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    • 12. 发明授权
    • Electrosurgical instrument and method
    • 电外科仪器和方法
    • US07517349B2
    • 2009-04-14
    • US11199555
    • 2005-08-08
    • Csaba TruckaiJohn H. Shadduck
    • Csaba TruckaiJohn H. Shadduck
    • A61B18/14A61B18/12
    • A61B18/1492A61B18/1442A61B2018/00077A61B2018/00083A61B2018/00148A61B2018/00404A61B2018/0063A61B2018/00702A61B2018/00809A61B2090/064
    • An electrosurgical instrument and method for treating varicose veins. In one embodiment, an elongate catheter has a distal working end that carries an electrosurgical energy delivery surface comprising at least one electrode with a positive temperature coefficient of resistance (PTCR) surface and/or an electrode with a pressure sensitive variable resistance to provide a smart surface for controlling Rf current flow at the interface of electrosurgical surface and the tissue. The electrode surface then can limit or modulate Rf energy delivery through the surface in response to the temperature of the surface or the engagement pressure of the surface against the engaged tissue. In operation, the smart electrosurgical surface prevents arcing at the electrode-tissue interface, and thus controls ohmic heating to prevent tissue desiccation, charring and emboli formation.
    • 一种用于治疗静脉曲张的电外科器械和方法。 在一个实施例中,细长导管具有远端工作端,其承载电外科能量输送表面,其包括具有正温度系数电阻(PTCR)表面的至少一个电极和/或具有压敏可变电阻的电极,以提供智能 用于控制电外科表面和组织界面处的Rf电流的表面。 电极表面然后可以响应于表面的温度或表面对接合的组织的接合压力而限制或调节通过表面的Rf能量传递。 在操作中,智能电外科表面防止电极 - 组织界面处的电弧,从而控制欧姆加热以防止组织干燥,炭化和栓塞形成。
    • 13. 发明申请
    • BONE TREATMENT SYSTEMS AND METHODS
    • 骨治疗系统和方法
    • US20080269761A1
    • 2008-10-30
    • US12112477
    • 2008-04-30
    • Csaba TruckaiJohn H. ShadduckRobert Luzzi
    • Csaba TruckaiJohn H. ShadduckRobert Luzzi
    • A61B17/58A61N1/00A61B19/00
    • A61B17/8822A61B17/88A61B17/8805A61B17/8811A61B17/8816A61B17/8836
    • The present invention relates in certain embodiments to systems and methods for treating bone, such as vertebral compression fractures. In one embodiment, a method includes controllably applying energy from an energy source to a bone cement volume outside of a patient's body to selectively accelerate the polymerization rate of the bone fill material volume prior to introduction of the bone fill material into a bone. The method further includes sequentially introducing a plurality of cement carrying structures with said accelerated polymerization rate bone cement volume into the bone. A system for use in said method includes at least one elongated cement-carrying structure sized to carry a bone cement volume therein and an energy source operatively coupleable to the cement-carrying structure. The energy source applies energy to the bone cement volume to selectively accelerate a polymerization rate thereof. An elongated injector is insertable into the bone and has a passageway that removably receives the elongated cement-carrying structure to allow delivery of the accelerated polymerization rate bone cement into the bone.
    • 本发明在某些实施方案中涉及用于治疗骨骼的系统和方法,例如椎体压缩性骨折。 在一个实施例中,一种方法包括将能量源可控地施加到患者身体外部的骨水泥体积,以在将骨填充材料引入骨骼之前选择性地加速骨填充材料体积的聚合速率。 该方法还包括将具有所述加速聚合速率骨水泥体积的多个水泥承载结构顺序地引入骨中。 用于所述方法的系统包括尺寸适于承载骨水泥体积的至少一个细长的水泥承载结构,以及可操作地连接到承载结构的能量源。 能量源将能量施加到骨水泥体积以选择性地加速其聚合速率。 细长的注射器可插入到骨中并且具有可移除地容纳细长的水泥承载结构以允许将加速的聚合速率骨水泥递送到骨中的通道。
    • 14. 发明授权
    • Electrosurgical instrument and method of use
    • 电外科仪器及使用方法
    • US07311709B2
    • 2007-12-25
    • US10448478
    • 2003-05-30
    • Csaba TruckaiJames A. BakerJohn H. Shadduck
    • Csaba TruckaiJames A. BakerJohn H. Shadduck
    • A61B18/12
    • A61B18/1442A61B2018/00077A61B2018/00083A61B2018/00148A61B2018/0063A61B2018/00654A61B2018/00791A61B2018/00797A61B2018/00809A61B2018/1467
    • An electrosurgical medical device and method for creating thermal welds in engaged tissue. In one embodiment, at least one jaw of the instrument defines a tissue engagement plane carrying a variable resistive body of a positive temperature coefficient material that has a selected decreased electrical conductance at each selected increased temperature thereof over a targeted treatment range. The variable resistive body can be engineered to bracket a targeted thermal treatment range, for example about 60° C. to 80° C., at which tissue welding can be accomplished. In one mode of operation, the engagement plane will automatically modulate and spatially localize ohmic heating within the engaged tissue from Rf energy application across micron-scale portions of the engagement surface. In another mode of operation, a variable resistive body will focus conductive heating in a selected portion of the engagement surface.
    • 一种用于在接合组织中产生热焊缝的电外科医疗装置和方法。 在一个实施例中,仪器的至少一个钳口限定了携带正温度系数材料的可变电阻体的组织接合平面,其在目标治疗范围内的每个选定的升高温度下具有选定的降低的电导率。 可变电阻体可以被设计成支撑目标热处理范围,例如约60℃至80℃,在该热处理范围内可以实现组织焊接。 在一种操作模式中,接合平面将自动地调节并且在接合表面的微米级部分的Rf能量施加之间空间地定位所接合组织内的欧姆加热。 在另一种操作模式中,可变电阻体将导电加热聚焦在接合表面的选定部分中。
    • 18. 发明授权
    • Bone treatment systems and methods
    • 骨治疗系统和方法
    • US08556910B2
    • 2013-10-15
    • US12062345
    • 2008-04-03
    • Csaba TruckaiRobert LuzziJohn H. Shadduck
    • Csaba TruckaiRobert LuzziJohn H. Shadduck
    • A61B17/58A61B17/60A61F2/00
    • A61B17/8836A61B17/8822A61B2017/00022
    • Systems and methods for delivering bone cement into a bone can include a handle body defining a flow path, a thermal emitter in the handle body to apply energy to bone cement passing through the flow path, a source of bone cement and an injection cannula. The cannula can be in communication with the flow path such that inserting the cannula into a bone can allow a flow of bone cement therethrough to an opening at a distal end of the cannula. Other systems and methods for delivering bone cement into a bone can include an injector body with a handle portion, and a cannula, a bone cement container, a low pressure drive mechanism configured to effect a flow of bone cement from said container to the injector body and a high pressure drive mechanism configured to effect a flow of bone cement through the injector body into the bone.
    • 用于将骨水泥输送到骨中的系统和方法可以包括限定流路的手柄主体,手柄主体中的热发射器,以将能量施加到通过流路的骨水泥,骨水泥源和注射套管。 套管可以与流动路径连通,使得将套管插入骨头可以允许骨水泥通过其穿过套管远端的开口。 用于将骨水泥输送到骨头中的其它系统和方法可以包括具有手柄部分的注射器主体和套管,骨水泥容器,低压驱动机构,其被配置为实现骨粘固剂从所述容器流到喷射器主体 以及高压驱动机构,其构造成使得骨水泥通过所述注射器主体流入所述骨中。
    • 20. 发明申请
    • ELECTROSURGICAL INSTRUMENT AND METHOD OF USE
    • 静电仪器及其使用方法
    • US20120197248A1
    • 2012-08-02
    • US13445532
    • 2012-04-12
    • Csaba TruckaiJohn H. Shadduck
    • Csaba TruckaiJohn H. Shadduck
    • A61B18/18A61B18/14
    • A61B18/1442A61B18/1445A61B2018/00077A61B2018/00083A61B2018/00125A61B2018/00148A61B2018/0016A61B2018/00404A61B2018/00601A61B2018/0063A61B2018/1412A61B2018/1455
    • Embodiments of the invention provide an electrosurgical jaw structure comprising first and second opposing jaws one or both of which include 3D variable resistance bodies. The jaw structure can be part of the working end of a surgical instrument. In one embodiment, the jaws can comprise first and second energy-delivery jaw surfaces having first and second 3D variable resistance bodies, with the jaw surface configured to be coupled to an Rf source. The 3D variable resistance bodies can define different temperature-resistance curves. The 3D bodies can be configured to control ohmic heating of tissue by modulating the delivery of Rf energy to tissue. Jaw structures having the 3D bodies can be used to engage and produce high strength tissue welds in targeted tissue including tissue volumes having varying tissue types. Such jaw structures can be configured to simultaneously apply different energy levels to each tissue type within the tissue volume.
    • 本发明的实施例提供一种电外科钳口结构,其包括第一和第二相对的钳口,其中一个或两个包括3D可变电阻体。 钳口结构可以是外科器械的工作端的一部分。 在一个实施例中,夹爪可以包括具有第一和第二3D可变电阻体的第一和第二能量输送钳口表面,其中钳口表面被配置为耦合到Rf源。 3D可变电阻体可以定义不同的耐温曲线。 3D体可以被配置成通过调节Rf能量递送到组织来控制组织的欧姆加热。 可以使用具有3D体的颚结构来接合和产生包括具有不同组织类型的组织体积的靶组织中的高强度组织焊接。 这种钳口结构可以被配置为同时对组织体积内的每种组织类型施加不同的能量水平。