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公开(公告)号:US11406442B2
公开(公告)日:2022-08-09
申请号:US16180280
申请日:2018-11-05
Applicant: Ethicon LLC
Inventor: Mark A. Davison , Christopher W. Birri , William George Saulenas , Jalen Lee Wize
Abstract: An articulable wrist for an end effector includes a distal linkage provided at a distal end of the articulable wrist, a proximal linkage provided at a proximal end of the articulable wrist, and a central channel cooperatively defined by the distal and proximal linkages and extending between the distal and proximal ends. A flexible member is arranged within the central channel and has a first end operatively coupled to the distal linkage and a second end axially movable relative to the proximal linkage. One or more conduits are defined in the flexible member to receive one or more central actuation members extending through the flexible member.
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公开(公告)号:US10888369B2
公开(公告)日:2021-01-12
申请号:US15636116
申请日:2017-06-28
Applicant: Ethicon LLC
Inventor: Jeffrey D. Messerly , David C. Yates , Jason L. Harris , Frederick E. Shelton, IV , Mark A. Davison
IPC: A61B18/14 , A61B17/072 , A61B18/12 , A61B17/00 , A61B18/00 , A61B17/29 , A61B90/00 , A61B17/295
Abstract: The present disclosure provides a surgical instrument that includes an end effector having a first jaw, a second jaw that is movable relative to the first jaw, and at least one electrode in the first jaw. The surgical instrument also includes a control circuit configured to provide electrosurgical energy to the at least one electrode and a electrical conductor electrically connected between the end effector and the control circuit. The control circuit includes a shaft control segment and an electrosurgical energy control segment. The shaft control segment is configured to provide a control signal for operating the end effector to the end effector through the electrical conductor. The electrosurgical energy control segment is configured to provide the electrosurgical energy to the at least one electrode through the electrical conductor.
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公开(公告)号:US20200030021A1
公开(公告)日:2020-01-30
申请号:US16531591
申请日:2019-08-05
Applicant: Ethicon LLC
Inventor: David C. Yates , Amy M. Krumm , Mark A. Davison
Abstract: Aspects of the present disclosure are presented for a medical instrument configured to adjust the power level for sealing procedures to account for changes in tissue impedance levels over time. In some aspects, a medical instrument may be configured to apply power according to a power algorithm to seal tissue by applying a gradually lower amount of power over to time as the tissue impedance level begins to rise out of the “bathtub region,” which is the time period during energy application where the tissue impedance is low enough for electrosurgical energy to be effective for sealing tissue. In some aspects, the power is then cut once the tissue impedance level exceeds the “bathtub region.” By gradually reducing the power, a balance is achieved between still applying an effective level of power for sealing and prolonging the time in which the tissue impedance remains in the “bathtub region.”
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公开(公告)号:US20190099212A1
公开(公告)日:2019-04-04
申请号:US15720822
申请日:2017-09-29
Applicant: Ethicon LLC
Inventor: Mark A. Davison , Craig T. Davis , Jeffrey W. Bullock , Mark E. Tebbe , Shan Wan , Jeffrey L. Aldridge , Ryan M. Asher , Kristen G. Denzinger , Monica L. Rivard , Kevin A. Bash , Eric M. Roberson
IPC: A61B18/14
Abstract: An end effector of an electrosurgical device may include a discharge port, an aspiration port, two electrodes, and a diverter formed from a porous material. The diverter includes a matrix having voids to receive fluid from the discharge port. A releasable diverter assembly may include an assembly body configured to receive a pair of electrodes and a diverter composed of a porous material. A shaft assembly of an electrosurgical device may include two electrodes and two fluid cannulae. Each cannula may be disposed proximate to a surface of each of the electrodes. An end effector of an electrosurgical device may include a fluid discharge port, two electrodes, and a diverter disposed therebetween. A proximal edge of the diverter may form a secant line with respect to the end of the discharge port so that fluid emitted by the discharge port is disposed on a surface of the diverter.
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公开(公告)号:US20190000534A1
公开(公告)日:2019-01-03
申请号:US15636116
申请日:2017-06-28
Applicant: Ethicon LLC
Inventor: Jeffrey D. Messerly , David C. Yates , Jason L. Harris , Frederick E. Shelton, IV , Mark A. Davison
IPC: A61B18/14 , A61B18/12 , A61B17/072
Abstract: The present disclosure provides a surgical instrument that includes an end effector having a first jaw, a second jaw that is movable relative to the first jaw, and at least one electrode in the first jaw. The surgical instrument also includes a control circuit configured to provide electrosurgical energy to the at least one electrode and a electrical conductor electrically connected between the end effector and the control circuit. The control circuit includes a shaft control segment and an electrosurgical energy control segment. The shaft control segment is configured to provide a control signal for operating the end effector to the end effector through the electrical conductor. The electrosurgical energy control segment is configured to provide the electrosurgical energy to the at least one electrode through the electrical conductor.
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公开(公告)号:US20190000532A1
公开(公告)日:2019-01-03
申请号:US15636169
申请日:2017-06-28
Applicant: Ethicon LLC
Inventor: Frederick E. Shelton, IV , David C. Yates , Mark A. Davison , Jason L. Harris
Abstract: An electrosurgical device is disclosed. The electrosurgical device includes a cartridge configured to be disposed within an elongate channel of an end effector. The cartridge includes an electrode having a plurality of electrode portions disposed along a longitudinal axis of the cartridge. The electrode is configured to electrically couple to a generator. Each electrode portion of the plurality of electrode portions is configured to deliver an amount of energy to a tissue placed proximate thereto. An amount of energy delivered by a first electrode portion of the plurality of electrode portions differs from an amount of energy delivered by a second electrode portion of the plurality of electrode portions.
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公开(公告)号:US20180036061A1
公开(公告)日:2018-02-08
申请号:US15667225
申请日:2017-08-02
Applicant: Ethicon LLC
Inventor: David C. Yates , Jeffrey D. Messerly , Mark A. Davison
CPC classification number: A61B18/1233 , A61B18/1206 , A61B18/1445 , A61B18/1447 , A61B18/148 , A61B2018/00589 , A61B2018/00595 , A61B2018/0063 , A61B2018/00672 , A61B2018/00678 , A61B2018/00702 , A61B2018/00767 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/124 , A61B2018/1455
Abstract: Various embodiments are directed to electrosurgical systems for providing an electrosurgical signal to a patient. A control circuit may, for a first application period, apply the electrosurgical signal to first and second electrodes according to a first mode. In the first mode, the control circuit may limit the electrosurgical signal to a first maximum power when the impedance between the first and second electrodes exceeds a first mode threshold. The control circuit may also, for a second application period after the first application period, apply the electrosurgical signal according to a second mode. In the second mode, the control circuit may limit the electrosurgical signal to a second mode maximum power when the impedance between the first and second electrodes exceeds a second mode threshold. The second maximum power may be greater than the first maximum power.
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公开(公告)号:US09782181B2
公开(公告)日:2017-10-10
申请号:US14273196
申请日:2014-05-08
Applicant: Ethicon LLC
Inventor: Dario Vitali , Nicholas G. Molitor , Thomas W. Huitema , Robert L. Koch , Brian D. Bertke , Kevin A. Larson , Robert P. Fuchs , Mark A. Davison
IPC: A61B17/128 , A61B17/10 , A61B17/122 , A61B90/00
CPC classification number: A61B17/1285 , A61B17/10 , A61B17/122 , A61B17/128 , A61B2090/032 , A61B2090/034
Abstract: A surgical clip applier and methods for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In one exemplary embodiment, a surgical clip applier is provided having a housing with a trigger movably coupled thereto and an elongate shaft extending therefrom with opposed jaws formed on a distal end thereof. The trigger is adapted to advance a clip to position the clip between the jaws, and to move the jaws from an open position to a closed position to crimp the clip positioned therebetween.
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公开(公告)号:US09707029B2
公开(公告)日:2017-07-18
申请号:US14135894
申请日:2013-12-20
Applicant: Ethicon LLC
Inventor: Rudolph H. Nobis , Mark A. Davison
CPC classification number: A61B18/1445 , A61B2018/00083 , A61B2018/00607 , A61B2018/0063 , A61B2018/1455
Abstract: Various surgical devices are provided for shielding tissue from potentially harmful byproducts generated by surgical devices that use energy to treat tissue. In general, a shield member is provided that includes a connector element for removably connecting the shield member to a surgical device and a shield body configured to extend adjacent to an energy-emitting end effector of the device. When energy is delivered to treated tissue captured by the end effector, the shield body can be configured to serve as a physical barrier between the end effector and tissue adjacent to the treated tissue. In this way, the shield member can protect the adjacent tissue from potentially harmful byproducts of the end effector, e.g., heat and steam, and/or can deflect the byproducts back toward the treated tissue.
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公开(公告)号:US11141231B2
公开(公告)日:2021-10-12
申请号:US16219080
申请日:2018-12-13
Applicant: Ethicon LLC
Inventor: Mark D. Overmyer , Sol A. Posada , Joshua D. Young , Mark A. Davison , Christopher A. Denzinger
IPC: A61B34/35 , A61B34/00 , A61B17/29 , A61B34/30 , A61B17/072
Abstract: A method includes advancing an end effector of a surgical tool to a surgical site, setting a desired force vector to be assumed on the end effector during actuation of the end effector, engaging tissue at the surgical site with the end effector and calculating a force vector assumed on the end effector, and maneuvering the end effector to obtain the desired force vector.
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