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公开(公告)号：US20080234674A1
公开(公告)日：2008-09-25
申请号：US12053030
申请日：2008-03-21
CPC分类号： A61B18/148 , A61B18/1402 , A61B2018/00083 , A61B2018/00434 , A61B2018/0044 , A61B2018/00619 , A61B2018/00702 , A61B2018/00875 , A61B2218/002
摘要： The invention provides surgical devices and methods to treat tissue. In one device embodiment, the invention comprises a bipolar electrosurgical device to treat tissue in a presence of radio frequency power and a fluid provided simultaneously from a distal portion of the device, with the device comprising a disc shaped distal end. In one method embodiment, the invention comprises a method of treating tissue having a blood vessel during spine surgery, with the method comprising pressing a portion of the blood vessel against a supporting spine structure with a surgical device to provide a compressed portion of the blood vessel, and heating the compressed portion of the blood vessel with the surgical device sufficiently to inhibit a blood flow through the vessel after the surgical device is removed from the blood vessel.
摘要翻译： 本发明提供了治疗组织的手术装置和方法。 在一个装置实施例中，本发明包括双极电外科装置，用于在存在射频功率的情况下处理组织以及从装置的远端部分同时提供的流体，该装置包括盘形的远端。 在一个方法实施方案中，本发明包括一种在脊柱手术期间治疗具有血管的组织的方法，其中所述方法包括用手术装置将血管的一部分压靠支撑脊柱结构，以提供血管的压缩部分 并且在手术装置从血管中取出之后，用手术装置充分加热血管的压缩部分，以抑制血液流过血管。
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公开(公告)号：US20120253343A1
公开(公告)日：2012-10-04
申请号：US13494574
申请日：2012-06-12
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B18/1402 , A61B2018/00083 , A61B2018/00434 , A61B2018/0044 , A61B2018/00619 , A61B2018/00702 , A61B2018/00875 , A61B2218/002
摘要： The invention provides surgical devices and methods to treat tissue. In one device embodiment, the invention comprises a bipolar electrosurgical device to treat tissue in a presence of radio frequency power and a fluid provided simultaneously from a distal portion of the device, with the device comprising a disc shaped distal end. In one method embodiment, the invention comprises a method of treating tissue having a blood vessel during spine surgery, with the method comprising pressing a portion of the blood vessel against a supporting spine structure with a surgical device to provide a compressed portion of the blood vessel, and heating the compressed portion of the blood vessel with the surgical device sufficiently to inhibit a blood flow through the vessel after the surgical device is removed from the blood vessel.
摘要翻译： 本发明提供了治疗组织的手术装置和方法。 在一个装置实施例中，本发明包括双极电外科装置，用于在存在射频功率的情况下处理组织以及从装置的远端部分同时提供的流体，该装置包括盘形的远端。 在一个方法实施方案中，本发明包括一种在脊柱手术期间治疗具有血管的组织的方法，其中所述方法包括用手术装置将血管的一部分压靠支撑脊柱结构，以提供血管的压缩部分 并且在手术装置从血管中取出之后，用手术装置充分加热血管的压缩部分，以抑制血液流过血管。
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公开(公告)号：US08038670B2
公开(公告)日：2011-10-18
申请号：US11318207
申请日：2005-12-22
申请人： Michael E. McClurken
发明人： Michael E. McClurken
IPC分类号： A61B18/12
CPC分类号： A61B18/1482 , A61B18/14 , A61B2018/00029 , A61B2018/00065 , A61B2018/00404 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00791 , A61B2018/00809 , A61B2018/00875 , A61B2018/1417 , A61B2018/1422 , A61B2018/1861 , A61B2218/002
摘要： Surgical devices for treating tissue are provided. Also provided are systems for treating tissue and methods of treating tissue. An exemplary surgical device has a handle, a fluid passage connectable to a fluid source, a tip portion and a distal end. The tip portion can simultaneously provide RF power and conductive fluid to tissue. The tip portion includes an electrode having a domed portion having a domed surface and a cylindrical portion having a cylindrical surface. The domed portion is located distal to the cylindrical portion and occupies at least a portion of the distal end of the surgical device. The device includes a fluid outlet opening in fluid communication with the fluid passage, the fluid outlet opening configured to provide the conductive fluid to a surface of the electrode proximal to the distal end surface of the surgical device.
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4.发明授权Fluid-assisted electrosurgical devices, electrosurgical unit with pump and methods of use thereof 有权流体辅助电外科设备，带泵的电外科单元及其使用方法公开(公告)号：US07811282B2
公开(公告)日：2010-10-12
申请号：US11274908
申请日：2005-11-14
申请人： Michael E. McClurken
发明人： Michael E. McClurken
IPC分类号： A61B18/18
CPC分类号： A61B18/1402 , A61B18/12 , A61B18/1206 , A61B2018/0066 , A61B2018/1472 , A61B2018/1861
摘要： The invention provides an electrosurgical unit comprising a radio-frequency power source and a pump, with the throughput of fluid expelled by the pump controlled by the RF power level setting and fluid flow rate setting. The invention also provides various electrosurgical devices which may be used with the electrosurgical unit. In one embodiment, the electrosurgical device comprises a first electrode tip spaced next to a second electrode tip with a portion of the first electrode tip facing the second electrode tip and a portion of the second electrode tip facing the first electrode tip, the first electrode tip and the second electrode tip both having a spherical distal end, and a fluid outlet arrangement to expel fluid onto the electrode tips solely at locations remote from the electrode tip portions facing each other.
摘要翻译： 本发明提供了一种包括射频电源和泵的电外科单元，其中由泵功率水平设定和流体流量设定控制的流体排出的流体的吞吐量。 本发明还提供了可以与电外科手术单元一起使用的各种电外科装置。 在一个实施例中，电外科设备包括与第二电极末端隔开的第一电极尖端，第一电极尖端的一部分面向第二电极尖端，第二电极尖端的一部分面向第一电极尖端，第一电极尖端 并且第二电极尖端都具有球形远端，以及流体出口装置，其仅在远离电极头部彼此面对的位置处将流体排出到电极尖端上。
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5.发明授权公开(公告)号：US07115139B2
公开(公告)日：2006-10-03
申请号：US09947658
申请日：2001-09-05
IPC分类号： A61F7/00
CPC分类号： A61B18/14 , A61B17/32 , A61B18/1206 , A61B18/1442 , A61B18/1445 , A61B2018/00011 , A61B2018/00029 , A61B2018/00035 , A61B2018/00065 , A61B2018/00404 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00744 , A61B2018/00779 , A61B2018/00791 , A61B2018/00809 , A61B2018/00875 , A61B2018/126 , A61B2018/1412 , A61B2018/1417 , A61B2018/1422 , A61B2018/1455 , A61B2018/1861 , A61B2218/002
摘要： Medical devices, methods and systems for treating tissue are provided. An exemplary system comprises a fluid from a fluid source, a surgical device which provides energy and the fluid to the tissue and a control mechanism which changes a flow rate of fluid provided from the surgical device and changes a rate of energy provided from the surgical device. The fluid flow rate changes between at least two non-zero flow rates and the energy rate changes between at least two non-zero energy rates. An exemplary method comprises providing a fluid from a fluid source, providing a surgical device which provides energy and the fluid to the tissue, and changing a flow rate of fluid provided from the surgical device with a change in a rate of energy provided from the surgical device. Exemplary devices comprise a tip portion configured to provide energy and a fluid to a tissue.
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6.发明授权Fluid-assisted electrosurgical devices, electrosurgical unit with pump and methods of use thereof 有权流体辅助电外科设备，带泵的电外科单元及其使用方法公开(公告)号：US08361068B2
公开(公告)日：2013-01-29
申请号：US12902999
申请日：2010-10-12
申请人： Michael E. McClurken
发明人： Michael E. McClurken
IPC分类号： A61B18/18
CPC分类号： A61B18/1402 , A61B18/12 , A61B18/1206 , A61B2018/0066 , A61B2018/1472 , A61B2018/1861
摘要： The invention provides an electrosurgical unit comprising a radio-frequency power source and a pump, with the throughput of fluid expelled by the pump controlled by the RF power level setting and fluid flow rate setting. The invention also provides various electrosurgical devices which may be used with the electrosurgical unit. In one embodiment, the electrosurgical device comprises a first electrode tip spaced next to a second electrode tip with a portion of the first electrode tip facing the second electrode tip and a portion of the second electrode tip facing the first electrode tip, the first electrode tip and the second electrode tip both having a spherical distal end, and a fluid outlet arrangement to expel fluid onto the electrode tips solely at locations remote from the electrode tip portions facing each other.
摘要翻译： 本发明提供了一种包括射频电源和泵的电外科单元，其中由泵功率水平设定和流体流量设定控制的流体排出的流体的吞吐量。 本发明还提供了可以与电外科手术单元一起使用的各种电外科装置。 在一个实施例中，电外科设备包括与第二电极末端隔开的第一电极尖端，第一电极尖端的一部分面向第二电极尖端，第二电极尖端的一部分面向第一电极尖端，第一电极尖端 并且第二电极尖端都具有球形远端，以及流体出口装置，其仅在远离电极头部彼此面对的位置处将流体排出到电极尖端上。
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公开(公告)号：US08348946B2
公开(公告)日：2013-01-08
申请号：US13494574
申请日：2012-06-12
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B18/1402 , A61B2018/00083 , A61B2018/00434 , A61B2018/0044 , A61B2018/00619 , A61B2018/00702 , A61B2018/00875 , A61B2218/002
摘要： The invention provides surgical devices and methods to treat tissue. In one device embodiment, the invention comprises a bipolar electrosurgical device to treat tissue in a presence of radio frequency power and a fluid provided simultaneously from a distal portion of the device, with the device comprising a disc shaped distal end. In one method embodiment, the invention comprises a method of treating tissue having a blood vessel during spine surgery, with the method comprising pressing a portion of the blood vessel against a supporting spine structure with a surgical device to provide a compressed portion of the blood vessel, and heating the compressed portion of the blood vessel with the surgical device sufficiently to inhibit a blood flow through the vessel after the surgical device is removed from the blood vessel.
摘要翻译： 本发明提供了治疗组织的手术装置和方法。 在一个装置实施例中，本发明包括双极电外科装置，用于在存在射频功率的情况下处理组织以及从装置的远端部分同时提供的流体，该装置包括盘形的远端。 在一个方法实施方案中，本发明包括一种在脊柱手术期间治疗具有血管的组织的方法，其中所述方法包括用手术装置将血管的一部分压靠支撑脊柱结构，以提供血管的压缩部分 并且在手术装置从血管中取出之后，用手术装置充分加热血管的压缩部分，以抑制血液流过血管。
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公开(公告)号：US07951148B2
公开(公告)日：2011-05-31
申请号：US10773503
申请日：2004-02-06
申请人： Michael E. McClurken
发明人： Michael E. McClurken
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B2017/00022 , A61B2090/035 , A61B2090/061 , A61B2090/065
摘要： An electrosurgical device for use in surgical procedures is disclosed. The electrosurgical device comprises a main body having a proximal end and a distal end. A heat delivery modality is situated and arranged at the distal end of the main body. A sensor arrangement is also situated and arranged at the distal end of the main body. The heat delivery modality provides thermal energy to a tissue being treated while the sensor arrangement is configured to engage and detect a change in dimension of the tissue being treated. Accordingly, the electrosurgical device of the present disclosure allows a surgeon to precisely achieve the desired amount of dimensional change of the tissue being treated.
摘要翻译： 公开了一种用于外科手术的电外科手术装置。 电外科装置包括具有近端和远端的主体。 传热模式位于主体的远端并布置。 传感器装置也位于并设置在主体的远端。 当传感器装置配置成接合和检测被处理组织的尺寸变化时，热传递模式向被处理的组织提供热能。 因此，本公开的电外科设备允许外科医生精确地实现正在治疗的组织的所需量的尺寸变化。
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公开(公告)号：US07645277B2
公开(公告)日：2010-01-12
申请号：US11316798
申请日：2005-12-22
申请人： Michael E. McClurken , Robert Luzzi
发明人： Michael E. McClurken , Robert Luzzi
IPC分类号： A61B18/18
CPC分类号： A61B18/1442 , A61B17/32 , A61B2017/2945 , A61B2018/00029 , A61B2018/00196 , A61B2018/00404 , A61B2018/00589 , A61B2018/00601 , A61B2018/1412 , A61B2018/1432 , A61B2018/145 , A61B2018/1455 , A61B2018/1472
摘要： The invention provides a medical device that includes a housing, a tubular member extending from the distal end of the housing, a first arm extending from the distal end of the tubular member, the first arm including a first electrode, a second arm extending from the distal end of the tubular member, the second arm including a second electrode and being disposed coaxially with the first arm, at least one solution infusion opening on each electrode, and a solution delivery channel for delivery of a conductive solution to the solution infusion openings. According to the invention, at least one of the first arm or the second arm is translationally moveable, and at least one of the first arm or the second arm is adapted to be coupled to a source of radiofrequency energy. The invention also provides a corresponding method for treating blood vessels or other tissues of the body.
摘要翻译： 本发明提供了一种医疗装置，其包括壳体，从壳体的远端延伸的管状构件，从管状构件的远端延伸的第一臂，第一臂包括第一电极，第二臂 管状构件的远端，第二臂包括第二电极，并且与第一臂同轴设置，每个电极上的至少一个溶液注入口，以及用于将导电溶液输送到溶液输注口的溶液输送通道。 根据本发明，第一臂或第二臂中的至少一个可平移地移动，并且第一臂或第二臂中的至少一个适于耦合到射频能量源。 本发明还提供了治疗身体的血管或其他组织的相应方法。
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公开(公告)号：US07445617B2
公开(公告)日：2008-11-04
申请号：US10843049
申请日：2004-05-10
IPC分类号： A61B18/18
CPC分类号： A61B18/00 , A61B5/01 , A61B2017/00084
摘要： A method of treating tissue of a body during a surgical procedure is provided comprising providing tissue comprising normal tissue and abnormal tissue; inserting at least one temperature indicating device into the tissue with the temperature indicating device comprising an indicator to provide an indication of when a trigger temperature has been attained and a trigger mechanism configured to operate when heated to the trigger temperature and trigger the activation of the indicator; heating the tissue sufficiently to ablate at least a portion of the abnormal tissue; and transferring heat from the tissue to the trigger mechanism, the heat sufficient to heat the trigger mechanism to the trigger temperature and trigger the activation of the indicator.
摘要翻译： 提供了一种在外科手术过程中处理身体组织的方法，包括提供包含正常组织和异常组织的组织; 将至少一个温度指示装置插入到组织中，温度指示装置包括指示器，以提供何时已经达到触发温度的指示;以及触发装置，其被配置为当加热到触发温度并触发指示器的激活时操作 ; 充分加热组织以消融异常组织的至少一部分; 并且将热量从组织传递到触发机构，足以将触发机构加热到触发温度并触发指示器的激活的热量。
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