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1. 发明申请

US20140081299A1 Micromachined Ultrasonic Scalpel with Embedded Piezoelectric Actuator 审中-公开
标题翻译：微型超声波手术刀与嵌入式压电致动器
公开(公告)号：US20140081299A1
公开(公告)日：2014-03-20
申请号：US13622921
申请日：2012-09-19
申请人： Timothy G. Dietz , Yanik Tardy , Juergen Burger , Philippe Margairaz , Toralf Bork
发明人： Timothy G. Dietz , Yanik Tardy , Juergen Burger , Philippe Margairaz , Toralf Bork
IPC分类号： A61B17/32 , H01L21/62
CPC分类号： H01L21/62 , A61B17/320068 , A61B17/3211 , A61B2017/00526
摘要： An ultrasonic core including a longitudinally elongated, generally planar waveguide defining an aperture extending from a first side of the waveguide toward a medial plane of the waveguide, and having a transducer element sized and shaped so as to substantially conform to the size and shape of the aperture and to be at least partially embedded within the waveguide. In other aspects, an ultrasonic core including a longitudinally elongated, generally planar silicon waveguide having at least one transducer element secured thereto and a wedge-shaped acoustic horn including an inclined side surface, characterized in that the inclined side surface is oriented along the {1,1,1} crystallographic plane of the silicon material. Also, methods of manufacturing the respective ultrasonic cores and ultrasonic handpieces for an ultrasonic surgical instruments incorporating such cores.
摘要翻译：一种超声波芯，包括纵向细长的大致平面的波导，其限定了从波导的第一侧朝向波导的中间平面延伸的孔，并且具有尺寸和形状的换能器元件，以便基本上符合波导的尺寸和形状并且至少部分地嵌入在波导内。在其它方面，一种超声波芯，其包括纵向细长的大致平面的硅波导，其具有固定到其上的至少一个换能器元件和包括倾斜侧表面的楔形声喇叭，其特征在于，所述倾斜侧表面沿着{1 ，1,1}晶体平面的硅材料。此外，制造用于包括这种芯的超声外科器械的各个超声波芯和超声手机的方法。

2. 发明授权

US09381058B2 Recharge system for medical devices 有权
标题翻译：医疗器械充电系统
公开(公告)号：US09381058B2
公开(公告)日：2016-07-05
申请号：US13275514
申请日：2011-10-18
申请人： Kevin L. Houser , Gavin M. Monson , Foster B. Stulen , Daniel W. Price , Ashvani K. Madan , John W. Willis , Donna L. Korvick , Aron O. Zingman , David C. Yates , Timothy G. Dietz , Frederick E. Shelton, IV , Jerome R. Morgan , Jeffrey L. Aldridge , Bret W. Smith , Hitesh Jain
发明人： Kevin L. Houser , Gavin M. Monson , Foster B. Stulen , Daniel W. Price , Ashvani K. Madan , John W. Willis , Donna L. Korvick , Aron O. Zingman , David C. Yates , Timothy G. Dietz , Frederick E. Shelton, IV , Jerome R. Morgan , Jeffrey L. Aldridge , Bret W. Smith , Hitesh Jain
IPC分类号： H01M10/46 , A61B18/14 , A61B17/00 , A61B17/32 , A61B18/00 , A61B18/04 , H02J7/00 , H01M2/26 , H01M2/10 , A61B18/12 , A61B19/00 , A61B17/064 , A61B17/285 , A61B17/29 , A61B17/28
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An apparatus comprises a base and at least one indicator in communication with the base. The base comprises a housing and at least one slot. The at least one slot is shaped to receive a reusable component from a surgical instrument. The at least one indicator is in communication with the at least one slot. The base is configured to detect at least one characteristic related to the reusable component when the reusable component is placed into the at least one slot. Wherein the at least one indicator is configured to provide a signal to the user regarding the at least one characteristic.
摘要翻译：一种装置包括基座和与基座连通的至少一个指示器。基座包括壳体和至少一个槽。所述至少一个狭槽成形为从外科器械接收可重复使用的部件。所述至少一个指示器与所述至少一个时隙通信。所述基座被配置为当所述可再利用部件被放置在所述至少一个槽中时，检测与所述可重复使用部件相关的至少一个特性。其中所述至少一个指示符被配置为向所述用户提供关于所述至少一个特征的信号。

3. 发明授权

US09017851B2 Sterile housing for non-sterile medical device component 有权
标题翻译：用于非无菌医疗器械部件的无菌外壳
公开(公告)号：US09017851B2
公开(公告)日：2015-04-28
申请号：US13151498
申请日：2011-06-02
申请人： Kevin D. Felder , Christopher B. Anderson , Frederick E. Shelton, IV , Michael J. Stokes , Sora Rhee , Timothy G. Dietz , William D. Dannaher
发明人： Kevin D. Felder , Christopher B. Anderson , Frederick E. Shelton, IV , Michael J. Stokes , Sora Rhee , Timothy G. Dietz , William D. Dannaher
IPC分类号： H01M2/26 , A61B17/32 , A61B18/00 , A61B18/14 , H02J7/00 , A61B18/04 , A61B17/00 , A61B17/29 , A61B19/00 , A61B17/064 , A61B18/12 , H01M2/10 , A61B17/285
CPC分类号： A61B18/1442 , A61B17/00234 , A61B17/064 , A61B17/2812 , A61B17/285 , A61B17/320068 , A61B17/320092 , A61B18/00 , A61B18/04 , A61B18/12 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B34/25 , A61B46/10 , A61B90/08 , A61B90/40 , A61B2017/00084 , A61B2017/00398 , A61B2017/0046 , A61B2017/00473 , A61B2017/00477 , A61B2017/00482 , A61B2017/00734 , A61B2017/0084 , A61B2017/291 , A61B2017/2929 , A61B2017/293 , A61B2017/2931 , A61B2017/2933 , A61B2017/294 , A61B2018/00178 , A61B2018/0019 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00791 , A61B2018/00988 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2090/0803 , A61B2090/0813 , A61B2090/0814 , A61N7/00 , H01M2/10 , H01M2/1016 , H01M2/26 , H01M10/46 , H01M10/48 , H01M2220/30 , H02J7/0044 , H02J7/0045 , H02J7/0047 , H02J7/025 , H02J2007/005 , Y10T29/49005 , Y10T29/49895 , Y10T29/53913
摘要： An apparatus for powering a medical device includes a battery pack, a connection feature on the battery pack, and a protective layer. In some versions the protective layer covers the battery pack and the connection feature to provide a fluid tight seal. In some versions, the connection feature comprises at least one electrode, which may pierce the protective layer to establish electrical communication with the medical device from within the protective layer such that a non-sterile battery pack could be used to deliver power to a sterile medical device without compromising sterility of the medical device. The protective layer may form a compartment. The at least one electrode may have a conical shape to facilitate piercing the protective layer.
摘要翻译：用于为医疗装置供电的装置包括电池组，电池组上的连接特征和保护层。在某些版本中，保护层覆盖电池组和连接特征以提供流体密封。在一些形式中，连接特征包括至少一个电极，其可刺穿保护层以与保护层内的医疗装置建立电连通，使得非无菌电池组可用于向无菌医疗装置，而不损害医疗装置的无菌性。保护层可以形成隔室。所述至少一个电极可以具有锥形形状以便于刺穿保护层。

4. 发明授权

US08926607B2 Electrosurgical instrument employing multiple positive temperature coefficient electrodes 有权
标题翻译：电手术仪器采用多个正温度系数电极
公开(公告)号：US08926607B2
公开(公告)日：2015-01-06
申请号：US12797288
申请日：2010-06-09
申请人： David K. Norvell , Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo
发明人： David K. Norvell , Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo
IPC分类号： A61B18/18 , A61B18/14 , A61B18/00
CPC分类号： A61B18/1445 , A61B2018/00077 , A61B2018/00083 , A61B2018/0063 , A61B2018/1455
摘要： An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed in order to capture tissue therebetween. In various embodiments, the first and second jaws can comprise one or more electrodes configured to apply a voltage across the tissue, wherein one or both of the first and second jaws can include a plurality of electrodes each comprised of a positive temperature coefficient material having a different switching temperature. The electrical resistances of the electrodes can increase significantly once the temperature of the electrodes exceed their switching temperatures and, owing to the increased electrical resistance, the flow of current through the electrodes can be reduced and/or prevented. In various circumstances, the different switching temperatures of the electrodes can allow some of the electrodes to switch off before the other electrodes.
摘要翻译：电外科手术器械可以包括手柄和末端执行器，其中末端执行器可以包括可以打开和关闭的第一和第二钳口，以便在其间捕获组织。在各种实施例中，第一和第二钳口可以包括被配置为在组织上施加电压的一个或多个电极，其中第一和第二钳口中的一个或两个可以包括多个电极，每个电极由正温度系数材料组成，不同的开关温度。一旦电极的温度超过其开关温度，电极的电阻可以显着增加，并且由于增加的电阻，可以减少和/或阻止通过电极的电流。在各种情况下，电极的不同开关温度可允许一些电极在其它电极之前断开。

5. 发明授权

US08795327B2 Electrosurgical instrument with separate closure and cutting members 有权
标题翻译：电手术仪器具有单独的闭合和切割构件
公开(公告)号：US08795327B2
公开(公告)日：2014-08-05
申请号：US12841480
申请日：2010-07-22
申请人： Timothy G. Dietz , Mary E. Mootoo , David A. Witt , Zhifan F. Huang
发明人： Timothy G. Dietz , Mary E. Mootoo , David A. Witt , Zhifan F. Huang
IPC分类号： A61B18/14 , A61B18/08 , A61B18/00
CPC分类号： A61B17/32 , A61B18/085 , A61B18/1445 , A61B34/76 , A61B2018/00345 , A61B2018/00404 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455
摘要： In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise a pair of jaws, a closure beam, and a cutting member. The closure beam and the cutting member may be releasably coupled together by an interlocking member such that movement of the cutting member may cause the closure beam to also move relative to the jaws and cause the jaws to close and grip tissue, for example. The interlocking member may then unlock, allowing the cutting member to move through the gripped tissue and relative to the closure beam. Additionally, the cutting member and closure beam may be operated by a single trigger, which may be configured to provide haptic feedback to a user at various stages. Further, the jaws may be electrically energized to deliver energy and/or seal the gripped tissue.
摘要翻译：在各种实施例中，提供了可以包括用于在组织上执行外科手术的端部执行器的外科器械。端部执行器可以包括一对钳口，闭合梁和切割构件。闭合梁和切割构件可以通过互锁构件可释放地联接在一起，使得切割构件的运动可以使闭合梁相对于夹爪移动，并且使得夹爪例如闭合并夹紧组织。联锁构件然后可以解锁，允许切割构件移动通过夹持的组织和相对于封闭梁。另外，切割构件和闭合梁可以由单个触发器操作，该触发器可以被配置为在各个阶段向用户提供触觉反馈。此外，钳口可以被电通电以传递能量和/或密封被夹持的组织。

6. 发明申请

US20130267874A1 SURGICAL INSTRUMENT WITH NERVE DETECTION FEATURE 审中-公开
标题翻译：具有神经检测特征的手术仪器
公开(公告)号：US20130267874A1
公开(公告)日：2013-10-10
申请号：US13442020
申请日：2012-04-09
申请人： Amy L. Marcotte , Timothy G. Dietz , Donna L. Korvick , Ashvani K. Madan , William D. Dannaher
发明人： Amy L. Marcotte , Timothy G. Dietz , Donna L. Korvick , Ashvani K. Madan , William D. Dannaher
IPC分类号： A61N7/00 , A61B18/18
CPC分类号： A61B5/4893 , A61B18/1445 , A61B2017/00026 , A61B2017/00106 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2017/320097 , A61B2018/00791
摘要： A surgical apparatus comprises an instrument body, an end effector, and a control module. The end effector is in communication with the handle assembly. The end effector is operable for use in a surgical procedure. The control module is in communication with the end effector. The end effector with the control module is able to deliver surgical energy as well as nerve excitation energy to a surgical site. A surgeon may detect stimulation of nervous tissue by visually observing the tissue twitch, and may adjust surgical technique accordingly. A sensor may be used to detect excitation of nervous tissue based on excitation caused by the nerve excitation energy.
摘要翻译：手术装置包括器械本体，末端执行器和控制模块。末端执行器与手柄组件连通。末端执行器可操作以用于外科手术。控制模块与端部执行器连通。具有控制模块的末端执行器能够将手术能量以及神经激发能量递送到外科手术部位。外科医生可以通过目视观察组织抽搐来检测对神经组织的刺激，并且可以相应地调整外科手术技术。传感器可用于根据由神经激发能引起的激发来检测神经组织的激发。

7. 发明授权

US08550981B2 Implantable port with vibratory feedback 有权
标题翻译：具有振动反馈的植入式端口
公开(公告)号：US08550981B2
公开(公告)日：2013-10-08
申请号：US12640048
申请日：2009-12-17
申请人： Scott A. Woodruff , Amy L. Marcotte , Timothy G. Dietz
发明人： Scott A. Woodruff , Amy L. Marcotte , Timothy G. Dietz
IPC分类号： A61F2/00
CPC分类号： A61F5/0056 , A61M39/0208 , A61M2039/0223 , A61M2039/0238 , A61M2039/0244
摘要： A system includes an adjustable gastric band coupled with an injection port. The port includes sensors, a plate beneath a septum, and a vibration generator in communication with the sensors. A first sensor detects palpation through a patient's skin when the injection port is implanted in the patient. The vibration generator provides a vibratory response to detected palpation, thereby providing haptic feedback to a physician who is attempting to locate the injection port by palpating the patient. A second sensor detects a needle striking the plate, and the vibration generator provides a vibratory response to a detected needle strike. The vibration generator thereby provides haptic feedback to a physician to confirm that the needle has been successfully inserted through the septum. A pressure sensor may be used to provide vibratory feedback to the patient to indicate that an adjustment to the band is needed.
摘要翻译：一种系统包括与注射口结合的可调节胃束带。该端口包括传感器，隔膜下方的板，以及与传感器连通的振动发生器。当注射口植入患者时，第一传感器检测通过患者皮肤的触诊。振动发生器对检测到的触诊提供振动响应，从而通过触诊患者来尝试定位注射端口的医师提供触觉反馈。第二传感器检测针刺击板，并且振动发生器对检测到的针刺提供振动响应。因此，振动发生器向医生提供触觉反馈以确认针已被成功插入通过隔膜。可以使用压力传感器来向患者提供振动反馈以指示需要对该带进行调整。

8. 发明授权

US08487487B2 Magnetostrictive actuator of a medical ultrasound transducer assembly, and a medical ultrasound handpiece and a medical ultrasound system having such actuator 有权
标题翻译：医用超声波换能器组件的磁致伸缩致动器，以及具有这种致动器的医用超声机头和医用超声系统
公开(公告)号：US08487487B2
公开(公告)日：2013-07-16
申请号：US12501524
申请日：2009-07-13
申请人： Timothy G. Dietz , Hans Jaeger
发明人： Timothy G. Dietz , Hans Jaeger
IPC分类号： H02N2/00
CPC分类号： B06B1/08 , A61B17/320068 , A61B2017/00398 , A61B2017/00464 , A61B2017/00876 , A61B2017/320084 , A61B2018/00023 , H01L41/12 , H01L41/20
摘要： Apparatus includes a magnetostrictive actuator of a medical ultrasound transducer assembly. The actuator comprises a magnetostrictive alloy chosen from a list. A medical ultrasound handpiece includes an ultrasound transducer assembly adapted to attachingly receive an end effector. The transducer assembly includes a magnetostrictive actuator having a magnetostrictive alloy, and includes a first coil surrounding the actuator and adapted to excite the actuator to substantially a desired medical resonant frequency and substantially a desired medical amplitude. A medical ultrasound system includes a handpiece housing, a first medical ultrasound transducer assembly, and a first medical end effector attachable to the first transducer assembly. The first transducer assembly includes a magnetostrictive first actuator having a first magnetostrictive alloy. At least a portion of the first transducer assembly is attachingly insertable in the handpiece housing without the use of tools, without damaging the handpiece housing, and without damaging the first transducer assembly.
摘要翻译：装置包括医用超声换能器组件的磁致伸缩致动器。致动器包括从列表中选择的磁致伸缩合金。医用超声波手持件包括适于附接地接收端部执行器的超声换能器组件。换能器组件包括具有磁致伸缩合金的磁致伸缩致动器，并且包括围绕致动器的第一线圈，并且适于将致动器激励到基本上所需的医疗谐振频率和基本上所需的医疗振幅。医疗超声系统包括手持壳体，第一医疗超声换能器组件和可附接到第一换能器组件的第一医疗末端执行器。第一传感器组件包括具有第一磁致伸缩合金的磁致伸缩第一致动器。第一换能器组件的至少一部分可附接地插入手持壳体中而不使用工具，而不损坏手持件壳体，并且不损坏第一换能器组件。

9. 发明授权

US08453906B2 Surgical instruments with electrodes 有权
标题翻译：带电极的手术器械
公开(公告)号：US08453906B2
公开(公告)日：2013-06-04
申请号：US12836383
申请日：2010-07-14
申请人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
发明人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/0643 , A61B17/07207 , A61B17/1114 , A61B17/1155 , A61B18/1445 , A61B2017/0647 , A61B2017/320052
摘要： An end-effector assembly configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw and a second jaw comprising a staple cavity. At least one of the first jaw and the second jaw is movable relative to the other jaw. The end-effector assembly comprises a staple removably positioned within the staple cavity and an electrically-conductive driver configured to move the staple between a first stored position in which the staple is at least partially positioned within the staple cavity and a second position in which the staple is at least partially deployed from the staple cavity into tissue positioned intermediate the first jaw and the second jaw. The staple comprises an electrode.
摘要翻译：构造成附接到手术器械的端部执行器组件。末端执行器组件包括第一钳口和包括钉腔的第二钳口。第一钳口和第二钳口中的至少一个相对于另一个钳口可移动。末端执行器组件包括可拆卸地定位在缝合腔内的缝合线和导电的驱动器，该导电驱动器被配置成在第一存储位置和第二位置之间移动订书钉，第一存储位置至少部分地定位在缝合钉腔内，订书针至少部分地从缝钉放置到位于第一颚和第二颚之间的组织中。订书钉包括电极。

10. 发明授权

US08419759B2 Ultrasonic surgical instrument with comb-like tissue trimming device 有权
标题翻译：超声波手术器具梳状组织修剪装置
公开(公告)号：US08419759B2
公开(公告)日：2013-04-16
申请号：US12703899
申请日：2010-02-11
申请人： Timothy G. Dietz
发明人： Timothy G. Dietz
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/320028 , A61B2017/320064
摘要： In one general aspect, various embodiments are directed to an ultrasonic surgical instrument that has an ultrasonic blade that protrudes from at least one ultrasonic transducer that is movably supported within a handle housing. The ultrasonic blade protrudes through an outer sheath assembly that is attached to the handle housing. A distal end portion of the outer sheath has at least one comb-like portion formed thereon. In some embodiments, a distal end of the ultrasonic blade is axially movable adjacent to the at least one comb-like portion. In other embodiments, the distal end of the ultrasonic blade is rotatable adjacent to the at least one comb-like portion.
摘要翻译：在一个一般方面，各种实施例涉及超声波手术器械，其具有从可移动地支撑在手柄壳体内的至少一个超声换能器突出的超声波刀片。超声波叶片通过附接到手柄壳体的外护套组件突出。外护套的远端部分具有形成在其上的至少一个梳状部分。在一些实施例中，超声波刀片的远端可与所述至少一个梳状部分相邻地轴向移动。在其他实施例中，超声波刀片的远端可旋转地邻近至少一个梳状部分。

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