摘要:
A method for treating stenosis in a spine comprises percutaneously accessing the epidural space in a stenotic region of interest, compressing the thecal sac in the region of interest to form a safety zonem, inserting a tissue removal tool into tissue in the working zone, using the tool to percutaneously reduce the stenosis; and utilizing imaging to visualize the position of the tool during at least a part of the reduction step. A tissue excision system for performing percutaneous surgery, comprises a cannula comprising a tissue-penetrating member having a distal end defining an aperture on one side thereof, an occluding member slidably received on or in the cannula and closing the aperture when the occluding member is adjacent the cannula distal end, means for engaging adjacent tissue via the aperture, and cutting means for resecting a section of the engaged tissue.
摘要:
A device for excising tissue and closing a wound that results from excision of the tissue includes structure defining an aperture into which tissue to be excised is exposed. The device also includes a cutting member for excising the tissue, a closure member for closing the wound, and an actuatable drive member associated with the structure. The drive member is actuatable to move the cutting member relative to the aperture for excising the tissue that is exposed in the aperture and for closing the wound with the closure member.
摘要:
Obtaining a first signal from a location of an ultrasonic transducer at a first time (272), obtaining a signal from a location at a later second time (274) by which time the patient received medical treatment, and creating an image of the location of the ultrasonic transducer using the two signals (276).
摘要:
Differing cytology device apparatuses, and methods for their use, are provided for collecting cytology samples from within a marrzmalian body. The apparatuses and methods disclosed are minimally invasive. Some of the apparatuses include a needle having an inner lumen extending from a proximal to a distal end. A styles, having a proximal end and a distal end, is adapted to be inserted into the inner lumen of the needle to plug the inner lumen while a cyto g sample is cut in order to prevent contamination within the needle. The distal end of the styles may be sharp, and may be adapted to extend beyond the distal end of the needle to cut a cytology sample. Also included is a cytology collection device which is adapted to be inserted into the inner lumen of the needle when the stylet is withdrawn from the inner lumen of the needle. The distal end of the cytology collection device is extended beyond the distal end of the needle in order to collect the cytology sample, and then retracted inside the needle after collecting the sample. In one embodiment, a cytology collection device comprises an elongate member having a plurality of bristles near its distal end. In another embodiment, a cytology collection device comprises an inflatable balloon. In yet another embodiment, a cytology collection device comprises a wire mesh device. In a further embodiment, the apparatus may include an endoscope which contains a transducer emitting ultrasound waves which are used to determine a position of the cytology collection device within the body.
摘要:
A method for ultrasound imaging of anatomical tissue. A first signal is received from a first imaging ultrasound wave which has been reflected from a location in the anatomical tissue during a first time period (16). A second signal is received from a second imaging ultrasound wave which has been reflected from the location in the anatomical tissue during a later second time period (20), following a discrete medical treatment (14). The second signal is subtracted from the first signal to form a difference signal (22). The difference signal may be scaled, spatially filtered, then used to generate an indication, the indication showing the effect of the medical treatment in the location in the anatomical tissue.
摘要:
An ultrasound medical treatment system (10) includes an end effector (12) insertable into a patient (14). The end effector (12) includes a tissue-retaining device (16). The tissue-retaining device (16) includes a first tissue-retaining member (18) having an ultrasound medical-treatment transducer (26) and includes a second tissue-retaining member (22). The first and second tissue-retaining members (18, 22) are operatively connected together to retain patient tissue (24) between the first and second tissue-retaining members (18, 22) and to release patient tissue (24) so retained. In one example, the second tissue-retaining member (22) has an ultrasound reflector (28). In the same or a different example, the ultrasound medical-treatment transducer (26) is an ultrasound imaging and medical-treatment transducer.
摘要:
An ultrasound medical treatment system (108) includes a tube (96) and first and second end effectors (110). The tube (96) has a distal end (100) insertable into a patient and has a lumen (012). The first end effector has a cutting tool (184), is insertable into the lumen of the inserted tube from outside the patient, and is translatable through the lumen of the inserted tube to inside the patient. The second end effector has an ultrasound medical-treatment transducer assembly (112), is introducible into the lumen of the inserted tube from outside the patient, and is translatable through the lumen of the inserted tube to inside the patient. In one use, the cutting tool (184) takes a biopsy sample of possibly cancerous breast tissue (196) of a patient, and the breast receives ultrasound medical treatment from the transducer assembly to stop hemorrhaging.
摘要:
A single-use biopsy instrument for mounting at a multiple-use biopsy apparatus, comprises a cartridge enclosing proximal end portions of a canula, a finger tube slidingly disposed on the canula, and a stylet slidingly disposed in the canula. The canula and the finger tube have proximal holding portions and are displaceable in regard of the cartridge by displacement means disposed in the biopsy apparatus engaging with the holding portions through one or several engagement openings in one wall of the cartridge. Also disclosed is a corresponding biopsy apparatus.
摘要:
The invention relates to a coaxial cannula (1) for extracting samples from tissue comprising a biopsy needle unit (9) provided with a space for sample extraction and a sample separation unit (21) which coaxially encompasses the biopsy needle (9) on an external wall and is longitudinally movable. The inventive coaxial cannula (1) comprises a sealing element (3) which is arranged on the proximal end thereof and closes the space between the internal wall of the coaxial cannula and the external wall of the sample separation unit. Said coaxial cannula (1) is characterised in that the sealing element (3) opens an air outlet when the biopsy needle unit (9) is inserted, and prevents air intake when the biopsy needle unit (9) is positioned and vacuum is produced in the internal chamber of the biopsy needle.
摘要:
A minimally invasive apparatus and method for harvesting bone marrow cells, blood, and bone fragments includes a rigid cannula having a proximal end and a distal end with an opening. The distal end includes a cutting tip that is movable axially and radially to cut and disrupt bone tissue while preserving necessary viability among harvested marrow cells. The cannula further includes an inner surface defining an internal passage that extends from the opening toward the proximal end. Suction is applied to the passage to draw disrupted bone marrow cells, blood, and bone fragments into the internal passage for collection. The apparatus may include a rotatable shaft disposed co-axially within the internal passage. The shaft has a distal end with a cutting bit for further cutting and disrupting of bone tissue.