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11. 发明申请

US20130317363A1 Planning System and Navigation System for an Ablation Procedure 有权
标题翻译：消融程序规划系统和导航系统
公开(公告)号：US20130317363A1
公开(公告)日：2013-11-28
申请号：US13477395
申请日：2012-05-22
申请人： Jason A. Case , Kevin Frank , Casey M. Ladtkow
发明人： Jason A. Case , Kevin Frank , Casey M. Ladtkow
IPC分类号： A61B8/13
CPC分类号： A61B8/465 , A61B6/12 , A61B8/0841 , A61B8/4263 , A61B8/4444 , A61B8/463 , A61B8/466 , A61B8/467 , A61B8/483 , A61B8/565 , A61B18/1477 , A61B18/1815 , A61B34/10 , A61B34/20 , A61B34/25 , A61B90/04 , A61B2017/00477 , A61B2018/00577 , A61B2034/104 , A61B2034/107 , A61B2034/2051 , A61B2034/2065 , A61B2090/0463 , A61B2090/0472 , A61B2090/0481 , A61B2090/364 , A61B2090/365 , A61B2090/378 , A61B2090/3983
摘要： The present disclosure is directed to an ablation planning and navigation system. The planning system includes a memory configured to store a plurality of images and a controller configured to render the plurality of images in three dimensions, automatically segment the plurality of images to demarcate a target area, and automatically determine a treatment plan based on the target area. The navigation system includes an ultrasound device having a fiducial pattern that obtains an ultrasound image, an ablation needle having a image capture device that captures an image of the fiducial pattern, and a controller that receives the ultrasound image and the fiducial image. The controller determines a position of the ablation needle based on the fiducial image. The planning and navigation system also includes a controller that receives data from the planning system and the navigation system and a display configured to display the received information.
摘要翻译：本公开涉及消融规划和导航系统。规划系统包括被配置为存储多个图像的存储器和被配置为在三维中渲染多个图像的控制器，自动分割多个图像以划定目标区域，并且基于目标区域自动确定治疗计划。导航系统包括具有获取超声图像的基准图案的超声波装置，具有捕获基准图案的图像的图像捕获装置的消融针以及接收超声图像和基准图像的控制器。控制器基于基准图像确定消融针的位置。规划导航系统还包括从计划系统和导航系统接收数据的控制器以及配置成显示接收到的信息的显示器。

12. 发明申请

US20100094271A1 Apparatus, System and Method for Monitoring Tissue During an Electrosurgical Procedure 有权
标题翻译：在电外科手术过程中监测组织的装置，系统和方法
公开(公告)号：US20100094271A1
公开(公告)日：2010-04-15
申请号：US12249263
申请日：2008-10-10
申请人： Arlen K. Ward , Casey M. Ladtkow
发明人： Arlen K. Ward , Casey M. Ladtkow
IPC分类号： A61B18/18 , A61B18/14
CPC分类号： A61B18/18 , A61B5/0059 , A61B5/01 , A61B5/053 , A61B18/1445 , A61B18/1815 , A61B2017/00039 , A61B2017/2945 , A61B2018/1432
摘要： A system for monitoring and/or controlling tissue modification during an electrosurgical procedure is provided. The system includes an electrosurgical apparatus adapted to connect to an electrosurgical generator. The electrosurgical apparatus configured to transmit energy to tissue. The system also includes a control system having one or more electromagnetic wave sources configured to generate the interrogator wave of one or more frequencies adjacent tissue. One or more sensors are configured to transmit and sense a reflected portion of the interrogator wave of at least one frequency to determine dielectric boundary data. A processor operatively coupled to the control system and to the electrosurgical generator configured to control the delivery of electrosurgical energy from the electrosurgical generator to tissue based on dielectric boundary data provided by the one or more sensors.
摘要翻译：提供了一种用于在电外科手术期间监测和/或控制组织改变的系统。该系统包括适于连接到电外科发生器的电外科设备。构造成将能量传递给组织的电外科设备。该系统还包括具有一个或多个电磁波源的控制系统，其被配置为产生邻近组织的一个或多个频率的询问器波。一个或多个传感器被配置为传送和感测至少一个频率的询问器波的反射部分以确定介电边界数据。可操作地耦合到所述控制系统和所述电外科发生器的处理器，所述电外科发生器被配置成基于由所述一个或多个传感器提供的介电边界数据来控制从所述电外科发生器到组织的电外科能量的递送。

13. 发明申请

US20090306652A1 Ablation Needle Guide 有权
标题翻译：消融针指南
公开(公告)号：US20090306652A1
公开(公告)日：2009-12-10
申请号：US12135690
申请日：2008-06-09
申请人： Steven P. Buysse , Casey M. Ladtkow , Joshua K. Buysse
发明人： Steven P. Buysse , Casey M. Ladtkow , Joshua K. Buysse
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B18/1206 , A61B18/1477 , A61B90/11 , A61B2018/00023 , A61B2018/0016 , A61B2018/00577 , A61B2018/1405 , A61B2018/1425 , A61B2018/143 , A61B2018/1495
摘要： The present disclosure relates to systems and devices for positioning and placing multiple electrodes in a target surgical site. A guide block is disclosed which introduces electrodes into target tissue and includes an elongated, generally rectilinear bar having a plurality of slots defined therethrough. Each of the slots is configured to selectively receive and retain a corresponding electrode therein. The rectilinear bar is malleable and selectively bendable from a substantially linear configuration to a substantially curved configuration to facilitate positioning the guide block relative to target tissue.
摘要翻译：本公开涉及用于在目标手术部位中定位和放置多个电极的系统和装置。公开了引导块，其将电极引入目标组织中，并且包括细长的，大致直线的杆，其具有通过其限定的多个槽。每个槽配置成选择性地在其中接收和保持相应的电极。直线杆是可延展的并且可以从基本线性构造选择性地弯曲到基本上弯曲的构造，以便于相对于目标组织定位引导块。

14. 发明授权

US09492190B2 Tissue dissectors 有权
标题翻译：组织解剖
公开(公告)号：US09492190B2
公开(公告)日：2016-11-15
申请号：US13024041
申请日：2011-02-09
申请人： Joseph D. Brannan , Kaylen J. Haley , Casey M. Ladtkow , Richard A. Willyard
发明人： Joseph D. Brannan , Kaylen J. Haley , Casey M. Ladtkow , Richard A. Willyard
IPC分类号： A61B18/18 , A61B17/32 , A61B17/22 , A61B17/34
CPC分类号： A61B17/320016 , A61B17/34 , A61B17/3417 , A61B17/3472 , A61B18/00 , A61B18/1206 , A61B18/1815 , A61B2017/22074 , A61B2017/320048 , A61B2017/3456 , A61B2017/347 , A61B2017/3488 , A61B2018/00577 , A61B2018/00791 , A61B2018/1869
摘要： A tissue dissector is provided. The tissue dissector includes a cannula and an introducer coaxially coupled to the cannula and movable therein from a retracted position to an extended position. An introducer is coaxially coupleable to the cannula and movable therein from a retracted position to an extended position. The introducer including a generally annular lumen disposed in fluid communication with an inflation port operably disposed on the introducer and in fluid communication with an inflatable balloon that couples to the introducer. The inflatable balloon is movable from a deflated condition for positioning the introducer adjacent target tissue, to an inflated condition for separating the target tissue from nearby tissue and for providing a barrier therebetween such that the nearby tissue is not affected during the electrosurgical procedure.
摘要翻译：提供组织解剖器。组织解剖器包括套管和引导器，其同轴地联接到套管并且可在其中从缩回位置移动到延伸位置。引导器同轴地联接到套管并且可以在其中从缩回位置移动到延伸位置。引导器包括大致环形的腔，其设置成与可操作地设置在导引器上的充气端口流体连通，并且与充气气囊流体连通，所述充气气囊联接到导引器。充气气囊可以从用于将导引器定位在靶组织附近的放气状态移动到充气状态，用于将靶组织与附近组织分开并在其间提供屏障，使得附近组织在电外科手术期间不受影响。

15. 发明申请

US20140052125A1 FLEXIBLE MICROWAVE CATHETERS FOR NATURAL OR ARTIFICIAL LUMENS 审中-公开
标题翻译：用于自然或人造红色的柔性微波导管
公开(公告)号：US20140052125A1
公开(公告)日：2014-02-20
申请号：US14110656
申请日：2012-04-09
申请人： Joseph D. Bra , Casey M. Ladtkow
发明人： Joseph D. Bra , Casey M. Ladtkow
IPC分类号： A61B18/18
摘要： A method for implementing a microwave ablation waveguide, that includes selecting a lumen adapted to convey a fluid and formed from living biological tissue, introducing an elongate inner conductor into the lumen, positioning at least a portion of the elongate inner conductor within the lumen such that a longitudinal axis of the elongate inner conductor is positioned substantially parallel to and at a desired distance from a longitudinal axis of the lumen and proximate an anatomical feature of interest, and transferring microwave energy along the elongate inner conductor such that the lumen shields the inner conductor and allows a pre-determined amount of microwave energy to propagate through the anatomical feature of interest.
摘要翻译：一种用于实现微波消融波导的方法，其包括选择适于传送流体并由活的生物组织形成的内腔，将细长的内部导体引入所述内腔，将所述细长内部导体的至少一部分定位在所述内腔内，使得细长内部导体的纵向轴线基本上平行于距腔的纵向轴线并且距离感兴趣的解剖学特征附近的期望距离，并且沿着细长的内部导体传送微波能量，使得管腔屏蔽内部导体并且允许预定量的微波能量传播通过感兴趣的解剖特征。

16. 发明授权

US08568402B2 Thermal feedback systems and methods of using the same 有权
标题翻译：热反馈系统及其使用方法
公开(公告)号：US08568402B2
公开(公告)日：2013-10-29
申请号：US13539725
申请日：2012-07-02
申请人： Steven P. Buysse , Casey M. Ladtkow , Brandon Gay
发明人： Steven P. Buysse , Casey M. Ladtkow , Brandon Gay
IPC分类号： A61B18/18
CPC分类号： A61B18/1815 , A61B5/015 , A61B5/4836 , A61B5/743 , A61B18/1206 , A61B18/1477 , A61B18/18 , A61B2018/00011 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821 , A61B2018/1823 , A61B2018/183 , A61B2090/374 , A61B2090/376 , A61B2090/3762 , A61B2090/378
摘要： A system for providing feedback during an electro surgical procedure on a target tissue is provided. The system includes an electrosurgical energy source; an electrode probe assembly connected to the electrosurgical energy source, wherein the electrode probe assembly includes at least one electrode assembly having a needle configured to deliver electrosurgical energy to the target tissue; at least one thermal feedback assembly connected to the electrosurgical energy source, wherein each thermal feedback assembly includes at least one temperature sensor assembly; and a hub configured to selectively support the electrode probe assembly and each thermal feedback assembly such that the needle of the electrode probe assembly and each temperature sensor assembly of each thermal feedback assembly are proximate one another when disposed proximate the target tissue.
摘要翻译：提供了一种在电外科手术过程中在目标组织上提供反馈的系统。该系统包括电外科能源; 连接到电外科能源的电极探针组件，其中所述电极探针组件包括至少一个电极组件，所述至少一个电极组件具有构造成将电外科能量递送到所述靶组织的针; 连接到所述电外科能源的至少一个热反馈组件，其中每个热反馈组件包括至少一个温度传感器组件; 以及毂，其被配置为选择性地支撑电极探针组件和每个热反馈组件，使得当设置在靶组织附近时，每个热反馈组件的电极探针组件的针和每个温度传感器组件彼此靠近。

17. 发明申请

US20120239024A1 Energy-Based Ablation Completion Algorithm 审中-公开
标题翻译：基于能量的消融完成算法
公开(公告)号：US20120239024A1
公开(公告)日：2012-09-20
申请号：US13050729
申请日：2011-03-17
申请人： Casey M. Ladtkow , Joseph D. Brannan
发明人： Casey M. Ladtkow , Joseph D. Brannan
IPC分类号： A61B18/12
CPC分类号： A61B18/1815 , A61B18/1206 , A61B18/1402 , A61B18/1442 , A61B2017/00119 , A61B2018/00023 , A61B2018/00678 , A61B2018/00738 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/00892 , A61B2018/00898
摘要： An electrosurgical generator is disclosed. The generator includes sensor circuitry configured to measure voltage and current delivered to tissue and a controller configured to measure time of energy delivery to tissue and to calculate energy delivered to tissue, the controller further configured to estimate a size of an ablation volume as a function of energy delivered to tissue and time and to calculate a growth rate of the ablation volume based on the estimated size.
摘要翻译：公开了一种电外科发生器。发生器包括被配置为测量传递到组织的电压和电流的传感器电路和被配置为测量能量输送到组织的时间并且计算递送到组织的能量的控制器，所述控制器还被配置为估计消融体积的大小作为能量输送到组织和时间，并根据估计的大小计算消融体积的增长率。

18. 发明申请

US20110238053A1 Microwave Surface Coagulator with Retractable Blade 有权
标题翻译：带伸缩刀片的微波表面凝结器
公开(公告)号：US20110238053A1
公开(公告)日：2011-09-29
申请号：US12731367
申请日：2010-03-25
申请人： Joseph D. Brannan , Casey M. Ladtkow
发明人： Joseph D. Brannan , Casey M. Ladtkow
IPC分类号： A61B18/18
CPC分类号： A61B18/1815 , A61B17/3211 , A61B2017/32113 , A61B2018/00023 , A61B2018/1861
摘要： An ablation instrument having an ergonomic handle that includes an actuator adapted to selectively extend and retract a blade that is pivotably mounted within an aperture assembly coupled to the housing by a shaft. The shaft extends distally from the handle and includes a coaxial feedline, a wire conduit disposed along a longitudinal axis of the shaft, and a pull wire disposed within the wire conduit and having a proximal and a distal end, wherein a proximal end of the pull wire is operably coupled to the actuator. The aperture assembly is coupled to a distal end of the shaft and includes a reflector having a closed upper portion, and an open lower portion from which the blade may be extended for use. Also disclosed is an ablation system that includes the above-described ablation instrument, a source of ablation energy, and optionally, a source of coolant for cooling the shaft and aperture assembly.
摘要翻译：一种具有人体工程学手柄的消融仪器，其包括致动器，所述致动器适于选择性地延伸和缩回通过轴枢转地安装在联接到所述壳体的孔组件内的叶片。所述轴从所述手柄向远侧延伸并且包括同轴馈线，沿着所述轴的纵向轴线布置的线导管和设置在所述线导管内并具有近端和远端的拉线，其中所述拉的近端导线可操作地联接到致动器。孔组件联接到轴的远端，并且包括具有封闭的上部的反射器和敞开的下部，刀片可从该开口下部延伸以供使用。还公开了一种消融系统，其包括上述消融器具，消融能源以及可选地用于冷却轴和孔组件的冷却剂源。

19. 发明申请

US20090118613A1 Method for Volume Determination and Geometric Reconstruction 有权
标题翻译：体积测定和几何重建方法
公开(公告)号：US20090118613A1
公开(公告)日：2009-05-07
申请号：US12260811
申请日：2008-10-29
申请人： Kimberly Krugman , Casey M. Ladtkow
发明人： Kimberly Krugman , Casey M. Ladtkow
IPC分类号： A61B18/14 , A61B6/00 , A61B5/055
CPC分类号： A61B34/10 , A61B5/055 , A61B6/032 , A61B6/037 , A61B6/12 , A61B6/4488 , A61B8/0841 , A61B8/481 , A61B18/1206 , A61B18/1477 , A61B2017/00106 , A61B2018/00011 , A61B2018/00577 , A61B2018/00738 , A61B2018/00744 , A61B2018/00791 , A61B2034/104 , A61B2090/378 , A61B2090/3782 , A61B2090/3925
摘要： A method for determining a volume of ablated tissue includes the steps of supplying energy to tissue, indicating an axis within the tissue, and simulating slicing of the tissue substantially perpendicular to the axis to obtain a plurality of simulated slices. Each of the plurality of simulated slices has a thickness, a cross-sectional perimeter, and a trajectory point defined by the axis within the tissue. The method further includes the steps of determining a volume of each of the plurality of simulated slices based on the trajectory point, the cross-sectional perimeter, and the thickness of each simulated slice, and summing the volumes from each of the plurality of simulated slices to obtain the volume of the ablated tissue.
摘要翻译：用于确定消融组织的体积的方法包括以下步骤：向组织提供能量，指示组织内的轴，以及模拟基本上垂直于所述轴线的组织的切片，以获得多个模拟切片。多个模拟切片中的每一个具有由组织内的轴限定的厚度，横截面周长和轨迹点。该方法还包括以下步骤：基于每个模拟切片的轨迹点，横截面周长和厚度来确定多个模拟切片中的每一个的体积，并且对来自多个模拟切片中的每一个的体积求和以获得消融的组织的体积。

20. 发明授权

US09622813B2 Method for volume determination and geometric reconstruction 有权
公开(公告)号：US09622813B2
公开(公告)日：2017-04-18
申请号：US12260811
申请日：2008-10-29
申请人： Kimberly Krugman , Casey M. Ladtkow
发明人： Kimberly Krugman , Casey M. Ladtkow
IPC分类号： A61B18/14 , A61B18/12 , A61B5/055 , A61B6/12 , A61B6/00 , A61B17/00 , A61B18/00 , A61B90/00
CPC分类号： A61B34/10 , A61B5/055 , A61B6/032 , A61B6/037 , A61B6/12 , A61B6/4488 , A61B8/0841 , A61B8/481 , A61B18/1206 , A61B18/1477 , A61B2017/00106 , A61B2018/00011 , A61B2018/00577 , A61B2018/00738 , A61B2018/00744 , A61B2018/00791 , A61B2034/104 , A61B2090/378 , A61B2090/3782 , A61B2090/3925
摘要： A method for determining a volume of ablated tissue includes the steps of supplying energy to tissue, indicating an axis within the tissue, and simulating slicing of the tissue substantially perpendicular to the axis to obtain a plurality of simulated slices. Each of the plurality of simulated slices has a thickness, a cross-sectional perimeter, and a trajectory point defined by the axis within the tissue. The method further includes the steps of determining a volume of each of the plurality of simulated slices based on the trajectory point, the cross-sectional perimeter, and the thickness of each simulated slice, and summing the volumes from each of the plurality of simulated slices to obtain the volume of the ablated tissue.

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