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公开(公告)号:US20110092815A1
公开(公告)日:2011-04-21
申请号:US12967639
申请日:2010-12-14
申请人: Fred H. Burbank , Michael L. Jones , Frank Louw , Paul Lubock
发明人: Fred H. Burbank , Michael L. Jones , Frank Louw , Paul Lubock
CPC分类号: A61B90/39 , A61B2090/3908 , A61B2090/3925 , A61B2090/3933 , A61B2090/3987 , A61K49/226
摘要: A system for at least partially filling and marking a cavity at a site within a patient's body includes a marker delivery device having a chamber configured to contain a marking substance and having a mechanism configured to expel the marking substance. A quantity of the marking substance is contained within the chamber of the marker delivery device. The marking substance is configured to at least partially fill the cavity and form therein a porous bioabsorbable body. A delivery tube is coupled in fluid communication with the chamber of the marker delivery device. The delivery tube has a distal end with a discharge port through which the marking substance is expelled. A releasable remotely detectable distal tip is coupled to the distal end of the delivery tube and is configured to be released to remain within the porous bioabsorbable body within the cavity upon the formation thereof.
摘要翻译: 一种用于至少部分地填充和标记患者体内的部位的空腔的系统包括标记物输送装置,其具有被配置为容纳标记物质并具有被配置为排出标记物质的机构的室。 标记物质的量被容纳在标记物输送装置的室内。 标记物质构造成至少部分地填充空腔并在其中形成多孔生物可吸收体。 输送管与标记物递送装置的腔室流体连通地联接。 输送管具有远端,其具有排出口,排出标记物质。 可释放的可远程检测的远侧末端联接到输送管的远端,并且构造成在其形成时被释放以保持在腔内的多孔生物可吸收体内。
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公开(公告)号:US20100298698A1
公开(公告)日:2010-11-25
申请号:US12787177
申请日:2010-05-25
申请人: Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank R. Louw , Stephen A. DeSantis
发明人: Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank R. Louw , Stephen A. DeSantis
IPC分类号: A61B6/00
CPC分类号: A61B19/54 , A61B6/12 , A61B8/0833 , A61B90/39 , A61B2090/08021 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61B2090/3991 , A61M37/0069
摘要: The invention is directed biopsy site markers and methods of marking a biopsy site, so that the location of the biopsy cavity is readily visible by conventional imaging methods, particularly by ultrasonic imaging. The biopsy site markers of the invention have high ultrasound reflectivity, presenting a substantial acoustic signature from a small marker, so as to avoid obscuring diagnostic tissue features in subsequent imaging studies, and can be readily distinguished from biological features. The several disclosed embodiments of the biopsy site marker of the invention have a high contrast of acoustic impedance as placed in a tissue site, so as to efficiently reflect and scatter ultrasonic energy, and preferably include gas-filled internal pores. The markers may have a non-uniform surface contour to enhance the acoustic signature. The markers have a characteristic form which is recognizably artificial during medical imaging. The biopsy site marker may be accurately fixed to the biopsy site so as to resist migration from the biopsy cavity when a placement instrument is withdrawn, and when the marked tissue is subsequently moved or manipulated.
摘要翻译: 本发明是针对活检部位标记和标记活检部位的方法,使得活检腔的位置通过常规成像方法,特别是通过超声成像容易看到。 本发明的活检部位标记物具有高的超声反射率,从小标记物呈现出实质的声学特征,以避免在随后的成像研究中掩盖诊断组织特征,并且可以容易地与生物特征区别开来。 本发明的活检部位标记物的几个公开的实施方案具有放置在组织部位中的声阻抗的高对比度,以便有效地反射和散射超声能量,并且优选地包括气体填充的内部孔。 标记可以具有不均匀的表面轮廓以增强声学特征。 标记具有在医学成像期间可识别人造的特征形式。 可以将活检部位标记物精确地固定到活检部位,以便当放置放置器械被取出时以及随后移动或操纵标记的组织时抵抗活组织腔的迁移。
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公开(公告)号:US07322938B2
公开(公告)日:2008-01-29
申请号:US09929371
申请日:2001-08-13
申请人: Fred H. Burbank , Michael L. Jones , Paul Lubock
发明人: Fred H. Burbank , Michael L. Jones , Paul Lubock
CPC分类号: A61B10/0266 , A61B10/02 , A61B17/00491 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/14 , A61B18/1487 , A61B18/1492 , A61B90/17 , A61B90/37 , A61B2017/3488 , A61B2018/00208 , A61B2018/00214 , A61B2018/00267 , A61B2018/00333 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1475 , A61B2018/162 , A61B2090/3908
摘要: An apparatus and method are provided for precisely isolating a target lesion in a patient's body tissue, resulting in a high likelihood of “clean” margins about the lesion when it is removed for diagnosis and/or therapy. This approach advantageously will often result in the ability to both diagnose and treat a malignant lesion with only a single percutaneous procedure, with no follow-up percutaneous or surgical procedure required, while minimizing the risk of migration of possibly cancerous cells from the lesion to surrounding tissue or the bloodstream. In particular, the apparatus comprises a biopsy instrument having a distal end adapted for entry into the patient's body, a longitudinal shaft, and a cutting element disposed along the shaft. The cutting element is actuatable between a radially retracted position and a radially extended position. Advantageously, the instrument is rotatable about its axis in the radially extended position to isolate a desired tissue specimen from surrounding tissue by defining a peripheral margin about the tissue specimen. The specimen may be encapsulated and removed as an intact piece.
摘要翻译: 提供了一种用于精确地分离患者体内组织中的靶病变的装置和方法,导致当其被去除用于诊断和/或治疗时,对病变的“清洁”边缘的高可能性。 这种方法有利地经常导致仅使用单一经皮手术来诊断和治疗恶性病变的能力,而不需要随访的经皮或外科手术,同时最小化可能的癌细胞从病变迁移到周围的风险 组织或血液。 特别地,该装置包括具有适于进入患者身体的远端的活检器械,纵向轴和沿轴设置的切割元件。 切割元件可在径向缩回位置和径向延伸位置之间致动。 有利地,仪器可以在其径向延伸位置中绕其轴线旋转,以通过围绕组织样本限定周边边界来将期望的组织样本与周围组织隔离。 样品可以作为完整的片段被包封和去除。
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公开(公告)号:US07282034B2
公开(公告)日:2007-10-16
申请号:US10729086
申请日:2003-12-05
申请人: Fred H. Burbank , Paul Lubock , John Wardle , Frank Louw , Richard L. Quick
发明人: Fred H. Burbank , Paul Lubock , John Wardle , Frank Louw , Richard L. Quick
IPC分类号: A61B10/00
CPC分类号: A61B10/0266 , A61B6/4258 , A61B10/02 , A61B17/00491 , A61B18/1477 , A61B18/148 , A61B18/1482 , A61B18/1487 , A61B18/1815 , A61B90/39 , A61B2010/0208 , A61B2017/00115 , A61B2017/00867 , A61B2017/3488 , A61B2018/00208 , A61B2018/00273 , A61B2018/00333 , A61B2018/00577 , A61B2018/00601 , A61B2018/00916 , A61B2018/00958 , A61B2018/1407 , A61B2018/1425 , A61B2018/1475 , A61B2090/378 , A61B2090/3904 , A61B2090/3908 , A61B2090/392
摘要: The invention provides systems, methods and a node accessing and anchoring device, comprising an elongated shaft, a tissue cutting member, at least one anchoring element extending from a position at or near the distal end of the shaft; and a radiation detector. The radiation detector is effective to locate and identify sentinel lymph nodes following injection of radioactive material into a primary lesion site within a patient. The tissue cutting member, which may be activated with radio frequency energy, is effective to allow access of the elongated shaft to a sentinel lymph node. The anchoring elements are effective to anchor the device to or adjacent a sentinel lymph node accessed by the device. Anchoring elements may assume radially, longitudinally, or mixed radially and longitudinally curved or coiled configurations when deployed.
摘要翻译: 本发明提供系统,方法和节点访问和锚定装置,包括细长轴,组织切割构件,至少一个锚固元件,其从所述轴的远端处或附近的位置延伸; 和辐射探测器。 放射线检测器在将放射性物质注入患者的原发性病变部位之后,有效地定位和识别前哨淋巴结。 可以用射频能量激活的组织切割构件有效地允许细长轴进入前哨淋巴结。 锚定元件有效地将装置锚定到或邻近由装置访问的前哨淋巴结。 锚定元件在展开时可以呈径向,纵向或混合的径向和纵向弯曲或卷绕构型。
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公开(公告)号:US07261712B2
公开(公告)日:2007-08-28
申请号:US09967755
申请日:2001-09-28
申请人: Fred H. Burbank , Frank R. Louw , Paul Lubock , Richard L. Quick
发明人: Fred H. Burbank , Frank R. Louw , Paul Lubock , Richard L. Quick
IPC分类号: A61B18/18
CPC分类号: A61B10/0266 , A61B10/02 , A61B17/00491 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/14 , A61B18/1477 , A61B18/1487 , A61B18/1492 , A61B90/17 , A61B90/37 , A61B90/39 , A61B2017/3488 , A61B2018/00208 , A61B2018/00214 , A61B2018/00267 , A61B2018/00333 , A61B2018/00577 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1425 , A61B2018/1475 , A61B2018/162 , A61B2090/3908
摘要: A device for localizing a target tissue mass in a body includes a tubular trocar portion having a distal end and a proximal end portion that is removably attachable to a handle portion. The trocar portion contains at least a first plurality of locator wires that are movable between a retracted position within the trocar and a deployed position extending radially from the trocar. In a preferred embodiment, the trocar portion has an electrosurgical cutting element at its distal end, and first and second pluralities of locator wires that, when deployed, respectively define first and second locating perimeters.
摘要翻译: 用于使身体中的目标组织块定位的装置包括管状套管针部分,其具有可拆卸地附接到手柄部分的远端和近端部分。 套针针部分包含至少第一组多个定位线,其可在套管针内的缩回位置和从套管针径向延伸的展开位置之间移动。 在优选实施例中,套管针部分在其远端具有电外科切割元件,以及当展开时分别限定第一和第二定位周边的第一和第二多个定位线。
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公开(公告)号:US07229439B2
公开(公告)日:2007-06-12
申请号:US10851342
申请日:2004-05-21
申请人: Fred H. Burbank , Paul Lubock , Martin Shabaz , Frank Louw
发明人: Fred H. Burbank , Paul Lubock , Martin Shabaz , Frank Louw
IPC分类号: A61F18/18
CPC分类号: A61B10/0266 , A61B10/02 , A61B10/0275 , A61B10/0283 , A61B10/04 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1487 , A61B18/1492 , A61B90/37 , A61B2010/0208 , A61B2018/00208 , A61B2018/00214 , A61B2018/00267 , A61B2018/00291 , A61B2018/00333 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1455 , A61B2018/1475 , A61B2018/162 , A61B2090/3908
摘要: A device and method of using the device to access a desired tissue site within a patient's body and separating a tissue specimen from the tissue site suitable for evaluation. The device includes a probe member having an arcuate tissue-cutting RF powered electrode secured to and distally spaced from the distal end of the probe and a small dimensioned distal extremity which when an inner lumen thereof is subjected to a vacuum, secured tissue for the specimen to the surface of the distal extremity. A circular tissue-cutting blade preferably secured to the distal end of a supporting tube is configured to rotate and move longitudinally along the shaft of the probe member effective to sever a tissue specimen from tissue secured to the surface of the distal extremity of the probe member. The supporting tube covers the separated specimen, and may be disposed within an accessing cannula.
摘要翻译: 一种使用该装置来访问患者体内期望的组织部位并将组织标本与适于评估的组织部位分离的装置和方法。 该装置包括探针构件,该探针构件具有固定到探针的远端并远离间隔开的弓形组织切割RF供电的电极,以及小尺寸的远端,当其内腔经受真空时,用于样本的固定的组织 到远端的表面。 优选地固定到支撑管的远端的圆形组织切割刀片构造成沿着探针构件的轴线旋转并纵向移动,其有效地从固定到探针构件的远端的表面的组织切断组织样本 。 支撑管覆盖分离的样本,并且可以设置在进入的插管内。
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公开(公告)号:US06758848B2
公开(公告)日:2004-07-06
申请号:US10179933
申请日:2002-06-21
申请人: Fred H. Burbank , Paul Lubock , Martin Shabaz , Frank Louw
发明人: Fred H. Burbank , Paul Lubock , Martin Shabaz , Frank Louw
IPC分类号: A61B1818
CPC分类号: A61B10/0266 , A61B10/02 , A61B10/0275 , A61B10/0283 , A61B10/04 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1487 , A61B18/1492 , A61B90/37 , A61B2010/0208 , A61B2018/00208 , A61B2018/00214 , A61B2018/00267 , A61B2018/00291 , A61B2018/00333 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1412 , A61B2018/1425 , A61B2018/1455 , A61B2018/1475 , A61B2018/162 , A61B2090/3908
摘要: A device and method of using the device to access a desired tissue site within a patient's body and separating a tissue specimen from the tissue site suitable for evaluation. The device includes a probe member having an arcuate tissue-cutting RF powered electrode secured to and distally spaced from the distal end of the probe and a small dimensioned distal extremity which when an inner lumen thereof is subjected to a vacuum, secured tissue for the specimen to the surface of the distal extremity. A circular tissue-cutting blade preferably secured to the distal end of a supporting tube is configured to rotate and move longitudinally along the shaft of the probe member effective to sever a tissue specimen from tissue secured to the surface of the distal extremity of the probe member. The supporting tube covers the separated specimen, and may be disposed within an accessing cannula.
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公开(公告)号:US06725083B1
公开(公告)日:2004-04-20
申请号:US09717909
申请日:2000-11-20
申请人: Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
发明人: Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
IPC分类号: A61B1900
CPC分类号: A61M37/0069 , A61B6/12 , A61B8/0833 , A61B10/02 , A61B90/39 , A61B2017/00004 , A61B2090/08021 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61K49/006 , A61K49/222
摘要: The invention is directed biopsy site markers and methods of marking a biopsy site, so that the location of the biopsy cavity is readily visible by conventional imaging methods, particularly by ultrasonic imaging. The biopsy site markers of the invention have high ultrasound reflectivity, presenting a substantial acoustic signature from a small marker, so as to avoid obscuring diagnostic tissue features in subsequent imaging studies, and can be readily distinguished from biological features. The several disclosed embodiments of the biopsy site marker of the invention have a high contrast of acoustic impedance as placed in a tissue site, so as to efficiently reflect and scatter ultrasonic energy, and preferably include gas-filled internal pores. The markers may have a non-uniform surface contour to enhance the acoustic signature. The markers have a characteristic form which is recognizably artificial during medical imaging. The biopsy site marker may be accurately fixed to the biopsy site so as to resist migration from the biopsy cavity when a placement instrument is withdrawn, and when the marked tissue is subsequently moved or manipulated.
摘要翻译: 本发明涉及活检部位标记和标记活组织检查部位的方法,使得活检腔的位置通过常规成像方法,特别是通过超声成像容易看到。 本发明的活检部位标记物具有高的超声反射率,从小标记物呈现出实质的声学特征,以避免在随后的成像研究中掩盖诊断组织特征,并且可以容易地与生物特征区分开来。 本发明的活检部位标记物的几个公开的实施方案具有放置在组织部位中的声阻抗的高对比度,以便有效地反射和散射超声能量,并且优选地包括气体填充的内部孔。 标记可以具有不均匀的表面轮廓以增强声学特征。 标记具有在医学成像期间可识别人造的特征形式。 可以将活检部位标记物精确地固定到活检部位,以便当放置放置器械被取出时以及随后移动或操纵标记的组织时抵抗活组织腔的迁移。
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公开(公告)号:US06679851B2
公开(公告)日:2004-01-20
申请号:US09880218
申请日:2001-06-12
申请人: Fred H. Burbank , Paul Lubock , John Wardle , Frank Louw , Richard L. Quick
发明人: Fred H. Burbank , Paul Lubock , John Wardle , Frank Louw , Richard L. Quick
IPC分类号: A61B1000
CPC分类号: A61B10/0266 , A61B6/4258 , A61B10/02 , A61B17/00491 , A61B18/1477 , A61B18/148 , A61B18/1482 , A61B18/1487 , A61B18/1815 , A61B90/39 , A61B2010/0208 , A61B2017/00115 , A61B2017/00867 , A61B2017/3488 , A61B2018/00208 , A61B2018/00273 , A61B2018/00333 , A61B2018/00577 , A61B2018/00601 , A61B2018/00916 , A61B2018/00958 , A61B2018/1407 , A61B2018/1425 , A61B2018/1475 , A61B2090/378 , A61B2090/3904 , A61B2090/3908 , A61B2090/392
摘要: The invention provides systems, methods and a node accessing and anchoring device, comprising an elongated shaft, a tissue cutting member, at least one anchoring element extending from a position at or near the distal end of the shaft; and a radiation detector. The radiation detector is effective to locate and identify sentinel lymph nodes following injection of radioactive material into a primary lesion site within a patient. The tissue cutting member, which may be activated with radio frequency energy, is effective to allow access of the elongated shaft to a sentinel lymph node. The anchoring elements are effective to anchor the device to or adjacent a sentinel lymph node accessed by the device. Anchoring elements may assume radially, longitudinally, or mixed radially and longitudinally curved or coiled configurations when deployed.
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公开(公告)号:US06508773B2
公开(公告)日:2003-01-21
申请号:US10032083
申请日:2001-12-21
IPC分类号: A61B500
CPC分类号: A61B10/0266 , A61B10/02 , A61B17/00234 , A61B17/221 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/14 , A61B18/1487 , A61B18/1492 , A61B90/37 , A61B2017/00287 , A61B2017/2212 , A61B2017/320064 , A61B2018/00214 , A61B2018/00267 , A61B2018/00333 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1475 , A61B2018/162 , A61B2090/3908
摘要: A device for encapsulating tissue specimens includes a wand assembly, a sheath, and a guide assembly. The guide assembly pulls, draws, or otherwise moves the sheath about the tissue specimen. The wand assembly is disposed proximate to the tissue specimen, typically either adjacent or through the specimen. In an aspect of the encapsulating device, the guide assembly has sheath deployment members that are disposed about the tissue specimen. The sheath, which is attached to ends of the sheath deployment members and the wand assembly, is drawn over the tissue specimen as the sheath deployment members are pushed or pulled. In another aspect of the device, the guide assembly is an arm or a housing that rotates about the tissue specimen. The sheath, which is secured at one end to the guide assembly and at another end to the wand assembly, is drawn over the tissue specimen as the guide assembly rotates. The sheath may be made up of porous material, non-porous material, selectively permeable material, woven material, braided material, knit material, web material, mesh material, a film material, a flexible laminate material, or of an elastic material.
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