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1. 发明申请

US20130282038A1 SURGICAL INSTRUMENT WITH TISSUE DENSITY SENSING 有权
标题翻译：具有组织密度感测的手术仪器
公开(公告)号：US20130282038A1
公开(公告)日：2013-10-24
申请号：US13449837
申请日：2012-04-18
申请人： William D. Dannaher , Daniel W. Price , Cory G. Kimball , William D. Kelly , Sora Rhee , Jacob S. Gee , Brian D. Bertke , Alissa L. Welling
发明人： William D. Dannaher , Daniel W. Price , Cory G. Kimball , William D. Kelly , Sora Rhee , Jacob S. Gee , Brian D. Bertke , Alissa L. Welling
IPC分类号： A61B17/32 , A61B17/00
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00026 , A61B2017/00075 , A61B2017/00084 , A61B2017/00119 , A61B2090/065
摘要： An apparatus comprises an end effector, a body assembly, a power source, and a control module. The end effector is operable for use in a surgical procedure and can deliver energy to a surgical site. The end effector comprises at least one sensor. The sensor is able to measure at least one physical characteristic associated with the surgical site. The body assembly is in communication with the end effector. The power source is in communication with the body assembly and is operable to deliver power to the end effector. The control module is in communication with the sensor and is operable to change delivery of power to the end effector based on data from the sensor indicating a change in tissue density.
摘要翻译：一种装置包括端部执行器，主体组件，电源和控制模块。末端执行器可操作以用于外科手术并且能够将能量传递到外科手术部位。末端执行器包括至少一个传感器。传感器能够测量与手术部位相关联的至少一个物理特性。身体组件与末端执行器连通。电源与主体组件连通并且可操作以将功率输送到末端执行器。控制模块与传感器通信，并且可操作以基于来自传感器的指示组织密度变化的数据来改变对端部执行器的功率传递。

2. 发明授权

US09788851B2 Surgical instrument with tissue density sensing 有权
公开(公告)号：US09788851B2
公开(公告)日：2017-10-17
申请号：US13449837
申请日：2012-04-18
申请人： William D. Dannaher , Daniel W. Price , Cory G. Kimball , William D. Kelly , Sora Rhee , Jacob S. Gee , Brian D. Bertke , Alissa L. Welling
发明人： William D. Dannaher , Daniel W. Price , Cory G. Kimball , William D. Kelly , Sora Rhee , Jacob S. Gee , Brian D. Bertke , Alissa L. Welling
IPC分类号： A61B17/32 , A61B17/00 , A61B90/00
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/00026 , A61B2017/00075 , A61B2017/00084 , A61B2017/00119 , A61B2090/065
摘要： An apparatus comprises an end effector, a body assembly, a power source, and a control module. The end effector is operable for use in a surgical procedure and can deliver energy to a surgical site. The end effector comprises at least one sensor. The sensor is able to measure at least one physical characteristic associated with the surgical site. The body assembly is in communication with the end effector. The power source is in communication with the body assembly and is operable to deliver power to the end effector. The control module is in communication with the sensor and is operable to change delivery of power to the end effector based on data from the sensor indicating a change in tissue density.

3. 发明申请

US20100331873A1 ULTRASONIC DEVICE FOR CUTTING AND COAGULATING 审中-公开
标题翻译：用于切割和凝固的超声波装置
公开(公告)号：US20100331873A1
公开(公告)日：2010-12-30
申请号：US12823231
申请日：2010-06-25
申请人： William D. Dannaher , Brian D. Bertke , Kenneth Moran , Aron O. Zingman , Matthew L. Reed , Larry A. Pummill, JR. , Robert D. Weaver , John S. Frazier
发明人： William D. Dannaher , Brian D. Bertke , Kenneth Moran , Aron O. Zingman , Matthew L. Reed , Larry A. Pummill, JR. , Robert D. Weaver , John S. Frazier
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B17/2804 , A61B17/2816 , A61B2017/00469 , A61B2017/00477 , A61B2017/2936 , A61B2017/320093 , A61B2017/320094 , A61B2017/320095 , A61B2017/447
摘要： An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation, and fine dissection required in fine and delicate surgical procedures. The assembly includes a clamping mechanism, including a clamp arm pivotally-mounted at the distal portion of the instrument using a ball-bearing assembly, which is specifically configured to create a desired level of tissue clamping forces.
摘要翻译：一种超声波夹具凝固器组件，其被配置为允许在精细和微妙的外科手术中进行选择性切割，凝结和精细解剖。该组件包括夹紧机构，其包括使用滚珠轴承组件枢转地安装在仪器的远端部分处的夹紧臂，其特别地构造成产生期望水平的组织夹紧力。

4. 发明申请

US20090030311A1 Ultrasonic end effectors with increased active length 有权
标题翻译：超声波末端效应器具有增加的有效长度
公开(公告)号：US20090030311A1
公开(公告)日：2009-01-29
申请号：US11881662
申请日：2007-07-27
申请人： Foster B. Stulen , Kevin L. Houser , Vincent P. Battaglia, JR. , Brian D. Bertke
发明人： Foster B. Stulen , Kevin L. Houser , Vincent P. Battaglia, JR. , Brian D. Bertke
IPC分类号： A61N7/00
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/320072 , A61B2017/320078 , A61B2017/320088
摘要： An end effector includes a first portion having a first specific acoustic impedance value, and a second portion having a second specific acoustic impedance value less than the first specific acoustic impedance value. The first portion includes a proximal end segment of the end effector and a distal end segment of the end effector, and the proximal end segment and the distal end segment are composed of a first material. The second portion includes an insert segment of the end effector composed of a second material. The insert segment is located between the proximal end segment and the distal end segment along the longitudinal axis of the end effector. The insert segment functions to bridge or fill the nodal energy gap. A surgical instrument includes a transducer configured to produce vibrations along a longitudinal axis as a predetermined frequency. An ultrasonic blade extends along the longitudinal axis coupled to the transducer. An insert segment or a pad is positioned adjacent to the blade such that it engages the blade when the surgical instrument is in a closed position and generates heat filling the nodal energy gap.
摘要翻译：端部执行器包括具有第一特定声阻抗值的第一部分和具有小于第一特定声阻抗值的第二特定声阻抗值的第二部分。第一部分包括末端执行器的近端段和端部执行器的远端段，并且近端段和远端段由第一材料组成。第二部分包括由第二材料构成的端部执行器的插入段。插入段沿着端部执行器的纵向轴线位于近端段和远端段之间。插入段用于桥接或填充节点能隙。手术器械包括被构造成沿着纵轴产生作为预定频率的振动的换能器。超声波刀片沿着耦合到换能器的纵向轴线延伸。插入片段或衬垫位于与刀片相邻的位置，使得当外科器械处于关闭位置时它与刀片接合并产生填充节点能隙的热量。

5. 发明授权

US08075571B2 Surgical clip applier methods 有权
标题翻译：手术夹施法器方法
公开(公告)号：US08075571B2
公开(公告)日：2011-12-13
申请号：US11869124
申请日：2007-10-09
申请人： Dario Vitali , Nicholas G. Molitor , Thomas W. Huitema , Robert L. Koch, Jr. , Brian D. Bertke , Kevin A. Larson , Robert P. Fuchs , Mark A. Davison
发明人： Dario Vitali , Nicholas G. Molitor , Thomas W. Huitema , Robert L. Koch, Jr. , Brian D. Bertke , Kevin A. Larson , Robert P. Fuchs , Mark A. Davison
IPC分类号： A61B17/122
CPC分类号： A61B17/1285 , A61B17/10 , A61B17/122 , A61B17/128 , A61B2090/032 , A61B2090/034
摘要： A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.
摘要翻译：提供外科手术夹具和在手术过程中将手术夹子应用于血管，导管，分流器等的方法。在一个示例性实施例中，提供了具有壳体的手术夹具，其具有可移动地联接到其上的触发器，以及从其延伸的细长轴，在其远端形成有相对的夹爪。触发器适于推进夹子以将夹子定位在钳口之间，并且将钳口从打开位置移动到关闭位置，以夹紧位于其间的夹子。

6. 发明授权

US08753356B2 Surgical clip applier methods 有权
标题翻译：手术夹施法器方法
公开(公告)号：US08753356B2
公开(公告)日：2014-06-17
申请号：US11869105
申请日：2007-10-09
申请人： Dario Vitali , Nicholas G. Molitor , Thomas W. Huitema , Robert L. Koch, Jr. , Brian D. Bertke , Kevin A. Larson , Robert P. Fuchs , Mark A. Davison
发明人： Dario Vitali , Nicholas G. Molitor , Thomas W. Huitema , Robert L. Koch, Jr. , Brian D. Bertke , Kevin A. Larson , Robert P. Fuchs , Mark A. Davison
IPC分类号： A61B17/128 , A61B17/10
CPC分类号： A61B17/1285 , A61B17/10 , A61B17/122 , A61B17/128 , A61B2090/032 , A61B2090/034
摘要： A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.
摘要翻译：提供外科手术夹具和在手术过程中将手术夹子应用于血管，导管，分流器等的方法。在一个示例性实施例中，提供外科夹具施加器，其具有壳体，其具有可移动地联接到其上的触发器，以及从其延伸的细长轴，其上形成有在其远端上的相对的夹爪。触发器适于推进夹子以将夹子定位在钳口之间，并且将钳口从打开位置移动到关闭位置，以夹紧位于其间的夹子。

7. 发明授权

US08523889B2 Ultrasonic end effectors with increased active length 有权
公开(公告)号：US08523889B2
公开(公告)日：2013-09-03
申请号：US11881662
申请日：2007-07-27
申请人： Foster B. Stulen , Kevin L. Houser , Vincent P. Battaglia, Jr. , Brian D. Bertke
发明人： Foster B. Stulen , Kevin L. Houser , Vincent P. Battaglia, Jr. , Brian D. Bertke
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/320092 , A61B2017/320072 , A61B2017/320078 , A61B2017/320088
摘要： An end effector includes a first portion having a first specific acoustic impedance value, and a second portion having a second specific acoustic impedance value less than the first specific acoustic impedance value. The first portion includes a proximal end segment of the end effector and a distal end segment of the end effector, and the proximal end segment and the distal end segment are composed of a first material. The second portion includes an insert segment of the end effector composed of a second material. The insert segment is located between the proximal end segment and the distal end segment along the longitudinal axis of the end effector. The insert segment functions to bridge or fill the nodal energy gap. A surgical instrument includes a transducer configured to produce vibrations along a longitudinal axis as a predetermined frequency. An ultrasonic blade extends along the longitudinal axis coupled to the transducer. An insert segment or a pad is positioned adjacent to the blade such that it engages the blade when the surgical instrument is in a closed position and generates heat filling the nodal energy gap.

8. 发明授权

US08915930B2 Force limiting mechanism for medical instrument 有权
标题翻译：医疗器械限力机构
公开(公告)号：US08915930B2
公开(公告)日：2014-12-23
申请号：US11855249
申请日：2007-09-14
申请人： Thomas W. Huitema , Brian D. Bertke , Robert L. Koch, Jr. , Dario Vitali , Nicholas G. Molitor
发明人： Thomas W. Huitema , Brian D. Bertke , Robert L. Koch, Jr. , Dario Vitali , Nicholas G. Molitor
IPC分类号： A61B17/10 , A61B17/128 , A61B19/00
CPC分类号： A61B17/1285 , A61B2090/032 , A61B2090/034
摘要： A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.
摘要翻译：提供外科手术夹具和在手术过程中将手术夹子应用于血管，导管，分流器等的方法。在一个示例性实施例中，提供了具有壳体的手术夹具，其具有可移动地联接到其上的触发器，以及从其延伸的细长轴，在其远端形成有相对的夹爪。触发器适于推进夹子以将夹子定位在钳口之间，并且将钳口从打开位置移动到关闭位置，以夹紧位于其间的夹子。

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