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公开(公告)号:US06716179B2
公开(公告)日:2004-04-06
申请号:US10061706
申请日:2002-01-30
申请人: Fred H. Burbank , Paul Lubock
发明人: Fred H. Burbank , Paul Lubock
IPC分类号: A61B1000
CPC分类号: A61B10/0266 , A61B6/4258 , A61B10/02 , A61B17/00491 , A61B18/1477 , A61B18/1482 , A61B18/1487 , A61B18/1815 , A61B90/39 , A61B2010/0208 , A61B2017/3488 , A61B2018/00208 , A61B2018/00273 , A61B2018/00333 , A61B2018/00577 , A61B2018/00916 , A61B2018/1407 , A61B2018/1425 , A61B2018/1475 , A61B2090/378 , A61B2090/3904 , A61B2090/3908 , A61B2090/392
摘要: A device and system for accessing and anchoring a patient's sentinel lymph node after a radiopharmaceutical is injected at or near a lesion site within a patient's body. The migration of and accumulation of the radiopharmaceutical in a sentinel node of the patient is monitored from outside the patient's body. The sentinel node can then be accessed through a cannula and an anchoring device may be employed to fix the location of the sentinel node. The anchoring device has at least one radially extending members which penetrate into the sentinel node. Preferably, the radially extending members are RF powered to facilitate entry into the sentinel node. With the anchor device secured to the sentinel node as a locator, subsequent procedures may be performed.
摘要翻译: 在放射性药物在患者体内的病变部位处或附近注射放射性药物后,用于访问和锚定患者前哨淋巴结的装置和系统。 从患者身体外部监测放射性药物在患者前哨淋巴结中的迁移和积累。 然后可以通过套管访问前哨节点,并且可以采用锚定装置来固定前哨节点的位置。 锚定装置具有至少一个径向延伸的构件,其穿透到前哨节点中。 优选地,径向延伸的构件被RF供电以便于进入前哨节点。 锚定装置作为定位器固定到前哨节点,可以执行随后的过程。
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82.
公开(公告)号:US06228055B1
公开(公告)日:2001-05-08
申请号:US08858389
申请日:1997-05-19
IPC分类号: A61M500
CPC分类号: A61B19/54 , A61B10/0275 , A61B10/0283 , A61B90/39 , A61B2017/00004 , A61B2090/3908 , A61B2090/3987 , Y10T24/4501
摘要: Implantable devices are disclosed for marking the location of a biopsy or surgery for the purpose of identification. The devices are remotely delivered, preferably percutaneously. Visualization of the markers is readily accomplished using various state of the art imaging systems. Using the inventive systems, it is possible to permanently mark the location or margins of a lesion or other tissue site, prior to removing or sampling same. The markers function to provide evidence of the location of the lesion after the procedure is completed, for reference during future examinations or procedures.
摘要翻译: 公开了可植入装置,用于标识活检或手术的位置用于鉴定。 这些装置被远程传送,优选经皮。 使用各种现有技术的成像系统可以容易地实现标记的可视化。 使用本发明的系统,可以在移除或取样之前永久地标记病变或其他组织部位的位置或边缘。 标记功能用于在手术完成后提供病变位置的证据,以供将来检查或手术参考。
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83.
公开(公告)号:US5649547A
公开(公告)日:1997-07-22
申请号:US386941
申请日:1995-02-10
CPC分类号: A61B10/0266 , A61B10/0275 , A61B10/0283 , A61B6/12 , A61B8/0841 , A61B17/221 , A61B2010/0208 , A61B2010/0225 , A61B2017/303
摘要: Instruments for performing percutaneous biopsy procedures are disclosed, which have advantageous features for improving functionality and performance over prior art devices. These instruments comprise two types, single-use devices, and multiple-use devices having active tissue capture capability. Improved features include the ability to retrieve and evaluate multiple tissue samples during a single insertion procedure, without physical handling of the samples, as well as constructional features, such as a molded tissue cassette housing, variant vacuum port embodiments suited for different tissue environments, and a method for backflushing the instrument to remove biological debris, among others.
摘要翻译: 公开了用于执行经皮活检程序的仪器,其具有改善现有技术装置的功能和性能的有利特征。 这些仪器包括两种类型的一次性装置,以及具有活性组织捕获能力的多用途装置。 改进的特征包括在单次插入过程中检索和评估多个组织样本的能力,而不对样品进行物理处理,以及结构特征,例如模制的组织盒壳体,适合于不同组织环境的变体真空端口实施例,以及 一种反吹仪器以去除生物碎片的方法等。
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公开(公告)号:US09216069B2
公开(公告)日:2015-12-22
申请号:US12625112
申请日:2009-11-24
CPC分类号: A61B19/54 , A61B10/0275 , A61B10/0283 , A61B90/39 , A61B2017/00004 , A61B2090/3908 , A61B2090/3987 , Y10T24/4501
摘要: In order to later identify the location of a biopsy or surgery, various means and methods for permanently and non-surgically marking selected tissue in the human body are used. Later visualization of the markers is readily accomplished using state-of-the-art imaging systems.
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公开(公告)号:US08147487B2
公开(公告)日:2012-04-03
申请号:US11807293
申请日:2007-05-25
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: A61B18/18
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:US20100010342A1
公开(公告)日:2010-01-14
申请号:US12460052
申请日:2009-07-13
申请人: Fred H. Burbank , Paul Lubock , Micheal L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
发明人: Fred H. Burbank , Paul Lubock , Micheal L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
IPC分类号: A61B8/14
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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87.
公开(公告)号:US20080154151A1
公开(公告)日:2008-06-26
申请号:US11931411
申请日:2007-10-31
IPC分类号: A61B10/04
CPC分类号: A61B10/0266 , A61B6/12 , A61B8/0841 , A61B10/0275 , A61B10/0283 , A61B17/221 , A61B2010/0208 , A61B2010/0225 , A61B2017/303
摘要: Instruments for performing percutaneous biopsy procedures are disclosed, which have advantageous features for improving functionality and performance over prior art devices. These instruments comprise two types, single-use devices, and multiple-use devices having active tissue capture capability. Improved features include the ability to retrieve and evaluate multiple tissue samples during a single insertion procedure, without physical handling of the samples, as well as constructional features, such as a molded tissue cassette housing, variant vacuum port embodiments suited for different tissue environments, and a method for backflushing the instrument to remove biological debris, among others.
摘要翻译: 公开了用于执行经皮活检程序的仪器,其具有改善现有技术装置的功能和性能的有利特征。 这些仪器包括两种类型的一次性装置,以及具有活跃组织捕获能力的多用途装置。 改进的特征包括在单次插入过程中检索和评估多个组织样本的能力,而不对样品进行物理处理,以及结构特征,例如模制的组织盒壳体,适合于不同组织环境的变体真空端口实施例,以及 一种反吹仪器以去除生物碎片的方法等。
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公开(公告)号:US06659105B2
公开(公告)日:2003-12-09
申请号:US09238965
申请日:1999-01-27
申请人: Fred H. Burbank , Paul Lubock
发明人: Fred H. Burbank , Paul Lubock
IPC分类号: A61B1900
CPC分类号: A61B10/0266 , A61B10/0041 , A61B10/02 , A61B10/0233 , A61B17/00234 , A61B17/00491 , A61B17/221 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/0206 , A61B18/06 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1487 , A61B18/1492 , A61B18/20 , A61B90/37 , A61B2010/0208 , A61B2017/00287 , A61B2017/2212 , A61B2017/320733 , A61B2017/3488 , A61B2018/00208 , A61B2018/00214 , A61B2018/00267 , A61B2018/00333 , A61B2018/00577 , A61B2018/00601 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1425 , A61B2018/144 , A61B2018/1475 , A61B2018/162 , A61B2018/1861 , A61B2090/3908 , A61N5/1007 , A61N5/1027
摘要: A device and method for treatment of a tissue specimen disposed in surrounding tissue has a tissue specimen isolating tool and a tissue specimen damager. The tissue specimen isolating tool isolates the tissue specimen from the surrounding tissue. The tissue specimen damager damages the tissue, with a possible end result being necrosis. The severing tool may have a cutting member that is extendable to an outwardly radially bowed position about device. The tissue specimen is isolated by rotating the cutting member about the tissue specimen. The cutting member may be functionally connected to a cutting member radio frequency generation source. The tissue specimen damager may damage the tissue specimen using ionizing radiation, cutting devices, thermal treatment devices, chemical treatment devices, or sealing an outer boundary of the tissue specimen.
摘要翻译: 用于处理设置在周围组织中的组织标本的装置和方法具有组织样本隔离工具和组织标本容器。 组织标本分离工具将组织标本与周围组织隔离。 组织标本损伤组织,可能的最终结果是坏死。 切割工具可以具有切割构件,该切割构件可延伸到关于装置的向外径向弯曲的位置。 通过围绕组织样本旋转切割构件来分离组织样本。 切割构件可以功能地连接到切割构件射频发生源。 组织样本容器可能会使用电离辐射,切割装置,热处理装置,化学处理装置或密封组织标本的外边界来损伤组织标本。
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公开(公告)号:US06517498B1
公开(公告)日:2003-02-11
申请号:US09619867
申请日:2000-07-20
申请人: Fred H. Burbank , William C. Homet , Paul Lubock
发明人: Fred H. Burbank , William C. Homet , Paul Lubock
IPC分类号: A61B1000
CPC分类号: A61B10/0233 , A61B10/02 , A61B10/0266 , A61B10/0275 , A61B10/0283 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/14 , A61B18/1482 , A61B18/1487 , A61B18/1492 , A61B90/37 , A61B2010/0208 , A61B2010/0225 , A61B2017/32004 , 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: A tissue acquisition system includes electrodes that are energized by a radio frequency (RF) energy source. Retractable electrodes are energized and extended from a cannula and the cannula is advanced in the tissue to position the cannula near the target tissue site in a patient. The retractable electrodes are then retracted and a distal electrode cuts a tissue sample from the tissue site when the cannula is further advanced into the tissue. The retractable electrodes are then energized and extended from the cannula and the cannula is rotated to separate the tissue sample from the tissue site. The tissue sample is ejected through the cannula for collection by advancing a dilator.
摘要翻译: 组织采集系统包括由射频(RF)能源激励的电极。 可伸缩电极通电并从套管延伸,并且插管在组织中前进以将插管定位在患者体内的目标组织部位附近。 然后,当套管进一步推进到组织中时,缩回电极然后缩回并且远侧电极从组织部位切割组织样本。 然后可伸缩电极从插管通电并延伸,并且套管旋转以从组织部位分离组织样品。 通过推进扩张器将组织样品通过套管喷射以进行收集。
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公开(公告)号:US06312429B1
公开(公告)日:2001-11-06
申请号:US09356187
申请日:1999-07-16
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: A61B1818
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. The first plurality of locator wires is connected to a first wire carrying member longitudinally mounted for axial movement within the trocar portion between a proximal position corresponding to the retracted position of the first plurality of locator wires, and a distal position corresponding to the deployed position of the first plurality of locator wires. The second plurality of locator wires is connected to a second wire-carrying member longitudinally mounted in the trocar portion, coaxially with the first tubular member, for movement between a distal position corresponding to the retracted position of the second plurality of locator wires, and a proximal position corresponding to the deployed position of the second plurality of locator wires. The trocar portion has an intermediate portion having first and second pluralities of slot-shaped apertures through which the first and second pluralities of locator wires emerge when moved to their respective deployed positions. With the locator wires in their retracted position, the trocar is passed through a target tissue mass until the intermediate portion is within the mass. The locator wires are then deployed within the mass to anchor the trocar therein and to mark the site for a surgical procedure. In the preferred embodiment, the locator wires are electrically energized to facilitate their deployment electrosurgically.
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