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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.
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公开(公告)号：US09078662B2
公开(公告)日：2015-07-14
申请号：US13540850
申请日：2012-07-03
申请人： Gregory J. Bakos , Peter K. Shires , Gary L. Long
发明人： Gregory J. Bakos , Peter K. Shires , Gary L. Long
CPC分类号： A61B18/1477 , A61B2018/00196 , A61B2018/00577 , A61B2018/00613 , A61B2018/00982 , A61B2018/1425 , A61B2018/162 , A61B2217/005 , A61B2218/007 , H02J17/00 , H02J50/10
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。
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公开(公告)号：US20140052216A1
公开(公告)日：2014-02-20
申请号：US13586439
申请日：2012-08-15
IPC分类号： A61N1/00
CPC分类号： A61N1/0468 , A61B5/01 , A61B17/064 , A61B18/1477 , A61B2017/00084 , A61B2017/00154 , A61B2018/00613 , A61B2018/00642 , A61B2018/00791 , A61N1/326 , A61N1/327
摘要： A method for promoting wound healing at a wound site includes subjecting the wound site to electrical pulses to promote wound healing during at least one of the stages of wound healing. The method may further include closing the wound site by sutures or staples prior to and or after applying the electrical pulses that promote wound healing.
摘要翻译： 用于促进伤口部位的伤口愈合的方法包括在伤口愈合的至少一个阶段中对创伤部位进行电脉冲以促进伤口愈合。 该方法可以进一步包括在施加促进伤口愈合的电脉冲之前和之后通过缝合线或缝钉来闭合伤口部位。
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4.发明申请公开(公告)号：US20120095498A1
公开(公告)日：2012-04-19
申请号：US12903645
申请日：2010-10-13
IPC分类号： A61M29/00
CPC分类号： A61B17/0218 , A61B90/02 , A61B90/11 , A61B90/50
摘要： Methods and devices are provided for allowing a surgical instrument to be supported by a surgical support system configured to controllably guide the instrument to a desired position at surgical site. A surgical support system is provided that includes a guide port defining a pivot point about which a surgical instrument advance therethrough can pivot. The guide port, and hence the pivot point, can be located a distance above a tissue surface through which the instrument is advanced. Methods and devices are also provided for allowing insufflation of a body cavity without introduction of an insufflation fluid therein. A mechanical insufflation device is provided that includes an expandable distal member configured to selectively expand and unexpand to mechanically insufflate a body cavity. The mechanical insufflation device can optionally be used with the surgical support system.
摘要翻译： 提供的方法和装置用于允许外科手术器械由外科支撑系统支撑，所述手术支撑系统构造成可手动地将器械引导到手术部位的期望位置。 提供了一种手术支撑系统，其包括限定枢轴点的引导端口，手术器械可以通过该枢转点枢转。 引导端口以及枢轴点可以位于仪器前进的组织表面上方的距离处。 还提供了用于允许体腔内注射而不在其中引入注射液的方法和装置。 提供了一种机械吹气装置，其包括可膨胀的远端构件，其构造成选择性地膨胀和展开以机械地灌注体腔。 机械吹气装置可以可选地与外科支架系统一起使用。
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公开(公告)号：US09545290B2
公开(公告)日：2017-01-17
申请号：US13561945
申请日：2012-07-30
CPC分类号： A61B90/11 , A61B18/1206 , A61B18/14 , A61B90/06 , A61B2017/00154 , A61B2018/00577 , A61B2018/00613 , A61B2018/00922 , A61B2018/143 , A61B2018/1475 , A61B2090/064
摘要： A device for guiding electrodes relative to a tissue treatment region. The device can comprise a body have a plurality of passages therethrough. Each passage can axially restrain an electrode positioned therein. When each electrode is axially restrained in a passage, the distal ends of the electrodes can be spaced a predetermined distance apart. Further, the electrodes can be held in a parallel or substantially parallel alignment when axially retained in the passages. The predetermined distance between the electrodes can correspond to a treatment distance in a tissue treatment region and the distal ends of the electrodes can be operably structured to conduct current therebetween when at least one of electrodes is energized by an energy source.
摘要翻译： 用于相对于组织处理区域引导电极的装置。 该装置可以包括具有穿过其中的多个通道的主体。 每个通道可以轴向限制位于其中的电极。 当每个电极轴向地限制在通道中时，电极的远端可以间隔开预定距离。 此外，当轴向保持在通道中时，电极可以保持平行或基本上平行的对准。 电极之间的预定距离可以对应于组织治疗区域中的治疗距离，并且当电极中的至少一个被能量源激励时，电极的远端可以可操作地构造成在其间传导电流。
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公开(公告)号：US20110282381A1
公开(公告)日：2011-11-17
申请号：US12779477
申请日：2010-05-13
申请人： Michael D. Cronin , Jerome R. Morgan , Patrick D. Dugan , Rebecca J. Mollere , John B. Schulte , David A. Witt , Joseph P. Schowalter , Eugene L. Timperman , Prasanna Malaviya , Shailendra K. Parihar , Shelby L. Cook Kornbluth , Richard W. Timm , Donna L. Korvick , James A. Woodard, JR. , Peter K. Shires , Barbara L. Mattson , Matthew C. Miller , Frederick E. Shelton, IV
发明人： Michael D. Cronin , Jerome R. Morgan , Patrick D. Dugan , Rebecca J. Mollere , John B. Schulte , David A. Witt , Joseph P. Schowalter , Eugene L. Timperman , Prasanna Malaviya , Shailendra K. Parihar , Shelby L. Cook Kornbluth , Richard W. Timm , Donna L. Korvick , James A. Woodard, JR. , Peter K. Shires , Barbara L. Mattson , Matthew C. Miller , Frederick E. Shelton, IV
CPC分类号： A61B17/00491 , A61B10/0275 , A61B10/0283 , A61B17/0057 , A61B17/07207 , A61B17/12099 , A61B17/12186 , A61B2017/00495 , A61B2017/00641 , A61B2017/22067 , A61F5/0083 , A61M3/0262 , A61M5/1407 , A61M5/16827 , A61M5/19 , A61M25/10 , A61M2039/1083 , A61M2039/1088 , A61M2205/502 , A61M2210/0662 , A61M2210/1053
摘要： A surgical device comprises a housing, a bioprocessing module, an end effector, and a pumping device. The bioprocessing module comprises media reservoirs, fluid conduits in communication with the reservoirs, and a port through which media is expelled. The end effector is configured for insertion into a lumen and delivering a tissue repair composition into that lumen. The end effector has at least one fluid conduit extending therethrough and at least one orifice in communication with the fluid conduit. The fluid conduit in the first end effector is in fluid communication with the port on the bioprocessing module. The pumping device is operable to urge a tissue repair composition comprising at least a portion of the contents of the media reservoirs through the fluid conduit of the first end effector such that the tissue repair composition is expelled from the at least one orifice.
摘要翻译： 手术装置包括壳体，生物处理模块，末端执行器和泵送装置。 生物处理模块包括介质储存器，与储存器连通的流体导管以及介质被排出的端口。 末端执行器构造成用于插入内腔并将组织修复组合物递送到该内腔中。 末端执行器具有延伸穿过其中的至少一个流体导管和与流体导管连通的至少一个孔口。 第一末端执行器中的流体导管与生物处理模块上的端口流体连通。 抽吸装置可操作以通过第一端部执行器的流体管道促使包含介质容器的内容物的至少一部分的组织修复组合物从组织修复组合物排出至少一个孔口。
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公开(公告)号：US09277957B2
公开(公告)日：2016-03-08
申请号：US13586422
申请日：2012-08-15
CPC分类号： A61B18/1206 , A61B18/1492 , A61B2018/00613 , A61B2018/00791 , A61B2018/00815 , A61B2018/00982 , A61B2018/126
摘要： An electrosurgical system may generally first and second electrodes coupled to an energy source operative to generate and deliver pulses of a biphasic radio frequency (RF) waveform to treat undesirable tissue in a patient. The pulses may induce non-thermal cell death in the patient's tissue while causing no or minimal muscle contractions in the treated patient. The pulses may be grouped in bursts wherein the pulses within a burst repeat at a particular pulse frequency.
摘要翻译： 电外科系统通常可以耦合到能量源的第一和第二电极，其操作以产生和递送双相射频（RF）波形的脉冲，以治疗患者中的不希望的组织。 脉冲可能在患者组织中引起非热细胞死亡，同时在治疗的患者中没有或最小的肌肉收缩。 脉冲可以以脉冲串分组，其中突发脉冲在特定脉冲频率下重复。
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公开(公告)号：US09138210B2
公开(公告)日：2015-09-22
申请号：US12777697
申请日：2010-05-11
申请人： John B. Schulte , Rebecca J. Mollere , Patrick D. Dugan , Michael D. Cronin , Jerome R. Morgan , Joanne Hull , Wells D. Haberstich , James A. Woodard, Jr. , Peter K. Shires , Barbara L. Mattson
发明人： John B. Schulte , Rebecca J. Mollere , Patrick D. Dugan , Michael D. Cronin , Jerome R. Morgan , Joanne Hull , Wells D. Haberstich , James A. Woodard, Jr. , Peter K. Shires , Barbara L. Mattson
IPC分类号： A61B17/22 , A61B17/00 , A61B17/12 , A61B17/3207
CPC分类号： A61B17/0057 , A61B17/12099 , A61B17/12168 , A61B17/32075 , A61B2017/00623 , A61B2017/00641 , A61B2017/00942
摘要： A fistula cleaning and repairing device comprises a device for cleaning a fistula and a device for repairing a fistula. Some versions of the device for cleaning a fistula comprise a rotary device with ah head configured to debride a fistula. Some versions of the device for cleaning comprise an abrasive catheter. Some versions of the device for cleaning comprise a plurality of abrasive beads. Some versions of the device for repairing a fistula comprise an implantable stent. Some versions of the device for repairing a fistula comprise an implantable mesh. Some versions of the device for repairing a fistula comprise a swab configured to deliver a medical fluid.
摘要翻译： 瘘清洁和修复装置包括用于清洁瘘的装置和用于修复瘘的装置。 用于清洁瘘的装置的一些形式包括具有构造成清除瘘管的头部的旋转装置。 用于清洁的装置的一些形式包括磨料导管。 用于清洁的装置的一些形式包括多个研磨珠。 用于修复瘘的装置的一些形式包括可植入支架。 用于修复瘘的装置的一些形式包括可植入网。 用于修复瘘的装置的一些形式包括构造成输送医用流体的拭子。
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公开(公告)号：US20140052126A1
公开(公告)日：2014-02-20
申请号：US13586422
申请日：2012-08-15
CPC分类号： A61B18/1206 , A61B18/1492 , A61B2018/00613 , A61B2018/00791 , A61B2018/00815 , A61B2018/00982 , A61B2018/126
摘要： An electrosurgical system may generally first and second electrodes coupled to an energy source operative to generate and deliver pulses of a biphasic radio frequency (RF) waveform to treat undesirable tissue in a patient. The pulses may induce non-thermal cell death in the patient's tissue while causing no or minimal muscle contractions in the treated patient. The pulses may be grouped in bursts wherein the pulses within a burst repeat at a particular pulse frequency.
摘要翻译： 电外科系统通常可以耦合到能量源的第一和第二电极，其操作以产生和递送双相射频（RF）波形的脉冲，以治疗患者中的不希望的组织。 脉冲可能在患者组织中引起非热细胞死亡，同时在治疗的患者中没有或最小的肌肉收缩。 脉冲可以以脉冲串分组，其中突发脉冲在特定脉冲频率下重复。
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10.发明申请FLEXIBLE EXPANDABLE ELECTRODE AND METHOD OF INTRALUMINAL DELIVERY OF PULSED POWER 审中-公开柔性可扩展电极及其脉冲输送的方法公开(公告)号：US20140039491A1
公开(公告)日：2014-02-06
申请号：US13565307
申请日：2012-08-02
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2017/00867 , A61B2018/00196 , A61B2018/00202 , A61B2018/00267 , A61B2018/00357 , A61B2018/00577 , A61B2018/00613 , A61B2018/1435 , A61B2018/1465 , A61B2018/1475
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.
摘要翻译： 诸如电消融装置的外科器械包括细长构件，其沿着轴线设置有第一电极。 第一可膨胀部分沿着轴线延伸并且限定第一电极的第一周边并且具有相对于轴线的相关联的第一直径。 第一可膨胀部分包括选择性地可扩张以将第一可膨胀部分从收缩状态转变到膨胀状态的第一框架。 第一框架选择性收缩以将第一可膨胀部分从膨胀状态转变为收缩状态。 当第一框架膨胀时，第一直径膨胀并且第一可膨胀部分从收缩状态转变到膨胀状态。 当第一框架收缩时，第一直径收缩，并且第一可膨胀部分从膨胀状态转变为收缩状态。
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