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121. 发明申请

US20090048595A1 ELECTRIC PROCESSING SYSTEM 审中-公开
标题翻译：电加工系统
公开(公告)号：US20090048595A1
公开(公告)日：2009-02-19
申请号：US11838380
申请日：2007-08-14
申请人： Takashi MIHORI , Takashi IRISAWA , Kazue TANAKA , Tamaki SHIRAI , Akinori KABAYA
发明人： Takashi MIHORI , Takashi IRISAWA , Kazue TANAKA , Tamaki SHIRAI , Akinori KABAYA
IPC分类号： A61B18/14
CPC分类号： A61B18/1206 , A61B2018/00589 , A61B2018/00702 , A61B2018/0075 , A61B2018/00869 , A61B2018/00875
摘要： An electric processing system is provided with a treatment instrument which subjects a living tissue to a first treatment based on a cauterization process for adhesion using high-frequency power and a second treatment based on a desiccation process for dehydrating a region healed by the adhesion, a detector for detecting a phase difference signal from the output high-frequency power, and a controller which controls the entire system. The controller switches the first treatment over to the second treatment when the phase difference signal is detected. When a predetermined phase difference as a criterion is exceeded by the phase difference detected during the second treatment, the controller stops the output of the high-frequency power, whereupon the second treatment terminates.
摘要翻译：一种电加工系统具备：处理器具，其基于使用高频电力进行粘附的烧灼过程，基于用于使通过粘合而愈合的区域脱水的干燥工艺进行第二处理，使生物体组织进行第一处理，检测器，用于检测来自输出高频电源的相位差信号;以及控制器，其控制整个系统。当检测到相位差信号时，控制器将第一处理切换到第二处理。当作为标准的预定相位差超过在第二处理期间检测到的相位差时，控制器停止高频功率的输出，于是第二处理结束。

122. 发明申请

US20080275465A1 Design of Handle Set for Ablation Catheter with Indicators of Catheter and Tissue Parameters 有权
标题翻译：手术套设计用于消融导管与导管和组织参数指标
公开(公告)号：US20080275465A1
公开(公告)日：2008-11-06
申请号：US12096069
申请日：2006-12-06
申请人： Saurav Paul , Kedar Ravindra Belhe , Hong Cao , Chou Thao , James A. Hassett
发明人： Saurav Paul , Kedar Ravindra Belhe , Hong Cao , Chou Thao , James A. Hassett
IPC分类号： A61B17/00
CPC分类号： A61B18/1206 , A61B18/1492 , A61B34/20 , A61B2018/00303 , A61B2018/00357 , A61B2018/00577 , A61B2018/00642 , A61B2018/00666 , A61B2018/00702 , A61B2018/0075 , A61B2018/00755 , A61B2018/00869 , A61B2018/00875 , A61B2090/064 , A61B2090/065
摘要： An electrode coupling output system provides indication to the physician, via electrode guidance instrumentation, concerning the electrical coupling of an electrode, such as an ablative or mapping electrode, with a patient. The output can be provided to the physician via an output device incorporated into the handle set of the electrode catheter. For example, a visual, audio or mechanical output can be provided via the handle set. Additionally or alternatively, the output can be provided to the physician via a navigation system. The indication may be provided by changing the color or other display characteristics of the electrode on the navigation system display or by way of providing a waveform indicating the electrode coupling. In this manner, electrode coupling information is provided to a physician in a manner that minimizes physician distraction.
摘要翻译：电极耦合输出系统通过电极引导仪器向医师提供关于电极（例如烧蚀或映射电极）与患者的电耦合的指示。输出可以通过结合到电极导管的手柄组中的输出装置提供给医师。例如，可以通过手柄组提供视觉，音频或机械输出。另外或替代地，输出可以经由导航系统提供给医师。可以通过改变导航系统显示器上的电极的颜色或其他显示特性或通过提供指示电极耦合的波形来提供指示。以这种方式，电极耦合信息以最小化医师分心的方式提供给医师。

123. 发明授权

US07344533B2 Impedance controlled tissue ablation apparatus and method 有权
标题翻译：阻抗控制组织消融装置及方法
公开(公告)号：US07344533B2
公开(公告)日：2008-03-18
申请号：US10260187
申请日：2002-09-28
申请人： Robert M. Pearson , Steven A. Daniel , Daniel J. Balbierz , Theodore C. Johnson , Zia Yassinzadeh
发明人： Robert M. Pearson , Steven A. Daniel , Daniel J. Balbierz , Theodore C. Johnson , Zia Yassinzadeh
IPC分类号： A61B18/18
CPC分类号： A61B18/1477 , A61B2018/00011 , A61B2018/00083 , A61B2018/00196 , A61B2018/00577 , A61B2018/00702 , A61B2018/00726 , A61B2018/00738 , A61B2018/00744 , A61B2018/0075 , A61B2018/00755 , A61B2018/00761 , A61B2018/00791 , A61B2018/00869 , A61B2018/00875 , A61B2018/124 , A61B2018/1253 , A61B2018/1425 , A61B2018/143 , A61B2018/1432 , A61B2218/002
摘要： A method and apparatus for carrying our thermal ablation of target tissue is disclosed. The apparatus includes an RF ablation device having a multi-electrode electrode assembly designed to be deployed in target tissue, defining a selected-volume tissue region to be ablated, and having infusion channels for infusing a liquid into the target tissue during the ablation process. A control unit in the apparatus is operably connected to an RF energy source, for controlling the RF power level supplied to the electrodes, and to an infusion device, for controlling the rate of infusion of a liquid through the device into the tissue. During both electrode deployment and tissue ablation, impedance and or temperature measurements made within the tissue are used to control the RF source and infusion device, for optimizing the time and extent of tissue ablation.
摘要翻译：公开了一种用于携带我们的靶组织热消融的方法和装置。该装置包括RF消融装置，其具有设计成部署在靶组织中的多电极电极组件，限定要消融的选择体积的组织区域，并且具有用于在消融过程期间将液体注入靶组织的输注通道。装置中的控制单元可操作地连接到RF能量源，用于控制提供给电极的RF功率水平，以及用于控制通过装置将液体输入到组织中的输注装置。在电极部署和组织消融期间，组织内进行的阻抗和/或温度测量用于控制RF源和输注装置，以优化组织消融的时间和程度。

124. 发明申请

US20040082946A1 Electrosurgical generator apparatus 有权
标题翻译：电外科发生器装置
公开(公告)号：US20040082946A1
公开(公告)日：2004-04-29
申请号：US10279572
申请日：2002-10-24
申请人： Valley Forge Scientific
发明人： Jerry L. Malis , Leonard L. Malis , Robert R. Acorcey , David L. Solt , Anthony John Groch
IPC分类号： A61B018/04
CPC分类号： A61B18/1206 , A61B5/053 , A61B2018/00636 , A61B2018/0075 , A61B2018/00755 , A61B2018/00875
摘要： An electrosurgical generator apparatus controls a variable output signal to electrodes. The generator apparatus operates in a cut mode, a coagulation mode or a stimulate mode. The generator apparatus comprises a DC power supply that provides regulated low voltage and high voltage outputs and a radio frequency (RF) waveform generator circuit that provides pulse duration modulation (PDM) of a carrier signal. The carrier signal directly affects the variable output signal to the electrodes. A control circuit controls a variable output signal to electrodes used in electrosurgical procedures. The control circuit comprises a DC power supply circuit that provides regulated low voltage and high voltage outputs and an RF waveform generator circuit that provides pulse duration modulation of a carrier signal. The carrier signal directly affects the variable output signal to the electrodes.
摘要翻译：电外科发生器装置控制到电极的可变输出信号。发生器装置以切割模式，凝固模式或刺激模式操作。发电机装置包括提供调节的低压和高压输出的直流电源和提供载波信号的脉冲宽度调制（PDM）的射频（RF）波形发生器电路。载波信号直接影响到电极的可变输出信号。控制电路控制用于电外科程序的电极的可变输出信号。控制电路包括提供调节的低电压和高电压输出的直流电源电路和提供载波信号的脉冲持续时间调制的RF波形发生器电路。载波信号直接影响到电极的可变输出信号。

125. 发明授权

US06610054B1 Medical probe device and method 失效
标题翻译：医疗探针装置及方法
公开(公告)号：US06610054B1
公开(公告)日：2003-08-26
申请号：US08757282
申请日：1996-11-27
申请人： Stuart D. Edwards , Ronald G. Lax , Ingemar H. Lundquist , Hugh R. Sharkey
发明人： Stuart D. Edwards , Ronald G. Lax , Ingemar H. Lundquist , Hugh R. Sharkey
IPC分类号： A61B1736
CPC分类号： A61N5/02 , A61B10/02 , A61B10/0241 , A61B18/00 , A61B18/082 , A61B18/1206 , A61B18/1477 , A61B18/148 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61B18/24 , A61B2017/00084 , A61B2017/00092 , A61B2017/00106 , A61B2017/00274 , A61B2017/00292 , A61B2017/003 , A61B2017/00867 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00083 , A61B2018/00095 , A61B2018/00196 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/0075 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00869 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1412 , A61B2018/1425 , A61B2018/1861 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/3782 , A61B2090/3925 , A61F2007/0054 , A61M3/0279 , A61M25/0068 , A61M25/0069 , A61M25/008 , A61M25/0082 , A61M2025/0086 , A61M2025/0087 , A61M2025/0089 , A61M2025/009 , A61M2025/0096 , A61M2025/018 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/04 , A61N5/045
摘要： A medical probe device comprises a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and a stylet guide for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The stylet can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode. Preferably, the non-conductive layer is a sleeve which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna. The stylet can also be a hollow tube for delivering treatment fluid to the target tissue. It can also include a fiber optic cable for laser treatment. The catheter can include one or more inflatable balloons located adjacent to the stylet port for anchoring the catheter or dilation. Ultrasound transponders and temperature sensors can be attached to the probe end and/or stylet. The stylet guide can define a stylet path from an axial orientation in the catheter through a curved portion to a lateral orientation at the stylet port.
摘要翻译：医疗探针装置包括导管，其具有在其侧壁中具有一个或多个管心针端口的探针引导壳体和用于将柔性探针向外引导通过探针端口的探针引导件，并且以与预定的可调节角度相对的目标通过介入组织组织。总导管组件包括与通管孔端口连通的探针引导腔和位于所述探针引导腔中的探针，用于从端口到介入组织到目标组织的纵向移动。探针可以是封闭在非导电层内的电导体，电导体是射频电极。优选地，非导电层是可在电导体上轴向移动以暴露目标组织中电导体表面的选定部分的套筒。探针也可以是微波天线。探针也可以是用于将治疗流体输送到靶组织的中空管。它还可以包括用于激光治疗的光纤电缆。导管可以包括一个或多个位于探针端口附近的可充气气囊，用于锚定导管或扩张。超声波转发器和温度传感器可以连接到探针端和/或探针。探针引导件可以从导管中的轴向方向定义探针路径，通过弯曲部分到探针端口处的横向取向。

126. 发明申请

US20020183740A1 Medical probe device and method relationship to copending application 失效
标题翻译：医疗探针装置和方法与共同待遇的关系
公开(公告)号：US20020183740A1
公开(公告)日：2002-12-05
申请号：US10124225
申请日：2002-04-15
申请人： VIDAMED, INC.
发明人： Stuart D. Edwards , Ronald G. Lax , Ingemar H. Lundquist , Hugh R. Sharkey
IPC分类号： A61B018/14
CPC分类号： A61N5/02 , A61B10/02 , A61B10/0241 , A61B18/00 , A61B18/082 , A61B18/1206 , A61B18/1477 , A61B18/148 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61B18/24 , A61B2017/00084 , A61B2017/00092 , A61B2017/00106 , A61B2017/00274 , A61B2017/00292 , A61B2017/003 , A61B2017/00867 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00083 , A61B2018/00095 , A61B2018/00196 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/0075 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00869 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1412 , A61B2018/1425 , A61B2018/1861 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/3782 , A61B2090/3925 , A61F2007/0054 , A61M3/0279 , A61M25/0068 , A61M25/0069 , A61M25/008 , A61M25/0082 , A61M2025/0086 , A61M2025/0087 , A61M2025/0089 , A61M2025/009 , A61M2025/0096 , A61M2025/018 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/04 , A61N5/045
摘要： A medical probe device comprises a catheter having a stylet guide housing with one or more stylet ports in a side wall thereof and a stylet guide for directing a flexible stylet outward through the stylet port and through intervening tissue at a preselected, adjustable angle to a target tissue. The total catheter assembly includes a stylet guide lumen communicating with the stylet port and a stylet positioned in said stylet guide lumen for longitudinal movement from the port through intervening tissue to a target tissue. The stylet can be an electrical conductor enclosed within a non-conductive layer, the electrical conductor being a radiofrequency electrode. Preferably, the non-conductive layer is a sleeve which is axially moveable on the electrical conductor to expose a selected portion of the electrical conductor surface in the target tissue. The stylet can also be a microwave antenna. The stylet can also be a hollow tube for delivering treatment fluid to the target tissue. It can also include a fiber optic cable for laser treatment. The catheter can include one or more inflatable balloons located adjacent to the stylet port for anchoring the catheter or dilation. Ultrasound transponders and temperature sensors can be attached to the probe end and/or stylet. The stylet guide can define a stylet path from an axial orientation in the catheter through a curved portion to a lateral orientation at the stylet port.
摘要翻译：医疗探针装置包括导管，其具有在其侧壁中具有一个或多个管心针端口的探针引导壳体和用于将柔性探针向外引导通过探针端口的探针引导件，并且以与预定的可调节角度相对的目标通过介入组织组织。总导管组件包括与通管孔端口连通的探针引导腔和位于所述探针引导腔中的探针，用于从端口到介入组织到目标组织的纵向移动。探针可以是封闭在非导电层内的电导体，电导体是射频电极。优选地，非导电层是可在电导体上轴向移动以暴露目标组织中电导体表面的选定部分的套筒。探针也可以是微波天线。探针也可以是用于将治疗流体输送到靶组织的中空管。它还可以包括用于激光治疗的光纤电缆。导管可以包括一个或多个位于探针端口附近的可充气气囊，用于锚定导管或扩张。超声波转发器和温度传感器可以连接到探针端和/或探针。探针引导件可以从导管中的轴向方向定义探针路径，通过弯曲部分到管心针端口处的横向取向。

127. 发明授权

US06456864B1 Systems and methods for guiding movable electrode elements within multiple-electrode structures 有权
标题翻译：在多电极结构中引导可动电极元件的系统和方法
公开(公告)号：US06456864B1
公开(公告)日：2002-09-24
申请号：US09624358
申请日：2000-07-24
申请人： David K. Swanson , Dorin Panescu , James G. Whayne
发明人： David K. Swanson , Dorin Panescu , James G. Whayne
IPC分类号： A61B50408
CPC分类号： A61B18/1492 , A61B5/6858 , A61B5/7217 , A61B18/1815 , A61B2017/003 , A61B2018/0016 , A61B2018/00214 , A61B2018/00351 , A61B2018/0075 , A61B2018/00755 , A61B2018/00839 , A61B2018/00875 , A61B2090/3782 , A61B2562/0209 , A61B2562/043 , A61N1/06
摘要： Systems and related methods guide a movable electrode within an array of multiple-electrodes located within the body. The systems and methods employ the movable electrode or at least one of the multiple-electrodes on the array to generate and then sense electrical or sonic energy in a predetermined fashion to generates an output that locates the movable electrode within the array.
摘要翻译：系统和相关方法引导位于身体内的多个电极阵列内的可移动电极。系统和方法采用可移动电极或阵列上的多个电极中的至少一个以产生并且然后以预定方式感测电或声能，以产生将可移动电极定位在阵列内的输出。

128. 发明授权

US06353751B1 Systems and methods for guiding movable electrode elements within multiple-electrodes structures 有权
标题翻译：在多电极结构中引导可动电极元件的系统和方法
公开(公告)号：US06353751B1
公开(公告)日：2002-03-05
申请号：US09535148
申请日：2000-03-24
申请人： David K. Swanson , Dorin Panescu , James G. Whayne
发明人： David K. Swanson , Dorin Panescu , James G. Whayne
IPC分类号： A61B50408
CPC分类号： A61B18/1492 , A61B5/6858 , A61B5/7217 , A61B18/1815 , A61B2017/003 , A61B2018/0016 , A61B2018/00214 , A61B2018/00351 , A61B2018/0075 , A61B2018/00755 , A61B2018/00839 , A61B2018/00875 , A61B2090/3782 , A61B2562/0209 , A61B2562/043 , A61N1/06
摘要： Systems and related methods guide a movable electrode within an array of multiple-electrodes located within the body. The systems and methods employ the movable electrode or at least one of the multiple-electrodes on the array to generate and then sense electrical or sonic energy in a predetermined fashion to generates an output that locates the movable electrode within the array.
摘要翻译：系统和相关方法引导位于身体内的多个电极阵列内的可移动电极。系统和方法采用可移动电极或阵列上的多个电极中的至少一个以产生并且然后以预定方式感测电或声能，以产生将可移动电极定位在阵列内的输出。

129. 发明授权

US06325799B1 Electrosurgical instrument 失效
标题翻译：电外科器械
公开(公告)号：US06325799B1
公开(公告)日：2001-12-04
申请号：US09403389
申请日：1999-12-20
申请人： Colin C. O. Goble
发明人： Colin C. O. Goble
IPC分类号： A61B1818
CPC分类号： A61B18/12 , A61B18/1206 , A61B18/14 , A61B2018/0066 , A61B2018/0075 , A61B2018/1226 , A61B2018/1253
摘要： In an electrosurgical instrument susceptible to varying load impedance, particularly varying load reactance, a fixed frequency radio frequency generator has an output stage (Q1, Q2, TR2-TR4, C1, VC2, 42) consisting of at least one output power device and, coupled to the power device, an output network with a load-dependent resonant condition. To compensate for variations in the load reactance, the output network has a dynamically variable capacitor (VC2) which maintains the tuning of the network substantially constant. Variation of the capacitor (VC2) is performed by means of a phase comparator and servo device (44) which are responsive to variations in phase difference occurring in the output stage due to load reactance changes.
摘要翻译：在易受不同负载阻抗，特别是变化的负载电抗的电外科仪器中，固定频率射频发生器具有由至少一个输出功率器件组成的输出级（Q1，Q2，TR2-TR4，C1，VC2,42）耦合到功率器件，具有负载依赖谐振条件的输出网络。为了补偿负载电抗的变化，输出网络具有动态可变电容器（VC2），其保持网络的调谐基本上恒定。电容器（VC2）的变化通过相位比较器和伺服装置（44）进行，该相位比较器和伺服装置响应负载电抗变化在输出级中发生的相位差的变化。

130. 发明授权

US06293941B1 Method and apparatus for impedance measurement in a multi-channel electro-surgical generator 失效
标题翻译：多通道电手术发生器中阻抗测量的方法和装置
公开(公告)号：US06293941B1
公开(公告)日：2001-09-25
申请号：US09167215
申请日：1998-10-06
申请人： Bruno Strul , Franklin R. Koenig
发明人： Bruno Strul , Franklin R. Koenig
IPC分类号： A01B1804
CPC分类号： A61B18/14 , A61B18/1206 , A61B18/1402 , A61B2017/00482 , A61B2018/00178 , A61B2018/00642 , A61B2018/00702 , A61B2018/0075 , A61B2018/00779 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00988 , A61B2018/1273 , Y10S128/923
摘要： This invention is an improved method and apparatus for tissue electrical impedance determination and electrical power control in a surgical device. In an embodiment of the invention an apparatus for controlling power delivery in an electro-surgical instrument is disclosed. The electro-surgical instrument includes a first channel and a second channel for delivery of energy to a surgical site. The apparatus includes: a switch, a measuring unit, a processor and a drive unit. The switch electrically isolates the second channel during a first measurement interval and the first channel during a second measurement interval. The measuring unit is coupled to the first and the second channel. The measurement unit measures a first power level of the first channel during a first measurement interval and a second power level of the second channel during a second measurement interval. The processor is coupled to the measuring unit and to the switch. The processor adjusts the first power level and the second power level to minimize a difference between a measured value of a control parameter and a target value of the control parameter. The drive unit is controlled by the processor. The drive unit delivers the adjusted first and second power levels to the surgical site via respectively the first channel and the second channel during a heating interval. In an alternate embodiment of the invention a method for controlling power delivery in an electro-surgical instrument is disclosed.
摘要翻译：本发明是用于外科装置中的组织电阻抗确定和电功率控制的改进方法和装置。在本发明的一个实施例中，公开了一种用于控制电手术器械中的电力输送的装置。电手术器械包括用于将能量递送到手术部位的第一通道和第二通道。该装置包括：开关，测量单元，处理器和驱动单元。在第一测量间隔期间，开关在第二测量间隔期间电隔离第二通道和第一通道。测量单元耦合到第一和第二通道。测量单元在第一测量间隔期间测量第一通道的第一功率电平，并在第二测量间隔期间测量第二通道的第二功率电平。处理器耦合到测量单元和开关。处理器调整第一功率电平和第二功率电平，以最小化控制参数的测量值和控制参数的目标值之间的差。驱动单元由处理器控制。驱动单元在加热间隔期间通过分别通过第一通道和第二通道将经调整的第一和第二功率水平递送到手术部位。在本发明的替代实施例中，公开了一种用于控制电外科器械中的功率输送的方法。

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