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    INTRAOCULAR LENS SYSTEM AND METHOD FOR POWER ADJUSTMENT
    53.
    发明申请
    INTRAOCULAR LENS SYSTEM AND METHOD FOR POWER ADJUSTMENT 审中-公开
    内窥镜镜头系统和电源调整方法

    公开(公告)号：US20150202041A1

    公开(公告)日：2015-07-23

    申请号：US14675245

    申请日：2015-03-31

    申请人： John H. SHADDUCK

    发明人： John H. SHADDUCK

    IPC分类号： A61F2/16

    CPC分类号： A61F2/1635 ,  A61F2/1613 ,  A61F2002/169 ,  A61F2250/0001

    摘要： An intraocular lens (IOL) that provides for optical power adjustment following its implantation, for example, for use in treating cataract patients. The lens body has first and second surface portions that bound at least one interior chamber or space that extends from the central optic portion to the lens periphery. The interior chamber or space has a microporous body that is intermediate inner and outer portions of the space. In one embodiment, the microporous body is capable of cooperating with an external Rf or light source to expose a charge to a charge-carrying fluid within the interior chamber. By this system, fluid flows are induced to alter the optical parameters of the lens.

    摘要翻译： 眼内透镜（IOL），其在植入之后提供光学功率调整，例如用于治疗白内障患者。 透镜体具有第一和第二表面部分，其结合从中心光学部分延伸到透镜周边的至少一个内部室或空间。 内部室或空间具有位于该空间的中部内部和外部的微孔体。 在一个实施例中，微孔体能够与外部Rf或光源配合，以将电荷暴露于内部室内的带电荷的流体。 通过该系统，引起流体流动以改变透镜的光学参数。

    SYSTEMS AND METHODS FOR TREATMENT OF BPH
    54.
    发明申请
    SYSTEMS AND METHODS FOR TREATMENT OF BPH 有权
    用于治疗BPH的系统和方法

    公开(公告)号：US20150025516A1

    公开(公告)日：2015-01-22

    申请号：US14453254

    申请日：2014-08-06

    申请人： Michael HOEY ,  John H. SHADDUCK

    发明人： Michael HOEY ,  John H. SHADDUCK

    IPC分类号： A61B17/3203 ,  A61B18/04

    CPC分类号： A61B17/3203 ,  A61B17/32037 ,  A61B17/32056 ,  A61B18/04 ,  A61B18/1485 ,  A61B2017/00274 ,  A61B2017/22067 ,  A61B2017/22079 ,  A61B2017/32035 ,  A61B2018/00547 ,  A61B2018/00577 ,  A61B2018/0063 ,  A61B2018/048

    摘要： A prostate therapy system is provided that may include any of a number of features. One feature of the prostate therapy system is that it can access a prostate lobe from the urethra. Another feature of the prostate therapy system is that it can deliver condensable vapor into the prostate to ablate the prostate tissue. Another feature of the prostate therapy system is that it can aspirate tissue from the prostate. Yet another feature of the prostate therapy system is that it can rotate during delivery of vapor and aspiration of tissue. Methods associated with use of the prostate therapy system are also covered.

    摘要翻译： 提供了可以包括多个特征中的任何一个的前列腺治疗系统。 前列腺治疗系统的一个特征是它可以从尿道进入前列腺。 前列腺治疗系统的另一个特征是它可以将可冷凝的蒸气输送到前列腺中以消融前列腺组织。 前列腺治疗系统的另一个特征是它可以从前列腺抽吸组织。 前列腺治疗系统的另一个特征是它可以在输送蒸气和组织抽吸期间旋转。 还涉及与使用前列腺治疗系统相关的方法。

    MEDICAL INSTRUMENTS AND TECHNIQUES FOR TREATING PULMONARY DISORDERS
    55.
    发明申请
    MEDICAL INSTRUMENTS AND TECHNIQUES FOR TREATING PULMONARY DISORDERS 有权
    用于治疗肺部疾病的医疗仪器和技术

    公开(公告)号：US20110264090A1

    公开(公告)日：2011-10-27

    申请号：US12947228

    申请日：2010-11-16

    申请人： John H. SHADDUCK ,  Michael HOEY

    发明人： John H. SHADDUCK ,  Michael HOEY

    IPC分类号： A61B18/18

    CPC分类号： A61B18/04 ,  A61B17/32037 ,  A61B2017/00809 ,  A61B2018/00315 ,  A61B2018/048

    摘要： A surgical instrument for delivering energy to lung tissue, for example to cause lung volume reduction. In one embodiment, an elongated catheter has a handle portion that includes an interior chamber that is supplied with a biocompatible liquid media under pressure. An energy source delivers energy to the media to cause a liquid-to-vapor phase change within the interior chamber and ejects a flow of vapor media from the working end of the catheter. The delivery of energy and the flow of vapor are controlled by a computer controller to cause a selected pressure and selected volume of vapor to propagate to the extremities of the airways. Contemporaneously, the vapor undergoes a vapor-to-liquid phase transition which delivers large amount of energy to the airway tissue. The thermal energy delivered is equivalent to the heat of vaporization of the fluid media, which shrinks and collapses the treated airways. The treated tissue is the maintained in a collapsed state by means of aspiration for a short interval to enhance tissue remodeling. Thereafter, the patient's wound healing response causes fibrosis and further remodeling to cause permanent lung volume reduction.

    摘要翻译： 用于向肺组织递送能量的手术器械，例如以减少肺容积。 在一个实施例中，细长导管具有手柄部分，该手柄部分包括在压力下供应生物相容性液体介质的内部腔室。 能量源将能量传递到介质以在内部室内引起液体 - 气相变化，并从导管的工作端喷出蒸气介质流。 能量的传递和蒸气的流动由计算机控制器控制，以使所选压力和选定体积的蒸气传播到气道的末端。 同时，蒸气经历气 - 液相转移，其向气道组织输送大量的能量。 传递的热能相当于流体介质的蒸发热量，这会使经过处理的气道收缩和收缩。 经处理的组织通过抽吸短时间保持在折叠状态以增强组织重塑。 此后，患者的伤口愈合反应引起纤维化并进一步重塑以造成永久肺容积减少。

    TISSUE ABLATION SYSTEMS AND METHODS OF USE
    56.
    发明申请
    TISSUE ABLATION SYSTEMS AND METHODS OF USE 有权
    组织吸收系统及其使用方法

    公开(公告)号：US20110118717A1

    公开(公告)日：2011-05-19

    申请号：US12941778

    申请日：2010-11-08

    申请人： John H. SHADDUCK

    发明人： John H. SHADDUCK

    IPC分类号： A61B18/04

    CPC分类号： A61B18/04 ,  A61B18/1477 ,  A61B2018/00434 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/048 ,  A61B2018/1412

    摘要： This invention relates to medical instruments and systems for applying energy to tissue. Variations of the systems and methods described herein include ablating, sealing, and extracting tissue with high pressure flows of fluids that in part utilizes a vapor-to-liquid phase change of flow media to apply thermal energy to the tissue.

    摘要翻译： 本发明涉及用于向组织施加能量的医疗器械和系统。 本文所述的系统和方法的变化包括用高压流体流消融，密封和提取组织，其部分地利用流动介质的气 - 液相变来向组织施加热能。

    THERMOTHERAPY DEVICE
    58.
    发明申请
    THERMOTHERAPY DEVICE 有权
    热疗装置

    公开(公告)号：US20090312753A1

    公开(公告)日：2009-12-17

    申请号：US12465927

    申请日：2009-05-14

    申请人： John H. SHADDUCK

    发明人： John H. SHADDUCK

    IPC分类号： A61B18/04 ,  A61B18/20 ,  A61B18/18 ,  A61B18/14

    CPC分类号： A61B18/04 ,  A61B18/18 ,  A61B18/1815 ,  A61B18/20 ,  A61B2017/00504 ,  A61B2018/00619 ,  A61B2018/0063 ,  A61B2018/048 ,  A61B2218/005

    摘要： This invention relates to the working end of a medical instrument that applies energy to tissue. In one embodiment, the instrument has a microfluidic tissue-engaging surface fabricated by soft lithography means together with optional superlattice cooling means that allows for very precise control of energy application, for example in neurosurgery applications. The tissue-engaging surface can eject a high-heat content vapor into the engaged tissue for treating tissue, while the superlattice cooling structure can prevent collateral thermal damage. Also, the superlattice cooling structure can be used to localize heat at a selected depth in tissue and prevent surface ablation. Also, the superlattice cooling structure can be used to prevent tissue sticking to a thermal energy delivery surface. In another embodiment, the tissue-engaging surface can be used in a jaw structure for sealing tissue together with hydrojet means for transecting the tissue.

    摘要翻译： 本发明涉及向组织施加能量的医疗器械的工作端。 在一个实施例中，仪器具有通过软光刻装置与可选的超晶格冷却装置制造的微流体组织接合表面，其允许非常精确地控制能量应用，例如在神经外科应用中。 组织接合表面可以将高热含量的蒸气喷射到被接合的组织中以处理组织，而超晶格冷却结构可以防止侧向热损伤。 此外，超晶格冷却结构可用于在组织中选定深度定位热量并防止表面烧蚀。 此外，超晶格冷却结构可以用于防止组织粘附到热能传递表面。 在另一个实施例中，组织接合表面可以用于钳夹结构中，用于与用于横切组织的加氢喷射装置一起密封组织。

    MEDICAL SYSTEM AND METHOD OF USE
    59.
    发明申请
    MEDICAL SYSTEM AND METHOD OF USE 有权
    医疗系统及其使用方法

    公开(公告)号：US20090216220A1

    公开(公告)日：2009-08-27

    申请号：US12389808

    申请日：2009-02-20

    申请人： Michael Hoey ,  John H. SHADDUCK

    发明人： Michael Hoey ,  John H. SHADDUCK

    IPC分类号： A61B18/04

    CPC分类号： A61B18/082 ,  A61B18/10 ,  A61B2018/00029 ,  A61B2018/00642 ,  A61B2018/00791 ,  A61B2218/005

    摘要： An instrument and method for tissue thermotherapy including an inductive heating means to generate a vapor phase media that is used for interstitial, intraluminal, intracavity or topical tissue treatment. In one method, the vapor phase media is propagated from a probe outlet to provide a controlled vapor-to-liquid phase change in an interface with tissue to thereby apply ablative thermal energy delivery.

    摘要翻译： 一种用于组织热疗的仪器和方法，包括用于产生用于间质，腔内，腔内或局部组织治疗的气相培养基的感应加热装置。 在一种方法中，气相介质从探针出口传播，以在与组织的界面中提供受控的气 - 液相变，从而施加烧蚀热能递送。

    METHOD FOR PERFORMING LUNG VOLUME REDUCTION
    60.
    发明申请
    METHOD FOR PERFORMING LUNG VOLUME REDUCTION 有权
    执行肺容量减少的方法

    公开(公告)号：US20090105702A1

    公开(公告)日：2009-04-23

    申请号：US12255394

    申请日：2008-10-21

    申请人： John H. SHADDUCK

    发明人： John H. SHADDUCK

    IPC分类号： A61B18/04

    CPC分类号： A61B17/3203 ,  A61B18/04 ,  A61B18/042 ,  A61B18/1492 ,  A61B2017/00504 ,  A61B2018/00404 ,  A61B2018/0041 ,  A61B2018/00541 ,  A61B2018/00559 ,  A61B2018/048 ,  A61B2018/1213 ,  A61B2218/002

    摘要： This invention relates to surgical instruments for applying energy to tissue. In one embodiment, an elongated introducer has a handle portion that includes an interior chamber that is supplied with a biocompatible liquid under pressure. An energy source causes a liquid-to-vapor phase change within the interior chamber and ejects a flow of vapor media from the working end of the introducer. The flow of vapor is controlled by a computer controller to cause a selected pressure, a selected volume of vapor, and an optional aspiration of vapor condensate. Contemporaneous with tissue contact, the vapor undergoes a vapor-to-liquid phase transition which delivers large amount of energy to the targeted tissue. In one embodiment, the system is configured for volumetric removal of tissue by means of high velocity ejection of a vapor media from a first vapor port proximate to soft tissue wherein the vapor-to-liquid phase change of the media applies energy to the tissue. The system provides a second port coupled to a suction source that cooperates with the first vapor port to suction tissue debris from the targeted site.

    摘要翻译： 本发明涉及用于向组织施加能量的外科器械。 在一个实施例中，细长导引器具有手柄部分，其包括在压力下供应生物相容性液体的内部腔室。 能量源导致内部室内的液体 - 蒸汽相变，并且从导引器的工作端喷出蒸气介质流。 蒸气流由计算机控制器控制，以引起所选择的压力，所选择的体积的蒸汽，以及可选的蒸汽冷凝物抽吸。 在与组织接触的同时，蒸气经历蒸气到液体的相变，其向目标组织递送大量的能量。 在一个实施例中，该系统被配置为通过从靠近软组织的第一蒸汽端口高速喷射蒸气介质来体积移除组织，其中介质的气 - 液相变向该组织施加能量。 该系统提供了一个耦合到吸入源的第二端口，其与第一蒸气端口配合以从目标部位抽吸组织碎屑。