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公开(公告)号:US20060069346A1
公开(公告)日:2006-03-30
申请号:US11233993
申请日:2005-09-23
申请人: Kevin Smith , Matthew Palmer , Derek Deville , Sean McBrayer , Korey Kline
发明人: Kevin Smith , Matthew Palmer , Derek Deville , Sean McBrayer , Korey Kline
IPC分类号: A61M31/00
CPC分类号: A61M25/005 , A61M25/0053 , A61M2025/0064 , Y10T29/49826
摘要: A method and device for treating a Chronic Total Occlusion provides a controllable stiffness catheter with a shaft having a stiffness sheath and an access lumen. The device has a stiffness device in a stiff state below a given temperature and in a soft state above the temperature, a temperature-changing device in thermal contact with the stiffness device, the temperature-changing device changing a temperature of the stiffness device below and above the temperature, and a power controller electrically connected to the stiffness device and selectively supplying power to the temperature-changing device to change a stiffness of the stiffness device between the stiff and soft states. A guidewire is moved to a treatment site and the catheter moves along the guidewire up to CTO in its soft state. The catheter stiffens without straightening and, in the stiff state, the catheter or the guidewire is projecting through the CTO.
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公开(公告)号:US20060211979A1
公开(公告)日:2006-09-21
申请号:US11395903
申请日:2006-03-31
申请人: Kevin Smith , Matthew Palmer , Sean McBrayer , Thomas Bales , Derek Deville , Joe Abelleira
发明人: Kevin Smith , Matthew Palmer , Sean McBrayer , Thomas Bales , Derek Deville , Joe Abelleira
CPC分类号: A61B18/1492 , A61B18/00 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61F2/01 , A61F2230/005 , A61M25/005 , A61M25/0053 , A61M25/0054 , A61M25/01 , A61M25/104 , A61M2025/0063 , A61M2025/0064
摘要: A method for delivering RF energy to living tissue includes the steps of extending a guidewire to a tissue treatment site in a body. A controllable stiffness catheter is provided with a stiffness device and a temperature-changing device. The stiffness device is in a stiff state below a given temperature and in a soft state above the given temperature. While supplying power to the temperature-changing device, the catheter is threaded along the guidewire up to the treatment site in the flexible state of the catheter. Power is removed from the temperature-changing device to change stiffness of the stiffness device to the stiff state without straightening the catheter. The RF energy supply device is physically contacted with the treatment site and RF energy is delivered to the treatment site from the RF energy supply device.
摘要翻译: 用于将RF能量递送到活组织的方法包括将导丝延伸到身体中的组织处理部位的步骤。 可控刚度导管设置有刚度装置和温度变化装置。 刚度装置处于低于给定温度的刚性状态,并且处于高于给定温度的软状态。 在向变温装置供电的同时,导管在导管的柔性状态下沿着导丝穿过治疗部位。 将功率从变温装置中移除,以将刚度装置的刚度改变到刚性状态,而不使导管矫直。 RF能量供应装置与处理部位物理接触,RF能量从RF能量供应装置输送到治疗部位。
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公开(公告)号:US20090138003A1
公开(公告)日:2009-05-28
申请号:US12270111
申请日:2008-11-13
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B2017/00734 , A61B2018/00404 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/126 , A61B2018/1412 , A61B2018/1455
摘要: A cordless cautery and cutting surgical device includes a modular battery and a surgical handle. The battery has a cordless radio-frequency-signal-generation assembly generating an output radio-frequency signal and a first selectively removable connector part. The surgical handle has a first handle body portion with a bipolar cautery and cutting end effector. The end effector has jaws with bipolar contacts and a cutting blade disposed between the jaws. The handle has a second body portion connected to the first body portion, defines therein an aseptically sealable battery-holding compartment selectively exposed to the environment and removably holding therein the battery, and a second selectively removable connector part operable to removably hold the first connector part thereto. The second connector part has conductors electrically connecting the RF assembly to the bipolar contacts for supplying the radio-frequency signal to the bipolar contacts when the first and second connector parts are removably secured together.
摘要翻译: 无绳电烙和切割手术装置包括模块电池和手术手柄。 电池具有产生输出射频信号的无绳射频信号发生组件和第一选择性可移除的连接器部分。 手术手柄具有第一把手主体部分,其具有双极烧灼和切割末端执行器。 末端执行器具有双极触点的夹爪和设置在钳口之间的切割刀片。 手柄具有连接到第一主体部分的第二主体部分,其中限定有选择性地暴露于环境并可移除地保持在其中的电池的无菌密封电池容纳室,以及可操作地可移除地将第一连接器部分 到此。 第二连接器部分具有将RF组件电连接到双极触点的导体,用于当第一和第二连接器部件可拆卸地固定在一起时将射频信号提供给双极触点。
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公开(公告)号:US08377059B2
公开(公告)日:2013-02-19
申请号:US12403785
申请日:2009-03-13
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B2017/00734 , A61B2018/00404 , A61B2018/00601 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2018/1861
摘要: A cordless surgical device includes a modular battery, a radio-frequency signal generating assembly, a surgical handle and an interchangeable circuit casing. The RF signal generating assembly includes RF-signal-generating circuitry, a voltage-control circuit and an external output. The voltage circuit is configured to control an output of the RF-signal-generating circuitry. The handle is configured to support a bipolar end effector having jaws with bipolar contacts and a cutting blade disposed between the jaws. The handle includes leads operable to receive RF signals from the external output and defines an aseptically sealable battery-holding compartment configured to hold the battery. The circuit casing is configured to house the RF signal generating assembly and includes a securing connection adapted to couple the external output of the RF signal generating assembly to the leads. The external output is operable to impart RF signals to the handle when the circuit casing connects to the handle.
摘要翻译: 无绳手术装置包括模块电池,射频信号发生组件,手术手柄和可互换电路套管。 RF信号产生组件包括RF信号发生电路,电压控制电路和外部输出。 电压电路被配置为控制RF信号发生电路的输出。 把手被构造成支撑具有双极触点的钳口的双极端部执行器和设置在钳口之间的切割刀片。 手柄包括可操作以从外部输出接收RF信号的引线并且限定被配置为保持电池的无菌密封电池容纳室。 电路外壳被配置为容纳RF信号产生组件,并且包括适于将RF信号发生组件的外部输出耦合到引线的固定连接。 当电路壳体连接到手柄时,外部输出可操作以将RF信号传递到手柄。
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公开(公告)号:US20090240246A1
公开(公告)日:2009-09-24
申请号:US12403835
申请日:2009-03-13
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B2017/00734 , A61B2018/00345 , A61B2018/00404 , A61B2018/00619 , A61B2018/0063 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455
摘要: A surgical device includes a radio-frequency-signal-generation assembly including a radio-frequency-signal-generation circuit operable to generate a radio-frequency signal at an output and adapted to couple to a switch-mode power supply and a surgical handle including an end effector having at least one jaw with at least one electrical contact, the end effector including at least one signal input that electrically connects to the output to provide the radio-frequency signal at the at least one electrical contact.
摘要翻译: 手术装置包括射频信号发生组件,其包括射频信号发生电路,其可操作以在输出处产生射频信号并且适于耦合到开关模式电源和手术手柄,包括 末端执行器具有至少一个具有至少一个电触点的钳口,所述末端执行器包括至少一个信号输入端,所述至少一个信号输入端电连接到所述输出端以在所述至少一个电触点处提供所述射频信号。
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公开(公告)号:US20090171354A1
公开(公告)日:2009-07-02
申请号:US12403785
申请日:2009-03-13
IPC分类号: A61B18/04
CPC分类号: A61B18/1445 , A61B2017/00734 , A61B2018/00404 , A61B2018/00601 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455 , A61B2018/1861
摘要: A cordless surgical device includes a modular battery, a radio-frequency signal generating assembly, a surgical handle and an interchangeable circuit casing. The RF signal generating assembly includes RF-signal-generating circuitry, a voltage-control circuit and an external output. The voltage circuit is configured to control an output of the RF-signal-generating circuitry. The handle is configured to support a bipolar end effector having jaws with bipolar contacts and a cutting blade disposed between the jaws. The handle includes leads operable to receive RF signals from the external output and defines an aseptically sealable battery-holding compartment configured to hold the battery. The circuit casing is configured to house the RF signal generating assembly and includes a securing connection adapted to couple the external output of the RF signal generating assembly to the leads. The external output is operable to impart RF signals to the handle when the circuit casing connects to the handle.
摘要翻译: 无绳手术装置包括模块电池,射频信号发生组件,手术手柄和可互换电路套管。 RF信号产生组件包括RF信号发生电路,电压控制电路和外部输出。 电压电路被配置为控制RF信号发生电路的输出。 把手被构造成支撑具有双极触点的钳口的双极端部执行器和设置在钳口之间的切割刀片。 手柄包括可操作以从外部输出接收RF信号的引线并且限定被配置为保持电池的无菌密封电池容纳室。 电路外壳被配置为容纳RF信号产生组件,并且包括适于将RF信号发生组件的外部输出耦合到引线的固定连接。 当电路壳体连接到手柄时,外部输出可操作以将RF信号传递到手柄。
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公开(公告)号:US09532829B2
公开(公告)日:2017-01-03
申请号:US13397484
申请日:2012-02-15
IPC分类号: A61B17/285 , A61B18/14 , A61B17/00
CPC分类号: A61B18/1445 , A61B2017/00734 , A61B2018/00404 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/126 , A61B2018/1412 , A61B2018/1455
摘要: An end effector assembly for a forceps includes jaws, a cutting assembly, and at least one cam assembly. At least one jaw is moveable relative to the other about a pivot between open and closed positions for grasping tissue. At least one jaw includes a control trough that extends therealong. The pivot has first and second pivot bosses defining a pivot hole therebetween. The cutting assembly includes a blade and blade control portion, and defines a longitudinal axis through the blade and the control portion. The control portion slidably translates through the pivot hole defined between the pivot bosses to allow selective advancement thereof through the trough. The blade is disposed distally of the pivot and extends farther from the axis than an outer surface of the control portion. The cam assembly is coupled to the moveable jaw and is actuatable to move the moveable jaw between the positions.
摘要翻译: 用于镊子的末端执行器组件包括钳口,切割组件和至少一个凸轮组件。 至少一个钳口相对于另一个相对于在打开和关闭位置之间的枢轴可移动以用于抓握组织。 至少一个钳口包括沿其延伸的控制槽。 该枢轴具有第一和第二枢转凸台,在其间限定枢转孔。 切割组件包括刀片和刀片控制部分,并且限定通过刀片和控制部分的纵向轴线。 控制部分可滑动地平移通过限定在枢转凸起之间的枢转孔,以允许其选择性地前进通过槽。 叶片远离枢轴设置,并且比控制部分的外表面从轴线延伸得更远。 凸轮组件联接到可移动的钳口并且可致动以在可移动的夹爪之间移动位置。
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公开(公告)号:US08491581B2
公开(公告)日:2013-07-23
申请号:US12403710
申请日:2009-03-13
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B2017/00734 , A61B2018/00345 , A61B2018/00404 , A61B2018/00619 , A61B2018/0063 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455
摘要: A method for powering an electrosurgical instrument includes the steps of inserting a removable battery assembly into an electrosurgical instrument and activating the power control circuit to power the electrosurgical instrument. The removable battery assembly includes a power control circuit powered by at least one energy storage cell, a radio-frequency-signal-generation assembly communicatively coupled to the power control circuit and operable to selectively produce a radio-frequency signal, and a battery assembly/instrument interface operably coupled to the radio-frequency-signal-generation assembly. The battery assembly/instrument interface includes a first plurality of connectors removably connectable with at least one corresponding connector coupled to the electrosurgical instrument, at least one of the first plurality of connectors being operable to supply the radio-frequency signal to the electrosurgical instrument.
摘要翻译: 用于为电外科器械供电的方法包括将可移除电池组件插入电外科器械中并激活功率控制电路为电外科器械供电的步骤。 可拆卸电池组件包括由至少一个能量存储单元供电的功率控制电路,通信地耦合到功率控制电路并且可操作以选择性地产生射频信号的射频信号发生组件,以及电池组件/ 仪器接口可操作地耦合到射频信号发生组件。 电池组件/仪器接口包括可拆卸地连接到耦合到电外科器械的至少一个对应的连接器的第一组多个连接器,第一组多个连接器中的至少一个可操作以将射频信号提供给电外科器械。
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公开(公告)号:US08328802B2
公开(公告)日:2012-12-11
申请号:US12403835
申请日:2009-03-13
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B2017/00734 , A61B2018/00345 , A61B2018/00404 , A61B2018/00619 , A61B2018/0063 , A61B2018/1226 , A61B2018/1412 , A61B2018/1455
摘要: A surgical device includes a radio-frequency-signal-generation assembly including a radio-frequency-signal-generation circuit operable to generate a radio-frequency signal at an output and adapted to couple to a switch-mode power supply and a surgical handle including an end effector having at least one jaw with at least one electrical contact, the end effector including at least one signal input that electrically connects to the output to provide the radio-frequency signal at the at least one electrical contact.
摘要翻译: 手术装置包括射频信号发生组件,其包括射频信号发生电路,其可操作以在输出处产生射频信号并且适于耦合到开关模式电源和手术手柄,包括 末端执行器具有至少一个具有至少一个电触点的钳口,所述末端执行器包括至少一个信号输入端,所述至少一个信号输入端电连接到所述输出端以在所述至少一个电触点处提供所述射频信号。
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公开(公告)号:US20120157995A1
公开(公告)日:2012-06-21
申请号:US13397484
申请日:2012-02-15
IPC分类号: A61B18/14 , A61B17/295
CPC分类号: A61B18/1445 , A61B2017/00734 , A61B2018/00404 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/126 , A61B2018/1412 , A61B2018/1455
摘要: An end effector assembly for a forceps includes jaws, a cutting assembly, and at least one cam assembly. At least one jaw is moveable relative to the other about a pivot between open and closed positions for grasping tissue. At least one jaw includes a control trough that extends therealong. The pivot has first and second pivot bosses defining a pivot hole therebetween. The cutting assembly includes a blade and blade control portion, and defines a longitudinal axis through the blade and the control portion. The control portion slidably translates through the pivot hole defined between the pivot bosses to allow selective advancement thereof through the trough. The blade is disposed distally of the pivot and extends farther from the axis than an outer surface of the control portion. The cam assembly is coupled to the moveable jaw and is actuatable to move the movable jaw between the positions.
摘要翻译: 用于镊子的末端执行器组件包括钳口,切割组件和至少一个凸轮组件。 至少一个钳口相对于另一个相对于在打开和关闭位置之间的枢轴可移动以用于抓握组织。 至少一个钳口包括沿其延伸的控制槽。 该枢轴具有第一和第二枢转凸台,在其间限定枢转孔。 切割组件包括刀片和刀片控制部分,并且限定通过刀片和控制部分的纵向轴线。 控制部分可滑动地平移通过限定在枢转凸起之间的枢转孔,以允许其选择性地前进通过槽。 叶片远离枢轴设置,并且比控制部分的外表面从轴线延伸得更远。 凸轮组件联接到可移动夹爪并且可致动以在可移动夹爪之间移动位置。
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