-
公开(公告)号:US07351211B2
公开(公告)日:2008-04-01
申请号:US11245625
申请日:2005-10-07
CPC分类号: A61B18/148 , A61B18/1477 , A61B90/39 , A61B2018/1407 , A61B2018/1425 , A61B2018/143 , A61B2018/1432 , A61B2018/144 , A61B2090/3908
摘要: A tissue separator assembly has an elongate tubular member and a tissue separator device located at a distal end of the elongate tubular member. An elongate coupler extends through the lumen of the elongate tubular member and has a distal coupler end. A tissue localization assembly has an elongate member and a localization device located at the distal end of the elongate member. The localization device may be movable from a first, radially-contracted state to a second, radially-expandable state. The distal coupler end of the elongate coupler and the proximal end of the elongate tubular member of the localization assembly are joinable to one another to permit docking of the tissue localization assembly to the tissue separator assembly. Methods of use of this device are also described.
摘要翻译: 组织分离器组件具有细长的管状构件和位于细长管状构件的远端处的组织分离器装置。 细长联接器延伸穿过细长管状构件的内腔并且具有远端联接器端部。 组织定位组件具有细长构件和位于细长构件的远端处的定位装置。 定位装置可以从第一径向收缩状态移动到第二径向可扩张状态。 细长联接器的远端联接器端和定位组件的细长管状构件的近端可彼此连接,以允许组织定位组件对接组织分离器组件。 还描述了该装置的使用方法。
-
公开(公告)号:US06994677B1
公开(公告)日:2006-02-07
申请号:US10374583
申请日:2003-02-25
IPC分类号: A61B10/00
CPC分类号: A61B18/148 , A61B18/1477 , A61B90/39 , A61B2018/1407 , A61B2018/1425 , A61B2018/143 , A61B2018/1432 , A61B2018/144 , A61B2090/3908
摘要: A tissue localizing and separating assembly comprises a shaft, having a distal shaft portion, and a tissue separator device extending along the shaft. The tissue separator device has a distal separator part at the distal shaft portion movable between a retracted state, towards the distal shaft portion, and an outwardly extending, operational state, away from the distal shaft portion. A tissue localization assembly has a radially-expandable end. An elongate coupler may be used to dock the tissue localization assembly to the tissue separator device.
摘要翻译: 组织定位和分离组件包括具有远轴部分的轴和沿轴延伸的组织分离器装置。 所述组织分离装置在所述远端轴部分具有远离分离部分,所述远端轴部分在远离所述远侧轴部分的缩回状态,朝向所述远端轴部分和向外延伸的操作状态之间移动。 组织定位组件具有径向可扩展的端部。 细长联接器可用于将组织定位组件对准组织分离器装置。
-
公开(公告)号:US07846159B2
公开(公告)日:2010-12-07
申请号:US11434632
申请日:2006-05-15
IPC分类号: A61B18/18
CPC分类号: A61B18/148 , A61B17/221 , A61B2018/00601 , A61B2018/1475 , A61B2090/3908
摘要: A tissue-separating catheter assembly comprises a rotatable shaft, having a distal shaft portion, and a tissue separator device extending along the shaft. The tissue separator device has a distal separator part at the distal shaft portion movable between a retracted state, towards the distal shaft portion, and an outwardly extending, operational state, away from the distal shaft portion. A localization device is movable to a radially expanded state. An expandable tubular element is movable so that its outer end is generally axially aligned with the localization device so to capture a separated tissue section therebetween to aid removal of the separated tissue section from the patient.
摘要翻译: 组织分离导管组件包括具有远侧轴部的旋转轴和沿轴延伸的组织分离装置。 所述组织分离装置在所述远端轴部分具有远离分离部分,所述远端轴部分在远离所述远侧轴部分的朝向所述远侧轴部分的缩回状态和向外延伸的操作状态之间移动。 定位装置可移动到径向展开状态。 可扩张的管状元件是可移动的,使得其外端通常与定位装置轴向对准,以便在其间捕获分离的组织部分,以帮助从患者移除分离的组织部分。
-
公开(公告)号:US07150712B2
公开(公告)日:2006-12-19
申请号:US10212467
申请日:2002-08-05
IPC分类号: A61B1/00
CPC分类号: A61B18/1492 , A61B17/221 , A61B18/148 , A61B90/02 , A61B90/39 , A61B2017/00867 , A61B2017/1205 , A61B2017/22061 , A61B2017/2212 , A61B2017/2215 , A61B2018/00214 , A61B2018/00601 , A61B2018/1475 , A61B2090/3908
摘要: A target tissue localization assembly includes a radially expandable tissue anchor connected to the distal ends of an anchor assembly and an elongated anchor actuator element. A lock, engageable between the actuator element and the placement element, may be used to prevent collapse of the anchor from its radially expanded state. A sheath may be slidably mounted over the anchor assembly. The sheath and the anchor assembly may be configured to permit the sheath to move in a proximal direction, relative to the anchor assembly, past a chosen location while preventing the sheath from moving past the chosen location in a distal direction.
摘要翻译: 目标组织定位组件包括连接到锚固组件的远端的可径向扩张的组织锚固件和细长的锚定致动器元件。 可以使用可在致动器元件和放置元件之间接合的锁,以防止锚从其径向膨胀状态的塌陷。 护套可以可滑动地安装在锚固组件上。 护套和锚固组件可以被配置为允许护套相对于锚固组件在近端方向上移动经过所选择的位置,同时防止护套沿远侧方向移动经过所选择的位置。
-
公开(公告)号:US08469955B2
公开(公告)日:2013-06-25
申请号:US12421168
申请日:2009-04-09
IPC分类号: A61B18/14
CPC分类号: A61B17/22 , A61B18/1492 , A61B2017/00867 , A61B2018/1407 , A61B2018/144 , C08L2201/12
摘要: A tissue-separating catheter assembly comprises a rotatable shaft, having a distal shaft portion, and a tissue separator device extending along the shaft. The tissue separator device has a distal separator part at the distal shaft portion movable between a retracted state, towards the distal shaft portion, and an outwardly extending, operational state, away from the distal shaft portion. A pivot joint may be used to pivotally connect the distal separator end to the distal shaft portion. The distal shaft portion may comprise a distally-facing transition surface at a proximal end of the distal shaft portion. First and second energizable tissue separator elements may be used at the transition surface and the tip of the device, respectively.
-
公开(公告)号:US20090198180A1
公开(公告)日:2009-08-06
申请号:US12421168
申请日:2009-04-09
CPC分类号: A61B17/22 , A61B18/1492 , A61B2017/00867 , A61B2018/1407 , A61B2018/144 , C08L2201/12
摘要: A tissue-separating catheter assembly comprises a rotatable shaft, having a distal shaft portion, and a tissue separator device extending along the shaft. The tissue separator device has a distal separator part at the distal shaft portion movable between a retracted state, towards the distal shaft portion, and an outwardly extending, operational state, away from the distal shaft portion. A pivot joint may be used to pivotally connect the distal separator end to the distal shaft portion. The distal shaft portion may comprise a distally-facing transition surface at a proximal end of the distal shaft portion. First and second energizable tissue separator elements may be used at the transition surface and the tip of the device, respectively.
摘要翻译: 组织分离导管组件包括具有远侧轴部的旋转轴和沿轴延伸的组织分离装置。 所述组织分离装置在所述远端轴部分具有远离分离部分,所述远端轴部分在远离所述远侧轴部分的缩回状态,朝向所述远端轴部分和向外延伸的操作状态之间移动。 可以使用枢转接头来将远端分离器端部枢转地连接到远侧轴部分。 远侧轴部分可以包括在远侧轴部分的近端处的向远侧面的过渡表面。 第一和第二可激励的组织分离器元件可以分别用于器件的过渡表面和尖端。
-
公开(公告)号:US07534242B2
公开(公告)日:2009-05-19
申请号:US10374582
申请日:2003-02-25
CPC分类号: A61B17/22 , A61B18/1492 , A61B2017/00867 , A61B2018/1407 , A61B2018/144 , C08L2201/12
摘要: A tissue-separating catheter assembly comprises a rotatable shaft, having a distal shaft portion, and a tissue separator device extending along the shaft. The tissue separator device has a distal separator part at the distal shaft portion movable between a retracted state, towards the distal shaft portion, and an outwardly extending, operational state, away from the distal shaft portion. A pivot joint may be used to pivotally connect the distal separator end to the distal shaft portion. The distal shaft portion may comprise a distally-facing transition surface at a proximal end of the distal shaft portion. First and second energizable tissue separator elements may be used at the transition surface and the tip of the device, respectively.
摘要翻译: 组织分离导管组件包括具有远侧轴部的旋转轴和沿轴延伸的组织分离装置。 所述组织分离装置在所述远端轴部分具有远离分离部分,所述远端轴部分在远离所述远侧轴部分的缩回状态,朝向所述远端轴部分和向外延伸的操作状态之间移动。 可以使用枢转接头来将远端分离器端部枢转地连接到远侧轴部分。 远侧轴部分可以包括在远侧轴部分的近端处的向远侧面的过渡表面。 第一和第二可激励的组织分离器元件可以分别用于器件的过渡表面和尖端。
-
8.
公开(公告)号:US06976492B2
公开(公告)日:2005-12-20
申请号:US10338193
申请日:2003-01-07
申请人: Frank Ingle , Garry L. Carter , Robert J. Laird , John P. Claude , Paul Do , Brian J. Mosel
发明人: Frank Ingle , Garry L. Carter , Robert J. Laird , John P. Claude , Paul Do , Brian J. Mosel
CPC分类号: A61B18/1482 , A61B18/14 , A61B18/1477 , A61B18/1485 , A61B18/1815 , A61B2017/00084 , A61B2017/003 , A61B2018/00011 , A61B2018/00023 , A61B2018/00083 , A61B2018/00095 , A61B2018/00148 , A61B2018/0016 , A61B2018/0022 , A61B2018/00232 , A61B2018/00505 , A61B2018/00517 , A61B2018/00523 , A61B2018/00553 , A61B2018/00559 , A61B2018/00791 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2090/3782 , A61B2218/002 , A61N1/06 , A61N1/403 , A61N7/02
摘要: The invention provides improved devices, methods, and systems for shrinking of collagenated tissues, particularly for treating urinary incontinence in a noninvasive manner by directing energy to a patient's own support tissues. This energy heats fascia and other collagenated support tissues, causing them to contract. The energy can be applied intermittently, often between a pair of large plate electrodes having cooled flat electrode surfaces, the electrodes optionally being supported by a clamp structure. Such cooled plate electrodes are capable of directing electrical energy through an intermediate tissue and into fascia while the cooled electrode surface prevents injury to the intermediate tissue, particularly where the electrode surfaces are cooled before, during, and after an intermittent heating cycle. Ideally, the plate electrode comprises an electrode array including discrete electrode surface segments so that the current flux can be varied to selectively target the fascia. Alternatively, chilled “liquid electrodes” may direct current through a selected portion of the bladder (or other body cavity) while also cooling the bladder wall, an insulating gas can prevent heating of an alternative bladder portion and the adjacent tissues, and/or ultrasound transducers direct energy through an intermediate tissue and into fascia with little or no injury to the intermediate tissue. Cooled electrodes may be used to chill an intermediate engaged tissue so as to cause the maximum temperature difference between the target tissue and the intermediate tissue prior to initiating RF heating. This allows the dimensions of tissue reaching the treatment temperature to be controlled and/or minimized, the dimensions of protected intermediate tissue to be maximized, and the like.
摘要翻译: 本发明提供了用于收缩胶原组织的改进的装置,方法和系统,特别是通过将能量引导到患者自己的支撑组织以非侵入性方式治疗尿失禁。 这种能量加热筋膜和其他胶原支持组织,导致它们收缩。 间歇地施加能量,通常在具有冷却的平坦电极表面的一对大平板电极之间,电极可选地由夹持结构支撑。 这样的冷却板电极能够将电能引导通过中间组织并进入筋膜,同时冷却的电极表面防止对中间组织的损伤,特别是在电极表面在间歇加热循环之前,期间和之后被冷却时。 理想地,平板电极包括包括分立电极表面段的电极阵列,使得可以改变电流通量以选择性地靶向仪表板。 或者,冷却的“液体电极”可以引导电流通过膀胱(或其他体腔)的选定部分,同时还冷却膀胱壁,绝缘气体可以防止替代膀胱部分和相邻组织和/或超声波的加热 换能器将能量通过中间组织直接导入筋膜,对中间组织几乎没有或没有损伤。 冷却的电极可用于冷却中间接合组织,以便在开始RF加热之前引起目标组织和中间组织之间的最大温差。 这允许控制和/或最小化达到治疗温度的组织的尺寸,被保护的中间组织的尺寸被最大化等等。
-
公开(公告)号:US06629535B2
公开(公告)日:2003-10-07
申请号:US09768985
申请日:2001-01-23
申请人: Frank Ingle , Garry L. Carter , Robert J. Laird , John P. Claude , Paul Do , Brian J. Mosel
发明人: Frank Ingle , Garry L. Carter , Robert J. Laird , John P. Claude , Paul Do , Brian J. Mosel
IPC分类号: A61B1900
CPC分类号: A61B18/1482 , A61B18/14 , A61B18/1477 , A61B18/1485 , A61B18/1815 , A61B2017/00084 , A61B2017/003 , A61B2018/00011 , A61B2018/00023 , A61B2018/00083 , A61B2018/00095 , A61B2018/00148 , A61B2018/0016 , A61B2018/0022 , A61B2018/00232 , A61B2018/00505 , A61B2018/00517 , A61B2018/00523 , A61B2018/00553 , A61B2018/00559 , A61B2018/00791 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2090/3782 , A61B2218/002 , A61N1/06 , A61N1/403 , A61N7/02
摘要: The invention provides improved devices, methods, and systems for shrinking of collagenated tissues, particularly for treating urinary incontinence in a noninvasive manner by directing energy to a patient's own support tissues. This energy heats fascia and other collagenated support tissues, causing them to contract. The energy can be applied intermittently, often between a pair of large plate electrodes having cooled flat electrode surfaces, the electrodes optionally being supported by a clamp structure. Such cooled plate electrodes are capable of directing electrical energy through an intermediate tissue and into fascia while the cooled electrode surface prevents injury to the intermediate tissue, particularly where the electrode surfaces are cooled before, during, and after an intermittent heating cycle. Ideally, the plate electrode comprises an electrode array including discrete electrode surface segments so that the current flux can be varied to selectively target the fascia. Alternatively, chilled “liquid electrodes” may direct current through a selected portion of the bladder (or other body cavity) while also cooling the bladder wall, an insulating gas can prevent heating of an alternative bladder portion and the adjacent tissues, and/or ultrasound transducers direct energy through an intermediate tissue and into fascia with little or no injury to the intermediate tissue. Cooled electrodes may be used to chill an intermediate engaged tissue so as to cause the maximum temperature difference between the target tissue and the intermediate tissue prior to initiating RF heating. This allows the dimensions of tissue reaching the treatment temperature to be controlled and/or minimized, the dimensions of protected intermediate tissue to be maximized, and the like.
-
公开(公告)号:US06546934B1
公开(公告)日:2003-04-15
申请号:US09651435
申请日:2000-08-30
申请人: Frank Ingle , Garry L. Carter , Robert J. Laird , Paul Do , Brian J. Mosel , Michael D. Laufer , Loren L. Roy
发明人: Frank Ingle , Garry L. Carter , Robert J. Laird , Paul Do , Brian J. Mosel , Michael D. Laufer , Loren L. Roy
IPC分类号: A61B1900
CPC分类号: A61B18/1482 , A61B18/14 , A61B18/1477 , A61B18/1485 , A61B18/1815 , A61B2017/00084 , A61B2017/003 , A61B2018/00011 , A61B2018/00023 , A61B2018/00083 , A61B2018/00095 , A61B2018/00148 , A61B2018/0016 , A61B2018/0022 , A61B2018/00232 , A61B2018/00505 , A61B2018/00517 , A61B2018/00523 , A61B2018/00553 , A61B2018/00559 , A61B2018/00791 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1425 , A61B2018/1467 , A61B2018/1472 , A61B2090/3782 , A61B2218/002 , A61N1/06 , A61N1/403 , A61N7/02
摘要: The invention provides improved devices, methods, and systems for shrinking of collagenated tissues, particularly for treating urinary incontinence in a noninvasive manner by directing energy to a patient's own support tissues. The energy can be applied intermittently, often between a pair of large plate electrodes having cooled flat electrode surfaces, the electrodes optionally being supported by a clamp structure. Such cooled plate electrodes are capable of directing electrical energy through an intermediate tissue and into fascia while the cooled electrode surface prevents injury to the intermediate tissue, particularly where the electrode surfaces are cooled before, during, and after an intermittent heating cycle.
摘要翻译: 本发明提供了用于收缩胶原组织的改进的装置,方法和系统,特别是通过将能量引导到患者自己的支撑组织以非侵入性方式治疗尿失禁。 间歇地施加能量,通常在具有冷却的平坦电极表面的一对大平板电极之间,电极可选地由夹持结构支撑。 这样的冷却板电极能够将电能引导通过中间组织并进入筋膜,同时冷却的电极表面防止对中间组织的损伤,特别是在电极表面在间歇加热循环之前,期间和之后被冷却时。
-
-
-
-
-
-
-
-
-