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公开(公告)号：US6109268A
公开(公告)日：2000-08-29
申请号：US990374
申请日：1997-12-15
CPC分类号： A61B18/1485 , A61B18/1206 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove and/or modify the structure of tissue structures. Depending on the specific procedure, the present invention may be used to: (1) volumetrically remove tissue (i.e., ablate or effect molecular dissociation of the tissue structure); (2) shrink or contract collagen connective tissue; and/or (3) coagulate severed blood vessels. For example, the present invention may be useful for ablation and hemostasis of tissue in sinus surgery (e.g., chronic sinusitis or the removal of turbinates, polypectomies), collagen shrinkage, ablation and/or hemostasis in procedures for treating snoring and obstructive sleep apnea (e.g., soft palate, such as the uvula, or tongue/pharynx stiffening, and midline glossectomies), for gross tissue removal, such as tonsillectomies, adenoidectomies, tracheal stenosis and vocal cord polyps and lesions, or for the resection or ablation of facial tumors or tumor with the mouth and pharynx, such as glossectomies, laryngectomies, acoustic neuroma procedures and nasal ablation procedures.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明在存在导电流体的情况下将高频（RF）电能应用于一个或多个电极端子，以去除和/或改变组织结构的结构。 根据具体程序，本发明可用于：（1）体积移除组织（即消融或影响组织结构的分子解离）; （2）收缩或收缩胶原结缔组织; 和/或（3）凝结切断的血管。 例如，本发明可用于治疗打鼾和阻塞性睡眠呼吸暂停的手术中的鼻窦手术中组织的消融和止血（例如慢性鼻窦炎或去除鼻甲，多视神经节），胶原收缩，消融和/或止血 例如软腭，如呃膀，舌/咽部僵硬，以及中线矫形术），用于总体组织清除，如扁桃体切除术，腺样体切除术，气管狭窄和声带息肉和病变，或用于面部肿瘤的切除或消融 或具有口和咽的肿瘤，例如解剖切除术，喉切除术，声学神经瘤手术和鼻腔消融术。
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72.发明授权System and methods for electrosurgical treatment of sleep obstructive disorders 有权电外科治疗睡眠障碍障碍的系统和方法
公开(公告)号：US6086585A
公开(公告)日：2000-07-11
申请号：US136079
申请日：1998-08-18
CPC分类号： A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B18/042 , A61B18/1206 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove and/or modify the structure of tissue structures. The present invention is particularly useful for treating sleep obstructive disorders, such as sleep apnea and snoring.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明在存在导电流体的情况下将高频（RF）电能应用于一个或多个电极端子，以去除和/或改变组织结构的结构。 本发明对于治疗睡眠阻塞性疾病如睡眠呼吸暂停和打鼾特别有用。
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公开(公告)号：US6066134A
公开(公告)日：2000-05-23
申请号：US177861
申请日：1998-10-23
IPC分类号： A61B18/12 , A61B17/00 , A61B17/22 , A61B18/00 , A61B18/14 , A61B19/00 , A61F2/02 , A61F2/06 , A61F2/84 , A61M1/00 , A61M3/02 , A61M25/01
CPC分类号： A61B18/1492 , A61B18/12 , A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61M25/0133 , A61B18/042 , A61B2017/00026 , A61B2017/00084 , A61B2017/00097 , A61B2017/00101 , A61B2017/00106 , A61B2017/00247 , A61B2017/00292 , A61B2017/003 , A61B2017/22001 , A61B2017/22038 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00196 , A61B2018/00327 , A61B2018/00392 , A61B2018/0047 , A61B2018/00476 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00642 , A61B2018/0066 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00738 , A61B2018/00755 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1246 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2090/378 , A61B2090/3782 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61F2/95 , A61M25/0147 , A61M25/0158
摘要： An electrosurgical probe (10) comprises a shaft (13) having an electrode array (58) at its distal end and a connector (19) at its proximal end for coupling the electrode array to a high frequency power supply (28). The shaft includes a return electrode (56) recessed from its distal end and enclosed within an insulating jacket (18). The return electrode defines an inner passage (83) electrically connected to both the return electrode and the electrode array for passage of an electrically conducting liquid (50). By applying high frequency voltage to the electrode array and the return electrode, the electrically conducting liquid generates a current flow path between the return electrode and the electrode array so that target tissue may be cut or ablated. The probe is particularly useful in dry environments, such as the mouth or abdominal cavity, because the electrically conducting liquid provides the necessary return current path between the active and return electrodes.
摘要翻译： 电外科探针（10）包括在其远端具有电极阵列（58）的轴（13）和在其近端处的连接器（19），用于将电极阵列耦合到高频电源（28）。 轴包括从其远端凹入并封闭在绝缘护套（18）内的返回电极（56）。 返回电极限定了电连接到返回电极和电极阵列两者以便导电液体（50）通过的内部通道（83）。 通过向电极阵列和返回电极施加高频电压，导电液体在返回电极和电极阵列之间产生电流流动路径，从而可以切割或烧蚀靶组织。 探针在干燥环境（例如口腔或腹腔）中特别有用，因为导电液体在主动和返回电极之间提供必要的返回电流路径。
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74.发明授权
公开(公告)号：US6047700A
公开(公告)日：2000-04-11
申请号：US83533
申请日：1998-05-22
CPC分类号： A61B18/1492 , A61B18/042 , A61B2017/003 , A61B2017/22038 , A61B2018/00119 , A61B2018/0016 , A61B2018/00351 , A61B2018/00422 , A61B2018/00577 , A61B2018/00583 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/1273 , A61B2018/143 , A61B2018/1432 , A61B2018/1472 , A61B2018/162 , A61B2090/3782 , A61B2218/007
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within a patient's heart to remove calcified deposits and fibroid material from valve leaflets. The method of the present invention comprises positioning an electrosurgical probe or catheter adjacent the target site so that one or more electrode terminal(s) are brought into at least partial contact or close proximity with the target heart valve. High frequency voltage is then applied between the electrode terminal(s) and one or more return electrode(s) to volumetrically remove or ablate at least a portion of the calcified material while minimizing damage to the heart valve and substantially preserving the elastic fiber layer of the valve leaflets.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者心脏内的目标位置以从瓣膜小叶去除钙沉积物和纤维瘤材料的系统和方法。 本发明的方法包括将电外科探头或导管定位在靶位置附近，使得一个或多个电极端子与目标心脏瓣膜至少部分接触或接近。 然后将高频电压施加在电极端子和一个或多个返回电极之间，以体积地移除或消除至少一部分钙化材料，同时使对心脏瓣膜的损伤最小化并且基本上保持弹性纤维层的弹性纤维层 阀门传单。
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公开(公告)号：US5873855A
公开(公告)日：1999-02-23
申请号：US753227
申请日：1996-11-22
IPC分类号： A61B18/12 , A61B17/00 , A61B17/22 , A61B18/00 , A61B18/14 , A61B19/00 , A61F2/02 , A61F2/06 , A61F2/84 , A61M1/00 , A61M3/02 , A61M25/01 , A61F7/12
CPC分类号： A61B18/1492 , A61B18/12 , A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61F2/2493 , A61M25/0133 , A61B2017/00026 , A61B2017/00084 , A61B2017/00097 , A61B2017/00101 , A61B2017/00106 , A61B2017/00247 , A61B2017/00292 , A61B2017/003 , A61B2017/22001 , A61B2017/22038 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00196 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00642 , A61B2018/0066 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00738 , A61B2018/00755 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1246 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/1497 , A61B2018/162 , A61B2018/165 , A61B2090/378 , A61B2090/3782 , A61B2218/002 , A61B2218/007 , A61F2/95 , A61M25/0147 , A61M25/0158 , A61M3/0283
摘要： A method for transmyocardial revascularization of the heart of a patient includes positioning an active electrode surface in close proximity to a target site on the wall of a patient's heart, and applying high frequency voltage between the active voltage surface and a return electrode to ablate tissue at the heart wall. The high frequency voltage ablates, i.e. volumetrically removes the heart tissue, and the electrode surface is axially translated into the space vacated by the removed tissue to bore a channel through the heart tissue. The active electrode surface may be introduced into the thoracic cavity and placed adjacent the epicardium to form an inward channel toward the ventricular cavity, or it may be delivered into the ventricular cavity of the heart and positioned adjacent the endocardium to form a channel extending outward towards the epicardium. In either case, the channels formed through the myocardium promote direct communication between blood within the ventricular cavity and that of existing myocardial vasculature to increase blood flow to the heart tissue.
摘要翻译： 用于患者心脏的心肌心肌血运重建的方法包括将活动电极表面定位在患者心脏的壁上的目标部位附近，并且在有效电压表面和返回电极之间施加高频电压以在组织上烧蚀组织 心墙。 高频电压消融，即体积移除心脏组织，并且电极表面被轴向平移到由去除的组织腾出的空间以穿过心脏组织的通道。 活性电极表面可以被引入胸腔并且邻近心外膜放置以形成朝向心室的向内通道，或者可将其传递到心脏的心室并邻近心内膜定位以形成向外延伸的通道 心外膜 在任一种情况下，通过心肌形成的通道促进心室内的血液与现有心肌脉管系统之间的血液之间的直接通信，以增加血液流向心脏组织。
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公开(公告)号：US5697281A
公开(公告)日：1997-12-16
申请号：US485219
申请日：1995-06-07
IPC分类号： A61B18/12 , A61B17/00 , A61B17/22 , A61B18/00 , A61B18/14 , A61B19/00 , A61F2/02 , A61M1/00 , A61M3/02 , A61M25/01 , A61B1/00
CPC分类号： A61B18/1402 , A61B18/12 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61M25/0133 , A61B2017/00026 , A61B2017/00084 , A61B2017/00097 , A61B2017/00101 , A61B2017/00247 , A61B2017/00292 , A61B2017/003 , A61B2017/22001 , A61B2017/22038 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00196 , A61B2018/00327 , A61B2018/00392 , A61B2018/0047 , A61B2018/00476 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00642 , A61B2018/0066 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2090/378 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M25/0147 , A61M25/0158 , A61M3/0283
摘要： An electrosurgical probe (10) comprises a shaft (13) having an electrode array (12) at its distal end and a connector (19) at its proximal end for coupling the electrode array to a high frequency power supply (28). The shaft includes a return electrode (55, 56) recessed from its distal end and enclosed within an insulating jacket (18). The return electrode defines an inner passage (83) electrically connected to both the return electrode and the electrode array for passage of an electrically conducting liquid (50). By applying high frequency voltage to the electrode array and the return electrode, the electrically conducting liquid generates a current flow path between the target site and the return electrode so that target tissue may be cut or ablated. The probe is particularly useful in dry environments, such as the mouth or abdominal cavity, because the electrically conducting liquid provides the necessary return current path between the return electrode and the target site.
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公开(公告)号：US07819863B2
公开(公告)日：2010-10-26
申请号：US12272186
申请日：2008-11-17
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B18/042 , A61B18/12 , A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00097 , A61B2017/00101 , A61B2017/00106 , A61B2017/00247 , A61B2017/00292 , A61B2017/003 , A61B2017/22001 , A61B2017/22038 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00196 , A61B2018/00327 , A61B2018/00392 , A61B2018/0047 , A61B2018/00476 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00642 , A61B2018/0066 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00738 , A61B2018/00755 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1246 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2090/378 , A61B2090/3782 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61F2/95 , A61M25/0133 , A61M25/0147 , A61M25/0158
摘要： An electrosurgical probe (10) comprises a shaft (13) having an electrode array (58) at its distal end and a connector (19) at its proximal end for coupling the electrode array to a high frequency power supply (28). The shaft includes a return electrode (56) recessed from its distal end and enclosed within an insulating jacket (18). The return electrode defines an inner passage (83) electrically connected to both the return electrode and the electrode array for passage of an electrically conducting liquid (50). By applying high frequency voltage to the electrode array and the return electrode, the electrically conducting liquid generates a current flow path between the return electrode and the electrode array so that target tissue may be cut or ablated. The probe is particularly useful in dry environments, such as the mouth or abdominal cavity, because the electrically conducting liquid provides the necessary return current path between the active and return electrodes.
摘要翻译： 电外科探针（10）包括在其远端具有电极阵列（58）的轴（13）和在其近端处的连接器（19），用于将电极阵列耦合到高频电源（28）。 轴包括从其远端凹入并封闭在绝缘护套（18）内的返回电极（56）。 返回电极限定了电连接到返回电极和电极阵列两者以便导电液体（50）通过的内部通道（83）。 通过向电极阵列和返回电极施加高频电压，导电液体在返回电极和电极阵列之间产生电流流动路径，从而可以切割或烧蚀靶组织。 探针在干燥环境（例如口腔或腹腔）中特别有用，因为导电液体在主动和返回电极之间提供必要的返回电流路径。
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公开(公告)号：US07422585B1
公开(公告)日：2008-09-09
申请号：US09347390
申请日：1999-07-06
IPC分类号： A61N1/00
CPC分类号： A61B18/1492 , A61B18/12 , A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00097 , A61B2017/00101 , A61B2017/00106 , A61B2017/00247 , A61B2017/00292 , A61B2017/003 , A61B2017/22001 , A61B2017/22038 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00196 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00642 , A61B2018/0066 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00738 , A61B2018/00755 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1246 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/1497 , A61B2018/162 , A61B2018/165 , A61B2090/378 , A61B2090/3782 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61F2/95 , A61M3/0283 , A61M25/0133 , A61M25/0147 , A61M25/0158
摘要： A method for transmyocardial revascularization of the heart of a patient includes positioning an active electrode surface in close proximity to a target site on the wall of a patient's heart, and applying high frequency voltage between the active voltage surface and a return electrode to ablate tissue at the heart wall. The high frequency voltage ablates, i.e. volumetrically removes the heart tissue, and the electrode surface is axially translated into the space vacated by the removed tissue to bore a channel through the heart tissue. The active electrode surface may be introduced into the thoracic cavity and placed adjacent the epicardium to form an inward channel toward the ventricular cavity, or it may be delivered into the ventricular cavity of the heart and positioned adjacent the endocardium to form a channel extending outward towards the epicardium. In either case, the channels formed through the myocardium promote direct communication between blood within the ventricular cavity and that of existing myocardial vasculature to increase blood flow to the heart tissue.
摘要翻译： 用于患者心脏的心肌心肌血运重建的方法包括将活动电极表面定位在患者心脏的壁上的目标部位附近，并且在有效电压表面和返回电极之间施加高频电压以在组织上烧蚀组织 心墙。 高频电压消融，即体积移除心脏组织，并且电极表面被轴向平移到由去除的组织腾出的空间以穿过心脏组织的通道。 活性电极表面可以被引入胸腔并且邻近心外膜放置以形成朝向心室的向内通道，或者可将其传递到心脏的心室并邻近心内膜定位以形成向外延伸的通道 心外膜 在任一种情况下，通过心肌形成的通道促进心室内的血液与现有心肌脉管系统之间的血液之间的直接通信，以增加血液流向心脏组织。
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79.发明授权Systems and methods for electrosurgical treatment of obstructive sleep disorders 有权用于电外科治疗阻塞性睡眠障碍的系统和方法公开(公告)号：US07131969B1
公开(公告)日：2006-11-07
申请号：US09562496
申请日：2000-05-01
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove and/or modify the structure of tissue structures. The present invention is particularly useful for treating sleep obstructive disorders, such as sleep apnea and snoring.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明在存在导电流体的情况下将高频（RF）电能应用于一个或多个电极端子，以去除和/或改变组织结构的结构。 本发明对于治疗睡眠阻塞性疾病如睡眠呼吸暂停和打鼾特别有用。
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公开(公告)号：US06468274B1
公开(公告)日：2002-10-22
申请号：US09689264
申请日：2000-10-11
IPC分类号： A61B1814
CPC分类号： A61B18/1482 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/148 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00095 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00267 , A61B2018/00327 , A61B2018/00392 , A61B2018/00434 , A61B2018/0044 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/00601 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/0072 , A61B2018/00726 , A61B2018/00779 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/00988 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493
摘要： The present invention provides systems and methods for selectively applying electrical energy to a fissure or tear location within an invertebral disc. The present invention applies high frequency (RF) electrical energy to one or more active electrodes in the presence of electrically conductive fluid to heat and seal a fissure on an annulus fibrosus. In one aspect of the invention, a method is provided for treating the fissure by applying sufficient electrical energy to the disc tissue to seal the fissure. In one embodiment, the RF energy is directed through the conductive fluid to heat the tissue immediately surrounding the fissure. The RF energy is sufficient to vaporize at least a portion of the fluid in contact with the active electrode. In another embodiment, the electrical current is directed through the tissue to directly heat the annulus tissue. This causes the annulus tissue to contract and seal the fissure. In a specific configuration, a sealant is added to the fissure to enhance the seal.
摘要翻译： 本发明提供了用于选择性地将电能施加到椎间盘内的裂缝或撕裂位置的系统和方法。 本发明在存在导电流体的情况下将高频（RF）电能应用于一个或多个有效电极，以加热和密封纤维环上的裂缝。 在本发明的一个方面，提供了一种通过向盘组织施加足够的电能来密封裂缝来治疗裂缝的方法。 在一个实施例中，RF能量被引导通过导电流体以加热紧邻围绕裂缝的组织。 RF能量足以蒸发与活性电极接触的至少一部分流体。 在另一个实施例中，电流被引导通过组织以直接加热环带组织。 这导致环形组织收缩并密封裂缝。 在具体构造中，将密封剂添加到裂缝中以增强密封。
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