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21. 发明授权

US08882792B2 Ultrasonic surgical apparatus with silicon waveguide 有权
标题翻译：超声波手术器械与硅波导
公开(公告)号：US08882792B2
公开(公告)日：2014-11-11
申请号：US12857399
申请日：2010-08-16
申请人： Timothy G. Dietz , Foster B. Stulen , William A. Olson , Kevin L. Houser , William D. Dannaher , John W. Willis , Sora Rhee
发明人： Timothy G. Dietz , Foster B. Stulen , William A. Olson , Kevin L. Houser , William D. Dannaher , John W. Willis , Sora Rhee
IPC分类号： A61B17/32 , A61N7/00 , A61B17/225 , A61B17/30
CPC分类号： A61N7/00 , A61B17/320068 , A61B2017/22015 , A61B2017/2253 , A61B2017/306 , A61B2017/320098 , A61N2007/0034 , A61N2007/0078 , A61N2007/0082 , B06B3/00
摘要： Ultrasound surgical apparatus are disclosed, including: medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal guide members for control of focal point depth; medical ultrasound handpieces with proximally mounted ultrasound radiators configured to create a distally-focused beam of ultrasound energy, in combination with distal rolling members for manipulability and control of focal point depth; medical ultrasound handpiece assemblies with coupled end effectors providing a probe with a probe dilation region configured to have an average outside diameter that is equal to or greater than the average outside diameter of a probe tip and neck; as well as junctions to an ultrasonically inactive probe sheath; medical ultrasound handpiece assemblies with coupled end effectors having positionable, ultrasonically inactive probe sheath ends slidably operable to both cover and expose at least a probe tip; and ultrasound transducer cores including a transducing structure affixed to a longitudinally elongated, generally planar, single crystal or polycrystalline material waveguide.
摘要翻译：公开了超声手术装置，包括：具有近端安装的超声波辐射器的医疗超声手机，其被配置为产生远端聚焦的超声能量束，与用于控制焦点深度的远端引导构件组合; 具有近端安装的超声波辐射器的医疗超声手机被配置为创建远端聚焦的超声能量束，与用于可操纵性和控制焦点深度的远侧滚动构件组合; 具有耦合端部执行器的医用超声手持组件，其提供具有构造成具有等于或大于探针尖端和颈部的平均外径的平均外径的探针扩张区域的探针; 以及到超声波无活性的探针鞘的接合处; 具有耦合端部执行器的医疗超声手持组件具有可定位的超声波无源探针护套端部，其可滑动地可操作以覆盖和暴露至少一个探针尖端; 以及超声换能器芯，包括固定在纵向细长的，大致平面的单晶或多晶材料波导上的换能结构。

22. 发明授权

US08795276B2 Electrosurgical instrument employing a plurality of electrodes 有权
标题翻译：电外科器械采用多个电极
公开(公告)号：US08795276B2
公开(公告)日：2014-08-05
申请号：US12797305
申请日：2010-06-09
申请人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00619 , A61B2018/0063 , A61B2018/124 , A61B2018/1455
摘要： An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. The second jaw can comprise a first electrode and a second electrode while the first jaw can comprise an opposing electrode positioned opposite the first electrode and the second electrode when the jaws are in their closed position. The first and second electrodes can be independently and/or sequentially operated in order to conduct current between the first and second electrodes and opposing electrode in order to draw the tissue positioned between the first and second jaws toward the center of the first and second jaws and weld the tissue. In various other embodiments, other firing sequences of the electrodes are contemplated. During and/or after such tissue welding processes, a cutting member can be advanced to cut the tissue.
摘要翻译：电外科手术器械可以包括手柄和末端执行器，其中末端执行器可以包括第一和第二钳口，其可以打开和关闭以在其间捕获组织。第二钳口可以包括第一电极和第二电极，而当钳口处于其闭合位置时，第一钳口可以包括与第一电极相对定位的对置电极和第二电极。第一和第二电极可以独立地和/或顺序地操作，以便在第一和第二电极和相对的电极之间传导电流，以便将位于第一和第二钳口之间的组织朝向第一和第二钳口的中心抽取，并且焊接组织。在各种其他实施例中，预期电极的其它点火序列。在这种组织焊接过程中和/或之后，切割构件可被推进以切割组织。

23. 发明申请

US20120136407A1 INCONTINENCE TREATMENT WITH URETHRAL GUIDE 审中-公开
标题翻译：使用URETHRAL指南的不良治疗
公开(公告)号：US20120136407A1
公开(公告)日：2012-05-31
申请号：US13368857
申请日：2012-02-08
申请人： James B. Presthus , Timothy G. Dietz , Stanley Levy, JR. , F. Allen House , Steven H. Trebotich , Abdul M. Tayeb , Oren A. Mosher , George L. Matlock , Terry E. Spraker , Daniel D. Merrick
发明人： James B. Presthus , Timothy G. Dietz , Stanley Levy, JR. , F. Allen House , Steven H. Trebotich , Abdul M. Tayeb , Oren A. Mosher , George L. Matlock , Terry E. Spraker , Daniel D. Merrick
IPC分类号： A61N1/372
CPC分类号： A61B5/1076 , A61B5/01 , A61B5/202 , A61B17/22004 , A61B17/2202 , A61B17/42 , A61B18/1485 , A61B50/30 , A61B90/11 , A61B2017/00805 , A61B2018/00523 , A61B2034/2051 , A61B2090/062 , A61F2/0022
摘要： Incontinence systems and methods for directing treatment to a target tissue of a patient comprise a guide having a first palpation member and a probe body having a treatment zone and a second palpation member. The guide is configured to be inserted into a urethra of the patient. The first palpation member is positioned in a fixed relationship to an anatomical landmark, such as a bladder neck. The probe body is configured to be inserted into a vagina of the patient. The second palpation member is registered proximal the first palpation member so as to position the treatment zone of the probe adjacent the target tissue of the patient and away from the nerves and/or tissues in the area of the bladder neck and bladder.
摘要翻译：用于将治疗指导到患者的靶组织的不连续系统和方法包括具有第一触诊构件和具有治疗区和第二触诊构件的探针体的引导件。引导件配置成插入患者的尿道。第一触诊部件被定位成与解剖标志物（例如膀胱颈部）固定的关系。探针体构造成插入到患者的阴道中。第二触诊构件被注册在第一触诊构件的近侧，以将探针的治疗区域邻近患者的目标组织并远离膀胱颈部和膀胱区域中的神经和/或组织。

24. 发明申请

US20120116379A1 Motor Driven Electrosurgical Device With Mechanical And Electrical Feedback 有权
标题翻译：电机驱动电外科装置机电反馈
公开(公告)号：US20120116379A1
公开(公告)日：2012-05-10
申请号：US13151481
申请日：2011-06-02
申请人： David C. Yates , Aron O. Zingman , Donna L. Korvick , John W. Willis , Ashvani K. Madan , Chad P. Boudreaux , Kevin L. Houser , Danius P. Silkaitis , William D. Dannaher , Foster B. Stulen , Timothy G. Dietz , Richard W. Timm , Robert J. Laird , Omar J. Vakharia , Gavin M. Monson , John V. Hunt
发明人： David C. Yates , Aron O. Zingman , Donna L. Korvick , John W. Willis , Ashvani K. Madan , Chad P. Boudreaux , Kevin L. Houser , Danius P. Silkaitis , William D. Dannaher , Foster B. Stulen , Timothy G. Dietz , Richard W. Timm , Robert J. Laird , Omar J. Vakharia , Gavin M. Monson , John V. Hunt
IPC分类号： A61B18/18
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 , 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 , 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： An electrosurgical device comprises an end effector, a cutting member, and en electromechanical driver. The end effector comprises a pair of jaws that clamp tissue. The jaws include electrodes that deliver RF energy to clamped tissue. The cutting member cuts tissue clamped between the jaws. The electromechanical driver drives the cutting member. A control module commands the electromechanical driver, and regulates the delivery of RF energy to the electrodes, based on a combination of user input and feedback signals from the electrodes and from the electromechanical driver. The device may provide tactile feedback to the user through the user input feature, based on a load encountered by the cutting member. The device may alert the user when the exterior of end effector makes incidental contact with tissue, to avoid inadvertently burning the tissue. The device may include a removable battery pack to power the electromechanical driver and the electrodes.
摘要翻译：电外科装置包括端部执行器，切割构件和机电驱动器。末端执行器包括夹持组织的一对钳口。钳口包括将RF能量提供给夹紧的组织的电极。切割构件切割夹在夹爪之间的组织。机电驱动器驱动切割构件。控制模块命令机电驱动器，并且基于来自电极和来自机电驱动器的用户输入和反馈信号的组合来调节对电极的RF能量的传递。该装置可以基于切割构件遇到的负载，通过用户输入特征向用户提供触觉反馈。当末端执行器的外部与组织偶然接触时，该装置可以警告用户，以避免无意中燃烧组织。该装置可以包括可拆卸的电池组，以为机电驱动器和电极提供动力。

25. 发明申请

US20120116367A1 MEDICAL DEVICE USAGE DATA PROCESSING 有权
标题翻译：医疗设备使用数据处理
公开(公告)号：US20120116367A1
公开(公告)日：2012-05-10
申请号：US13276725
申请日：2011-10-19
申请人： Kevin L. Houser , Foster B. Stulen , Timothy G. Dietz , John W. Willis , Donna L. Korvick , Ashvani K. Madan , Aron O. Zingman
发明人： Kevin L. Houser , Foster B. Stulen , Timothy G. Dietz , John W. Willis , Donna L. Korvick , Ashvani K. Madan , Aron O. Zingman
IPC分类号： A61B17/00
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 , 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 , 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 handle assembly having a lower portion with a hingedly attached end piece. When open, the end piece allows for receipt of a data card in a lower portion aperture. When closed, the end piece covers the aperture. In another version, the aperture is configured to receive a data card and battery pack assembly. Information is readable from and to the data card to measure a number of minutes the instrument was used during a procedure. Such information is communicated via wired or wireless communication to another device to determine a payment for the number of minutes used. Minutes are buyable from the device and writable onto the data card prior to insertion of the card into the instrument. In another version, a testing sequence is used in saline or via a tissue proxy to test the functionality of an instrument prior to a procedure.
摘要翻译：手术器械包括手柄组件，该手柄组件具有带有铰接连接的端件的下部。当打开时，端件允许在下部孔中接收数据卡。当封闭时，端部件覆盖孔。在另一个版本中，孔被配置为接收数据卡和电池组组件。信息可以从数据卡读取并传输到数据卡，以测量仪器在程序中使用的分钟数。这样的信息通过有线或无线通信传送到另一设备以确定所用分钟数的支付。在将卡插入仪器之前，分钟可从设备购买并可写入数据卡。在另一个版本中，在生理盐水或组织代谢中使用测试序列来测试仪器在程序之前的功能。

26. 发明申请

US20120110824A1 Medical Device Packaging With Window For Insertion Of Reusable Component 有权
标题翻译：医疗器械包装与窗口插入可重复使用的组件
公开(公告)号：US20120110824A1
公开(公告)日：2012-05-10
申请号：US13151509
申请日：2011-06-02
申请人： Bret W. Smith , David N. Plescia , Michael J. Stokes , Sora Rhee , Timothy G. Dietz , Kevin D. Felder , Jeffrey L. Aldridge , Emmanuel V. Tanghal
发明人： Bret W. Smith , David N. Plescia , Michael J. Stokes , Sora Rhee , Timothy G. Dietz , Kevin D. Felder , Jeffrey L. Aldridge , Emmanuel V. Tanghal
IPC分类号： B23Q3/00 , B25B27/14
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 , 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 , 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 system for inserting components into a medical device includes a container and an attachment member. The attachment member is coupled to a sidewall having an opening and is configured to be coupled to a medical device. Utilizing the attachment member and opening, an insertable component may be inserted into a medical device within the container while limiting the risk of contamination to the interior of the container. Alternatively, a cutting knob and an alignment member mounted to a container may be used. Cutting knob and alignment member are coupled and a knife on cutting knob is rotated about alignment member to create an opening in the container to access the interior of the medical device. Another alternative includes sandwiching an insertable component between an attachable member and the medical device while the attachable member and medical device are contained within flexible packaging that may be torn away.
摘要翻译：用于将部件插入医疗装置的系统包括容器和附接构件。附接构件联接到具有开口的侧壁，并且构造成联接到医疗装置。利用附接构件和开口，可插入部件可以插入到容器内的医疗装置中，同时限制容器内部污染的风险。或者，可以使用安装到容器上的切割旋钮和对准构件。切割旋钮和校准构件联接，并且切割旋钮上的刀旋转约定位构件，以在容器中形成开口，以进入医疗装置的内部。另一替代方案包括将可插入部件夹在可连接构件和医疗装置之间，同时可附接构件和医疗装置容纳在可能被撕开的软包装内。

27. 发明申请

US20120101488A1 SURGICAL INSTRUMENT WITH MAGNETIC CLAMPING FORCE 有权
标题翻译：具有磁力夹持力的手术仪器
公开(公告)号：US20120101488A1
公开(公告)日：2012-04-26
申请号：US12911943
申请日：2010-10-26
申请人： Jeffrey L. Aldridge , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Timothy G. Dietz , Raymond M. Banks
发明人： Jeffrey L. Aldridge , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Timothy G. Dietz , Raymond M. Banks
IPC分类号： A61B18/18 , A61B17/29
CPC分类号： A61B17/29 , A61B18/1445 , A61B2017/00017 , A61B2017/00876 , A61B2017/2932 , A61B2018/00196 , A61B2018/00607 , A61B2018/0063 , A61B2018/1412
摘要： A surgical instrument comprising an end effector, the end effector comprising first and second opposing jaw members, wherein at least one of the first and second jaw members are moveable such that the first and second jaw members are transitionable between open and closed positions. The first jaw member may comprise a permanent magnet. The second jaw member may also comprise a magnet (e.g., permanent or soft). The magnetic motive force between the magnets of the first and second jaw members may attract each other to thereby reduce the external force required to transition the first and second jaw members to the closed position. In addition, the magnets may be configured to repeal each other to thereby aid in opening the jaw members.
摘要翻译：包括末端执行器的外科器械，所述端部执行器包括第一和第二相对的钳口构件，其中所述第一和第二钳口构件中的至少一个可移动，使得所述第一和第二钳口构件在打开位置和闭合位置之间是可转换的。第一钳口构件可以包括永磁体。第二钳口构件还可以包括磁体（例如，永久的或软的）。第一和第二钳口构件的磁体之间的磁动力可以彼此吸引，从而减小将第一和第二钳口构件转换到关闭位置所需的外力。此外，磁体可以被配置为相互废除，从而有助于打开钳口构件。

28. 发明申请

US20120012638A1 SURGICAL INSTRUMENTS WITH ELECTRODES 有权
标题翻译：带电极的手术仪器
公开(公告)号：US20120012638A1
公开(公告)日：2012-01-19
申请号：US12836383
申请日：2010-07-14
申请人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
发明人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/0643 , A61B17/07207 , A61B17/1114 , A61B17/1155 , A61B18/1445 , A61B2017/0647 , A61B2017/320052
摘要： An end-effector assembly configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw and a second jaw comprising a staple cavity. At least one of the first jaw and the second jaw is movable relative to the other jaw. The end-effector assembly comprises a staple removably positioned within the staple cavity and an electrically-conductive driver configured to move the staple between a first stored position in which the staple is at least partially positioned within the staple cavity and a second position in which the staple is at least partially deployed from the staple cavity into tissue positioned intermediate the first jaw and the second jaw. The staple comprises an electrode.
摘要翻译：构造成附接到手术器械的端部执行器组件。末端执行器组件包括第一钳口和包括钉腔的第二钳口。第一钳口和第二钳口中的至少一个相对于另一个钳口可移动。末端执行器组件包括可拆卸地定位在缝合腔内的缝合线和导电的驱动器，该导电驱动器被配置成在第一存储位置和第二位置之间移动订书钉，第一存储位置至少部分地定位在缝合钉腔内，订书针至少部分地从缝钉放置到位于第一颚和第二颚之间的组织中。订书钉包括电极。

29. 发明申请

US20110306968A1 HEAT MANAGEMENT CONFIGURATIONS FOR CONTROLLING HEAT DISSIPATION FROM ELECTROSURGICAL INSTRUMENTS 有权
标题翻译：用于控制静电放电加热器的热管理配置
公开(公告)号：US20110306968A1
公开(公告)日：2011-12-15
申请号：US12797866
申请日：2010-06-10
申请人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/32 , A61B18/1482 , A61B2018/00005 , A61B2018/00011 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00047 , A61B2018/00619 , A61B2018/0063 , A61B2018/1412 , A61B2018/1452 , A61B2018/1455 , A61B2018/1472 , A61B2218/002
摘要： In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.
摘要翻译：在各种实施例中，提供了可以包括用于在组织上执行外科手术的端部执行器的外科器械。末端执行器可以包括至少一个能量输送表面和用于从末端执行器的至少一部分散热的散热装置。例如，在至少一个实施例中，端部执行器可以包括第一钳口，第二钳口和切割构件。切割构件可以包括切割表面和主体，其可以限定空腔和与空腔连通的至少一个开口。流体可以通过空腔移动到和/或从开口移动。另外，在至少一个实施例中，手术器械的末端执行器可以包括第一钳口，第二钳口，切割构件和至少一个热管。还公开了各种其它散热装置。

30. 发明申请

US20110306966A1 ELECTROSURGICAL INSTRUMENT EMPLOYING A PLURALITY OF ELECTRODES 有权
标题翻译：使用多种电极的电磁仪器
公开(公告)号：US20110306966A1
公开(公告)日：2011-12-15
申请号：US12797305
申请日：2010-06-09
申请人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00619 , A61B2018/0063 , A61B2018/124 , A61B2018/1455
摘要： An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. The second jaw can comprise a first electrode and a second electrode while the first jaw can comprise an opposing electrode positioned opposite the first electrode and the second electrode when the jaws are in their closed position. The first and second electrodes can be independently and/or sequentially operated in order to conduct current between the first and second electrodes and opposing electrode in order to draw the tissue positioned between the first and second jaws toward the center of the first and second jaws and weld the tissue. In various other embodiments, other firing sequences of the electrodes are contemplated. During and/or after such tissue welding processes, a cutting member can be advanced to cut the tissue.
摘要翻译：电外科手术器械可以包括手柄和末端执行器，其中末端执行器可以包括第一和第二钳口，其可以打开和关闭以在其间捕获组织。第二钳口可以包括第一电极和第二电极，而当钳口处于其闭合位置时，第一钳口可以包括与第一电极相对定位的对置电极和第二电极。第一和第二电极可以独立地和/或顺序地操作，以便在第一和第二电极和相对的电极之间传导电流，以便将位于第一和第二钳口之间的组织朝向第一和第二钳口的中心抽取，并且焊接组织。在各种其他实施例中，预期电极的其它点火序列。在这种组织焊接过程中和/或之后，切割构件可被推进以切割组织。

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