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51. 发明申请

US20120116395A1 SURGICAL INSTRUMENT WITH MODULAR SHAFT AND TRANSDUCER 有权
标题翻译：具有模块轴和传感器的外科仪器
公开(公告)号：US20120116395A1
公开(公告)日：2012-05-10
申请号：US13270684
申请日：2011-10-11
申请人： Ashvani K. Madan , John V. Hunt , Kevin L. Houser
发明人： Ashvani K. Madan , John V. Hunt , Kevin L. Houser
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 ultrasonic surgical device comprises a detachable transducer module, a handle, and a shaft assembly. The shaft assembly includes an end effector having a harmonic blade. The transducer module is removably coupled with the shaft assembly to form an active assembly. The active assembly is removably coupled with the handle. The handle may include a resilient wall structure that deflects outwardly to receive the active assembly in a snap fit. The handle may include a pivoting latch feature to selectively retain the active assembly relative to the handle.
摘要翻译：超声手术装置包括可拆卸的换能器模块，手柄和轴组件。轴组件包括具有谐波叶片的端部执行器。换能器模块可拆卸地与轴组件联接以形成有源组件。活动组件可移除地与手柄耦合。手柄可以包括弹性壁结构，其向外偏转以以卡扣配合接收活动组件。手柄可以包括枢转闩锁特征，以相对于手柄选择性地保持活动组件。

52. 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。

53. 发明申请

US20110196402A1 DUAL PURPOSE SURGICAL INSTRUMENT FOR CUTTING AND COAGULATING TISSUE 有权
标题翻译：用于切割和凝固组织的双目镜手术仪器
公开(公告)号：US20110196402A1
公开(公告)日：2011-08-11
申请号：US12703879
申请日：2010-02-11
申请人： Galen C. Robertson , Richard W. Timm , Kevin L. Houser , Sean P. Conlon , Aron O. Zingman
发明人： Galen C. Robertson , Richard W. Timm , Kevin L. Houser , Sean P. Conlon , Aron O. Zingman
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/3207 , A61B17/320783 , A61B2018/00589 , A61N7/00 , A61N7/022
摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that has an ultrasonic blade that protrudes from an ultrasonic transducer assembly. In some embodiments, the ultrasonic blade coaxially extends through a rotatable tissue cutting blade that is rotatably supported by a housing that supports the ultrasonic transducer assembly. In other embodiments, the ultrasonic blade and the tissue cutting blade are both selectively rotatable relative to the housing. In yet other embodiments, the tissue cutting blade and the ultrasonic blade are supported relative to each other in separate sheaths attached to the housing.
摘要翻译：在一个一般方面，各种实施例涉及具有从超声波换能器组件突出的超声波刀片的超声波手术器械。在一些实施例中，超声波刀片同轴地延伸通过可旋转的组织切割刀片，其由支撑超声换能器组件的壳体可旋转地支撑。在其他实施例中，超声波刀片和组织切割刀片都可以相对于壳体选择性地旋转。在其它实施例中，组织切割刀片和超声波刀片在附接到壳体的分离的护套中相对于彼此支撑。

54. 发明申请

US20110196287A1 METHODS OF USING ULTRASONICALLY POWERED SURGICAL INSTRUMENTS WITH ROTATABLE CUTTING IMPLEMENTS 有权
标题翻译：使用超声波切割刀具的超声波外科手术器械的方法
公开(公告)号：US20110196287A1
公开(公告)日：2011-08-11
申请号：US12703864
申请日：2010-02-11
申请人： Galen C. Robertson , Richard W. Timm , Daniel J. Mumaw , Foster B. Stulen , Gregory W. Johnson , Jerome R. Morgan , Kevin L. Houser , Kristi M. Bodin , Mark A. Neurohr , Prasanna Malaviya , Reginald D. Fortson , Sean P. Conlon , William S. Joachim, JR. , William D. Dannaher , Eitan T. Wiener
发明人： Galen C. Robertson , Richard W. Timm , Daniel J. Mumaw , Foster B. Stulen , Gregory W. Johnson , Jerome R. Morgan , Kevin L. Houser , Kristi M. Bodin , Mark A. Neurohr , Prasanna Malaviya , Reginald D. Fortson , Sean P. Conlon , William S. Joachim, JR. , William D. Dannaher , Eitan T. Wiener
IPC分类号： A61B17/32 , A61M37/00
CPC分类号： A61B17/320068
摘要： In one general aspect, various embodiments are directed to methods for treating tissue within an aqueous environment. Various methods may include introducing a cutting implement of a surgical instrument into the aqueous environment. The cutting implement may have at least one cutting surface thereon and at least one ultrasonic portion thereon and be selectively rotatable within a hollow sheath. The methods may include rotating or rotatably oscillating the cutting implement within the hollow sheath for tissue cutting purposes. The cutting implement may also be retained in a position wherein the ultrasonic portion of the cutting implement may be applied to tissue and then have ultrasonic motion applied thereto.
摘要翻译：在一个一般方面，各种实施方案涉及用于在水性环境中处理组织的方法。各种方法可以包括将外科器械的切割工具引入到水性环境中。切割工具可以在其上具有至少一个切割表面和其上的至少一个超声部分，并且可在中空护套内选择性地旋转。这些方法可以包括在中空护套内旋转或可旋转地摆动切割工具以用于组织切割目的。切割工具还可以保持在切割工具的超声部分可以施加到组织上并且随之施加超声波运动的位置。

55. 发明申请

US20110040213A1 Ultrasonic Surgical Apparatus with Silicon Waveguide 有权
标题翻译：超声波手术设备与硅波导
公开(公告)号：US20110040213A1
公开(公告)日：2011-02-17
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： A61N7/00
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疗超声手持组件，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。

56. 发明申请

US20100312063A1 METHODS AND DEVICES FOR ACCESSING A BODY CAVITY USING A SURGICAL ACCESS DEVICE WITH MODULAR SEAL COMPONENTS 有权
标题翻译：使用具有模块密封组件的手术访问装置来接近体腔的方法和装置
公开(公告)号：US20100312063A1
公开(公告)日：2010-12-09
申请号：US12479395
申请日：2009-06-05
申请人： Christopher J. Hess , Kyle P. Moore , Daniel H. Duke , Daniel J. Mumaw , Katherine J. Schmid , Michael S. Cropper , Jeffrey D. Messerly , William B. Weisenburgh, II , Jerome R. Morgan , Michael D. Cronin , Denzel Z. Herrera-Davis , Gregory W. Johnson , Kevin L. Houser , Frederick E. Shelton, IV
发明人： Christopher J. Hess , Kyle P. Moore , Daniel H. Duke , Daniel J. Mumaw , Katherine J. Schmid , Michael S. Cropper , Jeffrey D. Messerly , William B. Weisenburgh, II , Jerome R. Morgan , Michael D. Cronin , Denzel Z. Herrera-Davis , Gregory W. Johnson , Kevin L. Houser , Frederick E. Shelton, IV
IPC分类号： A61M29/00
CPC分类号： A61B17/3423 , A61B17/3462 , A61B2017/00287 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466 , A61B2017/3484 , A61B2017/3488
摘要： Methods and devices are provided for providing access through tissue to a surgical site. In one embodiment, a surgical access device can include a hollow tubular member and a modular seal member. The modular seal member can be configured to radially span a lumen of the tubular member and can be removably and replaceably matable to a portion of the tubular member. The access device can also include a plurality of access ports, each of which can be configured to mate with the modular seal member at a respective desired location.
摘要翻译：提供了用于提供通过组织进入外科手术部位的方法和装置。在一个实施例中，外科进入装置可以包括中空管状构件和模块化密封构件。模块化密封构件可以构造成径向跨越管状构件的内腔，并且可拆卸地且可更换地配合到管状构件的一部分。接入设备还可以包括多个接入端口，每个接入端口可被配置为在相应的期望位置处与模块化密封构件配合。

57. 发明申请

US20100228092A1 SURGICAL ACCESS DEVICES AND METHODS PROVIDING SEAL MOVEMENT IN PREDEFINED PATHS 有权
标题翻译：外科手术设备和方法提供密封运动在预定的PATHS
公开(公告)号：US20100228092A1
公开(公告)日：2010-09-09
申请号：US12399547
申请日：2009-03-06
申请人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
发明人： Mark S. Ortiz , David Martin , Matthew C. Miller , Mark J. Reese , Wells D. Haberstich , Carl Shurtleff , Charles J. Scheib , Frederick E. Shelton, IV , Jerome R. Morgan , Daniel Duke , Daniel J. Mumaw , Gregory Johnson , Kevin L. Houser
IPC分类号： A61B1/32
CPC分类号： A61B17/3423 , A61B17/0293 , A61B17/3462 , A61B2017/3445 , A61B2017/3449 , A61B2017/3466
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。

58. 发明申请

US20100023044A1 ULTRASONIC SURGICAL SHEARS AND TISSUE PAD FOR SAME 有权
标题翻译：超声外科手术刀和组织垫
公开(公告)号：US20100023044A1
公开(公告)日：2010-01-28
申请号：US12357846
申请日：2009-01-22
申请人： Kevin L. Houser , Sarah A. Noschang , Steven Neuenfeldt , Craig N. Faller , Jeffrey J. Vaitekunas
发明人： Kevin L. Houser , Sarah A. Noschang , Steven Neuenfeldt , Craig N. Faller , Jeffrey J. Vaitekunas
IPC分类号： A61B17/3201
CPC分类号： A61B17/320092 , A61B2017/00831 , A61B2017/2825
摘要： An ultrasonic-surgical-shears tissue pad has a tissue-pad body including a base material and at least one filler material. An alternate ultrasonic-surgical-shears tissue pad has a tissue-pad body having adjoining first and second regions, wherein the first region includes a first material and wherein the second region includes a second material. An ultrasonic surgical shears includes an ultrasonic surgical blade and a clamping arm which is operable to open and close toward the blade and which has a transversely and resiliently flexible distal tip. An alternate ultrasonic surgical shears includes an ultrasonic surgical blade, a clamping arm operable to open and close toward the blade, and a tissue pad attached to the clamping arm and having a clamping surface, wherein at least a portion of the tissue pad is resiliently flexible in a direction substantially perpendicular to the clamping surface.
摘要翻译：超声外科剪切组织垫具有包括基材和至少一种填充材料的组织垫体。替代的超声外科剪切组织垫具有具有邻接的第一和第二区域的组织垫体，其中第一区域包括第一材料，并且其中第二区域包括第二材料。超声手术剪刀包括超声手术刀片和夹持臂，其可操作以朝向刀片打开和关闭，并且具有横向和弹性柔性的远侧末端。替代的超声手术剪刀包括超声手术刀片，可操作以朝向刀片打开和关闭的夹持臂以及附接到夹持臂并具有夹紧表面的组织垫，其中组织垫的至少一部分具有弹性柔性在大致垂直于夹紧表面的方向上。

59. 发明授权

US07544200B2 Combination tissue pad for use with an ultrasonic surgical instrument 有权
标题翻译：组合垫用于超声波手术器械
公开(公告)号：US07544200B2
公开(公告)日：2009-06-09
申请号：US11246794
申请日：2005-10-07
申请人： Kevin L. Houser
发明人： Kevin L. Houser
IPC分类号： 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。

60. 发明申请

US20090030437A1 Surgical instruments 有权
标题翻译：手术器械
公开(公告)号：US20090030437A1
公开(公告)日：2009-01-29
申请号：US11881602
申请日：2007-07-27
申请人： Kevin L. Houser , Stephanie J. Muir , Daniel W. Price , William D. Boyd , Galen C. Robertson , Louis T. DeLuca , Michael J. O'Neil
发明人： Kevin L. Houser , Stephanie J. Muir , Daniel W. Price , William D. Boyd , Galen C. Robertson , Louis T. DeLuca , Michael J. O'Neil
IPC分类号： A61B17/32 , A61L2/00
CPC分类号： A61B17/320092 , A61B10/06 , A61B17/32002 , A61B17/32053 , A61B18/1442 , A61B2017/00115 , A61B2017/00128 , A61B2017/2944 , A61B2017/320008 , A61B2017/32004 , A61B2017/320064 , A61B2017/320072 , A61B2017/320078 , A61B2017/32008 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00642 , A61B2018/1452 , A61B2217/005 , A61B2560/02 , A61L2/07 , A61L2/081 , A61L2/082 , A61L2/087 , A61L2/206 , A61N7/00 , Y10T29/49716
摘要： A surgical device. The surgical device may comprise a transducer configured to provide vibrations along a longitudinal axis and an end effector coupled to the transducer and extending from the transducer along the longitudinal axis. The surgical device also may comprise a lower jaw extending parallel to the end effector. The lower jaw may comprise a clamp face extending toward the longitudinal axis. Also, the lower jaw may be slidable relative to the end effector to bring the clamp face toward a distal end of the end effector.
摘要翻译：手术器械。手术装置可以包括换能器，其构造成沿着纵向轴线提供振动，并且端部执行器耦合到换能器并且沿着纵向轴线从换能器延伸。手术装置还可以包括平行于端部执行器延伸的下颚。下钳口可以包括朝向纵向轴线延伸的夹紧面。而且，下颚可以相对于末端执行器滑动，以将夹紧面朝向末端执行器的远端。

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