公开(公告)号：US20160058500A1

公开(公告)日：2016-03-03

申请号：US14801179

申请日：2015-07-16

Applicant: COVIDIEN LP

Inventor： ROBERT M. SHARP ,  REBECCA J. COULSON

IPC: A61B18/14

CPC classification number: A61B18/1485 ,  A61B17/26 ,  A61B17/32056 ,  A61B34/35 ,  A61B2017/22079 ,  A61B2018/00083 ,  A61B2018/00327 ,  A61B2018/00601 ,  A61B2018/1253 ,  A61B2018/141 ,  A61B2218/007

Abstract: An electrosurgical instrument for removing tissue includes a shaft and a cutting member. The shaft extends to a distal end and defines a lumen configured to communicate with a vacuum source. The cutting member is supported at the distal end of the shaft. The cutting member is adapted to couple to an electrosurgical energy source and is configured to form an annular loop. The cutting member is selectively transitionable from a first configuration, wherein the annular loop includes a first diameter to one or more additional configurations, wherein the annular loop includes a second diameter smaller than the first diameter. The annular loop is configured to sever tissue within the annular loop.

Abstract translation: 用于去除组织的电外科器械包括轴和切割构件。 轴延伸到远端并且限定被配置为与真空源连通的内腔。 切割构件支撑在轴的远端。 切割构件适于联接到电外科能量源并且被配置成形成环形环。 切割构件可以从第一构造选择性地转换，其中环形环包括第一直径到一个或多个另外的构造，其中环形环包括小于第一直径的第二直径。 环形环被配置成切断环形环内的组织。

公开(公告)号：US20140163552A1

公开(公告)日：2014-06-12

申请号：US14178540

申请日：2014-02-12

Applicant: Covidien LP

Inventor： SARA E. ANDERSON ,  WILLIAM H. NAU, JR. ,  GARY M. COUTURE ,  REBECCA J. COULSON

IPC: A61B18/08

CPC classification number: 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

Abstract: 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.

Abstract translation: 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。

公开(公告)号：US20160038215A1

公开(公告)日：2016-02-11

申请号：US14920199

申请日：2015-10-22

Applicant: COVIDIEN LP

Inventor： JEFFREY M. ROY ,  REBECCA J. COULSON ,  SARA E. ANDERSON ,  ROBERT M. SHARP

IPC: A61B18/08 ,  A61B18/14

CPC classification number: A61B18/085 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/1482 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00196 ,  A61B2018/00428 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00916 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2018/146

Abstract: An end effector of a forceps includes first and second jaw members movable between spaced-apart and approximated positions for grasping tissue. Each jaw member includes a tissue sealing plate that is selectively energizable. The tissue sealing plates are configured to conduct energy therebetween and though tissue to seal tissue. A knife includes a distal surface and an upper surface. The knife is selectively translatable between a retracted position and an extended position wherein the knife extends between the jaw members. The distal surface is configured for dynamic tissue cutting upon translation of the knife from the retracted to the extended position. The upper surface is configured for static tissue cutting with the knife in the extended position. The knife is selectively energizable and is configured to conduct energy between the knife and one or both of the tissue sealing plates and through tissue to electrically cut tissue.

公开(公告)号：US20150157393A1

公开(公告)日：2015-06-11

申请号：US14627277

申请日：2015-02-20

Applicant: COVIDIEN LP

Inventor： JEFFREY M. ROY ,  REBECCA J. COULSON ,  SARA E. ANDERSON ,  ROBERT M. SHARP

IPC: A61B18/14

CPC classification number: A61B18/085 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/1482 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00196 ,  A61B2018/00428 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00916 ,  A61B2018/1412 ,  A61B2018/1455 ,  A61B2018/146

Abstract: An end effector of a forceps includes first and second jaw members movable between spaced-apart and approximated positions for grasping tissue. Each jaw member includes a tissue sealing plate that is selectively energizable. The tissue sealing plates are configured to conduct energy therebetween and though tissue to seal tissue. A knife includes a distal surface and an upper surface. The knife is selectively translatable between a retracted position and an extended position wherein the knife extends between the jaw members. The distal surface is configured for dynamic tissue cutting upon translation of the knife from the retracted to the extended position. The upper surface is configured for static tissue cutting with the knife in the extended position. The knife is selectively energizable and is configured to conduct energy between the knife and one or both of the tissue sealing plates and through tissue to electrically cut tissue.

Abstract translation: 镊子的末端执行器包括第一和第二钳口构件，其可在间隔开和近似位置之间移动，用于抓握组织。 每个钳口构件包括可选择性地通电的组织密封板。 组织密封板被构造成在两者之间引导能量，并且尽管组织密封组织。 刀包括远端表面和上表面。 刀可以在缩回位置和延伸位置之间选择性地平移，其中刀在夹爪构件之间延伸。 远侧表面构造成用于在将刀从缩回位置延伸到延伸位置时进行动态组织切割。 上表面构造成用于在延伸位置的刀的静态组织切割。 刀被选择性地激励，并且被配置为在刀与组织密封板中的一个或两个并且通过组织之间传导能量以电切割组织。

公开(公告)号：US20170143403A1

公开(公告)日：2017-05-25

申请号：US15340792

申请日：2016-11-01

Applicant: COVIDIEN LP

Inventor： WILLIAM H. NAU, JR. ,  DUANE E. KERR ,  KATHY E. ROOKS ,  DARION R. PETERSON ,  ROBERT M. SHARP ,  REBECCA J. COULSON

IPC: A61B18/08

CPC classification number: A61B18/082 ,  A61B18/28 ,  A61B2017/00818 ,  A61B2018/00047 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00494 ,  A61B2018/00577 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61N7/022

Abstract: A surgical instrument includes a flexible tube defining a proximal end and a distal end. An end effector, disposed at the distal end of the flexible tube, is configured for insertion into and advancement through a body cavity to a treatment target. The end effector is adapted to connect to a source of energy. The end effector includes an expandable member which can expand from an un-expanded state to an expanded state in order to circumferentially contact a bodily treatment target. The end effector further includes at least one heating member that may hear the expandable member such that the expandable member may thermally treat tissue that the expandable member contacts.

公开(公告)号：US20160310204A1

公开(公告)日：2016-10-27

申请号：US15133985

申请日：2016-04-20

Applicant: COVIDIEN LP

Inventor： JENNIFER R. MCHENRY ,  ALEXANDER M. WASKIEWICZ ,  ANTHONY D. RICKE ,  REBECCA J. COULSON ,  JESSICA E.C. OLSON

IPC: A61B18/12 ,  A61B18/14

CPC classification number: A61B18/1233 ,  A61B18/1206 ,  A61B18/1445 ,  A61B2018/00589 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/00875 ,  A61B2018/126 ,  A61B2018/1823

Abstract: The electrosurgical systems and corresponding methods of the present disclosure involve an electrosurgical generator, sensing circuitry, and a controller. The electrosurgical generator includes a radio frequency (RF) output stage that supplies power to tissue. The sensing circuitry measures impedance of tissue. The controller controls the power supplied from the RF output stage to track a nonlinear power curve until the power supplied from the RF output stage has reached a predetermined peak power of the nonlinear power curve. The controller further determines whether a tissue reaction has occurred based on impedance measured by the sensing circuitry and controls the power supplied from the RF output stage during a cooling phase if the controller determines that a tissue reaction has occurred. The controller may further control the power supplied from the RF output stage to track a linear power curve.

Abstract translation: 本公开的电外科系统和相应的方法涉及电外科发生器，感测电路和控制器。 电外科发生器包括向组织供电的射频（RF）输出级。 感测电路测量组织的阻抗。 控制器控制从RF输出级提供的功率以跟踪非线性功率曲线，直到从RF输出级提供的功率达到非线性功率曲线的预定峰值功率。 控制器还基于感测电路测得的阻抗来确定是否发生组织反应，并且如果控制器确定组织反应发生，则控制在冷却阶段从RF输出级提供的功率。 控制器还可以控制从RF输出级提供的功率以跟踪线性功率曲线。

公开(公告)号：US20160038224A1

公开(公告)日：2016-02-11

申请号：US14795546

申请日：2015-07-09

Applicant: COVIDIEN LP

Inventor： GARY M. COUTURE ,  RYAN C. ARTALE ,  JOHN R. TWOMEY ,  REBECCA J. COULSON ,  DAVID J. VAN TOL

IPC: A61B18/14

CPC classification number: A61B18/1445 ,  A61B17/26 ,  A61B17/295 ,  A61B2017/2926 ,  A61B2017/320069 ,  A61B2017/32007 ,  A61B2018/00327 ,  A61B2018/1452 ,  A61B2018/1457

Abstract: An end effector assembly for a surgical instrument includes a pair of jaw members each including one or more tissue-contacting plates. One or both jaw members is movable relative to the other between spaced-apart and approximated positions for grasping tissue between the tissue-contacting plates. The tissue-contacting plates are adapted to connect to a source of energy for conducting energy through tissue grasped between. One of the jaw members includes an insulative member extending towards the other member. The insulative member includes a plurality of crests each defining a blunt apex and a proximally-facing sharpened edge. The blunt apexes contact tissue upon approximation of the first and second jaw members to grasp tissue, while the proximally-facing sharpened edges facilitate tissue cutting in a ripping fashion upon proximal translation of the end effector assembly relative to tissue.

Abstract translation: 用于外科器械的端部执行器组件包括一对钳口构件，每个钳口构件包括一个或多个组织接触板。 一个或两个钳口构件可相对于另一个在间隔开和近似的位置之间移动，用于抓住组织接触板之间的组织。 组织接触板适于连接到能量源，以通过夹在其间的组织传导能量。 其中一个钳口构件包括朝向另一个构件延伸的绝缘构件。 绝缘构件包括多个峰，每个顶点限定钝顶点和面向近侧的锋利边缘。 平直顶点在近似第一和第二钳口构件以接近组织时接触组织，而面向近侧的锐化边缘便于在端部执行器组件相对于组织近端平移时以撕裂方式进行组织切割。

公开(公告)号：US20140243811A1

公开(公告)日：2014-08-28

申请号：US14100237

申请日：2013-12-09

Applicant: COVIDIEN LP

Inventor： ARLEN J. RESCHKE ,  GARY M. COUTURE ,  REBECCA J. COULSON ,  SARA E. ANDERSON

IPC: A61B18/14

CPC classification number: A61B18/1445 ,  A61B18/1442 ,  A61B2018/00083 ,  A61B2018/00672 ,  A61B2018/00875 ,  A61B2090/0814

Abstract: The present disclosure is directed to a surgical system that may include an end effector assembly configured to conduct energy through tissue to treat tissue, the end effector assembly including at least one limited-use portion, the limited-use portion configured to degrade during use, and a control system configured to monitor degradation of the limited-use portion.

Abstract translation: 本公开涉及一种外科系统，其可以包括构造成通过组织传导能量以治疗组织的端部执行器组件，所述端部执行器组件包括至少一个有限使用部分，所述有限使用部分被配置为在使用期间降解， 以及被配置为监视限制用途部分的劣化的控制系统。

公开(公告)号：US20170143400A1

公开(公告)日：2017-05-25

申请号：US15340553

申请日：2016-11-01

Applicant: COVIDIEN LP

Inventor： ROBERT M. SHARP ,  DARION R. PETERSON ,  DUANE E. KERR ,  ARLEN K. WARD ,  ANTHONY B. ROSS ,  REBECCA J. COULSON ,  WILLIAM H. NAU, JR.

IPC: A61B18/04 ,  A61M37/00

Abstract: A method of treating bowel diseases includes introducing a fluid into a portion of a patient's colon and applying energy thereto from an external energy source such that the fluid and the energy cooperate to treat tissue of the portion of the patient's colon in contact with the fluid. Another method of treating inflammatory bowel diseases includes sealing a portion of a patient's colon, introducing an electrically-conductive fluid thereto, and energizing an electrode disposed therein to treat tissue of the portion of the patient's colon in contact with the electrically-conductive fluid. Another method of treating inflammatory bowel diseases includes sealing a portion of a patient's colon and introducing a heated fluid at a temperature equal to or above 60° C. to treat tissue of the portion of the patient's colon in contact with the heated fluid.

公开(公告)号：US20160135874A1

公开(公告)日：2016-05-19

申请号：US15005068

申请日：2016-01-25

Applicant: COVIDIEN LP

Inventor： SARA E. ANDERSON ,  WILLIAM H. NAU, JR. ,  GARY M. COUTURE ,  REBECCA J. COULSON

IPC: A61B18/14 ,  A61B18/12

CPC classification number: 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

Abstract: 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.

Abstract translation: 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。