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    • 14. 发明申请
    • MEDICAL INSTRUMENTS AND TECHNIQUES FOR TREATING PULMONARY DISORDERS
    • 用于治疗肺部疾病的医疗仪器和技术
    • US20110264090A1
    • 2011-10-27
    • US12947228
    • 2010-11-16
    • John H. SHADDUCKMichael HOEY
    • John H. SHADDUCKMichael HOEY
    • A61B18/18
    • A61B18/04A61B17/32037A61B2017/00809A61B2018/00315A61B2018/048
    • A surgical instrument for delivering energy to lung tissue, for example to cause lung volume reduction. In one embodiment, an elongated catheter has a handle portion that includes an interior chamber that is supplied with a biocompatible liquid media under pressure. An energy source delivers energy to the media to cause a liquid-to-vapor phase change within the interior chamber and ejects a flow of vapor media from the working end of the catheter. The delivery of energy and the flow of vapor are controlled by a computer controller to cause a selected pressure and selected volume of vapor to propagate to the extremities of the airways. Contemporaneously, the vapor undergoes a vapor-to-liquid phase transition which delivers large amount of energy to the airway tissue. The thermal energy delivered is equivalent to the heat of vaporization of the fluid media, which shrinks and collapses the treated airways. The treated tissue is the maintained in a collapsed state by means of aspiration for a short interval to enhance tissue remodeling. Thereafter, the patient's wound healing response causes fibrosis and further remodeling to cause permanent lung volume reduction.
    • 用于向肺组织递送能量的手术器械,例如以减少肺容积。 在一个实施例中,细长导管具有手柄部分,该手柄部分包括在压力下供应生物相容性液体介质的内部腔室。 能量源将能量传递到介质以在内部室内引起液体 - 气相变化,并从导管的工作端喷出蒸气介质流。 能量的传递和蒸气的流动由计算机控制器控制,以使所选压力和选定体积的蒸气传播到气道的末端。 同时,蒸气经历气 - 液相转移,其向气道组织输送大量的能量。 传递的热能相当于流体介质的蒸发热量,这会使经过处理的气道收缩和收缩。 经处理的组织通过抽吸短时间保持在折叠状态以增强组织重塑。 此后,患者的伤口愈合反应引起纤维化并进一步重塑以造成永久肺容积减少。
    • 20. 发明申请
    • MEDICAL SYSTEM AND METHOD OF USE
    • 医疗系统及其使用方法
    • US20100185189A1
    • 2010-07-22
    • US12692488
    • 2010-01-22
    • Michael HOEY
    • Michael HOEY
    • A61B18/04
    • A61B18/04A61B2018/048A61B2218/008
    • A tissue evacuation device may be designed to provide a high-energy fluid (e.g., a heated vapor) to targeted tissue for breaking down the targeted tissue, such as the nucleus of an intervertebral disc. An inner tube positioned within an outer tube, having a nozzle coupled to distal ends of the tubes, having a heating element positioned between the inner and outer tubes, delivers a heated vapor through a port to the nozzle to break down tissue. After the nucleus or other targeted tissue is broken down, the tissue evacuation device may also remove some or all of the broken down tissue.
    • 组织抽真空装置可以被设计成向目标组织提供高能量流体(例如,加热的蒸汽),以分解目标组织,例如椎间盘的核。 定位在外管内的内管,其具有联接到管的远端的喷嘴,其具有位于内管和外管之间的加热元件,将经加热的蒸汽通过端口输送到喷嘴以分解组织。 在细胞核或其他目标组织被破坏之后,组织排泄装置也可以去除部分或全部破碎的组织。