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1. 发明申请

US20070173811A1 Method and system for controlling delivery of energy to divide tissue 有权
标题翻译：用于控制能量分配以划分组织的方法和系统
公开(公告)号：US20070173811A1
公开(公告)日：2007-07-26
申请号：US11338552
申请日：2006-01-24
申请人： Gary Couture , Kristin Johnson , Robert Sharp , Jeff Unger , Craig Weinberg , Robert Wham
发明人： Gary Couture , Kristin Johnson , Robert Sharp , Jeff Unger , Craig Weinberg , Robert Wham
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1206 , A61B18/1442 , A61B2017/00154 , A61B2018/00601 , A61B2018/00702 , A61B2018/00875
摘要： System and method for controlling delivery of energy to divide tissue are disclosed. The system comprises an electrosurgical instrument having an electrically energizable cutting element which communicates electrical energy to the tissue and a generator to supply the energy to the electrosurgical instrument which supplies the energy to the tissue in a first pulse to react the tissue, in slow pulses to create a desiccation line until impedance at the tissue has reached a threshold, and in rapid pulses to divide tissue across the desiccation line.
摘要翻译：公开了用于控制能量分配组织递送的系统和方法。该系统包括具有电能切割元件的电外科器械，其将电能传递到组织和发电机，以将能量提供给电外科器械，该电外科仪器以第一脉冲将组织提供能量以对组织反应，以慢脉冲创建干燥线，直到组织的阻抗达到阈值，并且以快速脉冲将组织划分在干燥线上。

2. 发明申请

US20060271038A1 Vessel sealing instrument with electrical cutting mechanism 有权
标题翻译：船用密封仪具有电切割机构
公开(公告)号：US20060271038A1
公开(公告)日：2006-11-30
申请号：US11418876
申请日：2006-05-05
申请人： Kristin Johnson , Gary Couture , Jeff Unger , Robert Sharp , David Garrison , Sean Dycus , David Hixson , Craig Weinberg
发明人： Kristin Johnson , Gary Couture , Jeff Unger , Robert Sharp , David Garrison , Sean Dycus , David Hixson , Craig Weinberg
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/07207 , A61B18/1442 , A61B18/18 , A61B2017/00026 , A61B2017/00084 , A61B2017/2945 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/1432 , A61B2090/034 , Y10T29/49826
摘要： An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes an electrically conductive tissue contacting surface connected to an electrosurgical energy source. At least one of the jaw members includes an electrically conductive cutting element disposed within an insulator defined in the jaw member. A rigid structural support is included which is configured to support the electrically conductive tissue sealing surface and includes at least one flow channel defined therein.
摘要翻译：用于与用于密封容器和切割容器的仪器一起使用的端部执行器组件包括一对相对的第一和第二钳口构件，其可以相对于彼此从第一间隔开的位置移动到第二位置，用于抓握其间的组织。每个钳口构件包括连接到电外科能源的导电组织接触表面。至少一个钳口构件包括设置在限定在钳口构件中的绝缘体内的导电切割元件。包括刚性结构支撑件，其构造成支撑导电组织密封表面并且包括限定在其中的至少一个流动通道。

3. 发明申请

US20080039835A1 Vessel sealing instrument with electrical cutting mechanism 有权
标题翻译：船用密封仪具有电切割机构
公开(公告)号：US20080039835A1
公开(公告)日：2008-02-14
申请号：US11899298
申请日：2007-09-05
申请人： Kristin Johnson , Gary Couture , Jeff Unger , Robert Sharp
发明人： Kristin Johnson , Gary Couture , Jeff Unger , Robert Sharp
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1442 , A61B2017/00026 , A61B2017/00084 , A61B2017/00526 , A61B2017/2945 , A61B2018/00077 , A61B2018/00083 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/1253 , A61B2018/126 , A61B2018/1432 , A61B2018/1455 , A61B2090/034 , A61B2562/125 , Y10T29/49117
摘要： An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes a pair of spaced apart electrically conductive tissue contacting surfaces which each have an insulator disposed therebetween, the conductive surfaces are connected to an electrosurgical energy source. The first jaw member includes an electrically conductive cutting element disposed within the insulator which extends towards the second tissue contacting surface to create a gap therebetween. The cutting element is inactive during the sealing process while the two pairs of electrically conductive surfaces are activated to seal tissue. During the cutting process, the cutting element is energized to a first potential and at least one electrically conductive tissue contacting surface is energized to a different potential to effect a tissue cut through the tissue held between the jaw members along the already formed tissue seal.
摘要翻译：用于与用于密封容器和切割容器的仪器一起使用的端部执行器组件包括一对相对的第一和第二钳口构件，其可以相对于彼此从第一间隔开的位置移动到第二位置，用于抓握其间的组织。每个钳口构件包括一对间隔开的导电组织接触表面，它们各自具有设置在其间的绝缘体，导电表面连接到电外科能量源。第一钳口构件包括设置在绝缘体内的导电切割元件，其朝向第二组织接触表面延伸以在它们之间形成间隙。切割元件在密封过程中是无效的，而两对导电表面被激活以密封组织。在切割过程期间，切割元件被激励到第一电位，并且至少一个导电组织接触表面被激励到不同的电位，以沿着已经形成的组织密封来实现穿过夹持件之间的组织的组织切割。

4. 发明申请

US20080045947A1 Vessel sealing instrument with electrical cutting mechanism 有权
标题翻译：船用密封仪具有电切割机构
公开(公告)号：US20080045947A1
公开(公告)日：2008-02-21
申请号：US11894354
申请日：2007-08-21
申请人： Kristin Johnson , Gary Couture , Jeff Unger , Robert Sharp
发明人： Kristin Johnson , Gary Couture , Jeff Unger , Robert Sharp
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/07207 , A61B18/1442 , A61B18/18 , A61B2017/00026 , A61B2017/00084 , A61B2017/2945 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/1432 , A61B2090/034 , Y10T29/49826
摘要： An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes an electrically conductive tissue contacting surface connected to an electrosurgical energy source. At least one of the jaw members includes an electrically conductive cutting element disposed within an insulator defined in the jaw member. A rigid structural support is included which is configured to support the electrically conductive tissue sealing surface and includes at least one flow channel defined therein.
摘要翻译：用于与用于密封容器和切割容器的仪器一起使用的端部执行器组件包括一对相对的第一和第二钳口构件，其可以相对于彼此从第一间隔开的位置移动到第二位置，用于抓握其间的组织。每个钳口构件包括连接到电外科能源的导电组织接触表面。至少一个钳口构件包括设置在限定在钳口构件中的绝缘体内的导电切割元件。包括刚性结构支撑件，其构造成支撑导电组织密封表面并且包括限定在其中的至少一个流动通道。

5. 发明申请

US20050113826A1 Vessel sealing instrument with electrical cutting mechanism 有权
标题翻译：船用密封仪具有电切割机构
公开(公告)号：US20050113826A1
公开(公告)日：2005-05-26
申请号：US10932612
申请日：2004-09-02
申请人： Kristin Johnson , Gary Couture , Jeff Unger , Robert Sharp
发明人： Kristin Johnson , Gary Couture , Jeff Unger , Robert Sharp
IPC分类号： A61B17/00 , A61B18/14
CPC分类号： A61B18/1445 , A61B18/1442 , A61B2017/00026 , A61B2017/00084 , A61B2017/00526 , A61B2017/2945 , A61B2018/00077 , A61B2018/00083 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/1253 , A61B2018/126 , A61B2018/1432 , A61B2018/1455 , A61B2090/034 , A61B2562/125 , Y10T29/49117
摘要： An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes a pair of spaced apart electrically conductive tissue contacting surfaces which each have an insulator disposed therebetween, the conductive surfaces are connected to an electrosurgical energy source. The first jaw member includes an electrically conductive cutting element disposed within the insulator which extends towards the second tissue contacting surface to create a gap therebetween. The cutting element is inactive during the sealing process while the two pairs of electrically conductive surfaces are activated to seal tissue. During the cutting process, the cutting element is energized to a first potential and at least one electrically conductive tissue contacting surface is energized to a different potential to effect a tissue cut through the tissue held between the jaw members along the already formed tissue seal.
摘要翻译：用于与用于密封容器和切割容器的仪器一起使用的端部执行器组件包括一对相对的第一和第二钳口构件，其可以相对于彼此从第一间隔开的位置移动到第二位置，用于抓握其间的组织。每个钳口构件包括一对间隔开的导电组织接触表面，它们各自具有设置在其间的绝缘体，导电表面连接到电外科能量源。第一钳口构件包括设置在绝缘体内的导电切割元件，其朝向第二组织接触表面延伸以在它们之间形成间隙。切割元件在密封过程中是无效的，而两对导电表面被激活以密封组织。在切割过程期间，切割元件被激励到第一电位，并且至少一个导电组织接触表面被激励到不同的电位，以沿着已经形成的组织密封来实现穿过夹持件之间的组织的组织切割。

6. 发明申请

US20070265616A1 Vessel sealing instrument with optimized power density 审中-公开
标题翻译：容器密封仪具有优化的功率密度
公开(公告)号：US20070265616A1
公开(公告)日：2007-11-15
申请号：US11431466
申请日：2006-05-10
申请人： Gary Couture , Robert Sharp , Jeff Unger
发明人： Gary Couture , Robert Sharp , Jeff Unger
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2017/2945 , A61B2018/00083 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1432
摘要： An electrode assembly for use with an instrument for sealing and cutting vessels and/or tissue is provided. The assembly includes a pair of opposing first and second jaw members. Each jaw member includes an insulator and at least one electrically conductive tissue sealing surface extending along a length thereof, each tissue sealing surface being adapted to connect to a source of electrosurgical energy to effect a seal. At least one electrically conductive cutting element is disposed within the insulator of the first jaw member and an insulative material is disposed upon the at least one electrically conductive sealing surface.
摘要翻译：提供了一种用于密封和切割容器和/或组织的仪器的电极组件。组件包括一对相对的第一和第二钳口构件。每个钳口构件包括绝缘体和沿其长度延伸的至少一个导电组织密封表面，每个组织密封表面适于连接到电外科能量源以实现密封。至少一个导电切割元件设置在第一钳口构件的绝缘体内，并且绝缘材料设置在至少一个导电密封表面上。

7. 发明申请

US20060217709A1 Electrosurgical instrument that directs energy delivery and protects adjacent tissue 有权
标题翻译：引导能量输送并保护邻近组织的电外科仪器
公开(公告)号：US20060217709A1
公开(公告)日：2006-09-28
申请号：US11442849
申请日：2006-05-30
申请人： Gary Couture , Robert Sharp , Craig Weinberg
发明人： Gary Couture , Robert Sharp , Craig Weinberg
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B2018/00023 , A61B2018/00047 , A61B2018/0063 , A61B2018/146
摘要： An electrode sealing assembly is designed for use with an electrosurgical instrument for sealing tissue and includes first and second jaw members each having an insulative housing and being movable from a first position in spaced relation relative to one another to at least one second position for grasping tissue therebetween. Each of the jaw members includes an electrically conductive sealing member disposed within the respective insulative housing. At least one of the insulative housings includes at least one tissue engaging surface configured to extend beyond the electrically conductive sealing member of one of the jaw members. The tissue engaging surface of the insulative housing cooperates with the opposing insulative housing of the opposing jaw member to both pinch and spread tissue when the jaw members are moved to the second position to decrease extraneous energy transmittance to tissue surrounding the jaw members.
摘要翻译：电极密封组件设计用于与用于密封组织的电外科器械一起使用，并且包括第一和第二钳口构件，每个钳口构件具有绝缘壳体，并且可从第一位置相对于彼此以间隔开的关系移动到用于抓握组织的至少一个第二位置之间。每个钳口构件包括设置在相应绝缘壳体内的导电密封构件。绝缘壳体中的至少一个包括至少一个组织接合表面，其构造成延伸超过其中一个钳口构件的导电密封构件。当钳口构件移动到第二位置时，绝缘壳体的组织接合表面与相对的钳口构件的相对的绝缘壳体配合，以便夹紧和展开组织，以减少对夹持构件周围的组织的外来能量透射率。

8. 发明申请

US20070016187A1 Switch mechanisms for safe activation of energy on an electrosurgical instrument 有权
标题翻译：电外科仪器上能量安全激活的切换机制
公开(公告)号：US20070016187A1
公开(公告)日：2007-01-18
申请号：US11180949
申请日：2005-07-13
申请人： Craig Weinberg , Robert Sharp , Gary Couture , Darren Odom
发明人： Craig Weinberg , Robert Sharp , Gary Couture , Darren Odom
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B18/1445 , A61B2017/00973 , H01H9/0066 , H01H13/64 , H01H2300/014
摘要： Various safe switching mechanisms are provided for use with electrosurgical instruments which prevent arcing between the high-energy contacts as the high-energy source is activated. The switching mechanisms generally include a pair of high-energy contacts and a pair of activation contacts. An actuator is provided which initially engages the high-energy contacts in advance of engagement of the activation contacts to prevent arcing and subsequently disengages the activation contacts in advance of the high-energy contacts as the energy source is deactivated. A method of switching power to an electrosurgical instrument while avoiding damage to high-energy contacts is also disclosed.
摘要翻译：提供了各种安全切换机构，用于电外科器械，当高能量源被激活时防止高能量接触之间的电弧。开关机构通常包括一对高能触点和一对激活触点。提供了致动器，其在启动触头的接合之前最初接合高能触点，以防止电弧，并且随着能量源被去激活而在高能触点之前脱离激活触点。还公开了一种将电力切换到电外科器械同时避免对高能量接触的损害的方法。

9. 发明申请

US20060079891A1 Mechanism for dividing tissue in a hemostat-style instrument 有权
标题翻译：止血器仪器中分割组织的机制
公开(公告)号：US20060079891A1
公开(公告)日：2006-04-13
申请号：US11232174
申请日：2005-09-21
申请人： Gene Arts , Gary Couture , Kristin Johnson , Michael Moses
发明人： Gene Arts , Gary Couture , Kristin Johnson , Michael Moses
IPC分类号： A61B18/14 , A61B17/32
CPC分类号： A61B18/1442 , A61B17/2812 , A61B17/32 , A61B17/3201 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/0063 , A61B2018/1457 , A61B2018/146
摘要： Open electrosurgical forceps for sealing tissue are provided which include first and second shaft portions pivotably associated with one another. Each shaft portion has a jaw member disposed at a distal end thereof. Each of the jaw members includes an electrically conductive sealing surface adapted to communicate electrosurgical energy through tissue held therebetween and a slot formed through the sealing surface thereof. The forceps includes a cutting mechanism operatively associated with the first and second jaw members. The cutting mechanism includes a cutting element disposed within the slot of the at least one jaw member, the cutting element being movable from a first position wherein the cutting element is retracted within the at least one jaw member and a second position in which the cutting element at least partially projects from a sealing surface of the at least one jaw member.
摘要翻译：提供用于密封组织的打开的电外科钳，其包括彼此可枢转地相关联的第一和第二轴部。每个轴部分具有设置在其远端处的钳口构件。每个钳口构件包括导电密封表面，其适于将电外科能量通过其间保持的组织和通过其密封表面形成的狭槽来传递。镊子包括与第一和第二钳口构件可操作地相关联的切割机构。所述切割机构包括设置在所述至少一个钳口构件的槽内的切割元件，所述切割元件可从第一位置移动，其中所述切割元件缩回到所述至少一个夹爪构件内，以及第二位置，所述切割元件至少部分地从所述至少一个钳口构件的密封表面突出。

10. 发明申请

US20060189981A1 Vessel sealer and divider 有权
公开(公告)号：US20060189981A1
公开(公告)日：2006-08-24
申请号：US11358180
申请日：2006-02-21
申请人： Sean Dycus , Gary Couture , Lap Nguyen , Kristin Johnson , Michael Moses
发明人： Sean Dycus , Gary Couture , Lap Nguyen , Kristin Johnson , Michael Moses
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/0013 , A61B2018/00345 , A61B2018/00404 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455 , A61B2018/1861 , A61B2090/034
摘要： An endoscopic bipolar forceps for sealing and dividing tissue which includes an elongated shaft having opposing jaw members at a distal end thereof. The jaw members are movable relative to one another about a pivot from a first spaced position to a second closed position to grasp tissue. Each jaw member is adapted to couple to a generator for conducting energy to effect a seal. The forceps also includes a handle assembly and a longitudinally reciprocating knife assembly which is translatable to sever tissue. The knife assembly includes a bifurcated knife bar having two forks which ride about the pivot during translation of the knife. One or more non-conductive stop members are operatively associated with the jaw members to regulate the distance between the jaw members when closed.

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