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    • 1. 发明授权
    • Bipolar electrosurgical instrument for sealing vessels
    • 用于密封容器的双极电外科仪器
    • US07963965B2
    • 2011-06-21
    • US11801618
    • 2007-05-10
    • Steven P. BuysseDale F. SchmaltzGary M. CoutureLap P. NguyenKristin D. Johnson
    • Steven P. BuysseDale F. SchmaltzGary M. CoutureLap P. NguyenKristin D. Johnson
    • A61B18/12
    • A61B18/1442A61B2017/2945A61B2018/00083A61B2018/0063A61B2018/1432
    • A bipolar electrosurgical instrument has opposable seal surfaces on its jaws for grasping and sealing vessels and vascular tissue. Inner and outer instrument members allow arcuate motion of the seal surfaces. An open lockbox provides a pivot with lateral support to maintain alignment of the lateral surfaces. Ratchets on the instrument members hold a constant closure force on the tissue during the seal process. A shank portion on each member is tuned to provide an appropriate spring force to hold the seal surfaces together. During surgery, the instrument can be used to grasp and clamp vascular tissue and apply bipolar electrosurgical current through the clamped tissue. In one embodiment, the seal surfaces are partially insulated to prevent a short circuit when the instrument jaws are closed together. In another embodiment, the seal surfaces are removably mounted on the jaws.
    • 双极电外科器械在其钳口上具有对置的密封表面,用于抓住和密封容器和血管组织。 内部和外部仪器构件允许密封表面的弓形运动。 开放的锁箱提供具有侧向支撑的枢轴以保持侧面的对准。 仪器构件上的棘轮在密封过程中在组织上保持恒定的闭合力。 调整每个构件上的柄部分以提供适当的弹簧力以将密封表面保持在一起。 在手术过程中,仪器可用于掌握和夹紧血管组织,并通过钳夹的组织施加双极电外科电流。 在一个实施例中,密封表面是部分绝缘的,以防止当仪器钳口闭合在一起时发生短路。 在另一个实施例中,密封表面可拆卸地安装在夹爪上。
    • 2. 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。
    • 4. 发明授权
    • Laparoscopic bipolar electrosurgical instrument
    • 腹腔镜双极电外科仪器
    • US07828798B2
    • 2010-11-09
    • 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在约7kg / cm 2至约13kg / cm 2范围内的闭合力。
    • 7. 发明授权
    • Vessel sealer and divider
    • 容器密封器和分隔器
    • US07090673B2
    • 2006-08-15
    • US10474169
    • 2002-01-22
    • Sean DycusChelsea ShieldsGary M. CoutureJeremey Scott JamesKristin D. JohnsonLap P. NguyenPhilip TetzlaffMichael R. WarzechaMichael MosesDavid A. Schechter
    • Sean DycusChelsea ShieldsGary M. CoutureJeremey Scott JamesKristin D. JohnsonLap P. NguyenPhilip TetzlaffMichael R. WarzechaMichael MosesDavid A. Schechter
    • A61B18/18
    • A61B18/1445A61B17/12009A61B17/282A61B17/320016A61B2017/2929A61B2017/2946A61B2018/00404A61B2018/00601A61B2018/1861
    • An electrosurgical instrument for performing at least one of sealing and dividing tissue includes a housing having a shaft attached thereto, the shaft defining a longitudinal axis. The electrosurgical instrument also includes a first jaw member movable relative to a second jaw member, the first jaw member attached to the shaft and being relatively movable from a first open position wherein the jaw members are disposed in spaced relation relative to one another to a second closed position wherein the jaw members cooperate to grasp tissue therebetween. The instrument also includes a drive rod assembly for imparting movement of the jaw members between the first and second positions and a rotating assembly attached to the housing for rotating the jaw members about the longitudinal axis. A knife assembly is also attached to the housing for separating tissue grasped between the jaw members and a handle assembly is attached to the housing for actuating the drive rod assembly. The instrument also includes first and second electrical leads which connect the jaw members to a source of electrical energy such that the jaw members are capable of conducting energy through tissue held therebetween. A handswitch is attached to the housing to allow a user to selectively energize the jaw members.
    • 用于执行密封和分割组织中的至少一个的电外科器械包括具有附接到其上的轴的壳体,所述轴限定纵向轴线。 所述电外科器械还包括可相对于第二钳口构件移动的第一钳口构件,所述第一钳口构件附接到所述轴并且可从第一打开位置相对移动,其中所述钳口构件相对于彼此以间隔开的关系设置为第二钳口构件 闭合位置,其中钳口构件协作以在其间夹住组织。 该仪器还包括驱动杆组件,用于使夹爪构件在第一和第二位置之间运动,以及旋转组件,其附接到壳体,用于使夹钳构件围绕纵向轴线旋转。 刀具组件也附接到壳体,用于分离夹在夹爪构件之间的组织,并且把手组件附接到壳体以致动驱动杆组件。 仪器还包括将钳口构件连接到电能源的第一和第二电引线,使得钳口构件能够通过保持在其间的组织传导能量。 手动开关附接到壳体以允许使用者选择性地给钳口构件通电。
    • 8. 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。
    • 10. 发明授权
    • Bipolar electrosurgical instrument for sealing vessels
    • 用于密封容器的双极电外科仪器
    • US06726686B2
    • 2004-04-27
    • US10113745
    • 2002-04-01
    • Steven P. BuysseDale F. SchmaltzGary M. CoutureLap P. NguyenKristin D. Johnson
    • Steven P. BuysseDale F. SchmaltzGary M. CoutureLap P. NguyenKristin D. Johnson
    • A61B1818
    • A61B18/1442A61B2017/2945A61B2018/00083A61B2018/0063A61B2018/1432
    • A bipolar electrosurgical instrument has opposable seal surfaces on its jaws for grasping and sealing vessels and vascular tissue. Inner and outer instrument members allow arcuate motion of the seal surfaces. An open lockbox provides a pivot with lateral support to maintain alignment of the lateral surfaces. Ratchets on the instrument members hold a constant closure force on the tissue during the seal process. A shank portion on each member is tuned to provide an appropriate spring force to hold the seal surfaces together. During surgery, the instrument can be used to grasp and clamp vascular tissue and apply bipolar electrosurgical current through the clamped tissue. In one embodiment, the seal surfaces are partially insulated to prevent a short circuit when the instrument jaws are closed together. In another embodiment, the seal surfaces are removably mounted on the jaws.
    • 双极电外科器械在其钳口上具有对置的密封表面,用于抓住和密封容器和血管组织。 内部和外部仪器构件允许密封表面的弓形运动。 开放的锁箱提供具有侧向支撑的枢轴以保持侧面的对准。 仪器构件上的棘轮在密封过程中在组织上保持恒定的闭合力。 调整每个构件上的柄部分以提供适当的弹簧力以将密封表面保持在一起。 在手术过程中,仪器可用于掌握和夹紧血管组织,并通过钳夹的组织施加双极电外科电流。 在一个实施例中,密封表面是部分绝缘的,以防止当仪器钳口闭合在一起时发生短路。 在另一个实施例中,密封表面可拆卸地安装在夹爪上。