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91. 发明申请

WO2017202737A1 ELECTROSURGICAL APPARATUS FOR DELIVERING RADIOFREQUENCY ENERGY AND MICROWAVE ENERGY AND A METHOD FOR ITS USE 审中-公开
标题翻译：提供射频能量和微波能量的电外科手术设备及其使用方法
公开(公告)号：WO2017202737A1
公开(公告)日：2017-11-30
申请号：PCT/EP2017/062198
申请日：2017-05-19
申请人： CREO MEDICAL LIMITED
发明人： HANCOCK, Christopher Paul , AMOAH, Francis , JARMAN, Martin
IPC分类号： A61B18/18 , A61B18/12 , A61B18/14
CPC分类号： A61B18/1815 , A61B1/00195 , A61B1/0052 , A61B1/0057 , A61B1/015 , A61B1/0684 , A61B1/07 , A61B1/2676 , A61B1/2736 , A61B1/3132 , A61B18/1206 , A61B18/14 , A61B18/1492 , A61B2017/00115 , A61B2017/00141 , A61B2017/00176 , A61B2018/00083 , A61B2018/00494 , A61B2018/00595 , A61B2018/00642 , A61B2018/00654 , A61B2018/00678 , A61B2018/00708 , A61B2018/00779 , A61B2018/00803 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00982 , A61B2018/00994 , A61B2018/126 , A61B2018/1823 , A61B2018/183 , A61B2018/1861 , A61N5/04
摘要： An electrosurgical waveform (500) is to be provided having both radiofrequency (RF) energy and microwave energy components arranged to perform efficient haemostasis in biological tissue. The waveform comprises a first portion (506) primarily of RF electromagnetic energy and a second portion (508) primarily of microwave electromagnetic energy that follows the first portion. The second portion further comprises a plurality of RF pulses (510), wherein the first portion is to transition to the second portion when either a duration (512) of the first portion meets or exceeds a predetermined duration threshold or an impedance determined during the first portion meets or exceeds a predetermined threshold.
摘要翻译：提供具有射频（RF）能量和微波能量分量以在生物组织中执行有效止血的电外科波形（500）。波形包括主要由RF电磁能组成的第一部分（506）和主要在第一部分之后的微波电磁能的第二部分（508）。第二部分还包括多个RF脉冲（510），其中当第一部分的持续时间（512）满足或超过预定的持续时间阈值或在第一部分期间确定的阻抗时，第一部分将过渡到第二部分部分达到或超过预定阈值。

92. 发明申请

WO2015077115A1 ULTRASONIC SURGICAL INSTRUMENT WITH FEATURES FOR FORMING BUBBLES TO ENHANCE CAVITATION 审中-公开
标题翻译：超声波手术仪器，具有形成气泡的特征，以增强保温性
公开(公告)号：WO2015077115A1
公开(公告)日：2015-05-28
申请号：PCT/US2014/065411
申请日：2014-11-13
申请人： ETHICON ENDO-SURGERY, INC.
发明人： STULEN, Foster B. , DIETZ, Timothy G. , MESSERLY, Jeffrey D.
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B2017/00172 , A61B2017/00176 , A61B2017/22008 , A61B2017/22024 , A61B2017/320072 , A61B2017/320084 , A61B2217/007
摘要： An ultrasonic element comprises an ultrasonic transducer and a head or blade. The ultrasonic transducer is operable to convert electrical power into ultrasonic vibrations. The head or blade is in acoustic communication with the ultrasonic transducer such that the ultrasonic transducer is operable to drive the ultrasonic blade to vibrate ultrasonically. The head or blade has a curved distal face. The curved distal face defines a proximally extending concave curve. The transducer and head or blade may be driven using a control logic that is configured to cause the ultrasonic transducer to generate a first vibration set followed by a second vibration set. The first vibration set is configured to generate microbubbles in a fluid. The second vibration set is configured to grow microbubbles generated by the first vibration set. The control logic may provide a pause between the first vibration set and the second vibration set.
摘要翻译：超声波元件包括超声换能器和头或刀片。超声波换能器可操作以将电力转换成超声波振动。头部或叶片与超声换能器声学连通，使得超声波换能器可操作以驱动超声波刀片以超声波振动。头部或叶片具有弯曲的远端面。弯曲的远端面限定近端延伸的凹曲线。换能器和头或刀片可以使用控制逻辑来驱动，该控制逻辑被配置为使得超声换能器产生第一振动集合，随后是第二振动集合。第一振动组被配置为在流体中产生微泡。第二振动组被配置成生长由第一振动组产生的微气泡。控制逻辑可以在第一振动组和第二振动组之间提供暂停。

93. 发明申请

WO2014028885A1 SHOCK WAVE CATHETER SYSTEM WITH ARC PRECONDITIONING 审中-公开
标题翻译：具有电弧预处理的冲击波导管系统
公开(公告)号：WO2014028885A1
公开(公告)日：2014-02-20
申请号：PCT/US2013/055431
申请日：2013-08-16
申请人： SHOCKWAVE MEDICAL, INC.
发明人： ADAMS, John , HOLMBERG, Randy
IPC分类号： A61B17/22 , G10K15/06
CPC分类号： A61B17/225 , A61B17/2202 , A61B17/22022 , A61B2017/00159 , A61B2017/00176 , A61B2017/22021 , A61B2017/22062 , F17D3/00 , G10K15/06 , Y10T137/0391
摘要： A shock wave catheter system and method produces a shock wave with reduced energy. The system includes a catheter and a power source. The catheter has an elongated carrier and a balloon about the carrier in sealed relation thereto. The balloon is arranged to receive a fluid therein that inflates the balloon. The catheter further includes an arc generator including at least two electrodes within the balloon. The power source is coupled to the at least two electrodes and is configured to grow a bubble at one of the at least two electrodes and then thereafter to rapidly expand the bubble to form a shock wave within the balloon.
摘要翻译：冲击波导管系统和方法产生具有减少的能量的冲击波。该系统包括导管和电源。导管具有细长的载体和围绕载体的气囊，与密封的关系。气囊被布置成接收其中使气囊膨胀的流体。导管还包括电弧发生器，其包括气囊内的至少两个电极。电源耦合到至少两个电极，并且被配置为在所述至少两个电极中的一个电极处生长气泡，然后其后快速膨胀气泡以在气囊内形成冲击波。

94. 发明申请

WO2013014018A1 HANDHOLDABLE LASER DEVICE FEATURING PULSING OF A CONTINUOUS WAVE LASER 审中-公开
标题翻译：可激光激光器件连续波形激光器的特征脉冲激光
公开(公告)号：WO2013014018A1
公开(公告)日：2013-01-31
申请号：PCT/EP2012/063922
申请日：2012-07-16
申请人： UNILEVER PLC , UNILEVER N.V. , HINDUSTAN UNILEVER LIMITED , BARTOLONE, John, Brian , SHERWOOD, Duncan, Reynolds
发明人： BARTOLONE, John, Brian , SHERWOOD, Duncan, Reynolds
IPC分类号： A61N5/06
CPC分类号： A61N5/0616 , A61B2017/00176 , A61B2018/00904 , A61N2005/0644 , A61N2005/067
摘要： A laser device for treating skin is provided which includes a handholdable housing; a continuous wave laser member arranged within the housing emitting an output beam; a user activated output switch system including a power activating button for arming the device and a power setting button to fire a single first pulse of output beam and after a pause in succession a second pulse of output beam, the second pulse being automatically programmed to fire after the first pulse and pause; and a lens array for receiving the output beam and transmitting the beam through a prism splitting the beam into multiple beamlets, each beamlet targeting a specific spot on the skin, and wherein beamlets from the first and second pulses successively strike the specific spot reinforcing energy applied to the specific spot.
摘要翻译：提供一种用于治疗皮肤的激光装置，其包括可手持的外壳; 布置在壳体内的连续波激光器件，发射输出光束; 用户激活的输出开关系统，包括用于布防装置的电源启动按钮和用于启动输出光束的单个第一脉冲的功率设置按钮，并且在连续暂停第二脉冲输出光束之后，第二脉冲被自动编程以触发第一次脉冲和暂停之后; 以及透镜阵列，用于接收输出光束并将光束透射通过将光束分成多个子束的棱镜，每个子束针对皮肤上的特定光斑，并且其中来自第一和第二脉冲的子束依次发射施加的特定光斑加强能量到具体地点。

95. 发明申请

WO2011025658A1 PNEUMATIC PRESSURE OUTPUT CONTROL BY DRIVE VALVE DUTY CYCLE CALIBRATION 审中-公开
标题翻译：通过驱动阀进行气动压力输出控制周期校准
公开(公告)号：WO2011025658A1
公开(公告)日：2011-03-03
申请号：PCT/US2010/045136
申请日：2010-08-11
申请人： ALCON RESEARCH, LTD. , ZHOU, Jiansheng , LEUKANECH, Kurt , TEODORESCU, Dan
发明人： ZHOU, Jiansheng , LEUKANECH, Kurt , TEODORESCU, Dan
IPC分类号： A61F9/007 , F15B19/00
CPC分类号： A61F9/00763 , A61B34/25 , A61B2017/00154 , A61B2017/00176 , A61B2017/00181 , A61B2017/00544 , Y10T83/8858
摘要： In various embodiments, a surgical console may include a pneumatic valve to drive a pneumatic tool coupled to the surgical console. The console may further include a controller operable to control and adjust the valve open/close cycle times according to a valve duty cycle. The valve may switch between ports (valve open time for a first port and valve close time for a second port) such that a total valve time may approximately equal the valve open time plus the valve close time. The valve duty cycle may indicate a percentage of the total valve time for the controller to signal the valve to open and may include an adjustment that corresponds to a signal timing of the open and/or closed valve positions that will result in open and closed operating pressures above a predetermined threshold.
摘要翻译：在各种实施例中，外科手术台可以包括用于驱动联接到手术控制台的气动工具的气动阀。控制台还可以包括控制器，其可操作以根据阀占空比来控制和调节阀打开/关闭循环时间。阀可以在端口之间切换（第一端口的阀打开时间和第二端口的阀关闭时间），使得总阀时间可以近似等于阀打开时间加上阀关闭时间。阀占空比可以指示控制器通知阀打开的总阀时间的百分比，并且可以包括对应于将导致打开和关闭操作的打开和/或关闭阀位置的信号定时的调节高于预定阈值的压力。

96. 发明申请

WO2007129166A3 FOCUSED ULTRASOUND SYSTEM WITH FAR FIELD TAIL SUPPRESSION 审中-公开
标题翻译：聚焦超声波系统与野外拖尾抑制
公开(公告)号：WO2007129166A3
公开(公告)日：2008-02-14
申请号：PCT/IB2007001079
申请日：2007-04-25
申请人： INSIGHTEC LTD , SCHMIDT RITA , VITEK SHUKI
发明人： SCHMIDT RITA , VITEK SHUKI
IPC分类号： A61N7/02 , A61B19/00
CPC分类号： A61N7/02 , A61B2017/00176 , A61B2017/22008 , A61B2090/374
摘要： A system for treating body tissue using acoustic energy includes a controller (106) configured to (i) identify a target focal zone (104) of tissue to be treated based on acquired image data, (ii) cause delivery of a first pulse of acoustic energy from a transducer (102) to generate bubbles in a tissue region located distally, relative to the transducer, of a focal center of the target focal zone, and (iii) cause delivery of a second pulse of acoustic energy from the transducer in the presence of the bubbles generated by the first pulse, the second pulse focused at the focal center to thermal tissue ablation. Alternatively or additionally to (ii) and (iii), the system may be configured to cause delivery of a plurality of thermal ablation pulses distributed symmetrically about the focal center.
摘要翻译：一种使用声能处理身体组织的系统包括：控制器（106），其被配置为（i）基于获取的图像数据识别待治疗组织的目标聚焦区域（104），（ii）引起第一脉冲声学来自换能器（102）的能量在相对于换能器位于目标聚焦区域的焦点的远侧的组织区域中产生气泡，并且（iii）使来自换能器的声能的第二脉冲从存在由第一脉冲产生的气泡，第二脉冲聚焦在焦点中心到热组织消融。（ii）和（iii）的替代或附加，系统可以被配置为引起传播关于焦点中心对称分布的多个热消融脉冲。

97. 发明申请

WO2007129166A2 FOCUSED ULTRASOUND SYSTEM WITH FAR FIELD TAIL SUPPRESSION 审中-公开
标题翻译：聚焦超声波系统与野外拖尾抑制
公开(公告)号：WO2007129166A2
公开(公告)日：2007-11-15
申请号：PCT/IB2007/001079
申请日：2007-04-25
申请人： INSIGHTEC, LTD , SCHMIDT, Rita , VITEK, Shuki
发明人： SCHMIDT, Rita , VITEK, Shuki
IPC分类号： A61N7/02 , A61B19/00
CPC分类号： A61N7/02 , A61B2017/00176 , A61B2017/22008 , A61B2090/374
摘要： A system for treating body tissue using acoustic energy includes a controller configured to (i) identify a target focal zone of tissue to be treated based on acquired image data, (ii) cause delivery of a first pulse of acoustic energy from a transducer to generate bubbles in a tissue region located distally, relative to the transducer, of a focal center of the target focal zone, and (iii) cause delivery of a second pulse of acoustic energy from the transducer in the presence of the bubbles generated by the first pulse, the second pulse focused at the focal center to thermal tissue ablation. Alternatively or additionally to (ii) and (iii), the system may be configured to cause delivery of a plurality of thermal ablation pulses distributed symmetrically about the focal center.
摘要翻译：使用声能处理身体组织的系统包括控制器，其被配置为（i）基于获取的图像数据识别待治疗组织的目标聚焦区域，（ii）使来自换能器的声能的第一脉冲的传递产生相对于换能器位于目标聚焦区域的焦点的远侧的组织区域中的气泡，以及（iii）在存在由第一脉冲产生的气泡的情况下，使来自换能器的声能的第二脉冲的传送，第二脉冲聚焦在焦点中心到热组织消融。（ii）和（iii）的替代或附加，系统可以被配置为引起传播关于焦点中心对称分布的多个热消融脉冲。

98. 发明申请

WO2004099738A2 MODULATED PULSED ULTRASONIC POWER DELIVERY SYSTEM AND METHOD 审中-公开
标题翻译：调制脉冲超声波电力输送系统及方法
公开(公告)号：WO2004099738A2
公开(公告)日：2004-11-18
申请号：PCT/US2004/007477
申请日：2004-03-11
申请人： ADVANCED MEDICAL OPTICS, INC.
发明人： KADZIAUSKAS, Kenneth, E. , ROCKLEY, Paul, W.
IPC分类号： G01H
CPC分类号： A61F9/00745 , A61B2017/00176 , A61B2017/00194 , A61B2018/00666 , B06B1/0215 , B06B1/023 , B06B1/0253 , B06B2201/76
摘要： A method and apparatus for delivering energy during a surgical procedure such as phacoemulsification is provided. The method and apparatus include applying energy during at least one pulsed energy on period, typically sufficient or intended to rapidly induce and beneficially employ transient cavitation. Applying energy during the pulsed energy on period comprises applying energy during a first high energy period, and applying energy during a second nonzero lower energy period.
摘要翻译：提供了一种在诸如晶状体乳化之类的外科手术过程中递送能量的方法和装置。该方法和装置包括在至少一个脉冲能量期间施加能量，通常足以或旨在快速诱导和有益地应用瞬时空化。在脉冲能量期间施加能量周期包括在第一高能量周期期间施加能量，以及在第二非零低能量周期期间施加能量。

99. 发明申请

WO1994024950A1 LASER PULSE FORMAT FOR PENETRATING AN ABSORBING FLUID 审中-公开
标题翻译：用于吸入吸收液的激光脉冲格式
公开(公告)号：WO1994024950A1
公开(公告)日：1994-11-10
申请号：PCT/US1994004747
申请日：1994-05-02
申请人： COHERENT, INC.
发明人： COHERENT, INC. , TROST, David
IPC分类号： A61B17/36
CPC分类号： A61B18/24 , A61B18/201 , A61B2017/00154 , A61B2017/00176
摘要： A pulse format for a laser system is disclosed for maximizing the energy delivered to a target (50) immersed in an absorbing liquid. A first pulse is generated having an energy sufficient to initiate the formation of a vapor bubble (70) in the liquid medium (52) adjacent the end (46) of the delivery device (44). A second, high energy pulse is generated after the vapor bubble initiated by the first pulse has expanded an amount sufficient to displace the liquid between the delivery device and the target. In this manner, the second pulse is delivered directly to the target and little energy is lost to the liquid medium.
摘要翻译：公开了一种激光系统的脉冲格式，用于使输送到浸没在吸收液体中的目标（50）的能量最大化。产生具有足以在邻近输送装置（44）的端部（46）的液体介质（52）中形成蒸气泡（70）的能量的第一脉冲。在由第一脉冲启动的蒸汽气泡膨胀足以使输送装置和靶之间的液体移位的量之后，产生第二高能量脉冲。以这种方式，第二脉冲被直接输送到靶，并且很少的能量损失到液体介质。

100. 发明授权

US11896300B2 Tailored laser pulses for surgical applications 有权
公开(公告)号：US11896300B2
公开(公告)日：2024-02-13
申请号：US17121815
申请日：2020-12-15
申请人： Boston Scientific Scimed, Inc.
发明人： Werner Falkenstein , Michael Schubert , Stephan Dittmar , Anna Butsch , Thomas Kremser
IPC分类号： A61B18/20 , A61B18/26 , H01S3/10 , H01S3/102 , A61B18/22 , A61B18/00 , A61B18/24 , A61B17/00 , H01S3/042 , H01S3/16 , H01S3/131 , H01S3/04 , H01S3/093
CPC分类号： A61B18/20 , A61B18/26 , H01S3/1024 , H01S3/10038 , A61B18/245 , A61B2017/00176 , A61B2018/0066 , A61B2018/00642 , A61B2018/00702 , A61B2018/00714 , A61B2018/00791 , A61B2018/205545 , A61B2018/2261 , A61B2018/2277 , H01S3/042 , H01S3/0407 , H01S3/093 , H01S3/1312 , H01S3/1616 , H01S3/1643
摘要： A laser system may include a controller configured to direct a plurality of temporally spaced-apart electrical pulses to a device that optically pumps a lasing medium, and a lasing medium configured to output a quasi-continuous laser pulse in response to the optical pumping. The plurality of temporally spaced-apart electrical pulses may include (a) a first electrical pulse configured to excite the lasing medium to an energy level below a lasing threshold of the lasing medium, and (b) multiple second electrical pulses following the first electrical pulse. The quasi-continuous laser pulse is output in response to the multiple second electrical pulses.

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