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1. 发明授权

US06666859B1 Self-limiting electrosurgical return electrode 有权
标题翻译：自限电手术返回电极
公开(公告)号：US06666859B1
公开(公告)日：2003-12-23
申请号：US10238085
申请日：2002-09-09
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson
IPC分类号： A61B1816
CPC分类号： A61B18/08 , A61B18/16 , A61B2090/0813 , Y10S128/908
摘要： A self-limiting electrosurgical return electrode for use with electrosurgery. Through selection of impedance characteristics for the materials of the principal body of the electrode, and through tailoring of electrode geometries, the electrode is self-regulating and self-limiting as to current density and temperature rise to prevent patient trauma. The return electrode includes a sheet of material having an effective bulk impedance equal to or greater than about 4,000&OHgr;.cm and one or more connectors for making electrical connection to the sheet. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. Configuration of the return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery. Through employment of washable surface areas, the electrode is made readily cleanable, disinfectable, sterilizable, and reusable. An optional sleeve is provided for cooperative use with the electrode.
摘要翻译：一种用于电外科手术的自限性电外科返回电极。通过选择电极主体材料的阻抗特性，通过电极几何尺寸的调整，电极对于电流密度和温度上升是自我调节和自限制的，以防患者创伤。返回电极包括具有等于或大于约4,000Omega.cm的有效体阻抗的一片材料和用于与片材电连接的一个或多个连接器。片材的有效体阻抗可能来自电阻元件，电容元件，电感元件或其组合。返回电极的配置允许电极自动限制电极的电流密度，从而防止在手术期间患者的燃烧。通过使用可洗表面区域，电极易于清洁，消毒，消毒，并可重复使用。提供可选的套筒以与电极协同使用。

2. 发明授权

US07367971B2 Self-limiting electrosurgical return electrode 有权
标题翻译：自限电手术返回电极
公开(公告)号：US07367971B2
公开(公告)日：2008-05-06
申请号：US11626123
申请日：2007-01-23
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
IPC分类号： A61B18/16
CPC分类号： A61B18/08 , A61B18/16 , A61B2090/0813 , Y10S128/908
摘要： A removable semi-insulating sheet for use in self-limiting electrosurgical return semi-insulating sheet for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the semi-insulating sheet, and through tailoring of semi-insulating sheet geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The semi-insulating sheet has an effective bulk impedance equal to or greater than about 4,000 Ω·cm. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery.
摘要翻译：一种用于电极外科手术的自限性电外科返回半绝缘片材的可移除半绝缘片材。通过对半绝缘片的主体的电极材料的阻抗特性的选择，通过半绝缘片的几何尺寸的调整，本发明的返回电极对于电流密度是自调节和自限制的和温度上升，以防止患者的创伤。半绝缘片具有等于或大于约4,000Ω·cm的有效体阻抗。片材的有效体阻抗可能来自电阻元件，电容元件，电感元件或其组合。目前描述的返回电极的配置允许电极自我限制电极的电流密度，从而防止患者在手术期间的燃烧。

3. 发明授权

US07166102B2 Self-limiting electrosurgical return electrode 有权
标题翻译：自限电手术返回电极
公开(公告)号：US07166102B2
公开(公告)日：2007-01-23
申请号：US10142253
申请日：2002-05-09
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
IPC分类号： A61B18/16
CPC分类号： A61B18/08 , A61B18/16 , A61B2090/0813 , Y10S128/908
摘要： A removable semi-insulating sheet for use in self-limiting electrosurgical return semi-insulating sheet for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the semi-insulating sheet, and through tailoring of semi-insulating sheet geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The semi-insulating sheet has an effective bulk impedance equal to or greater than about 4,000 Ω·cm. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery.
摘要翻译：一种用于电极外科手术的自限性电外科返回半绝缘片材的可移除半绝缘片材。通过对半绝缘片的主体的电极材料的阻抗特性的选择，通过半绝缘片的几何尺寸的调整，本发明的返回电极对于电流密度是自调节和自限制的和温度上升，以防止患者的创伤。半绝缘片具有等于或大于约4,000Ω·cm的有效体阻抗。片材的有效体阻抗可能来自电阻元件，电容元件，电感元件或其组合。目前描述的返回电极的配置允许电极自我限制电极的电流密度，从而防止患者在手术期间的燃烧。

4. 发明授权

US06582424B2 Capacitive reusable electrosurgical return electrode 有权
标题翻译：电容可重复使用的电外科返回电极
公开(公告)号：US06582424B2
公开(公告)日：2003-06-24
申请号：US09769025
申请日：2001-01-24
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
IPC分类号： A61B1816
CPC分类号： A61B18/16 , A61B2090/0813 , Y10S128/908
摘要： A capacitive reusable electrosurgical return electrode pad for use with electrosurgery. Through selection of the electrode geometries and the impedance characteristics of the electrode, the electrode is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The electrosurgical return electrode can include a connector and a sheet of material having an effective bulk impedance equal to or greater than about 100,000 &OHgr;·cm. The electrode can have a working surface area from about 11 to about 1,500 square inches (or about 70 to about 10,000 square centimeters). The electrode can be disposed on the working surface of an operating table or dentist's chair immediately underlying a patient during electrosurgery. This very large working surface area eliminates the need for direct contact or contact through conducting gels and by employing washable surface areas, it is made readily cleanable and reusable.
摘要翻译：一种用于电外科手术的电容可重复使用的电外科回路电极垫。通过选择电极几何形状和电极的阻抗特性，电极对于电流密度和温度升高是自调节和自限制的，以防患者创伤。电外科返回电极可以包括具有等于或大于约100,000欧姆·厘米的有效体阻抗的连接器和材料片。电极可具有约11至约1,500平方英寸（或约70至约10,000平方厘米）的工作表面积。在电外科手术期间，电极可以放置在手术台或牙医的椅子的正下方的工作表面上。这种非常大的工作表面积消除了通过导电凝胶直接接触或接触的需要，并且通过使用可洗的表面区域，使其易于清洁和可重复使用。

5. 发明授权

US06454764B1 Self-limiting electrosurgical return electrode 有权
标题翻译：自限电手术返回电极
公开(公告)号：US06454764B1
公开(公告)日：2002-09-24
申请号：US09569998
申请日：2000-05-12
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson
IPC分类号： A61B1816
CPC分类号： A61B18/08 , A61B18/16 , A61B2090/0813 , Y10S128/908
摘要： A self-limiting electrosurgical return electrode for use with electrosurgery. Through the selection of impedance characteristics for the electrode materials of the principal body of the electrode, and through tailoring of electrode geometries, the return electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. The electrosurgical return electrode includes a sheet of material having an effective bulk impedance equal to or greater than about 4,000 &OHgr;·cm and one or more connectors for making electrical connection to the sheet. The effective bulk impedance of the sheet may arise from resistive components, capacitive components, inductive components, or combinations thereof. The configuration of the presently described return electrode allows the electrode to self-limit the electrode's current densities, thereby preventing burning of a patient during surgery. Furthermore, through employment of washable surface areas, the electrode is made readily cleanable, disinfectable, sterilizable, and reusable. An optional sleeve is provided for cooperative use with the electrode.
摘要翻译：一种用于电外科手术的自限性电外科返回电极。通过选择电极主体的电极材料的阻抗特性，通过电极几何尺寸的调整，本发明的返回电极对电流密度和温度升高是自调节和自限制的，预防患者创伤。电外科返回电极包括具有等于或大于约4000欧姆·厘米的有效体阻抗的一片材料和用于与片材电连接的一个或多个连接器。片材的有效体阻抗可能来自电阻元件，电容元件，电感元件或其组合。目前描述的返回电极的配置允许电极自我限制电极的电流密度，从而防止患者在手术期间的燃烧。此外，通过使用可洗表面区域，电极易于清洁，消毒，可消毒和可重复使用。提供可选的套筒以与电极协同使用。

6. 发明授权

US6083221A Resistive reusable electrosurgical return electrode 有权
标题翻译：电阻可重复使用的电外科返回电极
公开(公告)号：US6083221A
公开(公告)日：2000-07-04
申请号：US201998
申请日：1998-11-30
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson
IPC分类号： A61B18/16 , A61G13/00
CPC分类号： A61B18/16 , Y10S128/908
摘要： A reusable electrosurgical return electrode pad for use with electrosurgery. In one embodiment it includes a presentation or working surface area at lying in a range of from about 100 to about 20,000 square centimeters. In another the working surface is at least as large as that of a projection of about half of the profile of the trunk of a patient. In yet another, it includes a working surface area at least as large as that of a projection of the profile of both the trunk and legs of a patient. It is adapted for disposition on the working surface of an operating table or dentist's chair immediately underlying a patient during electrosurgery. By presenting a very large working surface area, the need for direct contact or contact through conducting gels is eliminated; through employment of washable surface areas, it is made readily cleanable and reusable; and through the selection of resistance characteristics for the electrode materials of the principal body of the electrode, and through tailoring of electrode geometries, it is made self-limiting as to current density and temperature rise so as to prevent patient trauma. An optional sleeve is provided for cooperative use with the electrode.
摘要翻译：一种用于电外科手术的可重复使用的电外科返回电极垫。在一个实施方案中，其包括在约100至约20,000平方厘米范围内的呈现或工作表面积。在另一个中，工作表面至少与患者躯干的轮廓的大约一半的突出部分一样大。在另一方面，它包括至少与患者的躯干和腿部的轮廓的投影的工作表面积一样大的工作表面区域。它适用于在电外科手术期间立即位于患者下方的手术台或牙医椅的工作表面上。通过提供非常大的工作表面积，消除了通过导电凝胶直接接触或接触的需要; 通过使用可洗的表面区域，使其易于清洁和可重复使用; 并且通过选择电极主体的电极材料的电阻特性，通过电极几何尺寸的调整，对电流密度和温度升高进行自限制，以防患者创伤。提供可选的套筒以与电极协同使用。

7. 发明授权

US06544258B2 Pressure sore pad having self-limiting electrosurgical return electrode properties and optional heating/cooling capabilities 有权
标题翻译：压疮垫具有自限电手术返回电极特性和可选加热/冷却功能
公开(公告)号：US06544258B2
公开(公告)日：2003-04-08
申请号：US09773282
申请日：2001-01-31
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson , Paul R. Borgmeier
IPC分类号： A61B1816
CPC分类号： A61B18/16 , A61B46/10 , A61B46/40 , A61B50/13 , A61B2018/00023 , A61B2018/167 , A61B2090/0813 , A61F7/02 , A61F2007/0054 , Y10S128/908
摘要： A self-limiting electrosurgical electrode for use with electrosurgery and various other surgical procedures. The electrode can include a pad and a conductive element that collectively has an effective bulk impedance equal to or greater than about 4,000 &OHgr;·cm. The effective bulk impedance of the electrode arises from resistive components, capacitive components, inductive components, or combinations thereof of both the pad and the conductive element. Through the selection of the impedance characteristics for the electrode materials, and through tailoring of electrode geometries, the electrode of the present invention is self-regulating and self-limiting as to current density and temperature rise so as to prevent patient trauma. Additionally, the selection of materials and electrode geometries can prevent the creation of pressure sore or decubitus ulcers on a patient resting upon the electrode. Further, alternate configurations of the electrosurgical electrode can heat and/or cool a patient during the performance of a surgical procedure.
摘要翻译：一种用于电外科手术和各种其他外科手术的自限电手术。电极可以包括焊盘和导电元件，其共同具有等于或大于约4000欧姆·厘米的有效体阻抗。电极的有效体阻抗来自电阻元件，电容元件，电感元件，或者焊盘和导电元件的组合。通过选择电极材料的阻抗特性，通过电极几何尺寸的调整，本发明的电极对于电流密度和温度升高是自调节和自限制的，从而防止患者的创伤。此外，材料和电极几何形状的选择可以防止在靠在电极上的患者上产生压疮或褥疮溃疡。此外，电外科手术电极的替代构造可以在外科手术过程中加热和/或冷却患者。

8. 发明授权

US06214000B1 Capacitive reusable electrosurgical return electrode 有权
标题翻译：电容可重复使用的电外科返回电极
公开(公告)号：US06214000B1
公开(公告)日：2001-04-10
申请号：US09435498
申请日：1999-11-06
申请人： Richard P. Fleenor , David B. Kieda , James D. Isaacson
发明人： Richard P. Fleenor , David B. Kieda , James D. Isaacson
IPC分类号： A61B1816
CPC分类号： A61B18/16
摘要： A reusable electrosurgical return electrode pad for use with electrosurgery. In one embodiment it includes a presentation or working surface area lying in the range of from about 11 to about 1,500 square inches. In another the working surface is at least as large as that of a projection of about half of the profile of the trunk of a patient. In yet another, it includes a working surface area at least as large as that of a projection of the profile of both the trunk and legs of a patient. It is adapted for disposition on the working surface of an operating table or dentist's chair immediately underlying a patient during electrosurgery. By presenting a very large surface area, the need for direct contact or contact through conducting jells is eliminated; through employment of washable surface areas, it is made readily cleanable and reusable; and through the inclusion of capacitive. coupling and selection of impedance characteristics for the materials and geometries, it is made self-limiting as to current density and temperature rise so as to prevent patient trauma. An optional sleeve is provided for cooperative use with the electrode.
摘要翻译：一种用于电外科手术的可重复使用的电外科返回电极垫。在一个实施例中，其包括介于约11至约1,500平方英寸范围内的呈现或工作表面区域。在另一个中，工作表面至少与患者躯干的轮廓的大约一半的突出部分一样大。在另一方面，它包括至少与患者的躯干和腿部的轮廓的投影的工作表面积一样大的工作表面区域。它适用于在电外科手术期间立即位于患者下方的手术台或牙医椅的工作表面上。通过提供非常大的表面积，消除了通过导电胶体直接接触或接触的需要; 通过使用可洗的表面区域，使其易于清洁和可重复使用; 并通过包容电容。耦合和选择材料和几何形状的阻抗特性，对电流密度和温度升高进行自限制，以防患者创伤。提供可选的套筒以与电极协同使用。

9. 发明授权

US5843080A Bipolar instrument with multi-coated electrodes 失效
标题翻译：具有多层电极的双极仪器
公开(公告)号：US5843080A
公开(公告)日：1998-12-01
申请号：US729352
申请日：1996-10-16
申请人： Richard P. Fleenor , James D. Isaacson
发明人： Richard P. Fleenor , James D. Isaacson
IPC分类号： A61B18/14 , A61B17/39
CPC分类号： A61B18/14 , A61B18/1442 , A61B2018/00083 , A61B2018/00148 , A61B2018/1462
摘要： An improved bipolar electrosurgical instrument with multi-coated electrodes for use in performing medical procedures. The electrodes of the instrument include opposed electrically conductive working surfaces at the distal ends thereof which are coated with a thin layer of a nickel-free high chromium material. At least non-working exposed surfaces of the distal ends are coated with a coating of an insulating material so as to be electrically insulated.
摘要翻译：一种改进的双极电外科器械，具有用于执行医疗程序的多层电极。仪器的电极包括在其远端处的相对的导电工作表面，其涂覆有不含镍的高铬材料的薄层。至少远端的非工作的暴露表面涂覆有绝缘材料的涂层以便被电绝缘。

10. 发明授权

US08932280B2 Methods, systems and devices for performing electrosurgical procedures 有权
标题翻译：用于执行电外科手术的方法，系统和装置
公开(公告)号：US08932280B2
公开(公告)日：2015-01-13
申请号：US12957177
申请日：2010-11-30
申请人： James D. Isaacson , Paul R. Borgmeier , Tremayne Paul Mikalauski
发明人： James D. Isaacson , Paul R. Borgmeier , Tremayne Paul Mikalauski
IPC分类号： A61B18/10 , A61B18/12 , A61B18/14 , A61B17/00
CPC分类号： A61B18/1402 , A61B2017/00221
摘要： Systems, methods, and instruments associated with controlling the operating modes of an electrosurgical instrument using control signals delivered in a wireless manner from the electrosurgical instrument to an electrosurgical generator. The electrosurgical instrument transmits wireless control signals to the electrosurgical generator to initiate delivery of electrosurgical energy. The control signals are delivered to the electrosurgical generator without the need for a conductive cord extending between the electrosurgical generator and the electrosurgical instrument. The energy is delivered to the electrosurgical instrument, in response to the wireless control signals, along a path through an electrode and the physician utilizing the electrosurgical instrument and/or a conductive path external to the physician. The electrode upon which the physician rests provides a path for the electrosurgical energy and optionally prevents burning of the physician during an electrosurgical procedure.
摘要翻译：使用以无线方式从电外科仪器传递到电外科发生器的控制信号来控制电外科器械的操作模式的系统，方法和仪器。电外科仪器将无线控制信号传送到电外科发生器，以启动电外科手术能量的传递。控制信号被传送到电外科发生器，而不需要在电外科发生器和电外科器械之间延伸的导电线。沿着穿过电极的路径和使用电外科器械的医师和/或医师外部的导电路径，能量响应于无线控制信号传送到电外科器械。医师休息的电极提供电外科手术能量的路径，并且可选地防止在电外科手术过程中医师的燃烧。

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