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1. 发明授权

US10154848B2 Stand alone energy-based tissue clips 有权
公开(公告)号：US10154848B2
公开(公告)日：2018-12-18
申请号：US15628051
申请日：2017-06-20
申请人： COVIDIEN LP
发明人： Boris Chernov , Igoris Misuchenko , Georgy Martsinovskiy , Mikhail Verbitsky
IPC分类号： A61B17/00 , A61B17/122 , A61B18/14 , A61B5/05 , A61B18/20 , A61B18/00 , A61B18/12 , A61B90/00
摘要： A tissue clip for use in electrosurgical procedures includes an arm having a first electrode formed thereon. The tissue clip also includes a body pivotally coupled to the arm. The body includes a power source and a second electrode. The arm is moveable from a first position relative to the body for approximating tissue and a second position closer to the body for grasping tissue therebetween.

2. 发明授权

US09402685B2 Optical energy-based methods and apparatus for tissue sealing 有权
公开(公告)号：US09402685B2
公开(公告)日：2016-08-02
申请号：US14811563
申请日：2015-07-28
申请人： COVIDIEN LP
发明人： Boris Chernov , Igoris Misuchenko , Georgy Martsinovskiy , Mikhail Verbitsky
IPC分类号： A61B18/20 , A61B18/14 , A61B17/29 , A61B18/00 , A61B17/295 , A61B18/22
CPC分类号： A61B18/22 , A61B17/29 , A61B17/295 , A61B18/1442 , A61B18/20 , A61B2018/00404 , A61B2018/0063 , A61B2018/00702 , A61B2018/0072 , A61B2018/0075 , A61B2018/00791 , A61B2018/00845 , A61B2018/00869 , A61B2018/00875 , A61B2018/00886 , A61B2018/2065 , A61B2018/2266 , A61B2018/2272 , A61B2018/2294
摘要： Optical energy-based methods and apparatus for sealing vascular tissue involves deforming vascular tissue to bring different layers of the vascular tissue into contact each other and illuminating the vascular tissue with a light beam having at least one portion of its spectrum overlapping with the absorption spectrum of the vascular tissue. The apparatus may include two deforming members configured to deform the vascular tissue placed between the deforming members. The apparatus may also include an optical system that has a light source configured to generate light, a light distribution element configured to distribute the light across the vascular tissue, and a light guide configured to guide the light from the light source to the light distribution element. The apparatus may further include a cutting member configured to cut the vascular tissue and to illuminate the vascular tissue with light to seal at least one cut surface of the vascular tissue.

3. 发明授权

US10925662B2 Optical energy-based methods and apparatus for tissue sealing 有权
公开(公告)号：US10925662B2
公开(公告)日：2021-02-23
申请号：US15224955
申请日：2016-08-01
申请人： COVIDIEN LP , Nataliya Chernova
发明人： Boris Chernov , Igoris Misuchenko , Georgy Martsinovskiy , Mikhail Verbitsky
IPC分类号： A61B18/20 , A61B18/14 , A61B17/29 , A61B18/00 , A61B17/295 , A61B18/22
摘要： Optical energy-based methods and apparatus for sealing vascular tissue involves deforming vascular tissue to bring different layers of the vascular tissue into contact each other and illuminating the vascular tissue with a light beam having at least one portion of its spectrum overlapping with the absorption spectrum of the vascular tissue. The apparatus may include two deforming members configured to deform the vascular tissue placed between the deforming members. The apparatus may also include an optical system that has a light source configured to generate light, a light distribution element configured to distribute the light across the vascular tissue, and a light guide configured to guide the light from the light source to the light distribution element. The apparatus may further include a cutting member configured to cut the vascular tissue and to illuminate the vascular tissue with light to seal at least one cut surface of the vascular tissue.

4. 发明申请

US20130231664A1 MEDICAL ULTRASOUND INSTRUMENT WITH ARTICULATED JAWS 有权
标题翻译：医用超声波仪器
公开(公告)号：US20130231664A1
公开(公告)日：2013-09-05
申请号：US13867896
申请日：2013-04-22
申请人： COVIDIEN LP
发明人： ANDREY BALANEV , Georgy Martsinovskiy , Igoris Misuchenko , Alexey Ruin , Vladimir Vasil'ev
IPC分类号： A61B18/00
CPC分类号： A61B18/00 , A61B17/320092 , A61B2017/00734 , A61B2017/2927 , A61B2017/2929 , A61B2017/2933 , A61B2017/2939 , A61B2017/2947
摘要： A forceps includes a housing, a shaft assembly, an end effector assembly, and a waveguide assembly. The housing has one or more transducers that generate a mechanical vibration in response to energy transmitted thereto from an energy source. The shaft assembly extends from the housing and includes one or more articulating and clamping members and a longitudinal axis defined therethrough. The end effector assembly is disposed at a distal end of the shaft assembly and includes a pair of opposing jaw members pivotable between approximated and unapproximated configurations in response to movement of the one or more clamping members. The articulating members articulate the jaw members relative to the longitudinal axis of the shaft assembly. The waveguide assembly is positioned within the shaft assembly and receives the mechanical vibration generated by the transducer. The waveguide assembly is positionable within one or both of the jaw members.
摘要翻译：镊子包括壳体，轴组件，端部执行器组件和波导组件。壳体具有响应于从能量源传递到其上的能量而产生机械振动的一个或多个换能器。轴组件从壳体延伸并且包括一个或多个铰接和夹紧构件以及由其限定的纵向轴线。末端执行器组件设置在轴组件的远端，并且包括一对相对的夹爪构件，可响应于一个或多个夹紧构件的运动而在近似和未近似构型之间枢转。所述铰接构件相对于所述轴组件的纵向轴线铰接所述钳口构件。波导组件定位在轴组件内并且接收由换能器产生的机械振动。波导组件可定位在一个或两个钳口构件内。

5. 发明申请

US20190388142A1 SYSTEM AND METHODS FOR IDENTIFYING TISSUE AND VESSELS 审中-公开
公开(公告)号：US20190388142A1
公开(公告)日：2019-12-26
申请号：US16562977
申请日：2019-09-06
申请人： COVIDIEN LP
发明人： Boris Chernov , Igoris Misuchenko , Georgy Martsinovskiy , Mikhail Verbitsky
IPC分类号： A61B18/14 , A61B5/0295 , A61B5/053
摘要： A surgical system and corresponding methods for identifying tissue or vessels and assessing their conditions includes a probing signal source for applying a probing signal to the tissue and a response signal monitor for monitoring a response signal that varies according to the level of blood circulation in the tissue or vessels. The response signal monitor monitors the response signal over an interval equal to or longer than air interval between two successive cardiac contractions. The surgical system includes a microprocessor that analyzes the amplitude and/or phase of the response signal to determine the level of blood circulation in the tissue or in different portions of the tissue, and determines a tissue parameter based upon the level of blood circulation. The surgical system may monitor a cardiac signal related to cardiac contractions and correlate the response signal and the cardiac signal to determine a level of blood circulation in the tissue.

6. 发明授权

US09867654B2 Method and apparatus for vascular tissue sealing with reduced energy consumption 有权
公开(公告)号：US09867654B2
公开(公告)日：2018-01-16
申请号：US14578884
申请日：2014-12-22
申请人： COVIDIEN LP , Nataliya Chernova
发明人： Boris Chernov , Igoris Misuchenko , Georgy Martsinovskiy , Mikhail Verbitsky
IPC分类号： A61B18/12 , A61B18/14 , A61B17/00 , A61B18/00
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2017/0088 , A61B2018/00083 , A61B2018/0016 , A61B2018/00404 , A61B2018/0063 , A61B2018/1452 , A61B2018/1467
摘要： An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly includes a pair of opposing jaw members configured to grasp tissue therebetween. Each of the opposing jaw members includes a non conducting tissue contact surface and an energy delivering element configured to perforate the tissue to create an opening, extract elastin and collagen from the tissue and denaturize the elastin and the collagen in the vicinity of the opening.

7. 发明授权

US08894674B2 Medical ultrasound instrument with articulated jaws 有权
标题翻译：医用超声仪器带铰链钳口
公开(公告)号：US08894674B2
公开(公告)日：2014-11-25
申请号：US13867896
申请日：2013-04-22
申请人： Covidien LP
发明人： Andrey Balanev , Georgy Martsinovskiy , Igoris Misuchenko , Alexey Ruin , Vladimir Vasil'ev
IPC分类号： A61B17/32 , A61B18/00 , A61B17/29 , A61B17/00
CPC分类号： A61B18/00 , A61B17/320092 , A61B2017/00734 , A61B2017/2927 , A61B2017/2929 , A61B2017/2933 , A61B2017/2939 , A61B2017/2947
摘要： A forceps includes a housing, a shaft assembly, an end effector assembly, and a waveguide assembly. The housing has one or more transducers that generate a mechanical vibration in response to energy transmitted thereto from an energy source. The shaft assembly extends from the housing and includes one or more articulating and clamping members and a longitudinal axis defined therethrough. The end effector assembly is disposed at a distal end of the shaft assembly and includes a pair of opposing jaw members pivotable between approximated and unapproximated configurations in response to movement of the one or more clamping members. The articulating members articulate the jaw members relative to the longitudinal axis of the shaft assembly. The waveguide assembly is positioned within the shaft assembly and receives the mechanical vibration generated by the transducer. The waveguide assembly is positionable within one or both of the jaw members.
摘要翻译：镊子包括壳体，轴组件，端部执行器组件和波导组件。壳体具有响应于从能量源传递到其上的能量而产生机械振动的一个或多个换能器。轴组件从壳体延伸并且包括一个或多个铰接和夹紧构件以及由其限定的纵向轴线。末端执行器组件设置在轴组件的远端，并且包括一对相对的夹爪构件，可响应于一个或多个夹紧构件的运动而在近似和未近似构型之间枢转。所述铰接构件相对于所述轴组件的纵向轴线铰接所述钳口构件。波导组件定位在轴组件内并且接收由换能器产生的机械振动。波导组件可定位在一个或两个钳口构件内。

8. 发明授权

US10039587B2 Thread-like knife for tissue cutting 有权
公开(公告)号：US10039587B2
公开(公告)日：2018-08-07
申请号：US15368889
申请日：2016-12-05
申请人： COVIDIEN LP
发明人： Boris Chernov , Mikhail Verbitsky , Georgy Martsinovskiy , Igoris Misuchenko
IPC分类号： A61B18/14 , A61B17/32 , A61B18/08 , A61B18/18 , A61B17/3201 , A61B17/295 , A61B18/00 , A61B17/29
CPC分类号： A61B18/085 , A61B17/295 , A61B17/320016 , A61B17/3201 , A61B18/082 , A61B18/1442 , A61B18/1445 , A61B18/1447 , A61B18/18 , A61B2017/2926 , A61B2017/32006 , A61B2017/320093 , A61B2017/320094 , A61B2018/00601 , A61B2018/0063 , A61B2018/1452 , A61B2018/1467 , A61B2018/1807
摘要： An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly includes a pair of opposing jaw members configured to grasp tissue therebetween. The assembly also includes a thread-like member having a first end coupled to at least one jaw member and a drive member coupled to a second end of the thread-like member. The drive member is configured to position the thread-like member between a first position and a second position, wherein the thread-like member cuts tissue when positioned in the second position.

9. 发明申请

US20170281191A1 STAND ALONE ENERGY-BASED TISSUE CLIPS 审中-公开
公开(公告)号：US20170281191A1
公开(公告)日：2017-10-05
申请号：US15628051
申请日：2017-06-20
申请人： COVIDIEN LP
发明人： Boris Chernov , Igoris Misuchenko , Georgy Martsinovskiy , Mikhail Verbitsky
IPC分类号： A61B17/122
CPC分类号： A61B17/122 , A61B5/05 , A61B18/1442 , A61B18/20 , A61B2017/00004 , A61B2017/00026 , A61B2017/00119 , A61B2017/00199 , A61B2017/00221 , A61B2017/00517 , A61B2017/00734 , A61B2017/00867 , A61B2018/00273 , A61B2018/00428 , A61B2018/00607 , A61B2018/0063 , A61B2018/00642 , A61B2018/00702 , A61B2018/00779 , A61B2018/00875 , A61B2018/1226 , A61B2090/065
摘要： A tissue clip for use in electrosurgical procedures includes an arm having a first electrode formed thereon. The tissue clip also includes a body pivotally coupled to the arm. The body includes a power source and a second electrode. The arm is moveable from a first position relative to the body for approximating tissue and a second position closer to the body for grasping tissue therebetween.

10. 发明授权

US09526567B2 Thread-like knife for tissue cutting 有权
标题翻译：线状刀组织切割
公开(公告)号：US09526567B2
公开(公告)日：2016-12-27
申请号：US14183217
申请日：2014-02-18
申请人： COVIDIEN LP , Nataliya Chernova
发明人： Boris Chernov , Igoris Misuchenko , Georgy Martsinovskiy , Mikhail Verbitsky
IPC分类号： A61B18/14 , A61B17/32 , A61B17/295 , A61B18/08
CPC分类号： A61B18/085 , A61B17/295 , A61B17/320016 , A61B17/320068 , A61B17/320092 , A61B17/3201 , A61B18/082 , A61B18/1442 , A61B18/1445 , A61B18/1447 , A61B18/18 , A61B2017/2926 , A61B2017/32006 , A61B2018/00601 , A61B2018/0063 , A61B2018/1452 , A61B2018/1467 , A61B2018/1807
摘要： An end effector assembly for use with an electrosurgical instrument is provided. The end effector assembly includes a pair of opposing jaw members configured to grasp tissue therebetween. The assembly also includes a thread-like member having a first end coupled to at least one jaw member and a drive member coupled to a second end of the thread-like member. The drive member is configured to position the thread-like member between a first position and a second position, wherein the thread-like member cuts tissue when positioned in the second position.
摘要翻译：提供了一种用于电外科器械的端部执行器组件。末端执行器组件包括一对相对的夹爪构件，构造成在其间夹住组织。组件还包括螺纹状构件，其具有联接到至少一个钳口构件的第一端和联接到螺纹状构件的第二端的驱动构件。驱动构件构造成将线状构件定位在第一位置和第二位置之间，其中当定位在第二位置时，线状构件切割组织。

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