|Número de publicación||US3875945 A|
|Tipo de publicación||Concesión|
|Fecha de publicación||8 Abr 1975|
|Fecha de presentación||2 Nov 1973|
|Fecha de prioridad||2 Nov 1973|
|Número de publicación||US 3875945 A, US 3875945A, US-A-3875945, US3875945 A, US3875945A|
|Cesionario original||Demetron Corp|
|Exportar cita||BiBTeX, EndNote, RefMan|
|Citas de patentes (7), Citada por (305), Clasificaciones (7)|
|Enlaces externos: USPTO, Cesión de USPTO, Espacenet|
United States Patent n 1 Friedman 1 Apr. 8, 1975  Assignee: Demetron Corporation, Ridgefield.
221 Filed: Nov. 2, 1973  Appl. No.: 412.292
[521 US. Cl l28/303.l4; 128/303.l7  Int. Cl. A6lh l7/36;A61n 3/02  Field of Search..... l28/303.l4. 303.13, 303.17,
Primary E.\'aminerRichard A. Gaudet Assistant liraminer-Lee S. Cohen  ABSTRACT An electrosurgery instrument having a radio frequency oscillator energized from a power supply controlled by a switching arrangement to produce either dc, full wave rectified ac. or half-wave rectified ac at its output. depending upon whether it is desired to operate in the cut. coagulate, or fulgurate modes, respectively. The level of output voltage of the power supply may be set to any value within a range and thereafter increased by a fixed percentage upon the operation of a remote control switch. The level of output voltage in any mode of operation, once set, is regulated by a feedback control circuit to minimize sparking at the electrode tip. The oscillator output is coupled to an operating probe through an impedance transformer and coaxial cable designed to deliver maximum radio frequency power to the patient without the use of a ground plate. An indicating lamp is connected to points of different potential in the cable and within the probe in order to give a positive indication of the presence of radio frequency power at the probe tip.
7 Claims, 1 Drawing Figure PATENTEDAPR 8191s ONLI ELECTROSURGERY INSTRUMENT The present invention relates to electrosurgery instruments and. more particularly. to an electrosurgery instrument capable of efficiently delivering an adjust able quantity of radio frequency power for use in a selected one of three modes of operation.
For many years various types of surgical tool's using electrical energy have been used to carry out various medical and dental operations. Early instruments uti lized spark gap current to burn tissue and. while this was satisfactory for operations where the purpose was destruction of tissue, it was unsatisfactory where it was used to make an incision or for hemostasis with a minimum of necrosis and other undesirable histological changes in adjacent tissue.
Improved instruments, utilizing radio frequency electromagnetic or diathermy energy. overcome some of these limitations but nevertheless suffer from certain disadvantages which have limited their utility. For example. a number ofevisting radio frequency electrosurgical devices utilize vacuum tubes with their concomitant bulk. delay for warm up time. excessive heat generation and poor reliability Other such units are hazardous to the patient and operator in that they require ground plates to minimize the patient to ground impedance and to complete the radio frequency circuit, or they lack effective means for accurately indicating a hot" electrode tip. lllustratively, units requiring a ground plate may not only hinder the operator and present a psychological deterrent to an already apprehensive patient. but they also suffer the disadvantage of subjecting the patient to the possibility of raio frequency burn where non uniform contact is made between the ground plate and the patient's skin, or where, by reason of an unsuspected intermittent break in the plate-connecting wire, the operator finds it necessary to increase the output power level only to find that the output increases still further when the break is reconnected. Still other radio frequency electro-surgery units lack effective means for giving a true indication that the tip is energized and thus give rise to the possibility of severe burns if the "hot" tip is inadvertently touched or wiped to remove tissue therefrom. Another significant disadvantage in existing electrosurgery units is the lack of versatility where there are but two output wave forms to choose from. for it is often desireable to have available an intermediate operational mode for coagulation as well as a cutting mode. designed for incision with a minimum of tissue destruction. and a fulguration mode. designed primarily for tissue destruction. Other such instruments fail to provide the operator with means enabling him to switch from one operational mode to another without taking his eyes from the site of surgery.
Accordingly. it is an object of my invention to provide a compact, efficient. reliable and versatile electrosurgery unit which utilizes radio frequency power and overcomes the shortcomings of the prior art.
It is still another object of my invention to provide a radio frequency electrosurgery instrument which operates efficiently without the need for a ground plate.
It is another object of my invention to provide a radio frequency electrosurgery instrument which affords the operator an opportunity to select from amongst three modes of operation designed primarily for cutting. coagulation. and fulguration. respectively.
lt is still another object of my invention to provide a radio frequency electrosurgery instrument in which the operator may quickly switch from one mode of opera tion to another without diverting his attention from the site of surgery. or removing his hands from the electrode handpiece.
It is yet another object of my invention to provide an electrosurgery instrument in which there is a positive indication of a "hot" tip to prevent inadvertent injury to the patient. operator. or operators assistant.
In most existing radio frequency electrosurgery instruments the operating voltage at the cutting tip varies markedly as contact is made and broken between the cutting tip and the tissue being cut. When this occurs sparking takes place, causing undesireable damage to the tissue.
Accordingly, it is another object of my invention to provide an electrosurgery instrument in which the radio frequency voltage applied to the cutting tip is kept constant, independent of the probe tip to ground impedance.
In accordance with the foregoing and other objects and features of the invention, l have provided an electro-surgery instrument in which a power supply connected to a radio frequency oscillator delivers power over a coaxial cable to a probe containing a surgical tip held in place by a spring loaded or other chuck. The instrument is designed to permit the operator to select from amongst three modes of operation by means of a switching arrangement that causes the power supply to deliver either a dc voltage, a full wave rectified ac. or a half-wave rectified ac as the supply voltage to an r.f. oscillator. The electrode tip coupled to the output of the oscillators is thus energized with a radio frequency voltage which is either unmodulated for operation in the cut mode, or modulated with a cps signal for operation in the coagulate mode. or modulated with a l20cps signal for operation in the fulgurate mode.
After the unit is turned on, the particular mode of operation is selected by first actuating a corresponding switch on a console control panel and thereafter en abling the first stage of a two position control switch remotely located from the console in the area of the pa tient. This switch may be foot operated or be mounted within the hand probe proximate to the cutting tip. The operator may. by increasing the pressure on the control switch, enable the second stage of the switch to in crease the level of output voltage from the power supply and consequently the peak level of radio frequency output power. And when the instrument is being operated in the cut mode, engagement of the second stage of the control switch also causes operation to switch into the coagulation mode.
The instrument also incorporates an impedance transformer, for matching the oscillator low output impedance to the higher patient to ground impedance for the efficient transmission of power without the need of a ground plate, and an indicating lamp, connected within the probe to give positive, reliable indications of a hot tip.
These and other objectives and features of my invention will be better understood if reference is had to the following detailed description and accompanying draw' ing depicting a schematic circuit and probe construction used in my invention.
Referring now to the drawing, the electrosurgery instrument includes a power supply 10 driving an oscillator 20 which is coupled by means of an impedance tranformer 30 to a coaxial cable 40 terminated in a sur gical probe 50 containing a cutting tip 60.
The basic components of power supply include a step down transformer, a bridge rectifier and filter and a voltage regulator circuit. Also connected to control the power supply is a remote control two stage switch 108 and 108.
Step down transformer 1 is arranged so that its primary winding is connected through a normally open switch 2 and a fuse 3 to the 110 volt source of power. The secondary of transformer l is connected to a full wave bridge rectifier comprising diodes 4, 5, 6 and 7. A filter circuit. consisting of resistor 8 and electrolytic capacitor 9, is connected between the positive output terminal of the bridge circuit and ground. An output voltage regulating circuit 11 is connected between the positive output terminal of the bridge circuit and the output of the power supply.
Power supply 10, oscillator and impedance transformer 30 may all be included within a console containing on-off switch 2 and mode switches 105, 105'. 106, 107 and 107' as well as indicating lamps 117, 119 and 121. Switches 105 and 105' are mechanically coupled as are 107 and 107'. and switches 105, 106 and 107 are mechanically interlocked so that only one may be actuated at a time. A two stage spring loaded control switch 108 and 108', remotely situated from the console in the area of the patient. also forms part of the circuit for the electrosurgical instrument.
The drawing depicts the circuit as it exists when line power is applied to the instrument, the cut mode of op eration is selected at the console and the first stage only of the control switch is actuated. Under these circumstances on-off switch 2 is closed, cut switch contacts 105' are closed to deliver ac power from the secondary of transformer 1 through limiting resistor 116 to lamp 117 located under the cut mode switch button, the normally open contacts 108 in the first stage of the control switch are closed and the single pole double throw contacts of switch 108' are as shown to connect resistor 111 through the closed contacts of switches 108, 108' and 105 to the positive terminal of capacitor 9. At the same time resistor 8 is shorted through switches 108' and 105.
When the pressure on the control switch is increased sufficiently to actuate the second stage of the control switch. contacts 108 remain closed and the position of contacts 108 are changed to remove the short across resistor 8 and connect the emitter of transistor 104 through resistor 110 to the positive output terminal of the bridge rectifier circuit. Now resistor 8 is connected in series between the positive terminal of the bridge rectifier and capacitor 9. Resistor 111 remains connected to the positive terminal of the bridge rectifier.
When normally open switch 105 is actuated for the cut mode of operation. the contacts of coagulate mode switch 106 are open and the contacts of the fulgurate mode switch 107 and 107' are as shown with ground connected to the negative output terminal of the bridge circuit. With the first stage of the control switch actuated as shown. a full wave rectified ac voltage is pro duced at the output terminals of the bridge circuit and thereafter filtered to deliver dc power to the input of the oscillator which in turn produces an unmodulated radio frequency signal at its output. The filter circuit consists of capacitor 9 connected directly across the output terminals of the bridge circuit inasmuch as resistor 8 is shorted through the contacts of switches and 108. Capacitor 9 must be large enough to provide a relatively smooth, ripple free dc voltage across its terminals.
A feedback circuit is provided to regulate the voltage at the cutting tip in order to keep it constant at a selected value in the face of varying load impedance. A portion of the radio frequency voltage at the output of oscillator 20 e.g., the voltage drop between the input and first tap in inductance 32 of impedance tranformer 30 is rectified by diode 114 and thereafter filtered by capacitor 115 connected in parallel with potentiometer 109. A portion of this rectified and filtered voltage is picked off by the wiper of potentiometer 109 and impressed upon the base of transistor 104 which is connected as an inverting amplifier. Transistors 102 and 101 connected as Darlington emitter followers are connected between the collector-output of transistor 104 and the output of power supply 10. The emitter voltage of transistor 101 follows the base voltage of transistor 102. Since the collector of transistor 104 is connected to the base of transistor 102, the emitter voltage of transistor 101, which is the dc supply voltage for oscillator 20, follows the collector voltage of transistor 104.
Thus, if the wiper of potentiometer 109 is set closer to its grounded end, a smaller voltage is applied to the base of transistor 104 causing its collector voltage to increase. This. in turn, causes the emitter voltage at transistor 101, and thus the output voltage of power supply 10, to increase. Since the output voltage of rf oscillator 20 is proportional to its dc input voltage. it is controlled by the dc voltage at the emitter of transistor 101. Accordingly. the rf output voltage at the tip of probe 60 is adjusted by moving the wiper of potentiometer 109 the closer the wiper is to ground, the higher the output rf voltage applied to cutting tip 60.
As is well known in the art. the tip to ground impedance varies considerably during operation. Thus. for example, tip to ground impedance when the tip is not in contact with the patients tissue is substantially greater than when contact is made. Unless this variation in impedance is compensated for, the rf voltage at the probe tip will vary during operation, producing a high voltage when the tip is separated from the tissue being cut and a much lower voltage when the tip is in contact with the tissue. And when the voltage increases as described, sparking occurs between the tip and the tissue being cut. causing undesireable tissue damage. It is a prevent this, as well as to make the output independent of power line variations. that I have provided the voltage regulating circuit 11.
By means of the negative feedback arrangement described, any rf voltage increase at the tip of the probe above the level set by potentiometer 109, is detected by diode 114. After passing through the wiper of potentiometer 109 and transistor inverting amplifier 104, the probe tip voltage increase causes a voltage decrease at the collector of transistor 104. This, in turn, causes the dc supply voltage to the oscillator to decrease and thus produces a decrease in the oscillator output voltage ap plied to the cutting tip. In this fashion the rf voltage at cutting tip 60, selected by the position of the slide on potentiometer 109, is maintained at a relatively constant level despite variations in load impedance seen by the cutting tip.
Also shown in the drawing are three lamp circuits connected in parallel across the secondary of transformer I to provide an indication of the mode of operation selected. As described above. when switch I05 is actuated for operation in the cut mode. normally open switch contacts 105' are closed to deliver ac power from the secondary of transformer I through limiting resistor 116 to lamp II7 located under the cut mode switch button. Similar arrangements are provided for the coagulate mode and the fulgurate mode in the form of switches 106 and 107'. respectively.
If. while in the cut mode of operation. the operator desires to switch to the coagulate mode. he will increase his pressure on the control switch and thereby actuate the second stage contacts I08 to simultaneously remove the short across resistor 8 and connect resistor 110 between the emitter of transistor I04 and the output of the bridge circuit. This puts resistor 8 in series with capacitor 9, and since resistor 8 is substantially larger than the bridge circuit impedance. a substantially unfiltered full wave rectified ac appears across the positive output terminal of the bridge circuit and thus across resistor 110 in series with resistor 103. Resistor H0 and resistor 103 form a voltage divider with the portion of the unfiltered full wave ac voltage across resistor I03 applied to emitter of transistor 104 to increase its collector voltage by a fixed amount. This. of course, also increases the rf output voltage of the oscillator by a fixed amount. The voltage regulating circuit II continues to function as before, only now a full wave rectified ac voltage is produced at the output of power supply 10 and connected to oscillator as a modulating signal. It can be shown histologically that by selecting a value for resistor 110 which permits an increase of approximately 50 percent in the ratio of peak to average output voltage, more effective in vivo operation in the coagulate mode results.
It can be seen that the two stage switch circuit arrangement produces certain desirable advantages. Often. during operation in the cut mode. the operator wishes to quickly and effectively coagulate blood without removing his eyes from the surgical site. He may do this by actuating the second stage of the control switch. If. thereafter. he reduces his pressure on the control switch. the second stage will disengage and operation in the cut mode is resumed. When this is done switch contacts 108 return to their original state to again short out resistor 8 and disconnect resistor 110 from the emitter of transistor I04.
When the operator selects the coagulate mode of operation by actuating switch 106 at the console, switch 105 opens to remove the short from across resistor 8 which is then connected in series between the positive output terminal of the bridge circuit and capacitor 9. When the first stage of the control switch is actuated, contacts 108 are closed and the resistor III is connected to the positive output terminal of the bridge rectifier circuit to energize transistor 104. As before a full wave rectified ac voltage is produced at the output of power supply I0. If. now, the operator wishes to momentarily actuate the second stage of the control switch i.e.. contacts I08 resistor 110 is connected to the emitter of transistor 104 to increase the peak to average output voltage as before.
If it is desired to operate the instrument in the fulgurate mode. the operator actuates switch 107, which, by reason of its mechanical interconnection. causes switches I05 and I06 to open. When this occurs the ground is removed from the negative terminal of the bridge circuit and applied instead to one side of the secondary winding of transformer 1. Of course. switch I05 is opened and the short is removed from across resistor 8. The effect of this is to convert the full-wave bridge rectifier circuit into a half-wave rectifier circuit. utilizing only rectifier 5 to produce a half-wave rectified ac voltage at the positive terminal of the bridge circuit. And since resistor 8 is now connected in series with capacitor 9, the half wave output voltage. in substantially unfiltered form, is applied to the collector of transistor 104 through resistor Ill and the terminals of contacts 108 of the first stage of the foot switch. As before. the unfiltered voltage appears at the output of power supply 10. Once again. if the operator desires to momentarily increase the output power, he will engage the second stage of the control switch and actuate contacts 108' to connect resistor 110 between the emitter of transistor 104 and the positive terminal of the rectifier circuit to deliver an increased peak to average voltage at the output of power supply 10.
In each mode of operation the power supply pro duces the direct current power to operate and modulate oscillator 20. While a common emitter feedback type oscillator circuit is shown, it has been found that any oscillator producing a radio frequency in the range of l to 4 megacycles will enable the instrument to perform satisfactorily.
Typically, the collector impedance of transistor power oscillators such as oscillator 20 is small compared to the impedance between the cutting tip and ground e. g.. the power oscillator collector impedance is resistive and on the order of 5 ohms. while the tip to ground impedance, consisting of the patient body resistance in series with the patient to ground capacitance, can be as high as 1,500 ohms. In conventional electrosurgery instruments this mismatch is compensated for by reducing the tip to ground impedance with a ground plate with its concomitant disadvantage.
In my invention, l have eliminated the need for a ground plate and simultaneously avoided the problems of radiation interference and the possibility of radio frequency burns (where insulation becomes defective) associated with the common usage of an insulated conductor connecting the oscillator to the probe.
In my invention, coaxial cable is connected between the probe and an impedance transformer 30 to match the load impedance to the oscillator output impedance for efficient and safe power transfer. By choosing a length for cable 40 which is less than one quarter wavelength. the impedance seen looking into the cable at the junction with impedance transformer 30 is approximately the capacitance of cable 40 in parallel with the patient-body impedance. As will be understood by those versed in the art, the cable capacitance adds to the capacitance of capacitor 31 in impedance tranformer 30, and this augmented capacitance is connected in a 1r network, including capacitor 33 and the portion of inductor 32 between capacitor 3i and capacitor 33, to transform the high patient impedance into a lower impedance approximating the output impedance of oscillator 20.
An inductance 56 may be connected between the end of the cable 40 and a terminal post that is electrically connected to a chuck fitted within the hollow of probe 50, which may be fashioned from cylindrically shaped insulation material. The inductance will then be in series with the patient to ground circuit. This inductance 56 is selected to have a value so that its positive rcactance equals the negative reactance of an average patient to ground capacitance to further increase the effective rf power delivered to the cutting site.
The shield of coaxial cable 40 is grounded at a jack terminal at the impedance transformer within the console. Insulation is stripped away from a portion of cable within probe some distance from terminal post to expose a shield segment 5!. A series circuit consisting of resistor 54 and lamp 53 is connected between the end of the center conductor of cable 40 and the exposed shield segment 51 to provide a means for indicating when radio frequency power is present at the cutting tip 60. Probe 50 is constructed with a translucent circumferential band forming a window 57 that permits the light from lamp 53 to be seen over a 360 viewing angle.
A series circuit consisting of resistor 41 and a lamp 42 may be connected at the console between the output of impedance transformer 30 and ground to indi cate when oscillator 20 is energized. Lamps 53 and 42 may be neon bulbs or any other indicators that can be energized directly by rf voltage.
Finally. the chuck may be any of a variety of convenient devices which enable cutting tip 60 to be inserted and removed with facility. Thus. for example. the chuck may be a friction device or. as shown in the drawing and as more fully described in US. Pat. No. 2,80l .613. a device having 3 or 4 normally open jaws 71 made from spring brass or other conductive metal which are closed by a spring loaded collar 72. Cap 73 is press fitted over a retainer bushing 74 fitted over collar 72, which in turn acts against spring 75. laws 71 are fitted within collar 72 so that their shaft extends through spring 75 into a tapped portion of terminal post 55 so an electrical connection is made therebetween. When cap 73 is pushed to compress spring 75, the jaws of the chuck extend from collar 72 to expand and permit the insertion or removal of cutting tip 60. This extension of jaws 71 takes place entirely within cap 73. which has a small opening 76 at its end to admit tip 60. With this arrangement, the chuck is made to accept various diameter cutting tips.
It is to be understood that the above-described arrangements are illustrative of the application of the principles of the invention. Numerous other arrangements may be devised by those skilled in the art without departing from the spirit and scope of the invention.
What I claim is;
1. An electrosurgery instrument connected to a source of ac power comprising a power supply including a switching means for selectively producing a full wave rectified output voltage, a half wave rectified output voltage and a substantially ripple-free dc output voltage from said source of ac power; and ac oscillator having input terminals and output terminals; an operating probe containing a cutting tip, means for coupling said oscillator output terminals to said cutting tip; and regulator means for connecting a selected one of said output voltages to said oscillator input terminals including feedback means connected to said coupling means for maintaining a substantially constant voltage at said oscillator output terminals independent of variations in load impedance and power line voltage.
2. An clectrosurgery instrument in accordance with claim I wherein said regulator means includes means for selectively adjusting the magnitude of output voltage from said power supply independent from said switching means.
3. An electrosurgery instrument in accordance with claim 2 wherein said regulator means further includes a feedback circuit comprising a rectifier connected to a portion of said oscillator output voltage. a filter network including a potentiometer connected to said rectifier. an inverting amplifier connected to the slide of said potentiometer and amplifier means controlled by said inverting amplifier for connecting a selected one of said power supply output voltages to said oscillator input terminals.
4. An electrosurgery instrument in accordance with claim 1 wherein said switching means includes a primary switch for selecthely producing one of said out put voltages at the output of said power supply and a remotely situated control switch having a first stage for energizing said oscillator input terminals with a selected one of said power supply output voltages and a second stage for simultaneously increasing the magnitude of said selected output voltage and for overriding said primary switch to produce said full wave rectified voltage at said output of said power supply when said primary switching means is arranged to select said ripple-free dc output voltage for application to said output of said power supply.
5. An clectrosurgery instrument in accordance with claim 4 wherein said oscillator produces a voltage having a frequency in the range of l to 4 megacycles.
6. An electrosurgery instrument in accordance with claim 1 wherein said means for coupling said oscillator to said cutting tip includes an impedance transformer to effect a substantial match between the operating impedance seen by said cutting tip and the output impedance of said oscillator, a coaxial cable having a length less than one-quarter the wave length of said oscillator voltage connected between said cutting tip and said impedance transformer and an inductance having a magnitude in the range of 10-40 microhenrys serially connected between the terminal of said cable within said probe and said cutting tip.
7. An electrosurgery instrument in accordance with claim 1 wherein said operating probe comprises a hollow tubular housing fabricated from an electrical insulator material having a translucent band running circumferentially over a portion of its length and an interior lamp adjacent to said band having two terminals connected to points of different potential on said cable. t l i I
|Patente citada||Fecha de presentación||Fecha de publicación||Solicitante||Título|
|US3089496 *||19 Ago 1959||14 May 1963||Code Inc||Control system for surgical apparatus|
|US3532095 *||21 Jun 1968||6 Oct 1970||Weck & Co Inc Edward||Electrosurgical instrument|
|US3675655 *||4 Feb 1970||11 Jul 1972||Electro Medical Systems Inc||Method and apparatus for high frequency electric surgery|
|US3699967 *||30 Abr 1971||24 Oct 1972||Valleylab Inc||Electrosurgical generator|
|US3707149 *||16 Oct 1970||26 Dic 1972||Majesco Inc||Electrosurgery unit and instrument|
|US3720896 *||18 May 1971||13 Mar 1973||Siemens Ag||Handle for high frequency electrodes|
|US3730188 *||24 Mar 1971||1 May 1973||Ellman I||Electrosurgical apparatus for dental use|
|Patente citante||Fecha de presentación||Fecha de publicación||Solicitante||Título|
|US3952748 *||18 Jul 1974||27 Abr 1976||Minnesota Mining And Manufacturing Company||Electrosurgical system providing a fulguration current|
|US3964487 *||9 Dic 1974||22 Jun 1976||The Birtcher Corporation||Uncomplicated load-adapting electrosurgical cutting generator|
|US3999552 *||20 May 1975||28 Dic 1976||Universal Technology, Inc.||Epilator|
|US4034761 *||15 Dic 1975||12 Jul 1977||The Birtcher Corporation||Disposable electrosurgical switching assembly|
|US4057063 *||27 Feb 1976||8 Nov 1977||U.S. Philips Corporation||Device for sterilization by transuterine tube coagulation|
|US4092986 *||14 Jun 1976||6 Jun 1978||Ipco Hospital Supply Corporation (Whaledent International Division)||Constant output electrosurgical unit|
|US4114623 *||29 Jul 1976||19 Sep 1978||Karl Storz Endoscopy-America, Inc.||Cutting and coagulation apparatus for surgery|
|US4196734 *||16 Feb 1978||8 Abr 1980||Valleylab, Inc.||Combined electrosurgery/cautery system and method|
|US4209018 *||30 May 1978||24 Jun 1980||Karl Fastenmeier||Tissue coagulation apparatus and method|
|US4301801 *||16 Feb 1979||24 Nov 1981||Ipco Hospital Supply Corporation (Whaledent International Division)||Electrosurge failsafe system|
|US4372315 *||3 Jul 1980||8 Feb 1983||Hair Free Centers||Impedance sensing epilator|
|US4492231 *||17 Sep 1982||8 Ene 1985||Auth David C||Non-sticking electrocautery system and forceps|
|US4498475 *||27 Ago 1982||12 Feb 1985||Ipco Corporation||Electrosurgical unit|
|US4566454 *||16 Jun 1981||28 Ene 1986||Thomas L. Mehl||Selected frequency hair removal device and method|
|US4569345 *||29 Feb 1984||11 Feb 1986||Aspen Laboratories, Inc.||High output electrosurgical unit|
|US4574801 *||29 Feb 1984||11 Mar 1986||Aspen Laboratories, Inc.||Electrosurgical unit with regulated output|
|US4580562 *||7 Jun 1984||8 Abr 1986||Goof Sven Karl Lennart||Electrosurgical apparatus|
|US4800878 *||26 Ago 1987||31 Ene 1989||Becton, Dickinson And Company||Electrosurgical knife with visual alarm|
|US4818954 *||6 Feb 1987||4 Abr 1989||Karl Storz Endoscopy-America, Inc.||High-frequency generator with automatic power-control for high-frequency surgery|
|US4932952 *||20 Dic 1988||12 Jun 1990||Alto Development Corporation||Antishock, anticlog suction coagulator|
|US5312327 *||9 Oct 1992||17 May 1994||Symbiosis Corporation||Cautery override safety systems endoscopic electrosurgical suction-irrigation instrument|
|US5458598 *||2 Dic 1993||17 Oct 1995||Cabot Technology Corporation||Cutting and coagulating forceps|
|US5472443 *||17 Mar 1994||5 Dic 1995||Hemostatic Surgery Corporation||Electrosurgical apparatus employing constant voltage and methods of use|
|US5633578 *||15 Jul 1994||27 May 1997||Hemostatic Surgery Corporation||Electrosurgical generator adaptors|
|US5647869 *||28 Jun 1995||15 Jul 1997||Gyrus Medical Limited||Electrosurgical apparatus|
|US5693045 *||7 Jun 1995||2 Dic 1997||Hemostatic Surgery Corporation||Electrosurgical generator cable|
|US5817091 *||20 May 1997||6 Oct 1998||Medical Scientific, Inc.||Electrosurgical device having a visible indicator|
|US5928227 *||10 Mar 1997||27 Jul 1999||The University Of Iowa Research||Remote controlled coagulator system and methods|
|US5984918 *||22 Dic 1997||16 Nov 1999||Garito; Jon C.||Electrosurgical handpiece with multiple electrode collet|
|US6039734 *||21 Oct 1996||21 Mar 2000||Gyrus Medical Limited||Electrosurgical hand-held battery-operated instrument|
|US6228080||11 Dic 1998||8 May 2001||Sherwood Services Ag||Electrosurgical generator with adaptive power control|
|US6676660 *||23 Ene 2002||13 Ene 2004||Ethicon Endo-Surgery, Inc.||Feedback light apparatus and method for use with an electrosurgical instrument|
|US7044948||4 Dic 2003||16 May 2006||Sherwood Services Ag||Circuit for controlling arc energy from an electrosurgical generator|
|US7100403||4 May 2004||5 Sep 2006||Acco Brands Usa Llc||Computer physical security device|
|US7100404||9 Dic 2004||5 Sep 2006||Acco Brands Usa Llc||Computer physical security device|
|US7131860||20 Nov 2003||7 Nov 2006||Sherwood Services Ag||Connector systems for electrosurgical generator|
|US7137980||1 May 2003||21 Nov 2006||Sherwood Services Ag||Method and system for controlling output of RF medical generator|
|US7156842||6 Oct 2004||2 Ene 2007||Sherwood Services Ag||Electrosurgical pencil with improved controls|
|US7156844||20 Nov 2003||2 Ene 2007||Sherwood Services Ag||Electrosurgical pencil with improved controls|
|US7201029||9 Dic 2004||10 Abr 2007||Acco Brands Usa Llc||Computer physical security device|
|US7235072||17 Feb 2004||26 Jun 2007||Sherwood Services Ag||Motion detector for controlling electrosurgical output|
|US7241294||19 Nov 2003||10 Jul 2007||Sherwood Services Ag||Pistol grip electrosurgical pencil with manual aspirator/irrigator and methods of using the same|
|US7244257||5 Nov 2003||17 Jul 2007||Sherwood Services Ag||Electrosurgical pencil having a single button variable control|
|US7255694||4 Dic 2003||14 Ago 2007||Sherwood Services Ag||Variable output crest factor electrosurgical generator|
|US7300435||21 Nov 2003||27 Nov 2007||Sherwood Services Ag||Automatic control system for an electrosurgical generator|
|US7303557||27 Dic 2004||4 Dic 2007||Sherwood Services Ag||Vessel sealing system|
|US7364577||24 Jul 2003||29 Abr 2008||Sherwood Services Ag||Vessel sealing system|
|US7393354||23 Jul 2003||1 Jul 2008||Sherwood Services Ag||Electrosurgical pencil with drag sensing capability|
|US7396336||27 Oct 2004||8 Jul 2008||Sherwood Services Ag||Switched resonant ultrasonic power amplifier system|
|US7416437||23 Ago 2006||26 Ago 2008||Sherwood Services Ag||Connector systems for electrosurgical generator|
|US7500974||28 Jun 2005||10 Mar 2009||Covidien Ag||Electrode with rotatably deployable sheath|
|US7503917 *||5 Ago 2005||17 Mar 2009||Covidien Ag||Electrosurgical pencil with improved controls|
|US7513896||24 Ene 2006||7 Abr 2009||Covidien Ag||Dual synchro-resonant electrosurgical apparatus with bi-directional magnetic coupling|
|US7621909||12 Jun 2008||24 Nov 2009||Covidien Ag||Electrosurgical pencil with drag sensing capability|
|US7628786||16 May 2005||8 Dic 2009||Covidien Ag||Universal foot switch contact port|
|US7637907||19 Sep 2006||29 Dic 2009||Covidien Ag||System and method for return electrode monitoring|
|US7648499||21 Mar 2006||19 Ene 2010||Covidien Ag||System and method for generating radio frequency energy|
|US7651492||24 Abr 2006||26 Ene 2010||Covidien Ag||Arc based adaptive control system for an electrosurgical unit|
|US7651493||3 Mar 2006||26 Ene 2010||Covidien Ag||System and method for controlling electrosurgical snares|
|US7722601||30 Abr 2004||25 May 2010||Covidien Ag||Method and system for programming and controlling an electrosurgical generator system|
|US7731717||8 Ago 2006||8 Jun 2010||Covidien Ag||System and method for controlling RF output during tissue sealing|
|US7749217||6 May 2003||6 Jul 2010||Covidien Ag||Method and system for optically detecting blood and controlling a generator during electrosurgery|
|US7766693||16 Jun 2008||3 Ago 2010||Covidien Ag||Connector systems for electrosurgical generator|
|US7766905||4 Feb 2005||3 Ago 2010||Covidien Ag||Method and system for continuity testing of medical electrodes|
|US7780662||23 Feb 2005||24 Ago 2010||Covidien Ag||Vessel sealing system using capacitive RF dielectric heating|
|US7789878 *||29 Sep 2006||7 Sep 2010||Covidien Ag||In-line vessel sealer and divider|
|US7794457||28 Sep 2006||14 Sep 2010||Covidien Ag||Transformer for RF voltage sensing|
|US7824400||3 Mar 2006||2 Nov 2010||Covidien Ag||Circuit for controlling arc energy from an electrosurgical generator|
|US7828794||25 Ago 2005||9 Nov 2010||Covidien Ag||Handheld electrosurgical apparatus for controlling operating room equipment|
|US7834484||16 Jul 2007||16 Nov 2010||Tyco Healthcare Group Lp||Connection cable and method for activating a voltage-controlled generator|
|US7879033 *||24 Ene 2006||1 Feb 2011||Covidien Ag||Electrosurgical pencil with advanced ES controls|
|US7901400||27 Ene 2005||8 Mar 2011||Covidien Ag||Method and system for controlling output of RF medical generator|
|US7927328||24 Ene 2007||19 Abr 2011||Covidien Ag||System and method for closed loop monitoring of monopolar electrosurgical apparatus|
|US7931648||1 Nov 2006||26 Abr 2011||Schneider Andrew I||Surgical glove system|
|US7947039||12 Dic 2005||24 May 2011||Covidien Ag||Laparoscopic apparatus for performing electrosurgical procedures|
|US7951145 *||19 Ene 2006||31 May 2011||Schneider Andrew I||Surgical glove system|
|US7951150||22 Feb 2010||31 May 2011||Covidien Ag||Vessel sealer and divider with rotating sealer and cutter|
|US7955327||8 Ene 2007||7 Jun 2011||Covidien Ag||Motion detector for controlling electrosurgical output|
|US7959633||18 Dic 2006||14 Jun 2011||Covidien Ag||Electrosurgical pencil with improved controls|
|US7972328||24 Ene 2007||5 Jul 2011||Covidien Ag||System and method for tissue sealing|
|US7972332||16 Dic 2009||5 Jul 2011||Covidien Ag||System and method for controlling electrosurgical snares|
|US8012150||30 Abr 2004||6 Sep 2011||Covidien Ag||Method and system for programming and controlling an electrosurgical generator system|
|US8016824||21 Oct 2009||13 Sep 2011||Covidien Ag||Electrosurgical pencil with drag sensing capability|
|US8025660||18 Nov 2009||27 Sep 2011||Covidien Ag||Universal foot switch contact port|
|US8034049||8 Ago 2006||11 Oct 2011||Covidien Ag||System and method for measuring initial tissue impedance|
|US8061014||26 Ago 2009||22 Nov 2011||Covidien Ag||Method of assembling a cordless hand-held ultrasonic cautery cutting device|
|US8080008||18 Sep 2007||20 Dic 2011||Covidien Ag||Method and system for programming and controlling an electrosurgical generator system|
|US8096961||27 Jun 2008||17 Ene 2012||Covidien Ag||Switched resonant ultrasonic power amplifier system|
|US8100902||30 Ene 2009||24 Ene 2012||Covidien Ag||Electrode with rotatably deployable sheath|
|US8104956||23 Oct 2003||31 Ene 2012||Covidien Ag||Thermocouple measurement circuit|
|US8105323||24 Oct 2006||31 Ene 2012||Covidien Ag||Method and system for controlling output of RF medical generator|
|US8113057||27 Jun 2008||14 Feb 2012||Covidien Ag||Switched resonant ultrasonic power amplifier system|
|US8128622||9 Jul 2007||6 Mar 2012||Covidien Ag||Electrosurgical pencil having a single button variable control|
|US8147485||23 Feb 2009||3 Abr 2012||Covidien Ag||System and method for tissue sealing|
|US8147489||17 Feb 2011||3 Abr 2012||Covidien Ag||Open vessel sealing instrument|
|US8162937||27 Jun 2008||24 Abr 2012||Tyco Healthcare Group Lp||High volume fluid seal for electrosurgical handpiece|
|US8180458 *||17 Dic 2007||15 May 2012||Thermage, Inc.||Method and apparatus for digital signal processing for radio frequency surgery measurements|
|US8182479||6 Abr 2011||22 May 2012||Schneider Andrew I||Surgical glove system|
|US8187262||3 Jun 2009||29 May 2012||Covidien Ag||Dual synchro-resonant electrosurgical apparatus with bi-directional magnetic coupling|
|US8197502||25 Mar 2011||12 Jun 2012||Covidien Ag||Method of maintaining constant movement of a cutting blade on an ultrasonic waveguide|
|US8197633||15 Mar 2011||12 Jun 2012||Covidien Ag||Method for manufacturing an end effector assembly|
|US8202271||25 Feb 2009||19 Jun 2012||Covidien Ag||Dual synchro-resonant electrosurgical apparatus with bi-directional magnetic coupling|
|US8216220||7 Sep 2007||10 Jul 2012||Tyco Healthcare Group Lp||System and method for transmission of combined data stream|
|US8216223||23 Feb 2009||10 Jul 2012||Covidien Ag||System and method for tissue sealing|
|US8226639||10 Jun 2008||24 Jul 2012||Tyco Healthcare Group Lp||System and method for output control of electrosurgical generator|
|US8231616||23 Ago 2010||31 Jul 2012||Covidien Ag||Transformer for RF voltage sensing|
|US8231620 *||10 Feb 2009||31 Jul 2012||Tyco Healthcare Group Lp||Extension cutting blade|
|US8235987||21 Nov 2008||7 Ago 2012||Tyco Healthcare Group Lp||Thermal penetration and arc length controllable electrosurgical pencil|
|US8236020||25 Mar 2011||7 Ago 2012||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8241278||29 Abr 2011||14 Ago 2012||Covidien Ag||Laparoscopic apparatus for performing electrosurgical procedures|
|US8257352||7 Sep 2010||4 Sep 2012||Covidien Ag||Bipolar forceps having monopolar extension|
|US8267928||29 Mar 2011||18 Sep 2012||Covidien Ag||System and method for closed loop monitoring of monopolar electrosurgical apparatus|
|US8267929||16 Dic 2011||18 Sep 2012||Covidien Ag||Method and system for programming and controlling an electrosurgical generator system|
|US8287528||28 Mar 2008||16 Oct 2012||Covidien Ag||Vessel sealing system|
|US8298223||5 Abr 2010||30 Oct 2012||Covidien Ag||Method and system for programming and controlling an electrosurgical generator system|
|US8303580||5 Abr 2010||6 Nov 2012||Covidien Ag||Method and system for programming and controlling an electrosurgical generator system|
|US8333778||25 Mar 2011||18 Dic 2012||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8333779||25 Mar 2011||18 Dic 2012||Covidien Ag||Method of maintaining constant movement of a cutting blade of an ultrasonic waveguide|
|US8334468||25 Ago 2010||18 Dic 2012||Covidien Ag||Method of switching a cordless hand-held ultrasonic cautery cutting device|
|US8338726||25 Ago 2010||25 Dic 2012||Covidien Ag||Two-stage switch for cordless hand-held ultrasonic cautery cutting device|
|US8348948||29 Jul 2010||8 Ene 2013||Covidien Ag||Vessel sealing system using capacitive RF dielectric heating|
|US8353905||18 Jun 2012||15 Ene 2013||Covidien Lp||System and method for transmission of combined data stream|
|US8361072||19 Nov 2010||29 Ene 2013||Covidien Ag||Insulating boot for electrosurgical forceps|
|US8372099||7 Nov 2008||12 Feb 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8372101||25 Mar 2011||12 Feb 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8377085||25 Mar 2011||19 Feb 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8394095||12 Ene 2011||12 Mar 2013||Covidien Ag||Insulating boot for electrosurgical forceps|
|US8394096||11 Abr 2011||12 Mar 2013||Covidien Ag||Open vessel sealing instrument with cutting mechanism|
|US8403948||6 Nov 2008||26 Mar 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8403949||12 Nov 2008||26 Mar 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8403950||13 Nov 2008||26 Mar 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8418349||25 Mar 2011||16 Abr 2013||Covidien Ag||Method of assembling a cordless hand-held ultrasonic cautery cutting device|
|US8419757||6 Nov 2008||16 Abr 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8419758||6 Nov 2008||16 Abr 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device|
|US8425545||26 Ago 2009||23 Abr 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device and method|
|US8435257||26 Ago 2009||7 May 2013||Covidien Ag||Cordless hand-held ultrasonic cautery cutting device and method|
|US8439939||8 Feb 2011||14 May 2013||Covidien Ag||Method of powering a surgical instrument|
|US8444662||12 Nov 2008||21 May 2013||Covidien Lp||Cordless hand-held ultrasonic cautery cutting device|
|US8449540||10 Feb 2009||28 May 2013||Covidien Ag||Electrosurgical pencil with improved controls|
|US8449541||19 Abr 2012||28 May 2013||Andrew I. Schneider||Surgical glove system|
|US8454602||4 May 2012||4 Jun 2013||Covidien Lp||Apparatus, system, and method for performing an electrosurgical procedure|
|US8460289||23 Ene 2012||11 Jun 2013||Covidien Ag||Electrode with rotatably deployable sheath|
|US8475447||23 Ago 2012||2 Jul 2013||Covidien Ag||System and method for closed loop monitoring of monopolar electrosurgical apparatus|
|US8485993||16 Ene 2012||16 Jul 2013||Covidien Ag||Switched resonant ultrasonic power amplifier system|
|US8486061||24 Ago 2012||16 Jul 2013||Covidien Lp||Imaginary impedance process monitoring and intelligent shut-off|
|US8487199||19 Oct 2012||16 Jul 2013||Covidien Ag||Method of switching a surgical device|
|US8497436||19 Oct 2012||30 Jul 2013||Covidien Ag||Two-stage switch for surgical device|
|US8497437||19 Oct 2012||30 Jul 2013||Covidien Ag||Method of switching a surgical device|
|US8502091||19 Oct 2012||6 Ago 2013||Covidien Ag||Two-Stage Switch for Surgical Device|
|US8506565||23 Ago 2007||13 Ago 2013||Covidien Lp||Electrosurgical device with LED adapter|
|US8512332||21 Sep 2007||20 Ago 2013||Covidien Lp||Real-time arc control in electrosurgical generators|
|US8523855||23 Ago 2010||3 Sep 2013||Covidien Ag||Circuit for controlling arc energy from an electrosurgical generator|
|US8523898||10 Ago 2012||3 Sep 2013||Covidien Lp||Endoscopic electrosurgical jaws with offset knife|
|US8551091||30 Mar 2011||8 Oct 2013||Covidien Ag||Vessel sealing instrument with electrical cutting mechanism|
|US8556890||14 Dic 2009||15 Oct 2013||Covidien Ag||Arc based adaptive control system for an electrosurgical unit|
|US8568400 *||23 Sep 2009||29 Oct 2013||Covidien Lp||Methods and apparatus for smart handset design in surgical instruments|
|US8568444||7 Mar 2012||29 Oct 2013||Covidien Lp||Method of transferring rotational motion in an articulating surgical instrument|
|US8591506||16 Oct 2012||26 Nov 2013||Covidien Ag||Vessel sealing system|
|US8591509||23 Jun 2008||26 Nov 2013||Covidien Lp||Electrosurgical pencil including improved controls|
|US8597292||27 Feb 2009||3 Dic 2013||Covidien Lp||Electrosurgical pencil including improved controls|
|US8597296||31 Ago 2012||3 Dic 2013||Covidien Ag||Bipolar forceps having monopolar extension|
|US8632536||23 Jun 2008||21 Ene 2014||Covidien Lp||Electrosurgical pencil including improved controls|
|US8636733||26 Feb 2009||28 Ene 2014||Covidien Lp||Electrosurgical pencil including improved controls|
|US8641713||15 Sep 2010||4 Feb 2014||Covidien Ag||Flexible endoscopic catheter with ligasure|
|US8647340||4 Ene 2012||11 Feb 2014||Covidien Ag||Thermocouple measurement system|
|US8652125||28 Sep 2009||18 Feb 2014||Covidien Lp||Electrosurgical generator user interface|
|US8663214||24 Ene 2007||4 Mar 2014||Covidien Ag||Method and system for controlling an output of a radio-frequency medical generator having an impedance based control algorithm|
|US8663218||23 Jun 2008||4 Mar 2014||Covidien Lp||Electrosurgical pencil including improved controls|
|US8663219||23 Jun 2008||4 Mar 2014||Covidien Lp||Electrosurgical pencil including improved controls|
|US8663262||8 Feb 2011||4 Mar 2014||Covidien Ag||Battery assembly for battery-powered surgical instruments|
|US8668688||17 Jul 2012||11 Mar 2014||Covidien Ag||Soft tissue RF transection and resection device|
|US8668689||19 Abr 2010||11 Mar 2014||Covidien Ag||In-line vessel sealer and divider|
|US8679114||23 Abr 2010||25 Mar 2014||Covidien Ag||Incorporating rapid cooling in tissue fusion heating processes|
|US8685016||23 Feb 2009||1 Abr 2014||Covidien Ag||System and method for tissue sealing|
|US8709006 *||14 Abr 2010||29 Abr 2014||Old Dominion Research Foundation||System and method for applying plasma sparks to tissue|
|US8709010||17 Jun 2011||29 Abr 2014||Gyrus Medical Limited||Electrosurgical system|
|US8734438||21 Oct 2005||27 May 2014||Covidien Ag||Circuit and method for reducing stored energy in an electrosurgical generator|
|US8734444||10 Oct 2008||27 May 2014||Covidien Lp||System and method for delivering high current to electrosurgical device|
|US8740901||20 Ene 2010||3 Jun 2014||Covidien Ag||Vessel sealing instrument with electrical cutting mechanism|
|US8742269||24 May 2013||3 Jun 2014||Covidien Ag||Two-stage switch for surgical device|
|US8753334||10 May 2006||17 Jun 2014||Covidien Ag||System and method for reducing leakage current in an electrosurgical generator|
|US8777941||10 May 2007||15 Jul 2014||Covidien Lp||Adjustable impedance electrosurgical electrodes|
|US8808161||23 Oct 2003||19 Ago 2014||Covidien Ag||Redundant temperature monitoring in electrosurgical systems for safety mitigation|
|US8852228||8 Feb 2012||7 Oct 2014||Covidien Lp||Apparatus, system, and method for performing an electrosurgical procedure|
|US8858554||4 Jun 2013||14 Oct 2014||Covidien Lp||Apparatus, system, and method for performing an electrosurgical procedure|
|US8898888||26 Ene 2012||2 Dic 2014||Covidien Lp||System for manufacturing electrosurgical seal plates|
|US8945124||6 Ago 2012||3 Feb 2015||Covidien Lp||Thermal penetration and arc length controllable electrosurgical pencil|
|US8945125||10 Sep 2010||3 Feb 2015||Covidien Ag||Compressible jaw configuration with bipolar RF output electrodes for soft tissue fusion|
|US8966981||16 Jul 2013||3 Mar 2015||Covidien Ag||Switched resonant ultrasonic power amplifier system|
|US8992555||30 Abr 2013||31 Mar 2015||Covidien Ag||Method of assembling a cordless hand-held ultrasonic cautery cutting device|
|US9017355||23 Ago 2011||28 Abr 2015||Covidien Ag||Battery-powered hand-held ultrasonic surgical cautery cutting device|
|US9028493||8 Mar 2012||12 May 2015||Covidien Lp||In vivo attachable and detachable end effector assembly and laparoscopic surgical instrument and methods therefor|
|US9066747||1 Nov 2013||30 Jun 2015||Ethicon Endo-Surgery, Inc.||Ultrasonic surgical instrument blades|
|US9084625||30 Abr 2013||21 Jul 2015||Covidien Ag||Battery assembly for battery-powered surgical instruments|
|US9095367||22 Oct 2012||4 Ago 2015||Ethicon Endo-Surgery, Inc.||Flexible harmonic waveguides/blades for surgical instruments|
|US9107690||30 Nov 2011||18 Ago 2015||Covidien Ag||Battery-powered hand-held ultrasonic surgical cautery cutting device|
|US9113898||9 Sep 2011||25 Ago 2015||Covidien Lp||Apparatus, system, and method for performing an electrosurgical procedure|
|US9113900||31 Ene 2012||25 Ago 2015||Covidien Ag||Method and system for controlling output of RF medical generator|
|US9113940||22 Feb 2012||25 Ago 2015||Covidien Lp||Trigger lockout and kickback mechanism for surgical instruments|
|US9119624||8 Oct 2013||1 Sep 2015||Covidien Ag||ARC based adaptive control system for an electrosurgical unit|
|US9149323||25 Ene 2010||6 Oct 2015||Covidien Ag||Method of fusing biomaterials with radiofrequency energy|
|US9149337||25 Sep 2012||6 Oct 2015||Andrew I. Schneider||Surgical glove systems and method of using the same|
|US9168089||31 Ene 2012||27 Oct 2015||Covidien Ag||Method and system for controlling output of RF medical generator|
|US9186200||30 May 2012||17 Nov 2015||Covidien Ag||System and method for tissue sealing|
|US9198714||29 Jun 2012||1 Dic 2015||Ethicon Endo-Surgery, Inc.||Haptic feedback devices for surgical robot|
|US9198720||24 Feb 2014||1 Dic 2015||Covidien Lp||Electrosurgical pencil including improved controls|
|US9220527||28 Jul 2014||29 Dic 2015||Ethicon Endo-Surgery, Llc||Surgical instruments|
|US9226766||15 Mar 2013||5 Ene 2016||Ethicon Endo-Surgery, Inc.||Serial communication protocol for medical device|
|US9226767||29 Jun 2012||5 Ene 2016||Ethicon Endo-Surgery, Inc.||Closed feedback control for electrosurgical device|
|US9232979||6 Feb 2013||12 Ene 2016||Ethicon Endo-Surgery, Inc.||Robotically controlled surgical instrument|
|US9237921||15 Mar 2013||19 Ene 2016||Ethicon Endo-Surgery, Inc.||Devices and techniques for cutting and coagulating tissue|
|US9241728||15 Mar 2013||26 Ene 2016||Ethicon Endo-Surgery, Inc.||Surgical instrument with multiple clamping mechanisms|
|US9241731||15 Mar 2013||26 Ene 2016||Ethicon Endo-Surgery, Inc.||Rotatable electrical connection for ultrasonic surgical instruments|
|US9241764||25 Sep 2012||26 Ene 2016||Andrew I. Schneider||Method of making polymeric gloves having embedded surgical support systems and discrete elements|
|US9271790||20 Ago 2013||1 Mar 2016||Coviden Lp||Real-time arc control in electrosurgical generators|
|US9283045||29 Jun 2012||15 Mar 2016||Ethicon Endo-Surgery, Llc||Surgical instruments with fluid management system|
|US9314261||18 Feb 2015||19 Abr 2016||Covidien Ag||Battery-powered hand-held ultrasonic surgical cautery cutting device|
|US9326788||29 Jun 2012||3 May 2016||Ethicon Endo-Surgery, Llc||Lockout mechanism for use with robotic electrosurgical device|
|US9339289||18 Jun 2015||17 May 2016||Ehticon Endo-Surgery, LLC||Ultrasonic surgical instrument blades|
|US9345535||14 Oct 2014||24 May 2016||Covidien Lp||Apparatus, system and method for performing an electrosurgical procedure|
|US9351754||29 Jun 2012||31 May 2016||Ethicon Endo-Surgery, Llc||Ultrasonic surgical instruments with distally positioned jaw assemblies|
|US9375270||5 Nov 2013||28 Jun 2016||Covidien Ag||Vessel sealing system|
|US9375271||5 Nov 2013||28 Jun 2016||Covidien Ag||Vessel sealing system|
|US9393037||29 Jun 2012||19 Jul 2016||Ethicon Endo-Surgery, Llc||Surgical instruments with articulating shafts|
|US9408622||29 Jun 2012||9 Ago 2016||Ethicon Endo-Surgery, Llc||Surgical instruments with articulating shafts|
|US9414853||25 Mar 2013||16 Ago 2016||Ethicon Endo-Surgery, Llc||Ultrasonic end effectors with increased active length|
|US9427249||10 May 2013||30 Ago 2016||Ethicon Endo-Surgery, Llc||Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments|
|US9439668||15 Mar 2013||13 Sep 2016||Ethicon Endo-Surgery, Llc||Switch arrangements for ultrasonic surgical instruments|
|US9439669||28 Mar 2013||13 Sep 2016||Ethicon Endo-Surgery, Llc||Ultrasonic surgical instruments|
|US9445832||21 Jun 2013||20 Sep 2016||Ethicon Endo-Surgery, Llc||Surgical instruments|
|US9463067||5 Nov 2013||11 Oct 2016||Covidien Ag||Vessel sealing system|
|US9474564||27 Mar 2006||25 Oct 2016||Covidien Ag||Method and system for compensating for external impedance of an energy carrying component when controlling an electrosurgical generator|
|US9498245||6 May 2014||22 Nov 2016||Ethicon Endo-Surgery, Llc||Ultrasonic surgical instruments|
|US9504483||3 Jul 2012||29 Nov 2016||Ethicon Endo-Surgery, Llc||Surgical instruments|
|US9504855||20 Mar 2015||29 Nov 2016||Ethicon Surgery, LLC||Devices and techniques for cutting and coagulating tissue|
|US9510850||11 Nov 2013||6 Dic 2016||Ethicon Endo-Surgery, Llc||Ultrasonic surgical instruments|
|US9522032||21 May 2014||20 Dic 2016||Covidien Ag||Circuit and method for reducing stored energy in an electrosurgical generator|
|US9549775||11 Mar 2014||24 Ene 2017||Covidien Ag||In-line vessel sealer and divider|
|US9579145||4 Feb 2014||28 Feb 2017||Covidien Ag||Flexible endoscopic catheter with ligasure|
|US9585716||3 Jun 2014||7 Mar 2017||Covidien Ag||Vessel sealing instrument with electrical cutting mechanism|
|US9623237||28 Sep 2015||18 Abr 2017||Ethicon Endo-Surgery, Llc||Surgical generator for ultrasonic and electrosurgical devices|
|US9636135||10 Nov 2014||2 May 2017||Ethicon Endo-Surgery, Llc||Ultrasonic surgical instruments|
|US9636165||14 Feb 2014||2 May 2017||Covidien Lp||Systems and methods for measuring tissue impedance through an electrosurgical cable|
|US9642644||12 Mar 2015||9 May 2017||Ethicon Endo-Surgery, Llc||Surgical instruments|
|US9642665||27 Feb 2014||9 May 2017||Covidien Ag||Method and system for controlling an output of a radio-frequency medical generator having an impedance based control algorithm|
|US9649126||6 Ene 2015||16 May 2017||Ethicon Endo-Surgery, Llc||Seal arrangements for ultrasonically powered surgical instruments|
|US9655670||14 Feb 2014||23 May 2017||Covidien Lp||Systems and methods for measuring tissue impedance through an electrosurgical cable|
|US9655674||1 Oct 2014||23 May 2017||Covidien Lp||Apparatus, system and method for performing an electrosurgical procedure|
|US9700339||20 May 2009||11 Jul 2017||Ethicon Endo-Surgery, Inc.||Coupling arrangements and methods for attaching tools to ultrasonic surgical instruments|
|US9700343||2 Nov 2015||11 Jul 2017||Ethicon Endo-Surgery, Llc||Devices and techniques for cutting and coagulating tissue|
|US9707004||12 Mar 2015||18 Jul 2017||Ethicon Llc||Surgical instruments|
|US9707027||20 May 2011||18 Jul 2017||Ethicon Endo-Surgery, Llc||Medical device|
|US9713507||4 Ene 2016||25 Jul 2017||Ethicon Endo-Surgery, Llc||Closed feedback control for electrosurgical device|
|US9724118||15 Mar 2013||8 Ago 2017||Ethicon Endo-Surgery, Llc||Techniques for cutting and coagulating tissue for ultrasonic surgical instruments|
|US9737326||23 Oct 2015||22 Ago 2017||Ethicon Endo-Surgery, Llc||Haptic feedback devices for surgical robot|
|US9743947||9 Dic 2015||29 Ago 2017||Ethicon Endo-Surgery, Llc||End effector with a clamp arm assembly and blade|
|US20030139742 *||23 Ene 2002||24 Jul 2003||Wampler Scott D.||Feedback light apparatus and method for use with an electrosurgical instrument|
|US20040206138 *||4 May 2004||21 Oct 2004||Kensington Microware Limited||Computer physical security device|
|US20040230262 *||17 Feb 2004||18 Nov 2004||Sartor Joe D.||Motion detector for controlling electrosurgical output|
|US20050113823 *||20 Nov 2003||26 May 2005||Reschke Arlan J.||Electrosurgical pencil with improved controls|
|US20050113824 *||6 Oct 2004||26 May 2005||Sartor Joe D.||Electrosurgical pencil with improved controls|
|US20050150262 *||9 Dic 2004||14 Jul 2005||Acco Brands, Inc.||Computer physical security device|
|US20050150263 *||9 Dic 2004||14 Jul 2005||Acco Brands, Inc.||Computer physical security device|
|US20050215995 *||13 May 2005||29 Sep 2005||Japan Medical Dynamic Marketing, Inc.||Electromagnetic field surgical device and method|
|US20060041257 *||5 Ago 2005||23 Feb 2006||Sartor Joe D||Electrosurgical pencil with improved controls|
|US20060058783 *||23 Jul 2003||16 Mar 2006||Sherwood Services Ag||Electrosurgical pencil with drag sensing capability|
|US20060112740 *||29 Nov 2004||1 Jun 2006||Acco Brands, Inc.||Security device including engagement member|
|US20060178667 *||24 Ene 2006||10 Ago 2006||Sartor Joe D||Electrosurgical pencil with advanced es controls|
|US20060235378 *||18 Abr 2005||19 Oct 2006||Sherwood Services Ag||Slider control for ablation handset|
|US20060293655 *||28 Jun 2005||28 Dic 2006||Sherwood Services Ag||Electrode with rotatably deployable sheath|
|US20070174947 *||19 Ene 2006||2 Ago 2007||Andrew Schneider||Surgical glove system|
|US20070192931 *||1 Nov 2006||23 Ago 2007||Schneider Andrew I||Surgical glove system|
|US20090012516 *||17 Jun 2008||8 Ene 2009||Gyrus Medical Limited||Electrosurgical system|
|US20090138012 *||30 Ene 2009||28 May 2009||Sherwood Services Ag||Electrode with Rotatably Deployable Sheath|
|US20090157067 *||17 Dic 2007||18 Jun 2009||Thermage, Inc.||Method and apparatus for digital signal processing for radio frequency surgery measurements|
|US20090248010 *||23 Jun 2008||1 Oct 2009||Monte Fry||Electrosurgical Pencil Including Improved Controls|
|US20090248017 *||26 Feb 2009||1 Oct 2009||Tyco Healthcare Group Lp||Electrosurgical Pencil Including Improved Controls|
|US20090322034 *||27 Jun 2008||31 Dic 2009||Cunningham James S||High Volume Fluid Seal for Electrosurgical Handpiece|
|US20100004669 *||26 Ago 2009||7 Ene 2010||Smith Kevin W||Cordless Hand-Held Ultrasonic Cautery Cutting Device and Method|
|US20100094288 *||10 Oct 2008||15 Abr 2010||Tyco Healthcare Group Lp||System and Method for Delivering High Current to Electrosurgical Device|
|US20100204696 *||10 Feb 2009||12 Ago 2010||Tyco Healthcare Group Lp||Extension Cutting Blade|
|US20100280513 *||14 Abr 2010||4 Nov 2010||Old Dominion University Research Foundation||System and method for applying plasma sparks to tissue|
|US20110071520 *||23 Sep 2009||24 Mar 2011||Tyco Healthcare Group Lp||Methods and Apparatus for Smart Handset Design in Surgical Instruments|
|US20110077631 *||28 Sep 2009||31 Mar 2011||Tyco Healthcare Group Lp||Electrosurgical Generator User Interface|
|US20110167619 *||25 Mar 2011||14 Jul 2011||Smith Kevin W||Cordless Hand-Held Ultrasonic Cautery Cutting Device|
|US20110172689 *||25 Mar 2011||14 Jul 2011||Smith Kevin W||Method of Maintaining Constant Movement of a Cutting Blade on an Ultrasonic Waveguide|
|US20110178542 *||25 Mar 2011||21 Jul 2011||Smith Kevin W||Cordless Hand-Held Ultrasonic Cautery Cutting Device|
|US20110191935 *||6 Abr 2011||11 Ago 2011||Schneider Andrew I||Surgical glove system|
|US20110196368 *||17 Feb 2011||11 Ago 2011||Covidien Ag||Open Vessel Sealing Instrument|
|US20120253339 *||7 Feb 2012||4 Oct 2012||Tyco Healthcare Group Lp||Radio frequency-based surgical implant fixation apparatus|
|US20150001956 *||26 Jun 2014||1 Ene 2015||Tdk Corporation||Wireless power receiving device, and wireless power transmission device|
|US20160174636 *||5 Ene 2016||23 Jun 2016||Andrew I. Schneider||Method of making polymeric gloves having embedded surgical support systems and discrete elements|
|USD680220||12 Ene 2012||16 Abr 2013||Coviden IP||Slider handle for laparoscopic device|
|USRE40388||8 May 2003||17 Jun 2008||Covidien Ag||Electrosurgical generator with adaptive power control|
|EP1034747A1 *||3 Mar 2000||13 Sep 2000||Gyrus Medical Limited||Electrosurgery system and instrument|
|EP1197184A1 *||27 May 1998||17 Abr 2002||Kabushikikaisha Nihon M.D.M||Apparatus for biological tissue treatment utilizing high frequency|
|EP1197184B1 *||27 May 1998||27 Abr 2005||Kabushikikaisha Nihon M.D.M||Apparatus for biological tissue treatment utilizing high frequency|
|EP1645233A1 *||6 Oct 2005||12 Abr 2006||Sherwood Services AG||Electrosurgical pencil with improved controls|
|EP1707145A3 *||31 Mar 2006||25 Mar 2009||Covidien AG||Electrosurgical pencil with advanced es controls|
|EP2292171A3 *||6 Oct 2005||17 Sep 2014||Covidien AG||Electrosurgical pencil with improved controls|
|WO1996039087A1 *||3 Jun 1996||12 Dic 1996||Valleylab Inc.||Exit spark control for an electrosurgical generator|
|WO1998040022A1 *||10 Mar 1998||17 Sep 1998||The University Of Iowa Research Foundation||Remote controlled coagulator system and methods|
|WO2002054967A1 *||15 Ene 2001||18 Jul 2002||Silhouet-Tone Ltée||Probe assembly, device and system for rf epilation|
|WO2005060849A1 *||20 Nov 2003||7 Jul 2005||Sherwood Services Ag||Electrosurgical pencil with plurality of controls|
|WO2011025857A1 *||26 Ago 2010||3 Mar 2011||Syntheon, Llc||Two -stage switch for cordless hand-held ultrasonic cautery cutting device|
|Clasificación de EE.UU.||606/45, 606/49, 606/38|
|Clasificación cooperativa||A61B2018/1253, A61B18/1206|