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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:US20070293853A1
公开(公告)日:2007-12-20
申请号:US11687599
申请日:2007-03-16
申请人: Csaba Truckai , Russel Sampson , Paul Hsei
发明人: Csaba Truckai , Russel Sampson , Paul Hsei
IPC分类号: A61B18/14
CPC分类号: A61B18/22 , A61B18/082 , A61B18/12 , A61B18/1482 , 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:US20060025758A1
公开(公告)日:2006-02-02
申请号:US11211016
申请日:2005-08-24
申请人: Bruno Strul , Csaba Truckai , Russel Sampson , Mark Kane
发明人: Bruno Strul , Csaba Truckai , Russel Sampson , Mark Kane
IPC分类号: A61B18/18
CPC分类号: A61B18/1206 , A61B18/1485 , A61B18/1492 , A61B2018/00214 , A61B2018/00559 , A61B2018/00684 , A61B2018/00702 , A61B2018/00761 , A61B2018/00779 , A61B2018/00875 , A61B2018/00916 , A61B2018/124 , A61B2090/064 , A61B2218/007
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:US20050267468A1
公开(公告)日:2005-12-01
申请号:US11196025
申请日:2005-08-03
CPC分类号: A61B18/1482 , A61B17/42 , A61B18/14 , A61B18/1485 , A61B18/18 , A61B90/04 , A61B2017/22051 , A61B2017/4216 , A61B2018/00291 , A61B2018/00559 , A61B2018/00577 , A61B2018/00708 , A61B2018/126 , A61B2090/0409 , A61B2090/065 , A61M16/0427 , A61M16/0463 , A61M16/0481
摘要: An apparatus and method for use in performing ablation or coagulation of organs and other tissue includes a metallized fabric electrode array which is substantially absorbent and/or permeable to moisture and gases such as steam and conformable to the body cavity. The array includes conductive regions separated by insulated regions arranged to produce ablation to a predetermined depth. Following placement of the ablation device into contact with the tissue to be ablated, in RF generator is used to deliver RF energy to the conductive regions and to thereby induce current flow from the electrodes to tissue to be ablated. As the current heats the tissue, moisture (such as steam or liquid) leaves the tissue causing the tissue to dehydrate. Suction may be applied to facilitate moisture removal. The moisture permeability and/or absorbency of the electrode carrying member allows the moisture to leave the ablation site so as to prevent the moisture from providing a path of conductivity for the current.
摘要翻译: 用于进行器官和其他组织的消融或凝结的装置和方法包括金属化织物电极阵列,其基本上吸收和/或可渗透水分和气体,例如蒸汽并且适应体腔。 该阵列包括被设置为产生消融至预定深度的绝缘区域分开的导电区域。 在将消融装置放置成与要消融的组织接触之后,在RF发生器中用于将RF能量传递到导电区域,并且由此诱导电流从电极流向要消融的组织。 当电流加热组织时,水分(如蒸汽或液体)离开组织,导致组织脱水。 可以采用抽吸以促进除湿。 电极承载构件的透湿性和/或吸收性允许水分离开消融部位,以防止水分为电流提供导电路径。
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公开(公告)号:US20050245921A1
公开(公告)日:2005-11-03
申请号:US11175128
申请日:2005-07-05
申请人: Bruno Strul , Csaba Truckai , Russel Sampson , Mark Kane
发明人: Bruno Strul , Csaba Truckai , Russel Sampson , Mark Kane
CPC分类号: A61B18/1206 , A61B18/1485 , A61B18/1492 , A61B2018/00214 , A61B2018/00559 , A61B2018/00684 , A61B2018/00702 , A61B2018/00761 , A61B2018/00779 , A61B2018/00875 , A61B2018/00916 , A61B2018/124 , A61B2090/064 , A61B2218/007
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.
摘要翻译: 用于进行器官和其他组织的消融的装置和方法包括向消融电极提供射频信号的射频发生器。 射频信号的功率电平基于消融的对象区域来确定。 射频信号通过变换电路与消融电极耦合。 变换电路包括高阻抗变换电路和低阻抗变换电路。 基于与被检体组织接触的消融电极的阻抗来选择高阻抗变换电路或低阻抗变换电路。 在消融期间测量真空度,阻抗水平,电阻值和时间。 如果这些参数超过可确定的限制,则消融程序终止。
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公开(公告)号:US20050085880A1
公开(公告)日:2005-04-21
申请号:US10959771
申请日:2004-10-06
CPC分类号: A61B18/1482 , A61B17/42 , A61B18/14 , A61B18/1485 , A61B18/18 , A61B90/04 , A61B2017/22051 , A61B2017/4216 , A61B2018/00291 , A61B2018/00559 , A61B2018/00577 , A61B2018/00708 , A61B2018/126 , A61B2090/0409 , A61B2090/065 , A61M16/0427 , A61M16/0463 , A61M16/0481
摘要: An apparatus and method for use in performing ablation or coagulation of organs and other tissue includes a metallized fabric electrode array which is substantially absorbent and/or permeable to moisture and gases such as steam and conformable to the body cavity. The array includes conductive regions separated by insulated regions arranged to produce ablation to a predetermined depth. Following placement of the ablation device into contact with the tissue to be ablated, an RF generator is used to deliver RF energy to the conductive regions and to thereby induce current flow from the electrodes to tissue to be ablated. As the current heats the tissue, moisture (such as steam or liquid) leaves the tissue causing the tissue to dehydrate. Suction may be applied to facilitate moisture removal. The moisture permeability and/or absorbency of the electrode carrying member allows the moisture to leave the ablation site so as to prevent the moisture from providing a path of conductivity for the current.
摘要翻译: 用于进行器官和其他组织的消融或凝结的装置和方法包括金属化织物电极阵列,其基本上吸收和/或可渗透水分和气体,例如蒸汽并且适应体腔。 该阵列包括被设置为产生消融至预定深度的绝缘区域分开的导电区域。 在将消融装置放置成与要消融的组织接触之后,使用RF发生器将RF能量传递到导电区域,从而从电极感应电流流向要消融的组织。 当电流加热组织时,水分(如蒸汽或液体)离开组织,导致组织脱水。 可以采用抽吸以促进除湿。 电极承载构件的透湿性和/或吸收性允许水分离开消融部位,以防止水分为电流提供导电路径。
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公开(公告)号:US20070142752A1
公开(公告)日:2007-06-21
申请号:US11313444
申请日:2005-12-20
申请人: Robert Kotmel , J. Burley , Russel Sampson , Estela Hilario
发明人: Robert Kotmel , J. Burley , Russel Sampson , Estela Hilario
IPC分类号: A61B5/103
CPC分类号: A61B5/1076
摘要: A uterine length measurement device includes a first elongate member having a distal end, a proximal end, and a lumen, the elongate member configured for insertion into an endocervical canal where the distal end is configured for insertion to approximately an internal cervical os of the endocervical canal. A second elongate member is provided having a distal end and a proximal end, the second elongate member configured to move within the lumen of the first elongate member, where the distal end can protrude from the distal end of the first elongate member and is configured for insertion to approximately the fundus of a uterine cavity. Moving the second elongate member relative to the first elongate member to position the distal end of the second elongate member at approximately the fundus of the uterus provides a direct measurement of a length of the uterine cavity.
摘要翻译: 子宫长度测量装置包括具有远端,近端和内腔的第一细长构件,所述细长构件构造成用于插入子宫颈内管,其中所述远端构造成用于插入到子宫颈内部的大致内部宫颈口 运河。 提供有第二细长构件,其具有远端和近端,第二细长构件构造成在第一细长构件的内腔内移动,其中远端可以从第一细长构件的远端突出,并且构造成用于 插入到子宫腔的大约眼底。 使第二细长构件相对于第一细长构件移动以将第二细长构件的远端定位在子宫的大致的眼底处,提供对子宫腔长度的直接测量。
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公开(公告)号:US20060235298A1
公开(公告)日:2006-10-19
申请号:US11394146
申请日:2006-03-29
申请人: Robert Kotmel , Russel Sampson , Ellen Sheets
发明人: Robert Kotmel , Russel Sampson , Ellen Sheets
IPC分类号: A61B6/00
CPC分类号: A61B1/313 , A61B1/00154 , A61B1/018 , A61B1/07 , A61B17/00234 , A61B90/39 , A61B2017/00796 , A61B2017/00867 , A61B2090/3908 , A61B2090/3933 , A61B2090/3987
摘要: A system and method for marking a tissue site are described. A marker is deployed into or near the tissue site, where the marker can be later located using an imaging device external to the patient's body. After withdrawing the internal imaging device, the location of the marker can be identified using an external imaging device. Optionally, a biopsy of the internal tissue site can be performed based on the location of the marker.
摘要翻译: 描述了用于标记组织部位的系统和方法。 标记部署在组织部位内或附近,其中可以使用患者身体外部的成像装置稍后定位标记。 在取出内部成像装置之后,可以使用外部成像装置识别标记的位置。 任选地,可以基于标记物的位置进行内部组织部位的活组织检查。
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公开(公告)号:US20070185435A1
公开(公告)日:2007-08-09
申请号:US11735921
申请日:2007-04-16
申请人: Russel Sampson
发明人: Russel Sampson
IPC分类号: A61M3/00
CPC分类号: A61M25/0606 , A61B17/3478 , A61B17/42 , A61B2017/4216 , A61M5/46 , A61M25/0084 , A61M31/00 , A61M2025/0175
摘要: A medical device and procedure for delivering a drug into a uterus are described. In one implementation, the medical device includes a first elongate member, a second elongate member and a stopper device. The first elongate member is configured for transcervical insertion into the uterus and includes a lumen extending therethrough. The second elongate member is positioned within said lumen and also includes a lumen therethrough. The second elongate member is positionable in a retracted or an extended position. A distal end of the second elongate member is configured to extend beyond a distal end of the first elongate member and penetrate uterine tissue when in the extended position. A proximal end of the second elongate member is configured to receive a drug for delivery through the lumen of the second elongate member. The stopper device controls movement of the second elongate member within the first elongate member.
摘要翻译: 描述了将药物递送到子宫中的医疗装置和程序。 在一个实施方案中,医疗装置包括第一细长构件,第二细长构件和止动装置。 第一细长构件构造成用于子宫颈插入到子宫中,并且包括从其延伸穿过的内腔。 第二细长构件位于所述内腔内并且还包括通过其中的内腔。 第二细长构件可定位在缩回或延伸位置。 第二细长构件的远端被构造成延伸超过第一细长构件的远端并且当处于伸出位置时穿过子宫组织。 第二细长构件的近端构造成容纳用于通过第二细长构件的内腔递送的药物。 止动器装置控制第二细长构件在第一细长构件内的运动。
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公开(公告)号:US20070142750A1
公开(公告)日:2007-06-21
申请号:US11314051
申请日:2005-12-20
申请人: Robert Kotmel , J. Brook Burley , Russel Sampson , Estela Hilario
发明人: Robert Kotmel , J. Brook Burley , Russel Sampson , Estela Hilario
IPC分类号: A61B5/103
CPC分类号: A61B5/1076 , A61B1/00091 , A61B1/015 , A61B1/12 , A61B1/307
摘要: A uterine cavity length measuring device includes a first elongate member including a lumen and a plurality of apertures extending between the lumen and an exterior surface of the first elongate member, and a second elongate member including a lumen, and at least one aperture located at a distal end extending from the lumen of the second elongate member to an exterior surface, where the second elongate member is positioned within and is configured to move within the lumen of the first elongate member and where the first elongate member and second elongate member provide a fluid path from a proximal end of the lumen in the second elongate member, through the lumen in the second elongate member to the at least one aperture located at the distal end of the second elongate member and to at least one of the plurality of apertures in the first elongate member.
摘要翻译: 子宫腔长度测量装置包括第一细长构件,其包括内腔和在内腔和第一细长构件的外表面之间延伸的多个孔,以及包括内腔的第二细长构件和位于 远端从第二细长构件的内腔延伸到外表面,其中第二细长构件定位在第一细长构件的内腔内并且构造成在第一细长构件的内腔内移动,并且其中第一细长构件和第二细长构件提供流体 从第二细长构件中的内腔的近端通过第二细长构件中的内腔到位于第二细长构件的远端处的至少一个孔以及位于第二细长构件中的至少一个孔中的至少一个孔 第一细长构件。
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