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1. 发明授权

US07276068B2 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：US07276068B2
公开(公告)日：2007-10-02
申请号：US10932612
申请日：2004-09-02
申请人： Kristin Johnson , Gary M. Couture , Jeff Unger , Robert Sharp
发明人： Kristin Johnson , Gary M. Couture , Jeff Unger , Robert Sharp
IPC分类号： A61B18/18
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。

2. 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。

3. 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。

4. 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。

5. 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。

6. 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。

7. 发明申请

US20070088356A1 Open vessel sealing instrument with cutting mechanism 有权
标题翻译：具有切割机构的开式容器密封仪
公开(公告)号：US20070088356A1
公开(公告)日：2007-04-19
申请号：US11546838
申请日：2006-10-12
申请人： Michael Moses , Paul Romero , Kristin Johnson , Duane Kerr , Sean Dycus
发明人： Michael Moses , Paul Romero , Kristin Johnson , Duane Kerr , Sean Dycus
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B17/32 , A61B17/3201 , A61B2017/2945 , A61B2018/00196 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/0063 , A61B2018/00922 , A61B2018/1455
摘要： An open electrosurgical forceps for sealing tissue includes a pair of first and second shaft members each having a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to a subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a cutting slot defined along a length thereof which is dimensioned to reciprocate a cutting instrument therealong for cutting tissue disposed between jaw members. An actuator advances the cutting instrument from a first position wherein the cutting instrument is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting instrument is disposed distal to tissue held between the jaw members.
摘要翻译：用于密封组织的开放的电外科钳包括一对第一和第二轴构件，每个第一和第二轴构件具有设置在其远端处的钳口构件。钳口构件可以从相对于彼此间隔开的第一位置移动到随后的位置，其中钳口构件协作以在其间抓握组织。每个钳口构件包括用于通过保持在其间的组织传导电外科能量的导电密封板。钳口构件中的至少一个包括沿着其长度限定的切割槽，其尺寸被设计成使切割器具往复运动，以切割设置在颚构件之间的组织。致动器将切割仪器从第一位置推进，其中切割仪器被设置在保持在钳口构件之间的组织的近侧至少一个后续位置，其中切割器械设置在夹持在钳口构件之间的组织的远侧。

8. 发明申请

US20050119655A1 Open vessel sealing instrument with cutting mechanism 有权
标题翻译：具有切割机构的开式容器密封仪
公开(公告)号：US20050119655A1
公开(公告)日：2005-06-02
申请号：US10991157
申请日：2004-11-17
申请人： Michael Moses , Paul Romero , Kristin Johnson , Duane Kerr , Sean Dycus
发明人： Michael Moses , Paul Romero , Kristin Johnson , Duane Kerr , Sean Dycus
IPC分类号： A61B17/3201 , A61B17/12 , A61B17/125 , A61B17/28 , A61B18/00 , A61B18/12 , A61B18/14
CPC分类号： A61B18/1442 , A61B17/32 , A61B17/3201 , A61B2017/2945 , A61B2018/00196 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/0063 , A61B2018/00922 , A61B2018/1455
摘要： An open electrosurgical forceps for sealing tissue includes a pair of first and second shaft members each having a jaw member disposed at a distal end thereof. The jaw members are movable from a first position in spaced relation relative to one another to a subsequent position wherein the jaw members cooperate to grasp tissue therebetween. Each of the jaw members includes an electrically conductive sealing plate for communicating electrosurgical energy through tissue held therebetween. At least one of the jaw members includes a cutting slot defined along a length thereof which is dimensioned to reciprocate a cutting instrument therealong for cutting tissue disposed between jaw members. An actuator advances the cutting instrument from a first position wherein the cutting instrument is disposed proximal to tissue held between the jaw members to at least one subsequent position wherein the cutting instrument is disposed distal to tissue held between the jaw members.
摘要翻译：用于密封组织的开放的电外科钳包括一对第一和第二轴构件，每个第一和第二轴构件具有设置在其远端处的钳口构件。钳口构件可以从相对于彼此间隔开的第一位置移动到随后的位置，其中钳口构件协作以在其间抓握组织。每个钳口构件包括用于通过保持在其间的组织传导电外科能量的导电密封板。钳口构件中的至少一个包括沿着其长度限定的切割槽，其尺寸被设计成使切割器具往复运动，以切割设置在颚构件之间的组织。致动器将切割仪器从第一位置推进，其中切割仪器被设置在保持在钳口构件之间的组织的近侧至少一个后续位置，其中切割器械设置在夹持在钳口构件之间的组织的远侧。

9. 发明申请

US20080114356A1 Vessel Sealing Instrument 有权
标题翻译：船舶密封仪器
公开(公告)号：US20080114356A1
公开(公告)日：2008-05-15
申请号：US12015404
申请日：2008-01-16
申请人： Kristin Johnson , Chris Ehr , Gene Arts
发明人： Kristin Johnson , Chris Ehr , Gene Arts
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2017/2945 , A61B2018/126 , A61B2018/1412 , A61B2018/1432 , A61B2018/1455
摘要： A bipolar electrosurgical instrument for clamping, grasping, manipulating, and sealing tissue includes first and second shafts each having a jaw member extending from a distal end thereof and a handle disposed at a proximal end thereof. The handle being operable to effect movement of the jaw members 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. The bipolar instrument is connectable to a source of electrical energy having a first electrical potential connected to one of the jaw members and a second electrical potential connected to the other of the jaw members such that the jaw members are capable of selectively conducting energy through tissue held therebetween to effect a seal. Both the first and second electrical potentials are transmitted to the jaw members through the first shaft.
摘要翻译：用于夹紧，抓握，操作和密封组织的双极电外科器械包括第一和第二轴，每个具有从其远端延伸的钳口构件和设置在其近端处的手柄。所述手柄可操作以实现所述钳口构件相对于彼此从第一位置的移动，其中所述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。所述双极仪器可连接到具有连接到所述钳口构件中的一个的第一电势的电能源，以及连接到所述钳口构件中的另一个的第二电势，使得所述钳口构件能够选择性地通过组织保持的能量传导能量之间进行密封。第一和第二电位都通过第一轴传递到钳口构件。

10. 发明申请

US20060167450A1 Vessel sealer and divider with rotating sealer and cutter 有权
标题翻译：容器密封器和分隔器，带旋转密封器和切割器
公开(公告)号：US20060167450A1
公开(公告)日：2006-07-27
申请号：US11328767
申请日：2006-01-10
申请人： Kristin Johnson , Steven Buysse
发明人： Kristin Johnson , Steven Buysse
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2017/2929 , A61B2018/00404 , A61B2018/00601 , A61B2018/1861 , A61B2090/034
摘要： An electrosurgical instrument includes a housing having a shaft attached thereto which defines a longitudinal axis therethrough. The instrument also includes first and second opposing jaw members coupled to the shaft, the first jaw member having a conductive surface and being movable relative to the second jaw member and the second jaw member being fixed relative to the shaft having an electrode rotatable along the longitudinal axis. The rotatable electrode has a sealing surface and a cutting edge. At least one non-conductive stop member is disposed on at least one of the first and second jaw members which controls the distance between the electrically conductive surfaces when tissue is held therebetween. The jaw member are connected to an electrosurgical energy source such that the jaw members are capable of conducting energy through tissue held therebetween.
摘要翻译：电外科器械包括具有连接到其上的轴的壳体，其限定穿过其中的纵向轴线。仪器还包括联接到轴的第一和第二相对的钳口构件，第一钳口构件具有导电表面并且可相对于第二钳口构件运动，并且第二钳口构件相对于轴固定，该杆具有沿着纵向可旋转的电极轴。可旋转电极具有密封面和切削刃。至少一个非导电止动构件设置在第一和第二钳口构件中的至少一个上，当组织保持在其间时，其控制导电表面之间的距离。钳口构件连接到电外科能量源，使得钳口构件能够通过保持在其间的组织传导能量。

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