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公开(公告)号:US6126657A
公开(公告)日:2000-10-03
申请号:US895785
申请日:1997-07-17
申请人: Stuart D. Edwards , Ronald G. Lax
发明人: Stuart D. Edwards , Ronald G. Lax
IPC分类号: A61B17/00 , A61B17/24 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61B18/20 , A61B18/22 , A61M1/00 , A61N1/06 , A61N1/40 , A61N5/04 , A61N1/30
CPC分类号: A61B18/1485 , A61B18/1477 , A61B18/1492 , A61B18/18 , A61B18/1815 , A61N1/06 , A61N1/403 , A61N5/045 , A61B17/24 , A61B18/1402 , A61B18/20 , A61B18/22 , A61B2017/00026 , A61B2017/00084 , A61B2018/00011 , A61B2018/00023 , A61B2018/00101 , A61B2018/00196 , A61B2018/00261 , A61B2018/00636 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00744 , A61B2018/00773 , A61B2018/00791 , A61B2018/00875 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1425 , A61B2018/143 , A61B2018/1475 , A61B2090/3782 , A61M2025/0096 , A61N5/04
摘要: An apparatus that reduces a volume of a selected site in an interior of the tongue includes a handpiece and an energy delivery device at least partially positioned in the interior of the handpiece. The energy delivery device includes an energy delivery surface and is advanceable from the interior of the handpiece into the interior of the tongue. An energy delivery device advancement member is coupled to the energy delivery device and configured to advance the energy delivery device an advancement distance in the interior of the tongue. The advancement distance is sufficient for the energy delivery surface to deliver energy to the selected tissue site and reduce a volume of the selected site without damaging a main branch of the hypoglossal nerve. A cable is coupled to the energy delivery device.
摘要翻译: 减少舌头内部的所选位置的体积的装置包括至少部分地定位在手持件内部的手持件和能量输送装置。 能量输送装置包括能量输送表面,并且可从手持件的内部前进到舌头的内部。 能量递送装置推进构件联接到能量输送装置并且被配置为使能量输送装置推进舌头内部的前进距离。 前进距离足以使能量输送表面将能量传递到所选择的组织部位并减少选定部位的体积而不损伤舌下神经的主分支。 电缆耦合到能量输送装置。
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公开(公告)号:USD411004S
公开(公告)日:1999-06-15
申请号:US75144
申请日:1997-08-13
申请人: Peter H. Muller , David Rapp , Rick T. Smethers
设计人: Peter H. Muller , David Rapp , Rick T. Smethers
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公开(公告)号:US5843021A
公开(公告)日:1998-12-01
申请号:US905991
申请日:1997-08-05
申请人: Stuart D. Edwards , Ronald G. Lax
发明人: Stuart D. Edwards , Ronald G. Lax
IPC分类号: A61B17/24 , A61B17/00 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61B18/20 , A61B18/22 , A61F5/56 , A61M1/00 , A61N1/06 , A61N1/40 , A61N5/04 , A61B17/39
CPC分类号: A61N5/045 , A61B18/1206 , A61B18/1477 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61N1/06 , A61N1/403 , A61B17/24 , A61B18/1402 , A61B18/1442 , A61B18/20 , A61B18/22 , A61B2017/00026 , A61B2017/00084 , A61B2017/00296 , A61B2017/248 , A61B2018/00011 , A61B2018/00023 , A61B2018/00101 , A61B2018/00196 , A61B2018/00291 , A61B2018/00327 , A61B2018/00636 , A61B2018/00666 , A61B2018/00678 , A61B2018/00708 , A61B2018/00744 , A61B2018/00773 , A61B2018/00791 , A61B2018/00875 , A61B2018/00982 , A61B2018/1425 , A61B2090/3782 , A61B2218/003 , A61M2025/0096 , A61N5/04
摘要: An apparatus that reduces a volume of a selected site in an interior of the tongue includes a handpiece means and an electrode means at least partially positioned in the interior of the handpiece means. The electrode means includes an electrode means electromagnetic energy delivery surface and is advance able from the interior of the handpiece means into the interior of the tongue. An electrode means advancement member is coupled to the electrode means and configured to advance the electrode means an advancement distance in the interior of the tongue. The advancement distance is sufficient for the electrode means electromagnetic energy delivery surface to deliver electromagnetic energy to the selected tissue site and reduce a volume of the selected site without damaging a hypoglossal nerve. A cable means is coupled to the electrode means.
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公开(公告)号:US5816095A
公开(公告)日:1998-10-06
申请号:US941403
申请日:1997-09-30
CPC分类号: B21D7/063 , A61B18/1477 , A61B2018/1475 , A61M2005/341 , A61M5/32
摘要: A bending tool for use with a human hand for bending the distal extremity of a guide tube of a medical device having a needle assembly slidably mounted in the guide tube. The distal extremity of the guide tube has a tip. The bending tool is comprised of a shaft sized so that it is adapted to be grasped by the human hand to serve as a handle. The shaft has proximal and distal extremities and a longitudinal axis. A bending construction is mounted on the distal extremity of the shaft and provides a curved bending surface having width and a length and having a proximal and a distal extremity and extending at an angle with respect to the longitudinal axis. The bending construction also has an abutment surface at the distal extremity of the curved surface and extending generally perpendicular to the curved surface. The abutment surface has a hole therein extending in a direction generally perpendicular to the abutment surface and is sized so that it is adapted to receive the tip of the guide tube with the guide tube engaging the curved surface to permit bending of the guide tube by a swinging movement of the shaft in a direction at right angles to the abutment surface.
摘要翻译: 一种用于人用手弯曲医疗装置的导管的远端的弯曲工具,其具有可滑动地安装在引导管中的针组件。 导管的远端具有尖端。 弯曲工具包括轴,其尺寸使得其适于被人的手抓住以用作手柄。 轴具有近端和远端以及纵轴。 弯曲结构安装在轴的远端上,并且提供具有宽度和长度的弯曲弯曲表面,并且具有近端和远端并且相对于纵向轴线以一定角度延伸。 弯曲结构还在弯曲表面的远端处具有邻接表面并且大致垂直于弯曲表面延伸。 邻接表面具有在大致垂直于邻接表面的方向上延伸的孔,并且其尺寸设计成使得其适于接收引导管的尖端,导管与弯曲表面接合以允许引导管弯曲 轴在与邻接表面成直角的方向上摆动。
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公开(公告)号:US5746224A
公开(公告)日:1998-05-05
申请号:US754588
申请日:1996-11-19
申请人: Stuart D. Edwards
发明人: Stuart D. Edwards
IPC分类号: A61B17/00 , A61B17/42 , A61B18/00 , A61B18/04 , A61B18/14 , A61B18/18 , A61F2/958 , A61M3/02 , A61M16/04 , A61N1/06 , A61N1/08 , A61N5/04 , A61B17/36
CPC分类号: A61B18/1485 , A61B18/1477 , A61B18/148 , A61B18/1492 , A61M16/0481 , A61N1/06 , A61N1/08 , A61B18/18 , A61B2017/00084 , A61B2017/00106 , A61B2017/4216 , A61B2018/00029 , A61B2018/00065 , A61B2018/00083 , A61B2018/00214 , A61B2018/0022 , A61B2018/00261 , A61B2018/00559 , A61B2018/00577 , A61B2018/00654 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00761 , A61B2018/00791 , A61B2018/00827 , A61B2018/00869 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/00982 , A61B2018/046 , A61B2018/124 , A61B2018/1472 , A61B2218/002 , A61M2025/1052 , A61M2025/1086 , A61M25/1002 , A61M3/0279 , A61N5/04
摘要: A method is provided for ablating at least a portion of a nasal concha. By ablating at least a portion of a nasal concha, the size of the nasal concha is reduced. The three nasal concha in the body (inferior, middle and superior nasal concha) form at least a portion of the three nasal meatus (inferior, middle and superior nasal meatus) in the body. By reducing the size of a nasal concha, obstruction of a nasal meatus is reduced or eliminated. As a result, air flow through the nasal meatus is improved. In one embodiment, the method includes taking a catheter having a distal portion with an expandable member and an energy delivery device coupled to an energy source for delivering ablative energy and positioning the catheter distal portion through a nostril of a patient into a nasal meatus adjacent a surface of a nasal concha; expanding the expandable member within the nasal meatus so that the expandable member is brought into contact with the surface of the nasal concha; and delivering sufficient ablative energy from the energy delivery device to the nasal concha to ablate at least a portion of the nasal concha.
摘要翻译: 提供了一种用于消融鼻内耳的至少一部分的方法。 通过消融至少一部分鼻内耳,鼻内耳的尺寸减小。 身体中的三个鼻甲(下鼻甲,中鼻和上鼻)形成体内三个鼻腔(下,中,上鼻孔)的至少一部分。 通过减小鼻塞的尺寸,可减少或消除鼻塞的阻塞。 结果,改善了通过鼻腔的气流。 在一个实施例中,该方法包括取出具有远端部分的导管,该远端部分具有可扩张构件,以及耦合到能量源的能量输送装置,用于输送消融能量,并将导管远端部分定位穿过患者鼻孔进入邻近的鼻腔 鼻内表面; 在鼻腔内扩张可膨胀构件,使得可扩张构件与鼻内表面接触; 以及将能量输送装置的足够的消融能量提供给鼻内耳以消融至少一部分鼻内耳。
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公开(公告)号:US5674191A
公开(公告)日:1997-10-07
申请号:US516781
申请日:1995-08-18
IPC分类号: A61B5/04 , A61B17/00 , A61B17/30 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61B18/20 , A61B18/22 , A61M1/00 , A61N1/06 , A61N1/40 , A61N5/04
CPC分类号: A61B18/1485 , A61B18/1442 , A61B18/1477 , A61B18/18 , A61B18/1815 , A61B5/04 , A61N1/06 , A61N1/403 , A61N5/045 , A61B18/1402 , A61B18/20 , A61B18/22 , A61B2017/00084 , A61B2017/00296 , A61B2017/306 , A61B2018/00011 , A61B2018/00023 , A61B2018/00101 , A61B2018/00291 , A61B2018/00327 , A61B2018/00636 , A61B2018/00702 , A61B2018/00744 , A61B2018/00773 , A61B2018/00791 , A61B2018/00797 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00982 , A61B2090/3782 , A61B2218/002 , A61B2218/003 , A61N5/04
摘要: An ablation apparatus includes a cannula with a distal end, a proximal end and a lumen. An anvil is coupled to the cannula and extends beyond the cannula distal end. The anvil has a distal end that extends in a lateral direction relative to an anvil longitudinal axis. The distal end is adapted to receive and position an uvula or other soft tissue. One or more energy delivery devices are slideably positioned in the cannula. The energy delivery devices are advanced and retracted in and out the cannula distal end. An advancement and retraction apparatus advances and retracts the energy delivery devices in and out of the cannula distal end and into the soft tissue retained at the anvil distal end. The soft tissue ablation apparatus can further include a handle with a lumen, a proximal end and a distal end. The cannula is at least partially positioned in the handle lumen and extends beyond the handle distal end. The ablation apparatus is useful for ablation of soft palate tissue to eliminate snoring.
摘要翻译: 消融装置包括具有远端,近端和内腔的套管。 砧座联接到套管并延伸超过套管远端。 砧座具有相对于砧座纵向轴线在横向方向上延伸的远端。 远端适于接收和定位尿道或其他软组织。 一个或多个能量输送装置可滑动地定位在插管中。 能量输送装置被推进并缩回到套管远端内外。 前进和缩回装置将能量输送装置前进和缩回进入和离开套管远端并进入保留在砧座远端的软组织。 软组织消融装置还可以包括具有内腔,近端和远端的把手。 插管至少部分地定位在手柄腔中并延伸超过手柄远端。 消融装置可用于软腭组织的消融以消除打鼾。
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公开(公告)号:US6139546A
公开(公告)日:2000-10-31
申请号:US167217
申请日:1998-10-06
申请人: Franklin R. Koenig , Bruno Strul , Robin Bek
发明人: Franklin R. Koenig , Bruno Strul , Robin Bek
CPC分类号: A61B18/14 , A61B18/1206 , A61B18/1402 , A61B2017/00482 , A61B2018/00178 , A61B2018/00642 , A61B2018/00702 , A61B2018/0075 , A61B2018/00779 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00988 , A61B2018/1273 , Y10S128/923
摘要: A method and apparatus for delivery of energy by an electro-surgical instrument to a surgical site is disclosed. The apparatus delivers power to electrodes of an electro-surgical instrument during an operation performed at a surgical site. The apparatus includes a processor and a plurality of power delivery channels. The processor signals the onset of an impedance interval and a heating interval. The processor determines a target value of a control parameter to be delivered to a corresponding one of the electrodes. The plurality of power delivery channels are each coupled to the processor and to a corresponding electrode. Each of the power delivery channels responsive to signaling from the processor transitions between the impedance interval and the heating interval. Each of the power delivery channels measures, during the impedance interval, an impedance associated with a delivery of energy to the surgical site by a corresponding electrode. Each of the power delivery channels, during the heating interval, minimizes a difference between a measured value of a control parameter and the target value of the control parameter determined by the processor, to deliver the energy to the surgical site. In an alternate embodiment of the invention a method for controlling power delivery in an electro-surgical instrument is disclosed. In an alternate embodiment of the invention a method for controlling power delivery in an electro-surgical instrument is disclosed. In an alternate embodiment of the invention a method for controlling power delivery in an electro-surgical instrument is disclosed.
摘要翻译: 公开了一种通过电手术器械将能量输送到手术部位的方法和装置。 该装置在手术部位进行的手术期间向电手术器械的电极供电。 该装置包括处理器和多个电力输送通道。 处理器发出阻抗间隔和加热间隔的开始。 处理器确定要传送到对应的一个电极的控制参数的目标值。 多个电力输送通道各自耦合到处理器和相应的电极。 响应于来自处理器的信号的每个功率传递通道在阻抗间隔和加热间隔之间转变。 每个电力输送通道在阻抗间隔期间测量与相应电极向外科手术部位输送能量相关的阻抗。 在加热间隔期间,每个功率传递通道将控制参数的测量值与由处理器确定的控制参数的目标值之间的差最小化,以将能量传递到手术部位。 在本发明的替代实施例中,公开了一种用于控制电手术器械中的功率输送的方法。 在本发明的替代实施例中,公开了一种用于控制电手术器械中的功率输送的方法。 在本发明的替代实施例中,公开了一种用于控制电手术器械中的功率输送的方法。
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公开(公告)号:US6131579A
公开(公告)日:2000-10-17
申请号:US64023
申请日:1998-04-21
申请人: Ted S. Thorson , James A. Filice
发明人: Ted S. Thorson , James A. Filice
CPC分类号: A61B18/14 , A61B2017/00092 , A61B2018/00821
摘要: Systems and methods are described for a wire based temperature sensing electrode for surgical procedures. A temperature sensing energy delivery device includes an elongated member having a groove formed in at least portion of the elongated member; and a first temperature sensor mechanically connected to the elongated member, the first temperature sensor including a first temperature sensor lead that is routed along the groove. The systems and methods provide advantages in that the wire based temperature sensing electrode for surgical procedures can simultaneously accommodate a temperature sensor and associated leads, exhibit sufficient strength without bulk, and be provided at lower cost.
摘要翻译: 针对用于外科手术的线基温度感测电极描述了系统和方法。 温度感测能量输送装置包括细长构件,其具有形成在细长构件的至少一部分中的凹槽; 以及与所述细长构件机械连接的第一温度传感器,所述第一温度传感器包括沿着所述凹槽布线的第一温度传感器引线。 该系统和方法提供的优点在于,用于外科手术的基于线的温度感测电极可以同时容纳温度传感器和相关联的引线,在没有体积的情况下表现出足够的强度,并且以较低的成本提供。
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公开(公告)号:US5836906A
公开(公告)日:1998-11-17
申请号:US651800
申请日:1996-05-22
申请人: Stuart D. Edwards
发明人: Stuart D. Edwards
IPC分类号: A61B5/04 , A61B17/00 , A61B17/24 , A61B17/30 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61B18/20 , A61B18/22 , A61M1/00 , A61N1/06 , A61N1/40 , A61N5/04
CPC分类号: A61B5/04 , A61B18/1477 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61B5/415 , A61N1/06 , A61N1/403 , A61N5/045 , A61B17/24 , A61B18/1402 , A61B18/1442 , A61B18/20 , A61B18/22 , A61B2017/00026 , A61B2017/00084 , A61B2017/00296 , A61B2017/248 , A61B2017/306 , A61B2018/00011 , A61B2018/00023 , A61B2018/00029 , A61B2018/00101 , A61B2018/00196 , A61B2018/00261 , A61B2018/00291 , A61B2018/00327 , A61B2018/00636 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00744 , A61B2018/00773 , A61B2018/00791 , A61B2018/00797 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00982 , A61B2018/1425 , A61B2090/3782 , A61B2218/002 , A61B2218/003 , A61M2025/0096 , A61N5/04
摘要: An apparatus ablates at least a portion of an interior of a body structure with a reduced chance of body structure infection. A catheter is provided with a catheter tissue interface surface and a port formed in the catheter tissue interface surface. An electrode is at least partially positioned in the interior of the catheter and is configured to be advanced and retracted in and out of the port. The electrode includes an electrode electromagmetic energy delivery surface. A disinfectant medium introduction member coupled to a source of a disinfectant medium and includes a distal end that is configured to extend into an oral cavity. An electrode advancement and retraction device is at least partially positioned in the interior of the catheter. A cable is coupled to the electrode.
摘要翻译: 一种装置可以减少身体结构内部的至少一部分,减少身体结构感染的几率。 导管设置有导管组织界面表面和形成在导管组织界面表面中的端口。 电极至少部分地定位在导管的内部,并被构造成前进和缩进进出口。 电极包括电极电磁能量输送表面。 一种消毒介质引入构件,其耦合到消毒介质源并且包括构造成延伸到口腔中的远端。 电极前进和缩回装置至少部分地定位在导管的内部。 电缆耦合到电极。
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公开(公告)号:US5800429A
公开(公告)日:1998-09-01
申请号:US752076
申请日:1996-11-19
申请人: Stuart D. Edwards
发明人: Stuart D. Edwards
IPC分类号: A61B17/00 , A61B17/42 , A61B18/00 , A61B18/04 , A61B18/14 , A61B18/18 , A61F2/958 , A61M3/02 , A61M16/04 , A61N1/06 , A61N1/08 , A61N5/04 , A61B17/36
CPC分类号: A61B18/1485 , A61B18/1477 , A61B18/148 , A61B18/1492 , A61M16/0481 , A61N1/06 , A61N1/08 , A61B18/18 , A61B2017/00084 , A61B2017/00106 , A61B2017/4216 , A61B2018/00029 , A61B2018/00065 , A61B2018/00083 , A61B2018/00214 , A61B2018/0022 , A61B2018/00261 , A61B2018/00559 , A61B2018/00577 , A61B2018/00654 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00761 , A61B2018/00791 , A61B2018/00827 , A61B2018/00869 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/00982 , A61B2018/046 , A61B2018/124 , A61B2018/1472 , A61B2218/002 , A61M2025/1052 , A61M2025/1086 , A61M25/1002 , A61M3/0279 , A61N5/04
摘要: An apparatus is provided for ablating at least a portion of a nasal concha. By ablating at least a portion of a nasal concha, the size of the nasal concha is reduced. The three nasal concha in the body (inferior, middle and superior nasal concha) form at least a portion of the three nasal meatus (inferior, middle and superior nasal meatus) in the body. By reducing the size of a nasal concha, obstruction of a nasal meatus is reduced or eliminated. As a result, air flow through the nasal meatus is improved. In one embodiment, the apparatus includes a catheter having a distal portion with a dimension configured for positioning the catheter distal portion through a nostril of a patient into a nasal meatus adjacent a surface of a nasal concha and a means at the catheter distal portion for delivering sufficient ablative energy to the nasal concha to ablate at least a portion of the nasal concha through heating without penetrating the surface of the nasal concha with an element of the apparatus.
摘要翻译: 提供了一种用于烧蚀鼻内耳的至少一部分的装置。 通过消融至少一部分鼻内耳,鼻内耳的尺寸减小。 身体中的三个鼻甲(下鼻甲,中鼻和上鼻)形成体内三个鼻腔(下,中,上鼻孔)的至少一部分。 通过减小鼻塞的尺寸,可减少或消除鼻塞的阻塞。 结果,改善了通过鼻腔的气流。 在一个实施例中,该装置包括具有远端部分的导管,其具有被配置用于将导管远端部分穿过患者的鼻孔定位成邻近鼻塞表面的鼻腔和在导管远端部分处的装置的尺寸, 足够的烧蚀能量到鼻塞以通过加热来烧蚀鼻内耳的至少一部分,而不用装置的元件穿透鼻甲表面。
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