公开(公告)号：US08109925B2

公开(公告)日：2012-02-07

申请号：US11805940

申请日：2007-05-25

申请人： Dan Voic ,  Ronald R. Manna

发明人： Dan Voic ,  Ronald R. Manna

IPC分类号： A61B18/04

CPC分类号： A61B17/320068 ,  A61B10/0233 ,  A61B18/148 ,  A61B2017/306 ,  A61B2017/320064 ,  A61B2017/320084 ,  A61B2017/3413

摘要： An elongate probe, with a suction channel extending longitudinally along the probe, is inserted into a patient so that a distal tip of the probe is in contact with a fibroid mass inside the patient. Thereafter the probe is ultrasonically vibrated so that the distal tip has an excursion amplitude or distance greater than 275 microns. During probe vibration, suction is applied to the channel at a vacuum level greater than 24″ Hg to thereby maintain the target tissue mass in engagement with the distal tip during the vibrating of the probe and enable ablation of at least a selectable portion of the target tissue mass.

摘要翻译： 具有沿着探针纵向延伸的吸入通道的细长探针插入患者体内，使得探针的远侧末端与患者体内的纤维块接触。 此后，探针被超声波振动，使得远端尖端具有大于275微米的偏移振幅或距离。 在探针振动期间，在大于24“Hg的真空度下对通道施加抽吸，从而在探针振动期间保持目标组织质量与远侧末端接合，并且能够消除目标的至少一个可选部分 组织块

公开(公告)号：US20080294044A1

公开(公告)日：2008-11-27

申请号：US11805940

申请日：2007-05-25

申请人： Dan Voic ,  Ronald R. Manna

发明人： Dan Voic ,  Ronald R. Manna

IPC分类号： A61B8/12

CPC分类号： A61B17/320068 ,  A61B10/0233 ,  A61B18/148 ,  A61B2017/306 ,  A61B2017/320064 ,  A61B2017/320084 ,  A61B2017/3413

摘要： An elongate probe, with a suction channel extending longitudinally along the probe, is inserted into a patient so that a distal tip of the probe is in contact with a fibroid mass inside the patient. Thereafter the probe is ultrasonically vibrated so that the distal tip has an excursion amplitude or distance greater than 275 microns. During probe vibration, suction is applied to the channel at a vacuum level greater than 24″ Hg to thereby maintain the target tissue mass in engagement with the distal tip during the vibrating of the probe and enable ablation of at least a selectable portion of the target tissue mass.

摘要翻译： 具有沿着探针纵向延伸的吸入通道的细长探针插入患者体内，使得探针的远侧末端与患者体内的纤维块接触。 此后，探针被超声波振动，使得远端尖端具有大于275微米的偏移振幅或距离。 在探针振动期间，在大于24“Hg的真空度下对通道施加抽吸，从而在探针振动期间保持目标组织质量与远侧尖端接合，并且能够消除至少一个可选部分的 目标组织块。

公开(公告)号：US08343178B2

公开(公告)日：2013-01-01

申请号：US11196607

申请日：2005-08-02

申请人： Theodore A. D. Novak ,  Werner Sladek-Maharg ,  Dan Voic ,  Ronald R. Manna

发明人： Theodore A. D. Novak ,  Werner Sladek-Maharg ,  Dan Voic ,  Ronald R. Manna

IPC分类号： A61B17/32

CPC分类号： A61B17/320068 ,  A61B2017/320044 ,  A61B2017/320072 ,  A61B2018/00011

摘要： A surgical method utilizes a cutting blade having a thickness along a cutting edge of between about 0.0005 inch and about 0.020 inch and preferably between about 0.001 inch and 0.010 inch. The blade is moved in contact with relatively hardly tissues which are disposed adjacent to softer tissues at a surgical site in a patient. The blade is ultrasonically vibrated during the moving of the blade, whereby the hard tissue is cut with a modicum of damage being inflicted on the soft tissue.

摘要翻译： 外科手术方法利用具有沿切削刃的厚度在约0.0005英寸至约0.020英寸之间，优选在约0.001英寸至0.010英寸之间的切割刀片。 使刀片与相对较少的组织移动，所述组织在患者的外科手术部位与较软的组织相邻设置。 刀片在刀片移动期间被超声波振动，从而硬组织被切割，并在软组织上造成一定程度的损伤。

公开(公告)号：US20110264126A1

公开(公告)日：2011-10-27

申请号：US13179026

申请日：2011-07-08

申请人： Jeffrey S. White ,  Howard Alliger ,  Ronald R. Manna ,  Dan Voic

发明人： Jeffrey S. White ,  Howard Alliger ,  Ronald R. Manna ,  Dan Voic

IPC分类号： A61B17/32

CPC分类号： A61B17/320092 ,  A61B2017/2837 ,  A61B2017/2946 ,  A61B2017/320093 ,  A61B2017/320094 ,  A61B2017/320095

摘要： An ultrasonic surgical instrument for dissection and coagulation of tissue is provided. The surgical instrument includes a vibration coupler supported within a housing and operably connected to an ultrasonic generator. An angled blade member is connected to the distal end of the vibration coupler to conduct high frequency vibration from the ultrasonic generator to the blade member. A clamp member is positioned adjacent to the blade member and is movable from a first position to a second approximated position. The clamp member and angled blade member combine to enhance contact between the tissue and the blade member during operation of the instrument to improve the performance of the instrument.

摘要翻译： 提供了一种用于组织解剖和凝固的超声手术器械。 手术器械包括支撑在壳体内并可操作地连接到超声波发生器的振动耦合器。 倾斜的叶片构件连接到振动耦合器的远端，以将来自超声波发生器的高频振动传导到叶片构件。 夹紧构件定位成与刀片构件相邻并且可从第一位置移动到第二近似位置。 夹持构件和成角度的叶片构件组合以在仪器的操作期间增强组织和叶片构件之间的接触，以改善仪器的性能。

公开(公告)号：US20080300591A1

公开(公告)日：2008-12-04

申请号：US11809676

申请日：2007-06-01

申请人： Alexander L. Darian ,  Dan Voic ,  Ronald R. Manna

发明人： Alexander L. Darian ,  Dan Voic ,  Ronald R. Manna

IPC分类号： A61B18/18 ,  A61H1/00 ,  A61N1/00

CPC分类号： A61B17/320068 ,  A61B17/3417 ,  A61B2017/00261 ,  A61B2017/320004 ,  A61B2017/320008 ,  A61B2017/320072 ,  A61B2017/349

摘要： In a discectomy method one removes at least a substantial portion of a spinal disc. Thereafter one operates an ultrasonic instrument to level opposing faces of vertebrae on opposite sides of the removed spinal disc. Graft or synthetic disc material is inserted between the vertebrae so that the graft or synthetic disc material is in contact with the leveled opposing faces. In an associated nucleotomy, a cannulated probe is inserted into a spinal disc and used to remove the nucleus pulposus. A synthetic or substitute nucleus material may then be inserted into the evacuated annulus.

摘要翻译： 在椎间盘切除术中，可以移除至少大部分的椎间盘。 此后，一个操作超声波仪器以在去除的脊椎盘的相对侧上对准椎骨的相对面。 将移植物或合成椎间盘材料插入到椎骨之间，使得移植物或合成椎间盘材料与平整的相对面接触。 在相关的核切开术中，将插管的探针插入脊椎盘并用于去除髓核。 然后可以将合成或替代的核材料插入抽空的环空中。

公开(公告)号：US20080281200A1

公开(公告)日：2008-11-13

申请号：US11801912

申请日：2007-05-10

申请人： Dan Voic ,  Ronald R. Manna

发明人： Dan Voic ,  Ronald R. Manna

IPC分类号： A61B17/00

CPC分类号： A61N7/022 ,  A61B2017/00084 ,  A61B2017/2253 ,  A61B2018/00023

摘要： A medical procedure utilizes a high-intensity focused ultrasound instrument having an applicator surface, a liquid-containing bolus or expandable chamber acting as a heat sink, and a source of ultrasonic vibrations, the applicator surface being a surface of a flexible wall of the bolus, the source of ultrasonic vibrations being in operative contact with the bolus. The applicator surface is placed in contact with an organ surface of a patient, the source is energized to produce ultrasonic vibrations focused at a predetermined focal region inside the organ, and a temperature of liquid in the bolus is controlled while the applicator surface is in contact with the organ surface to control temperature elevation in tissues of the organ between the focal region and the organ surface to necrose the tissues to within a desired distance from the organ surface.

摘要翻译： 医疗程序利用具有施用器表面的高强度聚焦超声仪器，用作散热器的含液体的推注或可膨胀室以及超声波振动源，施用器表面是弹丸的柔性壁的表面 超声波振动源与弹丸操作接触。 施用器表面被放置成与患者的器官表面接触，源被激励以产生聚焦在器官内的预定焦点区域的超声波振动，并且在施用器表面接触的同时控制推注中的液体的温度 器官表面以控制在焦点区域和器官表面之间的器官的组织中的温度升高以使组织在与器官表面相距的期望距离内。

公开(公告)号：US07004282B2

公开(公告)日：2006-02-28

申请号：US10282150

申请日：2002-10-28

申请人： Ronald R. Manna ,  Dan Voic

发明人： Ronald R. Manna ,  Dan Voic

IPC分类号： G10K11/02 ,  B06B1/00

CPC分类号： B06B3/00 ,  B01L9/523 ,  G01N35/028 ,  G01N2035/00554

摘要： An ultrasonic horn in accordance with the present invention comprises a horn body having a longitudinal transmission axis, a proximal end attachable at least indirectly to a source of ultrasonic vibrations, and a distal end with an active end face. The end face is provided with a plurality of fingers projecting parallel to one another and to the axis.

摘要翻译： 根据本发明的超声波喇叭包括具有纵向传输轴线的喇叭本体，至少可间接连接到超声波振动源的近端以及具有主动端面的远端。 端面设置有彼此平行并且相对于轴线突出的多个指状物。

公开(公告)号：US6146674A

公开(公告)日：2000-11-14

申请号：US320897

申请日：1999-05-27

申请人： Ronald R. Manna ,  Alvin W. Russell ,  Dan Voic ,  Theodore A. D. Novak ,  David Ng ,  Salvatore Pantano

发明人： Ronald R. Manna ,  Alvin W. Russell ,  Dan Voic ,  Theodore A. D. Novak ,  David Ng ,  Salvatore Pantano

IPC分类号： A22C11/00 ,  A23L5/30 ,  A23L13/60 ,  A23L13/70 ,  A23L3/00

CPC分类号： A22C11/001 ,  A23L13/65 ,  A23L13/76 ,  A23L5/32 ,  Y10S99/12

摘要： An semi-solid mixture, such as a particulate meat mixture, is brought into contact with a vibrating surface, whereby energy is transported across the surface into the mixture. The vibration is generally contemplated to be in the ultrasonic frequency range, and the energy injection is contemplated to be sufficient to cause local physical and chemical changes in mixtures susceptible to such changes, and generally to cause changes in the direction of increased tensile strength and resistance to flow. In general a skin is formed on the mixture, and with greater processing efficiency then if such skin were formed by purely thermal means.

摘要翻译： 使半固体混合物（例如颗粒状肉混合物）与振动表面接触，由此将能量通过表面输送到混合物中。 振动通常被认为处于超声波频率范围内，并且能量注入被认为足以引起对这种变化敏感的混合物的局部物理和化学变化，并且通常引起拉伸强度和电阻增加方向的变化 流动。 通常，在混合物上形成皮肤，并且具有更高的加工效率，如果这样的皮肤是通过纯热方式形成的。

公开(公告)号：US20100286665A1

公开(公告)日：2010-11-11

申请号：US12804154

申请日：2010-07-15

申请人： Ronald R. Manna ,  Scott Isola ,  Theodore A.D. Novak

发明人： Ronald R. Manna ,  Scott Isola ,  Theodore A.D. Novak

IPC分类号： A61M1/00

CPC分类号： A61B18/1445 ,  A61B17/1622 ,  A61B17/320068 ,  A61B2017/00367 ,  A61B2017/0042 ,  A61B2090/065 ,  A61M2202/08 ,  H01H9/06

摘要： A medical instrument includes a handpiece, an electromechanical transducer disposed in the handpiece, and an electrical circuit disposed at least partially in the handpiece for supplying alternating electrical current of a predetermined frequency to the transducer. A probe is operatively connected to the transducer for transmitting vibrations generated by the transducer to an operative site in a patient. A switching device is mounted to the handpiece and is operatively connected to the circuit and the transducer for enabling the supply of power to the transducer during a motion of the probe in a preselected direction relative to the handpiece and for disabling the supply of power to the transducer upon a termination of motion of the probe in the preselected direction.

公开(公告)号：US5769211A

公开(公告)日：1998-06-23

申请号：US785989

申请日：1997-01-21

申请人： Ronald R. Manna ,  Theodore A. D. Novak ,  Scott Isola ,  David Ng

发明人： Ronald R. Manna ,  Theodore A. D. Novak ,  Scott Isola ,  David Ng

IPC分类号： A61B17/00 ,  A61B17/32 ,  A61B19/00 ,  H01H9/06

CPC分类号： A61B17/320068 ,  H01H9/06 ,  A61B2017/0042 ,  A61B2090/0813 ,  H01H2300/014

摘要： A handle assembly of a medical instrument has a handle with an axis extending from a proximal end of the instrument toward a distal end thereof; and an electrical circuit incorporated at least partially in the handle for controlling an application of an action to a patient via the medical instrument. The circuit has a first electrical contact and a second electrical contact each projecting from a surface of the handle. The electrical contacts are spaced from one another. An actuator ring is slidably disposed on the handle and surrounding the same for motion in alternately opposite directions along the handle under the control of an operator. A bridging electrical contact is disposed on the ring for conductively connecting the first and second electrical contacts at a first predetermined longitudinal position of the ring along the handle, thereby closing the circuit at that position of the ring, and for opening the circuit at another longitudinal position of the ring along the handle. Although the invention has been described in terms of particular embodiments and applications, one of ordinary skill in the art, in light of this teaching, can generate additional embodiments and modifications without departing from the spirit of or exceeding the scope of the claimed invention. Accordingly, it is to be understood that the drawings and descriptions herein are proffered by way of example to facilitate comprehension of the invention and should not be construed to limit the scope thereof.

摘要翻译： 医疗器械的手柄组件具有手柄，该手柄具有从器械的近端向其远端延伸的轴线; 以及至少部分地并入所述手柄中的电路，用于经由所述医疗器械控制对患者的动作的施加。 电路具有从手柄的表面突出的第一电接触和第二电接触。 电触点彼此间隔开。 致动器环可滑动地设置在手柄上并且在操作者的控制下围绕该致动器环围绕其在交替相反的方向上沿手柄运动。 桥接电触头设置在环上，用于在环的第一预定纵向位置处沿着手柄导电地连接第一和第二电触点，从而在环的该位置闭合电路，并且在另一纵向上打开电路 戒指沿手柄的位置。 虽然已经根据特定实施例和应用描述了本发明，但是鉴于该教导，本领域普通技术人员可以在不脱离所要求保护的发明的精神或超出本发明的范围的情况下产生附加的实施例和修改。 因此，应当理解，这里的附图和描述是通过示例的方式提供的，以便于理解本发明，并且不应被解释为限制其范围。