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公开(公告)号:US20050261676A1
公开(公告)日:2005-11-24
申请号:US10924954
申请日:2004-08-25
申请人: Matthew Hall , Mark Marshall , Colin Goble , Francis Amoah , Kelvin Varney , Julian Ebbutt
发明人: Matthew Hall , Mark Marshall , Colin Goble , Francis Amoah , Kelvin Varney , Julian Ebbutt
CPC分类号: A61B18/1485 , A61B17/29 , A61B17/320016 , A61B17/32053 , A61B18/1442 , A61B2017/320775 , A61B2017/4216 , A61B2018/1412
摘要: A device for morcellating tissue within a body cavity of a patient comprises a stationary tube having a distal end portion, and a bipolar electrosurgical electrode assembly located at the distal end of the tube. The electrosurgical electrode assembly comprises first and second electrodes separated by an insulation member, the bipolar electrosurgical electrode assembly extending around the circumference of the distal edge of the tube. When an electrosurgical cutting voltage is applied to the electrode assembly, and relative movement is initiated between the tube and the tissue, a core of severed tissue is formed within the tube such that it can be removed from the body cavity of the patient. A tissue-pulling device such as a jaw assembly can be employed to pull tissue against the distal end of the tube.
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公开(公告)号:US20050261677A1
公开(公告)日:2005-11-24
申请号:US11132436
申请日:2005-05-19
申请人: Matthew Hall , Mark Marshall , Colin Goble , Francis Amoah , Kelvin Varney , Julian Ebbutt
发明人: Matthew Hall , Mark Marshall , Colin Goble , Francis Amoah , Kelvin Varney , Julian Ebbutt
CPC分类号: A61B18/1485 , A61B17/29 , A61B17/320016 , A61B17/32053 , A61B18/1442 , A61B2017/320775 , A61B2017/4216 , A61B2018/1412
摘要: A device for morcellating tissue within a body cavity of a patient comprises a stationary tube having a distal end portion, and a bipolar electrosurgical electrode assembly located at the distal end of the tube. The electrosurgical electrode assembly comprises first and second electrodes separated by an insulation member, the bipolar electrosurgical electrode assembly extending around the circumference of the distal edge of the tube. When an electrosurgical cutting voltage is applied to the electrode assembly, and relative movement is initiated between the tube and the tissue, a core of severed tissue is formed within the tube such that it can be removed from the body cavity of the patient. A tissue-pulling device such as a jaw assembly can be employed to pull tissue against the distal end of the tube.
摘要翻译: 用于使患者的体腔内的组织变细的装置包括具有远端部分的固定管和位于管的远端的双极电外科电极组件。 电外科电极组件包括由绝缘构件隔开的第一和第二电极,双极电外科电极组件围绕管的远端边缘的圆周延伸。 当将电外科切割电压施加到电极组件上,并且在管和组织之间开始相对运动时,在管内形成切断的组织芯,使得其可以从患者体腔移除。 可以使用诸如颚式组件的组织牵引装置将组织拉向管的远端。
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公开(公告)号:US20070225699A1
公开(公告)日:2007-09-27
申请号:US11798738
申请日:2007-05-16
申请人: Colin Goble , Francis Amoah , Nigel Goble
发明人: Colin Goble , Francis Amoah , Nigel Goble
IPC分类号: A61B18/18
CPC分类号: A61B18/1206 , A61B18/042 , A61B18/12 , A61B18/14 , A61B2018/0066
摘要: An electrosurgery system includes an electrosurgical generator (10) coupled to or part of an electrosurgical instrument, the generator being operable to generate electrosurgical power in low frequency (typically at 1 MHz) and high frequency bands (typically at 2.45 GHz) either simultaneously or individually. The generator includes a load-responsive control circuit which, in one mode, causes power to be generated predominantly at 1 MHz when the load impedance is high and predominantly at 2.45 MHz when it is low. This allows automatic switching between cutting and coagulation operation. In one embodiment, the instrument includes a gas plasma generator operating such that an ionisable gas is energised in a gas supply passage by the 2.45 GHz component to form a plasma stream which acts as a conductor for delivering the 1 MHz component to a tissue treatment outlet of the passage.
摘要翻译: 电外科系统包括耦合到电外科器械或电外科器械的一部分的电外科发生器(10),所述发生器可操作以同时或单独地产生低频(通常为1MHz)和高频带(通常为2.45GHz)的电外科功能 。 该发生器包括一个负载响应控制电路,当负载阻抗较高时,在一个模式下主要以1MHz的速度产生电力,而当负载阻抗较低时主要在2.45MHz。 这允许在切割和凝结操作之间进行自动切换。 在一个实施例中,仪器包括气体等离子体发生器,其操作使得可离子化气体在2.45GHz分量的气体供应通道中通电,以形成等离子体流,其作为用于将1MHz组分递送到组织处理出口 的通道。
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公开(公告)号:US20050177150A1
公开(公告)日:2005-08-11
申请号:US11032141
申请日:2005-01-11
申请人: Francis Amoah , Colin Goble
发明人: Francis Amoah , Colin Goble
CPC分类号: A61B18/1206 , A61B2018/00666 , A61B2018/00684 , A61B2018/00702 , A61B2018/00708 , A61B2018/00779 , A61B2018/1213
摘要: An electrosurgical generator for supplying RF power to an electrosurgical instrument for cutting or vaporising tissue has an RF output stage with RF output devices, a series-resonant output network and an RF output. The generator offers improved cutting and vaporising performance, especially in relation to the reliability with which an arc can be struck when presented with an initial load impedance load. This is achieved by virtue of the output stage being capable of maintaining output pulses of at least 1 kW peak by supplying the RF output devices from a large reservoir capacitor. An appropriate combination of cutting performance and haemostasis is provided by allowing for pulsed or continuous wave operation once an arc has been established, according to whether or not a surplus energy condition exists, as indicated by the voltage across the reservoir capacitor.
摘要翻译: 用于向用于切割或蒸发组织的电外科仪器提供RF功率的电外科发生器具有RF输出级,其具有RF输出装置,串联谐振输出网络和RF输出。 发电机提供了改进的切割和蒸发性能,特别是在呈现初始负载阻抗负载时可以击中电弧的可靠性。 这是通过从大容量电容器提供RF输出装置的输出级能够维持至少1kW峰值的输出脉冲而实现的。 根据是否存在剩余能量条件,通过储存电容器两端的电压表示,通过允许一旦电弧已经建立的脉冲或连续波动操作来提供切割性能和止血的适当组合。
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公开(公告)号:US20070219549A1
公开(公告)日:2007-09-20
申请号:US11717180
申请日:2007-03-13
申请人: Mark Marshall , Francis Amoah , Frank D'Amelio
发明人: Mark Marshall , Francis Amoah , Frank D'Amelio
CPC分类号: A61B18/1485 , A61B18/042 , A61B18/1445 , A61B2017/320024 , A61B2018/00601 , A61B2018/00797
摘要: A device for morcellating tissue within a body cavity of a patient comprises a stationary tube (8) having a distal end portion (12), and a bipolar electrosurgical electrode assembly (13) located at the distal end of the tube. The electrosurgical electrode assembly (13) comprises first and second electrodes (14, 16) separated by an insulating member (15), the bipolar electrosurgical electrode assembly extending around the circumference of the distal edge of the tube (8). When a pulsed electrosurgical cutting voltage is applied to the electrode assembly (13) and relative movement is initiated between the tube (8) and the tissue, a core of severed tissue is formed within the tube such that it can be removed from the body cavity of the patient. Temperature sensors (60) can be used to measure the temperature at the distal end of the tube (8), and to vary the duty cycle of the pulsed cutting voltage.
摘要翻译: 用于使患者的体腔内的组织变细的装置包括具有远端部分(12)的固定管(8)和位于管的远端的双极电外科电极组件(13)。 电外科电极组件(13)包括由绝缘构件(15)分开的第一和第二电极(14,16),双极电外科电极组件围绕管(8)的远端边缘的圆周延伸。 当将电脉冲电切割电压施加到电极组件(13)并且在管(8)和组织之间开始相对运动时,在管内形成切断的组织芯,使得其可以从体腔中移除 的病人。 温度传感器(60)可用于测量管(8)远端的温度,并改变脉冲切割电压的占空比。
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6.
公开(公告)号:US20140228836A1
公开(公告)日:2014-08-14
申请号:US14348340
申请日:2012-09-05
申请人: Francis Amoah , Dominic Griffiths
发明人: Francis Amoah , Dominic Griffiths
CPC分类号: A61N1/325 , A61B18/00 , A61B18/04 , A61B2218/008 , B03C3/40 , B03C2201/26
摘要: Apparatus (100) and method are disclosed for removing or reducing the number of particles in an enclosed atmosphere during intracorporeal procedures. The apparatus comprises a housing (180) adapted to be placed against the body on which a procedure is to be formed, a first electrode (140) external to the housing for contacting the body, an elongated electrically insulated probe (130) extending from the housing (180) and being insertable into an intracorporeal body cavity (C) in which a procedure is to be performed, a second electrode (150) at the free end of the probe, and circuit means (110) for generating voltage between said first and second electrodes. The method comprises applying a voltage between the electrodes sufficient to cause local ionisation of particles within the body cavity such that they migrate away from the second electrode, thereby removing or reducing the number of particles generated during the procedure from the enclosed atmosphere at or around the site of the procedure.
摘要翻译: 公开了用于在体内操作期间去除或减少封闭气氛中的颗粒数量的装置(100)和方法。 该装置包括:壳体(180),其被配置成抵靠要在其上形成过程的主体;第二电极(140),位于壳体的外部,用于接触主体;细长的电绝缘探头, 壳体(180)并且可插入其中将执行程序的体内体腔(C)中,在探针自由端处的第二电极(150)和用于在所述第一 和第二电极。 该方法包括在电极之间施加足够的电压以引起体腔内的颗粒的局部电离,使得它们从第二电极迁移离开,从而去除或减少在该过程期间产生的颗粒数量, 程序现场。
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公开(公告)号:US08585694B2
公开(公告)日:2013-11-19
申请号:US12662808
申请日:2010-05-04
申请人: Francis Amoah , Wayne Williams
发明人: Francis Amoah , Wayne Williams
IPC分类号: A61B18/14
CPC分类号: A61B18/1445 , A61B2018/00589 , A61B2018/00666 , A61B2018/00702 , A61B2018/00761 , A61B2018/00875 , A61B2018/00886
摘要: An electrosurgical generator for coagulating tissue comprises a source of radio frequency (RF) energy, and at least a pair of output terminals for connection to a bipolar electrosurgical instrument adapted to contact tissue, the output terminals delivering RF energy from the source to the instrument such that the source delivers RF energy into tissue. The generator also includes boiling detection means for determining when the RF energy starts to cause the boiling of electrolytes within the tissue. A timer is adapted to determine when a predetermined period of time has elapsed since the boiling detection means has indicated the start of the boiling of electrolytes. An indication means gives an indication when the predetermined period of time has elapsed.
摘要翻译: 用于凝固组织的电外科发生器包括射频(RF)能量源,以及用于连接到适于接触组织的双极电外科器械的至少一对输出端子,输出端子将RF能量从源传递到仪器, 该源将RF能量提供给组织。 发生器还包括沸腾检测装置,用于确定RF能量何时开始引起组织内电解质的沸腾。 定时器适于确定从煮沸检测装置已经指示开始电解质沸腾以来经过了预定时间段的时间。 当经过预定时间段时,指示装置给出指示。
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公开(公告)号:US07896877B2
公开(公告)日:2011-03-01
申请号:US11132436
申请日:2005-05-19
申请人: Matthew R. Hall , Mark G. Marshall , Colin C. O. Goble , Francis Amoah , Kelvin J. Varney , Julian Mark Ebbutt
发明人: Matthew R. Hall , Mark G. Marshall , Colin C. O. Goble , Francis Amoah , Kelvin J. Varney , Julian Mark Ebbutt
IPC分类号: A61B18/14
CPC分类号: A61B18/1485 , A61B17/29 , A61B17/320016 , A61B17/32053 , A61B18/1442 , A61B2017/320775 , A61B2017/4216 , A61B2018/1412
摘要: A device for morcellating tissue within a body cavity of a patient comprises a stationary tube having a distal end portion, and a bipolar electrosurgical electrode assembly located at the distal end of the tube. The electrosurgical electrode assembly comprises first and second electrodes separated by an insulation member, the bipolar electrosurgical electrode assembly extending around the circumference of the distal edge of the tube. When an electrosurgical cutting voltage is applied to the electrode assembly, and relative movement is initiated between the tube and the tissue, a core of severed tissue is formed within the tube such that it can be removed from the body cavity of the patient. A tissue-pulling device such as a jaw assembly can be employed to pull tissue against the distal end of the tube.
摘要翻译: 用于使患者的体腔内的组织变细的装置包括具有远端部分的固定管和位于管的远端的双极电外科电极组件。 电外科电极组件包括由绝缘构件隔开的第一和第二电极,双极电外科电极组件围绕管的远端边缘的圆周延伸。 当将电外科切割电压施加到电极组件上,并且在管和组织之间开始相对运动时,在管内形成切断的组织芯,使得其可以从患者体腔移除。 可以使用诸如颚式组件的组织牵引装置将组织拉向管的远端。
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公开(公告)号:US07377918B2
公开(公告)日:2008-05-27
申请号:US11109778
申请日:2005-04-20
申请人: Francis Amoah
发明人: Francis Amoah
IPC分类号: A61B18/04
CPC分类号: A61B18/1477 , A61B18/1206 , A61B2017/00084 , A61B2018/00327 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797
摘要: Apparatus for forming a lesion in body tissue includes a probe having an active region with an electrode for contacting tissue to be treated, and an inactive region including an insulative sleeve around a portion of the electrode. The temperature of the inactive region is monitored using a temperature sensor. A controller supplies radio frequency energy to the electrode and samples signals from the temperature sensor. By performing a calculation using the sampled signals and a predetermined inactive region threshold temperature, and by adjusting the supplied radio frequency power, the inactive region of the probe can be maintained at or below an inactive region maximum temperature while the controller continues to supply radio frequency energy to the electrode. The probe has a second temperature sensor, mounted at a distal end of the electrode, the controller being configured to reduce the supplied radio frequency power when the electrode temperature reaches a predetermined maximum electrode temperature.
摘要翻译: 用于在身体组织中形成病变的装置包括具有活性区域的探针,所述活性区域具有用于接触待治疗组织的电极,以及包括围绕电极的一部分的绝缘套管的非活性区域。 使用温度传感器监测非活动区域的温度。 控制器向电极提供射频能量并从温度传感器采样信号。 通过使用采样信号和预定的无效区域阈值温度进行计算,并且通过调整所提供的射频功率,探测器的非活动区域可以保持在非活动区域最大温度以下,同时控制器继续提供射频 对电极的能量。 所述探头具有安装在所述电极的远端的第二温度传感器,所述控制器被配置为当所述电极温度达到预定的最大电极温度时减小所提供的射频功率。
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公开(公告)号:US06629974B2
公开(公告)日:2003-10-07
申请号:US10073179
申请日:2002-02-13
申请人: Keith Penny , Francis Amoah , Nigel M. Goble
发明人: Keith Penny , Francis Amoah , Nigel M. Goble
IPC分类号: A61B1818
CPC分类号: A61B18/042 , A61B2017/00761 , H05H1/46 , H05H2001/466 , H05H2001/4682 , H05H2245/122
摘要: A method for skin treatment comprises the steps of delivering at least one pulse of radio frequency power to at least one electrode in order to create an electric field; passing gas through the electric field in order to form plasma from the gas; and applying the plasma to the surface of skin. The amount of radio frequency power may be relatively low such that the application of plasma causes denaturation of collagen within the collagen-containing tissue beneath the skin surface, which may promote the generation of new collagen within the collagen-containing tissue.
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