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    Dynamic and static bipolar electrical sealing and cutting device
    2.
    发明授权
    Dynamic and static bipolar electrical sealing and cutting device 有权
    动态和静态双极电气密封和切割装置

    公开(公告)号：US08663222B2

    公开(公告)日：2014-03-04

    申请号：US12876668

    申请日：2010-09-07

    申请人： Sara E. Anderson ,  William H. Nau, Jr. ,  Gary M. Couture ,  Rebecca Coulson

    发明人： Sara E. Anderson ,  William H. Nau, Jr. ,  Gary M. Couture ,  Rebecca Coulson

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1445 ,  A61B17/285 ,  A61B18/085 ,  A61B18/1206 ,  A61B2018/00083 ,  A61B2018/00428 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/126 ,  A61B2018/1452 ,  A61B2018/1467

    摘要： An end effector assembly includes opposed jaws moveable from an open to a closed position for grasping tissue therebetween. Each jaw includes an electrically conductive surface adapted to conduct electrosurgical energy through tissue disposed between the jaws. A static bipolar cutting portion including at least one electrically conductive cutting element and at least one insulating element having a first configuration is disposed on at least one of the jaws. The static cutting portion is configured to electrically cut tissue disposed between the jaws upon activation of the cutting element and at least one of an opposing sealing surface and an opposing cutting element. A dynamic cutting portion including at least one electrically conductive cutting element and at least one insulating element having a second configuration is disposed on at least one of the jaws. The dynamic cutting portion electrically transects tissue during movement relative to tissue.

    摘要翻译： 末端执行器组件包括可从打开位置移动到关闭位置的相对的爪，用于在其间夹持组织。 每个钳口包括适于通过设置在钳口之间的组织进行电外科能量的导电表面。 包括至少一个导电切割元件和至少一个具有第一构造的绝缘元件的静态双极切割部分设置在至少一个夹爪上。 静态切割部分构造成在激活切割元件和相对的密封表面和相对的切割元件中的至少一个时，电气地切割设置在夹爪之间的纸巾。 包括至少一个导电切割元件的动态切割部分和具有第二构造的至少一个绝缘元件设置在至少一个夹爪上。 动态切割部分相对于组织在移动期间电穿透组织。

    Local optimization of electrode current densities
    3.
    发明授权
    Local optimization of electrode current densities 有权
    电极电流密度的局部优化

    公开(公告)号：US08641712B2

    公开(公告)日：2014-02-04

    申请号：US12845203

    申请日：2010-07-28

    申请人： Gary M. Couture

    发明人： Gary M. Couture

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2017/00526 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/1412 ,  A61B2018/1457

    摘要： An end effector assembly for use with a bipolar forceps includes a pair of opposing first and second jaw members at least one of which being movable relative to the other to grasp tissue therebetween. Each jaw member includes a pair of spaced apart, electrically conductive tissue sealing surfaces. Each tissue sealing surface is adapted to connect to a source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue seal. The forceps also includes an insulator disposed between each pair of electrically conductive sealing surfaces and an electrically conductive cutting element disposed within each insulator and defining a geometrical configuration including a plurality of peaks having a period that is a multiple of an operating frequency of the electrosurgical energy. The cutting elements are adapted to connect to the source of electrosurgical energy to conduct electrosurgical energy through tissue held therebetween to effect a tissue cut.

    摘要翻译： 与双极镊子一起使用的端部执行器组件包括一对相对的第一和第二钳口构件，其中至少一个可相对于另一个夹持构件移动以在其间夹住组织。 每个钳口构件包括一对间隔开的导电组织密封表面。 每个组织密封表面适于连接到电外科能量源，以通过在其间保持的组织进行电外科能量以实现组织密封。 镊子还包括设置在每对导电密封表面之间的绝缘体和设置在每个绝缘体内的导电切割元件，并且限定几何构型，其包括多个峰值，周期为电外科能量的工作频率的倍数 。 切割元件适于连接到电外科能量源，以通过在其间保持的组织进行电外科能量以实现组织切割。

    Vessel sealing instrument with multiple electrode configurations
    4.
    发明授权
    Vessel sealing instrument with multiple electrode configurations 有权
    具有多个电极配置的容器密封仪器

    公开(公告)号：US08597297B2

    公开(公告)日：2013-12-03

    申请号：US11511640

    申请日：2006-08-29

    申请人： Gary M. Couture ,  Robert Sharp ,  Craig Weinberg

    发明人： Gary M. Couture ,  Robert Sharp ,  Craig Weinberg

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2017/00084 ,  A61B2018/00083 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/145

    摘要： An electrode assembly for use with an instrument for sealing and cutting vessels and/or tissue is provided. The assembly includes a pair of opposing first and second jaw members. Each jaw member includes at least one electrically conductive tissue sealing surfaces extending along a length thereof. Each tissue sealing surface is adapted to connect to a source of electrosurgical energy to effect a tissue seal. An insulator is disposed adjacent to the at least one the electrically conductive sealing surfaces. The jaw members include an electrically conductive cutting element which effectively cuts tissue within pre-defined cutting zone between the jaw members. The polarity of the cutting element and electrically conductive sealing surfaces may be manipulated depending upon whether tissue sealing or tissue cutting is desired.

    摘要翻译： 提供了一种用于密封和切割容器和/或组织的仪器的电极组件。 组件包括一对相对的第一和第二钳口构件。 每个钳口构件包括沿其长度延伸的至少一个导电组织密封表面。 每个组织密封表面适于连接到电外科能量源以实现组织密封。 绝缘体邻近于至少一个导电密封表面设置。 钳口构件包括导电切割元件，其有效地在颚构件之间的预定切割区域内切割组织。 切割元件和导电密封表面的极性可以根据是否需要组织密封或组织切割来操纵。

    Dynamic and Static Bipolar Electrical Sealing and Cutting Device
    6.
    发明申请
    Dynamic and Static Bipolar Electrical Sealing and Cutting Device 有权
    动态和静态双极电动密封切割装置

    公开(公告)号：US20120059371A1

    公开(公告)日：2012-03-08

    申请号：US12876668

    申请日：2010-09-07

    申请人： Sara E. Anderson ,  William H. Nau, JR. ,  Gary M. Couture ,  Rebecca Coulson

    发明人： Sara E. Anderson ,  William H. Nau, JR. ,  Gary M. Couture ,  Rebecca Coulson

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1445 ,  A61B17/285 ,  A61B18/085 ,  A61B18/1206 ,  A61B2018/00083 ,  A61B2018/00428 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/126 ,  A61B2018/1452 ,  A61B2018/1467

    摘要： An end effector assembly includes opposed jaws moveable from an open to a closed position for grasping tissue therebetween. Each jaw includes an electrically conductive surface adapted to conduct electrosurgical energy through tissue disposed between the jaws. A static bipolar cutting portion including at least one electrically conductive cutting element and at least one insulating element having a first configuration is disposed on at least one of the jaws. The static cutting portion is configured to electrically cut tissue disposed between the jaws upon activation of the cutting element and at least one of an opposing sealing surface and an opposing cutting element. A dynamic cutting portion including at least one electrically conductive cutting element and at least one insulating element having a second configuration is disposed on at least one of the jaws. The dynamic cutting portion electrically transects tissue during movement relative to tissue.

    摘要翻译： 末端执行器组件包括可从打开位置移动到关闭位置的相对的爪，用于在其间夹持组织。 每个钳口包括适于通过设置在钳口之间的组织进行电外科能量的导电表面。 包括至少一个导电切割元件和至少一个具有第一构造的绝缘元件的静态双极切割部分设置在至少一个夹爪上。 静态切割部分构造成在激活切割元件和相对的密封表面和相对的切割元件中的至少一个时，电气地切割设置在夹爪之间的纸巾。 包括至少一个导电切割元件的动态切割部分和具有第二构造的至少一个绝缘元件设置在至少一个夹爪上。 动态切割部分相对于组织在移动期间电穿透组织。

    Mechanism for dividing tissue in a hemostat-style instrument
    7.
    发明授权
    Mechanism for dividing tissue in a hemostat-style instrument 有权
    止血器仪器中分割组织的机制

    公开(公告)号：US08123743B2

    公开(公告)日：2012-02-28

    申请号：US12181430

    申请日：2008-07-29

    申请人： Gene H. Arts ,  Gary M. Couture ,  Kristin D. Johnson ,  Michael C. Moses

    发明人： Gene H. Arts ,  Gary M. Couture ,  Kristin D. Johnson ,  Michael C. Moses

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1442 ,  A61B17/2812 ,  A61B17/32 ,  A61B17/3201 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/1457 ,  A61B2018/146

    摘要： Open electrosurgical forceps for sealing tissue are provided which include first and second shaft portions pivotably associated with one another. Each shaft portion has a jaw member disposed at a distal end thereof. Each of the jaw members includes an electrically conductive sealing surface adapted to communicate electrosurgical energy through tissue held therebetween and a slot formed through the sealing surface thereof. The forceps includes a cutting mechanism operatively associated with the first and second jaw members. The cutting mechanism includes a cutting element disposed within the slot of the at least one jaw member, the cutting element being movable from a first position wherein the cutting element is retracted within the at least one jaw member and a second position in which the cutting element at least partially projects from a sealing surface of the at least one jaw member.

    摘要翻译： 提供用于密封组织的打开的电外科钳，其包括彼此可枢转地相关联的第一和第二轴部。 每个轴部分具有设置在其远端处的钳口构件。 每个钳口构件包括导电密封表面，其适于将电外科能量通过其间保持的组织和通过其密封表面形成的狭槽来传递。 镊子包括与第一和第二钳口构件可操作地相关联的切割机构。 所述切割机构包括设置在所述至少一个钳口构件的槽内的切割元件，所述切割元件可从第一位置移动，其中所述切割元件缩回到所述至少一个夹爪构件内，以及第二位置，所述切割元件 至少部分地从所述至少一个钳口构件的密封表面突出。

    Vessel sealing instrument with electrical cutting mechanism
    8.
    发明授权
    Vessel sealing instrument with electrical cutting mechanism 有权
    船用密封仪具有电切割机构

    公开(公告)号：US07931649B2

    公开(公告)日：2011-04-26

    申请号：US11706029

    申请日：2007-02-14

    申请人： Gary M. Couture ,  Craig Weinberg ,  Philip M. Tetzlaff

    发明人： Gary M. Couture ,  Craig Weinberg ,  Philip M. Tetzlaff

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1445 ,  A61B18/1442 ,  A61B2017/2945 ,  A61B2018/0016 ,  A61B2018/00345 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/1432 ,  A61B2018/1472 ,  A61B2218/002 ,  A61B2218/007

    摘要： An end effector assembly for use with an instrument for sealing vessels and cutting vessels includes a pair of opposing first and second jaw members which are movable relative to one another from a first spaced apart position to a second position for grasping tissue therebetween. Each jaw member includes an electrically conductive tissue contacting surface connected to an electrosurgical energy source. At least one of the jaw members includes an electrically conductive cutting element disposed within an insulator defined in the jaw member. At least one channel is included in the insulator which is configured to deliver fluid between the jaw members.

    摘要翻译： 用于与用于密封容器和切割容器的仪器一起使用的端部执行器组件包括一对相对的第一和第二钳口构件，其可以相对于彼此从第一间隔开的位置移动到第二位置，用于抓握其间的组织。 每个钳口构件包括连接到电外科能源的导电组织接触表面。 至少一个钳口构件包括设置在限定在钳口构件中的绝缘体内的导电切割元件。 至少一个通道被包括在绝缘体中，该通道构造成在钳口构件之间输送流体。

    Laparoscopic bipolar electrosurgical instrument
    9.
    发明授权
    Laparoscopic bipolar electrosurgical instrument 有权
    腹腔镜双极电外科仪器

    公开(公告)号：US07377920B2

    公开(公告)日：2008-05-27

    申请号：US11122346

    申请日：2005-05-05

    申请人： Steven P. Buysse ,  Kate R. Lawes ,  Dale F. Schmaltz ,  Michael J. Lands ,  S. Wade Lukianow ,  Kristin D. Johnson ,  Gary M. Couture ,  Lap P. Nguyen

    发明人： Steven P. Buysse ,  Kate R. Lawes ,  Dale F. Schmaltz ,  Michael J. Lands ,  S. Wade Lukianow ,  Kristin D. Johnson ,  Gary M. Couture ,  Lap P. Nguyen

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1445 ,  A61B2018/00083 ,  A61B2018/0063 ,  A61B2018/00666 ,  A61B2090/034

    摘要： A laparoscopic bipolar electrosurgical instrument for sealing tissue includes a handle having an elongated tube affixed thereto. The tube includes first and second jaw members having electrically conductive sealing surfaces attached to a distal end thereof which are movable from a first position for approximating tissue to a second position for grasping tissue therebetween. The handle includes a fixed handle and a handle which is movable relative to the fixed handle to effect movement of the jaw members from the first position to the second position for grasping tissue. The jaw members connect to a source of electrosurgical energy such that the opposable sealing surfaces are capable of conducting electrosurgical energy through tissue held therebetween. A stop is included for maintaining a minimum separation distance between opposing sealing surfaces. A ratchet is also included to maintain a closure force in the range of about 7 kg/cm2 to about 13 kg/cm2 between opposing sealing surfaces.

    摘要翻译： 用于密封组织的腹腔镜双极电外科器械包括具有固定到其上的细长管的手柄。 管包括第一和第二钳口构件，其具有附接到其远端的导电密封表面，其可从用于近似组织的第一位置移动到用于抓握其间的组织的第二位置。 手柄包括固定手柄和手柄，该手柄可相对于固定手柄移动，以实现卡爪构件从第一位置到第二位置的移动，从而抓住组织。 钳口构件连接到电外科能量源，使得相对的密封表面能够通过保持在其间的组织进行电外科能量。 包括一个止动件，用于保持相对的密封表面之间的最小间隔距离。 还包括棘轮以在相对的密封表面之间保持约7kg / cm 2至约13kg / cm 2的范围内的闭合力。

    Bipolar electrosurgical instrument for sealing vessels
    10.
    发明授权
    Bipolar electrosurgical instrument for sealing vessels 有权
    用于密封容器的双极电外科仪器

    公开(公告)号：US06726686B2

    公开(公告)日：2004-04-27

    申请号：US10113745

    申请日：2002-04-01

    申请人： Steven P. Buysse ,  Dale F. Schmaltz ,  Gary M. Couture ,  Lap P. Nguyen ,  Kristin D. Johnson

    发明人： Steven P. Buysse ,  Dale F. Schmaltz ,  Gary M. Couture ,  Lap P. Nguyen ,  Kristin D. Johnson

    IPC分类号： A61B1818

    CPC分类号： A61B18/1442 ,  A61B2017/2945 ,  A61B2018/00083 ,  A61B2018/0063 ,  A61B2018/1432

    摘要： 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.

    摘要翻译： 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。