公开(公告)号：US20080154273A1

公开(公告)日：2008-06-26

申请号：US11953800

申请日：2007-12-10

申请人： John H. Shadduck ,  Csaba Truckai

发明人： John H. Shadduck ,  Csaba Truckai

IPC分类号： A61B17/58 ,  A61M31/00 ,  A61M37/00

CPC分类号： A61B17/8836 ,  A61B17/7095 ,  A61B17/8822 ,  A61B2017/00039 ,  A61B2017/00544

摘要： The present invention relates in certain embodiments to methods, systems, and devices for treating vertebral compression fractures. In one embodiment, a bone cement injector is advanced into bone and injects a bone cement flow through the injector and a vapor flow from at least one vapor outlet in the injector. In another embodiment, the bone treatment system comprises an elongated member having a flow passageway, a bone fill material source, and a vapor source coupleable to the flow passageway. Still another embodiment describes a vapor injection device having an elongated member with a flow passageway, the elongated member configured for insertion into a bone and for delivering a bone fill material through the flow passageway, and having at least one vapor channel in communication with the flow passageway to deliver a vapor into the flow passageway to heat a bone fill material flow.

摘要翻译： 本发明在某些实施例中涉及用于治疗椎骨压缩性骨折的方法，系统和装置。 在一个实施例中，骨粘固剂注射器被推进到骨中并且注入穿过注射器的骨水泥流和来自注射器中的至少一个蒸气出口的蒸汽流。 在另一个实施例中，骨治疗系统包括具有流动通道，骨填充材料源和可耦合到流动通道的蒸气源的细长构件。 另一个实施例描述了具有带有流动通道的细长构件的蒸气喷射装置，细长构件构造成用于插入骨骼中并且用于通过流动通道输送骨填充材料，并且具有与流体连通的至少一个蒸汽通道 通道以将蒸气输送到流动通道中以加热骨填充物料流。

公开(公告)号：US20080097425A1

公开(公告)日：2008-04-24

申请号：US11649377

申请日：2007-01-03

申请人： Csaba Truckai

发明人： Csaba Truckai

IPC分类号： A61B18/14

CPC分类号： A61B18/14 ,  A61B18/042 ,  A61B18/1815 ,  A61B2017/0088 ,  A61B2018/00029 ,  A61B2018/00065 ,  A61B2018/00107 ,  A61B2018/00113 ,  A61B2018/0016 ,  A61B2018/00196 ,  A61B2018/0022 ,  A61B2018/00583 ,  A61B2018/00589 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/1213 ,  A61B2018/126 ,  A61B2018/1472 ,  A61B2018/1497 ,  A61B2018/1861 ,  A61B2218/002 ,  A61B2218/007

摘要： The present invention relates to the field of electrosurgery, and more particularly to a system that produces a focused plasma for tissue ablation. The system includes a probe and a remote source of a conductive liquid media for providing a flow through the probe that functions as an electrode. A pressurized flow of the liquid media passes through a first larger diameter flow channel in the probe to then increases in velocity as it passes through a smaller diameter flow restriction channel in a working end surface. The flow restriction of the liquid electrode through the flow restriction channel when coupled with high frequency voltage causes instantaneous ignition of a plasma within media flow media within the flow restriction channel. The working end surface thus carries a plasma that when proximate to tissue will cause a controlled, focused ablation.

摘要翻译： 本发明涉及电外科领域，更具体地涉及产生用于组织消融的聚焦等离子体的系统。 该系统包括用于提供作为电极起作用的通过探针的流动的导电液体介质的探针和远程源。 液体介质的加压流通过探针中的第一较大直径的流动通道，然后当其通过工作端面中的较小直径的流动限制通道时，速度增加。 当与高频电压耦合时，通过流动限制通道的液体电极的流动限制导致流量限制通道内介质流媒体内的等离子体的瞬时点燃。 因此，工作端面承载等离子体，当等离子体靠近组织时，将引起受控的聚焦消融。

公开(公告)号：US20080065083A1

公开(公告)日：2008-03-13

申请号：US11852067

申请日：2007-09-07

申请人： Csaba Truckai ,  Robert Luzzi ,  John Shadduck

发明人： Csaba Truckai ,  Robert Luzzi ,  John Shadduck

IPC分类号： A61B17/56 ,  A61B17/58 ,  A61M31/00

CPC分类号： A61B17/8811 ,  A61B17/3472 ,  A61B2017/349

摘要： The present invention relates in certain embodiments to systems for treating vertebral compression fractures. In one embodiment, an elongated sleeve defines a passageway therethrough, and has a threaded portion configured to engage bone. The sleeve includes a seal configured to allow instrument exchange through the passageway and into the interior of the vertebra to perform at least one medical procedure, such as injection of bone cement into the vertebral body.

摘要翻译： 本发明在某些实施例中涉及用于治疗脊柱压缩性骨折的系统。 在一个实施例中，细长套管限定穿过其中的通道，并且具有构造成接合骨的螺纹部分。 套筒包括密封件，该密封件构造成允许通过通道进入器械的交换并进入椎骨的内部以执行至少一种医疗过程，例如将骨粘固剂注入椎体。

公开(公告)号：US20070129728A1

公开(公告)日：2007-06-07

申请号：US11673889

申请日：2007-02-12

申请人： Csaba Truckai ,  John Shadduck ,  Bruno Strul

发明人： Csaba Truckai ,  John Shadduck ,  Bruno Strul

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B18/1442 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00125 ,  A61B2018/00148 ,  A61B2018/0016 ,  A61B2018/00404 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/1412 ,  A61B2018/1455

摘要： An embodiment of the invention includes an electrosurgical jaw structure that carries cooperating PTC bodies in both series and parallel circuit components for controlled RF energy application to engaged tissue to effectively weld tissue.

摘要翻译： 本发明的实施例包括电外科钳口结构，其在串联和并联电路部件中携带协作的PTC体，用于受控RF能量施加到接合组织以有效地焊接组织。

公开(公告)号：US07125409B2

公开(公告)日：2006-10-24

申请号：US11315418

申请日：2005-12-21

申请人： Csaba Truckai ,  John Shadduck

发明人： Csaba Truckai ,  John Shadduck

IPC分类号： A61B18/12

CPC分类号： A61B18/1477 ,  A61B2018/00083

摘要： An electrosurgical working end for automatic modulation of active Rf density in a targeted tissue volume. The working end of the probe of the present invention defines a tissue-engagement surface of an elastomeric material with conductive elements that extend therethrough. In one embodiment, the expansion of the elastomeric material can de-couple the conductive elements from an interior electrode based temperature to modulate current flow. In another embodiment, the elastomeric material can couple and de-couple the conductive elements from an interior electrode based on engagement pressure to modulate current flow

摘要翻译： 用于自动调节靶组织体积中的活性Rf密度的电外科工作端。 本发明的探针的工作端限定弹性体材料的组织接合表面，其中导电元件延伸穿过其中。 在一个实施例中，弹性体材料的膨胀可以将导电元件从基于内部电极的温度解耦，以调制电流。 在另一个实施例中，弹性体材料可以基于接合压力将导电元件从内部电极耦合和解耦，以调制电流

公开(公告)号：US20060229628A1

公开(公告)日：2006-10-12

申请号：US11242592

申请日：2005-10-03

申请人： Csaba Truckai ,  John Shadduck

发明人： Csaba Truckai ,  John Shadduck

IPC分类号： A61B17/58

CPC分类号： A61B17/8858 ,  A61B17/70

摘要： An apparatus and method for distraction of tissue or bone in a surgery. A method comprises inserting into targeted tissue a distraction device configured with at least one phase transition extendable body. After deployment in a non-extended configuration, the physician applies a stimulus to the body or bodies to cause a liquid-to-vapor or solid-to-vapor phase transition within the body that extends the body in a fast event from the non-extended configuration to an extended configuration to thereby apply distraction forces to the targeted tissue. The extendable body is made of biocompatible materials having any suitable configuration. In one embodiment, the implant and system is used for reducing a vertebral compression fracture. The distraction system can be used to distribute forces over a selected region of strong cortical bone to restore vertebral height. Such a system can be dimensioned as a cylindrical, spherical, annular or part-annular construct for creating selected directional forces for moving apart cortical endplates.

摘要翻译： 一种用于在手术中分散组织或骨骼的装置和方法。 一种方法包括将配置有至少一个相变延伸体的牵引装置插入目标组织。 在以非延伸配置部署之后，医生对身体或身体施加刺激，以引起身体内的液体至蒸汽或固体与汽相的相变，从而使身体在非快速事件中从非延伸构型延伸， 延伸构型为延伸构型，从而向目标组织施加牵引力。 可延伸体由具有任何合适结构的生物相容性材料制成。 在一个实施例中，植入物和系统用于减少椎体压缩骨折。 牵引系统可用于在强皮质骨的选定区域上分布力以恢复椎体高度。 这种系统的尺寸可以是圆柱形，球形，环形或部分环形构造，用于产生用于移动分开的皮层终板的选定的方向力。

公开(公告)号：US07083619B2

公开(公告)日：2006-08-01

申请号：US10198854

申请日：2002-07-19

申请人： Csaba Truckai ,  John H. Shadduck

发明人： Csaba Truckai ,  John H. Shadduck

IPC分类号： A61B18/12

CPC分类号： A61B18/1442 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/00148 ,  A61B2018/0063

摘要： An electrosurgical medical device and method for creating thermal welds in engaged tissue. In one embodiment, at least one jaw of the instrument defines a tissue engagement plane carrying a conductive-resistive matrix of a conductively-doped non-conductive elastomer. The engagement surface portions thus can be described as a positive temperature coefficient material that has a unique selected decreased electrical conductance at each selected increased temperature thereof over a targeted treatment range. The conductive-resistive matrix can be engineered to bracket a targeted thermal treatment range, for example about 60° C. to 80° C., at which tissue welding can be accomplished. In one mode of operation, the engagement plane will automatically modulate and spatially localize ohmic heating within the engaged tissue from Rf energy application—across micron-scale portions of the engagement surface.

公开(公告)号：US20060122624A1

公开(公告)日：2006-06-08

申请号：US11196045

申请日：2005-08-02

申请人： Csaba Truckai ,  John Shadduck ,  Robert Luzzi ,  Grace Carlson

发明人： Csaba Truckai ,  John Shadduck ,  Robert Luzzi ,  Grace Carlson

IPC分类号： A61F2/34

CPC分类号： A61B17/7095 ,  A61B17/7098 ,  A61B17/864 ,  A61B17/8811 ,  A61B17/8836 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61F2/44

摘要： The present invention relates in certain embodiments to medical devices for treating osteoplasty procedures such as vertebral compression fractures. More particularly, embodiments of the invention relate to instruments and methods for controllably restoring vertebral body height by controlling the geometry of fill material introduced into cancellous bone. An exemplary system utilizes Rf energy in combination a conductive bone fill material for polymerizing the surface of the inflow plume to control the geometry of the fill material and the application of force caused by inflows of fill material. In another embodiment, method of treating bone includes injecting a volume of fill material into a bone and selectively modifying a viscosity of a selected portion of the bone filler to control the direction of flow of the fill material within the bone. A system for treating bone using this method includes an introducer for delivering fill material into the bone and an energy source selectively coupleable to the fill material to alter the viscosity of the fill material as it flows out of the introducer.

公开(公告)号：US20060122622A1

公开(公告)日：2006-06-08

申请号：US11165651

申请日：2005-06-24

申请人： Csaba Truckai ,  John Shadduck ,  Robert Luzzi ,  Grace Carlson ,  C. Rappleye

发明人： Csaba Truckai ,  John Shadduck ,  Robert Luzzi ,  Grace Carlson ,  C. Rappleye

IPC分类号： A61F2/34

CPC分类号： A61B17/8836 ,  A61B17/7095 ,  A61B17/7098 ,  A61B17/864 ,  A61B17/8811 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61F2/44

摘要： The present invention relates in certain embodiments to medical devices for treating osteoplasty procedures such as vertebral compression fractures. More particularly, embodiments of the invention relate to instruments and methods for controllably restoring vertebral body height by controlling the geometry of fill material introduced into cancellous bone. An exemplary system utilizes Rf energy in combination a conductive bone fill material for polymerizing the surface of the inflow plume to control the geometry of the fill material and the application of force caused by inflows of fill material. In another embodiment, method of treating bone includes injecting a volume of fill material into a bone and selectively modifying a viscosity of a selected portion of the bone filler to control the direction of flow of the fill material within the bone. A system for treating bone using this method includes an introducer for delivering fill material into the bone and an energy source selectively coupleable to the fill material to alter the viscosity of the fill material as it flows out of the introducer.

公开(公告)号：US20060122614A1

公开(公告)日：2006-06-08

申请号：US11196089

申请日：2005-08-02

申请人： Csaba Truckai ,  John Shadduck ,  Robert Luzzi ,  Grace Carlson

发明人： Csaba Truckai ,  John Shadduck ,  Robert Luzzi ,  Grace Carlson

IPC分类号： A61B17/58

CPC分类号： A61B17/7095 ,  A61B17/7098 ,  A61B17/864 ,  A61B17/8811 ,  A61B17/8836 ,  A61B2017/00022 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61F2/44

摘要： The present invention relates in certain embodiments to medical devices for treating osteoplasty procedures such as vertebral compression fractures. More particularly, embodiments of the invention relate to instruments and methods for controllably restoring vertebral body height by controlling the geometry of fill material introduced into cancellous bone. An exemplary system utilizes Rf energy in combination a conductive bone fill material for polymerizing the surface of the inflow plume to control the geometry of the fill material and the application of force caused by inflows of fill material. In another embodiment, method of treating bone includes injecting a volume of fill material into a bone and selectively modifying a viscosity of a selected portion of the bone filler to control the direction of flow of the fill material within the bone. A system for treating bone using this method includes an introducer for delivering fill material into the bone and an energy source selectively coupleable to the fill material to alter the viscosity of the fill material as it flows out of the introducer.