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51. 发明申请

US20150080884A1 METHODS FOR MONOPOLAR RENAL NEUROMODULATION 有权
标题翻译：肛门神经元神经修复的方法
公开(公告)号：US20150080884A1
公开(公告)日：2015-03-19
申请号：US14548810
申请日：2014-11-20
申请人： Medtronic Ardian Luxembourg S.a.r.l.
发明人： Denise Zarins , Hanson Gifford, III , Mark Deem , Howard R. Levin , Mark Gelfand , Nicolas Zadno
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B5/0536 , A61B5/201 , A61B5/4848 , A61B18/1482 , A61B18/16 , A61B2017/00154 , A61B2018/00214 , A61B2018/0022 , A61B2018/00261 , A61B2018/00267 , A61B2018/00279 , A61B2018/00404 , A61B2018/00434 , A61B2018/00511 , A61B2018/00577 , A61B2018/00613 , A61B2018/00642 , A61B2018/00875 , A61B2018/124 , A61B2018/1253 , A61B2018/1435 , A61B2018/1467 , A61B2018/1472 , A61N1/0551 , A61N1/327 , A61N1/36017 , A61N1/3606
摘要： Methods and apparatus are provided for monopolar neuromodulation, e.g., via a pulsed electric field. Such monopolar neuromodulation may effectuate irreversible electroporation or electrofusion, necrosis and/or inducement of apoptosis, alteration of gene expression, action potential attenuation or blockade, changes in cytokine up-regulation and other conditions in target neural fibers. In some embodiments, monopolar neuromodulation is applied to neural fibers that contribute to renal function. In some embodiments, such monopolar neuromodulation is performed bilaterally.
摘要翻译：提供了用于单极神经调节的方法和装置，例如通过脉冲电场。这种单极神经调节可能会导致不可逆的电穿孔或电融合，坏死和/或诱导凋亡，基因表达的改变，动作电位减弱或阻断，细胞因子上调的变化和靶神经纤维中的其他条件。在一些实施方案中，单极神经调节被应用于有助于肾功能的神经纤维。在一些实施方案中，这种单极神经调节是双侧进行的。

52. 发明申请

US20150057646A1 AUTOMATED IMAGE-GUIDED TISSUE RESECTION AND TREATMENT 有权
标题翻译：自动图像指导组织治疗和治疗
公开(公告)号：US20150057646A1
公开(公告)日：2015-02-26
申请号：US14334247
申请日：2014-07-17
申请人： PROCEPT BioRobotics Corporation
发明人： Nikolai ALJURI , Surag MANTRI , Luis BAEZ , George SURJAN , Michael W. SASNETT , Jonathan FOOTE
IPC分类号： A61B18/20 , A61B17/3203 , A61B19/00
CPC分类号： A61B17/3203 , A61B1/307 , A61B17/32037 , A61B18/04 , A61B18/1485 , A61B18/20 , A61B18/22 , A61B34/25 , A61B2017/00274 , A61B2017/306 , A61B2018/00279 , A61B2018/00285 , A61B2018/00327 , A61B2018/00351 , A61B2018/00404 , A61B2018/0044 , A61B2018/00446 , A61B2018/00488 , A61B2018/00494 , A61B2018/005 , A61B2018/00517 , A61B2018/00529 , A61B2018/00541 , A61B2018/00547 , A61B2018/00577 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/00607 , A61B2018/00642 , A61B2018/0066 , A61B2018/00982 , A61B2018/00994 , A61B2018/046 , A61B2018/1472 , A61B2018/20351 , A61B2018/2211 , A61B2018/2272 , A61B2034/2048 , A61B2034/254 , A61B2090/3782 , A61B2218/002 , A61B2218/007
摘要： A system to treat a patient comprises a user interface that allows a physician to view an image of tissue to be treated in order to develop a treatment plan to resect tissue with a predefined removal profile. The image may comprise a plurality of images, and the planned treatment is shown on the images. The treatment probe may comprise an anchor, and the image shown on the screen may have a reference image marker shown on the screen corresponding to the anchor. The planned tissue removal profile can be displayed and scaled to the image of the target tissue of an organ such as the prostate, and the physician can adjust the treatment profile based on the scaled images to provide a treatment profile in three dimensions. The images shown on the display may comprise segmented images of the patient with treatment plan overlaid on the images.
摘要翻译：用于治疗患者的系统包括允许医师观看要治疗的组织的图像的用户界面，以便开发用预定义的去除轮廓切除组织的治疗计划。图像可以包括多个图像，并且在图像上显示计划的处理。治疗探针可以包括锚，并且屏幕上显示的图像可以具有在与锚相对应的屏幕上示出的参考图像标记。可以显示计划的组织去除曲线并缩放到诸如前列腺的器官的目标组织的图像，并且医师可以基于缩放的图像来调整治疗分布，以提供三维的治疗分布。显示器上显示的图像可以包括覆盖在图像上的治疗计划的患者的分割图像。

53. 发明申请

US20150038963A1 ABLATION CATHETER 审中-公开
标题翻译：橡胶导管
公开(公告)号：US20150038963A1
公开(公告)日：2015-02-05
申请号：US14388060
申请日：2013-03-27
申请人： CATHRX LTD
发明人： James Panos , Tyler McKinley Mortimer , Roman Greifeneder
IPC分类号： A61B18/14 , A61M3/02
CPC分类号： A61B18/1492 , A61B2017/00907 , A61B2018/00065 , A61B2018/00166 , A61B2018/00196 , A61B2018/00351 , A61B2018/00577 , A61B2018/1407 , A61B2018/1472 , A61B2018/1475 , A61B2218/002 , A61M3/0279
摘要： An ablation catheter including a handle, a tubular irrigation member defining a fluid lumen and having a plurality of perforations proximal the distal end of the tubular irrigation member. At least one ablation electrode is arranged at the distal end of an elongate tubular sheath inserted into the lumen of the tubular irrigation member, the elongate tubular sheath being axially displaceable within the lumen of the tubular irrigation member. The ablation catheter may also include two ablation electrodes each attached to an elongate tubuar sheath which are telescopically arranged within the tubular irrigation member. The ablation electrodes may be displaceable simultaneously together or individually.
摘要翻译：包括手柄的消融导管，限定流体腔的管状冲洗构件，并且在管状灌洗构件的远端附近具有多个穿孔。至少一个消融电极被布置在插入管状冲洗构件的内腔中的细长管状护套的远端处，细长管状护套可在管状灌洗构件的内腔内轴向移位。消融导管还可以包括两个消融电极，每个消融电极连接到细长的管状护套上，套管套管可伸缩地布置在管状灌洗构件内。消融电极可以同时或单独地位移。

54. 发明申请

US20150032101A1 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：US20150032101A1
公开(公告)日：2015-01-29
申请号：US14498261
申请日：2014-09-26
申请人： ArthroCare Corporation
发明人： Jean Woloszko
IPC分类号： A61B18/12
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。

55. 发明申请

US20150018817A1 MULTIPLE ELECTRODE CONDUCTIVE BALLOON 审中-公开
标题翻译：多电极导电气球
公开(公告)号：US20150018817A1
公开(公告)日：2015-01-15
申请号：US14316432
申请日：2014-06-26
申请人： BOSTON SCIENTIFIC SCIMED, INC.
发明人： MARTIN R. WILLARD
IPC分类号： A61B18/14 , B29C47/00
CPC分类号： B29C48/10 , A61B18/1492 , A61B2017/00942 , A61B2018/00023 , A61B2018/00071 , A61B2018/0016 , A61B2018/00166 , A61B2018/0022 , A61B2018/00404 , A61B2018/00434 , A61B2018/00511 , A61B2018/00577 , A61B2018/00636 , A61B2018/00791 , A61B2018/00815 , A61B2018/00821 , A61B2018/1435 , A61B2018/1472
摘要： Medical devices and methods for making and using medical devices are disclosed. An example medical device may include a medical device for modulating nerves. The medical device may include an elongate shaft having a distal region. A balloon may be coupled to the distal region. An electrode may be disposed within the balloon. A virtual electrode may be defined along the balloon. The virtual electrode may include a region having a first non-conductive layer and a second conductive layer.
摘要翻译：公开了用于制造和使用医疗装置的医疗装置和方法。示例性医疗装置可以包括用于调节神经的医疗装置。医疗装置可以包括具有远侧区域的细长轴。气囊可以联接到远端区域。电极可以设置在气囊内。虚拟电极可以沿气囊来限定。虚拟电极可以包括具有第一非导电层和第二导电层的区域。

56. 发明授权

US08920417B2 Electrosurgical devices and methods of use thereof 有权
标题翻译：电外科装置及其使用方法
公开(公告)号：US08920417B2
公开(公告)日：2014-12-30
申请号：US13729337
申请日：2012-12-28
申请人： Medtronic Advanced Energy LLC
发明人： Brian M. Conley , Jonathan J. Barry , Roger D. Greeley , Chad M. Greenlaw , Lorenzo C. Vaccarella , Joseph Sylvester
IPC分类号： A61B18/14 , A61B18/00 , A61B17/3203
CPC分类号： A61B18/00 , A61B17/3203 , A61B18/1402 , A61B18/149 , A61B2018/00029 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/1407 , A61B2018/1412 , A61B2018/144 , A61B2018/1467 , A61B2018/1472 , A61B2218/002
摘要： In some embodiments, an electrosurgical device includes a shaft, a first U-shaped electrode at a distal end of the shaft, and a second blade shaped electrode at the distal end of the shaft. The second electrode includes a spherical distal end. And the second electrode is substantially coplanar with the first electrode such that the first electrode surrounds a perimeter of the second electrode. The second electrode is spaced from the first electrode by an aperture. In some embodiments, an electrosurgical device includes a shaft, a first electrode at a distal end of the shaft defining an aperture and comprising a pointed tip, and a second electrode disposed at the distal end of the shaft that is substantially coplanar with the first electrode such that the first electrode surrounds a perimeter of the second electrode. The second electrode is spaced from the first electrode by the aperture.
摘要翻译：在一些实施例中，电外科设备包括轴，在轴的远端处的第一U形电极和在轴的远端处的第二叶片形电极。第二电极包括球形远端。并且第二电极与第一电极基本上共面，使得第一电极围绕第二电极的周边。第二电极通过孔与第一电极间隔开。在一些实施例中，电外科装置包括轴，位于轴的远端处的第一电极限定孔并且包括尖端，以及设置在轴的远端处的第二电极，其与第一电极基本共面使得第一电极围绕第二电极的周边。第二电极通过孔与第一电极间隔开。

57. 发明申请

US20140378969A1 ELECTROSURGICAL INSTRUMENT 有权
标题翻译：静电仪
公开(公告)号：US20140378969A1
公开(公告)日：2014-12-25
申请号：US14313156
申请日：2014-06-24
申请人： GYRUS MEDICAL LIMITED
发明人： Richard John HOODLESS , Richard John KEOGH
IPC分类号： A61B18/14 , B23P17/00
CPC分类号： A61B18/1492 , A61B18/1485 , A61B2017/00526 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , B23P17/00 , Y10T29/49117
摘要： An electrosurgical instrument is provided for the treatment of tissue, the instrument (3) including a shaft (14) and a tip portion including at least one electrode (16), located at the distal end of the shaft. A fluid impermeable sheath (25) covers at least a proportion of the shaft and extends to the tip portion where it terminates in a distal end portion (26). A metallic shroud (29) is provided, comprising an annular ring portion (30) and a rearwardly extending cylindrical portion (31). The ring portion (30) is connected to the tip portion, and the cylindrical portion (31) overlies the distal end portion (26) of the sheath (25) so as to prevent ingress of fluids at the distal end portion of the sheath. 15
摘要翻译：提供电外科器械用于治疗组织，仪器（3）包括轴（14）和包括位于轴的远端的至少一个电极（16）的尖端部分。流体不可渗透的护套（25）覆盖轴的至少一部分并且延伸到尖端部分，其末端在远端部分（26）中。提供金属罩（29），其包括环形环部分（30）和向后延伸的圆柱形部分（31）。环部（30）与前端部连接，圆筒部（31）覆盖护套（25）的前端部（26），以防止护套的前端部的流体进入。 15

58. 发明授权

US08911438B2 Tuna device with integrated saline reservoir 有权
标题翻译：金枪鱼装置与综合盐水库
公开(公告)号：US08911438B2
公开(公告)日：2014-12-16
申请号：US11573417
申请日：2005-08-10
申请人： John M. Swoyer , Mark A. Christopherson , Yelena G. Tropsha , Julie M. Woessner
发明人： John M. Swoyer , Mark A. Christopherson , Yelena G. Tropsha , Julie M. Woessner
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B2018/1472 , A61B2018/1475
摘要： Methods and apparatus for ablating a target tissue are discussed. Such methods and apparatus include those that simplify tissue ablation. For example, a tissue ablation device having an actuator, such as a trigger mechanism, coupled to a power source and an electrode is discussed. A single step of engaging the actuator causes the electrode to be introduced into the target tissue and causes energy to be delivered from the power supply to the tissue via the electrode. Devices that include an electrode actuator for causing the electrode to be introduced into the target tissue and a fluid actuator for causing the fluid to flow to the target tissue are also discussed. Methods of causing the electrode to be introduced into the target tissue and fluid to flow to the target tissue with a single step and more than one step are also discussed.
摘要翻译：讨论了用于烧蚀靶组织的方法和装置。这些方法和装置包括简化组织消融的方法和装置。例如，讨论了具有耦合到电源和电极的诸如触发机构的致动器的组织消融装置。使执行器接合的一个步骤使得电极被引入目标组织中，并且通过电极将能量从电源传送到组织。还讨论了包括用于使电极引入目标组织的电极致动器和用于使流体流向目标组织的流体致动器的装置。还讨论了将电极引入目标组织中的方法和流体以单步和多于一个步骤流向目标组织。

59. 发明授权

US08906017B2 Apparatus system and method for coagulating and cutting tissue 有权
标题翻译：用于凝结和切割组织的装置系统和方法
公开(公告)号：US08906017B2
公开(公告)日：2014-12-09
申请号：US12269790
申请日：2008-11-12
申请人： Robert F. Rioux , Kathleen Fernald , Devon Berman
发明人： Robert F. Rioux , Kathleen Fernald , Devon Berman
IPC分类号： A61B18/18 , A61B18/14 , A61B18/00
CPC分类号： A61B18/1442 , A61B2018/00065 , A61B2018/00404 , A61B2018/00589 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455 , A61B2018/1472
摘要： A combination tissue coagulation and cutting apparatus, system and method for coagulating and cutting tissue. A clamp element includes first and second clamp members having respective first and second porous electrodes, such as sintered metal electrodes. A portion of tissue, such as a blood vessel, is held between the porous electrodes, and fluid from a fluid source can pass through the porous electrodes. The tissue portion can be coagulated when electrical current is applied to the first and second porous electrodes, and an adjustable cutting element that is associated with the clamp members is positioned to cut a segment or all of the coagulated tissue portion. In this manner, the same surgical instrument is used to coagulate and cut tissue.
摘要翻译：组合凝固切割装置，用于凝固和切割组织的系统和方法。夹紧元件包括具有相应的第一和第二多孔电极的第一和第二夹紧构件，例如烧结金属电极。诸如血管的组织的一部分被保持在多孔电极之间，并且来自流体源的流体可以通过多孔电极。当向第一和第二多孔电极施加电流时，组织部分可以凝结，并且与夹紧构件相关联的可调节的切割元件被定位成切割一个或多个凝固的组织部分。以这种方式，使用相同的手术器械来凝固和切割组织。

60. 发明授权

US08906012B2 Electrosurgical devices with wire electrode 有权
标题翻译：带电极的电外科装置
公开(公告)号：US08906012B2
公开(公告)日：2014-12-09
申请号：US12827734
申请日：2010-06-30
申请人： Brian M. Conley , Jonathan J. Barry , Roger D. Greeley , Chad M. Greenlaw
发明人： Brian M. Conley , Jonathan J. Barry , Roger D. Greeley , Chad M. Greenlaw
IPC分类号： A61B18/14 , A61B18/00
CPC分类号： A61B18/149 , A61B2018/00029 , A61B2018/1407 , A61B2018/1472 , A61B2218/002
摘要： The invention provides an electrosurgical device and methods of use thereof. In one embodiment, the device may comprise a handle, a shaft distal to the handle, a first electrode tip and a second electrode tip adjacent a distal end of the shaft, with the first electrode tip spaced from the second electrode tip and wherein the first electrode tip comprises a first U-shaped electrode and the second electrode tip comprises a second U-shaped electrode, and at least one fluid outlet. In another embodiment, the device may comprise a handle, a shaft distal to the handle, and a first electrode and a second electrode adjacent a distal end of the shaft with the first electrode coplanar with the second electrode and comprising a wire electrode having a U-shape which surrounds a perimeter of the second electrode and is spaced from the second electrode by an aperture.
摘要翻译：本发明提供一种电外科装置及其使用方法。在一个实施例中，装置可以包括手柄，远离手柄的轴，与轴的远端相邻的第一电极尖端和第二电极尖端，其中第一电极尖与第二电极尖端间隔开，并且其中第一电极尖端电极尖端包括第一U形电极，并且第二电极尖端包括第二U形电极和至少一个流体出口。在另一个实施例中，该装置可以包括手柄，远离手柄的轴，以及邻近轴的远端的第一电极和第二电极，其中第一电极与第二电极共面，并且包括具有U 形状，其围绕第二电极的周边并且通过孔与第二电极间隔开。

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