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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。
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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.
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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。
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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。
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5.发明授权Devices and methods for controlling initial movement of an electrosurgical electrode 有权用于控制电外科电极的初始移动的装置和方法公开(公告)号：US07060063B2
公开(公告)日：2006-06-13
申请号：US10714126
申请日：2003-11-13
IPC分类号： A61B18/04
CPC分类号： A61B18/1492 , A61B18/1206 , A61B2018/00208 , A61B2018/00601 , A61B2018/00702 , A61B2018/00779 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/1213 , A61B2018/1407 , A61B2018/1861
摘要： An electrosurgical electrode assembly having a cutting device including a catheter with a proximal and distal end, and an electrode carried on the distal end of the catheter. A controller is connected to the cutting device. A data acquisition system is connected to the controller and is capable of monitoring voltage and current output. A microprocessor may also be connected to the data acquisition system for processing voltage and current data from the data acquisition system. A generator is also connected to the data acquisition system. The controller initiates movement of the electrode upon arc initiation at the electrode. Methods of using the devices herein are also disclosed.
摘要翻译： 一种电外科电极组件，其具有切割装置，该切割装置包括具有近端和远端的导管，以及承载在导管远端的电极。 控制器连接到切割装置。 数据采集系统连接到控制器，并且能够监视电压和电流输出。 微处理器也可以连接到数据采集系统，用于处理来自数据采集系统的电压和电流数据。 发电机也连接到数据采集系统。 控制器在电极起弧时启动电极的移动。 还公开了使用本文的装置的方法。
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公开(公告)号：US6044847A
公开(公告)日：2000-04-04
申请号：US103352
申请日：1998-06-23
CPC分类号： A61B18/1402 , A61B17/062 , A61B17/282 , A61B18/14 , A61B17/00491 , A61B17/064 , 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 reabsorbable 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。 在再吸收临时紧固件（例如可重新吸收的缝合线，缝钉等）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。
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公开(公告)号：US07470271B2
公开(公告)日：2008-12-30
申请号：US10887076
申请日：2004-07-07
IPC分类号： A61B18/18
CPC分类号： A61N1/403
摘要： The invention provides improved devices, methods, and systems for repeatably and reliably contracting fascia and other support tissues, particularly for the treatment of urinary incontinence. Rather than relying on a surgeon's ability to observe, direct, and control the selective shrinking of pelvic support tissues, a relatively large surface of a tissue contraction system is placed statically against the target tissue. Sufficient controlled energy is transmitted from the surface into the engaged tissue to contract the tissue and inhibit incontinence (or otherwise provide the desired therapeutic results).
摘要翻译： 本发明提供改进的装置，方法和系统，用于可重复地和可靠地收缩筋膜和其他支撑组织，特别是用于治疗尿失禁。 不依赖于外科医生观察，指导和控制骨盆支持组织的选择性收缩的能力，组织收缩系统的相对较大的表面静止地放置在靶组织上。 足够的受控能量从表面传递到接合组织中以收缩组织并抑制失禁（或以其它方式提供期望的治疗结果）。
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公开(公告)号：US07317949B2
公开(公告)日：2008-01-08
申请号：US10828027
申请日：2004-04-19
IPC分类号： A61F2/00
CPC分类号： A61B5/202 , A61B5/205 , A61B18/14 , A61B18/1477 , A61B18/1482 , A61B18/1485 , A61B2018/00011 , A61B2018/00023 , A61B2018/00083 , A61B2018/00095 , A61B2018/00148 , A61B2018/00232 , A61B2018/00505 , A61B2018/00517 , A61B2018/00523 , A61B2018/00553 , A61B2018/00559 , A61B2018/00714 , A61B2018/00791 , A61B2018/126 , A61B2018/1425 , A61B2018/1467 , A61N1/06 , A61N1/403
摘要： Methods, devices, and systems for treating the support structures of the body, particularly for incontinence, take advantage of two mechanisms to enhance the support provided by the fascia, ligaments and tendons: first, the invention increases a modulus of elasticity of these tissues, and particularly of the fascial tissues. The increase in modulus can be effected by directing sufficient energy to the fascial tissue so as to promote the formation of scar tissue. The second mechanism attaches tissue planes together, often by directing energy to an interface between adjacent fascial tissues.
摘要翻译： 用于治疗身体的支撑结构，特别是用于失禁的方法，装置和系统利用两种机制来增强由筋膜，韧带和腱提供的支撑：首先，本发明增加这些组织的弹性模量， 特别是筋膜组织。 模量的增加可以通过将足够的能量引导到筋膜组织来实现，从而促进瘢痕组织的形成。 第二种机制通常将组织平面连接在一起，通过将能量引导到相邻筋膜组织之间的界面。
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公开(公告)号：US5056869A
公开(公告)日：1991-10-15
申请号：US546727
申请日：1990-07-02
申请人： George A. Morrison
发明人： George A. Morrison
IPC分类号： A47D15/00
CPC分类号： A47D15/006
摘要： A restraining harness to hold a child in a highchair is disclosed consisting of an elongated panel having strategically placed VELCRO hook and loop type fasteners thereupon such that the panel will encompass completely a range of highchair backs ranging in heights from 17 inches to 8 inches, the panel always arranged and attaching to itself such as to firmly engage the highchair back and present the same end emerging at the top of the highchair back. Further, only the loop-type VELCRO hook and loop type fasteners are presented to the backside of a child. A plurality of straps operably attached to the panel pass parallel over the child's shoulders to a holding strap, and then converge to a single strap passing through the child's legs and under-the-seat to rejoin the panel. A chest encircling strap is operably attached to the panel and the shoulder straps. In addition, the device may be folded to its smallest and most compact configuration to reside entirely upon the back of a child separate from the highchair whereupon a holding and walking strap may be attached to one of the rear clasps in order that an adult may hold the strap vertically to help hold the child erect when the child is learning to walk.
摘要翻译： 公开了一种将儿童置于高脚椅中的限制线束，其包括具有策略性放置的VELCRO钩环类型紧固件的细长面板，使得该面板将完全覆盖从17英寸至8英寸的高度范围内的高度椅背， 面板总是布置和附着到自身上，以便牢固地接合高脚椅背，并呈现出在高脚椅顶部的同一端。 此外，只有环形VELCRO钩环型紧固件被呈现给儿童的背部。 可操作地附接到面板上的多个带子平行于儿童的肩部穿过保持带，然后会聚到穿过儿童的腿部和座位下方的单个带子以重新加入面板。 胸部环绕带可操作地连接到面板和肩带。 此外，该装置可以被折叠成最小和最紧凑的构造，完全位于与高脚椅分开的儿童的后部，因此可以将保持和步行带附接到一个后扣，以便成年人可以保持 当孩子正在学习走路时，垂直的带子可以帮助孩子直立。
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公开(公告)号：US06751507B2
公开(公告)日：2004-06-15
申请号：US09901796
申请日：2001-07-09
IPC分类号： A61F200
CPC分类号： A61B5/202 , A61B5/205 , A61B18/1482 , A61B18/1485 , A61B2018/00011 , A61B2018/00023 , A61B2018/00517 , A61B2018/00523 , A61B2018/00714 , A61B2018/00791
摘要： Methods, devices, and systems for treating the support structures of the body, particularly for incontinence, take advantage of two mechanisms to enhance the support provided by the fascia, ligaments and tendons: first, the invention increases a modulus of elasticity of these tissues, and particularly of the fascial tissues. The increase in modulus can be effected by directing sufficient energy to the fascial tissue so as to promote the formation of scar tissue. The second mechanism attaches tissue planes together, often by directing energy to an interface between adjacent fascial tissues.
摘要翻译： 用于治疗身体的支撑结构，特别是用于失禁的方法，装置和系统利用两种机制来增强由筋膜，韧带和腱提供的支撑：首先，本发明增加这些组织的弹性模量， 特别是筋膜组织。 模量的增加可以通过将足够的能量引导到筋膜组织来实现，从而促进瘢痕组织的形成。 第二种机制通常将组织平面连接在一起，通过将能量引导到相邻筋膜组织之间的界面。
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