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。

公开(公告)号：US07363071B2

公开(公告)日：2008-04-22

申请号：US10700326

申请日：2003-11-03

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： A61B5/05

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 imaging device, an ablative surgical computer system, and a set of surgical devices. The imaging device receives imaging data from a treatment region of a patient, processes the imaging data and provides imaging output data and imaging signals. The imaging output data is available to an operator. The ablative surgical computer system includes a guidance module for processing the imaging signals and providing a treatment guidance plan to the 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 integrated ablative/temperature sensing device including 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 integrated ablative/temperature sensing device into the treatment region.

摘要翻译： 用于提供患者组织的计算机引导消融的系统包括成像装置，烧蚀外科手术计算机系统和一组手术装置。 成像装置从患者的治疗区域接收成像数据，处理成像数据并提供成像输出数据和成像信号。 成像输出数据可供操作员使用。 烧蚀手术计算机系统包括用于处理成像信号并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集成的烧蚀/温度感测装置，其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整合的烧蚀/温度感测装置放置在治疗区域中。

公开(公告)号：US09326808B2

公开(公告)日：2016-05-03

申请号：US12025619

申请日：2008-02-04

申请人： Sanford D. Damasco ,  Thach Duong ,  Jawahar M. Ali ,  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 ,  A61B8/08 ,  A61B17/00 ,  A61B17/34 ,  A61B18/00

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。

公开(公告)号：US06643535B2

公开(公告)日：2003-11-04

申请号：US10307036

申请日：2002-11-27

申请人： Sanford D. Damasco ,  Jawahar M. Ali ,  David J. Battles ,  Paul W. Mikus ,  Jay J. Eum

发明人： Sanford D. Damasco ,  Jawahar M. Ali ,  David J. Battles ,  Paul W. Mikus ,  Jay J. Eum

IPC分类号： A61B505

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： An imaging device receives imaging data from a treatment region of a patient, processes the imaging data and provides imaging output data and imaging signals. A computer system includes a guidance module for processing the imaging signals and providing treatment guidance plan to an operator. A treatment module acquires and processes surgical device output data, for optimally controlling treatment parameters and providing feedback information to the operator based on the treatment guidance plan. A 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 which is a portion of the surgical device output data. The treatment guidance plan is utilized for appropriately placing the ablative device and the temperature-sensing device.

摘要翻译： 成像装置从患者的治疗区域接收成像数据，处理成像数据并提供成像输出数据和成像信号。 计算机系统包括用于处理成像信号并向操作者提供治疗指导计划的引导模块。 治疗模块基于治疗指导计划获取并处理手术装置输出数据，以最佳地控制治疗参数并向操作者提供反馈信息。 一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; 以及至少一个温度感测装置，用于从治疗区域获取温度数据，并提供作为手术装置输出数据的一部分的温度感测装置输出信号。 治疗指导计划用于适当放置烧蚀装置和温度感测装置。

公开(公告)号：US08747396B2

公开(公告)日：2014-06-10

申请号：US12581145

申请日：2009-10-18

申请人： Thach Duong ,  Jay J. Eum

发明人： Thach Duong ,  Jay J. Eum

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2017/00274 ,  A61B2017/0046 ,  A61B2018/00547 ,  A61B2018/0262 ,  A61B2090/3925

摘要： A cryosurgical probe assembly that includes a gas delivery assembly, including a stem and a fluid conduit subassembly bonded to the stem. The fluid conduit subassembly delivers and returns cooling fluid used for cryogenic cooling. The fluid conduit subassembly, comprises a shaft for providing a heat exchange surface for cryogenic ablation; a housing securely connected to said shaft; and, an insulation element slideably engaged with an inner surface of the shaft and slideably engaged with the stem. The cryosurgical probe assembly includes an adjustable sliding apparatus that includes a slider assembly securely attached to said insulation tube for slideably guiding the insulation tube along said shaft; and, a button assembly operatively connected to the slider assembly for allowing a user to actuate the slider assembly to provide a desired adjustment of the insulation tube relative to the shaft. A handle assembly is positioned about the housing.

摘要翻译： 一种冷冻手术探针组件，其包括气体输送组件，其包括杆和结合到所述杆的流体导管子组件。 流体导管子组件输送并返回用于低温冷却的冷却流体。 流体导管子组件包括用于提供用于低温消融的热交换表面的轴; 牢固地连接到所述轴的壳体; 以及绝缘元件，其与所述轴的内表面可滑动地接合并且可滑动地与所述杆接合。 冷冻手术探针组件包括一个可调节的滑动装置，其包括牢固地附接到所述绝缘管的滑动器组件，用于沿着所述轴可滑动地引导绝缘管; 以及可操作地连接到滑块组件的按钮组件，用于允许使用者致动滑块组件以提供相对于轴的绝缘管的期望调节。 手柄组件围绕壳体定位。

公开(公告)号：US20080147055A1

公开(公告)日：2008-06-19

申请号：US11613054

申请日：2006-12-19

申请人： Thach Duong ,  Jenny C. Liu ,  Jay J. Eum

发明人： Thach Duong ,  Jenny C. Liu ,  Jay J. Eum

IPC分类号： A61B18/18 ,  F16L9/18 ,  B23K15/06 ,  B23Q3/00

CPC分类号： A61B18/02 ,  A61B2018/0262 ,  F16L9/18 ,  F16L59/065 ,  F16L59/14

摘要： A vacuum insulation tube assembly which is utilized as a component in a cryosurgical probe. The vacuum insulation tube assembly includes an inner tube; and, an outer tube concentrically positioned about the inner tube. The outer tube is securely soldered at end portions of the inner tube and forms a vacuum space between the inner tube and the outer tube. The vacuum tube assemblies may be conveniently mass produced using a special fixture.

摘要翻译： 一种真空绝热管组件，用作冷冻手术探头中的组件。 真空绝热管组件包括内管; 以及围绕内管同心定位的外管。 外管在内管的端部牢固地焊接，并在内管和外管之间形成真空空间。 真空管组件可以使用特殊的夹具方便地批量生产。

公开(公告)号：US07189228B2

公开(公告)日：2007-03-13

申请号：US11116873

申请日：2005-04-28

申请人： Jay J. Eum ,  Thach Duong ,  Paul LaPine

发明人： Jay J. Eum ,  Thach Duong ,  Paul LaPine

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2017/0046 ,  A61B2018/0262

摘要： The detachable cryosurgical probe includes a disposable probe assembly and a reusable probe assembly. The disposable probe assembly includes a breakaway collar which, when twisted away, activates a finger lock element which provides release of the disposable probe assembly from the reusable probe assembly. Additional features include a safety valve assembly for impeding cryogenic working fluid flow when the disposable probe assembly is detached from the reusable probe assembly and an electrical confirmation assembly for providing electrical confirmation that the disposable probe assembly is connected. Other embodiments include a sliding mechanism that allows for selectively positioning of the vacuum tube relative to the shaft to create an ice ball of the desired size and configuration.

摘要翻译： 可拆卸的冷冻手术探针包括一次性探针组件和可重复使用的探针组件。 一次性探针组件包括分离套环，当被扭转时，该开口套环激活手指锁定元件，其提供一次性探针组件从可重复使用的探针组件的释放。 另外的特征包括一个安全阀组件，用于当一次性探头组件与可重复使用的探头组件分离时阻止低温工作流体流动;以及电气确认组件，用于提供一次性探头组件连接的电气确认。 其它实施例包括允许真空管相对于轴选择性定位以产生所需尺寸和构造的冰球的滑动机构。

公开(公告)号：US07608071B2

公开(公告)日：2009-10-27

申请号：US11857095

申请日：2007-09-18

申请人： Thach Duong ,  Jay J. Eum

发明人： Thach Duong ,  Jay J. Eum

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2017/00274 ,  A61B2017/0046 ,  A61B2018/00547 ,  A61B2018/0262 ,  A61B2090/3925

摘要： A cryosurgical probe assembly that includes a gas delivery assembly, including a stem and a fluid conduit subassembly bonded to the stem. The fluid conduit subassembly delivers and returns cooling fluid used for cryogenic cooling. The fluid conduit subassembly, comprises a shaft for providing a heat exchange surface for cryogenic ablation; a housing securely connected to said shaft; and, an insulation element slideably engaged with an inner surface of the shaft and slideably engaged with the stem. The cryosurgical probe assembly includes an adjustable sliding apparatus that includes a slider assembly securely attached to said insulation tube for slideably guiding the insulation tube along said shaft; and, a button assembly operatively connected to the slider assembly for allowing a user to actuate the slider assembly to provide a desired adjustment of the insulation tube relative to the shaft. A handle assembly is positioned about the housing.

摘要翻译： 一种冷冻手术探针组件，其包括气体输送组件，其包括杆和结合到所述杆的流体导管子组件。 流体导管子组件输送并返回用于低温冷却的冷却流体。 流体导管子组件包括用于提供用于低温消融的热交换表面的轴; 牢固地连接到所述轴的壳体; 以及绝缘元件，其与所述轴的内表面可滑动地接合并且可滑动地与所述杆接合。 冷冻手术探针组件包括一个可调节的滑动装置，其包括牢固地附接到所述绝缘管的滑动器组件，用于沿着所述轴可滑动地引导绝缘管; 以及可操作地连接到滑块组件的按钮组件，用于允许使用者致动滑块组件以提供相对于轴的绝缘管的期望调节。 手柄组件围绕壳体定位。

公开(公告)号：US07621890B2

公开(公告)日：2009-11-24

申请号：US11417407

申请日：2006-05-04

申请人： Thach Duong ,  Jay J. Eum ,  Jenny C. Liu

发明人： Thach Duong ,  Jay J. Eum ,  Jenny C. Liu

IPC分类号： A61F7/12

CPC分类号： A61F7/12 ,  A61F2007/126

摘要： The catheter includes a multi-lumen tube having an outflow portion and an accessory portion. The accessory portion is integrally formed within an interior volume of the outflow portion. The accessory portion has a cross-section smaller than the outflow portion. The outflow portion is offset from the accessory portion such that they are integrally joined. The space between these portions defines a fluid return passageway and the space within the accessory portion defines an accessory passageway. A flexible outer sleeve cooperates with the multi-lumen tube to form a fluid inlet passageway. During operation, an inlet flow of warming fluid flows through the fluid inlet passageway formed between the outer sleeve and the multi-lumen tube. The flow continues around a distal end of the outflow portion of the multi-lumen tube, thus becoming an outlet flow of the warming fluid which is directed through the fluid return passageway.

摘要翻译： 导管包括具有流出部分和附件部分的多腔管。 附件部分一体地形成在流出部分的内部容积内。 附件部分的横截面小于流出部分。 流出部分从附件部分偏移，使得它们整体连接。 这些部分之间的空间限定了流体返回通道，并且附件部分内的空间限定了附件通道。 柔性外套管与多腔管配合以形成流体入口通道。 在操作期间，加热流体的入口流动流过形成在外套管和多腔管之间的流体入口通道。 流体在多腔管的流出部分的远端周围继续，从而变成被引导通过流体返回通道的加温流体的出口流。

公开(公告)号：US07381207B2

公开(公告)日：2008-06-03

申请号：US11685058

申请日：2007-03-12

申请人： Thach Duong ,  Jay J. Eum

发明人： Thach Duong ,  Jay J. Eum

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2017/00274 ,  A61B2017/0046 ,  A61B2018/00547 ,  A61B2018/0262 ,  A61B2090/3925

摘要： The quick disconnect assembly includes a reusable assembly including a distal end having a male lip thereon; and, a disposable assembly having quick disconnect capabilities when utilized with the reusable assembly. The disposable assembly includes a stem section; a finger lock element; and, a detachable handle assembly. The finger lock element includes a distal finger lock element section having a threaded inner surface for engagement with a threaded outer surface of the stem section; and, a plurality of radially spaced fingers extending proximally from the distal finger lock element section. Each finger has a) a ramped surface for operatively engaging an associated ramp section on the stem section during use; and, b) a female lip at a proximal end thereof. The detachable handle assembly includes a proximal handle section having a distal end having an inner surface that is operatively engaged with an outer surface of the finger lock element so as to resist relative rotation and axial motion therebetween. A distal handle section of the detachable handle assembly includes a distal handle section having an inner surface that is operatively engaged with another outer surface of the stem section so as to resist relative rotation and axial motion therebetween. A breakaway collar of the detachable handle assembly is positioned between the proximal handle section and the distal handle section. When the disposable assembly is attached, the breakaway collar is an integral unit which prevents relative rotation between the proximal handle section and the distal handle section, the female lip engaging the male lip at a distal end of the reusable assembly, thereby securing the reusable assembly to the disposable assembly. The quick disconnect assembly may be used to provide only a mechanical connection or it may be provided with components for providing fluid transfer. In another embodiment, instead of only providing for single use, multiple use of a detachable assembly is provided by eliminating the breakaway collar and utilizing spring biasing means.