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公开(公告)号：US08518036B2
公开(公告)日：2013-08-27
申请号：US11939280
申请日：2007-11-13
申请人： Mark Leung , Krishan Shah , Laura Conquergood , Subashini Chandran , Neil Godara
发明人： Mark Leung , Krishan Shah , Laura Conquergood , Subashini Chandran , Neil Godara
IPC分类号： A61B18/12
CPC分类号： A61B18/148 , A61B18/1206 , A61B18/18 , A61B2018/00011 , A61B2018/00023 , A61B2018/0044 , A61B2018/00601 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875
摘要： A method of treating spinal tissue of a patient's body is disclosed, the method using a system comprising an energy source and first and second internally-cooled probe assemblies, wherein each of the probe assemblies comprises an electrically conductive energy delivery device electrically coupled to the energy source. The method comprises: inserting the energy delivery devices of the first and second internally-cooled probe assemblies into spaced-apart treatment sites for the spinal tissue; delivering energy from the energy source to the spinal tissue through the energy delivery devices to create a lesion within the spinal tissue; delivering a cooling fluid to the energy delivery devices; and controlling the delivery of energy and the delivery of the cooling fluid to the energy delivery devices such that the lesion extends between the energy delivery devices.
摘要翻译： 公开了一种治疗患者身体的脊髓组织的方法，所述方法使用包括能量源和第一和第二内部冷却探针组件的系统，其中每个探针组件包括电耦合到能量的导电能量递送装置 资源。 该方法包括：将第一和第二内冷探针组件的能量输送装置插入用于脊髓组织的间隔处理部位; 通过能量输送装置将能量从能量源传递到脊髓组织以在脊髓组织内产生损伤; 将冷却流体输送到能量输送装置; 以及控制能量输送和将冷却流体输送到能量输送装置，使得损伤在能量输送装置之间延伸。
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公开(公告)号：US20050159797A1
公开(公告)日：2005-07-21
申请号：US11079318
申请日：2005-03-15
申请人： Subashini Chandran , Krishan Shah
发明人： Subashini Chandran , Krishan Shah
CPC分类号： A61B18/1477 , A61B90/39 , A61B2090/3966 , A61N1/06 , A61N1/36017 , A61N1/36021 , A61N1/40
摘要： A method and apparatus are disclosed for improving accuracy of placement of a cannula during delivery of electrical energy proximate to bodily tissue, e.g. neural structures. The apparatus optionally includes a cannula operable to deliver electrical current where a portion of the cannula is electrically insulated and a portion of the cannula is exposed and electrically conductive. The cannula further includes a radiopaque marker to identify a specific portion of the cannula, for example to differentiate the electrically insulated region from the electrically exposed region, by allowing it to be more clearly delineated using fluoroscopy or other radiographic imaging techniques. The radiopaque marker is optionally tapered in order to reduce the force required to insert a cannula comprising a radiopaque marker into the patient's body.
摘要翻译： 公开了一种用于在递送靠近身体组织的电能的递送期间提高插管的放置准确度的方法和装置，例如， 神经结构。 该装置可选地包括可操作以递送电流的套管，其中套管的一部分是电绝缘的并且套管的一部分被暴露并导电。 插管还包括不透射线的标记，用于识别插管的特定部分，例如通过使用荧光透视或其它放射照相成像技术更清楚地描绘电绝缘区域与电暴露区域的区别。 不透射线的标记可选地渐缩，以便减少将包括不透射线的标记插入患者体内所需的力。
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公开(公告)号：US07593778B2
公开(公告)日：2009-09-22
申请号：US11079318
申请日：2005-03-15
申请人： Subashini Chandran , Krishan Shah
发明人： Subashini Chandran , Krishan Shah
CPC分类号： A61B18/1477 , A61B90/39 , A61B2090/3966 , A61N1/06 , A61N1/36017 , A61N1/36021 , A61N1/40
摘要： A method and apparatus are disclosed for improving accuracy of placement of a cannula during delivery of electrical energy proximate to bodily tissue, e.g. neural structures. The apparatus optionally includes a cannula operable to deliver electrical current where a portion of the cannula is electrically insulated and a portion of the cannula is exposed and electrically conductive. The cannula further includes a radiopaque marker to identify a specific portion of the cannula, for example to differentiate the electrically insulated region from the electrically exposed region, by allowing it to be more clearly delineated using fluoroscopy or other radiographic imaging techniques. The radiopaque marker is optionally tapered in order to reduce the force required to insert a cannula comprising a radiopaque marker into the patient's body.
摘要翻译： 公开了一种用于在递送靠近身体组织的电能的递送期间提高插管的放置准确度的方法和装置，例如， 神经结构。 该装置可选地包括可操作以递送电流的套管，其中套管的一部分是电绝缘的并且套管的一部分被暴露并导电。 插管还包括不透射线的标记，用于识别插管的特定部分，例如通过使用荧光透视或其它放射照相成像技术更清楚地描绘电绝缘区域与电暴露区域的区别。 不透射线的标记可选地渐缩，以便减少将包括不透射线的标记插入患者体内所需的力。
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公开(公告)号：US08882755B2
公开(公告)日：2014-11-11
申请号：US11105527
申请日：2005-04-14
CPC分类号： A61B18/148 , A61B2018/00023 , A61B2018/0044 , A61B2018/00875
摘要： A novel medical probe assembly, system, and methods for the use thereof to treat tissue are described. The system optionally comprises an energy source, two probe assemblies, and one or more cooling devices to provide cooling to at least one of the probe assemblies. The probe assemblies may be configured in a bipolar mode, whereby current flows preferentially between the probe assemblies. The probe assemblies and system described herein are particularly useful to deliver radio frequency energy to a patient's body. RF energy delivery may be used for various applications, including the treatment of pain, tumor ablation and cardiac ablation.
摘要翻译： 描述了一种新颖的医用探针组件，系统及其用于治疗组织的方法。 系统可选地包括能量源，两个探针组件和一个或多个冷却装置，以向至少一个探针组件提供冷却。 探针组件可以被配置为双极模式，由此电流首先在探针组件之间流动。 本文描述的探针组件和系统特别可用于将射频能量传送到患者身体。 RF能量传递可用于各种应用，包括治疗疼痛，肿瘤消融和心脏消融。
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公开(公告)号：US08043287B2
公开(公告)日：2011-10-25
申请号：US11128342
申请日：2005-05-13
申请人： Laura Conquergood , Mark Leung , Subashini Chandran , Krishan Shah , Frank Baylis , Neil Godara , Elizabeth Pyshnov , Amanda Martyn
发明人： Laura Conquergood , Mark Leung , Subashini Chandran , Krishan Shah , Frank Baylis , Neil Godara , Elizabeth Pyshnov , Amanda Martyn
IPC分类号： A61B18/12
CPC分类号： A61B17/320758 , A61B17/320016 , A61B17/32002 , A61B18/148 , A61B90/06 , A61B2017/00261 , A61B2017/00685 , A61B2017/320775 , A61B2018/0044 , A61B2090/032 , A61B2090/065
摘要： A treatment method is disclosed for treating a bodily tissue utilizing one or more steps of removal of material as well as one or more steps of energy delivery in order to effectively treat the bodily tissue. These mechanisms of treatment may beneficially be used to induce separate treatment effects, for example to treat both the symptoms and the underlying cause of a specific pathological condition. In addition, a specific application of the inventive method is described for using the inventive method to treat an intervertebral disc.
摘要翻译： 公开了一种处理方法，用于通过一个或多个步骤去除材料以及一个或多个能量递送步骤来处理身体组织以便有效地治疗身体组织。 这些治疗机制可以有利地用于诱导单独的治疗效果，例如治疗特定病理状况的症状和潜在原因。 此外，描述了本发明方法的具体应用，以使用本发明的方法来治疗椎间盘。
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公开(公告)号：US07294127B2
公开(公告)日：2007-11-13
申请号：US11105524
申请日：2005-04-14
申请人： Mark Leung , Krishan Shah , Laura Conquergood , Subashini Chandran , Neil Godara
发明人： Mark Leung , Krishan Shah , Laura Conquergood , Subashini Chandran , Neil Godara
IPC分类号： A61B18/12
CPC分类号： A61B18/148 , A61B2018/00023 , A61B2018/0044 , A61B2018/00875
摘要： A medical probe assembly, system, and methods for the use thereof to treat tissue are described. The system optionally comprises an energy source, two internally-cooled probe assemblies, and one or more cooling devices to provide cooling to at least one of the probe assemblies. The probe assemblies may be configured in a bipolar mode, whereby current flows preferentially between the probe assemblies. The probe assemblies and system described herein are particularly useful to deliver radio frequency energy to a patient's body. RF energy delivery may be used for various applications, including the treatment of pain, tumor ablation and cardiac ablation.
摘要翻译： 描述了用于治疗组织的医用探针组件，系统和方法。 该系统任选地包括能量源，两个内部冷却的探针组件和一个或多个冷却装置，以向至少一个探针组件提供冷却。 探针组件可以被配置为双极模式，由此电流首先在探针组件之间流动。 本文描述的探针组件和系统特别可用于将射频能量传送到患者身体。 RF能量传递可用于各种应用，包括治疗疼痛，肿瘤消融和心脏消融。
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公开(公告)号：US20050177210A1
公开(公告)日：2005-08-11
申请号：US11105524
申请日：2005-04-14
申请人： Mark Leung , Krishan Shah , Laura Conquergood , Subashini Chandran , Neil Godara
发明人： Mark Leung , Krishan Shah , Laura Conquergood , Subashini Chandran , Neil Godara
CPC分类号： A61B18/148 , A61B2018/00023 , A61B2018/0044 , A61B2018/00875
摘要： A medical probe assembly, system, and methods for the use thereof to treat tissue are described. The system optionally comprises an energy source, two internally-cooled probe assemblies, and one or more cooling devices to provide cooling to at least one of the probe assemblies. The probe assemblies may be configured in a bipolar mode, whereby current flows preferentially between the probe assemblies. The probe assemblies and system described herein are particularly useful to deliver radio frequency energy to a patient's body. RF energy delivery may be used for various applications, including the treatment of pain, tumor ablation and cardiac ablation.
摘要翻译： 描述了用于治疗组织的医用探针组件，系统和方法。 系统任选地包括能量源，两个内部冷却的探针组件和一个或多个冷却装置，以向至少一个探针组件提供冷却。 探针组件可以被配置为双极模式，由此电流首先在探针组件之间流动。 本文描述的探针组件和系统特别可用于将射频能量传送到患者身体。 RF能量传递可用于各种应用，包括治疗疼痛，肿瘤消融和心脏消融。
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公开(公告)号：US20050177209A1
公开(公告)日：2005-08-11
申请号：US11105490
申请日：2005-04-14
申请人： Mark Leung , Krishan Shah , Laura Conquergood , Subashini Chandran , Neil Godara
发明人： Mark Leung , Krishan Shah , Laura Conquergood , Subashini Chandran , Neil Godara
CPC分类号： A61B18/148 , A61B2018/00023 , A61B2018/0044 , A61B2018/00875
摘要： A novel medical probe assembly, system, and methods for the use thereof to treat tissue are described. The system optionally comprises an energy source, two probe assemblies, and one or more cooling devices to provide cooling to at least one of the probe assemblies. The probe assemblies may be configured in a bipolar mode, whereby current flows preferentially between the probe assemblies. The probe assemblies and system described herein are particularly useful to deliver radio frequency energy to a patient's body. RF energy delivery may be used for various applications, including the treatment of pain, tumor ablation and cardiac ablation.
摘要翻译： 描述了一种新颖的医用探针组件，系统及其用于治疗组织的方法。 系统可选地包括能量源，两个探针组件和一个或多个冷却装置，以向至少一个探针组件提供冷却。 探针组件可以被配置为双极模式，由此电流首先在探针组件之间流动。 本文描述的探针组件和系统特别可用于将射频能量传送到患者身体。 RF能量传递可用于各种应用，包括治疗疼痛，肿瘤消融和心脏消融。
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公开(公告)号：US20050277918A1
公开(公告)日：2005-12-15
申请号：US11207707
申请日：2005-08-22
申请人： Krishan Shah , Subashini Chandran , Neil Godara
发明人： Krishan Shah , Subashini Chandran , Neil Godara
CPC分类号： A61B18/1477 , A61B90/39 , A61B2017/00084 , A61B2090/064 , A61B2218/002 , A61N1/06
摘要： This invention discloses a cannula comprising an elongate shaft comprising a distal region and a proximal region and defining a lumen therebetween, and further comprising a wall defining at least one lateral aperture therethrough and a distal end defining at least one distal aperture. The distal region comprises an electrically exposed and conductive distal tip and the outer surface of the cannula between the distal tip and the proximal region is non-conductive.
摘要翻译： 本发明公开了一种套管，其包括细长轴，所述细长轴包括远端区域和近端区域，并且在其间限定内腔，并且还包括限定穿过其中的至少一个侧向孔的壁和限定至少一个远端孔的远端。 远侧区域包括电暴露且导电的远侧末端，并且在远端尖端和近端区域之间的套管的外表面是不导电的。
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公开(公告)号：US20050177211A1
公开(公告)日：2005-08-11
申请号：US11105527
申请日：2005-04-14
CPC分类号： A61B18/148 , A61B2018/00023 , A61B2018/0044 , A61B2018/00875
摘要： A novel medical probe assembly, system, and methods for the use thereof to treat tissue are described. The system optionally comprises an energy source, two probe assemblies, and one or more cooling devices to provide cooling to at least one of the probe assemblies. The probe assemblies may be configured in a bipolar mode, whereby current flows preferentially between the probe assemblies. The probe assemblies and system described herein are particularly useful to deliver radio frequency energy to a patient's body. RF energy delivery may be used for various applications, including the treatment of pain, tumor ablation and cardiac ablation.
摘要翻译： 描述了一种新颖的医用探针组件，系统及其用于治疗组织的方法。 系统可选地包括能量源，两个探针组件和一个或多个冷却装置，以向至少一个探针组件提供冷却。 探针组件可以被配置为双极模式，由此电流首先在探针组件之间流动。 本文描述的探针组件和系统特别可用于将射频能量传送到患者身体。 RF能量传递可用于各种应用，包括治疗疼痛，肿瘤消融和心脏消融。
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