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1. 发明申请

WO2017205094A1 FEATURES AND METHODS TO CONTROL DELIVERY OF COOLING FLUID TO END EFFECTOR OF ULTRASONIC SURGICAL INSTRUMENT 审中-公开
标题翻译：控制超声波手术器械末端执行器冷却液输送的特点和方法
公开(公告)号：WO2017205094A1
公开(公告)日：2017-11-30
申请号：PCT/US2017/032626
申请日：2017-05-15
申请人： ETHICON LLC
发明人： YATES, David C. , BOYD, Benjamin M. , DICKERSON, Benjamin D. , BLACK, Brian D , FALLER, Craig N. , DENZINGER, Kristin G. , RIESTENBERG, Paul F. , LOCKE, David M. , GEE, Jacob S. , DENNIS, Joseph , MADAN, Ashvani K.
IPC分类号： A61B17/32 , A61B18/00 , A61B17/00
摘要： An apparatus includes a body assembly, an acoustic waveguide, an ultrasonic blade, a liquid dispensing feature, and a control module. The liquid dispensing feature is positioned distally relative to the body assembly. The liquid dispensing feature is positioned adjacent to the ultrasonic blade. The liquid dispensing feature is configured to deliver a flow of cooling liquid to the ultrasonic blade. The control module is operable to regulate fluid flow through the liquid dispensing feature.
摘要翻译：装置包括主体组件，声波导管，超声波刀片，液体分配特征件和控制模块。液体分配特征相对于主体组件定位在远侧。液体分配特征定位在超声刀的附近。液体分配特征被构造成将冷却液体流输送到超声刀。控制模块可操作以调节通过液体分配特征的流体流动。

2. 发明申请

WO2018013629A1 ULTRASONIC SURGICAL INSTRUMENT WITH PIEZOELECTRIC CENTRAL LUMEN TRANSDUCER 审中-公开
标题翻译：超声波手术仪器与压电中央流明传感器
公开(公告)号：WO2018013629A1
公开(公告)日：2018-01-18
申请号：PCT/US2017/041626
申请日：2017-07-12
申请人： ETHICON LLC
发明人： RHEE, Sora , GEE, Jacob S. , SMOLIK, Steven P. , BALEK, Stephen J. , DANNAHER, William D. , STULEN, Foster B.
IPC分类号： A61B17/32 , B06B1/06 , A61B17/22 , A61B17/00
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00084 , A61B2017/0011 , A61B2017/00402 , A61B2017/00504 , A61B2017/22027 , A61B2017/320071 , A61B2017/320084 , A61B2017/320094 , B06B1/0611 , B06B3/00
摘要： A surgical instrument includes a transducer assembly (2500) with a housing (2502) having a conduit section (2510) and a base portion (2520). A fluid passageway (2515) is defined through the conduit and base portion (2520), an ultrasonic transducer (2504) including a plurality of piezoelectric elements (2508A-D) and a plurality of electrodes (2509A-D) are arranged in a stack (2504) configuration, where an electrode is located between each pair of piezoelectric elements. A first borehole (2527) is defined through the ultrasonic transducer (2504) and an end mass (2506) having a second borehole (2527) defined therethrough. A surface (2330) of the end mass (2506) is positioned adjacent a first end of the ultrasonic transducer (2504), the end mass (2506) is configured to engage with the housing (2502), and the conduit section (2510) of the housing (2502) is configured to pass through the second borehole (2527) of the end mass (2506). The end mass (2506) is configured to compress the ultrasonic transducer (2504) against a surface (2330) of the housing (2502) when the end mass (2506) is engaged with the housing (2502).
摘要翻译：手术器械包括具有壳体（2502）的换能器组件（2500），所述壳体具有导管部分（2510）和基座部分（2520）。通过导管和基座部分（2520）限定流体通路（2515），包括多个压电元件（2508A-D）和多个电极（2509A-D）的超声换能器（2504）以堆叠（2504）构造，其中电极位于每对压电元件之间。穿过超声换能器（2504）和具有限定穿过其中的第二钻孔（2527）的端部质量（2506）限定第一钻孔（2527）。端部质量块2506的表面2330定位成与超声波换能器2504的第一端部相邻，端部质量块2506构造成与外壳2502接合，（2502）构造成穿过端部质量（2506）的第二钻孔（2527）。当端部质量（2506）与壳体（2502）接合时，端部质量（2506）被构造为将超声波换能器（2504）压靠在壳体（2502）的表面（2330）上。

3. 发明申请

WO2017200975A1 SYSTEM AND METHOD TO TRACK USAGE OF SURGICAL INSTRUMENT 审中-公开
标题翻译：跟踪手术器械使用的系统和方法
公开(公告)号：WO2017200975A1
公开(公告)日：2017-11-23
申请号：PCT/US2017/032800
申请日：2017-05-16
申请人： ETHICON LLC
发明人： FALLER, Craig N. , DICKERSON, Benjamin D. , ALDRIDGE, Jeffrey L. , BULLOCK, Jeffrey A. , TIMM, Richard W. , ASHER, Ryan M. , HOLLAND, Timothy S. , DAVIS, Craig T. , HOUGH, Christina M. , KIMBALL, Cory G. , MADAN, Ashvani K. , YATES, David C. , WAN, Shan , GEE, Jacob S. , HOLLO, Joseph E. , BOUDREAUX, Chad P. , SCHULTE, John B. , MUHLENKAMP, Tylor C. , BLACK, Brian D.
IPC分类号： A61B17/32
摘要： Systems, devices, and methods are operable to track usage of a surgical instrument and modify the performance of the surgical instrument based on the prior usage of the surgical instrument. Some surgical instruments are designed to have a limited service life beginning at their first use, or a limit to their overall usage in order to ensure safe use of the sensitive instruments. However, a lack of ability to track usage characteristics when the instrument is separated from an external power supply allows for user abuse and avoidance of such safety mechanisms. Adding a battery or capacitor to the instrument may allow for an ability to track usage when the instrument is separated from an external power supply. Implementing special user prompts, device use ratios, and device use half-life upon powering down of an instrument may additionally be used to prevent circumvention of safety features.
摘要翻译：系统，设备和方法可用于跟踪手术器械的使用并基于手术器械的先前使用来修改手术器械的性能。一些外科手术器械的设计初始使用期限有限，或限制其总体使用，以确保安全使用敏感器械。然而，当仪器与外部电源分离时，缺乏跟踪使用特性的能力，这就允许用户滥用和避免这种安全机制。当仪器与外部电源分离时，向仪器添加电池或电容器可能允许跟踪使用情况。另外还可以使用特定的用户提示，设备使用率和设备使用半衰期来防止规避安全功能。

4. 发明申请

WO2019027753A1 SURGICAL INSTRUMENT USE INDICATOR 审中-公开
公开(公告)号：WO2019027753A1
公开(公告)日：2019-02-07
申请号：PCT/US2018/043625
申请日：2018-07-25
申请人： ETHICON LLC
发明人： ASHER, Ryan M. , BLACK, Brian D. , BOUDREAUX, Chad P. , CUMMINGS, Nathan , DANNAHER, William D. , DAVIS, Craig T. , ELLISON, Glenn W. , ESTERA, Frederick L. , GEE, Jacob S. , GIANNOTTI, Geni M. , HOLLAND, Timothy S. , HOUSER, Kevin L. , JOHNSON, Gregory W. , KRUMM, Amy M. , LESKO, Jason R. , LEUCK, Stephen M. , NICOLAESCU, Ion V. , OTREMBIAK, Candice , PIERCE, Amelia A. , ROBERSON, Eric M. , WAN, Shan
IPC分类号： A61B17/32 , A61B17/00 , A61B17/29 , A61B90/00
摘要： An ultrasonic instrument includes a housing, an ultrasonic transducer support by the housing, and an integrated usage indicator. The housing is configured to removably connect to a shaft assembly. The ultrasonic transducer is configured to be acoustically connected to a waveguide and operated a predetermined number of use cycles. The integrated usage indicator is operatively connected to the housing and includes a used state indicator. The used state indicator is configured to indicate to a clinician in a used state when the ultrasonic transducer has been operated at least the predetermined number of use cycles for limiting usage of the ultrasonic transducer to the predetermined number of use cycles.

5. 发明公开

EP3912575A1 SHIELDING FEATURES FOR ULTRASONIC BLADE OF A SURGICAL INSTRUMENT 有权
公开(公告)号：EP3912575A1
公开(公告)日：2021-11-24
申请号：EP21175501.2
申请日：2014-11-25
申请人： Ethicon LLC
发明人： STOKES, Michael J. , GEE, Jacob S. , FELDER, Kevin D. , MUHLENKAMP, Tylor C. , SCOGGINS, Patrick J. , FALLER, Craig N. , MESSERLY, Jeffrey D. , CAGLE, David J. , WEISENBURGH, II, William B.
IPC分类号： A61B17/32 , A61B17/28
摘要： An apparatus comprises a body, a shaft assembly, an end effector, and a shield member. The shaft assembly extends distally from the body. The end effector is located at a distal end of the shaft assembly. The end effector comprises an ultrasonic blade and a clamp arm. The ultrasonic blade is configured to vibrate at an ultrasonic frequency. The clamp arm is movable toward the ultrasonic blade to compress tissue against the ultrasonic blade. The shield member is selectively movable from a first position to a second position in response to movement of the clamp arm toward the ultrasonic blade. The shield member is configured cover at least a first portion of the ultrasonic blade in the first position. The shield member is configured to uncover the first portion of the ultrasonic blade in the second position.

6. 发明公开

EP3316803A2 ULTRASONIC SURGICAL BLADE WITH IMPROVED CUTTING AND COAGULATION FEATURES 有权
标题翻译：超声波手术刀片具有改进的切割和凝固特征
公开(公告)号：EP3316803A2
公开(公告)日：2018-05-09
申请号：EP16739352.9
申请日：2016-06-30
申请人： Ethicon LLC
发明人： CONLON, Sean P. , GEE, Jacob S. , STULEN, Foster B. , DANNAHER, William D. , OLSON, William A.
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B2017/00424 , A61B2017/320072 , A61B2017/320075 , A61B2017/320078
摘要： An ultrasonic surgical blade with improved cutting and coagulation features is disclosed. The blade includes a solid body, a longitudinal portion having a proximal end configured to couple to an ultrasonic transmission waveguide and a transverse portion extending crosswise from the distal end of the longitudinal portion. At least one dissection edge and at least one hemostasis surface is provided on the blade. The transverse portion defines a hook having a free end configured to pull and dissect tissue. Also disclosed is an ultrasonic surgical blade that also includes a sharp central ridge and an end mass for acoustic balance.

7. 发明公开

EP3316802A1 SURGICAL INSTRUMENT WITH USER ADAPTABLE ALGORITHMS 有权转让
标题翻译：具有用户适应性算法的手术器械
公开(公告)号：EP3316802A1
公开(公告)日：2018-05-09
申请号：EP16736679.8
申请日：2016-06-24
申请人： Ethicon LLC
发明人： ASHER, Ryan M. , FALLER, Craig N. , SCHEIB, Charles J. , RIESTENBERG, Paul F. , GEE, Jacob S. , BOYD, Benjamin M. , DICKERSON, Benjamin D. , RUIZ ORTIZ, Rafael J. , WEISENBURGH, II, William B. , GALLMEYER, Thomas C. , HIBNER, John A.
IPC分类号： A61B17/32 , A61B18/14 , A61B90/00
摘要： Various forms are directed to systems and methods for dissection and coagulation of tissue. A surgical instrument includes an end effector configured to dissect and seal tissue at a distal end thereof, and a selector switch having a plurality of surgical modes. A generator is electrically coupled to the surgical instrument and is configured to deliver energy to the end effector. Each surgical mode of the selector switch corresponds to an algorithm for controlling the power delivered from the generator to the end effector, and each algorithm corresponding to the plurality of surgical modes is configured to allow a user to control the power output level of the generator.

8. 发明授权

EP2948065B1 SURGICAL INSTRUMENT WITH SELECTABLE INTEGRAL OR EXTERNAL POWER SOURCE 有权转让
标题翻译：具有可选择的整体或外部电源的外科手术仪器
公开(公告)号：EP2948065B1
公开(公告)日：2018-04-11
申请号：EP14703669.3
申请日：2014-01-15
申请人： Ethicon LLC
发明人： ALDRIDGE, Jeffrey L. , WIENER, Eitan T. , KEMERLING, Robert A. , GIORDANO, James R. , BATTAGLIA, JR., Vincent P. , PRICE, Daniel W. , CONLON, Sean P. , JOHNSON, Gregory W. , MESSERLY, Jeffrey D. , WAN, Shan , HOUSER, Kevin L. , STULEN, Foster B. , GEE, Jacob S. , BULLOCK, Jeffrey A. , HIBNER, John A. , WEISENBURGH, II, William B.
IPC分类号： A61B17/00
CPC分类号： A61B17/07207 , A61B17/00234 , A61B17/320092 , A61B18/1445 , A61B2017/00017 , A61B2017/00026 , A61B2017/00115 , A61B2017/00119 , A61B2017/00221 , A61B2017/00225 , A61B2017/00398 , A61B2017/00411 , A61B2017/0046 , A61B2017/00464 , A61B2017/00734 , A61B2017/2927 , A61B2018/00791 , A61B2018/1226 , A61B2560/0443 , G06F19/00 , H01M2/1066 , H01M2220/30 , H01R13/6675 , H01R2201/12
摘要： A surgical instrument includes a body, a shaft, and an end effector. The shaft extends distally from the body. The end effector is located at a distal end of the shaft. The end effector includes an active feature configured to operate on tissue. The body includes a drive feature operable to drive the active feature of the end effector. The body is operable to selectively couple with a variety of power sources such that the drive feature may receive electrical power form a battery or from a corded power source, based on a user's preference. The body may include a handpiece that has a socket configured to receive a battery or cable adapter. The body may removably receive various kinds of shaft assemblies to provide various operating modalities. The shaft assemblies may include user interface features.

9. 发明公开

EP3179932A1 ACTUATION MECHANISMS AND LOAD ADJUSTMENT ASSEMBLIES FOR SURGICAL INSTRUMENTS 审中-公开
标题翻译：芝加哥大学烹饪与烹饪学院
公开(公告)号：EP3179932A1
公开(公告)日：2017-06-21
申请号：EP15744427.4
申请日：2015-07-13
申请人： Ethicon LLC
发明人： FALLER, Craig N. , GEE, Jacob S. , RIESTENBERG, Paul F. , BATROSS, Jonathan T. , MONROE, David A. , DICKERSON, Benjamin D. , MESSERLY, Jeffrey D.
IPC分类号： A61B17/32 , A61B17/29
CPC分类号： A61B17/320092 , A61B90/03 , A61B2017/294 , A61B2017/320088
摘要： An ultrasonic surgical instrument includes an inner tube, an outer tube, an ultrasonic blade, and a clamp member pivotably moveable relative to the ultrasonic blade. The ultrasonic blade is acoustically coupled to an ultrasonic transducer. The clamp member pivotably movable relative to the ultrasonic blade between an open configuration and an approximated configuration with respect to the ultrasonic blade, wherein the clamp member is pivotably coupled to the inner tube, wherein the clamp member is pivotably coupled to the outer tube, and wherein movement of the outer tube relative to the inner tube between the first position and the second position transitions the clamp member between the open configuration and the approximate configuration.
摘要翻译：超声波手术器械包括内管，外管，超声波刀片和可相对于超声波刀片可枢转地移动的夹紧构件。超声波叶片声耦合到超声波换能器。所述夹紧构件相对于所述超声波叶片在打开构型和近似构造之间相对于所述超声波刀片可枢转地移动，其中所述夹紧构件可枢转地联接到所述内管，其中所述夹紧构件可枢转地联接到所述外管，以及其中所述外管相对于所述内管在所述第一位置和所述第二位置之间的运动使所述夹紧构件在所述打开构型和所述近似构型之间转变。

10. 发明公开

EP3845186A1 MULTI-LAYER CLAMP ARM PAD FOR ENHANCED VERSATILITY AND PERFORMANCE OF A SURGICAL DEVICE 审中-实审
公开(公告)号：EP3845186A1
公开(公告)日：2021-07-07
申请号：EP20217668.1
申请日：2020-12-29
申请人： Ethicon LLC
发明人： SARLEY, John M. , BOUDREAUX, Chad P. , BREHM, Tyler N. , GUO, Wei , BURKART, Ellen E. , MESSERLY, Jeffrey D. , FALLER, Craig N. , BISHOP, Gregory D. , KEENAN, Michael A. , OLSON, William A. , FLAKER, Richard W. , SHELTON IV, Frederick E. , BRUNSON JR., Bruce , LUCAS, Guion Y. , HARRIS, Demetrius N. , ESTERA, Frederick , LEUCK, Stephen M. , MASTROIANNI, Nina , STROBL, Geoffrey S. , SALGUERO, Joseph S. , VALENTE, Lauren M. , KEMPER, Joseph H. , GEE, Jacob S. , RAKER, Joshua D.
IPC分类号： A61B18/14 , A61B17/32 , A61B18/12 , A61B90/00
摘要： An end-effector configured to grasp tissue is disclosed herein. The end-effector includes an ultrasonic blade configured to transfer ultrasonic energy to the tissue and a clamp arm. The clamp arm includes a clamp arm pad including an electrically conductive material and an electrically non-conductive material. The clamp arm pad is configured as an electrode of a radiofrequency energy circuit, wherein the electrode is configured to transfer radiofrequency energy through the tissue to a return electrode of the radiofrequency energy circuit, and wherein the electrically non-conductive material is configured to reduce the possibility of an electrical short between the electrically conductive material and the ultrasonic blade as the clamp arm pad degrades throughout the usable life of the end effector.

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