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    Anchored RF ablation device for the destruction of tissue masses
    12.
    发明授权
    Anchored RF ablation device for the destruction of tissue masses 有权
    锚定RF消融装置用于破坏组织块

    公开(公告)号：US08512333B2

    公开(公告)日：2013-08-20

    申请号：US11429921

    申请日：2006-05-08

    申请人： Gordon Epstein ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

    发明人： Gordon Epstein ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

    IPC分类号： A61B18/14

    CPC分类号： A61B18/14 ,  A61B17/3421 ,  A61B18/1477 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/3454 ,  A61B2018/00214 ,  A61B2018/00273 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00738 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/0094 ,  A61B2018/1405 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1467 ,  A61B2018/1475 ,  A61B2018/1869

    摘要： The inventive ablation element comprises an elongated cannula having a proximal end and a distal end. The cannula defines an internal lumen within the cannula and a cannula axis. A plurality of conductors contained within the lumen, each of the conductors has a proximal end proximate the proximal end of the cannula, and a distal end proximate the distal end of the cannula. A plurality of ablation stylets each has a proximal end and a distal end, and each coupled at the respective proximal end of the stylet to the distal end of a respective conductor, the stylets comprise a deflectable material, the conductors together with their respective stylets being mounted for axial movement. A trocar point defined proximate the distal end of the cannula. A deflection surface positioned between the trocar point and the proximal end of the cannula, the deflection surface being configured and positioned to deflect, in response to axial movement of the stylets in a direction from the proximate end of the cannula to the distal end of the cannula, at least some of the stylets laterally with respect to the cannula axis in different directions along substantially straight paths, the paths defining an ablation volume.

    摘要翻译： 本发明的消融元件包括具有近端和远端的细长插管。 套管限定插管内的内腔和插管轴线。 包含在内腔内的多个导体，每个导体具有靠近套管近端的近端，以及靠近套管远端的远端。 多个消融模具各自具有近端和远端，并且每个消融模具各自在相应的导管的相应近端处连接到相应导体的远端，所述模式包括可偏转材料，所述导体与它们各自的形式 安装用于轴向移动。 定位在套管远端附近的套针针点。 定位在套管针点和套管近端之间的偏转表面，所述偏转表面被构造和定位成响应于沿着插管的近端到所述插管的远端的方向的轴向移动而偏转 插管，沿着基本上直的路径在不同方向上相对于插管轴线横向的至少一些样式，所述路径限定消融体积。

    Ablation method
    13.
    发明授权
    Ablation method 有权
    消融法

    公开(公告)号：US08512330B2

    公开(公告)日：2013-08-20

    申请号：US13069466

    申请日：2011-03-23

    申请人： Gordon Epstein ,  Bruce Lee ,  Russell Delonzor ,  Adam Hagmann ,  Richard Spero

    发明人： Gordon Epstein ,  Bruce Lee ,  Russell Delonzor ,  Adam Hagmann ,  Richard Spero

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1477 ,  A61B18/18 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00648 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1475

    摘要： A method of ablating a uterine fibroid using a particular trocar is disclosed. The trocar comprises a plurality of ablation stylets mounted for movement from within the trocar to positions extending from the trocar. The trocar is adjustable to assume a plurality of configurations, each of the configurations having the stylets extended to a different extent from the trocar. A region to be ablated is imaged. The region may correspond to all or a portion of a uterine fibroid. The size of the region to be ablated is noted. The size of the region to be ablated is compared to a matrix of known ablation regions, each of the known ablation regions being associated with one of the configurations of the particular trocar, and each of the known ablation regions being associated with a position of the trocar relative to the known ablation region. The region to be ablated is associated with a most nearly matching known ablation region by comparison of the region to be ablated to the known ablation regions. A trocar of the design of the particular trocar is inserted into the uterine fibroid at a position, with respect to the region to be ablated, which more closely matches the position of the particular trocar with respect to the known ablation region. The stylets are deployed from the trocar to an extent corresponding to the configuration associated with the most nearly matching known ablation region.

    摘要翻译： 公开了使用特定套管针消除子宫肌瘤的方法。 套管针包括多个消融套，其安装成用于从套管针内移动到从套管针延伸的位置。 套针针可调节以呈现多个构型，每个构型具有与套管针不同的范围。 要烧蚀的区域被成像。 该区域可以对应于子宫肌瘤的全部或一部分。 注意要消除的区域的大小。 将要消融的区域的尺寸与已知消融区域的矩阵进行比较，每个已知的消融区域与特定套管针的配置之一相关联，并且每个已知的消融区域与 套针针相对于已知的消融区域。 通过将要消融的区域与已知的消融区域进行比较，要消融的区域与最接近匹配的已知烧蚀区域相关联。 特定套管针的设计的套针针相对于要消融的区域相对于已知的消融区域更紧密地匹配特定套管针的位置的位置被插入到子宫肌瘤中。 将套管从套针针部署到对应于与最接近匹配的已知消融区域相关联的配置的程度。

    MERGED IMAGE USER INTERFACE AND NAVIGATIONAL TOOL FOR REMOTE CONTROL OF SURGICAL DEVICES
    14.
    发明申请
    MERGED IMAGE USER INTERFACE AND NAVIGATIONAL TOOL FOR REMOTE CONTROL OF SURGICAL DEVICES 审中-公开
    用于远程控制外科手术的合并图像用户界面和导航工具

    公开(公告)号：US20120245576A1

    公开(公告)日：2012-09-27

    申请号：US13069497

    申请日：2011-03-23

    申请人： Gordon Epstein ,  Richard Spero

    发明人： Gordon Epstein ,  Richard Spero

    IPC分类号： A61B18/12

    CPC分类号： A61B18/1487 ,  A61B18/1477 ,  A61B2017/00212 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00589 ,  A61B2018/00642 ,  A61B2018/00708 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/00982 ,  A61B2018/143 ,  A61B2090/378

    摘要： The invention provides a system for remote control of a surgical device, comprising a first imaging device of a first type having a first image output. The first imaging device is positioned to image an area being subject to surgery. A second imaging device of a second type has a second image output. The second imaging device is positioned to image the area being subjected to surgery. A computer is coupled to receive the first and second image outputs and merge the first and second image outputs into a unitary image output representing a unitary image. Software, resident in the computer generates a graphic user interface including a menu and submenu items. A surgical device is coupled to the computer. Software, resident in said computer, receives and displays information received from the surgical device and/or controls the operation of the surgical device. A display as coupled to the computer for displaying the graphic user interface and the unitary image.

    摘要翻译： 本发明提供了一种用于远程控制外科装置的系统，包括具有第一图像输出的第一类型的第一成像装置。 第一成像装置被定位成对要手术的区域进行成像。 第二类型的第二成像装置具有第二图像输出。 定位第二成像装置以对经受手术的区域进行成像。 计算机被耦合以接收第一和第二图像输出，并将第一和第二图像输出合并为表示单一图像的单一图像输出。 驻留在计算机中的软件生成包括菜单和子菜单项的图形用户界面。 手术装置耦合到计算机。 驻留在所述计算机中的软件接收并显示从手术装置接收的信息和/或控制手术装置的操作。 耦合到计算机用于显示图形用户界面和单一图像的显示器。

    Direct dual filling device for sealing agents
    17.
    发明授权
    Direct dual filling device for sealing agents 有权
    直接双重灌装装置用于密封剂

    公开(公告)号：US07207969B2

    公开(公告)日：2007-04-24

    申请号：US10309338

    申请日：2002-12-02

    申请人： Gordon Howard Epstein ,  Mitchell E. Levinson ,  Richard Spero ,  Adam Hagmann

    发明人： Gordon Howard Epstein ,  Mitchell E. Levinson ,  Richard Spero ,  Adam Hagmann

    IPC分类号： A61M37/00

    CPC分类号： A61B17/00491 ,  A61B2017/00495 ,  A61J1/201 ,  A61J1/2013 ,  A61J1/2058 ,  A61J1/2096 ,  A61M5/1782

    摘要： A filling device and method, particularly for two-component sealants such as fibrin sealants, which enables two fluids to be separately and directly filled to the reservoirs of a dual syringe fluid applicator from two storage containers, which can be standardized, sealed, sterilized bottles. The device has a connector which engages with the fluid applicator, is keyed to orient the applicator's fluid reservoirs in a predetermined manner and holds the containers in side-by-side alignment with the applicator. Two fluid conduits whose downward ends may be pointed to pierce seals on the bottles, extend between the applicator and the bottles and can each have a transverse reach to accommodate the girth of the bottles. The bottles may be tilted by the device to enable the conduits to draw maximal fluid from a lowermost point of the bottle. Tilting can be effected by a downward movement of the device supporting the applicator which movement can introduce the fluid conduits into the bottles. A shroud can enclose and seal the bottles and permit the apparatus complete with fluid applicator to be introduced into a sterile environment. Additionally embodiments for use with a single vial are also disclosed.

    摘要翻译： 一种填充装置和方法，特别是用于诸如纤维蛋白密封剂的双组分密封剂，其使得两个流体能够从两个储存容器分开并直接填充到双注射器流体给药器的储存器中，这两个储存容器可以是标准化的密封灭菌瓶 。 该装置具有与流体施用器接合的连接器，用于以预定的方式定位施用器的流体储存器，并且将容器与施加器并排地对准。 两个流体管道，其下端可以指向刺穿瓶子上的密封件，在施用器和瓶子之间延伸，并且每个可以具有横向到达以适应瓶子的周长。 瓶子可以被装置倾斜，以使管道从瓶的最低点吸取最大流体。 倾斜可以通过支撑施加器的装置的向下运动来实现，该运动可以将流体导管引入瓶中。 护罩可以封闭并密封瓶子，并允许将流体施用器完成的装置引入无菌环境中。 还公开了与单个小瓶一起使用的另外的实施例。

    Reconstitution device and method of use
    18.
    发明授权
    Reconstitution device and method of use 失效
    重建装置及使用方法

    公开(公告)号：US06474375B2

    公开(公告)日：2002-11-05

    申请号：US09776351

    申请日：2001-02-02

    申请人： Richard Spero ,  Adam Hagmann ,  Terry E. Laas

    发明人： Richard Spero ,  Adam Hagmann ,  Terry E. Laas

    IPC分类号： B65B104

    CPC分类号： A61J1/2089 ,  A61J1/2055 ,  A61J1/2058 ,  A61J1/2065 ,  A61J1/2072

    摘要： A method and apparatus for reconstituting a multiple component material is disclosed. More particularly, the present invention discloses an apparatus utilizing an operator controllable pressurization device to generate a pressure differential between two receptacles attached to the device. The receptacles may contain individual components of a multiple component material, and may include liquid-liquid or liquid-solid compounds. The apparatus includes a material transfer lumen attachable to a first and second component receptacle. A pressurization lumen is connected to one of the component receptacles to facilitate material transfer. One embodiment of the present invention utilizes a negative pressure differential created in the second receptacle to facilitate transfer. In another embodiment, a positive pressure is created in the first receptacle to force material transfer between the two receptacles.

    摘要翻译： 公开了一种用于重构多组分材料的方法和装置。 更具体地，本发明公开了一种利用操作者可控加压装置在连接到装置的两个容器之间产生压力差的装置。 容器可以包含多组分材料的单独组分，并且可以包括液体 - 液体或液体 - 固体化合物。 该装置包括可连接到第一和第二部件容器的材料传送腔。 加压腔连接到其中一个部件容器以便于材料转移。 本发明的一个实施例利用在第二容器中产生的负压差来促进转移。 在另一个实施例中，在第一容器中产生正压以迫使两个容器之间的材料转移。

    LAPAROSCOPIC SPRAY DEVICE AND METHOD OF USE
    19.
    发明申请
    LAPAROSCOPIC SPRAY DEVICE AND METHOD OF USE 失效
    LAPAROSCOPIC喷雾装置及其使用方法

    公开(公告)号：US20050096588A1

    公开(公告)日：2005-05-05

    申请号：US10698714

    申请日：2003-10-31

    申请人： Adam Hagmann ,  Richard Spero ,  Atif Yardimci

    发明人： Adam Hagmann ,  Richard Spero ,  Atif Yardimci

    IPC分类号： A61B17/00 ,  A61M25/00 ,  A61M37/00

    CPC分类号： A61M25/003 ,  A61B17/00491 ,  A61B2017/00473 ,  A61B2017/00495 ,  A61M25/0032 ,  A61M2025/0037 ,  B05C17/00506 ,  B05C17/00516

    摘要： A laparoscopic spray device for selectively applying a multiple component material dispensed from a multiple component material applicator to a surgical site in vivo is disclosed. The device comprises an interface member capable of engaging a multiple component applicator, a body having at least two lumens therein, and a detachable spray tip in fluid communication with the body. The detachable spray tip includes a mixing chamber having at least one flexible mixing member positioned therein which is capable of creating a turbulent flow within a mixing chamber. In addition, the at least one mixing member prevents a back flow of material from the mixing chamber to the at least two lumens. The present invention is particularly useful in remotely applying multiple component tissue adhesives to an internal incision.

    摘要翻译： 公开了一种用于选择性地将从多组分材料施用器分配的多组分材料施用于体内的手术部位的腹腔镜喷雾装置。 该装置包括能够接合多组分施加器的接口构件，其中具有至少两个腔的主体和与身体流体连通的可拆卸喷雾尖端。 可拆卸喷嘴包括具有定位在其中的至少一个柔性混合构件的混合室，其能够在混合室内产生湍流。 此外，至少一个混合构件防止材料从混合室向后流动至至少两个流明。 本发明特别适用于将多组分组织粘合剂远程应用于内部切口。