公开(公告)号：US20040260281A1

公开(公告)日：2004-12-23

申请号：US10659418

申请日：2003-09-10

Inventor： Chester O. Baxter III ,  Craig N. Faller ,  Kevin L. Houser ,  Jorge Gutierrez ,  William T. Donofrio ,  Jerome R. Morgan ,  Jeffrey J. Vaitekunas ,  Gregory W. Johnson ,  Vance VanDrake III

IPC: A61B018/14

CPC classification number: A61B18/14 ,  A61B18/1402 ,  A61B18/1442 ,  A61B42/00 ,  A61B42/10 ,  A61B90/53 ,  A61B2017/00438

Abstract: Described is a fingertip electrosurgical device useful for tissue grasping and tissue cutting, coagulating, welding and ablating in open and laparoscopic surgery applications. The electrosurgical medical device has a finger cuff assembly that attaches to the distal end of a surgeon's finger. An electrode is attached to, or is intrinsically part of, the finger cuff assembly. This electrode is connected to at least one electrically conductive wire that is adapted to transmit electric current to the electrode. The electrode may take any number of shapes depending upon the surgical procedure. Generally, two finger cuff assemblies are used in an opposable relationship to facilitate energy transfer or tissue grasping functions performed by the surgeon.

Abstract translation: 描述了一种可用于组织抓取和组织切割，凝结，焊接和开腹和腹腔镜手术应用中的消融的指尖电外科装置。 电外科医疗装置具有附接到外科医生的手指的远端的手指套组件。 电极附着在手指套组件上，或者是固定在手指套组件上。 该电极连接到适于将电流传输到电极的至少一个导电线。 根据外科手术，电极可以采取任何数量的形状。 通常，两个手指袖口组件以相反的关系用于促进由外科医生执行的能量转移或组织抓取功能。

公开(公告)号：US20040254571A1

公开(公告)日：2004-12-16

申请号：US10766894

申请日：2004-01-30

Inventor： Kobi Iki ,  William M. Ambrisco ,  Douglas M. Lorang ,  Alan P. Gannon ,  Richard M. Ranalli ,  Mathew E. Mitchell

IPC: A61B018/14

CPC classification number: A61B18/18 ,  A61B18/1402

Abstract: An electrosurgical instrument for ablating cartilage while limiting collateral damage includes a non-conducting head with a small electrically conductive surface. The head of the instrument is coupled to a shaft by a flexible portion. The flexible portion biases the electrically conductive surface towards a tissue surface. The head is pivotably coupled to the shaft such that the electrically conductive surface is oriented substantially parallel to the tissue surface as the head slides across the tissue surface. A method of performing electrosurgery includes positioning the electrically conductive surface adjacent to the tissue surface, and sliding the shaft across the tissue surface with the head pivoting such that the electrically conductive surface is oriented substantially parallel to the tissue surface.

Abstract translation: 用于在限制附带损伤的同时消融软骨的电外科器械包括具有小导电表面的非导电头。 仪器的头部通过柔性部分连接到轴上。 柔性部分将导电表面朝向组织表面偏压。 头部可枢转地联接到轴，使得当头部穿过组织表面时，导电表面被定向为基本上平行于组织表面。 执行电外科手术的方法包括将导电表面定位在组织表面附近，以及使头部枢转的滑动轴穿过组织表面，使得导电表面基本平行于组织表面定向。

公开(公告)号：US20040243121A1

公开(公告)日：2004-12-02

申请号：US10452103

申请日：2003-06-02

Inventor： James K. Lee ,  Martin O'Sullivan ,  Irma Hill

IPC: A61B018/14

CPC classification number: A61B5/0422 ,  A61B5/01 ,  A61B18/1492 ,  A61B2017/00053 ,  A61B2017/00867 ,  A61B2018/00839

Abstract: A catheter for measuring electrical activity and ablating tissue is provided. The catheter comprises an elongated generally-tubular catheter body. A non-retractable electrode assembly is mounted at the distal end of the catheter body. The electrode assembly comprises a generally tubular ablation electrode formed of a material having shape-memory having a generally straight exposed region and at least one irrigation port in the exposed region through which fluid can pass from the inside to the outside of the ablation electrode. The exposed region is generally transverse to the catheter body. The electrode assembly further comprises a tip at the distal end of the electrode assembly comprising a generally ball-shaped exposed region. First and second distal mapping electrodes are mounted distal to the exposed region of the ablation electrode. At least the first distal mapping electrode, and optionally the second distal mapping electrode, is incorporated into the generally ball-shaped exposed region of the tip. The catheter further comprises an infusion tube extending through the catheter body and having a distal end in fluid communication with the proximal end of the ablation electrode.

Abstract translation: 提供了一种用于测量电活动和消融组织的导管。 导管包括细长的大致管状导管体。 不可伸缩的电极组件安装在导管主体的远端。 电极组件包括由具有形状记忆体的材料形成的大体上管状的消融电极，该材料具有大致直的暴露区域和暴露区域中的至少一个冲洗口，流体可以通过该至少一个冲洗口从消融电极的内部传递到外部。 暴露区域通常横向于导管体。 电极组件还包括在电极组件的远端处的尖端，其包括大致球形的暴露区域。 第一和第二远端测绘电极安装在消融电极的暴露区域的远侧。 至少第一远端测绘电极和任选地第二远端映射电极被并入尖端的大致球形的暴露区域中。 导管还包括延伸穿过导管主体并具有与消融电极的近端流体连通的远端的输注管。

公开(公告)号：US20040236324A1

公开(公告)日：2004-11-25

申请号：US10883178

申请日：2004-07-01

Applicant: Medtronic, Inc.

Inventor： Peter M.J. Muller ,  Michael F. Hoey

IPC: A61B018/14

CPC classification number: A61B18/1402 ,  A61B18/1815 ,  A61B2018/00196 ,  A61B2018/00291 ,  A61B2018/1253 ,  A61B2018/1417 ,  A61B2018/1472 ,  A61B2018/1475 ,  A61B2018/1861 ,  A61B2218/002 ,  A61B2218/007 ,  A61M3/0279

Abstract: An electrocautery device is disclosed. In accordance with one aspect of the invention, the electrocautery electrode/tip is provided with a hollow, conductive tube terminating at its distal end in a ball point type tip. Fluid, preferably conductive fluid, is applied to the proximal end of the hollow electrode/tip, and expelled from the distal end thereof during electrocautery. The ball point distal tip allows the distal tip to be directly applied to the tissue and nullrollednull or slid along the tissue. This allows the distal tip to be moved across the tissue without dragging or snagging on the tissue. In addition, the conductive fluid expelled from the distal tip further lubricates the distal tip as it moves across the tissue. If conductive fluid is used, the conductive fluid emanating from the electrode/tip conducts the RF electrocautery energy away from the distal tip so that it is primarily the fluid, rather than the distal tip that actually accomplishes the cauterizing of tissue. That is, the fluid serves as a nullvirtualnull electrocautery electrode. Since it is the fluid, rather than the distal tip that cauterizes, coagulates and ablates, no burns or perforations are made to the tissue, reducing the amount of debris at the site. Also, the flow of fluid through the electrode/tip tends to keep the distal tip clean and cool.

Abstract translation: 公开了电灼装置。 根据本发明的一个方面，电烙电极/尖端设置有中空的导电管，其末端终止于球形尖端。 流体，优选导电流体被​​施加到中空电极/尖端的近端，并且在电烙术期间从其远端排出。 球头远侧末端允许远侧末端直接施加到组织并且“滚动”或沿着组织滑动。 这允许远侧末端移动穿过组织而不会在组织上拖动或阻塞。 此外，从远侧末梢排出的导电流体在远端处移动穿过组织时进一步润滑远端。 如果使用导电流体，则从电极/尖端发出的导电流体将RF电灼能远离远端尖端传导，使得其主要是流体，而不是实际完成组织烧灼的远端。 也就是说，流体用作“虚拟”电烙电极。 由于它是流体，而不是灼烧，凝结和消融的远端，不会对组织造成烧伤或穿孔，减少了现场的碎片数量。 此外，通过电极/尖端的流体流趋向于保持远端尖端清洁和冷却。

公开(公告)号：US20040236323A1

公开(公告)日：2004-11-25

申请号：US10878865

申请日：2004-06-28

Inventor： Arthur Schoenman ,  Joe D. Sartor ,  Vernita Kelm

IPC: A61B018/14

CPC classification number: H01H1/18 ,  A61B18/14 ,  A61B18/1402 ,  A61B2017/00026 ,  A61B2017/00035 ,  A61B2017/00057 ,  A61B2017/0046 ,  A61B2017/00526 ,  A61B2018/00178 ,  A61B2018/00988 ,  G06M1/04 ,  G06M1/083 ,  H01H9/04 ,  H01H9/06 ,  H01H2300/014 ,  H01R13/66 ,  H01R43/26 ,  H01R2201/12

Abstract: An electrosurgical device is provided having at least one elastomeric seal capable of providing bio-contamination and dielectric protection by inhibiting the ingress of fluids and contaminants through the nose and actuator areas. The elastomeric seal is manufactured from a thermoplastic elastomer or resin which while in liquid form is placed within a mold. A housing section having the main circuit components and mechanisms of the electrosurgical device is then placed within the mold. Once the elastomer cures, the elastomeric seal seals the components and mechanisms within the housing partial-section. The elastomeric seal defines a flexible first opening at a distal end of the electrosurgical device to accommodate varying diameters of electrodes or blades connected to the nose area of the electrosurgical device. An actuator seal is also provided on the actuator area of the electrosurgical device to prevent fluids and contaminants from entering the electrosurgical device through the actuator area. Two buttons are insert molded within the actuator seal and are operatively associated with a self-cleaning switching mechanism within the housing section to operate the electrosurgical device between a cutting and coagulating mode. The actuator seal is also manufactured from a thermoplastic elastomer or resin. The self-cleaning switching mechanism includes a switch contact plate having pair of movable contacts having contact faces. Each movable contact corresponds to a stationary contact positioned within a circuit mold. As the actuator seal is depressed, contact faces of the movable and stationary contacts slide along each other to clean the contacts from non-conductive corrosion and contaminants. The device is further provided with a plug connector having. a counting mechanism for counting the number of times the device is plugged into an electric generator. A disable mechanism is included at the proximal end of the plug connector to disable the device after a pre-determined number of operations.

公开(公告)号：US20040225287A1

公开(公告)日：2004-11-11

申请号：US10830799

申请日：2004-04-23

Applicant: OLYMPUS CORPORATION

Inventor： Keita Suzuki

IPC: A61B018/14

CPC classification number: A61B18/1445 ,  A61B2018/00083 ,  A61B2018/1497

Abstract: A high-frequency current forceps includes a pair of clamp pieces having a pair of clamp faces facing each other, and the pair of clamp faces is formed on metal such as stainless steel which is electrically insulated by covering the whole surface with an insulation film. One of the clamp faces is formed in a planar shape, while another clamp face is formed in a chevron shape having a ridge portion extending along a length direction of the clamp piece. A linear electrode which is not covered with the insulation film is provided on the ridge portion on the clamp face.

Abstract translation: 高频电流钳包括一对钳形件，该钳夹具有彼此面对的一对夹紧面，并且一对夹紧面形成在诸如不锈钢的金属上，该绝缘膜通过用绝缘膜覆盖整个表面而被电绝缘。 其中一个夹紧面形成为平面形状，而另一个夹紧面形成为具有沿着夹具的长度方向延伸的脊部的人字形。 未被绝缘膜覆盖的线状电极设置在夹持面上的脊部上。

公开(公告)号：US20040199159A1

公开(公告)日：2004-10-07

申请号：US10825828

申请日：2004-04-16

Applicant: MANOA MEDICAL, INC., A DELAWARE CORPORATION

Inventor： Roberta Lee ,  Huddee Jacob Ho

IPC: A61B018/14

CPC classification number: A61B10/0266 ,  A61B8/0825 ,  A61B8/481 ,  A61B17/32056 ,  A61B18/14 ,  A61B2018/1407 ,  A61B2018/1467

Abstract: The present invention relates to devices and methods that enhance the accuracy of lesion excision, through severing, capturing and removal of a lesion within soft tissue. Furthermore, the present invention relates to devices and methods for the excision of breast tissue based on the internal anatomy of the breast gland. A tissue severing device generally comprises a guide having at least one lumen and a cutting tool contained within the lumen. The cutting tool is capable of extending from the lumen and forming an adjustable cutting loop. The cutting loop may be widened or narrowed and the angle between the loop extension axis and the guide axis may be varied. Optional tissue marker and tissue collector may additionally be provided. A method for excising a mass of tissue from a patient is also provided. The device and method are particularly useful for excising a lesion from a human breast, e.g., through the excision and removal of a part of a breast lobe, an entire breast lobe or a breast lobe plus surrounding adjacent tissue.

Abstract translation: 本发明涉及通过切断，捕获和去除软组织内的损伤来增强病变切除的准确性的装置和方法。 此外，本发明涉及基于乳腺的内部解剖学来切除乳腺组织的装置和方法。 组织切断装置通常包括具有至少一个内腔的引导件和容纳在内腔内的切割工具。 切割工具能够从内腔延伸并形成可调节的切割环。 切割环可以变宽或变窄，并且环延伸轴线和引导轴线之间的角度可以变化。 另外可以提供任选的组织标记物和组织收集器。 还提供了从患者中切除组织块的方法。 该装置和方法对于从人乳房切除病变特别有用，例如通过切除和去除一部分乳腺，整个乳腺或乳房加上周围的相邻组织。

公开(公告)号：US20040187875A1

公开(公告)日：2004-09-30

申请号：US10475952

申请日：2004-05-10

Inventor： Sheng Ding He ,  Peter Ott

IPC: A61B019/00 ,  A61B005/04 ,  A61B018/14

CPC classification number: A61B18/1492 ,  A61B2017/00053 ,  A61B2017/00084 ,  A61B2017/00243 ,  A61B2017/003 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00083 ,  A61B2018/00214 ,  A61B2018/00357 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/00755 ,  A61B2018/00761 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/00839 ,  A61B2018/00875 ,  A61B2018/1435 ,  A61B2034/2051 ,  A61B2218/002

Abstract: The invention relates to one or more catheterization methods of altering conduction properties along pathways in the heart, and in vessels in conductive communication with the heart, and is particularly related to methods of ablative catheter treatment of atrial fibrillation and arrhythmias of accessory pathways.

Abstract translation: 本发明涉及一种或多种导管方法，其改变沿着心脏中的途径以及与心脏传导通路的血管中的传导性质，并且特别涉及消融导管治疗房颤和辅助途径的心律失常的方法。

公开(公告)号：US20040181136A1

公开(公告)日：2004-09-16

申请号：US10386868

申请日：2003-03-12

Inventor： Benjamin D. McDaniel ,  Martin F. O'Sullivan ,  James K. Lee

IPC: A61B005/04 ,  A61B018/14

CPC classification number: A61M25/0147 ,  A61B5/042 ,  A61B5/6852 ,  A61B18/1492 ,  A61B2018/00011 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/00821 ,  A61B2018/1407 ,  A61M25/005 ,  A61M25/0136 ,  A61M25/0138 ,  A61M2025/015 ,  A61M2210/125

Abstract: A deflectable device, such as a catheter, is provided that includes a hinge that enhances the ability of the device to deflect or bend within a predetermined plane. The catheter comprises an elongated tubular catheter body having proximal and distal ends and at least one lumen extending therethrough. A distal segment is provided distal to the distal end of the catheter body. A tubular hinge is provided between the distal end of the catheter body and the proximal end of the distal segment. The hinge has an axis and at least one lumen extending therethrough. The tube includes at least one slot, and preferably a plurality of slots, extending part of the way through the hinge generally transverse to the axis of the hinge.

Abstract translation: 提供了诸如导管的可偏转装置，其包括提高装置在预定平面内偏转或弯曲的能力的铰链。 导管包括细长的管状导管本体，其具有近端和远端以及延伸穿过其中的至少一个内腔。 远侧段设置在导管主体的远端的远侧。 管状铰链设置在导管主体的远端和远侧段的近端之间。 铰链具有轴线和延伸穿过其中的至少一个内腔。 管包括至少一个狭槽，并且优选地多个狭槽，延伸通过铰链的方式的大致横向于铰链的轴线的一部分。

公开(公告)号：US20040167514A1

公开(公告)日：2004-08-26

申请号：US10777889

申请日：2004-02-12

Applicant: Olympus Corporation

Inventor： Tsutomu Okada

IPC: A61B018/14

CPC classification number: A61B18/1492 ,  A61B18/1815

Abstract: A high-frequency knife having a flexible sheath, an operation member, an electrode part, a handled operation section and a connector part. The electrode part is provided with a rod electrode part extending in an axial direction of a flexible sheath, and a plate electrode part. Three corner portions are provided on an external peripheral portion of the plate electrode part.

Abstract translation: 具有柔性护套的高频刀，操作构件，电极部，操作部和连接器部。 电极部设置有沿柔性护套的轴向延伸的杆状电极部和板状电极部。 三个角部设置在平板电极部的外周部。