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11.发明申请公开(公告)号：US20100204693A1
公开(公告)日：2010-08-12
申请号：US12763630
申请日：2010-04-20
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B18/14 , A61B18/1402 , A61B18/1482 , A61B2018/0016 , A61B2018/00178 , A61B2018/00565 , A61B2018/00577 , A61B2018/00583 , A61B2218/007
摘要： A method for treating a bone body comprises inserting a probe having at least one active electrode into the target tissue and applying a voltage difference between an active electrode and return electrode to ablate the tissue. The method is particularly directed to removing tumors in a bone body and or removing cancellous bone in a bone body. The bone body may be a vertebral body. An apparatus includes a plurality of active electrodes and a distal section including two bends. The bends serve to prevent the active electrodes from impinging upon the shaft of an introducer needle. Also, a kit includes an electrosurgical probe, an electrosurgical generator, an introducer needle, and a fluid connector to connect the introducer needle to a fluid source such that liquid may be supplied to the target site during an application.
摘要翻译： 一种用于治疗骨体的方法包括将具有至少一个活性电极的探针插入目标组织中，并在活性电极和返回电极之间施加电压差以烧蚀组织。 该方法特别涉及去除骨体中的肿瘤和/或去除骨体中的松质骨。 骨骼体可以是椎体。 一种装置包括多个有源电极和包括两个弯曲部的远端部分。 弯曲用于防止有源电极撞击导引针的轴。 而且，套件包括电外科探针，电外科发生器，导引针和流体连接器，以将导引针连接到流体源，使得液体可以在施用期间被供应到目标部位。
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公开(公告)号：US07270658B2
公开(公告)日：2007-09-18
申请号：US10384050
申请日：2003-03-10
IPC分类号： A61B18/14
CPC分类号： A61B18/1482 , A61B18/1206 , A61B18/14 , A61B18/1477 , A61B18/148 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B90/11 , A61B2017/00261 , A61B2018/00119 , A61B2018/0016 , A61B2018/00291 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/0044 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00702 , A61B2018/00791 , A61B2018/00827 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/1273 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002
摘要： Methods and apparatus for selectively applying electrical energy to a target location within a patient's body, particularly including tissue in the spine. In a method of the invention high frequency (RF) electrical energy is applied to one or more active electrodes on an electrosurgical probe in the presence of an electrically conductive fluid to remove, contract or otherwise modify the structure of tissue targeted for treatment. In one aspect, a dura mater and spinal cord are insulated from the electrical energy by an insulator positioned on a non-active side of the probe. In another aspect, a plasma is aggressively formed in the electrically conductive fluid by delivering a conductive fluid to a distal end portion of the probe and aspirating the fluid from a location proximal of the return electrode. In another aspect, a distal end of an electrosurgical probe having at least one electrode on a biased, curved, bent, or steerable shaft is guided or steered to a target site within an intervertebral disc having a disc defect for treatment of tissue to be treated at the target site by the selective application of electrical energy thereto.
摘要翻译： 用于选择性地将电能施加到患者体内的目标位置，特别是包括脊柱中的组织的方法和装置。 在本发明的方法中，在存在导电流体的情况下，将高频（RF）电能施加到电外科探针上的一个或多个有效电极，以移除，收缩或以其它方式改变用于治疗的组织的结构。 在一个方面，硬脑膜和脊髓通过位于探针非活动侧的绝缘体与电能绝缘。 在另一方面，通过将导电流体输送到探针的远端部分并从返回电极附近的位置抽吸流体，在导电流体中积极地形成等离子体。 在另一方面，电外科探头的远端在偏置的弯曲的，弯曲的或可操纵的轴上具有至少一个电极，被引导或转向具有盘缺损的椎间盘内的靶部位，用于治疗待治疗的组织 在目标地点通过选择性地施加电能。
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公开(公告)号：USRE40156E1
公开(公告)日：2008-03-18
申请号：US10682600
申请日：2003-10-09
IPC分类号： A61B18/14
CPC分类号： A01N43/52 , A01N43/80 , A01N43/90 , A61B18/1206 , A61B18/1402 , A61B18/1477 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B90/11 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2017/00261 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/0044 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283 , C07D403/12 , C07D409/12 , C07D413/12 , C07D491/04
摘要： Apparatus and methods for treating an intervertebral disc by ablation of disc tissue. A method of the invention includes positioning at least one active electrode within the intervertebral disc, and applying at least a first high frequency voltage between the active electrode(s) and one or more return electrode(s), wherein the volume of the nucleus pulposus is decreased, pressure exerted by the nucleus pulposus on the annulus fibrosus is reduced, and discogenic pain of a patient is alleviated. In other embodiments, a curved or steerable probe is guided to a specific target site within a disc to be treated, and the disc tissue at the target site is ablated by application of at least a first high frequency voltage between the active electrode(s) and one or more return electrode(s). A method of making an electrosurgical probe is also disclosed.
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公开(公告)号：US06772012B2
公开(公告)日：2004-08-03
申请号：US09848843
申请日：2001-05-03
IPC分类号： A61F700
CPC分类号： A61B18/1402 , A61B18/1206 , A61B18/14 , A61B18/1477 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B90/11 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2017/00261 , A61B2017/00274 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00291 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/0044 , A61B2018/00505 , A61B2018/00547 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： Systems, apparatus, and methods for treating spinal tissue and other body structures in open and endoscopic spine surgery to relieve symptoms, such as neck or back pain. In particular, the present invention provides methods for the controlled heating of various tissues in or around the vertebral column, including various interspinous tissues, such that spinal ligaments and cartilage surrounding the vertebrae and the facet joints are shrunk or tightened to stabilize the vertebral column of a patient. Thermal energy is applied to the target tissue in a subablation mode of an electrosurgical system to cause shrinkage of the tissue, thereby stiffening the interspinous tissue and stabilizing the vertebral column. In an exemplary embodiment, a high frequency RF voltage can be applied between one or more active electrode(s) and one or more return electrode(s) to heat a target interspinous tissue to within a temperature range at which irreversible shrinkage of the tissue occurs.
摘要翻译： 用于在开放和内窥镜脊柱手术中治疗脊髓组织和其他身体结构的系统，装置和方法，以缓解症状，例如颈部或背部疼痛。 特别地，本发明提供了用于受控加热椎骨柱内或周围的各种组织的方法，包括各种棘突间组织，使得脊椎韧带和围绕椎骨和小关节的软骨收缩或收缩以稳定椎骨柱的 病人。 以电外科系统的消融模式将热能施加到靶组织，引起组织收缩，从而加强棘突间组织并稳定脊柱。 在示例性实施例中，可以在一个或多个有效电极和一个或多个返回电极之间施加高频RF电压，以将目标棘突间组织加热到组织发生不可逆收缩的温度范围内 。
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公开(公告)号：US06726684B1
公开(公告)日：2004-04-27
申请号：US09708962
申请日：2000-11-08
IPC分类号： A61B1814
CPC分类号： A61B18/1482 , A61B18/1206 , A61B18/14 , A61B18/1477 , A61B18/148 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B90/11 , A61B2017/00261 , A61B2018/00119 , A61B2018/0016 , A61B2018/00291 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/0044 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00702 , A61B2018/00791 , A61B2018/00827 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/1273 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002
摘要： Methods and apparatus for selectively applying electrical energy to a target location within a patient's body, particularly including tissue in the spine. In a method of the invention high frequency (RF) electrical energy is applied to one or more active electrodes on an electrosurgical probe in the presence of an electrically conductive fluid to remove, contract or otherwise modify the structure of tissue targeted for treatment. In one aspect, a dura mater and spinal cord are insulated from the electrical energy by an insulator positioned on a non-active side of the probe. In another aspect, a plasma is aggressively formed in the electrically conductive fluid by delivering a conductive fluid to a distal end portion of the probe and aspirating the fluid from a location proximal of the return electrode. In another aspect, a distal end of an electrosurgical probe having at least one electrode on a biased, curved, bent, or steerable shaft is guided or steered to a target site within an intervertebral disc having a disc defect for treatment of tissue to be treated at the target site by the selective application of electrical energy thereto.
摘要翻译： 用于选择性地将电能施加到患者体内的目标位置，特别是包括脊柱中的组织的方法和装置。 在本发明的方法中，在存在导电流体的情况下，将高频（RF）电能施加到电外科探针上的一个或多个有效电极，以移除，收缩或以其它方式改变用于治疗的组织的结构。 在一个方面，硬脑膜和脊髓通过位于探针非活动侧的绝缘体与电能绝缘。 在另一方面，通过将导电流体输送到探针的远端部分并从返回电极附近的位置抽吸流体，在导电流体中积极地形成等离子体。 在另一方面，电外科探头的远端在偏置的弯曲的，弯曲的或可操纵的轴上具有至少一个电极，被引导或转向具有盘缺损的椎间盘内的靶部位，用于治疗待治疗的组织 在目标地点通过选择性地施加电能。
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16.发明授权Electrosurgical method and apparatus for removing tissue within a bone body 有权用于去除骨体内的组织的电外科手术方法和装置公开(公告)号：US07708733B2
公开(公告)日：2010-05-04
申请号：US10970796
申请日：2004-10-20
IPC分类号： A61B18/18
CPC分类号： A61B18/148 , A61B18/14 , A61B18/1402 , A61B18/1482 , A61B2018/0016 , A61B2018/00178 , A61B2018/00565 , A61B2018/00577 , A61B2018/00583 , A61B2218/007
摘要： A method for treating a bone body comprises inserting a probe having at least one active electrode into the target tissue and applying a voltage difference between an active electrode and return electrode to ablate the tissue. The method is particularly directed to removing tumors in a bone body and or removing cancellous bone in a bone body. The bone body may be a vertebral body. An apparatus includes a plurality of active electrodes and a distal section including two bends. The bends serve to prevent the active electrodes from impinging upon the shaft of an introducer needle. Also, a kit includes an electrosurgical probe, an electrosurgical generator, an introducer needle, and a fluid connector to connect the introducer needle to a fluid source such that liquid may be supplied to the target site during an application.
摘要翻译： 一种用于治疗骨体的方法包括将具有至少一个活性电极的探针插入目标组织中，并在活性电极和返回电极之间施加电压差以烧蚀组织。 该方法特别涉及去除骨体中的肿瘤和/或去除骨体中的松质骨。 骨骼体可以是椎体。 一种装置包括多个有源电极和包括两个弯曲部的远端部分。 弯曲用于防止有源电极撞击导引针的轴。 而且，套件包括电外科探针，电外科发生器，导引针和流体连接器，以将导引针连接到流体源，使得液体可以在施用期间被供应到目标部位。
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公开(公告)号：US07270659B2
公开(公告)日：2007-09-18
申请号：US11230360
申请日：2005-09-19
CPC分类号： A61B18/1402 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/0044 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493
摘要： Systems, apparatus, and methods for treating spinal tissue and other body structures in open and endoscopic spine surgery to relieve symptoms, such as neck or back pain. In particular, the present invention provides methods for the controlled heating of various tissues in or around the vertebral column, including various interspinous tissues, such that spinal ligaments and cartilage surrounding the vertebrae and the facet joints are shrunk or tightened to stabilize the vertebral column of a patient. Thermal energy is applied to the target tissue in a subablation mode of an electrosurgical system to cause shrinkage of the tissue, thereby stiffening the interspinous tissue and stabilizing the vertebral column. In an exemplary embodiment, a high frequency RF voltage can be applied between one or more active electrode(s) and one or more return electrode(s) to heat a target interspinous tissue to within a temperature range at which irreversible shrinkage of the tissue occurs.
摘要翻译： 用于在开放和内窥镜脊柱手术中治疗脊髓组织和其他身体结构的系统，装置和方法，以缓解症状，例如颈部或背部疼痛。 特别地，本发明提供了用于受控加热椎骨柱内或周围的各种组织的方法，包括各种棘突间组织，使得脊椎韧带和围绕椎骨和小关节的软骨收缩或收缩以稳定椎骨柱的 病人。 以电外科系统的消融模式将热能施加到靶组织，以引起组织收缩，从而加强棘突间组织并稳定脊柱。 在示例性实施例中，可以在一个或多个有效电极和一个或多个返回电极之间施加高频RF电压，以将目标棘突间组织加热到组织发生不可逆收缩的温度范围内 。
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公开(公告)号：US07104986B2
公开(公告)日：2006-09-12
申请号：US10435825
申请日：2003-05-12
申请人： David C. Hovda , Brian Martini , Zsuzsi Conforti , Jean Woloszko
发明人： David C. Hovda , Brian Martini , Zsuzsi Conforti , Jean Woloszko
IPC分类号： A61B18/14
CPC分类号： A61B18/1206 , A61B18/12 , A61B18/14 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00097 , A61B2017/00101 , A61B2017/00247 , A61B2017/00292 , A61B2017/003 , A61B2017/22001 , A61B2017/22038 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00196 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00642 , A61B2018/0066 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1467 , A61B2018/1472 , A61B2018/1497 , A61B2018/162 , A61B2018/165 , A61B2090/378 , A61B2218/002 , A61F2/2493 , A61M3/0283 , A61M25/0133 , A61M25/0147 , A61M25/0158
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within a patient's body, particularly including tissue in the spine. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to contract collagen fibers within the tissue structures. In one aspect of the invention, a system and method is provided for removing a vertebral disc in preparation for implanting a prosthetic disc or removing a portion of the vertebral disc such as the nucleus pulposus in preparation for placing a prosthetic nucleus within the annulus of the disc. The present invention also teaches shrinking residual tissue in preparation for placing the implants.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者体内的目标位置，特别是包括脊柱中的组织的系统和方法。 本发明在存在导电流体的情况下将高频（RF）电能应用于一个或多个电极端子，以收缩组织结构内的胶原纤维。 在本发明的一个方面，提供一种系统和方法，用于去除脊椎椎间盘，以准备植入假体盘或移除椎骨盘的一部分，例如髓核，以准备将假体核置于内环 光盘。 本发明还教导了准备放置植入物的收缩残留组织。
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19.发明授权公开(公告)号：US06544261B2
公开(公告)日：2003-04-08
申请号：US09776799
申请日：2001-02-05
IPC分类号： A61B1814
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00607 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention includes a channeling technique in which small holes or channels are formed within tissue structures in the mouth, such as the tonsils, tongue, palate and uvula, and thermal energy is applied to the tissue surface immediately surrounding these holes or channels to cause thermal damage to the tissue surface, thereby stiffening the surrounding tissue structure. Applicant has discovered that such stiffening of certain tissue structures in the mouth and throat helps to prevent the tissue structure from obstructing the patient's upper airway during sleep.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明包括一种通道技术，其中在孔中的组织结构内形成小孔或通道，例如扁桃体，舌头，上颚和尿道，并且热能被施加到紧邻这些孔或通道的组织表面，以引起 对组织表面的热损伤，从而使周围的组织结构变硬。 申请人已经发现，口腔和喉部中某些组织结构的这种硬化有助于防止组织结构在睡眠期间阻塞患者的上呼吸道。
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公开(公告)号：US06203542B1
公开(公告)日：2001-03-20
申请号：US09295687
申请日：1999-04-21
IPC分类号： A61B1814
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00607 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention includes a channeling technique in which small holes or channels are formed within tissue structures in the mouth, such as the tonsils, tongue, palate and uvula, and thermal energy is applied to the tissue surface immediately surrounding these holes or channels to cause thermal damage to the tissue surface, thereby stiffening the surrounding tissue structure. Applicant has discovered that such stiffening of certain tissue structures in the mouth and throat helps to prevent the tissue structure from obstructing the patient's upper airway during sleep.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明包括一种通道技术，其中在孔中的组织结构内形成小孔或通道，例如扁桃体，舌头，上颚和尿道，并且热能被施加到紧邻这些孔或通道的组织表面，以引起 对组织表面的热损伤，从而使周围的组织结构变硬。 申请人已经发现，口腔和喉部中某些组织结构的这种硬化有助于防止组织结构在睡眠期间阻塞患者的上呼吸道。
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