利索-全球专利检索

  1. 登录
  2. 注册

搜索结果

43 条记录 (耗时 0.035 秒)

    EXPANDABLE VEIN LIGATOR CATHETER HAVING MULTIPLE ELECTRODE LEADS, AND METHOD
    11.
    发明申请
    EXPANDABLE VEIN LIGATOR CATHETER HAVING MULTIPLE ELECTRODE LEADS, AND METHOD 失效
    具有多个电极引线的可扩展的导管引线和方法

    公开(公告)号：US20090137998A1

    公开(公告)日：2009-05-28

    申请号：US12181277

    申请日：2008-07-28

    申请人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    发明人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002

    摘要： A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with an anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a secondary lead is surrounded by the primary leads, and extends beyond the primary leads. The secondary lead includes an electrode at the working end of the catheter. The secondary lead can have a polarity opposite to the polarity of the primary leads in a bipolar configuration. The polarity of the leads can be switched and the catheter can be moved during treatment to ligate an extended length of the vein. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

    摘要翻译： 导管包括多个主引线以传递用于结扎中空解剖结构的能量。 每个主引线包括位于导管工作端的电极。 在主引线之间保持分离，使得每个主引线可以分别接收所选极性的功率。 主引线被构造成向外扩展以使电极与解剖结构相配合。 可以从引线施加高频能量以在解剖结构的周围组织中产生加热效果。 中空解剖结构的直径由于加热效应而降低，并且主引线的电极彼此靠近地移动。 当中空解剖结构为静脉时，施加能量直到静脉的直径减小到静脉闭塞的位置。 在一个实施例中，次级引线被主引线包围，并且延伸超出主引线。 次级引线包括在导管的工作端的电极。 次级引线可以具有与双极配置中的主引线的极性相反的极性。 可以切换引线的极性，并且可以在治疗期间移动导管以连接延长的静脉长度。 导管可以包括用于容纳导丝或者允许流体输送的内腔。

    Expandable vein ligator catheter having multiple electrode leads
    12.
    发明授权
    Expandable vein ligator catheter having multiple electrode leads 失效
    具有多个电极引线的可扩展静脉结扎器导管

    公开(公告)号：US06200312B1

    公开(公告)日：2001-03-13

    申请号：US08927251

    申请日：1997-09-11

    申请人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    发明人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    IPC分类号： A61B1738

    CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002

    摘要： A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with an anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a secondary lead is surrounded by the primary leads, and extends beyond the primary leads. The secondary lead includes an electrode at the working end of the catheter. The secondary lead can have a polarity opposite to the polarity of the primary leads in a bipolar configuration. The polarity of the leads can be switched and the catheter can be moved during treatment to ligate an extended length of the vein. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

    摘要翻译： 导管包括多个主引线以传递用于结扎中空解剖结构的能量。 每个主引线包括位于导管工作端的电极。 在主引线之间保持分离，使得每个主引线可以分别接收所选极性的功率。 主引线被构造成向外扩展以使电极与解剖结构相配合。 可以从引线施加高频能量以在解剖结构的周围组织中产生加热效果。 中空解剖结构的直径由于加热效应而降低，并且主引线的电极彼此靠近地移动。 当中空解剖结构为静脉时，施加能量直到静脉的直径减小到静脉闭塞的位置。 在一个实施例中，次级引线被主引线包围，并且延伸超出主引线。 次级引线包括在导管的工作端的电极。 次级引线可以具有与双极配置中的主引线的极性相反的极性。 可以切换引线的极性，并且可以在治疗期间移动导管以连接延长的静脉长度。 导管可以包括用于容纳导丝或者允许流体输送的内腔。

    Expandable vein ligator catheter having multiple electrode leads, and method
    14.
    发明授权
    Expandable vein ligator catheter having multiple electrode leads, and method 失效
    具有多个电极引线的可扩展静脉结扎器导管及方法

    公开(公告)号：US08679110B2

    公开(公告)日：2014-03-25

    申请号：US12181277

    申请日：2008-07-28

    申请人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    发明人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    IPC分类号： A61F5/56 ,  A61B18/18 ,  A61B18/20

    CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002

    摘要： A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with an anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a secondary lead is surrounded by the primary leads, and extends beyond the primary leads. The secondary lead includes an electrode at the working end of the catheter. The secondary lead can have a polarity opposite to the polarity of the primary leads in a bipolar configuration. The polarity of the leads can be switched and the catheter can be moved during treatment to ligate an extended length of the vein. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

    摘要翻译： 导管包括多个主引线以传递用于结扎中空解剖结构的能量。 每个主引线包括位于导管工作端的电极。 在主引线之间保持分离，使得每个主引线可以分别接收所选极性的功率。 主引线被构造成向外扩展以使电极与解剖结构相配合。 可以从引线施加高频能量以在解剖结构的周围组织中产生加热效果。 中空解剖结构的直径由于加热效应而降低，并且主引线的电极彼此靠近地移动。 当中空解剖结构为静脉时，施加能量直到静脉的直径减小到静脉闭塞的位置。 在一个实施例中，次级引线被主引线包围，并且延伸超出主引线。 次级引线包括在导管的工作端的电极。 次级引线可以具有与双极配置中的主引线的极性相反的极性。 可以切换引线的极性，并且可以在治疗期间移动导管以连接延长的静脉长度。 导管可以包括用于容纳导丝或者允许流体输送的内腔。

    Method and apparatus for positioning a catheter relative to an anatomical junction
    15.
    发明授权
    Method and apparatus for positioning a catheter relative to an anatomical junction 有权
    用于相对于解剖结合物定位导管的方法和装置

    公开(公告)号：US07789876B2

    公开(公告)日：2010-09-07

    申请号：US09825741

    申请日：2001-04-03

    申请人： Arthur W. Zikorus ,  Ralph G. DePalma ,  Christopher S. Jones ,  Brian E. Farley ,  James G. Chandler

    发明人： Arthur W. Zikorus ,  Ralph G. DePalma ,  Christopher S. Jones ,  Brian E. Farley ,  James G. Chandler

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1492 ,  A61B34/20 ,  A61B2017/00867 ,  A61B2017/22038 ,  A61B2018/00273 ,  A61B2018/00404 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/00875 ,  A61B2018/1253 ,  A61B2018/1467 ,  A61B2018/1475 ,  A61B2034/2051 ,  A61M25/01 ,  C08L2201/12

    摘要： An electrode catheter is introduced into a vein or other hollow anatomical structure, and is positioned at a treatment site within the structure. The end of the catheter is positioned near a junction formed in the structure. This junction can be the sapheno-femoral junction. The position of the catheter near the junction is determined based on a signal from a device associated with the catheter within the structure. A fiber optic filament which emits light is used with the catheter or a guide wire over which the catheter is advanced. The light is visible externally from the patient. The light dims and may no longer externally visible at the sapheno-femoral junction where the catheter moves past the deep fascia and toward the deep venous system. The position of the catheter can be determined based on this external observation. The position of the catheter can also be determined based on measured parameters such as temperature or flow rate within the structure, and the measured changes in one or more of these parameters as the catheter nears the junction. The hollow anatomical structure can be compressed for this procedure. The position of the catheter can also be determined mechanically by including a hook-shaped tip on the catheter or guide wire which would physically engage the junction.

    摘要翻译： 将电极导管引入静脉或其他中空的解剖结构中，并且位于结构内的治疗部位。 导管的端部位于结构中形成的结处附近。 该结可以是隐静脉 - 股骨交界处。 基于来自与结构内的导管相关联的装置的信号来确定导管附近的导管位置。 使用发光的光纤丝与导管或引导线一起使用，导管在其上前进。 灯从病人外面可见。 光线变暗，并且可能不再在导管移动穿过深筋膜并朝向深静脉系统的隐静脉股关节处外部可见。 可以基于该外部观察来确定导管的位置。 导管的位置也可以基于测量参数（例如结构内的温度或流速）以及随着导管接近连接处的这些参数中的一个或多个而测量的变化来确定。 为此程序可以压缩中空的解剖结构。 导管的位置也可以通过将导管或引导线上的钩状尖端包括在物理上接合连接处而机械地确定。

    EXPANDABLE CATHETER HAVING TWO SETS OF ELECTRODES
    16.
    发明申请
    EXPANDABLE CATHETER HAVING TWO SETS OF ELECTRODES 有权
    具有两套电极的可扩展导管

    公开(公告)号：US20090005775A1

    公开(公告)日：2009-01-01

    申请号：US12126727

    申请日：2008-05-23

    申请人： Christopher S. Jones ,  Arthur W. Zikorus ,  Mark P. Parker ,  Brian E. Farley ,  Joseph M. Tartaglia

    发明人： Christopher S. Jones ,  Arthur W. Zikorus ,  Mark P. Parker ,  Brian E. Farley ,  Joseph M. Tartaglia

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002

    摘要： A catheter includes a first plurality of expandable leads and a second plurality of expandable leads separate and longitudinally spaced-apart from the first plurality to deliver energy to a hollow anatomical structure, such as vein, fallopian tube, hemorrhoid, esophageal varix, to effectively ligate that structure. Each of the leads includes an electrode located at the distal end of the respective electrode lead. Polarizations of the leads may be selected to achieve the power distribution desired. Each electrode lead includes an outward bend such that when a movable sheath is moved out of contact with the leads, they expand outwardly into apposition with an inner wall of the structure to be ligated. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes are freely moved inward by the shrinking structure while still maintaining apposition with the inner wall of the shrinking structure.

    摘要翻译： 导管包括第一多个可扩展引线和与第一多个分开并纵向间隔开的第二多个可扩展引线，以将能量传递到中空解剖结构，例如静脉，输卵管，痔疮，食管静脉曲张，以有效地连接 那个结构。 每个引线包括位于相应电极引线的远端处的电极。 可以选择引线的极化以实现所需的功率分配。 每个电极引线包括向外的弯曲部，使得当可移动护套移动离开与引线接触时，它们向外扩展成与要连接的结构的内壁相配合。 可以从引线施加高频能量以在解剖结构的周围组织中产生加热效果。 中空解剖结构的直径由于加热效应而减小，并且电极通过收缩结构自由地向内移动，同时仍然保持与收缩结构的内壁的配合。

    Method and apparatus for applying energy to biological tissue including the use of tumescent tissue compression
    17.
    发明授权
    Method and apparatus for applying energy to biological tissue including the use of tumescent tissue compression 有权
    用于向生物组织施加能量的方法和装置，包括使用肿胀组织压缩

    公开(公告)号：US06752803B2

    公开(公告)日：2004-06-22

    申请号：US09899885

    申请日：2001-07-06

    申请人： Mitchel P. Goldman ,  Robert A. Weiss ,  Arthur W. Zikorus ,  James G. Chandler

    发明人： Mitchel P. Goldman ,  Robert A. Weiss ,  Arthur W. Zikorus ,  James G. Chandler

    IPC分类号： A61B1804

    CPC分类号： G02F1/134363 ,  A61B18/1492 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2017/22067 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/00488 ,  A61B2018/00589 ,  A61B2018/00898 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2090/3782 ,  A61B2218/002 ,  G02F1/136213 ,  G02F1/136259 ,  G02F2201/12

    摘要： An electrode catheter is introduced into a hollow anatomical structure, such as a vein, and is positioned at a treatment site within the structure. Tumescent fluid is injected into the tissue surrounding the treatment site to produce tumescence of the surrounding tissue which then compresses the vein. The solution may include an anesthetic, and may further include a vasoconstrictive drug that shrinks blood vessels. The tumescent swelling in the surrounding tissue causes the hollow anatomical structure to become compressed, thereby exsanguinating the treatment site. Energy is applied by an electrode catheter in apposition with the vein wall to create a heating effect. The heating effect causes the hollow anatomical structure to become molded and durably assume the compressed dimensions caused by the tumescent technique. The electrode catheter can be moved within the structure so as to apply energy to a large section of the hollow anatomic structure. In a further aspect, the location of the electrodes is determined by impedance monitoring. Also, temperature sensors at the treatment site are averaged to determine the site temperature.

    摘要翻译： 将电极导管引入到诸如静脉的中空解剖结构中，并且位于结构内的治疗部位。 将肿胀流体注射到处理部位周围的组织中，以产生周围组织的肿胀，然后压缩静脉。 溶液可以包括麻醉剂，并且还可以包括收缩血管的血管收缩药物。 周围组织的肿胀肿胀导致中空的解剖结构变得压缩，从而使治疗部位脱垂。 能量通过电极导管与静脉壁一起施加以产生加热效果。 加热效果使得中空的解剖结构变得模制并且持久地承受由肿胀技术引起的压缩尺寸。 电极导管可以在结构内移动，以将能量施加到中空解剖结构的大部分。 在另一方面，通过阻抗监测确定电极的位置。 此外，将处理部位的温度传感器平均以确定现场温度。

    APPARATUS AND METHODS FOR TREATING HOLLOW ANATOMICAL STRUCTURES
    20.
    发明申请
    APPARATUS AND METHODS FOR TREATING HOLLOW ANATOMICAL STRUCTURES 有权

    公开(公告)号：US20110166518A1

    公开(公告)日：2011-07-07

    申请号：US12860708

    申请日：2010-08-20

    申请人： Hoa D. Nguyen ,  Arthur W. Zikorus ,  Stephen W. Lee

    发明人： Hoa D. Nguyen ,  Arthur W. Zikorus ,  Stephen W. Lee

    IPC分类号： A61F7/12

    CPC分类号： A61N1/403 ,  A61B18/082

    摘要： A method of performing therapy on tissue using a medical apparatus. The apparatus includes a shaft configured for insertion into a hollow anatomical structure (HAS) and has a tissue sensor and a therapeutic energy application device both located on the shaft. The method comprises: receiving electrical power at a first power level and directing the first-level power to the tissue sensor and not to the therapeutic energy application device, thereby enabling tissue sensing with the tissue sensor; receiving electrical power at a second power level higher than the first-level power; and, in response to receipt of the second-level power, directing the second-level power to the therapeutic energy application device, thereby enabling performance of therapy on the tissue with the therapeutic energy application device. Additional methods and apparatus are disclosed as well.