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公开(公告)号:US20110098704A1
公开(公告)日:2011-04-28
申请号:US12607252
申请日:2009-10-28
申请人: Gary L. Long , David N. Plescia , Omar J. Vakharia
发明人: Gary L. Long , David N. Plescia , Omar J. Vakharia
IPC分类号: A61B18/14
CPC分类号: A61B18/1477 , A61B18/1492 , A61B18/1815 , A61B90/08 , A61B2018/00214 , A61B2018/0022 , A61B2018/00577 , A61B2018/00898 , A61B2018/1425 , A61B2018/143 , A61B2018/1467 , A61B2018/1475 , A61B2090/0811 , A61N1/327
摘要: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. At least one electrode is movable between a first position and a second position. A first necrotic zone having a first shape is created when the electrodes are energized in the first position and a second necrotic zone having a second shape is created when the electrodes are energized in the second position. At least one electrode may be pre-formed with a radius.
摘要翻译: 电切除装置包括第一和第二电极。 每个电极包括构造成耦合能量源的第一端和被配置为耦合到组织治疗区域的第二端。 能量源耦合到第一和第二电极。 至少一个电极可在第一位置和第二位置之间移动。 当电极在第一位置通电时,产生具有第一形状的第一坏死区,并且当电极在第二位置通电时,产生具有第二形状的第二坏死区。 至少一个电极可以预成形为半径。
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公开(公告)号:US20120330306A1
公开(公告)日:2012-12-27
申请号:US13602742
申请日:2012-09-04
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B18/1206 , A61B18/1477 , A61B2018/00214 , A61B2018/00482 , A61B2018/00547 , A61B2018/00577 , A61B2018/00613 , A61B2018/00898 , A61B2018/124 , A61B2018/1425
摘要: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.
摘要翻译: 电切除装置包括第一和第二电极。 每个电极包括构造成耦合能量源的第一端和被配置为耦合到组织治疗区域的第二端。 能量源耦合到第一和第二电极。 能量源被配置为递送足以通过不可逆电穿孔诱导细胞坏死的第一系列电脉冲和通过热加热通过第一和第二电极中的至少一个足以诱导细胞坏死的第二系列电脉冲。 第一系列电脉冲的特征在于第一幅度,第一脉冲长度和第一频率。 第二系列电脉冲的特征在于第二幅度,第二脉冲长度和第二频率。
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公开(公告)号:US20100179530A1
公开(公告)日:2010-07-15
申请号:US12352375
申请日:2009-01-12
CPC分类号: A61B18/1492 , A61B18/1206 , A61B18/1477 , A61B2018/00214 , A61B2018/00482 , A61B2018/00547 , A61B2018/00577 , A61B2018/00613 , A61B2018/00898 , A61B2018/124 , A61B2018/1425
摘要: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.
摘要翻译: 电切除装置包括第一和第二电极。 每个电极包括构造成耦合能量源的第一端和被配置为耦合到组织治疗区域的第二端。 能量源耦合到第一和第二电极。 能量源被配置为递送足以通过不可逆电穿孔诱导细胞坏死的第一系列电脉冲和通过热加热通过第一和第二电极中的至少一个足以诱导细胞坏死的第二系列电脉冲。 第一系列电脉冲的特征在于第一幅度,第一脉冲长度和第一频率。 第二系列电脉冲的特征在于第二幅度,第二脉冲长度和第二频率。
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公开(公告)号:US09011431B2
公开(公告)日:2015-04-21
申请号:US13602742
申请日:2012-09-04
CPC分类号: A61B18/1492 , A61B18/1206 , A61B18/1477 , A61B2018/00214 , A61B2018/00482 , A61B2018/00547 , A61B2018/00577 , A61B2018/00613 , A61B2018/00898 , A61B2018/124 , A61B2018/1425
摘要: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.
摘要翻译: 电切除装置包括第一和第二电极。 每个电极包括构造成耦合能量源的第一端和被配置为耦合到组织治疗区域的第二端。 能量源耦合到第一和第二电极。 能量源被配置为递送足以通过不可逆电穿孔诱导细胞坏死的第一系列电脉冲和通过热加热通过第一和第二电极中的至少一个足以诱导细胞坏死的第二系列电脉冲。 第一系列电脉冲的特征在于第一幅度,第一脉冲长度和第一频率。 第二系列电脉冲的特征在于第二幅度,第二脉冲长度和第二频率。
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公开(公告)号:US09005198B2
公开(公告)日:2015-04-14
申请号:US12696626
申请日:2010-01-29
IPC分类号: A61B18/18 , A61B18/14 , A61B17/3205 , A61B17/34 , A61B17/00 , A61B18/00 , A61N1/32 , H02J17/00
CPC分类号: A61B18/1477 , A61B17/3205 , A61B17/3415 , A61B18/1492 , A61B2017/00296 , A61B2018/00577 , A61N1/327 , H02J17/00 , H02J50/10 , H02J50/20
摘要: A surgical instrument configured to deliver electrical energy to tissue of a patient includes a handle, a first conductor, and a second conductor. The surgical instrument further includes a first electrode with a first distal portion, a second electrode with a second distal portion, and a third electrode with a third distal portion, wherein each distal portion is configured to contact the tissue. The second distal portion surrounds the first distal portion and the third distal portion surrounds the second distal portion. A first gap is defined between the first distal portion and the second distal portion. A second gap is defined between the second distal portion and the third distal portion. The first electrode includes a sharp end configured to penetrate the tissue and the second distal portion includes a plurality of projections extending toward third distal portion.
摘要翻译: 构造成将电能传送到患者组织的手术器械包括手柄,第一导体和第二导体。 手术器械还包括具有第一远端部分的第一电极,具有第二远端部分的第二电极和具有第三远端部分的第三电极,其中每个远端部分构造成接触组织。 第二远端部分包围第一远端部分,第三远端部分围绕第二远端部分。 在第一远端部分和第二远端部分之间限定第一间隙。 第二间隙限定在第二远端部分和第三远端部分之间。 第一电极包括构造成穿透组织的尖端,并且第二远端部分包括朝向第三远端部分延伸的多个突起。
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公开(公告)号:US08361066B2
公开(公告)日:2013-01-29
申请号:US12352375
申请日:2009-01-12
申请人: Gary L. Long , David N. Plescia , Omar J. Vakharia
发明人: Gary L. Long , David N. Plescia , Omar J. Vakharia
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B18/1206 , A61B18/1477 , A61B2018/00214 , A61B2018/00482 , A61B2018/00547 , A61B2018/00577 , A61B2018/00613 , A61B2018/00898 , A61B2018/124 , A61B2018/1425
摘要: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.
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公开(公告)号:US20110190659A1
公开(公告)日:2011-08-04
申请号:US12696626
申请日:2010-01-29
CPC分类号: A61B18/1477 , A61B17/3205 , A61B17/3415 , A61B18/1492 , A61B2017/00296 , A61B2018/00577 , A61N1/327 , H02J17/00 , H02J50/10 , H02J50/20
摘要: A surgical instrument can comprise a first electrode, a second electrode positioned about the first electrode, and a third electrode positioned about the second electrode. In various embodiments, a surgical instrument can comprise a biopsy punch shaft and one or more electrodes mounted to the outside of the shaft. In certain embodiments, a surgical instrument can comprise a cylinder configured to be rolled over a tissue surface wherein electrodes extending from the cylinder can contact and/or penetrate the tissue. In various embodiments, a surgical instrument can comprise at least one rotatable electrode wherein the electrode can be rotated to grasp and pull tissue.
摘要翻译: 手术器械可以包括第一电极,围绕第一电极定位的第二电极和围绕第二电极定位的第三电极。 在各种实施例中,手术器械可以包括活检穿刺轴和安装到轴的外侧的一个或多个电极。 在某些实施例中,外科器械可以包括构造成在组织表面上滚动的圆筒,其中从圆柱体延伸的电极可以接触和/或穿透组织。 在各种实施例中,手术器械可以包括至少一个可旋转的电极,其中电极可以旋转以抓住和拉动组织。
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公开(公告)号:US20090062792A1
公开(公告)日:2009-03-05
申请号:US12109673
申请日:2008-04-25
申请人: Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long
发明人: Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B18/1445 , A61B18/1477 , A61B2018/1266 , A61B2018/1412 , A61B2018/1425 , A61B2018/1455
摘要: An electrical ablation device includes an elongated flexible member having a proximal end and a distal end. A clamp jaw portion is located at the distal end of the elongated flexible member. The clamp jaw portion is operatively movable from an open position to a closed position. A cutting blade is located in the clamp jaw portion. The clamp jaw portion is adapted to couple to an electrical waveform generator and to receive an electrical waveform.
摘要翻译: 电消融装置包括具有近端和远端的细长柔性构件。 钳夹部分位于细长柔性构件的远端。 钳夹部分可操作地从打开位置移动到关闭位置。 切割刀片位于钳夹部分中。 钳夹部分适于耦合到电波形发生器并接收电波形。
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公开(公告)号:US07758564B2
公开(公告)日:2010-07-20
申请号:US11128012
申请日:2005-05-12
申请人: Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
发明人: Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
IPC分类号: A61M25/01
CPC分类号: A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要: A first medical instrument includes a flexible catheter having a distal end which has a substantially bullet-nose shape, which is insertable into a body lumen of a patient, and which has at least one guidewire passageway opening. The first medical instrument also includes a medical guidewire having a working portion extendable beyond the at-least-one guidewire passageway opening. A second medical instrument includes a flexible catheter, a medical guidewire having a working portion extendable beyond the distal end of the catheter, and at least one wire length counter which is operably connectable to the medical guidewire to measure a length of the working portion being extended beyond the distal end of the catheter. A third medical instrument includes a flexible catheter, a medical guidewire, and a force/torque-limiting clutch operatively connectable to the medical guidewire.
摘要翻译: 第一医疗器械包括柔性导管,其具有远端,其具有基本上子弹鼻形状,其可插入患者的体腔中,并且具有至少一个导丝通道开口。 第一医疗器械还包括具有可延伸超过至少一个导丝通道开口的工作部分的医疗导丝。 第二医疗器械包括柔性导管,具有可延伸超过导管远端的工作部分的医疗导线,以及可操作地连接到医用导线的至少一个导线长度计数器,以测量延伸的工作部分的长度 超出导管的远端。 第三医疗器械包括柔性导管,医疗导线和可操作地连接到医疗导线的力/扭矩限制离合器。
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公开(公告)号:US20090192344A1
公开(公告)日:2009-07-30
申请号:US12019461
申请日:2008-01-24
申请人: Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人: Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
CPC分类号: A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要: A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译: 手术套件可用于操纵患者身体内的组织以在身体内产生工作空间,以允许外科医生使用各种手术器械容易地进入身体内并进行工作。 手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。 该套件还可以包括具有磁体的手术器械,其可用于操纵植入物和与其接合的组织。 手术套件可以包括锚固件和悬挂器,其构造成在主体内的不同位置处接合组织,以及与锚固件和悬挂器接合的连接构件,使得连接构件可以被拉动以将锚移向吊架。 使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。
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