公开(公告)号：US20240108424A1

公开(公告)日：2024-04-04

申请号：US18480274

申请日：2023-10-03

申请人： CSA Medical, Inc.

发明人： Thomas Mulcahey ,  Wendelin Maners

IPC分类号： A61B34/30 ,  A61B17/00 ,  A61B34/10 ,  G06T17/00 ,  G16H20/17

CPC分类号： A61B34/30 ,  A61B17/00 ,  A61B34/10 ,  G06T17/00 ,  G16H20/17 ,  A61B2017/00092 ,  A61B2034/107 ,  A61B2034/301 ,  G06T2207/10072

摘要： Exemplary embodiments pertain to a therapeutic catheter for treating airway disorders. The catheter may include a video imager, steerable tip, and a lens temperature controller. The catheter may be remotely and/or robotically steerable based on a treatment plan developed with reference to a two- or three-dimensional map of the treatment area. Instead of individual discrete doses, regions of the treatment area may be treated in a continuous fashion by moving the catheter as a dose is applied. The catheter may be dynamically positioned at target locations in the lumen based on the treatment plan.

公开(公告)号：US09764166B2

公开(公告)日：2017-09-19

申请号：US14630138

申请日：2015-02-24

申请人： COVIDIEN LP

发明人： Robert B. Stoddard ,  Eric R. Larson

IPC分类号： A61B17/32 ,  A61N7/00 ,  A61B17/00

CPC分类号： A61N7/00 ,  A61B17/32 ,  A61B17/320092 ,  A61B2017/00084 ,  A61B2017/00092 ,  A61B2017/320072 ,  A61B2017/320084

摘要： An ultrasonic surgical instrument including a blade that treats tissue and a fluid control system to cool the blade by pumping cooling fluid through the blade. The blade defines a blade lumen in fluid contact with an inflow and return conduit of the fluid control system. The inflow conduit defines an open distal end positioned within the blade lumen adjacent the distal end of the blade lumen and the return conduit defines an open distal end positioned within the blade lumen adjacent the proximal end of the blade lumen. The fluid control system may further include a fluid reservoir holding the cooling fluid and an inflow pump. The inflow pump is configured to deliver the fluid from the fluid reservoir, through the inflow conduit and the blade lumen, and into return conduit.

公开(公告)号：US20170239498A1

公开(公告)日：2017-08-24

申请号：US15451185

申请日：2017-03-06

申请人： LaZure Scientific, Inc.

发明人： Charles E. Hill

IPC分类号： A61N7/02

CPC分类号： A61N7/02 ,  A61B2017/00084 ,  A61B2017/00088 ,  A61B2017/00092 ,  A61B2018/00779 ,  A61B2018/00791 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61N7/022 ,  A61N2007/0052 ,  A61N2007/006 ,  A61N2007/0078 ,  A61N2007/025

摘要： Methods, systems, and treatment probes for delivering heating energy such as acoustic waves to a target tissue volume inside of a patient for medically treating the target tissue volume are disclosed. A method includes inserting a treatment probe into the patient through an exposed skin of the patient, the treatment probe including heating energy dispensing element. The method further includes applying heating energy to the target tissue volume via the dispensing element, the heating energy being applied so as to medically treat the target tissue volume. The method also includes monitoring an amount of energy absorbed by the target tissue as a result of applying the energy, and adjusting the heating energy being applied to the target tissue based on the amount of energy absorbed by the target tissue.

公开(公告)号：US20160089005A1

公开(公告)日：2016-03-31

申请号：US14962963

申请日：2015-12-08

申请人： Cannuflow, Inc.

发明人： Theodore R. Kucklick

IPC分类号： A61B1/00 ,  A61B1/12 ,  A61B1/018 ,  A61B1/317 ,  A61B1/015

CPC分类号： A61B1/00135 ,  A61B1/00073 ,  A61B1/00078 ,  A61B1/015 ,  A61B1/018 ,  A61B1/126 ,  A61B1/317 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3474 ,  A61B2017/00092 ,  A61B2090/065 ,  A61B2217/007

摘要： A reinforced arthroscope comprising external ribs to provide for a number of separate fluid channels, such as inflow, outflow and interstitial tissue drainage, when the arthroscope is slipped into a disposable external sheath. The arthroscope is constructed to be sufficiently rigid so as to penetrate and move within a joint without damaging the rod optics inside. The externality of the arthroscope channels allow for cleaning and sterilizing the scope between uses.

公开(公告)号：US20150313456A1

公开(公告)日：2015-11-05

申请号：US14797717

申请日：2015-07-13

申请人： DePuy Synthes Products, Inc.

发明人： John Riley Hawkins ,  Nicholas Pavento ,  Sean P. Selover ,  Michelle LeClerc

IPC分类号： A61B1/32 ,  A61B17/02 ,  A61B1/06 ,  A61B5/00 ,  A61B19/00 ,  A61B5/145 ,  A61B5/04 ,  A61B1/07 ,  A61B5/01

CPC分类号： A61B1/32 ,  A61B1/06 ,  A61B1/0684 ,  A61B1/07 ,  A61B5/01 ,  A61B5/04001 ,  A61B5/14503 ,  A61B5/14539 ,  A61B5/14542 ,  A61B5/14546 ,  A61B5/6847 ,  A61B5/746 ,  A61B17/02 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/025 ,  A61B17/0293 ,  A61B90/06 ,  A61B90/36 ,  A61B2017/00092 ,  A61B2017/00473 ,  A61B2017/00946 ,  A61B2017/0225 ,  A61B2017/0262 ,  A61B2090/064 ,  A61B2090/065 ,  A61B2090/309

摘要： The present disclosure relates to methods and devices for surgically manipulating tissue. In general, the methods and devices can include an elongate retractor shaft having a distal retractor tip that is configured to manipulate tissue, for example the tip can be configured to separate muscle and nerve fibers surrounding a vertebra. The elongate retractor shaft can include an illumination source such that at least a portion of the surgical field is illuminated by the device when the device is used in the body. A sensor can also or alternatively be included on the elongate retractor shaft, for example on the blunt retraction tip, such that the sensor can monitor physiological parameters of the tissue in or adjacent to the surgical field.

摘要翻译： 本公开涉及用于手术操作组织的方法和装置。 通常，所述方法和装置可以包括细长的牵开器轴，其具有构造成操纵组织的远端牵开器顶端，例如尖端可被配置为分离围绕椎骨的肌肉和神经纤维。 细长收缩器轴可以包括照明源，使得当该装置用于身体时，外科手术区域的至少一部分被该装置照射。 传感器还可以或者可选地包括在细长的牵开器轴上，例如在钝器缩回尖端上，使得传感器可以监测在外科视野中或与外科视野相邻的组织的生理参数。

公开(公告)号：US20150257780A1

公开(公告)日：2015-09-17

申请号：US14727470

申请日：2015-06-01

申请人： Ethicon Endo-Surgery, Inc.

发明人： Kevin L. Houser

IPC分类号： A61B17/32 ,  A61B17/29

CPC分类号： A61B17/29 ,  A61B17/320068 ,  A61B17/320092 ,  A61B2017/00084 ,  A61B2017/00088 ,  A61B2017/00092 ,  A61B2017/00106 ,  A61B2017/00504 ,  A61B2017/00831 ,  A61B2017/320071 ,  A61B2017/320082 ,  A61B2017/320084 ,  A61B2017/320088 ,  A61B2017/320089 ,  A61B2017/320094 ,  A61B2017/320095 ,  A61B2018/00994

摘要： A surgical instrument includes a transducer configured to produce vibrations at a predetermined frequency. An ultrasonic end effector extends along a longitudinal axis and is coupled to the transducer. The ultrasonic end effector comprises an ultrasonic blade and a clamping mechanism. A controller receives a feedback signal from the ultrasonic end effector and the feedback signal is measured by the controller. A lumen is adapted to couple to a pump. The controller is configured to control fluid flow through the lumen based on the feedback signal, and the lumen is located within the ultrasonic end effector.

摘要翻译： 手术器械包括构造成以预定频率产生振动的换能器。 超声波端部执行器沿着纵向轴线延伸并耦合到换能器。 超声波端部执行器包括超声波叶片和夹紧机构。 控制器从超声波末端执行器接收反馈信号，并通过控制器测量反馈信号。 管腔适于联接到泵。 控制器被配置为基于反馈信号来控制通过内腔的流体流动，并且内腔位于超声末端执行器内。

公开(公告)号：US09072516B2

公开(公告)日：2015-07-07

申请号：US14320677

申请日：2014-07-01

申请人： Medtronic, Inc.

发明人： Marshall Sherman

IPC分类号： A61B5/00 ,  A61B18/08 ,  A61B18/14 ,  A61B5/01 ,  A61B17/00 ,  A61B18/00

CPC分类号： A61B18/082 ,  A61B5/01 ,  A61B18/1492 ,  A61B2017/00092 ,  A61B2017/00101 ,  A61B2018/00357 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00714 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00821

摘要： A system and method are described for sensing the orientation of a catheter relative to a tissue and regulating the application of power to maintain the tissue at a pre-determined temperature.

摘要翻译： 描述了一种系统和方法，用于感测导管相对于组织的取向并调节功率的施加以将组织保持在预定温度。

公开(公告)号：US09033885B2

公开(公告)日：2015-05-19

申请号：US12609759

申请日：2009-10-30

申请人： Hira V. Thapliyal ,  David A. Gallup ,  James W. Arenson

发明人： Hira V. Thapliyal ,  David A. Gallup ,  James W. Arenson

IPC分类号： A61B8/00 ,  A61N7/00 ,  A61B8/12 ,  A61N7/02 ,  A61B17/00 ,  A61B18/00 ,  A61B19/00

CPC分类号： A61N7/00 ,  A61B8/12 ,  A61B2017/00084 ,  A61B2017/00092 ,  A61B2017/00106 ,  A61B2018/00029 ,  A61B2018/00642 ,  A61B2090/061 ,  A61N7/022 ,  A61N2007/0052 ,  A61N2007/0073 ,  A61N2007/0078

摘要： Systems and methods for ablating tissue include an ablation device having an energy source and a sensor. The energy source provides a beam of energy directable to target tissue, and the sensor senses energy reflected back from the target tissue. The sensor collects various information from the target tissue in order to facilitate adjustment of ablation operating parameters, such as changing power or position of the energy beam. Gap distance between the energy source and target tissue, energy beam incident angle, tissue motion, tissue type, lesion depth, etc. are examples of some of the information that may be collected during the ablation process and used to help control ablation of the tissue.

公开(公告)号：US20140324085A1

公开(公告)日：2014-10-30

申请号：US14330422

申请日：2014-07-14

申请人： VytronUS, Inc.

发明人： Hira V. Thapliyal ,  David A. Gallup ,  James W. Arenson

IPC分类号： A61N7/00

CPC分类号： A61N7/022 ,  A61B8/12 ,  A61B2017/00084 ,  A61B2017/00092 ,  A61B2017/00106 ,  A61B2018/00029 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2090/061 ,  A61N7/00 ,  A61N2007/0052 ,  A61N2007/0073 ,  A61N2007/0078

摘要： Systems and methods for ablating tissue include an ablation device having an energy source and a sensor. The energy source provides a beam of energy directable to target tissue, and the sensor senses energy reflected back from the target tissue. The sensor collects various information from the target tissue in order to facilitate adjustment of ablation operating parameters, such as changing power or position of the energy beam. Gap distance between the energy source and target tissue, energy beam incident angle, tissue motion, tissue type, lesion depth, etc. are examples of some of the information that may be collected during the ablation process and used to help control ablation of the tissue.

摘要翻译： 用于烧蚀组织的系统和方法包括具有能量源和传感器的消融装置。 能量源提供可瞄准组织的能量束，并且传感器感测从目标组织反射的能量。 传感器从目标组织收集各种信息，以便于调整消融操作参数，例如改变能量束的功率或位置。 能量源和目标组织之间的间隙距离，能量束入射角，组织运动，组织类型，损伤深度等是可以在消融过程期间收集的并且用于帮助控制组织消融的一些信息的示例 。

公开(公告)号：US08414509B2

公开(公告)日：2013-04-09

申请号：US12898401

申请日：2010-10-05

申请人： Chris J. Diederich ,  Jeffrey C. Lotz ,  William H. Nau, Jr. ,  David S. Bradford

发明人： Chris J. Diederich ,  Jeffrey C. Lotz ,  William H. Nau, Jr. ,  David S. Bradford

IPC分类号： A61N7/02

CPC分类号： A61B18/04 ,  A61B8/56 ,  A61B2017/00092 ,  A61B2017/00101 ,  A61B2017/00261 ,  A61B2018/00339 ,  A61B2090/374 ,  A61N7/00 ,  A61N7/02 ,  A61N7/022 ,  A61N2007/0078

摘要： A long-term implantable ultrasound therapy system and method is provided that provides directional, focused ultrasound to localized regions of tissue within body joints, such as spinal joints. An ultrasound emitter or transducer is delivered to a location within the body associated with the joint and heats the target region of tissue associated with the joint from the location. Such locations for ultrasound transducer placement may include for example in or around the intervertebral discs, or the bony structures such as vertebral bodies or posterior vertebral elements such as facet joints. Various modes of operation provide for selective, controlled heating at different temperature ranges to provide different intended results in the target tissue, which ranges are significantly effected by pre-stressed tissues such as in-vivo intervertebral discs. In particular, treatments above 70 degrees C., and in particular 75 degrees C., are used for structural remodeling, whereas lower temperatures achieves other responses without appreciable remodeling.