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公开(公告)号:US5792173A
公开(公告)日:1998-08-11
申请号:US500381
申请日:1995-07-10
IPC分类号: A61B17/12 , A61B17/132 , A61B17/135 , A61B17/00
CPC分类号: A61B17/135 , A61B17/1325
摘要: A wound closure, hemostasis device, such as a femoral hemostat, includes an inflatable balloon with an inflation and deflation outlet. A placement patch includes an aperture for receiving the inflation and deflation outlet. The inflatable balloon is coupled to the placement patch and positioned adjacent to a wound site or a bleeding vessel. A belt straps through the placement patch and around the patient's body or a patient's appendage and holds the placement patch at the wound site or bleeding vessel. An inflation tube is coupled to the inflation and deflation outlet. An inflation apparatus is coupled to the inflation and deflation outlet.
摘要翻译: 创伤闭合器,止血装置,例如股骨止血器,包括具有充气和放气口的充气气囊。 放置贴片包括用于接收充气和放气口的孔。 可充气气球与放置贴片联接并定位成与伤口部位或出血血管相邻。 皮带穿过贴片并围绕患者的身体或患者的附属物,并将放置贴片保持在伤口部位或出血血管。 充气管连接到充气和通气口。 通货膨胀设备与通货膨胀和通货紧缩出口相结合。
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公开(公告)号:US5743870A
公开(公告)日:1998-04-28
申请号:US643524
申请日:1996-05-06
申请人: Stuart D. Edwards
发明人: Stuart D. Edwards
IPC分类号: A61B5/04 , A61B17/00 , A61B17/22 , A61B17/24 , A61B17/30 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61B18/20 , A61B18/22 , A61B19/00 , A61M1/00 , A61N1/06 , A61N1/40 , A61N5/04 , A61B17/39
CPC分类号: A61B5/04 , A61B18/1442 , A61B18/1477 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61N1/06 , A61N1/403 , A61N5/045 , A61B17/24 , A61B18/1402 , A61B18/20 , A61B18/22 , A61B2017/00026 , A61B2017/00084 , A61B2017/00296 , A61B2017/22077 , A61B2017/248 , A61B2017/306 , A61B2018/00011 , A61B2018/00023 , A61B2018/00101 , A61B2018/00261 , A61B2018/00291 , A61B2018/00327 , A61B2018/00636 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00744 , A61B2018/00773 , A61B2018/00791 , A61B2018/00797 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00982 , A61B2018/1425 , A61B2090/3782 , A61B2218/002 , A61B2218/003 , A61B90/361 , A61M2025/0096 , A61N5/04
摘要: An ablation apparatus suitable for the ablation of soft palate tissue, including but not limited to the uvula, includes a cannula with a distal end and a proximal end and a lumen. A vacuum assisted retainer device is coupled to the cannula distal end. The vacuum retainer member includes a uvula receiving member configured to retain at least a portion of the uvula with the application of vacuum. An electromagnetic electrode is coupled to an electromagnetic energy source. A vacuum source is coupled to the uvula receiving member.
摘要翻译: 适于消融软腭组织的消融装置包括但不限于小疱,包括具有远端和近端以及内腔的套管。 真空辅助保持装置联接到套管远端。 真空保持器构件包括构造成在应用真空的情况下保持至少一部分小叶的尿道接收构件。 电磁电极耦合到电磁能源。 真空源耦合到尿道接收构件。
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公开(公告)号:US5685839A
公开(公告)日:1997-11-11
申请号:US439191
申请日:1995-05-11
IPC分类号: A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/22 , A61B17/24 , A61B17/28 , A61B17/34 , A61B18/00 , A61B18/08 , A61B18/14 , A61B18/18 , A61B18/22 , A61B18/24 , A61B19/00 , A61F7/00 , A61M1/00 , A61M3/02 , A61M25/00 , A61N1/06 , A61N1/40 , A61N5/02 , A61N5/04
CPC分类号: A61B10/0233 , A61B10/0275 , A61B10/06 , A61B18/00 , A61B18/1477 , A61B18/1482 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61B18/24 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/02 , A61N5/045 , A61B10/0241 , A61B18/082 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/1442 , A61B18/148 , A61B2017/00084 , A61B2017/00092 , A61B2017/00101 , A61B2017/00106 , A61B2017/00123 , A61B2017/00181 , A61B2017/00194 , A61B2017/00274 , A61B2017/00292 , A61B2017/003 , A61B2017/00867 , A61B2017/22038 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00041 , A61B2018/00083 , A61B2018/00095 , A61B2018/00101 , A61B2018/00196 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/0097 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1425 , A61B2018/1861 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/378 , A61B2090/3782 , A61B2090/3786 , A61B2090/3925 , A61B2217/005 , A61B2217/007 , A61F2007/0054 , A61M2025/0086 , A61M2025/0087 , A61M2025/0089 , A61M2025/0096 , A61M2025/018 , A61M25/0068 , A61M3/0279 , A61N5/04
摘要: A medical probe apparatus comprising a catheter having a stylet guide housing with one or more stylet ports therein and stylet guides for directing one or more flexible stylets outward through respective stylet ports and through intervening tissue to target tissue. The active stylets emit radio frequency RF energy which establishes an RF current in the patient. The current, being densest at the stylet tips, causes heating of the surrounding tissue to initiate ablation of the target tissue. One aspect of the invention includes temperature sensing stylets at the location of the RF emitting stylets to monitor the temperature of the tissue being ablated. This allows the surgeon to have increased knowledge about the abating action under way in order to control the intensity of the applied RF current, or to adjust the amount of time the current is applied, or both. Further included herein is a plurality of temperature sensors mounted on an ultrasound probe to be used to monitor tissue temperature at the ultrasound probe while allowing the ultrasound device to monitor the position and orientation of the medical probe apparatus of the present invention.
摘要翻译: 一种医疗探针装置,包括具有其中具有一个或多个管心针孔的探针引导壳体的导管,以及用于通过相应的针尖端口向外引导一个或多个柔性护套的探针引导件,以及通过介入组织到靶组织。 主动式发射射频RF能量,其在患者体内建立RF电流。 在探针尖端处最密集的电流导致周围组织的加热以引发靶组织的消融。 本发明的一个方面包括在RF发射样式的位置处的温度感测样式,以监测被消融的组织的温度。 这允许外科医生增加关于正在进行的减轻动作的知识,以便控制施加的RF电流的强度,或者调整施加电流的时间量,或者两者。 此外还包括安装在超声波探头上的多个温度传感器,用于监测超声波探头的组织温度,同时允许超声波装置监测本发明的医疗探针装置的位置和取向。
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公开(公告)号:US5582589A
公开(公告)日:1996-12-10
申请号:US465718
申请日:1995-06-06
申请人: Stuart D. Edwards , Hugh R. Sharkey , Ingemar H. Lundquist , Ronald G. Lax , James A. Baker, Jr.
发明人: Stuart D. Edwards , Hugh R. Sharkey , Ingemar H. Lundquist , Ronald G. Lax , James A. Baker, Jr.
IPC分类号: A61B18/12 , A61B1/00 , A61B5/01 , A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/22 , A61B17/24 , A61B17/28 , A61B17/34 , A61B18/00 , A61B18/08 , A61B18/14 , A61B18/18 , A61B18/22 , A61B18/24 , A61B19/00 , A61F7/00 , A61K31/465 , A61M1/00 , A61M3/02 , A61M25/00 , A61M25/14 , A61N1/06 , A61N1/40 , A61N5/02 , A61N5/04 , A61N5/06 , A61B17/39
CPC分类号: A61B10/0233 , A61B10/0275 , A61B10/06 , A61B18/00 , A61B18/1477 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61K31/465 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/02 , A61N5/045 , A61B1/00188 , A61B10/02 , A61B10/0241 , A61B18/14 , A61B18/1442 , A61B18/148 , A61B18/24 , A61B2017/00084 , A61B2017/00092 , A61B2017/00106 , A61B2017/00274 , A61B2017/00292 , A61B2017/003 , A61B2017/00867 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00083 , A61B2018/00095 , A61B2018/00196 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/0075 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00869 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1425 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/3782 , A61B2090/3925 , A61B2217/005 , A61B2217/007 , A61M2025/0086 , A61M2025/0087 , A61M2025/0089 , A61M2025/009 , A61M2025/0096 , A61M2025/018 , A61M25/0032 , A61M25/0045 , A61M25/008 , A61M3/0279 , A61N5/04
摘要: A medical probe device of this invention comprising a catheter having a control end and a probe end. The probe end includes a stylet guide housing having at least one stylet port and stylet guide means for directing a flexible stylet outward through at least one stylet port and through intervening tissue to targeted tissues. A stylet is positioned in at least one of said stylet guide means, the stylet comprising a non-conductive sleeve having a RF electrode lumen and an optional a fluid supply lumen and a temperature sensor lumen therein. At least one portion of an opposed surface of the electrode lumen and the electrode can be spaced apart to define a liquid supply passageway for delivery of medicament liquid. The RF electrode enclosed within the non-conductive sleeve has a distal length optionally having at least one current focusing groove means thereon and a distal tip shaped to focus current crowding on its terminal end, whereby Rf current passing therefrom into surrounding tissue forms a lesion extending outward from the groove and tip. The focusing groove means can be a plurality of annular focusing grooves or a spiral focusing groove thereon.
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公开(公告)号:US5554110A
公开(公告)日:1996-09-10
申请号:US180578
申请日:1994-01-12
IPC分类号: A61B18/12 , A61B1/00 , A61B5/01 , A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/22 , A61B17/24 , A61B17/28 , A61B17/34 , A61B18/00 , A61B18/08 , A61B18/14 , A61B18/18 , A61B18/22 , A61B18/24 , A61B19/00 , A61F7/00 , A61K31/465 , A61M1/00 , A61M3/02 , A61M25/00 , A61M25/14 , A61N1/06 , A61N1/40 , A61N5/02 , A61N5/04 , A61N5/06 , A61B17/39
CPC分类号: A61B10/0233 , A61B10/0275 , A61B10/06 , A61B18/00 , A61B18/1477 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61K31/465 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/02 , A61N5/045 , A61B1/00188 , A61B10/02 , A61B10/0241 , A61B18/14 , A61B18/1442 , A61B18/148 , A61B18/24 , A61B2017/00084 , A61B2017/00092 , A61B2017/00106 , A61B2017/00274 , A61B2017/00292 , A61B2017/003 , A61B2017/00867 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00083 , A61B2018/00095 , A61B2018/00196 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/0075 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00869 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1425 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/3782 , A61B2090/3925 , A61B2217/005 , A61B2217/007 , A61M2025/0086 , A61M2025/0087 , A61M2025/0089 , A61M2025/009 , A61M2025/0096 , A61M2025/018 , A61M25/0032 , A61M25/0045 , A61M25/008 , A61M3/0279 , A61N5/04
摘要: A medical probe device including a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and a for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The stylet can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radio frequency electrode. During the ablation operation, the tissue immediately adjacent the stylet can become desiccated, thereby necessitating an increase of current flow and a loss of ablation efficiency. A forward and reverse movement of the non-conductive sleeve on the stylet during an operation frees the stylet from sticking tissue and creates a space around the electrode to allow the tissue to rehydrate.
摘要翻译: 一种医疗探针装置,其包括导管,该导管具有在其侧壁中具有一个或多个管心针端口的探针引导壳体,以及用于将柔性探针向外引导通过探针端口,并通过介入组织以与靶组织预选的可调节角度。 总导管组件包括与通管孔端口连通的探针引导腔和位于所述探针引导腔中的探针,用于从端口到介入组织到目标组织的纵向移动。 探针可以是封装在非导电层内的电导体,电导体是射频电极。 在消融操作期间,紧邻探针针的组织可能变干,从而需要电流增加和消融效率的降低。 在操作期间非导电套管在探针上的向前和反向运动使探针从粘附组织释放,并在电极周围产生空间以允许组织再水合。
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公开(公告)号:US5542915A
公开(公告)日:1996-08-06
申请号:US180511
申请日:1994-01-12
IPC分类号: A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/22 , A61B17/24 , A61B17/28 , A61B17/34 , A61B18/00 , A61B18/08 , A61B18/14 , A61B18/18 , A61B18/22 , A61B18/24 , A61B19/00 , A61F7/00 , A61M1/00 , A61M3/02 , A61M25/00 , A61N1/06 , A61N1/40 , A61N5/02 , A61N5/04 , A61B17/39
CPC分类号: A61B10/0233 , A61B10/0275 , A61B10/06 , A61B18/00 , A61B18/1477 , A61B18/1482 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61B18/24 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/02 , A61N5/045 , A61B10/0241 , A61B18/082 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/1442 , A61B18/148 , A61B2017/00084 , A61B2017/00092 , A61B2017/00101 , A61B2017/00106 , A61B2017/00123 , A61B2017/00181 , A61B2017/00194 , A61B2017/00274 , A61B2017/00292 , A61B2017/003 , A61B2017/00867 , A61B2017/22038 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00041 , A61B2018/00083 , A61B2018/00095 , A61B2018/00101 , A61B2018/00196 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/0097 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1425 , A61B2018/1861 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/378 , A61B2090/3782 , A61B2090/3786 , A61B2090/3925 , A61B2217/005 , A61B2217/007 , A61F2007/0054 , A61M2025/0086 , A61M2025/0087 , A61M2025/0089 , A61M2025/0096 , A61M2025/018 , A61M25/0068 , A61M3/0279 , A61N5/04
摘要: A medical probe apparatus comprising a catheter having a stylet guide housing with one or more stylet ports therein and stylet guides for directing one or more flexible stylets outward through respective stylet ports and through intervening tissue to target tissue. The active stylets emit radio frequency RF energy which establishes an RF current in the patient. The current, being densest at the stylet tips, causes heating of the surrounding tissue to initiate ablation of the target tissue. One aspect of the invention includes temperature sensing stylets at the location of the RF emitting stylets to monitor the temperature of the tissue being ablated. This allows the surgeon to have increased knowledge about the abating action under way in order to control the intensity of the applied RF current, or to adjust the amount of time the current is applied, or both. Further included herein is a plurality of temperature sensors mounted on an ultrasound probe to be used to monitor tissue temperature at the ultrasound probe while allowing the ultrasound device to monitor the position and orientation of the medical probe apparatus of the present invention.
摘要翻译: 一种医疗探针装置,包括具有其中具有一个或多个管心针孔的探针引导壳体的导管,以及用于通过相应的针尖端口向外引导一个或多个柔性护套的探针引导件,以及通过介入组织到靶组织。 主动式发射射频RF能量,其在患者体内建立RF电流。 在探针尖端处最密集的电流导致周围组织的加热以引发靶组织的消融。 本发明的一个方面包括在RF发射样式的位置处的温度感测样式,以监测被消融的组织的温度。 这允许外科医生增加关于正在进行的减轻动作的知识,以便控制施加的RF电流的强度,或者调整施加电流的时间量,或者两者。 此外还包括安装在超声波探头上的多个温度传感器,用于监测超声波探头的组织温度,同时允许超声波装置监测本发明的医疗探针装置的位置和取向。
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公开(公告)号:US5531677A
公开(公告)日:1996-07-02
申请号:US420304
申请日:1995-04-11
IPC分类号: A61B10/00 , A61B10/02 , A61B10/06 , A61B17/00 , A61B17/22 , A61B17/24 , A61B17/28 , A61B17/34 , A61B18/00 , A61B18/08 , A61B18/14 , A61B18/18 , A61B18/22 , A61B18/24 , A61B19/00 , A61F7/00 , A61M1/00 , A61M3/02 , A61M25/00 , A61M25/01 , A61M25/092 , A61N1/06 , A61N1/40 , A61N5/04 , A61B17/20
CPC分类号: A61B10/0233 , A61B10/0275 , A61B10/06 , A61B17/3403 , A61B17/3417 , A61B17/3478 , A61B18/00 , A61B18/1477 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61M25/0136 , A61M25/0138 , A61M25/0147 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/045 , A61B10/02 , A61B10/0241 , A61B18/14 , A61B18/1442 , A61B18/148 , A61B18/1492 , A61B18/24 , A61B2017/00084 , A61B2017/00092 , A61B2017/00101 , A61B2017/00106 , A61B2017/00123 , A61B2017/00181 , A61B2017/00194 , A61B2017/00274 , A61B2017/00292 , A61B2017/003 , A61B2017/00469 , A61B2017/00867 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00083 , A61B2018/00095 , A61B2018/00101 , A61B2018/00196 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1425 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/378 , A61B2090/3782 , A61B2090/3786 , A61B2090/3925 , A61B2217/005 , A61M2025/0086 , A61M2025/0087 , A61M2025/0089 , A61M2025/0096 , A61M2025/018 , A61M25/0068 , A61M25/008 , A61M25/0082 , A61M3/0279 , A61N5/04
摘要: A medical probe for the treatment by radio frequency ablation of a target volume in tissue of a human having a urethral channel extending into the base of a bladder along a longitudinal axis. The probe comprises an elongate probe member having proximal and distal extremities and is sized so that it can be introduced into the urethra. The elongate probe member has a passage extending from the proximal extremity to the distal extremity. Guide cannulae are mounted in the passage of the elongate probe member and have proximal and distal extremities with the distal extremities of the guide cannulae being in the vicinity of the distal extremity of the elongate probe member. Each of the guide cannulae have a lumen extending therethrough from the proximal extremity to the distal extremity. A radio frequency conductive electrode is disposed in each lumen. An insulating sleeve is coaxially disposed on each radio frequency electrode. A control handle is secured to the proximal extremity of the elongate probe member. The control handle is connected to each radio frequency electrode and each insulating sleeve so that each radio frequency electrode and each insulating sleeve can be advanced and retracted.
摘要翻译: 一种用于通过射线消融处理的医疗探针,其具有沿着纵向轴线延伸到膀胱的基部中的具有尿道通道的人的组织中的靶体积。 探针包括具有近端和远端的细长探针部件,其尺寸使其能够被引入尿道。 细长的探针构件具有从近端延伸到远端的通道。 引导套管安装在细长探针构件的通道中,并且具有近端和远端,引导套管的远端在细长探针构件的远端附近。 每个引导套管具有从近端到远端延伸穿过的内腔。 射频导电电极设置在每个管腔中。 绝缘套管同轴地设置在每个射频电极上。 控制手柄固定到细长探针构件的近端。 控制手柄连接到每个射频电极和每个绝缘套管,使得每个射频电极和每个绝缘套管可以前进和后退。
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公开(公告)号:US5486161A
公开(公告)日:1996-01-23
申请号:US148441
申请日:1993-11-08
IPC分类号: A61B1/018 , A61B10/00 , A61B10/02 , A61B17/00 , A61B17/22 , A61B17/24 , A61B17/34 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61B18/22 , A61B18/24 , A61B19/00 , A61F7/00 , A61M1/00 , A61M25/00 , A61N1/06 , A61N1/40 , A61N5/04 , A61B17/39
CPC分类号: A61B18/00 , A61B10/0233 , A61B18/1477 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61M25/0136 , A61N1/06 , A61N1/403 , A61B18/14 , A61B18/148 , A61B18/24 , A61B2017/00084 , A61B2017/00092 , A61B2017/00101 , A61B2017/00106 , A61B2017/00123 , A61B2017/00181 , A61B2017/00194 , A61B2017/00274 , A61B2017/00292 , A61B2017/00296 , A61B2017/003 , A61B2017/00867 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00023 , A61B2018/00083 , A61B2018/00095 , A61B2018/00101 , A61B2018/00196 , A61B2018/0022 , A61B2018/00291 , A61B2018/00327 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00875 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/128 , A61B2018/1425 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/378 , A61B2090/3782 , A61B2090/3786 , A61B2090/3925 , A61B2218/003 , A61F2007/0054 , A61M2025/0089 , A61M2025/0096 , A61M2025/018 , A61M25/0068 , A61M25/0082 , A61N5/04
摘要: A medical ablation device comprising a flexible RF electrode wire or tube, the terminal portion thereof extending through an insulating sleeve axially moveable thereon. The electrode and surrounding sleeve extend through a portion of a rigid tube having a distal end adapted to be inserted into the body of a patient. Tabs are attached to the proximal end of the sleeve and electrode for advancing them together from the terminal end of the tube, for retracting the sleeve from the distal end of the electrode to expose a predetermined area of electrode surface, and for retracting them together into the terminal end of the tube. The electrode can also be a hollow tube, the proximal end thereof being adapted to be connected to a suction source for aspiration of tissue adjacent its distal end or it can optionally contain a fiber optic, the end thereof being enclosed within the tube and closely adjacent its distal end. In one embodiment, the electrode is a hollow electrode tube of highly flexible memory metal, preformed to have a curved memory configuration. The portion of the electrode tube and its surrounding sleeve extending beyond the distal end of the outer tube adopts the curved memory configuration, causing it to follow a curved path when extended through intervening tissue to reach a target tissue to be ablated.
摘要翻译: 一种医疗消融装置,其包括柔性RF电极线或管,其端部延伸穿过其上可轴向移动的绝缘套筒。 电极和周围套筒延伸穿过具有适于插入患者体内的远端的刚性管的一部分。 凸片附接到套筒的近端和电极,用于将它们从管的终端推进到一起,用于将套筒从电极的远端缩回以暴露电极表面的预定区域,并将它们一起收回到 管末端。 电极也可以是中空管,其近端适于连接到抽吸源,用于抽吸邻近其远端的组织,或者它可以可选地包含光纤,其端部封闭在管内并且紧邻 其远端 在一个实施例中,电极是高度柔性的存储金属的中空电极管,预成形为具有弯曲的存储器配置。 延伸超过外管远端的电极管及其周围的套筒的部分采用弯曲的记忆结构,使其在延伸穿过介入组织到达要消融的靶组织时遵循弯曲的路径。
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公开(公告)号:US5472441A
公开(公告)日:1995-12-05
申请号:US208676
申请日:1994-03-11
申请人: Stuart D. Edwards , Ronald G. Lax
发明人: Stuart D. Edwards , Ronald G. Lax
IPC分类号: A61B18/00 , A61B18/14 , A61B18/18 , A61M1/00 , A61M3/02 , A61M25/00 , A61N5/02 , A61N5/04 , A61B17/36
CPC分类号: A61B18/1477 , A61B18/1482 , A61B18/18 , A61B18/1815 , A61N5/02 , A61N5/045 , A61B18/14 , A61B18/1402 , A61B18/1492 , A61B2018/00011 , A61B2018/00196 , A61B2018/00452 , A61B2018/00476 , A61B2018/00577 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00726 , A61B2018/00761 , A61B2018/00779 , A61B2018/00791 , A61B2018/00875 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1425 , A61B2018/1435 , A61B2018/162 , A61B2218/002 , A61M25/007 , A61M3/0279 , A61N5/04
摘要: A method of this invention for treating body tissues containing cancerous cells or non-malignant tumors with RF ablation, alone or in combination with systemic or localized chemotherapy comprising introducing a stylet comprising an electrode surface and a sleeve longitudinally moveable thereon into the vicinity of the body tissues, retracting the sleeve from a portion of the electrode surface, and supplying RF power to the electrode surface sufficient to heat the tissue to a temperature of above about 45.degree. C. for a time to cause reduction of tissue mass in the vicinity of the electrode. The RF power supplied to the electrode surface is sufficient to effect a desiccated fluid diffusion barrier capsule surrounding the body tissue being treated. The stylet can include a hollow tube having fluid distribution ports therein, and the method can include the step of passing fluid through one or more distribution ports into the body tissue being treated. The fluid can be saline or a chemotherapeutic fluid such as liquid or gas containing a cytotoxic agent, for example. The fluid can be administered in a variety of procedures. The fluid can be passed through a distribution port into the body tissue before, during and/or after the RF power is supplied to the electrode surface, for example. Preferably, the fluid is introduced after a barrier capsule has been formed. The devices comprises electrodes havming a hollow core and a closed sharpened distal tip. The electrode has a plurality of fluid distribution ports therein for distribution of fluid treatment agents into the tissue.
摘要翻译: 本发明的方法,用于单独或与全身或局部化疗组合,用RF消融治疗含有癌细胞或非恶性肿瘤的身体组织,包括将包含电极表面和纵向可移动到其上的套管引入身体附近 组织,从电极表面的一部分缩回套筒,并将RF功率提供给电极表面,足以将组织加热至高于约45℃的温度一段时间,以使组织块在附近的 电极。 提供给电极表面的RF功率足以实现围绕被处理的身体组织的干燥的流体扩散阻挡胶囊。 探针可以包括其中具有流体分配端口的中空管,并且该方法可以包括使流体通过一个或多个分配端口进入被处理的身体组织的步骤。 流体可以是例如盐水或化疗液体,例如含有细胞毒性剂的液体或气体。 流体可以以各种方法给药。 例如,在将RF功率提供给电极表面之前,期间和/或之后,流体可以通过分配端口进入身体组织。 优选地,在形成阻挡胶囊之后引入流体。 这些装置包括电极,该电极覆盖中空芯和封闭的锋利的远端尖端。 电极在其中具有多个流体分配端口,用于将流体处理剂分配到组织中。
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公开(公告)号:US5368592A
公开(公告)日:1994-11-29
申请号:US126126
申请日:1993-09-23
CPC分类号: A61M25/0147 , Y10T403/32311
摘要: An improved assembly for steering and orienting a functional element at the distal end of a catheter tube holds the functional element with its major axis aligned with the axis of the catheter tube for convenient steering to a tissue site. The mechanism can also pivot the functional element in response to an external force to orient the major axis of the functional element generally parallel to the plane of the tissue site, without bending the catheter tube.
摘要翻译: 用于在导管管的远端处转向和定向功能元件的改进的组件保持功能元件,其主轴与导管管的轴线对准,以便于转向组织部位。 机构还可以响应于外力使功能元件枢转,以使功能元件的长轴大致平行于组织部位的平面定向,而不弯曲导管。
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