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81. 发明申请

US20050010205A1 Methods and apparatus for treating intervertebral discs 有权
标题翻译：治疗椎间盘的方法和装置
公开(公告)号：US20050010205A1
公开(公告)日：2005-01-13
申请号：US10799491
申请日：2004-03-12
申请人： David Hovda , Jean Woloszko
发明人： David Hovda , Jean Woloszko
IPC分类号： A61B17/00 , A61B18/00 , A61B18/14 , A61B19/00 , A61B18/18 , A61F7/00 , A61F7/12
CPC分类号： A61B18/1482 , A61B18/1477 , A61B90/11 , A61B2017/00261 , A61B2018/00011 , A61B2018/00029 , A61B2018/0044 , A61B2018/00744 , A61B2018/00791 , A61B2018/1425 , A61B2018/1472 , A61B2218/002 , A61B2218/007
摘要： Apparatus and methods for treating a target tissue by delivering a fluid at a defined temperature to a patient's body. An apparatus of the invention includes a fluid delivery unit for delivering fluid in at least close proximity to the target tissue, an aspiration unit for withdrawing the fluid, and a fluid source unit for providing the fluid at the defined temperature. A method of the invention includes forming a void in at least close proximity to the target tissue, and circulating a preheated fluid through the void, wherein the target tissue undergoes adjustment from body temperature to a treatment temperature due to heat exchange between the fluid and the target tissue.
摘要翻译：用于通过将定义温度的流体输送到患者身体来治疗靶组织的装置和方法。本发明的装置包括用于将至少紧邻目标组织的流体输送的流体输送单元，用于抽出流体的抽吸单元和用于在所定义的温度下提供流体的流体源单元。本发明的方法包括至少在目标组织附近形成空隙，并使预热的流体循环通过空隙，其中由于流体和流体之间的热交换，目标组织经历从体温到处理温度的调节目标组织。

82. 发明授权

US06832996B2 Electrosurgical systems and methods for treating tissue 失效
标题翻译：电外科系统和治疗组织的方法
公开(公告)号：US06832996B2
公开(公告)日：2004-12-21
申请号：US09758403
申请日：2001-01-10
申请人： Jean Woloszko , Hira V. Thapliyal , Philip E. Eggers
发明人： Jean Woloszko , Hira V. Thapliyal , Philip E. Eggers
IPC分类号： A61B1818
CPC分类号： A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00291 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/0072 , A61B2018/00726 , A61B2018/00779 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007
摘要： Electrosurgical methods and apparatus for removing tissue from a target site of a patient, the apparatus including a probe adapted for coupling to a power supply. The electrosurgical probe includes a shaft having a first electrode type and a second electrode type. The electrosurgical apparatus/probe lacks a dedicated return electrode. Instead, the first electrode type and the second electrode type alternate between serving as active electrode and serving as return electrode. The first electrode type comprises at least one ablation electrode adapted for aggressively removing tissue from a target site. The second electrode type comprises at least one digestion electrode adapted for aggressively digesting resected tissue fragments present in an aspiration stream. The apparatus may shift from a first mode of operation wherein the first electrode type serves as active electrode, to a second mode of operation wherein the second electrode type serves as active electrode, and back to the first mode of operation, without operator input. Such a shift may be determined by the presence or absence of tissue at the first and second electrode types, or by a change in electrical impedance in the milieu of the second electrode type, and such a shift may be dependent on a suitable surface area ratio of the first electrode type to the second electrode type. The probe may include an aspiration device which accommodates an aspiration stream emanating from the target site, and a fluid delivery device for delivering an extraneous electrically conductive fluid to the probe or to the target site.
摘要翻译：用于从患者的目标部位去除组织的电外科手术方法和装置，所述装置包括适于耦合到电源的探针。电外科探头包括具有第一电极类型和第二电极类型的轴。电外科设备/探针缺乏专用的返回电极。替代地，第一电极类型和第二电极类型交替地用作有效电极并用作返回电极。第一电极类型包括至少一个适用于从目标部位积极地去除组织的消融电极。第二电极类型包括至少一个消化电极，其适于积极地消化存在于抽吸流中的切除的组织片段。该装置可以从其中第一电极类型用作有源电极的第一操作模式移动到第二操作模式，其中第二电极类型用作有源电极，并且返回到第一操作模式，而无需操作者输入。这种偏移可以由第一和第二电极类型的组织的存在或不存在，或通过第二电极类型的环境中的电阻抗的变化来确定，并且这种偏移可以取决于合适的表面积比的第一电极类型到第二电极类型。探针可以包括容纳从目标部位发出的抽吸流的抽吸装置，以及用于将外部导电流体输送到探针或目标部位的流体递送装置。

83. 发明授权

US06766202B2 Systems and methods for intradermal collagen stimulation 失效
标题翻译：皮内胶原刺激的系统和方法
公开(公告)号：US06766202B2
公开(公告)日：2004-07-20
申请号：US10135478
申请日：2002-04-30
申请人： Ronald A. Underwood , Jean Woloszko
发明人： Ronald A. Underwood , Jean Woloszko
IPC分类号： A61N120
CPC分类号： A61B18/14 , A61B18/1477 , A61B2018/00452 , A61B2018/1425 , A61B2018/1472 , A61B2218/002
摘要： The present invention provides systems, apparatus and methods for selective applying energy to a patient's dermis tissue to generate the growth of new collagen in this tissue, while minimizing the effect on the outer epidermis layer, thereby minimizing or suppressing the wound healing phase of the procedure. In one aspect of the invention, a method includes positioning a first electrode adjacent to, or in contact with, a region on or within a patient's skin, and applying a sufficient high frequency voltage between the first electrode and a second electrode to create a heat injury to a target tissue within the patient's dermis layer without ablating the epidermis layer overlying the target tissue. Typically, the voltage applied to the first and second electrodes is sufficient to induce heating of the dermis layer to about 60°-80° C., preferably about 65°-75° C. This induced heating causes the patient's body to undergo a wound healing response in the slightly inflamed tissue of the dermis. The wound healing process involves the generation of neo-collagen in the dermis layer, which fills in the wrinkle in the patient's skin.
摘要翻译：本发明提供用于选择性地向患者真皮组织施加能量以在该组织中产生新胶原的生长的系统，装置和方法，同时使对外表皮层的影响最小化，从而最小化或抑制手术的伤口愈合阶段。在本发明的一个方面，一种方法包括将第一电极定位在与患者皮肤上或患者皮肤上的区域相邻或接触的位置，以及在第一电极和第二电极之间施加足够的高频电压以产生热量对患者真皮层内的靶组织的损伤，而不会烧蚀覆盖靶组织的表皮层。通常，施加到第一和第二电极的电压足以诱导真皮层的加热至约60°-80℃，优选约65°-75℃。该感应加热导致患者的身体经受伤口在真皮轻微发炎的组织中的愈合反应。伤口愈合过程涉及在真皮层中产生新胶原，其填充患者皮肤的皱纹。

84. 发明授权

US06763836B2 Methods for electrosurgical tendon vascularization 有权
标题翻译：电外科肌腱血管化方法
公开(公告)号：US06763836B2
公开(公告)日：2004-07-20
申请号：US10174266
申请日：2002-06-18
申请人： James P. Tasto , Jean Woloszko , Michael A. Baker , James L. Pacek , Philip E. Eggers , Hira V. Thapliyal
发明人： James P. Tasto , Jean Woloszko , Michael A. Baker , James L. Pacek , Philip E. Eggers , Hira V. Thapliyal
IPC分类号： A61N500
CPC分类号： A61B18/148 , A61B18/1492 , A61B18/24 , A61B2017/00106 , A61B2017/00247 , A61B2018/00392 , A61B2018/00583 , A61B2018/00702 , A61B2018/00738 , A61B2018/00755 , A61B2018/00875 , A61B2018/1273 , A61B2018/1472 , A61B2090/3782
摘要： Systems, apparatus, and methods are provided for promoting blood flow to a target tissue. In one variation, the invention involves creating a pattern of voids in connective tissue, or through a tissue having sparse vascularity, such as a tendon or a meniscus, in order to increase blood flow within the tissue. This also includes using a template device to assist in the creation of the pattern of voids. Also included is an electrosurgical device with a self-contained fluid supply for providing conductive fluid to the target tissue or to active electrodes of the device.
摘要翻译：提供了用于促进血液流向目标组织的系统，装置和方法。在一个实施方案中，本发明涉及在结缔组织中或通过具有稀疏血管的组织（例如腱或半月板）产生空洞的图案，以增加组织内的血流。这还包括使用模板设备来协助创建空格模式。还包括具有独立流体源的电外科装置，用于向目标组织或装置的有源电极提供导电流体。

85. 发明授权

US06589237B2 Electrosurgical apparatus and methods for treating tissue 失效
标题翻译：用于治疗组织的电外科手术装置和方法
公开(公告)号：US06589237B2
公开(公告)日：2003-07-08
申请号：US09766168
申请日：2001-01-19
申请人： Jean Woloszko , Theodore C. Ormsby , Christopher L. Willink , Terry S. Davison , Steve Masterson
发明人： Jean Woloszko , Theodore C. Ormsby , Christopher L. Willink , Terry S. Davison , Steve Masterson
IPC分类号： A61B1814
CPC分类号： A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00291 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/0072 , A61B2018/00726 , A61B2018/00779 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007
摘要： Electrosurgical methods and apparatus for removing tissue from a target site of a patient. An electrosurgical suction apparatus includes an aspiration channel in communication with a distal aspiration port, and an electrode support having a plurality of active electrodes disposed thereon, the plurality of active electrodes spanning the aspiration port. Each of the plurality of active electrodes is adapted for removing tissue from a target site to form low molecular weight ablation by-products. Each of the plurality of active electrodes is also adapted for digesting resected tissue fragments to yield low molecular weight ablation by-products. Ablation by-products and resected tissue fragments are readily removed from the target site via an aspiration stream flowing proximally through the aspiration channel. In one embodiment, each of a plurality of active electrodes protrude in different directions from a beveled treatment surface of the electrode support, and each of the plurality of active electrodes extend from the beveled treatment surface by substantially the same orthogonal distance.
摘要翻译：用于从患者的目标部位去除组织的电外科手术方法和装置。电外科抽吸装置包括与远端抽吸端口连通的抽吸通道，以及电极支撑件，其具有设置在其上的多个有效电极，所述多个活性电极跨越抽吸端口。多个有效电极中的每一个适于从目标部位去除组织以形成低分子量消融副产物。多个活性电极中的每一个也适于消化切除的组织片段以产生低分子量消融副产物。消融副产物和切除的组织碎片容易地通过向近侧流过抽吸通道的抽吸流从目标部位去除。在一个实施例中，多个有源电极中的每一个从电极支撑件的斜面处理表面沿不同方向突出，并且多个有效电极中的每一个从斜面处理表面延伸大致相同的正交距离。

86. 发明授权

US06544261B2 Systems and methods for electrosurgical treatment of submucosal tissue 有权
标题翻译：用于电外科治疗粘膜下组织的系统和方法
公开(公告)号：US06544261B2
公开(公告)日：2003-04-08
申请号：US09776799
申请日：2001-02-05
申请人： Maria B. Ellsberry , David C. Hovda , Jean Woloszko , Hira V. Thapliyal , Philip E. Eggers
发明人： Maria B. Ellsberry , David C. Hovda , Jean Woloszko , Hira V. Thapliyal , Philip E. Eggers
IPC分类号： A61B1814
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00607 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention includes a channeling technique in which small holes or channels are formed within tissue structures in the mouth, such as the tonsils, tongue, palate and uvula, and thermal energy is applied to the tissue surface immediately surrounding these holes or channels to cause thermal damage to the tissue surface, thereby stiffening the surrounding tissue structure. Applicant has discovered that such stiffening of certain tissue structures in the mouth and throat helps to prevent the tissue structure from obstructing the patient's upper airway during sleep.
摘要翻译：本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。本发明包括一种通道技术，其中在孔中的组织结构内形成小孔或通道，例如扁桃体，舌头，上颚和尿道，并且热能被施加到紧邻这些孔或通道的组织表面，以引起对组织表面的热损伤，从而使周围的组织结构变硬。申请人已经发现，口腔和喉部中某些组织结构的这种硬化有助于防止组织结构在睡眠期间阻塞患者的上呼吸道。

87. 发明授权

US06203542B1 Method for electrosurgical treatment of submucosal tissue 有权
标题翻译：粘膜下组织电外科治疗方法
公开(公告)号：US06203542B1
公开(公告)日：2001-03-20
申请号：US09295687
申请日：1999-04-21
申请人： Maria B. Ellsberry , David C. Hovda , Jean Woloszko , Hira V. Thapliyal , Philip E. Eggers
发明人： Maria B. Ellsberry , David C. Hovda , Jean Woloszko , Hira V. Thapliyal , Philip E. Eggers
IPC分类号： A61B1814
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00607 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/00982 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems and methods for selectively applying electrical energy to a target location within the head and neck of a patient's body, particularly including tissue in the ear, nose and throat. The present invention includes a channeling technique in which small holes or channels are formed within tissue structures in the mouth, such as the tonsils, tongue, palate and uvula, and thermal energy is applied to the tissue surface immediately surrounding these holes or channels to cause thermal damage to the tissue surface, thereby stiffening the surrounding tissue structure. Applicant has discovered that such stiffening of certain tissue structures in the mouth and throat helps to prevent the tissue structure from obstructing the patient's upper airway during sleep.
摘要翻译：本发明提供了用于选择性地将电能施加到患者身体的头部和颈部内的目标位置，特别是包括耳朵，鼻子和喉部中的组织的系统和方法。本发明包括一种通道技术，其中在孔中的组织结构内形成小孔或通道，例如扁桃体，舌头，上颚和尿道，并且热能被施加到紧邻这些孔或通道的组织表面，以引起对组织表面的热损伤，从而使周围的组织结构变硬。申请人已经发现，口腔和喉部中某些组织结构的这种硬化有助于防止组织结构在睡眠期间阻塞患者的上呼吸道。

88. 发明授权

US10448992B2 Electrosurgical system with device specific operational parameters 有权
公开(公告)号：US10448992B2
公开(公告)日：2019-10-22
申请号：US12909930
申请日：2010-10-22
申请人： Hadar Cadouri , Jean Woloszko , Philip M. Tetzlaff
发明人： Hadar Cadouri , Jean Woloszko , Philip M. Tetzlaff
IPC分类号： A61B18/14 , A61B18/16
摘要： Electrosurgical systems and methods include a generator which is operable to connect to an electrosurgical device and to identify the electrosurgical device. The generator automatically determines at least one device specific operational parameter for carrying out the electrosurgical procedure. In an exemplary embodiment, a generator includes a fluid pump and the generator automatically determines a candidate flowrate at which to operate the pump based on the type of device. The device specific operational parameter may be selected or modified by the operator prior to commencing the procedure.

89. 发明授权

US08870866B2 Electrosurgical system with suction control apparatus, system and method 有权
标题翻译：电外科系统采用吸气控制装置，系统及方法
公开(公告)号：US08870866B2
公开(公告)日：2014-10-28
申请号：US13457654
申请日：2012-04-27
申请人： Jean Woloszko
发明人： Jean Woloszko
IPC分类号： A61B18/18 , A61B18/12 , A61B18/14 , A61B18/00
CPC分类号： A61B18/1206 , A61B18/042 , A61B2018/0016 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/1472 , A61B2218/002 , A61B2218/007
摘要： System and method for selectively applying electrical energy to structures within or on the surface of a patient's body and controlling the flow of an electrically conductive fluid from the application site to provide or maintain a desired operating condition of the electrosurgical device. An electrosurgical probe is in communication with a fluid transport apparatus through a fluid transport lumen having an opening at an end proximate the application site and disposed proximate the electrosurgical probe. A controller in communication with the fluid transport apparatus provides control signals to the fluid transport apparatus in response to at least one operating parameter associated with the system. Based on the received control signals, the fluid transport apparatus adjusts a flow rate of the electrically conductive fluid at the application site through the fluid transport lumen in response to at least one operating parameter associated with the system.
摘要翻译：用于选择性地将电能施加到患者身体表面内或表面上的结构并控制来自施用部位的导电流体的流动以提供或保持电外科装置的期望操作条件的系统和方法。电外科探头通过流体输送腔与流体输送装置连通，该流体输送腔在靠近施用部位的端部处具有开口并且设置在电外科探头附近。与流体输送设备连通的控制器响应于与系统相关联的至少一个操作参数向流体输送设备提供控制信号。基于接收到的控制信号，流体输送装置响应于与系统相关联的至少一个操作参数，调节通过流体输送管腔的应用部位处的导电流体的流量。

90. 发明授权

US08801705B2 Electrosurgical method and apparatus for removing tissue within a bone body 有权
标题翻译：用于去除骨体内的组织的电外科手术方法和装置
公开(公告)号：US08801705B2
公开(公告)日：2014-08-12
申请号：US12763630
申请日：2010-04-20
申请人： Norman R. Sanders , Darren Crawford , Jean Woloszko , David C. Hovda
发明人： Norman R. Sanders , Darren Crawford , Jean Woloszko , David C. Hovda
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B18/14 , A61B18/1402 , A61B18/1482 , A61B2018/0016 , A61B2018/00178 , A61B2018/00565 , A61B2018/00577 , A61B2018/00583 , A61B2218/007
摘要： A method for treating a bone body comprises inserting a probe having at least one active electrode into the target tissue and applying a voltage difference between an active electrode and return electrode to ablate the tissue. The method is particularly directed to removing tumors in a bone body and or removing cancellous bone in a bone body. The bone body may be a vertebral body. An apparatus includes a plurality of active electrodes and a distal section including two bends. The bends serve to prevent the active electrodes from impinging upon the shaft of an introducer needle. Also, a kit includes an electrosurgical probe, an electrosurgical generator, an introducer needle, and a fluid connector to connect the introducer needle to a fluid source such that liquid may be supplied to the target site during an application.
摘要翻译：一种用于治疗骨体的方法包括将具有至少一个活性电极的探针插入目标组织中，并在活性电极和返回电极之间施加电压差以烧蚀组织。该方法特别涉及去除骨体中的肿瘤和/或去除骨体中的松质骨。骨骼体可以是椎体。一种装置包括多个有效电极和包括两个弯曲部的远端部分。弯曲用于防止有源电极撞击导引针的轴。而且，套件包括电外科探针，电外科发生器，导引针和流体连接器，以将导引针连接到流体源，使得液体可以在施用期间被供应到目标部位。

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