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    • 76. 发明授权
    • Electrosurgical cutting devices
    • 电外切切割装置
    • US09023040B2
    • 2015-05-05
    • US12912659
    • 2010-10-26
    • Eliot F. BloomDenise C. LaneVaclav O. PodanyBrian M. Conley
    • Eliot F. BloomDenise C. LaneVaclav O. PodanyBrian M. Conley
    • A61B18/14A61B18/00
    • A61B18/1492A61B2018/00601A61B2018/1407A61B2218/007
    • A cutting device for tissue separation includes a cutting edge using electrical energy such as RF power that is coupled to, but thermally insulated from, a catheter in an elongated medical device. Thermal insulation between a ring-type cutting device and the catheter is provided by a gap, slots within the ring, and/or slanted slots within the ring. In one embodiment, tissue separation occurs by rotation of a ring-type electrically-powered cutting edge having internal cross-bar elements. In an alternate embodiment, tissue separation occurs by longitudinal movement of an offset electrically-powered cutting edge that is pressed against tissue by an inflatable balloon. In a further alternate embodiment, a cutting edge is coupled longitudinally to a catheter, is provided electrical energy by wired connection to the braided catheter, but is thermally isolated from the catheter.
    • 用于组织分离的切割装置包括使用诸如RF功率的电能的切割边缘,所述RF功率与细长的医疗装置中的导管联接,但是与导热绝热。 环形切割装置和导管之间的隔热由环中的间隙,槽内和/或环内的倾斜槽提供。 在一个实施例中,通过具有内部横杆元件的环形电动切割刃的旋转来进行组织分离。 在替代实施例中,通过由充气气球压靠组织的偏移电动切割边缘的纵向运动发生组织分离。 在另一替代实施例中,切割边缘纵向地连接到导管,通过有线连接到编织导管提供电能,但是与导管热隔离。