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    • 1. 发明申请
    • Ultrasound Energy Delivery Assembly
    • 超声能量输送装置
    • US20110046522A1
    • 2011-02-24
    • US12853706
    • 2010-08-10
    • Huey ChanSean McFerranStephen PorterDel KjosSteve ForcucciDavid ConstantineJeffrey J. VaitekunasKatie KaneMark Hamm
    • Huey ChanSean McFerranStephen PorterDel KjosSteve ForcucciDavid ConstantineJeffrey J. VaitekunasKatie KaneMark Hamm
    • A61N7/00
    • A61B17/22012A61B90/39A61B2017/22014
    • In a first embodiment, an ultrasound energy delivery assembly includes a waveguide and a catheter having a capture member. The capture member extends radially inward from an interior surface of the catheter into a lumen of the catheter and is configured to retain the enlarged distal tip so that the enlarged distal tip is temporarily prevented from moving proximally. In a second embodiment, an ultrasound energy delivery assembly includes a waveguide and a sheath covering at least a portion of the waveguide. In a third embodiment, an ultrasound energy delivery assembly includes a waveguide and a dual lumen catheter having a capture member. In a fourth embodiment, an ultrasound energy delivery assembly includes a waveguide and a catheter having a proximal waveguide lumen and a proximal guide wire lumen that merges with the proximal waveguide lumen at their respective distal ends to form a distal lumen. In a fifth embodiment, an ultrasound energy delivery assembly includes a waveguide and a catheter having a helical spring tip disposed over a distal section of the waveguide. In a sixth embodiment, an ultrasound energy delivery assembly includes a waveguide and a catheter extruded from a material such as expanded polytetrafluoroethylene. The catheter includes a braided layer having a multi-wire braided section and a single wire braided section formed from a braid wire from the multi-wire braided section.
    • 在第一实施例中,超声能量输送组件包括波导和具有捕获构件的导管。 捕获构件从导管的内表面径向向内延伸到导管的内腔中,并且构造成保持放大的远端尖端,使得放大的远端尖端被临时阻止向近侧移动。 在第二实施例中,超声能量输送组件包括波导和覆盖波导的至少一部分的护套。 在第三实施例中,超声能量输送组件包括波导和具有捕获构件的双腔导管。 在第四实施例中,超声能量输送组件包括波导和导管,其具有近端波导管腔和近端导丝管腔,其在其各自的远端处与近侧波导管腔合并以形成远端内腔。 在第五实施例中,超声波能量输送组件包括波导和导管,其具有设置在波导的远端部分上方的螺旋弹簧顶端。 在第六实施例中,超声能量输送组件包括波导和从诸如膨胀聚四氟乙烯的材料挤出的导管。 导管包括具有多丝编织部分的编织层和由多丝编织部分的编织线形成的单丝编织部分。
    • 7. 发明授权
    • Method of tissue morcellation using an ultrasonic surgical instrument
with a ballistic specimen bag
    • 使用具有弹道样本袋的超声外科器械进行组织移植的方法
    • US6162235A
    • 2000-12-19
    • US80807
    • 1998-05-18
    • Jeffrey J. Vaitekunas
    • Jeffrey J. Vaitekunas
    • A61B17/00A61B17/32
    • A61B17/320068A61B2017/00287
    • With the advent of laparoscopic and endoscopic surgery, the patient is benefiting from shorter hospitalization, less pain, and generally better outcomes. However, the minimization of the size of incision a surgeon uses in these procedures has created some unique challenges. Large tissue masses, such as fibroid tissue masses, are traditionally excised during the surgical procedure and removed intact from the patient through the surgical incision. One common procedure for reducing the size of large tissue masses is generally referred to as morcellation. In the present invention, a method of morcellating tissue is described that includes the steps of: inserting a ballistic specimen bag through a cannula; opening the ballistic specimen bag; inserting tissue into the ballistic specimen bag; closing the ballistic specimen bag around a ultrasonic surgical instrument; and cutting or debulking the tissue with the ultrasonic surgical instrument. The present invention is further directed to a method as described above wherein the specimen bag is constructed of a ballistic material having a V.sub.50 attribute greater than or equal to 1225 feet per second. The present invention is also directed to a method as described above wherein the ballistic specimen bag is coated or impregnated with a sealant material such as silicone.
    • 随着腹腔镜和内窥镜手术的出现,患者正在从住院时间较短,疼痛减轻以及一般更好的疗效中受益。 然而,外科医生在这些程序中使用的切口尺寸的最小化已经产生了一些独特的挑战。 传统上在外科手术期间切除大的组织块,例如纤维组织块,并通过手术切口从病人完整地移除。 用于减小大组织块的尺寸的一个常见方法通常被称为发生细胞。 在本发明中,描述了一种将组织破碎的方法,其包括以下步骤:将弹道样本袋插入插管中; 打开弹道标本袋; 将组织插入弹道样品袋中; 关闭超声波手术器械周围的弹道标本袋; 并用超声波手术器械切割或减压组织。 本发明还涉及一种如上所述的方法,其中样本袋由V50属性大于或等于1225英尺/秒的防弹材料构成。 本发明还涉及一种如上所述的方法,其中将弹道样品袋用诸如硅树脂的密封剂材料涂覆或浸渍。