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11. 发明申请

WO2014172746A1 AN ABLATION CATHETER 审中-公开
标题翻译：一个吸引管
公开(公告)号：WO2014172746A1
公开(公告)日：2014-10-30
申请号：PCT/AU2014/000457
申请日：2014-04-22
申请人： CATHRX LTD
发明人： GREIFENEDER, Roman , MORTIMER, Tyler McKinley , OGLE, David
IPC分类号： A61B18/14 , A61M25/14 , A61N1/06
CPC分类号： A61B18/1492 , A61B17/3203 , A61B2017/003 , A61B2017/0046 , A61B2017/00477 , A61B2018/00029 , A61B2018/00077 , A61B2018/00178 , A61B2018/00196 , A61B2018/00214 , A61B2018/00351 , A61B2018/00577 , A61B2018/00636 , A61B2018/00916 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2218/002 , A61N1/40
摘要： An ablation catheter includes a control handle, and a catheter sheath removably connectable to the control handle, the catheter sheath defining a fluid lumen and having a plurality of perforations proximal the distal end of the catheter sheath. The ablation catheter further includes a shape imparting element inserted into the fluid lumen of the catheter sheath and removably connectable to the control handle. The shape imparting element is connectable to an RF energy source so that, in use, the shape imparting elements acts as an electrode charging fluid into the fluid lumen to be expelled through the plurality of perforations on the catheter sheath.
摘要翻译：消融导管包括控制手柄和可移除地连接到控制手柄的导管护套，导管护套限定流体腔并且具有靠近导管护套远端的多个穿孔。消融导管还包括插入到导管护套的流体腔中并且可移除地连接到控制手柄的形状赋予元件。形状赋予元件可连接到RF能量源，使得在使用中，形状赋予元件用作通过导管护套上的多个穿孔排出到流体腔中的电极。

12. 发明申请

WO2014168985A1 MEDICAL SYSTEMS AND METHODS 审中-公开
标题翻译：医学系统与方法
公开(公告)号：WO2014168985A1
公开(公告)日：2014-10-16
申请号：PCT/US2014/033390
申请日：2014-04-08
申请人： IOGYN, INC , BEK, Robin
发明人： BEK, Robin , GERMAIN, Aaron , KLEIN, Kyle , WALKER, Michael, D.
IPC分类号： A61B17/32
CPC分类号： A61B17/22 , A61B17/32002 , A61B17/42 , A61B18/1485 , A61B2017/22079 , A61B2017/4216 , A61B2018/00196 , A61B2018/00559 , A61B2018/162 , A61B2217/005 , A61B2217/007 , A61B2562/0247 , A61M1/0058 , A61M1/006 , A61M3/0216 , A61M2210/1433
摘要： A fluid management system for use in a tissue resection procedure includes a controller. An inflow pump is operated by the controller and configured to provide fluid inflow through a flow path to a site in patient's body. An outflow pump is operated by the controller and configured to provide fluid outflow through a flow path from the site in patient's body. A motor driven resecting device may be provided for resecting tissue at the site. The controller is configured to actuate an inflow pump and an outflow pump in response to various signals and various algorithms are provided to provide malfunction warnings and assure safe operation.
摘要翻译：用于组织切除术的流体管理系统包括控制器。流入泵由控制器操作并且构造成提供通过流动路径流入患者体内部位的流体。流出泵由控制器操作并且构造成通过来自患者体内的部位的流动路径提供流体流出。可以提供电动驱动切割装置，用于在现场切除组织。控制器被配置为响应于各种信号致动流入泵和流出泵，并提供各种算法以提供故障警告并确保安全操作。

13. 发明申请

WO2014004117A2 SURGICAL INSTRUMENTS WITH ARTICULATING SHAFTS 审中-公开
标题翻译：外科手术器械
公开(公告)号：WO2014004117A2
公开(公告)日：2014-01-03
申请号：PCT/US2013045823
申请日：2013-06-14
申请人： ETHICON ENDO SURGERY INC
发明人： STULEN FOSTER B , HUANG ZHIFAN F , WEIZMAN PATRICK A , SMOLIK STEVEN P , DRAGINOFF CARL J JR
IPC分类号： A61B17/29 , A61B17/32
CPC分类号： A61B17/320092 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B18/1447 , A61B34/30 , A61B2017/003 , A61B2017/00398 , A61B2017/22015 , A61B2017/22018 , A61B2017/2927 , A61B2017/2932 , A61B2017/294 , A61B2017/320072 , A61B2017/320076 , A61B2017/320078 , A61B2018/00196 , A61B2018/00589 , A61B2018/00595 , A61B2018/00607 , A61B2018/0063 , A61B2018/00642 , A61B2018/00702 , A61B2018/00875 , A61B2018/0091 , A61B2018/00994 , A61B2018/1452
摘要： Various embodiments are directed to articulatable surgical instruments. Some embodiments comprise an end effector to treat tissue, where the end effector comprises an ultrasonic blade. A hollow shaft may extend proximally from the end effector along a longitudinal axis. A waveguide may extend through the shaft and may be acoustically coupled to the ultrasonic blade. The waveguide may comprise a distally positioned flange positioned within the hollow shaft proximally from the blade and may be held stationary at a first pivot point positioned within the hollow shaft proximally from the flange. A reciprocating wedge may be positioned within the hollow shaft such that distal motion of the wedge pushes the wedge between the flange and the hollow shaft, causing the ultrasonic blade to pivot about the first pivot point in a first direction.
摘要翻译：各种实施例涉及可进行关节运动的手术器械。一些实施例包括用于治疗组织的末端执行器，其中末端执行器包括超声刀。中空轴可以从端部执行器沿着纵向轴线向近侧延伸。波导可以延伸穿过轴并且可以声学耦合到超声刀。波导可以包括定位在中空轴内的位于中空轴内的远侧定位的凸缘，并且可以在定位在中空轴内从凸缘向近侧的第一枢轴点处保持静止。往复式楔可定位在中空轴内，使得楔的远侧运动将楔推动到法兰与中空轴之间，使得超声刀在第一方向上围绕第一枢转点枢转。

14. 发明申请

WO2013184477A2 FLEXIBLE PROBE WITH ADJUSTABLE TIP 审中-公开
标题翻译：柔性探头与可调节提示
公开(公告)号：WO2013184477A2
公开(公告)日：2013-12-12
申请号：PCT/US2013043216
申请日：2013-05-30
申请人： SMITH & NEPHEW INC , MCDONALD CHRISTOPHER D , DUHAMEL PAUL ROBERT , MITCHELL MATTHEW ERLE
发明人： MCDONALD CHRISTOPHER D , DUHAMEL PAUL ROBERT , MITCHELL MATTHEW ERLE
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B17/320016 , A61B18/148 , A61B2017/003 , A61B2017/00309 , A61B2017/00318 , A61B2017/00323 , A61B2018/00196 , A61B2018/00202
摘要： An instrument includes a handle portion, an actuator, a shaft, a rigid member, and an angular control mechanism. The shaft has a proximal end and a distal end with an electrode region, and a flexible region in between. Moving the actuator causes portions of the flexible region distal of a pivot region to bend such that both an angular orientation and a radial offset of the electrode region reach a maximum angular orientation and a maximum radial offset, respectively, when the actuator reaches the end position. A distal portion of the rigid member defines the pivot region. Moving the rigid member along the shaft causes the pivot region to translate. The maximum radial offset varies depending on the position of the pivot region. The angular control mechanism is configured to control the angular orientation such that the maximum angular orientation is same regardless of the position of the rigid member.
摘要翻译：仪器包括手柄部分，致动器，轴，刚性构件和角度控制机构。轴具有近端和具有电极区域的远端以及其间的柔性区域。移动致动器使得枢转区域的远侧的柔性区域的部分弯曲，使得当致动器到达终点位置时，电极区域的角度取向和径向偏移分别达到最大角度取向和最大径向偏移。刚性构件的远侧部分限定枢轴区域。沿着轴移动刚性构件导致枢轴区域平移。最大径向偏移取决于枢轴区域的位置。角度控制机构被配置为控制角度定向，使得最大角度取向相同，而与刚性构件的位置无关。

15. 发明申请

WO2013151570A1 VASECTOMY DEVICES AND METHODS 审中-公开
标题翻译： VASECTOMY设备和方法
公开(公告)号：WO2013151570A1
公开(公告)日：2013-10-10
申请号：PCT/US2012/042430
申请日：2012-06-14
申请人： SHINGLETON, William, Bruce
发明人： SHINGLETON, William, Bruce
IPC分类号： A61B18/12 , A61B18/14 , A61B18/18
CPC分类号： A61B18/1477 , A61B2018/00196 , A61B2018/00273 , A61B2018/00595 , A61B2018/00946 , A61B2018/126 , A61B2018/1425 , A61B2018/1475
摘要： Devices and methods for cauterizing a tubular vessel are disclosed. A device for cauterizing a tubular vessel can include a hand piece, a tip portion provided at an operative end of the hand piece, one or more probes extending from the tip portion, one or more grasping arms extending beyond the tip portion and movable to grasp a target tissue positioned at or near the tip portion, and a power supply configured to supply energy to the one or more probes.
摘要翻译：公开了用于烧灼管状容器的装置和方法。用于烧灼管状容器的装置可以包括手持件，设置在手持件的操作端的末端部分，从尖端部分延伸的一个或多个探针，一个或多个抓持臂延伸超过尖端部分并且可移动以抓握位于尖端部分处或其附近的靶组织，以及被配置为向所述一个或多个探针提供能量的电源。

16. 发明申请

WO2013147857A1 SURGICAL INSTRUMENT HANDLE WITH A CAM-ACTUATING SYSTEM 审中-公开
标题翻译：手术仪器手柄与CAM执行系统
公开(公告)号：WO2013147857A1
公开(公告)日：2013-10-03
申请号：PCT/US2012/031495
申请日：2012-03-30
申请人： SYNERGETICS, INC. , LACONTE, Matthew , HANLON, Matthew
发明人： LACONTE, Matthew , HANLON, Matthew
IPC分类号： A61B1/307
CPC分类号： A61M25/0136 , A61B1/0058 , A61B18/22 , A61B2018/00196 , A61B2018/2238 , A61B2018/225
摘要： A surgical instrument handle having a cam-actuated system is disclosed. The surgical instrument handle includes a rotating member that defines a cam-actuating surface operatively engaged with a locking member, which is fixedly engaged to a reciprocating member for moving the reciprocating member between a retracted and extended positions. The cam-actuating surface of the rotating member is configured to permit the locking member to slide along the cam-actuating surface such that the tangential angle along the point of contact between the locking member and the cam-actuating surface is maintained at a predetermined angle.
摘要翻译：公开了一种具有凸轮致动系统的外科手术器具。手术器械手柄包括旋转构件，该旋转构件限定与锁定构件可操作地接合的凸轮致动表面，该锁定构件固定地接合到往复构件，用于在缩回位置和伸出位置之间移动往复运动构件。旋转构件的凸轮致动表面构造成允许锁定构件沿着凸轮致动表面滑动，使得沿着锁定构件和凸轮致动表面之间的接触点的切向角度保持在预定角度。

17. 发明申请

WO2013142906A1 AN ABLATION CATHETER 审中-公开
标题翻译：一个吸引管
公开(公告)号：WO2013142906A1
公开(公告)日：2013-10-03
申请号：PCT/AU2013/000319
申请日：2013-03-27
申请人： CATHRX LTD
发明人： PANOS, James , MORTIMER, Tyler McKinley , GREIFENEDER, Roman
IPC分类号： A61B18/14 , A61N1/06 , A61M25/00
CPC分类号： A61B18/1492 , A61B2017/00907 , A61B2018/00065 , A61B2018/00166 , A61B2018/00196 , A61B2018/00351 , A61B2018/00577 , A61B2018/1407 , A61B2018/1472 , A61B2018/1475 , A61B2218/002 , A61M3/0279
摘要： An ablation catheter including a handle, a tubular irrigation member defining a fluid lumen and having a plurality of perforations proximal the distal end of the tubular irrigation member. At least one ablation electrode is arranged at the distal end of an elongate tubular sheath inserted into the lumen of the tubular irrigation member, the elongate tubular sheath being axially displaceable within the lumen of the tubular irrigation member. The ablation catheter may also include two ablation electrodes each attached to an elongate tubuar sheath which are telescopically arranged within the tubular irrigation member. The ablation electrodes may be displaceable simultaneously together or individually.
摘要翻译：包括手柄的消融导管，限定流体腔的管状冲洗构件，并且在管状灌洗构件的远端附近具有多个穿孔。至少一个消融电极被布置在插入管状冲洗构件的内腔中的细长管状护套的远端处，细长管状护套可在管状灌洗构件的内腔内轴向移位。消融导管还可以包括两个消融电极，每个消融电极连接到细长的管状护套上，套管套管可伸缩地布置在管状灌洗构件内。消融电极可以同时或单独地位移。

18. 发明申请

WO2013062978A3 MEDICAL INSTRUMENT 审中-公开
标题翻译：医用仪器
公开(公告)号：WO2013062978A3
公开(公告)日：2013-07-11
申请号：PCT/US2012061504
申请日：2012-10-23
申请人： ETHICON ENDO SURGERY INC , MONSON GAVIN M , TREES GREGORY A , LEATHER GORDON J , STOCKS DAVID J , DAILY CHRISTOPHER E , SNOWDON DAVID A , EVANS JOHN HEFIN BOWEN , RUDDENKLAU DAVID I , GREEN ALAN E , LEE ROBIN M , ROBERTS PAUL C , CHAN WAI , JACKSON THOMAS
发明人： MONSON GAVIN M , TREES GREGORY A , LEATHER GORDON J , STOCKS DAVID J , DAILY CHRISTOPHER E , SNOWDON DAVID A , EVANS JOHN HEFIN BOWEN , RUDDENKLAU DAVID I , GREEN ALAN E , LEE ROBIN M , ROBERTS PAUL C , CHAN WAI , JACKSON THOMAS
IPC分类号： A61B18/12 , A61B18/00
CPC分类号： A61B18/1445 , A61B18/1206 , A61B18/1233 , A61B18/18 , A61B2017/00115 , A61B2018/00196 , A61B2018/00595 , A61B2018/00642 , A61B2018/00702 , A61B2018/0072 , A61B2018/00726 , A61B2018/00732 , A61B2018/00767 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/00916 , A61B2018/00922 , A61B2018/1226 , A61B2018/1286 , A61B2018/1455 , F16B2/20 , H02J7/00 , H02J7/0063 , Y10T74/20666
摘要： A medical instrument is disclosed. The medical instrument includes a housing and a handle for gripping by a user, an end effector coupled to the handle and having at least one electrical contact, a battery, and a radio frequency (RF) generation circuit coupled to and operated by the battery. The RF generation circuit is operable to generate an RF drive signal and to provide the RF drive signal to the at least one electrical contact, wherein the RF generation circuit is supported by the housing. The RF generation circuit includes a resonant circuit that includes at least one inductive element constructed of litz wire.
摘要翻译：公开了医疗器械。医疗器械包括壳体和用于由使用者抓握的手柄，连接到手柄的端部执行器，并且具有耦合到电池并由电池操作的至少一个电触点，电池和射频（RF）发生电路。 RF产生电路可操作以产生RF驱动信号并将RF驱动信号提供给至少一个电接触，其中RF发生电路由壳体支撑。 RF发生电路包括谐振电路，其包括由绞合线构成的至少一个电感元件。

19. 发明申请

WO2011093622A3 ELECTRODE NEEDLE AND HEMOSTATIC DEVICE INCLUDING THE SAME 审中-公开
标题翻译：电极针和包括其中的HEMOSTATIC装置
公开(公告)号：WO2011093622A3
公开(公告)日：2012-01-05
申请号：PCT/KR2011000474
申请日：2011-01-24
申请人： TAEWOONG MEDICAL CO LTD , SHIN KYUNG-MIN , LEE MIN-WOO , RHIM HYUN-CHUL
发明人： SHIN KYUNG-MIN , LEE MIN-WOO , RHIM HYUN-CHUL
IPC分类号： A61B18/12 , A61B10/02 , A61B18/14
CPC分类号： A61B18/1477 , A61B10/02 , A61B10/06 , A61B18/14 , A61B18/1815 , A61B2018/00083 , A61B2018/00196 , A61B2018/00595 , A61B2018/00791
摘要： An electrode needle includes an electrode needle body, a metal tube, and an outer insulating tube. The electrode needle body is connected to a positive electrode of an RF generator. The metal tube is fixed around the electrode needle body and insulated from the electrode needle body. The metal tube is connected to a negative electrode of the RF generator. The outer insulating tube surrounds an upper part of the metal tube to expose a lower part of the metal tube. The outer insulating tube is movable longitudinally along the electrode needle body to vary an exposed area of the metal tube. At least one of a position, an area, and a cauterization speed of a site to be cauterized is controlled by varying the exposed area of the metal tube.
摘要翻译：电极针包括电极针体，金属管和外绝缘管。电极针体与RF发生器的正极连接。金属管固定在电极针体周围并与电极针体绝缘。金属管连接到RF发生器的负极。外绝缘管围绕金属管的上部以暴露金属管的下部。外绝缘管可沿着电极针体纵向移动以改变金属管的暴露面积。通过改变金属管的暴露面积来控制待灼烧部位的位置，面积和烧灼速度中的至少一个。

20. 发明申请

WO2011066445A3 RADIO FREQUENCY ABLATION SYSTEM WITH TRACKING SENSOR 审中-公开
标题翻译：带跟踪传感器的射频消融系统
公开(公告)号：WO2011066445A3
公开(公告)日：2011-10-06
申请号：PCT/US2010058082
申请日：2010-11-24
申请人： MEDWAVES INC , ORMSBY THEODORE C , JENN SHEN GWO , LEUNG GEORGE L
发明人： ORMSBY THEODORE C , JENN SHEN GWO , LEUNG GEORGE L
IPC分类号： A61B18/18 , A61B18/12 , A61B18/14
CPC分类号： A61B18/1815 , A61B2018/00196 , A61B2018/1853 , A61B2018/1861 , A61B2034/2051
摘要： An RF ablation system has a hollow conductive coaxial cable comprising inner and outer coaxial tubular conductors, and an ablating member mounted at the distal end portion of the cable for delivery of radio frequency energy including microwaves to the target body tissue. The inner conductor has a central lumen and extends at least up to the ablating member. At least one electromagnetic tracking sensor coil with a magnetic core is located in the central lumen at the distal end portion of the cable, close to the distal tip of the cable, and connected to a signal processing unit. An electromagnetic field generator positioned in the vicinity of a patient undergoing treatment generates an electromagnetic field which induces a voltage in the sensor coil. The signal processing unit uses the induced voltage to calculate the position and orientation of the distal end portion or tip of the catheter in a patient's body.
摘要翻译： RF消融系统具有中空导电同轴电缆，其包括内部和外部同轴管状导体以及安装在电缆的远端部分处的消融构件，用于将包括微波的射频能量递送至目标身体组织。内导体具有中心内腔并且至少延伸到消融构件。具有磁芯的至少一个电磁跟踪传感器线圈位于电缆的远端部分处的中央管腔中，靠近电缆的远端，并连接到信号处理单元。位于正在进行治疗的患者附近的电磁场发生器产生电磁场，其在传感器线圈中感应出电压。信号处理单元使用感应电压来计算导管的远端部分或尖端在患者体内的位置和取向。

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