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公开(公告)号:US06638276B2
公开(公告)日:2003-10-28
申请号:US09876827
申请日:2001-06-06
申请人: Hugh Sharkey , Andy Uchida , Huy Phan , John Ashley
发明人: Hugh Sharkey , Andy Uchida , Huy Phan , John Ashley
IPC分类号: B65B104
CPC分类号: A61B17/3421 , A61B17/3415 , A61B18/148 , A61B18/1482 , A61B2017/00261 , A61B2017/00867 , A61B2017/22038 , A61B2018/0044 , A61B2018/1407 , A61B2018/1475
摘要: An intervertebral disc device is provided comprising a distal sheath sized to be extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, a distal section of the sheath being predisposed to adopting a bent configuration when extended from the introducer; a probe adapted to be extended from a distal end of the sheath, the bent section of the sheath causing the probe to adopt a same bent configuration; and a proximal handle for externally guiding the probe within an intervertebral disc.
摘要翻译: 提供了一种椎间盘装置,其包括远侧鞘,其尺寸设置成从经皮递送到椎间盘内部的导引器的远端延伸,所述鞘的远侧部分倾向于在从 导引器 适于从鞘的远端延伸的探针,护套的弯曲部分使探针采用相同的弯曲构型; 以及用于将探针外部引导到椎间盘内的近侧手柄。
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公开(公告)号:US06726685B2
公开(公告)日:2004-04-27
申请号:US09876833
申请日:2001-06-06
申请人: Kevin To , Le T. Le , Andy Uchida , Hugh Sharkey , John Ashley
发明人: Kevin To , Le T. Le , Andy Uchida , Hugh Sharkey , John Ashley
IPC分类号: H61B1818
CPC分类号: A61B18/1492 , A61B2017/00261 , A61B2017/003 , A61B2018/0044 , A61B2018/1407
摘要: An intervertebral disc device is provided comprising a probe capable of being extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, the probe forming a loop when extended from the distal end of the introducer, the loop having first and second proximal ends external to the introducer which are brought together adjacent the introducer distal end to form the loop by the proximal ends being either attached to or entering the distal end of the introducer; and a proximal handle for externally causing the probe to be extended from the distal end of the introducer and externally guiding the probe within an intervertebral disc.
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公开(公告)号:US06645204B2
公开(公告)日:2003-11-11
申请号:US09876832
申请日:2001-06-06
申请人: Hugh Sharkey , Andy Uchida , John Ashley
发明人: Hugh Sharkey , Andy Uchida , John Ashley
IPC分类号: A61B1800
摘要: An intervertebral disc device is provided comprising a distal probe sized to be extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, a distal section of the probe comprising a flexible neck which tapers in a proximal to distal direction, and a distal tip which is larger in cross sectional diameter than the flexible neck adjacent the distal tip, the flexible neck and distal tip serving to prevent the probe distal end from piercing an internal wall of the intervertebral disc; and a proximal handle for externally guiding the probe within an intervertebral disc.
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4.
公开(公告)号:US06832997B2
公开(公告)日:2004-12-21
申请号:US09876831
申请日:2001-06-06
申请人: Andy Uchida , John Ashley , Hugh Sharkey
发明人: Andy Uchida , John Ashley , Hugh Sharkey
IPC分类号: A61B1818
CPC分类号: A61B18/148 , A61B2018/00434 , A61B2018/0044 , A61B2018/1405 , A61B2018/1407
摘要: An intervertebral disc device is provided comprising a distal probe sized to be extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, a distal section of the probe comprising an active and return electrode which are each spirally wrapped around the probe such that there are multiple alternating bands of the same active and return positioned longitudinally along the length of the distal section of the probe, the active and return being adapted to deliver bipolar electromagnetic energy to tissue within the intervertebral disc; and a proximal handle for externally guiding the probe within an intervertebral disc.
摘要翻译: 提供了一种椎间盘装置,其包括远端探针,所述远端探针的尺寸设置成从经皮递送到椎间盘的内部的导引器的远端延伸,所述探针的远端部分包括主动和返回电极,每个螺旋包裹 围绕探针,使得沿着探针的远端部分的长度方向具有相同的活动和返回的多个交替的带,纵向地定位,所述主动和返回适于将双极电磁能传递到椎间盘内的组织; 以及用于将探针外部引导到椎间盘内的近侧手柄。
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公开(公告)号:US06733496B2
公开(公告)日:2004-05-11
申请号:US09876832
申请日:2001-06-06
申请人: Hugh Sharkey , Andy Uchida , John Ashley
发明人: Hugh Sharkey , Andy Uchida , John Ashley
IPC分类号: A61B1800
CPC分类号: A61B18/1492 , A61B2017/00261 , A61B2017/003 , A61B2018/0044 , A61B2018/1407
摘要: An intervertebral disc device is provided comprising a distal probe sized to be extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, a distal section of the probe comprising a flexible neck which tapers in a proximal to distal direction, and a distal tip which is larger in cross sectional diameter than the flexible neck adjacent the distal tip, the flexible neck and distal tip serving to prevent the probe distal end from piercing an internal wall of the intervertebral disc; and a proximal handle for externally guiding the probe within an intervertebral disc.
摘要翻译: 提供了一种椎间盘装置,包括远端探针,该远端探针尺寸设置成从经皮递送到椎间盘内部的导引器的远端延伸,所述探针的远端部分包括柔性颈部,所述柔性颈部在近端至远端 方向,以及远侧尖端,其横截面直径大于邻近所述远端的所述柔性颈部,所述柔性颈部和远侧末端用于防止所述探针远端刺穿所述椎间盘的内壁; 以及用于将探针外部引导到椎间盘内的近侧手柄。
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公开(公告)号:US20080051859A1
公开(公告)日:2008-02-28
申请号:US11929644
申请日:2007-10-30
申请人: Hugh Sharkey , John Ashley , Joel Saal , Jeffrey Saal , Le Le
发明人: Hugh Sharkey , John Ashley , Joel Saal , Jeffrey Saal , Le Le
CPC分类号: A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要: A method of treating an intervertebral disc includes inserting an introducer into an intervertebral disc, inserting a catheter through the introducer and into the intervertebral disc, advancing a distal region of the catheter through a nucleus pulposus of the intervertebral disc to an annular wall of an annulus fibrosus, delivering energy to material of the intervertebral disc using an electrode disposed at the distal region of the catheter, and removing the material with the delivered energy, wherein removing material with the delivered energy reduces pressure in the intervertebral disc.
摘要翻译: 治疗椎间盘的方法包括将导引器插入椎间盘,将导管穿过导引器插入椎间盘中,将导管的远侧区域推进通过椎间盘的髓核到环形的环形壁 纤维,使用设置在导管的远端区域的电极向椎间盘的材料输送能量,并且用所输送的能量去除材料,其中用所输送的能量去除材料减少了椎间盘中的压力。
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公开(公告)号:US20080108940A1
公开(公告)日:2008-05-08
申请号:US11930783
申请日:2007-10-31
申请人: Hugh Sharkey , Joel Saal , Jeffrey Saal , John Ashley
发明人: Hugh Sharkey , Joel Saal , Jeffrey Saal , John Ashley
CPC分类号: A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40
摘要: A percutaneous method treats degenerate disc disease characterized by a circumferential bulge. The method provides a catheter having a distal end, a proximal end, and a longitudinal axis, the distal end having an intradiscal section with at least one energy delivery device. The next step is applying a force longitudinally to the proximal end of the catheter which is sufficient to advance the intradiscal section through a nucleus pulposus and around an inner wall of an annulus, but which force is insufficient for the intradiscal section to puncture the annulus fibrosus. Next the energy delivery device is positioned at a selected location of the annulus by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. The thermal energy delivery device is positioned adjacent the annulus and used to heat and stiffen the disc. Optionally, there is an additional step of adding a substance to reinforce the area. Optionally, access to the disc is provided by an introducer having an introducer lumen with an opening at a terminus of the introducer. An externally guidable intervertebral disc apparatus also is disclosed.
摘要翻译: 经皮方法治疗以圆周隆起为特征的退行性椎间盘疾病。 该方法提供了具有远端,近端和纵向轴线的导管,远端具有具有至少一个能量输送装置的椎间盘内截面。 下一步是向导管的近端纵向施加一个力,这足以使椎间盘内部分通过髓核并环绕环的内壁,但哪个力不足以使椎间盘内的部分刺穿纤维环 。 接下来,能量输送装置通过使导管前进或缩回并且可选地扭转导管的近端来定位在环的选定位置。 热能输送装置位于环形空间附近,用于加热和加强盘片。 任选地,还有一个添加物质以加强该区域的步骤。 任选地,通过导引器提供对盘的访问,所述导引器具有在引导器的末端具有开口的导引器内腔。 还公开了一种外部引导性椎间盘装置。
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公开(公告)号:US20080058910A1
公开(公告)日:2008-03-06
申请号:US11930813
申请日:2007-10-31
申请人: Hugh Sharkey , John Ashley , Joel Saal , Jeffrey Saal , Le Le
发明人: Hugh Sharkey , John Ashley , Joel Saal , Jeffrey Saal , Le Le
CPC分类号: A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要: A device is described that may be positioned at a location in an intervertebral disc for diagnosis or treatment of the disc. Treatment may include, for example, applying energy or removing material, and may decrease intradiscal pressure. Radiofrequency energy may be applied. A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.
摘要翻译: 描述了可以定位在椎间盘中的位置以用于椎间盘的诊断或治疗的装置。 治疗可以包括例如施加能量或去除材料,并且可以降低椎间盘内的压力。 可以应用射频能量。 修复环带中裂缝的经皮方法包括将能量源放置在裂缝附近并为裂缝提供足够的能量以将温度升高至至少约45-70℃,并且足够的时间使胶原蛋白 焊接。 也可以通过将具有腔的导管放置在裂缝附近并通过导管将密封剂注入到裂缝中,从而密封裂缝来治疗椎间裂。 另外可以通过在导管的远端提供具有远端,近端,纵向轴线和椎间盘内节段的导管来治疗椎间裂缝,在该导管的至少一个功能元件上。 下一步是向导管的近端施加一个力,这足以使椎间盘内部分通过髓核并绕纤维环的内壁延伸,但是哪个力不足以刺穿纤维环。 接下来,功能元件通过前进或缩回导管并且可选地扭转导管的近端来定位在盘的选定位置。 然后功能单元处理环形裂缝。 任选地,存在添加物质以密封裂缝的附加步骤。 还公开了一种外部引导性椎间盘装置。
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公开(公告)号:US20080091252A1
公开(公告)日:2008-04-17
申请号:US11872437
申请日:2007-10-15
申请人: Hugh Sharkey , John Ashley , Joel Saal , Jeffrey Saal , Le Le
发明人: Hugh Sharkey , John Ashley , Joel Saal , Jeffrey Saal , Le Le
CPC分类号: A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要: A device is described that may be positioned at a location in an intervertebral disc for diagnosis or treatment of the disc. Treatment may include, for example, applying energy or removing material, and may decrease intradiscal pressure. Radiofrequency energy may be applied. A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.
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公开(公告)号:US20050149011A1
公开(公告)日:2005-07-07
申请号:US10898671
申请日:2004-07-26
申请人: John Ashley , Hugh Sharkey , Joel Saal , Jeffrey Saal
发明人: John Ashley , Hugh Sharkey , Joel Saal , Jeffrey Saal
IPC分类号: A61B18/12 , A61B17/00 , A61B17/16 , A61B17/22 , A61B17/28 , A61B17/32 , A61B17/34 , A61B17/88 , A61B18/00 , A61B18/04 , A61B18/08 , A61B18/14 , A61B18/18 , A61B18/24 , A61B19/00 , A61F2/30 , A61F2/44 , A61F7/02 , A61M1/00 , A61M25/00 , A61M25/01 , A61M25/09 , A61N1/06 , A61N1/30 , A61N1/40 , A61N5/04
CPC分类号: A61B18/082 , A61B10/02 , A61B17/00491 , A61B17/1671 , A61B17/29 , A61B17/320016 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B18/00 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/32113 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1435 , A61B2018/1455 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2217/007 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0144 , A61M25/0155 , A61M25/0158 , A61M2025/0063 , A61M2025/0064 , A61M2025/0163 , A61N1/06 , A61N1/40
摘要: A catheter for delivering energy to a surgical site is disclosed. The catheter includes at a proximal end a handle and at a distal end a probe. The catheter includes at least one energy delivery device and an activation element. The at least one energy delivery device is located at the distal end of the catheter to deliver energy to portions of the surgical site. The activation element is located at the distal end of the catheter, to transition the probe from a linear to a multi-dimensional shape, within the surgical site. Methods for deploying the probe from the linear to multi-dimensional shape are disclosed. In another embodiment of the invention the catheter includes a heating element fabricated on a substrate by photo-etching to deliver thermal energy to portions of the surgical site. In another embodiment of the invention the catheter includes an energy delivery element, a tip and a blade. The energy delivery element is located at the distal end of the catheter to deliver energy to portions of the intervertebral disc. The blade is positioned within a first lumen of the tip and is extensible beyond the tip, to cut selected portions within the intervertebral disc. In another embodiment of the invention a catheter includes both energy and material transfer elements and an interface on the handle thereof. The interface couples the energy delivery element and the material transfer element to external devices for energy and material transfer to and from the intervertebral disc.
摘要翻译: 公开了一种用于向外科手术部位输送能量的导管。 导管在近端处包括手柄,并且在远端处包括探针。 导管包括至少一个能量输送装置和激活元件。 所述至少一个能量输送装置位于所述导管的远端,以将能量传递到手术部位的部分。 激活元件位于导管的远端,以将探针从线性过渡到多维形状,在手术部位内。 公开了将探针从线性部分展开到多维形状的方法。 在本发明的另一个实施例中,导管包括通过光蚀刻在衬底上制造的加热元件,以将热能传递到手术部位的部分。 在本发明的另一个实施例中,导管包括能量输送元件,尖端和刀片。 能量输送元件位于导管的远端,以将能量传递给椎间盘的部分。 刀片定位在尖端的第一内腔内并且可延伸超过尖端,以切割椎间盘内的所选部分。 在本发明的另一实施例中,导管包括能量和材料转移元件以及其手柄上的界面。 该界面将能量输送元件和材料传递元件耦合到外部装置,以将能量和材料转移到椎间盘和从椎间盘传递。
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