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    • 5. 发明授权
    • Active cooling system and apparatus for controlling temperature of a fluid used during treatment of biological tissue
    • 用于控制在生物组织处理过程中使用的流体温度的主动冷却系统和装置
    • US08672938B2
    • 2014-03-18
    • US12507895
    • 2009-07-23
    • Steven P. BuysseDavid N. Heard
    • Steven P. BuysseDavid N. Heard
    • A61B18/04
    • A61B17/3203A61B18/082A61B2018/00011G05D23/19
    • A system for controlling temperature of a fluid used during treatment of biological tissue includes a fluid temperature control apparatus. The apparatus includes at least one heat transfer device and a solution bag and/or a heat transfer membrane. The solution bag and/or the heat transfer membrane reside in thermal communication with the heat transfer device. When the solution bag and/or the heat transfer membrane is fluidically coupled to an electrosurgical device, fluid is supplied to the electrosurgical device at a controlled temperature during a surgical procedure utilizing the electrosurgical device to enable more efficient treatment of the biological tissue. A corresponding method includes fluidically coupling the fluid temperature control apparatus to the electrosurgical device and supplying fluid at a controlled temperature during a surgical procedure utilizing the electrosurgical device to enable more efficient treatment of the biological tissue.
    • 用于控制在生物组织的处理期间使用的流体的温度的系统包括流体温度控制装置。 该装置包括至少一个传热装置和溶液袋和/或传热膜。 溶液袋和/或传热膜与传热装置热连通。 当溶液袋和/或传热膜流体耦合到电外科装置时,在利用电外科装置的外科手术过程中,在受控温度下将流体供应到电外科装置,以使得能够更有效地处理生物组织。 相应的方法包括将流体温度控制装置流体耦合到电外科装置,并且在利用电外科手术装置的外科手术过程中以受控的温度供应流体,以使得能够更有效地治疗生物组织。
    • 7. 发明授权
    • Bipolar electrosurgical instrument for sealing vessels
    • 用于密封容器的双极电外科仪器
    • US07963965B2
    • 2011-06-21
    • US11801618
    • 2007-05-10
    • Steven P. BuysseDale F. SchmaltzGary M. CoutureLap P. NguyenKristin D. Johnson
    • Steven P. BuysseDale F. SchmaltzGary M. CoutureLap P. NguyenKristin D. Johnson
    • A61B18/12
    • A61B18/1442A61B2017/2945A61B2018/00083A61B2018/0063A61B2018/1432
    • 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.
    • 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。
    • 10. 发明授权
    • Vascular tissue sealing pressure control
    • 血管组织密封压力控制
    • US5776130A
    • 1998-07-07
    • US530450
    • 1995-09-19
    • Steven P. BuysseJenifer S. KennedyMichael J. LandsDonald R. LoefflerS. Wade LukianowThomas P. Ryan
    • Steven P. BuysseJenifer S. KennedyMichael J. LandsDonald R. LoefflerS. Wade LukianowThomas P. Ryan
    • A61B17/12A61B17/28A61B18/12A61B18/14A61B19/00A61B17/36
    • A61B17/29A61B18/1445A61B2017/2932A61B2018/00666A61B2018/00702A61B2018/00875A61B90/03
    • A clamping force mechanism for use with electrosurgery allow a user to seal and/or join patient's particular vascular tissue; the mechanism is elongate with user and patient ends. An actuator is at the user end and the effectors are at the patient end. Each effector has a face of an area to contact the particular vascular tissue. A lost motion connection transfers user actuation to the effectors to hold a predetermined clamping force during electrosurgical tissue sealing. A yielding member in the loss motion connection clamps the particular tissue between the faces with a predetermined force. The yielding member is a spring, slip clutch or hydraulic coupling possibly near the actuator. An active electrode is carried on one end effector and a return electrode contacts the tissue so an electrosurgical energy supply connected thereacross delivers energy therebetween. A feedback circuit responds to parameters of energy delivered to tissue. A temperature sensor on one face and an impedance monitor respond to energy delivered. A control applies energy to held tissue to seal and/or join it.
    • 用于电外科的夹紧力机构允许使用者密封和/或连接患者的特定血管组织; 用户和患者端部的机构是细长的。 致动器位于使用者端,效果器处于患者端。 每个效应器具有接触特定血管组织的区域的面。 迷失运动连接将用户致动传递到效应器以在电外科组织密封期间保持预定的夹紧力。 损失运动连接中的屈服构件以预定的力夹紧面之间的特定组织。 屈服构件是可能在致动器附近的弹簧,滑动离合器或液压联接器。 活性电极在一端执行器上承载,并且返回电极与组织接触,从而连接到组织上的电外科能源在其间传递能量。 反馈电路响应输送到组织的能量的参数。 一个温度传感器和一个阻抗监视器响应能量传递。 控制器将能量施加到保持的组织以密封和/或连接它。