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71. 发明申请

WO2016168381A1 RADIOFREQUENCY DENERVATION NEEDLE AND METHOD 审中-公开
标题翻译：无线电辐射针和方法
公开(公告)号：WO2016168381A1
公开(公告)日：2016-10-20
申请号：PCT/US2016/027391
申请日：2016-04-13
申请人： BAZOBERRY, Carlos, Fernando
发明人： BAZOBERRY, Carlos, Fernando
IPC分类号： A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18
CPC分类号： A61B18/1477 , A61B2018/00339 , A61B2018/0044 , A61B2018/00577 , A61B2018/1432 , A61B2018/1435
摘要： A radiofrequency denervation device (10) with a needle (12) and an electrode (20) for actuating an active portion (16) of the needle (12) to produce radiofrequency denervation of the sacroiliac joint. The needle (12) has a tip (14) with an inactive portion (24) and the radiofrequency active portion (16) for producing lesions in surrounding tissue. The active portion (16) and a portion of the inactive portion (24) are disposed in a helical formation concentric with a longitudinal axis of the needle (12). The helical formation communicates over an arcuate path with an angle of attack. A method of radiofrequency denervation can be performed by rotating the tip (14) of the needle (12) in a screw-like motion in a first rotational direction to achieve a position with the active portion (16) of the tip (14) substantially parallel to a surface of the sacrum and actuating the active portion (16) to produce a lesion. Repositioning and further lesioning can be achieved by selective rotation and actuation of the tip (14).
摘要翻译：一种具有针（12）和用于致动针（12）的有效部分（16））的电极（20）的射频去神经支配装置（10），以产生骶髂关节的射频去神经支配。针（12）具有具有非活性部分（24）的尖端（14）和用于在周围组织中产生损伤的射频活动部分（16）。活动部分（16）和非活性部分（24）的一部分以与针（12）的纵向轴线同心的螺旋形状布置。螺旋形状通过弓形路径与迎角相通。可以通过以第一旋转方向的螺旋状运动旋转针（12）的尖端（14）来实现射频去神经支配的方法，以实现具有尖端（14）的有效部分（16）的位置平行于骶骨的表面并致动活动部分（16）以产生损伤。可以通过尖端（14）的选择性旋转和致动来实现再定位和进一步的损伤。

72. 发明申请

WO2016130844A1 TISSUE VISUALIZATION AND MODIFICATION DEVICES AND METHODS 审中-公开
标题翻译：组织可视化和修改设备和方法
公开(公告)号：WO2016130844A1
公开(公告)日：2016-08-18
申请号：PCT/US2016/017608
申请日：2016-02-11
申请人： TRICE MEDICAL, INC.
发明人： OUYANG, Xiaolong , CYBULSKI, James, S. , SCHULTZ, Eric , SEDDIQUI, Fred, R.
IPC分类号： A61B18/12 , A61B18/14
CPC分类号： A61B90/30 , A61B10/0283 , A61B17/1608 , A61B18/042 , A61B18/1206 , A61B18/14 , A61B18/1482 , A61B46/10 , A61B90/361 , A61B2018/00208 , A61B2018/00339 , A61B2018/00791 , A61B2018/00875 , A61B2018/00922 , A61B2018/00994 , A61B2018/1213 , A61B2018/122 , A61B2018/1226 , A61B2018/1266 , A61B2090/065 , A61B2090/306 , A61B2090/309 , A61B2090/372
摘要： Aspects of the invention include minimally invasive tissue modification systems. Embodiments of the systems include a minimally invasive access device having a proximal end, a distal end and an internal passageway. Positioned among the distal ends of the devices are a visualization element and an illumination element. Also provided are methods of using the systems in tissue modification applications, as well as kits for practicing the methods of the invention. Internal tissue visualization devices having RF-shielded visualization sensor modules are also provided. Minimally invasive RF tissue modulation devices are provided. In some aspects, the devices include a hand-held control unit and an elongated member. In some aspects, RF tissue modulation devices are provided and include an adapter that operably couples to a hand-held medical device. The adapter generates RF energy for delivery to a plasma generator on an elongated member.
摘要翻译：本发明的方面包括微创组织修饰系统。该系统的实施例包括具有近端，远端和内部通道的微创入路装置。位于设备的远端之间的是可视化元件和照明元件。还提供了在组织修饰应用中使用该系统的方法，以及用于实践本发明的方法的试剂盒。还提供了具有RF屏蔽可视化传感器模块的内部组织可视化装置。提供微创RF组织调制装置。在一些方面，装置包括手持控制单元和细长构件。在一些方面，提供RF组织调制装置并且包括可操作地耦合到手持式医疗装置的适配器。适配器产生RF能量，用于递送到细长构件上的等离子体发生器。

73. 发明申请

WO2015038200A1 IMPLANTABLE DEVICES FOR THERMAL THERAPY AND RELATED METHODS 审中-公开
标题翻译：用于热疗的可植入装置及相关方法
公开(公告)号：WO2015038200A1
公开(公告)日：2015-03-19
申请号：PCT/US2014/037825
申请日：2014-05-13
申请人： NEURAXIS, LLC
发明人： DRNEK, Michael , FARLEY, Dan , SULLIVAN, John
IPC分类号： A61B17/00 , A61N7/02
CPC分类号： A61F7/12 , A61B2018/00339 , A61F2007/0018 , A61F2007/0054 , A61F2007/0055 , A61F2007/0059 , A61F2007/0075
摘要： Methods and devices are disclosed herein that generally involve applying thermal therapy to tissue (e.g., localized cooling or heating of tissue), and in particular applying thermal therapy to the spinal canal, tissue disposed within the spinal canal, and/or nerve roots extending from the spinal canal. In some embodiments, tissue can be cooled or heated by implanting a malleable or deformable thermal device in proximity to the targeted tissue. The thermal device can be left in place following surgery to facilitate application of post-surgical thermal therapy. In some embodiments, the thermal device can be removed post-surgery in a minimally- or non-invasive manner. The thermal device can be connectionless or include penetrable regions, preattached tubing, or detachable connectors to facilitate application of cooling or heating means to the device. Methods are disclosed for utilizing thermal devices and for carrying out various treatment regimens that involve involving cooling or heating tissue using such devices.
摘要翻译：本文公开的方法和装置通常涉及将热疗法应用于组织（例如，局部冷却或组织加热），并且特别是对脊柱管，设置在椎管内的组织和/或从椎管。在一些实施例中，可以通过将可延展的或可变形的热装置植入到目标组织附近来冷却或加热组织。手术后热装置可以放置在适当位置，以方便应用手术后热疗。在一些实施例中，可以以最低限度或非侵入性的方式在手术后移除热装置。热装置可以是无连接的或包括可穿透区域，预连接管道或可拆卸连接器，以便于将冷却或加热装置应用于装置。公开了利用热装置和执行涉及使用这种装置冷却或加热组织的各种治疗方案的方法。

74. 发明申请

WO2013062320A3 METHOD FOR DETERMINING BODY TYPE FOR THERMOTHERAPY DEVICE 审中-公开
标题翻译：用于确定热疗装置的身体类型的方法
公开(公告)号：WO2013062320A3
公开(公告)日：2013-06-20
申请号：PCT/KR2012008783
申请日：2012-10-24
申请人： CERAGEM CO LTD
发明人： LEE TAEK SEUNG , CHOI SANG UI , PARK CHANG SOO , KIM YONG HEE , LEE HEA SUNG
IPC分类号： A61H39/06 , A61F7/00
CPC分类号： A61B18/06 , A61B5/1072 , A61B5/4566 , A61B5/4854 , A61B5/684 , A61B5/6843 , A61B5/6892 , A61B5/72 , A61B2018/00339 , A61B2018/00642 , A61F7/007 , A61F7/032 , A61H15/0078 , A61H39/06 , A61H39/08 , A61H2015/0028 , A61H2201/1215 , A61H2201/1669 , A61H2201/5064 , A61H2205/081 , A61H2230/855
摘要： The present invention relates to a method for determining body conditions for a thermotherapy device, and more specifically, to a method for determining body types for a thermotherapy device, comprising: scanning the entire backbone of a user by operating a moxibustion device via a control portion using a horizontal motor; calculating the backbone length of the body by measuring the operation current of the horizontal motor; and precisely detecting the location of the cervical vertebrae, the thoracic vertebrae, the lumbar vertebrae and the coccyx constituting the backbone, respectively, to calculate the places on the body suitable for acupuncture and to use the places for thermotherapy.
摘要翻译：本发明涉及一种用于确定热疗装置的身体状况的方法，更具体地，涉及一种用于确定热疗装置的身体类型的方法，包括：通过经由控制部分操作艾灸装置扫描使用者的整个骨干部分使用水平电机; 通过测量水平电动机的工作电流来计算主体骨架长度; 并分别精确检测构成骨干的颈椎，胸椎，腰椎和尾骨的位置，以计算适合针灸的身体上的位置，并使用热疗的地方。

75. 发明申请

WO2012131383A1 INTERVERTEBRAL DISC TREATMENT APPARATUS 审中-公开
标题翻译：椎间盘治疗装置
公开(公告)号：WO2012131383A1
公开(公告)日：2012-10-04
申请号：PCT/GB2012/050714
申请日：2012-03-30
申请人： ISIS INNOVATION LIMITED , MOLINARI, Michael , SIVAN, Sarit , GIBBONS, Dare-Sean , ARORA, Manish , URBAN, Jill , COUSSIOS, Constantin
发明人： MOLINARI, Michael , SIVAN, Sarit , GIBBONS, Dare-Sean , ARORA, Manish , URBAN, Jill , COUSSIOS, Constantin
IPC分类号： A61B17/16 , A61B17/32
CPC分类号： A61B17/320068 , A61B17/22004 , A61B17/3472 , A61B2017/00261 , A61B2017/22008 , A61B2017/564 , A61B2018/00339 , A61B2090/378 , A61B2217/005 , A61N7/02 , A61N2007/0078
摘要： A method of at least partially removing the nucleus pulposus of an intervertebral disc comprising the nucleus and an annulus surrounding the nucleus is described. The method comprises the steps of : insonating the nucleus with ultrasound thereby to cause at least partial fragmentation of the nucleus; and extracting at least part of the fragmented nucleus. A system for performing the method is also described.
摘要翻译：描述了至少部分地去除包括核的椎间盘的髓核和围绕细胞核的环的方法。该方法包括以下步骤：用超声引发细胞核，从而使细胞核至少部分分裂; 并提取碎片核的至少一部分。还描述了用于执行该方法的系统。

76. 发明申请

WO2011112773A3 MODULAR STIMULATOR FOR TREATMENT OF BACK PAIN, IMPLANTABLE RF ABLATION SYSTEM AND METHODS OF USE 审中-公开
标题翻译：用于治疗背痛，可植入射频消融系统的模块化刺激器及其使用方法
公开(公告)号：WO2011112773A3
公开(公告)日：2011-12-22
申请号：PCT/US2011027834
申请日：2011-03-10
申请人： MAINSTAY MEDICAL INC , CROSBY PETER ANDREW , SACHS DAN , RAWAT PRASHANT BRIJMOHANSINGH , SHIROFF JASON ALAN , HEEMELS JOHANNES PETRUS
发明人： CROSBY PETER ANDREW , SACHS DAN , RAWAT PRASHANT BRIJMOHANSINGH , SHIROFF JASON ALAN , HEEMELS JOHANNES PETRUS
IPC分类号： A61N1/05 , A61N1/06 , A61N1/34
CPC分类号： A61N1/0551 , A61B18/1492 , A61B2017/00221 , A61B2018/00339 , A61B2018/00577 , A61B2018/124 , A61B2018/1467 , A61B2034/2048 , A61N1/06 , A61N1/36042 , A61N1/36071 , A61N1/37211
摘要： Apparatus and methods for treating back pain are provided, in which an implantable stimulator is configured to communicate with an external control system, the implantable stimulator providing a neuromuscular electrical stimulation therapy designed to cause muscle contraction to rehabilitate the muscle, restore neural drive and restore spinal stability; the implantable stimulator further including one or more of a number of additional therapeutic modalities, including a module that provides analgesic stimulation; a module that monitors muscle performance and adjusts the muscle stimulation regime; and/or a module that provides longer term pain relief by selectively and repeatedly ablating nerve fibers. In an alternative embodiment, a standalone implantable RF ablation system is described.
摘要翻译：提供了用于治疗背痛的装置和方法，其中植入式刺激器被配置为与外部控制系统通信，所述可植入刺激器提供神经肌肉电刺激治疗，其设计成使肌肉收缩恢复肌肉，恢复神经驱动并恢复脊柱稳定性; 所述可植入刺激器还包括一些或多种其它治疗方式，包括提供镇痛刺激的模块; 监测肌肉表现并调整肌肉刺激方式的模块; 和/或通过选择性地和反复地消融神经纤维来提供长期疼痛缓解的模块。在替代实施例中，描述了独立的可植入RF消融系统。

77. 发明申请

WO2010143757A1 신체조직의 선택적 제거를 위한 방향 조절이 가능한 전극체 및 유도관 审中-公开
标题翻译：用于选择性去除生物组织的方向控制的电极体和导管
公开(公告)号：WO2010143757A1
公开(公告)日：2010-12-16
申请号：PCT/KR2009/003090
申请日：2009-06-09
申请人： 유앤아이 주식회사 , 고려대학교산학협력단 , 이상헌 , 조성윤 , 강봉수 , 김상운 , 구자교 , 김종택
发明人： 이상헌 , 조성윤 , 강봉수 , 김상운 , 구자교 , 김종택
IPC分类号： A61B18/14 , A61B17/32 , A61B17/34 , A61B17/70 , A61L29/04
CPC分类号： A61B18/1477 , A61B2017/00261 , A61B2017/00305 , A61B2017/00323 , A61B2018/00339 , A61B2018/00577 , A61B2018/1427
摘要： 본 발명은 몸체, 상기 몸체의 일단에 구비된 제 1 캡 및 상기 몸체의 다른 일단에 연결된 제 1 전극선을 포함하는 제 1 전극; 상기 제 1 전극의 몸체와 상기 제 1 캡의 일부분과 연결되고 상기 제 1 전극과 제 2 전극을 절연시키는 절연체; 상기 절연체와 연결된 제 1 링 및 상기 제 1 링의 일단에 연결된 제 2 전극선을 포함하는 제 2 전극; 및 상기 제 1 전극 또는 상기 제 2 전극과 연결되는 제 1 방향 조절 와이어를 포함하는 방향 조절기를 포함하는 플렉서블(flexible) 바디를 포함하는 것을 특징으로 하는 방향 조절이 가능한 전극체 및 유도관에 관한 것이다.
摘要翻译：本发明涉及一种引导管和方向可控电极体，其包括第一电极，其包括主体，设置在主体的一端的第一盖和与主体的另一端连接的第一电极线; 绝缘体，其与第一电极的主体和第一盖的一部分连接，并且使第一电极和第二电极绝缘; 所述第二电极包括与所述绝缘体连接的第一环和与所述第一环的一端连接的第二电极线; 以及柔性体，其包括方向控制器，所述方向控制器包括与所述第一电极或所述第二电极连接的第一方向控制线。

78. 发明申请

WO2003061756A2 IMPLANTABLE THERMAL TREATMENT METHOD AND APPARATUS 审中-公开
标题翻译：可植入热处理方法和装置
公开(公告)号：WO2003061756A2
公开(公告)日：2003-07-31
申请号：PCT/US2003/002211
申请日：2003-01-23
申请人： THE REGENTS OF THE UNIVERSITY OF CALIFORNIA , DIEDERICH, Chris, J. , LOTZ, Jeffrey, C. , NAU, Will , BRADFORD, David, S. , O'BANION, John, P. , PEACOCK, James, C, III
发明人： DIEDERICH, Chris, J. , LOTZ, Jeffrey, C. , NAU, Will , BRADFORD, David, S. , O'BANION, John, P. , PEACOCK, James, C, III
IPC分类号： A61N
CPC分类号： A61B18/04 , A61B8/56 , A61B2017/00092 , A61B2017/00101 , A61B2017/00261 , A61B2018/00339 , A61B2090/374 , A61N7/00 , A61N7/02 , A61N7/022 , A61N2007/0078
摘要： A long-term implantable ultrasound therapy system and method is provided that provides directional, focused ultrasound to localized regions of tissue within body joints, such as spinal joints. An ultrasound emitter or transducer is delivered to a location within the body associated with the joint and heats the target region of tissue associated with the joint from the location. Such locations for ultrasound transducer placement may include for example in or around the intervertebral discs, or the bony structures such as vertebral bodies or posterior vertebral elements such as facet joints. Various modes of operation provide for selective, controlled heating at different temperature ranges to provide different intended results in the target tissue, which ranges are significantly effected by pre-stressed tissues such as in-vivo intervertebral discs. In particular, treatments above 70 degrees C, and in particular 75 degrees C, are used for structural remodeling, whereas lower temperatures achieves other responses without appreciable remodeling.
摘要翻译：提供了一种长期植入式超声治疗系统和方法，其向身体关节内诸如脊椎关节之间的组织的局部区域提供定向的聚焦超声。将超声发射器或换能器输送到与关节相关联的身体内的位置，并从该位置加热与关节相关联的组织的目标区域。用于超声换能器放置的这种位置可以包括例如在椎间盘内或周围，或骨结构，例如椎体或后椎体元件，例如小关节。各种操作模式提供在不同温度范围内的选择性控制加热，以在目标组织中提供不同的预期结果，这些范围通过诸如体内椎间盘的预应力组织显着影响。特别地，高于70摄氏度，特别是75摄氏度的处理被用于结构重塑，而较低的温度达到其他响应而没有明显的重塑。

80. 发明专利

JP2018089362A 体組織の焼灼用装置およびその使用方法审中-公开
公开(公告)号：JP2018089362A
公开(公告)日：2018-06-14
申请号：JP2017218990
申请日：2017-11-14
申请人：カイフォン・ソシエテ・ア・レスポンサビリテ・リミテ
发明人：デイヴィッド・アール・アイバジャン , デイヴィッド・エフ・ドゥエリ
IPC分类号： A61B17/56 , A61B18/14
CPC分类号： A61B18/148 , A61B18/1477 , A61B2018/00023 , A61B2018/00339 , A61B2018/00565 , A61B2018/00642 , A61B2018/00654 , A61B2018/00791 , A61B2018/00797 , A61B2018/124 , A61B2018/143 , A61B2018/1467 , A61B2090/3966
摘要：【課題】腫瘍焼灼に使用されるシステムを提供する。【解決手段】腫瘍焼灼システムは、高周波発生器に接続可能な一対のプローブ100、200を含む。プローブはそれぞれ、3つの温度センサ106、108、110、206、208、210間に位置する2つの電極102、104、202、204を含み、高周波発生器は、任意の2つの電極間に高周波エネルギーを加えることができる。【選択図】図1

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