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1. 发明授权

US07115139B2 Fluid-assisted medical devices, fluid delivery systems and controllers for such devices, and methods 有权
公开(公告)号：US07115139B2
公开(公告)日：2006-10-03
申请号：US09947658
申请日：2001-09-05
申请人： Michael E. McClurken , Robert Luzzi , Arnold E. Oyola , Mark T. Charbonneau
发明人： Michael E. McClurken , Robert Luzzi , Arnold E. Oyola , Mark T. Charbonneau
IPC分类号： A61F7/00
CPC分类号： A61B18/14 , A61B17/32 , A61B18/1206 , A61B18/1442 , A61B18/1445 , A61B2018/00011 , A61B2018/00029 , A61B2018/00035 , A61B2018/00065 , A61B2018/00404 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00744 , A61B2018/00779 , A61B2018/00791 , A61B2018/00809 , A61B2018/00875 , A61B2018/126 , A61B2018/1412 , A61B2018/1417 , A61B2018/1422 , A61B2018/1455 , A61B2018/1861 , A61B2218/002
摘要： Medical devices, methods and systems for treating tissue are provided. An exemplary system comprises a fluid from a fluid source, a surgical device which provides energy and the fluid to the tissue and a control mechanism which changes a flow rate of fluid provided from the surgical device and changes a rate of energy provided from the surgical device. The fluid flow rate changes between at least two non-zero flow rates and the energy rate changes between at least two non-zero energy rates. An exemplary method comprises providing a fluid from a fluid source, providing a surgical device which provides energy and the fluid to the tissue, and changing a flow rate of fluid provided from the surgical device with a change in a rate of energy provided from the surgical device. Exemplary devices comprise a tip portion configured to provide energy and a fluid to a tissue.

2. 发明授权

US07645277B2 Fluid-assisted medical device 有权
标题翻译：流体辅助医疗器械
公开(公告)号：US07645277B2
公开(公告)日：2010-01-12
申请号：US11316798
申请日：2005-12-22
申请人： Michael E. McClurken , Robert Luzzi
发明人： Michael E. McClurken , Robert Luzzi
IPC分类号： A61B18/18
CPC分类号： A61B18/1442 , A61B17/32 , A61B2017/2945 , A61B2018/00029 , A61B2018/00196 , A61B2018/00404 , A61B2018/00589 , A61B2018/00601 , A61B2018/1412 , A61B2018/1432 , A61B2018/145 , A61B2018/1455 , A61B2018/1472
摘要： The invention provides a medical device that includes a housing, a tubular member extending from the distal end of the housing, a first arm extending from the distal end of the tubular member, the first arm including a first electrode, a second arm extending from the distal end of the tubular member, the second arm including a second electrode and being disposed coaxially with the first arm, at least one solution infusion opening on each electrode, and a solution delivery channel for delivery of a conductive solution to the solution infusion openings. According to the invention, at least one of the first arm or the second arm is translationally moveable, and at least one of the first arm or the second arm is adapted to be coupled to a source of radiofrequency energy. The invention also provides a corresponding method for treating blood vessels or other tissues of the body.
摘要翻译：本发明提供了一种医疗装置，其包括壳体，从壳体的远端延伸的管状构件，从管状构件的远端延伸的第一臂，第一臂包括第一电极，第二臂管状构件的远端，第二臂包括第二电极，并且与第一臂同轴设置，每个电极上的至少一个溶液注入口，以及用于将导电溶液输送到溶液输注口的溶液输送通道。根据本发明，第一臂或第二臂中的至少一个可平移地移动，并且第一臂或第二臂中的至少一个适于耦合到射频能量源。本发明还提供了治疗身体的血管或其他组织的相应方法。

3. 发明授权

US06702810B2 Fluid delivery system and controller for electrosurgical devices 有权
标题翻译：流体输送系统和电外科手术器械
公开(公告)号：US06702810B2
公开(公告)日：2004-03-09
申请号：US09797049
申请日：2001-03-01
申请人： Michael E. McClurken , Robert Luzzi
发明人： Michael E. McClurken , Robert Luzzi
IPC分类号： A61B1818
CPC分类号： A61B18/14 , A61B17/32 , A61B18/1206 , A61B18/1442 , A61B18/1445 , A61B2018/00011 , A61B2018/00029 , A61B2018/00035 , A61B2018/00065 , A61B2018/00404 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00744 , A61B2018/00779 , A61B2018/00791 , A61B2018/00809 , A61B2018/00875 , A61B2018/126 , A61B2018/1412 , A61B2018/1417 , A61B2018/1422 , A61B2018/1455 , A61B2018/1861 , A61B2218/002
摘要： The invention provides a system for treating tissue that includes a power measurement device, a flow rate controller coupled to the power measurement device, and an electrosurgical device configured and arranged to provide radio frequency power and conductive fluid to the tissue, wherein the flow rate controller is configured and arranged to modify a flow rate of the conductive fluid to the tissue, based on signals from the power measurement device. The invention also provides methods and devices for modifying flow rate of conductive fluid to tissue based on measurement of radio frequency power delivered to the tissue.
摘要翻译：本发明提供了一种用于治疗组织的系统，其包括功率测量装置，耦合到功率测量装置的流量控制器以及被配置和布置成向组织提供射频功率和导电流体的电外科装置，其中流量控制器被配置和布置成基于来自功率测量装置的信号来修改导电流体对组织的流速。本发明还提供了用于基于传送到组织的射频功率的测量来改变导电流体对组织的流速的方法和装置。

4. 发明授权

US09381061B2 Fluid-assisted medical devices, systems and methods 有权
标题翻译：流体辅助医疗器械，系统和方法
公开(公告)号：US09381061B2
公开(公告)日：2016-07-05
申请号：US13303745
申请日：2011-11-23
申请人： Michael E. McClurken , Arnold E. Oyola , Jonathan E. Wilson , Christopher W. Maurer , Robert Luzzi , Roger D. Greeley
发明人： Michael E. McClurken , Arnold E. Oyola , Jonathan E. Wilson , Christopher W. Maurer , Robert Luzzi , Roger D. Greeley
IPC分类号： A61B18/14 , A61B17/32 , A61B18/12 , A61B18/00 , A61B18/18
CPC分类号： A61B18/148 , A61B17/32 , A61B18/1206 , A61B18/1442 , A61B2018/00011 , A61B2018/00029 , A61B2018/00035 , A61B2018/00065 , A61B2018/00404 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00744 , A61B2018/00779 , A61B2018/00791 , A61B2018/00809 , A61B2018/00875 , A61B2018/126 , A61B2018/1412 , A61B2018/1417 , A61B2018/1422 , A61B2018/1455 , A61B2018/1861 , A61B2218/002
摘要： An electrosurgical device includes a first electrode tip connected to a first shaft and spaced from a second electrode tip connected to a second shaft. The first electrode tip serves as a first pole, and the second electrode tip serves as a second pole, of a bipolar electrode configuration. A first fluid outlet opening is defined by a distal end of the first shaft and a portion of the first electrode tip. A second fluid outlet opening is defined by a distal end of the second shaft and a portion of the second electrode tip. At least one recess can be formed in an exterior surface of each of the first and the second electrode tips, providing a fluid flow channel for fluid to flow distally along the respective electrode tip.
摘要翻译：电外科装置包括连接到第一轴并与连接到第二轴的第二电极尖端间隔开的第一电极尖端。第一电极头作为双极电极构造的第一极，第二电极尖用作第二极。第一流体出口开口由第一轴的远端和第一电极尖端的一部分限定。第二流体出口开口由第二轴的远端和第二电极尖端的一部分限定。可以在第一和第二电极尖端的每一个的外表面中形成至少一个凹部，从而提供用于流体沿着相应的电极末端向远侧流动的流体流动通道。

5. 发明授权

US07651494B2 Fluid-assisted medical device 有权
公开(公告)号：US07651494B2
公开(公告)日：2010-01-26
申请号：US10354643
申请日：2003-01-29
申请人： Michael E. McClurken , Robert Luzzi
发明人： Michael E. McClurken , Robert Luzzi
IPC分类号： A61B18/18
CPC分类号： A61B18/1442 , A61B17/32 , A61B2017/2945 , A61B2018/00029 , A61B2018/00196 , A61B2018/00404 , A61B2018/00589 , A61B2018/00601 , A61B2018/1412 , A61B2018/1432 , A61B2018/145 , A61B2018/1455 , A61B2018/1472
摘要： The invention provides a medical device that includes a housing, a tubular member extending from the distal end of the housing, a first arm extending from the distal end of the tubular member, the first arm including a first electrode, a second arm extending from the distal end of the tubular member, the second arm including a second electrode and being disposed coaxially with the first arm, at least one solution infusion opening on each electrode, and a solution delivery channel for delivery of a conductive solution to the solution infusion openings. According to the invention, at least one of the first arm or the second arm is translationally moveable, and at least one of the first arm or the second arm is adapted to be coupled to a source of radiofrequency energy. The invention also provides a corresponding method for treating blood vessels or other tissues of the body.

6. 发明授权

US06558385B1 Fluid-assisted medical device 有权
标题翻译：流体辅助医疗器械
公开(公告)号：US06558385B1
公开(公告)日：2003-05-06
申请号：US09668403
申请日：2000-09-22
申请人： Michael E. McClurken , Robert Luzzi
发明人： Michael E. McClurken , Robert Luzzi
IPC分类号： A61B1818
CPC分类号： A61B18/1442 , A61B17/32 , A61B2017/2945 , A61B2018/00029 , A61B2018/00196 , A61B2018/00404 , A61B2018/00589 , A61B2018/00601 , A61B2018/1412 , A61B2018/1432 , A61B2018/145 , A61B2018/1455 , A61B2018/1472
摘要： The invention provides a medical device that includes a housing, a tubular member extending from the distal end of the housing, a first arm extending from the distal end of the tubular member, the first arm including a first electrode, a second arm extending from the distal end of the tubular member, the second arm including a second electrode and being disposed coaxially with the first arm, at least one solution infusion opening on each electrode, and a solution delivery channel for delivery of a conductive solution to the solution infusion openings. According to the invention, at least one of the first arm or the second arm is translationally moveable, and at least one of the first arm or the second arm is adapted to be coupled to a source of radiofrequency energy. The invention also provides a corresponding method for treating blood vessels or other tissues of the body.
摘要翻译：本发明提供了一种医疗装置，其包括壳体，从壳体的远端延伸的管状构件，从管状构件的远端延伸的第一臂，第一臂包括第一电极，第二臂管状构件的远端，第二臂包括第二电极，并且与第一臂同轴设置，每个电极上的至少一个溶液注入口，以及用于将导电溶液输送到溶液输注口的溶液输送通道。根据本发明，第一臂或第二臂中的至少一个可平移地移动，并且第一臂或第二臂中的至少一个适于耦合到射频能量源。本发明还提供了治疗身体的血管或其他组织的相应方法。

7. 发明授权

US08083736B2 Fluid-assisted medical devices, systems and methods 有权
标题翻译：流体辅助医疗器械，系统和方法
公开(公告)号：US08083736B2
公开(公告)日：2011-12-27
申请号：US10488801
申请日：2002-09-05
申请人： Michael E. McClurken , Arnold E. Oyola , Jonathan E. Wilson , Christopher W. Maurer , Robert Luzzi , Roger D. Greeley
发明人： Michael E. McClurken , Arnold E. Oyola , Jonathan E. Wilson , Christopher W. Maurer , Robert Luzzi , Roger D. Greeley
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B17/32 , A61B18/1206 , A61B18/1442 , A61B2018/00011 , A61B2018/00029 , A61B2018/00035 , A61B2018/00065 , A61B2018/00404 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00744 , A61B2018/00779 , A61B2018/00791 , A61B2018/00809 , A61B2018/00875 , A61B2018/126 , A61B2018/1412 , A61B2018/1417 , A61B2018/1422 , A61B2018/1455 , A61B2018/1861 , A61B2218/002
摘要： An electrosurgical device is provided which comprises a distal portion having a bipolar electrode configuration and at least one fluid outlet opening. The device further includes a first electrode tip spaced from a second electrode tip with the first electrode tip to serve as a first pole of the bipolar electrode configuration and the second electrode tip to serve as a second pole of the bipolar electrode configuration. The first and second electrode tips are configured to slide over a tissue surface in the presence of a fluid provided from the fluid outlet opening and an electrical current provided from the electrode tips.
摘要翻译：提供了一种电外科装置，其包括具有双极电极构造的远端部分和至少一个流体出口开口。该器件还包括与第二电极尖端间隔开的第一电极尖端与第一电极尖端以用作双极电极构造的第一极点，而第二电极尖端用作双极电极构造的第二极点。第一和第二电极尖端构造成在存在从流体出口开口提供的流体和从电极尖端提供的电流的情况下在组织表面上滑动。

8. 发明授权

US07815634B2 Fluid delivery system and controller for electrosurgical devices 有权
标题翻译：流体输送系统和电外科手术器械
公开(公告)号：US07815634B2
公开(公告)日：2010-10-19
申请号：US10746222
申请日：2003-12-22
申请人： Michael E. McClurken , Robert Luzzi
发明人： Michael E. McClurken , Robert Luzzi
IPC分类号： A61B18/10
CPC分类号： A61B18/14 , A61B17/32 , A61B18/1206 , A61B18/1442 , A61B18/1445 , A61B2018/00011 , A61B2018/00029 , A61B2018/00035 , A61B2018/00065 , A61B2018/00404 , A61B2018/00589 , A61B2018/00595 , A61B2018/00601 , A61B2018/0063 , A61B2018/00702 , A61B2018/00744 , A61B2018/00779 , A61B2018/00791 , A61B2018/00809 , A61B2018/00875 , A61B2018/126 , A61B2018/1412 , A61B2018/1417 , A61B2018/1422 , A61B2018/1455 , A61B2018/1861 , A61B2218/002
摘要： The invention provides a system for treating tissue that includes a power measurement device, a flow rate controller coupled to the power measurement device, and an electrosurgical device configured and arranged to provide radio frequency power and conductive fluid to the tissue, wherein the flow rate controller is configured and arranged to modify a flow rate of the conductive fluid to the tissue, based on signals from the power measurement device. The invention also provides methods and devices for modifying flow rate of conductive fluid to tissue based on measurement of radio frequency power delivered to the tissue.
摘要翻译：本发明提供了一种用于治疗组织的系统，其包括功率测量装置，耦合到功率测量装置的流量控制器以及被配置和布置成向组织提供射频功率和导电流体的电外科装置，其中流量控制器被配置和布置成基于来自功率测量装置的信号来修改导电流体对组织的流速。本发明还提供了用于基于传送到组织的射频功率的测量来改变导电流体对组织的流速的方法和装置。

9. 发明授权

US08556910B2 Bone treatment systems and methods 有权
标题翻译：骨治疗系统和方法
公开(公告)号：US08556910B2
公开(公告)日：2013-10-15
申请号：US12062345
申请日：2008-04-03
申请人： Csaba Truckai , Robert Luzzi , John H. Shadduck
发明人： Csaba Truckai , Robert Luzzi , John H. Shadduck
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61B17/8836 , A61B17/8822 , A61B2017/00022
摘要： Systems and methods for delivering bone cement into a bone can include a handle body defining a flow path, a thermal emitter in the handle body to apply energy to bone cement passing through the flow path, a source of bone cement and an injection cannula. The cannula can be in communication with the flow path such that inserting the cannula into a bone can allow a flow of bone cement therethrough to an opening at a distal end of the cannula. Other systems and methods for delivering bone cement into a bone can include an injector body with a handle portion, and a cannula, a bone cement container, a low pressure drive mechanism configured to effect a flow of bone cement from said container to the injector body and a high pressure drive mechanism configured to effect a flow of bone cement through the injector body into the bone.
摘要翻译：用于将骨水泥输送到骨中的系统和方法可以包括限定流路的手柄主体，手柄主体中的热发射器，以将能量施加到通过流路的骨水泥，骨水泥源和注射套管。套管可以与流动路径连通，使得将套管插入骨头可以允许骨水泥通过其穿过套管远端的开口。用于将骨水泥输送到骨头中的其它系统和方法可以包括具有手柄部分的注射器主体和套管，骨水泥容器，低压驱动机构，其被配置为实现骨粘固剂从所述容器流到喷射器主体以及高压驱动机构，其构造成使得骨水泥通过所述注射器主体流入所述骨中。

10. 发明授权

US08109933B2 Bone treatment systems and methods 有权
标题翻译：骨治疗系统和方法
公开(公告)号：US08109933B2
公开(公告)日：2012-02-07
申请号：US12062384
申请日：2008-04-03
申请人： Csaba Truckai , Robert Luzzi , John H. Shadduck
发明人： Csaba Truckai , Robert Luzzi , John H. Shadduck
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61B17/8836 , A61B17/8822 , A61B2017/00022
摘要： Systems and methods for delivering bone cement into a bone can include a handle body defining a flow path, a thermal emitter in the handle body to apply energy to bone cement passing through the flow path, a source of bone cement and an injection cannula. The cannula can be in communication with the flow path such that inserting the cannula into a bone can allow a flow of bone cement therethrough to an opening at a distal end of the cannula. Other systems and methods for delivering bone cement into a bone can include an injector body with a handle portion, and a cannula, a bone cement container, a low pressure drive mechanism configured to effect a flow of bone cement from said container to the injector body and a high pressure drive mechanism configured to effect a flow of bone cement through the injector body into the bone.
摘要翻译：用于将骨水泥输送到骨中的系统和方法可以包括限定流路的手柄主体，手柄主体中的热发射器，以将能量施加到通过流路的骨水泥，骨水泥源和注射套管。套管可以与流动路径连通，使得将套管插入骨头可以允许骨水泥通过其穿过套管远端的开口。用于将骨水泥输送到骨头中的其它系统和方法可以包括具有手柄部分的注射器主体和套管，骨水泥容器，低压驱动机构，其被配置为实现骨粘固剂从所述容器流到喷射器主体以及高压驱动机构，其构造成使得骨水泥通过所述注射器主体流入所述骨中。

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