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公开(公告)号：US06899712B2
公开(公告)日：2005-05-31
申请号：US10238259
申请日：2002-09-10
CPC分类号： A61B17/32037 , A61B17/320758 , A61B18/1485 , A61B2017/00553 , A61B2017/32032 , A61B2017/320775 , A61B2018/00202 , A61B2018/00607
摘要： The present invention provides a series of devices for performing surgical procedures utilizing electrodes for performing electrocautery on a tissue of the body of a patient. The invention includes, in one aspect, a series of devices comprising surgical instruments providing at least one electrode for performing electrocautery, and, in another aspect, provides a method for cutting and cauterizing tissue with a surgical instrument. In yet another aspect, the invention involves a method for detecting the location of a bleeding vessel in a liquid-filled, visually monitored surgical field of a patient and for electrocauterizing the vessel to stop the bleeding before visualization of the surgical field is compromised. Preferred surgical instruments according to the invention also include operable components for forming a liquid cutting jet for cutting or ablating tissue of a patient and/or for providing a rotating, tissue contacting component for cutting, grinding, ablating, etc. tissue during a surgical procedure. Some surgical instruments, according to the invention, include one or more liquid conducting lumen therein for transporting and/or removing a liquid from a surgical operating field, which lumen, in some cases, are selectively coated with a layer of an electrically insulating material so that certain, selected, uncoated regions of an external surface of the lumen can act as an electrocautery electrode of the instrument.
摘要翻译： 本发明提供了一系列用于执行外科手术的装置，所述手术使用用于在患者身体的组织上进行电烙术的电极。 本发明在一个方面包括一系列装置，其包括提供用于进行电烙术的至少一个电极的外科器械，并且在另一方面，提供了一种用外科器械切割和烧灼组织的方法。 在另一方面，本发明涉及一种用于在液体填充的，视觉上监测的患者手术区域中检测出血血管的位置的方法，并且用于在手术视野的可视化受损之前使血管电灼以停止出血。 根据本发明的优选的手术器械还包括可操作的部件，用于形成用于切割或消除患者组织的液体切割射流和/或用于在外科手术过程中提供用于切割，研磨，消融等组织的旋转的组织接触部件 。 根据本发明的一些手术器械包括其中用于从外科手术领域输送和/或去除液体的一个或多个液体导管腔，该腔在一些情况下选择性地涂覆有电绝缘材料层，因此 腔的外表面的某些选定的未涂覆区域可以用作仪器的电灼电极。
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公开(公告)号：US06451017B1
公开(公告)日：2002-09-17
申请号：US09480762
申请日：2000-01-10
IPC分类号： A61B1818
CPC分类号： A61B17/32037 , A61B17/320758 , A61B18/1485 , A61B2017/00553 , A61B2017/32032 , A61B2017/320775 , A61B2018/00202 , A61B2018/00607
摘要： The present invention provides a series of devices for performing surgical procedures utilizing electrodes for performing electrocautery on a tissue of the body of a patient. The invention includes, in one aspect, a series of devices comprising surgical instruments providing at least one electrode for performing electrocautery, and, in another aspect, provides a method for cutting and cauterizing tissue with a surgical instrument. In yet another aspect, the invention involves a method for detecting the location of a bleeding vessel in a liquid-filled, visually monitored surgical field of a patient and for electrocauterizing the vessel to stop the bleeding before visualization of the surgical field is compromised. Preferred surgical instruments according to the invention also include operable components for forming a liquid cutting jet for cutting or ablating tissue of a patient and/or for providing a rotating, tissue contacting component for cutting, grinding, ablating, etc. tissue during a surgical procedure. Some surgical instruments, according to the invention, include one or more liquid conducting lumen therein for transporting and/or removing a liquid from a surgical operating field, which lumen, in some cases, are selectively coated with a layer of an electrically insulating material so that certain, selected, uncoated regions of an external surface of the lumen can act as an electrocautery electrode of the instrument.
摘要翻译： 本发明提供了一系列用于执行外科手术的装置，所述手术使用用于在患者身体的组织上进行电烙术的电极。 本发明在一个方面包括一系列装置，其包括提供用于进行电烙术的至少一个电极的外科器械，并且在另一方面，提供了一种用外科器械切割和烧灼组织的方法。 在另一方面，本发明涉及一种用于在液体填充的，视觉上监测的患者手术区域中检测出血血管的位置的方法，并且用于在手术视野的可视化受损之前使血管电灼以停止出血。 根据本发明的优选的手术器械还包括可操作的部件，用于形成用于切割或消除患者组织的液体切割射流和/或用于在外科手术过程中提供用于切割，研磨，消融等组织的旋转的组织接触部件 。 根据本发明的一些手术器械包括其中用于从外科手术领域输送和/或去除液体的一个或多个液体导管腔，该腔在一些情况下选择性地涂覆有电绝缘材料层，因此 腔的外表面的某些选定的未涂覆区域可以用作仪器的电灼电极。
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公开(公告)号：US07122017B2
公开(公告)日：2006-10-17
申请号：US10100499
申请日：2002-03-18
CPC分类号： A61B17/3203 , A61B17/32037 , A61B2017/2926 , A61B2017/32032
摘要： The invention provides a variety of surgical instruments for forming a liquid jet, which are useful for performing a wide variety of surgical procedures. In some embodiments, the invention provides surgical liquid jet instruments having a pressure lumen and an evacuation lumen, where the pressure lumen includes at least one nozzle for forming a liquid jet and where the evacuation lumen includes a jet-receiving opening for receiving the liquid jet when the instrument is in operation. In some embodiments, the pressure lumen and the evacuation lumen of the surgical liquid jet instruments are constructed and positionable relative to each other so that the liquid comprising the liquid jet, and any tissue or material entrained by the liquid jet can be evacuated through the evacuation lumen without the need for an external source of suction. The invention also provides a variety of surgical liquid jet instruments that are constructed and configured specifically for use in a surrounding liquid environment or a surrounding gaseous environment. The invention also provides a variety of surgical liquid jet instruments that are rotatably deployable from an undeployed position, for insertion into the body of a patient, to a deployed position, in which there is a separation distance between the liquid jet nozzle and the jet-receiving opening that defines a liquid jet path length. The invention also provides surgical methods utilizing the inventive surgical liquid jet instruments, and methods for forming components of the surgical liquid jet instruments.
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公开(公告)号：US06669710B2
公开(公告)日：2003-12-30
申请号：US10262274
申请日：2002-10-01
IPC分类号： A61B1732
CPC分类号： A61B17/320758 , A61B17/3203 , A61B2017/00553
摘要： The present invention provides a series of devices useful for surgical procedures utilizing rotatable components for grinding, cutting, ablating, polishing, drilling, screwing, etc., tissues of the body of a patient. The invention includes, in one aspect, a series of devices comprising surgical instruments including rotatable shafts, and surgical components drivable by the shafts that can be utilized for contact with tissue in a surgical operating field. Some preferred surgical instruments provided by the invention utilize a liquid jet-driven rotor mechanism for driving rotation of the rotatable shaft. Some preferred instruments provided by the invention include both a liquid jet-driven rotor mechanism and a nozzle at the distal end of the instrument for forming a liquid cutting jet for cutting or ablating tissue of a patient. Such instruments can include a liquid flow directing valve therein that includes a pressure-tight sealing component comprising a sealing element that is constructed and arranged to be slidably moveable within a cylinder of the valve. The invention provides methods for utilizing the inventive surgical instruments in surgical procedures involving both cutting or ablating tissue of a patient with a liquid cutting jet and grinding, cutting, or ablating tissue with a rotating surface of a surgical instrument.
摘要翻译： 本发明提供了一系列用于利用可旋转部件进行研磨，切割，消融，抛光，钻孔，旋拧等的患者体内的组织的外科手术的装置。 本发明在一个方面包括一系列装置，其包括包括可旋转轴的外科器械和可由轴驱动的手术部件，所述手术部件可用于在外科手术领域中与组织接触。 本发明提供的一些优选的手术器械利用液体喷射驱动的转子机构来驱动旋转轴的旋转。 由本发明提供的一些优选的仪器包括液体喷射驱动的转子机构和在仪器的远端处的喷嘴，用于形成用于切割或消除患者组织的液体切割射流。 这种仪器可以包括其中的液体流动导向阀，其包括耐压密封部件，该密封部件包括密封元件，密封元件构造和布置成可在阀的气缸内滑动。 本发明提供了在外科手术过程中利用本发明的外科器械的方法，其涉及用液体切割射流切割或消融患者的组织，并用外科器械的旋转表面研磨，切割或消融组织。
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公开(公告)号：US08062246B2
公开(公告)日：2011-11-22
申请号：US11057831
申请日：2005-02-14
IPC分类号： A61M3/00
CPC分类号： A61B17/3203 , A61B17/32037 , A61B2017/2926 , A61B2017/32032
摘要： The invention provides a variety of surgical instruments for forming a liquid jet, which are useful for performing a wide variety of surgical procedures. In some embodiments, the invention provides surgical liquid jet instruments having a pressure lumen and an evacuation lumen, where the pressure lumen includes at least one nozzle for forming a liquid jet and where the evacuation lumen includes a jet-receiving opening for receiving the liquid jet when the instrument is in operation. In some embodiments, the pressure lumen and the evacuation lumen of the surgical liquid jet instruments are constructed and positionable relative to each other so that the liquid comprising the liquid jet, and any tissue or material entrained by the liquid jet can be evacuated through the evacuation lumen without the need for an external source of suction. The invention also provides a variety of surgical liquid jet instruments that are constructed and configured specifically for use in a surrounding liquid environment or a surrounding gaseous environment. The invention also provides a variety of surgical liquid jet instruments that are rotatably deployable from an undeployed position, for insertion into the body of a patient, to a deployed position, in which there is a separation distance between the liquid jet nozzle and the jet-receiving opening that defines a liquid jet path length. The invention also provides surgical methods utilizing the inventive surgical liquid jet instruments, and methods for forming components of the surgical liquid jet instruments.
摘要翻译： 本发明提供用于形成液体射流的各种外科器械，其可用于执行各种各样的外科手术。 在一些实施例中，本发明提供了具有压力腔和排气腔的手术液体喷射器械，其中压力腔包括用于形成液体射流的至少一个喷嘴，并且其中抽空腔包括用于接收液体射流的喷射接收开口 当仪器运行时。 在一些实施例中，手术液体喷射器械的压力腔和抽真空腔相对于彼此构造和定位，使得包括液体射流的液体以及由液体射流夹带的任何组织或材料可以通过抽真空 而不需要外部吸入源。 本发明还提供了各种手术液体喷射器械，其被构造和配置为专门用于周围液体环境或周围气体环境中。 本发明还提供了多种手术液体喷射器械，其可从展开位置可旋转地展开，用于插入到患者体内到展开位置，在展开位置，液体喷射喷嘴和喷射喷嘴之间存在间隔距离， 接收开口限定液体喷射路径长度。 本发明还提供了利用本发明的外科液体喷射器械的手术方法以及用于形成手术液体喷射器械的部件的方法。
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公开(公告)号：US06960182B2
公开(公告)日：2005-11-01
申请号：US10032385
申请日：2001-10-25
CPC分类号： A61B17/3203 , A61B17/32037 , A61B2017/2926 , A61B2017/32032
摘要： The invention provides a variety of surgical instruments for forming a liquid jet, which are useful for performing a wide variety of surgical procedures. In some embodiments, the invention provides surgical liquid jet instruments having a pressure lumen and an evacuation lumen, where the pressure lumen includes at least one nozzle for forming a liquid jet and where the evacuation lumen includes a jet-receiving opening for receiving the liquid jet when the instrument is in operation. In some embodiments, the pressure lumen and the evacuation lumen of the surgical liquid jet instruments are constructed and positionable relative to each other so that the liquid comprising the liquid jet, and any tissue or material entrained by the liquid jet can be evacuated through the evacuation lumen without the need for an external source of suction. The invention also provides a variety of surgical liquid jet instruments that are constructed and configured specifically for use in a surrounding liquid environment or a surrounding gaseous environment. The invention also provides a variety of surgical liquid jet instruments that are rotatably deployable from an undeployed position, for insertion into the body of a patient, to a deployed position, in which there is a separation distance between the liquid jet nozzle and the jet-receiving opening that defines a liquid jet path length. The invention also provides surgical methods utilizing the inventive surgical liquid jet instruments, and methods for forming components of the surgical liquid jet instruments.
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公开(公告)号：US06511493B1
公开(公告)日：2003-01-28
申请号：US09480500
申请日：2000-01-10
IPC分类号： A61B1732
CPC分类号： A61B17/320758 , A61B17/3203 , A61B2017/00553
摘要： The present invention provides a series of devices useful for surgical procedures utilizing rotatable components for grinding, cutting, ablating, polishing, drilling, screwing, etc., tissues of the body of a patient. The invention includes, in one aspect, a series of devices comprising surgical instruments including rotatable shafts, and surgical components drivable by the shafts that can be utilized for contact with tissue in a surgical operating field. Some preferred surgical instruments provided by the invention utilize a liquid jet-driven rotor mechanism for driving rotation of the rotatable shaft. Some preferred instruments provided by the invention include both a liquid jet-driven rotor mechanism and a nozzle at the distal end of the instrument for forming a liquid cutting jet for cutting or ablating tissue of a patient. Such instruments can include a liquid flow directing valve therein that includes a pressure-tight sealing component comprising a sealing element that is constructed and arranged to be slidably moveable within a cylinder of the valve. The invention provides methods for utilizing the inventive surgical instruments in surgical procedures involving both cutting or ablating tissue of a patient with a liquid cutting jet and grinding, cutting, or ablating tissue with a rotating surface of a surgical instrument.
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公开(公告)号：US06375635B1
公开(公告)日：2002-04-23
申请号：US09313679
申请日：1999-05-18
IPC分类号： A61M300
CPC分类号： A61B17/3203 , A61B17/32037 , A61B2017/2926 , A61B2017/32032
摘要： The invention provides a variety of surgical instruments for forming a liquid jet, which are useful for performing a wide variety of surgical procedures. In some embodiments, the invention provides surgical liquid jet instruments having a pressure lumen and an evacuation lumen, where the pressure lumen includes at least one nozzle for forming a liquid jet and where the evacuation lumen includes a jet-receiving opening for receiving the liquid jet when the instrument is in operation. In some embodiments, the pressure lumen and the evacuation lumen of the surgical liquid jet instruments are constructed and positionable relative to each other so that the liquid comprising the liquid jet, and any tissue or material entrained by the liquid jet can be evacuated through the evacuation lumen without the need for an external source of suction. The invention also provides a variety of surgical liquid jet instruments that are constructed and configured specifically for use in a surrounding liquid environment or a surrounding gaseous environment. The invention also provides a variety of surgical liquid jet instruments that are rotatably deployable from an undeployed position, for insertion into the body of a patient, to a deployed position, in which there is a separation distance between the liquid jet nozzle and the jet-receiving opening that defines a liquid jet path length. The invention also provides surgical methods utilizing the inventive surgical liquid jet instruments, and methods for forming components of thesurgical liquid jet instruments.
摘要翻译： 本发明提供用于形成液体射流的各种外科器械，其可用于执行各种各样的外科手术。 在一些实施例中，本发明提供了具有压力腔和排气腔的手术液体喷射器械，其中压力腔包括用于形成液体射流的至少一个喷嘴，并且其中抽空腔包括用于接收液体射流的喷射接收开口 当仪器运行时。 在一些实施例中，手术液体喷射器械的压力腔和抽真空腔相对于彼此构造和定位，使得包括液体射流的液体以及由液体射流夹带的任何组织或材料可以通过抽真空 而不需要外部吸入源。 本发明还提供了各种手术液体喷射器械，其被构造和配置为专门用于周围液体环境或周围气体环境中。 本发明还提供了多种手术液体喷射器械，其可从展开位置可旋转地展开，用于插入到患者体内到展开位置，在展开位置，液体喷射喷嘴和喷射喷嘴之间存在间隔距离， 接收开口限定液体喷射路径长度。 本发明还提供了利用本发明的手术液体喷射器械的手术方法，以及用于形成手术液体喷射器械的组件的方法。
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9.发明申请LIQUID JET SURGICAL INSTRUMENTS INCORPORATING CHANNEL OPENINGS ALIGNED ALONG THE JET BEAM 有权液体喷枪外科手术器械与喷枪结合使用通道开口公开(公告)号：US20090076440A1
公开(公告)日：2009-03-19
申请号：US12207282
申请日：2008-09-09
IPC分类号： A61M1/00
CPC分类号： A61B17/3203
摘要： Certain embodiments of the surgical instruments provided according to the invention utilize a channel positioned adjacent to and downstream of a liquid jet-forming nozzle such that at least a portion of the liquid jet passes at least one of within the channel and adjacent to and along the length of at least a portion of a longitudinally-oriented opening in the channel, when the instrument is in operation. The use of such channels in certain embodiments of the inventive surgical instruments can enable the instruments to provide enhanced control over the depth and degree of cutting and/or ablation of tissue; and/or can provide improved and enhanced functionality for cleaning, debriding, and/or trimming and cutting a tissue/surface; and/or can provide longer effective liquid jet beam cutting/ablation lengths by reducing the degree of dispersion of the jet along its length.
摘要翻译： 根据本发明提供的外科器械的某些实施例利用位于液体射流形成喷嘴附近和下游的通道，使得液体射流的至少一部分通过通道内并且沿着 当仪器运行时，通道中的纵向定向开口的至少一部分的长度。 在本发明的外科器械的某些实施例中使用这种通道可使得器械能够提供对组织的切割和/或消融的深度和程度的增强的控制; 和/或可以提供用于清洁，清除和/或修剪和切割组织/表面的改进和增强的功能; 和/或可以通过减小射流沿其长度的分散程度来提供更长的有效的液体喷射束切割/消融长度。
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10.发明授权Liquid jet surgical instruments incorporating channel openings aligned along the jet beam 有权液体射流手术器械包含沿着射流对准的通道开口公开(公告)号：US08529498B2
公开(公告)日：2013-09-10
申请号：US12207282
申请日：2008-09-09
IPC分类号： A61M1/00
CPC分类号： A61B17/3203
摘要： Certain embodiments of the surgical instruments provided according to the invention utilize a channel positioned adjacent to and downstream of a liquid jet-forming nozzle such that at least a portion of the liquid jet passes at least one of within the channel and adjacent to and along the length of at least a portion of a longitudinally-oriented opening in the channel, when the instrument is in operation. The use of such channels in certain embodiments of the inventive surgical instruments can enable the instruments to provide enhanced control over the depth and degree of cutting and/or ablation of tissue; and/or can provide improved and enhanced functionality for cleaning, debriding, and/or trimming and cutting a tissue/surface; and/or can provide longer effective liquid jet beam cutting/ablation lengths by reducing the degree of dispersion of the jet along its length.
摘要翻译： 根据本发明提供的外科器械的某些实施例利用位于液体射流形成喷嘴附近和下游的通道，使得液体射流的至少一部分通过通道内并且沿着 当仪器运行时，通道中的纵向定向开口的至少一部分的长度。 在本发明的外科器械的某些实施例中使用这种通道可使得器械能够提供对组织的切割和/或消融的深度和程度的增强的控制; 和/或可以提供用于清洁，清除和/或修剪和切割组织/表面的改进和增强的功能; 和/或可以通过减小射流沿其长度的分散程度来提供更长的有效的液体喷射束切割/消融长度。
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