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    • 1. 发明申请
    • Ultrasound Medical Instrument Having A Medical Ultrasonic Blade
    • 超声波医疗仪器具有医用超声波刀片
    • US20090131962A2
    • 2009-05-21
    • US11336274
    • 2006-01-20
    • Kevin HouserShinichi MiyataAtsunori Kozuki
    • Kevin HouserShinichi MiyataAtsunori Kozuki
    • A61B17/32
    • A61B17/320092A61B17/320068A61B2017/003A61B2017/00336A61B2017/22015
    • A first ultrasound medical instrument includes a medical ultrasonic blade having first, second and third blade portions. The second blade portion is more bendable than either of the first and third blade portions. A second ultrasound medical instrument includes a medical ultrasonic blade having a proximal blade portion and a distal blade portion. The distal blade portion bends more easily than does the proximal blade portion. The distal blade portion includes a distal end portion adapted to contact and ultrasonically treat patient tissue. A third ultrasonic medical instrument includes a medical ultrasonic blade. The medical ultrasonic blade includes a proximal blade portion having a centerline and includes a distal blade portion in contact with the proximal blade portion at a substantially planar interface. The interface is oriented at a non-zero angle with respect to a perpendicular to the centerline at the interface.
    • 第一超声波医疗器械包括具有第一,第二和第三叶片部分的医用超声波刀片。 第二叶片部分比第一和第三叶片部分中的任何一个更可弯曲。 第二超声波医疗器械包括具有近端叶片部分和远侧叶片部分的医用超声波刀片。 远端叶片部分比近侧叶片部分更容易弯曲。 远端叶片部分包括适于接触并超声波处理患者组织的远端部分。 第三超声波医疗器械包括医用超声波刀片。 医用超声波刀片包括具有中心线的近端刀片部分,并且包括在基本平坦的界面处与近侧刀片部分接触的远侧刀片部分。 界面相对于在界面处的中心线的垂直线成非零角度定向。
    • 2. 发明申请
    • Ultrasound medical instrument having a medical ultrasonic blade
    • 超声医疗仪器具有医用超声波刀片
    • US20070173871A1
    • 2007-07-26
    • US11336274
    • 2006-01-20
    • Kevin HouserShinichi MiyataAtsunori Kozuki
    • Kevin HouserShinichi MiyataAtsunori Kozuki
    • A61B17/32
    • A61B17/320092A61B17/320068A61B2017/003A61B2017/00336A61B2017/22015
    • A first ultrasound medical instrument includes a medical ultrasonic blade having first, second and third blade portions. The second blade portion is more bendable than either of the first and third blade portions. A second ultrasound medical instrument includes a medical ultrasonic blade having a proximal blade portion and a distal blade portion. The distal blade portion bends more easily than does the proximal blade portion. The distal blade portion includes a distal end portion adapted to contact and ultrasonically treat patient tissue. A third ultrasonic medical instrument includes a medical ultrasonic blade. The medical ultrasonic blade includes a proximal blade portion having a centerline and includes a distal blade portion in contact with the proximal blade portion at a substantially planar interface. The interface is oriented at a non-zero angle with respect to a perpendicular to the centerline at the interface.
    • 第一超声波医疗器械包括具有第一,第二和第三叶片部分的医用超声波刀片。 第二叶片部分比第一和第三叶片部分中的任何一个更可弯曲。 第二超声波医疗器械包括具有近端叶片部分和远侧叶片部分的医用超声波刀片。 远端叶片部分比近侧叶片部分更容易弯曲。 远端叶片部分包括适于接触并超声波处理患者组织的远端部分。 第三超声波医疗器械包括医用超声波刀片。 医用超声波刀片包括具有中心线的近端刀片部分,并且包括在基本平坦的界面处与近侧刀片部分接触的远侧刀片部分。 界面相对于在界面处的中心线的垂直线成非零角度定向。
    • 3. 发明申请
    • Ultrasonic surgical system and method
    • 超声外科系统及方法
    • US20070239028A1
    • 2007-10-11
    • US11392040
    • 2006-03-29
    • Kevin HouserWilliam DonofrioFoster Stulen
    • Kevin HouserWilliam DonofrioFoster Stulen
    • A61B8/14
    • A61B17/320092A61B34/30A61B34/32A61B34/37A61B34/70A61B34/71A61B2017/00022A61B2017/00026A61B2017/00084A61B2017/00199
    • An ultrasonic surgical system has an ultrasonic unit including an instrument operatively connected to an ultrasonic generator, wherein the instrument has an ultrasonic end effector on the distal end of a shaft. The system further includes a positioning unit including a movable arm adapted for releasably holding the instrument, whereby an operator may direct the positioning unit to position the end effector at a surgical site inside a body cavity of a patient for performing a plurality of surgical tasks. The system further includes a control unit operatively connected to the ultrasonic and positioning units, wherein the control unit is programmable with a surgical subroutine for performing the surgical tasks. The system further includes a user interface operatively connected to the control unit for initiating an operative cycle of the surgical subroutine such that the surgical tasks are automatically performed during the operative cycle.
    • 超声波手术系统具有超声波单元,其包括可操作地连接到超声波发生器的仪器,其中所述仪器在轴的远端具有超声末端执行器。 该系统还包括定位单元,该定位单元包括适于可释放地保持器械的可移动臂,由此操作者可以引导定位单元将末端执行器定位在患者体腔内的手术部位,以执行多个外科手术任务。 所述系统还包括可操作地连接到所述超声波和定位单元的控制单元,其中所述控制单元可用用于执行所述手术任务的外科子程序来编程。 该系统还包括可操作地连接到控制单元的用户界面,用于启动外科子程序的操作循环,使得在手术周期期间自动执行手术任务。
    • 4. 发明申请
    • Ultrasonic medical instrument and medical instrument connection assembly
    • 超声波医疗仪器和医疗仪器连接组件
    • US20070129723A1
    • 2007-06-07
    • US11291174
    • 2005-12-01
    • Kevin HouserLee Reichel
    • Kevin HouserLee Reichel
    • A61B18/18
    • A61B17/320068A61B2017/0046
    • An ultrasonic medical instrument having a handpiece and medical ultrasonic blade assembly including a vibration antinode, a handpiece, and a medical ultrasonic blade. The blade is threadably engaged by the handpiece proximate the vibration antinode. The blade is in ultrasound-transmitting physical contact with the handpiece proximate the vibration antinode and apart from where the medical ultrasonic blade is threadably engaged by the handpiece. A medical-instrument connection assembly for transmitting ultrasonic vibrations includes first, second, and third connecting members. The first connecting member is adapted to be ultrasonically vibrated and has a longitudinal axis. The second connecting member is capable of being positioned to be substantially coaxially aligned with the longitudinal axis and in ultrasound-transmitting physical contact with the first connecting member. The third connecting member surrounds, and is rotatably or fixedly attached to, the second connecting member and is threadably engageable with the first connecting member.
    • 一种超声波医疗器械,其具有包括振动波腹,手持件和医用超声波刀片的手持件和医疗用超声波叶片组件。 刀片与靠近振动波腹的手持件螺纹接合。 刀片与靠近振动波腹的手持件超声传递物理接触,并且除了医疗超声波刀片与手持件螺纹接合的位置之外。 用于传输超声波振动的医疗器械连接组件包括第一,第二和第三连接构件。 第一连接构件适于超声振动并具有纵向轴线。 第二连接构件能够被定位成与纵向轴线基本上同轴对准并且与第一连接构件超声传递物理接触。 第三连接构件围绕第二连接构件并且可旋转地或固定地附接到第二连接构件,并且可与第一连接构件螺纹接合。
    • 6. 发明申请
    • Tissue pad for use with an ultrasonic surgical instrument
    • 用于超声波手术器械的组织垫
    • US20060079874A1
    • 2006-04-13
    • US11245819
    • 2005-10-07
    • Craig FallerKaren KowalskiKevin Houser
    • Craig FallerKaren KowalskiKevin Houser
    • A61B18/18
    • A61B17/320092A61B17/2909A61B2017/00353A61B2017/00424A61B2017/2825A61B2017/2911A61B2017/320094A61B2017/320095Y10T29/49005Y10T29/49998
    • 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 6 mm. 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 force-limiting 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.
    • 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6毫米。 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垫片材料,其能够实现较高的组织夹紧力,以及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。
    • 8. 发明申请
    • Ultrasonic surgical blade having transverse and longitudinal vibration
    • 超声波手术刀具有横向和纵向振动
    • US20050234484A1
    • 2005-10-20
    • US11065667
    • 2005-02-24
    • Kevin HouserLaura GallagherJean Beaupre
    • Kevin HouserLaura GallagherJean Beaupre
    • A61B17/22A61B17/32
    • A61B17/22012A61B2017/320075A61B2017/320089
    • An ultrasonic surgical blade includes an ultrasonic-surgical-blade body having a longitudinal axis, a distal tip, a proximal end adapted for longitudinal ultrasonic vibrational excitation, a most-distal longitudinal vibration node, a treatment portion extending from the distal tip toward the most-distal longitudinal vibration node, and a functional asymmetry. The functional asymmetry is asymmetric about the longitudinal axis and translates longitudinal ultrasonic vibrational movement of the proximal end into a combination of a longitudinal ultrasonic vibration and a transverse ultrasonic vibration in at least some of the treatment portion of the ultrasonic-surgical-blade body. An amplitude of the transverse ultrasonic vibration at the distal tip is less than substantially ten percent of a maximum amplitude of the transverse ultrasonic vibration of the treatment portion of the ultrasonic-surgical-blade body. An alternate embodiment of the ultrasonic surgical blade includes at least one functional asymmetry and at least one balance asymmetry.
    • 超声外科手术刀片包括具有纵向轴线的超声外科手术刀体,远侧末端,适于纵向超声波振动激励的近端,最远侧纵向振动节点,从远端延伸到最多的处理部分 - 纵向振动节点,以及功能不对称。 功能不对称关于纵向轴线是不对称的,并且将超声外科手术刀体的至少一些处理部分中的近端的纵向超声振动运动转换成纵向超声波振动和横向超声波振动的组合。 远侧末端的横向超声波振动的振幅小于超声外科手术刀体的处理部的横向超声波振动的最大振幅的大致百分之十。 超声手术刀片的替代实施例包括至少一个功能不对称和至少一个平衡不对称。
    • 10. 发明申请
    • Energy-based medical treatment system and method
    • 基于能量的医疗系统和方法
    • US20070191828A1
    • 2007-08-16
    • US11355463
    • 2006-02-16
    • Kevin HouserSarah NoschangJorge Gutierrez
    • Kevin HouserSarah NoschangJorge Gutierrez
    • A61B18/18
    • A61B17/320092A61B18/1442A61B2017/00026A61B2017/00084A61B2018/00875A61B2090/064
    • A method for medical treatment includes beginning coagulating patient tissue using an energy-based clamp coagulator, determining the clamping force, and measuring the acoustic impedance of the patient tissue. The method also includes compensating the measured acoustic impedance for clamp pressure and monitoring the coagulation using at least the compensated measured acoustic impedance. A first medical treatment system includes an energy-based clamp coagulator, an acoustic-impedance measurer, and a force measurer. A second system includes an energy-based clamp coagulator having a clamping member which includes, or is adapted to function as, an electrical-impedance-measuring electrode for measuring an electrical impedance of the clamped patient tissue. A third system includes an energy-based clamp coagulator having a clamping member which includes, or is adapted to function as, a temperature sensor for measuring a temperature of the clamped patient tissue.
    • 一种用于医疗的方法包括使用能量夹具凝结器开始凝固患者组织,确定夹紧力并测量患者组织的声阻抗。 该方法还包括补偿测得的压阻声压,并使用至少补偿的测量声阻抗来监测凝结。 第一种医疗系统包括能量钳式凝结器,声阻抗测量器和力测量器。 第二系统包括能量夹具凝结器,其具有夹紧构件,该夹紧构件包括用于测量夹持的患者组织的电阻抗的电阻抗测量电极,或适于用作电阻抗测量电极。 第三系统包括具有夹紧构件的能量夹紧凝结器,所述夹紧构件包括用于测量被夹紧的患者组织的温度的温度传感器,或适合于其作用。