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1. 发明授权

US09168089B2 Method and system for controlling output of RF medical generator 有权
标题翻译：控制射频医疗发电机输出的方法和系统
公开(公告)号：US09168089B2
公开(公告)日：2015-10-27
申请号：US13362548
申请日：2012-01-31
申请人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
发明人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
IPC分类号： A61B18/12 , A61B18/14 , A61B18/00
CPC分类号： A61B18/1445 , A61B18/1206 , A61B18/1442 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892
摘要： A control system for controlling the output of an electrosurgical generator is disclosed. The control system includes a control module configured to receive an optical signal from a surgical site, the optical signal being related to an optical tissue characteristic, the control module configured to process the optical signal using a closed loop control loop and provide continual control of the output of the electrosurgical generator in response to the optical tissue characteristic.
摘要翻译：公开了一种用于控制电外科发生器的输出的控制系统。所述控制系统包括控制模块，所述控制模块被配置为从外科手术部位接收光学信号，所述光学信号与光学组织特征相关，所述控制模块被配置为使用闭环控制环来处理所述光学信号，并提供对所述光学信号的持续控制电外科发生器响应于光学组织特征的输出。

2. 发明申请

US20120150170A1 Method and System for Controlling Output of RF Medical Generator 有权
标题翻译：射频医疗发生器输出控制方法及系统
公开(公告)号：US20120150170A1
公开(公告)日：2012-06-14
申请号：US13362816
申请日：2012-01-31
申请人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
发明人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1206 , A61B18/1442 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892
摘要： A system for monitoring and/or controlling tissue modification during an electrosurgical procedure is disclosed. The system includes a sensor module and a control module operatively coupled to the sensor module and configured to control the delivery of electrosurgical energy to tissue based on information provided by the sensor module. The sensor module further includes at least one optical source configured to generate light and at least one optical detector configured to analyze a portion of the light transmitted through, and/or reflected from, the tissue.
摘要翻译：公开了一种用于在电外科手术过程中监测和/或控制组织改变的系统。该系统包括传感器模块和可操作地耦合到传感器模块并且被配置为基于由传感器模块提供的信息来控制电外科能量传递到组织的控制模块。传感器模块还包括被配置为产生光的至少一个光源和被配置为分析透射通过和/或从组织反射的光的一部分的至少一个光学检测器。

3. 发明申请

US20120130256A1 Method and System for Controlling Output of RF Medical Generator 有权
标题翻译：射频医疗发生器输出控制方法及系统
公开(公告)号：US20120130256A1
公开(公告)日：2012-05-24
申请号：US13362548
申请日：2012-01-31
申请人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
发明人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
IPC分类号： A61B18/12 , A61B6/00
CPC分类号： A61B18/1445 , A61B18/1206 , A61B18/1442 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892
摘要： A control system for controlling the output of an electrosurgical generator is disclosed. The control system includes a control module configured to receive an optical signal from a surgical site, the optical signal being related to an optical tissue characteristic, the control module configured to process the optical signal using a closed loop control loop and provide continual control of the output of the electrosurgical generator in response to the optical tissue characteristic.
摘要翻译：公开了一种用于控制电外科发生器的输出的控制系统。所述控制系统包括控制模块，所述控制模块被配置为从外科手术部位接收光学信号，所述光学信号与光学组织特征相关，所述控制模块被配置为使用闭环控制环来处理所述光学信号，并提供对所述光学信号的持续控制电外科发生器响应于光学组织特征的输出。

4. 发明授权

US07137980B2 Method and system for controlling output of RF medical generator 有权
标题翻译：控制射频医疗发电机输出的方法和系统
公开(公告)号：US07137980B2
公开(公告)日：2006-11-21
申请号：US10427832
申请日：2003-05-01
申请人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff
发明人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1206 , A61B18/1442 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892
摘要： A closed-loop control system has a user interface for allowing a user to select at least one pre-surgical parameter. The system also has a sensor module for continually sensing at least one of electrical and physical properties proximate a surgical site and generating at least one signal and a control module for continually receiving the selected parameter from the user interface and the at least one signal from the sensor module. The system processes the signal in accordance with the parameter using at least one of a microprocessor, computer algorithm and a mapping. The control module generates a corresponding control signal relating to the signal from the sensor module, and provides the control signal to the generator. The control module has number of loop control modules with a first loop control module providing a ratio of a real time parameter value to a desired parameter value. The real time parameter value is from the signal from the sensor module. The first loop control module modulates another loop control module based in part on the ratio for controlling the generator
摘要翻译：闭环控制系统具有允许用户选择至少一个手术前参数的用户界面。该系统还具有传感器模块，用于连续感测手术部位附近的电气和物理属性中的至少一个，并且生成至少一个信号和控制模块，用于从用户界面连续接收所选择的参数，并且从至少一个信号传感器模块。该系统使用微处理器，计算机算法和映射中的至少一个根据参数处理信号。控制模块产生与来自传感器模块的信号有关的对应控制信号，并向发生器提供控制信号。控制模块具有多个循环控制模块，其中第一回路控制模块提供实时参数值与所需参数值的比率。实时参数值来自传感器模块的信号。第一个回路控制模块部分地基于用于控制发电机的比率来调制另一个回路控制模块

5. 发明授权

US09113900B2 Method and system for controlling output of RF medical generator 有权
标题翻译：控制射频医疗发电机输出的方法和系统
公开(公告)号：US09113900B2
公开(公告)日：2015-08-25
申请号：US13362816
申请日：2012-01-31
申请人： Steven P. Buysse , Bret S. Felton , David N. Heard , David S. Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
发明人： Steven P. Buysse , Bret S. Felton , David N. Heard , David S. Keppel , Ronald J. Podhajsky , Dale F. Schmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
IPC分类号： A61B18/14 , A61B18/12 , A61B18/00
CPC分类号： A61B18/1445 , A61B18/1206 , A61B18/1442 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892
摘要： A system for monitoring and/or controlling tissue modification during an electrosurgical procedure is disclosed. The system includes a sensor module and a control module operatively coupled to the sensor module and configured to control the delivery of electrosurgical energy to tissue based on information provided by the sensor module. The sensor module further includes at least one optical source configured to generate light and at least one optical detector configured to analyze a portion of the light transmitted through, and/or reflected from, the tissue.
摘要翻译：公开了一种用于在电外科手术过程中监测和/或控制组织改变的系统。该系统包括传感器模块和可操作地耦合到传感器模块并且被配置为基于由传感器模块提供的信息来控制电外科能量传递到组织的控制模块。传感器模块还包括被配置为产生光的至少一个光源和被配置为分析透射通过和/或从组织反射的光的一部分的至少一个光学检测器。

6. 发明授权

US08105323B2 Method and system for controlling output of RF medical generator 有权
标题翻译：控制射频医疗发电机输出的方法和系统
公开(公告)号：US08105323B2
公开(公告)日：2012-01-31
申请号：US11585506
申请日：2006-10-24
申请人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Shmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
发明人： Steven P. Buysse , Bret S. Felton , David N. Heard , David Keppel , Ronald J. Podhajsky , Dale F. Shmaltz , Robert H. Wham , Edward C. Meagher , Kate R. Lawes , David A. Schechter , Chelsea Shields , Philip M. Tetzlaff , Jeremy S. James
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1206 , A61B18/1442 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892
摘要： An electrosurgical generator is disclosed. The generator includes a microprocessor configured to generate a target impedance trajectory having at least one slope. The target impedance trajectory includes a plurality of target impedance values. The microprocessor is configured to drive tissue impedance along the target impedance trajectory by adjusting the output level to substantially match tissue impedance to a corresponding target impedance value. The microprocessor is further configured to compare tissue impedance to a threshold impedance value and adjust output of the electrosurgical generator when the tissue impedance is equal to or greater than the threshold impedance.
摘要翻译：公开了一种电外科发生器。该发生器包括被配置为产生具有至少一个斜率的目标阻抗轨迹的微处理器。目标阻抗轨迹包括多个目标阻抗值。微处理器被配置为通过调节输出电平来将组织阻抗基本上与对应的目标阻抗值相匹配来沿着目标阻抗轨迹驱动组织阻抗。微处理器还被配置为当组织阻抗等于或大于阈值阻抗时，将组织阻抗与阈值阻抗值进行比较，并调整电外科发生器的输出。

7. 发明授权

US07510556B2 Vessel sealing instrument 有权
公开(公告)号：US07510556B2
公开(公告)日：2009-03-31
申请号：US10996971
申请日：2004-11-24
申请人： Lap P. Nguyen , Steven P. Buysse , Dale F. Schmaltz , Stephen Wade Lukianow , Michael J. Lands , Jenifer S. Kennedy , Kate R. Lawes , Daniel L. Trimberger , Mathew E. Mitchell , Kristin D. Johnson , Gary M Couture , Philip M. Tetzlaff
发明人： Lap P. Nguyen , Steven P. Buysse , Dale F. Schmaltz , Stephen Wade Lukianow , Michael J. Lands , Jenifer S. Kennedy , Kate R. Lawes , Daniel L. Trimberger , Mathew E. Mitchell , Kristin D. Johnson , Gary M Couture , Philip M. Tetzlaff
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.

8. 发明授权

US07160298B2 Electrosurgical instrument which reduces effects to adjacent tissue structures 有权
标题翻译：减少对相邻组织结构的影响的电外科手术器械
公开(公告)号：US07160298B2
公开(公告)日：2007-01-09
申请号：US10474273
申请日：2001-04-06
申请人： Kate R. Lawes , Steven P. Buysse , Sean T. Dycus , Kristin D. Johnson , Michael C. Moses , David A. Schechter , Philip M. Tetzlaff , Carolyn H. Mihaichuk
发明人： Kate R. Lawes , Steven P. Buysse , Sean T. Dycus , Kristin D. Johnson , Michael C. Moses , David A. Schechter , Philip M. Tetzlaff , Carolyn H. Mihaichuk
IPC分类号： A61B18/18
CPC分类号： A61B18/1442 , A61B18/14 , A61B18/1445 , A61B2017/2945 , A61B2018/00083 , A61B2018/00345 , A61B2018/00404 , A61B2018/00619 , A61B2018/0063 , A61B2018/126 , A61B2018/1432 , A61B2018/146 , A61B2018/1495
摘要： An electrosurgical instrument which includes opposing end effectors and a handle for effecting movement of the end effectors relative to one another. The instrument includes a housing and a pair of electrodes. Each electode preferably includes an electrically conductive surface (e.g., which can be dimensioned for sealing, clamping and/or cutting) and an insulating substrate which is dimensioned to be engageable with the end effectors such that the electrodes reside in opposing relation relative to one another. The dimensions of the insulating substrate are different from the dimensions of the electrically conductive surface to reduce thermal spread to adjacent tissue structures. The insulating substrate is made from a material having a Comparative Tracking Index of about 300 volts to about 600 volts to reduce the incidence of flashover.
摘要翻译：一种电外科器械，其包括相对的末端执行器和用于实现末端执行器相对于彼此运动的手柄。仪器包括壳体和一对电极。每个电极优选地包括导电表面（例如，其尺寸可以用于密封，夹紧和/或切割）以及绝缘基板，该绝缘基板的尺寸被设计成可与末端执行器接合，使得电极相对于彼此处于相对关系。绝缘基板的尺寸不同于导电表面的尺寸，以减少热传播到相邻的组织结构。绝缘衬底由具有约300伏至约600伏特的比较跟踪指数的材料制成，以减少闪络的发生率。

9. 发明授权

US07377920B2 Laparoscopic bipolar electrosurgical instrument 有权
标题翻译：腹腔镜双极电外科仪器
公开(公告)号：US07377920B2
公开(公告)日：2008-05-27
申请号：US11122346
申请日：2005-05-05
申请人： Steven P. Buysse , Kate R. Lawes , Dale F. Schmaltz , Michael J. Lands , S. Wade Lukianow , Kristin D. Johnson , Gary M. Couture , Lap P. Nguyen
发明人： Steven P. Buysse , Kate R. Lawes , Dale F. Schmaltz , Michael J. Lands , S. Wade Lukianow , Kristin D. Johnson , Gary M. Couture , Lap P. Nguyen
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00083 , A61B2018/0063 , A61B2018/00666 , A61B2090/034
摘要： A laparoscopic bipolar electrosurgical instrument for sealing tissue includes a handle having an elongated tube affixed thereto. The tube includes first and second jaw members having electrically conductive sealing surfaces attached to a distal end thereof which are movable from a first position for approximating tissue to a second position for grasping tissue therebetween. The handle includes a fixed handle and a handle which is movable relative to the fixed handle to effect movement of the jaw members from the first position to the second position for grasping tissue. The jaw members connect to a source of electrosurgical energy such that the opposable sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A stop is included for maintaining a minimum separation distance between opposing sealing surfaces. A ratchet is also included to maintain a closure force in the range of about 7 kg/cm2 to about 13 kg/cm2 between opposing sealing surfaces.
摘要翻译：用于密封组织的腹腔镜双极电外科器械包括具有固定到其上的细长管的手柄。管包括第一和第二钳口构件，其具有附接到其远端的导电密封表面，其可从用于近似组织的第一位置移动到用于抓握其间的组织的第二位置。手柄包括固定手柄和手柄，该手柄可相对于固定手柄移动，以实现卡爪构件从第一位置到第二位置的移动，从而抓住组织。钳口构件连接到电外科能量源，使得相对的密封表面能够通过保持在其间的组织进行电外科能量。包括一个止动件，用于保持相对的密封表面之间的最小间隔距离。还包括棘轮以在相对的密封表面之间保持约7kg / cm 2至约13kg / cm 2的范围内的闭合力。

10. 发明申请

US20080215051A1 Laparoscopic Bipolar Electrosurgical Instrument 有权
标题翻译：腹腔镜双极电外科仪器
公开(公告)号：US20080215051A1
公开(公告)日：2008-09-04
申请号：US12056488
申请日：2008-03-27
申请人： Steven P. Buysse , Kate R. Lawes , Dale F. Schmaltz , Michael J. Lands , S. Wade Lukianow , Kristin D. Johnson , Gary M. Couture , Lap P. Nguyen
发明人： Steven P. Buysse , Kate R. Lawes , Dale F. Schmaltz , Michael J. Lands , S. Wade Lukianow , Kristin D. Johnson , Gary M. Couture , Lap P. Nguyen
IPC分类号： A61B18/14
CPC分类号： A61B18/1445
摘要： A laparoscopic bipolar electrosurgical instrument for sealing tissue includes a handle having an elongated tube affixed thereto. The tube includes first and second jaw members having electrically conductive sealing surfaces attached to a distal end thereof which are movable from a first position for approximating tissue to a second position for grasping tissue therebetween. The handle includes a fixed handle and a handle which is movable relative to the fixed handle to effect movement of the jaw members from the first position to the second position for grasping tissue. The jaw members connect to a source of electrosurgical energy such that the opposable sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A stop is included for maintaining a minimum separation distance between opposing sealing surfaces. A ratchet is also included to maintain a closure force in the range of about 7 kg/cm2 to about 13 kg/cm2 between opposing sealing surfaces.
摘要翻译：用于密封组织的腹腔镜双极电外科器械包括具有固定到其上的细长管的手柄。管包括第一和第二钳口构件，其具有附接到其远端的导电密封表面，其可从用于近似组织的第一位置移动到用于抓握其间的组织的第二位置。手柄包括固定手柄和手柄，该手柄可相对于固定手柄移动，以实现卡爪构件从第一位置到第二位置的移动，从而抓住组织。钳口构件连接到电外科能量源，使得相对的密封表面能够通过保持在其间的组织进行电外科能量。包括一个止动件，用于保持相对的密封表面之间的最小间隔距离。还包括棘轮以在相对的密封表面之间保持约7kg / cm 2至约13kg / cm 2的范围内的闭合力。

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