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    • 1. 发明公开
    • System and method for tissue sealing
    • Anordnung zur Gewebeabdichtung
    • EP1810628A1
    • 2007-07-25
    • EP07001481.6
    • 2007-01-24
    • Sherwood Services AG
    • Odom, Darren
    • A61B18/12A61B18/14
    • A61B18/1445A61B5/053A61B18/1206A61B18/1442A61B2018/00684A61B2018/00702A61B2018/00875
    • An electrosurgical bipolar forceps for sealing is disclosed. The forceps includes one or more shaft members having an end effector assembly disposed at the distal end. The end effector assembly includes two jaw members movable from a first position to a closed position wherein the jaw members cooperate to grasp tissue at constant pressure. Each of the jaw members includes an electrically conductive sealing plate connected to a first energy source which communicates electrosurgical energy through the tissue held therebetween. The electrosurgical energy is communicated at constant voltage. The electrically conductive sealing plates are operably connected to sensor circuitry which is configured to measure initial tissue impedance and transmit an initial impedance value to a controller. The controller determines the constant pressure and the constant voltage to be applied to the tissue based on the initial impedance value.
    • 公开了用于密封的电外科双极钳。 镊子包括一个或多个轴构件,其具有设置在远端的端部执行器组件。 末端执行器组件包括从第一位置移动到关闭位置的两个钳口构件,其中钳口构件配合以在恒定压力下抓住组织。 每个钳口构件包括连接到第一能量源的导电密封板,其将电外科能量通过其间保持的组织传导。 电外科能量以恒定电压传达。 导电密封板可操作地连接到传感器电路,传感器电路被配置为测量初始组织阻抗并将初始阻抗值传输到控制器。 控制器基于初始阻抗值确定施加到组织的恒定压力和恒定电压。
    • 3. 发明公开
    • Electrode assembly for sealing and cutting tissue and method for performing same
    • Elektrodenanordnung zum Versiegeln und Schneiden von Gewebe
    • EP1795140A2
    • 2007-06-13
    • EP07004429.2
    • 2003-09-11
    • Sherwood Services AG
    • Johnson, Kirstin D.Couture, Gary M.
    • A61B18/14
    • A61B18/1442A61B2017/00026A61B2017/00084A61B2018/00601A61B2018/0063A61B2018/00702A61B2018/00791A61B2018/00875A61B2090/034
    • An electrode assembly for use with an instrument for sealing vessels, the electrode assembly comprising a pair of opposing first and second jaw members being movable relative to one another from a first position wherein the jaw members are disposed in spaced relation relative to one another to a second position wherein the jaw members cooperate to grasp tissue therebetween; each jaw member including an electrically conductive tissue contacting surface, each tissue contacting surface being connectable to a source of electrosurgical energy such that the tissue contacting surfaces are capable of conducting electrosurgical energy through the tissue held therebetween to affect at least a partial seal; the first jaw member including an electrically conductive cutting element dielectrically disposed at least partially within the first tissue contacting surface and the second jaw member including an insulator disposed at least partially therein, the insulator being disposed in substantially opposing relation to the cutting element; characterized by a smart sensor (355) interposed between the cutting element (295) and a connection for an electrosurgical generator (340) for the cutting element whereby tissue (400) can be initially sealed and thereafter cut without re-grasping the tissue.
    • 一种用于与用于密封容器的仪器一起使用的电极组件,所述电极组件包括一对相对的第一和第二钳口构件,其可相对于彼此从第一位置移动,其中所述钳口构件相对于彼此以间隔开的关系设置为 第二位置,其中所述钳口构件协作以在其间夹住组织; 每个钳口构件包括导电组织接触表面,每个组织接触表面可连接到电外科能量源,使得组织接触表面能够通过其间保持的组织进行电外科能量以影响至少部分密封; 所述第一钳口构件包括至少部分地设置在所述第一组织接触表面内的导电切割元件,所述第二钳口构件包括至少部分地设置在其中的绝缘体,所述绝缘体被设置成与所述切割元件基本相对的关系; 其特征在于,插入在所述切割元件(295)和用于所述切割元件的电外科发生器(340)的连接件之间的智能传感器(355),由此组织(400)可以被初始地密封,并且此后切割而不重新抓住所述组织。
    • 7. 发明公开
    • System for performing cardiac ablation
    • 系统kardiale Ablationsbehandlungen
    • EP1772109A1
    • 2007-04-11
    • EP05025424.2
    • 2005-11-22
    • Sherwood Services AG
    • Johnson, Kristin D.Ford-Serbu, Donna
    • A61B18/14A61B5/046A61B5/042A61B17/00A61B18/00
    • A61B18/1482A61B5/042A61B2017/00243A61B2018/00023A61B2018/00351A61B2018/00839
    • Systems and methods for performing cardiac ablation are disclosed. The method includes the steps of placing an ablation electrode having one or more temperature control mechanisms in contact with a patient's heart. The ablation electrode includes a cardiac sensor disposed therein for measuring cardiac signals. The method also includes the steps of generating electrosurgical energy and supplying the electrosurgical energy to the patient through the ablation electrode. The method further includes the steps of regulating the temperature over the ablation electrode, thereby spreading the temperature over the surface of the electrode and increasing the volume of the ablation lesion, measuring and comparing pre-treatment and post-treatment cardiac signals to determine progress of tissue ablation, and terminating ablation based on the comparison of the pre-treatment and post-treatment cardiac signals.
    • 公开了用于执行心脏消融的系统和方法。 该方法包括放置具有一个或多个温度控制机构的消融电极与患者心脏接触的步骤。 消融电极包括设置在其中用于测量心脏信号的心脏传感器。 该方法还包括产生电外科能量并通过消融电极向患者提供电外科能量的步骤。 该方法还包括以下步骤:调节消融电极上的温度,从而将温度扩散到电极表面上并增加消融损伤的体积,测量和比较预处理和治疗后心脏信号,以确定 基于预处理和治疗后心脏信号的比较来终止消融。
    • 8. 发明公开
    • System for creating lesions using bipolar electrodes
    • 系统zur Erzeugung vonLäsionenunter Verwendung bipolarer Elektroden
    • EP1769763A1
    • 2007-04-04
    • EP05025423.4
    • 2005-11-22
    • Sherwood Services AG
    • McPherson, James W.
    • A61B18/14
    • A61B18/1477A61B2018/00023A61B2018/00678A61B2018/00702A61B2018/00875A61B2018/124A61B2018/143
    • A bipolar electrosurgical system is provided. The system includes at least one pair of active and return electrodes each including thermally-conductive tubular members with closed distal ends. Each of the tubular members include electrically conductive portions which are adapted to connect to an electrical energy source. The active and return electrodes are further configured to penetrate tissue and create at least one generally elliptical lesion therebetween upon activation of electrical energy. The system also includes a multiplexer disposed between the electrical energy source and each pair of electrically conductive active and return portions. The multiplexer is adapted to selectively switch electrical potentials of each pair of active and return electrically conductive portions to create lesions of varying geometry.
    • 提供双极电外科系统。 该系统包括至少一对主动和返回电极,每个活动和返回电极包括具有封闭远端的导热管状构件。 每个管状构件包括适于连接到电能源的导电部分。 活性和返回电极进一步构造成在电能激活时穿透组织并在其间产生至少一个大致椭圆形的病变。 该系统还包括设置在电能源和每对导电主动和返回部分之间的多路复用器。 多路复用器适于选择性地切换每对有源和返回导电部分的电位以产生变化的几何形状的损伤。
    • 9. 发明公开
    • Bipolar forceps with multiple electrode array end effector assembly
    • 双极钳夹用夹持装置,其包括具有多个电极的电极组件
    • EP1767163A1
    • 2007-03-28
    • EP05020665.5
    • 2005-09-22
    • Sherwood Services AG
    • Odom, DarrenHammill, CurtSchechter, David A.Tetzlaff, PhilipRoy, Jeffrey M.
    • A61B18/14
    • A61B18/1445A61B18/1442A61B2017/2945A61B2018/1432
    • A bipolar electrosurgical forceps includes first and second opposing jaw members having respective inwardly facing surfaces associated therewith. The first and second jaw members are adapted for relative movement between an open position to receive tissue and a closed position engaging tissue between the inwardly facing surfaces. The first and second jaw members each include a plurality of electrodes on the inwardly facing surfaces. The plurality of electrodes of the first jaw member are disposed in substantially vertical registration with the plurality of electrodes of the second jaw member. Each of the plurality of electrodes is configured to connect to a source of electrosurgical energy. Electrodes on at least one jaw member are grouped in pairs and each respective pair aligns with at least one electrode on the opposite jaw member. A multiplexer controls current density or activation sequence of the electrosurgical energy to each electrode.
    • 的双极电外科钳子包括第一和第二相对的具有respectivement向内朝向相关联的有表面钳口构件。 第一和第二钳口构件angepasst用于相对移动的打开位置之间以接收组织和闭合位置的向内面对的表面之间的接合组织。 第一和第二钳口部件的每一个包括电极的面向内的表面上的多个。 所述第一钳口构件的电极的多元性被设置在基本上垂直的登记电极的所述第二钳口部件的多元性。 电极的多个每一个被配置为连接到电外科能量的来源。 至少一个钳口构件上的电极在对被分组并且每对respectivement与相对的钳口构件上的至少一个电极对准。 多路复用器控制的电流密度或电外科能量到每个电极的激活序列。