057
摘要： A dual-mode autoclave for sterilizing a battery is disclosed including a controller and an environmental system in operative communication with the controller and configured sterilize a battery contained within the dual-mode autoclave in response to a command from the controller. The environmental system configured to reduce a temperature of the battery to a first, pre-cooled temperature during a first operational phase and configured to increase the temperature of the battery to a second, autoclaving temperature during a second operational phase.
摘要翻译：公开了一种用于对电池灭菌的双模式高压灭菌器，其包括与控制器操作性通信的控制器和环境系统，并且响应于来自控制器的命令，对包含在双模式高压灭菌器内的电池进行灭菌。环境系统被配置为在第一操作阶段期间将电池的温度降低到第一预冷却温度并且被配置为在第二操作阶段期间将电池的温度升高到第二高压灭菌温度。

68. 发明申请

US20140012297A1 ULTRASONIC SURGICAL INSTRUMENTS 有权
标题翻译：超声外科器械
公开(公告)号：US20140012297A1
公开(公告)日：2014-01-09
申请号：US14006532
申请日：2012-03-30
申请人： Anthony B. Ross , Robert B. Stoddard , James S. Cunningham , William J. Dickhans , Russell D. Hempstead , Eric R. Larson , Duane E. Kerr, JR. , William H. Nau, JR. , Arlen K. Ward
发明人： Anthony B. Ross , Robert B. Stoddard , James S. Cunningham , William J. Dickhans , Russell D. Hempstead , Eric R. Larson , Duane E. Kerr, JR. , William H. Nau, JR. , Arlen K. Ward
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/295 , A61B90/04 , A61B2017/00088 , A61B2017/00092 , A61B2017/00336 , A61B2018/00095 , A61B2018/00101 , A61B2090/0472
摘要： An ultrasonic surgical instrument is provided. The ultrasonic surgical instrument includes a housing having an elongated shaft extending therefrom. The shaft defines a longitudinal axis therethrough and has at least one jaw member disposed at a distal end thereof. The jaw member(s) is movable between open and clamping configurations. A probe extends through the shaft and operably couples to the housing, The probe includes a cutting blade at a distal end thereof adjacent the jaw member(s) to treat tissue of interest. The jaw member(s) and cutting blade are configured such that heat damage to tissue adjacent tissue of interest that has been treated by the cutting blade is reduced and/or eliminated.
摘要翻译：提供超声波手术器械。超声波手术器械包括具有从其延伸的细长轴的壳体。轴限定穿过其的纵向轴线，并且具有设置在其远端处的至少一个钳口构件。钳口构件可在打开和夹紧构型之间移动。探头延伸穿过轴并且可操作地连接到壳体。探针在其远端处包括切割刀片，其邻近钳口构件以处理感兴趣的组织。钳口构件和切割刀片被构造成使得已经被切割刀片处理的相关组织的组织的热损伤减少和/或消除。

69. 发明授权

US08439912B2 De-tensioning mechanism for articulation drive cables 有权
公开(公告)号：US08439912B2
公开(公告)日：2013-05-14
申请号：US12714127
申请日：2010-02-26
申请人： James S. Cunningham , Eric Jones
发明人： James S. Cunningham , Eric Jones
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/29 , A61B18/1482 , A61B50/00 , A61B2017/003 , A61B2017/0645 , A61B2017/2905 , A61B2017/2908 , A61B2018/1432 , A61B2034/715
摘要： A surgical instrument includes a housing having an elongated shaft extending distally therefrom. An end effector for treating tissue is supported by the elongated shaft. One or more tensile members extend at least partially through the elongated shaft. A proximal end of a tensile member is operatively coupled to at least one actuator and a distal end is operatively coupled to the end effector such that manipulation of the actuator induces movement of the tensile member to move the end effector. A de-tensioning mechanism is operatively associated with the tensile member to move the tensile member between a first relaxed configuration and a second stressed configuration. The de-tensioning mechanism includes a spacer insertable into a cavity defined in the housing to move the tensile member to the first relaxed configuration and removable from the cavity to move the at least one tensile member to the second stressed configuration.

70. 发明申请

US20130041292A1 Customizable Haptic Assisted Robot Procedure System with Catalog of Specialized Diagnostic Tips 审中-公开
标题翻译：可定制的触觉辅助机器人程序系统，具有专门的诊断提示目录
公开(公告)号：US20130041292A1
公开(公告)日：2013-02-14
申请号：US13205969
申请日：2011-08-09
申请人： James S. Cunningham
发明人： James S. Cunningham
IPC分类号： A61B18/12 , A61B18/18 , A61B18/00
CPC分类号： A61B17/320068 , A61B18/12 , A61B18/1445 , A61B34/30 , A61B2017/00207 , A61B2017/00212 , A61B2017/00221 , A61B2017/00482 , A61B2017/320069 , A61B2017/320094 , A61B2017/320095 , A61B2018/00172 , A61B2034/256
摘要： In accordance with the present disclosure, a system and method for using a remote control to control an electrosurgical instrument, where the remote controlled (RC) electrosurgical instrument has a universal coupling mechanism to allow switching between an interchangeable catalog of diagnostic tools. A controller within the base of the RC electrosurgical instrument identifies the type of disposable tip attached to the base. The controller, then, activates necessary features for use with the identified tip and deactivates any unnecessary features. A surgeon uses a remote with at least one momementum sensor to control the RC electrosurgical instrument 10. The surgeon rotates his hand mimicking movements of a handheld electrosurgical instrument, the movements of which are translated and sent to the RC electrosurgical instrument. The surgeon may use an augmented reality (AR) vision system to assist the surgeon in viewing the surgical site.
摘要翻译：根据本公开，一种使用遥控器来控制电外科器械的系统和方法，其中远程控制（RC）电外科器械具有通用耦合机构，以允许在可互换的诊断工具目录之间切换。 RC电外科仪器底座内的一个控制器可识别连接到底座上的一次性尖端的类型。然后，控制器激活用于所识别的尖端的必要特征，并且停用任何不必要的特征。外科医生使用具有至少一个母体传感器的遥控器来控制RC电外科器械10.外科医生旋转他的手模拟手持电外科器械的运动，其移动被转换并传送到RC电外科器械。外科医生可以使用增强现实（AR）视力系统来辅助外科医生观察手术部位。

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