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1. 发明授权

US08704425B2 Ultrasonic device for cutting and coagulating with stepped output 有权
标题翻译：超声波设备，用于带有阶梯式输出的切割和凝结
公开(公告)号：US08704425B2
公开(公告)日：2014-04-22
申请号：US13584445
申请日：2012-08-13
申请人： James R. Giordano , Robert J. Beetel, III , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
发明人： James R. Giordano , Robert J. Beetel, III , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
IPC分类号： H01L41/09 , A61B17/32
CPC分类号： A61B17/320092 , A61B5/0538 , A61B5/4836 , A61B5/6847 , A61B2017/00026 , A61B2017/00146 , A61B2017/00176 , A61B2018/00303 , A61B2018/00875 , B06B1/0284 , B06B2201/76
摘要： Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal. The first drive signal is different from the second drive signal. The first and second drive signals define a step function waveform. The apparatus comprises a generator configured to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system resonates at a resonant frequency.
摘要翻译：各种实施例涉及用于驱动耦合到超声换能器的末端执行器的装置，系统和方法。该方法包括通过耦合到超声波驱动系统的发生器产生第一超声波驱动信号，利用第一超声波驱动信号致动超声换能器，由发生器产生第二超声波驱动信号，以及利用第二超声波驱动器致动超声换能器信号。第一驱动信号与第二驱动信号不同。第一和第二驱动信号定义阶跃函数波形。该装置包括配置成耦合到超声仪器的发生器。该系统包括耦合到超声波仪器的发生器。超声波仪器包括超声波驱动系统，其包括耦合到波导的超声波换能器和耦合到波导的端部执行器，并且其中超声波驱动系统以共振频率谐振。

2. 发明授权

US08058771B2 Ultrasonic device for cutting and coagulating with stepped output 有权
标题翻译：超声波设备，用于带有阶梯式输出的切割和凝结
公开(公告)号：US08058771B2
公开(公告)日：2011-11-15
申请号：US12503775
申请日：2009-07-15
申请人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
发明人： James R. Giordano , Robert J. Beetel , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
IPC分类号： H01L41/09
CPC分类号： A61B17/320092 , A61B5/0538 , A61B5/4836 , A61B5/6847 , A61B2017/00026 , A61B2017/00146 , A61B2017/00176 , A61B2018/00303 , A61B2018/00875 , B06B1/0284 , B06B2201/76
摘要： Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer in a surgical instrument. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal for a first period, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal for a second period, subsequent to the first period. The first drive signal is different from the second drive signal over the respective first and second periods. The first and second drive signals define a step function waveform over the first and second periods. The apparatus comprises a generator configured to couple to an ultrasonic instrument. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide, and wherein the ultrasonic drive system is configured to resonate at a resonant frequency.
摘要翻译：各种实施例涉及用于驱动耦合到外科器械中的超声换能器的末端执行器的装置，系统和方法。该方法包括通过耦合到超声波驱动系统的发生器产生第一超声波驱动信号，在第一周期内用第一超声波驱动信号致动超声波换能器，由发生器产生第二超声波驱动信号，并用所述第二超声波驱动信号在所述第一周期之后的第二周期。第一驱动信号在相应的第一和第二周期上与第二驱动信号不同。第一和第二驱动信号在第一和第二周期定义阶跃函数波形。该装置包括配置成耦合到超声仪器的发生器。该系统包括耦合到超声波仪器的发生器。超声波仪器包括超声波驱动系统，其包括耦合到波导的超声波换能器和耦合到波导的端部执行器，并且其中超声波驱动系统被配置为以共振频率谐振。

3. 发明申请

US20110006103A1 MOTOR DRIVEN SURGICAL FASTENER DEVICE WITH CUTTING MEMBER REVERSING MECHANISM 有权
标题翻译：具有切割构件反转机构的电机驱动手术紧固器装置
公开(公告)号：US20110006103A1
公开(公告)日：2011-01-13
申请号：US12846249
申请日：2010-07-29
申请人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
发明人： Ryan J. Laurent , Brett E. Swensgard , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , David C. Yates , Craig S. Smith , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/30 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2946 , A61B2017/320052 , A61B2090/304 , A61B2090/306 , A61B2090/309
摘要： A surgical fastener apparatus including a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector comprising a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position, and a cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners. An electrically activated reverse mechanism for moving the elongated member from a distal most position within the end effector to a proximal position, the electrically activated reverse mechanism moves the elongated member proximally after the elongated member has moved to the distal most position by moving the trigger to the open position, and wherein after activation of the reverse mechanism proximal movement of the elongated member can be stopped by returning the trigger to its closed position.
摘要翻译：一种手术紧固装置，其包括手柄，细长轴，其具有附接到手柄的近端和从其延伸的远端。末端执行器包括在其近端处枢转并且可在打开和关闭位置之间枢转的一对钳口和包含多个外科紧固件的药筒，所述药筒附接到末端执行器。用于部署外科紧固件的电动致动器。一种用于将细长构件从末端执行器中的最远位置移动到近端位置的电激活反向机构，电激活的反向机构在细长构件已经通过将触发器移动到最远位置之后向近侧移动细长构件打开位置，并且其中在启动反向机构之后，细长构件的近端运动可以通过使扳机返回到其关闭位置来停止。

4. 发明申请

US20110006101A1 MOTOR DRIVEN SURGICAL FASTENER DEVICE WITH CUTTING MEMBER LOCKOUT ARRANGEMENTS 审中-公开
标题翻译：具有切割构件的电机驱动的外科紧固件装置锁定装置
公开(公告)号：US20110006101A1
公开(公告)日：2011-01-13
申请号：US12846228
申请日：2010-07-29
申请人： Steven G. Hall , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , Ryan J. Laurent , David C. Yates , Frederick E. Shelton, IV , Chad P. Boudreaux
发明人： Steven G. Hall , Bret W. Smith , Richard F. Schwemberger , Daniel J. Abbott , Ryan J. Laurent , David C. Yates , Frederick E. Shelton, IV , Chad P. Boudreaux
IPC分类号： A61B17/068
CPC分类号： A61B17/068 , A61B17/07207 , A61B90/30 , A61B2017/00398 , A61B2017/00734 , A61B2017/07214 , A61B2017/07278 , A61B2017/07285 , A61B2017/2946 , A61B2017/320052 , A61B2090/304 , A61B2090/306 , A61B2090/309
摘要： A surgical fastener apparatus having a handle, an elongated shaft having a proximal end attached to the handle and a distal end extending therefrom. An end effector including a pair of jaws pivoted at a proximal end thereof and movable between an open and closed position. A cartridge containing a plurality of surgical fasteners, the cartridge attached to the end effector. An electrically powered actuator for deploying the surgical fasteners, the actuator having a power source and a motor. A first trigger attached to the handle for moving the end effector from the open to the closed position, and a second trigger attached to the handle for activating the actuator. A first lockout mechanism for preventing current from flowing from the power source to the motor unless the end effector is in its closed position a second lockout mechanism having a locked and unlocked position, the second lockout mechanism for preventing movement of the second trigger until the second lockout mechanism is moved to the unlocked position.
摘要翻译：具有手柄的外科紧固器装置，具有附接到手柄的近端的细长轴和从其延伸的远端。一个末端执行器，包括在其近端枢转并可在打开和关闭位置之间移动的一对夹爪。一个包含多个外科紧固件的药筒，该药筒连接在末端执行器上。一种用于部署外科紧固件的电动致动器，致动器具有动力源和马达。附接到手柄的第一触发器，用于将末端执行器从打开位置移动到关闭位置，以及附接到手柄的第二触发器，用于启动致动器。第一锁定机构，用于防止电流从电源流到电动机，除非末端执行器处于其关闭位置，具有锁定和解锁位置的第二锁定机构，第二锁定机构，用于防止第二触发器的运动直到第二触发器锁定机构移动到解锁位置。

5. 发明授权

US08779648B2 Ultrasonic device for cutting and coagulating with stepped output 有权
标题翻译：超声波设备，用于带有阶梯式输出的切割和凝结
公开(公告)号：US08779648B2
公开(公告)日：2014-07-15
申请号：US13584020
申请日：2012-08-13
申请人： James R. Giordano , Robert J. Beetel, III , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
发明人： James R. Giordano , Robert J. Beetel, III , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
IPC分类号： H01L41/09
CPC分类号： A61B17/320092 , A61B5/0538 , A61B5/4836 , A61B5/6847 , A61B2017/00026 , A61B2017/00146 , A61B2017/00176 , A61B2018/00303 , A61B2018/00875 , B06B1/0284 , B06B2201/76
摘要： Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer in a surgical instrument. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal. The first drive signal is different from the second drive signal. The first and second drive signals define a step function waveform. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide. The ultrasonic drive system resonates at a resonant frequency. The apparatus comprises an ultrasonic drive system coupled to a generator.
摘要翻译：各种实施例涉及用于驱动耦合到外科器械中的超声换能器的末端执行器的装置，系统和方法。该方法包括通过耦合到超声波驱动系统的发生器产生第一超声波驱动信号，利用第一超声波驱动信号致动超声换能器，由发生器产生第二超声波驱动信号，以及利用第二超声波驱动器致动超声换能器信号。第一驱动信号与第二驱动信号不同。第一和第二驱动信号定义阶跃函数波形。该系统包括耦合到超声波仪器的发生器。超声波仪器包括超声波驱动系统，其包括耦合到波导的超声换能器和耦合到波导的末端执行器。超声波驱动系统以共振频率谐振。该装置包括耦合到发电机的超声波驱动系统。

6. 发明授权

US08414577B2 Surgical instruments and components for use in sterile environments 有权
标题翻译：用于无菌环境的手术器械和组件
公开(公告)号：US08414577B2
公开(公告)日：2013-04-09
申请号：US12621732
申请日：2009-11-19
申请人： Chad P. Boudreaux , Frederick E. Shelton, IV , Bret W. Smith , Daniel J. Abbott
发明人： Chad P. Boudreaux , Frederick E. Shelton, IV , Bret W. Smith , Daniel J. Abbott
IPC分类号： A61B18/18
CPC分类号： A61B17/07207 , A61B17/2833 , A61B46/10 , A61B50/30 , A61B90/40 , A61B2017/00362 , A61B2017/00398 , A61B2017/00477 , A61B2017/00734 , A61B2017/2927 , A61B2017/2943 , A61B2017/320052 , A61B2050/314 , A61B2050/316 , A61B2090/037 , A61B2090/0813 , A61B2090/0815 , A61L2/00 , A61L2202/24
摘要： A surgical instrument comprises a first portion encapsulated by a membrane and a second portion comprising a surgical instrument body and a cavity in the surgical instrument body. The cavity is configured to receive the first portion. The second portion comprises a first region comprising an opening in communication with the cavity, and a closure member movable between a first position and a second position. The closure member is in sealable engagement with the second region when it is in the first position and is at least partially free from sealable engagement with the second region when it is in the second position. One or more electrical contacts on the first portion or the second portion are configured to penetrate the membrane to allow a connection to be made between the first portion and the second portion when the closure member moves from the second position into the first position.
摘要翻译：手术器械包括由膜封装的第一部分和包括外科器械主体和外科器械主体中的空腔的第二部分。空腔被配置为接收第一部分。第二部分包括第一区域，其包括与空腔连通的开口，以及可在第一位置和第二位置之间移动的封闭构件。当所述闭合构件处于所述第一位置时，所述闭合构件与所述第二区域可密封地接合，并且当所述闭合构件处于所述第二位置时至少部分地不与所述第二区域可密封地接合。第一部分或第二部分上的一个或多个电触点构造成穿透膜，以允许当封闭构件从第二位置移动到第一位置时在第一部分和第二部分之间形成连接。

7. 发明申请

US20130035706A1 ULTRASONIC DEVICE FOR CUTTING AND COAGULATING WITH STEPPED OUTPUT 有权
标题翻译：超声波设备，用于切割和凝固带有步进输出
公开(公告)号：US20130035706A1
公开(公告)日：2013-02-07
申请号：US13584020
申请日：2012-08-13
申请人： James R. Giordano , Robert J. Beetel, III , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
发明人： James R. Giordano , Robert J. Beetel, III , Eitan T. Wiener , Jeffrey D. Messerly , Brian DiNardo , Daniel J. Abbott
IPC分类号： A61B17/32
CPC分类号： A61B17/320092 , A61B5/0538 , A61B5/4836 , A61B5/6847 , A61B2017/00026 , A61B2017/00146 , A61B2017/00176 , A61B2018/00303 , A61B2018/00875 , B06B1/0284 , B06B2201/76
摘要： Various embodiments are directed to an apparatus, system, and method for driving an end effector coupled to an ultrasonic transducer in a surgical instrument. The method comprises generating a first ultrasonic drive signal by a generator coupled to an ultrasonic drive system, actuating the ultrasonic transducer with the first ultrasonic drive signal, generating a second ultrasonic drive signal by the generator, and actuating the ultrasonic transducer with the second ultrasonic drive signal. The first drive signal is different from the second drive signal. The first and second drive signals define a step function waveform. The system comprises a generator coupled to an ultrasonic instrument. The ultrasonic instrument comprises an ultrasonic drive system comprising an ultrasonic transducer coupled to a waveguide and an end effector coupled to the waveguide. The ultrasonic drive system resonates at a resonant frequency. The apparatus comprises an ultrasonic drive system coupled to a generator.
摘要翻译：各种实施例涉及用于驱动耦合到外科器械中的超声换能器的末端执行器的装置，系统和方法。该方法包括通过耦合到超声波驱动系统的发生器产生第一超声波驱动信号，利用第一超声波驱动信号致动超声换能器，由发生器产生第二超声波驱动信号，以及利用第二超声波驱动器致动超声换能器信号。第一驱动信号与第二驱动信号不同。第一和第二驱动信号定义阶跃函数波形。该系统包括耦合到超声波仪器的发生器。超声波仪器包括超声波驱动系统，其包括耦合到波导的超声换能器和耦合到波导的末端执行器。超声波驱动系统以共振频率谐振。该装置包括耦合到发电机的超声波驱动系统。

8. 发明申请

US20120310262A1 DEVICES AND TECHNIQUES FOR CUTTING AND COAGULATING TISSUE 有权
标题翻译：切割和凝固组织的装置和技术
公开(公告)号：US20120310262A1
公开(公告)日：2012-12-06
申请号：US13584878
申请日：2012-08-14
申请人： Jeffrey D. Messerly , Eitan T. Wiener , Brian T. Noyes , Jeffrey L. Aldridge , James R. Giordano , Robert J. Beetel , Daniel J. Abbott , Foster B. Stulen , Matthew C. Miller , Nathan J. Price , Daniel W. Price
发明人： Jeffrey D. Messerly , Eitan T. Wiener , Brian T. Noyes , Jeffrey L. Aldridge , James R. Giordano , Robert J. Beetel , Daniel J. Abbott , Foster B. Stulen , Matthew C. Miller , Nathan J. Price , Daniel W. Price
IPC分类号： A61B17/32
CPC分类号： A61N7/00 , A61B5/053 , A61B5/4836 , A61B17/320092 , A61B18/14 , A61B2017/00026 , A61B2017/00084 , A61B2017/00176 , A61B2017/00203 , A61B2017/00973 , A61B2018/00005 , A61B2018/00303 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00791 , A61B2018/00845 , A61B2018/00875 , A61B2018/00994 , A61N7/02 , B06B1/0284 , B06B2201/76 , G05B15/02
摘要： Various embodiments are directed to an apparatus and method of driving an end effector coupled to an ultrasonic drive system of a surgical instrument. The method comprises generating at least one electrical signal. The at least one electrical signal is monitored against a first set of logic conditions.
摘要翻译：各种实施例涉及一种驱动与外科器械的超声波驱动系统相连的末端执行器的装置和方法。该方法包括产生至少一个电信号。根据第一组逻辑条件来监视至少一个电信号。

9. 发明申请

US20110114698A1 CIRCULAR STAPLER INTRODUCER WITH RIGID CAP ASSEMBLY CONFIGURED FOR EASY REMOVAL 有权
标题翻译：具有刚构配置的刚性盖组件的圆形平台介绍
公开(公告)号：US20110114698A1
公开(公告)日：2011-05-19
申请号：US12621679
申请日：2009-11-19
申请人： Chester O. Baxter, III , John V. Hunt , Danius P. Silkaitis , Jeffrey P. Wiley , Paul T. Franer , John B. Schulte , Daniel J. Abbott
发明人： Chester O. Baxter, III , John V. Hunt , Danius P. Silkaitis , Jeffrey P. Wiley , Paul T. Franer , John B. Schulte , Daniel J. Abbott
IPC分类号： A61B17/068
CPC分类号： A61B1/00087 , A61B17/1114 , A61B17/115 , A61B17/1155 , A61B46/10 , A61B46/17 , A61B2017/00336 , A61B2017/3425 , A61B2090/037 , A61B2090/08021
摘要： Introducers for introducing a surgical circular stapler into a patient. Various embodiments comprise a hollow flexible sheath that has a distal end and an open proximal end that is sized to receive a stapling head portion of the circular stapler therein. A rigid cap assembly may be attached to the distal end of the hollow flexible sheath The rigid cap assembly may be configured to selectively move between a closed position wherein a distal face of the stapling head is covered and an open position wherein the distal face of the stapling head is exposed. A portion of the rigid cap assembly has a shape that substantially matches a perimetrical shape of a portion of the stapling head to enable the rigid cap assembly to pass proximally over the stapling head when the introducer is withdrawn from the patient.
摘要翻译：用于将外科圆形吻合器引入患者的引导者。各种实施例包括中空柔性护套，其具有远端和敞开的近端，其大小适于在其中容纳圆形缝合器的装订头部。刚性帽组件可以附接到中空柔性护套的远端。刚性帽组件可构造成选择性地在封闭位置之间移动，其中缝合头的远侧面被覆盖，并且打开位置，其中，钉头暴露。刚性盖组件的一部分具有基本上匹配装订头部分的周边形状的形状，以便当导引器从患者身上取出时，刚性帽组件能够通过近端固定在吻合头上。

10. 发明申请

US20110087213A1 SURGICAL GENERATOR FOR ULTRASONIC AND ELECTROSURGICAL DEVICES 有权
标题翻译：超声和电疗装置的外科发生器
公开(公告)号：US20110087213A1
公开(公告)日：2011-04-14
申请号：US12896384
申请日：2010-10-01
申请人： Jeffrey D. Messerly , Daniel J. Abbott , Jeffrey L. Aldridge , Eitan T. Wiener , James R. Giordano , Foster B. Stulen , Matthew C. Miller , Aaron C. Voegele , Jeffrey P. Wiley , Daniel W. Price , Robert L. Koch, JR. , Mark E. Tebbe
发明人： Jeffrey D. Messerly , Daniel J. Abbott , Jeffrey L. Aldridge , Eitan T. Wiener , James R. Giordano , Foster B. Stulen , Matthew C. Miller , Aaron C. Voegele , Jeffrey P. Wiley , Daniel W. Price , Robert L. Koch, JR. , Mark E. Tebbe
IPC分类号： A61B18/14 , A61B17/00
CPC分类号： A61B18/1206 , A61B17/320068 , A61B17/320092 , A61B18/1233 , A61B18/14 , A61B18/1445 , A61B2017/00017 , A61B2017/00477 , A61B2017/00482 , A61B2017/00486 , A61B2017/2934 , A61B2017/2936 , A61B2018/00178 , A61B2018/00601 , A61B2018/0063 , A61B2018/00666 , A61B2018/00678 , A61B2018/00684 , A61B2018/00702 , A61B2018/0072 , A61B2018/00732 , A61B2018/00767 , A61B2018/00779 , A61B2018/00803 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00988 , A61B2018/00994 , H01L41/042 , H01R2201/12
摘要： A surgical generator for providing a drive signal to a surgical device may have a receptacle assembly having a receptacle body, a flange and a central protruding portion. The outer periphery of the central protruding portion may have at least one curved section and at least one linear section. Additionally, a surgical instrument may comprise an electrical connector assembly having a flange. The flange may comprise at least one curved section and at least one linear section. In some embodiments, A surgical instrument system may comprise a surgical generator, a surgical instrument comprising a connector assembly, and an adapter assembly operatively coupled to the receptacle assembly and the connector assembly.
摘要翻译：用于向外科装置提供驱动信号的手术发生器可以具有容器组件，其具有容器本体，凸缘和中心突出部分。中心突出部分的外周可以具有至少一个弯曲部分和至少一个直线部分。另外，外科器械可以包括具有凸缘的电连接器组件。凸缘可以包括至少一个弯曲部分和至少一个线性部分。在一些实施例中，外科器械系统可以包括手术发生器，包括连接器组件的外科器械和可操作地联接到插座组件和连接器组件的适配器组件。

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