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公开(公告)号:US20070129728A1
公开(公告)日:2007-06-07
申请号:US11673889
申请日:2007-02-12
申请人: Csaba Truckai , John Shadduck , Bruno Strul
发明人: Csaba Truckai , John 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。
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公开(公告)号:US20060247616A1
公开(公告)日:2006-11-02
申请号:US11397069
申请日:2006-04-03
申请人: Stuart Edwards , James Baker , Bruno Strul , Ronald Lax
发明人: Stuart Edwards , James Baker , Bruno Strul , Ronald Lax
IPC分类号: A61B18/14
CPC分类号: A61B18/18 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/1477 , A61B18/1482 , A61B18/1492 , A61B18/1815 , A61B2017/00026 , A61B2017/00084 , A61B2018/00011 , A61B2018/00196 , A61B2018/00452 , A61B2018/00476 , A61B2018/00577 , A61B2018/00642 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00726 , A61B2018/00761 , A61B2018/00779 , A61B2018/00791 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1425 , A61B2018/1435 , A61B2018/162 , A61B2018/1861 , A61B2218/002 , A61M3/0279 , A61M25/007 , A61N5/02 , A61N5/04 , A61N5/045
摘要: An RF treatment apparatus includes a catheter with a catheter lumen. A removable needle electrode is positioned in the catheter lumen in a fixed relationship to the catheter. The needle electrode includes a needle lumen and a needle electrode distal end. A removable introducer is slidably positioned in the needle lumen. The introducer includes an introducer distal end. A first sensor is positioned on a surface of the needle electrode or the insulator. An RF power source is coupled to the needle electrode and a return electrode. An insulator sleeve is slidably positioned around the electrode and includes a second sensor. Resources are associated with the electrodes, sensors as well as the RF power source for maintaining a selected power at the electrode independent of changes in current or voltage.
摘要翻译: RF治疗装置包括具有导管内腔的导管。 可拆卸针电极以与导管固定的关系定位在导管内腔中。 针状电极包括针内腔和针电极末端。 可移除的导引器可滑动地定位在针腔内。 导引器包括导引器远端。 第一传感器位于针状电极或绝缘体的表面上。 RF电源耦合到针电极和返回电极。 绝缘体套筒可滑动地定位在电极周围并且包括第二传感器。 资源与电极,传感器以及RF电源相关联,用于在电流或电压的变化下保持电极处的选定功率。
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公开(公告)号:US20050033279A1
公开(公告)日:2005-02-10
申请号:US10737694
申请日:2003-12-15
申请人: Stuart Edwards , James Baker , Bruno Strul , Ronald Lax
发明人: Stuart Edwards , James Baker , Bruno Strul , Ronald Lax
IPC分类号: A61B17/00 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61B18/22 , A61M1/00 , A61M3/02 , A61M25/00 , A61N5/02 , A61N5/04
CPC分类号: A61B18/1482 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/1477 , A61B18/1492 , A61B18/18 , A61B18/1815 , A61B2017/00026 , A61B2017/00084 , A61B2018/00011 , A61B2018/00196 , A61B2018/00452 , A61B2018/00476 , A61B2018/00577 , A61B2018/00642 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00726 , A61B2018/00761 , A61B2018/00779 , A61B2018/00791 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1425 , A61B2018/1435 , A61B2018/162 , A61B2018/1861 , A61B2218/002 , A61M25/007 , A61N5/02 , A61N5/04 , A61N5/045
摘要: An RF treatment apparatus includes a catheter with a catheter lumen. A removable needle electrode is positioned in the catheter lumen in a fixed relationship to the catheter. The needle electrode includes a needle lumen and a needle electrode distal end. A removable introducer is slidably positioned in the needle lumen. The introducer includes an introducer distal end. A first sensor is positioned on a surface of the needle electrode or the insulator. An RF power source is coupled to the needle electrode and a return electrode. An insulator sleeve is slidably positioned around the electrode and includes a second sensor. Resources are associated with the electrodes, sensors as well as the RF power source for maintaining a selected power at the electrode independent of changes in current or voltage.
摘要翻译: RF治疗装置包括具有导管内腔的导管。 可拆卸针电极以与导管固定的关系定位在导管内腔中。 针状电极包括针内腔和针电极末端。 可移除的导引器可滑动地定位在针腔内。 导引器包括导引器远端。 第一传感器位于针状电极或绝缘体的表面上。 RF电源耦合到针电极和返回电极。 绝缘体套筒可滑动地定位在电极周围并且包括第二传感器。 资源与电极,传感器以及RF电源相关联,用于在电流或电压的变化下保持电极处的选定功率。
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公开(公告)号:US06663624B2
公开(公告)日:2003-12-16
申请号:US09364203
申请日:1999-07-30
申请人: Stuart D. Edwards , James Baker , Bruno Strul , Ronald G. Lax
发明人: Stuart D. Edwards , James Baker , Bruno Strul , Ronald G. Lax
IPC分类号: A61B1818
CPC分类号: A61B18/1482 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/1477 , A61B18/1492 , A61B18/18 , A61B18/1815 , A61B2017/00026 , A61B2017/00084 , A61B2018/00011 , A61B2018/00196 , A61B2018/00452 , A61B2018/00476 , A61B2018/00577 , A61B2018/00642 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00726 , A61B2018/00761 , A61B2018/00779 , A61B2018/00791 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1425 , A61B2018/1435 , A61B2018/162 , A61B2018/1861 , A61B2218/002 , A61M3/0279 , A61M25/007 , A61N5/02 , A61N5/04 , A61N5/045
摘要: An RF treatment apparatus includes a catheter with a catheter lumen. A removable needle electrode is positioned in the catheter lumen in a fixed relationship to the catheter. The needle electrode includes a needle lumen and a needle electrode distal end. A removable introducer is slidably positioned in the needle lumen. The introducer includes an introducer distal end. A first sensor is positioned on a surface of the needle electrode or the insulator. An RF power source is coupled to the needle electrode and a return electrode. An insulator sleeve is slidably positioned around the electrode and includes a second sensor. Resources are associated with the electrodes, sensors as well as the RF power source for maintaining a selected power at the electrode independent of changes in current or voltage.
摘要翻译: RF治疗装置包括具有导管内腔的导管。 可拆卸针电极以与导管固定的关系定位在导管内腔中。 针状电极包括针内腔和针电极末端。 可移除的导引器可滑动地定位在针腔内。 导引器包括导引器远端。 第一传感器位于针状电极或绝缘体的表面上。 RF电源耦合到针电极和返回电极。 绝缘体套筒可滑动地定位在电极周围并且包括第二传感器。 资源与电极,传感器以及RF电源相关联,用于在电流或电压的变化下保持电极处的选定功率。
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公开(公告)号:US06508815B1
公开(公告)日:2003-01-21
申请号:US09306480
申请日:1999-05-06
IPC分类号: A61B1818
CPC分类号: A61B18/1206 , A61B18/1485 , A61B18/1492 , A61B2018/00214 , A61B2018/00559 , A61B2018/00684 , A61B2018/00702 , A61B2018/00761 , A61B2018/00779 , A61B2018/00875 , A61B2018/00916 , A61B2018/124 , A61B2090/064 , A61B2218/007
摘要: An apparatus and method for use in performing ablation of organs and other tissues includes a radio frequency generator which provides a radio frequency signal to ablation electrodes. The power level of the radio frequency signal is determined based on the subject area of ablation. The radio frequency signal is coupled with the ablation electrodes through a transformation circuit. The transformation circuit includes a high impedance transformation circuit and a low impedance transformation circuit. The high or low impedance transformation circuit is selected based on the impedance of the ablation electrodes in contact with the subject tissue. Vacuum level, impedance level, resistance level, and time are measured during ablation. If these parameters exceed determinable limits the ablation procedure is terminated.
摘要翻译: 用于进行器官和其他组织的消融的装置和方法包括向消融电极提供射频信号的射频发生器。 射频信号的功率电平基于消融的对象区域来确定。 射频信号通过变换电路与消融电极耦合。 变换电路包括高阻抗变换电路和低阻抗变换电路。 基于与被检体组织接触的消融电极的阻抗来选择高阻抗变换电路或低阻抗变换电路。 在消融期间测量真空度,阻抗水平,电阻值和时间。 如果这些参数超过可确定的限制,则消融程序终止。
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公开(公告)号:US06485436B1
公开(公告)日:2002-11-26
申请号:US09637463
申请日:2000-08-10
申请人: Csaba Truckai , Bruno Strul , John H. Shadduck
发明人: Csaba Truckai , Bruno Strul , John H. Shadduck
IPC分类号: A61B500
CPC分类号: A61B10/0275 , A61B10/0283 , A61B18/1477 , A61B2010/0225 , A61B2018/0063 , A61B2018/1425
摘要: An improved biopsy needle assembly for efficient removal of multiple biopsy cores from a single needle penetration. The needle apparatus comprises an elongate assembly of paired sleeves with an open notch in the wall of the outer sleeve for engaging a tissue volume in the bore of that sleeve. An inner sleeve or blade member with a sharp blade edge is moveable from a retracted position to an extended position to both (i) excise the tissue volume, and (ii) function as valve means to alter the open notch between an open position and a closed position. The invention provides a looped inflow-outflow passageway system for using high-pressure fluid flows to push or expel the excised tissue from the bore in working end where the excised tissue is captured. The looped passageway system is coupled to a remote pressurization source.
摘要翻译: 一种改进的活检针组件,用于从单针穿透有效地去除多个活检芯。 针装置包括成对的套筒的细长组件,其在外套筒的壁中具有开口的凹口,用于接合该套筒的孔中的组织体积。 具有锋利刀片边缘的内套筒或刀片构件可从缩回位置移动到延伸位置,以便(i)切除组织体积,和(ii)用作阀装置,以改变打开位置和打开位置之间的打开凹口 关闭位置。 本发明提供了一种循环的流入 - 流出通道系统,用于使用高压流体流在被切除的组织被捕获的工作端中从所述孔中推动或排出切除的组织。 环形通道系统联接到远程加压源。
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公开(公告)号:US06436129B1
公开(公告)日:2002-08-20
申请号:US09488161
申请日:2000-01-20
申请人: Hugh Sharkey , Bruno Strul
发明人: Hugh Sharkey , Bruno Strul
IPC分类号: A61F700
CPC分类号: A61B18/04 , A61B18/08 , A61B18/1477 , A61B2017/00026 , A61B2018/1425 , A61N7/00
摘要: A method is provided for stimulating nerve growth, especially for nerve regeneration after damage to the nerve. The method comprises: applying thermal energy to one or more nerve segments adjacent a damaged region of the nerve, such that nerve fibers from the treated adjacent segment are stimulated to grow and extend toward the damaged region. The method may be used to enhance mechanical stimulative effect at a terminus of a severed nerve or a region of nerve injured by crush or other physical forces. The method may also be used to treat nerve segments retrograde up the nerve fiber and to increase the response of the injured nerve to regrowth and extension rapidly. An apparatus for delivery of thermal energy to the distal terminus of the severed nerve or region is disclosed. Thermal conductive or electromagnetic energy is delivered through a probe having a handle and a shaft. An energy delivery portion of the probe is configured to apply thermal energy to the distal segments of the severed nerve to promote rapid and more extensive growth of the nerve cells.
摘要翻译: 提供一种刺激神经生长的方法,特别是对神经损伤后的神经再生。 该方法包括:将热能施加到邻近神经损伤区域的一个或多个神经节段,使得来自治疗的相邻区段的神经纤维被刺激生长并延伸到受损区域。 该方法可以用于增强在被切断的神经的末端或由挤压或其他物理力损伤的神经区域的机械刺激作用。 该方法还可用于治疗神经节段向上逆行神经纤维,并增加受损神经的再生长和迅速延伸的反应。 公开了一种用于将热能递送到切断的神经或区域的远端的装置。 导热或电磁能量通过具有手柄和轴的探针输送。 探针的能量输送部分构造成将热能施加到切断的神经的远端段,以促进神经细胞的快速和更广泛的生长。
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公开(公告)号:US06413256B1
公开(公告)日:2002-07-02
申请号:US09631040
申请日:2000-08-01
申请人: Csaba Truckai , Bruno Strul
发明人: Csaba Truckai , Bruno Strul
IPC分类号: A61B1818
CPC分类号: A61B18/14 , A61B18/042 , A61B2018/00583 , A61B2018/00666 , A61B2018/00892 , A61B2018/1213 , A61B2018/143
摘要: A method and apparatus for treating tissue using an electrosurgical system. The system includes an electrosurgical system having an RF generator, a treatment electrode electrically coupled to the RF generator and positioned in contact with target tissue to be treated, and a spark gap switch positioned between the RF generator and the target tissue. The spark gap includes a threshold voltage and is configured to prevent conduction of current from the RF generator to the tissue until the voltage across the spark gap reaches the threshold voltage. The method includes the steps of using the RF generator to apply a voltage across the spark gap switch, the spark gap switch causing conduction of current from the RF generator to the target tissue once the voltage across the spark gap reaches the threshold voltage.
摘要翻译: 一种使用电外科系统治疗组织的方法和装置。 该系统包括具有RF发生器的电外科系统,电耦合到RF发生器并且定位成与待治疗的靶组织接触的治疗电极,以及定位在RF发生器和靶组织之间的火花隙开关。 火花隙包括阈值电压,并被配置为防止电流从RF发生器传导到组织,直到火花隙间的电压达到阈值电压。该方法包括以下步骤:使用RF发生器施加电压 火花隙开关,一旦火花隙间的电压达到阈值电压,火花隙开关就会导致从RF发生器到目标组织的电流传导。
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公开(公告)号:US06315776B1
公开(公告)日:2001-11-13
申请号:US09338737
申请日:1999-06-23
申请人: Stuart D Edwards , Kee S Lee , James Baker , Bruno Strul
发明人: Stuart D Edwards , Kee S Lee , James Baker , Bruno Strul
IPC分类号: A61B1818
CPC分类号: A61B18/1477 , A61B17/32 , A61B18/1206 , A61B18/148 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/1815 , A61B2017/00084 , A61B2017/00106 , A61B2017/003 , A61B2017/22061 , A61B2017/4216 , A61B2018/00011 , A61B2018/00023 , A61B2018/00029 , A61B2018/00065 , A61B2018/00077 , A61B2018/00083 , A61B2018/00113 , A61B2018/00148 , A61B2018/0016 , A61B2018/00214 , A61B2018/0022 , A61B2018/00267 , A61B2018/00494 , A61B2018/00553 , A61B2018/00559 , A61B2018/00577 , A61B2018/00654 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00726 , A61B2018/00744 , A61B2018/00755 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821 , A61B2018/00827 , A61B2018/00869 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/00982 , A61B2018/0262 , A61B2018/046 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2018/183 , A61B2090/3614 , A61B2090/3782 , A61B2218/002 , A61M3/0279 , A61M16/0481 , A61M25/1002 , A61M2025/105 , A61M2025/1052 , A61M2025/1086 , A61N1/056 , A61N1/06 , A61N1/08 , A61N1/40
摘要: An ablation apparatus has an expandable member that is inserted into an organ of a body and ablates all or a selected portion of the inner layer of the organ. Electrolytic solution fills the expandable member, and the expandable member includes a plurality of apertures from which electrolytic solution flows from the expandable member. First and second fluid conduits, which can be first and second conforming members, are in a surrounding relationship to the expandable member. The second conforming member, including a conductive surface, is made of a material that provides substantial conformity between the conductive surface and a shape of the inner layer of the organ. A plurality of electrodes is positioned between the two conforming members. The expandable member serves as an insulator to RF energy. Each electrode includes an insulator formed on a surface of the electrode positioned adjacent to the second conforming member. The combination of sandwiching the electrodes between the two conforming members, and the use of two insulators, one on the electrode and the other on the expandable member, provides selectable ablation of the inner layer of the organ. A feedback device is included and is responsive to a detected characteristic of the inner layer. The feedback device provides a controlled delivery of RF energy to the electrodes.
摘要翻译: 消融装置具有插入到身体的器官中并且消融器官的内层的全部或选定部分的可扩张构件。 电解液填充可膨胀构件,并且可膨胀构件包括多个孔,电解溶液从该孔从可膨胀构件流出。 可以是第一和第二顺应构件的第一和第二流体管道与可膨胀构件处于环境关系。 包括导电表面的第二适形构件由在导电表面和器官内层的形状之间提供实质一致性的材料制成。 多个电极位于两个构件之间。 可扩展构件用作RF能量的绝缘体。 每个电极包括形成在电极的表面上的绝缘体,所述绝缘体位于邻近第二顺应构件的位置。 将电极夹在两个相容构件之间的组合以及使用两个绝缘体,一个在电极上,另一个在可扩张构件上,提供器官内层的可选消融。 包括反馈装置并响应于内层的检测特性。 反馈装置提供对电极的RF能量的受控输送。
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公开(公告)号:US5599346A
公开(公告)日:1997-02-04
申请号:US295200
申请日:1994-08-24
申请人: Stuart D. Edwards , James Baker , Bruno Strul , Ronald G. Lax
发明人: Stuart D. Edwards , James Baker , Bruno Strul , Ronald G. Lax
IPC分类号: A61B17/00 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61B18/22 , A61M1/00 , A61M3/02 , A61M25/00 , A61N5/02 , A61N5/04 , A61B17/39
CPC分类号: A61B18/1482 , A61B18/1477 , A61B18/18 , A61B18/1815 , A61N5/02 , A61N5/045 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2018/00011 , A61B2018/00196 , A61B2018/00452 , A61B2018/00476 , A61B2018/00577 , A61B2018/00642 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00726 , A61B2018/00761 , A61B2018/00779 , A61B2018/00791 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1425 , A61B2018/1435 , A61B2018/162 , A61B2018/1861 , A61B2218/002 , A61M25/007 , A61M3/0279 , A61N5/04
摘要: An RF treatment system includes first and second catheters with first and second needle electrodes positioned at least partially in lumens of the first and second catheters. Each electrode is surround by a insulator sleeve which is slideable along the electrode and defines an ablation surface. An RF power source is coupled to the first and second needle electrodes. The electrodes provide bipolar RF ablation between the two, defining an ablation volume. A deflectable introducer has a laterally deflectable distal end and an ablation volume temperature sensor positioned at the distal end. The deflectable introducer is advanced in and out of the electrodes distal ends to measure a temperature of tissue in the ablation volume. The treatment system can include more than two electrodes, such as two pairs of electrodes. Further, the system can include a needle electrode extension with a laterally deflectable distal end. The needle electrode extension is positioned in at least one of the distal ends of one of the needle electrodes. It is advanced in and out of the needle electrode distal end to provide monopolar ablation. Additionally, the RF treatment system provides for the introduction of an infusion media, including but not limited to a chemotherapeutic agent, through distribution ports in the needle electrodes, or through one or more infusion devices that can house the needle electrodes and their respective catheters.
摘要翻译: RF治疗系统包括第一和第二导管,其中第一和第二针电极至少部分地定位在第一和第二导管的内腔中。 每个电极由绝缘套围绕,该绝缘套可以沿电极滑动并限定消融表面。 RF电源耦合到第一和第二针电极。 电极在两者之间提供双极射频消融,从而限定消融体积。 可偏转导引器具有位于远端的可横向偏转的远端和消融体积温度传感器。 可偏转导引器进入和离开电极远端以测量消融体积中组织的温度。 治疗系统可以包括两个以上的电极,例如两对电极。 此外,该系统可以包括具有可横向偏转的远端的针电极延伸部。 针电极延伸部位于一个针电极的至少一个远端。 它在针电极远端进出,以提供单极消融。 此外,RF处理系统通过针电极中的分配端口或通过可容纳针电极及其相应导管的一个或多个输注装置来提供输注介质(包括但不限于化学治疗剂)的引入。
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