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101. 发明申请

US20120116262A1 CAM DRIVEN COUPLING BETWEEN ULTRASONIC TRANSDUCER AND WAVEGUIDE IN SURGICAL INSTRUMENT 审中-公开
标题翻译：超声波传感器与手术仪器中波形管之间的CAM驱动耦合
公开(公告)号：US20120116262A1
公开(公告)日：2012-05-10
申请号：US13274496
申请日：2011-10-17
申请人： Kevin L. Houser , William D. Dannaher , Stephen J. Balek , Wells D. Haberstich , Matthew C. Miller , Scott A. Woodruff
发明人： Kevin L. Houser , William D. Dannaher , Stephen J. Balek , Wells D. Haberstich , Matthew C. Miller , Scott A. Woodruff
IPC分类号： A61N7/00
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2017/320069 , A61B2017/320071 , A61B2017/320094 , A61B2017/320095 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , G16H20/40 , G16H40/63 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： A surgical instrument includes a body assembly, a waveguide, a transducer, and a coupling assembly. In some versions the coupling assembly translates the transducer to couple the transducer to the waveguide. For instance, a gear having arcuate troughs may engage pins on the transducer and/or waveguide to mate the transducer to waveguide. A pawl may selectively engage and prevent rotation of the gear. Alternatively, lever arms may cam the transducer into the waveguide. The lever arms may selectively couple to a casing to prevent decoupling of the transducer and waveguide. In another configuration, a locking tab can be slid and locked into a slot to couple the transducer and waveguide. Further still, levers with self-locking pins may engage and couple the transducer to the waveguide. In another version, a rotatable body portion may engage a tab on the transducer to rotate and couple the transducer to the waveguide.
摘要翻译：外科器械包括主体组件，波导，换能器和联接组件。在一些版本中，耦合组件转换换能器以将换能器耦合到波导。例如，具有弓形槽的齿轮可以接合换能器和/或波导上的销，以将换能器与波导配合。棘爪可以选择性地接合并防止齿轮的旋转。或者，杠杆臂可以将换能器拉入波导中。杠杆臂可以选择性地联接到壳体以防止换能器和波导的去耦。在另一种结构中，可以将锁定片滑动并锁定到槽中以连接换能器和波导。此外，具有自锁销的杠杆可以接合并将换能器耦合到波导。在另一种形式中，可旋转主体部分可以接合换能器上的突出部，以将换能器旋转并耦合到波导。

102. 发明申请

US20120116261A1 SURGICAL INSTRUMENT WITH SLIP RING ASSEMBLY TO POWER ULTRASONIC TRANSDUCER 审中-公开
标题翻译：带滑动组件的超声波传感器的外科仪器
公开(公告)号：US20120116261A1
公开(公告)日：2012-05-10
申请号：US13274480
申请日：2011-10-17
申请人： Daniel J. Mumaw , Shawn D. Bialczak , Sora Rhee , Craig T. Davis , John A. Weed, III , Kip M. Rupp , Foster B. Stulen , Timothy G. Dietz , Kevin L. Houser
发明人： Daniel J. Mumaw , Shawn D. Bialczak , Sora Rhee , Craig T. Davis , John A. Weed, III , Kip M. Rupp , Foster B. Stulen , Timothy G. Dietz , Kevin L. Houser
IPC分类号： A61N7/00
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B50/30 , A61B90/08 , A61B90/40 , A61B2017/00017 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2017/320069 , A61B2017/320071 , A61B2017/320094 , A61B2017/320095 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00702 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1253 , A61B2018/126 , A61B2018/1412 , A61B2018/1455 , A61B2050/005 , A61B2050/0065 , A61B2050/0067 , A61B2050/0076 , A61B2050/008 , A61B2050/3007 , A61B2050/3008 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , G16H20/40 , G16H40/63 , H01M2/10 , H01M2/1016 , H01M2/1022 , H01M2/26 , H01M10/425 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： A surgical instrument includes a rotatable electrical coupling assembly having a first part and a second part that electrically couple and rotate relative to each other. The second part is carried by and rotates with a tube collar coupled to a transducer. A portion of the transducer is inserted through an aperture of the second part, but does not contact the second part. The first part of the assembly may electrically couple to the second part via pogo pins, brush contacts, or ball bearings. Alternatively, the first part may comprise conductive channels formed in the casing. The second part may comprise a rotatable drum with a conductive trace. In some versions, one or more components may comprise MID components. In another version, the rotatable electrical coupling assembly comprises a rotatable PC board and brush contact. Further still, a circuit board may be provided with the transducer inside a transducer casing.
摘要翻译：手术器械包括具有电耦合和相对于彼此旋转的第一部分和第二部分的可旋转电耦合组件。第二部分由耦合到换能器的管环承载并旋转。换能器的一部分穿过第二部分的孔插入，但不接触第二部分。组件的第一部分可以通过弹簧销，电刷触点或球轴承电耦合到第二部件。或者，第一部分可以包括形成在壳体中的导电通道。第二部分可以包括具有导电迹线的可旋转滚筒。在一些版本中，一个或多个组件可以包括MID组件。在另一种形式中，可旋转的电耦合组件包括可旋转的PC板和电刷接触件。此外，电路板可以在换能器壳体内设置有换能器。

103. 发明申请

US20110282238A1 Method and Apparatus for Morcellating Tissue 有权
标题翻译：用于驱动组织的方法和装置
公开(公告)号：US20110282238A1
公开(公告)日：2011-11-17
申请号：US12779155
申请日：2010-05-13
申请人： Kevin L. Houser , Robert E. Sackett , Edward G. Chekan , Frederick E. Shelton, IV
发明人： Kevin L. Houser , Robert E. Sackett , Edward G. Chekan , Frederick E. Shelton, IV
IPC分类号： A61B10/02
CPC分类号： A61B10/0275 , C12M45/02
摘要： An apparatus for morcellating tissue specimens comprises a housing and a cutting member. The cutting member is operable to cut tissue specimens into morcellated or minced tissue pieces. The cutting member may include one or more screens. One of the screens may be rotatable or capable of reciprocating relative to the housing. One screen may cooperate with another screen to provide shearing of the tissue specimens. The cutting member may include a plurality of discs that are rotatable relative to the housing. The discs may include inwardly directed notches formed in their outer perimeter, with the notches cooperating with an interior wall of the housing to cut tissue specimens. The discs may include perimeters having ovular or elliptical shapes that cooperate with a cylindrical interior wall of the housing to cut tissue specimens. The apparatus may be a stand-alone apparatus or may be incorporated into a tissue harvesting apparatus.
摘要翻译：一种用于发酵组织标本的装置包括壳体和切割构件。切割构件可操作以将组织样本切割成切片或切碎的组织片。切割构件可以包括一个或多个屏幕。一个屏幕可以是可旋转的或能够相对于壳体往复运动。一个屏幕可以与另一个屏幕协作以提供组织标本的剪切。切割构件可以包括可相对于壳体旋转的多个盘。盘可以包括在其外周形成的向内导向的凹口，其中凹口与壳体的内壁协作以切割组织样本。盘可以包括具有卵形或椭圆形状的周边，其与壳体的圆柱形内壁协作以切割组织样本。该装置可以是独立的装置，也可以并入到组织收集装置中。

104. 发明授权

US08057467B2 Clamp mechanism for use with an ultrasonic surgical instrument 有权
标题翻译：用于超声波手术器械的夹紧机构
公开(公告)号：US08057467B2
公开(公告)日：2011-11-15
申请号：US11246264
申请日：2005-10-07
申请人： Craig N. Faller , Kevin L. Houser
发明人： Craig N. Faller , Kevin L. Houser
IPC分类号： A61B18/18
CPC分类号： A61B17/320092 , A61B17/2909 , A61B2017/00353 , A61B2017/00424 , A61B2017/2825 , A61B2017/2911 , Y10T29/49005 , Y10T29/49998
摘要： 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 smoothes 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.
摘要翻译：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设计和垫材料，其能够实现较高的组织夹紧力，以及有效地平滑出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。

105. 发明授权

US07901423B2 Folded ultrasonic end effectors with increased active length 有权
标题翻译：具有增加的有效长度的折叠式超声末端效应器
公开(公告)号：US07901423B2
公开(公告)日：2011-03-08
申请号：US11998758
申请日：2007-11-30
申请人： Foster B. Stulen , Kevin L. Houser , Eitan T. Wiener
发明人： Foster B. Stulen , Kevin L. Houser , Eitan T. Wiener
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/22015 , A61B2017/22018 , A61B2017/320072 , B06B3/00
摘要： An end effector for use with an ultrasonic surgical instrument. A body extends along a longitudinal axis. The body includes a proximal end and a distal end. The proximal end of the body is configured to couple to an ultrasonic transducer configured to produce vibrations at a predetermined frequency. A folded element includes a first end coupled to the distal end of the body at a predetermined region between a node and an antinode. The folded element extends along the longitudinal axis from the distal end to the proximal end of the body. The folded element comprises a second free acoustic end. A distal portion of the body and the folded element define a parallel acoustic path.
摘要翻译：用于超声波手术器械的末端执行器。主体沿纵轴延伸。主体包括近端和远端。身体的近端构造成耦合到被配置为以预定频率产生振动的超声换能器。折叠元件包括在节点和波腹之间的预定区域处联接到主体的远端的第一端。折叠的元件沿着纵向轴线从主体的远端延伸到近端。折叠元件包括第二自由声端。主体的远端部分和折叠元件限定平行的声学路径。

106. 发明申请

US20100312066A1 INFLATABLE RETRACTOR WITH INSUFFLATION 有权
标题翻译：具有消除功能的可充放电器
公开(公告)号：US20100312066A1
公开(公告)日：2010-12-09
申请号：US12479398
申请日：2009-06-05
申请人： Michael S. Cropper , Gregory W. Johnson , Kevin L. Houser , William Bruce Weisenburgh, II , Frederick E. Shelton, IV , Christopher J. Hess , Denzel Z. Herrera-Davis , Jerome R. Morgan
发明人： Michael S. Cropper , Gregory W. Johnson , Kevin L. Houser , William Bruce Weisenburgh, II , Frederick E. Shelton, IV , Christopher J. Hess , Denzel Z. Herrera-Davis , Jerome R. Morgan
IPC分类号： A61M13/00 , A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B2017/00557 , A61B2017/3445 , A61B2017/3466
摘要： Various methods and devices are provided for accessing a body cavity. In one embodiment, a surgical access device is provided and includes an elongate member having a proximal support member configured to rest against an external tissue surface, a flexible elongate central portion extending distally from the proximal support member and configured to extend through tissue, and an inflatable distal portion coupled to a distal end of the central portion. The distal portion is movable between an initial configuration, in which the distal portion is configured to be passed through an incision in tissue, and an inflated configuration in which the distal portion is expanded such that the central portion forms a working channel through the tissue for access to a body cavity. The distal portion can include an opening such that gas delivered to the distal portion can flow through the opening to insufflate a body cavity.
摘要翻译：提供用于进入体腔的各种方法和装置。在一个实施例中，提供了一种手术进入装置，并且包括细长构件，该细长构件具有构造成抵靠外部组织表面的近侧支撑构件，从所述近侧支撑构件向远侧延伸并且构造成延伸穿过组织的柔性细长中心部分，可充气远端部分联接到中心部分的远端。远端部分可以在初始构型之间移动，其中远侧部分构造成穿过组织中的切口，以及膨胀构型，其中远侧部分被扩张，使得中心部分通过组织形成工作通道，进入体腔。远侧部分可以包括开口，使得输送到远端部分的气体可以流过开口以吸入体腔。

107. 发明授权

US07846155B2 Handle assembly having hand activation for use with an ultrasonic surgical instrument 有权
标题翻译：具有手动激活的手柄组件用于超声外科器械
公开(公告)号：US07846155B2
公开(公告)日：2010-12-07
申请号：US11246330
申请日：2005-10-07
申请人： Kevin L. Houser , Mark A. Neurohr , Steven K. Neuenfeldt , Scott N. Barton
发明人： Kevin L. Houser , Mark A. Neurohr , Steven K. Neuenfeldt , Scott N. Barton
IPC分类号： A61B18/04 , A61B17/32
CPC分类号： A61B17/320092 , A61B17/2909 , A61B2017/00353 , A61B2017/00424 , A61B2017/2825 , A61B2017/2911 , Y10T29/49005 , Y10T29/49998
摘要： 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.
摘要翻译：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。

108. 发明申请

US20100228094A1 SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED MOVEMENT REGIONS 有权
标题翻译：预防运动区域的密封运动的外科手术装置和方法
公开(公告)号：US20100228094A1
公开(公告)日：2010-09-09
申请号：US12399656
申请日：2009-03-06
申请人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David T. Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel H. Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/0218 , A61B17/3423 , A61B17/3462 , A61B17/3474 , A61B2017/0225 , A61B2017/3419 , A61B2017/3445 , A61B2017/3447 , A61B2017/3466 , A61M13/003
摘要： Various methods and devices are provided for allowing multiple surgical instruments to be inserted into sealing elements of a single surgical access device. The sealing elements can be movable along predefined pathways within the device to allow surgical instruments inserted through the sealing elements to be moved laterally, rotationally, angularly, and vertically relative to a central longitudinal axis of the device for ease of manipulation within a patient's body while maintaining insufflation.
摘要翻译：提供了各种方法和装置，用于允许多个外科器械插入单个手术进入装置的密封元件中。密封元件可以沿着装置内的预定路径移动，以允许通过密封元件插入的外科器械相对于装置的中心纵向轴线横向地，旋转地，有角度地和垂直地移动，以便于在患者体内操纵，保持吹风。

109. 发明申请

US20100023043A1 ULTRASONIC SURGICAL INSTRUMENT, SHEARS AND TISSUE PAD, METHOD FOR SEALING A BLOOD VESSEL AND METHOD FOR TRANSECTING PATIENT TISSUE 有权
标题翻译：超声外科器械，剪刀和组织垫，密封血管的方法和用于转运患者组织的方法
公开(公告)号：US20100023043A1
公开(公告)日：2010-01-28
申请号：US12357569
申请日：2009-01-22
申请人： Kevin L. Houser
发明人： Kevin L. Houser
IPC分类号： A61B17/32
CPC分类号： A61B17/12 , A61B17/320092 , A61B2017/00831 , A61B2017/2825
摘要： An ultrasonic surgical shears has a bifurcated ultrasonic surgical blade, a clamping arm and a substantially “T”-shaped tissue pad. An alternate ultrasonic surgical shears has an ultrasonic surgical blade, a clamping arm, and a tissue pad having first and second transverse outer portions and a movable transverse central portion. An ultrasonic surgical instrument has an ultrasonic surgical clamp including an ultrasonic member adapted to ultrasonically vibrate and has a surgical cutter distinct from the ultrasonic member. A method for sealing a blood vessel of a patient includes obtaining an ultrasonic surgical clamp, sealing the blood vessel with the ultrasonic member, and transecting the sealed blood vessel using the surgical cutter. An alternate method similarly transects patient tissue and seals a blood vessel therein. An ultrasonic-surgical-shears tissue pad includes first and second transverse outer portions which are more resiliently flexible than is a transverse central portion.
摘要翻译：超声手术剪刀具有分叉的超声手术刀片，夹紧臂和基本上“T”形的组织垫。替代的超声手术剪切具有超声手术刀片，夹持臂和具有第一和第二横向外部部分和可移动横向中心部分的组织垫。超声波手术器械具有超声波手术夹具，其包括适于超声振动的超声波部件，并且具有与超声波部件不同的外科手术刀。用于密封患者血管的方法包括获得超声外科夹具，用超声波构件密封血管，并使用外科切割器切断密封的血管。替代方法类似地横切患者组织并将血管密封在其中。超声外科剪切组织垫包括比横向中心部分更具弹性的第一和第二横向外部部分。

110. 发明申请

US20090223033A1 COMBINATION TISSUE PAD FOR USE WITH AN ULTRASONIC SURGICAL INSTRUMENT 审中-公开
标题翻译：用于超声波手术仪器的组合组织垫
公开(公告)号：US20090223033A1
公开(公告)日：2009-09-10
申请号：US12468130
申请日：2009-05-19
申请人： Kevin L. Houser
发明人： Kevin L. Houser
IPC分类号： H04R31/00
CPC分类号： A61B17/320092 , A61B17/2909 , A61B2017/00353 , A61B2017/00424 , A61B2017/2825 , A61B2017/2911 , A61B2017/320094 , A61B2017/320095 , Y10T29/49005 , Y10T29/49998
摘要： 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.
摘要翻译：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。

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