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11. 发明申请

US20130035707A1 ULTRASONIC DEVICE FOR CUTTING AND COAGULATING WITH STEPPED OUTPUT 有权
标题翻译：超声波设备，用于切割和凝固带有步进输出
公开(公告)号：US20130035707A1
公开(公告)日：2013-02-07
申请号：US13584445
申请日：2012-08-13
申请人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
发明人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B5/0538 , A61B5/4836 , A61B5/6847 , A61B2017/00026 , A61B2017/00146 , A61B2017/00176 , A61B2018/00303 , A61B2018/00875 , B06B1/0284 , B06B2201/76
摘要： Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal. The first drive signal is different from the second drive signal. The first and second drive signals define a step function waveform. The apparatus comprises a generator configured to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system configured to resonates at a resonant frequency.
摘要翻译：各种实施例涉及用于驱动耦合到超声换能器的末端执行器的装置，系统和方法。该方法包括通过耦合到超声波驱动系统的发生器产生第一超声波驱动信号，利用第一超声波驱动信号致动超声换能器，由发生器产生第二超声波驱动信号，以及利用第二超声波驱动器致动超声换能器信号。第一驱动信号与第二驱动信号不同。第一和第二驱动信号定义阶跃函数波形。该装置包括配置成耦合到超声仪器的发生器。该系统包括耦合到超声波仪器的发生器。超声波仪器包括超声波驱动系统，该超声波驱动系统包括耦合到波导的超声换能器和耦合到波导的末端执行器，并且其中配置为以共振频率谐振的超声波驱动系统。

12. 发明申请

US20120083784A1 SURGICAL INSTRUMENT WITH JAW MEMBER 有权
标题翻译：手术仪器与JAW会员
公开(公告)号：US20120083784A1
公开(公告)日：2012-04-05
申请号：US12896411
申请日：2010-10-01
申请人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , James R. Giordano , Gregory A. Trees , Bingshi Wang , Aaron C. Voegele , David K. Norvell
发明人： Mark A. Davison , Chad P. Boudreaux , Scott B. Killinger , Jonathan T. Batross , James R. Giordano , Gregory A. Trees , Bingshi Wang , Aaron C. Voegele , David K. Norvell
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1442 , A61B2017/00526 , A61B2018/0063 , A61B2018/1452 , A61B2018/1455 , A61B2090/034 , Y10T29/49117 , Y10T29/49959
摘要： A surgical instrument for supplying energy to tissue may comprise a handle, a trigger, an electrical input, and a shaft extending from the handle. The surgical instrument may comprise and end effector first and second tissue engaging surfaces that are slanted with respect to a transection plane. The end effector may, for example, have an electrode defining a V-shaped cross sectional profile. The end effector may comprise a plurality of raised surfaces that are received by a plurality of indentions when the end effector is in the closed position. The end effector may comprise a cutting member having a plurality of bands.
摘要翻译：用于向组织供应能量的外科器械可以包括手柄，触发器，电输入和从手柄延伸的轴。外科器械可以包括相对于横切平面倾斜的并且结束执行器第一和第二组织接合表面。端部执行器可以例如具有限定V形横截面轮廓的电极。端部执行器可以包括多个凸起表面，当顶端执行器处于关闭位置时，多个凸起表面被多个压痕接收。端部执行器可以包括具有多个带的切割构件。

13. 发明申请

US20110087212A1 SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES 有权
标题翻译：超声和电疗装置的外科发生器
公开(公告)号：US20110087212A1
公开(公告)日：2011-04-14
申请号：US12896345
申请日：2010-10-01
申请人： Jeffrey L. Aldridge , Eitan T. Wiener , James R. Giordano
发明人： Jeffrey L. Aldridge , Eitan T. Wiener , James R. Giordano
IPC分类号： A61B18/12
CPC分类号： A61B18/1206 , A61B17/320068 , A61B17/320092 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B2017/00017 , A61B2017/00477 , A61B2017/00482 , A61B2017/00486 , A61B2017/2934 , A61B2017/2936 , A61B2018/00178 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/0072 , A61B2018/00732 , A61B2018/00767 , A61B2018/00779 , A61B2018/00803 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00988 , A61B2018/00994 , H01L41/042 , H01R2201/12
摘要： A surgical device control circuit. The control circuit may comprise a first circuit portion comprising at least one first switch. The first circuit portion may communicate with a surgical generator over a conductor pair. The control circuit may also comprise a second circuit portion comprising a data circuit element. The data circuit element may be disposed in an instrument of the surgical device and transmit or receive data. The data circuit element may implement data communications with the surgical generator over at least one conductor of the conductor pair.
摘要翻译：手术器械控制电路。控制电路可以包括包括至少一个第一开关的第一电路部分。第一电路部分可以通过导体对与手术发生器通信。控制电路还可以包括包括数据电路元件的第二电路部分。数据电路元件可以设置在外科装置的器械中并且发送或接收数据。数据电路元件可以通过导体对的至少一个导体实现与手术发生器的数据通信。

14. 发明申请

US20110082486A1 DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE 有权
标题翻译：切割和凝固组织的装置和技术
公开(公告)号：US20110082486A1
公开(公告)日：2011-04-07
申请号：US12896351
申请日：2010-10-01
申请人： Jeffrey D. Messerly , Eitan T. Wiener , Brian T. Noyes , Jeffrey L. Aldridge , James R. Giordano , Robert J. Beetel , Daniel J. Abbott , Foster B. Stulen , Matthew C. Miller , Nathan J. Price , Daniel W. Price
发明人： Jeffrey D. Messerly , Eitan T. Wiener , Brian T. Noyes , Jeffrey L. Aldridge , James R. Giordano , Robert J. Beetel , Daniel J. Abbott , Foster B. Stulen , Matthew C. Miller , Nathan J. Price , Daniel W. Price
IPC分类号： A61B17/32
CPC分类号： A61N7/00 , A61B5/053 , A61B5/4836 , A61B17/320092 , A61B18/14 , A61B2017/00026 , A61B2017/00084 , A61B2017/00176 , A61B2017/00203 , A61B2017/00973 , A61B2018/00005 , A61B2018/00303 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00791 , A61B2018/00845 , A61B2018/00875 , A61B2018/00994 , A61N7/02 , B06B1/0284 , B06B2201/76 , G05B15/02
摘要： Various embodiments are directed to an apparatus and method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions.
摘要翻译：各种实施例涉及一种驱动与外科器械的超声波驱动系统相连的末端执行器的装置和方法。该方法包括产生至少一个电信号。根据第一组逻辑条件来监视至少一个电信号。

15. 发明授权

US07780663B2 End effector coatings for electrosurgical instruments 有权
标题翻译：电外科器械的末端执行器涂层
公开(公告)号：US07780663B2
公开(公告)日：2010-08-24
申请号：US11534326
申请日：2006-09-22
申请人： David C. Yates , Phillip Q. Shuster , Kenneth V. Moran , Chester O. Baxter, III , David A. Witt , James R. Giordano , Jesse J. Kuhns
发明人： David C. Yates , Phillip Q. Shuster , Kenneth V. Moran , Chester O. Baxter, III , David A. Witt , James R. Giordano , Jesse J. Kuhns
IPC分类号： A61B18/18 , A61B17/08
CPC分类号： A61B18/1445 , A61B17/068 , A61B17/07207 , A61B2017/320052 , A61B2018/00083 , A61B2018/00107 , A61B2018/1412 , A61B2018/1455
摘要： An electrosurgical stapling instrument includes an end effector capable of applying bipolar RF energy into tissue. The end effector has a first pole electrode and a second pole electrode for forming an RF contact circuit with tissue. At least one of the electrodes may have a dielectric coating thereon to create a RF circuit with tissue. The dielectric coating can cover one of the electrodes to create a capacitive coupling circuit with tissue, or can have at least one open passageway extending through the dielectric coating to enable tissue contact with the electrode and the passage of RF energy therethrough. The dielectric coating on the electrode can be masked to create passageways through the dielectric, or the dielectric coating can be locally removed with a variety of techniques to form passageways. The dielectric coating may provide a barrier to prevent shorting between the dielectrically coated electrode and a conductive fastener embedded within tissue. Alternately, a cartridge coating can be used to reduce an electric surface sheet charge on the cartridge thermoplastic that can occur during the application of RF energy to tissue.
摘要翻译：电外科缝合器械包括能够将双极RF能量施加到组织中的末端执行器。端部执行器具有用于与组织形成RF接触电路的第一极电极和第二极电极。电极中的至少一个可以在其上具有介电涂层以产生具有组织的RF电路。电介质涂层可以覆盖电极之一以产生具有组织的电容耦合电路，或者可以具有延伸穿过电介质涂层的至少一个开放通道，以使得能够组织与电极接触并通过RF能量的通过。可以对电极上的电介质涂层进行掩模以形成通过电介质的通道，或者可以用各种技术局部地去除电介质涂层以形成通道。电介质涂层可以提供屏障，以防止介电涂覆的电极与嵌入组织内的导电紧固件之间的短路。或者，可以使用盒式涂层来减少在将能量应用于组织期间可能发生的盒式热塑性塑料上的电表面片材电荷。

16. 发明授权

US07108695B2 Feedback control in an ultrasonic surgical instrument for improved tissue effects 有权
标题翻译：超声波手术器械中的反馈控制用于改善组织效应
公开(公告)号：US07108695B2
公开(公告)日：2006-09-19
申请号：US10197794
申请日：2002-07-18
申请人： David A. Witt , Jerome R. Morgan , Foster B. Stulen , James R. Giordano
发明人： David A. Witt , Jerome R. Morgan , Foster B. Stulen , James R. Giordano
IPC分类号： A61B18/18 , A61B17/32
CPC分类号： A61B17/320092 , A61B2017/00092
摘要： A temperature monitoring device and/or method which control the tissue temperature at the end-effector of a therapeutic ultrasonic cutting and coagulating instrument as the tissue is being heated with ultrasonic vibrations from the end-effector. One or more temperature sensors are located at the end-effector, preferably on a clamping member. The temperature sensors measure the temperature of the tissue engaged by the end-effector either directly or indirectly. An alternate method and apparatus provides an electrical tissue impedance measure in combination with an ultrasonic cutting and coagulating instrument to provide active feedback control of an ultrasonic generator.
摘要翻译：一种温度监测装置和/或方法，用于当来自末端执行器的超声振动正在加热组织时，控制处理超声波切割和凝结仪器的末端执行器处的组织温度。一个或多个温度传感器位于末端执行器处，优选地位于夹紧构件上。温度传感器直接或间接地测量由末端执行器接合的组织的温度。替代方法和装置提供与超声波切割和凝结仪器结合的电组织阻抗测量值，以提供超声发生器的主动反馈控制。

17. 发明授权

US06454781B1 Feedback control in an ultrasonic surgical instrument for improved tissue effects 有权
标题翻译：超声波手术器械中的反馈控制用于改善组织效应
公开(公告)号：US06454781B1
公开(公告)日：2002-09-24
申请号：US09573650
申请日：2000-05-18
申请人： David A. Witt , Jerome R. Morgan , Foster B. Stulen , James R. Giordano
发明人： David A. Witt , Jerome R. Morgan , Foster B. Stulen , James R. Giordano
IPC分类号： A61B1732
CPC分类号： A61B17/320092 , A61B2017/00092
摘要： A temperature or impedance sensing device monitors the tissue temperature or impedance at the end-effector of a therapeutic ultrasonic cutting and coagulating instrument as the tissue is being heated with ultrasonic vibrations from the end-effector. One or more sensors are located at the end-effector, preferably on a clamping member. The signals from the sensors provide feedback to control circuitry and a device for selecting a function of the instrument for either cutting mode or coagulating mode.
摘要翻译：温度或阻抗感测装置在用来自末端执行器的超声振动加热组织时监测治疗超声波切割和凝固仪器的末端执行器处的组织温度或阻抗。一个或多个传感器位于末端执行器处，优选地位于夹紧构件上。来自传感器的信号向控制电路提供反馈，以及用于为切割模式或凝固模式选择仪器的功能的装置。

18. 发明授权

US5329786A Recoverable domestic ice maker 失效
标题翻译：可回收的国内制冰机
公开(公告)号：US5329786A
公开(公告)日：1994-07-19
申请号：US938892
申请日：1992-08-31
申请人： James L. Willis , James R. Giordano
发明人： James L. Willis , James R. Giordano
IPC分类号： F25C1/04 , F25C5/08 , F25C1/12
CPC分类号： F25C1/04 , F25C5/08
摘要： An ice making apparatus includes a mold in which water is frozen to form an ice body. Also included are an electric motor and an ejector blade for ejecting the ice body from the mold. An electric heater in heat transfer association with the mold is operable to free the ice bodies from the mold prior to the ejector blade ejecting the ice bodies. A control circuit includes a thermostat responsive to temperature of water in the mold. A thermostat switch is controlled by the thermostat to initiate operation of the motor for ejecting the ice body upon complete freezing thereof and concurrently energizing the heater. Art electric circuit includes the thermostat switch, the motor and a second switch controlled by the operation of the motor for maintaining energization of the motor independently of the first switch and causing the thermostat switch to control further energization of the heater whereby the thermostat switch de-energizes the heater within a single revolution of the ejector blade. The motor also drives a cam and cam follower for controlling a sensing arm for sensing a full ice condition. The ice maker includes structure for suspending operation of the ice maker in the event that the sensing am is obstructed.
摘要翻译：一种制冰装置包括：水被冷冻以形成冰体的模具。还包括用于从模具中排出冰体的电动马达和喷射器叶片。与模具相关联的电加热器可操作以在喷射器叶片喷射冰体之前将冰体从模具中释放。控制电路包括响应于模具中的水的温度的恒温器。恒温开关由恒温器控制，以启动电动机的运行，以在其完全冷冻时喷射冰体并同时使加热器通电。艺术电路包括恒温开关，电动机和通过电动机操作控制的第二开关，用于保持电动机独立于第一开关的通电，并使恒温器开关进一步控制加热器的通电，在喷射器叶片的一圈内激发加热器。马达还驱动凸轮和凸轮从动件，用于控制感测臂以感测全冰状态。制冰机包括在传感器被阻塞的情况下暂停制冰机操作的结构。

19. 发明授权

US09017326B2 Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments 有权
标题翻译：超声波手术器械阻抗监测仪，系统及方法
公开(公告)号：US09017326B2
公开(公告)日：2015-04-28
申请号：US12503766
申请日：2009-07-15
申请人： Brian DiNardo , David C. Yates , Jeffrey D. Messerly , Eitan T. Wiener , David A. Witt , James R. Giordano , Jeffrey L. Aldridge
发明人： Brian DiNardo , David C. Yates , Jeffrey D. Messerly , Eitan T. Wiener , David A. Witt , James R. Giordano , Jeffrey L. Aldridge
IPC分类号： A61B17/285 , A61B17/3209 , A61B17/295 , A61B18/08 , A61B18/14 , A61B17/32 , A61B18/12 , A61B17/00 , A61B18/00
CPC分类号： A61B18/1445 , A61B17/320092 , A61B18/1206 , A61B2017/00026 , A61B2017/0003 , A61B2017/00973 , A61B2017/320088 , A61B2018/00589 , A61B2018/00601 , A61B2018/00875
摘要： In one general aspect, various embodiments are directed to a surgical instrument that can supply mechanical energy and electrical energy to an end effector of the surgical instrument. The surgical instrument comprises an ultrasonic generator module coupled to an ultrasonic drive system, which comprises an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide. The ultrasonic drive system is configured to resonate mechanically at a resonant frequency to generate a first ultrasonic drive signal. An electronic circuit is coupled to the ultrasonic generator module to monitor an electrical characteristic of the ultrasonic drive system. A processor is coupled to the electronic circuit to control the ultrasonic drive signal in response to the monitored electrical characteristic of the ultrasonic drive system.
摘要翻译：在一个一般方面，各种实施例涉及可以向外科器械的末端执行器提供机械能和电能的手术器械。外科器械包括耦合到超声波驱动系统的超声发生器模块，该超声波发生器模块包括耦合到波导的超声波换能器和耦合到波导的端部执行器。超声波驱动系统被配置为以共振频率机械谐振以产生第一超声波驱动信号。电子电路耦合到超声波发生器模块以监测超声波驱动系统的电特性。处理器耦合到电子电路以响应于超声波驱动系统的监测电特性来控制超声波驱动信号。

20. 发明授权

US08779648B2 Ultrasonic device for cutting and coagulating with stepped output 有权
标题翻译：超声波设备，用于带有阶梯式输出的切割和凝结
公开(公告)号：US08779648B2
公开(公告)日：2014-07-15
申请号：US13584020
申请日：2012-08-13
申请人： James R. Giordano , Robert J. Beetel, III , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
发明人： James R. Giordano , Robert J. Beetel, III , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
IPC分类号： H01L41/09
CPC分类号： A61B17/320092 , A61B5/0538 , A61B5/4836 , A61B5/6847 , A61B2017/00026 , A61B2017/00146 , A61B2017/00176 , A61B2018/00303 , A61B2018/00875 , B06B1/0284 , B06B2201/76
摘要： Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer in a surgical instrument. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal. The first drive signal is different from the second drive signal. The first and second drive signals define a step function waveform. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide. The ultrasonic drive system resonates at a resonant frequency. The apparatus comprises an ultrasonic drive system coupled to a generator.
摘要翻译：各种实施例涉及用于驱动耦合到外科器械中的超声换能器的末端执行器的装置，系统和方法。该方法包括通过耦合到超声波驱动系统的发生器产生第一超声波驱动信号，利用第一超声波驱动信号致动超声换能器，由发生器产生第二超声波驱动信号，以及利用第二超声波驱动器致动超声换能器信号。第一驱动信号与第二驱动信号不同。第一和第二驱动信号定义阶跃函数波形。该系统包括耦合到超声波仪器的发生器。超声波仪器包括超声波驱动系统，其包括耦合到波导的超声换能器和耦合到波导的末端执行器。超声波驱动系统以共振频率谐振。该装置包括耦合到发电机的超声波驱动系统。

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