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公开(公告)号:US20080172048A1
公开(公告)日:2008-07-17
申请号:US11970005
申请日:2008-01-07
CPC分类号: A61B18/1442 , A61B18/1447 , A61B18/18 , A61B2017/2945 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/124 , A61B2018/1432 , A61B2018/145 , A61B2018/1467
摘要: A method and apparatus for ablating tissue are disclosed that comprise positioning two or more bidirectional ablation energy sources in spaced-apart relation in sufficient proximity to the tissue to be ablated so that, upon activation each energy source creates an energy field in the tissue to be ablated. The energy sources are spaced such that the energy fields created by at least one of the activated sources partially overlaps with the energy field created by one or more of the other energy sources. The energy sources are alternately activated and deactivated, so that a substantially constant energy field results where the energy fields created by at least two of the energy sources overlap. While the energy sources are preferably RF energy sources, other energy sources, such as microwave, may be used.
摘要翻译: 公开了一种用于消融组织的方法和装置,其包括将两个或更多个间隔关系的双向消融能量源定位成足以接近要消融的组织,使得在激活时,每个能量源在组织中产生能量场 烧伤 能量间隔开,使得由至少一个激活源产生的能量场与由一个或多个其他能量源产生的能量场部分重叠。 能量源被交替地激活和去激活,从而导致基本上恒定的能量场,其中由至少两个能量源产生的能量场重叠。 虽然能源优选地是RF能量源,但是可以使用其他能量源,例如微波。
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公开(公告)号:US09924998B2
公开(公告)日:2018-03-27
申请号:US11970005
申请日:2008-01-07
CPC分类号: A61B18/1442 , A61B18/1447 , A61B18/18 , A61B2017/2945 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/124 , A61B2018/1432 , A61B2018/145 , A61B2018/1467
摘要: A method and apparatus for ablating tissue are disclosed that comprise positioning two or more bidirectional ablation energy sources in spaced-apart relation in sufficient proximity to the tissue to be ablated so that, upon activation each energy source creates an energy field in the tissue to be ablated. The energy sources are spaced such that the energy fields created by at least one of the activated sources partially overlaps with the energy field created by one or more of the other energy sources. The energy sources are alternately activated and deactivated, so that a substantially constant energy field results where the energy fields created by at least two of the energy sources overlap. While the energy sources are preferably RF energy sources, other energy sources, such as microwave, may be used.
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公开(公告)号:US09861371B2
公开(公告)日:2018-01-09
申请号:US14934865
申请日:2015-11-06
IPC分类号: A61B17/128 , A61B17/122 , A61B17/00 , A61B17/29
CPC分类号: A61B17/1285 , A61B17/00234 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00314 , A61B2017/00318 , A61B2017/0069 , A61B2017/2927 , A61B2017/2937 , A61B2017/2939
摘要: A medical instrument comprising: (a) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in a first degree of freedom; (b) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a second degree of freedom; (c) a pair of repositionable jaws operatively coupled to the first joint and the second joint; (d) an occlusion clip detachably mounted to the pair of repositionable jaws; and, (e) a controller operatively coupled to the first joint, the second joint, and the pair of repositionable jaws, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member, and a third control configured to direct repositioning of the pair of repositionable jaws.
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公开(公告)号:US20170014135A1
公开(公告)日:2017-01-19
申请号:US14799535
申请日:2015-07-14
申请人: Keith Edward Martin , Frank M. Fago , David Wilson
发明人: Keith Edward Martin , Frank M. Fago , David Wilson
IPC分类号: A61B17/128 , A61B17/00
CPC分类号: A61B17/1285 , A61B17/00234 , A61B17/10 , A61B17/1227 , A61B34/71 , A61B2017/00243 , A61B2017/00323 , A61B2017/00584 , A61B2017/0069 , A61B2017/2902 , A61B2017/2927 , A61B2017/2937 , A61B2017/2939
摘要: A medical instrument comprising: (a) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in a first degree of freedom; (b) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a second degree of freedom; (c) a pair of repositionable jaws operatively coupled to the first joint and the second joint; (d) an open-ended occlusion clip detachably mounted to the pair of repositionable jaws; and, (e) a controller operatively coupled to the first joint, the second joint, and the pair of repositionable jaws, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member, and a third control configured to direct repositioning of the pair of repositionable jaws, the third control including a line operatively coupled to the first and second jaws in at least a gun tackle pulley configuration
摘要翻译: 一种医疗器械,包括:(a)包括第一构件和第二构件的第一接头,所述第一构件被构造成在第一自由度中可相对于所述第二构件重新定位; (b)第二接头,其可操作地联接到所述第一接头,所述第二接头包括第三构件和第四构件,所述第三构件被配置成在第二自由度中可相对于所述第四构件重新定位; (c)可操作地连接到第一关节和第二关节的一对可重定位爪; (d)可拆卸地安装到所述一对可重定位爪的开口闭塞夹; 以及(e)可操作地联接到所述第一关节,所述第二关节和所述一对可重定位爪的控制器,所述控制器包括构造成引导所述第一构件和所述第二构件中的至少一个的重新定位的第一控制,以及 第二控制器被配置为直接重新定位第三构件和第四构件中的至少一个,以及构造成引导重新定位一对可重定位爪的第三控制件,第三控制器包括可操作地联接到第一和第二钳口的管线 至少一个枪具滑轮配置
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公开(公告)号:US08348939B2
公开(公告)日:2013-01-08
申请号:US13221503
申请日:2011-08-30
IPC分类号: A61B18/14
CPC分类号: A61B18/1402 , A61B5/042 , A61B2017/00026 , A61B2017/00044 , A61B2017/00296 , A61B2018/0016 , A61B2018/00577 , A61B2018/00648 , A61B2018/00702 , A61B2018/1467 , A61B2018/1475 , A61B2018/1495 , A61N1/3622
摘要: An electrosurgical device having a distal tip for creating a lesion on tissue includes a first electrode and a second electrode that are parallel for the delivery of RF energy to tissue. A sensor electrode is provided parallel to and spaced away from the first electrode a different distance than the second electrode. When the sensor electrode and at least one of the first and second electrodes are in contact with tissue. The electrosurgical device can perform at least one of the following: ablating tissue, and sensing at least one selected from the group of voltage, tissue impedance, electrical conduction, conduction time, conduction velocity, and signal phase angle.
摘要翻译: 具有用于在组织上产生损伤的远侧末端的电外科装置包括平行于将RF能量递送至组织的第一电极和第二电极。 传感器电极平行于第一电极并与第二电极间隔开距离与第二电极不同的距离。 当传感器电极和第一和第二电极中的至少一个与组织接触时。 电外科装置可以执行以下中的至少一个:消融组织,并感测从电压,组织阻抗,导电时间,传导速度和信号相位角组中选出的至少一个。
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公开(公告)号:US08057471B2
公开(公告)日:2011-11-15
申请号:US12902851
申请日:2010-10-12
IPC分类号: A61B18/18
CPC分类号: A61B18/1402 , A61B5/042 , A61B2017/00026 , A61B2017/00044 , A61B2017/00296 , A61B2018/00375 , A61B2018/00577 , A61B2018/1495 , A61N1/05
摘要: A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.
摘要翻译: 手术装置具有整体的第一末端,其具有一对电极,其被配置为使用电能来消融组织。 第二尖端具有一对电极,其被配置为向心脏提供起搏信号和/或感测通过心脏组织的电信号。 第二尖端构造成卡扣到第一尖端上,使得相同的装置可用于消融,起搏和感测。 或者,第二末端可以与装置成一体,并且第一末端被配置成卡扣到第二末端。 或者,手术装置的单个整体尖端可用于消融,起搏和感测。 这种多功能尖端可以包括多个电极对或电极阵列。 设备或其他地方的用户界面可以是可操作的,以提供可选择的模式,用于选择性地改变传递到电极的信号的特性。
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公开(公告)号:US20170014137A1
公开(公告)日:2017-01-19
申请号:US14934865
申请日:2015-11-06
IPC分类号: A61B17/128 , A61B17/122
CPC分类号: A61B17/1285 , A61B17/00234 , A61B17/122 , A61B17/1227 , A61B2017/00243 , A61B2017/00314 , A61B2017/00318 , A61B2017/0069 , A61B2017/2927 , A61B2017/2937 , A61B2017/2939
摘要: A medical instrument comprising: (a) a first joint comprising a first member and a second member, the first member configured to be repositionable with respect to the second member in a first degree of freedom; (b) a second joint operatively coupled to the first joint, the second joint comprising a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a second degree of freedom; (c) a pair of repositionable jaws operatively coupled to the first joint and the second joint; (d) an occlusion clip detachably mounted to the pair of repositionable jaws; and, (e) a controller operatively coupled to the first joint, the second joint, and the pair of repositionable jaws, the controller including a first control configured to direct repositioning of at least one of the first member and the second member, and a second control configured to direct repositioning of at least one of the third member and the fourth member, and a third control configured to direct repositioning of the pair of repositionable jaws.
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公开(公告)号:US20120059370A1
公开(公告)日:2012-03-08
申请号:US13292795
申请日:2011-11-09
IPC分类号: A61B18/18
CPC分类号: A61B18/1402 , A61B5/042 , A61B2017/00026 , A61B2017/00044 , A61B2017/00296 , A61B2018/00375 , A61B2018/00577 , A61B2018/1495 , A61N1/05
摘要: A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.
摘要翻译: 手术装置具有整体的第一末端,其具有一对电极,其被配置为使用电能来消融组织。 第二尖端具有一对电极,其被配置为向心脏提供起搏信号和/或感测通过心脏组织的电信号。 第二尖端构造成卡扣到第一尖端上,使得相同的装置可用于消融,起搏和感测。 或者,第二末端可以与装置成一体,并且第一末端被配置成卡扣到第二末端。 或者,手术装置的单个整体尖端可用于消融,起搏和感测。 这种多功能尖端可以包括多个电极对或电极阵列。 设备或其他地方的用户界面可以是可操作的,以提供可选择的模式,用于选择性地改变传递到电极的信号的特性。
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公开(公告)号:US20170014131A1
公开(公告)日:2017-01-19
申请号:US14934878
申请日:2015-11-06
申请人: Keith Edward Martin , Frank M. Fago , David Wilson
发明人: Keith Edward Martin , Frank M. Fago , David Wilson
IPC分类号: A61B17/10
CPC分类号: A61B17/1285 , A61B17/00234 , A61B17/10 , A61B17/1227 , A61B34/71 , A61B2017/00243 , A61B2017/00323 , A61B2017/00584 , A61B2017/0069 , A61B2017/2902 , A61B2017/2927 , A61B2017/2937 , A61B2017/2939
摘要: A medical instrument including a first joint including a first member and a second member, the first member configured to be repositionable with respect to the second member in a first degree of freedom, a second joint operatively coupled to the first joint, the second joint including a third member and a fourth member, the third member configured to be repositionable with respect to the fourth member in a second degree of freedom, a pair of repositionable jaws operatively coupled to the first joint and the second joint, an open-ended occlusion clip detachably mounted to the pair of repositionable jaws, and a controller operatively coupled to the first joint, the second joint, and the pair of repositionable jaws, the controller including a control with a line operatively coupled to the first and second jaws in at least a gun tackle pulley configuration.
摘要翻译: 一种医疗器械,包括包括第一构件和第二构件的第一接头,所述第一构件被构造成在第一自由度中可相对于所述第二构件重新定位,第二接头可操作地联接到所述第一接头,所述第二接头包括 第三构件和第四构件,所述第三构件被构造成能够以第二自由度相对于所述第四构件重新定位,可操作地联接到所述第一接头和所述第二接头的一对可重定位爪,开口闭塞夹 可拆卸地安装到一对可重定位爪上,以及控制器,其可操作地联接到第一接头,第二接头和一对可重定位爪,控制器包括控制器,该控制器具有可操作地连接到第一和第二钳口的至少一个 枪滑轮配置。
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公开(公告)号:US09282973B2
公开(公告)日:2016-03-15
申请号:US13355169
申请日:2012-01-20
IPC分类号: A61B17/128 , A61B17/122 , A61B17/00 , A61B17/29
CPC分类号: A61B17/1285 , A61B17/1227 , A61B2017/00584 , A61B2017/00867 , A61B2017/2946
摘要: A laparoscopic device comprising: (a) a housing operatively coupled to a first control and a second control; (b) an end effector operatively coupled to the first control, the end effector comprising a first component and a second component selectively repositionable with respect to one another within an X-Y plane, the end effector also including a third component selectively repositionable with respect to the second component within an Y-Z plane; (c) a laparoscopic conduit extending between the housing and the end effector; and, (d) an occlusion clip deployment device operatively coupled to the end effector and the second control.
摘要翻译: 一种腹腔镜装置,包括:(a)可操作地耦合到第一控制和第二控制的壳体; (b)可操作地耦合到第一控制器的末端执行器,所述末端执行器包括第一部件和第二部件,所述第一部件和第二部件可在XY平面内相对于彼此选择性地重新定位,所述末端执行器还包括可相对于所述第一部件选择性地重新定位的第三部件 YZ平面内的第二分量; (c)在壳体和末端执行器之间延伸的腹腔镜导管; 和(d)可操作地连接到末端执行器和第二控制的遮挡夹子展开装置。
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