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120 条记录 (耗时 0.062 秒)

    Methods and apparatus for treating back pain
    81.
    发明申请
    Methods and apparatus for treating back pain 审中-公开
    治疗背痛的方法和装置

    公开(公告)号：US20050261754A1

    公开(公告)日：2005-11-24

    申请号：US11105274

    申请日：2005-04-12

    申请人： Jean Woloszko

    发明人： Jean Woloszko

    IPC分类号： A61B18/14 ,  A61F7/00 ,  A61F7/12

    CPC分类号： A61B18/148 ,  A61B2018/0044

    摘要： Apparatus and methods for treating back pain of a patient by denervation of an intervertebral disc or a region of the posterior longitudinal ligament by the controlled application of heat to a target tissue. In one embodiment, the invention may include a procedure combining both decompression of a disc, and denervation of the annulus fibrosus. In one embodiment, a method of the invention includes positioning an active electrode of an electrosurgical instrument in at least close proximity to an intervertebral disc, and applying at least a first high frequency voltage between the active electrode and a return electrode, wherein nervous tissue within the annulus fibrosus is inactivated, and discogenic pain of the patient is alleviated. In one embodiment, the invention includes positioning a first electrode of a dual-shaft electrosurgical instrument at a first location in relation to a target disc, positioning a second electrode of the instrument at a second location, and applying a high frequency voltage between the first and second electrodes, wherein the first and second electrodes are disposed on separate shafts of the instrument.

    摘要翻译： 用于通过将受控制的热量施加到靶组织来去除椎间盘或后纵韧带区域来治疗患者的背部疼痛的装置和方法。 在一个实施例中，本发明可以包括组合椎间盘减压和纤维环的去神经支配的过程。 在一个实施例中，本发明的方法包括将电外科器械的有源电极定位在至少紧邻椎间盘的位置，以及在有效电极和返回电极之间施加至少第一高频电压，其中在 纤维环失活，患者的椎间盘疼痛得到缓解。 在一个实施例中，本发明包括将双轴电外科器械的第一电极相对于目标盘定位在第一位置，将仪器的第二电极定位在第二位置，并且在第一位置之间施加高频电压 和第二电极，其中所述第一和第二电极设置在所述器械的分开的轴上。

    Electrosurgical systems and methods for recanalization of occluded body lumens
    83.
    发明授权
    Electrosurgical systems and methods for recanalization of occluded body lumens 有权
    电外科系统和闭塞体腔再通的方法

    公开(公告)号：US06855143B2

    公开(公告)日：2005-02-15

    申请号：US09735426

    申请日：2000-12-12

    申请人： Paul O. Davison ,  Jean Woloszko

    发明人： Paul O. Davison ,  Jean Woloszko

    IPC分类号： A61B18/00 ,  A61B18/12 ,  A61B18/14

    CPC分类号： A61B18/1492 ,  A61B18/1206 ,  A61B18/1233 ,  A61B18/1485 ,  A61B2017/003 ,  A61B2017/22038 ,  A61B2018/00214 ,  A61B2018/0041 ,  A61B2018/00422 ,  A61B2018/00577 ,  A61B2018/00583 ,  A61B2018/00702 ,  A61B2018/00827 ,  A61B2018/1213 ,  A61B2018/1253 ,  A61B2018/1273 ,  A61B2018/1467 ,  A61B2018/1472 ,  A61B2018/162 ,  A61B2218/002 ,  A61B2218/007 ,  A61B2218/008

    摘要： The present invention comprises electrosurgical apparatus and methods for maintaining patency in body passages subject to occlusion by invasive tissue growth. The apparatus includes an electrode support disposed at a shaft distal end having at least one active electrode arranged thereon, and at least one return electrode proximal to the at least one active electrode. In one embodiment, a plurality of active electrodes each comprising a curved wire loop portion are sealed within a distal portion of the electrode support. The apparatus and methods of the present invention may be used to open and maintain patency in virtually any hollow body passage which may be subject to occlusion by invasive cellular growth or invasive solid tumor growth. Suitable hollow body passages include ducts, orifices, lumens, and the like, with exemplary body passages including the coronary arteries. The present invention is particularly useful for reducing or eliminating the effects of restenosis in coronary arteries by selectively removing tissue in-growth in or around stents anchored therein.

    摘要翻译： 本发明包括电外科设备和用于在通过侵入性组织生长阻塞的身体通道中维持通畅的方法。 该装置包括设置在轴远端处的电极支撑件，其具有布置在其上的至少一个有效电极，以及至少一个返回电极，靠近至少一个有效电极。 在一个实施例中，每个包括弯曲线环部分的多个有源电极密封在电极支撑件的远端部分内。 本发明的装置和方法可用于在实际上可能通过侵入性细胞生长或浸润性实体瘤生长受到闭塞的任何中空体通道中开放和保持通畅。 合适的中空体通道包括导管，孔，内腔等，具有包括冠状动脉的示例性身体通道。 本发明特别可用于通过选择性地去除锚定在其中的支架内或其周围的组织生长来减少或消除冠状动脉再狭窄的作用。

    Methods and apparatus for treating intervertebral discs
    84.
    发明申请
    Methods and apparatus for treating intervertebral discs 有权
    治疗椎间盘的方法和装置

    公开(公告)号：US20050010205A1

    公开(公告)日：2005-01-13

    申请号：US10799491

    申请日：2004-03-12

    申请人： David Hovda ,  Jean Woloszko

    发明人： David Hovda ,  Jean Woloszko

    IPC分类号： A61B17/00 ,  A61B18/00 ,  A61B18/14 ,  A61B19/00 ,  A61B18/18 ,  A61F7/00 ,  A61F7/12

    CPC分类号： A61B18/1482 ,  A61B18/1477 ,  A61B90/11 ,  A61B2017/00261 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/0044 ,  A61B2018/00744 ,  A61B2018/00791 ,  A61B2018/1425 ,  A61B2018/1472 ,  A61B2218/002 ,  A61B2218/007

    摘要： Apparatus and methods for treating a target tissue by delivering a fluid at a defined temperature to a patient's body. An apparatus of the invention includes a fluid delivery unit for delivering fluid in at least close proximity to the target tissue, an aspiration unit for withdrawing the fluid, and a fluid source unit for providing the fluid at the defined temperature. A method of the invention includes forming a void in at least close proximity to the target tissue, and circulating a preheated fluid through the void, wherein the target tissue undergoes adjustment from body temperature to a treatment temperature due to heat exchange between the fluid and the target tissue.

    摘要翻译： 用于通过将定义温度的流体输送到患者身体来治疗靶组织的装置和方法。 本发明的装置包括用于将至少紧邻目标组织的流体输送的流体输送单元，用于抽出流体的抽吸单元和用于在所定义的温度下提供流体的流体源单元。 本发明的方法包括至少在目标组织附近形成空隙，并使预热的流体循环通过空隙，其中由于流体和流体之间的热交换，目标组织经历从体温到处理温度的调节 目标组织。

    Systems and methods for intradermal collagen stimulation
    86.
    发明授权
    Systems and methods for intradermal collagen stimulation 失效
    皮内胶原刺激的系统和方法

    公开(公告)号：US06766202B2

    公开(公告)日：2004-07-20

    申请号：US10135478

    申请日：2002-04-30

    申请人： Ronald A. Underwood ,  Jean Woloszko

    发明人： Ronald A. Underwood ,  Jean Woloszko

    IPC分类号： A61N120

    CPC分类号： A61B18/14 ,  A61B18/1477 ,  A61B2018/00452 ,  A61B2018/1425 ,  A61B2018/1472 ,  A61B2218/002

    摘要： The present invention provides systems, apparatus and methods for selective applying energy to a patient's dermis tissue to generate the growth of new collagen in this tissue, while minimizing the effect on the outer epidermis layer, thereby minimizing or suppressing the wound healing phase of the procedure. In one aspect of the invention, a method includes positioning a first electrode adjacent to, or in contact with, a region on or within a patient's skin, and applying a sufficient high frequency voltage between the first electrode and a second electrode to create a heat injury to a target tissue within the patient's dermis layer without ablating the epidermis layer overlying the target tissue. Typically, the voltage applied to the first and second electrodes is sufficient to induce heating of the dermis layer to about 60°-80° C., preferably about 65°-75° C. This induced heating causes the patient's body to undergo a wound healing response in the slightly inflamed tissue of the dermis. The wound healing process involves the generation of neo-collagen in the dermis layer, which fills in the wrinkle in the patient's skin.

    摘要翻译： 本发明提供用于选择性地向患者真皮组织施加能量以在该组织中产生新胶原的生长的系统，装置和方法，同时使对外表皮层的影响最小化，从而最小化或抑制手术的伤口愈合阶段 。 在本发明的一个方面，一种方法包括将第一电极定位在与患者皮肤上或患者皮肤上的区域相邻或接触的位置，以及在第一电极和第二电极之间施加足够的高频电压以产生热量 对患者真皮层内的靶组织的损伤，而不会烧蚀覆盖靶组织的表皮层。 通常，施加到第一和第二电极的电压足以诱导真皮层的加热至约60°-80℃，优选约65°-75℃。该感应加热导致患者的身体经受伤口 在真皮轻微发炎的组织中的愈合反应。 伤口愈合过程涉及在真皮层中产生新胶原，其填充患者皮肤的皱纹。