-
公开(公告)号:US20130317492A1
公开(公告)日:2013-11-28
申请号:US13676249
申请日:2012-11-14
申请人: Csaba Truckai , Aaron Germain , John H. Shadduck
发明人: Csaba Truckai , Aaron Germain , John H. Shadduck
IPC分类号: A61B18/08
CPC分类号: A61B18/1445 , A61B18/08 , A61B18/085 , A61B2018/00172 , A61B2018/00589 , A61B2018/00601 , A61B2018/146
摘要: A medical for removing tissue from a patient includes an elongated probe with a working end. A pair of jaws is provided at the working end. The jaws may be closed for cutting and treatment of the tissue. Cutting may be effective through a sharpened cutting blade, and RF cutting blade, and similar cutting edges. The tissue may be remodeled using heat generated from passive heating elements on the jaws, active heating elements on the jaws, a PTCR heating element carried by the jaws, or resistive heaters on the jaws.
摘要翻译: 用于从患者去除组织的医学包括具有工作端的细长探针。 工作端设有一对钳口。 钳口可以关闭以切割和处理组织。 切割可以通过锋利的切割刀片和RF切割刀片以及类似的切削刃而有效。 可以使用由钳口上的被动加热元件,钳口上的主动加热元件,由钳口承载的PTCR加热元件或钳口上的电阻加热器产生的热量来重组组织。
-
公开(公告)号:US08556910B2
公开(公告)日:2013-10-15
申请号:US12062345
申请日:2008-04-03
申请人: Csaba Truckai , Robert Luzzi , John H. Shadduck
发明人: Csaba Truckai , Robert Luzzi , John H. Shadduck
CPC分类号: A61B17/8836 , A61B17/8822 , A61B2017/00022
摘要: Systems and methods for delivering bone cement into a bone can include a handle body defining a flow path, a thermal emitter in the handle body to apply energy to bone cement passing through the flow path, a source of bone cement and an injection cannula. The cannula can be in communication with the flow path such that inserting the cannula into a bone can allow a flow of bone cement therethrough to an opening at a distal end of the cannula. Other systems and methods for delivering bone cement into a bone can include an injector body with a handle portion, and a cannula, a bone cement container, a low pressure drive mechanism configured to effect a flow of bone cement from said container to the injector body and a high pressure drive mechanism configured to effect a flow of bone cement through the injector body into the bone.
摘要翻译: 用于将骨水泥输送到骨中的系统和方法可以包括限定流路的手柄主体,手柄主体中的热发射器,以将能量施加到通过流路的骨水泥,骨水泥源和注射套管。 套管可以与流动路径连通,使得将套管插入骨头可以允许骨水泥通过其穿过套管远端的开口。 用于将骨水泥输送到骨头中的其它系统和方法可以包括具有手柄部分的注射器主体和套管,骨水泥容器,低压驱动机构,其被配置为实现骨粘固剂从所述容器流到喷射器主体 以及高压驱动机构,其构造成使得骨水泥通过所述注射器主体流入所述骨中。
-
公开(公告)号:US08512326B2
公开(公告)日:2013-08-20
申请号:US13277913
申请日:2011-10-20
IPC分类号: A61B18/18
CPC分类号: A61B18/1482 , A61B1/015 , A61B1/05 , A61B17/32002 , A61B17/3205 , A61B18/00 , A61B18/1206 , A61B18/18 , A61B2017/320028 , A61B2018/00196 , A61B2018/00202 , A61B2018/00559 , A61B2018/00589 , A61B2018/00601 , A61B2018/00625 , A61B2018/048 , A61B2018/126 , A61B2018/1437 , A61B2218/002 , A61B2218/007
摘要: Tissue may be cut and extracted from an interior location in a patient's body using a probe or tool which both effects cutting and causes vaporization of a liquid or other fluid to propel the cut tissue through an extraction lumen of the cutting device. The cutting may be achieved using an electrosurgical electrode assembly, including a first electrode on a cutting member and a second electrode within a cutting probe or tool. Thus, over a first cutting portion, radio frequency current may help cut the tissue and over a second or over transition region, the RF current may initiate vaporization of the fluid or other liquid to propel the tissue from the cutting device.
摘要翻译: 可以使用探针或工具从患者体内的内部位置切割并提取组织,所述探针或工具都会影响切割并引起液体或其它流体的蒸发,以将切割的组织推动通过切割装置的提取腔。 可以使用电外科电极组件来实现切割,所述电外科电极组件包括切割构件上的第一电极和切割探针或工具内的第二电极。 因此,在第一切割部分上,射频电流可以帮助切割组织并且在第二或过渡过渡区域上,RF电流可以引发流体或其它液体的蒸发,以推动来自切割装置的组织。
-
公开(公告)号:US20120197248A1
公开(公告)日:2012-08-02
申请号:US13445532
申请日:2012-04-12
申请人: Csaba Truckai , John H. Shadduck
发明人: Csaba Truckai , John H. Shadduck
CPC分类号: A61B18/1442 , A61B18/1445 , A61B2018/00077 , A61B2018/00083 , A61B2018/00125 , A61B2018/00148 , A61B2018/0016 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455
摘要: Embodiments of the invention provide an electrosurgical jaw structure comprising first and second opposing jaws one or both of which include 3D variable resistance bodies. The jaw structure can be part of the working end of a surgical instrument. In one embodiment, the jaws can comprise first and second energy-delivery jaw surfaces having first and second 3D variable resistance bodies, with the jaw surface configured to be coupled to an Rf source. The 3D variable resistance bodies can define different temperature-resistance curves. The 3D bodies can be configured to control ohmic heating of tissue by modulating the delivery of Rf energy to tissue. Jaw structures having the 3D bodies can be used to engage and produce high strength tissue welds in targeted tissue including tissue volumes having varying tissue types. Such jaw structures can be configured to simultaneously apply different energy levels to each tissue type within the tissue volume.
摘要翻译: 本发明的实施例提供一种电外科钳口结构,其包括第一和第二相对的钳口,其中一个或两个包括3D可变电阻体。 钳口结构可以是外科器械的工作端的一部分。 在一个实施例中,夹爪可以包括具有第一和第二3D可变电阻体的第一和第二能量输送钳口表面,其中钳口表面被配置为耦合到Rf源。 3D可变电阻体可以定义不同的耐温曲线。 3D体可以被配置成通过调节Rf能量递送到组织来控制组织的欧姆加热。 可以使用具有3D体的颚结构来接合和产生包括具有不同组织类型的组织体积的靶组织中的高强度组织焊接。 这种钳口结构可以被配置为同时对组织体积内的每种组织类型施加不同的能量水平。
-
公开(公告)号:US20120136352A1
公开(公告)日:2012-05-31
申请号:US13323032
申请日:2011-12-12
申请人: Csaba Truckai , John H. Shadduck
发明人: Csaba Truckai , John H. Shadduck
IPC分类号: A61B18/14 , A61B17/295
CPC分类号: A61B18/1445 , A61B17/320016 , A61B17/3201 , A61B18/08 , A61B18/085 , A61B18/1442 , A61B18/1815 , A61B2017/00084 , A61B2017/2933 , A61B2017/2934 , A61B2017/2945 , A61B2017/320064 , A61B2018/00107 , A61B2018/00619 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/1432
摘要: An electrosurgical working end and method for sealing and transecting tissue. An exemplary working end provides curved jaw members that are positioned on opposing sides of the targeted anatomic structure. The working end carries a slidable extension member having flange portions with inner surfaces that slide over the jaw members to clamp tissue therebetween. The working end carries an independent slidable cutting member that is flexible to follow the curved axis of the jaws. The electrosurgical surfaces of the jaws include partially-resistive bodies for carrying a current or load which modulates ohmic heating in the engaged tissue to prevent charring and desiccation of tissue to create a high strength thermal seal.
摘要翻译: 电外科工作端及组织密封和横切方法。 示例性工作端提供定位在目标解剖结构的相对侧上的弯曲钳口构件。 工作端承载有可滑动的延伸构件,其具有凸缘部分,其内表面在钳口构件上滑动以在其间夹紧组织。 工作端具有独立的可滑动切割构件,其可挠曲地沿着夹爪的弯曲轴线。 钳口的电外科表面包括用于承载电流或负载的部分电阻体,其调节接合组织中的欧姆加热,以防止组织的烧焦和干燥以产生高强度热密封。
-
公开(公告)号:US08109933B2
公开(公告)日:2012-02-07
申请号:US12062384
申请日:2008-04-03
申请人: Csaba Truckai , Robert Luzzi , John H. Shadduck
发明人: Csaba Truckai , Robert Luzzi , John H. Shadduck
CPC分类号: A61B17/8836 , A61B17/8822 , A61B2017/00022
摘要: Systems and methods for delivering bone cement into a bone can include a handle body defining a flow path, a thermal emitter in the handle body to apply energy to bone cement passing through the flow path, a source of bone cement and an injection cannula. The cannula can be in communication with the flow path such that inserting the cannula into a bone can allow a flow of bone cement therethrough to an opening at a distal end of the cannula. Other systems and methods for delivering bone cement into a bone can include an injector body with a handle portion, and a cannula, a bone cement container, a low pressure drive mechanism configured to effect a flow of bone cement from said container to the injector body and a high pressure drive mechanism configured to effect a flow of bone cement through the injector body into the bone.
摘要翻译: 用于将骨水泥输送到骨中的系统和方法可以包括限定流路的手柄主体,手柄主体中的热发射器,以将能量施加到通过流路的骨水泥,骨水泥源和注射套管。 套管可以与流动路径连通,使得将套管插入骨头可以允许骨水泥通过其穿过套管远端的开口。 用于将骨水泥输送到骨头中的其它系统和方法可以包括具有手柄部分的注射器主体和套管,骨水泥容器,低压驱动机构,其被配置为实现骨粘固剂从所述容器流到喷射器主体 以及高压驱动机构,其构造成使得骨水泥通过所述注射器主体流入所述骨中。
-
公开(公告)号:US20110054482A1
公开(公告)日:2011-03-03
申请号:US12942936
申请日:2010-11-09
申请人: Csaba Truckai , John H. Shadduck
发明人: Csaba Truckai , John H. Shadduck
IPC分类号: A61B17/58
CPC分类号: A61B17/7095 , A61B17/68 , A61B17/686 , A61F2/28 , A61F2/30965 , A61F2/3662 , A61F2/44 , A61F2002/2817 , A61F2002/2835 , A61F2002/30006 , A61F2002/30011 , A61F2002/30023 , A61F2002/30069 , A61F2002/3008 , A61F2002/30092 , A61F2002/30224 , A61F2002/30583 , A61F2002/30677 , A61F2002/3085 , A61F2002/30957 , A61F2002/30971 , A61F2210/0014 , A61F2210/0085 , A61F2230/0069 , A61F2250/0015 , A61F2250/0018 , A61F2250/0023 , A61F2250/0034 , A61F2250/0098 , A61F2310/00353 , A61L27/50 , A61L2430/02
摘要: A system and method for treating bone abnormalities including vertebral compression fractures and the like. In one vertebroplasty method, a fill material is injected under high pressures into cancellous bone wherein the fill material includes a flowable bone cement component and an elastomeric polymer component that is carried therein. The elastomer component can further carry microscale or mesoscale reticulated elements. Under suitable injection pressures, the elastomeric component ultimately migrates within the flowable material to alter the apparent viscosity across the plume of fill material to accomplish multiple functions. For example, the differential in apparent viscosity across the fill material creates a broad load-distributing layer within cancellous bone for applying retraction forces to cortical bone endplates. The differential in apparent viscosity also transitions into a flow impermeable layer at the interface of cancellous bone and the flowable material to prevent extravasasion of the flowable bone cement component.
摘要翻译: 一种用于治疗包括椎骨压缩性骨折等骨骼异常的系统和方法。 在一种椎体成形术方法中,将填充材料在高压下注射到松质骨中,其中填充材料包括可流动的骨粘固剂组分和其中携带的弹性体聚合物组分。 弹性体组分可以进一步携带微米或中等尺寸的网状元件。 在合适的注射压力下,弹性体组分最终在可流动材料内迁移以改变穿过填充材料的羽流的表观粘度,以实现多种功能。 例如,穿过填充材料的表观粘度的差异在松质骨内产生宽的载荷分布层,用于将回缩力施加到皮质骨终板。 表观粘度的差异也转变为松质骨和可流动材料的界面处的不透水层,以防止可流动的骨水泥组分的外渗。
-
公开(公告)号:US07621952B2
公开(公告)日:2009-11-24
申请号:US11146893
申请日:2005-06-07
申请人: Csaba Truckai , John H. Shadduck
发明人: Csaba Truckai , John H. Shadduck
IPC分类号: A61F2/44
CPC分类号: A61B17/8858 , A61B17/70 , A61B2017/00004 , A61F2/44 , A61F2/4455 , A61F2/4611 , A61F2002/30062 , A61F2002/30289 , A61F2002/30579 , A61F2002/30677 , A61F2210/0004 , A61F2230/0091
摘要: An orthopedic implant comprising a deformable, expandable implant body configured for treating abnormalities in bones, such as compression fractures of vertebra, necrosis of femurs and the like. An exemplary implant body comprises a small cross-section threaded element that is introduced into a bone region and thereafter is expanded into a larger cross-section, monolithic assembly to provide a bone support. In one embodiment, the implant body is at least partly fabricated of a magnesium alloy that is biodegradable to allow for later tissue ingrowth.
摘要翻译: 一种矫形植入物,包括可变形的,可扩张的植入体,其被配置用于治疗骨骼的异常,例如椎骨的压缩性骨折,股骨的坏死等。 示例性植入物主体包括被引入到骨区域中的小横截面的螺纹元件,然后被扩展成更大的横截面的整体式组件以提供骨支撑。 在一个实施例中,植入体至少部分地由可生物降解的镁合金制成,以允许稍后的组织向内生长。
-
公开(公告)号:US20080255570A1
公开(公告)日:2008-10-16
申请号:US12062345
申请日:2008-04-03
申请人: Csaba Truckai , Robert Luzzi , John H. Shadduck
发明人: Csaba Truckai , Robert Luzzi , John H. Shadduck
CPC分类号: A61B17/8836 , A61B17/8822 , A61B2017/00022
摘要: Systems and methods for delivering bone cement into a bone can include a handle body defining a flow path, a thermal emitter in the handle body to apply energy to bone cement passing through the flow path, a source of bone cement and an injection cannula. The cannula can be in communication with the flow path such that inserting the cannula into a bone can allow a flow of bone cement therethrough to an opening at a distal end of the cannula. Other systems and methods for delivering bone cement into a bone can include an injector body with a handle portion, and a cannula, a bone cement container, a low pressure drive mechanism configured to effect a flow of bone cement from said container to the injector body and a high pressure drive mechanism configured to effect a flow of bone cement through the injector body into the bone.
-
公开(公告)号:US20080188851A1
公开(公告)日:2008-08-07
申请号:US12098560
申请日:2008-04-07
申请人: Csaba Truckai , John H. Shadduck , Bruno Strul
发明人: Csaba Truckai , John H. Shadduck , Bruno Strul
IPC分类号: A61B18/14
CPC分类号: A61B18/1445 , A61B18/1442 , A61B2018/00077 , A61B2018/00083 , A61B2018/00125 , A61B2018/00148 , A61B2018/0016 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455
摘要: An embodiment of the invention includes an electrosurgical jaw structure that carries cooperating PTC bodies in both series and parallel circuit components for controlled RF energy application to engaged tissue to effectively weld tissue.
摘要翻译: 本发明的实施例包括电外科钳口结构,其在串联和并联电路部件中携带协作的PTC体,用于受控RF能量施加到接合组织以有效地焊接组织。
-
-
-
-
-
-
-
-
-