公开(公告)号：US09561076B2

公开(公告)日：2017-02-07

申请号：US12777984

申请日：2010-05-11

申请人： Joseph D. Brannan ,  Joseph A. Paulus

发明人： Joseph D. Brannan ,  Joseph A. Paulus

IPC分类号： A61B18/18 ,  A61B18/00

CPC分类号： A61B18/1815 ,  A61B2018/00023 ,  A61B2018/00196 ,  A61B2018/00577 ,  A61B2018/1869 ,  A61B2018/1892

摘要： An energy applicator for directing energy to tissue includes a feedline having an inner conductor, an outer conductor and a dielectric material disposed therebetween, and an antenna assembly having a radiating section operably coupled to the feedline. The energy applicator also includes a first balun structure configured to substantially confine energy to the radiating section when the energy applicator is energized and disposed in tissue, and a second balun structure configured to substantially prevent energy emitted from the radiating section from propagating proximal to the second balun structure along the feedline when the energy applicator is energized but not disposed in tissue.

摘要翻译： 用于将能量引导到组织的能量施加器包括具有内部导体，外部导体和设置在其间的介电材料的馈线，以及具有可操作地耦合到馈线的辐射部的天线组件。 能量施加器还包括第一平衡 - 不平衡变换结构，其被配置为当能量施加器通电并且布置在组织中时基本上将能量限制到辐射部分;以及第二平衡 - 不平衡变换结构，其被配置为基本上防止从辐射部分发射的能量传播到第二 当能量施加器通电但未布置在组织中时，沿着馈线的平衡 - 不平衡变换器结构。

公开(公告)号：US09358065B2

公开(公告)日：2016-06-07

申请号：US13118822

申请日：2011-06-23

申请人： Casey M. Ladtkow ,  Joseph D. Brannan

发明人： Casey M. Ladtkow ,  Joseph D. Brannan

IPC分类号： A61B18/14 ,  A61B18/00 ,  A61B17/32

CPC分类号： A61B18/1482 ,  A61B17/320016 ,  A61B2018/00178 ,  A61B2018/00184 ,  A61B2018/00607 ,  A61B2018/00958 ,  A61B2018/1412

摘要： An electrosurgical instrument is provided and includes a housing configured to connect to a source of bipolar electrosurgical energy and an electrode body coupled to the elongated housing. The electrode body includes an electrode face, first and second bipolar electrodes and a blade. The electrode face is formed on the distal end of the electrode body and includes a longitudinal axis and a transverse axis therethrough. The first and second electrodes have a leading edge and a trailing edge, are formed on opposite sides of the longitudinal axis and connect to opposed electrical potentials. The blade is positioned between the electrodes with at least a portion of the blade extending beyond the electrode face.

摘要翻译： 提供电外科器械，并且包括构造成连接到双极电外科能量源的壳体和联接到细长壳体的电极体。 电极体包括电极面，第一和第二双极电极和刀片。 电极面形成在电极主体的远端，并且包括纵向轴线和穿过其的横向轴线。 第一和第二电极具有前缘和后缘，形成在纵向轴线的相对侧上并且连接到相对的电位。 刀片位于电极之间，刀片的至少一部分延伸超过电极面。

公开(公告)号：US09277969B2

公开(公告)日：2016-03-08

申请号：US12416583

申请日：2009-04-01

申请人： Joseph D. Brannan ,  Kyle R. Rick

发明人： Joseph D. Brannan ,  Kyle R. Rick

IPC分类号： A61B19/00 ,  A61B18/18

CPC分类号： A61B34/25 ,  A61B18/18 ,  A61B18/1815 ,  A61B34/10 ,  A61B90/90 ,  A61B2034/101 ,  A61B2034/104 ,  A61B2034/105 ,  A61B2034/107 ,  G06F3/04815 ,  G06F3/04842 ,  G06F3/04845 ,  G06F17/3028 ,  G06T13/20 ,  G06T15/00 ,  G06T19/003

摘要： Disclosed is a system and method for enabling user preview and control of the size and shape of an electromagnetic energy field used in a surgical procedure. The disclosed system includes a selectively activatable source of microwave surgical energy in the range of about 900 mHz to about 5 gHz in operable communication with a graphical user interface and a database. The database is populated with data corresponding to the various surgical probes, such as microwave ablation antenna probes, that may include a probe identifier, the probe diameter, operational frequency of the probe, ablation length of the probe, ablation diameter of the probe, a temporal coefficient, a shape metric, and the like. The probe data is graphically presented on the graphical user interface where the surgeon may interactively view and select an appropriate surgical probe. Three-dimensional views of the probe(s) may be presented allowing the surgeon to interactively rotate the displayed image.

摘要翻译： 公开了一种用于使用户预览和控制外科手术中使用的电磁能场的尺寸和形状的系统和方法。 所公开的系统包括可操作地与图形用户界面和数据库通信的约900mHz至约5gHz范围内的可选择激活的微波手术能量源。 数据库填充有与各种外科探针（例如微波消融天线探针）相对应的数据，其可以包括探针标识符，探针直径，探针的操作频率，探针的消融长度，探针的消融直径，探针的消融直径 时间系数，形状度量等。 探头数据以图形方式呈现在图形用户界面上，外科医生可以交互地观察和选择合适的手术探针。 可以呈现探针的三维视图，允许外科医生交互地旋转所显示的图像。

公开(公告)号：US08974450B2

公开(公告)日：2015-03-10

申请号：US13020562

申请日：2011-02-03

申请人： Joseph D. Brannan

发明人： Joseph D. Brannan

IPC分类号： A61B18/18 ,  A61B18/00 ,  A61B19/00

CPC分类号： A61B18/1815 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/00875 ,  A61B2018/1823 ,  A61B2018/1838 ,  A61B2018/1869 ,  A61B2090/062

摘要： A microwave ablation system includes an antenna assembly configured to deliver microwave energy from a power source to tissue. One or more electrodes are disposed on the antenna assembly and are configured to be positioned relative to tissue upon insertion of the antenna assembly into tissue. The one or more electrodes are configured to generate a feedback signal in response to an electrical signal supplied thereto from the power source. The feedback signal corresponds to the proximity of tissue relative to the at least one electrode and is configured to be compared to a predetermined parameter to determine a depth of the insertion of the antenna assembly into tissue. The power source is configured to control the delivery of microwave energy to the antenna assembly based on the comparison.

摘要翻译： 微波消融系统包括被配置为将微波能量从电源传送到组织的天线组件。 一个或多个电极设置在天线组件上，并且被构造为在将天线组件插入组织中时相对于组织定位。 一个或多个电极被配置为响应于从电源向其提供的电信号而产生反馈信号。 反馈信号对应于组织相对于至少一个电极的接近度，并被配置为与预定参数进行比较，以确定将天线组件插入组织的深度。 电源被配置为基于比较来控制向天线组件的微波能量传递。

公开(公告)号：US08974449B2

公开(公告)日：2015-03-10

申请号：US12837820

申请日：2010-07-16

申请人： Joseph D. Brannan

发明人： Joseph D. Brannan

IPC分类号： A61B18/14 ,  A61B18/18 ,  A61N5/04 ,  A61B18/00

CPC分类号： A61B18/1815 ,  A61B2018/0019 ,  A61B2018/00577 ,  A61B2018/183 ,  A61B2018/1861 ,  A61N5/045

摘要： An electrosurgical ablation system includes an energy source adapted to supply energy to an energy delivery device. The energy delivery device includes a handle assembly configured to couple a pair of antennas extending from a distal end thereof to the energy source for application of energy to tissue. A power splitting device is operatively associated with the handle assembly and has an input adapted to connect to the energy source and a pair of output channels operably coupled to the respective pair of antennas. A phase shifter is operatively associated with the handle assembly and is operably coupled to the pair of output channels. The phase shifter is configured to selectively shift a phase relationship between the pair of output channels.

摘要翻译： 电外科消融系统包括适于向能量输送装置供应能量的能量源。 能量输送装置包括手柄组件，其被配置为将从其远端延伸的一对天线耦合到能量源，以将能量施加到组织。 功率分配装置与手柄组件可操作地相关联，并且具有适于连接到能量源的输入端和可操作地耦合到相应的天线对的一对输出通道。 移相器可操作地与手柄组件相关联并且可操作地耦合到该对输出通道。 移相器被配置为选择性地移位该对输出通道之间的相位关系。

公开(公告)号：US08945113B2

公开(公告)日：2015-02-03

申请号：US13440690

申请日：2012-04-05

申请人： Joseph D. Brannan ,  Richard A. Willyard

发明人： Joseph D. Brannan ,  Richard A. Willyard

IPC分类号： A61B18/04

CPC分类号： A61B90/06 ,  A61B18/00 ,  A61B18/1815 ,  A61B90/08 ,  A61B2018/00023 ,  A61B2018/00577 ,  A61B2018/00791 ,  A61B2018/1823 ,  A61B2018/1838 ,  A61B2018/1846 ,  A61B2018/1853 ,  A61B2018/1861 ,  A61B2090/0807

摘要： An electrosurgical system includes an electrosurgical device, one or more temperature sensors associated with the electrosurgical device, a fluid-flow path leading to the electrosurgical device, and a flow-control device disposed in fluid communication with the fluid-flow path. The electrosurgical device includes a probe for directing energy to tissue. The electrosurgical system includes circuitry for detecting bending of the probe. The circuitry alerts the user of excessive bending by activating an alarm, such as an audible alarm, lighting one or more LEDs or other light sources, tactile feedback, or any other means. The electrosurgical system further includes a processor unit communicatively-coupled to the one or more temperature sensors and communicatively-coupled to the flow-control device. The processor unit is configured to control the flow-control device based on determination of a desired fluid-flow rate using one or more electrical signals outputted from the one or more temperature sensors.

摘要翻译： 电外科系统包括电外科装置，与电外科装置相关联的一个或多个温度传感器，通向电外科装置的流体流动路径，以及设置成与流体流动路径流体连通的流量控制装置。 电外科装置包括用于将能量引导到组织的探针。 电外科系统包括用于检测探头弯曲的电路。 该电路通过激活诸如声音报警器，点亮一个或多个LED或其他光源，触觉反馈或任何其他方式的警报来向用户提醒过度弯曲。 电外科系统还包括通信地耦合到一个或多个温度传感器并且通信耦合到流量控制装置的处理器单元。 处理器单元被配置为基于使用从一个或多个温度传感器输出的一个或多个电信号来确定期望的流体流量来控制流量控制装置。

公开(公告)号：US08906008B2

公开(公告)日：2014-12-09

申请号：US13477320

申请日：2012-05-22

申请人： Joseph D. Brannan ,  Casey M. Ladtkow

发明人： Joseph D. Brannan ,  Casey M. Ladtkow

IPC分类号： A61B18/04

CPC分类号： A61B18/1477 ,  A61B18/1206 ,  A61B18/1815 ,  A61B2018/00077 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/00875 ,  A61B2018/00958 ,  A61B2018/1273 ,  A61B2018/1823 ,  A61B2018/1853 ,  A61B2018/1869 ,  A61B2018/1884 ,  A61B2090/065

摘要： An electrosurgical instrument is provided and includes an elongated housing having proximal and distal ends. The proximal end configured to couple to a source of electrosurgical energy via first and second channels extending along a length of the housing to the distal end thereof. The distal end including a reflector having a dielectric load operably coupled thereto and configured to receive at least a portion of the first conductor therein. In a first mode of operation, electrosurgical energy is transmitted to the first channel and reflected from the reflector to electrosurgically treat tissue. The reflector is configured to receive at least a portion of the second channel therein. In a second mode of operation, electrosurgical energy transmitted to the second channel to dissect tissue.

摘要翻译： 提供电外科器械，并且包括具有近端和远端的细长壳体。 近端构造成通过沿着壳体的长度延伸到其远端的第一和第二通道耦合到电外科能量源。 远端包括具有可操作地耦合到其上的介质负载的反射器，并被配置为在其中容纳至少一部分第一导体。 在第一操作模式中，电外科手术能量被传递到第一通道并从反射器反射到电外科治疗组织。 反射器被配置为在其中接收第二通道的至少一部分。 在第二操作模式中，电外科能量传递到第二通道以解剖组织。

公开(公告)号：US08882759B2

公开(公告)日：2014-11-11

申请号：US12642623

申请日：2009-12-18

申请人： Prakash Manley ,  Joseph D. Brannan

发明人： Prakash Manley ,  Joseph D. Brannan

IPC分类号： A61B18/12 ,  A61B18/18 ,  A61B17/00

CPC分类号： A61B18/1815 ,  A61B2017/00084 ,  A61B2018/00577 ,  A61B2018/00648 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/1869

摘要： An electromagnetic surgical ablation system having a generator adapted to selectively provide surgical ablation energy to an ablation probe, and methods of operating same, are disclosed. The system includes a controller operatively coupled to the generator, and a tissue sensor probe operatively coupled to the controller. The tissue sensor provides a tissue temperature and at least one tissue dielectric property to the controller. During an electromagnetic tissue ablation procedure, the controller monitors tissue temperature and the at least one tissue dielectric property to determine tissue status, and to activate and deactivate the generator in accordance therewith.

摘要翻译： 公开了一种电磁手术切除系统，其具有适于选择性地向消融探针提供外科消融能量的发生器及其操作方法。 该系统包括可操作地耦合到发生器的控制器和可操作地耦合到控制器的组织传感器探针。 组织传感器向控制器提供组织温度和至少一个组织介电特性。 在电磁组织消融过程期间，控制器监测组织温度和至少一个组织介电性质以确定组织状态，并根据其启动和停用发生器。

公开(公告)号：US08672933B2

公开(公告)日：2014-03-18

申请号：US12826902

申请日：2010-06-30

申请人： Brian Shiu ,  Joseph D. Brannan ,  Mani N. Prakash

发明人： Brian Shiu ,  Joseph D. Brannan ,  Mani N. Prakash

IPC分类号： A61B18/18

CPC分类号： A61B18/1815 ,  A61B2018/00023 ,  A61B2018/00077 ,  A61B2018/0013 ,  A61B2018/00577 ,  A61B2018/1823 ,  A61B2018/1838 ,  A61B2018/1846 ,  A61B2018/1869

摘要： A microwave ablation system is provided. The microwave ablation system includes a power source. A microwave antenna is adapted to connect to the power source via a coaxial cable feed including an inner conductor defining a portion of a radiating section of the microwave antenna, an outer conductor and dielectric shielding. The inner conductor loops back around and toward the outer conductor of the coaxial cable feed such that a distal end of the inner conductor is operably disposed adjacent the dielectric shielding. The inner conductor includes one or more reactive components disposed thereon forming a reactively-loaded loop configuration configured to maximize delivery of microwave energy from the power source to tissue such that a desired effect to tissue is achieved.

摘要翻译： 提供微波消融系统。 微波消融系统包括电源。 微波天线适于经由包括限定微波天线的辐射部分的一部分的内导体，外导体和电介质屏蔽的同轴电缆馈电连接到电源。 内部导体环绕并且朝着同轴电缆馈送器的外部导体回缩，使得内部导体的远端可操作地设置在电介质屏蔽附近。 内部导体包括设置在其上的一个或多个反应性部件，形成反应负载的环形结构，其配置为最大限度地将微波能量从电源传递到组织，从而实现对组织的期望效果。

公开(公告)号：US08568401B2

公开(公告)日：2013-10-29

申请号：US12606769

申请日：2009-10-27

申请人： Joseph D. Brannan

发明人： Joseph D. Brannan

IPC分类号： A61B18/18

CPC分类号： A61B18/18 ,  A61B18/1206 ,  A61B18/1815 ,  A61B2018/00023 ,  A61B2018/00684 ,  A61B2018/00702 ,  A61B2018/00875 ,  A61N5/045

摘要： A system for monitoring ablation size is provided and includes a power source including a microprocessor for executing at least one control algorithm. A microwave antenna is configured to deliver microwave energy from the power source to tissue to form an ablation zone. An ablation zone control module is in operative communication with memory associated with the power source. The memory includes one or more data look-up tables including one or more electrical parameters associated with the microwave antenna. The one or more electrical parameters corresponding to an ablation zone having a radius. The one or more electrical parameters include a threshold value, wherein when the threshold value is met the power source is adjusted to form an ablation zone of suitable proportion.

摘要翻译： 提供了一种用于监测消融尺寸的系统，并且包括用于执行至少一个控制算法的微处理器的电源。 微波天线被配置为将微波能量从电源传送到组织以形成消融区域。 消融区域控制模块与与电源相关联的存储器操作性地通信。 存储器包括一个或多个数据查找表，其包括与微波天线相关联的一个或多个电参数。 对应于具有半径的消融区域的一个或多个电参数。 一个或多个电参数包括阈值，其中当满足阈值时，调整电源以形成适当比例的消融区域。