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31. 发明申请

WO1997036548A1 RF TREATMENT APPARATUS 审中-公开
标题翻译：射频治疗设备
公开(公告)号：WO1997036548A1
公开(公告)日：1997-10-09
申请号：PCT/US1997003536
申请日：1997-03-06
申请人： RITA MEDICAL SYSTEMS, INC. , EDWARDS, Stuart, D. , BAKER, James , STRUL, Bruno , LAX, Ronald, G.
发明人： RITA MEDICAL SYSTEMS, INC.
IPC分类号： A61B17/39
CPC分类号： A61B18/1482 , A61B18/1206 , A61B18/14 , A61B18/1402 , A61B18/1477 , A61B18/1492 , A61B18/18 , A61B18/1815 , A61B2017/00026 , A61B2017/00084 , A61B2018/00011 , A61B2018/00196 , A61B2018/00452 , A61B2018/00476 , A61B2018/00577 , A61B2018/00642 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00726 , A61B2018/00761 , A61B2018/00779 , A61B2018/00791 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/00892 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1425 , A61B2018/1435 , A61B2018/162 , A61B2018/1861 , A61B2218/002 , A61M3/0279 , A61M25/007 , A61N5/02 , A61N5/04 , A61N5/045
摘要： An RF treatment apparatus (10) includes a catheter (12) with a catheter lumen. A removable needle electrode (16) is positioned in the catheter lumen in a fixed relationship to the catheter (12). The needle electrode (16) includes a needle lumen and a needle electrode distal end. A removable introducer (18) is slidably positioned in the needle lumen. The introducer (18) includes an introducer distal end. A first sensor (24) is positioned on a surface of the needle electrode (16) or the insulator (20). An RF power source (52) is coupled to the needle electrode (16) and a return electrode. An insulator sleeve (20) is slidably positioned around the electrode (16) and includes a second sensor (26). Resources are associated with the electrodes (16), sensors (24, 26) as well as the RF power source (52) for maintaining a selected power at the electrode (16) independent of changes in current or voltage.
摘要翻译： RF治疗装置（10）包括具有导管内腔的导管（12）。可拆卸的针电极（16）以与导管（12）固定的关系定位在导管内腔中。针状电极（16）包括针内腔和针电极末端。可移除导引器（18）可滑动地定位在针腔内。导引器（18）包括导引器远端。第一传感器（24）位于针电极（16）或绝缘体（20）的表面上。 RF电源（52）耦合到针电极（16）和返回电极。绝缘体套管（20）可滑动地定位在电极（16）周围并且包括第二传感器（26）。资源与电极（16），传感器（24,26）以及RF电源（52）相关联，用于在电流（16）上独立于电流或电压的变化保持所选择的功率。

32. 发明申请

WO9709938A3 HIGH-FREQUENCY SURGICAL DEVICE, AND OPERATION MONITORING DEVICE FOR A HIGH-FREQUENCY SURGICAL DEVICE 审中-公开
标题翻译：高频手术装置和高频手术装置的操作监视装置
公开(公告)号：WO9709938A3
公开(公告)日：1997-08-28
申请号：PCT/DE9601738
申请日：1996-09-16
申请人： STORZ ENDOSKOP GMBH , NOVAK PAVEL , KELLENBERGER KONRAD , DANERS FELIX
发明人： NOVAK PAVEL , KELLENBERGER KONRAD , DANERS FELIX
IPC分类号： A61B18/12 , A61B17/39
CPC分类号： A61B18/1206 , A61B18/1233
摘要： The disclosure pertains to a high-frequency surgical device with a power-supply unit (1) provided with a high-frequency transformer (6), and an associated electronic control system (2). Also disclosed is an operation monitoring device for high-voltage relays used in surgical devices. The purpose of the invention is to specify a high frequency surgical device which, without using a mains separation transformer for galvanically separating the mains and user-side, complies with the relevant standards established for electrical medical devices. The high-frequency surgical device is characterised in that it has an operation monitoring device for high-voltage relays and in that the high-frequency transformer constitutes the sole galvanic separation between the mains supply voltage and the patient-user side (7) of the system. The operation monitoring device for high-voltage relays is characterised in comprising the following elements: a control logic unit for at least one relay; an adjustable voltage source; an inductance measurement circuit; and a driver unit with at least one relay driver.

33. 发明申请

WO1997024074A1 APPARATUS AND METHOD FOR ELECTROSURGERY 审中-公开
标题翻译：电子设备和方法
公开(公告)号：WO1997024074A1
公开(公告)日：1997-07-10
申请号：PCT/US1996020864
申请日：1996-12-30
申请人： MICROGYN, INC. , MEDICAL SCIENTIFIC, INC. , ISAACSON, Keith , NARDELLA, Paul, C. , CVINAR, John , WRUBLEWSKI, Thomas, A. , TRAUB, Craig
发明人： MICROGYN, INC. , MEDICAL SCIENTIFIC, INC.
IPC分类号： A61B17/39
CPC分类号： A61B18/149 , A61B18/1206 , A61B2018/00011 , A61B2018/00029 , A61B2018/00517 , A61B2018/00744 , A61B2018/00791 , A61B2018/00875 , A61B2018/00982 , A61B2018/126 , A61B2018/1273 , A61B2018/1472 , A61B2018/162 , A61B2218/002 , A61B2218/007
摘要： The hysteroscopic electrosurgical device (10) includes a probe (12) having a proximal end (14) and a distal end (16) and having a first conductive element (25) that conducts an electrical signal from the proximal end (14) to the distal end (16) and a second conductive element (27) extending from the distal end (16) to the proximal end (14). An electrode assembly (15) is at the distal end (16) of the probe (12) to remove tissue at a surgical site within a body lumen. A first fluid channel (29) within the probe (12) supplies a flow of isotonic fluid through an aperture (33) at the distal end (16) of the probe (12) into a body lumen. A second fluid channel (31) is within the probe (12) allows fluid adjacent to the distal end (16) to be removed to the proximal end (14). A generator (22) is connected to the proximal end of the probe (12) to provide an electrical signal to the electrode assembly (15) in order to cut and cauterize tissue at the surgical site. The device (10) can be used during intrauterine endoscopic surgery in combination with an isotonic solution.
摘要翻译：宫腔镜电外科装置（10）包括具有近端（14）和远端（16）的探针（12），并具有第一导电元件（25），其将电信号从近端（14）传导到远端（16）和从远端（16）延伸到近端（14）的第二导电元件（27）。电极组件（15）位于探针（12）的远端（16）处，以去除体腔内外科手术部位的组织。探针（12）内的第一流体通道（29）将等渗流体的流动通过探针（12）的远端（16）处的孔（33）提供到体腔中。探针（12）内的第二流体通道（31）允许邻近远端（16）的流体被移除到近端（14）。发生器（22）连接到探针（12）的近端，以向电极组件（15）提供电信号，以便在手术部位切割和烧灼组织。可以在子宫内窥镜手术中与等渗溶液组合使用装置（10）。

34. 发明申请

WO1997021388A1 DEVICE FOR CLOSING OFF TUBES LEADING INTO THE UTERUS 审中-公开
标题翻译：装置用于关闭子宫前筒
公开(公告)号：WO1997021388A1
公开(公告)日：1997-06-19
申请号：PCT/EP1996005500
申请日：1996-12-09
申请人： STARFLINGER, Franz , SCHMIDINGER, Frank
IPC分类号： A61B17/39
CPC分类号： A61B18/1442 , A61B18/08 , A61B18/1402 , A61B18/148 , A61B2018/00559 , A61F6/225
摘要： A device is disclosed for closing off tubes leading into the uterus with the aid of a bipolar coagulation system which can be connected to a high-frequency current source. In said coagulation system, a functional head is provided at the end of a carrier- and/or inspection unit which can be introduced through the os uteri into the uterus and has at least two electrodes in the form of piercing and clamping elements capable of being set between a passive piercing position and an active clamping and coagulation position.
摘要翻译：提供了一种用于描述了其中在一个可插入的通过子宫颈插入子宫的载体和/或检查单元的端部是一个功能头具有至少两个的形式密封通向子宫管通过双极的装置，用高频电源连接的凝血系统提供了一种装置刺穿和夹持形成的电极被设置的元件，这是一个被动位置和主动穿刺夹紧和Koagulationsposition之间调节。

35. 发明申请

WO1997017028A1 TISSUE RESECTION DEVICE HAVING A REMOVABLE ABLATION/COAGULATION CLIP 审中-公开
标题翻译：组织清除装置，具有可拆卸的脱模/凝固夹
公开(公告)号：WO1997017028A1
公开(公告)日：1997-05-15
申请号：PCT/US1996017468
申请日：1996-11-01
申请人： FEMRX, INC.
发明人： FEMRX, INC. , SAVAGE, George, M. , ALDEN, Donald, L.
IPC分类号： A61B17/39
CPC分类号： A61B18/1485 , A61B18/00 , A61B18/1206 , A61B18/1233 , A61B2017/4216 , A61B2018/00196 , A61B2018/00208 , A61B2018/00559 , A61B2018/00577 , A61B2018/00601 , A61B2018/00607 , A61B2018/0063 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1861 , A61B2090/064 , A61B2218/002
摘要： The present invention provides a tissue resection device comprising a shaft (22) having an aperture, a cutting member (18) disposed adjacent to the aperture, and a chopping mechanism disposed within the lumen of the shaft. An electrically conductive surface (23) is disposed near the cutting member (18) to apply coagulative or ablative energy to a surface of remaining tissue. Preferably, the cutting member (18) comprises a transverse electrosurgical cutting wire, and the conductive surface (23) comprises a roller aligned with the wire so that as the wire severs a strip of tissue proximally, the strip is aspirated through the aperture while the roller cauterizes any open blood vessels.
摘要翻译：本发明提供一种组织切除装置，其包括具有孔的轴（22），邻近所述孔设置的切割构件（18）和设置在所述轴的内腔内的切断机构。导电表面（23）设置在切割构件（18）附近，以向剩余组织的表面施加凝结或消融能量。优选地，切割构件（18）包括横向电外切割线，并且导电表面（23）包括与线对准的辊，使得当线将近端的组织条切除时，通过孔吸入条带辊子灼烧任何开放的血管。

36. 发明申请

WO1997016127A1 BALL POINT FLUID-ASSISTED ELECTROCAUTERY DEVICE 审中-公开
标题翻译：球点流体辅助电子装置
公开(公告)号：WO1997016127A1
公开(公告)日：1997-05-09
申请号：PCT/US1996015852
申请日：1996-10-02
申请人： MEDTRONIC, INC.
发明人： MEDTRONIC, INC. , MULIER, Peter, M., J. , HOEY, Michael, F.
IPC分类号： A61B17/39
CPC分类号： A61B18/1402 , A61B18/1815 , A61B2018/00196 , A61B2018/00291 , A61B2018/1253 , A61B2018/1417 , A61B2018/1472 , A61B2018/1475 , A61B2018/1861 , A61B2218/002 , A61B2218/007 , A61M3/0279
摘要： An electrocautery device is disclosed. In accordance with one aspect of the invention, the electrocautery electrode/tip is provided with a hollow, conductive tube terminating at its distal end in a ball point type tip. Fluid, preferably conductive fluid, is applied to the proximal end of the hollow electrode/tip, and expelled from the distal end thereof during electrocautery. The ball point distal tip allows the distal tip to be directly applied to the tissue and "rolled" or slid along the tissue. This allows the distal tip to be moved across the tissue without dragging or snagging on the tissue. In addition, the conductive fluid expelled from the distal tip further lubricates the distal tip as it moves across the tissue. If conductive fluid is used, the conductive fluid emanating from the electrode/tip conducts the RF electrocautery energy away from the distal tip so that it is primarily the fluid, rather than the distal tip that actually accomplishes the cauterizing of tissue. That is, the fluide serves as a "virtual" electrocautery electrode. Since it is the fluid, rather than the distal tip that cauterizes, coagulates and ablates, no burns or perforations are made to the tissue, reducing the amount of debris at the site. Also, the flow of fluid through the electrode/tip tends to keep the distal tip clean and cool.
摘要翻译：公开了电灼装置。根据本发明的一个方面，电烙电极/尖端设置有中空的导电管，其末端终止于球形尖端。流体，优选导电流体被施加到中空电极/尖端的近端，并且在电烙术期间从其远端排出。球头远侧末端允许远侧末端直接施加到组织并且“滚动”或沿着组织滑动。这允许远侧末端移动穿过组织而不会在组织上拖动或阻塞。此外，从远侧末梢排出的导电流体在远端处移动穿过组织时进一步润滑远端。如果使用导电流体，则从电极/尖端发出的导电流体将RF电灼能远离远端尖端传导，使得其主要是流体，而不是实际完成组织烧灼的远端。也就是说，氟化物用作“虚拟”电烙电极。由于它是流体，而不是灼烧，凝结和消融的远端，不会对组织造成烧伤或穿孔，减少了现场的碎屑量。此外，通过电极/尖端的流体流趋向于保持远端尖端清洁和冷却。

37. 发明申请

WO1997015238A1 RF METHOD AND APPARATUS FOR CONTROLLED DEPTH ABLATION OF SOFT TISSUE, SUCH AS COLLAGEN 审中-公开
标题翻译：用于软组织（如软骨组织）的受控深度沉降的RF方法和装置
公开(公告)号：WO1997015238A1
公开(公告)日：1997-05-01
申请号：PCT/US1996017170
申请日：1996-10-22
申请人： ORATEC INTERVENTIONS, INC.
发明人： ORATEC INTERVENTIONS, INC. , BAKER, James
IPC分类号： A61B17/39
CPC分类号： A61B18/14 , A61B18/1206 , A61B18/1402 , A61B18/1477 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B2018/00011 , A61B2018/00053 , A61B2018/00083 , A61B2018/00196 , A61B2018/00577 , A61B2018/00702 , A61B2018/00791 , A61B2018/00875 , A61B2018/126 , A61B2018/1472 , A61B2218/002
摘要： An RF ablation apparatus has a delivery catheter with a delivery catheter lumen and a delivery catheter distal end. A first RF electrode is positioned in the delivery catheter lumen. The first RF electrode has a distal end, RF conductive surface, and a lumen. A second RF electrode has a distal end. The second RF electrode is at least partially positioned in the lumen of the first catheter, with its distal end positioned at the exterior of the first RF electrode distal end. Additionally, the second RF electrode distal end has a geometry that permits it to be substantially a groundpad. The distal end of the first RF electrode is moved in a direction away from the second RF electrode distal end to create a painting effect of an ablation band or line between the two distal ends. Alternatively, the distal end of the second RF electrode can be moved in a direction away from the distal end of the the first RF electrode. An RF insulative sleeve or coating is placed or positioned along a second RF electrode conductive surface where it is substantially adjacent to the first electrode conductive surface. An RF power source is coupled to the first and second RF electrodes.
摘要翻译： RF消融装置具有输送导管，其具有输送导管腔和输送导管远端。第一RF电极定位在输送导管内腔中。第一RF电极具有远端，RF导电表面和内腔。第二RF电极具有远端。第二RF电极至少部分地定位在第一导管的内腔中，其远端位于第一RF电极远端的外部。此外，第二RF电极远端具有允许其基本上是接地板的几何形状。第一RF电极的远端沿远离第二RF电极远端的方向移动，以产生两个远端之间的消融带或线的喷涂效果。或者，第二RF电极的远端可以沿远离第一RF电极的远端的方向移动。 RF绝缘套管或涂层沿着第二RF电极导电表面放置或定位，其中它基本上与第一电极导电表面相邻。 RF电源耦合到第一和第二RF电极。

38. 发明申请

WO1997011649A1 COATED ELECTROSURGICAL ELECTRODE AND METHOD OF MANUFACTURE 审中-公开
标题翻译：涂层静电电极及其制造方法
公开(公告)号：WO1997011649A1
公开(公告)日：1997-04-03
申请号：PCT/IB1996000619
申请日：1996-06-28
申请人： VALLEYLAB INC.
发明人： VALLEYLAB INC. , ARTS, Gene, H. , CARR, Jan, E. , KUK-NAGLE, Karen, T. , LONTINE, Michael, D. , MILLBERG, Brian, A.
IPC分类号： A61B17/39
CPC分类号： A61B18/1402 , A61B18/1233 , A61B2018/00107 , A61B2018/1412
摘要： A design and method of manufacture are disclosed for an electrosurgical electrode (10) with a silicone coating. The coating resists the build-up of eschar. The silicone material is thick enough in the flat area of the blade to withstand the electrosurgical voltage without breakdown. The electrosurgical current path is primarily through the blade edges (15) and tip. The flat of the blade remains insulated under most conditions. The relatively thick coating also provides high tear strength and added durability. The composition of the electrode (10) coatings may include silicone elastomers (11) in the form of adhesives, dispersions, or liquid rubbers. The coating composition may also contain adhesion promoters, heat stabilizers, plasticizers, release enhancers, cross-linking agents, and colorants. Several methods of manufacture are illustrated by way of examples.
摘要翻译：公开了一种具有硅氧烷涂层的电外科电极（10）的设计和制造方法。涂层可抵抗焦痂的积聚。硅树脂材料在叶片的平坦区域中足够厚，以承受电外科电压而不会破裂。电外科电流路径主要穿过叶片边缘（15）和尖端。在大多数条件下，刀片的平面保持绝缘。较厚的涂层也提供高撕裂强度和增加的耐久性。电极（10）涂层的组成可以包括粘合剂，分散体或液体橡胶形式的硅氧烷弹性体（11）。涂料组合物还可以含有粘合促进剂，热稳定剂，增塑剂，释放促进剂，交联剂和着色剂。通过实施例说明了几种制造方法。

39. 发明申请

WO1997011648A2 ELECTROSURGICAL GENERATOR POWER CONTROL CIRCUIT AND METHOD 审中-公开
标题翻译：静电发生器功率控制电路及方法
公开(公告)号：WO1997011648A2
公开(公告)日：1997-04-03
申请号：PCT/IB1996000618
申请日：1996-06-28
申请人： VALLEYLAB INC.
发明人： VALLEYLAB INC. , BECKER, Daniel, J. , KLICEK, Michael, S.
IPC分类号： A61B17/39
CPC分类号： A61B18/1206 , A61B2018/00875
摘要： A constant power control circuit (107) for an electrosurgical generator (101) and a method for maintaining the electrical power output of an electrosurgical generator (101) at a generally constant value throughout a given tissue impedance range are disclosed. The constant power control circuit (107) and the method recognize and use the unique and simple linear characteristics associated with certain electrosurgical generator (101) designs to monitor and control the electrical power output without having to calculate or monitor the actual output power. The constant power control circuit (107) includes a current sampling circuit (115), a linear conversion circuit (117), and a feedback correction circuit (119). The constant power control circuit (107) may also include protection circuitry that prevents the electrosurgical generator (101) from being over-driven during high and/or low impedance loading (121), and reduces the severity of exit sparking by providing a quick response to high impedance indications while nonetheless maintaining increased power levels throughout a preset, nominal impedance range. The constant power control circuit (107) and method may be included as an integral part of the overall electrosurgical generator's (101) circuitry, or may be embodied as a separate unit that connects to, and controls, an electrosurgical generator (101). The constant power control circuit (107) and method may be embodied through a variety of analog and/or digital circuit components or arrangements, including software running on computational and memory circuitry.
摘要翻译：公开了一种用于电外科发生器（101）的恒定功率控制电路（107）和用于在整个给定组织阻抗范围内将电外科发生器（101）的电功率输出维持在大致恒定值的方法。恒定功率控制电路（107）并且该方法识别和使用与某些电外科发生器（101）设计相关联的独特且简单的线性特征来监测和控制电功率输出，而不必计算或监测实际的输出功率。恒定功率控制电路（107）包括电流采样电路（115），线性转换电路（117）和反馈校正电路（119）。恒定功率控制电路（107）还可以包括防止电外科生成器（101）在高阻抗和/或低阻抗负载（121）期间被过驱动的保护电路，并且通过提供快速响应来降低出口火花的严重性到高阻抗指示，同时在预设的标称阻抗范围内保持增加的功率水平。恒定功率控制电路（107）和方法可以被包括作为整个电外科生成器（101）电路的组成部分，或者可以被实施为连接到电外科发生器（101）并且控制电外科发生器（101）的单独单元。恒定功率控制电路（107）和方法可以通过各种模拟和/或数字电路组件或布置来实现，包括在计算和存储器电路上运行的软件。

40. 发明申请

WO1997010763A1 ENERGY DELIVERY SYSTEM FOR VESSEL SEALING 审中-公开
标题翻译：用于船舶密封的能量输送系统
公开(公告)号：WO1997010763A1
公开(公告)日：1997-03-27
申请号：PCT/IB1996000669
申请日：1996-07-11
申请人： VALLEYLAB INC.
发明人： VALLEYLAB INC. , BUYSSE, Steven, Paul , KENNEDY, Jenifer, Serafin , LUKIANOW, Stephen, Wade , RYAN, Thomas, Patrick
IPC分类号： A61B17/39
CPC分类号： A61B18/1206 , A61B18/12 , A61B2017/00026 , A61B2017/2932 , A61B2018/00702 , A61B2018/00779 , A61B2018/00869 , A61B2018/00875 , A61B2018/00892
摘要： Electrosurgical energy is used in combination with a surgical tool (12) to seal vessels and vascular tissue of a patient (13). One of the important advances of the present system is that is can effectively seal vessels of a patient (13) without leaving any foreign material in the body of the patient (13). The present system is also capable of sealing vessels as large as ten millimeters in diameter. Another advantage of the present system is that the surgeon can visually inspect the integrity of the seal. The invention works with a combination of pressure and controlled application of electrosurgical energy to achieve the desired result. A surgical tool (12) is used to grasp and apply an appropriate amount of closure force to the tissue of the patient (13). The tool is capable of conducting electrosurgical energy to the tissue concurrently with the application of the closure force. A method for sealing vessels and vascular tissue of a patient (13) includes the steps of applying pressure to the vessels and other tissues of the patient (13); applying a first level of electrosurgical power to the vessels and other tissues sufficient to melt proteins in the tissue; applying a second level of electrosurgical power to the vessels and other tissues sufficient to cause desiccation without charring; reducing the electrosurgical power substantially to zero for a length of time sufficient to allow the vessels and other tissues to cool into a new compressed form; and relieving the pressure on the tissue.
摘要翻译：电外科能量与外科手术工具（12）组合使用以密封患者（13）的血管和血管组织。本系统的重要进展之一是可以有效地密封患者（13）的血管，而不会在患者体内（13）中留下任何异物。本系统还能够密封直径达10毫米的容器。本系统的另一个优点是外科医生可以目视检查密封的完整性。本发明结合压力和电外科能量的受控应用来实现期望的结果。外科手术工具（12）用于把握和施加适当量的闭合力给患者（13）的组织。该工具能够在施加闭合力的同时对组织进行电外科能量。用于密封患者（13）的容器和血管组织的方法包括对患者（13）的容器和其他组织施加压力的步骤; 对血管和其他组织施加足以融化组织中的蛋白质的电外科功能; 对足以引起干燥而不烧焦的血管和其他组织施加第二级电外科手术力; 将电外科手术功率基本上降低至零足以允许血管和其它组织冷却成新的压缩形式的时间长度; 并减轻对组织的压力。

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