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31. 发明申请

WO2015069387A1 AIMING BEAM DETECTION FOR SAFE LASER LITHOTRIPSY 审中-公开
标题翻译：安全光束检测用于安全激光光栅
公开(公告)号：WO2015069387A1
公开(公告)日：2015-05-14
申请号：PCT/US2014/058147
申请日：2014-09-30
申请人： GYRUS ACMI, INC. (D.B.A. OLYMPUS SURGICAL TECHNOLOGIES AMERICA)
发明人： FINKMAN, Shai , NAVVE, Adi
IPC分类号： A61B1/045 , A61B1/07 , A61B1/307 , A61B18/24 , A61B18/26 , A61B18/00 , A61B19/00 , A61B18/18 , A61B7/00
CPC分类号： A61B18/245 , A61B1/00009 , A61B1/045 , A61B1/05 , A61B1/07 , A61B1/307 , A61B17/2202 , A61B18/24 , A61B18/26 , A61B2017/22025 , A61B2018/00505 , A61B2018/00511 , A61B2018/00625 , A61B2018/00642 , A61B2018/00982 , A61B2018/1861 , A61B2018/2035 , A61B2018/20351 , A61B2090/306
摘要： Medical apparatus (20) includes an endoscope (24), which includes a distal end configured for insertion into a body cavity and which includes an imaging assembly (30), configured to capture and output an image of a region of the body cavity in proximity to the distal end. An energy source (50) is configured to emit pulses of energy through an energy guide (36). A control unit (56) is configured to process the image so as to identify a target mass in the body cavity and to verify that an aiming beam directed through the energy guide is incident on the target mass and, responsively to so verifying, to actuate the energy source to direct a pulse of the energy via the energy guide onto the target mass (28).
摘要翻译：医疗设备（20）包括内窥镜（24），其包括构造成用于插入体腔中的远端，并且包括成像组件（30），其构造成捕获并输出邻近的体腔区域的图像到远端。能量源（50）被配置为通过能量引导件（36）发射能量脉冲。控制单元（56）被配置为处理图像以便识别体腔中的目标质量并且验证通过能量引导件引导的瞄准光束是否入射到目标质量块上，并且响应于这样的验证来致动所述能量源将能量的脉冲经由所述能量引导件引导到所述目标质量块（28）上。

32. 发明申请

WO2015061201A1 SURGICAL LASER TREATMENT TEMPERATURE MONITORING 审中-公开
标题翻译：手术激光治疗温度监测
公开(公告)号：WO2015061201A1
公开(公告)日：2015-04-30
申请号：PCT/US2014/061319
申请日：2014-10-20
申请人： AMS RESEARCH CORPORATION
发明人： CHIA, Wen-jui, Ray , HASENBERG, Thomas, C. , WANG, Hui , CARLSON, Brian, Christopher
IPC分类号： A61B18/22 , A61B18/20
CPC分类号： A61B18/22 , A61B2018/00589 , A61B2018/00607 , A61B2018/00625 , A61B2018/00642 , A61B2018/00672 , A61B2018/00678 , A61B2018/00791 , A61B2018/00809
摘要： A surgical laser system includes a laser source configured to generate laser energy, a laser fiber optically coupled to the laser source and configured to discharge the laser energy and collect electromagnetic energy feedback from a treatment site, a photodetector configured to generate an output signal in response to the electromagnetic energy collected from the treatment site, a display, and a controller configured to produce an image or indication about the temperature at the treatment site on the display based on the output signal.
摘要翻译：手术激光系统包括被配置为产生激光能量的激光源，光学耦合到激光源并被配置为放出激光能量并从治疗部位收集电磁能量反馈的激光光源，被配置为产生响应的输出信号的光电检测器相对于从治疗部位收集的电磁能量，显示器和被配置为基于输出信号产生关于显示器上的治疗部位的温度的图像或指示的控制器。

33. 发明申请

WO2014062767A1 SURGICAL LASER SYSTEM AND LASER FIBER 审中-公开
标题翻译：外科激光系统和激光光纤
公开(公告)号：WO2014062767A1
公开(公告)日：2014-04-24
申请号：PCT/US2013/065181
申请日：2013-10-16
申请人： AMS RESEARCH CORPORATION
发明人： HASENBERG, Thomas, Charles , PENG, Steven, Yihlih , WATSCHKE, Brian, P. , EVANS, Douglas, L. , WANG, Guangjian , XUAN, Rongwei, Jason , CHIA, Wen-jui, Ray
IPC分类号： A61B18/22
CPC分类号： A61B18/22 , A61B18/26 , A61B2018/00511 , A61B2018/00517 , A61B2018/00577 , A61B2018/00589 , A61B2018/00601 , A61B2018/00625 , A61B2018/00898 , A61B2018/207 , A61B2018/2272
摘要： An optical device including an optical fiber having a longitudinal axis and an optical fiber core with a distal end having a distal terminating end configured to discharge a first laser energy in a first direction and a second laser energy in a second direction. The optical device also includes a fiber cap having an interior cavity and an opening to the interior cavity, where the distal end of the optical fiber core is received within the interior cavity through the opening. A cladding is included on the distal end of the optical fiber core between the optical fiber core and the fiber cap.
摘要翻译：一种光学装置，其包括具有纵向轴线的光纤和具有远端的光纤芯，所述远端具有构造成沿第一方向排出第一激光能量并且在第二方向上排出第二激光能量。光学装置还包括具有内部空腔和通向内部空腔的开口的光纤盖，其中光纤芯的远端通过开口被容纳在内部空腔内。在光纤芯和纤维帽之间的光纤芯的远端包括包层。

34. 发明申请

WO2013044243A1 SURGICAL FLUID MANAGEMENT SYSTEMS AND METHODS 审中-公开
标题翻译：手术流体管理系统和方法
公开(公告)号：WO2013044243A1
公开(公告)日：2013-03-28
申请号：PCT/US2012/056936
申请日：2012-09-24
申请人： ARQOS SURGICAL, INC. , KLEIN, Kyle , GERMAIN, Aaron , TRUCKAI, Csaba , WALKER, Michael, D.
发明人： KLEIN, Kyle , GERMAIN, Aaron , TRUCKAI, Csaba , WALKER, Michael, D.
IPC分类号： A61M31/00
CPC分类号： A61M1/0064 , A61B1/012 , A61B1/303 , A61B17/32 , A61B17/32002 , A61B18/1485 , A61B2017/4216 , A61B2018/00559 , A61B2018/00601 , A61B2018/00625 , A61B2018/1213 , A61B2018/162 , A61B2090/064 , A61B2217/005 , A61B2217/007 , A61M1/0056 , A61M1/006 , A61M3/0229 , A61M3/0266 , A61M2202/0021 , A61M2202/0028 , A61M2205/3344 , A61M2205/75 , A61M2205/7545 , A61M2210/1433
摘要： A surgical fluid management system delivers fluid for distending a uterine cavity to allow cutting and extraction of uterine fibroid tissue, polyps and other abnormal uterine tissue. The system comprises a fluid source, fluid deliver lines, one or more pumps, and a filter for recirculating the distension fluid between the source and the uterine cavity. A controller can monitor fluid retention by the patient.
摘要翻译：手术流体管理系统提供用于扩张子宫腔的流体，以允许子宫肌瘤组织，息肉和其他异常子宫组织的切割和提取。该系统包括流体源，流体输送管线，一个或多个泵以及用于在源和子宫腔之间再循环膨胀流体的过滤器。控制器可以监测患者的流体保留。

35. 发明申请

WO2011013118A8 METHODS AND DEVICES FOR TISSUE ABLATION 审中-公开
标题翻译：用于组织消融的方法和装置
公开(公告)号：WO2011013118A8
公开(公告)日：2011-03-24
申请号：PCT/IL2010000588
申请日：2010-07-22
申请人： SLATKINE MICHAEL
发明人： SLATKINE MICHAEL
IPC分类号： A61B18/08
CPC分类号： A61B18/082 , A61B18/08 , A61B18/28 , A61B2018/00095 , A61B2018/0016 , A61B2018/00196 , A61B2018/00577 , A61B2018/00625 , A61B2018/087
摘要： A device for vaporizing a hole in tissue, including a vaporizing element, a heating element, configured to heat the vaporizing element, and a mechanism configured to advance the vaporizing element into a specific depth in the tissue and retract the vaporizing element from the tissue within a period of time long enough for the vaporizing element to vaporize the tissue and short enough to limit diffusion of heat beyond a predetermined collateral damage distance from the hole. Related apparatus and methods are also described.
摘要翻译：一种用于蒸发组织中的孔的装置，包括蒸发元件，配置成加热蒸发元件的加热元件，以及配置成将蒸发元件推进组织中的特定深度并且将蒸发元素从组织内缩回足够长的时间以使汽化元件汽化组织并且足够短以限制热量扩散超过距孔的预定附带损伤距离。还描述了相关的装置和方法。

36. 发明申请

WO2008039746A2 ELECTROSURGICAL DEVICE HAVING FLOATING-POTENTIAL ELECTRODE AND ADAPTED FOR USE WITH A RESECTOSCOPE 审中-公开
标题翻译：具有浮选电极的电磁装置，适用于高分辨电镜
公开(公告)号：WO2008039746A2
公开(公告)日：2008-04-03
申请号：PCT/US2007/079372
申请日：2007-09-25
申请人： ELECTROMEDICAL ASSOCIATES, LLC , VAN WYK, Robert, A. , CARMEL, Yuval , SHKVARUNETS, Anatoly
发明人： VAN WYK, Robert, A. , CARMEL, Yuval , SHKVARUNETS, Anatoly
IPC分类号： A61B17/00
CPC分类号： A61B18/1482 , A61B18/149 , A61B2018/00053 , A61B2018/0016 , A61B2018/00505 , A61B2018/00559 , A61B2018/00625 , A61B2018/1213 , A61B2018/1407 , A61B2018/1427 , A61B2218/002
摘要： Disclosed herein are embodiments of an electrosurgical device that include one or more floating electrodes and are specifically adapted to remove, cut, resect, ablate, vaporize, denaturize, drill, coagulate and form lesions in soft tissues, with or without externally supplied liquids, preferably in combination with a resectoscope, particularly in the context of urological, gynecological, laparoscopic, arthroscopic, and ENT procedures. Specific adaptations for urological and gynecological applications, for example kidney stone removal and BPH treatment, are also described.
摘要翻译：本文公开了电外科装置的实施例，其包括一个或多个浮动电极，并且特别适于在有或没有外部供应的液体的情况下移除，切割，切除，烧蚀，蒸发，变性，钻孔，凝结和形成软组织中的损伤结合切除镜，特别是在泌尿，妇科，腹腔镜，关节镜和ENT程序的背景下。还描述了泌尿和妇科应用的具体适应性，例如肾结石去除和BPH治疗。

37. 发明申请

WO2005086683A3 TIP REINFORCED ELECTROSURGICAL DEVICE 审中-公开
标题翻译：尖端加强电外科装置
公开(公告)号：WO2005086683A3
公开(公告)日：2005-10-27
申请号：PCT/US2005007038
申请日：2005-03-04
申请人： ARTHROCARE CORP , DRBAL VLADIMIR J , DAHLA ROBERT H
发明人： DRBAL VLADIMIR J , DAHLA ROBERT H
IPC分类号： A61B18/14 , A61B18/18
CPC分类号： A61B18/148 , A61B18/14 , A61B2018/0016 , A61B2018/00178 , A61B2018/00625 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/1497 , A61B2218/007
摘要： A tip reinforced electrosurgical device for removing tissue from a target site within or on a patient's body includes a shaft having proximal and distal end portions and an active screen electrode on the distal end portion. A return electrode includes arms that are interlocked with the shaft distal end portion. Interlocking features may include dimples, bends, slots, recess, apertures, threads. Adhesives may also be provided to increase the strength of the connection between the tip assembly and the shaft. The electrosurgical probe further includes at least one electrical connector extending through the shaft that connects the active electrode with a high frequency power supply. At least one electrical coupling member such as a ballwire secures the active screen electrode to the shaft distal end and electrically couples the screen electrode to the at least one electrical connector. An aspiration lumen within the shaft having a distal opening coupled to the active electrode may be provided to aspirate fluids and tissue fragments.
摘要翻译：用于从患者体内或患者身体上的目标部位移除组织的尖端增强型电外科装置包括具有近端和远端部分以及远端部分上的有源屏幕电极的轴。返回电极包括与轴远端部分互锁的臂。联锁功能可能包括凹痕，弯曲，槽，凹槽，孔，螺纹。还可以提供粘合剂以增加尖端组件和轴之间的连接强度。电外科探针还包括至少一个延伸穿过轴的电连接器，该连接器将有源电极与高频电源连接。至少一个电连接构件（诸如球线）将有源屏幕电极固定到轴远端并将屏电极电耦合到至少一个电连接器。可以提供具有连接到有源电极的远侧开口的轴内的抽吸腔以抽吸流体和组织碎片。

38. 发明申请

WO2003092521A1 METHOD AND APPARATUS FOR PLASMA-MEDIATED THERMO-ELECTRICAL ABLATION 审中-公开
标题翻译：用于等离子体介导的热电收缩的方法和装置
公开(公告)号：WO2003092521A1
公开(公告)日：2003-11-13
申请号：PCT/US2003/013874
申请日：2003-05-02
申请人： THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY
发明人： PALANKER, Daniel, V. , VANKOV, Alexander, B.
IPC分类号： A61B18/18
CPC分类号： A61B18/14 , A61B18/042 , A61B2018/00577 , A61B2018/00601 , A61B2018/00625 , A61B2018/1213 , A61B2018/122 , A61B2018/1472 , H05H1/48 , H05H2245/122
摘要： An apparatus and method for cutting a material including conducting and non-conducting materials (12) such as biological tissue, cellulose or plastic while the material is submerged in a conductive liquid medium (14). The apparatus (10) has a cutting electrode with an elongate cutting portion (16) having an aspect ratio (length to width) of 1 or more and a return electrode (22). The two electrodes are immersed in the conductive medium and a voltage is applied between them to heat the medium, thus producing a vapor cavity (30) around the elongate cutting portion and ionizing a gas (32) inside the vapor cavity to produce a plasma (28). The voltage applied between the electrodes is modulated in pulses having a modulation format selected to minimize the size of the vapor cavity, its rate of formation and heat diffusion into the material while the latter is cut with an edge of the elongate cutting portion. The modulation format includes pulses ranging in duration from 10 µs to 10 ms, as well as minipulses and micropulses, as necessary. The apparatus and method of invention allow the user to perform efficient thermal ablation and electrosurgical procedures in particular at power levels as low as 10 mW with minimal thermal and cavitation damage.
摘要翻译：一种用于在材料浸没在导电液体介质（14）中时切割包括导电材料和非导电材料（12）诸如生物组织，纤维素或塑料的材料的装置和方法。该设备（10）具有切割电极，具有长宽比（长宽比）为1或更大的细长切割部分（16）和返回电极（22）。将两个电极浸入导电介质中并在它们之间施加电压以加热介质，从而在细长切割部分周围产生蒸气腔（30），并使气体腔内的气体（32）离子化以产生等离子体 28）。施加在电极之间的电压被调制为具有选择的调制格式的脉冲，以使蒸气腔的尺寸最小化，其形成速率和热量扩散到材料中，而后者被切割成细长切割部分的边缘。调制格式包括在10μs到10ms的持续时间范围内的脉冲，以及必要时的微脉冲和微脉冲。本发明的装置和方法允许用户执行有效的热消融和电外科程序，特别是在低至10mW的功率水平下，具有最小的热和空化损伤。

39. 发明申请

WO99048430A1 AN ELECTROSURGICAL INSTRUMENT 审中-公开
标题翻译：静电仪器
公开(公告)号：WO99048430A1
公开(公告)日：1999-09-30
申请号：PCT/GB1999/000952
申请日：1999-03-26
IPC分类号： A61B17/00 , A61B18/00 , A61B18/08 , A61B18/12 , A61B18/14 , A61B17/39
CPC分类号： A61B18/082 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00482 , A61B2018/00178 , A61B2018/00505 , A61B2018/00589 , A61B2018/00625 , A61B2018/00666 , A61B2018/00755 , A61B2018/00875 , A61B2018/00892 , A61B2018/00988 , A61B2018/1213 , A61B2018/126 , A61B2018/143 , A61B2018/1432 , A61B2018/1435 , A61B2018/1472 , A61B2018/162 , A61B2018/1861 , A61M2205/6018 , A61M2205/6027
摘要： An electrosurgical instrument is disclosed for the treatment of tissue in the presence of an electrically-conductive fluid. The instrument comprises an instrument shaft, and a tissue treatment electrode at one end of the shaft, the tissue treatment electrode being constructed to define thermal barriers for limiting thermal conduction therealong, thereby to encourage the formation and maintenance of a layer of vapour over the electrode.
摘要翻译：公开了用于在存在导电流体的情况下处理组织的电外科器械。仪器包括仪器轴和在轴的一端的组织处理电极，组织处理电极构造成限定用于限制热传导的热障，从而促进在电极上的蒸汽层的形成和维持。

40. 发明申请

WO2017083845A2 LASER-ASSISTED PERIODONTICS 审中-公开
标题翻译：激光辅助牙周病学
公开(公告)号：WO2017083845A2
公开(公告)日：2017-05-18
申请号：PCT/US2016/061882
申请日：2016-11-14
申请人： MILLENNIUM HEALTHCARE TECHNOLOGIES, INC.
发明人： GREGG, Robert, H., II , GREGG, Dawn, M.
IPC分类号： A61C1/00 , A61C19/04
CPC分类号： A61C1/0046 , A61B18/22 , A61B34/25 , A61B2018/00023 , A61B2018/00565 , A61B2018/00577 , A61B2018/00589 , A61B2018/00595 , A61B2018/00625 , A61B2018/0063 , A61B2018/00642 , A61B2018/00791 , A61B2018/202 , A61B2018/2222 , A61B2018/225 , A61B2034/258 , A61B2218/002 , A61C1/0015 , A61C8/0006 , A61C8/0089 , A61C17/0202 , A61C17/036 , A61C17/20 , A61C19/043 , A61C19/063 , A61M19/00 , A61M2205/3561 , A61M2205/3592 , A61M2205/505 , A61M2205/52 , A61N5/062 , A61N5/0624 , A61N5/0625 , A61N2005/0606 , A61N2005/0628 , A61N2005/063 , A61N2005/0631 , A61N2005/067
摘要： Periodontal disorders such as disorders associated with a dental implant are treated. An average power for a laser is selected via a user interface on a tablet, along with a set of permissible laser parameters provided in response to the selected average power. A gingival trough or flap is created around the implant with the laser. Infected tissue is selectively ablated or denatured via photothermolysis, and a pocket is lased around the affected implant. Marginal tissues are compressed against the implant.
摘要翻译：治疗牙周疾病，例如与牙科植入物相关的疾病。通过平板电脑上的用户界面选择激光的平均功率，以及响应所选平均功率提供的一组允许激光参数。使用激光在种植体周围形成龈槽或襟翼。受感染的组织通过光热分解被选择性地消融或变性，并且在受影响的植入物周围放置口袋。边缘组织被压在植入物上。

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