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公开(公告)号：US06743184B2
公开(公告)日：2004-06-01
申请号：US10400823
申请日：2003-03-27
申请人： Russel M. Sampson , Mike O'Hara , Csaba Truckai , Dean T. Miller
发明人： Russel M. Sampson , Mike O'Hara , Csaba Truckai , Dean T. Miller
IPC分类号： A61B500
CPC分类号： A61B18/00 , A61B2017/00292 , A61B2017/00557 , A61B2090/064
摘要： A system and method for detecting perforations in a body cavity. In accordance with the method of the invention, a fluid (liquid or gas) is delivered into a body cavity to slightly pressurize the cavity. A pressure sensing system monitors the pressure within the cavity for a predetermined test period. If cavity pressure is not substantially sustained during the test period, the physician is alerted to further assess the cavity for perforations before initiating treatment within the cavity. In a preferred form of the system, a medical treatment system such as an RF ablation system is provided with perforation detection functionality. The system preferably includes a pre-test lockout that prevents RF power delivery unless a perforation detection procedure previously has been performed.
摘要翻译： 一种用于检测体腔中的穿孔的系统和方法。 根据本发明的方法，流体（液体或气体）被输送到体腔中以稍微加压空腔。 压力感测系统在预定的测试周期内监测空腔内的压力。 如果在测试期间空腔压力基本上不被维持，则在启动腔内处理之前，医生被警告进一步评估穿孔的空洞。 在系统的优选形式中，诸如RF消融系统的医疗系统具有穿孔检测功能。 该系统优选地包括防止RF功率传递的预测试锁定，除非先前已经执行了穿孔检测过程。
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公开(公告)号：US07063670B2
公开(公告)日：2006-06-20
申请号：US11056998
申请日：2005-02-11
申请人： Russell M. Sampson , Mike O'Hara , Csaba Truckai , Dean T. Miller
发明人： Russell M. Sampson , Mike O'Hara , Csaba Truckai , Dean T. Miller
CPC分类号： A61B18/00 , A61B2017/00292 , A61B2017/00557 , A61B2090/064
摘要： A system and method for detecting perforations in a body cavity. In accordance with the method of the invention, a fluid (liquid or gas) is delivered into a body cavity to slightly pressurize the cavity. A pressure sensing system monitors the pressure within the cavity for a predetermined test period. If cavity pressure is not substantially sustained during the test period, the physician is alerted to further assess the cavity for perforations before initiating treatment within the cavity. In a preferred form of the system, a medical treatment system such as an RF ablation system is provided with perforation detection functionality. The system preferably includes a pre-test and post-test lockout system. The lockout system prevents RF power delivery unless, during a predetermined test period, the pressure sensing system determines that no perforation exists, or unless a previously performed perforation detection procedure determined a perforation was present but the lockout system was subsequently overridden by the physician.
摘要翻译： 一种用于检测体腔中的穿孔的系统和方法。 根据本发明的方法，流体（液体或气体）被输送到体腔中以稍微加压空腔。 压力感测系统在预定的测试周期内监测空腔内的压力。 如果在测试期间空腔压力基本上不被维持，则在启动腔内处理之前，医生被警告进一步评估穿孔的空洞。 在系统的优选形式中，诸如RF消融系统的医疗系统具有穿孔检测功能。 该系统优选地包括预测试和后测试锁定系统。 锁定系统防止RF功率传递，除非在预定的测试周期期间，压力感测系统确定不存在穿孔，或者除非先前执行的穿孔检测程序确定穿孔是否存在，而且锁定系统随后被医生覆盖。
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公开(公告)号：US06872183B2
公开(公告)日：2005-03-29
申请号：US10852648
申请日：2004-05-24
申请人： Russell M. Sampson , Mike O'Hara , Csaba Truckai , Dean T. Miller
发明人： Russell M. Sampson , Mike O'Hara , Csaba Truckai , Dean T. Miller
CPC分类号： A61B18/00 , A61B2017/00292 , A61B2017/00557 , A61B2090/064
摘要： A system and method for detecting perforations in a body cavity. In accordance with the method of the invention, a fluid (liquid or gas) is delivered into a body cavity to slightly pressurize the cavity. A pressure sensing system monitors the pressure within the cavity for a predetermined test period. If cavity pressure is not substantially sustained during the test period, the physician is alerted to further assess the cavity for perforations before initiating treatment within the cavity. In a preferred form of the system, a medical treatment system such as an RF ablation system is provided with perforation detection functionality. The system preferably includes a pre-test and post-test lockout system. The lockout system prevents RF power delivery unless, during a predetermined test period, the pressure sensing system determines that no perforation exists, or unless a previously performed perforation detection procedure determined a perforation was present but the lockout system was subsequently overridden by the physician.
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公开(公告)号：US06554780B1
公开(公告)日：2003-04-29
申请号：US09710102
申请日：2000-11-10
申请人： Russell M. Sampson , Mike O'Hara , Csaba Truckai , Dean T. Miller
发明人： Russell M. Sampson , Mike O'Hara , Csaba Truckai , Dean T. Miller
IPC分类号： A61B5103
CPC分类号： A61B18/00 , A61B2017/00292 , A61B2017/00557 , A61B2090/064
摘要： A system and method for detecting perforations in a body cavity. A fluid (liquid or gas) is delivered into a body cavity to slightly pressurize the cavity. A pressure sensing system monitors the pressure within the cavity for a predetermined test period. If cavity pressure is not substantially sustained during the test period, the physician is alerted to further assess the cavity for perforations before initiating treatment within the cavity. In a preferred form of the system, a medical treatment system such as an RF ablation system is provided with perforation detection functionality. The system preferably includes a pre-test and post-test lockout system. The lockout system prevents RF power delivery unless, during a predetermined test period, the pressure sensing system determines that no perforation exists, or unless a previously performed perforation detection procedure determined a perforation was present but the lockout system was subsequently overridden by the physician.
摘要翻译： 一种用于检测体腔中的穿孔的系统和方法。 流体（液体或气体）被输送到体腔中以稍微加压空腔。 压力感测系统在预定的测试周期内监测空腔内的压力。 如果在测试期间空腔压力基本上不被维持，则在启动腔内处理之前，医生被警告进一步评估穿孔的空腔。 在系统的优选形式中，诸如RF消融系统的医疗系统具有穿孔检测功能。 该系统优选地包括预测试和后测试锁定系统。 锁定系统防止RF功率传递，除非在预定的测试周期期间，压力感测系统确定不存在穿孔，或者除非先前执行的穿孔检测程序确定穿孔是否存在，而且锁定系统随后被医生覆盖。
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公开(公告)号：US06663626B2
公开(公告)日：2003-12-16
申请号：US09930531
申请日：2001-08-14
申请人： Csaba Truckai , Russel M. Sampson , Paul K. Hsei
发明人： Csaba Truckai , Russel M. Sampson , Paul K. Hsei
IPC分类号： A61B1818
CPC分类号： A61B18/1482 , A61B18/082 , A61B18/22 , A61B90/37 , A61B2017/320044 , A61B2018/00208 , A61B2018/00333 , A61B2018/00559 , A61B2018/00577 , A61B2018/00625 , A61B2018/1407 , A61B2018/1861 , A61B2218/007 , A61B2218/008
摘要： Apparatuses and methods for removing solid tissue from beneath a tissue surface are described. The methods rely on positioning an energy conductive element at a target site beneath the tissue surface and energizing the element so that it can vaporize tissue. The element is then moved in a pattern which provides the desired tissue removal geometry, such as spherical, ovoid, or cylindrical. Usually, the shaft is moved, typically rotated or reciprocated, and the energy conductive element is moved relative to the shaft, typically by pivoting a rigid element or bowing a flexible element.
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公开(公告)号：US07192430B2
公开(公告)日：2007-03-20
申请号：US10635691
申请日：2003-08-05
申请人： Csaba Truckai , Russel M. Sampson , Paul K. Hsei
发明人： Csaba Truckai , Russel M. Sampson , Paul K. Hsei
CPC分类号： A61B18/1482 , A61B18/082 , A61B18/22 , A61B90/37 , A61B2017/320044 , A61B2018/00208 , A61B2018/00333 , A61B2018/00559 , A61B2018/00577 , A61B2018/00625 , A61B2018/1407 , A61B2018/1861 , A61B2218/007 , A61B2218/008
摘要： Apparatuses and methods for removing solid tissue from beneath a tissue surface are described. The methods rely on positioning an energy conductive element at a target site beneath the tissue surface and energizing the element so that it can vaporize tissue. The element is then moved in a pattern which provides the desired tissue removal geometry, such as spherical, ovoid, or cylindrical. Usually, the shaft is moved, typically rotated or reciprocated, and the energy conductive element is moved relative to the shaft, typically by pivoting a rigid element or bowing a flexible element.
摘要翻译： 描述了从组织表面下方移除固体组织的装置和方法。 该方法依赖于将能量传导元件定位在组织表面下方的目标部位，并激励元件使其能够蒸发组织。 然后将元件以提供期望的组织去除几何形状的图案移动，例如球形，卵形或圆柱形。 通常，轴通常旋转或往复移动，并且能量传导元件通常通过枢转刚性元件或弯曲柔性元件而相对于轴移动。
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公开(公告)号：US08551082B2
公开(公告)日：2013-10-08
申请号：US13423908
申请日：2012-03-19
申请人： Bruno Strul , Csaba Truckai , Russel M. Sampson , Mark L. Kane
发明人： Bruno Strul , Csaba Truckai , Russel M. Sampson , Mark L. Kane
IPC分类号： A61B18/12
CPC分类号： A61B18/18 , A61B18/1206 , A61B2018/00875 , A61B2018/124
摘要： An apparatus and method for use in performing ablation of organs and other tissues includes a radio frequency generator which provides a radio frequency signal to ablation electrodes. The power level of the radio frequency signal is determined based on the subject area of ablation. The radio frequency signal is coupled with the ablation electrodes through a transformation circuit. The transformation circuit includes a high impedance transformation circuit and a low impedance transformation circuit. The high or low impedance transformation circuit is selected based on the impedance of the ablation electrodes in contact with the subject tissue. Vacuum level, impedance level, resistance level, and time are measured during ablation. If these parameters exceed determinable limits the ablation procedure is terminated.
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公开(公告)号：US06296639B1
公开(公告)日：2001-10-02
申请号：US09249208
申请日：1999-02-12
申请人： Csaba Truckai , Russel M. Sampson , Paul K. Hsei
发明人： Csaba Truckai , Russel M. Sampson , Paul K. Hsei
IPC分类号： A61B1818
CPC分类号： A61B18/1482 , A61B18/082 , A61B18/22 , A61B90/37 , A61B2017/320044 , A61B2018/00208 , A61B2018/00333 , A61B2018/00559 , A61B2018/00577 , A61B2018/00625 , A61B2018/1407 , A61B2018/1861 , A61B2218/007 , A61B2218/008
摘要： Apparatuses and methods for removing solid tissue from beneath a tissue surface are described. The methods rely on positioning an energy conductive element at a target site beneath the tissue surface and energizing the element so that it can vaporize tissue. The element is then moved in a pattern which provides the desired tissue removal geometry, such as spherical, ovoid, or cylindrical. Usually, the shaft is moved, typically rotated or reciprocated, and the energy conductive element is moved relative to the shaft, typically by pivoting a rigid element or bowing a flexible element.
摘要翻译： 描述了从组织表面下方移除固体组织的装置和方法。 该方法依赖于将能量传导元件定位在组织表面下方的目标部位，并激励元件使其能够蒸发组织。 然后将元件以提供期望的组织去除几何形状的图案移动，例如球形，卵形或圆柱形。 通常，轴通常旋转或往复移动，并且能量传导元件通常通过枢转刚性元件或弯曲柔性元件而相对于轴移动。
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公开(公告)号：US20050143728A1
公开(公告)日：2005-06-30
申请号：US11056998
申请日：2005-02-11
申请人： Russel Sampson , Mike O'Hara , Csaba Truckai , Dean Miller
发明人： Russel Sampson , Mike O'Hara , Csaba Truckai , Dean Miller
CPC分类号： A61B18/00 , A61B2017/00292 , A61B2017/00557 , A61B2090/064
摘要： A system and method for detecting perforations in a body cavity. In accordance with the method of the invention, a fluid (liquid or gas) is delivered into a body cavity to slightly pressurize the cavity. A pressure sensing system monitors the pressure within the cavity for a predetermined test period. If cavity pressure is not substantially sustained during the test period, the physician is alerted to further assess the cavity for perforations before initiating treatment within the cavity. In a preferred form of the system, a medical treatment system such as an RF ablation system is provided with perforation detection functionality. The system preferably includes a pre-test and post-test lockout system. The lockout system prevents RF power delivery unless, during a predetermined test period, the pressure sensing system determines that no perforation exists, or unless a previously performed perforation detection procedure determined a perforation was present but the lockout system was subsequently overridden by the physician.
摘要翻译： 一种用于检测体腔中的穿孔的系统和方法。 根据本发明的方法，流体（液体或气体）被输送到体腔中以稍微加压空腔。 压力感测系统在预定的测试周期内监测空腔内的压力。 如果在测试期间空腔压力基本上不被维持，则在启动腔内处理之前，医生被警告进一步评估穿孔的空腔。 在系统的优选形式中，诸如RF消融系统的医疗系统具有穿孔检测功能。 该系统优选地包括预测试和后测试锁定系统。 锁定系统防止RF功率传递，除非在预定的测试周期期间，压力感测系统确定不存在穿孔，或者除非先前执行的穿孔检测程序确定穿孔是否存在，而且锁定系统随后被医生覆盖。
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公开(公告)号：US10058336B2
公开(公告)日：2018-08-28
申请号：US13083411
申请日：2011-04-08
申请人： Csaba Truckai , Aaron Germain , John H. Shadduck
发明人： Csaba Truckai , Aaron Germain , John H. Shadduck
CPC分类号： A61B17/1671 , A61B17/1604 , A61B17/1626 , A61B17/1631 , A61B17/1633 , A61B17/1642 , A61B17/1657 , A61B17/3421 , A61B17/3472 , A61B17/8805 , A61B17/8855 , A61B17/8858 , A61B2090/031
摘要： Methods and devices that displace bone or other hard tissue to create a cavity in the tissue. Where such methods and devices rely on a driving mechanism for providing moving of the device to form a profile that improves displacement of the tissue. These methods and devices also allow for creating a path or cavity in bone for insertion of bone cement or other filler to treat a fracture or other condition in the bone. The features relating to the methods and devices described herein can be applied in any region of bone or hard tissue where the tissue or bone is displaced to define a bore or cavity instead of being extracted from the body such as during a drilling or ablation procedure.
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