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公开(公告)号：US08298221B2
公开(公告)日：2012-10-30
申请号：US11942219
申请日：2007-11-19
IPC分类号： A61B18/18
CPC分类号： A61B18/02 , A61B2018/0212 , A61B2018/0231
摘要： A sheath for use with a cryoprobe in a cryosurgical procedure can have an opening at its proximal end configured to be inserted over a tip portion of a cryoprobe. The sheath can be connected to the cryoprobe with an end connector. Sheath can have a tip located at its distal that can have a trocar configuration for tissue penetration. A cylindrical section located inwardly from the tip can have a spiral groove defined on an exterior surface. At least one wire can be disposed within the groove so as to fit within the outer perimeter of the sheath. Wires disposed in grooves can include heating elements and temperature sensing elements. Sheath can further include a graduated catheter located inwardly from the cylindrical section and a handle located inwardly from the graduated catheter.
摘要翻译： 在冷冻手术过程中与冷冻探针一起使用的护套可以在其近端处具有开口，其构造成插入冷冻探针的尖端部分上。 护套可以用端接头连接到冷冻探针。 护套可以具有位于其远端的尖端，其可以具有用于组织穿透的套管针配置。 从尖端向内定位的圆柱形部分可以具有限定在外表面上的螺旋槽。 至少一根线可以设置在槽内，以便装配在护套的外周边内。 设置在凹槽中的电线可以包括加热元件和温度感测元件。 护套还可以包括从圆柱形部分向内定位的刻度导管和位于刻度导管内侧的手柄。
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公开(公告)号：US08298220B2
公开(公告)日：2012-10-30
申请号：US11940665
申请日：2007-11-15
IPC分类号： A61B18/18
CPC分类号： A61B18/02
摘要： The present disclosure is directed to a cryoprobe capable of improving the cooling power of a cryosurgical system. A representative cryoprobe can comprise an inner cooling chamber and a radial chamber, positioned between the inner cooling chamber and an exterior wall of the cryoprobe. Preferably, the radial chamber is formed to have a low thermal conductivity so as to significantly reduce the transfer of heat between the body and the refrigerant in the inner chamber during a cryosurgical procedure. The radial chamber can be fabricated such that a vacuum can be applied to the radial chamber to further reduce heat transfer between the body and the inner cooling chamber. The radial chamber extends partially along the length of the cryoprobe such that inner cooling chamber is in direct thermal contact with the exterior wall at a cryoprobe tip.
摘要翻译： 本公开涉及能够改善冷冻手术系统的冷却功率的冷冻探针。 代表性的冷冻探针可以包括位于内部冷却室和冷冻探针的外壁之间的内部冷却室和径向室。 优选地，径向室形成为具有低导热性，以便在冷冻手术过程期间显着地减少体内和内腔中的制冷剂之间的热传递。 可以制造径向室，使得可以向径向室施加真空以进一步减少主体和内部冷却室之间的热传递。 径向室沿着冷冻探针的长度部分延伸，使得内部冷却室在冷冻探针尖处与外壁直接热接触。
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公开(公告)号：US08157722B2
公开(公告)日：2012-04-17
申请号：US12772592
申请日：2010-05-03
申请人： Kevin R. Arnal , Sidney F. Hauschild , Robert E. Lund , Suranjan Roychowdhury , David W. Vancelette
发明人： Kevin R. Arnal , Sidney F. Hauschild , Robert E. Lund , Suranjan Roychowdhury , David W. Vancelette
IPC分类号： A61F2/00
CPC分类号： A61F2/0063 , A61B17/06066 , A61B17/06109 , A61B2017/0046 , A61B2017/00805 , A61B2017/06076 , A61F2/0045 , A61F2250/0078 , Y10T29/49 , Y10T29/49885
摘要： Described are surgical implants, tools, systems, and related methods, useful for implantation of surgical implants, such as those used to treat pelvic conditions including incontinence.
摘要翻译： 描述了可用于植入外科植入物的外科植入物，工具，系统和相关方法，例如用于治疗包括失禁的骨盆病症的手术植入物。
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公开(公告)号：US20080119839A1
公开(公告)日：2008-05-22
申请号：US11943711
申请日：2007-11-21
申请人： David W. Vancelette
发明人： David W. Vancelette
IPC分类号： A61B18/02
CPC分类号： A61B18/02 , A61B2018/0231 , A61B2018/0262
摘要： A cordless cryosurgical applicator system having a base unit and one or more rechargeable cryosurgical applicators. The base unit can be use to charge the applicator with a cryogenic fluid such that a cryosurgical procedure can be performed. Following use of the applicator, the applicator can be recharged by attaching the applicator to the base unit and refilling a cryogenic reservoir in the applicator from a cryogenic storage tank contained within the base unit. The base unit can include a self-contained assembly for generating a cryogenic fluid such that the cordless cryosurgical applicator system is essentially self-sufficient when attached to an electrical power source.
摘要翻译： 一种无绳式冷冻手术施放器系统，其具有基座单元和一个或多个可再次冷冻手术施放器。 基本单元可用于向低温液体的给药器充电，从而可以进行冷冻手术。 在使用施加器之后，可以通过将施加器附接到基座单元并且从包含在基座单元内的低温储存罐在施料器中重新填充低温储存器来对施加器进行再充电。 基座单元可以包括用于产生低温流体的独立组件，使得当连接到电源时无绳式冷冻手术施放器系统基本上是自给自足的。
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公开(公告)号：US20080110182A1
公开(公告)日：2008-05-15
申请号：US11938352
申请日：2007-11-12
IPC分类号： F17C13/00
CPC分类号： A61B18/02 , A61B2017/00199 , A61B2017/00477 , A61B2018/0262 , A61B2018/0293
摘要： A cryosurgical system having a coupler for connecting a disposable cryoprobe end portion to a non-disposable cryoprobe base portion. A cryoprobe can include a disposable portion that connects via a coupler to a non-disposable portion that is permanently attached to the cryosurgical system. Once a disposable portion is attached to the cryosurgical system, refrigerant can be circulated through the system and a cryothermal treatment can be performed. Upon completion of the cryosurgical treatment, the disposable portion can be detached and discarded.
摘要翻译： 一种冷冻手术系统，具有用于将一次性冷冻探针端部连接到非一次性冷冻探针基部的耦合器。 冷冻探针可以包括通过耦合器连接到永久地附接到冷冻手术系统的非一次性部分的一次性部分。 一旦将一次性部分连接到冷冻手术系统，制冷剂可以循环通过系统并且可以进行低温治疗。 在完成冷冻治疗后，一次性部分可以分离和丢弃。
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公开(公告)号：US20090138000A1
公开(公告)日：2009-05-28
申请号：US12321818
申请日：2009-01-26
IPC分类号： A61B18/02
CPC分类号： A61B18/02 , A61B2017/4216 , A61B2018/0022 , A61B2018/0212 , A61B2018/0262
摘要： A cryoablation system including a cannula having a proximal end, a distal end, and a longitudinal axis, an expandable balloon extending from the distal end of the cannula and fluidly connected to a source of heat transfer fluid by at least one fluid path, a pump for circulating the heat transfer fluid into and out of the balloon, a probe handle coupled to the proximal end of the cannula and in fluidic communication with the balloon through the cannula, and a heat exchanger for varying the temperature of the heat transfer fluid, wherein the heat exchanger is fluidly connected to a secondary refrigerant source. The heat exchanger may be positioned within the probe handle, within the cannula, or at least partially within the balloon. The heat transfer fluid of this cryoablation system preferably has a freezing point lower than about −110° C. and a boiling point greater than about 50° C.
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公开(公告)号：US20080119840A1
公开(公告)日：2008-05-22
申请号：US11943777
申请日：2007-11-21
IPC分类号： A61B18/18
CPC分类号： A61B18/02 , A61B2018/0262
摘要： A cryoprobe for use in a cryosurgical system in which the probe tip has an increased surface area by having a corrugated, waved, or otherwise ridged configuration in its inner and outer surfaces. The increased surface area functions to provide greater surface area on the probe tip, and thus greater heat transfer, between the refrigerant and inner surface of the cryoprobe and between the outer surface of the cryoprobe and the target tissue.
摘要翻译： 一种用于冷冻手术系统的冷冻探针，其中探针尖端通过在其内表面和外表面中具有波纹状，波浪形或其它方式构造而具有增加的表面积。 增加的表面积用于在探针尖端上提供更大的表面积，从而在制冷剂和冷冻探针的内表面之间以及冷冻探针的外表面与靶组织之间更大的热传递。
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公开(公告)号：US20080119833A1
公开(公告)日：2008-05-22
申请号：US11940485
申请日：2007-11-15
IPC分类号： A61B18/02
CPC分类号： A61B18/02 , A61B2017/00084 , A61B2018/00041 , A61B2018/0262
摘要： The present disclosure is directed to a cryoprobe including heating capabilities within the cryoprobe tip for use in a cryosurgical system. A heating element can be operably secured to an inner surface of the cryoprobe tips, wherein the heating element can then be connected to an electrical current source such that heat is generated at the cryoprobe tip as the electrical current flows through the heating element. In one version, the heating element can comprise a resistive element laminated between layers of insulation while in other, alternative versions, the heating element can comprise a small diameter resistance wire attached directly to an inner surface within the cryoprobe tip. The cryoprobe can include a thermocouple secured within the cryoprobe tip so as to take temperature measurements during both freezing and thawing cycles. In some versions, the heating element can be operably secured within the cryoprobe tip using an expanding or rotating mandrel.
摘要翻译： 本公开涉及一种包括冷冻探针末端内的用于冷冻手术系统的加热能力的冷冻探针。 加热元件可以可操作地固定到冷冻探针尖端的内表面，其中然后可以将加热元件连接到电流源，使得当电流流过加热元件时，在冷冻探针末端产生热量。 在一个版本中，加热元件可以包括层压在绝缘层之间的电阻元件，而在其它替代形式中，加热元件可以包括直接附接到冷冻探针尖端内的内表面的小直径电阻丝。 冷冻探针可以包括固定在冷冻探针末端内的热电偶，以便在冷冻和解冻循环期间进行温度测量。 在一些形式中，加热元件可以使用扩张或旋转的心轴可操作地固定在冷冻探针尖端内。
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9.发明申请Methods and Apparatus for Forming and Connecting Cryoprobes for use with Cryosurgical Treatment Systems 审中-公开用于冷冻保存治疗系统使用的冷冻保存方法和装置公开(公告)号：US20080115509A1
公开(公告)日：2008-05-22
申请号：US11942029
申请日：2007-11-19
申请人： Adam L. Gullickson , Douglas A. Devens , David W. Vancelette , Michael W.V. Perkins , Randall C. Lieser
发明人： Adam L. Gullickson , Douglas A. Devens , David W. Vancelette , Michael W.V. Perkins , Randall C. Lieser
CPC分类号： A61B18/02 , A61B2018/0231
摘要： Methods and apparatus for connecting disposable and non-disposable portions of a cryoprobe for use with a cryosurgical treatment system. Representative cryoprobes can include a disposable and non-disposable portion joined with a connector such as a coupler for connecting a single disposable portion to a single non-disposable portion. A representative coupler can include coupler ports into which connecting ends of fluid delivery tubes within the disposable and non-disposable portions can fluidly connect. A manifold mounting plate can include a plurality of slots into which disposable portions can be fluidly interconnected to non-disposable portions.
摘要翻译： 用于连接用于冷冻手术治疗系统的冷冻探针的一次性和非一次性部分的方法和装置。 代表性的冷冻探针可以包括与诸如耦合器的连接器连接的一次性和非一次性部分，用于将单个一次性部分连接到单个非一次性部分。 代表性的联接器可以包括耦合器端口，一次性和非一次性部分内的流体输送管的连接端可以流体地连接到该联接器端口中。 歧管安装板可以包括多个狭槽，一次性部分可以流体地互连到非一次性部分。
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公开(公告)号：US20100217327A1
公开(公告)日：2010-08-26
申请号：US12711427
申请日：2010-02-24
CPC分类号： A61B17/8061 , A61B17/8085
摘要： A plate includes a substantially rectilinear posterior tab and an anterior tab. The anterior tab includes a substantially rectilinear rear longitudinal part connected rigidly to the posterior tab such that they form between them a first angle of between about 90° and about 110° and a substantially rectilinear front longitudinal part which is inclined with respect to the substantially rectilinear rear longitudinal part such that they form between them a second angle which is between about 230° and about 250°. The second angle is at the same angular orientation as the first angle. The plate is thus shaped appropriately in relation to the calcaneus and can be placed in position in a minimally invasive manner.
摘要翻译： 板包括基本上直线的后片和前片。 前突片包括基本上直线的后纵向部分，其刚性地连接到后翼片，使得它们在它们之间形成约90°至约110°之间的第一角度和大致直线的前纵向部分，其相对于基本上直线 后纵向部分，使得它们在它们之间形成约230°至约250°之间的第二角度。 第二角度与第一角度处于相同的角度定向。 因此，板被适当地相对于跟骨成形，并且可以以微创方式放置在适当位置。
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