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1. 发明申请

WO2019106548A1 NOISE AND VIBRATION MANAGEMENT FOR SMOKE EVACUATION SYSTEM 审中-公开
公开(公告)号：WO2019106548A1
公开(公告)日：2019-06-06
申请号：PCT/IB2018/059378
申请日：2018-11-28
申请人： MEGADYNE MEDICAL PRODUCTS, INC.
发明人： FRAMPTON, Chad S. , HORNER, Shawn K. , GREEP, Darcy W. , SHELTON, IV, Frederick E. , HARRIS, Jason L. , YATES, David C. , MILLIS, Roger
IPC分类号： A61B18/14 , B01D46/00 , F24C15/20 , F04B39/00 , F04B49/06 , F04B53/00 , F04B53/06
CPC分类号： F04C29/06 , A61B18/1206 , A61B18/14 , A61B18/16 , A61B2018/00595 , A61B2018/00601 , A61B2218/008 , A61M1/0025 , A61M1/0066 , A61M2202/02 , A61M2205/103 , A61M2205/42 , A61M2205/75 , F04C18/0207 , F04C18/0215 , F04C18/12 , F04C28/08 , F04C29/0071 , F04C29/0085 , F04C2240/40 , F04C2270/051 , F04C2270/125 , F04C2270/135
摘要： A system for noise and vibration management of a smoke evacuation system includes a pump that compresses air and produces a pressure differential within an airflow path. The pump may be a sealed, positive displacement pump. The system includes vibration absorption mechanisms disposed between inner and outer housings, as well as on the outside surface of the outer housing. Methods of controlling and regulating a motor of the system to preserve the lifespan of the motor and maintain consistent airflow rates throughout the smoke evacuation system include varying a supply of electrical current to the motor so that it can operate at variable performance levels. Orifices are opened and closed in order to relieve resistance pressures within the airflow path due to clogging and blockages.

2. 发明申请

WO2018204503A1 MINIMAL-ACCESS PERCUTANEOUS AND SELF-RETRACTING SURGICAL SYSTEM 审中-公开
公开(公告)号：WO2018204503A1
公开(公告)日：2018-11-08
申请号：PCT/US2018/030666
申请日：2018-05-02
申请人： Z SURGICAL LLC
发明人： ZADA, Gabriel
IPC分类号： A61B17/34 , A61B1/018 , A61B1/00 , A61B17/02 , A61B17/32
CPC分类号： A61B17/0218 , A61B1/00087 , A61B1/00135 , A61B1/0055 , A61B1/018 , A61B1/05 , A61B1/126 , A61B17/29 , A61B17/320016 , A61B17/3201 , A61B17/3421 , A61B17/3476 , A61B17/3478 , A61B18/14 , A61B2017/2215 , A61B2017/2906 , A61B2017/320044 , A61B2017/3447 , A61B2017/3454 , A61B2018/00595 , A61B2217/005
摘要： Disclosed herein are embodiments of a minimally-invasive surgical system and methods of use which can mimic a mosquito proboscis to efficiently penetrate tissue. The delivery system can utilize a plurality of modular strut instruments to create a working tissue canopy and apply any number of surgical actions to a target tissue.

3. 发明申请

WO2017205548A1 METHODS AND APPARATUS FOR FACILITATING DIRECT VISUALIZED RHIZOTOMY 审中-公开
标题翻译：用于促进直接可视化的再生的方法和设备
公开(公告)号：WO2017205548A1
公开(公告)日：2017-11-30
申请号：PCT/US2017/034341
申请日：2017-05-24
申请人： PHOENIX SPINE SURGERY CENTER, LTD.
发明人： LIEBERMAN, Daniel , DEROS, Yani , IBARRA, Matthew, James , RUTHERFORD, Kirsten , KINNARD, John, B. , OVANS, Craig, C.
IPC分类号： A61B1/00 , A61B1/05
CPC分类号： A61B1/05 , A61B1/00045 , A61B1/0008 , A61B1/00135 , A61B1/00142 , A61B1/00154 , A61B1/00179 , A61B1/045 , A61B1/3135 , A61B17/3401 , A61B17/3423 , A61B17/3468 , A61B17/3478 , A61B18/148 , A61B2017/3437 , A61B2017/3447 , A61B2018/00339 , A61B2018/00434 , A61B2018/0044 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2218/002
摘要： Methods and apparatus for direct visual rhizotomy using an elongated tubular sheath. The sheath includes: a proximal end configured to removably receive a cannula; a distal end; a horizontal shaft having a longitudinal axis extending between the proximal end and the distal end; a first cut-away generally defining a first plane at the distal end, the first cut-away characterized by a first angle relative to a vertical plane; and a second cut-away generally defining a second plane at the distal end, the second cut-away characterized by a second angle relative to a horizontal plane. The sheath further includes an endoscope camera disposed at the distal end, the camera having a line of sight substantially orthogonal to the first plane.
摘要翻译：使用细长管状套管的直接视神经根切断术的方法和设备
护套包括：近端，配置为可移除地接收套管; 远端; 具有在所述近端和所述远端之间延伸的纵向轴线的水平轴; 通常在远端限定第一平面的第一切口，第一切口相对于垂直平面具有第一角度; 以及通常在远端处限定第二平面的第二切口，第二切口的特征在于相对于水平面的第二角度。护套还包括设置在远端的内窥镜照相机，照相机具有基本上与第一平面正交的视线。

4. 发明申请

WO2017083845A3 LASER-ASSISTED PERIODONTICS 审中-公开
标题翻译：激光辅助牙周病学
公开(公告)号：WO2017083845A3
公开(公告)日：2017-08-10
申请号：PCT/US2016061882
申请日：2016-11-14
申请人： MILLENNIUM HEALTHCARE TECH INC
发明人： GREGG ROBERT H II , GREGG DAWN M
IPC分类号： A61C1/00 , A61C19/04
CPC分类号： A61C1/0046 , A61B18/22 , A61B34/25 , A61B2018/00023 , A61B2018/00565 , A61B2018/00577 , A61B2018/00589 , A61B2018/00595 , A61B2018/00625 , A61B2018/0063 , A61B2018/00642 , A61B2018/00791 , A61B2018/202 , A61B2018/2222 , A61B2018/225 , A61B2034/258 , A61B2218/002 , A61C1/0015 , A61C8/0006 , A61C8/0089 , A61C17/0202 , A61C17/036 , A61C17/20 , A61C19/043 , A61C19/063 , A61M19/00 , A61M2205/3561 , A61M2205/3592 , A61M2205/505 , A61M2205/52 , A61N5/062 , A61N5/0624 , A61N5/0625 , A61N2005/0606 , A61N2005/0628 , A61N2005/063 , A61N2005/0631 , A61N2005/067
摘要： Periodontal disorders such as disorders associated with a dental implant are treated. An average power for a laser is selected via a user interface on a tablet, along with a set of permissible laser parameters provided in response to the selected average power. A gingival trough or flap is created around the implant with the laser. Infected tissue is selectively ablated or denatured via photothermolysis, and a pocket is lased around the affected implant. Marginal tissues are compressed against the implant.
摘要翻译：治疗牙周疾病，例如与牙科植入物相关的疾病。通过平板电脑上的用户界面选择激光的平均功率，以及响应所选平均功率提供的一组允许激光参数。使用激光在种植体周围形成龈槽或襟翼。受感染的组织通过光热分解被选择性地消融或变性，并且在受影响的植入物周围放置口袋。边缘组织被压在植入物上。

5. 发明申请

WO2017132531A1 LASER-ASSISTED PERIODONTICS 审中-公开
标题翻译：激光辅助牙周病学
公开(公告)号：WO2017132531A1
公开(公告)日：2017-08-03
申请号：PCT/US2017/015380
申请日：2017-01-27
申请人： MILLENNIUM HEALTHCARE TECHNOLOGIES, INC. , GREGG, Robert, H. , GREGG, Dawn
发明人： GREGG, Robert, H. , GREGG, Dawn
IPC分类号： A61C1/00 , A61C19/04 , A61B18/20 , A61N5/06
CPC分类号： A61C1/0046 , A61B5/4547 , A61B18/22 , A61B34/25 , A61B2017/00482 , A61B2018/00023 , A61B2018/00565 , A61B2018/00577 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00625 , A61B2018/00642 , A61B2018/00708 , A61B2018/00779 , A61B2018/00815 , A61B2018/00863 , A61B2018/00988 , A61B2018/202 , A61B2018/22853 , A61B2034/252 , A61B2034/254 , A61B2034/256 , A61B2218/002 , A61C1/0015 , A61C8/0006 , A61C17/0202 , A61C17/036 , A61C19/043 , A61C19/063 , A61M19/00 , A61M2210/0631 , A61N5/062 , A61N5/0624 , A61N2005/0606 , A61N2005/063 , A61N2005/0651 , A61N2005/0662 , A61N2005/0663 , A61N2005/067
摘要： There is a need for a minimally invasive surgical treatment method for periodontitis for the removal of deep pockets, elimination of disease, creation of reattachment of the gingiva to the tooth surface and true regeneration of the attachment apparatus (new cementum, new periodontal ligament, and new alveolar bone) on a previously diseased root surface. The PerioLase® MVP-7™ including eGUI or another device capable of laser dosimetry, such as an original MVP-7™ type laser without the eGUI, achieves this with the LANAP protocol (laser-assisted new attachment procedure) and the LENAP protocol (laser excisional new attachment procedure).
摘要翻译：需要一种用于牙周炎的微创外科治疗方法，用于去除深袋，消除疾病，产生牙齿到牙齿表面的再附着以及附着装置的真正再生（新的牙骨质，新的牙周韧带和新的牙槽骨）在先前患病的根表面上。 PerioLase＆reg; MVP-7™包括eGUI或其他能够进行激光剂量测定的设备，例如没有eGUI的原始MVP-7™型激光，通过LANAP协议（激光辅助新附件程序）和LENAP协议（激光切除新型附件程序）。

6. 发明申请

WO2017116696A1 SURGICAL INSTRUMENT WITH STAGED APPLICATION OF ELECTROSURGICAL AND ULTRASONIC ENERGY 审中-公开
标题翻译：分期应用电外科和超声能的外科手术仪器
公开(公告)号：WO2017116696A1
公开(公告)日：2017-07-06
申请号：PCT/US2016/066472
申请日：2016-12-14
申请人： ETHICON ENDO-SURGERY, LLC
发明人： HOUSER, Kevin L.
IPC分类号： A61B18/14 , A61B17/32 , A61B17/00 , A61B17/29
CPC分类号： A61B18/00 , A61B17/320092 , A61B18/1445 , A61B18/1447 , A61B18/1492 , A61B2017/00389 , A61B2017/2946 , A61B2018/00202 , A61B2018/00404 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61B2018/00642 , A61B2018/00654 , A61B2018/00666 , A61B2018/00708 , A61B2018/00815 , A61B2018/00875 , A61B2018/00922 , A61B2018/00994 , A61B2018/126 , A61B2018/1455
摘要： An apparatus includes a body, a shaft assembly, an end effector, and a control module. The shaft assembly extends distally from the body and includes an acoustic waveguide. The waveguide is configured to acoustically couple with an ultrasonic transducer. The end effector includes an ultrasonic blade, a clamp arm, an electrode, and a sensor. The ultrasonic blade is in acoustic communication with the waveguide. The clamp arm is operable to compress tissue against the ultrasonic blade. The electrode is operable to apply radiofrequency (RF) electrosurgical energy to tissue. The sensor is operable to sense a condition of tissue contacted by the end effector. The control module is operable to control delivery of ultrasonic power and RF electrosurgical energy through the end effector based on data from the sensor.
摘要翻译：装置包括主体，轴组件，末端执行器和控制模块。轴组件从本体向远侧延伸并且包括声波导。波导被配置为与超声换能器声学耦合。末端执行器包括超声刀，夹臂，电极和传感器。超声波刀片与波导声学通信。夹臂可操作以将组织压靠在超声刀上。电极可操作以将射频（RF）电外科能量施加到组织。传感器可操作以感测由端部执行器接触的组织的状况。控制模块可操作以基于来自传感器的数据来控制超声功率和RF电外科能量通过末端执行器的输送。

7. 发明申请

WO2017074939A1 ULTRASONIC SURGICAL INSTRUMENT CLAMP ARM WITH PROXIMAL NODAL PAD 审中-公开
标题翻译：带近端NODAL垫的超声手术器械夹钳臂
公开(公告)号：WO2017074939A1
公开(公告)日：2017-05-04
申请号：PCT/US2016/058667
申请日：2016-10-25
申请人： ETHICON ENDO-SURGERY, LLC
发明人： HIBNER, John A. , BREHM, Tyler N. , MESSERLY, Jeffrey D. , HOUSER, Kevin L.
IPC分类号： A61B17/32 , A61B90/00
CPC分类号： A61B17/320092 , A61B17/282 , A61B90/03 , A61B2017/2825 , A61B2017/2933 , A61B2017/294 , A61B2017/2945 , A61B2017/320088 , A61B2017/320095 , A61B2018/00345 , A61B2018/00595 , A61B2018/00607 , A61B2018/00619 , A61B2018/0063 , A61N7/00
摘要： An ultrasonic surgical instrument for cutting a tissue of a patient includes an end effector projecting from a shaft assembly, which has an acoustic waveguide configured to acoustically couple with an ultrasonic transducer. The end effector includes an ultrasonic blade, a clamp arm, and a first clamp pad. The clamp arm is coupled with the shaft assembly and is configured to selectively move relative to the ultrasonic blade from an open position and toward an ultrasonic blade to a closed position. The clamp arm further includes an abutment configured to engage a portion of the shaft assembly in the closed position thereby inhibiting further movement of the clamp arm toward the ultrasonic blade. The first clamp pad thus remains offset from the ultrasonic blade to prevent the first clamp pad from direct contact with the ultrasonic blade.
摘要翻译：用于切割患者组织的超声外科手术器械包括从轴组件突出的端部执行器，该轴组件具有构造成与超声换能器声学耦合的声波导管。末端执行器包括超声刀片，夹臂和第一夹持垫。夹臂与轴组件联接，并且构造成相对于超声刀从打开位置并朝向超声刀选择性地移动到闭合位置。所述夹持臂还包括抵接部，所述抵接部被构造成在所述闭合位置中接合所述轴组件的一部分，由此阻止所述夹持臂朝向所述超声刀的进一步移动。因此第一夹持垫与超声刀片保持偏移以防止第一夹持垫与超声刀片直接接触。

8. 发明申请

WO2017008142A1 BIPOLAR END EFFECTOR APPARATUS FOR A SURGICAL INSTRUMENT 审中-公开
标题翻译：用于手术仪器的双极端效应器
公开(公告)号：WO2017008142A1
公开(公告)日：2017-01-19
申请号：PCT/CA2016/000193
申请日：2016-07-11
申请人： TITAN MEDICAL INC.
发明人： ROBERT, Rene , HILLS, Jonathan, Hess , JOHNSON, Timothy, Norman
IPC分类号： A61B17/29 , A61B17/28 , A61B34/00 , B25J15/00
CPC分类号： A61B18/1445 , A61B2017/2936 , A61B2017/2945 , A61B2018/00595 , A61B2034/305 , B25J15/0226
摘要： An end effector apparatus for a surgical instrument is disclosed including a housing having a first jaw mounted on a revolute joint and providing a first electrical conduction path between the housing and the first jaw. A second jaw is mounted on a revolute joint within the housing and is insulated from the housing, the jaws each having a manipulating portion and a lever arm. A yoke is received within the housing and mechanically coupled to the lever arms and to a control link and is moveable in response to movements of the control link to cause opening and closing of the jaws, the yoke being electrically insulated from the housing and the first jaw. A second electrical conduction path is provided between the control link and the second jaw. The electrical conduction paths facilitate conduction of an electrocauterization current through tissue grasped between the jaws.
摘要翻译：公开了一种用于外科器械的端部执行器装置，其包括壳体，该壳体具有安装在旋转接头上的第一钳口，并且在壳体和第一钳口之间提供第一电传导路径。第二钳口安装在壳体内的旋转接头上并且与壳体绝缘，每个钳口具有操纵部分和杠杆臂。轭架被容纳在壳体内并且机械地联接到杠杆臂和控制连杆，并且响应于控制链节的运动而可移动以引起钳口的打开和关闭，轭架与壳体电绝缘，并且第一颚。第二导电路径设置在控制连杆和第二钳口之间。导电路径有助于通过夹在钳口之间的组织传导电灼电流。

9. 发明申请

WO2016201544A1 HAND GRIP APPARATUS FOR RECEIVING OPERATOR INPUT IN A ROBOTIC SURGERY SYSTEM 审中-公开
标题翻译：用于在机器人手术系统中接收操作者输入的手动装置
公开(公告)号：WO2016201544A1
公开(公告)日：2016-12-22
申请号：PCT/CA2016/000112
申请日：2016-04-13
申请人： TITAN MEDICAL INC.
发明人： LUTZOW, Thomas Andrew , SMITH, Daniel P. , CAMERON, Peter John Kenneth
IPC分类号： A61B34/35 , A61B18/12 , A61B34/30 , A61B34/37
CPC分类号： A61B34/74 , A61B18/1445 , A61B34/30 , A61B34/37 , A61B90/361 , A61B2018/00595
摘要： A hand grip apparatus for receiving operator input includes a body having a proximal end and a distal interface end for coupling to an input apparatus. A first control lever is attached to the body and extends away from the proximal end and terminates in a finger grip for receiving one of the operator's fingers, the first control lever being laterally moveable away from the body about a pivot joint. A second control lever is attached to the body and extends away from the proximal end terminating in a thumb grip for receiving the operator's thumb, the second control lever being laterally moveable away from the body about a pivot joint. Movement of at least one of the control levers is operable to produce a first control signal representing the movement. An input control is included on the body between the grip ends and has an actuator surface angled towards the finger grip end and configured to produce a second control signal in response to actuation by one of the operator's fingers.
摘要翻译：用于接收操作员输入的手持装置包括具有用于联接到输入装置的近端和远端接口端的主体。第一控制杆附接到主体并且远离近端延伸并且终止于用于接收操作人员手指中的一个的手指握柄，第一控制杆可围绕枢轴接头横向移动离开主体。第二控制杆附接到主体并且远离近端终止于拇指手柄以接收操作者的拇指，第二控制杆可绕枢轴接头横向移动离开主体。控制杆中的至少一个的运动可操作以产生表示运动的第一控制信号。输入控制包括在握持端之间的本体上，并且具有朝向手指抓握端部成角度的致动器表面，并且被配置为响应于操作人员的手指之一的致动而产生第二控制信号。

10. 发明申请

WO2016196826A1 CONDUCTIVE OPTICAL ELEMENT 审中-公开
标题翻译：导电光学元件
公开(公告)号：WO2016196826A1
公开(公告)日：2016-12-08
申请号：PCT/US2016/035566
申请日：2016-06-02
申请人： GI SCIENTIFIC, LLC
发明人： MILLER, Scott , CARTER, Frank , MERCHANT, Adnan , GAUGER, Carl
IPC分类号： A61B1/253 , G02B1/116
CPC分类号： A61B1/128 , A61B1/00087 , A61B1/00096 , A61B1/127 , A61B18/082 , A61B18/14 , A61B18/1492 , A61B18/1815 , A61B2018/00059 , A61B2018/00583 , A61B2018/00595 , A61B2018/00607 , A61B2018/00982 , A61B2018/1405 , A61N7/022 , A61N2007/0043
摘要： A device having an optical element with a conductive coating. The device may include an optical element, a conductive material and at least one connector. The conductive material is disposed on at least a portion of the optical element. The optical element, for example, may be an object lens of an endoscope or an optical coupler. The connectors (acting as terminals )) are capable of providing energy (such as electrical energy) to the conductive material. In one aspect, the conductive material is an optically transparent material. Advantageously, the device may allow visualization of an object - such as body tissue or other matter - concurrent with the application of energy to the object via the conductive coating. This allows the user to observe the alteration of tissue and other matter in real time as the energy is delivered.
摘要翻译：具有导电涂层的光学元件的装置。该装置可以包括光学元件，导电材料和至少一个连接器。导电材料设置在光学元件的至少一部分上。光学元件例如可以是内窥镜或光耦合器的物镜。连接器（作为端子））能够向导电材料提供能量（例如电能）。一方面，导电材料是光学透明的材料。有利地，该装置可以允许物体（诸如身体组织或其他物质）的可视化，其与通过导电涂层向物体施加能量同时进行。这允许用户随着能量的传递实时观察组织和其他物质的变化。

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