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    Vessel sealing instrument with electrical cutting mechanism
    1.
    发明授权
    Vessel sealing instrument with electrical cutting mechanism 失效
    船用密封仪具有电切割机构

    公开(公告)号：US08551091B2

    公开(公告)日：2013-10-08

    申请号：US13075847

    申请日：2011-03-30

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

    发明人： Gary M. Couture ,  Craig Weinberg ,  Philip Mark 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。

    Switch mechanisms for safe activation of energy on an electrosurgical instrument
    4.
    发明授权
    Switch mechanisms for safe activation of energy on an electrosurgical instrument 有权
    电外科仪器上能量安全激活的切换机制

    公开(公告)号：US07837685B2

    公开(公告)日：2010-11-23

    申请号：US11180949

    申请日：2005-07-13

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

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

    IPC分类号： A61B18/14

    CPC分类号： A61B18/14 ,  A61B18/1445 ,  A61B2017/00973 ,  H01H9/0066 ,  H01H13/64 ,  H01H2300/014

    摘要： Various safe switching mechanisms are provided for use with electrosurgical instruments which prevent arcing between the high-energy contacts as the high-energy source is activated. The switching mechanisms generally include a pair of high-energy contacts and a pair of activation contacts. An actuator is provided which initially engages the high-energy contacts in advance of engagement of the activation contacts to prevent arcing and subsequently disengages the activation contacts in advance of the high-energy contacts as the energy source is deactivated. A method of switching power to an electrosurgical instrument while avoiding damage to high-energy contacts is also disclosed.

    摘要翻译： 提供了各种安全切换机构，用于电外科器械，当高能量源被激活时防止高能量接触之间的电弧。 开关机构通常包括一对高能触点和一对激活触点。 提供了致动器，其在启动触头的接合之前最初接合高能触点，以防止电弧，并且随着能量源被去激活而在高能触点之前脱离激活触点。 还公开了一种将电力切换到电外科器械同时避免对高能量接触的损害的方法。

    Electrosurgical instrument reducing current densities at an insulator conductor junction
    5.
    发明授权
    Electrosurgical instrument reducing current densities at an insulator conductor junction 有权
    电外科仪器降低绝缘体导体结处的电流密度

    公开(公告)号：US08267935B2

    公开(公告)日：2012-09-18

    申请号：US11732556

    申请日：2007-04-04

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

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

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1442 ,  A61B2017/0088 ,  A61B2017/2945 ,  A61B2018/00083 ,  A61B2018/00107 ,  A61B2018/1432

    摘要： An electrosurgical instrument having opposing end effectors and a handle for effecting movement of the end effectors relative to one another, includes a pair of electrodes each including an electrically conductive surface (e.g., which can be dimensioned for sealing, clamping and/or cutting), an insulating substrate having a first edge, and an insulating layer positioned in a channel formed by the electrically conductive surface within the first edge between the conductive surface and the first edge of the insulating substrate. The insulating layer has a portion proximal to the electrically conductive surface and a portion distal from the electrically conductive surface and a gradient such that the proximal portion has a lower dielectric strength than the distal portion. A coating on one of the pair of electrodes may be disposed in at least partial non-vertical registration with a coating on the opposing one of the pair of electrodes.

    摘要翻译： 具有相对的末端执行器和用于实现端部执行器相对于彼此的移动的手术的电外科器械包括一对电极，每对电极包括导电表面（例如，其尺寸可用于密封，夹紧和/或切割） 具有第一边缘的绝缘基板和位于导电表面与绝缘基板的第一边缘之间的第一边缘内的由导电表面形成的通道中的绝缘层。 绝缘层具有靠近导电表面的部分和远离导电表面的部分，并且梯度使得近端部分具有比远端部分更低的介电强度。 一对电极中的一个上的涂层可以布置成与该对电极中相对的一个电极上的涂层至少部分非垂直配准。

    Electrosurgical instrument that directs energy delivery and protects adjacent tissue
    6.
    发明授权
    Electrosurgical instrument that directs energy delivery and protects adjacent tissue 有权
    引导能量输送并保护邻近组织的电外科仪器

    公开(公告)号：US08128624B2

    公开(公告)日：2012-03-06

    申请号：US11442849

    申请日：2006-05-30

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

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

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1442 ,  A61B2018/00023 ,  A61B2018/00047 ,  A61B2018/0063 ,  A61B2018/146

    摘要： An electrode sealing assembly is designed for use with an electrosurgical instrument for sealing tissue and includes first and second jaw members each having an insulative housing and being movable from a first position in spaced relation relative to one another to at least one second position for grasping tissue therebetween. Each of the jaw members includes an electrically conductive sealing member disposed within the respective insulative housing. At least one of the insulative housings includes at least one tissue engaging surface configured to extend beyond the electrically conductive sealing member of one of the jaw members. The tissue engaging surface of the insulative housing cooperates with the opposing insulative housing of the opposing jaw member to both pinch and spread tissue when the jaw members are moved to the second position to decrease extraneous energy transmittance to tissue surrounding the jaw members.

    摘要翻译： 电极密封组件设计用于与用于密封组织的电外科器械一起使用，并且包括第一和第二钳口构件，每个钳口构件具有绝缘壳体，并且可从第一位置相对于彼此以间隔开的关系移动到用于抓握组织的至少一个第二位置 之间。 每个钳口构件包括设置在相应绝缘壳体内的导电密封构件。 绝缘壳体中的至少一个包括至少一个组织接合表面，其构造成延伸超过其中一个钳口构件的导电密封构件。 当钳口构件移动到第二位置时，绝缘壳体的组织接合表面与相对的钳口构件的相对的绝缘壳体配合，以便夹紧和展开组织，以减少对夹持构件周围的组织的外来能量透射率。

    Vessel sealing instrument with multiple electrode configurations
    8.
    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。

    Vessel sealing instrument with electrical cutting mechanism
    9.
    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。