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    • 9. 发明申请
    • Method and device for tissue removal and for delivery of a therapeutic agent or bulking agent
    • 用于组织去除和用于递送治疗剂或填充剂的方法和装置
    • US20060253069A1
    • 2006-11-09
    • US11124827
    • 2005-05-09
    • Jamie LiWeenna Bucay-Couto
    • Jamie LiWeenna Bucay-Couto
    • A61M31/00A61B17/32A61M37/00A61B17/14
    • A61M37/00A61B10/0241A61B17/22A61B17/32002A61B2017/00274A61B2017/00685A61B2017/320775A61B2018/00547
    • According to an aspect of the present invention, a medical device is provided, which comprises the following: (a) a hollow elongate body (e.g., a elongate cylinder, such as a needle) having distal and proximal ends; and (b) a rotatable member comprising a tissue morselizer and an elongate shaft (e.g., an auger-like tissue-drilling bit). In the devices of the present invention, the elongate shaft is disposed within the hollow elongate body and cooperates with the hollow elongate body to (i) advance material (e.g., morselated tissue) toward the proximal end of the hollow elongate body when the shaft is rotated in a first direction, and (ii) advance material (e.g., a therapeutic agent and/or a bulking agent) toward the distal end of the hollow elongate body when the shaft is rotated in a second direction that is opposite the first direction. According to another aspect of the invention a method of treatment is provided that comprises: (a) inserting the a medical device like that above into the tissue of a patient; (b) morselizing and removing tissue from within the patient while rotating the shaft in a first direction, thereby creating a void within the patient; and (c) introducing a therapeutic agent and/or a bulking agent into the void.
    • 根据本发明的一个方面,提供一种医疗装置,其包括:(a)具有远端和近端的中空细长体(例如细长圆柱体,例如针头); 和(b)可旋转构件,其包括组织修整器和细长轴(例如,螺旋状组织钻头)。 在本发明的装置中,细长轴设置在中空细长主体内并且与中空细长主体配合以(i)当轴是轴向时将材料(例如,微小的组织)推向中空细长体的近端 在第一方向上旋转,并且(ii)当轴沿与第一方向相反的第二方向旋转时,将材料(例如,治疗剂和/或填充剂)推向中空细长体的远端。 根据本发明的另一方面,提供了一种治疗方法,其包括:(a)将如上所述的医疗装置插入患者的组织中; (b)在沿着第一方向旋转所述轴的同时从所述患者内进行细致和去除组织,从而在所述患者体内产生空洞; 和(c)将治疗剂和/或填充剂引入空隙中。