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1. 发明授权

US08333765B2 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：US08333765B2
公开(公告)日：2012-12-18
申请号：US13488093
申请日：2012-06-04
申请人： Kristin D. Johnson , Gary M. Couture , Jeffrey R. Unger , Robert M. Sharp , David M. Garrison , Sean T. Dycus , David Hixson , Craig Weinberg
发明人： Kristin D. Johnson , Gary M. Couture , Jeffrey R. Unger , Robert M. Sharp , David M. Garrison , Sean T. 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。

2. 发明授权

US08267935B2 Electrosurgical instrument reducing current densities at an insulator conductor junction 有权
标题翻译：电外科仪器降低绝缘体导体结处的电流密度
公开(公告)号：US08267935B2
公开(公告)日：2012-09-18
申请号：US11732556
申请日：2007-04-04
申请人： Gary M. Couture , Robert M. Sharp , Craig Weinberg
发明人： Gary M. Couture , Robert M. Sharp , Craig Weinberg
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B2017/0088 , A61B2017/2945 , A61B2018/00083 , A61B2018/00107 , A61B2018/1432
摘要： An electrosurgical instrument having opposing end effectors and a handle for effecting movement of the end effectors relative to one another, includes a pair of electrodes each including an electrically conductive surface (e.g., which can be dimensioned for sealing, clamping and/or cutting), an insulating substrate having a first edge, and an insulating layer positioned in a channel formed by the electrically conductive surface within the first edge between the conductive surface and the first edge of the insulating substrate. The insulating layer has a portion proximal to the electrically conductive surface and a portion distal from the electrically conductive surface and a gradient such that the proximal portion has a lower dielectric strength than the distal portion. A coating on one of the pair of electrodes may be disposed in at least partial non-vertical registration with a coating on the opposing one of the pair of electrodes.
摘要翻译：具有相对的末端执行器和用于实现端部执行器相对于彼此的移动的手术的电外科器械包括一对电极，每对电极包括导电表面（例如，其尺寸可用于密封，夹紧和/或切割）具有第一边缘的绝缘基板和位于导电表面与绝缘基板的第一边缘之间的第一边缘内的由导电表面形成的通道中的绝缘层。绝缘层具有靠近导电表面的部分和远离导电表面的部分，并且梯度使得近端部分具有比远端部分更低的介电强度。一对电极中的一个上的涂层可以布置成与该对电极中相对的一个电极上的涂层至少部分非垂直配准。

3. 发明授权

US08961513B2 Surgical tissue sealer 有权
标题翻译：手术组织切片机
公开(公告)号：US08961513B2
公开(公告)日：2015-02-24
申请号：US13358136
申请日：2012-01-25
申请人： James D. Allen, IV , Gary M. Couture , James S. Cunningham , David M. Garrison , Sean T. O'Neill , Jason T. Sanders , Robert M. Sharp , Jeffrey R. Unger
发明人： James D. Allen, IV , Gary M. Couture , James S. Cunningham , David M. Garrison , Sean T. O'Neill , Jason T. Sanders , Robert M. Sharp , Jeffrey R. Unger
IPC分类号： A61B18/18
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2017/2825 , A61B2018/0063 , A61B2018/1455 , A61B2018/1465
摘要： A surgical instrument is provided. The surgical instrument includes an end effector assembly including first and second jaw members moveable relative to one another between a first, spaced-apart position and a second position proximate tissue, wherein, in the second position, the jaw members cooperate to define a cavity that is configured to receive tissue between the jaw members and a resilient electrically conductive sealing surface operably coupled to at least one jaw member, the resilient electrically conductive sealing surface selectively positionable from a first unflexed position to a second flexed position.
摘要翻译：提供手术器械。手术器械包括端部执行器组件，其包括第一和第二钳口构件，所述第一和第二钳口构件可相对于彼此在第一间隔开的位置和靠近组织的第二位置之间相对移动，其中，在第二位置，钳口构件协作以限定腔构造成在钳口构件之间接收组织，并且弹性导电密封表面可操作地联接到至少一个钳口构件，所述弹性导电密封表面可选择性地从第一未弯曲位置定位到第二弯曲位置。

4. 发明授权

US08752264B2 Surgical tissue sealer 失效
标题翻译：手术组织切片机
公开(公告)号：US08752264B2
公开(公告)日：2014-06-17
申请号：US13412897
申请日：2012-03-06
申请人： Joanna Ackley , James D. Allen, IV , Ryan C. Artale , Kim V. Brandt , Dennis W. Butcher , Edward M. Chojin , Gary M. Couture , James S. Cunningham , David M. Garrison , Keir Hart , Russell D. Hempstead , Glenn A. Horner , Daniel A. Joseph , Duane E. Kerr , Dylan R. Kingsley , Peter M. Mueller , Jessica E. C. Olson , Sean T. O'Neill , Jason T. Sanders , Robert M. Sharp , John R. Twomey , Jeffrey R. Unger
发明人： Joanna Ackley , James D. Allen, IV , Ryan C. Artale , Kim V. Brandt , Dennis W. Butcher , Edward M. Chojin , Gary M. Couture , James S. Cunningham , David M. Garrison , Keir Hart , Russell D. Hempstead , Glenn A. Horner , Daniel A. Joseph , Duane E. Kerr , Dylan R. Kingsley , Peter M. Mueller , Jessica E. C. Olson , Sean T. O'Neill , Jason T. Sanders , Robert M. Sharp , John R. Twomey , Jeffrey R. Unger
IPC分类号： B23Q17/00 , B23P11/00 , B23Q3/00 , G01B3/00 , B27G23/00 , G01D21/02
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2017/00526 , A61B2018/0063 , A61B2090/034 , B29C31/008 , Y10T29/49771 , Y10T29/4984 , Y10T29/49895
摘要： A method for manufacturing an end effector assembly is provided. The method includes grasping a gap-setting gauge between first and second jaw members moveable relative to one another about a pivot between a first, spaced-apart position and a second position proximate tissue and setting the first and second jaw members such that in the approximated position the jaw members cooperate to define a gap distance between the jaw members equivalent to the thickness of the gap-setting gauge such that when positioning tissue between the jaw members full approximation of the jaws is limited to the gap distance.
摘要翻译：提供一种用于制造端部执行器组件的方法。该方法包括抓住第一和第二钳口构件之间的间隙设定量规围绕彼此相对于第一间隔开的位置和靠近组织的第二位置之间的枢轴移动，并且将第一和第二钳口构件设置成近似的位置钳口构件协作以限定等同于间隙设定规格厚度的钳口构件之间的间隙距离，使得当在爪构件之间定位组织时，爪的全部近似被限制在间隙距离上。

5. 发明申请

US20130190760A1 Surgical Tissue Sealer 有权
标题翻译：外科组织封口机
公开(公告)号：US20130190760A1
公开(公告)日：2013-07-25
申请号：US13358136
申请日：2012-01-25
申请人： James D. Allen, IV , Gary M. Couture , James S. Cunningham , David M. Garrison , Sean T. O'Neill , Jason T. Sanders , Robert M. Sharp , Jeffrey R. Unger
发明人： James D. Allen, IV , Gary M. Couture , James S. Cunningham , David M. Garrison , Sean T. O'Neill , Jason T. Sanders , Robert M. Sharp , Jeffrey R. Unger
IPC分类号： A61B18/18
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2017/2825 , A61B2018/0063 , A61B2018/1455 , A61B2018/1465
摘要： A surgical instrument is provided. The surgical instrument includes an end effector assembly including first and second jaw members moveable relative to one another between a first, spaced-apart position and a second position proximate tissue, wherein, in the second position, the jaw members cooperate to define a cavity that is configured to receive tissue between the jaw members and a resilient electrically conductive sealing surface operably coupled to at least one jaw member, the resilient electrically conductive sealing surface selectively positionable from a first unflexed position to a second flexed position.
摘要翻译：提供手术器械。手术器械包括端部执行器组件，其包括第一和第二钳口构件，所述第一和第二钳口构件可相对于彼此在第一间隔开的位置和靠近组织的第二位置之间相对移动，其中，在第二位置，钳口构件协作以限定腔构造成在钳口构件之间接收组织，并且弹性导电密封表面可操作地联接到至少一个钳口构件，所述弹性导电密封表面可选择性地从第一未弯曲位置定位到第二弯曲位置。

6. 发明授权

US10045811B2 Surgical instrument with dispensable components 有权
公开(公告)号：US10045811B2
公开(公告)日：2018-08-14
申请号：US13028810
申请日：2011-02-16
申请人： Robert M. Sharp , William H. Nau, Jr. , Glenn A. Horner , Duane E. Kerr , Kristel L. Ambrosius
发明人： Robert M. Sharp , William H. Nau, Jr. , Glenn A. Horner , Duane E. Kerr , Kristel L. Ambrosius
IPC分类号： A61B18/14 , A61B17/00 , A61B18/00
摘要： A surgical instrument includes an active electrode coupled to a source of electrosurgical energy. The active electrode includes a tissue-contacting surface on an exterior surface of the instrument such that the tissue-contacting surface of the active electrode may intimately engage tissue. A replacement electrode includes a tissue-contacting surface, and is located in an interior cavity of the instrument. A seal is formed between the active electrode and the interior cavity of the instrument such that the tissue-contacting-surface of the replacement electrode is isolated from contamination exposed to the exterior of the instrument. The active electrode is removable from the instrument to expose the tissue-contacting surface of the replacement electrode, and the replacement electrode is connectable to the source of electrosurgical energy when the active electrode is removed.

7. 发明授权

US08864753B2 Surgical Forceps Connected to Treatment Light Source 有权
标题翻译：手术钳连接治疗光源
公开(公告)号：US08864753B2
公开(公告)日：2014-10-21
申请号：US13324863
申请日：2011-12-13
申请人： William H. Nau, Jr. , Arlan J. Reschke , Robert M. Sharp , Duane E. Kerr
发明人： William H. Nau, Jr. , Arlan J. Reschke , Robert M. Sharp , Duane E. Kerr
IPC分类号： A61B18/18 , A61B17/00
CPC分类号： A61B17/295 , A61B17/285 , A61B17/320092 , A61B18/085 , A61B18/1445 , A61B18/1447 , A61B18/1815 , A61B18/20 , A61B18/22 , A61B2017/2933 , A61B2018/00011 , A61B2018/00601 , A61B2018/0063 , A61B2018/0097 , A61B2018/00994 , A61B2018/1455 , A61B2018/1807 , A61B2090/032 , A61B2090/034 , A61B2090/036
摘要： A forceps includes an end effector assembly having first and second jaw members movable relative to one another between a spaced-apart position, a first approximated position, and a second approximated position. One or both of the jaw members including a first stop member coupled thereto and disposed between the jaw members. The first stop member is longitudinally translatable along a surface of the at least one jaw member from a first position, wherein the first stop member inhibits approximation of the jaw members beyond the first approximated position, and a second position, wherein the first stop member inhibits approximation of the jaw members beyond the second approximated position.
摘要翻译：镊子包括端部执行器组件，其具有第一和第二钳口构件，所述第一和第二钳口构件可在间隔开的位置，第一近似位置和第二近似位置之间相对于彼此移动。一个或两个钳口构件包括与其连接并设置在钳口构件之间的第一止动构件。所述第一止动件可沿着所述至少一个钳口构件的表面从第一位置纵向平移，其中所述第一止动构件抑制所述钳口构件超过所述第一近似位置的近似值，以及第二位置，其中所述第一阻挡构件禁止钳口构件的近似值超过第二近似位置。

8. 发明申请

US20130304059A1 Modular Surgical Instrument with Contained Electrical or Mechanical Systems 有权
标题翻译：包含电气或机械系统的模块化手术器械
公开(公告)号：US20130304059A1
公开(公告)日：2013-11-14
申请号：US13470775
申请日：2012-05-14
申请人： James D. Allen, IV , Ryan C. Artale , Glenn A. Horner , Duane E. Kerr , Peter M. Mueller , Arlen J. Reschke , Robert M. Sharp , Robert B. Stoddard
发明人： James D. Allen, IV , Ryan C. Artale , Glenn A. Horner , Duane E. Kerr , Peter M. Mueller , Arlen J. Reschke , Robert M. Sharp , Robert B. Stoddard
IPC分类号： A61B17/29 , A61B18/14
CPC分类号： A61B18/1482 , A61B17/285 , A61B17/2909 , A61B17/295 , A61B18/1206 , A61B18/1445 , A61B2017/2948 , A61B2018/00196 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/0091 , A61B2018/00916 , A61B2018/00982 , A61B2018/1455
摘要： A surgical instrument includes an elongated shaft module and a handle module selectively separable from one another. The elongated shaft module includes an elongated shaft member and a pair of jaw members supported at a distal end of the elongated shaft member, at least one of the jaw members moveable relative to the other jaw member between open and closed positions. The handle module includes a housing including an opening extending longitudinally therethrough. The opening is dimensioned to permit passage of the pair of jaw members in the closed position. The handle module also includes a movable handle movable relative to the housing to move the pair of jaw members between open and closed positions, and a lock to secure the elongated shaft module in place within the housing.
摘要翻译：手术器械包括细长轴模块和可选择性地彼此分离的手柄模块。细长轴模块包括细长轴构件和支撑在细长轴构件的远端处的一对钳口构件，所述钳口构件中的至少一个可相对于另一钳口构件在打开位置和闭合位置之间移动。手柄模块包括壳体，其包括纵向延伸通过的开口。开口的尺寸被设计成允许一对钳口构件在关闭位置通过。手柄模块还包括可相对于壳体移动的可移动手柄，以在打开和关闭位置之间移动该对夹爪构件，以及锁定件，以将细长轴模块固定在壳体内的适当位置。

9. 发明申请

US20080319442A1 Vessel Sealing Cutting Assemblies 有权
标题翻译：船舶密封切割装置
公开(公告)号：US20080319442A1
公开(公告)日：2008-12-25
申请号：US12205054
申请日：2008-09-05
申请人： Jeffrey R. Unger , David W. Hixson , Robert M. Sharp , James D. Allen, IV , Jessica E. Olson
发明人： Jeffrey R. Unger , David W. Hixson , Robert M. Sharp , James D. Allen, IV , Jessica E. Olson
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/32 , A61B18/1442 , A61B18/22 , A61B2017/2945 , A61B2017/32006 , A61B2018/1412 , A61B2018/1432 , A61B2018/1455 , A61B2018/1861
摘要： An endoscopic bipolar forceps includes a housing having a shaft affixed thereto the shaft including jaw members at a distal end thereof. The shaft includes a longitudinal axis defined therethrough and the jaw members are adapted to connect to a source of electrosurgical energy such that the jaw members are capable of conducting energy through tissue held therebetween to effect a tissue seal. A movable handle is included that is rotatable about a pivot to force a drive assembly to move the jaw members between the first and second positions. The pivot is located a fixed distance above the longitudinal axis. A cutting assembly is included having at least one blade element disposed within one of the jaw members. The blade element is selectively moveable from a first recessed position within the jaw member to a second extended position for cutting tissue. The cutting assembly also includes a remote actuator which reciprocates a camming element to move the blade element between the first and second positions.
摘要翻译：内窥镜双极镊子包括具有固定到其上的轴的壳体，所述轴在其远端处包括钳口构件。轴包括通过其限定的纵向轴线，并且钳口构件适于连接到电外科能量源，使得钳口构件能够通过夹持在其间的组织传导能量以实现组织密封。包括可绕手柄旋转的可移动手柄，以迫使驱动组件在第一和第二位置之间移动钳口构件。枢轴位于纵向轴线上方固定距离。包括切割组件，其中至少一个刀片元件设置在一个钳口构件内。刀片元件可选择性地从颚构件内的第一凹进位置移动到用于切割组织的第二延伸位置。切割组件还包括远程致动器，其使凸轮元件往复运动以在第一和第二位置之间移动叶片元件。

10. 发明授权

US09345534B2 Vessel sealing instrument 有权
标题翻译：船舶密封仪器
公开(公告)号：US09345534B2
公开(公告)日：2016-05-24
申请号：US13415471
申请日：2012-03-08
申请人： Ryan C. Artale , Tony Moua , Robert M. Sharp
发明人： Ryan C. Artale , Tony Moua , Robert M. Sharp
IPC分类号： A61B18/14 , A61B18/00 , A61B19/00
CPC分类号： A61B18/1442 , A61B18/1206 , A61B34/76 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00916 , A61B2018/126 , A61B2018/1412 , A61B2018/1455 , A61B2090/034 , A61B2090/065
摘要： A bipolar electrosurgical instrument includes a housing and an elongated shaft. An end effector is coupled to a distal end of the elongated shaft. A handle assembly includes a movable handle movable relative to a fixed handle for effecting movement of the jaw members from a first position to a second position. Each jaw member is configured to connect to a source of electrosurgical energy. A switch is disposed on the fixed handle and configured to be depressed between a first position and at least one subsequent position upon biasing engagement with a switch engaging surface disposed on the movable handle. The first position of the switch causes the relay of information to the user corresponding to a desired pressure on tissue grasped between the jaw members and the at least one subsequent position is configured to activate the source of electrosurgical energy.
摘要翻译：双极电外科器械包括壳体和细长轴。端部执行器联接到细长轴的远端。手柄组件包括可相对于固定手柄移动的可移动手柄，用于使夹爪构件从第一位置移动到第二位置。每个钳口构件被构造成连接到电外科能源。开关设置在固定手柄上，并且构造成在与设置在可移动手柄上的开关接合表面偏置接合时在第一位置和至少一个后续位置之间被压下。开关的第一位置使得对应于在钳夹构件和至少一个后续位置之间抓握的组织上的期望压力的对象的信息的继电器被配置为激活电外科能量源。

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