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31. 发明申请

US20060271095A1 Apparatus and method of maintaining insufflation 失效
公开(公告)号：US20060271095A1
公开(公告)日：2006-11-30
申请号：US11135428
申请日：2005-05-24
申请人： Robert Rauker , Robert Rioux , Kristian DiMatteo , Michael Chu
发明人： Robert Rauker , Robert Rioux , Kristian DiMatteo , Michael Chu
IPC分类号： A61M29/00
CPC分类号： A61B1/00082 , A61B1/31
摘要： An apparatus includes a body configured to be at least partially inserted into a rectum of a patient. The body defines a first passageway and a second passageway between a proximal end portion and a distal end portion. The first passageway is configured to receive a medical tool and the second passageway is configured to communicate an insufflation medium. An insufflation port is coupled to the second passageway and is configured to communicate the insufflation medium to the second passageway. A retention portion is coupled to the body and is configured to have a dimension transverse to an axis defined by the body sufficient to retain at least a portion of the body in the rectum. The retention portion is configured to be located beyond an anus of the patient.

32. 发明申请

US20060247620A1 ARTICULATING RADIO FREQUENCY PROBE HANDLE 有权
标题翻译：描述无线电频率探头手柄
公开(公告)号：US20060247620A1
公开(公告)日：2006-11-02
申请号：US11456829
申请日：2006-07-11
申请人： George Bourne , Robert Rioux
发明人： George Bourne , Robert Rioux
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B18/1477 , A61B2018/1425 , A61B2018/143 , A61B2090/374 , A61B2090/376
摘要： A medical probe assembly and method for ablating tissue using radio frequency energy. The medical probe assembly includes an elongated shaft, a needle electrode array, and a hinged handle. The handle has a collar, which when in the up position covers the hinge so that the device can be used as a conventional medical probe. When the collar is in the down position the hinge is exposed, and the handle can be bent to reduce its overall height. With this reduced height the probe can be used while a patient is lying in a CT scanner or an MRI chamber. Therefore, the surgeon can monitor the ablation during the procedure, and thus avoid unnecessary damage to the surrounding healthy tissue on the one hand, and insufficient ablation of the diseased tissue on the other hand. An alternate embodiment uses a flexible handle instead of a hinged one.
摘要翻译：一种用于使用射频能量消融组织的医疗探针组件和方法。医疗探针组件包括细长轴，针电极阵列和铰接手柄。手柄具有一个套环，当其向上位置覆盖铰链时，该装置可用作传统的医用探针。当衣领处于向下位置时，铰链被暴露，并且手柄可以弯曲以减小其整体高度。随着这种降低的高度，当患者躺在CT扫描仪或MRI室中时，可以使用探头。因此，外科医生可以在手术过程中监测消融，因此避免了一方面对周围健康组织的不必要的损伤，另一方面避免了患病组织的消融不足。替代实施例使用柔性手柄而不是铰接的手柄。

33. 发明申请

US20060199990A1 Percutaneous array delivery system 失效
标题翻译：经皮阵列传递系统
公开(公告)号：US20060199990A1
公开(公告)日：2006-09-07
申请号：US11075172
申请日：2005-03-07
申请人： Robert Rioux , Jeffrey Bean
发明人： Robert Rioux , Jeffrey Bean
IPC分类号： A61N5/00
CPC分类号： A61M37/0069 , A61N5/1027 , A61N2005/1011 , A61N2005/1021
摘要： A system for treating tissue includes a cannula having a proximal end, a distal end, and a lumen extending between the proximal and the distal ends, and an array of delivery tubes at least partially disposed within the lumen, each of the delivery tube having a lumen, wherein each of the delivery tubes is slidable relative to the cannula, and has a first configuration when inside the lumen, and a second configuration when outside the lumen. A system for treating tissue includes a treatment device having a distal end, and an indexing device for controlling a longitudinal position of the distal end of the treatment device relative to a target tissue region, the indexing device having a tubular portion for receiving the treatment device.
摘要翻译：用于治疗组织的系统包括具有近端，远端和在近端和远端之间延伸的内腔的套管，以及至少部分地设置在内腔内的排出管阵列，每个输送管具有其中每个输送管相对于插管可滑动，并且当在内腔内时具有第一构型，以及当在内腔外时具有第二构造。一种用于治疗组织的系统包括具有远端的治疗装置和用于控制治疗装置的远端相对于靶组织区域的纵向位置的分度装置，分度装置具有用于接收治疗装置的管状部分。

34. 发明授权

US06960208B2 Apparatus and methods for delivering energy to a target site within bone 失效
标题翻译：将能量递送到骨骼内的目标部位的装置和方法
公开(公告)号：US06960208B2
公开(公告)日：2005-11-01
申请号：US10611222
申请日：2003-06-30
申请人： George Bourne , Robert Rioux , Robert Garabedian
发明人： George Bourne , Robert Rioux , Robert Garabedian
IPC分类号： A61B18/14 , A61B18/18
CPC分类号： A61B18/1487 , A61B2018/00565
摘要： An apparatus for delivering energy to a target site within bone includes a hollow needle extending from a handle that terminates in a tissue piercing distal tip. A drill within a lumen of the needle is extendable beyond the distal tip, and includes a cutting element and an electrically conductive region. An RF generator may be coupled to the drill for delivering energy to the electrically conductive region, and a driver or actuator may be coupled to the drill for rotating and/or advancing the drill axially. During use, the needle is inserted through a patient's skin to a hard tissue structure, e.g., a bone, including a target site therein, e.g., a tumor. The drill is advanced from the needle, a hole is drilled into the bone until the drill reaches the tumor, and electrical energy is delivered via the electrically conductive region to destroy the tumor.
摘要翻译：用于将能量递送到骨骼内的目标部位的装置包括从终止于组织穿刺远侧末端的手柄延伸的中空针。针内腔内的钻孔可延伸超过远侧末端，并且包括切割元件和导电区域。 RF发生器可以耦合到钻头以将能量传递到导电区域，并且驱动器或致动器可以联接到钻头以使钻头轴向旋转和/或前进。在使用期间，将针穿过患者的皮肤插入硬组织结构，例如骨，包括其中的靶部位，例如肿瘤。钻头从针头前进，将钻孔钻到骨头中，直到钻头到达肿瘤，电能通过导电区域输送以破坏肿瘤。

35. 发明申请

US20050240174A1 Invasive ablation probe with non-coring distal tip 有权
标题翻译：侵入性消融探针与非取芯远端
公开(公告)号：US20050240174A1
公开(公告)日：2005-10-27
申请号：US10831244
申请日：2004-04-23
申请人： Christopher Pearson , Robert Garabedian , Robert Rioux
发明人： Christopher Pearson , Robert Garabedian , Robert Rioux
IPC分类号： A61B18/14 , A61N1/06 , A61B18/18
CPC分类号： A61B18/1477 , A61B2018/143 , A61B2018/1432
摘要： An invasive medical device for delivery radio frequency energy to a target tissue region includes an elongate delivery cannula having a lumen in communication with a distal opening. A deployment member is positioned and longitudinally movable in the lumen. An array of electrode elements are secured to a distal end of the deployment member, the deployment member being movable from a delivery position, in which the electrode elements are positioned within the lumen, to a deployed position, in which the electrode elements extend distally out of the cannula distal opening. A sealing member formed from a biocompatible material sufficiently rigid to penetrate solid body tissue partially extends from, and substantially seals, the distal cannula opening when the deployment member is in the delivery position. By way of examples, the sealing member may be carried on a distal end of the deployment member, or on a separately movable deployment member, or frictionally fit in the cannula distal opening.
摘要翻译：用于将射频能量传送到目标组织区域的侵入性医疗装置包括具有与远端开口连通的内腔的细长输送套管。展开构件在内腔中定位和纵向移动。电极元件的阵列固定到展开构件的远端，展开构件可从电子元件位于内腔内的输送位置移动到展开位置，电极元件向远侧延伸的套管远端开口。当展开构件处于输送位置时，由足够刚性以穿透实体组织的生物相容性材料形成的密封构件部分延伸并且基本上密封远端插管开口。作为示例，密封构件可以承载在展开构件的远端上，或者在可单独移动的展开构件上承载，或摩擦地配合在套管远侧开口中。

36. 发明申请

US20050165288A1 Systems and methods for treating breast tissue 审中-公开
标题翻译：用于治疗乳腺组织的系统和方法
公开(公告)号：US20050165288A1
公开(公告)日：2005-07-28
申请号：US10766608
申请日：2004-01-27
申请人： Robert Rioux , Paul DiCarlo
发明人： Robert Rioux , Paul DiCarlo
IPC分类号： A61B5/00 , A61B10/00 , A61B17/22 , A61B18/00 , A61B18/14 , A61B18/22 , A61N5/00 , A61M36/00 , B64D47/00 , A61B8/12
CPC分类号： A61B18/22 , A61B1/042 , A61B5/0075 , A61B5/0084 , A61B5/0091 , A61B5/4312 , A61B5/6848 , A61B10/0041 , A61B10/0045 , A61B17/2202 , A61B18/1477 , A61B2018/00333 , A61B2018/00982 , A61B2018/1425
摘要： A system for treating breast tissue includes a cannula having a proximal end, a distal end, and a lumen extending between the proximal and distal ends, the distal end configured for insertion into a breast duct such that the lumen is in fluid communication with the breast duct, and a tissue diagnostic device disposed within the lumen. A system for treating breast tissue includes a cannula having a proximal end, a distal end, and a lumen extending between the proximal and distal ends, the distal end configured for insertion into a breast duct such that the lumen is in fluid communication with the breast duct, an imaging device for providing imaging functionality to the cannula, and an energy delivery device secured to, or slidably disposed within the lumen of, the cannula.
摘要翻译：用于治疗乳房组织的系统包括具有近端，远端和在近端和远端之间延伸的内腔的套管，所述远端构造成用于插入乳房管道，使得内腔与乳房流体连通导管和设置在内腔内的组织诊断装置。用于治疗乳房组织的系统包括具有近端，远端和在近端和远端之间延伸的内腔的套管，所述远端构造成用于插入乳房管道，使得内腔与乳房流体连通导管，用于向套管提供成像功能的成像装置，以及固定到或可滑动地设置在套管内腔内的能量输送装置。

37. 发明申请

US20050154401A1 Suturing device for implantable device 审中-公开
标题翻译：用于植入式装置的缝合装置
公开(公告)号：US20050154401A1
公开(公告)日：2005-07-14
申请号：US10754362
申请日：2004-01-08
申请人： James Weldon , Robert Rioux
发明人： James Weldon , Robert Rioux
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/072 , A61B17/11 , A61B17/115 , A61B17/64 , A61B17/68 , A61F2/06 , A61B17/10
CPC分类号： A61B17/0469 , A61B17/0482 , A61B17/072 , A61B17/64 , A61B17/68 , A61B2017/00778 , A61B2017/0419 , A61B2017/0472 , A61B2017/06057 , A61B2017/1107 , A61F2/07
摘要： A suturing device is used for fixing an implantable element in place. The suturing device includes an array of hypotubes, each of which includes a fastener for fastening the implantable device to the body, and an advancement device for advancing the fasteners through the array of tubes.
摘要翻译：缝合装置用于将可植入元件固定就位。缝合装置包括海波管阵列，每个海波管包括用于将可植入装置固定到身体的紧固件，以及用于使紧固件前进穿过管阵列的前进装置。

38. 发明申请

US20050085831A1 Methods and devices for the treatment of urinary incontinence 审中-公开
标题翻译：用于治疗尿失禁的方法和装置
公开(公告)号：US20050085831A1
公开(公告)日：2005-04-21
申请号：US10973191
申请日：2004-10-26
申请人： Robert Rioux
发明人： Robert Rioux
IPC分类号： A61B17/00 , A61B17/04 , A61B17/06 , A61B17/28 , A61B17/12
CPC分类号： A61B17/06109 , A61B17/0469 , A61B17/0483 , A61B2017/00805 , A61B2017/06085 , A61B2017/2904
摘要： Methods and devices for treating female stress urinary incontinence are disclosed. The methods include transvaginally accessing the pelvic cavity and introducing a suburethral sling into the retropubic space. In some embodiments the ends of the sling are attached to an anatomical support structure. In other embodiments, the ends of the suburethral sling are not attached to an anatomical support structure. The devices include a surgical instrument for blunt dissection of the pelvic cavity which includes a curved shaft and a blunt distal end. A hook deployment device may optionally be attached to the surgical instrument.
摘要翻译：公开了治疗女性压力性尿失禁的方法和装置。这些方法包括经阴道进入盆腔并将尿道引导引入耻骨上空间。在一些实施例中，吊索的端部附接到解剖支撑结构。在其他实施例中，尿道悬吊的末端不附接到解剖支撑结构。这些装置包括用于骨盆腔钝性解剖的手术器械，其包括弯曲的轴和钝的远端。钩部署装置可以可选地附接到外科器械。

39. 发明申请

US20050059852A1 Apparatus and methods for assisting ablation of tissue using magnetic beads 失效
标题翻译：使用磁珠辅助组织消融的装置和方法
公开(公告)号：US20050059852A1
公开(公告)日：2005-03-17
申请号：US10665110
申请日：2003-09-16
申请人： Robert Rioux , Robert Garabedian
发明人： Robert Rioux , Robert Garabedian
IPC分类号： A61N1/40 , A61N2/02 , A61N2/08 , A61N2/00
CPC分类号： A61N1/406 , A61N2/02
摘要： A system for treating tissue includes a source of conductive and/or magnetic beads, a first member, e.g., a catheter or cannula, coupled to the source of magnetic beads, and a second member, e.g., a catheter or cannula, carrying a magnet on its distal end. The system is used for ablating or otherwise treating tissue within a target tissue region including a blood vessel contacting or passing therethrough. Magnetic beads are introduced into the target tissue region, e.g., using the first member, and a magnetic field is generated within the target tissue region, e.g., using the second member, to cause the magnetic beads to migrate towards a wall of the vessel. Energy is delivered into the target tissue region, e.g., to heat tissue therein, and the magnetic beads may attenuate or enhance treatment of tissue adjacent to the vessel.
摘要翻译：用于治疗组织的系统包括导电和/或磁珠的源，耦合到磁珠源的第一构件，例如导管或插管，以及携带磁体的第二构件，例如导管或套管在它的远端。该系统用于烧蚀或以其他方式处理包括接触或穿过其中的血管的靶组织区域内的组织。将磁珠引入目标组织区域，例如使用第一构件，并且例如使用第二构件在目标组织区域内产生磁场，使磁珠朝向容器的壁迁移。能量被递送到目标组织区域中，例如以加热其中的组织，并且磁珠可以减弱或增强对与血管相邻的组织的治疗。

40. 发明申请

US20050015049A1 Temporary tissue spacer and pretreatment balloon 审中-公开
标题翻译：临时组织间隔和预处理球囊
公开(公告)号：US20050015049A1
公开(公告)日：2005-01-20
申请号：US10620495
申请日：2003-07-16
申请人： Robert Rioux , George Bourne , David Danielsen , Barbara Bell
发明人： Robert Rioux , George Bourne , David Danielsen , Barbara Bell
IPC分类号： A61N5/10 , A61M31/00
CPC分类号： A61N5/1015
摘要： A device for preventing closure of a surgically created resection cavity within tissues of the body comprises an insertion member having a distal end for insertion into a surgically created resection cavity and a proximal end which remains outside the resection cavity and a lumen extending between the proximal and distal ends and an inflatable member deployable from the distal end of the insertion member, an inner chamber of the inflatable member being fluidly coupled to the lumen to receive an inflation fluid therefrom so that, when the inflation fluid is supplied to the inflatable member, the inflatable member expands so that an outer surface of the inflatable member contacts the surrounding tissue and moves the surrounding tissue out of the resection cavity. A method of treating tissue surrounding a surgically created resection cavity, comprises the steps of, after a portion of tissue has been surgically removed to create a resection cavity, inserting a distal end of a catheter into the resection cavity and deploying an inflatable element at a desired location within the resection cavity from a distal portion of the catheter in combination with the steps of inflating the inflatable element to contact inner surfaces of the resection cavity and maintain tissue surrounding the resection cavity in a position substantially corresponding to a position of the tissue prior to the creation of the resection cavity to prevent closure of the resection cavity by healing processes during a recovery period and, after the recovery period, treating the tissue surrounding the resection cavity.
摘要翻译：用于防止在身体的组织内封闭外科手术切除腔的装置包括插入构件，该插入构件具有用于插入外科手术产生的切除腔的远端和保留在切除腔外侧的近端和在近端和远端和可从插入构件的远端展开的可膨胀构件，可膨胀构件的内室流体地联接到内腔以从其接收膨胀流体，使得当充气流体被供应到可充气构件时，可膨胀构件膨胀，使得可膨胀构件的外表面接触周围组织并将周围组织移出切除腔。一种治疗外科手术切除腔周围的组织的方法包括以下步骤：在一部分组织被外科手术切除以产生切除腔之后，将导管的远端插入切除腔并将可充气元件展开在结合使可膨胀元件膨胀以接触切除腔的内表面并将包围切除腔的组织保持在基本对应于组织位置的位置的步骤的步骤创建切除腔以防止在恢复期间的愈合过程并且在恢复期之后治疗切除腔周围的组织来切除切除腔。

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