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公开(公告)号：US07442191B2
公开(公告)日：2008-10-28
申请号：US09963736
申请日：2001-09-26
IPC分类号： A61B18/14
CPC分类号： A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/0072 , A61B2018/00726 , A61B2018/00779 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. In one aspect, a method is provided for reducing the volume of enlarge swollen tissue in the patient's nose, such as swollen nasal tissue, mucus membranes, turbinates, polyps, neoplasms, cartilage (e.g., the nasal septum) or the like. In particular, the turbinates are treated by positioning one or more electrode terminal(s) adjacent to the turbinates, and delivering electrically conductive fluid, such as isotonic saline, to the nasal cavity to substantially surround the electrode terminal(s) with the fluid. High frequency voltage is applied between the electrode terminal(s) and one or more return electrode(s) to remove a small tissue segment, channel or hole from the region near or in the turbinates to shrink the turbinates and prevent swelling, due to the formation of scar tissue as the wound heals. The high frequency voltage may be selected to effect a small amount of thermal damage to the walls of the channel or hole to facilitate the formation of scar tissue without extending this thermal damage beyond the immediate region of the target site.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 在一个方面，提供了一种减少患者鼻部中膨胀的肿胀组织的体积的方法，例如肿胀的鼻组织，粘液膜，鼻甲，息肉，赘生物，软骨（例如鼻中隔）等。 特别地，通过将邻近鼻甲的一个或多个电极端子定位并将诸如等渗盐水的导电流体输送到鼻腔以基本上围绕电极端子与流体来处理鼻甲。 在电极端子和一个或多个返回电极之间施加高频电压，以从鼻甲附近或在鼻甲中除去小的组织段，通道或孔，以收缩鼻甲并防止膨胀，由于 形成疤痕组织作为伤口愈合。 可以选择高频电压以对通道或孔的壁产生少量的热损伤，以便于形成疤痕组织，而不会使该热损伤延伸超出目标部位的直接区域。
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2.发明授权System and methods for electrosurgical treatment of obstructive sleep disorders 有权用于电外科治疗阻塞性睡眠障碍的系统和方法
公开(公告)号：US6159208A
公开(公告)日：2000-12-12
申请号：US268616
申请日：1999-03-15
CPC分类号： A61B18/1485 , A61B18/149 , A61B18/1206 , A61B2017/00026 , A61B2018/00119 , A61B2018/00327 , A61B2018/00583 , A61B2018/00702 , A61B2018/00827 , A61B2018/00875 , A61B2018/124 , A61B2018/1273 , A61B2018/1467 , A61B2018/162 , A61B2018/165
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention includes a channeling technique in which small holes or channels are formed within tissue structures in the mouth, such as the tonsils, tongue, palate and uvula, and thermal energy is applied to the tissue surface immediately surrounding these holes or channels to cause thermal damage to the tissue surface, thereby stiffening the surrounding tissue structure. Applicant has discovered that such stiffening of certain tissue structures in the mouth and throat helps to prevent the tissue structure from obstructing the patient's upper airway during sleep.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明包括一种通道技术，其中在孔中的组织结构内形成小孔或通道，例如扁桃体，舌头，上颚和尿道，并且热能被施加到紧邻这些孔或通道的组织表面，以引起 对组织表面的热损伤，从而使周围的组织结构变硬。 申请人已经发现，口腔和喉部中某些组织结构的这种硬化有助于防止组织结构在睡眠期间阻塞患者的上呼吸道。
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公开(公告)号：US06432103B1
公开(公告)日：2002-08-13
申请号：US09603833
申请日：2000-06-26
IPC分类号： A61B1814
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00607 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention includes a channeling technique in which small holes or channels are formed within tissue structures in the mouth, such as the tonsils, tongue, palate and uvula, and thermal energy is applied to the tissue surface immediately surrounding these holes or channels to cause thermal damage to the tissue surface, thereby stiffening the surrounding tissue structure. Applicant has discovered that such stiffening of certain tissue structures in the mouth and throat helps to prevent the tissue structure from obstructing the patient's upper airway during sleep.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明包括一种通道技术，其中在孔中的组织结构内形成小孔或通道，例如扁桃体，舌头，上颚和尿道，并且热能被施加到紧邻这些孔或通道的组织表面，以引起 对组织表面的热损伤，从而使周围的组织结构变硬。 申请人已经发现，口腔和喉部中某些组织结构的这种硬化有助于防止组织结构在睡眠期间阻塞患者的上呼吸道。
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公开(公告)号：US06190381B1
公开(公告)日：2001-02-20
申请号：US09010382
申请日：1998-01-21
IPC分类号： A61B1814
CPC分类号： A61B18/1206 , A61B18/12 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00097 , A61B2017/00101 , A61B2017/00106 , A61B2017/00247 , A61B2017/00292 , A61B2017/003 , A61B2017/22001 , A61B2017/22038 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00196 , A61B2018/00327 , A61B2018/00392 , A61B2018/0047 , A61B2018/00476 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00642 , A61B2018/0066 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/0072 , A61B2018/00726 , A61B2018/00738 , A61B2018/00755 , A61B2018/00761 , A61B2018/00779 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1246 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2090/378 , A61B2090/3782 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61F2/95 , A61M3/0283 , A61M25/0133 , A61M25/0147 , A61M25/0158
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within or on a patient's body. In particular, methods and apparatus are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The systems and methods of the present invention are particularly useful for ablation and hemostasis of tissue in sinus surgery (e.g., chronic sinusitis and/or removal of polypectomies) and for resecting and ablating soft tissue structures, such as the meniscus and synovial tissue within a joint.
摘要翻译： 本发明提供了用于将电能选择性地施加到患者体内或身体上的目标位置的系统和方法。 特别地，提供了用于切除，切割，部分消融，抽吸或以其他方式从目标部位移除组织的方法和装置，以及原位烧蚀组织。 本发明的系统和方法特别适用于鼻窦手术中组织的消融和止血（例如，慢性鼻窦炎和/或多灶性切除术的去除），并且用于切除和消融软组织结构，例如软组织结构内的弯液面和滑液组织 联合。
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公开(公告)号：US6109268A
公开(公告)日：2000-08-29
申请号：US990374
申请日：1997-12-15
CPC分类号： A61B18/1485 , A61B18/1206 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove and/or modify the structure of tissue structures. Depending on the specific procedure, the present invention may be used to: (1) volumetrically remove tissue (i.e., ablate or effect molecular dissociation of the tissue structure); (2) shrink or contract collagen connective tissue; and/or (3) coagulate severed blood vessels. For example, the present invention may be useful for ablation and hemostasis of tissue in sinus surgery (e.g., chronic sinusitis or the removal of turbinates, polypectomies), collagen shrinkage, ablation and/or hemostasis in procedures for treating snoring and obstructive sleep apnea (e.g., soft palate, such as the uvula, or tongue/pharynx stiffening, and midline glossectomies), for gross tissue removal, such as tonsillectomies, adenoidectomies, tracheal stenosis and vocal cord polyps and lesions, or for the resection or ablation of facial tumors or tumor with the mouth and pharynx, such as glossectomies, laryngectomies, acoustic neuroma procedures and nasal ablation procedures.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明在存在导电流体的情况下将高频（RF）电能应用于一个或多个电极端子，以去除和/或改变组织结构的结构。 根据具体程序，本发明可用于：（1）体积移除组织（即消融或影响组织结构的分子解离）; （2）收缩或收缩胶原结缔组织; 和/或（3）凝结切断的血管。 例如，本发明可用于治疗打鼾和阻塞性睡眠呼吸暂停的手术中的鼻窦手术中组织的消融和止血（例如慢性鼻窦炎或去除鼻甲，多视神经节），胶原收缩，消融和/或止血 例如软腭，如呃膀，舌/咽部僵硬，以及中线矫形术），用于总体组织清除，如扁桃体切除术，腺样体切除术，气管狭窄和声带息肉和病变，或用于面部肿瘤的切除或消融 或具有口和咽的肿瘤，例如解剖切除术，喉切除术，声学神经瘤手术和鼻腔消融术。
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6.发明授权System and methods for electrosurgical treatment of sleep obstructive disorders 有权电外科治疗睡眠障碍障碍的系统和方法
公开(公告)号：US6086585A
公开(公告)日：2000-07-11
申请号：US136079
申请日：1998-08-18
CPC分类号： A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B18/042 , A61B18/1206 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove and/or modify the structure of tissue structures. The present invention is particularly useful for treating sleep obstructive disorders, such as sleep apnea and snoring.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明在存在导电流体的情况下将高频（RF）电能应用于一个或多个电极端子，以去除和/或改变组织结构的结构。 本发明对于治疗睡眠阻塞性疾病如睡眠呼吸暂停和打鼾特别有用。
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7.发明授权Systems and methods for electrosurgical treatment of obstructive sleep disorders 有权用于电外科治疗阻塞性睡眠障碍的系统和方法公开(公告)号：US07131969B1
公开(公告)日：2006-11-07
申请号：US09562496
申请日：2000-05-01
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove and/or modify the structure of tissue structures. The present invention is particularly useful for treating sleep obstructive disorders, such as sleep apnea and snoring.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明在存在导电流体的情况下将高频（RF）电能应用于一个或多个电极端子，以去除和/或改变组织结构的结构。 本发明对于治疗睡眠阻塞性疾病如睡眠呼吸暂停和打鼾特别有用。
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8.发明授权公开(公告)号：US06544261B2
公开(公告)日：2003-04-08
申请号：US09776799
申请日：2001-02-05
IPC分类号： A61B1814
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00607 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention includes a channeling technique in which small holes or channels are formed within tissue structures in the mouth, such as the tonsils, tongue, palate and uvula, and thermal energy is applied to the tissue surface immediately surrounding these holes or channels to cause thermal damage to the tissue surface, thereby stiffening the surrounding tissue structure. Applicant has discovered that such stiffening of certain tissue structures in the mouth and throat helps to prevent the tissue structure from obstructing the patient's upper airway during sleep.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明包括一种通道技术，其中在孔中的组织结构内形成小孔或通道，例如扁桃体，舌头，上颚和尿道，并且热能被施加到紧邻这些孔或通道的组织表面，以引起 对组织表面的热损伤，从而使周围的组织结构变硬。 申请人已经发现，口腔和喉部中某些组织结构的这种硬化有助于防止组织结构在睡眠期间阻塞患者的上呼吸道。
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公开(公告)号：US06203542B1
公开(公告)日：2001-03-20
申请号：US09295687
申请日：1999-04-21
IPC分类号： A61B1814
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00607 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention includes a channeling technique in which small holes or channels are formed within tissue structures in the mouth, such as the tonsils, tongue, palate and uvula, and thermal energy is applied to the tissue surface immediately surrounding these holes or channels to cause thermal damage to the tissue surface, thereby stiffening the surrounding tissue structure. Applicant has discovered that such stiffening of certain tissue structures in the mouth and throat helps to prevent the tissue structure from obstructing the patient's upper airway during sleep.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明包括一种通道技术，其中在孔中的组织结构内形成小孔或通道，例如扁桃体，舌头，上颚和尿道，并且热能被施加到紧邻这些孔或通道的组织表面，以引起 对组织表面的热损伤，从而使周围的组织结构变硬。 申请人已经发现，口腔和喉部中某些组织结构的这种硬化有助于防止组织结构在睡眠期间阻塞患者的上呼吸道。
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公开(公告)号：US06053172A
公开(公告)日：2000-04-25
申请号：US83526
申请日：1998-05-22
CPC分类号： A61B18/1492 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/042 , A61B18/1206 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention applies high frequency (RF) electrical energy to one or more electrode terminals in the presence of electrically conductive fluid to remove and/or modify the structure of tissue structures. The present invention is particularly useful for removing occlusive media within the small body passages connected to sinus cavities within the patient's nose to treat chronic sinusitis.
摘要翻译： 本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。 本发明在存在导电流体的情况下将高频（RF）电能应用于一个或多个电极端子，以去除和/或改变组织结构的结构。 本发明特别可用于去除与患者鼻内的窦腔相连的小体通道内的闭塞介质，以治疗慢性鼻窦炎。
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