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1. 发明申请

US20120221007A1 ARTICULATING TISSUE REMOVAL SYSTEMS AND METHODS 审中-公开
标题翻译：组织去除系统和方法
公开(公告)号：US20120221007A1
公开(公告)日：2012-08-30
申请号：US13332227
申请日：2011-12-20
申请人： David Batten , Hiep Nguyen , Al Mirel
发明人： David Batten , Hiep Nguyen , Al Mirel
IPC分类号： A61B17/16
CPC分类号： A61B17/32056 , A61B10/025 , A61B17/320758 , A61B2017/00261 , A61B2017/00309 , A61B2017/00327 , A61B2217/005
摘要： In some embodiments, a tissue removal system may comprise a handheld housing and a tissue collection chamber coupled to a distal portion of the handheld housing and comprising a cylindrical portion, a motor, and an articulation mechanism. The articulation mechanism may comprise a shaft comprising an outer tubular member and an inner tubular member disposed within the outer tubular member and coupled to the cylindrical portion of the tissue collection chamber, a drum component slidably engaged with the cylindrical portion of the tissue collection chamber and coupled to the outer tubular member, an articulation drive component rotatably coupled to the drum component and to the cylindrical portion of the tissue collection chamber, and a tissue removal assembly coupled to the shaft and operable by the motor. The shaft may be articulated by rotating the articulation drive component and causing the drum component to translate in a proximal direction.
摘要翻译：在一些实施例中，组织去除系统可以包括手持式外壳和联接到手持式外壳的远端部分的组织收集腔，并且包括圆柱形部分，马达和关节运动机构。所述关节运动机构可以包括轴，所述轴包括外部管状构件和设置在所述外部管状构件内并联接到所述组织收集室的圆柱形部分的内部管状构件，与所述组织收集室的圆柱形部分可滑动地接合的鼓构件，联接到外部管状构件，可旋转地联接到鼓部件和组织收集室的圆柱形部分的关节运动驱动部件，以及联接到轴并且可由电动机操作的组织移除组件。轴可以通过旋转关节运动部件并使滚筒部件沿近端方向平移而铰接。

2. 发明申请

US20130103067A1 DISCECTOMY DEVICES AND RELATED METHODS 审中-公开
标题翻译：分离装置及相关方法
公开(公告)号：US20130103067A1
公开(公告)日：2013-04-25
申请号：US13560850
申请日：2012-07-27
申请人： Myra I. L. Fabro , Hiep Nguyen , Mark Dias , Al Mirel , Robert May
发明人： Myra I. L. Fabro , Hiep Nguyen , Mark Dias , Al Mirel , Robert May
IPC分类号： A61B17/3207
CPC分类号： A61B17/3207 , A61B17/1671 , A61B17/32002 , A61B2017/00309 , A61B2017/00734 , A61B2017/320024
摘要： Tissue removal devices are disclosed herein. In some embodiments, a tissue removal device may comprise a handheld housing, a motor, and a tissue removal mechanism coupled to the handheld housing. The tissue removal mechanism may comprise a tubular member, a rotatable elongated member disposed within a lumen of the tubular member, a first impeller distal to the rotatable elongated member, and a second impeller adjacent the first impeller.
摘要翻译：组织去除装置在此公开。在一些实施例中，组织去除装置可以包括手持壳体，马达和耦合到手持壳体的组织去除机构。组织移除机构可以包括管状构件，设置在管状构件的内腔中的可旋转细长构件，远离可旋转细长构件的第一叶轮和与第一叶轮相邻的第二叶轮。

3. 发明申请

US20100036370A1 ELECTROSURGICAL INSTRUMENT JAW STRUCTURE WITH CUTTING TIP 审中-公开
标题翻译：具切割尖端的电磁力仪器结构
公开(公告)号：US20100036370A1
公开(公告)日：2010-02-11
申请号：US12534934
申请日：2009-08-04
申请人： Al Mirel , Robert J. Laird
发明人： Al Mirel , Robert J. Laird
IPC分类号： A61B18/14 , A61B18/18
CPC分类号： A61B18/1445 , A61B18/08 , A61B2018/00083 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/144 , A61B2018/1497
摘要： An electrosurgical instrument for scoring, welding and transecting tissue is provided. The electrosurgical instrument comprises first and second openable-closeable jaws and at least one scoring electrode extending from a distal end of at least one of the first and second openable-closeable jaws. The first and second openable-closeable jaws comprises first and second conductive tissue engaging surfaces, respectively, and first and second insulating members, respectively. The scoring electrode is coupled with at least one of the first and second insulating members. The at least one scoring electrode can be activated independently from the first and second openable-closeable jaws so that the electrosurgical instrument can independent score tissue and weld tissue.
摘要翻译：提供了一种用于评分，焊接和横切组织的电外科仪器。电外科器械包括第一和第二可开启夹爪和至少一个从第一和第二可开闭钳口中的至少一个的远端延伸的刻痕电极。第一和第二可开启夹爪分别包括第一和第二导电组织接合表面，分别包括第一和第二绝缘构件。刻痕电极与第一和第二绝缘构件中的至少一个连接。所述至少一个刻痕电极可独立于所述第一和第二可开启的钳口而被致动，使得所述电外科器械能够独立评分组织和焊接组织。

4. 发明授权

US08834466B2 Surgical instrument comprising an articulatable end effector 有权
标题翻译：手术器械包括可铰接的末端执行器
公开(公告)号：US08834466B2
公开(公告)日：2014-09-16
申请号：US12832361
申请日：2010-07-08
申请人： John F. Cummings , Andrew T. Beckman , Cory G. Kimball , Al Mirel , Christopher J. Schall
发明人： John F. Cummings , Andrew T. Beckman , Cory G. Kimball , Al Mirel , Christopher J. Schall
IPC分类号： A61B18/12
CPC分类号： A61B18/1445 , A61B2017/00084 , A61B2018/00601 , A61B2018/0063
摘要： A 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 in order to capture tissue therebetween. The surgical instrument can further comprise a shaft extending between the handle and the effector and means for articulating the end effector relative to the shaft. The articulating means can comprise a portion of the shaft which is rotatable about a first axis in order to articulate the end effector about a second axis. In at least one embodiment, the shaft can comprise a first portion including a cam and a second portion including a cam follower, wherein the rotation of the second portion and the interaction of the cam and cam follower can cause the second portion to pivot relative to the first portion.
摘要翻译：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可以打开和关闭的第一和第二钳口，以便在其间捕获组织。外科器械还可以包括在手柄和执行器之间延伸的轴和用于相对于轴铰接端部执行器的装置。所述铰接装置可以包括所述轴的可围绕第一轴线旋转的部分，以便使所述端部执行器围绕第二轴线铰接。在至少一个实施例中，轴可以包括包括凸轮的第一部分和包括凸轮从动件的第二部分，其中第二部分的旋转和凸轮和凸轮从动件的相互作用可以使第二部分相对于第一部分。

5. 发明申请

US20120010615A1 SURGICAL INSTRUMENT COMPRISING AN ARTICULATABLE END EFFECTOR 有权
标题翻译：包含可治疗终末效应的手术仪器
公开(公告)号：US20120010615A1
公开(公告)日：2012-01-12
申请号：US12832361
申请日：2010-07-08
申请人： John F. Cummings , Andrew T. Beckman , Cory G. Kimball , Al Mirel , Christopher J. Schall
发明人： John F. Cummings , Andrew T. Beckman , Cory G. Kimball , Al Mirel , Christopher J. Schall
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B2017/00084 , A61B2018/00601 , A61B2018/0063
摘要： A 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 in order to capture tissue therebetween. The surgical instrument can further comprise a shaft extending between the handle and the effector and means for articulating the end effector relative to the shaft. The articulating means can comprise a portion of the shaft which is rotatable about a first axis in order to articulate the end effector about a second axis. In at least one embodiment, the shaft can comprise a first portion including a cam and a second portion including a cam follower, wherein the rotation of the second portion and the interaction of the cam and cam follower can cause the second portion to pivot relative to the first portion.
摘要翻译：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可以打开和关闭的第一和第二钳口，以便在其间捕获组织。外科器械还可以包括在手柄和执行器之间延伸的轴和用于相对于轴铰接端部执行器的装置。所述铰接装置可以包括所述轴的可围绕第一轴线旋转的部分，以便使所述端部执行器围绕第二轴线铰接。在至少一个实施例中，轴可以包括包括凸轮的第一部分和包括凸轮从动件的第二部分，其中第二部分的旋转和凸轮和凸轮从动件的相互作用可以使第二部分相对于第一部分。

6. 发明申请

US20110282339A1 SURGICAL INSTRUMENTS AND END EFFECTORS THEREFOR 有权
标题翻译：手术器械及其最终效果
公开(公告)号：US20110282339A1
公开(公告)日：2011-11-17
申请号：US12781243
申请日：2010-05-17
申请人： Patrick A. Weizman , Jeffrey L. Aldridge , Raymond M. Banks , Andrew T. Beckman , John F. Cummings , Timothy G. Dietz , Craig N. Faller , James R. Giordano , Jason L. Harris , Zhifan F. Huang , Gregory W. Johnson , Cory G. Kimball , Prasanna Malaviya , Matthew C. Miller , Al Mirel , David K. Norvell , Christopher J. Schall , Frederick E. Shelton, IV , Foster B. Stulen , Jeffrey S. Swayze , Bradley E. White , Tamara Widenhouse , David A. Witt , Steve G. Bernath
发明人： Patrick A. Weizman , Jeffrey L. Aldridge , Raymond M. Banks , Andrew T. Beckman , John F. Cummings , Timothy G. Dietz , Craig N. Faller , James R. Giordano , Jason L. Harris , Zhifan F. Huang , Gregory W. Johnson , Cory G. Kimball , Prasanna Malaviya , Matthew C. Miller , Al Mirel , David K. Norvell , Christopher J. Schall , Frederick E. Shelton, IV , Foster B. Stulen , Jeffrey S. Swayze , Bradley E. White , Tamara Widenhouse , David A. Witt , Steve G. Bernath
IPC分类号： A61B18/14 , A61B18/18
CPC分类号： A61B18/1445 , A61B17/295 , A61B17/32 , A61B17/3209 , A61B18/148 , A61B18/1485 , A61B2017/003 , A61B2017/00738 , A61B2017/00867 , A61B2017/2926 , A61B2017/2933 , A61B2017/2934 , A61B2017/2945 , A61B2017/320044 , A61B2018/0063 , A61B2018/126 , A61B2018/1412 , A61B2018/1432 , A61B2018/1455 , A61B2018/1465
摘要： Various forms of surgical instruments are disclosed. In various embodiments, an end effector having operable and closable jaws is attached to a distal end of an elongate shaft such that portions of the jaws are axially offset from the elongate shaft. Other jaw embodiments are coupled to an actuation arrangement that permits portions of the jaws to be moved out of axial alignment with the elongate shaft. Other jaw embodiments are configured to facilitate tissue dissection. Electrosurgical instruments are also disclosed. One embodiment employs a flexible electrode that is conformable to tissue.
摘要翻译：公开了各种形式的外科器械。在各种实施例中，具有可操作和可闭合的钳口的末端执行器附接到细长轴的远端，使得钳口的一部分从细长轴轴向偏移。其它钳口实施例联接到致动装置，其允许钳口的一部分移动离开与细长轴的轴向对准。其它钳口实施例被配置为便于组织解剖。电外科器械也被公开。一个实施例采用与组织一致的柔性电极。

7. 发明申请

US20180014944A1 INTERVERTEBRAL DEVICES AND RELATED METHODS 审中-公开
公开(公告)号：US20180014944A1
公开(公告)日：2018-01-18
申请号：US15213394
申请日：2016-07-18
申请人： John Davis , Al Mirel
发明人： John Davis , Al Mirel
IPC分类号： A61F2/44 , A61F2/30 , A61F2/46
CPC分类号： A61F2/447 , A61F2/4455 , A61F2/4611 , A61F2002/30266 , A61F2002/30471 , A61F2002/30492 , A61F2002/30556 , A61F2002/30579 , A61F2002/30772 , A61F2002/30904 , A61F2002/3093 , A61F2002/4475 , A61F2002/4623 , A61F2002/4627 , A61F2002/4628
摘要： Intervertebral devices and systems, and methods of their use, are disclosed having configurations suitable for placement between two adjacent vertebrae, replacing the functionality of the disc therebetween. Intervertebral devices and systems contemplated herein are implantable devices intended for replacement of a vertebral disc, which may have deteriorated due to disease for example. The intervertebral devices and systems are configured to allow for ample placement of therapeutic agents therein, including bone growth enhancement material, which may lead to better fusion between adjacent vertebral bones. The intervertebral devices and systems are configured for use in minimally invasive procedures, if desired.

8. 发明授权

US09149324B2 Surgical instrument comprising an articulatable end effector 有权
标题翻译：手术器械包括可铰接的末端执行器
公开(公告)号：US09149324B2
公开(公告)日：2015-10-06
申请号：US12832345
申请日：2010-07-08
申请人： Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
发明人： Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
IPC分类号： A61B18/14 , A61B17/00 , A61B18/00
CPC分类号： A61B18/1445 , A61B2017/00084 , A61B2018/00601 , A61B2018/0063
摘要： An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector.
摘要翻译：电外科器械可以包括手柄，轴和端部执行器，其中末端执行器可以通过铰接接头可旋转地联接到轴。仪器还可以包括驱动构件，并且铰接接头可以包括可配置成支撑驱动构件的柔性支撑构件。仪器还可以包括电耦合到末端执行器中的电极的电线，以及配置成防止供电线在铰接接头内累积松弛的电线张紧装置。驱动构件可以包括多个柔性层，其中一些层可以由电绝缘材料构成，并且其它层可以由与末端执行器中的切割构件电连通的导电材料和/或位于末端执行器内的电极。

9. 发明授权

US09005199B2 Heat management configurations for controlling heat dissipation from electrosurgical instruments 有权
标题翻译：用于控制电外科器械散热的热管理配置
公开(公告)号：US09005199B2
公开(公告)日：2015-04-14
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 , A61B17/32 , A61B18/00
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。

10. 发明授权

US08979844B2 Electrosurgical cutting and sealing instrument 有权
标题翻译：电外科切割和密封仪器
公开(公告)号：US08979844B2
公开(公告)日：2015-03-17
申请号：US12842518
申请日：2010-07-23
申请人： Bradley E. White , John F. Cummings , Cory G. Kimball , Andrew T. Beckman , Christopher J. Schall , Al Mirel
发明人： Bradley E. White , John F. Cummings , Cory G. Kimball , Andrew T. Beckman , Christopher J. Schall , Al Mirel
IPC分类号： A61B18/12 , A61B18/14 , A61B18/00 , A61B19/00
CPC分类号： A61B18/1445 , A61B2018/00196 , A61B2018/00607 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/1455 , A61B2090/065
摘要： A surgical instrument for supplying energy to tissue can comprise a jaw member comprising an electrode, wherein the electrode is configured to supply energy from a power source to captured tissue. The surgical instrument comprises a tissue-cutting element to transect the captured tissue. The rate of distal translation of the tissue-cutting element during the operational stroke may be regulated by an electromagnetic brake.
摘要翻译：用于向组织提供能量的外科器械可以包括包括电极的钳口构件，其中所述电极被配置为从电源向捕获的组织供应能量。手术器械包括用于横切所捕获的组织的组织切割元件。在操作冲程期间组织切割元件的远端平移的速率可以由电磁制动器调节。

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