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1. 发明申请

WO2011025857A1 TWO -STAGE SWITCH FOR CORDLESS HAND-HELD ULTRASONIC CAUTERY CUTTING DEVICE 审中-公开
标题翻译：无缝手持式超声波切割装置的两级开关
公开(公告)号：WO2011025857A1
公开(公告)日：2011-03-03
申请号：PCT/US2010/046749
申请日：2010-08-26
申请人： SYNTHEON, LLC , PALMER, Matthew, A. , SMITH, Kevin, W. , BALES, Thomas, O., Jr. , DEVILLE, Derek, Dee
发明人： PALMER, Matthew, A. , SMITH, Kevin, W. , BALES, Thomas, O., Jr. , DEVILLE, Derek, Dee
IPC分类号： H01H5/00
CPC分类号： A61B17/320092 , A61B2017/00017 , A61B2017/00367 , A61B2017/00389 , A61B2017/00734
摘要： An ultrasonic, self-powered surgical device includes a handle, a self-contained power supply associated with the handle, and a control circuit disposed within the handle and/or the power supply. The control circuit is operable to carry out at least two operational conditions of the surgical device. A two-stage switch is electrically connected to the control circuit and effects the at least two operational conditions of the surgical device. A first stage of the switch effects a first of the at least two operational conditions and a second stage of the switch effects a second of the at least two operational conditions that is different from the first operational condition.
摘要翻译：超声波自动手术装置包括手柄，与手柄相关联的独立电源以及设置在手柄和/或电源内的控制电路。控制电路可操作以执行外科装置的至少两个操作条件。两级开关电连接到控制电路并且实现手术装置的至少两个操作条件。开关的第一阶段影响至少两个操作条件中的第一阶段，并且开关的第二阶段影响与第一操作条件不同的至少两个操作条件中的第二阶段。

2. 发明申请

WO2010014971A1 MEDICAL ULTRASONIC CAUTERIZATION AND CUTTING DEVICE AND METHOD 审中-公开
标题翻译：医疗超声切割和切割装置及方法
公开(公告)号：WO2010014971A1
公开(公告)日：2010-02-04
申请号：PCT/US2009/052518
申请日：2009-08-01
申请人： SYNTHEON, LLC , PALMER, Matthew, A. , DEVILLE, Derek, Dee , SMITH, Kevin, W.
发明人： PALMER, Matthew, A. , DEVILLE, Derek, Dee , SMITH, Kevin, W.
IPC分类号： A61B5/0275
CPC分类号： A61B17/320092 , A61B17/285
摘要： An ultrasonic surgical instrument includes a shaft having a proximal end and a distal end and a first jaw having a proximal end and a distal end, the distal end of the shaft terminating at the proximal end of the first jaw and the first jaw has an internal trough running from and through the proximal end of the first jaw and terminating at a point prior to the distal end of the first jaw and a surface having a plurality of teeth on either side of the trough and at the distal end of the first jaw. A second jaw has a surface facing the surface of the first jaw and having a plurality of teeth thereat. An ultrasonic waveguide extends beyond the shaft and is slidably engagable with the trough, where the ultrasonic waveguide has a distal end, a proximal end, a top surface portion, and a tissue compressing surface upwardly sloping from the distal end of the ultrasonic waveguide to the proximal end of the ultrasonic waveguide, at least one of the tissue compressing surface and the top surface portion forming a cutting surface and wherein the jaws are operable to compress tissue therebetween and the ultrasonic waveguide is operable to slide within the trough to further compress and cut the compressed tissue as the ultrasonic waveguide moves in a direction from the proximal end of the first jaw to the distal end of the first jaw.
摘要翻译：超声波手术器械包括具有近端和远端的轴和具有近端和远端的第一钳口，所述轴的远端终止于第一钳口的近端，并且第一钳口具有内部槽从第一钳口的近端延伸并且通过第一钳夹的近端延伸并终止于在第一钳口的远端之前的点和在槽的任一侧上和第一钳口的远端具有多个齿的表面。第二钳口具有面向第一钳口表面的表面，并且在其上具有多个齿。超声波波导延伸超过轴并且与槽可滑动地接合，其中超声波导具有从超声波导的远端向上倾斜的远端，近端，顶表面部分和组织压缩表面，超声波波导的近端，组织压缩表面和顶表面部分中的至少一个形成切割表面，并且其中夹爪可操作以在其间压缩组织，并且超声波导可操作以在槽内滑动以进一步压缩和切割作为超声波导的压缩组织在从第一钳口的近端到第一钳夹的远端的方向上移动。

3. 发明申请

WO2009046394A1 ELECTRICALLY SELF-POWERED SURGICAL INSTRUMENT WITH MANUAL RELEASE 审中-公开
标题翻译：电动自动手术仪器，手动释放
公开(公告)号：WO2009046394A1
公开(公告)日：2009-04-09
申请号：PCT/US2008/078876
申请日：2008-10-04
申请人： ETHICON ENDO-SURGERY, INC. , SMITH, Kevin, W. , BALES, Thomas , DEVILLE, Derek, Dee , RIVERA, Carlos , PALMER, Matthew, A.
发明人： SMITH, Kevin, W. , BALES, Thomas , DEVILLE, Derek, Dee , RIVERA, Carlos , PALMER, Matthew, A.
IPC分类号： A61B17/04 , A61B17/10
CPC分类号： A61B17/07207 , A61B17/115 , A61B17/1155 , A61B2017/00017 , A61B2017/00398 , A61B2017/00734 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052 , G06F19/00 , Y02A90/26
摘要： An electrically operated surgical instalment includes a surgical end effector having an actuation assembly effecting a surgical procedure when actuated and a handle connected to the end effector for actuating the assembly. A part of the assembly moves between start and fully actuated positions. The handle has a self-contained power supply and a drive assembly disposed entirely within the handle. The drive assembly has an electrically powered motor and a controller electrically connected to the power supply and to the motor. The controller selectively operates the motor. A transmission mechanically connects the motor to the moving part and selectively displaces the moving part anywhere between the start and fully extended positions when the motor is operated. A manual release is mechanically coupled to the transmission to selectively interrupt the transmission and, during interruption, displaces the moving part towards the start position independent of motor operation.
摘要翻译：电操作的手术装置包括手术末端执行器，其具有致动组件，该致动组件在致动时实现外科手术，并且手柄连接到末端执行器以致动组件。组件的一部分在启动位置和完全启动位置之间移动。手柄具有独立的电源和完全设置在手柄内的驱动组件。驱动组件具有电动马达和电连接到电源和马达的控制器。控制器选择性地操作电动机。变速器机械地将电动机连接到移动部件，并且当电动机被操作时，在起动和完全伸出位置之间的任何位置选择性地移动运动部件。手动释放机械耦合到变速器以选择性地中断变速器，并且在中断期间，独立于电动机操作将运动部件移向起始位置。

4. 发明申请

WO2006083728A2 END EFFECTOR FOR SURGICAL INSTRUMENT, SURGICAL INSTRUMENT, AND METHOD FOR FORMING THE END EFFECTOR 审中-公开
标题翻译：手术器械，外科器械的终末效应及其形成终末效应的方法
公开(公告)号：WO2006083728A2
公开(公告)日：2006-08-10
申请号：PCT/US2006/003029
申请日：2006-01-31
申请人： KMS BIOPSY, LLC , BALES, Thomas, O. , PALMER, Matthew, A. , SMITH, Kevin, W. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
发明人： BALES, Thomas, O. , PALMER, Matthew, A. , SMITH, Kevin, W. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
IPC分类号： A61B17/28
CPC分类号： A61B10/06 , A61B10/04 , A61B17/29 , A61B2017/2902 , A61B2017/2905 , A61B2017/2919 , A61B2017/2926 , A61B2017/2932 , A61B2017/320064
摘要： An end effector for an endoscopic surgical instrument having a longitudinal body with proximal and distal ends and an actuator at the proximal end of the body includes a clevis to be connected to the distal end of the body and two jaws. Each of the jaws has a tang portion (240) pivotally connected to the clevis and to be connected to the actuator for pivoting the jaw. The jaw has body portion (221, 223) with a lateral side (223) having substantially straight opposing edges and a proximal portion (227) connecting the lateral side to the tang portion and a nose portion (225, 229) connected to the lateral side and having substantially linear edges at an angle to the edges of the lateral side. The hollow body and nose portions define a biopsy cup for receiving a tissue sample therein and the opposing and linear edges form a pinching surface for contacting extremities of the tissue sample.
摘要翻译：用于内窥镜手术器械的端部执行器具有具有近端和远端的纵向主体和在主体的近端处的致动器，包括要连接到主体的远端的U形夹和两个钳口。每个钳口具有枢转地连接到U形夹上并且连接到致动器以使枢转爪的柄部分（240）。钳口具有主体部分（221,223），其具有基本上直的相对边缘的侧面（223）和将侧面连接到柄脚部分的近端部分（227）和连接到侧面部分的鼻部分（225,229）并且具有与侧面的边缘成一定角度的基本上线性的边缘。中空体和鼻部分限定了用于在其中接收组织样本的活检杯，并且相对和线性边缘形成用于接触组织样本的四肢的夹紧表面。

5. 发明申请

WO2007035931A2 METHODS FOR OPERATING A SELECTIVE STIFFENING CATHETER 审中-公开
标题翻译：操作选择性强化导管的方法
公开(公告)号：WO2007035931A2
公开(公告)日：2007-03-29
申请号：PCT/US2006/037305
申请日：2006-09-25
申请人： KMS MEDICAL, LLC , SMITH, Kevin, W. , PALMER, Matthew, A. , MCBRAYER, Sean , BALES, Thomas, O. , DEVILLE, Derek, Dee , ABELLIERA, Joe
发明人： SMITH, Kevin, W. , PALMER, Matthew, A. , MCBRAYER, Sean , BALES, Thomas, O. , DEVILLE, Derek, Dee , ABELLIERA, Joe
IPC分类号： A61M31/00
CPC分类号： A61B18/1492 , A61B18/00 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61F2/01 , A61F2230/005 , A61M25/005 , A61M25/0053 , A61M25/0054 , A61M25/01 , A61M25/104 , A61M2025/0063 , A61M2025/0064
摘要： A method for delivering RF energy to living tissue includes the steps of extending a guidewire to a tissue treatment site in a body. A controllable stiffness catheter is provided with a stiffness device and a temperature-changing device. The stiffness device is in a stiff state below a given temperature and in a soft state above the given temperature. While supplying power to the temperature-changing device, the catheter is threaded along the guidewire up to the treatment site in the flexible state of the catheter. Power is removed from the temperature-changing device to change stiffness of the stiffness device to the stiff state without straightening the catheter. The RF energy supply device is physically contacted with the treatment site and RF energy is delivered to the treatment site from the RF energy supply device.
摘要翻译：用于将RF能量递送到活组织的方法包括将导丝延伸到身体中的组织处理部位的步骤。可控刚度导管设置有刚度装置和温度变化装置。刚度装置处于低于给定温度的刚性状态，并且处于高于给定温度的软状态。在向变温装置供电的同时，导管在导管的柔性状态下沿着导丝穿过治疗部位。将功率从变温装置中移除，以将刚度装置的刚度改变到刚性状态，而不使导管矫直。 RF能量供应装置与处理部位物理接触，RF能量从RF能量供应装置输送到治疗部位。

6. 发明申请

WO2008089050A2 ADJUSTABLE COMPRESSION STAPLE AND METHOD FOR STAPLING WITH ADJUSTABLE COMPRESSION 审中-公开
标题翻译：可调整压缩机和可调节压缩装置的方法
公开(公告)号：WO2008089050A2
公开(公告)日：2008-07-24
申请号：PCT/US2008/050829
申请日：2008-01-11
申请人： SMITH, Kevin, W. , PALMER, Matthew, A. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
发明人： SMITH, Kevin, W. , PALMER, Matthew, A. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
IPC分类号： F16B15/00 , A61B17/064
CPC分类号： A61B17/0644 , A61B17/064 , F16B15/0015
摘要： A compression-self-adjusting staple includes a substantially U-shaped staple body and a compression device. The staple body has a bridge and two legs extending from the bridge at an angle thereto. Each of the legs has a base end integral with die bridge and a deformabie distal end defining a stapling point shaped to pierce material to be stapled. The compression device is at least partly disposed between the legs and has a bias portion with a compression surface movably disposed between the legs and a compression resistor connected to the bridge and to the compression surface and formed to resist movement of the compression surface towards the bridge with a force.
摘要翻译：压缩自调节钉包括基本上U形的订书钉主体和压缩装置。订书钉主体具有一桥和两个腿，其一角度从桥延伸。每个腿部具有与模座桥一体的基端，并且可变形的远端限定成形为刺穿要缝合的材料的缝合点。压缩装置至少部分地设置在腿之间并且具有偏压部分，其具有可移动地设置在腿部之间的压缩表面和连接到桥梁和压缩表面的压缩电阻器，并且形成为抵抗压缩表面朝向桥梁的运动用力

7. 发明申请

WO2007016060A2 SURGICAL STAPLING AND CUTTING DEVICE AND METHOD FOR USING THE DEVICE 审中-公开
标题翻译：手术切割和切割装置以及使用装置的方法
公开(公告)号：WO2007016060A2
公开(公告)日：2007-02-08
申请号：PCT/US2006/028752
申请日：2006-07-25
申请人： KMS MEDICAL, LLC , SMITH, Kevin, W. , PALMER, Matthew, A. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
发明人： SMITH, Kevin, W. , PALMER, Matthew, A. , KLINE, Korey, Robert , DEVILLE, Derek, Dee
IPC分类号： A61B17/00
CPC分类号： A61B17/068 , A61B17/00234 , A61B17/072 , A61B17/07207 , A61B17/115 , A61B2017/003 , A61B2017/00389 , A61B2017/07214 , A61B2017/07271 , A61B2017/07285 , A61B2017/2927 , A61B2017/2931 , A61B2017/320052
摘要： A medical device includes a control handle having an articulation joint actuator, a surgical end effector, and a passive articulating joint connecting the end effector to the control handle. The articulation joint actuator, when unactuated, holds the passive articulation joint and, thereby, the end effector, in a substantially fixed articulation position, and, when actuated, releases the passive articulation joint into a freely articulating state to permit free articulation of the end effector with respect to the control handle dependent upon external forces acting upon the end effector. A method for operating the end effector includes retaining the passive articulation joint in a stable position with an articulation lock and actuating a release of the articulation lock to unlock the passive articulation joint and, thereby, permit articulating motion of the end effector through the passive articulation joint dependent upon the external forces acting upon the end effector.
摘要翻译：医疗装置包括具有关节运动关节致动器，手术末端执行器和将末端执行器连接到控制手柄的被动关节运动关节的控制手柄。关节运动关节致动器在未致动时将被动铰接接头以及由此的端部执行器保持在基本上固定的关节位置，并且当被致动时，被动铰接接头释放到自由铰接状态，以允许端部自由铰接相对于控制手柄的效应器取决于作用在末端执行器上的外力。用于操作末端执行器的方法包括将被动关节关节保持在具有关节运动锁定的稳定位置，并且致动释放关节运动锁以解锁被动关节运动关节，从而允许末端执行器通过被动关节运动关节取决于作用在末端执行器上的外力。

8. 发明申请

WO2006060804A2 CATHETER FOR TREATMENT OF TOTAL OCCLUSIONS AND METHODS FOR MANUFACTURE AND USE OF THE CATHETER 审中-公开
标题翻译：用于治疗总体感染的导管及其制造和使用导管的方法
公开(公告)号：WO2006060804A2
公开(公告)日：2006-06-08
申请号：PCT/US2005/044028
申请日：2005-12-02
申请人： NOVOSTE CORPORATION , VO, Minh , ANDERSON, Cory , SMITH, Kevin, W. , PALMER, Matthew, A. , DEVILLE, Derek, Dee , KLINE, Korey, Robert
发明人： VO, Minh , ANDERSON, Cory , SMITH, Kevin, W. , PALMER, Matthew, A. , DEVILLE, Derek, Dee , KLINE, Korey, Robert
IPC分类号： A61M25/00
CPC分类号： A61M25/0015 , A61M25/0009 , A61M25/0043 , A61M2025/1052
摘要： A catheter (100) for treatment of chronic total occlusions includes an occlusion breach device, a catheter body (110) made of a temperature-dependent softening, shape-memory, thermoplastic polymer having a first flexible state and a second stiff state. The catheter body (110) has a heat transfer conduit and a conduit for slidably receiving the breach device. A heat-transferring device selectively changes a temperature of the heat transfer conduit to, thereby, change stiffness of the catheter body between the two states. To treat a CTO with the catheter, it is warmed above the glass-transition temperature and below the melting-temperature to make the catheter flexible. The catheter has a shape when inserted at the occlusion site and is cooled to, thereby, stiffen. Breaching of the occlusion is assisted with the stiff catheter. The catheter is removed by warming the polymer. Also provided is a method for manufacturing such a selectively stiffening catheter.
摘要翻译：用于治疗慢性全部闭塞的导管（100）包括闭塞破裂装置，由温度依赖性软化形状记忆体制成的导管主体（110），具有第一柔性状态和第二僵硬状态的热塑性聚合物。导管主体（110）具有传热导管和用于可滑动地接收突破装置的导管。传热装置选择性地改变传热管道的温度，从而改变导管体在两种状态之间的刚度。为了用导管治疗CTO，将其温度高于玻璃化转变温度并低于熔融温度，以使导管变得柔软。导管在插入位置时具有形状并被冷却，从而变硬。使用刚性导管辅助阻塞闭塞。通过加热聚合物去除导管。还提供了制造这种选择性加强导管的方法。

9. 发明申请

WO2006036915A3 CATHETER WITH CONTROLLABLE STIFFNESS AND METHOD FOR OPERATING A SELECTIVE STIFFENING CATHETER 审中-公开
公开(公告)号：WO2006036915A3
公开(公告)日：2006-04-06
申请号：PCT/US2005/034487
申请日：2005-09-26
申请人： KMS MEDICAL, LLC , SMITH, Kevin, W. , PALMER, Matthew, A. , DEVILLE, Derek, Dee , MCBRAYER, Sean, M. , KLINE, Korey, Robert
发明人： SMITH, Kevin, W. , PALMER, Matthew, A. , DEVILLE, Derek, Dee , MCBRAYER, Sean, M. , KLINE, Korey, Robert
IPC分类号： A61M25/00
摘要： A method and device for treating a Chronic Total Occlusion provides a controllable stiffness catheter with a shaft (10) having a stiffness sheath (11) and an access lumen. The device has a stiffness device (13) in a stiff state below a given temperature and in a soft state above the temperature, a 10 temperature-changing device in thermal contact with the stiffness device, the temperature-changing device changing a temperature of the stiffness device below and above the temperature, and a power controller electrically connected to the stiffness device and selectively supplying power to the 15 temperature-changing device to change a stiffness of the stiffness device between the stiff and soft states. A guidewire is moved to a treatment site and the catheter moves along the guidewire up to CTO in its soft state. The catheter stiffens without straightening and, in the stiff state, the 20 catheter or the guidewire is projecting through the CTO.

10. 发明申请

WO2009073608A1 CORDLESS HAND-HELD ULTRASONIC CAUTERY CUTTING DEVICE 审中-公开
标题翻译：无绳手持超声波切割装置
公开(公告)号：WO2009073608A1
公开(公告)日：2009-06-11
申请号：PCT/US2008/085141
申请日：2008-12-01
申请人： SYNTHEON, LLC , SMITH, Kevin, W. , BALES, Thomas, O. , PALMER, Matthew, A. , DEVILLE, Derek, Lee , MCBRAYER, Sean , KLINE, Korey
发明人： SMITH, Kevin, W. , BALES, Thomas, O. , PALMER, Matthew, A. , DEVILLE, Derek, Lee , MCBRAYER, Sean , KLINE, Korey
IPC分类号： A61B17/00
CPC分类号： A61B17/320092 , A61B17/1285 , A61B2017/00734 , A61B2017/320098 , A61B2018/00595 , A61N7/02 , Y10T29/49826
摘要： An ultrasonic assembly that is removably connectable to an ultrasonic waveguide of an ultrasonic surgical handle includes a cordless ultrasonic-movement-generation assembly having an ultrasonic generator and an ultrasonic transducer electrically coupled to the generator and having an output couple, a shell housing therein the uitrasonic-movement-generation assembly and having a securing connection shaped to removably connect to the ultrasonic surgical handle. The output couple is operable to impart ultrasonic movement to the ultrasonic waveguide when the securing connection is connected to the ultrasonic surgical handle and the waveguide is connected to the output couple.
摘要翻译：可移除地连接到超声手术手柄的超声波导的超声波组件包括无电极超声波移动发生组件，其具有电耦合到发生器的超声波发生器和超声波换能器，并且具有输出耦合，壳体中的外壳 - 移动发生组件，并且具有成形为可移除地连接到超声手术手柄的固定连接。当固定连接连接到超声手术手柄并且波导连接到输出对时，输出对可操作以向超声波导施加超声波运动。

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