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1. 发明授权

US07311709B2 Electrosurgical instrument and method of use 有权
标题翻译：电外科仪器及使用方法
公开(公告)号：US07311709B2
公开(公告)日：2007-12-25
申请号：US10448478
申请日：2003-05-30
申请人： Csaba Truckai , James A. Baker , John H. Shadduck
发明人： Csaba Truckai , James A. Baker , John H. Shadduck
IPC分类号： A61B18/12
CPC分类号： A61B18/1442 , A61B2018/00077 , A61B2018/00083 , A61B2018/00148 , A61B2018/0063 , A61B2018/00654 , A61B2018/00791 , A61B2018/00797 , A61B2018/00809 , A61B2018/1467
摘要： An electrosurgical medical device and method for creating thermal welds in engaged tissue. In one embodiment, at least one jaw of the instrument defines a tissue engagement plane carrying a variable resistive body of a positive temperature coefficient material that has a selected decreased electrical conductance at each selected increased temperature thereof over a targeted treatment range. The variable resistive body can be engineered to bracket a targeted thermal treatment range, for example about 60° C. to 80° C., at which tissue welding can be accomplished. In one mode of operation, the engagement plane will automatically modulate and spatially localize ohmic heating within the engaged tissue from Rf energy application across micron-scale portions of the engagement surface. In another mode of operation, a variable resistive body will focus conductive heating in a selected portion of the engagement surface.
摘要翻译：一种用于在接合组织中产生热焊缝的电外科医疗装置和方法。在一个实施例中，仪器的至少一个钳口限定了携带正温度系数材料的可变电阻体的组织接合平面，其在目标治疗范围内的每个选定的升高温度下具有选定的降低的电导率。可变电阻体可以被设计成支撑目标热处理范围，例如约60℃至80℃，在该热处理范围内可以实现组织焊接。在一种操作模式中，接合平面将自动地调节并且在接合表面的微米级部分的Rf能量施加之间空间地定位所接合组织内的欧姆加热。在另一种操作模式中，可变电阻体将导电加热聚焦在接合表面的选定部分中。

2. 发明授权

US07041102B2 Electrosurgical working end with replaceable cartridges 有权
公开(公告)号：US07041102B2
公开(公告)日：2006-05-09
申请号：US10443974
申请日：2003-05-22
申请人： Csaba Truckai , James A. Baker , Gabor Gran , John H. Shadduck
发明人： Csaba Truckai , James A. Baker , Gabor Gran , John H. Shadduck
IPC分类号： A61B18/12
CPC分类号： A61B18/1442 , A61B2018/00077 , A61B2018/00083 , A61B2018/00148 , A61B2018/0063 , A61B2018/00809
摘要： An electrosurgical medical device and method for creating thermal welds in engaged tissue that carries the electrosurgical components in a disposable cartridge. The instrument also can carry a blade member in a disposable cartridge, thus making the instrument system inexpensive to use. In another embodiment, the electrical leads of the cartridge have a surface coating of a thermochromic material to provide the physician with a visual indicator of operational parameters when applying energy to tissue.

3. 发明授权

US06926716B2 Electrosurgical instrument 有权
标题翻译：电外科器械
公开(公告)号：US06926716B2
公开(公告)日：2005-08-09
申请号：US10291286
申请日：2002-11-09
申请人： James A Baker , Csaba Truckai , John H Shadduck
发明人： James A Baker , Csaba Truckai , John H Shadduck
IPC分类号： A61B18/08 , A61B18/14 , A61B18/12
CPC分类号： A61B18/082 , A61B17/32 , A61B18/08 , A61B18/1442 , A61B2018/00404 , A61B2018/00601 , A61B2018/00619 , A61B2018/087 , A61B2018/1455 , A61B2218/002
摘要： A working end of a surgical instrument that carries first and second jaws for delivering energy to tissue. In a preferred embodiment, at least one jaw of the working end defines a tissue-engagement plane that contacts the targeted tissue. The cross-section of the engagement plane reveals that it defines (i) a first surface conductive portion or a variably resistive matrix of a temperature-sensitive resistive material or a pressure-sensitive resistive material, and (ii) a second surface portion coupled to a fixed resistive material that coupled in series or parallel to a voltage source together with the first portion. In use, the engagement plane will apply active Rf energy to ohmically heat the captured tissue until the point in time that a controller senses an electrical parameter of the tissue such as impedance. Thereafter, the controller switches energy delivery to the second surface portion that is resistively heated to thereby apply energy to tissue by conductive heat transfer.
摘要翻译：手术器械的工作端，其携带用于将能量递送至组织的第一和第二钳口。在优选实施例中，工作端的至少一个钳口限定了接触目标组织的组织接合平面。接合平面的横截面显示其限定（i）温度敏感电阻材料或压敏电阻材料的第一表面导电部分或可变电阻矩阵，以及（ii）第二表面部分与第一部分一起串联或并联耦合到电压源的固定电阻材料。在使用中，接合平面将施加活性Rf能量以欧姆加热所捕获的组织，直到控制器感测组织的电参数（例如阻抗）的时间点为止。此后，控制器将能量输送切换到被电阻加热的第二表面部分，从而通过导热传递将能量施加到组织。

4. 发明授权

US06905497B2 Jaw structure for electrosurgical instrument 有权
标题翻译：电外科器械的颌骨结构
公开(公告)号：US06905497B2
公开(公告)日：2005-06-14
申请号：US10453086
申请日：2003-05-31
申请人： Csaba Truckai , James A. Baker , John H. Shadduck
发明人： Csaba Truckai , James A. Baker , John H. Shadduck
IPC分类号： A61B18/14 , A61B18/12
CPC分类号： A61B18/1442 , A61B2018/00077 , A61B2018/00083 , A61B2018/00148 , A61B2018/0063
摘要： An electrosurgical medical device for creating thermal welds in engaged tissue that provides general grasping and dissecting functionality. In an exemplary embodiment, at least one jaw of the instrument defines a tissue engagement plane carrying electrosurgical energy delivery means. The jaw assembly, in one mode of operation, can be used for general grasping and dissecting purposes wherein the jaws close in a non-parallel manner so that the distalmost jaw tip only engage tissue with little movement of the actuator lever in the handle of the instrument. In another mode of operation, the jaw assembly closes close in a parallel manner under very high compression to enable tissue welding.
摘要翻译：一种用于在接合组织中产生热焊缝的电外科医疗装置，其提供一般的抓握和解剖功能。在示例性实施例中，器械的至少一个钳口限定了携带电外科能量输送装置的组织接合平面。钳口组件在一种操作模式中可用于一般的抓取和解剖目的，其中钳口以不平行的方式闭合，使得最远端的钳口尖端仅接合组织，致动器杠杆在手柄中几乎没有移动仪器。在另一种操作模式中，钳夹组件在非常高的压缩下以平行的方式闭合以实现组织焊接。

5. 发明授权

US07112201B2 Electrosurgical instrument and method of use 有权
公开(公告)号：US07112201B2
公开(公告)日：2006-09-26
申请号：US10351449
申请日：2003-01-22
申请人： Csaba Truckai , John H. Shadduck , James A. Baker
发明人： Csaba Truckai , John H. Shadduck , James A. Baker
IPC分类号： A61B18/12
CPC分类号： A61B18/1442 , A61B2018/00077 , A61B2018/00083 , A61B2018/00125 , A61B2018/00148 , A61B2018/0063
摘要： An electrosurgical medical device and method for creating thermal welds in engaged tissue. In one embodiment, at least one jaw of the instrument defines a tissue engagement plane carrying a conductive-resistive matrix of a conductively-doped non-conductive elastomer. The engagement surface portions thus can be described as a positive temperature coefficient material that has a unique selected decreased electrical conductance at each selected increased temperature thereof over a targeted treatment range. The conductive-resistive matrix can be engineered to bracket a targeted thermal treatment range, for example about 60° C. to 80° C., at which tissue welding can be accomplished. In one mode of operation, the engagement plane will automatically modulate and spatially localize ohmic heating within the engaged tissue from Rf energy application—across micron-scale portions of the engagement surface. In another mode of operation, a conductive-resistive matrix can induce a “wave” of Rf energy density to sweep across the tissue to thereby weld tissue.

6. 发明授权

US07011657B2 Jaw structure for electrosurgical instrument and method of use 有权
公开(公告)号：US07011657B2
公开(公告)日：2006-03-14
申请号：US10340144
申请日：2003-01-10
申请人： Csaba Truckai , James A. Baker , John H. Shadduck
发明人： Csaba Truckai , James A. Baker , John H. Shadduck
IPC分类号： A61B18/12
CPC分类号： A61B18/1445 , A61B2018/00077 , A61B2018/00083 , A61B2018/00148 , A61B2018/0063 , A61B2018/1455
摘要： An electrosurgical medical device and technique for creating thermal welds in engaged tissue that provides very high compressive forces. In one exemplary embodiment, at least one jaw of the instrument defines a tissue engagement plane carrying first and second surface portions that comprise (i) an electrically conductive material and (ii) a positive temperature coefficient (PTC) material having a selected increased resistance that differs at each selected increased temperature over a targeted treatment range. One type of PTC material is a doped ceramic that can be engineered to exhibit a selected positively sloped temperature-resistance curve over about 37° C. to 100° C. The 70° C. to 100° C. range can bracket a targeted “thermal treatment range” at which tissue welded can be accomplished. The engineered resistance of the PTC matrix at the upper end of the temperature range will terminate current flow through the matrix. In one mode of operation, the engagement plane cause ohmic heating within tissue from Rf energy delivery tissue PTC matrix is heated to exceed the treatment range. Thereafter, energy density in the engaged tissue will be modulated as the conductivity of the second portion hovers within the targeted treatment range to thereby provide optical tissue heating for purposes of tissue welding.

7. 发明授权

US06929644B2 Electrosurgical jaw structure for controlled energy delivery 有权
标题翻译：用于受控能量输送的电外科钳口结构
公开(公告)号：US06929644B2
公开(公告)日：2005-08-16
申请号：US10032867
申请日：2001-10-22
申请人： Csaba Truckai , James A. Baker , Bruno Strul , John H. Shadduck
发明人： Csaba Truckai , James A. Baker , Bruno Strul , John H. Shadduck
IPC分类号： A61B18/14 , A61B18/12
CPC分类号： A61B18/1442 , A61B2018/00077 , A61B2018/00083 , A61B2018/00148 , A61B2018/0063 , A61B2018/00809
摘要： A working end of a surgical instrument that carries first and second jaws for delivering energy to tissue. In a preferred embodiment, at least one jaw of the working end defines a tissue-engagement plane that contacts the targeted tissue. The cross-section of the engagement plane reveals that it defines a surface conductive portion that overlies a variably resistive matrix of a temperature-sensitive resistive material or a pressure-sensitive resistive material. An interior of the jaw carries a conductive material or electrode that is coupled to an Rf source and controller. In an exemplary embodiment, the variably resistive matrix can comprise a positive temperature coefficient (PTC) material, such as a ceramic, that is engineered to exhibit a dramatically increasing resistance (i.e., several orders of magnitude) above a specific temperature of the material. In use, the engagement plane will apply active Rf energy to captured tissue until the point in time that the variably resistive matrix is heated to its selected switching range. Thereafter, current flow from the conductive electrode through the engagement surface will be terminated due to the exponential increase in the resistance of variably resistive matrix to provide instant and automatic reduction of Rf energy application. Further, the variably resistive matrix can effectively function as a resistive electrode to thereafter conduct thermal energy to the engaged tissue volume. Thus, the jaw structure can automatically modulate the application of energy to tissue between active Rf heating and passive conductive heating of captured tissue to maintain a target temperature level.
摘要翻译：手术器械的工作端，其携带用于将能量递送至组织的第一和第二钳口。在优选实施例中，工作端的至少一个钳口限定了接触目标组织的组织接合平面。接合平面的横截面显示它限定了覆盖在温度敏感电阻材料或压敏电阻材料的可变电阻矩阵上的表面导电部分。钳口的内部承载耦合到Rf源和控制器的导电材料或电极。在示例性实施例中，可变电阻矩阵可以包括正温度系数（PTC）材料，例如陶瓷，其被工程化以显示高于材料的特定温度的显着增加的电阻（即几个数量级）。在使用中，接合平面将对被捕获的组织施加活性的Rf能量，直到可变电阻矩阵被加热到其选择的开关范围的时间点为止。此后，由于可变电阻矩阵的电阻的指数增加，导电电极通过接合表面的电流将终止，以提供即时和自动降低Rf能量应用。此外，可变电阻矩阵可以有效地用作电阻电极，之后将热能传导到被接合的组织体积。因此，钳口结构可以自动调节被捕获组织的活性Rf加热和被动导电加热之间的能量对组织的应用以保持目标温度水平。

8. 发明授权

US06770072B1 Electrosurgical jaw structure for controlled energy delivery 有权
标题翻译：用于受控能量输送的电外科钳口结构
公开(公告)号：US06770072B1
公开(公告)日：2004-08-03
申请号：US10308362
申请日：2002-12-03
申请人： Csaba Truckai , James A. Baker , John H. Shadduck
发明人： Csaba Truckai , James A. Baker , John H. Shadduck
IPC分类号： A61B1814
CPC分类号： A61B18/1445 , A61B2018/00077 , A61B2018/00083 , A61B2018/00148 , A61B2018/0063 , A61B2018/1455
摘要： A working end of a surgical instrument that carries first and second jaws for delivering energy to tissue. In a preferred embodiment, at least one jaw of the working end defines a tissue-engagement plane that contacts the targeted tissue. The cross-section of the engagement plane reveals that it defines a surface conductive portion and an elastomeric body portion. The elastomeric body portion is adapted to flex, deflect and extend laterally when engaging tissue to atraumatically engage tissue at the edges of the working end to create a smooth transition between welded tissue and undamaged tissue. The jaws can further carry a variably resistive matrix of a temperature-sensitive resistive material or a pressure-sensitive resistive material. An interior of the jaw carries a conductive material or electrode that is coupled to an Rf source and controller. In an exemplary embodiment, the variably resistive matrix can comprise a positive temperature coefficient (PTC) material, such as a ceramic, that is engineered to exhibit a dramatically increasing resistance (i.e., several orders of magnitude) above a specific temperature of the material. In use, the engagement plane will apply active Rf energy to captured tissue until the point in time that the variably resistive matrix is heated to its selected switching range. Thereafter, current flow from the conductive electrode through the engagement surface will be terminated due to the exponential increase in the resistance of variably resistive matrix to provide instant and automatic reduction of Rf energy application. Thus, the jaw structure can automatically modulate the application of energy to tissue between active Rf heating and passive conductive heating of captured tissue to maintain a target temperature level.
摘要翻译：手术器械的工作端，其携带用于将能量递送至组织的第一和第二钳口。在优选实施例中，工作端的至少一个钳口限定了接触目标组织的组织接合平面。接合平面的横截面显示其限定表面导电部分和弹性体主体部分。弹性体主体部分适于在接合组织时在横向上弯曲，偏转和延伸，以在工作端的边缘处不可靠地接合组织，以在焊接的组织和未损坏的组织之间形成平滑过渡。钳口可以进一步携带温度敏感的电阻材料或压敏电阻材料的可变电阻矩阵。钳口的内部承载耦合到Rf源和控制器的导电材料或电极。在示例性实施例中，可变电阻矩阵可以包括正温度系数（PTC）材料，例如陶瓷，其被工程化以显示高于材料的特定温度的显着增加的电阻（即几个数量级）。在使用中，接合平面将对被捕获的组织施加活性的Rf能量，直到可变电阻矩阵被加热到其选择的开关范围的时间点为止。此后，由于可变电阻矩阵的电阻的指数增加，导电电极通过接合表面的电流将终止，以提供即时和自动降低Rf能量应用。因此，钳口结构可以自动调节被捕获组织的活性Rf加热和被动导电加热之间的能量对组织的应用以保持目标温度水平。

9. 发明授权

US10058336B2 System for use in treatment of vertebral fractures 有权
$System for use in treatment of vertebral fractures$
公开(公告)号：US10058336B2
公开(公告)日：2018-08-28
申请号：US13083411
申请日：2011-04-08
申请人： Csaba Truckai , Aaron Germain , John H. Shadduck
发明人： Csaba Truckai , Aaron Germain , John H. Shadduck
IPC分类号： A61B17/16 , A61M29/00 , A61B17/34 , A61B17/88 , A61B90/00
CPC分类号： A61B17/1671 , A61B17/1604 , A61B17/1626 , A61B17/1631 , A61B17/1633 , A61B17/1642 , A61B17/1657 , A61B17/3421 , A61B17/3472 , A61B17/8805 , A61B17/8855 , A61B17/8858 , A61B2090/031
摘要： Methods and devices that displace bone or other hard tissue to create a cavity in the tissue. Where such methods and devices rely on a driving mechanism for providing moving of the device to form a profile that improves displacement of the tissue. These methods and devices also allow for creating a path or cavity in bone for insertion of bone cement or other filler to treat a fracture or other condition in the bone. The features relating to the methods and devices described herein can be applied in any region of bone or hard tissue where the tissue or bone is displaced to define a bore or cavity instead of being extracted from the body such as during a drilling or ablation procedure.

10. 发明授权

US08562607B2 Bone treatment systems and methods 有权
标题翻译：骨治疗系统和方法
公开(公告)号：US08562607B2
公开(公告)日：2013-10-22
申请号：US11282316
申请日：2005-11-19
申请人： Csaba Truckai , John H. Shadduck
发明人： Csaba Truckai , John H. Shadduck
IPC分类号： A61B17/00
CPC分类号： A61B17/1631 , A61B17/1615 , A61B17/1617 , A61B17/1642 , A61B17/1671 , A61B2017/00557 , A61B2217/005 , A61B2217/007 , A61M1/0082
摘要： The invention provides instruments and methods for prophylactic treatment of an osteoporotic vertebral body or for treating a vertebral compression fracture (VCF). In one exemplary method, a probe system uses a high speed rotational cutter for abrading or cutting a plane within vertebral cancellous bone. Optional irrigation and aspiration sources are included in the probe system for removing abraded bone debris. In one embodiment, the high speed cutter uses a tissue-selective abrading surface that abrades or cuts bone but does not cut soft tissue. After the creation of a weakened cut plane in the bone, reduction of the fracture requires reduced forces.
摘要翻译：本发明提供了用于预防性治疗骨质疏松性椎体或用于治疗椎体压缩性骨折（VCF）的仪器和方法。在一个示例性方法中，探针系统使用高速旋转切割器来研磨或切割椎骨松质骨内的平面。用于清除磨损的骨碎片的探头系统中包括可选的灌注和抽吸源。在一个实施例中，高速切割机使用磨损或切割骨头但不切割软组织的组织选择性研磨表面。在骨骼中形成削弱的切割平面之后，骨折的减少需要减小的力量。

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