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11. 发明授权

US07625347B2 Electrosurgical biopsy device and method 有权
标题翻译：电外科活检装置及方法
公开(公告)号：US07625347B2
公开(公告)日：2009-12-01
申请号：US10650027
申请日：2003-08-27
申请人： Fred Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick
发明人： Fred Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick
IPC分类号： A61B10/00
CPC分类号： A61B10/0266 , A61B10/02 , A61B17/00491 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/14 , A61B18/1487 , A61B18/1492 , A61B90/17 , A61B90/37 , A61B2010/0208 , A61B2017/3488 , A61B2018/00208 , A61B2018/00214 , A61B2018/00267 , A61B2018/00333 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1475 , A61B2018/162 , A61B2090/3908
摘要： An electrosurgical biopsy device includes a stylet and a cannula movably mounted on a base. The stylet has a shaft with a head at its distal end and a stylet ablation element extending distally from the head. The stylet shaft is disposed through the cannula for axial translation therein between withdrawn and extended positions. In use, the stylet and the cannula are pushed through the skin and the underlying tissue until the stylet head is adjacent a targeted tissue mass. Next, the stylet is extended distally from the distal end of the cannula so that its head penetrates the tissue mass. The cannula ablation element is then activated, and the cannula is pushed through the tissue mass toward the stylet head, thereby cutting a “core” through the tissue mass that is captured as a tissue specimen within the distal end of the cannula.
摘要翻译：电外科活检装置包括探针和可移动地安装在基座上的套管。探针具有在其远端具有头部的轴和从头部向远侧延伸的探针消融元件。探针轴穿过套管设置，用于在撤回位置和伸出位置之间进行轴向平移。在使用中，探针和套管被推到皮肤和下面的组织上，直到探针头与目标组织块相邻。接下来，探针从套管的远端向远端延伸，使得其头部穿透组织块。插管消融元件然后被激活，并且套管被推动通过组织块朝向管心针头，从而通过作为套管远端内的组织样本捕获的组织块切割“芯”。

12. 发明申请

US20090030259A1 Radiation catheter with multilayered balloon 有权
标题翻译：具多层气囊的放射导管
公开(公告)号：US20090030259A1
公开(公告)日：2009-01-29
申请号：US11978783
申请日：2007-10-30
申请人： Richard L. Quick
发明人： Richard L. Quick
IPC分类号： A61N5/01
CPC分类号： A61N5/1007 , A61M2025/1075 , A61N5/1015 , A61N2005/1003 , A61N2005/1018
摘要： The disclosure is directed to catheter devices and methods for controlled application of irradiation to tissue adjacent a body site, such as cavity after removal of tissue, e.g. cancer. The catheter device includes an inflatable balloon having at least two layers. The inflatable balloon has an expansion of more than 25% and less than 200% when inflated from the un-inflated condition to a turgid condition, preferably more than 50% and less than 150%. In the turgid condition the polymeric material(s) of the balloon layers are at or near the elastic limit of the balloon layer material. The balloon may contain or be formed of or be coated with radiopaque material to facilitate positional or symmetry verification.
摘要翻译：本公开涉及导管装置和方法，用于控制对身体部位附近的组织照射，例如去除组织后的空腔，例如，癌症。导管装置包括具有至少两层的可膨胀气囊。当从未充气状态膨胀到膨胀状态时，膨胀气球膨胀超过25％且小于200％，优选大于50％且小于150％。在潮气条件下，球囊层的聚合物材料处于或接近球囊层材料的弹性极限。球囊可以包含或由不透射线的材料形成或涂覆，以便于位置或对称性的验证。

13. 发明授权

US07329228B2 Methods and apparatus for securing medical instruments to desired locations in a patient's body 有权
标题翻译：将医疗器械固定在患者身体所需位置的方法和装置
公开(公告)号：US07329228B2
公开(公告)日：2008-02-12
申请号：US11179277
申请日：2005-07-11
申请人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick
发明人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick
IPC分类号： A61B10/00 , A61B17/32
CPC分类号： A61B10/04 , A61B10/02 , A61B10/0241 , A61B10/0266 , A61B17/00491 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/12 , A61B18/14 , A61B18/1477 , A61B18/1487 , A61B18/1492 , A61B90/17 , A61B90/37 , A61B90/39 , A61B2017/320064 , A61B2017/3488 , A61B2018/00208 , A61B2018/00214 , A61B2018/00267 , A61B2018/00333 , A61B2018/00577 , A61B2018/00601 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1425 , A61B2018/1475 , A61B2018/162 , A61B2019/5487 , A61B2019/5491 , A61B2090/3908 , A61B2090/3991
摘要： Devices and methods are provided for securely affixing a medical instrument to desired tissue in a patient's body, using a fixation agent. Such medical instruments may comprise localization wires or tissue acquisition instruments, such as biopsy instruments, for example. In the case of tissue acquisition instruments, the inventors have discovered significant advantages for securely affixing the distal end of the tissue acquisition instrument to a particular tissue target area. For example, such an approach permits the imaging environment to be uncoupled from the procedural environment so that expensive and often unavailable imaging equipment, such as stereotactic imaging equipment, need not be used. In a preferred embodiment, a bonding agent, such as adhesive, surgical glue, or a solvent, is used as the fixation agent.
摘要翻译：提供了设备和方法，用于使用固定剂将医疗器械牢固地固定在患者体内的期望的组织上。这样的医疗器械可以包括定位线或组织采集器械，例如活检器械。在组织采集仪器的情况下，本发明人已经发现了将组织采集仪器的远端牢固地固定到特定组织靶区域的显着优点。例如，这种方法允许成像环境与程序环境分离，从而不需要使用诸如立体定向成像设备之类的昂贵和经常不可用的成像设备。在优选的实施方案中，使用粘合剂，例如粘合剂，手术胶或溶剂作为固定剂。

14. 发明授权

US07175618B2 High frequency power source 有权
标题翻译：高频电源
公开(公告)号：US07175618B2
公开(公告)日：2007-02-13
申请号：US10658572
申请日：2003-09-09
申请人： James Huntington Dabney , Richard L. Quick , Conrad Sawicz , Paul Lubock , Dan Kussman
发明人： James Huntington Dabney , Richard L. Quick , Conrad Sawicz , Paul Lubock , Dan Kussman
IPC分类号： A61B18/04
CPC分类号： G01R31/025 , A61B18/042 , A61B18/1206 , A61B18/16 , A61B18/18 , A61B34/35 , A61B2018/00601 , A61B2018/00607 , A61B2018/00666 , A61B2018/00702 , A61B2018/00726 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00898 , A61B2018/0094 , A61B2018/1213 , A61B2018/1266 , A61B2018/1286 , A61B2018/162
摘要： A high frequency electrosurgical power generator configured to produce electrical power at a frequency of about 1 to about 14 MHz and preferably having an essentially sinusoidal waveform with a voltage level up to 1,000 Vrms, and a current level up to 5 Amps. The output of the high frequency electrosurgical power generator is connected to an electrosurgical tool configured to receive the voltage and current produced by the electrosurgical power generator and deliver the voltage and current to an electrosurgical site. The output of the electrosurgical generator preferably is an essentially sinusoid waveform with a frequency between about 3 MHz and about 8 MHz, up to about 700 volts rms, up to about 2 amps, with a total power of up to 1,000 watts.
摘要翻译：一种高频电外科发电机，其配置成以约1至约14MHz的频率产生电力，并且优选地具有基本上正弦波形，其电压电平高达1000Vrms，电流水平高达5安培。高频电外科发电机的输出连接到电外科手术工具，其被配置为接收由电外科发电机产生的电压和电流，并将电压和电流传递到电外科手术部位。电外科发生器的输出优选地是基本上是正弦波形，其频率在约3MHz至约8MHz之间，高达约700V rms，高达约2安培，总功率高达1,000瓦。

15. 发明授权

US06993375B2 Tissue site markers for in vivo imaging 有权
公开(公告)号：US06993375B2
公开(公告)日：2006-01-31
申请号：US10823053
申请日：2004-04-12
申请人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
发明人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick , Frank Louw , Stephen A. De Santis
IPC分类号： A61B19/00
CPC分类号： A61M37/0069 , A61B6/12 , A61B8/0833 , A61B10/02 , A61B90/39 , A61B2017/00004 , A61B2090/08021 , A61B2090/3908 , A61B2090/3925 , A61B2090/3987 , A61K49/006 , A61K49/222
摘要： The invention is directed biopsy site markers and methods of marking a biopsy site, so that the location of the biopsy cavity is readily visible by conventional imaging methods, particularly by ultrasonic imaging. The biopsy site markers of the invention have high ultrasound reflectivity, presenting a substantial acoustic signature from a small marker, so as to avoid obscuring diagnostic tissue features in subsequent imaging studies, and can be readily distinguished from biological features. The several disclosed embodiments of the biopsy site marker of the invention have a high contrast of acoustic impedance as placed in a tissue site, so as to efficiently reflect and scatter ultrasonic energy, and preferably include gas-filled internal pores. The markers may have a non-uniform surface contour to enhance the acoustic signature. The markers have a characteristic form which is recognizably artificial during medical imaging. The biopsy site marker may be accurately fixed to the biopsy site so as to resist migration from the biopsy cavity when a placement instrument is withdrawn, and when the marked tissue is subsequently moved or manipulated.

16. 发明授权

US06689071B2 Electrosurgical biopsy device and method 有权
标题翻译：电外科活检装置及方法
公开(公告)号：US06689071B2
公开(公告)日：2004-02-10
申请号：US09819185
申请日：2001-03-27
申请人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick
发明人： Fred H. Burbank , Paul Lubock , Michael L. Jones , Richard L. Quick
IPC分类号： A61B1000
CPC分类号： A61B10/0266 , A61B10/02 , A61B17/00491 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/14 , A61B18/1487 , A61B18/1492 , A61B90/17 , A61B90/37 , A61B2010/0208 , A61B2017/3488 , A61B2018/00208 , A61B2018/00214 , A61B2018/00267 , A61B2018/00333 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1475 , A61B2018/162 , A61B2090/3908
摘要： An electrosurgical biopsy device includes a stylet with a shaft, a head and an ablation element, a cannula with a distal end opening and an ablation element adjacent the opening, and optionally a base. The stylet shaft is movably disposed through the cannula. A translation mechanism controllably moves (a) the stylet between the withdrawn and extended positions and (b) the cannula between a proximal position and a distal position relative to the base. The stylet ablation element may be activated and the stylet and cannula pushed through skin and tissue until the stylet head is adjacent a targeted tissue mass. The stylet may then be extended so that its head penetrates the tissue mass. The cannula ablation element may then be activated, and the cannula pushed through the tissue mass toward the stylet head, cutting and capturing a tissue specimen within the distal end of the cannula.
摘要翻译：电外科活检装置包括具有轴的探针，头部和消融元件，具有远端开口的套管和与开口相邻的消融元件以及可选的底座。探针轴可移动地设置穿过套管。平移机构可以可控地移动（a）探针和延伸位置之间的探针，（b）相对于基部的近端位置和远端位置之间的插管。探针消融元件可以被激活，并且探针和套管推动穿过皮肤和组织，直到探针头与目标组织块相邻。然后可以延伸探针以便其头部穿透组织块。然后可以激活套管消融元件，并且套管将组织块推向探针头，切割并捕获套管远端内的组织标本。

17. 发明授权

US06471700B1 Apparatus and method for accessing biopsy site 有权
标题翻译：用于进入活检部位的装置和方法
公开(公告)号：US06471700B1
公开(公告)日：2002-10-29
申请号：US09477255
申请日：2000-01-04
申请人： Fred Burbank , William C. Homet , Paul Lubock , Richard L. Quick , Martin Shabaz
发明人： Fred Burbank , William C. Homet , Paul Lubock , Richard L. Quick , Martin Shabaz
IPC分类号： A61B1818
CPC分类号： A61B10/0266 , A61B10/02 , A61B17/32056 , A61B17/320725 , A61B17/3417 , A61B18/14 , A61B18/1482 , A61B18/1487 , A61B90/37 , A61B90/39 , A61B2010/0208 , A61B2018/00208 , A61B2018/00214 , A61B2018/00267 , A61B2018/00333 , A61B2018/00898 , A61B2018/0091 , A61B2018/00916 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1475 , A61B2018/162 , A61B2090/3908 , A61B2090/3987 , A61K49/006 , A61M37/0069
摘要： A system for accessing a desired site within a patient's body includes a cannula defining an inner lumen that opens into a longitudinally extending side aperture formed in the side of the cannula, near its distal end. An electrosurgical stylet slidably fits inside the inner lumen. At the distal end of the stylet is an electrosurgical electrode capable of ablating tissue and permitting advancement of the system into a patient's body. The electrode, in an expanded deployed configuration, can be wider than the maximum transverse dimension of the cannula, but it may be deflected toward the center of the stylet so that the electrode fits within the inner lumen of the cannula, permitting the stylet to be inserted and removed through the cannula. An elongate guide tube having a central axial bore which communicates with an orifice in the side of the guide tube can be inserted into the inner lumen of the cannula such that the guide tube orifice coincides with the longitudinally extending side aperature of the cannula. In use, the stylet with the cannula disposed about it is advanced into the patient's tissue, using electrosurgical ablation, until the side aperture of the cannula is disposed adjacent a desired site within the patient. The stylet can then be withdrawn from the cannula providing access through the inner lumen of the cannula to the tissue at the desired site.
摘要翻译：用于进入患者体内的期望部位的系统包括套管，该套管限定形成在套管一侧的纵向延伸的侧孔的靠近其远端的内腔。电外科手术针可滑动地装配在内腔内。在探针的远端是能够消融组织并允许系统进入患者体内的电外科电极。处于扩展展开构造的电极可以比插管的最大横向尺寸宽，但是其可以朝着探针的中心偏转，使得电极配合在套管的内腔内，从而允许探针为通过插管插入和移除。具有与引导管侧面的孔连通的中心轴向孔的细长引导管可以插入插管的内腔中，使得引导管孔与插管的纵向延伸的侧面温度重合。在使用中，具有围绕其设置的插管的探针被推进到患者的组织中，使用电外科手术切除，直到套管的侧孔邻近患者内的期望部位设置。然后可以从插管中取出探针，提供通过插管的内腔进入所需部位的组织的通路。

18. 发明授权

US5665051A Endoscope with axially movable optical fiber guide to compensate changes in length 失效
标题翻译：具有轴向移动的光纤导向器的内窥镜以补偿长度的变化
公开(公告)号：US5665051A
公开(公告)日：1997-09-09
申请号：US289932
申请日：1994-08-12
申请人： Richard L. Quick , John F. Forkner , Gary M. Woker
发明人： Richard L. Quick , John F. Forkner , Gary M. Woker
IPC分类号： A61B1/00 , G02B23/26
CPC分类号： G02B23/26 , A61B1/00165 , A61B1/00195
摘要： A fiberoptic endoscope includes an axially movable optical fiber guide to compensate for focusing effects, such as thermal expansion or mechanical tolerances. The distal end portion of the optical fiber guide is secured to the distal end of the endoscope while the proximal end portion is permitted to move axially relative to a proximal housing portion of the endoscope. The proximal housing portion includes an eye lens unit secured thereto. A decoupling lens unit is fixed to the proximal end portion of the optical fiber guide so as to move therewith with respect to the eye lens unit.
摘要翻译：光纤内窥镜包括可轴向移动的光纤引导件，以补偿聚焦效应，例如热膨胀或机械公差。光导管的前端部固定在内窥镜的前端，同时允许基端部相对于内窥镜的近端壳体部分轴向移动。近侧壳体部分包括固定到其上的眼睛透镜单元。解耦透镜单元被固定到光纤引导件的近端部分，以便相对于眼睛透镜单元随之移动。

19. 发明授权

US08715159B2 Adjustable implant and method of use 有权
标题翻译：可植入植入物和使用方法
公开(公告)号：US08715159B2
公开(公告)日：2014-05-06
申请号：US13158117
申请日：2011-06-10
申请人： Scott Pool , Blair Walker , Jay R. McCoy , Peter P. Tran , Richard L. Quick , Shahram Moaddeb , Arvin Chang
发明人： Scott Pool , Blair Walker , Jay R. McCoy , Peter P. Tran , Richard L. Quick , Shahram Moaddeb , Arvin Chang
IPC分类号： A61F2/00
CPC分类号： A61F5/0053 , A61F5/003 , A61F5/0059 , A61F5/0066 , A61F2005/002
摘要： A system includes an adjustable implant configured for implantation internally within a subject, the adjustable implant comprising a first permanent magnet configured for rotation about a first axis, the first permanent magnet operatively coupled to a drive transmission configured to alter a dimension of the adjustable implant. The system further includes an external adjustment device configured for placement on or adjacent to the skin of the subject, the external adjustment device comprising a second permanent magnet configured for rotation about a second axis and a third permanent magnet configured for rotation about a third axis different from the second axis; and wherein cooperative rotation of the second permanent magnet about the second axis and rotation of the third permanent magnet about the third axis result in rotation of the first permanent magnet about the first axis.
摘要翻译：系统包括被配置用于在对象内部进行植入的可调节植入物，所述可调节植入物包括被配置为围绕第一轴线旋转的第一永久磁体，所述第一永久磁体可操作地耦合到构造成改变所述可调节植入物的尺寸的驱动变速器。该系统还包括外部调节装置，其被配置用于放置在与受试者皮肤相邻或相邻的外部，所述外部调节装置包括构造成围绕第二轴线旋转的第二永磁体和被配置为围绕第三轴线旋转的第三永磁体从第二轴; 并且其中所述第二永磁体围绕所述第二轴线的协同旋转和所述第三永磁体围绕所述第三轴线的旋转导致所述第一永磁体围绕所述第一轴线的旋转。

20. 发明授权

US08652121B2 Universal medical device control console 有权
标题翻译：通用医疗器械控制台
公开(公告)号：US08652121B2
公开(公告)日：2014-02-18
申请号：US11980956
申请日：2007-10-31
申请人： Richard L. Quick , Martin V. Shabaz , James H. Dabney , Daniel Kussman , Frank R. Louw , Paul Lubock
发明人： Richard L. Quick , Martin V. Shabaz , James H. Dabney , Daniel Kussman , Frank R. Louw , Paul Lubock
IPC分类号： A61B17/00
CPC分类号： A61B10/02 , A61B5/01 , A61B5/024 , A61B10/0266 , A61B10/0283 , A61B18/14 , A61B90/06 , A61B2017/00199 , A61B2017/00225 , A61B2017/00482 , A61B2017/008 , A61B2017/00973
摘要： A control console is disclosed for controlling one or more medical devices. The control console communicates to at least one medical device, and at least one peripheral module associated with the medical device if needed. The control console has a microprocessor for processing data to direct an operation of the medical device.
摘要翻译：公开了用于控制一个或多个医疗装置的控制台。如果需要，控制台与至少一个医疗设备通信，以及与医疗设备相关联的至少一个外围模块。控制台具有用于处理数据以引导医疗设备的操作的微处理器。

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