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    Tuck and fold fascia shortening for incontinence
    1.
    发明授权
    Tuck and fold fascia shortening for incontinence 失效
    折叠和折叠筋膜缩短为失禁

    公开(公告)号：US06478791B1

    公开(公告)日：2002-11-12

    申请号：US09470906

    申请日：1999-12-23

    申请人： Garry L. Carter ,  David C. Densow ,  John P. Claude ,  Paul L. Do ,  George A. Morrison

    发明人： Garry L. Carter ,  David C. Densow ,  John P. Claude ,  Paul L. Do ,  George A. Morrison

    IPC分类号： A61B1700

    CPC分类号： A61B18/1402 ,  A61B17/00491 ,  A61B17/062 ,  A61B17/064 ,  A61B17/282 ,  A61B18/14 ,  A61B2017/00004 ,  A61B2017/00557 ,  A61B2017/00805 ,  A61B2017/0647 ,  A61B2017/0649 ,  A61B2017/306 ,  A61B2018/00523

    摘要： Improved devices, methods, and systems for the surgical treatment of urinary incontinence generally enhance the support provided by the natural tissues of the pelvic floor without directly applying compressive pressure against the urethra. The invention provides probes for forming plications in the endopelvic fascia that are displaced laterally on either side of the midline. These probes can impose a predetermined level of trauma to the plicated tissues so as to promote the formation of adhesions. Adhesions can maintain the enhanced support provided by the plication after reabsorption of a temporary fastener (such as a reasborbable suture, staple, or the like). The plicating probe draws the tissue inward to provide a uniform plication within a predetermined size range.

    摘要翻译： 用于手术治疗尿失禁的改进的装置，方法和系统通常增强由盆底的天然组织提供的支撑，而不直接对尿道施加压缩压力。 本发明提供了用于在中线筋膜两侧横向移位的内耳筋膜中形成脓肿的探针。 这些探针可以对穿刺组织施加预定水平的创伤，以促进粘连的形成。 在重新吸收临时紧固件（例如可再缝合的缝合线，缝合钉等）之后，粘附可以保持由折叠提供的增强的支撑。 柔软的探针将组织向内拉，以在预定尺寸范围内提供均匀的褶皱。

    Noninvasive devices, methods, and systems for shrinking of tissues
    6.
    发明授权
    Noninvasive devices, methods, and systems for shrinking of tissues 有权
    用于收缩组织的无创器件，方法和系统

    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

    IPC分类号： A61B18/12 ,  A61B17/00 ,  A61B18/00 ,  A61B18/02 ,  A61B18/14 ,  A61N1/06 ,  A61N1/40 ,  A61B19/00

    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。

    MR SPECTROSCOPY SYSTEM AND METHOD FOR DIAGNOSING PAINFUL AND NON-PAINFUL INTERVERTEBRAL DISCS
    9.
    发明申请
    MR SPECTROSCOPY SYSTEM AND METHOD FOR DIAGNOSING PAINFUL AND NON-PAINFUL INTERVERTEBRAL DISCS 有权
    MR光谱系统及其诊断方法，用于诊断阴性和非阴性椎间盘

    公开(公告)号：US20110087087A1

    公开(公告)日：2011-04-14

    申请号：US12579371

    申请日：2009-10-14

    申请人： James C. Peacock, III ,  John P. Claude ,  Paul H. Kane ,  Jeffrey C. Lotz

    发明人： James C. Peacock, III ,  John P. Claude ,  Paul H. Kane ,  Jeffrey C. Lotz

    IPC分类号： A61B5/05

    CPC分类号： A61B5/055 ,  A61B5/407 ,  A61B5/4514 ,  A61B5/4824 ,  A61B5/7203 ,  G01R33/34069 ,  G01R33/3415 ,  G01R33/4616 ,  G01R33/485 ,  G01R33/565 ,  G01R33/56527 ,  G06F19/00

    摘要： An MR Spectroscopy (MRS) system and approach is provided for diagnosing painful and non-painful discs in chronic, severe low back pain patients (DDD-MRS). A DDD-MRS pulse sequence generates and acquires DDD-MRS spectra within intervertebral disc nuclei for later signal processing & diagnostic analysis. An interfacing DDD-MRS signal processor receives output signals of the DDD-MRS spectra acquired and is configured to optimize signal-to-noise ratio (SNR) by an automated system that selectively conducts optimal channel selection, phase and frequency correction, and frame editing as appropriate for a given acquisition series. A diagnostic processor calculates a diagnostic value for the disc based upon a weighted factor set of criteria that uses MRS data extracted from the acquired and processed MRS spectra along regions associated with multiple chemicals that have been correlated to painful vs. non-painful discs. A diagnostic display provides a scaled, color coded legend and indication of results for each disc analyzed as an overlay onto a mid-sagittal T2-weighted MRI image of the lumbar spine for the patient being diagnosed. Clinical application of the embodiments provides a non-invasive, objective, pain-free, reliable approach for diagnosing painful vs. non-painful discs by simply extending and enhancing the utility of otherwise standard MRI exams of the lumbar spine.

    摘要翻译： 提供MR光谱（MRS）系统和方法用于诊断慢性，严重腰痛患者（DDD-MRS）中的疼痛和非疼痛的椎间盘。 DDD-MRS脉冲序列产生并获取椎间盘核内的DDD-MRS光谱，用于后续信号处理和诊断分析。 接口DDD-MRS信号处理器接收所获得的DDD-MRS光谱的输出信号，并配置为通过选择性地进行最佳信道选择，相位和频率校正以及帧编辑的自动化系统来优化信噪比（SNR） 适用于给定的采集系列。 诊断处理器基于加权因子集合来计算盘的诊断值，该加权因子集合使用从与获得和处理的MRS光谱中提取的MRS数据沿着与多个化学物质相关联的区域，所述化学物质与疼痛与非痛苦盘相关。 诊断显示器提供经缩放的颜色编码的图例和针对被分析为被诊断的患者的腰椎的矢状T2加权MRI图像上的覆盖层的每个椎间盘的结果的指示。 实施例的临床应用提供了通过简单地扩展和增强腰椎否则的标准MRI检查的实用性来诊断疼痛与非痛性椎间盘的非侵入性，客观，无痛，可靠的方法。

    Communication system for linking a medical device with a remote console
    10.
    发明授权
    Communication system for linking a medical device with a remote console 失效
    用于将医疗设备与远程控制台相连的通信系统

    公开(公告)号：US5562621A

    公开(公告)日：1996-10-08

    申请号：US156568

    申请日：1993-11-22

    申请人： John P. Claude ,  Frank W. Ingle ,  Paul A. Hing

    发明人： John P. Claude ,  Frank W. Ingle ,  Paul A. Hing

    IPC分类号： A61F2/958 ,  A61M29/00

    CPC分类号： A61M25/10184 ,  A61M25/1018 ,  A61M25/10188

    摘要： A communication system using infrared energy to communicate control and data signals from a portable medical device to a remotely located display console. The portable medical device contains a battery for powering the infrared transmission and processing devices and also includes a battery parameter sensor to determine battery status, a temperature sensor, and manufacturing data concerning the portable medical device. Signals from the battery sensor and the temperature sensor are multiplexed with the control and data signals from the portable medical device for IR transmission. The control signals sent from the portable medical device may be used to program various functions of the remote console such as display parameters, console configuration and threshold levels. The display of the remote console presents information through a graphic display.

    摘要翻译： 使用红外能量的通信系统将来自便携式医疗设备的控制和数据信号传送到位于远程的显示控制台。 便携式医疗装置包括用于为红外线传输和处理装置供电的电池，并且还包括用于确定电池状态的电池参数传感器，温度传感器和关于便携式医疗装置的制造数据。 来自电池传感器和温度传感器的信号与来自便携式医疗设备的控制和数据信号进行复用，用于IR传输。 从便携式医疗设备发送的控制信号可以用于编程远程控制台的各种功能，例如显示参数，控制台配置和阈值级别。 远程控制台的显示通过图形显示显示信息。