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公开(公告)号：US09265486B2
公开(公告)日：2016-02-23
申请号：US13586737
申请日：2012-08-15
IPC分类号： A61B17/04 , A61B17/00 , A61B17/122 , A61B17/128
CPC分类号： A61B17/10 , A61B17/00 , A61B17/00234 , A61B17/083 , A61B17/1227 , A61B17/1285 , A61B2017/00367
摘要： A medical instrument comprising: (A) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in an X-Y plane; (B) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a Y-Z plane perpendicular to the X-Y plane; and, (C) a controller operatively coupled to the first joint and the second joint, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member.
摘要翻译： 一种医疗器械，包括：（A）包括第一构件和第二构件的第一接头，所述第一构件构造成在X-Y平面中可相对于所述第二构件重新定位; （B）可操作地联接到所述第一接头的第二接头，所述第二接头包括第三部件和第四部件，所述第三部件被配置为在垂直于所述X-Y平面的Y-Z平面中相对于所述第四部件重新定位; 和（C）可操作地联接到第一关节和第二关节的控制器，所述控制器包括构造成引导重新定位所述第一构件和所述第二构件中的至少一个的第一控制，以及第二控制，所述第二控制被配置为直接重新定位 第三成员和第四成员中的至少一个。
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公开(公告)号：US20100286688A1
公开(公告)日：2010-11-11
申请号：US12775777
申请日：2010-05-07
CPC分类号： A61B18/18 , A61B18/14 , A61B18/1815 , A61B2017/22067 , A61B2018/0016 , A61B2018/00214 , A61B2018/00285 , A61B2018/00363 , A61B2018/00375
摘要： Ablation devices comprising elongated flexible members that are repositioned to at least partially surround tissue to be ablated. The exemplary ablation instruments utilize rigid or semi-rigid devices that are either affixed to the flexible member or repositionable along the flexible member. The clamping and ablating surfaces include electrodes or other means for delivering ablation energy. The electrodes may be brought into proximity with each other so as to provide a uniform force profile across the tissue to be ablated. In such a circumstance, once the tissue between the clamping and ablating surfaces is compressed, the electrodes are activated to create an ablation lesion.
摘要翻译： 消融装置包括细长的柔性构件，其被重新定位以至少部分地围绕待烧蚀的组织。 示例性消融仪器使用刚性或半刚性装置，其被固定到柔性构件或可沿柔性构件重新定位。 夹紧和消融表面包括用于传递消融能量的电极或其它装置。 电极可以彼此靠近，以便在要消融的组织上提供均匀的力分布。 在这种情况下，一旦夹紧和消融表面之间的组织被压缩，则电极被激活以产生消融损伤。
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公开(公告)号：US20130131649A1
公开(公告)日：2013-05-23
申请号：US13586737
申请日：2012-08-15
IPC分类号： A61B17/00
CPC分类号： A61B17/10 , A61B17/00 , A61B17/00234 , A61B17/083 , A61B17/1227 , A61B17/1285 , A61B2017/00367
摘要： A medical instrument comprising: (A) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in an X-Y plane; (B) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a Y-Z plane perpendicular to the X-Y plane; and, (C) a controller operatively coupled to the first joint and the second joint, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member.
摘要翻译： 一种医疗器械，包括：（A）包括第一构件和第二构件的第一接头，所述第一构件构造成在X-Y平面中可相对于所述第二构件重新定位; （B）可操作地联接到所述第一接头的第二接头，所述第二接头包括第三部件和第四部件，所述第三部件被配置为在垂直于所述X-Y平面的Y-Z平面中相对于所述第四部件重新定位; 和（C）可操作地联接到第一关节和第二关节的控制器，所述控制器包括构造成引导重新定位所述第一构件和所述第二构件中的至少一个的第一控制，以及第二控制，所述第二控制被配置为直接重新定位 第三成员和第四成员中的至少一个。
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公开(公告)号：US20130190777A1
公开(公告)日：2013-07-25
申请号：US13355169
申请日：2012-01-20
IPC分类号： A61B17/10
CPC分类号： A61B17/1285 , A61B17/1227 , A61B2017/00584 , A61B2017/00867 , A61B2017/2946
摘要： A laparoscopic device comprising: (a) a housing operatively coupled to a first control and a second control; (b) an end effector operatively coupled to the first control, the end effector comprising a first component and a second component selectively repositionable with respect to one another within an X-Y plane, the end effector also including a third component selectively repositionable with respect to the second component within an Y-Z plane; (c) a laparoscopic conduit extending between the housing and the end effector; and, (d) an occlusion clip deployment device operatively coupled to the end effector and the second control.
摘要翻译： 一种腹腔镜装置，包括：（a）可操作地耦合到第一控制和第二控制的壳体; （b）可操作地耦合到第一控制器的末端执行器，所述末端执行器包括第一部件和第二部件，所述第一部件和第二部件可在XY平面内相对于彼此选择性地重新定位，所述末端执行器还包括可相对于所述第一部件选择性地重新定位的第三部件 YZ平面内的第二分量; （c）在壳体和末端执行器之间延伸的腹腔镜导管; 和（d）可操作地连接到末端执行器和第二控制的闭塞夹部署装置。
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公开(公告)号：US09282973B2
公开(公告)日：2016-03-15
申请号：US13355169
申请日：2012-01-20
IPC分类号： A61B17/128 , A61B17/122 , A61B17/00 , A61B17/29
CPC分类号： A61B17/1285 , A61B17/1227 , A61B2017/00584 , A61B2017/00867 , A61B2017/2946
摘要： A laparoscopic device comprising: (a) a housing operatively coupled to a first control and a second control; (b) an end effector operatively coupled to the first control, the end effector comprising a first component and a second component selectively repositionable with respect to one another within an X-Y plane, the end effector also including a third component selectively repositionable with respect to the second component within an Y-Z plane; (c) a laparoscopic conduit extending between the housing and the end effector; and, (d) an occlusion clip deployment device operatively coupled to the end effector and the second control.
摘要翻译： 一种腹腔镜装置，包括：（a）可操作地耦合到第一控制和第二控制的壳体; （b）可操作地耦合到第一控制器的末端执行器，所述末端执行器包括第一部件和第二部件，所述第一部件和第二部件可在XY平面内相对于彼此选择性地重新定位，所述末端执行器还包括可相对于所述第一部件选择性地重新定位的第三部件 YZ平面内的第二分量; （c）在壳体和末端执行器之间延伸的腹腔镜导管; 和（d）可操作地连接到末端执行器和第二控制的遮挡夹子展开装置。
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公开(公告)号：US20120059370A1
公开(公告)日：2012-03-08
申请号：US13292795
申请日：2011-11-09
IPC分类号： A61B18/18
CPC分类号： A61B18/1402 , A61B5/042 , A61B2017/00026 , A61B2017/00044 , A61B2017/00296 , A61B2018/00375 , A61B2018/00577 , A61B2018/1495 , A61N1/05
摘要： A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.
摘要翻译： 手术装置具有整体的第一末端，其具有一对电极，其被配置为使用电能来消融组织。 第二尖端具有一对电极，其被配置为向心脏提供起搏信号和/或感测通过心脏组织的电信号。 第二尖端构造成卡扣到第一尖端上，使得相同的装置可用于消融，起搏和感测。 或者，第二末端可以与装置成一体，并且第一末端被配置成卡扣到第二末端。 或者，手术装置的单个整体尖端可用于消融，起搏和感测。 这种多功能尖端可以包括多个电极对或电极阵列。 设备或其他地方的用户界面可以是可操作的，以提供可选择的模式，用于选择性地改变传递到电极的信号的特性。
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公开(公告)号：US09924998B2
公开(公告)日：2018-03-27
申请号：US11970005
申请日：2008-01-07
CPC分类号： A61B18/1442 , A61B18/1447 , A61B18/18 , A61B2017/2945 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/124 , A61B2018/1432 , A61B2018/145 , A61B2018/1467
摘要： A method and apparatus for ablating tissue are disclosed that comprise positioning two or more bidirectional ablation energy sources in spaced-apart relation in sufficient proximity to the tissue to be ablated so that, upon activation each energy source creates an energy field in the tissue to be ablated. The energy sources are spaced such that the energy fields created by at least one of the activated sources partially overlaps with the energy field created by one or more of the other energy sources. The energy sources are alternately activated and deactivated, so that a substantially constant energy field results where the energy fields created by at least two of the energy sources overlap. While the energy sources are preferably RF energy sources, other energy sources, such as microwave, may be used.
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公开(公告)号：US08348939B2
公开(公告)日：2013-01-08
申请号：US13221503
申请日：2011-08-30
IPC分类号： A61B18/14
CPC分类号： A61B18/1402 , A61B5/042 , A61B2017/00026 , A61B2017/00044 , A61B2017/00296 , A61B2018/0016 , A61B2018/00577 , A61B2018/00648 , A61B2018/00702 , A61B2018/1467 , A61B2018/1475 , A61B2018/1495 , A61N1/3622
摘要： An electrosurgical device having a distal tip for creating a lesion on tissue includes a first electrode and a second electrode that are parallel for the delivery of RF energy to tissue. A sensor electrode is provided parallel to and spaced away from the first electrode a different distance than the second electrode. When the sensor electrode and at least one of the first and second electrodes are in contact with tissue. The electrosurgical device can perform at least one of the following: ablating tissue, and sensing at least one selected from the group of voltage, tissue impedance, electrical conduction, conduction time, conduction velocity, and signal phase angle.
摘要翻译： 具有用于在组织上产生损伤的远侧末端的电外科装置包括平行于将RF能量递送至组织的第一电极和第二电极。 传感器电极平行于第一电极并与第二电极间隔开距离与第二电极不同的距离。 当传感器电极和第一和第二电极中的至少一个与组织接触时。 电外科装置可以执行以下中的至少一个：消融组织，并感测从电压，组织阻抗，导电时间，传导速度和信号相位角组中选出的至少一个。
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公开(公告)号：US08057471B2
公开(公告)日：2011-11-15
申请号：US12902851
申请日：2010-10-12
IPC分类号： A61B18/18
CPC分类号： A61B18/1402 , A61B5/042 , A61B2017/00026 , A61B2017/00044 , A61B2017/00296 , A61B2018/00375 , A61B2018/00577 , A61B2018/1495 , A61N1/05
摘要： A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.
摘要翻译： 手术装置具有整体的第一末端，其具有一对电极，其被配置为使用电能来消融组织。 第二尖端具有一对电极，其被配置为向心脏提供起搏信号和/或感测通过心脏组织的电信号。 第二尖端构造成卡扣到第一尖端上，使得相同的装置可用于消融，起搏和感测。 或者，第二末端可以与装置成一体，并且第一末端被配置成卡扣到第二末端。 或者，手术装置的单个整体尖端可用于消融，起搏和感测。 这种多功能尖端可以包括多个电极对或电极阵列。 设备或其他地方的用户界面可以是可操作的，以提供可选择的模式，用于选择性地改变传递到电极的信号的特性。
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公开(公告)号：US20110313413A1
公开(公告)日：2011-12-22
申请号：US13221503
申请日：2011-08-30
CPC分类号： A61B18/1402 , A61B5/042 , A61B2017/00026 , A61B2017/00044 , A61B2017/00296 , A61B2018/0016 , A61B2018/00577 , A61B2018/00648 , A61B2018/00702 , A61B2018/1467 , A61B2018/1475 , A61B2018/1495 , A61N1/3622
摘要： An electrosurgical device having a distal tip for creating a lesion on tissue includes a first electrode and a second electrode that are parallel for the delivery of RF energy to tissue. A sensor electrode is provided parallel to and spaced away from the first electrode a different distance than the second electrode. When the sensor electrode and at least one of the first and second electrodes are in contact with tissue, The electrosurgical device can perform at least one of the following: ablating tissue, and sensing at least one selected from the group of voltage, tissue impedance, electrical conduction, conduction time, conduction velocity, and signal phase angle.
摘要翻译： 具有用于在组织上产生损伤的远侧末端的电外科装置包括平行于将RF能量递送至组织的第一电极和第二电极。 传感器电极平行于第一电极并与第二电极间隔开距离与第二电极不同的距离。 当传感器电极和第一和第二电极中的至少一个与组织接触时，电外科设备可以执行以下中的至少一个：烧蚀组织，并感测从电压，组织阻抗， 电导，导通时间，传导速度和信号相位角。
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