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公开(公告)号:US06726685B2
公开(公告)日:2004-04-27
申请号:US09876833
申请日:2001-06-06
申请人: Kevin To , Le T. Le , Andy Uchida , Hugh Sharkey , John Ashley
发明人: Kevin To , Le T. Le , Andy Uchida , Hugh Sharkey , John Ashley
IPC分类号: H61B1818
CPC分类号: A61B18/1492 , A61B2017/00261 , A61B2017/003 , A61B2018/0044 , A61B2018/1407
摘要: An intervertebral disc device is provided comprising a probe capable of being extended from a distal end of an introducer that is percutaneously delivered into an interior of an intervertebral disc, the probe forming a loop when extended from the distal end of the introducer, the loop having first and second proximal ends external to the introducer which are brought together adjacent the introducer distal end to form the loop by the proximal ends being either attached to or entering the distal end of the introducer; and a proximal handle for externally causing the probe to be extended from the distal end of the introducer and externally guiding the probe within an intervertebral disc.
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公开(公告)号:US20080262583A1
公开(公告)日:2008-10-23
申请号:US11872470
申请日:2007-10-15
申请人: Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
发明人: Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
CPC分类号: A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要: A device is described that may be positioned at a location in an intervertebral disc for diagnosis or treatment of the disc. Treatment may include, for example, applying energy or removing material, and may decrease intradiscal pressure. Radiofrequency energy may be applied. A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.
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公开(公告)号:US07647123B2
公开(公告)日:2010-01-12
申请号:US11930813
申请日:2007-10-31
申请人: Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
发明人: Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
IPC分类号: A61N1/06
CPC分类号: A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要: An interverterbral fissure can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure.
摘要翻译: 可以通过在导管的远端提供具有远端,近端,纵向轴线和椎间盘内截面的导管来治疗椎间裂缝,在该导管的至少一个功能元件上。 下一步是向导管的近端施加一个力,这足以使椎间盘内部分通过髓核并绕纤维环的内壁延伸,但是哪个力不足以刺穿纤维环。 接下来,功能元件通过前进或缩回导管并且可选地扭转导管的近端来定位在盘的选定位置。 然后,功能单元处理环形裂缝。 任选地,存在添加物质以密封裂缝的附加步骤。
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公开(公告)号:US08226697B2
公开(公告)日:2012-07-24
申请号:US11872437
申请日:2007-10-15
申请人: Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
发明人: Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
CPC分类号: A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要: A device is described that may be positioned at a location in an intervertebral disc for diagnosis or treatment of the disc. Treatment may include, for example, applying energy or removing material, and may decrease intradiscal pressure. Radiofrequency energy may be applied. A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.
摘要翻译: 描述了可以定位在椎间盘中的位置以用于椎间盘的诊断或治疗的装置。 治疗可以包括例如施加能量或去除材料,并且可以降低椎间盘内的压力。 可以应用射频能量。 修复环带中裂缝的经皮方法包括将能量源放置在裂缝附近并为裂缝提供足够的能量以将温度升高至至少约45-70℃,并且足够的时间使胶原蛋白 焊接。 也可以通过将具有腔的导管放置在裂缝附近并通过导管将密封剂注入到裂缝中,从而密封裂缝来治疗椎间裂。 另外可以通过在导管的远端提供具有远端,近端,纵向轴线和椎间盘内节段的导管来治疗椎间裂缝,在该导管的至少一个功能元件上。 下一步是向导管的近端施加一个力,这足以使椎间盘内部分通过髓核并绕纤维环的内壁延伸,但是哪个力不足以刺穿纤维环。 接下来,功能元件通过前进或缩回导管并且可选地扭转导管的近端来定位在盘的选定位置。 然后功能单元处理环形裂缝。 任选地,存在添加物质以密封裂缝的附加步骤。 还公开了一种外部引导性椎间盘装置。
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公开(公告)号:US07267683B2
公开(公告)日:2007-09-11
申请号:US10712063
申请日:2003-11-14
申请人: Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
发明人: Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
IPC分类号: A61F7/00
CPC分类号: A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要: A device is described that may be positioned at a location in an intervertebral disc for diagnosis or treatment of the disc. Treatment may include, for example, applying energy or removing material, and may decrease intradiscal pressure. Radiofrequency energy may be applied. A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.
摘要翻译: 描述了可以定位在椎间盘中的位置以用于椎间盘的诊断或治疗的装置。 治疗可以包括例如施加能量或去除材料,并且可以降低椎间盘内的压力。 可以应用射频能量。 修复环带中裂缝的经皮方法包括将能量源放置在裂缝附近并为裂缝提供足够的能量以将温度升高至至少约45-70℃,并且足够的时间使胶原蛋白 焊接。 也可以通过将具有腔的导管放置在裂缝附近并通过导管将密封剂注入到裂缝中,从而密封裂缝来治疗椎间裂。 另外可以通过在导管的远端提供具有远端,近端,纵向轴线和椎间盘内节段的导管来治疗椎间裂缝,在该导管的至少一个功能元件上。 下一步是向导管的近端施加一个力,这足以使椎间盘内部分通过髓核并绕纤维环的内壁延伸,但是哪个力不足以刺穿纤维环。 接下来,功能元件通过前进或缩回导管并且可选地扭转导管的近端来定位在盘的选定位置。 然后功能单元处理环形裂缝。 任选地,存在添加物质以密封裂缝的附加步骤。 还公开了一种外部引导性椎间盘装置。
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公开(公告)号:US5755760A
公开(公告)日:1998-05-26
申请号:US613298
申请日:1996-03-11
申请人: Mark A. Maguire , Kevin C. Ladd , John W. Gaiser , Le T. Le
发明人: Mark A. Maguire , Kevin C. Ladd , John W. Gaiser , Le T. Le
CPC分类号: A61M25/0138 , A61B18/1492 , A61B5/0422 , A61B5/6855 , A61B5/6857 , A61B5/6859 , A61M25/0147 , A61B2017/00101 , A61B2018/00351 , A61B2018/00577 , A61B2018/00654 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00839 , A61B2018/00916 , A61B2018/1226 , A61B2018/124 , A61B2018/1273 , A61B2018/1861 , A61B2562/0209 , A61B2562/043 , A61M2025/015 , A61M2025/0161
摘要: A deflectable ablation catheter which includes an elongated catheter body with an electrode located along a distal section of the catheter body. The catheter is provided with a deflection wire coupled to the distal end of the catheter body which on longitudinal movement causes deflection of the distal section of the catheter body into a planar curve, and a core wire coupled to a point proximal to the distal section of the catheter body and coupled to the catheter body so that upon application of torque to the wire, the planar curve formed along the distal section is rotated into a second plane. A handle is provided at the proximal end of the catheter and carries controls coupled to the core wire and the deflection wire.
摘要翻译: 一种可偏转消融导管,其包括细长的导管主体,其具有沿导管主体的远端部分定位的电极。 导管设置有耦合到导管主体的远端的偏转线,其在纵向移动时引起导管主体的远端部分变成平面曲线,并且芯线联接到靠近远端部分的点 导管主体并且联接到导管主体,使得当施加扭矩到线材时,沿着远端部分形成的平面曲线旋转到第二平面。 在导管的近端处设置手柄,并且携带与芯线和偏转线相连的控制。
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公开(公告)号:US5957961A
公开(公告)日:1999-09-28
申请号:US5405
申请日:1998-01-09
申请人: Mark A. Maguire , Kevin C. Ladd , John W. Gaiser , Le T. Le
发明人: Mark A. Maguire , Kevin C. Ladd , John W. Gaiser , Le T. Le
CPC分类号: A61M25/0138 , A61B18/1492 , A61B5/0422 , A61B5/6855 , A61B5/6857 , A61B5/6859 , A61M25/0147 , A61B2017/00101 , A61B2018/00351 , A61B2018/00577 , A61B2018/00654 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00839 , A61B2018/00916 , A61B2018/1226 , A61B2018/124 , A61B2018/1273 , A61B2018/1861 , A61B2562/0209 , A61B2562/043 , A61M2025/015 , A61M2025/0161
摘要: A catheter ablation system including a catheter having a distal segment carrying at least one electrode extending along the segment and having a number of temperature sensors arranged along the distal segment adjacent the electrode, each providing an output indicative of temperature. The catheter is coupled to a power source which provides R-F energy to the electrode and with temperature processing circuitry coupled to the temperature sensors and the power source which controls power output from the power source as a function of the outputs of the temperature sensors. In a preferred embodiment, the temperature processing circuitry includes circuitry for comparing the temperature indicated by the temperature sensors to a known reference sensor and circuitry for disabling subsequent use of an output of one of the sensors if the output from the sensor differs from the referenced temperature by more than a defined value. In an alternative preferred embodiment, the temperature processing circuitry includes circuitry responsive to the rate of change of the output of the temperature sensors and circuitry for disabling a sensor if the output of the sensor changes at a rate greater than a defined referenced rate of change.
摘要翻译: 一种导管消融系统,其包括具有远端段的导管,所述远端段承载沿着所述段延伸的至少一个电极,并且具有沿着与所述电极相邻的远侧段布置的多个温度传感器,每个提供指示温度的输出。 导管耦合到电源,该电源为电极提供R-F能量,并且具有耦合到温度传感器的温度处理电路和控制从电源输出的功率作为温度传感器输出的功能的电源。 在优选实施例中,温度处理电路包括用于将由温度传感器指示的温度与已知参考传感器和用于如果传感器的输出与参考温度不同的随后使用传感器之一的输出的电路进行比较的电路 超过定义的值。 在替代的优选实施例中,温度处理电路包括响应于温度传感器的输出的变化速率和用于在传感器的输出以大于所定义的参考变化率的速率变化的情况下禁用传感器的电路的电路。
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公开(公告)号:US06356790B1
公开(公告)日:2002-03-12
申请号:US09361444
申请日:1999-07-26
申请人: Mark A. Maguire , Kevin C. Ladd , John W. Gaiser , Le T. Le
发明人: Mark A. Maguire , Kevin C. Ladd , John W. Gaiser , Le T. Le
IPC分类号: A61N106
CPC分类号: A61M25/0138 , A61B5/0422 , A61B5/6855 , A61B5/6857 , A61B5/6859 , A61B18/1492 , A61B2017/00101 , A61B2018/00351 , A61B2018/00577 , A61B2018/00654 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00839 , A61B2018/00916 , A61B2018/1226 , A61B2018/124 , A61B2018/1273 , A61B2018/1861 , A61B2562/0209 , A61B2562/043 , A61M25/0147 , A61M2025/015 , A61M2025/0161
摘要: An improved system and method for ablating a tissue site is provided. In one embodiment, the system comprises an ablation catheter employing one or more electrodes and multiple temperature sensors located along the catheter distal end. The temperature sensors control the power applied to the one or more electrodes. A deflection mechanism may be included to provide directional control to the catheter.
摘要翻译: 提供了一种用于烧蚀组织部位的改进的系统和方法。 在一个实施例中,系统包括使用一个或多个电极的消融导管和沿着导管远端定位的多个温度传感器。 温度传感器控制施加到一个或多个电极的功率。 可以包括偏转机构以向导管提供方向控制。
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