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91. 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。

92. 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。

93. 发明授权

US08747399B2 Method and system of reduction of low frequency muscle stimulation during electrosurgical procedures 有权
标题翻译：电外科手术中低频肌肉刺激减少的方法和系统
公开(公告)号：US08747399B2
公开(公告)日：2014-06-10
申请号：US12754727
申请日：2010-04-06
申请人： Jean Woloszko , Duane W. Marion
发明人： Jean Woloszko , Duane W. Marion
IPC分类号： A61B18/12 , A61B18/14 , A61B18/00
CPC分类号： A61B18/1206 , A61B18/1233 , A61B18/14 , A61B2018/00625 , A61B2018/1213 , A61B2018/1467 , A61B2018/147
摘要： Reduction of low frequency muscle stimulation during electrosurgical procedures. At least some of the illustrative embodiments are methods including: treating a target tissue with an electrosurgical wand comprising a plurality of active electrodes intermittently exposed to a rectifying electrical phenomenon; charging a first capacitance in series with a first electrode of the plurality of active electrodes, the charging during periods of time when the rectifying electrical phenomenon proximate the first electrode; charging a second capacitance in series with a second electrode of the plurality of active electrodes, the charging during periods of time when the rectifying electrical phenomenon is proximate the second electrode; charging a third capacitance in series with a third electrode of the plurality of active electrodes, the charging during periods of time when the rectifying electrical phenomenon is proximate the third electrode; and discharging, through the first electrode, the first capacitance, while simultaneously charging the second capacitance.
摘要翻译：电外科手术中低频肌肉刺激的减少。说明性实施例中的至少一些是包括以下步骤的方法：用包括间歇地暴露于整流电现象的多个有效电极的电外科手柄治疗靶组织; 对所述多个有源电极的第一电极串联充电第一电容，在所述第一电极附近的整流电现象的时段期间进行充电; 对所述多个有源电极的第二电极串联充电第二电容，在所述整流电现象接近所述第二电极的时段期间充电; 对所述多个有源电极的第三电极串联充电第三电容，在所述整流电现象接近所述第三电极的时段期间充电; 并且在同时对第二电容充电的同时通过第一电极放电第一电容。

94. 发明授权

US08663216B2 Instrument for electrosurgical tissue treatment 有权
标题翻译：电外科组织治疗仪
公开(公告)号：US08663216B2
公开(公告)日：2014-03-04
申请号：US11865297
申请日：2007-10-01
申请人： Paul O. Davison , Jean Woloszko , Tom Jenkins
发明人： Paul O. Davison , Jean Woloszko , Tom Jenkins
IPC分类号： A61B18/04
CPC分类号： A61B18/14 , A61B2018/00577 , A61B2018/00583 , A61B2018/048 , A61B2018/122 , A61B2218/002
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.
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。

95. 发明授权

US08657854B2 Knotless suture anchoring device having deforming section to accommodate sutures of various diameters 有权
标题翻译：无缝缝合锚固装置具有变形部分以适应各种直径的缝线
公开(公告)号：US08657854B2
公开(公告)日：2014-02-25
申请号：US11916135
申请日：2006-06-01
申请人： Seth A. Foerster , Francis Vijay , Jean Woloszko
发明人： Seth A. Foerster , Francis Vijay , Jean Woloszko
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0487 , A61B2017/0409 , A61B2017/0414 , A61B2017/0417 , A61B2017/045 , A61B2017/0458 , A61B2017/0496 , A61F2/0805 , A61F2/0811 , A61F2002/0835 , A61F2002/0864 , A61F2002/0882 , A61F2002/0888
摘要： An innovative bone anchor and methods for securing soft tissue, such as tendons, to bone, which permit a suture attachment that lies entirely beneath the cortical bone surface. The suturing material between the soft tissue and the bone anchor may be secured without the need for tying a knot. The suture attachment to the bone anchor involves the looping of a length of suture around a suture return member or path within the bone anchor, tightening the suture and attached soft tissue, and compressing the suture against the bone anchor. The bone anchor may be a tubular body having a lumen with a locking plug that compresses the suture therein. One of the components of the locking structure may include a deformable or flexible section, member, or surface. The locking plug may include a shaft and an enlarged head that interferes with the tubular body to provide a positive stop. An actuation rod attached at a frangible section to the shaft may be manipulated by an external handle during locking of the suture within the bone anchor. The bone anchor further may include locking structure for securing itself within a bone cavity.
摘要翻译：一种创新的骨锚和用于将软组织（例如肌腱）固定到骨上的方法，其允许完全位于皮层骨表面下方的缝合线附着。可以固定软组织和骨锚之间的缝合材料，而不需要捆扎结。与骨锚固件的缝合线附件涉及围绕骨锚固件内的缝合线返回构件或路径的一段缝合线，使缝合线和附接的软组织紧固，以及将缝合线压靠骨锚。骨锚可以是具有内腔的管状体，其具有在其中压缩缝合线的锁定塞。锁定结构的部件之一可包括可变形或柔性部分，部件或表面。锁定塞可以包括轴和扩大的头部，其干扰管状体以提供止挡。在缝合线锁定在骨锚固体内时，可以通过外部手柄来操纵在易碎部分处连接到轴的致动杆。骨锚还可以包括用于将自身固定在骨腔内的锁定结构。

96. 发明授权

US08444638B2 Hard tissue ablation system 有权
标题翻译：硬组织消融系统
公开(公告)号：US08444638B2
公开(公告)日：2013-05-21
申请号：US13344988
申请日：2012-01-06
申请人： Jean Woloszko , Kenneth R. Stalder
发明人： Jean Woloszko , Kenneth R. Stalder
IPC分类号： A61B18/14
CPC分类号： A61B18/042 , A61B18/148 , A61B2018/00166 , A61B2018/00565 , A61B2018/00577 , A61B2018/1472 , A61B2218/002 , A61B2218/007
摘要： An electrosurgical system and method for treating hard and soft tissues in the body comprises a shaft, a distal end section, an active electrode associated with the distal end section, a first fluid supply adapted to deliver a first electrically conductive fluid to the target site, and a second fluid supply adapted to deliver a second electrically conductive fluid 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.
摘要翻译：用于治疗身体中的硬组织和软组织的电外科系统和方法包括轴，远端部分，与远端部分相关联的活动电极，适于将第一导电流体输送到靶部位的第一流体供应，以及适于将第二导电流体输送到所述有源电极的第二流体供应源。该系统适于通过在附近生成血浆来治疗各种各样的硬组织，例如骨，钙化结构，钙化沉积物，牙齿，斑块，肾结石，胆结石和其他类型的组织活性电极，并将等离子体施加到组织或结构上。

97. 发明申请

US20120215221A1 ELECTROSURGICAL SYSTEM WITH SUCTION CONTROL APPARATUS, SYSTEM AND METHOD 有权
标题翻译：具有吸引控制装置的电磁系统，系统和方法
公开(公告)号：US20120215221A1
公开(公告)日：2012-08-23
申请号：US13457654
申请日：2012-04-27
申请人： Jean Woloszko
发明人： Jean Woloszko
IPC分类号： A61B18/16
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。

98. 发明申请

US20110130753A1 INTERNALLY LOCATED RETURN ELECTRODE ELECTROSURGICAL APPARATUS, SYSTEM AND METHOD 有权
标题翻译：内置返回电极静电设备，系统和方法
公开(公告)号：US20110130753A1
公开(公告)日：2011-06-02
申请号：US13023631
申请日：2011-02-09
申请人： Jean Woloszko , Thomas Jenkins , George Morrison
发明人： Jean Woloszko , Thomas Jenkins , George Morrison
IPC分类号： A61B18/18
CPC分类号： A61B18/148 , A61B2018/00053 , A61B2018/0044 , A61B2018/00583 , A61B2018/1472 , A61B2218/002 , A61B2218/007 , A61B2218/008
摘要： A bipolar, plasma-generating electrosurgical apparatus and system wherein the return electrode is enclosed within an electrosurgical shaft, and the active electrode is located on the outside surface of the shaft such that in treating the tissue, the tissue is exposed to plasma generated on the active electrode, but is minimally exposed to electric fields generated between the active and return electrodes. Due to the configuration of the electrodes, electric fields generated between the electrodes are directed away from the target tissue and inwardly towards the return electrode within the shaft, thereby electrical stimulation of neuromuscular structures in the tissue by the electric fields is minimized.
摘要翻译：一种双极等离子体产生的电外科设备和系统，其中返回电极被包围在电外科轴内，并且有源电极位于轴的外表面上，使得在处理组织时，组织暴露于在活性电极，但是最低限度地暴露于在有源电极和返回电极之间产生的电场。由于电极的结构，在电极之间产生的电场被引导离开目标组织并向内朝向轴内的返回电极，由此电场中组织中的神经肌肉结构的电刺激最小化。

99. 发明授权

US07892230B2 Electrosurgical device having planar vertical electrode and related methods 有权
标题翻译：具有平面垂直电极的电外科装置及相关方法
公开(公告)号：US07892230B2
公开(公告)日：2011-02-22
申请号：US11166545
申请日：2005-06-24
申请人： Jean Woloszko
发明人： Jean Woloszko
IPC分类号： A61B18/14
CPC分类号： A61B18/1482 , A61B2018/00583 , A61B2018/1213 , A61B2018/1467 , A61B2218/007
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.
摘要翻译：用于从患者的目标部位受控消融组织的电外科手术方法和装置。仪器包括具有近端部分和远端部分上的平面有源电极的轴; 布置在所述轴上的与所述有源电极间隔开的返回电极; 至少一个延伸穿过轴的电连接器，其将有源电极与高频电源连接; 以及在所述轴内的具有远端开口的抽吸腔。活性电极垂直或垂直于组织处理表面布置。平面电极可以包括一个或多个孔。

100. 发明授权

US07879034B2 Internally located return electrode electrosurgical apparatus, system and method 有权
公开(公告)号：US07879034B2
公开(公告)日：2011-02-01
申请号：US11367254
申请日：2006-03-02
申请人： Jean Woloszko , Thomas Jenkins
发明人： Jean Woloszko , Thomas Jenkins
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B2018/00053 , A61B2018/0044 , A61B2018/00583 , A61B2018/1472 , A61B2218/002 , A61B2218/007 , A61B2218/008
摘要： A bipolar, plasma-generating electrosurgical apparatus and system wherein the return electrode is enclosed within an electrosurgical shaft, and the active electrode is located on the outside surface of the shaft such that in treating the tissue, the tissue is exposed to plasma generated on the active electrode, but is minimally exposed to electric fields generated between the active and return electrodes. Due to the configuration of the electrodes, electric fields generated between the electrodes are directed away from the target tissue and inwardly towards the return electrode within the shaft, thereby electrical stimulation of neuromuscular structures in the tissue by the electric fields is minimized.

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