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81. 发明授权

US10646220B2 Systems and methods for controlling displacement member velocity for a surgical instrument 有权
公开(公告)号：US10646220B2
公开(公告)日：2020-05-12
申请号：US15628162
申请日：2017-06-20
申请人： Ethicon LLC , Frederick E. Shelton, IV , David C. Yates , Jason L. Harris
发明人： Frederick E. Shelton, IV , David C. Yates , Jason L. Harris
IPC分类号： A61B17/068 , A61B18/14 , A61B17/11 , A61B17/072 , A61B17/16 , A61B90/00
摘要： A motorized surgical instrument is disclosed. The surgical instrument includes a displacement member movable between a first position and a second position to effect a motion at an end effector, a motor coupled to the displacement member, the motor configured to drive the displacement member between the first position and the second position, and a control circuit coupled to the motor. The control circuit is configured to receive a signal indicative of force from a sensor, the signal indicative of the force applied by a closure tube to the end effector, determine a closure force applied by the closure tube to the end effector; determine whether the closure force is within a threshold of an expected closure force, and set a motor velocity to drive the motor at a velocity that corresponds to the closure force relative to the expected force.

82. 发明授权

US09060776B2 Surgical generator for ultrasonic and electrosurgical devices 有权
标题翻译：手术发生器用于超声波和电外科装置
公开(公告)号：US09060776B2
公开(公告)日：2015-06-23
申请号：US12896470
申请日：2010-10-01
申请人： David C. Yates , Scott B. Killinger , Mark A. Davison , Gavin M. Monson
发明人： David C. Yates , Scott B. Killinger , Mark A. Davison , Gavin M. Monson
IPC分类号： A61B18/14 , A61B18/12 , A61B17/32 , A61B17/00 , A61B17/29 , A61B18/00
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： In accordance with various embodiments, methods for controlling electrical power provided to tissue via a surgical device may comprise providing a drive signal. A power of the drive signal may be proportional to a power provided to the tissue via the surgical device. The methods may also comprise periodically receiving indications of an impedance of the tissue and applying a first composite power curve to the tissue, wherein applying the first composite power curve to the tissue comprises. Applying the first composite power curve to the tissue may comprise modulating a first predetermined number of first composite power curve pulses on the drive signal; and for each of the first composite power curve pulses, determining a pulse power and a pulse width according to a first function of the impedance of the tissue The methods may also comprise applying a second composite power curve to the tissue. Applying the second composite power curve to the tissue may comprise modulating at least one second composite power curve pulse on the drive signal; and for each of the at least one second composite power curve pulses, determining a pulse power and a pulse width according to a second function of the impedance of the tissue.
摘要翻译：根据各种实施例，用于控制经由手术装置提供给组织的电功率的方法可包括提供驱动信号。驱动信号的功率可以与通过手术装置提供给组织的功率成比例。所述方法还可以包括周期性地接收组织阻抗的指示并向组织施加第一复合功率曲线，其中将第一复合功率曲线应用于组织包括。将第一复合功率曲线应用于组织可以包括调制驱动信号上的第一预定数量的第一复合功率曲线脉冲; 并且对于每个第一复合功率曲线脉冲，根据组织的阻抗的第一函数来确定脉冲功率和脉冲宽度。所述方法还可以包括向组织施加第二复合功率曲线。将第二复合功率曲线应用于组织可以包括调制驱动信号上的至少一个第二复合功率曲线脉冲; 并且对于所述至少一个第二复合功率曲线脉冲中的每一个，根据所述组织的阻抗的第二函数确定脉冲功率和脉冲宽度。

83. 发明授权

US08636736B2 Motorized surgical cutting and fastening instrument 有权
标题翻译：电动手术切割和紧固器械
公开(公告)号：US08636736B2
公开(公告)日：2014-01-28
申请号：US12031556
申请日：2008-02-14
申请人： David C. Yates , Frederick E. Shelton, IV
发明人： David C. Yates , Frederick E. Shelton, IV
IPC分类号： A61B18/18
CPC分类号： A61B17/07207 , A61B18/1445 , A61B18/1482 , A61B18/18 , A61B34/70 , A61B34/71 , A61B2017/00115 , A61B2017/00203 , A61B2017/00398 , A61B2017/00734 , A61B2017/07242 , A61B2017/0725
摘要： A surgical cutting and fastening instrument. The instrument comprises an end effector, a shaft connected to the end effector, and a handle connected to the shaft. The handle comprises an electric, DC motor connected to a drive train for powering the drive train and a plurality of series-connected DC power source connected to the motor for supplying electrical power to the motor. The handle also comprises a power source selection switch for connecting, when in a first state, all of the DC power sources to the motor, and, when in a second state, a subset of the DC power sources to the motor. Also disclosed are means for actuating a RF electrode in the end effector and means for indicating actuation of the RF electrode.
摘要翻译：外科切割和紧固器械。仪器包括端部执行器，连接到末端执行器的轴和连接到轴的手柄。手柄包括连接到用于为驱动系供电的传动系的电动DC电动机和连接到电动机的多个串联DC电源，用于向电动机供电。手柄还包括电源选择开关，用于在处于第一状态时将所有直流电源连接到电动机，并且当处于第二状态时，将DC电源的子集连接到电动机。还公开了用于致动末端执行器中的RF电极的装置和用于指示RF电极的致动的装置。

84. 发明授权

US08591395B2 Gastric restriction device data handling devices and methods 有权
标题翻译：胃限制装置数据处理装置及方法
公开(公告)号：US08591395B2
公开(公告)日：2013-11-26
申请号：US12020888
申请日：2008-01-28
申请人： Mark S. Ortiz , David N. Plescia , Daniel F. Dlugos, Jr. , David C. Yates , Kevin Doll
发明人： Mark S. Ortiz , David N. Plescia , Daniel F. Dlugos, Jr. , David C. Yates , Kevin Doll
IPC分类号： A61F2/00
CPC分类号： A61F5/005 , A61B5/0031 , A61B5/6846 , A61B5/7232
摘要： Methods and devices are provided for handling data in an implantable restriction system. In general, the methods and devices allow collection, analysis, storage, and transmission of pressure measurements. Pressure measurement data can be compressed before storing it. Additionally, not all pressure data need be recorded or retained, such as data substantially equaling a resting or nominal pressure of an implantable restriction device indicative of little to no pressure variation and data indicative of isolated, non-recurring events. Any pressure measurement data that is recorded can be transmitted to an external device using power telemetrically provided by the external device.
摘要翻译：提供了用于处理可植入限制系统中的数据的方法和装置。一般来说，方法和装置允许压力测量的收集，分析，存储和传输。压力测量数据可以在存储之前进行压缩。另外，不是所有的压力数据都不需要被记录或保留，例如数据基本上等于可表示少量甚至无压力变化的可植入限制装置的静止或标称压力，以及指示隔离的非重复事件的数据。记录的任何压力测量数据可以使用由外部设备提供的电力功率传输到外部设备。

85. 发明授权

US08453907B2 Motor driven surgical fastener device with cutting member reversing mechanism 有权
标题翻译：具有切割构件反转机构的电机驱动手术紧固装置
公开(公告)号：US08453907B2
公开(公告)日：2013-06-04
申请号：US12846249
申请日：2010-07-29
申请人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
发明人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/30 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2946 , A61B2017/320052 , A61B2090/304 , A61B2090/306 , A61B2090/309
摘要： A surgical fastener apparatus including a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector comprising a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position, and a cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners. An electrically activated reverse mechanism for moving the elongated member from a distal most position within the end effector to a proximal position, the electrically activated reverse mechanism moves the elongated member proximally after the elongated member has moved to the distal most position by moving the trigger to the open position, and wherein after activation of the reverse mechanism proximal movement of the elongated member can be stopped by returning the trigger to its closed position.
摘要翻译：一种手术紧固装置，其包括手柄，细长轴，其具有附接到手柄的近端和从其延伸的远端。末端执行器包括在其近端处枢转并且可在打开和关闭位置之间枢转的一对钳口和包含多个外科紧固件的药筒，所述药筒附接到末端执行器。用于部署外科紧固件的电动致动器。一种用于将细长构件从末端执行器中的最远位置移动到近端位置的电激活反向机构，电激活的反向机构在细长构件已经通过将触发器移动到最远位置之后向近侧移动细长构件打开位置，并且其中在启动反向机构之后，细长构件的近端运动可以通过使扳机返回到其关闭位置来停止。

86. 发明申请

US20120265230A1 MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT 有权
标题翻译：电动驱动手术切割仪
公开(公告)号：US20120265230A1
公开(公告)日：2012-10-18
申请号：US13486175
申请日：2012-06-01
申请人： David C. Yates , Frederick E. Shelton, IV , Bret W. Smith , Brett E. Swensgard , Ryan J. Laurent
发明人： David C. Yates , Frederick E. Shelton, IV , Bret W. Smith , Brett E. Swensgard , Ryan J. Laurent
IPC分类号： A61B17/32
CPC分类号： A61B17/068 , A61B17/07207 , A61B17/105 , A61B17/32 , A61B17/3205 , A61B2017/00017 , A61B2017/00154 , A61B2017/00398 , A61B2017/00734 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2923 , A61B2017/2927 , A61B2017/320052 , G06F19/00
摘要： A motor-driven surgical cutting and fastening instrument that comprises an end effector, a shaft connected to the end effector, and handle connected to the shaft. The end effector may comprise a cutting instrument that, when actuated, longitudinally traverses the end effector to cut tissue clamped in the end effector. The handle may comprise an electric motor for actuating the cutting instrument and a motor control circuit for controlling the motor. The motor control circuit may comprise a power source connected to the motor for electrically powering the motor and a current control circuit, connected to the power source, for varying the current supplied to the motor from the power source. The current control circuit may vary the current supplied to the motor, and consequently, the output torque supplied by the motor, such that the motor has at least (i) a first, low power operational mode for a first portion of a cutting stroke cycle of the cutting instrument, and (ii) a second, high power operational mode for a second portion the cutting stroke cycle of the cutting instrument.
摘要翻译：一种电动外科切割和紧固器械，包括端部执行器，连接到端部执行器的轴和连接到轴的手柄。末端执行器可以包括切割器械，当被致动时，该切割器械纵向地横过端部执行器以切割夹在末端执行器中的组织。手柄可以包括用于致动切割仪器的电动马达和用于控制马达的马达控制电路。电动机控制电路可以包括连接到电动机的电源，用于为电动机供电，以及连接到电源的电流控制电路，用于从电源改变供应给电动机的电流。电流控制电路可以改变提供给电动机的电流，从而改变由电动机提供的输出转矩，使得电动机至少具有（i）用于切削行程循环的第一部分的第一低功率操作模式的切割仪器的切割行程循环的第二部分的第二高功率操作模式。

87. 发明授权

US08245899B2 Driven surgical stapler improvements 有权
标题翻译：驱动手术吻合器改进
公开(公告)号：US08245899B2
公开(公告)日：2012-08-21
申请号：US12693462
申请日：2010-01-26
申请人： Brett E. Swensgard , Ryan J. Laurent , Bret W. Smith , David C. Yates
发明人： Brett E. Swensgard , Ryan J. Laurent , Bret W. Smith , David C. Yates
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/00017 , A61B2017/00367 , A61B2017/00398 , A61B2017/00734
摘要： A surgical fastener apparatus including a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector comprising a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position, and a cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners. An electrically activated reverse mechanism for moving the elongated member from a distal most position within the end effector to a proximal position, the electrically activated reverse mechanism moves the elongated member proximally after the elongated member has moved to the distal most position by moving the trigger to the open position, and wherein after activation of the reverse mechanism proximal movement of the elongated member can be stopped by returning the trigger to its closed position.
摘要翻译：一种手术紧固装置，其包括手柄，细长轴，其具有附接到手柄的近端和从其延伸的远端。末端执行器包括在其近端处枢转并且可在打开和关闭位置之间枢转的一对钳口和包含多个外科紧固件的药筒，所述药筒附接到末端执行器。用于部署外科紧固件的电动致动器。一种用于将细长构件从末端执行器中的最远位置移动到近端位置的电激活反向机构，电激活的反向机构在细长构件已经通过将触发器移动到最远位置之后向近侧移动细长构件打开位置，并且其中在启动反向机构之后，细长构件的近端运动可以通过使扳机返回到其关闭位置来停止。

88. 发明授权

US08221439B2 Powering implantable restriction systems using kinetic motion 有权
标题翻译：使用动力学动力为植入式限制系统提供动力
公开(公告)号：US08221439B2
公开(公告)日：2012-07-17
申请号：US12027820
申请日：2008-02-07
申请人： Daniel F. Dlugos, Jr. , Mark S. Ortiz , Amy L. Marcotte , David N. Plescia , Jason L. Harris , Mark S. Zeiner , Michael J. Stokes , Sean P. Conlon , David C. Yates
发明人： Daniel F. Dlugos, Jr. , Mark S. Ortiz , Amy L. Marcotte , David N. Plescia , Jason L. Harris , Mark S. Zeiner , Michael J. Stokes , Sean P. Conlon , David C. Yates
IPC分类号： A61B17/08
CPC分类号： A61F5/0059
摘要： Various powering devices are provided for transferring and/or generating energy from numerous sources to a communicating member implanted in a patient. The energy transferred to or generated by the communicating member can be used to provide power to an implantable restriction system configured to form a restriction in a pathway.
摘要翻译：提供各种供电设备用于将许多来源的能量传递和/或产生到植入患者体内的连通构件。传递到通信构件或由通信构件产生的能量可以用于为配置成在路径中形成限制的可植入限制系统提供电力。

89. 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。

90. 发明申请

US20110295178A1 Intestinal Brake Inducing Intraluminal Therapeutic Substance Eluting Devices and Methods 审中-公开
标题翻译：肠制动诱导腔内治疗物质洗脱装置及方法
公开(公告)号：US20110295178A1
公开(公告)日：2011-12-01
申请号：US13104321
申请日：2011-05-10
申请人： Thomas E. Albrecht , Jeffrey L. Aldridge , Gregory J. Bakos , Michael S. Cropper , Denzel Z. Herrera-Davis , Daniel F. Dlugos, JR. , Jason L. Harris , Christopher J. Hess , John V. Hunt , Prasanna Malaviya , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , Galen C. Robertson , Frederick E. Shelton, IV , Michael J. Stokes , Suzanne Thompson , Richard W. Timm , James W. Voegele , William B. Weisenburgh, II , Christopher W. Widenhouse , Tamara S. Vetro Widenhouse , James A. Woodard, JR. , David C. Yates , Mark S. Zeiner , Andrew M. Zwolinski
发明人： Thomas E. Albrecht , Jeffrey L. Aldridge , Gregory J. Bakos , Michael S. Cropper , Denzel Z. Herrera-Davis , Daniel F. Dlugos, JR. , Jason L. Harris , Christopher J. Hess , John V. Hunt , Prasanna Malaviya , Mark S. Ortiz , Mark D. Overmyer , Alessandro Pastorelli , Galen C. Robertson , Frederick E. Shelton, IV , Michael J. Stokes , Suzanne Thompson , Richard W. Timm , James W. Voegele , William B. Weisenburgh, II , Christopher W. Widenhouse , Tamara S. Vetro Widenhouse , James A. Woodard, JR. , David C. Yates , Mark S. Zeiner , Andrew M. Zwolinski
IPC分类号： A61M5/00
CPC分类号： A61F5/0079 , A61K9/0065 , A61M5/14276 , A61M31/002 , A61M39/0208 , A61M2210/106 , A61M2210/1064
摘要： Methods and devices create an intestinal braking effect, are non-invasive or minimally invasive, and may be reversible. These methods and devices may be accomplished via stabilized implantable systems and ingestible pills. In one aspect, a method of inducing satiety includes implanting an implant within a lumen of a gastrointestinal tract and retaining a portion of chyme that flows by the implant within a body of the implant. The method further involves re-releasing the retained chyme from the implant into the gastrointestinal tract at a predetermined rate slower than a rate caused by natural peristalsis.
摘要翻译：方法和装置产生肠道制动效果，是非侵入性的或微创的，并且可以是可逆的。这些方法和装置可以通过稳定的可植入系统和可摄取的药丸来实现。一方面，一种诱导饱腹感的方法包括将植入物植入胃肠道的内腔中，并且将植入物流动的部分保持在植入物的体内。该方法还包括以比由天然蠕动引起的速率慢的预定速率将留置的食糜从植入物再释放到胃肠道中。

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