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    Vessel sealing instrument with electrical cutting mechanism
    2.
    发明申请
    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：US20080039835A1

    公开(公告)日：2008-02-14

    申请号：US11899298

    申请日：2007-09-05

    申请人： Kristin Johnson ,  Gary Couture ,  Jeff Unger ,  Robert Sharp

    发明人： Kristin Johnson ,  Gary Couture ,  Jeff Unger ,  Robert Sharp

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1445 ,  A61B18/1442 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2017/00526 ,  A61B2017/2945 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1432 ,  A61B2018/1455 ,  A61B2090/034 ,  A61B2562/125 ,  Y10T29/49117

    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 a pair of spaced apart electrically conductive tissue contacting surfaces which each have an insulator disposed therebetween, the conductive surfaces are connected to an electrosurgical energy source. The first jaw member includes an electrically conductive cutting element disposed within the insulator which extends towards the second tissue contacting surface to create a gap therebetween. The cutting element is inactive during the sealing process while the two pairs of electrically conductive surfaces are activated to seal tissue. During the cutting process, the cutting element is energized to a first potential and at least one electrically conductive tissue contacting surface is energized to a different potential to effect a tissue cut through the tissue held between the jaw members along the already formed tissue seal.

    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。 每个钳口构件包括一对间隔开的导电组织接触表面，它们各自具有设置在其间的绝缘体，导电表面连接到电外科能量源。 第一钳口构件包括设置在绝缘体内的导电切割元件，其朝向第二组织接触表面延伸以在它们之间形成间隙。 切割元件在密封过程中是无效的，而两对导电表面被激活以密封组织。 在切割过程期间，切割元件被激励到第一电位，并且至少一个导电组织接触表面被激励到不同的电位，以沿着已经形成的组织密封来实现穿过夹持件之间的组织的组织切割。

    Vessel sealing instrument with electrical cutting mechanism
    5.
    发明申请
    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：US20050113826A1

    公开(公告)日：2005-05-26

    申请号：US10932612

    申请日：2004-09-02

    申请人： Kristin Johnson ,  Gary Couture ,  Jeff Unger ,  Robert Sharp

    发明人： Kristin Johnson ,  Gary Couture ,  Jeff Unger ,  Robert Sharp

    IPC分类号： A61B17/00 ,  A61B18/14

    CPC分类号： A61B18/1445 ,  A61B18/1442 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2017/00526 ,  A61B2017/2945 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1432 ,  A61B2018/1455 ,  A61B2090/034 ,  A61B2562/125 ,  Y10T29/49117

    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 a pair of spaced apart electrically conductive tissue contacting surfaces which each have an insulator disposed therebetween, the conductive surfaces are connected to an electrosurgical energy source. The first jaw member includes an electrically conductive cutting element disposed within the insulator which extends towards the second tissue contacting surface to create a gap therebetween. The cutting element is inactive during the sealing process while the two pairs of electrically conductive surfaces are activated to seal tissue. During the cutting process, the cutting element is energized to a first potential and at least one electrically conductive tissue contacting surface is energized to a different potential to effect a tissue cut through the tissue held between the jaw members along the already formed tissue seal.

    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。 每个钳口构件包括一对间隔开的导电组织接触表面，它们各自具有设置在其间的绝缘体，导电表面连接到电外科能量源。 第一钳口构件包括设置在绝缘体内的导电切割元件，其朝向第二组织接触表面延伸以在它们之间形成间隙。 切割元件在密封过程中是无效的，而两对导电表面被激活以密封组织。 在切割过程期间，切割元件被激励到第一电位，并且至少一个导电组织接触表面被激励到不同的电位，以沿着已经形成的组织密封来实现穿过夹持件之间的组织的组织切割。

    Vessel sealing instrument with optimized power density
    6.
    发明申请
    Vessel sealing instrument with optimized power density 审中-公开
    容器密封仪具有优化的功率密度

    公开(公告)号：US20070265616A1

    公开(公告)日：2007-11-15

    申请号：US11431466

    申请日：2006-05-10

    申请人： Gary Couture ,  Robert Sharp ,  Jeff Unger

    发明人： Gary Couture ,  Robert Sharp ,  Jeff Unger

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1442 ,  A61B18/1445 ,  A61B2017/2945 ,  A61B2018/00083 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1432

    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 an insulator and at least one electrically conductive tissue sealing surface extending along a length thereof, each tissue sealing surface being adapted to connect to a source of electrosurgical energy to effect a seal. At least one electrically conductive cutting element is disposed within the insulator of the first jaw member and an insulative material is disposed upon the at least one electrically conductive sealing surface.

    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。 每个钳口构件包括绝缘体和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密封。 至少一个导电切割元件设置在第一钳口构件的绝缘体内，并且绝缘材料设置在至少一个导电密封表面上。

    Mechanism for dividing tissue in a hemostat-style instrument
    7.
    发明申请
    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：US20060079891A1

    公开(公告)日：2006-04-13

    申请号：US11232174

    申请日：2005-09-21

    申请人： Gene Arts ,  Gary Couture ,  Kristin Johnson ,  Michael Moses

    发明人： Gene Arts ,  Gary Couture ,  Kristin Johnson ,  Michael Moses

    IPC分类号： A61B18/14 ,  A61B17/32

    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。

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

    公开(公告)号：US20050240179A1

    公开(公告)日：2005-10-27

    申请号：US11122346

    申请日：2005-05-05

    申请人： Steven Buysse ,  Kate Lawes ,  Dale Schmaltz ,  Michael Lands ,  S. Lukianow ,  Kristin Johnson ,  Gary Couture ,  Lap Nguyen

    发明人： Steven Buysse ,  Kate Lawes ,  Dale Schmaltz ,  Michael Lands ,  S. Lukianow ,  Kristin Johnson ,  Gary Couture ,  Lap Nguyen

    IPC分类号： A61B18/14 ,  A61B19/00

    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.
    发明申请
    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：US20070213712A1

    公开(公告)日：2007-09-13

    申请号：US11801618

    申请日：2007-05-10

    申请人： Steven Buysse ,  Dale Schmaltz ,  Gary Couture ,  Lap Nguyen ,  Kristin Johnson

    发明人： Steven Buysse ,  Dale Schmaltz ,  Gary Couture ,  Lap Nguyen ,  Kristin Johnson

    IPC分类号： A61B18/12

    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，密封表面可移除地安装在夹爪上。