Flexible expandable electrode and method of intraluminal delivery of pulsed power

    公开(公告)号:US10314649B2

    公开(公告)日:2019-06-11

    申请号:US13565307

    申请日:2012-08-02

    摘要: A surgical instrument, such as an electrical ablation device, includes an elongate member having therealong disposed a first electrode extending along an axis. A first expandable portion extends along the axis and defines a first perimeter of the first electrode and has an associated first diameter with respect to the axis. The first expandable portion includes a first framework selectively expandable to transition the first expandable portion from a contracted state to an expanded state. The first framework is selectively contractible to transition the first expandable portion from the expanded state to the contracted state. When the first framework is expanded, the first diameter is expanded and the first expandable portion is transitioned from the contracted state to the expanded state. When the first framework is contracted, the first diameter is contracted and the first expandable portion is transitioned from the expanded state to the contracted state.

    Endoscopic cap electrode and method for using the same
    3.
    发明授权
    Endoscopic cap electrode and method for using the same 有权
    内镜帽电极及其使用方法

    公开(公告)号:US09078662B2

    公开(公告)日:2015-07-14

    申请号:US13540850

    申请日:2012-07-03

    摘要: An apparatus for treating tissue in a tissue treatment region. The apparatus can comprise an electrode ring having an interior perimeter and an electrode probe having a proximal end and a distal end. The distal end of the electrode probe can be structured to axially translate relative to the interior perimeter of the electrode ring. The electrode ring and the electrode probe can be operably structured to conduct current therebetween when at least one of the electrode ring and the electrode probe is energized by an energy source. Further, the energy source can be a Radio Frequency (RF) energy source, a pulsed energy source, an irreversible electroporation energy source, or a pulsed irreversible electroporation energy source. A current from the energy source can be selected to non-thermally ablate tissue in the tissue treatment region.

    摘要翻译: 一种用于处理组织处理区域中的组织的装置。 该装置可以包括具有内周边的电极环和具有近端和远端的电极探针。 电极探针的远端可被构造为相对于电极环的内部周边轴向平移。 当电极环和电极探针中的至少一个被能量源激励时,电极环和电极探针可以可操作地构造成在其间传导电流。 此外,能源可以是射频(RF)能量源,脉冲能量源,不可逆电穿孔能源或脉冲不可逆电穿孔能源。 可以选择来自能量源的电流以在组织处理区域中非热消融组织。

    Electroporation ablation apparatus, system, and method
    5.
    发明授权
    Electroporation ablation apparatus, system, and method 有权
    电穿孔消融装置,系统及方法

    公开(公告)号:US08449538B2

    公开(公告)日:2013-05-28

    申请号:US12694452

    申请日:2010-01-27

    申请人: Gary L. Long

    发明人: Gary L. Long

    IPC分类号: A61B18/14

    摘要: A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate relatively flexible member having a proximal end and a distal end, the flexible member includes at least a first working channel. A first and second electrode extends from a working channel at the distal end of the flexible member. The first and second electrodes are adapted to be endoscopically located in a tissue treatment region. The first and second electrodes are adapted to couple to an electrical waveform generator to receive an irreversible electroporation electrical waveform sufficient to ablate tissue located between the first and second electrodes. The waveform parameters of the irreversible electroporation electrical waveform are determined based on image information received from the tissue treatment region.

    摘要翻译: 诸如内窥镜或腹腔镜仪器的手术器械包括消融装置。 消融装置包括具有近端和远端的细长相对柔性的构件,所述柔性构件至少包括第一工作通道。 第一和第二电极从柔性构件的远端处的工作通道延伸。 第一和第二电极适于内窥镜地位于组织治疗区域中。 第一和第二电极适于耦合到电波形发生器以接收足以消融位于第一和第二电极之间的组织的不可逆电穿孔电波形。 基于从组织处理区域接收的图像信息确定不可逆电穿孔电波形的波形参数。

    Electroporation ablation apparatus, system, and method
    6.
    发明授权
    Electroporation ablation apparatus, system, and method 有权
    电穿孔消融装置,系统及方法

    公开(公告)号:US08425505B2

    公开(公告)日:2013-04-23

    申请号:US13218221

    申请日:2011-08-25

    申请人: Gary L. Long

    发明人: Gary L. Long

    IPC分类号: A61B18/04 A61B1/00

    摘要: A surgical instrument, such as an endoscopic or laparoscopic instrument, includes an ablation device. The ablation device includes an elongate member having first and second channels. First and second probes are disposed within the respective first and second channels. The first and second probes each define a central axis. The first and second probes each have substantially straight distal ends protruding from the distal ends of the respective first and second channels. The substantially straight distal ends define an outer surface. First and second electrodes are attached to a portion of the outer surface of the substantially straight distal ends of the respective first and second probes. The first and second electrodes are positioned in juxtaposed relationship with the central axis of the first and second probes. A distance between the first and second electrodes is adjustable by rotating at least one of the first and second probes about the respective central axis of the at least one of the first and second probes.

    摘要翻译: 诸如内窥镜或腹腔镜仪器的手术器械包括消融装置。 消融装置包括具有第一和第二通道的细长构件。 第一和第二探针设置在相应的第一和第二通道内。 第一和第二探针均限定中心轴。 第一和第二探头各自具有从相应的第一和第二通道的远端突出的基本上直的远端。 基本上直的远端限定外表面。 第一和第二电极附接到相应的第一和第二探针的基本上直的远端的外表面的一部分。 第一和第二电极与第一和第二探针的中心轴线并置放置。 第一和第二电极之间的距离可通过使第一和第二探针中的至少一个围绕第一和第二探针中的至少一个探针的相应中心轴旋转来调节。

    SURGICAL INSTRUMENT COMPRISING AN ELECTRODE
    8.
    发明申请
    SURGICAL INSTRUMENT COMPRISING AN ELECTRODE 审中-公开
    包含电极的手术仪器

    公开(公告)号:US20110190764A1

    公开(公告)日:2011-08-04

    申请号:US12696598

    申请日:2010-01-29

    IPC分类号: A61B18/14

    摘要: A surgical instrument configured to deliver electrical energy to the tissue of a patient, comprising a first electrode comprising a distal portion configured to contact the tissue and a second electrode comprising a distal portion configured to be inserted into the tissue, wherein the distal portion of the second electrode at least partially encompasses the distal portion of the first electrode.

    摘要翻译: 一种外科器械,被配置为将电能传递到患者的组织,所述外科器械包括第一电极,所述第一电极包括构造成接触所述组织的远侧部分和包括构造成插入所述组织的远侧部分的第二电极,其中, 第二电极至少部分地包围第一电极的远端部分。

    SURGICAL INSTRUMENT COMPRISING AN ELECTRODE
    9.
    发明申请
    SURGICAL INSTRUMENT COMPRISING AN ELECTRODE 有权
    包含电极的手术仪器

    公开(公告)号:US20110152859A1

    公开(公告)日:2011-06-23

    申请号:US12641837

    申请日:2009-12-18

    IPC分类号: A61B18/14

    摘要: A surgical instrument can comprise a first electrode, a second electrode, and a retractable sheath. At least one of the electrodes can comprise an insulative jacket extending along the length thereof which can comprise a tissue stop for limiting the progression of the electrode into tissue. In various embodiments, a surgical instrument can comprise a first electrode, a second electrode, and a displaceable arc guard positioned between the electrodes. In certain embodiments, a surgical instrument can comprise an electrode including a flexible mesh configured to conform to the tissue against which it is positioned.

    摘要翻译: 手术器械可以包括第一电极,第二电极和可缩回护套。 电极中的至少一个可以包括沿着其长度延伸的绝缘护套,其可以包括用于限制电极进入组织的进展的组织止动器。 在各种实施例中,外科器械可以包括位于电极之间的第一电极,第二电极和可移位的电弧护罩。 在某些实施例中,手术器械可以包括电极,其包括被配置为与其所定位的组织一致的柔性网状物。

    ELECTRICAL ABLATION DEVICES
    10.
    发明申请
    ELECTRICAL ABLATION DEVICES 有权
    电气设备

    公开(公告)号:US20100179530A1

    公开(公告)日:2010-07-15

    申请号:US12352375

    申请日:2009-01-12

    IPC分类号: A61B18/18 A61B18/14

    摘要: An electrical ablation apparatus comprises first and second electrodes. Each electrode comprises a first end configured to couple an energy source and a second end configured to couple to a tissue treatment region. An energy source is coupled to the first and second electrodes. The energy source is configured to deliver a first series of electrical pulses sufficient to induce cell necrosis by irreversible electroporation and a second series of electrical pulses sufficient to induce cell necrosis by thermal heating, through at least one of the first and second electrodes. The first series of electrical pulses is characterized by a first amplitude, a first pulse length, and a first frequency. The second series of electrical pulses is characterized by a second amplitude, a second pulse length, and a second frequency.

    摘要翻译: 电切除装置包括第一和第二电极。 每个电极包括构造成耦合能量源的第一端和被配置为耦合到组织治疗区域的第二端。 能量源耦合到第一和第二电极。 能量源被配置为递送足以通过不可逆电穿孔诱导细胞坏死的第一系列电脉冲和通过热加热通过第一和第二电极中的至少一个足以诱导细胞坏死的第二系列电脉冲。 第一系列电脉冲的特征在于第一幅度,第一脉冲长度和第一频率。 第二系列电脉冲的特征在于第二幅度,第二脉冲长度和第二频率。