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71. 发明申请

US20110251612A1 ELECTROSURGICAL CUTTING AND SEALING INSTRUMENTS WITH CAM-ACTUATED JAWS 有权
标题翻译：电动切割和密封仪器与CAM执行的JAWS
公开(公告)号：US20110251612A1
公开(公告)日：2011-10-13
申请号：US12758253
申请日：2010-04-12
申请人： Craig N. Faller , Matthew C. Miller , Omar J. Vakharia , Robert J. Laird , Gavin M. Monson , John V. Hunt , Richard W. Timm , David A. Witt , Zhifan F. Huang , Timothy G. Dietz , Jeffrey L. Aldridge , Mary E. Mootoo , Raymond M. Banks , Frederick E. Shelton, IV
发明人： Craig N. Faller , Matthew C. Miller , Omar J. Vakharia , Robert J. Laird , Gavin M. Monson , John V. Hunt , Richard W. Timm , David A. Witt , Zhifan F. Huang , Timothy G. Dietz , Jeffrey L. Aldridge , Mary E. Mootoo , Raymond M. Banks , Frederick E. Shelton, IV
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1447 , A61B2018/00083 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455 , A61B2018/1467
摘要： Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.
摘要翻译：各种实施例涉及包括轴和端部执行器的外科器械。轴可以联接到手柄并且可以沿着纵向轴线向远侧延伸。末端执行器可以定位在轴的远端，并且可以包括第一和第二钳口构件和往复运动构件。第一和第二钳口构件可以限定第一和第二纵向槽。一个或两个钳口构件可相对于另一个枢转点枢转。往复运动构件可以在远侧和近侧平行于纵向轴线并通过第一和第二纵向狭槽平移。往复运动构件的远侧部分可以限定一个叶片。该仪器可以包括一个可以向远端平移的外套管，以在第一和第二钳口构件的一部分上施加力，以便关闭第一和第二钳口构件。

72. 发明授权

US07959555B2 Method and device for deployment of a sub-pericardial sack 有权
标题翻译：用于部署心包心包的方法和装置
公开(公告)号：US07959555B2
公开(公告)日：2011-06-14
申请号：US12578280
申请日：2009-10-13
申请人： Timothy G. Dietz , Eugene L. Timperman
发明人： Timothy G. Dietz , Eugene L. Timperman
IPC分类号： A61F2/00
CPC分类号： A61F2/2481 , A61F2002/2484
摘要： Various methods and devices for deploying a sub-pericardial sack about at least a portion of a heart to alleviate congestive heart failure. A medical device housing the sub-pericardial sack is inserted into the pericardial sack. An inverted umbrella framework is deployed through the medical device and into the pericardial sack to position the sub-pericardial sack adjacent the heart. The umbrella framework is then retracted through the medical device once the cardiac assist device is placed adjacent the heart. A steerable catheter can instead be deployed through the pericardial sack to deploy and position a cardiac assist device, such as a mesh, around the heart. The steerable catheter is covered by a sheath housing the cardiac assist device. Once the sheath is pulled back, the cardiac assist device is deployed and secured adjacent the heart. Filaments or tensions wires are used to tighten the mesh around the heart.
摘要翻译：用于部署围绕心脏的至少一部分的心包心包以减轻充血性心力衰竭的各种方法和装置。容纳心包心包的医疗装置插入心包中。通过医疗装置部署一个倒置的伞形框架，并将其放入心包中，将心包旁边的心包放置在心脏附近。一旦将心脏辅助装置放置在心脏附近，则伞形框架然后通过医疗装置缩回。可引导导管可以通过心包进行部署，以在心脏周围部署和定位心脏辅助装置，例如网状物。可导向的导管由容纳心脏辅助装置的护套覆盖。一旦护套被拉回，心脏辅助装置被部署并固定在心脏附近。长丝或紧张线用于收紧心脏周围的网状物。

73. 发明授权

US07693567B2 MRI biopsy apparatus incorporating a sleeve and multi-function obturator 有权
标题翻译：包括套管和多功能闭孔器的MRI活检装置
公开(公告)号：US07693567B2
公开(公告)日：2010-04-06
申请号：US11103718
申请日：2005-04-12
申请人： Mark Tsonton , Timothy G. Dietz , John A. Hibner , Jessica M. Pyzoha , Michael J. Andreyko , Keshava Datta , Michael A. Murray
发明人： Mark Tsonton , Timothy G. Dietz , John A. Hibner , Jessica M. Pyzoha , Michael J. Andreyko , Keshava Datta , Michael A. Murray
IPC分类号： A61B5/05 , A61B10/00
CPC分类号： A61B10/02 , A61B5/055 , A61B5/0555 , A61B10/0041 , A61B10/0233 , A61B10/0275 , A61B10/0283 , A61B17/3403 , A61B17/3417 , A61B17/3421 , A61B90/11 , A61B90/17 , A61B2010/0208 , A61B2010/0225 , A61B2017/00477 , A61B2017/00796 , A61B2017/00911 , A61B2017/3411 , A61B2090/034 , A61B2090/036 , A61B2090/374 , A61B2090/3908 , A61B2090/3933 , A61B2090/3954 , A61B2090/3987
摘要： A localization mechanism, or fixture, is used in conjunction with a breast coil for breast compression and for guiding a core biopsy instrument during prone biopsy procedures in both open and closed Magnetic Resonance Imaging (MRI) machines. The localization fixture includes a three-dimensional Cartesian positionable guide for supporting and orienting an MRI-compatible biopsy instrument, and in particular a sleeve, to a biopsy site of suspicious tissues or lesions. A depth stop enhances accurate insertion, and prevents over-insertion or inadvertent retraction of the sleeve. The sleeve receives a probe of the MRI-compatible biopsy instrument and may contain various features to enhance its imagability, to enhance vacuum and pressure assist therethrough, and marker deployment etc.
摘要翻译：定位机构或夹具与乳房线圈一起用于乳房压缩，并用于在开放和闭合的磁共振成像（MRI）机器中的易行活检过程中引导核心活检仪器。定位固定装置包括一个三维笛卡尔定位指南，用于支持和定向MRI兼容的活检仪器，特别是套筒，用于可疑组织或病变的活检部位。深度限位器可以提高精确的插入，并防止套筒的过度插入或无意的收回。袖子接受MRI兼容活检器械的探头，并且可以包含各种特征以增强其成像能力，以增强通过其中的真空和压力辅助以及标记部署等。

74. 发明授权

US06751507B2 Endopelvic fascia treatment for incontinence 有权
标题翻译： endopelvic筋膜治疗失禁
公开(公告)号：US06751507B2
公开(公告)日：2004-06-15
申请号：US09901796
申请日：2001-07-09
申请人： George A. Morrison , Garry L. Carter , Timothy G. Dietz
发明人： George A. Morrison , Garry L. Carter , Timothy G. Dietz
IPC分类号： A61F200
CPC分类号： A61B5/202 , A61B5/205 , A61B18/1482 , A61B18/1485 , A61B2018/00011 , A61B2018/00023 , A61B2018/00517 , A61B2018/00523 , A61B2018/00714 , A61B2018/00791
摘要： Methods, devices, and systems for treating the support structures of the body, particularly for incontinence, take advantage of two mechanisms to enhance the support provided by the fascia, ligaments and tendons: first, the invention increases a modulus of elasticity of these tissues, and particularly of the fascial tissues. The increase in modulus can be effected by directing sufficient energy to the fascial tissue so as to promote the formation of scar tissue. The second mechanism attaches tissue planes together, often by directing energy to an interface between adjacent fascial tissues.
摘要翻译：用于治疗身体的支撑结构，特别是用于失禁的方法，装置和系统利用两种机制来增强由筋膜，韧带和腱提供的支撑：首先，本发明增加这些组织的弹性模量，特别是筋膜组织。模量的增加可以通过将足够的能量引导到筋膜组织来实现，从而促进瘢痕组织的形成。第二种机制通常将组织平面连接在一起，通过将能量引导到相邻筋膜组织之间的界面。

75. 发明授权

US06533780B1 Ribbed electrodes and methods for their use 有权
标题翻译：罗纹电极及其使用方法
公开(公告)号：US06533780B1
公开(公告)日：2003-03-18
申请号：US09925501
申请日：2000-10-23
申请人： Robert J. Laird , Frank W. Ingle , Garry L. Carter , Timothy G. Dietz
发明人： Robert J. Laird , Frank W. Ingle , Garry L. Carter , Timothy G. Dietz
IPC分类号： A61B1818
CPC分类号： A61B18/1485 , A61B18/1815 , A61B2017/00084 , A61B2017/003 , A61B2018/00011 , A61B2018/00023 , A61B2018/0016 , A61B2018/0022 , A61B2018/00517 , A61B2018/00523 , A61B2018/00553 , A61B2018/00601 , A61B2018/00654 , A61B2018/00791 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1467 , A61B2018/1472 , A61B2090/3782 , A61B2218/002 , A61N7/02
摘要： The invention provides improved devices, methods, and systems for shrinking of collagenous tissues, particularly for treating urinary incontinence in a noninvasive manner by directing energy to a patient's own support tissues. This energy gently heats fascia and other collagenous support tissues, causing them to contract. The energy will preferably be applied between a pair of large plate electrodes having cooled flat electrode surfaces separated by an insulating rib or film. Such cooled plate electrodes are capable of directing electrical energy through an intermediate tissue and into fascia while the cooled electrode surface prevents injury to the intermediate tissue.
摘要翻译：本发明提供用于收缩胶原组织的改进的装置，方法和系统，特别是通过将能量引导到患者自己的支撑组织以非侵入性方式治疗尿失禁。这种能量轻轻地加热筋膜和其他胶原支持组织，导致它们收缩。能量将优选地施加在具有由绝缘肋或膜分隔的冷却的平坦电极表面的一对大板电极之间。这样的冷却板电极能够将电能引导通过中间组织并进入筋膜，同时冷却的电极表面防止对中间组织的损伤。

76. 发明授权

US06292700B1 Endopelvic fascia treatment for incontinence 有权
标题翻译： endopelvic筋膜治疗失禁
公开(公告)号：US06292700B1
公开(公告)日：2001-09-18
申请号：US09413100
申请日：1999-10-06
申请人： George A. Morrison , Garry L. Carter , Timothy G. Dietz
发明人： George A. Morrison , Garry L. Carter , Timothy G. Dietz
IPC分类号： A61F712
CPC分类号： A61B5/202 , A61B5/205 , A61B18/1482 , A61B18/1485 , A61B2018/00011 , A61B2018/00023 , A61B2018/00517 , A61B2018/00523 , A61B2018/00714 , A61B2018/00791
摘要： Methods, devices, and systems for treating the support structures of the body, particularly for incontinence, take advantage of two mechanisms to enhance the support provided by the fascia, ligaments and tendons: first, the invention increases a modulus of elasticity of these tissues, and particularly of the fascial tissues. The increase in modulus can be effected by directing sufficient energy to the fascial tissue so as to promote the formation of scar tissue. The second mechanism attaches tissue planes together, often by directing energy to an interface between adjacent fascial tissues.
摘要翻译：用于治疗身体的支撑结构，特别是用于失禁的方法，装置和系统利用两种机制来增强由筋膜，韧带和腱提供的支撑：首先，本发明增加这些组织的弹性模量，特别是筋膜组织。模量的增加可以通过将足够的能量引导到筋膜组织来实现，从而促进瘢痕组织的形成。第二种机制通常将组织平面连接在一起，通过将能量引导到相邻筋膜组织之间的界面。

77. 发明授权

US09114245B2 Ultrasonic surgical apparatus and methods for use thereof 有权
标题翻译：超声波手术器械及其使用方法
公开(公告)号：US09114245B2
公开(公告)日：2015-08-25
申请号：US12857373
申请日：2010-08-16
申请人： Timothy G. Dietz , Foster B. Stulen , William A. Olson
发明人： Timothy G. Dietz , Foster B. Stulen , William A. Olson
IPC分类号： A61N7/00 , B06B3/00 , A61B17/32 , 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。

78. 发明授权

US08888776B2 Electrosurgical instrument employing an electrode 有权
标题翻译：电外科仪器采用电极
公开(公告)号：US08888776B2
公开(公告)日：2014-11-18
申请号：US12797207
申请日：2010-06-09
申请人： Timothy G. Dietz , David A. Witt , Jeffrey L. Aldridge , Zhifan F. Huang , Mary E. Mootoo , Raymond M. Banks
发明人： Timothy G. Dietz , David A. Witt , Jeffrey L. Aldridge , Zhifan F. Huang , Mary E. Mootoo , Raymond M. Banks
IPC分类号： A61B18/18 , A61B18/14 , A61B18/00
CPC分类号： A61B18/1445 , A61B2018/00065 , A61B2018/00077 , A61B2018/00083 , A61B2018/0063 , 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 in order to capture tissue therebetween. In various embodiments, the first and second jaws can comprise one or more electrodes configured to apply a voltage across the tissue, wherein at least one of the electrodes can comprise a conductive material positioned within a non-conductive, or high-resistance, material. In use, current flowing through the conductive material can heat the conductive material and cause it to evaporate and leave behind the non-conductive material. In such circumstances, the current flowing through the electrode may cease or may be substantially reduced.
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可以打开和关闭的第一和第二钳口，以便在其间捕获组织。在各种实施例中，第一和第二钳口可以包括被配置为跨组织施加电压的一个或多个电极，其中至少一个电极可以包括位于非导电或高电阻材料内的导电材料。在使用中，流过导电材料的电流可以加热导电材料并使其蒸发并留下非导电材料。在这种情况下，流过电极的电流可能会停止或可能显着减少。

79. 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。

80. 发明申请

US20120022525A1 ELECTROSURGICAL INSTRUMENT WITH SEPARATE CLOSURE AND CUTTING MEMBERS 有权
标题翻译：具有独立闭合和切割构件的电磁仪器
公开(公告)号：US20120022525A1
公开(公告)日：2012-01-26
申请号：US12841480
申请日：2010-07-22
申请人： Timothy G. Dietz , Mary E. Mootoo , David A. Witt , Zhifan F. Huang
发明人： Timothy G. Dietz , Mary E. Mootoo , David A. Witt , Zhifan F. Huang
IPC分类号： A61B18/14 , A61B17/32
CPC分类号： A61B17/32 , A61B18/085 , A61B18/1445 , A61B34/76 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455
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 a pair of jaws, a closure beam, and a cutting member. The closure beam and the cutting member may be releasably coupled together by an interlocking member such that movement of the cutting member may cause the closure beam to also move relative to the jaws and cause the jaws to close and grip tissue, for example. The interlocking member may then unlock, allowing the cutting member to move through the gripped tissue and relative to the closure beam. Additionally, the cutting member and closure beam may be operated by a single trigger, which may be configured to provide haptic feedback to a user at various stages. Further, the jaws may be electrically energized to deliver energy and/or seal the gripped tissue.
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。端部执行器可以包括一对钳口，闭合梁和切割构件。闭合梁和切割构件可以通过互锁构件可释放地联接在一起，使得切割构件的运动可以使闭合梁相对于夹爪移动，并且使得夹爪例如闭合并夹紧组织。联锁构件然后可以解锁，允许切割构件移动通过夹持的组织和相对于封闭梁。另外，切割构件和闭合梁可以由单个触发器操作，该触发器可以被配置为在各个阶段向用户提供触觉反馈。此外，钳口可以被电通电以传递能量和/或密封被夹持的组织。

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