公开(公告)号：US10016236B2

公开(公告)日：2018-07-10

申请号：US15070471

申请日：2016-03-15

Applicant: COVIDIEN LP

Inventor： Joseph D. Brannan ,  Casey M. Ladtkow ,  Darion R. Peterson ,  Eric W. Larson ,  William J. Dickhans ,  Richard A. Willyard ,  Jason A. Case

IPC: A61B5/05 ,  A61B18/18 ,  A61B34/20 ,  A61B6/03 ,  A61B34/10 ,  A61B90/00 ,  A61B18/00 ,  A61B34/00

CPC classification number: A61B18/1815 ,  A61B6/03 ,  A61B34/10 ,  A61B34/20 ,  A61B34/25 ,  A61B2017/00123 ,  A61B2018/00023 ,  A61B2018/00333 ,  A61B2018/00482 ,  A61B2018/00511 ,  A61B2018/00529 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/0066 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00684 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00803 ,  A61B2018/00821 ,  A61B2018/00898 ,  A61B2018/00904 ,  A61B2018/00982 ,  A61B2018/1838 ,  A61B2018/1846 ,  A61B2018/1853 ,  A61B2018/1861 ,  A61B2018/1892 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/2072 ,  A61B2090/363 ,  A61B2090/395 ,  A61B2090/3966

Abstract: An ablation system including an image database storing a plurality of computed tomography (CT) images of a luminal network and a navigation system enabling, in combination with an endoscope and the CT images, navigation of a locatable guide and an extended working channel to a point of interest. The system further includes one or more fiducial markers, placed in proximity to the point of interest and a percutaneous microwave ablation device for applying energy to the point of interest.

公开(公告)号：US09993283B2

公开(公告)日：2018-06-12

申请号：US14035451

申请日：2013-09-24

Applicant: COVIDIEN LP

Inventor： Casey M. Ladtkow ,  William O. Reid, Jr. ,  Darion R. Peterson ,  Gene H. Arts ,  John R. Vantuno

IPC: A61B18/18 ,  A61B18/08 ,  A61B18/14 ,  A61B18/00 ,  A61B17/00

CPC classification number: A61B18/082 ,  A61B18/1477 ,  A61B2017/00314 ,  A61B2018/00023 ,  A61B2018/00577 ,  A61B2018/00791 ,  A61B2018/1465

Abstract: In accordance with at least one aspect of this disclosure, an ablation apparatus includes a proximal body portion, a shaft extending distally from the proximal body portion, the shaft being selectively deformable utilizing at least one deformation system between a first position wherein the shaft is straight an a second position wherein the shaft is bent, the at least one deformation system configured to retain the shaft in each of the first and second positions, and at least one electrode disposed at least partially within the shaft, the electrode movable with the shaft upon movement of the shaft between the first and second positions.

公开(公告)号：US09833287B2

公开(公告)日：2017-12-05

申请号：US14618113

申请日：2015-02-10

Applicant: COVIDIEN LP

Inventor： Steven P. Buysse ,  Casey M. Ladtkow ,  Brandon C. Gay

IPC: A61B18/18 ,  A61B18/14 ,  A61B5/01 ,  A61B5/00 ,  A61B18/12 ,  A61B18/00 ,  A61B90/00

CPC classification number: A61B18/1815 ,  A61B5/015 ,  A61B5/4836 ,  A61B5/743 ,  A61B18/1206 ,  A61B18/1477 ,  A61B18/18 ,  A61B2018/00011 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/1823 ,  A61B2018/183 ,  A61B2090/374 ,  A61B2090/376 ,  A61B2090/3762 ,  A61B2090/378

Abstract: A system for providing feedback during an electrosurgical procedure on a target tissue is provided. The system includes an electrosurgical energy source; an electrode probe assembly connected to the electrosurgical energy source, wherein the electrode probe assembly includes at least one electrode assembly having a needle configured to deliver electrosurgical energy to the target tissue; at least one thermal feedback assembly connected to the electrosurgical energy source, wherein each thermal feedback assembly includes at least one temperature sensor assembly; and a hub configured to selectively support the electrode probe assembly and each thermal feedback assembly such that the needle of the electrode probe assembly and each temperature sensor assembly of each thermal feedback assembly are proximate one another when disposed proximate the target tissue.

公开(公告)号：US20160374646A1

公开(公告)日：2016-12-29

申请号：US15262278

申请日：2016-09-12

Applicant: COVIDIEN LP

Inventor： Jason A. Case ,  Kevin Frank ,  Casey M. Ladtkow

IPC: A61B8/00 ,  A61B8/08 ,  A61B34/00 ,  A61B34/10 ,  A61B34/20 ,  A61B6/12 ,  A61B18/14

CPC classification number: A61B8/465 ,  A61B6/12 ,  A61B8/0841 ,  A61B8/4263 ,  A61B8/4444 ,  A61B8/463 ,  A61B8/466 ,  A61B8/467 ,  A61B8/483 ,  A61B8/565 ,  A61B18/1477 ,  A61B18/1815 ,  A61B34/10 ,  A61B34/20 ,  A61B34/25 ,  A61B90/04 ,  A61B2017/00477 ,  A61B2018/00577 ,  A61B2034/104 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/2065 ,  A61B2090/0463 ,  A61B2090/0472 ,  A61B2090/0481 ,  A61B2090/364 ,  A61B2090/365 ,  A61B2090/378 ,  A61B2090/3983

Abstract: The present disclosure is directed to an ablation planning and navigation system. The planning system includes a memory configured to store a plurality of images and a controller configured to render the plurality of images in three dimensions, automatically segment the plurality of images to demarcate a target area, and automatically determine a treatment plan based on the target area. The navigation system includes an ultrasound device having a fiducial pattern that obtains an ultrasound image, an ablation needle having a image capture device that captures an image of the fiducial pattern, and a controller that receives the ultrasound image and the fiducial image. The controller determines a position of the ablation needle based on the fiducial image. The planning and navigation system also includes a controller that receives data from the planning system and the navigation system and a display configured to display the received information.

公开(公告)号：US09498286B2

公开(公告)日：2016-11-22

申请号：US14842324

申请日：2015-09-01

Applicant: COVIDIEN LP

Inventor： Joseph D. Brannan ,  Casey M. Ladtkow ,  Darion R. Peterson ,  Eric W. Larson ,  William J. Dickhans ,  Richard A. Willyard ,  Jason A. Case

IPC: A61B18/04 ,  A61B18/18 ,  A61B18/00

CPC classification number: A61B18/1815 ,  A61B34/10 ,  A61B34/25 ,  A61B2018/00017 ,  A61B2018/00023 ,  A61B2018/00166 ,  A61B2018/00178 ,  A61B2018/00297 ,  A61B2018/00482 ,  A61B2018/00494 ,  A61B2018/00511 ,  A61B2018/00529 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00678 ,  A61B2018/00684 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/00982 ,  A61B2018/00988 ,  A61B2018/1823 ,  A61B2018/1838 ,  A61B2018/1846 ,  A61B2018/1853 ,  A61B2018/1861 ,  A61B2018/1892 ,  A61B2034/105 ,  A61B2034/107

Abstract: A microwave ablation device including a cable assembly configured to connect a microwave ablation device to an energy source and a feedline in electrical communication with the cable assembly. The microwave ablation device further includes a balun on an outer conductor of the feedline, and a temperature sensor on the balun sensing the temperature of the balun.

公开(公告)号：US08956350B2

公开(公告)日：2015-02-17

申请号：US14066050

申请日：2013-10-29

Applicant: Covidien LP

Inventor： Steven P. Buysse ,  Casey M. Ladtkow ,  Brandon Gay

IPC: A61B18/18 ,  A61B5/00 ,  A61B18/14 ,  A61B5/01 ,  A61B18/12 ,  A61B18/00 ,  A61B19/00

CPC classification number: A61B18/1815 ,  A61B5/015 ,  A61B5/4836 ,  A61B5/743 ,  A61B18/1206 ,  A61B18/1477 ,  A61B18/18 ,  A61B2018/00011 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/1823 ,  A61B2018/183 ,  A61B2090/374 ,  A61B2090/376 ,  A61B2090/3762 ,  A61B2090/378

Abstract: A system for providing feedback during an electrosurgical procedure on a target tissue is provided. The system includes an electrosurgical energy source; an electrode probe assembly connected to the electrosurgical energy source, wherein the electrode probe assembly includes at least one electrode assembly having a needle configured to deliver electrosurgical energy to the target tissue; at least one thermal feedback assembly connected to the electrosurgical energy source, wherein each thermal feedback assembly includes at least one temperature sensor assembly; and a hub configured to selectively support the electrode probe assembly and each thermal feedback assembly such that the needle of the electrode probe assembly and each temperature sensor assembly of each thermal feedback assembly are proximate one another when disposed proximate the target tissue.

Abstract translation: 提供了一种在电外科手术期间在靶组织上提供反馈的系统。 该系统包括电外科能源; 连接到电外科能源的电极探针组件，其中所述电极探针组件包括至少一个电极组件，所述至少一个电极组件具有构造成将电外科能量递送到所述靶组织的针; 连接到所述电外科能源的至少一个热反馈组件，其中每个热反馈组件包括至少一个温度传感器组件; 以及毂，其被配置为选择性地支撑电极探针组件和每个热反馈组件，使得当设置在靶组织附近时，每个热反馈组件的电极探针组件的针和每个温度传感器组件彼此靠近。

公开(公告)号：US20140046316A1

公开(公告)日：2014-02-13

申请号：US13837288

申请日：2013-03-15

Applicant: COVIDIEN LP

Inventor： Casey M. Ladtkow ,  Joseph D. Brannan ,  Darion R. Peterson ,  Eric W. Larson ,  Kaylen J. Haley ,  William J. Dickhans ,  Jason A. Case

IPC: A61B18/18

CPC classification number: A61B18/1815 ,  A61B1/018 ,  A61B1/2676 ,  A61B5/01 ,  A61B5/0538 ,  A61B5/062 ,  A61B5/064 ,  A61B5/1114 ,  A61B5/4836 ,  A61B5/7425 ,  A61B5/7445 ,  A61B6/032 ,  A61B6/12 ,  A61B6/487 ,  A61B8/0841 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B10/06 ,  A61B18/1477 ,  A61B2010/0216 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/1861

Abstract: A microwave ablation system configured for use in luminal network is provided. The microwave ablation system includes a microwave energy source and a tool for treating tissue. An extended working channel is configured to provide passage for the tool. A locatable guide, translatable through the extended working channel, is configured to navigate the extended working channel adjacent a target.

公开(公告)号：US20140046176A1

公开(公告)日：2014-02-13

申请号：US13837978

申请日：2013-03-15

Applicant: COVIDIEN LP

Inventor： Casey M. Ladtkow ,  Joseph D. Brannan ,  Darion R. Peterson ,  Eric W. Larson ,  Kaylen J. Haley ,  William J. Dickhans ,  Jason A. Case

IPC: A61B10/04 ,  A61B18/18 ,  A61B5/01 ,  A61B10/06 ,  A61B6/03 ,  A61B5/053 ,  A61B1/267 ,  A61B10/02

CPC classification number: A61B18/1815 ,  A61B1/018 ,  A61B1/2676 ,  A61B5/01 ,  A61B5/0538 ,  A61B5/062 ,  A61B5/064 ,  A61B5/1114 ,  A61B5/4836 ,  A61B5/7425 ,  A61B5/7445 ,  A61B6/032 ,  A61B6/12 ,  A61B6/487 ,  A61B8/0841 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B10/06 ,  A61B18/1477 ,  A61B2010/0216 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/1861

Abstract: A method for treating lung tissue of a patient is provided. A pathway to a point of interest in a lung of a patient is generated. An extended working channel is advanced transorally into the lung and along the pathway to the point of interest. The extended working channel is positioned in a substantially fixed orientation at the point interest. A tool is advanced though the extended working channel to the point of interest. The lung tissue is treated at the point of interest.

Abstract translation: 提供了一种治疗患者肺组织的方法。 产生通向患者肺中感兴趣点的途径。 一个延长的工作通道可以通过远处进入肺部并沿着通向目标点的途径。 扩展工作通道位于基点固定的取向位置。 一个工具是通过扩展工作通道进行提升到兴趣点。 在感兴趣的时间点处理肺组织。

公开(公告)号：US20140046175A1

公开(公告)日：2014-02-13

申请号：US13836781

申请日：2013-03-15

Applicant: COVIDIEN LP

Inventor： Casey M. Ladtkow ,  Joseph D. Brannan ,  Darion R. Peterson ,  Eric W. Larson ,  Kaylen J. Haley ,  William J. Dickhans ,  Jason A. Case

IPC: A61B18/18 ,  A61B6/12

CPC classification number: A61B18/1815 ,  A61B1/018 ,  A61B1/2676 ,  A61B5/01 ,  A61B5/0538 ,  A61B5/062 ,  A61B5/064 ,  A61B5/1114 ,  A61B5/4836 ,  A61B5/7425 ,  A61B5/7445 ,  A61B6/032 ,  A61B6/12 ,  A61B6/487 ,  A61B8/0841 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B10/06 ,  A61B18/1477 ,  A61B2010/0216 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/1861

Abstract: A microwave ablation system configured for use in luminal network is provided. The microwave ablation system includes a microwave energy source and a tool for treating tissue. An extended working channel is configured to provide passage for the tool. A locatable guide, translatable through the extended working channel, is configured to navigate the extended working channel adjacent a target.

Abstract translation: 提供了一种配置用于管腔网络的微波消融系统。 微波消融系统包括微波能源和用于处理组织的工具。 扩展工作通道被配置为为工具提供通道。 通过扩展工作通道可翻译的可定位指南被配置为导航邻近目标的扩展工作通道。

公开(公告)号：US20140046174A1

公开(公告)日：2014-02-13

申请号：US13836519

申请日：2013-03-15

Applicant: COVIDIEN LP

Inventor： Casey M. Ladtkow ,  Joseph D. Brannan ,  Darion R. Peterson ,  Eric W. Larson ,  Kaylen J. Haley ,  William J. Dickhans ,  Jason A. Case

IPC: A61B18/18 ,  A61B6/12

CPC classification number: A61B18/1815 ,  A61B1/018 ,  A61B1/2676 ,  A61B5/01 ,  A61B5/0538 ,  A61B5/062 ,  A61B5/064 ,  A61B5/1114 ,  A61B5/4836 ,  A61B5/7425 ,  A61B5/7445 ,  A61B6/032 ,  A61B6/12 ,  A61B6/487 ,  A61B8/0841 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B10/06 ,  A61B18/1477 ,  A61B2010/0216 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/1861

Abstract: A microwave ablation system configured for use in luminal network is provided. The microwave ablation system includes a microwave energy source. A tool for treating tissue is provided with the microwave ablation system. An extended working channel is configured to provide passage for the tool. A locatable guide catheter is positionable through the extended working channel and configured to navigate the extended working channel adjacent the target tissue. The microwave ablation system includes a navigation system that is configured for guiding the tool, extended working channel or the locatable guide through a luminal network following a predetermined determined pathway to the target tissue. One or more imaging modalities may be utilized for confirming placement of the tool within target tissue.

Abstract translation: 提供了一种配置用于管腔网络的微波消融系统。 微波消融系统包括微波能量源。 微波消融系统提供了一种用于治疗组织的工具。 扩展工作通道被配置为为工具提供通道。 可定位的导向导管可通过延伸的工作通道定位，并被配置成导航邻近目标组织的延伸的工作通道。 微波消融系统包括导航系统，该导航系统被配置用于沿着预定的确定的目标组织的路径引导工具，延伸的工作通道或可定位的引导件穿过管腔网络。 可以使用一种或多种成像模式来确认工具在靶组织内的放置。