公开(公告)号：US06358273B1

公开(公告)日：2002-03-19

申请号：US09289459

申请日：1999-04-09

申请人： Bruno Strul ,  Hugh R. Sharkey ,  Daren L. Stewart

发明人： Bruno Strul ,  Hugh R. Sharkey ,  Daren L. Stewart

IPC分类号： A61F700

CPC分类号： A61B18/148 ,  A61B18/1492 ,  A61B2018/00005 ,  A61B2018/00714 ,  A61B2018/00791 ,  A61B2018/00815 ,  A61B2018/1253

摘要： A medical probe for the heating of soft tissue, such as collagen tissue, wherein the medical probe has an elongated body with a proximal and distal end, a heating source, an RF electrode. Optional components include a thermocouple, and an insulative sleeve. The probe's elongated body is preferably hollow and flexible. The RF electrode and the heating source are powered by independently controlled power sources and cooperate to maintain a constant and smooth temperature to the distal end of the RF electrode. The heating source may be a contained liquid, such as saline, or an electrothermal mass, such as a ferrite, a toroid, a resistive element, or the like. Current induced from the conductor to the heating source creates heat in the heating source. The thermocouple measures the temperature of the heating source and adjusts the power to the conductor to maintain the heating source's temperature.

摘要翻译： 用于加热软组织（例如胶原组织）的医疗探针，其中医疗探针具有带近端和远端的细长体，加热源，RF电极。 可选组件包括热电偶和绝缘套管。 探头的细长体优选是中空的和柔性的。 RF电极和加热源由独立控制的电源供电，并协调以保持恒定且平稳的温度到RF电极的远端。 加热源可以是诸如盐水的包含的液体，或诸如铁氧体，环形线圈，电阻元件等的电热物质。 从导体引导到加热源的电流在加热源中产生热量。 热电偶测量加热源的温度，并调整导体的功率以保持加热源的温度。

公开(公告)号：US06293941B1

公开(公告)日：2001-09-25

申请号：US09167215

申请日：1998-10-06

申请人： Bruno Strul ,  Franklin R. Koenig

发明人： Bruno Strul ,  Franklin R. Koenig

IPC分类号： A01B1804

CPC分类号： A61B18/14 ,  A61B18/1206 ,  A61B18/1402 ,  A61B2017/00482 ,  A61B2018/00178 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/0075 ,  A61B2018/00779 ,  A61B2018/00791 ,  A61B2018/00827 ,  A61B2018/00875 ,  A61B2018/00892 ,  A61B2018/00988 ,  A61B2018/1273 ,  Y10S128/923

摘要： This invention is an improved method and apparatus for tissue electrical impedance determination and electrical power control in a surgical device. In an embodiment of the invention an apparatus for controlling power delivery in an electro-surgical instrument is disclosed. The electro-surgical instrument includes a first channel and a second channel for delivery of energy to a surgical site. The apparatus includes: a switch, a measuring unit, a processor and a drive unit. The switch electrically isolates the second channel during a first measurement interval and the first channel during a second measurement interval. The measuring unit is coupled to the first and the second channel. The measurement unit measures a first power level of the first channel during a first measurement interval and a second power level of the second channel during a second measurement interval. The processor is coupled to the measuring unit and to the switch. The processor adjusts the first power level and the second power level to minimize a difference between a measured value of a control parameter and a target value of the control parameter. The drive unit is controlled by the processor. The drive unit delivers the adjusted first and second power levels to the surgical site via respectively the first channel and the second channel during a heating interval. In an alternate embodiment of the invention a method for controlling power delivery in an electro-surgical instrument is disclosed.

摘要翻译： 本发明是用于外科装置中的组织电阻抗确定和电功率控制的改进方法和装置。在本发明的一个实施例中，公开了一种用于控制电手术器械中的电力输送的装置。 电手术器械包括用于将能量递送到手术部位的第一通道和第二通道。 该装置包括：开关，测量单元，处理器和驱动单元。 在第一测量间隔期间，开关在第二测量间隔期间电隔离第二通道和第一通道。 测量单元耦合到第一和第二通道。 测量单元在第一测量间隔期间测量第一通道的第一功率电平，并在第二测量间隔期间测量第二通道的第二功率电平。 处理器耦合到测量单元和开关。 处理器调整第一功率电平和第二功率电平，以最小化控制参数的测量值和控制参数的目标值之间的差。 驱动单元由处理器控制。 驱动单元在加热间隔期间通过分别通过第一通道和第二通道将经调整的第一和第二功率水平递送到手术部位。在本发明的替代实施例中，公开了一种用于控制电外科器械中的功率输送的方法 。

公开(公告)号：US5212537A

公开(公告)日：1993-05-18

申请号：US551349

申请日：1990-07-12

申请人： Monoocher Birang ,  Kien Chuc ,  Ronnie Northrup ,  Bruno Strul

发明人： Monoocher Birang ,  Kien Chuc ,  Ronnie Northrup ,  Bruno Strul

IPC分类号： G01M11/00 ,  G01J3/02 ,  G01J3/04 ,  G01J3/28

CPC分类号： G01J3/28 ,  G01J3/02 ,  G01J3/0221 ,  G01J2003/2866 ,  G01N2201/082

摘要： A photometer having a plurality of input fibers to its optical entrance, at least one of which is for transmission of calibration light and at least one of which is for transmission of sample light. The exit ends of these fibers are aligned into a linear array, thereby producing an effective entrance slit for the optical entrance of the photometer. The fiber(s) for calibration light are positioned at the center of the linear array to avoid miscalibration due to photometer astigmatism.

摘要翻译： 一种光度计，其具有到其入口的多个输入光纤，其中至少一个用于校准光的透射，并且其中至少一个用于透射样品光。 这些光纤的出射端被排列成直线阵列，由此产生用于光度计的光学入口的有效入口狭缝。 用于校准光的光纤位于线性阵列的中心，以避免由于光度计散光而造成的误差。

公开(公告)号：US4710624A

公开(公告)日：1987-12-01

申请号：US608747

申请日：1984-05-10

申请人： Robert Alvarez ,  Leonard Lehmann ,  Bruno Strul

发明人： Robert Alvarez ,  Leonard Lehmann ,  Bruno Strul

IPC分类号： G01N21/59 ,  G01N21/86 ,  G02B26/10

CPC分类号： G01N21/5911 ,  G01N2021/1742 ,  G01N2021/8618 ,  G01N21/474

摘要： Apparatus and a method for providing measurements of the diffuse transmittance or reflectance of a sheet at a set of points arranged along a pattern line on the sheet. In accordance with the invention, the sheet, such as a photographic film, is moved with respect to a cylinder with a slot cut in its wall parallel to its central axis. A beam of radiation is swept parallel to the slot and into the cylinder after scanning along a line on the sheet. The inner wall surface of the cylinder is coated with a high reflectance material so that a fraction of the directly transmitted and scattered radiation in the cylinder enters one or more electronic radiation detectors coupled to the cylinder. The fraction of the radiation measured depends on the position along the slot of the radiation beam, and the data are corrected by dividing the measurement at each point by the measured radiation at that point when no object is in the beam. Several embodiments of the cylinder are disclosed.

摘要翻译： 用于提供在沿着片材上的图案线布置的一组点处的片材的漫透射率或反射率的测量的装置和方法。 根据本发明，诸如照相胶片的片材相对于圆柱体移动，其中在其壁上切割的狭缝平行于其中心轴线。 沿着片材上的线扫描后，辐射束平行于狭槽扫过并进入气缸。 气缸的内壁表面涂覆有高反射率材料，使得气缸中直接传播和散射的辐射的一部分进入耦合到气缸的一个或多个电子辐射探测器。 测量的辐射的分数取决于沿着辐射束的槽的位置，并且通过将每个点处的测量除以在该光束中没有物体时在该点处的测量的辐射来校正数据。 公开了圆筒的几个实施例。

公开(公告)号：US20130317493A1

公开(公告)日：2013-11-28

申请号：US13680972

申请日：2012-11-19

申请人： Csaba Truckai ,  Bruno Strul

发明人： Csaba Truckai ,  Bruno Strul

IPC分类号： A61B18/18

CPC分类号： A61B18/18 ,  A61B18/14 ,  A61B2018/00065 ,  A61B2018/00666 ,  A61B2018/00892 ,  A61B2018/1213 ,  A61B2018/143 ,  A61B2218/002

摘要： The present invention relates to the field of electrosurgery, and more particularly to systems and methods for ablating, cauterizing and/or coagulating body tissue using radio frequency energy. More in particular, the systems utilize voltage threshold means for controlling the voltage applied to tissue in a cycle-to-cycle manner.

摘要翻译： 本发明涉及电外科领域，更具体地涉及使用射频能量烧蚀，烧灼和/或凝结身体组织的系统和方法。 更具体地，系统利用电压阈值装置来以循环到循环的方式控制施加到组织的电压。

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。

公开(公告)号：US06508815B1

公开(公告)日：2003-01-21

申请号：US09306480

申请日：1999-05-06

申请人： Bruno Strul ,  Csaba Truckai ,  Russel Mahlon Sampson ,  Mark Leo Kane

发明人： Bruno Strul ,  Csaba Truckai ,  Russel Mahlon Sampson ,  Mark Leo Kane

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。

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。

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。

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。