公开(公告)号：US20220142707A1

公开(公告)日：2022-05-12

申请号：US17581027

申请日：2022-01-21

申请人： Covidien LP

发明人： Joseph D. Brannan ,  Jason A. Case ,  Casey M. Ladtkow ,  Kurt R. Smith

IPC分类号： A61B18/18 ,  A61B18/14 ,  A61N5/02 ,  A61B17/00

摘要： A method for forming a resonating structure within a body lumen, the method including advancing a flexible microwave catheter into a body lumen of a patient, the flexible microwave catheter including a radiating portion at the distal end of the flexible microwave catheter, the radiating portion configured to receive microwave energy, and at least one centering device proximate the radiating portion configured to deploy radially outward from the flexible microwave catheter; positioning the radiating portion near tissue of interest; deploying the at least one centering device radially outward from the flexible microwave catheter within the body lumen such that a longitudinal axis of the radiating portion is substantially parallel with and at a fixed distance from a longitudinal axis of the body lumen near the targeted tissue; and delivering microwave energy to the radiating portion such that a circumferentially balanced resonating structure is formed with the body lumen.

公开(公告)号：US20180289419A1

公开(公告)日：2018-10-11

申请号：US16005067

申请日：2018-06-11

申请人： COVIDIEN LP

发明人： Casey M. Ladtkow ,  Joseph D. Brannan ,  Darion R. Peterson ,  Eric W. Larson ,  Kaylen J. Haley ,  William J. Dickhans ,  Jason A. Case

IPC分类号： A61B18/18 ,  A61B6/03 ,  A61B5/01 ,  A61B6/12 ,  A61B6/00 ,  A61B10/04 ,  A61B5/11 ,  A61B1/018 ,  A61B10/02 ,  A61B10/06 ,  A61B5/00 ,  A61B5/06 ,  A61B5/053 ,  A61B1/267 ,  A61B8/08 ,  A61B8/12 ,  A61B18/14 ,  A61B17/00 ,  A61B18/00

摘要： A method for treating tissue through a branched luminal network of a patient is provided. A pathway to a point of interest in branched luminal network of a patient is generated. An extended working channel is advanced transorally into the branched luminal network and along the pathway to the point of interest. The extended working channel may be positioned in a substantially fixed orientation at the point interest. A tool is advanced though the extended working channel to the point of interest. Tissue at the point of interest is treated.

公开(公告)号：US09259269B2

公开(公告)日：2016-02-16

申请号：US13836519

申请日：2013-03-15

申请人： Covidien LP

发明人： Casey M. Ladtkow ,  Joseph D. Brannan ,  Darion R. Peterson ,  Eric W. Larson ,  Kaylen J. Haley ,  William J. Dickhans ,  Jason A. Case

IPC分类号： A61B18/04 ,  A61B18/18 ,  A61B6/12 ,  A61B5/01 ,  A61B6/03 ,  A61B10/02 ,  A61B10/04 ,  A61B10/06 ,  A61B5/11 ,  A61B1/018 ,  A61B6/00 ,  A61B1/267 ,  A61B5/053 ,  A61B5/00 ,  A61B5/06 ,  A61B18/00

CPC分类号： A61B18/1815 ,  A61B1/018 ,  A61B1/2676 ,  A61B5/01 ,  A61B5/0538 ,  A61B5/062 ,  A61B5/064 ,  A61B5/1114 ,  A61B5/4836 ,  A61B5/7425 ,  A61B5/7445 ,  A61B6/032 ,  A61B6/12 ,  A61B6/487 ,  A61B8/0841 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B10/06 ,  A61B18/1477 ,  A61B2010/0216 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/1861

摘要： A microwave ablation system configured for use in luminal network is provided. The microwave ablation system includes a microwave energy source. A tool for treating tissue is provided with the microwave ablation system. An extended working channel is configured to provide passage for the tool. A locatable guide catheter is positionable through the extended working channel and configured to navigate the extended working channel adjacent the target tissue. The microwave ablation system includes a navigation system that is configured for guiding the tool, extended working channel or the locatable guide through a luminal network following a predetermined determined pathway to the target tissue. One or more imaging modalities may be utilized for confirming placement of the tool within target tissue.

摘要翻译： 提供了一种配置用于管腔网络的微波消融系统。 微波消融系统包括微波能量源。 微波消融系统提供了一种用于治疗组织的工具。 扩展工作通道被配置为为工具提供通道。 可定位的导向导管可通过延伸的工作通道定位，并被配置成导航邻近目标组织的延伸的工作通道。 微波消融系统包括导航系统，该导航系统被配置用于沿着预定的确定的目标组织的路径引导工具，延伸的工作通道或可定位的引导件穿过管腔网络。 可以使用一种或多种成像模式来确认工具在靶组织内的放置。

公开(公告)号：US20140276200A1

公开(公告)日：2014-09-18

申请号：US13837841

申请日：2013-03-15

申请人： COVIDIEN LP

发明人： Joseph D. Brannan ,  Casey M. Ladtkow ,  Darion R. Peterson ,  Eric W. Larson ,  William J. Dickhans ,  Richard A. Willyard ,  Jason A. Case

IPC分类号： A61B6/03 ,  A61B18/18

CPC分类号： A61B6/03 ,  A61B6/032 ,  A61B18/1815 ,  A61B90/37 ,  A61B2018/00023 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00898 ,  A61B2018/1861

摘要： A method of treating tissue including displaying a path to a point of interest within a luminal network, navigating a locatable guide to the point of interest following the displayed path, and deploying one or more fiducial markers proximate the point of interest. The method also including percutaneously inserting a microwave ablation device into the point of interest and ablating the tissue at the point of interest.

摘要翻译： 一种处理组织的方法，包括显示在管腔网络内的目的地的路径，将可定位的指南导航到所显示的路径上的兴趣点之后，以及在感兴趣点附近部署一个或多个基准标记。 该方法还包括将微波消融装置经皮插入感兴趣点并在感兴趣的点消融组织。

公开(公告)号：US20140046315A1

公开(公告)日：2014-02-13

申请号：US13836203

申请日：2013-03-15

申请人： COVIDIEN LP

发明人： Casey M. Ladtkow ,  Joseph D. Brannan ,  Darion R. Peterson ,  Eric W. Larson ,  Kaylen J. Haley ,  William J. Dickhans ,  Jason A. Case

IPC分类号： A61B18/18

CPC分类号： A61B18/1815 ,  A61B1/018 ,  A61B1/2676 ,  A61B5/01 ,  A61B5/0538 ,  A61B5/062 ,  A61B5/064 ,  A61B5/1114 ,  A61B5/4836 ,  A61B5/7425 ,  A61B5/7445 ,  A61B6/032 ,  A61B6/12 ,  A61B6/487 ,  A61B8/0841 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B10/06 ,  A61B18/1477 ,  A61B2010/0216 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/1861

摘要： A microwave ablation catheter is provided. The microwave ablation catheter includes a coaxial cable connected at its proximal end to a microwave energy source and at its distal end to a distal radiating section. The coaxial cable includes inner and outer conductors and a dielectric positioned therebetween. The inner conductor extends distally past the outer conductor and is in sealed engagement with the distal radiating section. A balun is formed in part from a conductive material electrically connected to the outer conductor of the coaxial cable and extends along at least a portion of the coaxial cable. The conductive material has a braided configuration and is covered by at least one insulative material.

摘要翻译： 提供微波消融导管。 微波消融导管包括在其近端处连接到微波能量源并且其远端连接到远侧辐射部分的同轴电缆。 同轴电缆包括内部和外部导体以及位于它们之间的电介质。 内导体向远侧延伸穿过外导体并与远侧辐射部分密封接合。 平衡 - 不平衡变换器部分地由电连接到同轴电缆的外导体的导电材料形成，并沿着同轴电缆的至少一部分延伸。 导电材料具有编织构造并被至少一种绝缘材料覆盖。

公开(公告)号：US20140046211A1

公开(公告)日：2014-02-13

申请号：US13839247

申请日：2013-03-15

申请人： COVIDIEN LP

发明人： Casey M. Ladtkow ,  Joseph D. Brannan ,  Darion R. Peterson ,  Eric W. Larson ,  Kaylen J. Haley ,  William J. Dickhans ,  Jason A. Case

IPC分类号： A61B10/04 ,  A61B10/02 ,  A61B18/18

CPC分类号： A61B18/1815 ,  A61B1/018 ,  A61B1/2676 ,  A61B5/01 ,  A61B5/0538 ,  A61B5/062 ,  A61B5/064 ,  A61B5/1114 ,  A61B5/4836 ,  A61B5/7425 ,  A61B5/7445 ,  A61B6/032 ,  A61B6/12 ,  A61B6/487 ,  A61B8/0841 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B10/06 ,  A61B18/1477 ,  A61B2010/0216 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/1861

摘要： A method for treating tissue through a branched luminal network of a patient is provided. A pathway to a point of interest in branched luminal network of a patient is generated. An extended working channel is advanced transorally into the branched luminal network and along the pathway to the point of interest. The extended working channel may be positioned in a substantially fixed orientation at the point interest. A tool is advanced though the extended working channel to the point of interest. Tissue at the point of interest is treated.

摘要翻译： 提供了一种通过患者的分支管腔网络处理组织的方法。 产生到患者的分支腔内网络中的感兴趣点的途径。 延伸的工作通道经由远程进入分支管腔网络并沿着通向感兴趣点的途径。 扩展工作通道可以在点感兴趣的位置处于基本上固定的取向。 一个工具是通过扩展工作通道进行提升到兴趣点。 感兴趣的组织被处理。

公开(公告)号：US20220151697A1

公开(公告)日：2022-05-19

申请号：US17588450

申请日：2022-01-31

申请人： Covidien LP

发明人： Joseph D. Brannan ,  Casey M. Ladtkow ,  Darion R. Peterson ,  Eric W. Larson ,  William J. Dickhans ,  Richard A. Willyard ,  Jason A. Case

IPC分类号： A61B18/18 ,  A61B34/10 ,  A61B34/00

摘要： A microwave ablation device including a cable assembly configured to connect a microwave ablation device to an energy source and a feedline in electrical communication with the cable assembly. The microwave ablation device further includes a balun on an outer conductor of the feedline, and a temperature sensor on the balun sensing the temperature of the balun.

公开(公告)号：US09993295B2

公开(公告)日：2018-06-12

申请号：US13839247

申请日：2013-03-15

申请人： Covidien LP

发明人： Casey M. Ladtkow ,  Joseph D. Brannan ,  Darion R. Peterson ,  Eric W. Larson ,  Kaylen J. Haley ,  William J. Dickhans ,  Jason A. Case

IPC分类号： A61B10/00 ,  A61B18/18 ,  A61B6/12 ,  A61B5/01 ,  A61B6/03 ,  A61B10/02 ,  A61B10/04 ,  A61B10/06 ,  A61B5/11 ,  A61B1/018 ,  A61B6/00 ,  A61B17/00 ,  A61B18/00 ,  A61B18/14 ,  A61B1/267 ,  A61B5/053 ,  A61B5/00 ,  A61B5/06 ,  A61B8/08 ,  A61B8/12

CPC分类号： A61B18/1815 ,  A61B1/018 ,  A61B1/2676 ,  A61B5/01 ,  A61B5/0538 ,  A61B5/062 ,  A61B5/064 ,  A61B5/1114 ,  A61B5/4836 ,  A61B5/7425 ,  A61B5/7445 ,  A61B6/032 ,  A61B6/12 ,  A61B6/487 ,  A61B8/0841 ,  A61B8/12 ,  A61B10/0233 ,  A61B10/04 ,  A61B10/06 ,  A61B18/1477 ,  A61B2010/0216 ,  A61B2017/00026 ,  A61B2017/00084 ,  A61B2018/00541 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/1861

摘要： A method for treating tissue through a branched luminal network of a patient is provided. A pathway to a point of interest in branched luminal network of a patient is generated. An extended working channel is advanced transorally into the branched luminal network and along the pathway to the point of interest. The extended working channel may be positioned in a substantially fixed orientation at the point interest. A tool is advanced though the extended working channel to the point of interest. Tissue at the point of interest is treated.

公开(公告)号：US20170065351A1

公开(公告)日：2017-03-09

申请号：US15356093

申请日：2016-11-18

申请人： COVIDIEN LP

发明人： Jason A. Case ,  Kevin Frank ,  Casey M. Ladtkow

IPC分类号： A61B34/10 ,  A61B34/00 ,  A61B18/14 ,  A61B90/00

CPC分类号： A61B34/10 ,  A61B8/0841 ,  A61B8/4263 ,  A61B8/483 ,  A61B8/565 ,  A61B18/1477 ,  A61B18/1492 ,  A61B34/20 ,  A61B34/25 ,  A61B90/04 ,  A61B90/37 ,  A61B90/39 ,  A61B2017/00477 ,  A61B2018/00577 ,  A61B2018/00595 ,  A61B2018/00601 ,  A61B2018/0063 ,  A61B2018/00702 ,  A61B2018/00761 ,  A61B2018/00982 ,  A61B2018/1425 ,  A61B2018/1869 ,  A61B2034/104 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/2055 ,  A61B2034/2065 ,  A61B2090/0463 ,  A61B2090/0472 ,  A61B2090/0481 ,  A61B2090/363 ,  A61B2090/365 ,  A61B2090/378 ,  A61B2090/3966 ,  A61B2090/3983 ,  G06T7/73 ,  G06T2207/10016 ,  G06T2207/10132 ,  G06T2207/30021 ,  G06T2207/30208 ,  G06T2207/30244

摘要： The present disclosure is directed to a planning and navigation method. The planning and navigation method includes obtaining a plurality of images, rendering the plurality of images in three dimensions, automatically segmenting the plurality of images to demarcate a target area, and automatically determining a treatment plan based on the target area. The planning and navigation system also includes obtaining an ultrasound image of a scan plane including the target and obtaining a fiducial image of a fiducial pattern disposed on an ultrasound device using an image capture device on a surgical device. The obtained fiducial image is corrected for lens distortion and a correspondence between the fiducial image and a model image is found. After which a camera pose is a position of the surgical device is transformed to model coordinates. Then the ultrasound image and a virtual image of the surgical device is displayed based on the model coordinates to allow a surgeon to navigate the surgical device to the target using the displayed ultrasound image and the virtual image and treating the target based on the treatment plan.

摘要翻译： 本公开涉及一种计划和导航方法。 规划导航方法包括获取多个图像，以三维呈现多个图像，自动分割多个图像以划定目标区域，并且基于目标区域自动确定治疗计划。 规划和导航系统还包括获取包括目标的扫描平面的超声图像，并使用外科装置上的图像捕获装置获得布置在超声装置上的基准图案的基准图像。 校正所获得的基准图像的透镜畸变，并且找到基准图像和模型图像之间的对应关系。 之后，相机姿势是将外科手术装置的位置转换为模型坐标。 然后，基于模型坐标显示超声图像和手术装置的虚拟图像，以允许外科医生使用所显示的超声图像和虚拟图像将手术装置导航到目标，并且基于治疗计划来对待靶标。

公开(公告)号：US20160374762A1

公开(公告)日：2016-12-29

申请号：US15262551

申请日：2016-09-12

申请人： COVIDIEN LP

发明人： Jason A. Case ,  Kevin Frank

IPC分类号： A61B34/10 ,  G06T7/00 ,  A61B34/00 ,  A61B8/08 ,  A61B8/00

CPC分类号： A61B34/10 ,  A61B6/5211 ,  A61B8/0841 ,  A61B8/4263 ,  A61B8/5223 ,  A61B8/565 ,  A61B34/20 ,  A61B34/25 ,  A61B90/37 ,  A61B2017/00477 ,  A61B2018/00577 ,  A61B2018/1425 ,  A61B2018/1869 ,  A61B2034/104 ,  A61B2034/107 ,  A61B2034/2051 ,  A61B2034/2055 ,  A61B2034/2063 ,  A61B2034/2065 ,  A61B2034/252 ,  A61B2090/0463 ,  A61B2090/0472 ,  A61B2090/0481 ,  A61B2090/363 ,  A61B2090/365 ,  A61B2090/378 ,  A61B2090/3925 ,  A61B2090/3983 ,  F04C2270/041 ,  G06T7/74 ,  G06T2207/10072 ,  G06T2207/10081 ,  G06T2207/10136 ,  G06T2207/30204 ,  G06T2207/30208 ,  G06T2207/30244

摘要： The present disclosure is directed to a surgical navigation system. The navigation system includes an ultrasound device configured to obtain an ultrasound image in a scan plane The ultrasound device has a fiducial pattern disposed thereon. A surgical device having an image capture device configured to capture a fiducial image of the fiducial pattern is also provided. The system also includes a controller configured to receive the ultrasound image and the fiducial image, wherein the controller determines a position of the surgical device in relation to the scan plane based on the fiducial image. A display is configured to display the ultrasound image and a virtual image of the surgical device based on the position of the surgical device in relation to the scan plane.