公开(公告)号：US20020019640A1

公开(公告)日：2002-02-14

申请号：US09838722

申请日：2001-04-19

申请人： Rex Medical

发明人： James F. McGuckin, JR.

IPC分类号： A61B017/32 ,  A61B017/50

CPC分类号： A61B10/0266 ,  A61B10/0041 ,  A61B17/0218 ,  A61B17/221 ,  A61B17/320016 ,  A61B17/32056 ,  A61B17/320725 ,  A61B18/14 ,  A61B18/1482 ,  A61B90/39 ,  A61B90/40 ,  A61B2017/00287 ,  A61B2017/00796 ,  A61B2017/008 ,  A61B2017/2212 ,  A61B2017/32004 ,  A61B2017/320072 ,  A61B2018/1407 ,  A61B2018/2238

摘要： A surgical apparatus for cutting a tissue mass comprising an elongated housing having a distal portion, a rotatable shaft positioned in the elongated housing, and a plurality of flexible electrocautery cutting blades extending from the housing, wherein the plurality of cutting blades are radially expandable from a first position defining a first diameter to a second larger diameter and the blades are rotatable and transmit electrical energy to cut the tissue mass.

摘要翻译： 一种用于切割组织块的手术装置，包括具有远侧部分的细长壳体，位于细长壳体中的可旋转轴以及从壳体延伸的多个柔性电动切割刀片，其中多个切割刀片可从 第一位置将第一直径限定为第二较大直径，并且叶片可旋转并传输电能以切割组织块。

公开(公告)号：US06280450B1

公开(公告)日：2001-08-28

申请号：US09122185

申请日：1998-07-23

申请人： James F. McGuckin, Jr.

发明人： James F. McGuckin, Jr.

IPC分类号： A61B1724

CPC分类号： A61B10/0266 ,  A61B10/0041 ,  A61B17/0218 ,  A61B17/221 ,  A61B17/320016 ,  A61B17/32056 ,  A61B17/320725 ,  A61B18/14 ,  A61B18/1482 ,  A61B90/39 ,  A61B90/40 ,  A61B2017/00287 ,  A61B2017/00796 ,  A61B2017/008 ,  A61B2017/2212 ,  A61B2017/32004 ,  A61B2017/320072 ,  A61B2018/1407 ,  A61B2018/2238

摘要： An apparatus and method for excision of a sub-cutaneous target tissue mass through a cutaneous incision smaller than a maximum transverse dimension of the tissue mass excised. The apparatus includes an axially elongated housing, tissue piercing means slidable within the housing and radially expandable members for cutting a conical swath having a radius greater than the maximum transverse dimension of the elongated housing and greater than the maximum transverse cross-sectional dimension of the target tissue mass to separate the target tissue mass from surrounding tissue. An expandable member is slidably advancable to bag the target tissue mass for aseptic removal via the elongated housing.

摘要翻译： 一种通过小于切除的组织块的最大横向尺寸的皮肤切口切除皮下靶组织块的装置和方法。 该装置包括轴向细长的壳体，可在壳体内可滑动的组织刺穿装置和可径向扩张的构件，用于切割具有大于细长壳体的最大横向尺寸的半径的圆锥形条，并且大于靶的最大横截面尺寸 组织块以将目标组织块与周围组织分离。 可扩展构件可滑动地用于通过细长壳体将目标组织块包裹以进行无菌去除。

公开(公告)号：US06213957B1

公开(公告)日：2001-04-10

申请号：US09158632

申请日：1998-09-22

申请人： Keith L. Milliman ,  Lisa W. Heaton

发明人： Keith L. Milliman ,  Lisa W. Heaton

IPC分类号： A61B1000

CPC分类号： A61B10/0266 ,  A61B17/34 ,  A61B17/3417 ,  A61B17/3496 ,  A61B2010/0208 ,  A61B2017/008 ,  A61B2017/320024 ,  A61B2017/32004 ,  A61B2017/320044

摘要： A surgical apparatus for removing tissue, which includes (i) an elongated body defining an opening at a distal end and forming a tissue receiving cavity in communication with the opening (ii) a blunt dilator at least partially disposed in the tissue receiving cavity and (iii) a cutting member operatively movable transverse to the elongated body in proximity to the opening.

摘要翻译： 一种用于去除组织的手术装置，其包括（i）在远端限定开口的细长主体并形成与开口连通的组织接收腔（ii）至少部分地设置在组织容纳腔中的钝性扩张器， iii）切割构件，其可操作地在所述开口附近与所述细长主体横向移动。

公开(公告)号：US5353804A

公开(公告)日：1994-10-11

申请号：US33785

申请日：1993-03-17

申请人： Elliot Kornberg ,  William R. Tarello

发明人： Elliot Kornberg ,  William R. Tarello

IPC分类号： A61B10/00 ,  A61B10/02 ,  A61B17/00 ,  A61B17/32 ,  A61B19/00

CPC分类号： A61B10/0266 ,  A61B90/39 ,  A61B2017/00349 ,  A61B2017/008 ,  A61B2017/32004 ,  A61B2090/3908 ,  A61B2090/3987

摘要： An apparatus for removing suspect breast tissue which includes a penetrating member in the form of a stylet with a tapered front end that can be guided along a localization guide wire. The apparatus also including a first cutting device in the form of a cannula slidingly engaged with the stylet. A driving assembly is in driving engagement with the cannula and, upon activation, potential energy stored in the driving assembly acts to drive the forward end of the cannula forward of the stylet's forward end so as to define a core cavity. A second cutting device which includes a garret wire having a looped section positioned within a recess at the forward end of the cannula is also provided. The driving assembly preferably also acts to rotate the cannula with a cam arrangement such that the cannula rotates when being driven forward. The garret wire is also attached to the rotating cannula such that the wire is drawn up to a stop bead just at the time the cannula reaches its maximum forward extension and further rotation of the cannula results in the contraction of the wire loop and a cutting of a core sample of suspect breast tissue.

摘要翻译： 一种用于去除可疑乳腺组织的装置，其包括具有可沿定位导丝引导的锥形前端的探针形式的穿透构件。 该装置还包括以与探针滑动接合的套管形式的第一切割装置。 驱动组件与套管驱动接合，并且在激活时，存储在驱动组件中的潜在能量用于将套管的前端驱动到探针针前端的前方以便限定芯腔。 还提供了一种第二切割装置，其包括具有定位在插管前端的凹部内的环形部分的花栏线。 驱动组件优选还用于使凸轮装置旋转插管，使得套管在向前驱动时旋转。 阁楼线也附接到旋转的插管，使得电线在套管达到其最大向前延伸时被拉伸到止动凸缘，并且插管的进一步旋转导致线环的收缩和切割 可疑乳腺组织的核心样本。

公开(公告)号：US09775633B2

公开(公告)日：2017-10-03

申请号：US15078648

申请日：2016-03-23

申请人： Boston Scientific Scimed, Inc.

发明人： John Lingeman ,  Jennifer Keeler

IPC分类号： A61B18/18 ,  A61B17/22 ,  A61B18/22 ,  A61B17/221 ,  A61B17/00 ,  A61B18/00 ,  A61B18/26 ,  A61B17/29

CPC分类号： A61B17/22012 ,  A61B17/221 ,  A61B18/22 ,  A61B18/26 ,  A61B2017/00353 ,  A61B2017/00371 ,  A61B2017/0038 ,  A61B2017/00469 ,  A61B2017/008 ,  A61B2017/22038 ,  A61B2017/2924 ,  A61B2017/2946 ,  A61B2018/0091 ,  A61B2018/00916 ,  A61B2217/005

摘要： A device may include a sheath including a lumen, a distal end, and a proximal end. The device may further include an end-effector unit and an elongate member connected to the end-effector unit. The end-effector unit and the sheath may be movable relative to each other to achieve a first state of the end-effector unit and a second state of the end-effector unit. Moreover, the medical device may include a handle having a first handle portion connected to the proximal end of the sheath, a second handle portion connected to the proximal end of the elongate member, and a compliant member longitudinally aligned with the sheath between the first handle portion and the second handle portion. The first and second handle portions may be configured such that relative movement of the first and second handle portions causes the end-effector to move between the first and second states.

公开(公告)号：US20170252060A1

公开(公告)日：2017-09-07

申请号：US15448299

申请日：2017-03-02

申请人： Andrew N. Ellingson ,  David I. Ellingson

发明人： Andrew N. Ellingson ,  David I. Ellingson

IPC分类号： A61B17/34 ,  A61M25/01 ,  A61B90/13

CPC分类号： A61M25/0108 ,  A61B90/11 ,  A61B90/13 ,  A61B90/39 ,  A61B90/98 ,  A61B2010/045 ,  A61B2017/00057 ,  A61B2017/00106 ,  A61B2017/00115 ,  A61B2017/00221 ,  A61B2017/00734 ,  A61B2017/008 ,  A61B2034/2063 ,  A61B2090/062 ,  A61B2090/067 ,  A61B2090/309 ,  A61B2090/3908 ,  A61B2090/3929 ,  A61B2090/3945 ,  A61B2090/3966 ,  A61B2090/3987 ,  A61M25/09041 ,  A61M2025/0166 ,  A61M2025/09166

摘要： A guide wire deployment system that can be utilized as a pre-surgical procedure without the need for radiology imaging. The clip marker would include light and sonic sensors to determine angular orientation and distance from the needle. Wireless communication between the handheld insertion device and the clip marker would provide information to guide the needle to the clip marker location. The guide wire would then be pushed from the needle and laid in a path to outside the patient.

公开(公告)号：US20160143693A1

公开(公告)日：2016-05-26

申请号：US14549258

申请日：2014-11-20

申请人： Ohio State Innovation Foundation

发明人： Alper Yilmaz ,  Edward W. Martin ,  Stephen P. Povoski ,  Charles L. Hitchcock ,  Enver Ozer ,  Ronald Xu

IPC分类号： A61B19/00 ,  A61B17/3211 ,  A61B17/32 ,  B25J9/16

CPC分类号： A61B17/3211 ,  A61B5/0077 ,  A61B5/055 ,  A61B5/06 ,  A61B5/062 ,  A61B5/067 ,  A61B6/032 ,  A61B6/037 ,  A61B6/12 ,  A61B6/4258 ,  A61B6/462 ,  A61B6/466 ,  A61B6/502 ,  A61B6/5235 ,  A61B34/20 ,  A61B34/30 ,  A61B34/76 ,  A61B90/11 ,  A61B2010/045 ,  A61B2017/00115 ,  A61B2017/008 ,  A61B2034/2048 ,  A61B2034/2057 ,  A61B2034/301 ,  A61B2090/374 ,  A61B2090/3762 ,  A61B2090/3908 ,  A61B2090/392 ,  A61B2090/502 ,  B25J9/1664 ,  B25J9/1694 ,  G05B2219/40121 ,  G05B2219/40131 ,  Y10S901/09

摘要： Systems and methods are described for performing navigation-assisted medical procedures such as biopsies, surgeries and pathology procedures by obtaining location information of an item of interest located within at least a portion of a subject; sensing position information of a moveable device; determining a relative position of the moveable device to the item of interest using the location information of the item of interest and the position information of the moveable device; and providing feedback based on the relative position of the moveable device to the item of interest that can be used to change the relative position of the moveable device to the item of interest.

摘要翻译： 描述了用于执行导航辅助医疗程序（例如活组织检查，手术和病理程序）的系统和方法，其通过获取位于受试者的至少一部分内的感兴趣物品的位置信息; 检测可移动设备的位置信息; 使用感兴趣物品的位置信息和可移动装置的位置信息来确定可移动装置与感兴趣物品的相对位置; 以及基于可移动设备相对于感兴趣的项目的相对位置提供反馈，其可以用于将可移动设备的相对位置改变为感兴趣的项目。

公开(公告)号：US09283035B2

公开(公告)日：2016-03-15

申请号：US13872521

申请日：2013-04-29

申请人： Boston Scientific Scimed, Inc.

发明人： Janel L. Lanphere ,  Paul DiCarlo ,  Steven M. Anderson

IPC分类号： A61B19/00 ,  A61B18/18 ,  A61L27/36 ,  A61B18/14 ,  A61B17/00 ,  A61N7/02

CPC分类号： A61B18/18 ,  A61B18/14 ,  A61B18/1815 ,  A61B90/04 ,  A61B2017/008 ,  A61B2090/0472 ,  A61B2090/0481 ,  A61B2090/049 ,  A61K9/0019 ,  A61K47/30 ,  A61L27/3683 ,  A61N7/02

摘要： Polymer insulators and methods of using polymer insulators are disclosed. In some embodiments, a method includes separating a first portion of a subject's tissue from a second portion of the subject's tissue so that there is a space between the first and second portions of tissue. Deionized water, a buffered saline solution, liquid polymers, gels, particles, foams, and/or gases are disposed between the first and second portions of tissue, and the first portion of tissue is exposed to energy to treat the first portion of tissue.

公开(公告)号：US20150222876A1

公开(公告)日：2015-08-06

申请号：US14425649

申请日：2013-09-13

申请人： KONINKLIJKE PHILIPS N.V.

发明人： Thomas Buelow ,  Cristian Lorenz ,  Sven Kabus ,  Bjoern Eiben ,  David John Hawkes ,  John Harold Hipwell ,  Mohammad Keshtgar

IPC分类号： H04N13/02 ,  G06T5/00 ,  G06T7/00

CPC分类号： H04N13/204 ,  A61B5/055 ,  A61B6/037 ,  A61B6/4258 ,  A61B6/4417 ,  A61B6/502 ,  A61B6/5247 ,  A61B90/37 ,  A61B2017/008 ,  A61B2090/363 ,  A61B2090/392 ,  G06T5/001 ,  G06T7/0012 ,  G06T2207/10088 ,  G06T2207/30068 ,  G06T2207/30096

摘要： A system and method are provided for guiding surgery using MR images and radioactive markers. The method comprises reconstructing the surface of an anatomical structure and a gamma probe orientated to optimize a radioactivity reading from a radioactive seed placed at a target location in the anatomic structure for each of one or more positions of the gamma probe. The position and orientation of the gamma probe is detected in each reconstructed surface to estimate a position of the radioactive seed relative to the reconstructed surface.

摘要翻译： 提供了一种使用MR图像和放射性标记物来引导手术的系统和方法。 该方法包括重建解剖结构的表面和取向的γ探针，以优化放射性物质的放射性读数，放射性物质放置在解剖结构中的目标位置，用于γ探针的一个或多个位置。 在每个重建的表面中检测伽马探针的位置和取向以估计放射性种子相对于重构表面的位置。

公开(公告)号：US09005196B2

公开(公告)日：2015-04-14

申请号：US13558505

申请日：2012-07-26

申请人： John Lingeman ,  Jennifer Keeler

发明人： John Lingeman ,  Jennifer Keeler

IPC分类号： A61B18/18 ,  A61B17/22 ,  A61B18/22 ,  A61B17/221 ,  A61B18/00 ,  A61B18/26 ,  A61B17/00 ,  A61B17/29

CPC分类号： A61B17/22012 ,  A61B17/221 ,  A61B18/22 ,  A61B18/26 ,  A61B2017/00353 ,  A61B2017/00371 ,  A61B2017/0038 ,  A61B2017/00469 ,  A61B2017/008 ,  A61B2017/22038 ,  A61B2017/2924 ,  A61B2017/2946 ,  A61B2018/0091 ,  A61B2018/00916 ,  A61B2217/005

摘要： A device may include a sheath including a lumen, a distal end, and a proximal end. The device may further include an end-effector unit and an elongate member connected to the end-effector unit. The end-effector unit and the sheath may be movable relative to each other to achieve a first state of the end-effector unit and a second state of the end-effector unit. Moreover, the medical device may include a handle having a first handle portion connected to the proximal end of the sheath, a second handle portion connected to the proximal end of the elongate member, and a compliant member longitudinally aligned with the sheath between the first handle portion and the second handle portion. The first and second handle portions may be configured such that relative movement of the first and second handle portions causes the end-effector to move between the first and second states.

摘要翻译： 装置可以包括包括内腔，远端和近端的护套。 该装置还可以包括端部执行器单元和连接到端部执行器单元的细长构件。 末端执行器单元和护套可以相对于彼此移动以实现末端执行器单元的第一状态和末端执行器单元的第二状态。 此外，医疗装置可以包括具有连接到护套的近端的第一手柄部分的手柄，连接到细长构件的近端的第二手柄部分和在第一手柄之间纵向对准护套的柔顺构件 部分和第二把手部分。 第一和第二手柄部分可以被配置为使得第一和第二手柄部分的相对运动导致末端执行器在第一和第二状态之间移动。