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    • 1. 发明申请
    • LOCATING GUIDE
    • 定位指南
    • US20080039866A1
    • 2008-02-14
    • US11835296
    • 2007-08-07
    • Eric StetzEric BondeYelena TropshaThomas Chun
    • Eric StetzEric BondeYelena TropshaThomas Chun
    • A61B19/00
    • A61B90/39A61B90/11A61B2090/376A61B2090/3916A61B2090/3983A61N1/0551A61N1/08
    • A locating guide for locating a target tissue site within a patient includes a body, a first substantially radiopaque reference marker on the body, and a second substantially radiopaque reference marker extending from a major surface of the body. The reference markers provide reference points that extend in at least two dimensions, and may be useful for registering a medical image of tissue with an actual location on or within the patient in order to more accurately and precisely locate a target tissue site within the patient. In some embodiments, the second reference marker is oriented at a predetermined angle relative to the major surface of the body, and provides a guide that a clinician may reference in order to orient a medical element introducer when introducing the introducer into the patient to access a particular target tissue site.
    • 用于定位患者内的目标组织部位的定位引导件包括主体,身体上的第一基本上不透射线的参考标记以及从主体的主表面延伸的第二基本不透射线的参考标记。 参考标记提供在至少两个维度上延伸的参考点,并且可用于将具有实际位置的组织的医学图像登记在患者身上或内部,以便更精确地和精确地定位患者内的目标组织部位。 在一些实施例中,第二参考标记物相对于主体的主表面以预定角度定向,并且提供临床医生可引用的引导件,以便在将导引器引入患者时进行定位以导向医疗元件导入器 特定目标组织部位。
    • 3. 发明申请
    • Implantation of tissue bulking devices
    • 植入组织膨胀装置
    • US20060088568A1
    • 2006-04-27
    • US10974001
    • 2004-10-26
    • Yelena TropshaChris DeeganCarole Tronnes
    • Yelena TropshaChris DeeganCarole Tronnes
    • A61M31/00A61B1/00A61F13/00
    • A61B17/3468A61B2017/00292A61B2017/306
    • One or more tissue bulking devices are implanted to bulk a structure within a patient. The tissue bulking devices may be implanted between the structure and an adventitial layer that at least partially covers the structure, or within the adventitial layer. In some embodiments, the structure is a luminal wall that defines an inner lumen, and the bulking devices are implanted endoscopically via the lumen. In such embodiments, the tissue bulking devices may be implanted between a muscular layer of the luminal wall and an adventitial layer that at least partially covers the luminal wall, or within the adventitial layer. In exemplary embodiments, the luminal wall is the wall of the esophagus of the patient, and the tissue bulking devices are implanted proximate to the lower esophageal sphincter (LES) of the patient to treat gastroesophageal reflux disease (GERD).
    • 植入一个或多个组织填充装置来批量在患者体内的结构。 组织填充装置可以植入结构和至少部分地覆盖结构的外膜之间,或在外膜内。 在一些实施例中,该结构是限定内腔的腔壁,并且通过管腔内窥镜注射膨胀装置。 在这样的实施方案中,组织膨胀装置可以植入在管腔壁的肌层与至少部分地覆盖腔壁之间或外膜内层的外膜层之间。 在示例性实施例中,腔壁是患者的食道的壁,并且组织膨胀装置被植入患者的食管下端括约肌(LES)附近以治疗胃食管反流病(GERD)。
    • 7. 发明申请
    • TUNA DEVICE WITH INTEGRATED SALINE RESERVOIR
    • TUNA设备与集成的盐水储存
    • US20080077125A1
    • 2008-03-27
    • US11950751
    • 2007-12-05
    • John SwoyerYelena TropshaJulie WoessnerMark Christopherson
    • John SwoyerYelena TropshaJulie WoessnerMark Christopherson
    • A61B18/18
    • A61B18/1477A61B2018/1472A61B2018/1475
    • 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. By way of additional example, a tissue ablation device having an actuator coupled to a fluid source and an electrode is discussed. A single step of engaging the actuator causes conductive fluid to flow from the fluid source to the target tissue location and causes the electrode to be introduced to the target tissue location. The fluid source may be a conductive fluid, such as saline, which may increase the efficiency of ablation. Various other configurations and methods that simplify tissue ablation are also discussed.
    • 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。 作为另外的示例,讨论了具有耦合到流体源和电极的致动器的组织消融装置。 使致动器接合的一个步骤导致导电流体从流体源流动到目标组织位置,并且使电极被引入目标组织位置。 流体源可以是诸如盐水的导电流体,其可以提高消融效率。 还讨论了简化组织消融的各种其它配置和方法。