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公开(公告)号:US06074412A
公开(公告)日:2000-06-13
申请号:US143925
申请日:1998-08-29
申请人: Paul W. Mikus , Gregory L. Kelly , Ralph K. Brady
发明人: Paul W. Mikus , Gregory L. Kelly , Ralph K. Brady
CPC分类号: F25B9/02 , A61B18/02 , A61B2018/00041 , A61B2018/0293 , F25B2309/021 , F25B2500/01 , Y10S128/27
摘要: Cryocoolers for use in cryosurgery and other applications comprising dual finned tube helical coil heat exchangers. The size and shape of iceballs created by the probes is controlled by the location of the gas outlets within the cryocooler outer sheath.
摘要翻译: 用于冷冻手术和其他应用的低温冷却器,包括双翅片管螺旋线圈换热器。 由探针产生的冰球的大小和形状由低温冷却器外护套内的气体出口的位置控制。
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公开(公告)号:US5800487A
公开(公告)日:1998-09-01
申请号:US685233
申请日:1996-07-23
申请人: Paul W. Mikus , Gregory L. Kelly , Ralph K. Brady
发明人: Paul W. Mikus , Gregory L. Kelly , Ralph K. Brady
CPC分类号: F25B9/02 , A61B18/02 , A61B2018/00041 , A61B2018/0293 , F25B2309/021 , F25B2500/01 , Y10S128/27
摘要: Cryocoolers for use in cryosurgery and other applications comprising finned tube helical coil heat exchangers and a flow directing sheath covering portions of the heat exchanger coil and isolating portions of the heat exchanger coil from the outer sheath of the cryocooler. The size and shape of iceballs created by the probes is controlled by the extent and location of the flow directing sheath.
摘要翻译: 用于冷冻手术和其它应用的低温冷却器,包括翅片管螺旋线圈热交换器和导流套管,其覆盖热交换器盘管的部分并将热交换器线圈的部分与低温冷却器的外护套隔离。 由探针产生的冰球的大小和形状由导流鞘的程度和位置来控制。
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公开(公告)号:US06505629B1
公开(公告)日:2003-01-14
申请号:US09461613
申请日:1999-12-15
申请人: Paul W. Mikus , Gregory L. Kelly , Ralph K. Brady
发明人: Paul W. Mikus , Gregory L. Kelly , Ralph K. Brady
IPC分类号: A61B1900
CPC分类号: F25B9/02 , A61B18/02 , A61B2018/00041 , F25B2309/021 , F25B2500/01
摘要: A system and method for performing cryosurgery of the prostate while protecting surrounding tissue. Cryosurgical probes are provided with argon gas for cooling and with helium for warming. Probes are inserted into the prostate and supplied with argon gas for cooling, while probes inserted into the surrounding tissue and supplied with helium gas for warming. The warmed probes protect the surrounding tissue from freezing.
摘要翻译: 用于在保护周围组织的同时执行前列腺的冷冻手术的系统和方法。 冷冻手术探针提供有氩气用于冷却和氦气加热。 将探针插入前列腺并供给氩气进行冷却,同时将探针插入周围的组织中并提供氦气用于变暖。 温热的探头保护周围的组织免受冻结。
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公开(公告)号:US6017361A
公开(公告)日:2000-01-25
申请号:US816913
申请日:1997-03-13
申请人: Paul W. Mikus , K. David Crockett
发明人: Paul W. Mikus , K. David Crockett
CPC分类号: A61B18/04 , A61B18/02 , A61B2017/00274 , A61B2017/22039 , A61B2018/00041 , A61B2018/00547 , A61B2018/0212 , A61B2018/044
摘要: A warming catheter for use during cryosurgical ablation of the prostate having a warming section with diffuser ports promoting even warming of the prostatic urethra; the warming catheter is also provided with a short monorail lumen, monorail tip lumen, or a full length monorail lumen.
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公开(公告)号:US6162231A
公开(公告)日:2000-12-19
申请号:US336974
申请日:1999-06-21
申请人: Paul W. Mikus , Jay J. Eum
发明人: Paul W. Mikus , Jay J. Eum
CPC分类号: A61M25/0662 , A61F2/95 , A61F2002/9517 , A61M25/0068 , A61M25/0668 , A61M29/00 , A61M2210/166
摘要: Two embodiments for a stent delivery device are disclosed. In the first embodiment, the stent delivery device comprises an outer sheath and an inner tubular member which distally ends in a tongue having an arcuate cross section. In a second embodiment, the stent delivery device further comprises a housing having a lumen extending longitudinally therethrough, the lumen holding the inner tubular member. A guide pin attached to the outer sheath is slidably disposed within the housing wherein the guide pin may be longitudinally displaced with respect to the lumen. In addition, an endoscope mounting plate may be slidably disposed along the housing. Detents may be used to releasably prevent a proximal displacement of the guide pin within the lumen of the housing as well as to releasably prevent the proximal displacement of the endoscope mounting plate with respect to the housing.
摘要翻译: 公开了用于支架输送装置的两个实施例。 在第一实施例中,支架输送装置包括外鞘和内管状构件,其以具有弓形横截面的舌头远端终止。 在第二实施例中,支架输送装置还包括具有纵向延伸通过其延伸的内腔的壳体,所述内腔保持内管状构件。 附接到外护套的引导销可滑动地设置在壳体内,其中引导销可以相对于内腔纵向移位。 此外,内窥镜安装板可以沿壳体可滑动地设置。 可以使用定位器来可释放地防止引导销在壳体的腔内的近端位移,并且可释放地防止内窥镜安装板相对于壳体的近侧位移。
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公开(公告)号:US6033413A
公开(公告)日:2000-03-07
申请号:US63118
申请日:1998-04-20
申请人: Paul W. Mikus , Jay Eum
发明人: Paul W. Mikus , Jay Eum
CPC分类号: A61F2/0009
摘要: A stent delivery system for use in placing a stent within the prostatic urethra and ensuring that the stent does not interfere with the closure of the bladder neck sphincter. The delivery system includes a catheter with an anchor which anchors the catheter within the urethra and ensures placement of the stent at a predetermined distance from the bladder neck sphincter. For use with shape memory stents, the catheter includes a warming fluid system in which the endoscope used in the procedure can act as a fluid supply line and as valve spool to control the flow or warming fluid to the stent.
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公开(公告)号:US07510554B2
公开(公告)日:2009-03-31
申请号:US11738653
申请日:2007-04-23
IPC分类号: A61B18/02
CPC分类号: A61B18/02 , A61B2017/0046 , A61B2018/00041 , A61B2018/0262 , A61B2018/0293
摘要: A cryosurgical probe system includes a fluid supply line connectable at an inlet section to a source of cryogenic fluid; a fluid connector assembly securely connected to an outlet section of the fluid supply line for receiving fluid from the outlet section of the fluid supply line; and, a detachable cryosurgical probe detachably connectable to the fluid connector assembly. The cryosurgical probe system includes the capability of providing return fluid flow.
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公开(公告)号:US20080154253A1
公开(公告)日:2008-06-26
申请号:US12025619
申请日:2008-02-04
申请人: SANFORD D. DAMASCO , Thach Duong , Jawahar M. Ali , David J. Battles , Paul W. Mikus , Jay J. Eum
发明人: SANFORD D. DAMASCO , Thach Duong , Jawahar M. Ali , David J. Battles , Paul W. Mikus , Jay J. Eum
IPC分类号: A61B18/02
CPC分类号: A61B18/02 , A61B8/08 , A61B34/10 , A61B90/11 , A61B90/37 , A61B2017/00084 , A61B2017/00274 , A61B2017/3411 , A61B2018/00547 , A61B2090/378
摘要: The system for providing computer guided ablation of tissue of a patient includes an ablative surgical computer system and a set of surgical devices. The ablative surgical computer system includes a guidance module for providing a treatment guidance plan to an operator; and, a treatment module for acquiring and processing surgical device output data, for optimally controlling treatment parameters and providing feedback information to the operator based on the treatment guidance plan. The set of surgical devices includes at least one ablative device for providing ablation of the treatment region based on the treatment parameters and operator input; and, at least one temperature sensing device for acquiring temperature data from the treatment region and providing a temperature sensing device output signal. The temperature sensing device output signal is a portion of the surgical device output data. The treatment guidance plan is utilized for placing the ablative device and the temperature sensing device into the treatment region.
摘要翻译: 用于提供患者的组织的计算机引导消融的系统包括烧蚀性外科手术计算机系统和一组手术装置。 烧蚀外科计算机系统包括用于向操作者提供治疗指导计划的引导模块; 以及用于获取和处理手术装置输出数据的治疗模块,用于根据治疗指导计划最佳地控制治疗参数并向操作者提供反馈信息。 该组手术装置包括至少一个消融装置,用于基于治疗参数和操作员输入提供治疗区域的消融; 以及至少一个用于从处理区域获取温度数据并提供温度感测装置输出信号的温度感测装置。 温度感测装置输出信号是手术装置输出数据的一部分。 治疗指导计划用于将消融装置和温度感测装置放置在治疗区域中。
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公开(公告)号:US06702846B2
公开(公告)日:2004-03-09
申请号:US10091112
申请日:2002-02-28
申请人: Paul W. Mikus , William G. Moseley , Jay J. Eum
发明人: Paul W. Mikus , William G. Moseley , Jay J. Eum
IPC分类号: A61F206
CPC分类号: A61F2/88 , A61F2/95 , A61F2002/048 , A61F2002/9505 , A61F2002/9511 , A61F2002/9517 , A61F2250/0039 , A61M27/008
摘要: A stent system and method for use in the prostate gland. The stent is made of a shape memory alloy such as nitinol, and has a low temperature martensite state, with a martensite transition temperature below body temperature, and a high temperature austenite state, with an austenite transition temperature at or above body temperature, and a memorized shape in the high temperature austenite state which is a helical coil of diameter large enough to hold the prostatic urethra open. The stent is used to heat the prostate and is left in the prostatic urethra while the prostate heals. After the prostate is substantially healed, the stent is cooled to its martensite state and is easily removed from the urethra.
摘要翻译: 用于前列腺的支架系统和方法。 该支架由镍钛诺镍等形状记忆合金制成,具有马氏体转变温度低于体温的低温马氏体状态和奥氏体转变温度在体温以上的高温奥氏体状态, 在高温奥氏体状态下记忆形状,其为直径足够大以容纳前列腺尿道打开的螺旋线圈。 支架用于加热前列腺,并在前列腺治疗时留在前列腺尿道。 在前列腺基本上愈合之后,支架被冷却到其马氏体状态,并且容易地从尿道中移出。
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公开(公告)号:US6146378A
公开(公告)日:2000-11-14
申请号:US272889
申请日:1999-03-19
申请人: Paul W. Mikus , Jay J. Eum
发明人: Paul W. Mikus , Jay J. Eum
IPC分类号: A61B19/00 , A61B1/00 , A61B17/00 , A61B17/32 , A61B17/34 , A61B17/42 , A61B18/02 , A61M25/08 , A61B18/18
CPC分类号: A61B18/02 , A61B2017/00292 , A61B2017/4216 , A61B2018/0212 , A61B2090/034 , A61B2090/0463 , A61B2090/378
摘要: A placement guide for positioning ablation devices within a human body is disclosed. The placement guide comprise an outer catheter and an inner tubular member disposed within a lumen of the outer catheter. When a stop on the inner tubular member engages a seat on the outer catheter, a distal projection of the inner tubular member extends from the distal end of the outer catheter. While monitoring the position of the inner tubular member through an endoscope inserted in its lumen, a clinician positions the distal projection within a human body for optimal ablation. After securing the outer catheter in position, the inner tubular member is withdrawn and replaced with an ablation device which is inserted distally within the outer catheter lumen until a stop on the ablation device engages the seat on the outer catheter wherein a distal projection of the ablation device extends from the distal end of the outer catheter. Because the distal projection of the inner tubular member has a length substantially identical to that of the inner tubular member, the ablation device may be positioned for optimal ablation.
摘要翻译: 公开了一种用于将消融装置定位在人体内的放置引导件。 放置引导件包括外导管和设置在外导管的内腔内的内管状构件。 当内管状构件上的止动件与外导管上的座接合时,内管状构件的远端突出部从外导管的远端延伸。 在通过插入其管腔中的内窥镜监测内管状构件的位置的同时,临床医生将远侧突出物定位在人体内以进行最佳消融。 在将外导管固定就位之后,内管状构件被取出并且被切除装置替代,该消融装置向远端插入外导管内腔中直到消融装置上的止动件接合外导管上的座,其中消融的远侧突出部 装置从外导管的远端延伸。 因为内部管状构件的远侧突出部具有与内部管状构件的长度基本相同的长度,所以可以定位消融装置以实现最佳消融。
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