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1. 发明申请

WO2006042210A2 ULTRASONIC SURGICAL INSTRUMENT 审中-公开
标题翻译：超声外科仪器
公开(公告)号：WO2006042210A2
公开(公告)日：2006-04-20
申请号：PCT/US2005036389
申请日：2005-10-07
申请人： ETHICON ENDO SURGERY INC , FALLER CRAIG N , KOWALSKI KAREN M , HOUSER KEVIN L , NEUROHR MARK A , NEUENFELDT STEVEN K , BARTON SCOTT N
发明人： FALLER CRAIG N , KOWALSKI KAREN M , HOUSER KEVIN L , NEUROHR MARK A , NEUENFELDT STEVEN K , BARTON SCOTT N
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/2909 , A61B2017/00353 , A61B2017/00424 , A61B2017/2825 , A61B2017/2911 , Y10T29/49005 , Y10T29/49998
摘要： An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a two-piece pad design and pad material that enables the higher tissue clamping forces and a forcelimiting mechanism that effectively smooths out abusive tissue forces. The assembly also features hand activation configured to provide an ergonomical grip and operation for the surgeon. Hand switches are placed in the range of the natural swing of the surgeon's thumb, whether gripping the surgical instrument right-handed or left handed.
摘要翻译：超声波夹具凝固器组件，其构造成允许在外科手术期间选择性地切割，凝结和夹紧组织。仪器的细长部分可以配置为内窥镜应用，外径小于6mm。该结构包括夹紧机构，其包括枢转地安装在仪器的远端部分处的夹紧臂，其特别构造成当触发器完全关闭时产生超过4磅的组织夹紧力。夹紧机构包括两件式垫片设计和衬垫材料，其能够实现较高的组织夹持力和有效地平滑滥用组织力的力限制机构。组件还具有手动激活，其被配置为为外科医生提供人体工程学的握持和操作。手动开关放置在外科医生拇指的自然摆动的范围内，无论是右手还是左手握住手术器械。

2. 发明公开

EP1684648A4 ULTRASONIC SURGICAL BLADE AND INSTRUMENT HAVING A GAIN STEP 有权
标题翻译：用刀增大步外科超声诊断仪对
公开(公告)号：EP1684648A4
公开(公告)日：2008-12-10
申请号：EP04800788
申请日：2004-11-04
申请人： ETHICON ENDO SURGERY INC , STULEN FOSTER B , NEUENFELDT STEVEN K , HOUSER KEVIN L
发明人： STULEN FOSTER B , NEUENFELDT STEVEN K , HOUSER KEVIN L
IPC分类号： A61B17/32 , A61B17/22 , A61M1/00
CPC分类号： A61B17/320068 , A61B2017/22018 , A61B2017/320072 , A61B2017/32008 , A61B2217/005
摘要： An ultrasonic surgical blade, and an instrument, having a gain step. The blade body has, in any half wave length of the ultrasonic-surgical-blade body, a first vibration antinode, a vibration node, a second vibration antinode, and a gain step. The gain step is located between the second vibration antinode and the first vibration antinode. The gain step is spaced apart from the vibration node by a gain-step distance greater than 5% of the distance between the second vibration antinode and the first vibration antinode. The instrument includes the blade, a handpiece having an ultrasonic transducer, and an ultrasonic transmission rod whose proximal end is operatively connected to the ultrasonic transducer and whose distal end activates the blade. In one option, the first vibration antinode is the distal tip, and the gain step is located between the vibration node and the distal tip, resulting in an increased active length of the blade.

3. 发明专利

DE602004031655D1 CHIRURGISCHE ULTRASCHALLKLINGE UND INSTRUMENT MIT STEIGERUNGSSCHRITT 未知
公开(公告)号：DE602004031655D1
公开(公告)日：2011-04-14
申请号：DE602004031655
申请日：2004-11-04
申请人： ETHICON ENDO SURGERY INC , STULEN FOSTER B , NEUENFELDT STEVEN K , HOUSER KEVIN L
发明人： STULEN FOSTER B , NEUENFELDT STEVEN K , HOUSER KEVIN L
IPC分类号： A61B17/32 , A61B17/22 , A61M1/00

4. 发明申请

WO2005046737A3 ULTRASONIC SURGICAL BLADE AND INSTRUMENT HAVING A GAIN STEP 审中-公开
标题翻译：超声外科刀片和具有增益步长的仪器
公开(公告)号：WO2005046737A3
公开(公告)日：2006-01-26
申请号：PCT/US2004036897
申请日：2004-11-04
申请人： ETHICON ENDO SURGERY INC , STULEN FOSTER B , NEUENFELDT STEVEN K , HOUSER KEVIN L
发明人： STULEN FOSTER B , NEUENFELDT STEVEN K , HOUSER KEVIN L
IPC分类号： A61B17/22 , A61B17/32 , A61M1/00
CPC分类号： A61B17/320068 , A61B2017/22018 , A61B2017/320072 , A61B2017/32008 , A61B2217/005
摘要： An ultrasonic surgical blade, and an instrument, having a gain step. The blade body has, in any half wave length of the ultrasonic-surgical-blade body, a first vibration antinode, a vibration node, a second vibration antinode, and a gain step. The gain step is located between the second vibration antinode and the first vibration antinode. The gain step is spaced apart from the vibration node by a gain-step distance greater than 5% of the distance between the second vibration antinode and the first vibration antinode. The instrument includes the blade, a handpiece having an ultrasonic transducer, and an ultrasonic transmission rod whose proximal end is operatively connected to the ultrasonic transducer and whose distal end activates the blade. In one option, the first vibration antinode is the distal tip, and the gain step is located between the vibration node and the distal tip, resulting in an increased active length of the blade.
摘要翻译：一种具有增益步长的超声手术刀和仪器。刀片体在超声外科手术刀体的任何半波长中具有第一振动波腹，振动节点，第二振动波腹和增益步长。增益步骤位于第二振动波腹与第一振动波腹之间。增益步长与第二振动波腹与第一振动波腹之间的距离大于5％的增益阶跃距离与振动节点隔开。仪器包括刀片，具有超声换能器的手持件和超声波传输杆，其近端可操作地连接到超声波换能器，并且其远端激活刀片。在一个选择中，第一振动波腹是远端，并且增益步长位于振动节点和远端之间，导致叶片的有效长度增加。

5. 发明申请

WO2007087272A3 SURGICAL INSTRUMENT FOR CUTTING AND COAGULATING PATIENT TISSUE 审中-公开
标题翻译：切割和凝固患者组织的外科手术器械
公开(公告)号：WO2007087272A3
公开(公告)日：2008-01-10
申请号：PCT/US2007001705
申请日：2007-01-23
申请人： ETHICON ENDO SURGERY INC , NEUENFELDT STEVEN K
发明人： NEUENFELDT STEVEN K
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/3201 , A61B18/1442 , A61B2017/00778 , A61B2017/2927 , A61B2017/320078 , A61B2018/1452 , A61B2018/1467 , A61B2018/1861
摘要： A first medical instrument is for cutting and coagulating patient tissue and includes a two-pronged end effector. The end effector has a first prong which includes a medical ultrasonic blade, has a second prong which includes an arm opposing the ultrasonic blade, and has a surgical knife. A second medical instrument is for a medical instrument for cutting and coagulating patient tissue and includes a two-pronged end effector. The end effector has a first prong which includes a first bipolar radio-frequency electrode, has a second prong which includes an arm opposing the electrodes, and has a surgical knife.
摘要翻译：第一种医疗器械用于切割和凝固患者组织，并且包括双管齐下的末端执行器。末端执行器具有包括医用超声波刀片的第一插脚，具有包括与超声波刀片相对的臂的第二插脚，并且具有手术刀。第二医疗器械用于切割和凝固患者组织的医疗器械，并且包括双管齐下的末端执行器。末端执行器具有包括第一双极射频电极的第一插脚，具有包括与电极相对的臂的第二插脚，并且具有手术刀。

6. 发明专利

JP2011189186A Ultrasonic surgical instrument 有权
标题翻译：超声外科仪器
公开(公告)号：JP2011189186A
公开(公告)日：2011-09-29
申请号：JP2011124991
申请日：2011-06-03
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： FALLER CRAIG N , KOWALSKI KAREN M , HOUSER KEVIN L , NEUROHR MARK A , NEUENFELDT STEVEN K , BARTON SCOTT N
IPC分类号： A61B18/00
CPC分类号： A61B17/320092 , A61B17/2909 , A61B2017/00353 , A61B2017/00424 , A61B2017/2825 , A61B2017/2911 , Y10T29/49005 , Y10T29/49998
摘要： PROBLEM TO BE SOLVED: To provide a clamp coagulator for ultrasonic surgery, which is configured to prevent erroneous actuation of a switch. SOLUTION: The ultrasonic surgical instrument comprises: a housing for receiving a transducer includes an actuator having a first open position and a second closed position, and defining a housing surface; a first switch which is arranged on the housing so as to be operated by one or a plurality of fingers of a surgeon, and is connected electrically to a generator for supplying an electric signal to the generator in order to control the ultrasonic energy level supplied by the transducer; and a section which is adjacent to at least one switch and defines a sectional surface higher than the housing surface. COPYRIGHT: (C)2011,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于超声波手术的夹具凝结器，其被构造成防止开关的错误致动。解决方案：超声波手术器械包括：用于接收换能器的壳体，包括具有第一打开位置和第二闭合位置并且限定壳体表面的致动器; 第一开关，其布置在壳体上以由外科医生的一个或多个手指操作，并且被电连接到用于向发生器提供电信号的发生器，以便控制由发生器提供的超声波能量水平传感器; 以及与至少一个开关相邻并且限定高于壳体表面的截面的截面。版权所有（C）2011，JPO＆INPIT

7. 发明专利

JP2007222619A Medical system, medical instrument and method for sealing blood vessel of patient 有权
标题翻译：医疗系统，医疗仪器和密封患者血管的方法
公开(公告)号：JP2007222619A
公开(公告)日：2007-09-06
申请号：JP2007033765
申请日：2007-02-14
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： MESSERLY JEFFREY D , NEUENFELDT STEVEN K
IPC分类号： A61B17/12 , A61B18/00 , A61M37/00
CPC分类号： A61B17/320068 , A61B2017/320084 , A61M37/0092
摘要： PROBLEM TO BE SOLVED: To provide an improved medical instrument having a medical end effector including an ultrasonic propagating element, an improved medical system including a ligation instrument based on a machine or energy, and an improved method for sealing a blood vessel of a patient. SOLUTION: This medical instrument includes: a medical end effector and a user-actuated media transporter. The medical end effector includes: an ultrasonic propagating element and includes a path adapted for directing a medical agent, when conveyed therealong, to the ultrasonic propagating element. The user actuated media transporter is adapted for conveying the medical agent along the path and into contact with the ultrasonic propagating element. This medical system includes: the medical instrument and the user actuated hemostatic-agent transporter. The medical instrument is adapted for treating patient tissue and is a mechanical-based ligation instrument or an energy-based ligation instrument. The user-actuated hemostatic-agent transporter is adapted for conveying a hemostatic agent to the patient tissue. COPYRIGHT: (C)2007,JPO&INPIT
摘要翻译：解决的问题：提供一种改进的医疗器械，其具有包括超声波传播元件的医疗末端执行器，包括基于机器或能量的连接仪器的改进的医疗系统，以及用于密封血管的改进方法病人。
解决方案：该医疗器械包括：医疗端部执行器和用户致动的媒体传送器。医疗末端执行器包括：超声波传播元件，并且包括适于将药剂引导到超声传播元件时的路径。用户致动的介质输送器适于沿着路径输送药剂并与超声波传播元件接触。该医疗系统包括：医疗器械和用户驱动的止血剂运送器。该医疗器械适用于治疗患者组织，并且是一种基于机械的结扎器械或基于能量的结扎器械。用户驱动的止血剂运送器适于将止血剂输送到患者组织。版权所有（C）2007，JPO＆INPIT

8. 发明专利

JP2011189185A Ultrasonic surgical instrument 有权
标题翻译：超声外科仪器
公开(公告)号：JP2011189185A
公开(公告)日：2011-09-29
申请号：JP2011124975
申请日：2011-06-03
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： FALLER CRAIG N , KOWALSKI KAREN M , HOUSER KEVIN L , NEUROHR MARK A , NEUENFELDT STEVEN K , BARTON SCOTT N
IPC分类号： A61B18/00
CPC分类号： A61B17/320092 , A61B17/2909 , A61B2017/00353 , A61B2017/00424 , A61B2017/2825 , A61B2017/2911 , Y10T29/49005 , Y10T29/49998
摘要： PROBLEM TO BE SOLVED: To provide a clamp coagulator for ultrasonic surgery, which allows a surgeon to easily recognize that an actuator is in a closed position. SOLUTION: The ultrasonic clamp coagulator comprises: a housing with an actuator having a first open position and a second closed position; a tube having a proximal end connected to the housing, and a distal end; an ultrasonic waveguide arranged within the outer tube, and having a proximal end and a distal end; a blade attached to the distal end of the waveguide and actuated by ultrasonic wave; a clamp member for clamping the tissue between the blade and the clamp member and being rotatable with respect to the blade; and a feedback element for feeding back an index showing the actuator is in the closed position. COPYRIGHT: (C)2011,JPO&INPIT
摘要翻译：要解决的问题：提供一种用于超声手术的夹钳式凝结器，其允许外科医生容易地识别致动器处于关闭位置。解决方案：超声波夹具凝结器包括：具有致动器的壳体，其具有第一打开位置和第二关闭位置; 具有连接到壳体的近端的管和远端; 布置在所述外管内的超声波导管，并具有近端和远端; 一个连接到波导远端并由超声波驱动的刀片; 夹紧构件，其用于将所述组织夹在所述刀片和所述夹紧构件之间并且能够相对于所述刀片旋转; 并且用于反馈显示致动器的指标的反馈元件处于关闭位置。版权所有（C）2011，JPO＆INPIT

9. 发明专利

JP2011189184A Ultrasonic surgical instrument 有权
标题翻译：超声外科仪器
公开(公告)号：JP2011189184A
公开(公告)日：2011-09-29
申请号：JP2011124957
申请日：2011-06-03
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッドEthicon Endo−Surgery,Inc.
发明人： FALLER CRAIG N , KOWALSKI KAREN M , HOUSER KEVIN L , NEUROHR MARK A , NEUENFELDT STEVEN K , BARTON SCOTT N
IPC分类号： A61B18/00
CPC分类号： A61B17/320092 , A61B17/2909 , A61B2017/00353 , A61B2017/00424 , A61B2017/2825 , A61B2017/2911 , Y10T29/49005 , Y10T29/49998
摘要： PROBLEM TO BE SOLVED: To provide an ultrasonic clamp coagulator which is configured to provide comparatively constant pressure between a clamp member and a blade. SOLUTION: The ultrasonic clamp coagulator comprises: a housing having an actuator; an outer tube having a proximal end connected to the housing, and a distal end; an actuator element arranged within the outer tube so as to be moved reciprocatingly, and connected functionally to the actuator; an ultrasonic waveguide arranged within the outer tube and having a proximal end and a distal end; the blade attached to the distal end of the waveguide, and actuated by ultrasonic wave; and the clamp member with a distal end and a proximal end, which has at least one slot for receiving a tissue pad. The heights of the clamp member and the tissue pad at the distal ends are lower than the heights of the clamp member and the tissue pad at the proximal ends. COPYRIGHT: (C)2011,JPO&INPIT
摘要翻译：要解决的问题：提供一种构造成在夹持构件和叶片之间提供相对恒定的压力的超声波夹具凝结器。解决方案：超声波夹具凝结器包括：具有致动器的壳体; 具有连接到所述壳体的近端的外管和远端; 致动器元件布置在外管内以便往复运动并且功能地连接到致动器; 布置在外管内并具有近端和远端的超声波导; 刀片连接到波导的远端，并由超声波激励; 以及具有远端和近端的夹持构件，其具有用于接收组织垫的至少一个狭槽。夹紧构件和远端的组织垫的高度低于近端处的夹紧构件和组织垫的高度。版权所有（C）2011，JPO＆INPIT

10. 发明专利

JP2002369825A Ultrasonic surgical instrument 有权
标题翻译：超声外科仪器
公开(公告)号：JP2002369825A
公开(公告)日：2002-12-24
申请号：JP2002130846
申请日：2002-05-02
申请人： Ethicon Endo Surgery Inc , エシコン・エンド−サージェリィ・インコーポレイテッド
发明人： WITT DAVID ALAN , FALLER CRAIG N , MESSERLY JEFFREY DAVID , BAXTER III CHESTER O , SCHWEMBERGER RICHARD F , NEUENFELDT STEVEN K , HOUSER KEVIN LEE , HAIBEL JR CHESTER G
IPC分类号： A61B17/28 , A61B17/32 , A61B18/00 , A61B19/00
CPC分类号： A61B17/320092 , A61B90/03 , A61B2017/2931 , A61B2017/2933 , A61B2090/0813
摘要： PROBLEM TO BE SOLVED: To provide an ultrasonic surgical instrument provided with a tip device reducing stresses and vibrations due to ultrasonic vibrations.
SOLUTION: The ultrasonic surgical instrument is provided with a trigger structure for an ultrasonic clamping device which is finger-operated in a scissor- like mode. Either a fixed or removable blade tip part and clamp assembly for ultrasonic treatments is provided, so as to impart to the surgical instrument the ability of providing a variety of essentially exchangeable tips while reducing operationally generated vibrations and stresses at the point of the coupling thereof to a clamp arm. The assembly can be activated by relative movements between a blade extender and an outer tubular sheath extended to a handle end connected to the trigger structure (16, 18).
COPYRIGHT: (C)2003,JPO
摘要翻译：要解决的问题：提供一种设置有尖端装置的超声波手术器械，其减少由于超声波振动引起的应力和振动。解决方案：超声波手术器械设置有用于以剪刀状模式手指操作的超声波夹紧装置的触发结构。提供用于超声波处理的固定或可移除的叶片尖端部分和夹具组件，以便赋予外科器械提供各种基本上可更换的尖端的能力，同时减少在其耦合点处的操作产生的振动和应力夹臂。可以通过叶片扩展器和延伸到连接到触发结构（16,18）的手柄端部的外部管状护套之间的相对运动来激活组件。

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