公开(公告)号：US20070129723A1

公开(公告)日：2007-06-07

申请号：US11291174

申请日：2005-12-01

申请人： Kevin Houser ,  Lee Reichel

发明人： Kevin Houser ,  Lee Reichel

IPC分类号： A61B18/18

CPC分类号： A61B17/320068 ,  A61B2017/0046

摘要： An ultrasonic medical instrument having a handpiece and medical ultrasonic blade assembly including a vibration antinode, a handpiece, and a medical ultrasonic blade. The blade is threadably engaged by the handpiece proximate the vibration antinode. The blade is in ultrasound-transmitting physical contact with the handpiece proximate the vibration antinode and apart from where the medical ultrasonic blade is threadably engaged by the handpiece. A medical-instrument connection assembly for transmitting ultrasonic vibrations includes first, second, and third connecting members. The first connecting member is adapted to be ultrasonically vibrated and has a longitudinal axis. The second connecting member is capable of being positioned to be substantially coaxially aligned with the longitudinal axis and in ultrasound-transmitting physical contact with the first connecting member. The third connecting member surrounds, and is rotatably or fixedly attached to, the second connecting member and is threadably engageable with the first connecting member.

摘要翻译： 一种超声波医疗器械，其具有包括振动波腹，手持件和医用超声波刀片的手持件和医疗用超声波叶片组件。 刀片与靠近振动波腹的手持件螺纹接合。 刀片与靠近振动波腹的手持件超声传递物理接触，并且除了医疗超声波刀片与手持件螺纹接合的位置之外。 用于传输超声波振动的医疗器械连接组件包括第一，第二和第三连接构件。 第一连接构件适于超声振动并具有纵向轴线。 第二连接构件能够被定位成与纵向轴线基本上同轴对准并且与第一连接构件超声传递物理接触。 第三连接构件围绕第二连接构件并且可旋转地或固定地附接到第二连接构件，并且可与第一连接构件螺纹接合。

公开(公告)号：US20070239028A1

公开(公告)日：2007-10-11

申请号：US11392040

申请日：2006-03-29

申请人： Kevin Houser ,  William Donofrio ,  Foster Stulen

发明人： Kevin Houser ,  William Donofrio ,  Foster Stulen

IPC分类号： A61B8/14

CPC分类号： A61B17/320092 ,  A61B34/30 ,  A61B34/32 ,  A61B34/37 ,  A61B34/70 ,  A61B34/71 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2017/00199

摘要： An ultrasonic surgical system has an ultrasonic unit including an instrument operatively connected to an ultrasonic generator, wherein the instrument has an ultrasonic end effector on the distal end of a shaft. The system further includes a positioning unit including a movable arm adapted for releasably holding the instrument, whereby an operator may direct the positioning unit to position the end effector at a surgical site inside a body cavity of a patient for performing a plurality of surgical tasks. The system further includes a control unit operatively connected to the ultrasonic and positioning units, wherein the control unit is programmable with a surgical subroutine for performing the surgical tasks. The system further includes a user interface operatively connected to the control unit for initiating an operative cycle of the surgical subroutine such that the surgical tasks are automatically performed during the operative cycle.

摘要翻译： 超声波手术系统具有超声波单元，其包括可操作地连接到超声波发生器的仪器，其中所述仪器在轴的远端具有超声末端执行器。 该系统还包括定位单元，该定位单元包括适于可释放地保持器械的可移动臂，由此操作者可以引导定位单元将末端执行器定位在患者体腔内的手术部位，以执行多个外科手术任务。 所述系统还包括可操作地连接到所述超声波和定位单元的控制单元，其中所述控制单元可用用于执行所述手术任务的外科子程序来编程。 该系统还包括可操作地连接到控制单元的用户界面，用于启动外科子程序的操作循环，使得在手术周期期间自动执行手术任务。

公开(公告)号：US20070093807A1

公开(公告)日：2007-04-26

申请号：US11614203

申请日：2006-12-21

申请人： Chester Baxter ,  Craig Faller ,  Kevin Houser ,  Jorge Gutierrez ,  William Donofrio ,  Jerome Morgan ,  Jeffrey Vaitekunas ,  Gregory Johnson ,  Vance VanDrake

发明人： Chester Baxter ,  Craig Faller ,  Kevin Houser ,  Jorge Gutierrez ,  William Donofrio ,  Jerome Morgan ,  Jeffrey Vaitekunas ,  Gregory Johnson ,  Vance VanDrake

IPC分类号： A61B18/14

CPC分类号： A61B18/14 ,  A61B18/1402 ,  A61B18/1442 ,  A61B42/00 ,  A61B42/10 ,  A61B90/53 ,  A61B2017/00438

摘要： Described is a fingertip electrosurgical medical device useful for tissue grasping and tissue cutting, coagulating, welding and ablating in open and laparoscopic surgery applications. The electrosurgical medical device has a finger cuff assembly that attaches to the distal end of a surgeon's finger. An electrode is attached to, or is intrinsically part of, the finger cuff assembly. This electrode is connected to at least one electrically conductive wire that is adapted to transmit electric current to the electrode. The electrode may take any number of shapes depending upon the surgical procedure. Generally, two finger cuff assemblies are used in an opposable relationship to facilitate energy transfer or tissue grasping functions performed by the surgeon.

摘要翻译： 描述了一种可用于组织夹紧和组织切割，凝固，焊接和开腹和腹腔镜手术应用中的指尖电外科医疗装置。 电外科医疗装置具有附接到外科医生的手指的远端的手指套组件。 电极附着在手指套组件上，或者是固定在手指套组件上。 该电极连接到适于将电流传输到电极的至少一个导电线。 根据外科手术，电极可以采取任何数量的形状。 通常，两个手指袖口组件以相反的关系用于促进由外科医生执行的能量转移或组织抓取功能。

公开(公告)号：US20060079874A1

公开(公告)日：2006-04-13

申请号：US11245819

申请日：2005-10-07

申请人： Craig Faller ,  Karen Kowalski ,  Kevin Houser

发明人： Craig Faller ,  Karen Kowalski ,  Kevin Houser

IPC分类号： A61B18/18

CPC分类号： A61B17/320092 ,  A61B17/2909 ,  A61B2017/00353 ,  A61B2017/00424 ,  A61B2017/2825 ,  A61B2017/2911 ,  A61B2017/320094 ,  A61B2017/320095 ,  Y10T29/49005 ,  Y10T29/49998

摘要： An ultrasonic clamp coagulator assembly that is configured to permit selective cutting, coagulation and clamping of tissue during surgical procedures. An elongated portion of the instrument can be configured for endoscopic applications and has an outside diameter of less than 6 mm. The construction includes a clamping mechanism, including a clamp arm pivotally mounted at the distal portion of the instrument, which is specifically configured to create a desired level of tissue clamping forces, exceeding 4 pounds when the trigger is fully closed. The clamping mechanism includes a two-piece pad design and pad material that enables the higher tissue clamping forces and a force-limiting mechanism that effectively smooths out abusive tissue forces. The assembly also features hand activation configured to provide an ergonomical grip and operation for the surgeon. Hand switches are placed in the range of the natural swing of the surgeon's thumb, whether gripping the surgical instrument right-handed or left handed.

摘要翻译： 超声波夹具凝固器组件，其构造成允许在外科手术期间选择性地切割，凝结和夹紧组织。 仪器的细长部分可以配置为内窥镜应用，外径小于6毫米。 该结构包括夹紧机构，其包括枢转地安装在仪器的远端部分处的夹紧臂，其特别构造成当触发器完全关闭时产生超过4磅的组织夹紧力。 夹紧机构包括两件式垫片设计和垫片材料，其能够实现较高的组织夹紧力，以及有效地平滑滥用组织力的力限制机构。 组件还具有手动激活，其被配置为为外科医生提供人体工程学的握持和操作。 手动开关放置在外科医生拇指的自然摆动的范围内，无论是右手还是左手握住手术器械。

公开(公告)号：US20090131962A2

公开(公告)日：2009-05-21

申请号：US11336274

申请日：2006-01-20

申请人： Kevin Houser ,  Shinichi Miyata ,  Atsunori Kozuki

发明人： Kevin Houser ,  Shinichi Miyata ,  Atsunori Kozuki

IPC分类号： A61B17/32

CPC分类号： A61B17/320092 ,  A61B17/320068 ,  A61B2017/003 ,  A61B2017/00336 ,  A61B2017/22015

摘要： A first ultrasound medical instrument includes a medical ultrasonic blade having first, second and third blade portions. The second blade portion is more bendable than either of the first and third blade portions. A second ultrasound medical instrument includes a medical ultrasonic blade having a proximal blade portion and a distal blade portion. The distal blade portion bends more easily than does the proximal blade portion. The distal blade portion includes a distal end portion adapted to contact and ultrasonically treat patient tissue. A third ultrasonic medical instrument includes a medical ultrasonic blade. The medical ultrasonic blade includes a proximal blade portion having a centerline and includes a distal blade portion in contact with the proximal blade portion at a substantially planar interface. The interface is oriented at a non-zero angle with respect to a perpendicular to the centerline at the interface.

摘要翻译： 第一超声波医疗器械包括具有第一，第二和第三叶片部分的医用超声波刀片。 第二叶片部分比第一和第三叶片部分中的任何一个更可弯曲。 第二超声波医疗器械包括具有近端叶片部分和远侧叶片部分的医用超声波刀片。 远端叶片部分比近侧叶片部分更容易弯曲。 远端叶片部分包括适于接触并超声波处理患者组织的远端部分。 第三超声波医疗器械包括医用超声波刀片。 医用超声波刀片包括具有中心线的近端刀片部分，并且包括在基本平坦的界面处与近侧刀片部分接触的远侧刀片部分。 界面相对于在界面处的中心线的垂直线成非零角度定向。

公开(公告)号：USD586547S1

公开(公告)日：2009-02-17

申请号：US29318796

申请日：2008-05-28

申请人： Kevin Houser ,  Seth Schwinger

设计人： Kevin Houser ,  Seth Schwinger

公开(公告)号：US20070173871A1

公开(公告)日：2007-07-26

申请号：US11336274

申请日：2006-01-20

申请人： Kevin Houser ,  Shinichi Miyata ,  Atsunori Kozuki

发明人： Kevin Houser ,  Shinichi Miyata ,  Atsunori Kozuki

IPC分类号： A61B17/32

CPC分类号： A61B17/320092 ,  A61B17/320068 ,  A61B2017/003 ,  A61B2017/00336 ,  A61B2017/22015

摘要： A first ultrasound medical instrument includes a medical ultrasonic blade having first, second and third blade portions. The second blade portion is more bendable than either of the first and third blade portions. A second ultrasound medical instrument includes a medical ultrasonic blade having a proximal blade portion and a distal blade portion. The distal blade portion bends more easily than does the proximal blade portion. The distal blade portion includes a distal end portion adapted to contact and ultrasonically treat patient tissue. A third ultrasonic medical instrument includes a medical ultrasonic blade. The medical ultrasonic blade includes a proximal blade portion having a centerline and includes a distal blade portion in contact with the proximal blade portion at a substantially planar interface. The interface is oriented at a non-zero angle with respect to a perpendicular to the centerline at the interface.

摘要翻译： 第一超声波医疗器械包括具有第一，第二和第三叶片部分的医用超声波刀片。 第二叶片部分比第一和第三叶片部分中的任何一个更可弯曲。 第二超声波医疗器械包括具有近端叶片部分和远侧叶片部分的医用超声波刀片。 远端叶片部分比近侧叶片部分更容易弯曲。 远端叶片部分包括适于接触并超声波处理患者组织的远端部分。 第三超声波医疗器械包括医用超声波刀片。 医用超声波刀片包括具有中心线的近端刀片部分，并且包括在基本平坦的界面处与近侧刀片部分接触的远侧刀片部分。 界面相对于在界面处的中心线的垂直线成非零角度定向。

公开(公告)号：US20050234484A1

公开(公告)日：2005-10-20

申请号：US11065667

申请日：2005-02-24

申请人： Kevin Houser ,  Laura Gallagher ,  Jean Beaupre

发明人： Kevin Houser ,  Laura Gallagher ,  Jean Beaupre

IPC分类号： A61B17/22 ,  A61B17/32

CPC分类号： A61B17/22012 ,  A61B2017/320075 ,  A61B2017/320089

摘要： An ultrasonic surgical blade includes an ultrasonic-surgical-blade body having a longitudinal axis, a distal tip, a proximal end adapted for longitudinal ultrasonic vibrational excitation, a most-distal longitudinal vibration node, a treatment portion extending from the distal tip toward the most-distal longitudinal vibration node, and a functional asymmetry. The functional asymmetry is asymmetric about the longitudinal axis and translates longitudinal ultrasonic vibrational movement of the proximal end into a combination of a longitudinal ultrasonic vibration and a transverse ultrasonic vibration in at least some of the treatment portion of the ultrasonic-surgical-blade body. An amplitude of the transverse ultrasonic vibration at the distal tip is less than substantially ten percent of a maximum amplitude of the transverse ultrasonic vibration of the treatment portion of the ultrasonic-surgical-blade body. An alternate embodiment of the ultrasonic surgical blade includes at least one functional asymmetry and at least one balance asymmetry.

摘要翻译： 超声外科手术刀片包括具有纵向轴线的超声外科手术刀体，远侧末端，适于纵向超声波振动激励的近端，最远侧纵向振动节点，从远端延伸到最多的处理部分 - 纵向振动节点，以及功能不对称。 功能不对称关于纵向轴线是不对称的，并且将超声外科手术刀体的至少一些处理部分中的近端的纵向超声振动运动转换成纵向超声波振动和横向超声波振动的组合。 远侧末端的横向超声波振动的振幅小于超声外科手术刀体的处理部的横向超声波振动的最大振幅的大致百分之十。 超声手术刀片的替代实施例包括至少一个功能不对称和至少一个平衡不对称。

公开(公告)号：USD659354S1

公开(公告)日：2012-05-15

申请号：US29393422

申请日：2011-06-03

申请人： Seth Schwinger ,  Kevin Houser

设计人： Seth Schwinger ,  Kevin Houser

公开(公告)号：US20070191828A1

公开(公告)日：2007-08-16

申请号：US11355463

申请日：2006-02-16

申请人： Kevin Houser ,  Sarah Noschang ,  Jorge Gutierrez

发明人： Kevin Houser ,  Sarah Noschang ,  Jorge Gutierrez

IPC分类号： A61B18/18

CPC分类号： A61B17/320092 ,  A61B18/1442 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00875 ,  A61B2090/064

摘要： A method for medical treatment includes beginning coagulating patient tissue using an energy-based clamp coagulator, determining the clamping force, and measuring the acoustic impedance of the patient tissue. The method also includes compensating the measured acoustic impedance for clamp pressure and monitoring the coagulation using at least the compensated measured acoustic impedance. A first medical treatment system includes an energy-based clamp coagulator, an acoustic-impedance measurer, and a force measurer. A second system includes an energy-based clamp coagulator having a clamping member which includes, or is adapted to function as, an electrical-impedance-measuring electrode for measuring an electrical impedance of the clamped patient tissue. A third system includes an energy-based clamp coagulator having a clamping member which includes, or is adapted to function as, a temperature sensor for measuring a temperature of the clamped patient tissue.

摘要翻译： 一种用于医疗的方法包括使用能量夹具凝结器开始凝固患者组织，确定夹紧力并测量患者组织的声阻抗。 该方法还包括补偿测得的压阻声压，并使用至少补偿的测量声阻抗来监测凝结。 第一种医疗系统包括能量钳式凝结器，声阻抗测量器和力测量器。 第二系统包括能量夹具凝结器，其具有夹紧构件，该夹紧构件包括用于测量夹持的患者组织的电阻抗的电阻抗测量电极，或适于用作电阻抗测量电极。 第三系统包括具有夹紧构件的能量夹紧凝结器，所述夹紧构件包括用于测量被夹紧的患者组织的温度的温度传感器，或适合于其作用。