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    Electrosurgical instrument having a chamber to volatize a liquid
    1.
    发明授权
    Electrosurgical instrument having a chamber to volatize a liquid 有权
    电外科器械具有使液体挥发的室

    公开(公告)号：US06699244B2

    公开(公告)日：2004-03-02

    申请号：US10124954

    申请日：2002-04-17

    申请人： J. Remberto Carranza ,  Hugh R. Sharkey ,  John E. Ashley ,  Gary S. Fanton

    发明人： J. Remberto Carranza ,  Hugh R. Sharkey ,  John E. Ashley ,  Gary S. Fanton

    IPC分类号： A61B1814

    CPC分类号： A61B18/148 ,  A61B18/1482 ,  A61B18/1492 ,  A61B2017/320008 ,  A61B2018/00434 ,  A61B2018/00625 ,  A61B2018/00654 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/1472 ,  A61B2218/002 ,  A61N1/06 ,  A61N1/40

    摘要： An electrosurgical instrument is provided which includes a holding formation, a probe shaft, an electric conductor, and a probe tip. The probe shaft is secured to the holding formation and has an elongated section extending therefrom. The electric conductor extends along the elongated section. The probe tip is located on a distal end of the probe shaft opposing the holding formation. The probe tip defines a volatization chamber with a mouth out of the probe tip. The probe tip includes an electrode, to which RF current is provided through the electric conductor. The electrode heats an area adjacent to the probe tip. The electrode also heats a liquid in the first volatization chamber to evaporate the liquid into a vapor pocket that ejects from the first volatization chamber through the mouth out of the probe tip. A pump effect is created so that the liquid maintains the probe tip at a more stable temperature.

    摘要翻译： 提供了一种电外科器械，其包括保持结构，探针轴，电导体和探针尖端。 探头轴固定在保持结构上，并具有从其延伸的细长部分。 电导体沿着细长部分延伸。 探针尖端位于与保持结构相对的探针轴的远端上。 探针尖端限定了具有探针尖端的口的挥发室。 探针尖端包括电极，通过电导体提供RF电流。 电极加热与探针尖端相邻的区域。 电极还加热第一挥发室中的液体以将液体蒸发成从第一挥发室通过探针尖端喷出的蒸气袋。 产生泵效应，使得液体将探针尖端保持在更稳定的温度。

    Method and apparatus for treatment of disrupted articular cartilage
    2.
    发明授权
    Method and apparatus for treatment of disrupted articular cartilage 失效
    治疗关节软骨破裂的方法和装置

    公开(公告)号：US06695839B2

    公开(公告)日：2004-02-24

    申请号：US09780648

    申请日：2001-02-08

    申请人： Hugh R. Sharkey ,  Gary S. Fanton

    发明人： Hugh R. Sharkey ,  Gary S. Fanton

    IPC分类号： A61B1818

    CPC分类号： A61B18/148 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/1253 ,  A61B2018/1472 ,  A61B2018/1497 ,  A61B2218/007

    摘要： An apparatus for treating disrupted articular cartilage comprising an elongate probe member having proximal and distal extremities and a handle coupled to the proximal extremity of the elongate probe member. The distal extremity has a peripheral wall defining a cavity and a distal opening communicating with the cavity. A controllable environment is created within the cavity when the distal extremity is placed substantially flush against the disrupted articular cartilage. An electrode is positioned within the cavity at a distance spaced inwardly of the distal opening. The disrupted articular cartilage is sealed to form a substantially continuous surface when energy is supplied to the electrode. A method of using the apparatus is provided.

    摘要翻译： 一种用于治疗破裂的关节软骨的装置，包括具有近端和远端的细长探针构件和与细长探针构件的近端连接的手柄。 远端具有限定空腔的周壁和与空腔连通的远侧开口。 当远端末端基本上与被破坏的关节软骨平齐时，在空腔内产生可控的环境。 电极以远离开口内侧的间隔定位在腔内。 当向电极供应能量时，破坏的关节软骨被密封以形成基本上连续的表面。 提供一种使用该装置的方法。

    Concave probe for arthroscopic surgery
    3.
    发明授权
    Concave probe for arthroscopic surgery 失效
    关节镜手术凹陷探针

    公开(公告)号：US6135999A

    公开(公告)日：2000-10-24

    申请号：US22612

    申请日：1998-02-12

    申请人： Gary S. Fanton ,  Hugh R. Sharkey ,  Daren L. Stewart ,  Lee Weissman

    发明人： Gary S. Fanton ,  Hugh R. Sharkey ,  Daren L. Stewart ,  Lee Weissman

    IPC分类号： A61B17/32 ,  A61B17/16 ,  A61B18/14 ,  A61N1/06 ,  A61N1/40

    CPC分类号： A61N1/40 ,  A61B17/1626 ,  A61B17/1659 ,  A61B17/1684 ,  A61B18/148 ,  A61N1/06 ,  A61B17/1675 ,  A61B2017/320008 ,  A61B2018/00434 ,  A61B2018/00625 ,  A61B2018/00654 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/1472 ,  A61B2218/002

    摘要： Disclosed herein is a new arthroscopic probe with a concave distal tip which simultaneously constrains and cuts tissue. It is particularly adapted to cutting ligaments and tendons. Also disclosed is a thermal energy delivery apparatus which includes (a) a probe means with a distal end and a proximal end, wherein the distal end has a concave tip; (b) a first electrode means positioned at the distal end of the probe means, wherein the first electrode means is configured to deliver sufficient thermal energy to cut ligaments or tendons; and (c) a cabling means coupled to the proximal end of the probe means.In another embodiment of the invention a controller for controlling the delivery of energy and liquid to a surgical instrument with a temperature sensor is disclosed. The energy is supplied by an energy source and the liquid is supplied by a pump. The controller includes a temperature and a flow regulator. The temperature regulator is coupled to the energy source and coupled to the pump. The temperature regulator is responsive to a first temperature indication from the temperature sensor to determine that the first temperature indication exceeds a setpoint and to reduce an energy level from the energy source. The flow regulator is coupled to the pump and coupled to the temperature regulator. The flow regulator includes responsiveness to the first temperature indication to increase a flow of the liquid from the pump.

    摘要翻译： 本文公开了一种新的关节镜探头，其具有同时限制和切割组织的凹入的远端尖端。 它特别适用于切割韧带和腱。 还公开了一种热能递送装置，其包括（a）具有远端和近端的探针装置，其中远端具有凹形尖端; （b）位于探针装置的远端的第一电极装置，其中第一电极装置被配置成输送足够的热能来切割韧带或腱; 和（c）连接到探针装置的近端的布线装置。 在本发明的另一个实施例中，公开了一种用于控制能量和液体输送到具有温度传感器的手术器械的控制器。 能量由能源供应，液体由泵供应。 控制器包括温度和流量调节器。 温度调节器耦合到能源并耦合到泵。 温度调节器响应于来自温度传感器的第一温度指示，以确定第一温度指示超过设定点并且降低能量源的能量水平。 流量调节器耦合到泵并耦合到温度调节器。 流量调节器包括响应于第一温度指示以增加来自泵的液体的流动。

    Method for treating tissue in arthroscopic environment using precooling and apparatus for same
    4.
    发明授权
    Method for treating tissue in arthroscopic environment using precooling and apparatus for same 有权
    使用预冷处理关节镜环境组织的方法及其装置

    公开(公告)号：US06544260B1

    公开(公告)日：2003-04-08

    申请号：US09476018

    申请日：1999-12-31

    申请人： Mark Markel ,  Hugh R. Sharkey ,  Gary S. Fanton

    发明人： Mark Markel ,  Hugh R. Sharkey ,  Gary S. Fanton

    IPC分类号： A61B1818

    CPC分类号： A61B17/320016 ,  A61B17/1604 ,  A61B17/3203 ,  A61B18/00 ,  A61B18/14 ,  A61B18/1442 ,  A61B18/148 ,  A61B2017/320078 ,  A61B2018/00011 ,  A61B2018/126 ,  A61N1/403 ,  A61N7/02

    摘要： A thermal energy delivery apparatus has a probe including a distal end and a proximal end. A first electrode is positioned at the distal end of the probe. The first electrode is configured to deliver sufficient thermal energy to a fibrillated cartilage surface to reduce a level of fibrillation of the fibrillated cartilage surface. A cabling is coupled to the proximal end of the probe. A method for thermal protection of non-targeted tissues that may be exposed to thermal probes used during arthroscopic procedures includes a pre-procedural cooling Lavage. The pre-cooled tissues provide a convective buffer for tissues not intended for thermal intervention, thereby reducing collateral damage.

    摘要翻译： 热能输送装置具有包括远端和近端的探针。 第一电极位于探头的远端。 第一电极被配置为向原纤维化的软骨表面递送足够的热能，以减少原纤化软骨表面的原纤化水平。 电缆连接到探头的近端。 可能暴露于在关节镜手术期间使用的热探针的非靶组织的热保护方法包括手术前冷却灌洗。 预冷组织为不用于热干预的组织提供对流缓冲液，从而减少附带损伤。

    Electrode for electrosurgical coagulation of tissue
    6.
    发明授权
    Electrode for electrosurgical coagulation of tissue 失效
    用于组织电外科凝血的电极

    公开(公告)号：US06168593A

    公开(公告)日：2001-01-02

    申请号：US09022688

    申请日：1998-02-12

    申请人： Hugh R. Sharkey ,  Gary S. Fanton ,  Ramiro L. Reyes

    发明人： Hugh R. Sharkey ,  Gary S. Fanton ,  Ramiro L. Reyes

    IPC分类号： A61B800

    CPC分类号： A61B18/148 ,  A61B18/14 ,  A61B18/1485 ,  A61B18/1492 ,  A61B2018/00654 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/1472 ,  A61N1/06 ,  A61N1/403

    摘要： An electrosurgical electrode, comprising a metal conductor having a first external surface area and having a convex body, a flat face on the body, and a connector for attaching the body to an electrosurgical probe handle, and an insulating layer covering the first external surface of the metal conductor except at a selected second area of one of the convex body and the flat face, the second area being positioned on the metal conductor so that a line from a geometric center of the second area and substantially perpendicular to the second area intersects at an angle an axis formed by a probe handle and the metal conductor upon attachment of a probe handle to the connector, wherein the second area does not intersect the axis along the probe handle. Also disclosed are methods of manufacture and similar off-axis electrodes useful in endoscopic electrosurgery.

    摘要翻译： 一种电外科电极，包括具有第一外表面区域并具有凸体的金属导体，所述本体上具有平坦面，以及用于将所述主体附接到电外科探头手柄的连接器，以及覆盖所述第一外表面的绝缘层 所述金属导体除了所述凸体和所述平面之一的选定的第二区域之外，所述第二区域位于所述金属导体上，使得来自所述第二区域的几何中心并且基本上垂直于所述第二区域的线与 在将探针手柄附接到连接器上时由探针手柄和金属导体形成的轴线的角度，其中第二区域不沿着探针手柄与轴线相交。 还公开了制造方法和类似的用于内窥镜电外科手术的离轴电极。

    Method for modifying the length of a ligament
    9.
    发明授权
    Method for modifying the length of a ligament 失效
    修改韧带长度的方法

    公开(公告)号：US5954716A

    公开(公告)日：1999-09-21

    申请号：US25984

    申请日：1998-02-19

    申请人： Hugh R. Sharkey ,  Gary S. Fanton

    发明人： Hugh R. Sharkey ,  Gary S. Fanton

    IPC分类号： A61B18/14 ,  A61N1/40 ,  A61B17/38

    CPC分类号： A61N1/40 ,  A61B18/148 ,  A61B18/1492 ,  A61B2018/00654 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/1472

    摘要： A method for modifying a ligament connection between two bones by applying radio frequency energy to a portion of a ligament in a patient that functions to maintain two or more bones in a standard configuration in a species to which the patient belongs, but which are in a relationship to each other that is not medically acceptable in the patient, for a time sufficient to induce thermal shrinkage of the portion of the ligament. The method is particularly useful for skeletal-shift disorders by applying radio frequency energy to one ligament of a set of ligaments of a patient that function to align two or more bones in a standard configuration in a species to which the patient belongs but which are causing a skeletal shift in the patient because of an imbalance of ligament-induced forces in the patient for a time sufficient to induce thermal shrinkage of the portion of the ligament, thereby alleviating the skeletal shift. Patellar shift and curvature of the spine are two examples of such disorders.

    摘要翻译： 一种用于通过将射频能量施加到患者中的韧带部分中的功能来修改两个骨骼之间的韧带连接的方法，所述方法用于维持患者所属的物种中的标准配置中的两个或更多个骨骼，但是处于 彼此之间的关系，其在患者体内不是医学上可接受的，足以引起韧带部分的热收缩的时间。 该方法对于骨骼移位障碍特别有用，其通过将射频能量应用于患者的一组韧带的一条韧带，该韧带用于使患者所属的种类中的标准配置中的两个或多个骨骼对准，但是正在引起 由于患者中韧带诱发的力的不平衡足以引起韧带部分的热收缩，从而减轻骨骼移位，患者的骨骼移位。 脊柱的髌骨移位和曲率是这种障碍的两个例子。