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    • 21. 发明授权
    • Vessel sealer and divider
    • 容器密封器和分隔器
    • US07083618B2
    • 2006-08-01
    • US10116944
    • 2002-04-05
    • Gary M. CoutureLap P. NguyenKristin D. JohnsonMichael Moses
    • Gary M. CoutureLap P. NguyenKristin D. JohnsonMichael Moses
    • A61B18/12
    • A61B18/1445A61B2018/0013A61B2018/00345A61B2018/00404A61B2018/0063A61B2018/1412A61B2018/1455A61B2018/1861A61B2090/034
    • An endoscopic bipolar forceps for sealing and dividing tissue includes an elongated shaft having opposing jaw members at a distal end thereof which are 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 sealing surface having a non-stick coating disposed thereon which is designed to reduce tissue adherence. A source of electrical energy is connected to each jaw member such that the jaw members are capable of conducting energy through tissue held therebetween to effect a seal. A longitudinally reciprocating knife is included which severs tissue proximate the seal. The vessel sealer and divider also includes a non-conductive stop member disposed on the electrically conductive surface of one of the jaw members which controls the distance between the jaw members when tissue is held therebetween. A handle assembly is also included which is designed to maintain a closure pressure in the range of about 3 kg/cm2 to about 16 kg/cm2 between the electrically conductive sealing surfaces during sealing.
    • 用于密封和分割组织的内窥镜双极钳包括细长轴,其具有在其远端处的相对的钳口构件,其可以相对于彼此从第一位置移动,其中钳口构件相对于彼此以间隔开的关系设置到第二位置 其中所述钳口构件协作以在其间抓握组织。 每个钳口构件包括其上设置有不粘涂层的导电密封表面,其设计成减少组织粘附。 电能源连接到每个钳口构件,使得钳口构件能够通过保持在其间的组织传导能量以实现密封。 包括纵向往复刀,其切断密封附近的组织。 容器密封器和分隔器还包括设置在一个钳口构件的导电表面上的非导电止动构件,其在组织被夹持在其间时控制钳口构件之间的距离。 还包括手柄组件,其被设计成将封闭压力保持在导电密封件之间的约3kg / cm 2至约16kg / cm 2的范围内 密封期间的表面。
    • 22. 发明授权
    • Bipolar cutting end effector
    • 双极切割末端执行器
    • US09192427B2
    • 2015-11-24
    • US12399614
    • 2009-03-06
    • Kristin D. JohnsonGary M. Couture
    • Kristin D. JohnsonGary M. Couture
    • A61B18/18A61B18/04A61B18/14A61B18/00
    • A61B18/1402A61B2018/00601A61B2018/1412
    • An electrosurgical instrument for cutting tissue includes a blade assembly. The blade assembly includes a first electrode having a first pre-selected shape and a first distal edge, and a second electrode disposed in spaced relation relative to the first electrode. The second electrode includes a second pre-selected shape and a second distal edge, where the first distal edge and the second distal edge form an electrically conductive tissue cutting surface extending along the distal end of the instrument. The tissue cutting surface is adapted to connect to a source of electrosurgical energy such that the tissue cutting surface is capable of conducting electrosurgical energy through tissue adjacent thereto to effectively cut tissue.
    • 用于切割组织的电外科器械包括刀片组件。 刀片组件包括具有第一预选形状和第一远侧边缘的第一电极和相对于第一电极间隔设置的第二电极。 第二电极包括第二预选形状和第二远侧边缘,其中第一远侧边缘和第二远侧边缘形成沿仪器远端延伸的导电组织切割表面。 组织切割表面适于连接到电外科能量源,使得组织切割表面能够通过与其相邻的组织进行电外科能量以有效地切割组织。
    • 25. 发明申请
    • Laparoscopic Bipolar Electrosurgical Instrument
    • 腹腔镜双极电外科仪器
    • US20080215051A1
    • 2008-09-04
    • US12056488
    • 2008-03-27
    • Steven P. BuysseKate R. LawesDale F. SchmaltzMichael J. LandsS. Wade LukianowKristin D. JohnsonGary M. CoutureLap P. Nguyen
    • Steven P. BuysseKate R. LawesDale F. SchmaltzMichael J. LandsS. Wade LukianowKristin D. JohnsonGary M. CoutureLap P. Nguyen
    • A61B18/14
    • A61B18/1445
    • A laparoscopic bipolar electrosurgical instrument for sealing tissue includes a handle having an elongated tube affixed thereto. The tube includes first and second jaw members having electrically conductive sealing surfaces attached to a distal end thereof which are movable from a first position for approximating tissue to a second position for grasping tissue therebetween. The handle includes a fixed handle and a handle which is movable relative to the fixed handle to effect movement of the jaw members from the first position to the second position for grasping tissue. The jaw members connect to a source of electrosurgical energy such that the opposable sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A stop is included for maintaining a minimum separation distance between opposing sealing surfaces. A ratchet is also included to maintain a closure force in the range of about 7 kg/cm2 to about 13 kg/cm2 between opposing sealing surfaces.
    • 用于密封组织的腹腔镜双极电外科器械包括具有固定到其上的细长管的手柄。 管包括第一和第二钳口构件,其具有附接到其远端的导电密封表面,其可从用于近似组织的第一位置移动到用于抓握其间的组织的第二位置。 手柄包括固定手柄和手柄,该手柄可相对于固定手柄移动,以实现卡爪构件从第一位置到第二位置的移动,从而抓住组织。 钳口构件连接到电外科能量源,使得相对的密封表面能够通过保持在其间的组织进行电外科能量。 包括一个止动件,用于保持相对的密封表面之间的最小间隔距离。 还包括棘轮以在相对的密封表面之间保持约7kg / cm 2至约13kg / cm 2的范围内的闭合力。
    • 29. 发明授权
    • Electrosurgical instrument reducing current densities at an insulator conductor junction
    • 电外科仪器降低绝缘体导体结处的电流密度
    • US08267935B2
    • 2012-09-18
    • US11732556
    • 2007-04-04
    • Gary M. CoutureRobert M. SharpCraig Weinberg
    • Gary M. CoutureRobert M. SharpCraig Weinberg
    • A61B18/14
    • A61B18/1442A61B2017/0088A61B2017/2945A61B2018/00083A61B2018/00107A61B2018/1432
    • An electrosurgical instrument having opposing end effectors and a handle for effecting movement of the end effectors relative to one another, includes a pair of electrodes each including an electrically conductive surface (e.g., which can be dimensioned for sealing, clamping and/or cutting), an insulating substrate having a first edge, and an insulating layer positioned in a channel formed by the electrically conductive surface within the first edge between the conductive surface and the first edge of the insulating substrate. The insulating layer has a portion proximal to the electrically conductive surface and a portion distal from the electrically conductive surface and a gradient such that the proximal portion has a lower dielectric strength than the distal portion. A coating on one of the pair of electrodes may be disposed in at least partial non-vertical registration with a coating on the opposing one of the pair of electrodes.
    • 具有相对的末端执行器和用于实现端部执行器相对于彼此的移动的手术的电外科器械包括一对电极,每对电极包括导电表面(例如,其尺寸可用于密封,夹紧和/或切割) 具有第一边缘的绝缘基板和位于导电表面与绝缘基板的第一边缘之间的第一边缘内的由导电表面形成的通道中的绝缘层。 绝缘层具有靠近导电表面的部分和远离导电表面的部分,并且梯度使得近端部分具有比远端部分更低的介电强度。 一对电极中的一个上的涂层可以布置成与该对电极中相对的一个电极上的涂层至少部分非垂直配准。