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1. 发明申请

WO2007143445A3 HARD TISSUE ABLATION SYSTEM 审中-公开
公开(公告)号：WO2007143445A3
公开(公告)日：2007-12-13
申请号：PCT/US2007/069856
申请日：2007-05-29
申请人： ARTHROCARE CORPORATION , WOLOSZKO, Jean , STALDER, Kenneth, R.
发明人： WOLOSZKO, Jean , STALDER, Kenneth, R.
IPC分类号： A61B18/14
摘要： An electrosurgical system or method for treating hard or soft tissues in the body comprises a shaft (36), a first distal end section (58), an active electrode (60) associated with the distal end section, a first fluid supply (62) adapted to deliver a first electrically conductive fluid (62A) to the target site, and a second fluid supply (64) adapted to deliver a second electrically conductive fluid (64A) to the active electrode. The system is adapted to treat a wide variety of hard tissues such as, for example, bones, calcified structures, calcified deposits, teeth, plaque, kidney-stones, gall-stones, and other types of tissue by generating plasma in the vicinity of the active electrode, and applying the plasma to the tissue or structures.

2. 发明申请

WO2011071482A1 SINGLE APERTURE ELECTRODE ASSEMBLY 审中-公开
标题翻译：单孔电极组件
公开(公告)号：WO2011071482A1
公开(公告)日：2011-06-16
申请号：PCT/US2009/067001
申请日：2009-12-07
申请人： ARTHROCARE CORPORATION , MARION, Duane, W. , FULVIO, Alana , WOLOSZKO, Jean , DAHLA, Robert, H.
发明人： MARION, Duane, W. , WOLOSZKO, Jean , DAHLA, Robert, H.
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B2018/00577 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2218/002
摘要： Systems and methods for securing a screen-type active electrode to the distal tip of an electrosurgical device used for selectively applying electrical energy to a target location within or on a patient's body. A securing electrode is disposed through the screen electrode and mechanically joined to an insulative support body while also creating an electrical connection and mechanical enagement with the screen electrode. The electrosurgical device and related methods are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The present methods and systems are particularly useful for removing tissue within joints, e.g., synovial tissue, meniscus, articular cartilage and the like.
摘要翻译：用于将屏幕型有源电极固定到用于选择性地将电能施加到患者体内或身体上的目标位置的电外科手术装置的远端的系统和方法。固定电极穿过屏幕电极设置并机械地连接到绝缘支撑体，同时还与屏幕电极形成电连接和机械接合。提供电外科装置和相关方法用于切割，切割，部分消融，吸出或以其他方式从目标部位移除组织，以及原位烧蚀组织。本发明的方法和系统特别可用于去除关节内的组织，例如滑膜组织，半月板，关节软骨等。

3. 发明申请

WO2005009213A2 ROTARY ELECTROSURGICAL APPARATUS AND METHODS THEREOF 审中-公开
标题翻译：旋转静电设备及其方法
公开(公告)号：WO2005009213A2
公开(公告)日：2005-02-03
申请号：PCT/US2004/022803
申请日：2004-07-16
申请人： ARTHROCARE CORPORATION , WOLOSZKO, Jean , DAHLA, Robert, H.
发明人： WOLOSZKO, Jean , DAHLA, Robert, H.
IPC分类号： A61B
CPC分类号： A61B18/148 , A61B17/32002 , A61B18/1402 , A61B18/1482 , A61B2018/00208 , A61B2018/00601 , A61B2018/00982 , A61B2018/122 , A61B2018/1472 , A61B2018/1861 , A61B2218/002 , A61B2218/007
摘要： Electrosurgical systems, apparatus, and methods for the controlled removal and treatment of a target tissue. An instrument of the invention includes a rotating member housed longitudinally within a shaft, a tissue removal port disposed at the shaft distal end portion, and an active electrode disposed at the instrument distal end. The active electrode is adapted to electrosurgically remove at least a portion of the target tissue as the rotating member rotates within the shaft. According to alternative embodiments, the active electrode may be disposed on the rotating member or on the shaft.
摘要翻译：用于受控去除和治疗靶组织的电外科系统，装置和方法。本发明的仪器包括纵向容纳在轴内的旋转构件，设置在轴远端部处的组织移除端口和设置在器械远端的有源电极。当旋转构件在轴内转动时，活性电极适于电动去除目标组织的至少一部分。根据替代实施例，有源电极可以设置在旋转构件上或者轴上。

4. 发明申请

WO2003024506A2 METHODS AND APPARATUS FOR TREATING INTERVERTEBRAL DISCS 审中-公开
标题翻译：治疗椎间盘突出症的方法和装置
公开(公告)号：WO2003024506A2
公开(公告)日：2003-03-27
申请号：PCT/US2002/029469
申请日：2002-09-16
申请人： ARTHROCARE CORPORATION , HOVDA, David, C. , WOLOSZKO, Jean
发明人： HOVDA, David, C. , WOLOSZKO, Jean
IPC分类号： A61M
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。

5. 发明申请

WO2012050636A1 ELECTROSURGICAL WAND AND RELATED METHOD AND SYSTEM 审中-公开
标题翻译：电光学及相关方法与系统
公开(公告)号：WO2012050636A1
公开(公告)日：2012-04-19
申请号：PCT/US2011/033761
申请日：2011-04-25
申请人： ARTHROCARE CORPORATION , COX, David, A. , GOODE, Johnson, E. , TETZLAFF, Philip, M. , WOLOSZKO, Jean
发明人： COX, David, A. , GOODE, Johnson, E. , TETZLAFF, Philip, M. , WOLOSZKO, Jean
IPC分类号： A61B18/14
CPC分类号： A61B18/042 , A61B18/14 , A61B18/1402 , A61B2018/0047 , A61B2018/00583 , A61B2018/122 , A61B2018/1435 , A61B2018/144 , A61B2018/1472
摘要： An electrosurgical wand. At least some of the illustrative embodiments are electrosurgical wands including an elongate housing that defines a handle end and a distal end, a first discharge aperture on the distal end of the elongate housing, a first active electrode of conductive material disposed on the distal end of the elongate housing, a first return electrode of conductive material disposed within the first fluid conduit, and an aspiration aperture on the distal end of the elongate housing fluidly coupled to a second fluid conduit.
摘要翻译：电外科手杖示例性实施例中的至少一些是电外科手杖，其包括限定手柄端和远端的细长壳体，在细长壳体的远端上的第一排放孔，设置在第一活动电极的远端所述细长壳体，设置在所述第一流体导管内的导电材料的第一返回电极和所述细长壳体的远端上的抽吸孔，其流体地联接到第二流体导管。

6. 发明申请

WO2007056729A2 ELECTROSURGICAL APPARATUS WITH FLUID FLOW REGULATOR 审中-公开
标题翻译：具有流体流量调节器的静电设备
公开(公告)号：WO2007056729A2
公开(公告)日：2007-05-18
申请号：PCT/US2006/060618
申请日：2006-11-07
申请人： ARTHROCARE CORPORATION , WOLOSZKO, Jean , DAHLA, Robert, H.
发明人： WOLOSZKO, Jean , DAHLA, Robert, H.
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B2018/1213 , A61B2218/007
摘要： An electrosurgical instrument comprising a shaft that includes a distal end section and a distal tip. Near the distal tip is an active electrode and a fluid collection chamber. The fluid collection chamber comprises an ingress port for suctioning a fluid flow over the active electrode and into the fluid collection chamber; a regulator adapted to adjust the fluid flow through the ingress port; and an aspiration port for exhausting the fluid from the fluid collection chamber, and a method thereof.
摘要翻译：一种电外科器械，包括包括远端部分和远侧末端的轴。远侧末端附近是活性电极和流体收集室。流体收集室包括用于抽吸有源电极上的流体流并进入流体收集室的入口端口; 适于调节通过入口的流体流量的调节器; 以及用于从流体收集室排出流体的抽吸口及其方法。

7. 发明申请

WO2006002337A3 ELECTROSURGICAL DEVICE HAVING PLANAR VERTICAL ELECTRODE AND RELATED METHODS 审中-公开
公开(公告)号：WO2006002337A3
公开(公告)日：2006-01-05
申请号：PCT/US2005/022373
申请日：2005-06-24
申请人： ARTHROCARE CORPORATION , WOLOSZKO, Jean
发明人： WOLOSZKO, Jean
IPC分类号： A61B18/18
摘要： Electrosurgical methods and apparatus for the controlled ablation of tissue from a target site of a patient. The instrument includes a shaft having proximal and distal end portion and a planar active electrode on the distal end portion; a return electrode arranged on the shaft spaced from the active electrode; at least one electrical connector extending through the shaft that connects the active electrode with a high frequency power supply; and an aspiration lumen within the shaft having a distal opening. The active electrode is arranged vertically or perpendicular to the tissue treatment surface. The planar electrode may include one or more apertures.

8. 发明申请

WO2004002293A2 SYSTEMS AND METHODS FOR ELECTROSURGICAL TISSUE TREATMENT 审中-公开
标题翻译：静电组织治疗系统与方法
公开(公告)号：WO2004002293A2
公开(公告)日：2004-01-08
申请号：PCT/US2003/020574
申请日：2003-06-27
申请人： ARTHROCARE CORPORATION , WOLOSZKO, Jean , BAKER, Michael, A. , DAHLA, Robert, H. , KAHLON, Hardev , VILLARUEL, Adelina , NGUYEN, Cindy, Truc , GUTIERREZ, Irma
发明人： WOLOSZKO, Jean , BAKER, Michael, A. , DAHLA, Robert, H. , KAHLON, Hardev , VILLARUEL, Adelina , NGUYEN, Cindy, Truc , GUTIERREZ, Irma
IPC分类号： A61B
CPC分类号： A61B18/148 , A61B18/14 , A61B2018/00577 , A61B2018/00583 , A61B2018/1213 , A61B2018/1472
摘要： Systems and methods are provided for applying a high frequency voltage in the presence of an electrically conductive fluid to create a relatively low-temperature plasma for ablation of tissue adjacent to, or in contact with, the plasma. In one embodiment, an electrosurgical probe or catheter is positioned adjacent the target site so that one or more active electrode(s) are brought into contact with, or close proximity to, a target tissue in the presence of electrically conductive fluid. High frequency voltage is then applied between the active electrode(s) and one or more return electrode(s) to non-thermally generate a plasma adjacent to the active electrode(s), and to volumetrically remove or ablate at least a portion of the target tissue. The high frequency voltage generates electric fields around the active electrode(s) with sufficient energy to ionize the conductive fluid adjacent to the active electrode(s). Within the ionized gas or plasma, free electrons are accelerated, and electronatoms collisions liberate more electrons, and the process cascades until the plasma contains sufficient energy to break apart the tissue molecules, causing molecular dissociation and ablation of the target tissue.
摘要翻译：提供的系统和方法用于在存在导电流体的情况下施加高频电压以产生相对低温的等离子体，以消除与等离子体相邻或与其接触的组织。在一个实施例中，电外科探针或导管邻近靶位置定位，使得在存在导电流体的情况下使一个或多个有效电极与目标组织接触或接近。然后将高频电压施加在有源电极和一个或多个返回电极之间以非热产生邻近有源电极的等离子体，并且对体积上去除或消除至少一部分目标组织。高频电压以足够的能量产生有源电极周围的电场，以使邻近有源电极的导电流体离子化。在电离气体或等离子体中，自由电子被加速，并且电子原子碰撞释放出更多的电子，并且该过程直到等离子体含有足够的能量来分解组织分子，导致靶组织的分子解离和消融。

9. 发明申请

WO2012050637A1 ELECTROSURGICAL WAND AND RELATED METHOD AND SYSTEM 审中-公开
标题翻译：电光学及相关方法与系统
公开(公告)号：WO2012050637A1
公开(公告)日：2012-04-19
申请号：PCT/US2011/033784
申请日：2011-04-25
申请人： ARTHROCARE CORPORATION , COX, David, A. , GOODE, Johnson, E. , TETZLAFF, Philip, M. , WOLOSZKO, Jean
发明人： COX, David, A. , GOODE, Johnson, E. , TETZLAFF, Philip, M. , WOLOSZKO, Jean
IPC分类号： A61B18/14
CPC分类号： A61B18/042 , A61B18/1402 , A61B2018/00577 , A61B2018/00583 , A61B2018/00589 , A61B2018/1407 , A61B2018/144 , A61B2018/1472 , A61B2218/002 , A61B2218/007
摘要： Electrosurgical wand. At least some of the illustrative embodiment are electrosurgical wands including: an elongate housing that defines a handle end and a distal end; an aspiration aperture on the distal end of the elongate housing the aspiration aperture fluidly coupled to a first fiuid conduit, the first fluid conduit within the elongate housing; a discharge aperture on the distal end of the elongate housing, the discharge aperture fluidly coupled to a second fluid conduit, and the second fluid conduit within the elongate housing; a first active electrode of conductive material on the distal end of the elongate housing, the first active electrode between the discharge aperture and the aspiration aperture; and a conductive plate that abuts the discharge aperture, at least a portion of the conductive plate disposed over the discharge aperture.
摘要翻译：电外科手杖说明性实施例中的至少一些是电外科手术杆，包括：限定手柄端和远端的细长壳体; 在所述细长壳体的远端上的抽吸孔与所述细长壳体中的所述第一流体导管流体耦合到第一流体导管的抽吸孔; 在细长壳体的远端上的排出孔，流体耦合到第二流体导管的排出孔，以及细长壳体内的第二流体导管; 在所述细长壳体的远端上的第一有源电极，所述第一有源电极在所述放电孔和所述抽吸孔之间; 以及邻接所述放电孔的导电板，所述导电板的至少一部分设置在所述放电孔上。

10. 发明申请

WO2007006000A2 FUSE-ELECTRODE ELECTROSURGICAL APPARATUS 审中-公开
标题翻译：保险丝 - 电极静电设备
公开(公告)号：WO2007006000A2
公开(公告)日：2007-01-11
申请号：PCT/US2006/026321
申请日：2006-07-06
申请人： ARTHROCARE CORPORATION , DAHLA, Robert , WOLOSZKO, Jean
发明人： DAHLA, Robert , WOLOSZKO, Jean
IPC分类号： A61B18/14
CPC分类号： A61B18/14 , A61B2018/00666 , A61B2018/00761 , A61B2018/1495
摘要： An electrosurgical apparatus for performing a surgical procedure on a target site, comprising a shaft having a distal end portion, the distal end portion comprising an active electrode including a fuse leg or portion, the fuse leg adapted to break and disable the instrument upon applying a voltage differential between the active electrode and a return electrode for a predetermined amount of time, hi another embodiment, the present invention is a method of performing an electrosurgical procedure on a target tissue, comprising: placing an electrosurgical instrument in close proximity to the target tissue, the electrosurgical instrument comprising an active electrode having a pre-selected portion adapted to break and disable the instrument upon applying a voltage differential thereto for a working time; and applying the voltage differential.
摘要翻译：一种用于在目标位置执行外科手术的电外科装置，包括具有远端部分的轴，所述远端部分包括包括保险丝腿或部分的活动电极，所述保险丝腿适于在施加在另一个实施例中，本发明是对目标组织执行电外科手术的方法，包括：将电外科器械放置在靠近靶组织的位置所述电外科器械包括具有预选部分的有源电极，所述预选部分适于在将工作时间施加电压差以断开和禁用所述仪器; 并施加电压差。

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