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1. 发明申请

WO2012045095A1 ELECTROSURGICAL INSTRUMENTS WITH JAWS AND/OR AN ELECTRODE AND AMPLIFIERS FOR ELECTROSURGERY 审中-公开
标题翻译：带有电子和/或电极和电极放大器的静电仪器
公开(公告)号：WO2012045095A1
公开(公告)日：2012-04-05
申请号：PCT/US2011/054661
申请日：2011-10-03
申请人： APPLIED MEDICAL RESOURCES CORPORATION , BRUSTAD, John, R. , FALKENSTEIN, Zoran , LINVILLE-ENGLER, Benjamin , WIXEY, Matthew, A. , JOHNSON, Gary, M. , ELLIOTT, Patrick
发明人： BRUSTAD, John, R. , FALKENSTEIN, Zoran , LINVILLE-ENGLER, Benjamin , WIXEY, Matthew, A. , JOHNSON, Gary, M. , ELLIOTT, Patrick
IPC分类号： A61B18/12 , A61B18/14
CPC分类号： A61B18/1445 , A61B2017/2903 , A61B2017/2932 , A61B2018/00178 , A61B2018/00196 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/00642 , A61B2018/00708 , A61B2018/00827 , A61B2018/00869 , A61B2018/00892 , A61B2018/1412 , A61B2018/1432
摘要： An electrosurgical instrument includes jaws (102, 104) having an electrode configuration (103a, 103b, 105b) utilized to electrically modify tissue in contact with one or more electrodes. The instrument is removably connectable to an electrosurgical unit via an electrosurgical connector extending from the instrument and a receptacle on the electrosurgical unit. The electrosurgical instrument is rotatable without disrupting the electrical connection to the electrodes of the jaws. One or more of the electrodes is retractable. The electrosurgical unit and instrument optimally seals and/or cuts tissue based on identifying the tissue and monitoring the modification of the tissue by the application of radio frequency energy.
摘要翻译：电外科器械包括具有电极构造（103a，103b，105b）的钳口（102,104），用于电修改与一个或多个电极接触的组织。仪器通过从仪器延伸的电外科连接器和电外科单元上的插座可拆卸地连接到电外科单元。电外科器械是可旋转的，而不破坏与钳口电极的电连接。一个或多个电极是可缩回的。电外科单元和仪器基于识别组织并通过应用射频能量监测组织的修改来最佳地密封和/或切割组织。

2. 发明申请

WO2009124097A1 ELECTROSURGICAL SYSTEM 审中-公开
标题翻译：电磁系统
公开(公告)号：WO2009124097A1
公开(公告)日：2009-10-08
申请号：PCT/US2009/039046
申请日：2009-03-31
申请人： APPLIED MEDICAL RESOURCES CORPORATION , FALKENSTEIN, Zoran , CAPPELLO, Christopher, J. , JOHNSON, Gary, M. , GIANNESCHI, Benjamin, A. , TRAN, Oliva, J. , WIXEY, Matthew, A. , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , YAWATA, Haruyasu , BRUSTAD, John, R. , COHEN, Adam, J. , HILAL, Nabil , BECERRA, Matthew, M. , PINGLETON, Edward, D. , HILAL, Said, S. , HART, Charles, C. , WIKOFF, Chris, R.
发明人： FALKENSTEIN, Zoran , CAPPELLO, Christopher, J. , JOHNSON, Gary, M. , GIANNESCHI, Benjamin, A. , TRAN, Oliva, J. , WIXEY, Matthew, A. , PRAVONGVIENGKHAM, Kennii , PRAVONG, Boun , YAWATA, Haruyasu , BRUSTAD, John, R. , COHEN, Adam, J. , HILAL, Nabil , BECERRA, Matthew, M. , PINGLETON, Edward, D. , HILAL, Said, S. , HART, Charles, C. , WIKOFF, Chris, R.
IPC分类号： A61B17/285
CPC分类号： A61B18/1445 , A61B17/07207 , A61B18/1206 , A61B18/1442 , A61B18/16 , A61B90/90 , A61B2017/00199 , A61B2017/2945 , A61B2018/00041 , A61B2018/00077 , A61B2018/00178 , A61B2018/00208 , A61B2018/00345 , A61B2018/00404 , A61B2018/00494 , A61B2018/00511 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/00916 , A61B2018/00922 , A61B2018/00988 , A61B2018/124 , A61B2018/126 , A61B2018/1266 , A61B2018/1412 , A61B2018/1432 , A61B2018/144 , A61B2018/1455 , A61B2018/1467 , A61B2018/162
摘要： Phase end point determination is provided to automatically halt the application of energy to tissue. Prior to the application of energy, the phase end point determination is identified by measuring the product of permittivity and conductivity of the tissue to be treated. An electrosurgical system can include an electrosurgical generator, a feedback circuit or controller, and an electrosurgical tool. The feedback circuit can provide an electrosurgery endpoint by determining the phase end point of a tissue to be treated. The electrosurgical system can include more than one electrosurgical tool for different electrosurgical operations and can include a variety of user interface features and audio/visual performance indicators. The electrosurgical system can also power conventional bipolar electrosurgical tools and direct current surgical appliances.
摘要翻译：提供相位终点确定以自动停止向组织施加能量。在施加能量之前，通过测量待处理组织的介电常数和电导率的乘积来确定相位终点确定。电外科系统可以包括电外科发生器，反馈电路或控制器以及电外科手术工具。反馈电路可以通过确定待治疗的组织的相位终点来提供电外科终点。电外科系统可以包括多个用于不同电外科手术的电外科工具，并且可以包括各种用户界面特征和音频/视觉性能指标。电外科系统还可以为传统的双极电外科手术工具和直流手术器械提供电力。

3. 发明申请

WO2008128186A1 METHOD AND APPARATUS FOR TISSUE MORCELLATION 审中-公开
标题翻译：用于组织移植的方法和装置
公开(公告)号：WO2008128186A1
公开(公告)日：2008-10-23
申请号：PCT/US2008/060243
申请日：2008-04-14
申请人： APPLIED MEDICAL RESOURCES CORPORATION , PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , BECERRA, Matthew, M. , WIXEY, Matthew, A. , YAWATA, Haruyasu , JOHNSON, Gary, M. , FALKENSTEIN, Zoran , BRUSTAD, John, R. , HART, Charles, C.
发明人： PRAVONG, Boun , PRAVONGVIENGKHAM, Kennii , BECERRA, Matthew, M. , WIXEY, Matthew, A. , YAWATA, Haruyasu , JOHNSON, Gary, M. , FALKENSTEIN, Zoran , BRUSTAD, John, R. , HART, Charles, C.
IPC分类号： A61B17/32 , A61B17/14
CPC分类号： A61B17/32002 , A61B17/29 , A61B17/32053 , A61B90/361 , A61B2017/00902 , A61B2017/2948 , A61B2017/320024 , A61B2017/320775
摘要： The invention relates to a tissue morcellator for minimally invasive surgery. The morcellator has a metallic cutting ring mounted on a visually transparent hollow cylinder, which in combination with a visually transparent outer morcellator tube enables a surgeon to visualize the inside of the morcellator shaft for detection of loose tissue fragments in the device, A tenaculum used with the morceilation device has a spacer for preventing contact with the blade. The cutting tube can oscillate, rather than rotate, along the longitudinal axis of the cutting tube. The morcellator utilizes an extendable tissue guide on the outer tube of the morcellator shaft for preventing the tissue from rotating along the longitudinal axis of the morcellator tube. This allows the tissue to be continuously rotated into the morcellator device for continuous peel. The tissue guide can also be fully retracted to allow for coring of the bulk tissue.
摘要翻译：本发明涉及用于微创手术的组织移植器。旋转器具有安装在视觉上透明的中空圆柱体上的金属切割环，其与视觉上透明的外部致动器管组合，使得外科医生能够将morcellator轴的内部可视化，以检测装置中的松散的组织碎片。该光泽装置具有用于防止与叶片接触的间隔件。切割管可以沿着切割管的纵向轴线而摆动而不是旋转。 morcellator在morcellator轴的外管上使用可延伸的组织引导件，用于防止组织沿着morcellator管的纵向轴线旋转。这允许组织连续地旋转到morcellator装置中用于连续剥离。组织引导件也可以完全缩回以允许大块组织的取芯。

4. 发明申请

WO2005013803A2 SURGICAL DEVICE WITH TACK-FREE GEL AND METHOD OF MANUFACTURE 审中-公开
标题翻译：无缝凝胶的手术装置及其制造方法
公开(公告)号：WO2005013803A2
公开(公告)日：2005-02-17
申请号：PCT/US2004/025511
申请日：2004-08-05
申请人： APPLIED MEDICAL RESOURCES CORPORATION , AHLBERG, Russell, E. , ADLPARVAR, Payam , TAYLOR, Scott, V. , WIXEY, Matthew, A. , MARTINEZ, Daniel , BRUSTAD, John, R.
发明人： AHLBERG, Russell, E. , ADLPARVAR, Payam , TAYLOR, Scott, V. , WIXEY, Matthew, A. , MARTINEZ, Daniel , BRUSTAD, John, R.
IPC分类号： A61B
CPC分类号： A61M3/0279 , A61B17/3423 , A61B17/3462 , A61B17/3498 , A61B2017/00469 , A61B2017/22067 , B29C37/0067 , B29C39/006 , B29C39/025 , B29C39/123
摘要： A process of making a tack-free gel is disclosed comprising the steps of providing a mold defining a mold cavity, the mold cavity comprising a plastic material; pouring or injecting a molten gel having a high molding temperature into the mold cavity; and forming the tack-free gel as a thin layer of plastic of the mold cavity is melted over the gel. The forming step further comprises cooling the gel from the molten state to a solidified state. The melting temperature of the plastic material is lower than the molding temperature of the gel; and the higher the temperature differential, the greater the melting of the plastic material and the thicker the layer of the plastic material on the surface of the gel. The mold may be formed of low-density polyethylene (LDPE). With the process of the invention, the heat of the molten gel at its molding temperature is transferred to the surface of the LDPE mold so as to melt a thin layer of the LDPE. The mold may comprise a mold base having a plurality of mold holes forming a plurality of mold cavities, each of the mold holes comprising an axial pin to mold an axial hole through a center of the gel, an LDPE cylinder providing a predetermined inside diameter for the mold, and an LDPE disc mounted on the axial pin and disposed at the bottom of each mold cavity in the mold base. The process may further comprise the step of dabbing the gel in a low-friction powder such as polytetrafluoroethylene (PTFE) and a lubricant. The mold may further comprise a mold top disposed axially of the mold base and comprises a plurality of holes forming a plurality of cavities, each of the mold top holes is adapted to receive the LDPE cylinder, and a second LDPE disc disposed at the top of each mold cavity of the mold top.
摘要翻译：公开了制造无粘性凝胶的方法，包括以下步骤：提供限定模腔的模具，所述模腔包括塑料材料; 将具有高成型温度的熔融凝胶注入或注入模腔中; 并且将形成无粘性凝胶作为模腔的塑料薄层在凝胶上熔化。形成步骤还包括将凝胶从熔融状态冷却至固化状态。塑料材料的熔化温度低于凝胶的成型温度; 并且温差越高，塑料材料的熔化越大，并且凝胶表面上的塑料材料层越厚。模具可以由低密度聚乙烯（LDPE）形成。通过本发明的方法，熔融凝胶在其成型温度下的热量转移到LDPE模具的表面，以熔化LDPE的薄层。模具可以包括具有形成多个模具腔的多个模具孔的模具基座，每个模具孔包括轴向销，以模制通过凝胶的中心的轴向孔，提供预定内径的LDPE圆筒，模具和安装在轴向销上并设置在模具基座中的每个模具腔的底部的LDPE盘。该方法还可以包括在诸如聚四氟乙烯（PTFE）和润滑剂的低摩擦粉末中浸渍凝胶的步骤。模具还可包括设置在模具基座的轴向上的模具顶部，并且包括形成多个空腔的多个孔，每个模具顶部孔适于接纳LDPE圆筒，并且设置在第二LDPE圆盘的顶部模具顶部的每个模腔。

5. 发明申请

WO2005013803A3 SURGICAL DEVICE WITH TACK-FREE GEL AND METHOD OF MANUFACTURE 审中-公开
公开(公告)号：WO2005013803A3
公开(公告)日：2005-02-17
申请号：PCT/US2004/025511
申请日：2004-08-05
申请人： APPLIED MEDICAL RESOURCES CORPORATION , AHLBERG, Russell, E. , ADLPARVAR, Payam , TAYLOR, Scott, V. , WIXEY, Matthew, A. , MARTINEZ, Daniel , BRUSTAD, John, R.
发明人： AHLBERG, Russell, E. , ADLPARVAR, Payam , TAYLOR, Scott, V. , WIXEY, Matthew, A. , MARTINEZ, Daniel , BRUSTAD, John, R.
IPC分类号： A61M5/00 , A61M31/00 , A61B17/34
摘要： A process of making a tack-free gel for a trocar seal is disclosed wherein a mold of low-density polyethylene (LDPE) is formed from a mold cavity. A molten gel of LDPE having a high molding temperature is poured or injected into the mold cavity. The tack-free gel is then formed as a thin layer of plastic of the mold cavity is melted over the gel. The process may further include the step of dabbing the gel in a low-friction powder such as polytetrafluoroethylene (PTFE) and a lubricant. The tack-free gel provides an elongation or stretch as great as 1500 percent and is therefore ideally suited to form a zero seal.

6. 发明申请

WO2007137243A3 SURGICAL STAPLER 审中-公开
公开(公告)号：WO2007137243A3
公开(公告)日：2007-11-29
申请号：PCT/US2007/069405
申请日：2007-05-21
申请人： APPLIED MEDICAL RESOURCES CORPORATION , WIXEY, Matthew, A. , JOHNSON, Gary, M.
发明人： WIXEY, Matthew, A. , JOHNSON, Gary, M.
IPC分类号： B25C5/02
摘要： A surgical stapler is provided that maintains the jaws of the stapler in an open position and prevents firing of staples when a cartridge is not loaded in one of the jaws. Distinct positioning and sequencing of the jaws, capture pin and firing of the staples are provided by a latch mechanism. Such locking and latching mechanisms ensure proper operation of the stapler.

7. 发明申请

WO2003096879A3 CONE TIP OBTURATOR 审中-公开
公开(公告)号：WO2003096879A3
公开(公告)日：2003-11-27
申请号：PCT/US2003/014924
申请日：2003-05-13
申请人： APPLIED MEDICAL RESOURCES CORPORATION , TAYLOR, Scott , WIXEY, Matthew, A.
发明人： TAYLOR, Scott , WIXEY, Matthew, A.
IPC分类号： A61B17/14
摘要： A surgical obturator (18) adapted to penetrate a body wall comprising an elongate shaft (21) extending along an axis between a proximal end and a distal end, and a bladeless tip (27) disposed at the distal end of the shaft (21) having a conical surface (60) forming proximally into an outer surface, the outer space extending distally to a blunt point and having a pair of side sections. The side sections extend from the blunt point radially outwardly with progressive positions proximally along the axis. The conical surface (60) facilitates insertion of the obturator with a reduced penetration force and minimizes tenting of the body wall. The conical surface (60) further facilitates separation of different layers of the body wall and provides proper alignment of the tip between the layers. The surgical obturator (18) may be constructed from a disposable or reusable material such as a metal or an autoclavable polymer.

8. 发明申请

WO2003096879A2 CONE TIP OBTURATOR 审中-公开
标题翻译： CONE提示OBTURATOR
公开(公告)号：WO2003096879A2
公开(公告)日：2003-11-27
申请号：PCT/US2003/014924
申请日：2003-05-13
申请人： APPLIED MEDICAL RESOURCES CORPORATION , TAYLOR, Scott , WIXEY, Matthew, A.
发明人： TAYLOR, Scott , WIXEY, Matthew, A.
IPC分类号： A61B
CPC分类号： A61B17/3417 , A61B17/02 , A61B17/3498 , A61B2017/320044 , A61B2017/3456 , A61B2017/346 , A61M13/003
摘要： A surgical obturator adapted to penetrate a body wall comprising an elongate shaft extending along an axis between a proximal end and a distal end, and a bladeless tip disposed at the distal end of the shaft having a conical surface forming proximally into an outer surface, the outer surface extending distally to a blunt point and having a pair of side sections. The side sections extend from the blunt point radially outwardly with progressive positions proximally along the axis. The conical surface facilitates insertion of the obturator with a reduced penetration force and minimizes tenting of the body wall. The conical surface further facilitates separation of different layers of the body wall and provides proper alignment of the tip between the layers. The surgical obturator may be constructed from a disposable or reusable material such as a metal or an autoclavable polymer.
摘要翻译：适于穿透体壁的手术闭孔器，其包括沿着近端和远端之间的轴延伸的细长轴，以及设置在所述轴的远端处的无叶尖，其具有近端形成到外表面中的锥形表面，外表面向远端延伸到钝点并具有一对侧部。侧面部分从钝点径向向外延伸，沿着轴线向近端延伸。锥形表面有助于以更小的穿透力插入封闭器并最小化身体壁的隆起。锥形表面进一步有利于分离体壁的不同层，并提供顶层在层之间的适当对准。手术闭孔器可以由一次性或可重复使用的材料构成，例如金属或高压灭菌聚合物。

9. 发明申请

WO2005009201A2 INTERLOCKING SUTURE CLINCH 审中-公开
标题翻译：互相联系
公开(公告)号：WO2005009201A2
公开(公告)日：2005-02-03
申请号：PCT/US2004/012484
申请日：2004-04-21
申请人： APPLIED MEDICAL RESOURCES CORPORATION , HART, Charles, C. , WIXEY, Matthew, A.
发明人： HART, Charles, C. , WIXEY, Matthew, A.
IPC分类号： A61B
CPC分类号： A61B17/0487 , A61B2017/0454 , A61B2017/0456 , A61B2017/0488
摘要： The invention is directed to a suture clinch that may be placed upon suture extensions of a placed suture to securely lock the extensions in a desired location. The clinch operates to replace a tied knot and retain the suture in a fixed relationship with little or no damage to the suture itself. The clinch comprises a mating pair of interlocking members that restrict movements of the suture. The interlocking members may be placed upon the suture extensions from alongside the suture extensions and compressed to a first condition where the interlocking members may be advanced, retracted or adjusted, and subsequently further compressed to a second condition where the interlocking members are fully engaged to fully restrict the movement of the suture. In another aspect, the clinch may be provided in a flat form comprising a first component and a second component. The first and second components fit together in a mating relationship that entraps at least a portion of the suture between tractive faces of the first and second components, respectively. Each end of the first and second components may have a recessed central portion that leaves two extensions along the sides of each end of the components. The extensions of the second component are subsequently folded over the first component to provide secure entrapment of the suture between the tractive faces of the first and second components. The tractive faces operate to engage the suture and hold it securely in place without damaging or challenging the suture. The clinch may comprise of plastic, metallic materials such as stainless steel or titanium, or a combination of both where the plastic is chosen for its value as an atraumatic interface and the metal for its radiopacity or durability.
摘要翻译：本发明涉及可以放置在放置的缝合线的缝线延伸部上以将延伸部牢固地锁定在期望位置的缝合线夹。该钳子用于替换结扎，并将缝合线保持固定的关系，对缝合线本身几乎没有或没有损坏。夹钳包括限制缝合线运动的一对互锁构件。互锁构件可以从缝合线延伸部旁边放置在缝合线延伸部上并被压缩到第一状态，其中互锁构件可以前进，缩回或调节，并且随后被进一步压缩到第二状态，其中互锁构件完全接合到完全限制缝合线的运动。在另一方面，钳口可以以包括第一部件和第二部件的平坦形式提供。第一和第二部件以匹配关系装配在一起，分别在第一和第二部件的牵引面之间截留缝合线的至少一部分。第一和第二部件的每个端部可以具有凹入的中心部分，其沿着部件的每个端部的侧面留下两个延伸部。随后将第二部件的延伸部折叠在第一部件上，以提供在第一和第二部件的牵引面之间的缝合线的牢固的截留。牵引面用于接合缝合线并将其牢固地固定在适当的位置，而不会损伤或挑战缝合线。夹子可以包括塑料，诸如不锈钢或钛的金属材料，或两者的组合，其中选择塑料作为无创伤界面的价值，并且金属用于其不透射线性或耐久性。

10. 发明申请

WO2002098275A3 SURGICALS METALS WITH IMPROVED HARDNESS AND METHODS OF MAKING SAME 审中-公开
公开(公告)号：WO2002098275A3
公开(公告)日：2002-12-12
申请号：PCT/US2002/017332
申请日：2002-05-30
申请人： APPLIED MEDICAL RESOURCES CORPORATION , TANGHERLINI, Vincent, C. , AHLBERG, Russell, E. , STROKOSZ, Arkadiusza, A. , WIXEY, Matthew, A. , PHINOUWONG, Linda, C.
发明人： TANGHERLINI, Vincent, C. , AHLBERG, Russell, E. , STROKOSZ, Arkadiusza, A. , WIXEY, Matthew, A. , PHINOUWONG, Linda, C.
IPC分类号： A61B17/04
摘要： A surgical device includes a structural portion which is formed of a first element, such as titanium, which has an outer surface and an inner core. A second element, such as oxygen, is combined with the first element without creating a shear plane, to create a concentration of the second element in the first element which varies from the outer surface to the inner core. In an associated method, the second element is driven into the first element under other than ambient conditions to develop a concentration gradient of the second element between the outer surface and the inner core of the first element.

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