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公开(公告)号：US20210228258A1
公开(公告)日：2021-07-29
申请号：US15734812
申请日：2019-06-06
申请人： Robert F. Rioux
发明人： Robert F. Rioux
摘要： A portable wound treatment system that includes a treatment device and a portable generator that may be used for debridement of target tissue to remove devitalized tissue, manage bacterial biofilm, control the bacterial load, and facilitate wound closure and healing. The treatment device includes a handle, an interior cavity for receiving a conductive fluid, such as a saline solution, a conductive element disposed within the interior cavity, and a plurality of apertures configured to allow passage of the conductive fluid from the interior cavity. The portable generator generates and transmits energy to the conductive element, which is then carried by the conductive fluid passing through one or more of the apertures for coagulation and/or ablation of a target tissue.
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2.发明授权公开(公告)号：US08157850B2
公开(公告)日：2012-04-17
申请号：US10629077
申请日：2003-07-29
申请人： Nancy Usiak , Paul DiCarlo , Robert F. Rioux , Kristian DiMatteo , James Weldon , Shubhang Mishra
发明人： Nancy Usiak , Paul DiCarlo , Robert F. Rioux , Kristian DiMatteo , James Weldon , Shubhang Mishra
IPC分类号： A61F2/06
CPC分类号： A61F2/06 , A61F2002/9522
摘要： An endoluminal graft is wrapped axially upon itself to form a low profile, which facilitates endoluminal delivery. Apparatus and systems for making and using such grafts are also disclosed.
摘要翻译： 腔内移植物在其自身上轴向包裹以形成低轮廓，其有助于腔内递送。 还公开了用于制造和使用这种移植物的装置和系统。
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公开(公告)号：US08142427B2
公开(公告)日：2012-03-27
申请号：US10831244
申请日：2004-04-23
IPC分类号： A61B18/18
CPC分类号： A61B18/1477 , A61B2018/143 , A61B2018/1432
摘要： An invasive medical device for delivery radio frequency energy to a target tissue region includes an elongate delivery cannula having a lumen in communication with a distal opening. A deployment member is positioned and longitudinally movable in the lumen. An array of electrode elements are secured to a distal end of the deployment member, the deployment member being movable from a delivery position, in which the electrode elements are positioned within the lumen, to a deployed position, in which the electrode elements extend distally out of the cannula distal opening. A sealing member formed from a biocompatible material sufficiently rigid to penetrate solid body tissue partially extends from, and substantially seals, the distal cannula opening when the deployment member is in the delivery position. By way of examples, the sealing member may be carried on a distal end of the deployment member, or on a separately movable deployment member, or frictionally fit in the cannula distal opening.
摘要翻译： 用于将射频能量传送到目标组织区域的侵入性医疗装置包括具有与远端开口连通的内腔的细长输送套管。 展开构件在内腔中定位和纵向移动。 电极元件的阵列固定到展开构件的远端，展开构件可从电子元件位于内腔内的输送位置移动到展开位置，电极元件向远侧延伸 的套管远端开口。 当展开构件处于输送位置时，由足够刚性以穿透实体组织的生物相容性材料形成的密封构件部分延伸并且基本上密封远端插管开口。 作为示例，密封构件可以承载在展开构件的远端上，或者在可单独移动的展开构件上承载，或摩擦地配合在套管远侧开口中。
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公开(公告)号：US07918815B2
公开(公告)日：2011-04-05
申请号：US12711768
申请日：2010-02-24
IPC分类号： A61N1/30
CPC分类号： A61F2/04 , A61F2/0009
摘要： A stent for assisting urinary release in a male patient includes a first segment, a second segment, and a connecting member disposed between the first and second segments. The first segment includes a multi-winged malecot. When the stent is properly positioned within the patient's urinary system, the first segment is located on one side of the external sphincter with the multi-winged malecot located within the bladder to inhibit migration of the stent, and the second segment is located on the other side of the external sphincter and also tends to inhibit migration of the stent. The connecting segment is sized to extend through the external sphincter to couple the first and second segments together while not interfering with the normal operation of the external sphincter.
摘要翻译： 用于在男性患者中辅助尿液释放的支架包括第一部分，第二部分和设置在第一和第二部分之间的连接部件。 第一部分包括一个多翼麦汁。 当支架适当地定位在患者的泌尿系统内时，第一段位于外括约肌的一侧，多翼马尾座位于膀胱内以抑制支架的移动，第二段位于另一侧 外侧括约肌的一侧，并且还倾向于抑制支架的移动。 连接段的尺寸设置成延伸穿过外括约肌以将第一和第二段连接在一起，同时不干扰外括约肌的正常操作。
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公开(公告)号：US20110022044A1
公开(公告)日：2011-01-27
申请号：US12849699
申请日：2010-08-03
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B18/14 , A61B90/04 , A61B2018/00005 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00577 , A61B2090/0445 , A61B2090/0481
摘要： A medical assembly and method are provided to effectively treat abnormal tissue, such as, a tumor. The target tissue is thermally ablated using a suitable source, such as RF or laser energy. A cooling shield is placed in contact with non-target tissue adjacent the target tissue, and actively cooled to conduct thermal energy away from the non-target tissue. In one method, the cooling shield can be placed between two organs, in which case, one of the two organs can comprise the target tissue, and the other of the two organs can comprise the non-target tissue. In this case, the cooling shield may comprise an actively cooled inflatable balloon, which can be disposed between the two organs when deflated, and then inflated. The inflatable balloon can be actively cooled by pumping a cooling medium through it. In another method, the cooling shield can be embedded within the non-target tissue. In this case, the cooling shield can comprise one or more needles. If a plurality of needles is used, they can be embedded into the non-target tissue in a series, e.g., a rectilinear or curvilinear arrangement. The needle(s) can be actively cooled by pumping a cooling medium through them.
摘要翻译： 提供医疗组件和方法来有效地治疗诸如肿瘤的异常组织。 使用适当的来源（例如RF或激光能量）将靶组织热消融。 将冷却屏蔽物放置成与目标组织相邻的非靶组织接触，并且主动冷却以将热能从非目标组织传导出去。 在一种方法中，冷却屏蔽可以放置在两个器官之间，在这种情况下，两个器官中的一个可以包括靶组织，并且两个器官中的另一个可以包括非靶组织。 在这种情况下，冷却屏蔽件可以包括主动冷却的可膨胀气囊，当气体放气时可以将气囊放置在两个器官之间，然后膨胀。 可以通过泵送冷却介质来主动冷却可充气球囊。 在另一种方法中，冷却屏蔽可以嵌入在非目标组织内。 在这种情况下，冷却罩可以包括一个或多个针。 如果使用多个针，则它们可以以一系列例如直线或曲线布置被嵌入到非目标组织中。 可以通过将冷却介质泵送通过它们来主动冷却针。
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公开(公告)号：US07751869B2
公开(公告)日：2010-07-06
申请号：US11298807
申请日：2005-12-09
申请人： Robert F. Rioux , Paul DiCarlo
发明人： Robert F. Rioux , Paul DiCarlo
IPC分类号： A61B5/05
CPC分类号： A61N5/1049 , A61B18/1477 , A61B18/148 , A61B2018/1425 , A61B2018/143 , A61B2018/1432 , A61N5/1065 , A61N2005/1061
摘要： A system and method for treating a target tissue region (e.g., malignant tissue) is provided. A hyperthermic probe is placed into contact with the target tissue region, and the target tissue region is exposed to a therapeutic x-ray radiation beam. The probe is operated to increase the temperature of the target tissue region, thereby facilitating a therapeutic effect of the radiation beam. Image data of the probe containing a fiducial datum is acquired while in contact with the target tissue region, a position of the target tissue region within a treatment coordinate system is determined based on the fiducial datum, and the radiation beam is spatially adjusted relative to the target tissue region based on the determined position of the target tissue region.
摘要翻译： 提供了用于治疗靶组织区域（例如，恶性组织）的系统和方法。 将高温探针放置成与目标组织区域接触，并且将目标组织区域暴露于治疗性X射线辐射束。 操作探针以增加靶组织区域的温度，从而有助于辐射束的治疗效果。 在与目标组织区域接触的同时获取包含基准数据的探针的图像数据，基于基准原理确定处理坐标系内的目标组织区域的位置，并且相对于 基于所确定的目标组织区域的位置的目标组织区域。
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公开(公告)号：US20100114084A1
公开(公告)日：2010-05-06
申请号：US12685139
申请日：2010-01-11
CPC分类号： A61B17/12036 , A61B17/12022 , A61B17/12109 , A61B17/12136 , A61B17/1219 , A61B18/1477 , A61B18/1485 , A61B2017/00557 , A61B2017/22067 , A61B2018/00214 , A61B2018/00577
摘要： Methods and devices for occluding a vessel during a percutaneous ablation procedure. An elongated access device having a lumen and a tissue piercing, open distal end in communication with the lumen is used to percutaneously access a vessel that supplied blood to the tissue to be treated. An elongated balloon deployment device is used to deliver a balloon into the interior of the vessel. The balloon is inflated, resulting in the occlusion of the vessel. The tissue to be treated is ablated. Because there is little or no blood to transfer the thermal energy away from the heated tissue, the ablation procedure is performed more efficiently. The balloon may be subsequently deflated allowing normal flow through the vessel to return.
摘要翻译： 在经皮消融手术期间闭塞血管的方法和装置。 使用具有内腔和与内腔连通的组织刺穿的开放远端的细长的进入装置来经皮地进入供应待处理组织的血液的血管。 使用细长的气囊展开装置将气囊输送到容器的内部。 气球膨胀，导致血管闭塞。 要治疗的组织被消融。 因为很少或没有血液将热能转移到加热的组织之外，因此更有效地进行消融过程。 气球可能随后放气，允许正常流过血管返回。
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公开(公告)号：US20100023002A1
公开(公告)日：2010-01-28
申请号：US12573031
申请日：2009-10-02
申请人： Paul DiCarlo , Robert F. Rioux
发明人： Paul DiCarlo , Robert F. Rioux
CPC分类号： A61B18/14 , A61B18/1206 , A61B18/1477 , A61B2018/124 , A61B2018/1273 , A61B2018/1425 , A61B2560/0214
摘要： A tissue ablation system comprises an ablation source, such as an RF ablation source, configured for generating a common power signal, and a power multiplexor configured for splitting the power signal into first and second power signals, substantially attenuating the second power signal relative to the first power signal to create nominal and attenuated power signals, and sequentially delivering the nominal power signal to each tissue ablation probe, while delivering the attenuated power signal to the remaining ablation probes to which the nominal power signal is currently not delivered.
摘要翻译： 组织消融系统包括被配置为产生公共功率信号的消融源，例如RF消融源，以及被配置为将功率信号分为第一和第二功率信号的功率多路复用器，基本上衰减第二功率信号相对于 第一功率信号以产生标称和衰减的功率信号，并且将标称功率信号依次递送到每个组织消融探针，同时将衰减的功率信号递送到目前未传送标称功率信号的剩余消融探针。
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公开(公告)号：US20090149832A1
公开(公告)日：2009-06-11
申请号：US12209495
申请日：2008-09-12
IPC分类号： A61M5/31
CPC分类号： A61M39/0208 , A61M39/04 , A61M2039/0081
摘要： A device for providing access to an implantable fluid transfer port, comprises a needle extending to a distal end insertable into body to enter a reservoir of a port implanted therein and an actuation member extending through a lumen of the needle from an actuator which remains external to a living body accessible to a user thereof in combination with an obturator coupled to a distal end of the actuation member, an outer diameter of the obturator substantially matching an inner diameter of the lumen of the needle so that, when retracted into the lumen, the obturator seals a distal opening thereof and an anchoring mechanism coupled to the actuation member proximally of the obturator, the anchoring mechanism being moved to an expanded state in which an outer diameter of the anchoring mechanism exceeds an outer diameter of the needle when moved out of the lumen of the needle.
摘要翻译： 一种用于提供对植入式流体输送口的通路的装置，包括延伸到可插入到体内的远端的针，以进入植入其中的端口的储存器;以及致动构件，其从保持在外部的致动器延伸穿过针的内腔， 与使用者相接触的活体与联接到致动构件的远端的阻塞器组合，所述闭孔器的外径基本上与针的内腔的内径匹配，使得当缩回到内腔中时， 闭塞器密封其远端开口，以及联接到致动构件的闭塞器的近侧的锚定机构，所述锚定机构被移动到膨胀状态，其中当所述锚固机构的外径从外部移出时，所述锚定机构的外径超过所述针的外径 针管腔。
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公开(公告)号：US20090125026A1
公开(公告)日：2009-05-14
申请号：US12269790
申请日：2008-11-12
申请人： Robert F. Rioux , Kathleen Kane , Devon Berman
发明人： Robert F. Rioux , Kathleen Kane , Devon Berman
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B2018/00065 , A61B2018/00404 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455 , A61B2018/1472
摘要： A combination tissue coagulation and cutting apparatus, system and method for coagulating and cutting tissue. A clamp element includes first and second clamp members having respective first and second porous electrodes, such as sintered metal electrodes. A portion of tissue, such as a blood vessel, is held between the porous electrodes, and fluid from a fluid source can pass through the porous electrodes. The tissue portion can be coagulated when electrical current is applied to the first and second porous electrodes, and an adjustable cutting element that is associated with the clamp members is positioned to cut a segment or all of the coagulated tissue portion. In this manner, the same surgical instrument is used to coagulate and cut tissue.
摘要翻译： 组合凝固切割装置，用于凝固和切割组织的系统和方法。 夹紧元件包括具有相应的第一和第二多孔电极的第一和第二夹紧构件，例如烧结金属电极。 诸如血管的组织的一部分被保持在多孔电极之间，并且来自流体源的流体可以通过多孔电极。 当向第一和第二多孔电极施加电流时，组织部分可以凝结，并且与夹紧构件相关联的可调节的切割元件被定位成切割一个或多个凝固的组织部分。 以这种方式，使用相同的手术器械来凝固和切割组织。
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