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公开(公告)号:US20090062792A1
公开(公告)日:2009-03-05
申请号:US12109673
申请日:2008-04-25
申请人: Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long
发明人: Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B18/1445 , A61B18/1477 , A61B2018/1266 , A61B2018/1412 , A61B2018/1425 , A61B2018/1455
摘要: An electrical ablation device includes an elongated flexible member having a proximal end and a distal end. A clamp jaw portion is located at the distal end of the elongated flexible member. The clamp jaw portion is operatively movable from an open position to a closed position. A cutting blade is located in the clamp jaw portion. The clamp jaw portion is adapted to couple to an electrical waveform generator and to receive an electrical waveform.
摘要翻译: 电消融装置包括具有近端和远端的细长柔性构件。 钳夹部分位于细长柔性构件的远端。 钳夹部分可操作地从打开位置移动到关闭位置。 切割刀片位于钳夹部分中。 钳夹部分适于耦合到电波形发生器并接收电波形。
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公开(公告)号:US20090131932A1
公开(公告)日:2009-05-21
申请号:US11986489
申请日:2007-11-21
CPC分类号: A61L2/08 , A61B18/1445 , A61B2018/1412 , A61B2018/1455 , A61L2/07 , A61L2/206
摘要: In various surgical techniques, a bipolar forceps can be used to seal a vessel in two locations such that the vessel can be incised at a location positioned intermediate the two seal locations. The bipolar forceps can include a cutting element which can be configured to incise the vessel. In various embodiments, the cutting element can include a sharp edge which can be moved relative to the vessel. In at least one embodiment, the cutting element can be electrically connected to a source of energy. The bipolar forceps can include first and second electrodes positioned within first and second jaw members, respectively, wherein at least one of the jaw members can include a substantially tapered profile and can be configured to pull the vessel away from the surrounding soft tissue. Such jaw members can include ridges, teeth, and/or a textured outer surface configured to grip the soft tissue and/or vessel.
摘要翻译: 在各种手术技术中,可以使用双极镊子将容器密封在两个位置,使得容器可以在位于两个密封位置之间的位置切开。 双极镊子可以包括切割元件,该切割元件可配置成切割血管。 在各种实施例中,切割元件可以包括相对于容器移动的尖锐边缘。 在至少一个实施例中,切割元件可以电连接到能量源。 双极镊子可以包括分别位于第一和第二钳口构件内的第一和第二电极,其中至少一个钳口构件可以包括基本上锥形的轮廓,并且可以构造成将容器拉离周围的软组织。 这种钳口构件可以包括构造成夹持软组织和/或血管的脊,齿和/或织构化的外表面。
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公开(公告)号:US08579897B2
公开(公告)日:2013-11-12
申请号:US11986489
申请日:2007-11-21
CPC分类号: A61L2/08 , A61B18/1445 , A61B2018/1412 , A61B2018/1455 , A61L2/07 , A61L2/206
摘要: In various surgical techniques, a bipolar forceps can be used to seal a vessel in two locations such that the vessel can be incised at a location positioned intermediate the two seal locations. The bipolar forceps can include a cutting element which can be configured to incise the vessel. In various embodiments, the cutting element can include a sharp edge which can be moved relative to the vessel. In at least one embodiment, the cutting element can be electrically connected to a source of energy. The bipolar forceps can include first and second electrodes positioned within first and second jaw members, respectively, wherein at least one of the jaw members can include a substantially tapered profile and can be configured to pull the vessel away from the surrounding soft tissue. Such jaw members can include ridges, teeth, and/or a textured outer surface configured to grip the soft tissue and/or vessel.
摘要翻译: 在各种手术技术中,可以使用双极镊子将容器密封在两个位置,使得容器可以在位于两个密封位置之间的位置切开。 双极镊子可以包括切割元件,该切割元件可配置成切割血管。 在各种实施例中,切割元件可以包括相对于容器移动的尖锐边缘。 在至少一个实施例中,切割元件可以电连接到能量源。 双极镊子可以包括分别位于第一和第二钳口构件内的第一和第二电极,其中至少一个钳口构件可以包括基本上锥形的轮廓,并且可以构造成将容器拉离周围的软组织。 这种钳口构件可以包括构造成夹持软组织和/或血管的脊,齿和/或织构化的外表面。
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公开(公告)号:US08568410B2
公开(公告)日:2013-10-29
申请号:US12109673
申请日:2008-04-25
申请人: Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long , Steven P. Woodard , Surag S. Mantri
发明人: Omar J. Vakharia , Kurt R. Bally , Andrew M. Zwolinski , Gregory J. Bakos , Matthew D. Holcomb , Gary L. Long , Steven P. Woodard , Surag S. Mantri
IPC分类号: A61B18/12
CPC分类号: A61B18/1492 , A61B18/1445 , A61B18/1477 , A61B2018/1266 , A61B2018/1412 , A61B2018/1425 , A61B2018/1455
摘要: An electrical ablation device includes an elongated flexible member having a proximal end and a distal end. A clamp jaw portion is located at the distal end of the elongated flexible member. The clamp jaw portion is operatively movable from an open position to a closed position. A cutting blade is located in the clamp jaw portion. The clamp jaw portion is adapted to couple to an electrical waveform generator and to receive an electrical waveform.
摘要翻译: 电消融装置包括具有近端和远端的细长柔性构件。 钳夹部分位于细长柔性构件的远端。 钳夹部分可操作地从打开位置移动到关闭位置。 切割刀片位于钳夹部分中。 钳夹部分适于耦合到电波形发生器并接收电波形。
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公开(公告)号:US20090062795A1
公开(公告)日:2009-03-05
申请号:US12109699
申请日:2008-04-25
申请人: Omar J. Vakharia , Kurt R. Bally , Gary L. Long
发明人: Omar J. Vakharia , Kurt R. Bally , Gary L. Long
IPC分类号: A61B18/14
CPC分类号: A61B18/14 , A61B18/1445 , A61B18/1477 , A61B18/148 , A61B2018/00333 , A61B2018/00398 , A61B2018/1266 , A61B2018/1425 , A61B2018/1475 , A61L2202/24
摘要: An electrical ablation device includes an elongated flexible member having a proximal end and a distal end. A clamp jaw portion is located at the distal end of the elongated flexible member. The clamp jaw portion is operatively movable from an open position to a closed position. A blunt dissection portion is formed on the clamp jaw portion. The clamp jaw portion is adapted to couple to an electrical waveform generator and to receive an electrical waveform.
摘要翻译: 电消融装置包括具有近端和远端的细长柔性构件。 钳夹部分位于细长柔性构件的远端。 钳夹部分可操作地从打开位置移动到关闭位置。 在钳夹部上形成钝平的解剖部。 钳夹部分适于耦合到电波形发生器并接收电波形。
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公开(公告)号:US20100179530A1
公开(公告)日:2010-07-15
申请号:US12352375
申请日:2009-01-12
CPC分类号: A61B18/1492 , A61B18/1206 , A61B18/1477 , A61B2018/00214 , A61B2018/00482 , A61B2018/00547 , A61B2018/00577 , A61B2018/00613 , A61B2018/00898 , A61B2018/124 , A61B2018/1425
摘要: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.
摘要翻译: 电切除装置包括第一和第二电极。 每个电极包括构造成耦合能量源的第一端和被配置为耦合到组织治疗区域的第二端。 能量源耦合到第一和第二电极。 能量源被配置为递送足以通过不可逆电穿孔诱导细胞坏死的第一系列电脉冲和通过热加热通过第一和第二电极中的至少一个足以诱导细胞坏死的第二系列电脉冲。 第一系列电脉冲的特征在于第一幅度,第一脉冲长度和第一频率。 第二系列电脉冲的特征在于第二幅度,第二脉冲长度和第二频率。
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公开(公告)号:US20110098704A1
公开(公告)日:2011-04-28
申请号:US12607252
申请日:2009-10-28
申请人: Gary L. Long , David N. Plescia , Omar J. Vakharia
发明人: Gary L. Long , David N. Plescia , Omar J. Vakharia
IPC分类号: A61B18/14
CPC分类号: A61B18/1477 , A61B18/1492 , A61B18/1815 , A61B90/08 , A61B2018/00214 , A61B2018/0022 , A61B2018/00577 , A61B2018/00898 , A61B2018/1425 , A61B2018/143 , A61B2018/1467 , A61B2018/1475 , A61B2090/0811 , A61N1/327
摘要: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. At least one electrode is movable between a first position and a second position. A first necrotic zone having a first shape is created when the electrodes are energized in the first position and a second necrotic zone having a second shape is created when the electrodes are energized in the second position. At least one electrode may be pre-formed with a radius.
摘要翻译: 电切除装置包括第一和第二电极。 每个电极包括构造成耦合能量源的第一端和被配置为耦合到组织治疗区域的第二端。 能量源耦合到第一和第二电极。 至少一个电极可在第一位置和第二位置之间移动。 当电极在第一位置通电时,产生具有第一形状的第一坏死区,并且当电极在第二位置通电时,产生具有第二形状的第二坏死区。 至少一个电极可以预成形为半径。
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公开(公告)号:US07758564B2
公开(公告)日:2010-07-20
申请号:US11128012
申请日:2005-05-12
申请人: Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
发明人: Gary L. Long , Gregory J. Bakos , Omar J. Vakharia
IPC分类号: A61M25/01
CPC分类号: A61B1/00133 , A61B2017/00398 , A61M25/0113 , A61M25/0136 , A61M25/09 , A61M25/09041 , A61M2025/09183
摘要: A first medical instrument includes a flexible catheter having a distal end which has a substantially bullet-nose shape, which is insertable into a body lumen of a patient, and which has at least one guidewire passageway opening. The first medical instrument also includes a medical guidewire having a working portion extendable beyond the at-least-one guidewire passageway opening. A second medical instrument includes a flexible catheter, a medical guidewire having a working portion extendable beyond the distal end of the catheter, and at least one wire length counter which is operably connectable to the medical guidewire to measure a length of the working portion being extended beyond the distal end of the catheter. A third medical instrument includes a flexible catheter, a medical guidewire, and a force/torque-limiting clutch operatively connectable to the medical guidewire.
摘要翻译: 第一医疗器械包括柔性导管,其具有远端,其具有基本上子弹鼻形状,其可插入患者的体腔中,并且具有至少一个导丝通道开口。 第一医疗器械还包括具有可延伸超过至少一个导丝通道开口的工作部分的医疗导丝。 第二医疗器械包括柔性导管,具有可延伸超过导管远端的工作部分的医疗导线,以及可操作地连接到医用导线的至少一个导线长度计数器,以测量延伸的工作部分的长度 超出导管的远端。 第三医疗器械包括柔性导管,医疗导线和可操作地连接到医疗导线的力/扭矩限制离合器。
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公开(公告)号:US20090192344A1
公开(公告)日:2009-07-30
申请号:US12019461
申请日:2008-01-24
申请人: Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
发明人: Gregory J. Bakos , Christie Mrie Cunningham , Kendall Lee Dobler , William D. Fox , Christopher J. Hess , Gary L. Long , Rudolph Henry Nobis , Carl J. Shurtleff , James T. Spivey , David Stefanchik , Michael J. Stokes , Omar J. Vakharia , James W. Voegele
CPC分类号: A61B17/0218 , A61B17/0401 , A61B17/30 , A61B17/3478 , A61B34/73 , A61B2017/00876 , A61B2017/0464 , A61B2017/2926 , A61B2017/306
摘要: A surgical kit can be used to manipulate tissue within the body of a patient to create a working space within the body to allow a surgeon to easily access and work within the body using various surgical instruments. A surgical kit can include an implant comprised of a magnetic material which can be engaged with tissue within the body. The kit can further include a surgical instrument having a magnet which can be used to manipulate the implant and tissue engaged therewith. A surgical kit can include an anchor and a hanger configured to engage tissue at different locations within the body and a connection member engaged with the anchor and the hanger such that the connection member can be pulled to move the anchor toward the hanger. A surgical instrument which utilizes a vacuum provided to one or more movable members can also be used to manipulate tissue.
摘要翻译: 手术套件可用于操纵患者身体内的组织以在身体内产生工作空间,以允许外科医生使用各种手术器械容易地进入身体内并进行工作。 手术套件可以包括由可与身体内的组织接合的磁性材料构成的植入物。 该套件还可以包括具有磁体的手术器械,其可用于操纵植入物和与其接合的组织。 手术套件可以包括锚固件和悬挂器,其构造成在主体内的不同位置处接合组织,以及与锚固件和悬挂器接合的连接构件,使得连接构件可以被拉动以将锚移向吊架。 使用提供给一个或多个可移动部件的真空的手术器械也可用于操纵组织。
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公开(公告)号:US20090182332A1
公开(公告)日:2009-07-16
申请号:US12014417
申请日:2008-01-15
申请人: Gary L. Long , Omar J. Vakharia , Gregory J. Bakos
发明人: Gary L. Long , Omar J. Vakharia , Gregory J. Bakos
CPC分类号: A61B18/1447 , A61B2018/00404 , A61B2018/00601 , A61B2018/1422
摘要: An electrosurgical apparatus, system, and method are disclosed. The apparatus, includes an elongate member defines a longitudinal opening. An elongate actuator member is slideably movable within the longitudinal opening. A proximal jaw member having a proximal portion is fixedly coupled to a distal end of the elongate flexible member. A distal jaw member has a proximal portion fixedly coupled to a distal end of the elongate actuator member. A first aperture is defined between the distal portion of the distal jaw member and the proximal portion of the distal jaw member. The distal jaw member is slideably movable relative to the proximal jaw member. The system includes a handle portion to receive a proximal end of the elongate actuator member of the apparatus. A method includes preparing the apparatus for surgery.
摘要翻译: 公开了电外科设备,系统和方法。 该装置包括细长构件限定纵向开口。 细长致动器构件可在纵向开口内可滑动地移动。 具有近侧部分的近侧颚构件固定地联接到细长柔性构件的远端。 远侧钳口构件具有固定地联接到细长致动器构件的远端的近端部分。 第一孔限定在远端钳口构件的远侧部分和远端钳口构件的近端部分之间。 远端钳口构件可相对于近端钳口构件可滑动地移动。 该系统包括用于接收该装置的细长致动器构件的近端的手柄部分。 一种方法包括准备手术装置。
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