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1. 发明授权

US07124932B2 Electrosurgical counter and lockout mechanism 有权
标题翻译：电外科计数器和锁定机构
公开(公告)号：US07124932B2
公开(公告)日：2006-10-24
申请号：US10873380
申请日：2004-06-21
申请人： James D. Isaacson , Paul R. Borgmeier , William Miller
发明人： James D. Isaacson , Paul R. Borgmeier , William Miller
IPC分类号： G06M1/28
CPC分类号： A61L2/26 , A61B18/12 , A61B18/14 , A61B2018/00178 , A61B2018/00988 , A61B2090/0813 , G01K1/02
摘要： An electrosurgical apparatus having a counter/lockout mechanism that monitors the number of sterilization/use cycles the electrosurgical apparatus undergoes and indicates the number of sterilization/use cycles that have actually been performed. The counter/lockout mechanism includes a temperature actuated element actuated in response to each sterilization cycle and a mechanically actuated element in response to a use cycle to effectuate a change of one or a plurality of indicia. The counter/lockout mechanism causes a single increment or decrement for each sterilization/use cycle that has been completed while also impeding use of the electrosurgical apparatus when the electrosurgical apparatus has undergone a predetermined number of sterilization/use cycles. In one embodiment, the distance of movement of the mechanically actuated element when fully actuated is greater than the distance the indicator moves when illustrating a change in the number of remaining uses.
摘要翻译：一种具有计数器/闭锁机构的电外科装置，其监视电外科设备经历的灭菌/使用周期的数量，并且指示实际执行的灭菌/使用周期的数量。计数器/锁定机构包括响应于每个消毒周期致动的温度致动元件和响应于使用周期来实现一个或多个标记的变化的机械致动元件。计数器/闭锁机构对于已经完成的每个灭菌/使用循环都产生单个增量或减量，同时当电外科设备已经经历了预定数量的灭菌/使用循环时也阻碍了电外科设备的使用。在一个实施例中，当完全致动时机械致动元件的移动距离大于当示出剩余使用次数的变化时指示器移动的距离。

2. 发明授权

US07255263B2 Electrosurgical counter and lockout mechanism 有权
标题翻译：电外科计数器和锁定机构
公开(公告)号：US07255263B2
公开(公告)日：2007-08-14
申请号：US11429325
申请日：2006-05-05
申请人： James D. Isaacson , Paul R. Borgmeier , William Miller
发明人： James D. Isaacson , Paul R. Borgmeier , William Miller
IPC分类号： G06M1/28
CPC分类号： A61L2/26 , A61B18/12 , A61B18/14 , A61B2018/00178 , A61B2018/00988 , A61B2090/0813 , G01K1/02
摘要： An electrosurgical apparatus having a counter/lockout mechanism that monitors the number of sterilization/use cycles the electrosurgical apparatus undergoes and indicates the number of sterilization/use cycles that have actually been performed. The counter/lockout mechanism includes a temperature actuated element actuated in response to each sterilization cycle and a mechanically actuated element in response to a use cycle to effectuate a change of one or a plurality of indicia. The counter/lockout mechanism causes a single increment or decrement for each sterilization/use cycle that has been completed while also impeding use of the electrosurgical apparatus when the electrosurgical apparatus has undergone a predetermined number of sterilization/use cycles. In one embodiment, the distance of movement of the mechanically actuated element when fully actuated is greater than the distance the indicator moves when illustrating a change in the number of remaining uses.
摘要翻译：一种具有计数器/闭锁机构的电外科装置，其监视电外科设备经历的灭菌/使用周期的数量，并且指示实际执行的灭菌/使用周期的数量。计数器/锁定机构包括响应于每个消毒周期致动的温度致动元件和响应于使用周期来实现一个或多个标记的变化的机械致动元件。计数器/闭锁机构对于已经完成的每个灭菌/使用循环都产生单个增量或减量，同时当电外科设备已经经历了预定数量的灭菌/使用循环时也阻碍了电外科设备的使用。在一个实施例中，当完全致动时机械致动元件的移动距离大于当示出剩余使用次数的变化时指示器移动的距离。

3. 发明授权

US08932280B2 Methods, systems and devices for performing electrosurgical procedures 有权
标题翻译：用于执行电外科手术的方法，系统和装置
公开(公告)号：US08932280B2
公开(公告)日：2015-01-13
申请号：US12957177
申请日：2010-11-30
申请人： James D. Isaacson , Paul R. Borgmeier , Tremayne Paul Mikalauski
发明人： James D. Isaacson , Paul R. Borgmeier , Tremayne Paul Mikalauski
IPC分类号： A61B18/10 , A61B18/12 , A61B18/14 , A61B17/00
CPC分类号： A61B18/1402 , A61B2017/00221
摘要： Systems, methods, and instruments associated with controlling the operating modes of an electrosurgical instrument using control signals delivered in a wireless manner from the electrosurgical instrument to an electrosurgical generator. The electrosurgical instrument transmits wireless control signals to the electrosurgical generator to initiate delivery of electrosurgical energy. The control signals are delivered to the electrosurgical generator without the need for a conductive cord extending between the electrosurgical generator and the electrosurgical instrument. The energy is delivered to the electrosurgical instrument, in response to the wireless control signals, along a path through an electrode and the physician utilizing the electrosurgical instrument and/or a conductive path external to the physician. The electrode upon which the physician rests provides a path for the electrosurgical energy and optionally prevents burning of the physician during an electrosurgical procedure.
摘要翻译：使用以无线方式从电外科仪器传递到电外科发生器的控制信号来控制电外科器械的操作模式的系统，方法和仪器。电外科仪器将无线控制信号传送到电外科发生器，以启动电外科手术能量的传递。控制信号被传送到电外科发生器，而不需要在电外科发生器和电外科器械之间延伸的导电线。沿着穿过电极的路径和使用电外科器械的医师和/或医师外部的导电路径，能量响应于无线控制信号传送到电外科器械。医师休息的电极提供电外科手术能量的路径，并且可选地防止在电外科手术过程中医师的燃烧。

4. 发明授权

US07837680B2 Tuned return electrode with matching inductor 有权
标题翻译：调谐回路电极与匹配电感
公开(公告)号：US07837680B2
公开(公告)日：2010-11-23
申请号：US11537396
申请日：2006-09-29
申请人： James D. Isaacson , Paul R. Borgmeier
发明人： James D. Isaacson , Paul R. Borgmeier
IPC分类号： A61B18/04
CPC分类号： A61B18/16 , A61B18/1233 , A61B2090/065
摘要： An electrosurgical return electrode for use in electrosurgery. The return electrode is self-limiting and self-regulating as to current temperature and temperature rise so as to prevent patient trauma. According to one aspect of the invention, an inductor is coupled in series with the electrosurgical return electrode. The inductor is configured to optimize the flow of the electrosurgical current by minimizing the effective bulk impedance of the electrosurgical return electrode when the amount of contact area between the patient and the electrosurgical return electrode is sufficient to conduct electrosurgery. According to another aspect of the present invention, a conductor member is adapted for use with circuitry that indicates to a user when the contact area between the patient and the self-limiting member and/or return electrode is below a given threshold.
摘要翻译：一种用于电外科手术的电外科返回电极。返回电极对于当前的温度和温度升高是自限制和自我调节的，以防止患者的创伤。根据本发明的一个方面，电感器与电外科返回电极串联耦合。电感器构造成当患者和电外科返回电极之间的接触面积的量足以进行电外科手术时，通过最小化电外科返回电极的有效体阻抗来优化电外科电流的流动。根据本发明的另一方面，导体构件适于与电路一起使用，该电路向用户指示患者与自限制构件和/或返回电极之间的接触面积是否低于给定阈值。

5. 发明授权

US07367971B2 Self-limiting electrosurgical return electrode 有权
标题翻译：自限电手术返回电极
公开(公告)号：US07367971B2
公开(公告)日：2008-05-06
申请号：US11626123
申请日：2007-01-23
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
IPC分类号： A61B18/16
CPC分类号： A61B18/08 , A61B18/16 , A61B2090/0813 , Y10S128/908
摘要： A removable semi-insulating sheet for use in self-limiting electrosurgical return semi-insulating sheet for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the semi-insulating sheet, and through tailoring of semi-insulating sheet geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The semi-insulating sheet has an effective bulk impedance equal to or greater than about 4,000 Ω·cm. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery.
摘要翻译：一种用于电极外科手术的自限性电外科返回半绝缘片材的可移除半绝缘片材。通过对半绝缘片的主体的电极材料的阻抗特性的选择，通过半绝缘片的几何尺寸的调整，本发明的返回电极对于电流密度是自调节和自限制的和温度上升，以防止患者的创伤。半绝缘片具有等于或大于约4,000Ω·cm的有效体阻抗。片材的有效体阻抗可能来自电阻元件，电容元件，电感元件或其组合。目前描述的返回电极的配置允许电极自我限制电极的电流密度，从而防止患者在手术期间的燃烧。

6. 发明授权

US07166102B2 Self-limiting electrosurgical return electrode 有权
标题翻译：自限电手术返回电极
公开(公告)号：US07166102B2
公开(公告)日：2007-01-23
申请号：US10142253
申请日：2002-05-09
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
IPC分类号： A61B18/16
CPC分类号： A61B18/08 , A61B18/16 , A61B2090/0813 , Y10S128/908
摘要： A removable semi-insulating sheet for use in self-limiting electrosurgical return semi-insulating sheet for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the semi-insulating sheet, and through tailoring of semi-insulating sheet geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The semi-insulating sheet has an effective bulk impedance equal to or greater than about 4,000 Ω·cm. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery.
摘要翻译：一种用于电极外科手术的自限性电外科返回半绝缘片材的可移除半绝缘片材。通过对半绝缘片的主体的电极材料的阻抗特性的选择，通过半绝缘片的几何尺寸的调整，本发明的返回电极对于电流密度是自调节和自限制的和温度上升，以防止患者的创伤。半绝缘片具有等于或大于约4,000Ω·cm的有效体阻抗。片材的有效体阻抗可能来自电阻元件，电容元件，电感元件或其组合。目前描述的返回电极的配置允许电极自我限制电极的电流密度，从而防止患者在手术期间的燃烧。

7. 发明授权

US07128741B1 Methods, systems, and devices for performing electrosurgical procedures 有权
标题翻译：用于执行电外科手术的方法，系统和装置
公开(公告)号：US07128741B1
公开(公告)日：2006-10-31
申请号：US10412698
申请日：2003-04-04
申请人： James D. Isaacson , Paul R. Borgmeier , Tremayne Paul Mikalauski
发明人： James D. Isaacson , Paul R. Borgmeier , Tremayne Paul Mikalauski
IPC分类号： A61B18/18
CPC分类号： A61B18/1402 , A61B2017/00221
摘要： Systems, methods, and instruments associated with controlling the operating modes of an electrosurgical instrument using control signals delivered in a wireless manner from the electrosurgical instrument to an electrosurgical generator. The electrosurgical instrument transmits wireless control signals to the electrosurgical generator to initiate delivery of electrosurgical energy. The control signals are delivered to the electrosurgical generator without the need for a conductive cord extending between the electrosurgical generator and the electrosurgical instrument. The energy is delivered to the electrosurgical instrument, in response to the wireless control signals, along a path through an electrode and the physician utilizing the electrosurgical instrument and/or a conductive path external to the physician. The electrode upon which the physician rests provides a path for the electrosurgical energy and optionally prevents burning of the physician during an electrosurgical procedure.
摘要翻译：使用以无线方式从电外科仪器传递到电外科发生器的控制信号来控制电外科器械的操作模式的系统，方法和仪器。电外科仪器将无线控制信号传送到电外科发生器，以启动电外科手术能量的传递。控制信号被传送到电外科发生器，而不需要在电外科发生器和电外科器械之间延伸的导电线。沿着穿过电极的路径和使用电外科器械的医师和/或医师外部的导电路径，能量响应于无线控制信号传送到电外科器械。医师休息的电极提供电外科手术能量的路径，并且可选地防止在电外科手术过程中医师的燃烧。

8. 发明申请

US20110125152A1 METHODS, SYSTEMS AND DEVICES FOR PERFORMING ELECTROSURGICAL PROCEDURES 有权
标题翻译：用于执行静电手术的方法，系统和装置
公开(公告)号：US20110125152A1
公开(公告)日：2011-05-26
申请号：US12957177
申请日：2010-11-30
申请人： James D. Isaacson , Paul R. Borgmeier , Tremayne Paul Mikalauski
发明人： James D. Isaacson , Paul R. Borgmeier , Tremayne Paul Mikalauski
IPC分类号： A61B18/14
CPC分类号： A61B18/1402 , A61B2017/00221
摘要： Systems, methods, and instruments associated with controlling the operating modes of an electrosurgical instrument using control signals delivered in a wireless manner from the electrosurgical instrument to an electrosurgical generator. The electrosurgical instrument transmits wireless control signals to the electrosurgical generator to initiate delivery of electrosurgical energy. The control signals are delivered to the electrosurgical generator without the need for a conductive cord extending between the electrosurgical generator and the electrosurgical instrument. The energy is delivered to the electrosurgical instrument, in response to the wireless control signals, along a path through an electrode and the physician utilizing the electrosurgical instrument and/or a conductive path external to the physician. The electrode upon which the physician rests provides a path for the electrosurgical energy and optionally prevents burning of the physician during an electrosurgical procedure.
摘要翻译：使用以无线方式从电外科仪器传递到电外科发生器的控制信号来控制电外科器械的操作模式的系统，方法和仪器。电外科仪器将无线控制信号传送到电外科发生器，以启动电外科手术能量的传递。控制信号被传送到电外科发生器，而不需要在电外科发生器和电外科器械之间延伸的导电线。沿着穿过电极的路径和使用电外科器械的医师和/或医师外部的导电路径，能量响应于无线控制信号传送到电外科器械。医师休息的电极提供电外科手术能量的路径，并且可选地防止在电外科手术过程中医师的燃烧。

9. 发明授权

US06582424B2 Capacitive reusable electrosurgical return electrode 有权
标题翻译：电容可重复使用的电外科返回电极
公开(公告)号：US06582424B2
公开(公告)日：2003-06-24
申请号：US09769025
申请日：2001-01-24
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
IPC分类号： A61B1816
CPC分类号： A61B18/16 , A61B2090/0813 , Y10S128/908
摘要： A capacitive reusable electrosurgical return electrode pad for use with electrosurgery. Through selection of the electrode geometries and the impedance characteristics of the electrode, the electrode is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The electrosurgical return electrode can include a connector and a sheet of material having an effective bulk impedance equal to or greater than about 100,000 &OHgr;·cm. The electrode can have a working surface area from about 11 to about 1,500 square inches (or about 70 to about 10,000 square centimeters). The electrode can be disposed on the working surface of an operating table or dentist's chair immediately underlying a patient during electrosurgery. This very large working surface area eliminates the need for direct contact or contact through conducting gels and by employing washable surface areas, it is made readily cleanable and reusable.
摘要翻译：一种用于电外科手术的电容可重复使用的电外科回路电极垫。通过选择电极几何形状和电极的阻抗特性，电极对于电流密度和温度升高是自调节和自限制的，以防患者创伤。电外科返回电极可以包括具有等于或大于约100,000欧姆·厘米的有效体阻抗的连接器和材料片。电极可具有约11至约1,500平方英寸（或约70至约10,000平方厘米）的工作表面积。在电外科手术期间，电极可以放置在手术台或牙医的椅子的正下方的工作表面上。这种非常大的工作表面积消除了通过导电凝胶直接接触或接触的需要，并且通过使用可洗的表面区域，使其易于清洁和可重复使用。

10. 发明授权

US07169145B2 Tuned return electrode with matching inductor 有权
标题翻译：调谐回路电极与匹配电感
公开(公告)号：US07169145B2
公开(公告)日：2007-01-30
申请号：US10719333
申请日：2003-11-21
申请人： James D. Isaacson , Paul R. Borgmeier
发明人： James D. Isaacson , Paul R. Borgmeier
IPC分类号： A61B18/04
CPC分类号： A61B18/16 , A61B18/1233 , A61B2090/065
摘要： An electrosurgical return electrode for use in electrosurgery. The return electrode is self-limiting and self-regulating as to maximum current and temperature rise to prevent patient trauma. An inductor is coupled in series with the return electrode. The inductor counteracts at least a portion of the impedance of the return electrode and the patient to optimize the flow of the current when the amount of contact area between the patient and the return electrode is sufficient to perform electrosurgery. The inductor may also be variable to allow the overall impedance of the electrosurgical circuit to be adjusted and tuned to work properly and safely with a particular patient and the other equipment used to perform electrosurgery. A conductor member operates with circuitry that indicates to a user when the contact area between the patient and the self-limiting member and/or return electrode is below a given threshold.
摘要翻译：一种用于电外科手术的电外科返回电极。返回电极是自限制和自调节最大电流和温度上升，以防患者创伤。电感器与返回电极串联耦合。当患者和返回电极之间的接触面积的量足以进行电外科手术时，电感器抵消返回电极和患者的至少一部分阻抗以优化电流的流动。电感器也可以是可变的，以允许调整和调整电外科电路的整体阻抗，以便与特定患者和用于执行电外科手术的其它设备正确安全地工作。导体部件与电路一起操作，当用户和患者与自限制部件和/或返回电极之间的接触面积低于给定的阈值时，该电路向用户指示。

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