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公开(公告)号：US10058336B2
公开(公告)日：2018-08-28
申请号：US13083411
申请日：2011-04-08
申请人： Csaba Truckai , Aaron Germain , John H. Shadduck
发明人： Csaba Truckai , Aaron Germain , John H. Shadduck
CPC分类号： A61B17/1671 , A61B17/1604 , A61B17/1626 , A61B17/1631 , A61B17/1633 , A61B17/1642 , A61B17/1657 , A61B17/3421 , A61B17/3472 , A61B17/8805 , A61B17/8855 , A61B17/8858 , A61B2090/031
摘要： Methods and devices that displace bone or other hard tissue to create a cavity in the tissue. Where such methods and devices rely on a driving mechanism for providing moving of the device to form a profile that improves displacement of the tissue. These methods and devices also allow for creating a path or cavity in bone for insertion of bone cement or other filler to treat a fracture or other condition in the bone. The features relating to the methods and devices described herein can be applied in any region of bone or hard tissue where the tissue or bone is displaced to define a bore or cavity instead of being extracted from the body such as during a drilling or ablation procedure.
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公开(公告)号：US20130172870A1
公开(公告)日：2013-07-04
申请号：US13540396
申请日：2012-07-02
IPC分类号： A61B18/18
CPC分类号： A61B18/18 , A61B1/012 , A61B1/303 , A61B17/32002 , A61B18/08 , A61B18/1482 , A61B2017/320028 , A61B2017/4216 , A61B2018/00196 , A61B2018/00589 , A61B2018/00601 , A61B2018/1475 , A61B2218/002 , A61B2218/007
摘要： A probe for resecting and coagulating tissue comprises an outer sleeve having a tissue cutting window and an inner sleeve having a tissue cutting distal end. And RF cutting region is formed at the distal end of the inner member and an RF coagulation region is formed on an exterior surface of the inner member immediately proximal to the cutting surface. A single power supply providing a single RF energy mode can be connected to both RF applicator regions to simultaneously cut and coagulate tissue.
摘要翻译： 用于切割和凝固组织的探针包括具有组织切割窗口的外套筒和具有组织切割远端的内套筒。 并且RF切割区域形成在内部构件的远端处，并且RF紧固区域形成在紧邻切割表面的内部构件的外表面上。 提供单个RF能量模式的单个电源可以连接到RF施加器区域以同时切割和凝固组织。
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公开(公告)号：US20120330292A1
公开(公告)日：2012-12-27
申请号：US13277913
申请日：2011-10-20
IPC分类号： A61B17/3205 , A61B18/14 , A61B18/08 , A61B18/18 , A61B18/20
CPC分类号： A61B18/1482 , A61B1/015 , A61B1/05 , A61B17/32002 , A61B17/3205 , A61B18/00 , A61B18/1206 , A61B18/18 , A61B2017/320028 , A61B2018/00196 , A61B2018/00202 , A61B2018/00559 , A61B2018/00589 , A61B2018/00601 , A61B2018/00625 , A61B2018/048 , A61B2018/126 , A61B2018/1437 , A61B2218/002 , A61B2218/007
摘要： Tissue may be cut and extracted from an interior location in a patient's body using a probe or tool which both effects cutting and causes vaporization of a liquid or other fluid to propel the cut tissue through an extraction lumen of the cutting device. The cutting may be achieved using an electrosurgical electrode assembly, including a first electrode on a cutting member and a second electrode within a cutting probe or tool. Thus, over a first cutting portion, radio frequency current may help cut the tissue and over a second or over transition region, the RF current may initiate vaporization of the fluid or other liquid to propel the tissue from the cutting device.
摘要翻译： 可以使用探针或工具从患者体内的内部位置切割并提取组织，所述探针或工具都会影响切割并引起液体或其它流体的蒸发，以将切割的组织推动通过切割装置的提取腔。 可以使用电外科电极组件来实现切割，所述电外科电极组件包括切割构件上的第一电极和切割探针或工具内的第二电极。 因此，在第一切割部分上，射频电流可以帮助切割组织并且在第二或过渡过渡区域上，RF电流可以引发流体或其它液体的蒸发，以推动来自切割装置的组织。
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公开(公告)号：US20130317492A1
公开(公告)日：2013-11-28
申请号：US13676249
申请日：2012-11-14
申请人： Csaba Truckai , Aaron Germain , John H. Shadduck
发明人： Csaba Truckai , Aaron Germain , John H. Shadduck
IPC分类号： A61B18/08
CPC分类号： A61B18/1445 , A61B18/08 , A61B18/085 , A61B2018/00172 , A61B2018/00589 , A61B2018/00601 , A61B2018/146
摘要： A medical for removing tissue from a patient includes an elongated probe with a working end. A pair of jaws is provided at the working end. The jaws may be closed for cutting and treatment of the tissue. Cutting may be effective through a sharpened cutting blade, and RF cutting blade, and similar cutting edges. The tissue may be remodeled using heat generated from passive heating elements on the jaws, active heating elements on the jaws, a PTCR heating element carried by the jaws, or resistive heaters on the jaws.
摘要翻译： 用于从患者去除组织的医学包括具有工作端的细长探针。 工作端设有一对钳口。 钳口可以关闭以切割和处理组织。 切割可以通过锋利的切割刀片和RF切割刀片以及类似的切削刃而有效。 可以使用由钳口上的被动加热元件，钳口上的主动加热元件，由钳口承载的PTCR加热元件或钳口上的电阻加热器产生的热量来重组组织。
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公开(公告)号：US08512326B2
公开(公告)日：2013-08-20
申请号：US13277913
申请日：2011-10-20
IPC分类号： A61B18/18
CPC分类号： A61B18/1482 , A61B1/015 , A61B1/05 , A61B17/32002 , A61B17/3205 , A61B18/00 , A61B18/1206 , A61B18/18 , A61B2017/320028 , A61B2018/00196 , A61B2018/00202 , A61B2018/00559 , A61B2018/00589 , A61B2018/00601 , A61B2018/00625 , A61B2018/048 , A61B2018/126 , A61B2018/1437 , A61B2218/002 , A61B2218/007
摘要： Tissue may be cut and extracted from an interior location in a patient's body using a probe or tool which both effects cutting and causes vaporization of a liquid or other fluid to propel the cut tissue through an extraction lumen of the cutting device. The cutting may be achieved using an electrosurgical electrode assembly, including a first electrode on a cutting member and a second electrode within a cutting probe or tool. Thus, over a first cutting portion, radio frequency current may help cut the tissue and over a second or over transition region, the RF current may initiate vaporization of the fluid or other liquid to propel the tissue from the cutting device.
摘要翻译： 可以使用探针或工具从患者体内的内部位置切割并提取组织，所述探针或工具都会影响切割并引起液体或其它流体的蒸发，以将切割的组织推动通过切割装置的提取腔。 可以使用电外科电极组件来实现切割，所述电外科电极组件包括切割构件上的第一电极和切割探针或工具内的第二电极。 因此，在第一切割部分上，射频电流可以帮助切割组织并且在第二或过渡过渡区域上，RF电流可以引发流体或其它液体的蒸发，以推动来自切割装置的组织。
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公开(公告)号：US20130296847A1
公开(公告)日：2013-11-07
申请号：US13664177
申请日：2012-10-30
IPC分类号： A61B18/18
CPC分类号： A61B18/18 , A61B17/32002 , A61B17/42 , A61B18/1206 , A61B18/1485 , A61B50/13 , A61B50/20 , A61B2017/320028 , A61B2017/4216 , A61B2018/00196 , A61B2018/00202 , A61B2018/00559 , A61B2018/00601 , A61B2018/00642 , A61B2018/00726 , A61B2018/00863 , A61B2018/1412 , A61B2218/002 , A61B2218/007
摘要： Tissue may be cut and extracted from an interior location in a patient's body using a probe or tool which both effects cutting and causes vaporization of a liquid or other fluid to propel the cut tissue through an extraction lumen of the cutting device. The cutting may be achieved using an electrosurgical electrode assembly, including a first electrode on a cutting member and a second electrode within a cutting probe or tool.
摘要翻译： 可以使用探针或工具从患者体内的内部位置切割并提取组织，所述探针或工具都会影响切割并引起液体或其它流体的蒸发，以将切割的组织推动通过切割装置的提取腔。 可以使用电外科电极组件来实现切割，所述电外科电极组件包括切割构件上的第一电极和切割探针或工具内的第二电极。
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7.发明申请公开(公告)号：US20130090642A1
公开(公告)日：2013-04-11
申请号：US13540887
申请日：2012-07-03
CPC分类号： A61B18/085 , A61B18/042 , A61B18/1445 , A61B18/18 , A61B2018/00196 , A61B2018/00291 , A61B2018/00601 , A61B2218/007
摘要： A surgical tissue cutting and extraction device includes a sleeve having a tissue extraction lumen. One or more jaw members are coupled to the sleeve and configured to pivot or flex relative to the sleeve to capture tissue. The captured tissue may then be resected using radio frequency or other cutting tools on the sleeve.
摘要翻译： 外科组织切割和提取装置包括具有组织提取腔的套管。 一个或多个钳口构件联接到套筒并且构造成相对于套筒枢转或弯曲以捕获组织。 然后可以使用射频或套筒上的其他切割工具切割所捕获的组织。
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公开(公告)号：US09247983B2
公开(公告)日：2016-02-02
申请号：US13676249
申请日：2012-11-14
申请人： Csaba Truckai , Aaron Germain , John H. Shadduck
发明人： Csaba Truckai , Aaron Germain , John H. Shadduck
CPC分类号： A61B18/1445 , A61B18/08 , A61B18/085 , A61B2018/00172 , A61B2018/00589 , A61B2018/00601 , A61B2018/146
摘要： A medical for removing tissue from a patient includes an elongated probe with a working end. A pair of jaws is provided at the working end. The jaws may be closed for cutting and treatment of the tissue. Cutting may be effective through a sharpened cutting blade, and RF cutting blade, and similar cutting edges. The tissue may be remodeled using heat generated from passive heating elements on the jaws, active heating elements on the jaws, a PTCR heating element carried by the jaws, or resistive heaters on the jaws.
摘要翻译： 用于从患者去除组织的医学包括具有工作端的细长探针。 工作端设有一对钳口。 钳口可以关闭以切割和处理组织。 切割可以通过锋利的切割刀片和RF切割刀片以及类似的切削刃而有效。 可以使用由钳口上的被动加热元件，钳口上的主动加热元件，由钳口承载的PTCR加热元件或钳口上的电阻加热器产生的热量来重组组织。
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公开(公告)号：US20130172805A1
公开(公告)日：2013-07-04
申请号：US13534908
申请日：2012-06-27
申请人： Csaba Truckai , Aaron Germain , Kyle Klein , John H. Shadduck , Michael D. Walker , Benedeck Orczy-Timko , Balazs Lesko
发明人： Csaba Truckai , Aaron Germain , Kyle Klein , John H. Shadduck , Michael D. Walker , Benedeck Orczy-Timko , Balazs Lesko
IPC分类号： A61M1/00
CPC分类号： A61B17/42 , A61B17/3205 , A61B18/1485 , A61B2017/4216 , A61B2018/00196 , A61B2018/00559 , A61B2018/00601 , A61M1/0031 , A61M1/0058 , A61M1/006 , A61M1/008 , A61M3/0229
摘要： A fluid management system for use with a fluid reservoir includes an inflow pump and an outflow pump. The inflow pump is connectable to a probe for delivering a distention fluid to a body cavity. The outflow pump removes the distention fluid through the same probe, thus establishing a re-circulating volume of distention fluid within the body cavity. The removed fluid is filtered and returned to a fluid reservoir for eventual recycling to the body cavity. A controller adjusts the flow rates of the inflow pump and the outflow pump to maintain a pre-selected fluid pressure or volume within the body cavity.
摘要翻译： 用于流体储存器的流体管理系统包括流入泵和流出泵。 流入泵可连接到用于将膨胀流体输送到体腔的探针。 流出泵通过相同的探针去除膨胀流体，从而在体腔内建立膨胀流体的再循环体积。 去除的流体被过滤并返回到流体储存器，以最终循环到体腔。 控制器调节流入泵和流出泵的流量，以维持体腔内的预先选定的流体压力或体积。
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公开(公告)号：US20130046304A1
公开(公告)日：2013-02-21
申请号：US13531309
申请日：2012-06-22
申请人： Aaron Germain , Kyle Klein , Benedek Orczy-Timko , Michael D. Walker , John H. Shadduck , Csaba Truckai , Balazs Lesko
发明人： Aaron Germain , Kyle Klein , Benedek Orczy-Timko , Michael D. Walker , John H. Shadduck , Csaba Truckai , Balazs Lesko
CPC分类号： A61B18/1485 , A61B17/32002 , A61B18/1482 , A61B18/18 , A61B2017/320028 , A61B2018/00083 , A61B2018/00196 , A61B2018/00559 , A61B2018/00601 , A61B2018/00982 , A61B2018/142 , A61B2218/002 , A61B2218/007
摘要： The tissue cutting device comprises an elongated assembly including both an outer sleeve and an inner sleeve. The outer sleeve has a tissue-receiving window, and the inner sleeve has a distal end which cuts tissue as the inner sleeve is advanced past the window. The tissue is received into a lumen of the inner sleeve, and the inner sleeve lumen is typically enlarged in a proximal direction to reduce the tendency of resected tissue to lodge therein. The tissue displacement member is optionally provided at a distal end of the outer sleeve to further aid in dislodging tissue which becomes captured in a distal end of the inner sleeve of the lumen.
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