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1. 发明授权

US08663222B2 Dynamic and static bipolar electrical sealing and cutting device 有权
标题翻译：动态和静态双极电气密封和切割装置
公开(公告)号：US08663222B2
公开(公告)日：2014-03-04
申请号：US12876668
申请日：2010-09-07
申请人： Sara E. Anderson , William H. Nau, Jr. , Gary M. Couture , Rebecca Coulson
发明人： Sara E. Anderson , William H. Nau, Jr. , Gary M. Couture , Rebecca Coulson
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/285 , A61B18/085 , A61B18/1206 , A61B2018/00083 , A61B2018/00428 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/126 , A61B2018/1452 , A61B2018/1467
摘要： An end effector assembly includes opposed jaws moveable from an open to a closed position for grasping tissue therebetween. Each jaw includes an electrically conductive surface adapted to conduct electrosurgical energy through tissue disposed between the jaws. A static bipolar cutting portion including at least one electrically conductive cutting element and at least one insulating element having a first configuration is disposed on at least one of the jaws. The static cutting portion is configured to electrically cut tissue disposed between the jaws upon activation of the cutting element and at least one of an opposing sealing surface and an opposing cutting element. A dynamic cutting portion including at least one electrically conductive cutting element and at least one insulating element having a second configuration is disposed on at least one of the jaws. The dynamic cutting portion electrically transects tissue during movement relative to tissue.
摘要翻译：末端执行器组件包括可从打开位置移动到关闭位置的相对的爪，用于在其间夹持组织。每个钳口包括适于通过设置在钳口之间的组织进行电外科能量的导电表面。包括至少一个导电切割元件和至少一个具有第一构造的绝缘元件的静态双极切割部分设置在至少一个夹爪上。静态切割部分构造成在激活切割元件和相对的密封表面和相对的切割元件中的至少一个时，电气地切割设置在夹爪之间的纸巾。包括至少一个导电切割元件的动态切割部分和具有第二构造的至少一个绝缘元件设置在至少一个夹爪上。动态切割部分相对于组织在移动期间电穿透组织。

2. 发明申请

US20120059371A1 Dynamic and Static Bipolar Electrical Sealing and Cutting Device 有权
标题翻译：动态和静态双极电动密封切割装置
公开(公告)号：US20120059371A1
公开(公告)日：2012-03-08
申请号：US12876668
申请日：2010-09-07
申请人： Sara E. Anderson , William H. Nau, JR. , Gary M. Couture , Rebecca Coulson
发明人： Sara E. Anderson , William H. Nau, JR. , Gary M. Couture , Rebecca Coulson
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/285 , A61B18/085 , A61B18/1206 , A61B2018/00083 , A61B2018/00428 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/126 , A61B2018/1452 , A61B2018/1467
摘要： An end effector assembly includes opposed jaws moveable from an open to a closed position for grasping tissue therebetween. Each jaw includes an electrically conductive surface adapted to conduct electrosurgical energy through tissue disposed between the jaws. A static bipolar cutting portion including at least one electrically conductive cutting element and at least one insulating element having a first configuration is disposed on at least one of the jaws. The static cutting portion is configured to electrically cut tissue disposed between the jaws upon activation of the cutting element and at least one of an opposing sealing surface and an opposing cutting element. A dynamic cutting portion including at least one electrically conductive cutting element and at least one insulating element having a second configuration is disposed on at least one of the jaws. The dynamic cutting portion electrically transects tissue during movement relative to tissue.
摘要翻译：末端执行器组件包括可从打开位置移动到关闭位置的相对的爪，用于在其间夹持组织。每个钳口包括适于通过设置在钳口之间的组织进行电外科能量的导电表面。包括至少一个导电切割元件和至少一个具有第一构造的绝缘元件的静态双极切割部分设置在至少一个夹爪上。静态切割部分构造成在激活切割元件和相对的密封表面和相对的切割元件中的至少一个时，电气地切割设置在夹爪之间的纸巾。包括至少一个导电切割元件的动态切割部分和具有第二构造的至少一个绝缘元件设置在至少一个夹爪上。动态切割部分相对于组织在移动期间电穿透组织。

3. 发明授权

US09498278B2 Asymmetrical electrodes for bipolar vessel sealing 有权
标题翻译：用于双极容器密封的不对称电极
公开(公告)号：US09498278B2
公开(公告)日：2016-11-22
申请号：US12877482
申请日：2010-09-08
申请人： Gary M. Couture , Rebecca Coulson
发明人： Gary M. Couture , Rebecca Coulson
IPC分类号： A61B18/14 , A61B17/00 , A61B18/00 , A61B18/18
CPC分类号： A61B18/1445 , A61B18/1442 , A61B2017/00526 , A61B2018/00083 , A61B2018/00178 , A61B2018/00404 , A61B2018/00428 , A61B2018/00595 , A61B2018/00607 , A61B2018/0063 , A61B2018/00702 , A61B2018/00732 , A61B2018/00761 , A61B2018/126 , A61B2018/1412 , A61B2018/1455 , A61B2018/1861 , A61B2090/3937
摘要： Bipolar electrosurgical instrument having a first and a second opposing jaw member at a distal end thereof, wherein each jaw member includes an outer housing, and an inner tissue engaging surface corresponding to the inner tissue engaging surface of the opposing jaw. The instruments includes the ability to move 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. The jaws include asymmetrical electrodes disposed on the inner tissue engaging surfaces. A first contact region of the electrode has a greater surface area than that of the second contact region. During resection procedures wider electrodes impart improved sealing energy to the patient-side vessel while providing sufficient energy to resected tissue to effect hemostasis.
摘要翻译：双极电外科器械在其远端处具有第一和第二相对的钳口构件，其中每个钳口构件包括外壳体和与相对的钳口的内部组织接合表面相对应的内部组织接合表面。这些仪器包括将钳口构件相对于彼此从第一位置移动的能力，其中钳口构件相对于彼此间隔开地设置到第二位置，其中钳口构件协作以抓住组织。夹爪包括设置在内部组织接合表面上的不对称电极。电极的第一接触区域具有比第二接触区域更大的表面积。在切除过程中，较宽的电极对患者侧血管提供改善的密封能量，同时向切除的组织提供足够的能量以进行止血。

4. 发明申请

US20120059375A1 Asymmetrical Electrodes for Bipolar Vessel Sealing 有权
标题翻译：双极容器密封不对称电极
公开(公告)号：US20120059375A1
公开(公告)日：2012-03-08
申请号：US12877482
申请日：2010-09-08
申请人： Gary M. Couture , Rebecca Coulson
发明人： Gary M. Couture , Rebecca Coulson
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1442 , A61B2017/00526 , A61B2018/00083 , A61B2018/00178 , A61B2018/00404 , A61B2018/00428 , A61B2018/00595 , A61B2018/00607 , A61B2018/0063 , A61B2018/00702 , A61B2018/00732 , A61B2018/00761 , A61B2018/126 , A61B2018/1412 , A61B2018/1455 , A61B2018/1861 , A61B2090/3937
摘要： Bipolar electrosurgical instrument having a first and a second opposing jaw member at a distal end thereof, wherein each jaw member includes an outer housing, and an inner tissue engaging surface corresponding to the inner tissue engaging surface of the opposing jaw. The instruments includes the ability to move 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. The jaws include asymmetrical electrodes disposed on the inner tissue engaging surfaces. A first contact region of the electrode has a greater surface area than that of the second contact region. During resection procedures wider electrodes impart improved sealing energy to the patient-side vessel while providing sufficient energy to resected tissue to effect hemostasis.
摘要翻译：双极电外科器械在其远端处具有第一和第二相对的钳口构件，其中每个钳口构件包括外壳体和与相对的钳口的内部组织接合表面相对应的内部组织接合表面。这些仪器包括将钳口构件相对于彼此从第一位置移动的能力，其中钳口构件相对于彼此间隔开地设置到第二位置，其中钳口构件协作以抓住组织。夹爪包括设置在内部组织接合表面上的不对称电极。电极的第一接触区域具有比第二接触区域更大的表面积。在切除过程中，较宽的电极对患者侧血管提供改善的密封能量，同时向切除的组织提供足够的能量以进行止血。

5. 发明授权

US08882766B2 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：US08882766B2
公开(公告)日：2014-11-11
申请号：US11338552
申请日：2006-01-24
申请人： Gary M. Couture , Kristin D. Johnson , Robert Sharp , Jeff Unger , Craig Weinberg , Robert H. Wham
发明人： Gary M. Couture , Kristin D. Johnson , Robert Sharp , Jeff Unger , Craig Weinberg , Robert H. Wham
IPC分类号： A61B18/14 , A61B18/12 , A61B17/00 , A61B18/00
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。

6. 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。

7. 发明授权

US07963965B2 Bipolar electrosurgical instrument for sealing vessels 有权
标题翻译：用于密封容器的双极电外科仪器
公开(公告)号：US07963965B2
公开(公告)日：2011-06-21
申请号：US11801618
申请日：2007-05-10
申请人： Steven P. Buysse , Dale F. Schmaltz , Gary M. Couture , Lap P. Nguyen , Kristin D. Johnson
发明人： Steven P. Buysse , Dale F. Schmaltz , Gary M. Couture , Lap P. Nguyen , Kristin D. Johnson
IPC分类号： A61B18/12
CPC分类号： A61B18/1442 , A61B2017/2945 , A61B2018/00083 , A61B2018/0063 , A61B2018/1432
摘要： A bipolar electrosurgical instrument has opposable seal surfaces on its jaws for grasping and sealing vessels and vascular tissue. Inner and outer instrument members allow arcuate motion of the seal surfaces. An open lockbox provides a pivot with lateral support to maintain alignment of the lateral surfaces. Ratchets on the instrument members hold a constant closure force on the tissue during the seal process. A shank portion on each member is tuned to provide an appropriate spring force to hold the seal surfaces together. During surgery, the instrument can be used to grasp and clamp vascular tissue and apply bipolar electrosurgical current through the clamped tissue. In one embodiment, the seal surfaces are partially insulated to prevent a short circuit when the instrument jaws are closed together. In another embodiment, the seal surfaces are removably mounted on the jaws.
摘要翻译：双极电外科器械在其钳口上具有对置的密封表面，用于抓住和密封容器和血管组织。内部和外部仪器构件允许密封表面的弓形运动。开放的锁箱提供具有侧向支撑的枢轴以保持侧面的对准。仪器构件上的棘轮在密封过程中在组织上保持恒定的闭合力。调整每个构件上的柄部分以提供适当的弹簧力以将密封表面保持在一起。在手术过程中，仪器可用于掌握和夹紧血管组织，并通过钳夹的组织施加双极电外科电流。在一个实施例中，密封表面是部分绝缘的，以防止当仪器钳口闭合在一起时发生短路。在另一个实施例中，密封表面可拆卸地安装在夹爪上。

8. 发明授权

US07837685B2 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：US07837685B2
公开(公告)日：2010-11-23
申请号：US11180949
申请日：2005-07-13
申请人： Craig Weinberg , Robert Sharp , Gary M. Couture , Darren Odom
发明人： Craig Weinberg , Robert Sharp , Gary M. 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。

10. 发明授权

US08641712B2 Local optimization of electrode current densities 有权
标题翻译：电极电流密度的局部优化
公开(公告)号：US08641712B2
公开(公告)日：2014-02-04
申请号：US12845203
申请日：2010-07-28
申请人： Gary M. Couture
发明人： Gary M. Couture
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B18/1445 , A61B2017/00526 , A61B2018/00601 , A61B2018/00607 , A61B2018/1412 , A61B2018/1457
摘要： An end effector assembly for use with a bipolar forceps includes a pair of opposing first and second jaw members at least one of which being movable relative to the other to grasp tissue therebetween. Each jaw member includes a pair of spaced apart, electrically conductive tissue sealing surfaces. Each tissue sealing surface is adapted to connect to a source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue seal. The forceps also includes an insulator disposed between each pair of electrically conductive sealing surfaces and an electrically conductive cutting element disposed within each insulator and defining a geometrical configuration including a plurality of peaks having a period that is a multiple of an operating frequency of the electrosurgical energy. The cutting elements are adapted to connect to the source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue cut.
摘要翻译：与双极镊子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，其中至少一个可相对于另一个夹持构件移动以在其间夹住组织。每个钳口构件包括一对间隔开的导电组织密封表面。每个组织密封表面适于连接到电外科能量源，以通过在其间保持的组织进行电外科能量以实现组织密封。镊子还包括设置在每对导电密封表面之间的绝缘体和设置在每个绝缘体内的导电切割元件，并且限定几何构型，其包括多个峰值，周期为电外科能量的工作频率的倍数。切割元件适于连接到电外科能量源，以通过在其间保持的组织进行电外科能量以实现组织切割。

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