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1. 发明授权

US08840639B2 Apparatus for performing an electrosurgical procedure 有权
标题翻译：用于执行电外科手术的装置
公开(公告)号：US08840639B2
公开(公告)日：2014-09-23
申请号：US12915809
申请日：2010-10-29
申请人： Thomas J. Gerhardt, Jr. , Wayne Siebrecht , Keir Hart
发明人： Thomas J. Gerhardt, Jr. , Wayne Siebrecht , Keir Hart
IPC分类号： A61B17/00 , A61B18/14 , A61B18/00 , A61B17/29
CPC分类号： A61B18/1445 , A61B17/2909 , A61B2017/2946 , A61B2018/00053 , A61B2018/0091
摘要： An endoscopic forceps is provided and includes a housing having a handle assembly including a movable handle having a mechanical interface disposed thereon. An end effector assembly connected to a distal end of the shaft includes a pair of first and second jaw members movable relative to one another from an open to a clamping position. A drive assembly includes a resilient member. A lock assembly is pivotably coupled to the housing and in operative communication with the movable handle. The lock assembly is movable with the handle assembly. The mechanical interface moves along the lock assembly when the movable handle is moved proximally causing the lock assembly to rotate about the pivot point and into communication with the resilient member such that the resilient member is prevented from moving distally against the bias provided therefrom such that the first and second jaw members remain in the clamping position.
摘要翻译：提供内窥镜钳，并且包括具有手柄组件的壳体，该手柄组件包括其上设置有机械界面的可动手柄。连接到轴的远端的端部执行器组件包括一对可从打开位置到夹紧位置相对于彼此移动的第一和第二钳口构件。驱动组件包括弹性构件。锁组件可枢转地联接到壳体并且与可移动手柄可操作地连通。锁组件可随手柄组件移动。当可移动手柄向近侧移动时，机械界面沿着锁定组件移动，使得锁定组件围绕枢转点旋转并与弹性构件连通，使得防止弹性构件抵抗由其提供的偏压向远侧移动，使得第一和第二钳口构件保持在夹紧位置。

2. 发明授权

US08343151B2 Vessel sealer and divider with captured cutting element 有权
标题翻译：容器密封器和分配器带有捕获的切割元件
公开(公告)号：US08343151B2
公开(公告)日：2013-01-01
申请号：US12576380
申请日：2009-10-09
申请人： Wayne Siebrecht , Thomas J. Gerhardt, Jr. , Larry Johnson , John J. Kappus , Arlen J. Reschke
发明人： Wayne Siebrecht , Thomas J. Gerhardt, Jr. , Larry Johnson , John J. Kappus , Arlen J. Reschke
IPC分类号： A61B18/14
CPC分类号： A61B17/295 , A61B18/1445 , A61B2017/2911 , A61B2017/2922 , A61B2017/2936 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455
摘要： A forceps includes a housing having a shaft extending therefrom. The shaft has an end effector assembly that defines a longitudinal axis therethrough. The end effector assembly includes first and second jaw members disposed in opposed relation and moveable from a first, open position to a second, closed position for grasping tissue therebetween and a knife. One or more jaw members include knife blade channels defined therein. Each knife blade channel includes a polygonal longitudinal cross-section defined therein. The knife includes a knife edge and a knife base. The knife base includes a corresponding polygonal longitudinal cross-section. The knife is configured to translate through the knife blade channels and the knife base is configured to slidingly engage the knife base channel having the polygonal cross section upon translation of the knife. In embodiments, the knife blade channel and the knife base have a T-shaped longitudinal cross-section.
摘要翻译：镊子包括具有从其延伸的轴的壳体。轴具有端部执行器组件，其限定穿过其中的纵向轴线。端部执行器组件包括相对设置的第一和第二钳口构件，并且可从第一开放位置移动到第二闭合位置，用于抓握其间的组织和刀。一个或多个钳口构件包括限定在其中的刀片通道。每个刀片通道包括限定在其中的多边形纵向截面。刀包括刀刃和刀架。刀架包括相应的多边形纵向截面。刀构造成平移通过刀片通道并且刀架构造成在刀的平移时滑动地接合具有多边形横截面的刀基通道。在实施例中，刀片通道和刀架具有T形的纵向横截面。

3. 发明申请

US20120296371A1 Modular Shaft for Endoscopic Vessel Sealer and Divider 审中-公开
标题翻译：内窥镜容器封口机和分隔器的模块轴
公开(公告)号：US20120296371A1
公开(公告)日：2012-11-22
申请号：US13470797
申请日：2012-05-14
申请人： John J. Kappus , Thomas J. Gerhardt, JR. , Wayne Siebrecht , Larry Johnson , Eric R. Larson , Russell D. Hempstead , Keir Hart , James H. Taylor
发明人： John J. Kappus , Thomas J. Gerhardt, JR. , Wayne Siebrecht , Larry Johnson , Eric R. Larson , Russell D. Hempstead , Keir Hart , James H. Taylor
IPC分类号： A61B17/28
CPC分类号： A61B17/295 , A61B18/12 , A61B18/1445 , A61B2017/00477 , A61B2017/2901 , A61B2017/2946 , A61B2018/00607 , A61B2018/00642 , A61B2018/00702 , A61B2018/00875 , A61B2018/1455 , A61B2090/061
摘要： A modular shaft assembly for use with a variety of different endoscopic forceps each having a housing includes a handle assembly and one or more moveable handles. The modular shaft assembly also includes a shaft having proximal and distal ends and an end effector assembly including a pair of jaw members attached to the distal end thereof. The shaft and a universal drive assembly are attached at the proximal end of the shaft. The universal drive assembly is operably engageable with the handle assemblies of the variety of different endoscopic forceps such that actuation of the one or more movable handles of any of the variety of different forceps causes the universal drive assembly to actuate the jaw members to move between an open position wherein the jaw members are disposed in spaced relation relative to one another to a closed position for grasping tissue therebetween.
摘要翻译：用于各种具有壳体的各种不同的内窥镜钳的模块化轴组件包括手柄组件和一个或多个可动手柄。模块化轴组件还包括具有近端和远端的轴以及包括附接到其远端的一对钳口构件的端部执行器组件。轴和通用驱动组件连接在轴的近端。通用驱动组件可操作地与各种不同的内窥镜钳子的手柄组件接合，使得各种不同钳子中的任一种的一个或多个可动手柄的致动导致通用驱动组件致动钳夹构件以在打开位置，其中钳口构件相对于彼此以间隔开的关系设置到用于抓握其间的组织的关闭位置。

4. 发明申请

US20120283729A1 Vessel Sealer and Divider with Knife Lockout 有权
标题翻译：船用密封机和分隔器与刀锁
公开(公告)号：US20120283729A1
公开(公告)日：2012-11-08
申请号：US13550322
申请日：2012-07-16
申请人： John J. Kappus , Thomas J. Gerhardt , Wayne Siebrecht , Larry Johnson
发明人： John J. Kappus , Thomas J. Gerhardt , Wayne Siebrecht , Larry Johnson
IPC分类号： A61B17/295 , A61B18/14
CPC分类号： A61B17/295 , A61B17/32 , A61B18/1445 , A61B18/1447 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455
摘要： An endoscopic forceps includes a housing having a shaft attached thereto that supports a pair of jaws disposed at a distal end thereof. A drive assembly having a drive shaft with a proximal end is operable to move the jaws relative to one another from an open to closed positions. A knife assembly is operable to advance a knife through tissue disposed between the jaws and includes a flange disposed thereon. A knife lockout is included that has a flange configured to engage the proximal end of the drive shaft and a lockout arm configured to engage the flange of the knife assembly to prevent movement thereof. Movement of the jaws to the closed position causes the proximal end of the drive shaft to engage the flange on the lockout which causes the lockout arm to disengage the flange on the knife assembly to permit advancement of the knife.
摘要翻译：内窥镜钳包括具有附接到其上的轴的壳体，其支撑设置在其远端处的一对钳口。具有具有近端的驱动轴的驱动组件可操作以使夹爪相对于彼此从打开位置移动到关闭位置。刀组件可操作以将刀推进设置在夹爪之间的组织，并且包括设置在其上的凸缘。包括刀锁，其具有被配置为接合驱动轴的近端的凸缘和构造成接合刀组件的凸缘以防止其移动的锁定臂。夹爪移动到关闭位置使得驱动轴的近端接合锁定件上的凸缘，这导致锁定臂使刀组件上的凸缘脱离以允许刀的前进。

5. 发明申请

US20120123278A1 LOW-NOISE OPTICAL PROBES FOR REDUCING AMBIENT NOISE 失效
标题翻译：低噪声光学探头，用于减少环境噪声
公开(公告)号：US20120123278A1
公开(公告)日：2012-05-17
申请号：US13358461
申请日：2012-01-25
申请人： Mohamed Diab , Esmaiel Kiani-Azarbayjany , David R. Tobler , Thomas J. Gerhardt , Eugene E. Mason , Mike A. Mills
发明人： Mohamed Diab , Esmaiel Kiani-Azarbayjany , David R. Tobler , Thomas J. Gerhardt , Eugene E. Mason , Mike A. Mills
IPC分类号： A61B6/00 , B23P11/00
CPC分类号： A61B5/14552 , A61B5/02427 , A61B5/6826 , A61B5/6829 , A61B5/6838 , A61B2562/08 , A61B2562/12 , H05K1/189
摘要： An optical probe, which is particularly suited to reduce noise in measurements taken on an easily compressible material, such as a finger, a toe, a forehead, an earlobe, or a lip, measures characteristics of the material. A neonatal and adult disposable embodiment of the probe include adhesive coated surfaces to securely affix the probe onto the patient. In addition, the surface of the probe is specially constructed to reduce the effect of ambient noise.
摘要翻译：光学探头特别适用于减少在容易压缩的材料（例如手指，脚趾，额头，耳垂或唇部）上进行的测量中的噪音，测量材料的特性。探针的新生儿和成人一次性实施例包括粘合剂涂覆的表面以牢固地将探针附接到患者身上。此外，探头的表面是特别构造的，以减少环境噪声的影响。

6. 发明申请

US20120109187A1 Apparatus for Performing an Electrosurgical Procedure 有权
标题翻译：用于执行电外科手术的装置
公开(公告)号：US20120109187A1
公开(公告)日：2012-05-03
申请号：US12915809
申请日：2010-10-29
申请人： Thomas J. Gerhardt, JR. , Wayne Siebrecht , Keir Hart
发明人： Thomas J. Gerhardt, JR. , Wayne Siebrecht , Keir Hart
IPC分类号： A61B17/29
CPC分类号： A61B18/1445 , A61B17/2909 , A61B2017/2946 , A61B2018/00053 , A61B2018/0091
摘要： An endoscopic forceps is provided and includes a housing having a handle assembly including a movable handle having a mechanical interface disposed thereon. An end effector assembly connected to a distal end of the shaft includes a pair of first and second jaw members movable relative to one another from an open to a clamping position. A drive assembly includes a resilient member. A lock assembly is pivotably coupled to the housing and in operative communication with the movable handle. The lock assembly is movable with the handle assembly. The mechanical interface moves along the lock assembly when the movable handle is moved proximally causing the lock assembly to rotate about the pivot point and into communication with the resilient member such that the resilient member is prevented from moving distally against the bias provided therefrom such that the first and second jaw members remain in the clamping position.
摘要翻译：提供内窥镜钳，并且包括具有手柄组件的壳体，该手柄组件包括其上设置有机械界面的可动手柄。连接到轴的远端的端部执行器组件包括一对可从打开位置到夹紧位置相对于彼此移动的第一和第二钳口构件。驱动组件包括弹性构件。锁组件可枢转地联接到壳体并且与可移动手柄可操作地连通。锁组件可随手柄组件移动。当可移动手柄向近侧移动时，机械界面沿着锁定组件移动，使得锁定组件围绕枢转点旋转并与弹性构件连通，使得防止弹性构件抵抗由其提供的偏压向远侧移动，使得第一和第二钳口构件保持在夹紧位置。

7. 发明申请

US20110276049A1 Pinion Blade Drive Mechanism for a Laparoscopic Vessel Dissector 审中-公开
标题翻译：用于腹腔镜血管解剖器的小齿轮叶片驱动机构
公开(公告)号：US20110276049A1
公开(公告)日：2011-11-10
申请号：US12773644
申请日：2010-05-04
申请人： Thomas J. Gerhardt
发明人： Thomas J. Gerhardt
IPC分类号： A61B18/18
CPC分类号： A61B18/1402 , A61B17/295 , A61B18/1445 , A61B2017/2923 , A61B2018/1412 , A61B2018/1455
摘要： A surgical instrument comprises a handle assembly including an actuator mounted for manipulation through an actuation stroke. An elongate shaft extends distally from the handle assembly and defines a longitudinal axis. A reciprocating member extends at least partially through the elongate shaft, and is mounted for longitudinal motion through the elongate shaft in response to manipulation of the actuator through the actuation stroke. A drive mechanism includes a first rotating component coupled to the actuator about a first circumference to induce rotational motion in the first rotating component. A second rotating component is coupled to the first rotating component such that rotational motion in the first rotating component induces rotational motion in the second rotating component. The second rotating component is coupled to the reciprocating member about a second circumference such that rotational motion of the second rotating component induces longitudinal motion in the reciprocating member. The second circumference is greater than the first circumference.
摘要翻译：手术器械包括手柄组件，该手柄组件包括安装成用于通过致动行程进行操纵的致动器。细长轴从手柄组件向远侧延伸并且限定纵向轴线。往复式构件至少部分地延伸穿过细长轴，并且响应于致动器通过致动行程的操纵而被安装成用于纵向运动通过细长轴。驱动机构包括第一旋转部件，其围绕第一圆周联接到致动器，以在第一旋转部件中引起旋转运动。第二旋转部件联接到第一旋转部件，使得第一旋转部件中的旋转运动在第二旋转部件中引起旋转运动。第二旋转部件围绕第二圆周联接到往复运动部件，使得第二旋转部件的旋转运动在往复运动部件中引起纵向运动。第二圆周大于第一圆周。

8. 发明申请

US20110054469A1 Vessel Sealer and Divider with Knife Lockout 有权
标题翻译：船用密封机和分隔器与刀锁
公开(公告)号：US20110054469A1
公开(公告)日：2011-03-03
申请号：US12548566
申请日：2009-08-27
申请人： John J. Kappus , Thomas J. Gerhardt , Wayne Siebrecht , Larry Johnson
发明人： John J. Kappus , Thomas J. Gerhardt , Wayne Siebrecht , Larry Johnson
IPC分类号： A61B18/18
CPC分类号： A61B17/295 , A61B17/32 , A61B18/1445 , A61B18/1447 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455
摘要： An endoscopic forceps includes a housing having a shaft attached thereto that supports a pair of jaws disposed at a distal end thereof. A drive assembly having a drive shaft with a proximal end is operable to move the jaws relative to one another from an open to closed positions. A knife assembly is operable to advance a knife through tissue disposed between the jaws and includes a flange disposed thereon. A knife lockout is included that has a flange configured to engage the proximal end of the drive shaft and a lockout arm configured to engage the flange of the knife assembly to prevent movement thereof. Movement of the jaws to the closed position causes the proximal end of the drive shaft to engage the flange on the lockout which causes the lockout arm to disengage the flange on the knife assembly to permit advancement of the knife.
摘要翻译：内窥镜钳包括具有附接到其上的轴的壳体，其支撑设置在其远端处的一对钳口。具有具有近端的驱动轴的驱动组件可操作以使夹爪相对于彼此从打开位置移动到关闭位置。刀组件可操作以将刀推进设置在夹爪之间的组织，并且包括设置在其上的凸缘。包括刀锁，其具有被配置为接合驱动轴的近端的凸缘和构造成接合刀组件的凸缘以防止其移动的锁定臂。夹爪移动到关闭位置使得驱动轴的近端接合锁定件上的凸缘，这导致锁定臂使刀组件上的凸缘脱离以允许刀的前进。

9. 发明授权

US07340287B2 Flex circuit shielded optical sensor 有权
标题翻译：柔性电路屏蔽光学传感器
公开(公告)号：US07340287B2
公开(公告)日：2008-03-04
申请号：US11293583
申请日：2005-12-02
申请人： Gene Mason , Ammar Al-Ali , Thomas J. Gerhardt
发明人： Gene Mason , Ammar Al-Ali , Thomas J. Gerhardt
IPC分类号： A61B5/00
CPC分类号： A61B5/6833 , A61B5/02427 , A61B5/14552 , A61B5/6826 , A61B5/6838 , A61B2562/12 , A61B2562/182 , H05K1/0218 , H05K1/189 , Y10T29/49155
摘要： A flex circuit optical sensor has an integrated Faraday shield. A conductive trace layer disposed on a substrate is used to form a conductive grid which shields the face of a photodetector. A conductive ink layer is formed on a substrate side opposite the trace layer. The back and sides of the detector are shielded by flex circuit flaps that have the conductive ink layer but substantially exclude the trace layer so as to fold over and closely adhere to the detector body. The shielded substrate flaps advantageously eliminate a separate detector shield, which is typically fabricated with an etched copper part that must be attached to a flex circuit before mounting the detector.
摘要翻译：柔性电路光学传感器具有集成的法拉第屏蔽。设置在基板上的导电迹线层用于形成屏蔽光电检测器的表面的导电栅格。在与迹线层相对的基板一侧上形成导电油墨层。检测器的背面和侧面由具有导电油墨层的柔性电路板屏蔽，但基本上不包括痕迹层，以便折叠并紧密地附着到检测器主体上。屏蔽的衬底折板有利地消除了单独的检测器屏蔽，其通常由安装检测器之前必须连接到柔性电路的蚀刻铜部件制造。

10. 发明授权

US06813511B2 Low-noise optical probes for reducing ambient noise 失效
标题翻译：用于降低环境噪声的低噪声光学探头
公开(公告)号：US06813511B2
公开(公告)日：2004-11-02
申请号：US10260049
申请日：2002-09-27
申请人： Mohamed Diab , Esmaiel Kiani-Azarbayjany , David R. Tobler , Thomas J. Gerhardt , Eugene E. Mason , Mike A. Mills
发明人： Mohamed Diab , Esmaiel Kiani-Azarbayjany , David R. Tobler , Thomas J. Gerhardt , Eugene E. Mason , Mike A. Mills
IPC分类号： A61B500
CPC分类号： A61B5/14552 , A61B5/02427 , A61B5/6826 , A61B5/6829 , A61B5/6838 , A61B2562/08 , A61B2562/12 , H05K1/189
摘要： An optical probe, which is particularly suited to reduce noise in measurements taken on an easily compressible material, such as a finger, a toe, a forehead, an earlobe, or a lip, measures characteristics of the material. A neonatal and adult disposable embodiment of the probe include adhesive coated surfaces to securely affix the probe onto the patient. In addition, the surface of the probe is specially constructed to reduce the effect of ambient noise.
摘要翻译：光学探头特别适用于减少在容易压缩的材料（例如手指，脚趾，额头，耳垂或唇部）上进行的测量中的噪音，测量材料的特性。探针的新生儿和成人一次性实施例包括粘合剂涂覆的表面以牢固地将探针附接到患者身上。此外，探头的表面是特别构造的，以减少环境噪声的影响。

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