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公开(公告)号：US11344357B2
公开(公告)日：2022-05-31
申请号：US15667695
申请日：2017-08-03
Applicant: Boston Scientific Scimed, Inc.
Inventor： Robert J. Garabedian , Amy C. Kelly , Steve K. Landreville
Abstract: A system, ablation probe, and method is provided for treating tissue, e.g., tissue having tumors. The treatment system is configured to automatically deliver infusaid to tissue when needed and comprises an ablation probe having an ablative element and at least one perfusion exit port. The system further comprises an ablation source operably coupled to the ablative element, and a pump assembly operably coupled to the perfusion exit port(s). The pump assembly is configured for pumping infusaid out through the perfusion exit port(s), preferably during the ablation process. The system further comprises a feedback device configured for controlling the amount of infusaid displaced by the pump assembly based on a sensed tissue parameter, e.g., tissue temperature or tissue impedance.
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公开(公告)号：US20170181791A1
公开(公告)日：2017-06-29
申请号：US15351993
申请日：2016-11-15
Applicant: Boston Scientific Scimed, Inc.
Inventor： Robert J. Garabedian , Robert F. Rioux
Abstract: A medical assembly and method are provided to effectively treat abnormal tissue, such as, a tumor. The target tissue is thermally ablate 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 shied may comprise an actively cooled inflatable balloon, which can be disposed between the two organs when deflated, and then inflated. The inflated 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 jumping a cooling medium through them.
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Patent Agency Ranking
公开(公告)号：US10524855B2
公开(公告)日：2020-01-07
申请号：US15351993
申请日：2016-11-15
Applicant: Boston Scientific Scimed, Inc.
Inventor： Robert J. Garabedian , Robert F. Rioux
Abstract: A medical assembly and method are provided to effectively treat abnormal tissue, such as, a tumor. The target tissue is thermally ablate 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 inflated 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 jumping a cooling medium through them.
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公开(公告)号：US09526561B2
公开(公告)日：2016-12-27
申请号：US14143782
申请日：2013-12-30
Applicant: Boston Scientific Scimed Inc.
Inventor： Robert J. Garabedian , Robert F. Rioux
CPC classification number: A61B18/1477 , A61B18/14 , A61B90/04 , A61B2018/00005 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00577 , A61B2090/0445 , A61B2090/0481
Abstract: 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.
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公开(公告)号：US20240016512A1
公开(公告)日：2024-01-18
申请号：US18220999
申请日：2023-07-12
Applicant: Boston Scientific Scimed, Inc.
Inventor： Robert J. Garabedian , Teresa Ruvalcaba
IPC: A61B17/3207 , A61B17/22
CPC classification number: A61B17/32075 , A61B17/22031
Abstract: Medical devices and methods for using medical devices are disclosed. An example hand-held shaft puller for engaging a medical device shaft includes a handle having a distal end region, a proximal end region and a longitudinal axis. Further, the distal end region includes a first channel extending along the longitudinal axis, and wherein the first channel includes an engagement surface configured to engage an engagement member disposed on a shaft extending through the first channel.
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公开(公告)号：US20170325870A1
公开(公告)日：2017-11-16
申请号：US15667695
申请日：2017-08-03
Applicant: Boston Scientific Scimed, Inc.
Inventor： Robert J. Garabedian , Amy C. Kelly , Steve K. Landreville
CPC classification number: A61B18/0206 , A61B18/12 , A61B18/1477 , A61B18/148 , A61B2018/00005 , A61B2018/00035 , A61B2018/00071 , A61B2018/00577 , A61B2018/00595 , A61B2018/00702 , A61B2018/00875 , A61B2018/00916 , A61B2018/00934 , A61B2018/1425 , A61B2018/143 , A61B2018/1432 , A61B2018/1472 , A61B2018/1475 , A61B2218/002
Abstract: A system, ablation probe, and method is provided for treating tissue, e.g., tissue having tumors. The treatment system is configured to automatically deliver infusaid to tissue when needed and comprises an ablation probe having an ablative element and at least one perfusion exit port. The system further comprises an ablation source operably coupled to the ablative element, and a pump assembly operably coupled to the perfusion exit port(s). The pump assembly is configured for pumping infusaid out through the perfusion exit port(s), preferably during the ablation process. The system further comprises a feedback device configured for controlling the amount of infusaid displaced by the pump assembly based on a sensed tissue parameter, e.g., tissue temperature or tissue impedance.
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公开(公告)号：US20140324042A1
公开(公告)日：2014-10-30
申请号：US14143782
申请日：2013-12-30
Applicant: Boston Scientific Scimed Inc.
Inventor： Robert J. Garabedian , Robert F. Rioux
IPC: A61B18/14
CPC classification number: A61B18/1477 , A61B18/14 , A61B90/04 , A61B2018/00005 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00577 , A61B2090/0445 , A61B2090/0481
Abstract: 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.
Abstract translation: 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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