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公开(公告)号:US5713942A
公开(公告)日:1998-02-03
申请号:US484089
申请日:1995-06-07
CPC分类号: A61B18/14 , A61B18/1442 , A61B18/1485 , A61N1/06 , A61N1/40 , A61N1/403 , A61B2017/00092 , A61B2017/00101 , A61B2017/00292 , A61B2017/4216 , A61B2018/00065 , A61B2018/00083 , A61B2018/00113 , A61B2018/0016 , A61B2018/0022 , A61B2018/00559 , A61B2018/00577 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/124 , A61B2018/1253 , A61B2018/1465 , A61B2018/1467 , A61B2018/162
摘要: An endometrial ablation apparatus and method wherein an RF current having a frequency of between 250 kHz and 100 MHz is passed through the entire surface of an endometrium in order to provide heating of the endometrium. An electroconductive expandable member such as a balloon is used as the medium for passing the current and causing the heating of the endometrium. The temperature of the endometrium is raised to a temperature between 45.degree. C. and 90.degree. C. and preferably not above 70.degree. for a time sufficient to destroy the cells of the lining while maintaining the average temperature of the myometrium at a temperature below approximately 42.degree. C. The expandable balloon is connected to a power source which provides the radio frequency power having the desired characteristics to selectively heat the endometrial lining to the desired temperature. The balloon can be constructed with an electroconductive elastomer such as a mixture of polymeric elastomer and electroconductive particles or can be a non-extensible bladder having a shape and a size, in its fully expanded form, which will extend the organ and effect contact with the endometrial lining to be destroyed. The electroconductive member may consist of a plurality of electrode area segments having a thermistor associated with each electrode segment whereby the temperature from each of said plurality of segments is monitored and controlled by a feedback arrangement from the thermistors.
摘要翻译: 子宫内膜消融装置和方法,其中频率在250kHz和100MHz之间的RF电流通过子宫内膜的整个表面,以提供子宫内膜的加热。 使用诸如球囊的导电性可扩张构件作为使电流通过并引起子宫内膜加热的介质。 将子宫内膜的温度升高到45℃至90℃之间,优选不高于70度,足以破坏衬里的细胞,同时保持子宫肌层的平均温度低于约 可膨胀气囊连接到电源,其提供具有期望特性的射频功率以选择性地将子宫内膜衬里加热到所需温度。 气球可以用诸如聚合物弹性体和导电颗粒的混合物的导电弹性体构成,或者可以是具有其完全展开形式的形状和尺寸的不可伸长的囊,其将延伸器官并且与 子宫内膜被破坏。 导电构件可以由具有与每个电极段相关联的热敏电阻的多个电极区段组成,从而来自所述多个区段中的每一个的温度由来自热敏电阻的反馈装置进行监测和控制。
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公开(公告)号:US6041260A
公开(公告)日:2000-03-21
申请号:US481940
申请日:1995-06-07
CPC分类号: A61B18/14 , A61B18/1442 , A61B18/1485 , A61N1/06 , A61N1/40 , A61N1/403 , A61B2017/00092 , A61B2017/00101 , A61B2017/00292 , A61B2017/4216 , A61B2018/00065 , A61B2018/00083 , A61B2018/00113 , A61B2018/0016 , A61B2018/0022 , A61B2018/00559 , A61B2018/00577 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/124 , A61B2018/1253 , A61B2018/1465 , A61B2018/1467 , A61B2018/162
摘要: An endometrial ablation apparatus and method wherein an RF current having a frequency of between 250 kHz and 100 MHz is passed through the entire surface of an endometrium in order to provide heating of the endometrium. An electroconductive expandable member such as a balloon is used as the medium for passing the current and causing the heating of the endometrium. The temperature of the endometrium is raised to a temperature between 45.degree. C. and 90.degree. C. and preferably not above 70 for a time sufficient to destroy the cells of the lining while maintaining the average temperature of the myometrium at a temperature below approximately 42.degree. C. The expandable balloon is connected to a power source which provides the radio frequency power having the desired characteristics to selectively heat the endometrial lining to the desired temperature. The balloon can be constructed with an electroconductive elastomer such as a mixture of polymeric elastomer and electroconductive particles or can be a non-extensible bladder having a shape and a size, in its fully expanded form, which will extend the organ and effect contact with the endometrial lining to be destroyed. The electroconductive member may consist of a plurality of electrode area segments having a thermistor associated with each electrode segment whereby the temperature from each of said plurality of segments is monitored and controlled by a feedback arrangement from the thermistors.
摘要翻译: 子宫内膜消融装置和方法,其中频率在250kHz和100MHz之间的RF电流通过子宫内膜的整个表面,以提供子宫内膜的加热。 使用诸如球囊的导电性可扩张构件作为使电流通过并引起子宫内膜加热的介质。 子宫内膜的温度升高到45℃至90℃之间,优选不超过70℃,足以破坏衬里细胞,同时保持子宫肌层的平均温度低于约42℃ 可膨胀气囊连接到电源,其提供具有期望特性的射频功率以选择性地将子宫内膜衬里加热到所需温度。 气球可以用诸如聚合物弹性体和导电颗粒的混合物的导电弹性体构成,或者可以是具有其完全展开形式的形状和尺寸的不可伸长的囊,其将延伸器官并且与 子宫内膜被破坏。 导电构件可以由具有与每个电极段相关联的热敏电阻的多个电极区段组成,从而来自所述多个区段中的每一个的温度由来自热敏电阻的反馈装置进行监测和控制。
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公开(公告)号:US5562720A
公开(公告)日:1996-10-08
申请号:US319216
申请日:1994-10-06
申请人: Roger A. Stern , Vincent N. Sullivan , Roxanne L. Richman , Loren L. Roy , Robert L. Marion , Thomas D. Striegler
发明人: Roger A. Stern , Vincent N. Sullivan , Roxanne L. Richman , Loren L. Roy , Robert L. Marion , Thomas D. Striegler
IPC分类号: A61B17/42 , A61B17/00 , A61B18/00 , A61B18/12 , A61B18/14 , A61M1/00 , A61M25/00 , A61N1/06 , A61N1/32 , A61N1/40 , A61N5/02 , A61N5/00
CPC分类号: A61N1/40 , A61B18/1206 , A61B18/1482 , A61B18/1485 , A61M1/0058 , A61N1/06 , A61N1/32 , A61B18/1233 , A61B18/14 , A61B18/1402 , A61B2017/00092 , A61B2017/00101 , A61B2017/00261 , A61B2017/00292 , A61B2017/4216 , A61B2018/00065 , A61B2018/00083 , A61B2018/00113 , A61B2018/00148 , A61B2018/0016 , A61B2018/00178 , A61B2018/0022 , A61B2018/00404 , A61B2018/00559 , A61B2018/00577 , A61B2018/00601 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00982 , A61B2018/00988 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1465 , A61B2018/1467 , A61B2018/162
摘要: An endometrial ablation device and a method of manufacturing and using the device. An RF current is passed through an endometrium to heat it. An electroconductive expandable member such as a balloon is used as the medium for passing the current and causing the heating of the endometrium. The power delivered from a power source to the balloon is selectively provided to a plurality of electrode area segments on the balloon with each of the segments have a thermistor associated with it whereby temperature is monitored and controlled by a feedback arrangement from the thermistors. The selective application of power is provided on the basis of a switching arrangement which provides either monopolar or bipolar energy to the electrodes. The method of manufacturing the ablation device includes using commercially available stretchable sheet material or providing a mandrel or support base and coating the mandrel or base with an uncured emulsion. The emulsion is then cured to form a bladder-like coating. The coating is thereafter removed from the mandrel or base to form a bladder. Electrons and temperature sensors are formed on or secured to the bladder during or after the curing process and a fluid delivery tube is secured to the bladder for inflating the bladder.
摘要翻译: 子宫内膜消融装置及其制造和使用方法。 射频电流通过子宫内膜加热。 使用诸如球囊的导电性可扩张构件作为使电流通过并引起子宫内膜加热的介质。 从电源向球囊传递的功率被选择性地提供给球囊上的多个电极区域段,其中每个段具有与其相关联的热敏电阻,由此通过来自热敏电阻的反馈装置监测和控制温度。 基于向电极提供单极或双极能量的开关装置提供功率的选择性施加。 制造消融装置的方法包括使用市售可拉伸片材或提供心轴或支撑底座并用未固化的乳液涂覆心轴或底座。 然后将乳液固化以形成膀胱状涂层。 此后,将该涂层从心轴或底座上移除以形成膀胱。 电子和温度传感器在固化过程中或固化过程之后形成在气囊上或固定到气囊上,并且流体输送管固定到膀胱以使气囊膨胀。
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公开(公告)号:US5443470A
公开(公告)日:1995-08-22
申请号:US46683
申请日:1993-04-14
CPC分类号: A61B18/14 , A61B18/1442 , A61B18/1485 , A61N1/06 , A61N1/40 , A61N1/403 , A61B2017/00092 , A61B2017/00101 , A61B2017/00292 , A61B2017/4216 , A61B2018/00065 , A61B2018/00083 , A61B2018/00113 , A61B2018/0016 , A61B2018/0022 , A61B2018/00559 , A61B2018/00577 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/124 , A61B2018/1253 , A61B2018/1465 , A61B2018/1467 , A61B2018/162
摘要: An endometrial ablation apparatus and method wherein an RF current having a frequency of between 250 kHz and 100 MHz is passed through the entire surface of an endometrium in order to provide heating of the endometrium. An electroconductive expandable member such as a balloon is used as the medium for passing the current and causing the heating of the endometrium. The temperature of the endometrium is raised to a temperature between 45.degree. C. and 90.degree. C. and preferably not above 70.degree. for a time sufficient to destroy the cells of the lining while maintaining the average temperature of the myometrium at a temperature below approximately 42.degree. C. The expandable balloon is connected to a power source which provides the radio frequency power having the desired characteristics to selectively heat the endometrial lining to the desired temperature. The balloon can be constructed with an electroconductive elastomer such as a mixture of polymeric elastomer and electroconductive particles or can be a non-extensible bladder having a shape and a size, in its fully expanded form, which will extend the organ and effect contact with the endometrial lining to be destroyed. The electroconductive member may consist of a plurality of electrode area segments having a thermistor associated with each electrode segment whereby the temperature from each of said plurality of segments is monitored and controlled by a feedback arrangement from the thermistors.
摘要翻译: 子宫内膜消融装置和方法,其中频率在250kHz和100MHz之间的RF电流通过子宫内膜的整个表面,以提供子宫内膜的加热。 使用诸如球囊的导电性可扩张构件作为使电流通过并引起子宫内膜加热的介质。 将子宫内膜的温度升高到45℃至90℃之间,优选不高于70度,足以破坏衬里的细胞,同时保持子宫肌层的平均温度低于约 可膨胀气囊连接到电源,其提供具有期望特性的射频功率以选择性地将子宫内膜衬里加热到所需温度。 气球可以用诸如聚合物弹性体和导电颗粒的混合物的导电弹性体构成,或者可以是具有其完全展开形式的形状和尺寸的不可伸长的囊,其将延伸器官并且与 子宫内膜被破坏。 导电构件可以由具有与每个电极段相关联的热敏电阻的多个电极区段组成,从而来自所述多个区段中的每一个的温度由来自热敏电阻的反馈装置进行监测和控制。
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公开(公告)号:US5443463A
公开(公告)日:1995-08-22
申请号:US106601
申请日:1993-08-16
CPC分类号: A61B18/14 , A61B18/1442 , A61B18/1485 , A61N1/06 , A61N1/40 , A61B18/1206 , A61B18/1233 , A61B2017/00092 , A61B2017/00101 , A61B2017/00292 , A61B2017/4216 , A61B2018/00065 , A61B2018/00083 , A61B2018/00113 , A61B2018/0016 , A61B2018/0022 , A61B2018/00404 , A61B2018/00559 , A61B2018/00577 , A61B2018/00601 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/124 , A61B2018/1253 , A61B2018/1465 , A61B2018/1467 , A61B2018/162
摘要: A method and an apparatus for selectively coagulating blood vessels or tissue containing blood vessels involves the placement of the blood vessels or tissue containing blood vessels between the prongs of a forceps with the jaws of the forceps containing a plurality of electrodes which are energized by radio-frequency power. A plurality of sensors are associated with the electrodes and in contact with the vessels or tissue in order to measure the temperature rise of the tissue or blood vessels and to provide a feedback to the radio-frequency power in order to control the heating to perform coagulation of the vessels or tissue. In a further development, the upper prong of the device is split into two parts with a cutting blade between the two upper parts in order to provide for cutting of the coagulated vessels subsequent to the coagulation. The cutting may be accomplished either mechanically or with an electrosurgical cutting device.
摘要翻译: 用于选择性凝血血管或包含血管的组织的方法和装置包括:将包含血管的血管或组织的组织放置在镊子的尖头与镊子的钳口之间,所述镊子的钳口包含多个电极, 频率功率 多个传感器与电极相关联并与容器或组织接触,以便测量组织或血管的温度升高,并提供对射频功率的反馈以便控制加热进行凝血 的血管或组织。 在进一步的发展中,装置的上部分叉在两个上部之间用切割刀片分成两部分,以便在凝固之后提供切割凝固的容器。 切割可以机械地或用电外切割装置完成。
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公开(公告)号:US08192426B2
公开(公告)日:2012-06-05
申请号:US11959310
申请日:2007-12-18
申请人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellenberger
发明人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellenberger
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B18/06 , A61B18/08 , A61B18/1206 , A61B18/18 , A61B18/20 , A61B2018/00011 , A61B2018/00214 , A61B2018/0022 , A61B2018/00488 , A61B2018/00494 , A61B2018/00577 , A61B2018/0066 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00982 , A61B2018/046 , A61B2018/1807
摘要: Devices and methods are provided for treatment of tissue in a body lumen with an electrode deployment device. Embodiments typically include a device with a plurality of electrodes having a pre-selected electrode density arranged on the surface of a support. The support may comprise a non-distensible electrode backing that is spirally furled about an axis and coupled to an expansion member such as an inflatable elastic balloon. In some embodiments, the balloon is inflated to selectively expose a portion of the electrode surface while maintaining the electrode density.
摘要翻译: 提供了用于用电极展开装置处理体腔中的组织的装置和方法。 实施例通常包括具有布置在支撑体表面上的具有预选电极密度的多个电极的装置。 支撑件可以包括不可扩张的电极背衬,其围绕轴线螺旋地卷绕并且联接到膨胀构件,例如可充气的弹性气球。 在一些实施例中,气囊膨胀以选择性地暴露电极表面的一部分,同时保持电极密度。
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公开(公告)号:US20120220996A1
公开(公告)日:2012-08-30
申请号:US13463683
申请日:2012-05-03
申请人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellengberger
发明人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellengberger
CPC分类号: A61B18/1492 , A61B18/06 , A61B18/08 , A61B18/1206 , A61B18/18 , A61B18/20 , A61B2018/00011 , A61B2018/00214 , A61B2018/0022 , A61B2018/00488 , A61B2018/00494 , A61B2018/00577 , A61B2018/0066 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00982 , A61B2018/046 , A61B2018/1807
摘要: Devices and methods are provided for treatment of tissue in a body lumen with an electrode deployment device. Embodiments typically include a device with a plurality of electrodes having a pre-selected electrode density arranged on the surface of a support. The support may comprise a non-distensible electrode backing that is spirally furled about an axis and coupled to an expansion member such as an inflatable elastic balloon. In some embodiments, the balloon is inflated to selectively expose a portion of the electrode surface while maintaining the electrode density.
摘要翻译: 提供了用于用电极展开装置处理体腔中的组织的装置和方法。 实施例通常包括具有布置在支撑体表面上的具有预选电极密度的多个电极的装置。 支撑件可以包括不可扩张的电极背衬,其围绕轴线螺旋地卷绕并且联接到膨胀构件,例如可充气的弹性气球。 在一些实施例中,气囊膨胀以选择性地暴露电极表面的一部分,同时保持电极密度。
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公开(公告)号:US09393069B2
公开(公告)日:2016-07-19
申请号:US13463683
申请日:2012-05-03
申请人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellengberger
发明人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellengberger
IPC分类号: A61B18/14 , A61B18/06 , A61B18/08 , A61B18/12 , A61B18/18 , A61B18/20 , A61B18/00 , A61B18/04
CPC分类号: A61B18/1492 , A61B18/06 , A61B18/08 , A61B18/1206 , A61B18/18 , A61B18/20 , A61B2018/00011 , A61B2018/00214 , A61B2018/0022 , A61B2018/00488 , A61B2018/00494 , A61B2018/00577 , A61B2018/0066 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00982 , A61B2018/046 , A61B2018/1807
摘要: Devices and methods are provided for treatment of tissue in a body lumen with an electrode deployment device. Embodiments typically include a device with a plurality of electrodes having a pre-selected electrode density arranged on the surface of a support. The support may comprise a non-distensible electrode backing that is spirally furled about an axis and coupled to an expansion member such as an inflatable elastic balloon. In some embodiments, the balloon is inflated to selectively expose a portion of the electrode surface while maintaining the electrode density.
摘要翻译: 提供了用于用电极展开装置处理体腔中的组织的装置和方法。 实施例通常包括具有布置在支撑体表面上的具有预选电极密度的多个电极的装置。 支撑件可以包括不可扩张的电极背衬,其围绕轴线螺旋地卷绕并且联接到膨胀构件,例如可充气的弹性气球。 在一些实施例中,气囊膨胀以选择性地暴露电极表面的一部分,同时保持电极密度。
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公开(公告)号:US07344535B2
公开(公告)日:2008-03-18
申请号:US11557445
申请日:2006-11-07
申请人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellengberger
发明人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellengberger
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B18/06 , A61B18/08 , A61B18/1206 , A61B18/18 , A61B18/20 , A61B2018/00011 , A61B2018/00214 , A61B2018/0022 , A61B2018/00488 , A61B2018/00494 , A61B2018/00577 , A61B2018/0066 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00982 , A61B2018/046 , A61B2018/1807
摘要: Devices and methods are provided for treatment of tissue in a body lumen with an electrode deployment device. Embodiments typically include a device with a plurality of electrodes having a pre-selected electrode density arranged on the surface of a support. The support may comprise a non-distensible electrode backing that is spirally furled about an axis and coupled to an expansion member such as an inflatable elastic balloon. In some embodiments, the balloon is inflated to selectively expose a portion of the electrode surface while maintaining the electrode density.
摘要翻译: 提供了用于用电极展开装置处理体腔中的组织的装置和方法。 实施例通常包括具有布置在支撑体表面上的具有预选电极密度的多个电极的装置。 支撑件可以包括不可扩张的电极背衬,其围绕轴线螺旋地卷绕并且联接到膨胀构件,例如可充气的弹性气球。 在一些实施例中,气囊膨胀以选择性地暴露电极表面的一部分,同时保持电极密度。
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公开(公告)号:US07150745B2
公开(公告)日:2006-12-19
申请号:US10754444
申请日:2004-01-09
申请人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellengberger
发明人: Roger A. Stern , Jerome Jackson , Vincent N. Sullivan , George H. Smith , Roy D. Corbitt , Jennifer A. Hodor , Carson J. Shellengberger
IPC分类号: A61B18/18
CPC分类号: A61B18/1492 , A61B18/06 , A61B18/08 , A61B18/1206 , A61B18/18 , A61B18/20 , A61B2018/00011 , A61B2018/00214 , A61B2018/0022 , A61B2018/00488 , A61B2018/00494 , A61B2018/00577 , A61B2018/0066 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00982 , A61B2018/046 , A61B2018/1807
摘要: Devices and methods are provided for treatment of tissue in a body lumen with an electrode deployment device. Embodiments typically include a device with a plurality of electrodes having a pre-selected electrode density arranged on the surface of a support. The support may comprise a non-distensible electrode backing that is spirally furled about an axis and coupled to an expansion member suach as an inflatable elastic balloon. In some embodiments, the balloon is inflated to selectively expose a portion of the electrode surface while maintaining the electrode density.
摘要翻译: 提供了用于用电极展开装置处理体腔中的组织的装置和方法。 实施例通常包括具有布置在支撑体表面上的具有预选电极密度的多个电极的装置。 支撑件可以包括不可扩张的电极背衬,其围绕轴线螺旋地卷绕并且作为可膨胀的弹性气球联接到膨胀构件。 在一些实施例中,气囊膨胀以选择性地暴露电极表面的一部分,同时保持电极密度。
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