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1. 发明授权

US09622816B2 Electrosurgical devices, directional reflector assemblies coupleable thereto, and electrosurgical systems including same 有权
公开(公告)号：US09622816B2
公开(公告)日：2017-04-18
申请号：US14564946
申请日：2014-12-09
申请人： COVIDIEN LP
发明人： Kenlyn S. Bonn , Darion Peterson , Joseph D. Brannan , Kyle R. Rick
IPC分类号： A61B18/18 , A61B18/00 , A61B90/00
CPC分类号： A61B18/1815 , A61B90/04 , A61B2018/00023 , A61B2018/00577 , A61B2090/0445 , A61B2090/0454 , A61B2090/0481
摘要： A directional reflector assembly includes a tubular shaft having a proximal end and a distal end and adapted to operably engage an electrosurgical ablation probe, and a conical aperture having a proximal open apex joined to a distal end of the tubular shaft, and a distal open base, wherein an interior volume of the tubular shaft is open to the conical aperture.

2. 发明授权

US09526561B2 Radio frequency ablation cooling shield 有权
公开(公告)号：US09526561B2
公开(公告)日：2016-12-27
申请号：US14143782
申请日：2013-12-30
申请人： Boston Scientific Scimed Inc.
发明人： Robert J. Garabedian , Robert F. Rioux
IPC分类号： A61B18/14 , A61B18/00
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.

3. 发明授权

US09375588B2 Method and system for guided shielding of a patient volume from ultrasound energy 有权
标题翻译：用于从超声能量引导屏蔽患者体积的方法和系统
公开(公告)号：US09375588B2
公开(公告)日：2016-06-28
申请号：US13303872
申请日：2011-11-23
申请人： Rares Salomir , Magalie Viallon , Lorena Petrusca , Vincent Auboiroux , Thomas Goget , Maria Isabel Vargas Gomez
发明人： Rares Salomir , Magalie Viallon , Lorena Petrusca , Vincent Auboiroux , Thomas Goget , Maria Isabel Vargas Gomez
IPC分类号： A61B5/05 , A61N7/02 , A61B19/00
CPC分类号： A61N7/02 , A61B90/37 , A61B2034/2065 , A61B2090/0436 , A61B2090/0445 , A61B2090/0454 , A61B2090/374
摘要： In order to decrease collateral heating of ribs and tissue surrounding the ribs in a patient during high-intensity focused ultrasound (HIFU) therapy, shielding material may be positioned on or adjacent to an external surface of the patient and aligned with ribs to be protected using a magnetic resonance imaging (MRI) system. The MRI system may be used to image the shielding material and the ribs to be protected, and an error of alignment between the ribs to be protected and the shielding material may be determined based on the images. The shielding or masking material may be repositioned based on the determined error of alignment, images of the shielding material and the ribs to be protected may be reacquired, and the error of alignment may be redetermined based on the reacquired images until the shielding material is aligned with the ribs to be protected.
摘要翻译：为了减少在高强度聚焦超声（HIFU）治疗期间患者周围的肋骨和组织的侧支加热，屏蔽材料可以被定位在患者的外表面上或邻近患者的外表面上并且与要被保护的肋条对准磁共振成像（MRI）系统。可以使用MRI系统对屏蔽材料和待保护的肋进行成像，并且可以基于图像确定待保护的肋之间的对准误差和屏蔽材料。可以基于确定的对准误差重新定位屏蔽或掩蔽材料，可以重新获取屏蔽材料和待保护的肋的图像，并且可以基于重新获取的图像重新确定对准的误差，直到屏蔽材料对准肋骨被保护。

4. 发明授权

US09333370B2 Apparatus and method for applying light in ocular and periocular areas 有权
标题翻译：眼睛和眼周区域应用光的装置和方法
公开(公告)号：US09333370B2
公开(公告)日：2016-05-10
申请号：US13707834
申请日：2012-12-07
申请人： Lumenis Ltd.
发明人： Kfir Azoulay
IPC分类号： A61N5/06 , A61F9/007 , A61F9/008
CPC分类号： A61B90/04 , A61B2090/0445 , A61B2090/049 , A61F9/0079 , A61F9/008 , A61N5/0613 , A61N2005/0644 , A61N2005/0651 , A61N2005/067
摘要： A removable tip for a light energy handpiece comprises a hollow conduit configured to surround a light guide in the handpiece; a support extension having a length longer than a length of the hollow conduit; and a shielding extension coupled to the support extension at an angle less than 180 degrees and located in front of the hollow conduit. The shielding extension is configured to be inserted behind an eyelid and extend to the fornix, the shielding extension comprised of a thermally insulative material.
摘要翻译：用于光能机头的可拆卸的尖端包括被构造成围绕所述手持件中的光导的中空导管; 长度大于中空导管长度的支撑延伸部; 以及屏蔽延伸部，其以小于180度的角度联接到所述支撑延伸部并且位于所述中空导管的前面。屏蔽延伸部被配置为插入眼睑之后并且延伸到穹窿，屏蔽延伸部由热绝缘材料构成。

5. 发明授权

US09099209B2 Bladder and/or rectum extender with exchangeable and/or slideable tungsten shield 有权
标题翻译：膀胱和/或直肠扩张器，具有可更换和/或可滑动的钨屏蔽
公开(公告)号：US09099209B2
公开(公告)日：2015-08-04
申请号：US13540193
申请日：2012-07-02
申请人： Felix W. Mick , Paul DaSilva
发明人： Felix W. Mick , Paul DaSilva
IPC分类号： G21F3/00 , A61M36/00 , A61N5/10 , A61B19/00
CPC分类号： G21F3/00 , A61B2090/0445 , A61B2090/0481 , A61N5/1016 , A61N5/1049 , A61N2005/1094
摘要： A shielding device includes two elongated, parallel tubes joined at a distal portion, and a shield at least one of removably and slidably situated at the distal portion. An assembly includes an applicator configured for a treatment site, an assembly block attached to the applicator, at least one rotary unit configured to be rotatably received in the assembly block, and at least one shielding device that is configured to be movably received in a respective rotary unit. A method of using the shielding device with an applicator includes inserting the distal portion of the shielding device to a treatment site, and adjusting a position of the distal portion relative to a distal end of the applicator.
摘要翻译：屏蔽装置包括在远侧部分处连接的两个细长的平行管，以及至少一个可移除地且可滑动地位于远端部分处的屏蔽。组件包括构造用于治疗部位的施用器，附接到施用器的组装块，被配置为可旋转地容纳在组装块中的至少一个旋转单元，以及至少一个屏蔽装置，其被构造成可移动地容纳在相应的旋转单元。使用具有施加器的屏蔽装置的方法包括将屏蔽装置的远端部分插入到处理部位，以及调节远端部分相对于施用器的远端的位置。

6. 发明授权

US08617158B2 Radio frequency ablation cooling shield 失效
标题翻译：射频消融冷却屏蔽
公开(公告)号：US08617158B2
公开(公告)日：2013-12-31
申请号：US12849699
申请日：2010-08-03
申请人： Robert J. Garabedian , Robert F. Rioux
发明人： Robert J. Garabedian , Robert F. Rioux
IPC分类号： A61B18/18
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.
摘要翻译：提供医疗组件和方法来有效地治疗诸如肿瘤的异常组织。使用适当的来源（例如RF或激光能量）将靶组织热消融。将冷却屏蔽物放置成与目标组织相邻的非靶组织接触，并且主动冷却以将热能从非目标组织传导出去。在一种方法中，冷却屏蔽可以放置在两个器官之间，在这种情况下，两个器官中的一个可以包括靶组织，并且两个器官中的另一个可以包括非靶组织。在这种情况下，冷却屏蔽件可以包括主动冷却的可膨胀气囊，当气体放气时可以将气囊放置在两个器官之间，然后膨胀。可以通过泵送冷却介质来主动冷却可充气球囊。在另一种方法中，冷却屏蔽可以嵌入在非目标组织内。在这种情况下，冷却罩可以包括一个或多个针。如果使用多个针，则它们可以以一系列例如直线或曲线布置被嵌入到非目标组织中。可以通过将冷却介质泵送通过它们来主动冷却针。

7. 发明申请

US20030051825A1 COLAPSABLE, SELF-SUPPORTING, RIGID LASER CONTAINMENT BARRIER 失效
标题翻译：可折叠，自支撑，刚性激光容纳障碍物
公开(公告)号：US20030051825A1
公开(公告)日：2003-03-20
申请号：US09940559
申请日：2001-08-28
发明人： Michael P. Toepel
IPC分类号： A47G005/00
CPC分类号： G21F3/04 , A61B90/04 , A61B2090/0445 , A61B2090/049 , F16P1/06 , G21F1/125 , Y10T16/5362 , Y10T16/546
摘要： A collapsible, self-standing, rigid laser containment barrier, which includes at least two adjacent, substantially rigid laser beam absorption panels hingably attached to each other using first and second pairs of aligned hinge pins proximal top and bottom edges and near first and second sides of each laser beam absorption panel and a rigid light strip having a front face including first and second pairs of laterally extending hinge brackets. Each of the hinge bracket pairs corresponds to and is aligned with one of the first and second hinge pin pairs, and includes a hinge pin hole passing therethrough. Each of the hinge pins passes through one of the hinge pin holes to hingably attach the two adjacent laser beam absorption panels.
摘要翻译：一种可折叠，自立的刚性激光器容纳屏障，其包括至少两个相邻的基本上刚性的激光束吸收板，所述激光束吸收面板使用第一对和第二对对齐的铰链销彼此相互连接，所述铰接销在顶部和底部边缘附近以及靠近第一和第二侧每个激光束吸收板和刚性光条具有包括第一和第二对横向延伸的铰链支架的前表面。每个铰链支架对对应于第一和第二铰链销对中的一个，并且包括通过其中的铰链销孔。每个铰链销通过一个铰链销孔，以可铰接地连接两个相邻的激光束吸收板。

8. 发明授权

US5637073A Radiation therapy for treating macular degeneration and applicator 失效
标题翻译：用于治疗黄斑变性和涂抹器的放射治疗
公开(公告)号：US5637073A
公开(公告)日：1997-06-10
申请号：US520013
申请日：1995-08-28
申请人： Jorge E. Freire
发明人： Jorge E. Freire
IPC分类号： A61M36/04 , A61N5/10 , A61N5/00
CPC分类号： A61N5/1017 , A61B2090/0445 , A61B2090/0481 , A61F9/00 , A61N2005/1089 , A61N2005/1094
摘要： Radiation therapies and applicators are provided by this invention which are useful in the treatment of macular degeneration in patients. The therapies include providing an applicator sized to fit between a sclera and an eye socket of the patient. A therapeutic quantity of a radioactive substance is disposed in the distal tip of the applicator. This substance has a range of no greater than about 1 cm, or alternatively, is made from Sr.sub.90. The method includes exposing a portion of the macular tissue of the patient to radiation emitted from the radioactive substance for a time sufficient to fuse a portion of the capillaries located within the neovascular tissue which are responsible for the disease. The therapy is designed to burn off unwanted capillaries and debris without substantially interfering with other important tissues in the patient's eye, such as the lens or optic disc.
摘要翻译：本发明提供了放射治疗和施用器，其可用于治疗患者的黄斑变性。所述疗法包括提供一种适合于适合患者的巩膜和眼窝之间的施用器。治疗量的放射性物质设置在施用器的远端。该物质的范围不大于约1cm，或者由Sr90制成。该方法包括将患者的黄斑组织的一部分暴露于从放射性物质发射的辐射时间足以熔化位于新生血管组织内部的负责该疾病的部分毛细血管。该疗法被设计为消除不想要的毛细血管和碎片，而不会基本上干扰患者眼睛中的其他重要组织，例如镜片或视盘。

9. 发明申请

US20190053870A1 APPARATUS AND METHOD FOR APPLYING LIGHT IN OCULAR AND PERIOCULAR AREAS 审中-公开
公开(公告)号：US20190053870A1
公开(公告)日：2019-02-21
申请号：US16117218
申请日：2018-08-30
申请人： Lumenis Ltd.
发明人： Kfir Azoulay
IPC分类号： A61B90/00 , A61N5/06 , A61F9/007 , A61F9/008 , A61N5/067
CPC分类号： A61B90/04 , A61B2090/0445 , A61B2090/049 , A61F9/0079 , A61F9/008 , A61N5/0613 , A61N2005/0644 , A61N2005/0651 , A61N2005/067
摘要： A removable tip for a light energy handpiece comprises a hollow conduit configured to surround a light guide in the handpiece; a support extension having a length longer than a length of the hollow conduit; and a shielding extension coupled to the support extension at an angle less than 180 degrees and located in front of the hollow conduit. The shielding extension is configured to be inserted behind an eyelid and extend to the fornix, the shielding extension comprised of a thermally insulative material.

10. 发明授权

US10004589B2 Radiation shielding implants and methods of use 有权
公开(公告)号：US10004589B2
公开(公告)日：2018-06-26
申请号：US14713613
申请日：2015-05-15
申请人： Daniel F. Haynes
发明人： Daniel F. Haynes
IPC分类号： A61N5/10 , A61F2/12 , A61B19/00 , A61B90/00 , A61B6/10
CPC分类号： A61F2/12 , A61B6/107 , A61B90/02 , A61B90/04 , A61B2090/0436 , A61B2090/0445 , A61B2090/0481 , A61F2230/0006 , A61F2250/0003 , A61F2250/0004 , A61F2250/0032 , A61F2250/0059 , A61F2310/00017 , A61F2310/00113 , A61F2310/00137 , A61F2310/00155 , A61N5/1015 , A61N5/1077 , A61N2005/1094
摘要： A removable implant having a radiation shield adapted to reduce radiation exposure to one or more secondary radio-sensitive tissues during breast cancer radiation therapy is provided herein, the implant including: a flexible casing having: a base adapted for anchoring the implant to a chest wall of a patient; a cap disposed on the base; and a radiation-absorbing core adapted to absorb at least a portion of cardiac impact zone radiation when compared to a control, wherein the cap encloses the radiation-absorbing core, and wherein the radiation-absorbing core includes: a flexible solid polymer; and a plurality of radiation-absorbing members dispersed throughout the flexible solid polymer. In another embodiment, the implant further includes a breast tissue expander disposed on a top face of the flexible casing of the implant. Methods of use of the described implants are also provided herein.

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