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121. 发明授权

US09198709B2 Electrosurgical wand and related method and system 有权
标题翻译：电外科手术棒及相关方法及系统
公开(公告)号：US09198709B2
公开(公告)日：2015-12-01
申请号：US14029867
申请日：2013-09-18
申请人： ArthroCare Corporation
发明人： David A. Cox , Johnson E. Goode , Philip M. Tetzlaff , Jean Woloszko
IPC分类号： A61B18/12 , A61B18/04 , A61B18/14 , A61B18/00
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 fluid 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地联接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。

122. 发明申请

US20150196346A1 ELECTROSURGICAL DEVICE WITH INTERNAL DIGESTOR ELECTRODE 有权
标题翻译：具有内部电极的电磁装置
公开(公告)号：US20150196346A1
公开(公告)日：2015-07-16
申请号：US14668497
申请日：2015-03-25
申请人： ArthroCare Corporation
发明人： Kim Nguyen , Doug Evans , Seth M. Pransky
IPC分类号： A61B18/04
CPC分类号： A61B18/042 , A61B18/1402 , A61B2018/00583 , A61B2018/144 , A61B2018/1472 , A61B2018/162 , A61B2218/002 , A61B2218/005 , A61B2218/007
摘要： An electrosurgical wand is described, for treating a target tissue using electrosurgical energy, which has an elongate shaft with a handle end and a distal end. A first active electrode surface is disposed on the distal end of the shaft and a first digester electrode surface is recessed away from the first active electrode surface and electrically connected with the first active electrode surface. An aspiration aperture is also disposed adjacent the first active electrode surface and fluidly connected with an aspiration lumen, wherein the first digester electrode surface is disposed within the aspiration lumen.
摘要翻译：描述了一种电外科手术棒，用于使用电外科能量治疗靶组织，其具有带柄柄端和远端的细长轴。第一活性电极表面设置在轴的远端上，第一消化器电极表面从第一有效电极表面凹入并与第一有效电极表面电连接。吸入孔还邻近第一有效电极表面设置并与抽吸腔流体连接，其中第一消化器电极表面设置在抽吸腔内。

123. 外观设计

USD732164S1 Electrosurgical wand distal tip 有权
标题翻译：电外科手杖远端
公开(公告)号：USD732164S1
公开(公告)日：2015-06-16
申请号：US29487724
申请日：2014-04-11
申请人： ArthroCare Corporation
设计人： Jean Woloszko , Johnson E. Goode

124. 发明申请

US20140364876A1 INDEPENDENT SUTURE TENSIONING AND SNARING APPARATUS 有权
标题翻译：独立的拉伸和淋浴设备
公开(公告)号：US20140364876A1
公开(公告)日：2014-12-11
申请号：US14448707
申请日：2014-07-31
申请人： ArthroCare Corporation
发明人： George W. White , David Gregoire , David Aldridge , Edward E. Dolendo , Emil Karapetian , Norman S. Gordon , Tri Nguyen
IPC分类号： A61B17/04 , A61B17/06
CPC分类号： A61B17/0485 , A61B17/00234 , A61B17/04 , A61B17/0401 , A61B17/0482 , A61B17/06166 , A61B17/8869 , A61B2017/00296 , A61B2017/0053 , A61B2017/0409 , A61B2017/042 , A61B2017/0456 , A61B2017/0464 , A61B2017/0496
摘要： In repairing soft tissue with a bone anchoring instrument (such as reattaching a tendon of a torn rotator cuff), the bone anchoring instrument may be used to anchor the soft tissue to a region of bone. The anchors inserted into the underlying bone may have one or more lengths of suture or wire attached thereto which may be tensioned independently of one another to affix the soft tissue to the bone by having a selector mechanism selectively engage and disengage ratcheted tensioning wheels from one another. Suture loading mechanisms may be employed for passing suture lengths into and/or through the anchors prior to deployment into the bone where such mechanisms may employ suture snares which are configured to reconfigure from an expanded shape through which suture lengths may be easily passed to a low-profile shape which secures the suture lengths within the snare.
摘要翻译：在用骨锚固仪器（例如重新安装撕裂的肩袖的肌腱）修复软组织时，可以使用骨锚固器械将软组织锚定到骨骼的一部分。插入到下面的骨中的锚可以具有一个或多个连接到其上的长度的缝合线或线，其可以彼此独立地张紧，以通过使选择器机构选择性地接合和分离棘轮张紧轮从而将软组织附着到骨骼上。可以采用缝合线加载机构将缝合线长度插入和/或穿过锚定器，然后将其插入到骨中，其中这种机构可以使用缝合线圈，其被配置为从扩张形状重新配置，通过该扩张形状缝合线长度可以容易地传递到低 - 将档案的形状固定在圈套内。

125. 发明申请

US20140276201A1 SYSTEM AND METHOD FOR DETECTING TISSUE STATE AND INFECTION DURING ELECTROSURGICAL TREATMENT OF WOUND TISSUE 审中-公开
标题翻译：用于检测组织状态的系统和方法以及在组织的静电治疗期间的感染
公开(公告)号：US20140276201A1
公开(公告)日：2014-09-18
申请号：US14202400
申请日：2014-03-10
申请人： ARTHROCARE CORPORATION
发明人： Jean Woloszko , Thomas P. Ryan , Kenneth R. Stalder
IPC分类号： A61B18/18 , A61B5/145
CPC分类号： A61B5/14546 , A61B18/14 , A61B2018/00452 , A61B2018/00583 , A61B2018/00773 , A61B2018/162 , A61B2218/002 , A61B2218/007
摘要： A method exposes a wound bed to electrosurgical treatment to generate fragmented wound tissue, gathers a molecular gaseous by-product sample of the fragmented wound tissue, and analyzes the molecular gaseous by-product sample of the fragmented wound tissue to generate a fragmented wound tissue compound analysis profile. The method further compares the fragmented wound tissue compound analysis profile with a database of known compound analysis profiles and provides a diagnosis of the wound tissue based on the comparison of compound analysis profiles.
摘要翻译：一种方法将伤口床暴露于电外科治疗以产生碎裂的伤口组织，收集碎片伤口组织的分子气体副产物样品，并分析碎片伤口组织的分子气体副产物样品以产生碎裂的伤口组织化合物分析资料。该方法进一步比较碎片伤口组织化合物分析曲线与已知化合物分析曲线的数据库，并基于化合物分析曲线的比较提供伤口组织的诊断。

126. 发明申请

US20140236141A1 METHOD AND SYSTEM OF REDUCTION OF LOW FREQUENCY MUSCLE STIMULATION DURING ELECTROSURGICAL PROCEDURES 审中-公开
标题翻译：在静电疗法中减少低频肌肉刺激的方法和系统
公开(公告)号：US20140236141A1
公开(公告)日：2014-08-21
申请号：US14264172
申请日：2014-04-29
申请人： ArthroCare Corporation
发明人： Jean Woloszko , Duane W. Marion
IPC分类号： A61B18/12 , A61B18/14
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。

127. 发明申请

US20140163612A1 NOVEL SUTURE 审中-公开
标题翻译：新款
公开(公告)号：US20140163612A1
公开(公告)日：2014-06-12
申请号：US14179086
申请日：2014-02-12
申请人： ArthroCare Corporation
发明人： Seth M. Hootstein
IPC分类号： A61B17/06
CPC分类号： A61B17/06166 , A61B17/0401 , A61B17/0487 , A61B2017/0403 , A61B2017/0477 , A61F2/0811 , A61F2002/0858 , A61F2002/0888
摘要： A knotless suture system formed from two lengths of suture joined at a suture junction point, with at least four suture limbs extending from the suture junction. The knotless suture system provides the ability to construct a suture bridge for soft tissue repair and fixation across a medial and lateral row bone fixation anchor configuration while passing the suture system in a simplified method of suture management.
摘要翻译：由缝合连接点处连接的两条缝合线形成的无缝缝合系统，其中至少四条缝合线从缝合线连接处延伸出来。无缝缝合系统提供了构建用于软组织修复和固定跨越内侧和侧排骨固定锚定构造的缝合桥的能力，同时以简化的缝合线管理方法穿过缝合系统。

128. 发明申请

US20130218173A1 SURGICAL INSTRUMENT FOR MANIPULATING AND PASSING SUTURE 有权
标题翻译：手术仪器用于手术和通气
公开(公告)号：US20130218173A1
公开(公告)日：2013-08-22
申请号：US13760163
申请日：2013-02-06
申请人： ARTHROCARE CORPORATION
发明人： Thomas Weisel , Roger Pisarnwongs
IPC分类号： A61B17/04
CPC分类号： A61B17/0469 , A61B17/0483 , A61B17/06109 , A61B2017/06009 , A61B2017/06042
摘要： A suture manipulating instrument for passing and retrieving suture through a tissue includes a handle mechanism, an elongate shaft extending from the handle, and a working distal end. The working distal end includes a needle body, a lumen defined by the needle body, a tissue penetrating distal tip, and a lateral slot. A preformed inner member is movably disposed within the lumen of the needle. The handle mechanism is used to extend the wire from the lateral slot of the needle, and to retract the wire into the lateral slot, allowing the working end of the instrument to grasp and manipulate suture by pinning and/or trapping the suture against the needle.
摘要翻译：用于通过组织通过和取回缝合线的缝合线操纵仪器包括手柄机构，从手柄延伸的细长轴和工作的远端。工作的远端包括针体，由针体限定的腔，穿透远端的组织和横向狭槽。预成形的内部构件可移动地设置在针的内腔内。手柄机构用于从针的横向狭槽延伸线，并且将线收回到侧向槽中，允许器械的工作端通过将针缝合和/或将针缝扎在针上而抓住并操纵缝合线。

129. 发明申请

US20040153057A1 Electrosurgical apparatus and methods for ablating tissue 失效
标题翻译：用于消融组织的电外科设备和方法
公开(公告)号：US20040153057A1
公开(公告)日：2004-08-05
申请号：US10713643
申请日：2003-11-13
申请人： ArthroCare Corporation
发明人： Terry S. Davison
IPC分类号： A61B018/14
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 the controlled ablation of tissue from a target site of a patient. The instrument includes a shaft having proximal and distal end portion and an active screen electrode on the distal end portion; a return electrode arranged on the shaft spaced from the screen electrode; at least one electrical connector extending through the shaft that connects the active electrode with a high frequency power supply; at least one electrical coupling member (such as a ball wire) adapted to secure the active screen electrode to the shaft and to electrically couple the screen electrode to the at least one electrical connector; and an aspiration lumen within the shaft having a distal opening coupled to the single active electrode wherein the screen electrode inhibits clogging of the aspiration lumen.
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主动屏蔽电极的轴; 布置在与屏幕电极间隔开的轴上的返回电极; 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; 至少一个电耦合构件（例如球线），其适于将主动屏蔽电极固定到轴并且将屏幕电极电耦合到至少一个电连接器; 以及所述轴内的吸入腔具有联接到所述单个有源电极的远端开口，其中所述屏幕电极抑制所述抽吸腔的堵塞。

130. 发明申请

US20040087939A1 Methods for electrosurgical tissue treatment between spaced apart electrodes 失效
标题翻译：间隔电极间电外科组织治疗方法
公开(公告)号：US20040087939A1
公开(公告)日：2004-05-06
申请号：US10621839
申请日：2003-07-16
申请人： ArthroCare Corporation
发明人： Philip E. Eggers , Hira V. Thapliyal
IPC分类号： A61B018/14
CPC分类号： A61B18/1492 , A61B18/12 , A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B2017/00026 , A61B2017/00084 , A61B2017/00097 , A61B2017/00101 , A61B2017/00247 , A61B2017/00292 , A61B2017/003 , A61B2017/22001 , A61B2017/22038 , A61B2018/00029 , A61B2018/0016 , A61B2018/00178 , A61B2018/00196 , A61B2018/00392 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00642 , A61B2018/0066 , A61B2018/00678 , A61B2018/00726 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00886 , A61B2018/1213 , A61B2018/124 , A61B2018/126 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2090/378 , A61B2218/002 , A61B2218/007 , A61F2/2493 , A61M25/0133 , A61M25/0147 , A61M25/0158 , A61N1/05 , A61N1/403
摘要： An electrosurgical probe comprises a shaft having an electrode array (12) at its distal end and a connector at its proximal end. The array (12) includes a plurality of isolated electrode terminals, and an electrosurgical power supply (28) is provided with a multiplicity of independently limited or controlled current sources and a connector. The electrosurgical probe and the power supply may be connected through their respective connectors so that the independent current sources are connected to individual electric terminals. By applying very high frequency electrical energy to the electrode array, target tissue may be cut or ablated while heat dissipation through low impedance paths, such as blood and normal saline, will be minimized.
摘要翻译：电外科探头包括在其远端具有电极阵列（12）的轴和在其近端的连接器。阵列（12）包括多个隔离电极端子，并且电外科电源（28）设置有多个独立的受限或受控的电流源和连接器。电外科探头和电源可以通过它们各自的连接器连接，使得独立电流源连接到各个电气端子。通过对电极阵列施加非常高频的电能，可以切割或消融靶组织，同时通过诸如血液和生理盐水的低阻抗路径的散热将被最小化。

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