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61. 发明申请

US20080108950A1 CORKSCREW HELICAL INSERTER PORT 审中-公开
标题翻译： CORKSCREW HELIC INSERTER PORT
公开(公告)号：US20080108950A1
公开(公告)日：2008-05-08
申请号：US11834186
申请日：2007-08-06
申请人： Robert F. Rioux , David Danielsen , Christopher Pearson
发明人： Robert F. Rioux , David Danielsen , Christopher Pearson
IPC分类号： A61M5/00
CPC分类号： A61B17/064 , A61B2017/0649 , A61M5/3287 , A61M5/329 , A61M25/0084 , A61M39/0208 , A61M39/0247 , A61M2005/3289 , A61M2039/0081
摘要： Described is a method and a device for inserting a helical member into a living body. The device may include a handle having an actuator lever rotatably coupled thereto. The device may also include a helical member which has a tissue piercing distal tip. The helical member is coupled to the handle via a linkage operating so that, as the actuator lever is rotated in a first direction relative to the handle, the helical member is rotated and moved distally to screw into tissue along a substantially helical path.
摘要翻译：描述了一种用于将螺旋构件插入生物体的方法和装置。该装置可以包括具有可旋转地联接到其上的致动器杆的手柄。该装置还可以包括螺旋构件，该螺旋构件具有组织穿刺的远端。螺旋构件通过联接操作联接到手柄，使得当致动器杆相对于把手沿第一方向旋转时，螺旋构件被旋转并向远侧移动以沿着基本上螺旋的路径螺旋进入组织。

62. 发明授权

US07320710B2 Draining bodily fluid 有权
标题翻译：排出体液
公开(公告)号：US07320710B2
公开(公告)日：2008-01-22
申请号：US11227725
申请日：2005-09-14
申请人： Robert F. Rioux , Christopher R. O'Keefe
发明人： Robert F. Rioux , Christopher R. O'Keefe
IPC分类号： A61F2/04
CPC分类号： A61F2/0022
摘要： A urethral prosthesis with prostatic and bulbar segments connected by two types of ties allows the prosthesis to assume at least two configurations different with inter-segmental distances adapted to situations where the patient either has or does not have normal control of the external sphincter. This is particularly useful for a patient undergoing an anesthetic procedure that affects the external sphincter muscles. When the muscles are anesthetized, the prosthesis may provide constant urine voiding, and when the anesthetic effects wear off, the prosthesis may assume a different configuration to allow the sphincter to reassert control over urinary voiding.
摘要翻译：具有通过两种类型的关节连接的前列腺和延髓段的尿道假体允许假体呈现与患者具有或不具有对外括约肌的正常控制的情况相适应的跨段距离的不同的至少两种构造。这对于经历影响外括约肌的麻醉程序的患者特别有用。当肌肉被麻醉时，假体可以提供恒定的尿液排尿，并且当麻醉效应磨损时，假体可以采取不同的构型，以允许括约肌重新控制尿液排泄。

63. 发明申请

US20080009852A1 ABLATION WITH ECHOGENIC INSULATIVE SHEATH 有权
标题翻译：与生物绝缘管相结合
公开(公告)号：US20080009852A1
公开(公告)日：2008-01-10
申请号：US11456034
申请日：2006-07-06
申请人： Kathleen Fernald , Robert F. Rioux
发明人： Kathleen Fernald , Robert F. Rioux
IPC分类号： A61B18/14
CPC分类号： A61B18/1477 , A61B18/148 , A61B2018/143 , A61B2018/1432 , A61B2018/1475 , A61B2090/3925
摘要： Tissue ablation probes are provided. Each tissue ablation probe comprises an electrically conductive probe shaft, at least one tissue ablation electrode carried by a distal end of the probe shaft, and an electrically insulative outer sheath disposed on the probe shaft. The sheath is at least partially composed of polyether ether ketone (PEEK) and another material comprising condensed-phase particles interspersed throughout the PEEK to increase the echogenicity of the outer sheath. The durability of the PEEK allows the sheath to be formed as thinly as possible, thereby minimizing the diameter of the ablation probe, while the inclusion of condensed-phase particles within the PEEK does not significantly degrade the durability of the sheath.
摘要翻译：提供组织消融探针。每个组织消融探针包括导电探针轴，由探头轴的远端承载的至少一个组织消融电极和设置在探针轴上的电绝缘外护套。护套至少部分地由聚醚醚酮（PEEK）组成，另一种材料包含散布在整个PEEK中的凝聚相颗粒以增加外护套的回声性。 PEEK的耐久性允许护套尽可能薄地形成，从而使消融探针的直径最小化，而在PEEK内包含凝聚相颗粒不会显着降低护套的耐久性。

64. 发明申请

US20070293730A1 SURGICAL RETRACTOR DEVICE AND METHOD OF USE 失效
标题翻译：外科手术装置及其使用方法
公开(公告)号：US20070293730A1
公开(公告)日：2007-12-20
申请号：US11424483
申请日：2006-06-15
申请人： Robert F. Rioux , Dino D. Buro
发明人： Robert F. Rioux , Dino D. Buro
IPC分类号： A61B1/32
CPC分类号： A61B17/0293 , A61B17/0206 , A61B17/0218 , A61B2017/0287
摘要： A surgical retractor device includes a frame and at least one retracting member configured for being secured to the collapsible frame. The retracting member is formed from a spring-biased rotatable member, a tension line secured at a proximal end to the spring-biased rotatable member, and a tissue securing member disposed at a distal end of the tension line. In certain embodiments, the surgical retractor may be collapsible and delivered laparoscopically to the resection site.
摘要翻译：手术牵开器装置包括框架和至少一个缩回构件，其构造成用于固定到可折叠框架。回缩构件由弹簧偏压的可旋转构件，固定在弹簧偏压的可旋转构件的近端处的张力线以及设置在张力线的远端处的组织固定构件形成。在某些实施例中，手术牵开器可以是可折叠的并且腹腔镜输送到切除部位。

65. 发明申请

US20070276362A1 METHOD OF THERAPEUTICALLY TREATING TISSUE WHILE PREVENTING PERFUSION/VENTILATION OF THE TISSUE 有权
标题翻译：在预防组织的灌注/通气时治疗组织的方法
公开(公告)号：US20070276362A1
公开(公告)日：2007-11-29
申请号：US11420697
申请日：2006-05-26
申请人： Robert F. Rioux , Jeffrey V. Bean
发明人： Robert F. Rioux , Jeffrey V. Bean
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2017/22067 , A61B2018/00541 , A61B2018/00577
摘要： A method of treating a tissue region (e.g., a tumor) is provided. The method comprises introducing a delivery sheath within an anatomical conduit that supplies the tissue region with a fluid (e.g., blood or air). The anatomical conduit may be any naturally occurring conduit within a patient. The method further comprises expanding an occlusive device (e.g., a balloon) associated with the delivery sheath, such that the conduit is at least partially occluded to reduce the flow of fluid through the conduit. The method further comprises introducing a tissue treatment catheter within the delivery sheath, advancing the treatment catheter from the delivery sheath through an aperture in a wall of the conduit adjacent the tissue region, and conveying thermal energy from (i.e., hyperthermia) or to the treatment catheter (i.e., hypothermia) to treat (e.g., by ablating) the tissue region.
摘要翻译：提供了治疗组织区域（例如肿瘤）的方法。该方法包括将输送护套引入解剖导管内，为组织区域提供流体（例如血液或空气）。解剖导管可以是患者内的任何天然存在的导管。该方法还包括扩大与输送鞘相关联的闭塞装置（例如，气囊），使得导管至少部分被阻塞以减少通过导管的流体流动。该方法还包括将输送鞘内的组织处理导管引入，将治疗导管从输送鞘穿过邻近组织区域的导管壁中的孔，并将热能从（即热疗）传递到治疗导管（即低体温）治疗（例如通过烧蚀）组织区域。

66. 发明授权

US07101387B2 Radio frequency ablation cooling shield 有权
公开(公告)号：US07101387B2
公开(公告)日：2006-09-05
申请号：US10426360
申请日：2003-04-30
申请人： Robert J. Garabedian , Robert F. Rioux
发明人： Robert J. Garabedian , Robert F. Rioux
IPC分类号： A61B18/18 , A61F7/00 , A61M29/00
CPC分类号： A61B18/1477 , A61B18/14 , A61B90/04 , A61B2018/00005 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00577 , A61B2090/0445 , A61B2090/0481
摘要： A medical assembly and method are provided to effectively treat abnormal tissue, such as, a tumor. The target tissue is thermally ablated using a suitable source, such as RF or laser energy. A cooling shield is placed in contact with non-target tissue adjacent the target tissue, and actively cooled to conduct thermal energy away from the non-target tissue. In one method, the cooling shield can be placed between two organs, in which case, one of the two organs can comprise the target tissue, and the other of the two organs can comprise the non-target tissue. In this case, the cooling shield may comprise an actively cooled inflatable balloon, which can be disposed between the two organs when deflated, and then inflated. The inflatable balloon can be actively cooled by pumping a cooling medium through it. In another method, the cooling shield can be embedded within the non-target tissue. In this case, the cooling shield can comprise one or more needles. If a plurality of needles is used, they can be embedded into the non-target tissue in a series, e.g., a rectilinear or curvilinear arrangement. The needle(s) can be actively cooled by pumping a cooling medium through them.

67. 发明授权

US06974455B2 Auto advancing radio frequency array 失效
标题翻译：自动前进射频阵列
公开(公告)号：US06974455B2
公开(公告)日：2005-12-13
申请号：US10121113
申请日：2002-04-10
申请人： Robert J. Garabedian , Robert F. Rioux
发明人： Robert J. Garabedian , Robert F. Rioux
IPC分类号： A61B18/14 , A61B19/00 , A61N1/06 , A61B18/18
CPC分类号： A61B18/1482 , A61B90/50 , A61B2018/1467 , A61B2018/1475 , A61N1/06
摘要： A system for ablating lesions in the interior regions of the human body including a RF catheter and a control system adapted to facilitate the automatic step deployment of an array-type energy delivery system positioned within the catheter. The RF catheter and control system further include an auto array deployment mechanism coupled to the array-type energy delivery system and an impedance and temperature monitoring system. In addition, the system includes a probe positioning device adapted to maintain a RF probe in a desired orientation during ablation procedures.
摘要翻译：一种用于消除人体内部区域中的损伤的系统，包括RF导管和适于便于定位在导管内的阵列型能量输送系统的自动步骤部署的控制系统。 RF导管和控制系统还包括耦合到阵列型能量输送系统的自动阵列展开机构和阻抗和温度监测系统。此外，该系统包括探针定位装置，其适于在消融过程期间将RF探针保持在期望的取向。

68. 发明授权

US09414883B2 Co-access foam/electrode introducer 有权
标题翻译：共用泡沫/电极导引器
公开(公告)号：US09414883B2
公开(公告)日：2016-08-16
申请号：US11423420
申请日：2006-06-09
申请人： Robert F. Rioux
发明人： Robert F. Rioux
IPC分类号： A61B18/14 , A61B18/00
CPC分类号： A61B18/1477 , A61B2018/00214 , A61B2018/1465 , A61B2018/1472 , A61B2018/1475
摘要： Methods, medical probe kits, and systems are provided for treating a tissue region within a patient, e.g., a margin of tissue surrounding an interstitial space created by removing abnormal tissue. A delivery cannula is introduced within the patient. A hydrophilic electrode is advanced through the cannula adjacent the tissue region, e.g., within the interstitial cavity. An ablation probe is advanced though the cannula into contact with the hydrophilic electrode, and ablation energy is conveyed from the ablation probe into the tissue region via the hydrophilic electrode.
摘要翻译：提供了用于治疗患者内的组织区域的方法，医疗探针套件和系统，例如通过去除异常组织而产生的间质空间周围的组织边缘。输送管插入患者体内。亲水电极通过插管邻近组织区域前进，例如在间质腔内。消融探针通过套管前进，与亲水电极接触，消融能量通过亲水电极从消融探针输送到组织区域。

69. 发明授权

US08641709B2 Percutaneous pringle occlusion method and device 有权
标题翻译：经皮闭塞方法及装置
公开(公告)号：US08641709B2
公开(公告)日：2014-02-04
申请号：US12685139
申请日：2010-01-11
申请人： David J. Sauvageau , Robert J. Garabedian , Robert F. Rioux
发明人： David J. Sauvageau , Robert J. Garabedian , Robert F. Rioux
IPC分类号： A61B18/14
CPC分类号： A61B17/12036 , A61B17/12022 , A61B17/12109 , A61B17/12136 , A61B17/1219 , A61B18/1477 , A61B18/1485 , A61B2017/00557 , A61B2017/22067 , A61B2018/00214 , A61B2018/00577
摘要： Methods and devices for occluding a vessel during a percutaneous ablation procedure. An elongated access device having a lumen and a tissue piercing, open distal end in communication with the lumen is used to percutaneously access a vessel that supplied blood to the tissue to be treated. An elongated balloon deployment device is used to deliver a balloon into the interior of the vessel. The balloon is inflated, resulting in the occlusion of the vessel. The tissue to be treated is ablated. Because there is little or no blood to transfer the thermal energy away from the heated tissue, the ablation procedure is performed more efficiently. The balloon may be subsequently deflated allowing normal flow through the vessel to return.
摘要翻译：在经皮消融手术期间闭塞血管的方法和装置。使用具有内腔和与内腔连通的组织刺穿的开放远端的细长的进入装置来经皮地进入供应待处理组织的血液的血管。使用细长的气囊展开装置将气囊输送到容器的内部。气球膨胀，导致血管闭塞。要治疗的组织被消融。因为很少或没有血液将热能转移到加热的组织之外，因此更有效地进行消融过程。气球可能随后放气，允许正常流过血管返回。

70. 发明授权

US08632538B2 Invasive ablation probe with non-coring distal tip 失效
标题翻译：侵入性消融探针与非取芯远端
公开(公告)号：US08632538B2
公开(公告)日：2014-01-21
申请号：US13423205
申请日：2012-03-17
申请人： Christopher Pearson , Robert Garabedian , Robert F. Rioux
发明人： Christopher Pearson , Robert Garabedian , Robert F. Rioux
IPC分类号： A61B18/18
CPC分类号： A61B18/1477 , A61B2018/143 , A61B2018/1432
摘要： A medical device for delivering RF energy to a target tissue region includes an elongate delivery cannula having a lumen in communication with a distal opening. A deployment member is positioned and longitudinally movable in the lumen. An array of electrode elements are secured to a distal end of the deployment member, the deployment member being movable from a delivery position, in which the electrode elements are positioned within the lumen, to a deployed position, in which the electrode elements extend distally out of the cannula distal opening. A sealing member formed from a bio-compatible material sufficiently rigid to penetrate solid body tissue partially extends from, and substantially seals, the distal cannula opening when the deployment member is in the delivery position.
摘要翻译：用于将RF能量递送到目标组织区域的医疗装置包括具有与远端开口连通的内腔的细长输送套管。展开构件在内腔中定位和纵向移动。电极元件的阵列固定到展开构件的远端，展开构件可从电子元件位于内腔内的输送位置移动到展开位置，电极元件向远侧延伸的套管远端开口。当展开构件处于输送位置时，由足够刚性以穿透实体组织的生物相容性材料形成的密封构件部分延伸并且基本上密封远侧插管开口。

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