公开(公告)号：US20120245575A1

公开(公告)日：2012-09-27

申请号：US13069472

申请日：2011-03-23

申请人： Gordon Epstein ,  Richard Spero

发明人： Gordon Epstein ,  Richard Spero

IPC分类号： A61B18/18

CPC分类号： A61B18/1487 ,  A61B18/1477 ,  A61B2017/00212 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00589 ,  A61B2018/00642 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/00982 ,  A61B2018/143 ,  A61B2090/378

摘要： The invention provides a system and method for a practitioner to interact remotely with a radiofrequency ablation device via a graphical user interface (GUI) which displays a hierarchical system of menu and submenu choices prior to and during a surgical procedure to ablate and coagulate a tissue mass such as a fibroid tumor without breaking the sterile field of the surgical procedure. The inventive system comprises an ablation device, a computer software program, a GUI, a navigational tool for scrolling and selecting through a series of menu and submenu choices by the practitioner displayed on the GUI, and a foot pedal used by the practitioner for operating the ablation device to ablate and coagulate a tissue mass of a patient. The menus and submenus allow for entry of patient data as well as for the control of certain parameters and operation of the ablation device.

摘要翻译： 本发明提供了一种用于从业者通过图形用户界面（GUI）远程与射频消融装置进行交互的系统和方法，所述图形用户界面（GUI）在外科手术之前和期间显示菜单和子菜单选择的分级系统以消融和凝固组织块 例如不破坏外科手术的无菌领域的纤维瘤。 本发明的系统包括消融设备，计算机软件程序，GUI，用于通过GUI上显示的从业者的一系列菜单和子菜单滚动和选择的导航工具，以及由从业者用于操作GUI的脚踏板 消融装置以消融和凝固患者的组织块。 菜单和子菜单允许输入患者数据以及用于控制某些参数和消融装置的操作。

公开(公告)号：US20090221998A1

公开(公告)日：2009-09-03

申请号：US11940294

申请日：2007-11-14

申请人： Gordon EPSTEIN ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

发明人： Gordon EPSTEIN ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

IPC分类号： A61B18/18

CPC分类号： A61B17/42 ,  A61B18/1477 ,  A61B18/1487 ,  A61B2017/4216 ,  A61B2018/00279 ,  A61B2018/00577 ,  A61B2018/00595 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1475

摘要： An anchoring member which comprises a support structure and at least one anchor secured to the anchoring member is disclosed. An anchor deflection member is disposed generally externally to and at least partially surrounding and extending along the perimeter of the anchoring member. The anchor deflection member supports the anchoring member for sliding longitudinal movement in directions which result in advancement and retraction of a point on the anchor. The anchor deflection member defines a guide surface positioned on the inside of the anchor deflection member. The guide surface extends longitudinally, and it is configured and dimensioned to slidingly guide the cylindrical anchoring member. A deflection lip is positioned relatively inwardly with respect to the guide surface. The deflection lip is positioned to outwardly deflect the point of the anchor as the anchor is advanced from a position removed from the deflection lip toward the deflection lip into contact with the deflection lip and beyond the deflection lip.

摘要翻译： 公开了一种锚固构件，其包括支撑结构和固定到锚固构件的至少一个锚固件。 锚固件偏转构件通常设置在锚定构件的外周并且至少部分地围绕并沿着锚定构件的周边延伸。 锚定偏转构件支撑锚定构件，用于在导致锚点上的点的前进和缩回的方向上滑动纵向运动。 锚定偏转构件限定位于锚定偏转构件内侧的引导表面。 引导表面纵向延伸，并且其构造和尺寸被设计成滑动地引导圆柱形锚固构件。 偏转唇缘相对于引导表面相对向内定位。 偏转唇缘被定位成当锚固体从偏转唇缘朝向偏转唇缘移除的位置前进到与偏转唇缘接触并且超过偏转唇缘时，使得锚的向外偏转。

公开(公告)号：US20070006215A1

公开(公告)日：2007-01-04

申请号：US11429921

申请日：2006-05-08

申请人： Gordon Epstein ,  Bruce Lee ,  Jeffrey Cohen ,  Adam Hagmann ,  Richard Spero

发明人： Gordon Epstein ,  Bruce Lee ,  Jeffrey Cohen ,  Adam Hagmann ,  Richard Spero

IPC分类号： G06F9/44

CPC分类号： A61B18/14 ,  A61B17/3421 ,  A61B18/1477 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/3454 ,  A61B2018/00214 ,  A61B2018/00273 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00738 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/0094 ,  A61B2018/1405 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1467 ,  A61B2018/1475 ,  A61B2018/1869

摘要： The inventive ablation element comprises an elongated cannula having a proximal end and a distal end. The cannula defines an internal lumen within the cannula and a cannula axis. A plurality of conductors contained within the lumen, each of the conductors has a proximal end proximate the proximal end of the cannula, and a distal end proximate the distal end of the cannula. A plurality of ablation stylets each has a proximal end and a distal end, and each coupled at the respective proximal end of the stylet to the distal end of a respective conductor, the stylets comprise a deflectable material, the conductors together with their respective stylets being mounted for axial movement. A trocar point defined proximate the distal end of the cannula. A deflection surface positioned between the trocar point and the proximal end of the cannula, the deflection surface being configured and positioned to deflect, in response to axial movement of the stylets in a direction from the proximate end of the cannula to the distal end of the cannula, at least some of the stylets laterally with respect to the cannula axis in different directions along substantially straight paths, the paths defining an ablation volume.

摘要翻译： 本发明的消融元件包括具有近端和远端的细长插管。 套管限定插管内的内腔和插管轴线。 包含在内腔内的多个导体，每个导体具有靠近套管近端的近端，以及靠近套管远端的远端。 多个消融模具各自具有近端和远端，并且每个消融模具各自在相应的导管的相应近端处连接到相应导体的远端，所述模式包括可偏转材料，所述导体与它们各自的形式 安装用于轴向移动。 定位在套管远端附近的套针针点。 定位在套管针点和套管近端之间的偏转表面，所述偏转表面被构造和定位成响应于沿着插管的近端到所述插管的远端的方向的轴向移动而偏转 插管，沿着基本上直的路径在不同方向上相对于插管轴线横向的至少一些样式，所述路径限定消融体积。

公开(公告)号：US20150190206A1

公开(公告)日：2015-07-09

申请号：US14537899

申请日：2014-11-10

申请人： Gordon Epstein ,  Richard Spero

发明人： Gordon Epstein ,  Richard Spero

IPC分类号： A61B19/00 ,  A61B8/13 ,  A61B5/00 ,  A61B1/313 ,  A61B8/00

CPC分类号： A61B8/13 ,  A61B5/743 ,  A61B5/7435 ,  A61B5/744 ,  A61B8/12 ,  A61B8/463 ,  A61B34/20 ,  A61B34/25 ,  A61B2034/2063 ,  A61B2090/364 ,  A61B2090/378

摘要： A system for visualizing and guiding a surgical device having a first imaging device of a first type and has a first image output. The first imaging device is positioned to image an area being subject to surgery. A second imaging device of a second type has a second image output. The second imaging device is positioned to image an area being subject to surgery. A computer is coupled to receive the first and second image outputs and a computer software program, resident in the computer receives and displays information received from the surgical device and/or for guiding the operation of the surgical device and for generating a graphic user interface including selectable menu and submenu items. The surgical device is coupled to the computer.

摘要翻译： 一种用于可视化和引导具有第一类型的第一成像装置并且具有第一图像输出的手术装置的系统。 第一成像装置被定位成对要手术的区域进行成像。 第二类型的第二成像装置具有第二图像输出。 第二成像装置被定位成对待手术的区域进行成像。 计算机被耦合以接收第一和第二图像输出，并且驻留在计算机中的计算机软件程序接收并显示从手术装置接收的信息和/或用于引导手术装置的操作并且用于生成图形用户界面，包括 可选菜单和子菜单项。 手术装置与计算机相连。

公开(公告)号：US20110230874A1

公开(公告)日：2011-09-22

申请号：US13069466

申请日：2011-03-23

申请人： Gordon Epstein ,  Bruce Lee ,  Russell Delonzor ,  Adam Hagmann ,  Richard Spero

发明人： Gordon Epstein ,  Bruce Lee ,  Russell Delonzor ,  Adam Hagmann ,  Richard Spero

IPC分类号： A61B18/18 ,  A61B18/14

CPC分类号： A61B18/1477 ,  A61B18/18 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00648 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1475

摘要： A method of ablating a uterine fibroid using a particular trocar is disclosed. The trocar comprises a plurality of ablation stylets mounted for movement from within the trocar to positions extending from the trocar. The trocar is adjustable to assume a plurality of configurations, each of the configurations having the stylets extended to a different extent from the trocar. A region to be ablated is imaged. The region may correspond to all or a portion of a uterine fibroid. The size of the region to be ablated is noted. The size of the region to be ablated is compared to a matrix of known ablation regions, each of the known ablation regions being associated with one of the configurations of the particular trocar, and each of the known ablation regions being associated with a position of the trocar relative to the known ablation region. The region to be ablated is associated with a most nearly matching known ablation region by comparison of the region to be ablated to the known ablation regions. A trocar of the design of the particular trocar is inserted into the uterine fibroid at a position, with respect to the region to be ablated, which more closely matches the position of the particular trocar with respect to the known ablation region. The stylets are deployed from the trocar to an extent corresponding to the configuration associated with the most nearly matching known ablation region.

摘要翻译： 公开了使用特定套管针消除子宫肌瘤的方法。 套管针包括多个消融套，其安装成用于从套管针内移动到从套管针延伸的位置。 套针针可调节以呈现多个构型，每个构型具有与套管针不同的范围。 要烧蚀的区域被成像。 该区域可以对应于子宫肌瘤的全部或一部分。 注意要消除的区域的大小。 将要消融的区域的尺寸与已知消融区域的矩阵进行比较，每个已知的消融区域与特定套管针的配置之一相关联，并且每个已知的消融区域与 套针针相对于已知的消融区域。 通过将要消融的区域与已知的消融区域进行比较，要消融的区域与最接近匹配的已知烧蚀区域相关联。 特定套管针的设计的套针针相对于要消融的区域相对于已知的消融区域更紧密地匹配特定套管针的位置的位置被插入到子宫肌瘤中。 将套管从套针针部署到对应于与最接近匹配的已知消融区域相关联的配置的程度。

公开(公告)号：US06921381B2

公开(公告)日：2005-07-26

申请号：US09972495

申请日：2001-10-05

申请人： Richard Spero ,  Atif Yardimci ,  Gordon Epstein

发明人： Richard Spero ,  Atif Yardimci ,  Gordon Epstein

IPC分类号： A61M39/00 ,  A61B17/00 ,  A61M11/00 ,  A61M37/00

CPC分类号： B05C17/00593 ,  A61B17/00491 ,  A61B2017/00495 ,  B05C17/00516

摘要： A laparoscopic spray device for selectively applying a multiple component material dispensed from a multiple component material applicator to a surgical site in vivo is disclosed. The device comprises an interface member capable of engaging a multiple component applicator, a body having at least two lumens therein, and a detachable spray tip in fluid communication with the body. The detachable spray tip includes a mixing chamber having at least one flexible mixing member positioned therein which is capable of creating a turbulent flow within a mixing chamber. In addition, the at least one mixing member prevents a back flow of material from the mixing chamber to the at least two lumens. The present invention is particularly useful in remotely applying multiple component tissue adhesives to an internal incision.

摘要翻译： 公开了一种用于选择性地将从多组分材料施用器分配的多组分材料施用于体内的手术部位的腹腔镜喷雾装置。 该装置包括能够接合多组分施加器的接口构件，其中具有至少两个腔的主体和与身体流体连通的可拆卸喷雾尖端。 可拆卸喷嘴包括具有定位在其中的至少一个柔性混合构件的混合室，其能够在混合室内产生湍流。 此外，至少一个混合构件防止材料从混合室向后流动至至少两个流明。 本发明特别适用于将多组分组织粘合剂远程应用于内部切口。

公开(公告)号：US20150066020A1

公开(公告)日：2015-03-05

申请号：US13969605

申请日：2013-08-18

申请人： Gordon Epstein ,  Bruce Lee ,  Russell Delonzor ,  Adam Hagmann ,  Richard Spero

发明人： Gordon Epstein ,  Bruce Lee ,  Russell Delonzor ,  Adam Hagmann ,  Richard Spero

IPC分类号： A61B18/14

CPC分类号： A61B18/1477 ,  A61B18/18 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00648 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1475

摘要： A method of ablating a uterine fibroid using a particular trocar is disclosed. The trocar comprises a plurality of ablation stylets. The trocar is adjustable to assume a plurality of configurations, each of the configurations having the stylets extended to a different extent from the trocar. A region to he ablated is imaged. The size of the region to be ablated is noted. The size of the region to be ablated is compared to a matrix of known ablation regions, each of the known ablation regions being associated with one of the configurations of the particular trocar. The region to be ablated is associated with a most nearly matching known ablation region by comparison of the region to be ablated to the known ablation regions. A trocar is inserted into the uterine fibroid at a position, which more closely matches the position of the particular trocar with respect to the known ablation region. The stylets are deployed from the trocar to an extent corresponding to the configuration.

摘要翻译： 公开了使用特定套管针消除子宫肌瘤的方法。 套针包括多个消融套。 套针针可调节以呈现多个构型，每个构型具有与套管针不同的范围。 他烧伤的区域被成像。 注意要消除的区域的大小。 将要消融的区域的尺寸与已知消融区域的矩阵进行比较，每个已知的消融区域与特定套管针的一个配置相关联。 通过将要消融的区域与已知的消融区域进行比较，要消融的区域与最接近匹配的已知烧蚀区域相关联。 将套针针插入子宫肌瘤中，该位置与已知的消融区域更紧密地匹配特定套针针的位置。 将套管从套管针部署到对应于配置的程度。

公开(公告)号：US08241276B2

公开(公告)日：2012-08-14

申请号：US11940289

申请日：2007-11-14

申请人： Gordon Epstein ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

发明人： Gordon Epstein ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

IPC分类号： A61B18/14

CPC分类号： A61N1/06 ,  A61B18/1477 ,  A61B2017/00101 ,  A61B2018/143 ,  A61B2018/1475

摘要： The inventive ablation element comprises an elongated cannula having a proximal end and a distal end. The cannula defines an internal lumen within the cannula and a cannula axis. A plurality of conductors contained within the lumen, each of the conductors has a proximal end proximate the proximal end of the cannula, and a distal end proximate the distal end of the cannula. A plurality of ablation stylets each has a proximal end and a distal end, and each coupled at the respective proximal end of the stylet to the distal end of a respective conductor, the stylets comprise a deflectable material, the conductors together with their respective stylets being mounted for axial movement. A trocar point defined proximate the distal end of the cannula. A deflection surface positioned between the trocar point and the proximal end of the cannula, the deflection surface being configured and positioned to deflect, in response to axial movement of the stylets in a direction from the proximate end of the cannula to the distal end of the cannula, at least some of the stylets laterally with respect to the cannula axis in different directions along substantially straight paths, the paths defining an ablation volume.

摘要翻译： 本发明的消融元件包括具有近端和远端的细长插管。 套管限定插管内的内腔和插管轴线。 包含在内腔内的多个导体，每个导体具有靠近插管的近端的近端，以及靠近套管远端的远端。 多个消融模具各自具有近端和远端，并且每个消融模具各自在相应的导管的相应近端处连接到相应导体的远端，所述模式包括可偏转材料，所述导体与它们各自的形式 安装用于轴向移动。 定位在套管远端附近的套针针点。 定位在套管针点和套管近端之间的偏转表面，所述偏转表面被构造和定位成响应于沿着插管的近端到所述插管的远端的方向的轴向移动而偏转 插管，沿着基本上直的路径在不同方向上相对于插管轴线横向的至少一些样式，所述路径限定消融体积。

公开(公告)号：US20090187182A1

公开(公告)日：2009-07-23

申请号：US11940289

申请日：2007-11-14

申请人： Gordon EPSTEIN ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

发明人： Gordon EPSTEIN ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

IPC分类号： A61B18/18

CPC分类号： A61N1/06 ,  A61B18/1477 ,  A61B2017/00101 ,  A61B2018/143 ,  A61B2018/1475

摘要： The inventive ablation element comprises an elongated cannula having a proximal end and a distal end. The cannula defines an internal lumen within the cannula and a cannula axis. A plurality of conductors contained within the lumen, each of the conductors has a proximal end proximate the proximal end of the cannula, and a distal end proximate the distal end of the cannula. A plurality of ablation stylets each has a proximal end and a distal end, and each coupled at the respective proximal end of the stylet to the distal end of a respective conductor, the stylets comprise a deflectable material, the conductors together with their respective stylets being mounted for axial movement. A trocar point defined proximate the distal end of the cannula. A deflection surface positioned between the trocar point and the proximal end of the cannula, the deflection surface being configured and positioned to deflect, in response to axial movement of the stylets in a direction from the proximate end of the cannula to the distal end of the cannula, at least some of the stylets laterally with respect to the cannula axis in different directions along substantially straight paths, the paths defining an ablation volume.

摘要翻译： 本发明的消融元件包括具有近端和远端的细长插管。 套管限定插管内的内腔和插管轴线。 包含在内腔内的多个导体，每个导体具有靠近套管近端的近端，以及靠近套管远端的远端。 多个消融模具各自具有近端和远端，并且每个消融模具各自在相应的导管的相应近端处连接到相应导体的远端，所述模式包括可偏转材料，所述导体与它们各自的形式 安装用于轴向移动。 定位在套管远端附近的套针针点。 定位在套管针点和套管近端之间的偏转表面，所述偏转表面被构造和定位成响应于沿着插管的近端到所述插管的远端的方向的轴向移动而偏转 插管，沿着基本上直的路径在不同方向上相对于插管轴线横向的至少一些样式，所述路径限定消融体积。

公开(公告)号：US20170296256A9

公开(公告)日：2017-10-19

申请号：US13969600

申请日：2013-08-18

申请人： Gordon Epstein ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

发明人： Gordon Epstein ,  Bruce Lee ,  Jeffrey M. Cohen ,  Adam Hagmann ,  Richard Spero

IPC分类号： A61B18/14 ,  A61B18/18 ,  A61B17/34 ,  A61B18/00

CPC分类号： A61B18/14 ,  A61B17/3421 ,  A61B18/1477 ,  A61B18/18 ,  A61B18/1815 ,  A61B2017/3454 ,  A61B2018/00214 ,  A61B2018/00273 ,  A61B2018/00559 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00738 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/0094 ,  A61B2018/1405 ,  A61B2018/1425 ,  A61B2018/143 ,  A61B2018/1432 ,  A61B2018/1467 ,  A61B2018/1475 ,  A61B2018/1869

摘要： The inventive ablation element comprises an elongated cannula having a proximal end and a distal end. The cannula defines an internal lumen and a cannula axis. A plurality of conductors contained within the lumen, each having a proximal end proximate the proximal end of the cannula, and a distal end proximate the distal end of the cannula. A plurality of ablation stylets each has a proximal end and a distal end, and each coupled to the distal end of a respective conductor, the conductors together with their respective stylets being mounted for axial movement. A trocar point defined proximate the distal end of the cannula. A deflection surface positioned between the trocar point and the proximal end of the cannula, the deflection surface being configured and positioned to deflect at least some of the stylets laterally with respect to the cannula axis in different directions defining an ablation volume.