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公开(公告)号:US5913857A
公开(公告)日:1999-06-22
申请号:US786497
申请日:1997-01-21
申请人: Mark A. Ritchart , Minh Tran
发明人: Mark A. Ritchart , Minh Tran
CPC分类号: A61B10/0266 , A61B18/1482 , A61B10/02 , A61B17/32002 , A61B17/32053 , A61B2017/0046 , A61B2017/00796 , A61B2017/320024 , A61B2017/32004 , A61B2018/00208 , A61B2018/1407 , A61B2018/1861 , A61B2090/062 , A61B2090/378 , A61B2090/3908
摘要: This invention provides an inventive tissue sampling probe which offers many advantages over probes available in the prior art. Unexpectedly superior results are obtained in connection with the retrieval of intact tissue specimens, because of a unique combination of cutting features, including, in particular, the employment of an electrosurgical cutting element which is extendible to permit ready severance of the distal end of the tissue specimen, without impact to surrounding tissue. Additionally, the inventive instrument is advantageously designed so that portions of the instrument which contact the patient's tissue or fluid discharge (i.e. blood) during a procedure are modular and disposable, to permit ready replacement of those portions with a new module for an ensuing procedure, without the necessity of cleaning and sterilizing the instrument. The versatility of the invention permits its use in many applications, including, for example, breast biopsies, intraoperative staging, laparoscopic surgery, and lymphadenectomy procedures.
摘要翻译: 本发明提供了一种创新的组织取样探针,其提供了优于现有技术中可用的探针的许多优点。 由于切割特征的独特组合,特别是使用电外科切割元件,其可延伸以允许组织的远端立即切断,因此与完整的组织标本的检索相关联,获得了意想不到的优异结果 标本,不影响周围组织。 此外,本发明的仪器有利地被设计成使得在手术期间接触患者组织或流体排出物(即,血液)的器械的部分是模块化的和一次性的,以允许用新的模块准备好替换那些部件用于随后的过程, 而不需要对仪器进行清洁和消毒。 本发明的多功能性允许其在许多应用中使用,包括例如乳房活检,术中分期,腹腔镜手术和淋巴结清扫手术。
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公开(公告)号:US5810806A
公开(公告)日:1998-09-22
申请号:US705622
申请日:1996-08-29
申请人: Mark A. Ritchart , Minh Tran , Mark Cole , Fred H. Burbank
发明人: Mark A. Ritchart , Minh Tran , Mark Cole , Fred H. Burbank
CPC分类号: A61B10/0266 , A61B18/1482 , A61B10/02 , A61B2017/0046 , A61B2017/00796 , A61B2017/32004 , A61B2018/00208 , A61B2018/1407 , A61B2018/1861 , A61B2090/062 , A61B2090/378 , A61B2090/3908
摘要: This invention provides an inventive tissue sampling probe which offers many advantages over probes available in the prior art. Unexpectedly superior results are obtained in connection with the retrieval of intact tissue specimens, because of a unique combination of cutting features, including, for example, the employment of an electrosurgical cutting element and a vacuum assist in one preferred embodiment. A particularly important feature of the invention is the ability to manipulate the electrosurgical cutting element to cleanly sever the distal end of the tissue specimen. In certain embodiments, this is accomplished without any cutting impact on surrounding tissue. The versatility of the invention permits its use in many applications, including, for example, breast biopsies, laparoscopic surgery, and lymphadenectomy procedures.
摘要翻译: 本发明提供了一种创新的组织取样探针,其提供了优于现有技术中可用的探针的许多优点。 由于在一个优选实施例中包括例如使用电外科切割元件和真空辅助的切割特征的独特组合,可以获得与完整组织标本的检索有关的意想不到的优异结果。 本发明的一个特别重要的特征是能够操纵电外科切割元件来清洁地切断组织标本的远端。 在某些实施方案中,这是在对周围组织没有任何切割冲击的情况下实现的。 本发明的多功能性允许其在许多应用中使用,包括例如乳房活组织检查,腹腔镜手术和淋巴结清扫手术。
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3.
公开(公告)号:US09452015B2
公开(公告)日:2016-09-27
申请号:US13161356
申请日:2011-06-15
申请人: Brad M. Kellerman , David Trottingwolf Aldridge , David K. Wrolstad , Mark A. Ritchart , Jeffrey E. Hull
发明人: Brad M. Kellerman , David Trottingwolf Aldridge , David K. Wrolstad , Mark A. Ritchart , Jeffrey E. Hull
CPC分类号: A61B18/1492 , A61B17/11 , A61B17/320068 , A61B18/08 , A61B18/082 , A61B18/18 , A61B18/24 , A61B2017/1107 , A61B2017/1139 , A61B2018/00386 , A61B2018/00404 , A61B2018/00422 , A61B2018/00595 , A61B2018/00601 , A61B2018/00619 , A61B2018/00714 , A61B2018/1475
摘要: A device for creating an arteriovenous (AV) fistula comprises an elongate member, a distal member connected to the elongate member and movable relative to the elongate member, and a heating member disposed on at least one of the movable distal member and the elongate member. The distal member comprises structure for capturing tissue to be cut to create the fistula, and the heating member is adapted to cut through the tissue to create the fistula. The elongate member comprises an elongate outer tube. A shaft connects the distal member to the elongate member, and is extendable and retractable to extend and retract the distal member relative to the elongate member.
摘要翻译: 用于产生动静脉(AV)瘘的装置包括细长构件,连接到细长构件并且可相对于细长构件移动的远端构件,以及设置在可移动远端构件和细长构件中的至少一个上的加热构件。 远侧构件包括用于捕获要切割的组织以产生瘘的结构,并且加热构件适于切穿组织以产生瘘。 细长构件包括细长的外管。 轴将远端构件连接到细长构件,并且可延伸和缩回以相对于细长构件延伸和缩回远侧构件。
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公开(公告)号:US09216069B2
公开(公告)日:2015-12-22
申请号:US12625112
申请日:2009-11-24
CPC分类号: A61B19/54 , A61B10/0275 , A61B10/0283 , A61B90/39 , A61B2017/00004 , A61B2090/3908 , A61B2090/3987 , Y10T24/4501
摘要: In order to later identify the location of a biopsy or surgery, various means and methods for permanently and non-surgically marking selected tissue in the human body are used. Later visualization of the markers is readily accomplished using state-of-the-art imaging systems.
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5.
公开(公告)号:US20080154151A1
公开(公告)日:2008-06-26
申请号:US11931411
申请日:2007-10-31
IPC分类号: A61B10/04
CPC分类号: A61B10/0266 , A61B6/12 , A61B8/0841 , A61B10/0275 , A61B10/0283 , A61B17/221 , A61B2010/0208 , A61B2010/0225 , A61B2017/303
摘要: Instruments for performing percutaneous biopsy procedures are disclosed, which have advantageous features for improving functionality and performance over prior art devices. These instruments comprise two types, single-use devices, and multiple-use devices having active tissue capture capability. Improved features include the ability to retrieve and evaluate multiple tissue samples during a single insertion procedure, without physical handling of the samples, as well as constructional features, such as a molded tissue cassette housing, variant vacuum port embodiments suited for different tissue environments, and a method for backflushing the instrument to remove biological debris, among others.
摘要翻译: 公开了用于执行经皮活检程序的仪器,其具有改善现有技术装置的功能和性能的有利特征。 这些仪器包括两种类型的一次性装置,以及具有活跃组织捕获能力的多用途装置。 改进的特征包括在单次插入过程中检索和评估多个组织样本的能力,而不对样品进行物理处理,以及结构特征,例如模制的组织盒壳体,适合于不同组织环境的变体真空端口实施例,以及 一种反吹仪器以去除生物碎片的方法等。
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公开(公告)号:US06280398B1
公开(公告)日:2001-08-28
申请号:US09420339
申请日:1999-10-18
申请人: Mark A. Ritchart , George White
发明人: Mark A. Ritchart , George White
IPC分类号: A61B1000
CPC分类号: A61B10/0266 , A61B10/0283 , A61B2017/32004 , A61B2090/062 , A61B2090/378
摘要: A tissue sampling apparatus comprises a tubular body having a primary lumen for receiving a tissue sample. The tubular body includes a distal end, a proximal end, and a longitudinal axis extending from the proximal end to the distal end. The tissue sampling apparatus further comprises a cutting cylinder having a distal cutting edge, which is movable both distally and proximally relative to the tubular body. A band having an eyelet disposed therein extends across a distal end of the tissue sampling apparatus, wherein the eyelet is advantageously movable relative to the distal cutting edge in order to sever a distal end of the tissue sample.
摘要翻译: 组织取样装置包括具有用于接收组织样本的主腔的管状体。 管状体包括远端,近端和从近端延伸到远端的纵向轴线。 组织取样装置还包括具有远端切割边缘的切割滚筒,所述远端切割边缘可相对于管状体在远侧和近侧移动。 具有设置在其中的孔眼的带延伸穿过组织取样装置的远端,其中孔眼有利地可相对于远端切割边移动,以便切断组织样本的远端。
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公开(公告)号:US6017316A
公开(公告)日:2000-01-25
申请号:US878468
申请日:1997-06-18
CPC分类号: A61B10/0275 , A61B10/0283 , A61B2010/0208 , A61B2017/00017 , A61B2090/0811
摘要: An automatic control system for a vacuum-assisted automatic core biopsy device (10) is provided, wherein the automatic core biopsy device (10) comprises a housing (12), out of which extends a needle assembly (14) including a hollow outer piercing needle (16), an inner cutter (18) having a lumen (20), a probe housing (22), and a tissue receiving notch (24). The automatic control system (92) is computerized to move the hollow outer piercing needle (16) automatically to the target tissue lesion, as was true in the prior art, but also is programmed to automatically control the rotational orientation of the piercing needle (16), and its associated tissue receiving notch (24), as well as the axial positioning and rotation of the cutting cannula (18). Consequently, a clinician user need only mark the desired locations within the target location from which tissue samples are desired and the automatic control system will operate the device to retrieve samples from the marked locations.
摘要翻译: 提供了一种用于真空辅助自动核心活检装置(10)的自动控制系统,其中所述自动核心活检装置(10)包括壳体(12),所述壳体(12)从所述壳体(12)延伸出针组件(14),所述针组件包括中空外穿孔 针(16),具有内腔(20)的内切割器(18),探针外壳(22)和组织接收凹口(24)。 自动控制系统(92)被计算机化以将空心外穿刺针(16)自动移动到目标组织损伤,如现有技术中所述,但也被编程为自动控制穿刺针(16)的旋转取向 )和其相关联的组织接收凹口(24)以及切割套管(18)的轴向定位和旋转。 因此,临床医师用户仅需要在目标位置标记期望的位置,从该组织样本期望的位置,自动控制系统将操作该装置以从标记的位置检索样本。
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公开(公告)号:US5456284A
公开(公告)日:1995-10-10
申请号:US59804
申请日:1993-05-10
CPC分类号: A61B1/018 , A61B1/00137 , A61M39/0606 , F16K15/147 , A61M2039/0633 , A61M2039/0646 , Y10T137/7876
摘要: A medical access device is adapted to receive an instrument and comprises a housing defining an inner channel and a valve disposed in the channel to form a seal with the housing. The valve includes an outer wall and a pair of inner walls extending in distally converging relationship to define a slot. At least one compression member extends between the outer wall and an associated one of the inner walls. The compression member is compressed in response to insertion of the instrument and exerts a force on the associated inner wall when compressed to reduce leakage of the valve when the instrument is inserted. A funnel is provided at the distal end of the valve to facilitate backloading of the instrument.
摘要翻译: 医疗接入装置适于接收仪器并且包括限定内部通道的壳体和设置在通道中的阀,以与壳体形成密封。 该阀包括一个外壁和一对内壁,该内壁以远端会聚的关系延伸以限定槽。 至少一个压缩构件在外壁和相关联的一个内壁之间延伸。 压缩构件被响应于仪器的插入而被压缩,并在压缩时对相关联的内壁施加力,以减少当仪器被插入时阀的泄漏。 在阀的远端处提供漏斗以便于仪器的背负。
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公开(公告)号:US09439728B2
公开(公告)日:2016-09-13
申请号:US14096973
申请日:2013-12-04
CPC分类号: A61M1/3655 , A61B17/11 , A61B17/320068 , A61B17/34 , A61B18/082 , A61B18/1492 , A61B18/18 , A61B2017/1107 , A61B2017/1139 , A61B2018/00386 , A61B2018/00577 , A61B2018/00601 , A61B2018/00619 , A61B2018/00714 , A61B2018/00922 , A61B2018/1425 , A61B2018/1475 , A61M25/09041 , A61N7/02
摘要: A system for creating an arteriovenous (AV) fistula comprises a vessel access sheath having a hollow interior and an exit port, a side access needle catheter configured to fit within the hollow interior of the sheath, a needle configured to be inserted into a blood vessel through the side access needle catheter, a toggle delivery catheter configured to fit within the hollow interior of the sheath, and a toggle apparatus configured to be delivered into a vessel through the toggle delivery catheter. The toggle apparatus comprises a shaft and a toggle member pivotably attached to a distal end of the shaft. A source of RF energy or resistive heat energy may be provided for application to the toggle member and/or to a heater insert in the toggle delivery catheter, for the purpose of creating the fistula.
摘要翻译: 用于产生动静脉(AV)瘘的系统包括具有中空内部和出口的容器进入护套,配置成装配在护套的中空内部的侧进针针导管,构造成插入血管 通过侧进针针导管,配置成装配在护套的中空内部的肘节递送导管,以及构造成通过肘节递送导管输送到血管中的肘节装置。 肘节装置包括轴和可枢转地附接到轴的远端的肘节构件。 为了产生瘘,可以提供RF能量或电阻热能源用于施加到肘节构件和/或肘节递送导管中的加热器插入件。
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10.
公开(公告)号:US20110306993A1
公开(公告)日:2011-12-15
申请号:US13161182
申请日:2011-06-15
IPC分类号: A61B17/11
CPC分类号: A61M1/3655 , A61B17/11 , A61B17/320068 , A61B17/34 , A61B18/082 , A61B18/1492 , A61B18/18 , A61B2017/1107 , A61B2017/1139 , A61B2018/00386 , A61B2018/00577 , A61B2018/00601 , A61B2018/00619 , A61B2018/00714 , A61B2018/00922 , A61B2018/1425 , A61B2018/1475 , A61M25/09041 , A61N7/02
摘要: A system for creating an arteriovenous (AV) fistula comprises a vessel access sheath having a hollow interior and an exit port, a side access needle catheter configured to fit within the hollow interior of the sheath, a needle configured to be inserted into a blood vessel through the side access needle catheter, a toggle delivery catheter configured to fit within the hollow interior of the sheath, and a toggle apparatus configured to be delivered into a vessel through the toggle delivery catheter. The toggle apparatus comprises a shaft and a toggle member pivotably attached to a distal end of the shaft. A source of RF energy or resistive heat energy may be provided for application to the toggle member and/or to a heater insert in the toggle delivery catheter, for the purpose of creating the fistula.
摘要翻译: 用于产生动静脉(AV)瘘的系统包括具有中空内部和出口的容器进入护套,配置成装配在护套的中空内部的侧进针针导管,构造成插入血管 通过侧进针针导管,配置成装配在护套的中空内部的肘节递送导管,以及构造成通过肘节递送导管输送到血管中的肘节装置。 肘节装置包括轴和可枢转地附接到轴的远端的肘节构件。 为了产生瘘,可以提供RF能量或电阻热能源用于施加到肘节构件和/或肘节递送导管中的加热器插入件。
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