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41. 发明申请

WO2012174532A1 SYSTEM AND METHODS FOR IMPROVED ROTATING NEEDLE SURGICAL DEVICE AND DIRECTED THERAPEUTIC TREATMENT 审中-公开
标题翻译：改善旋转手术装置和方向治疗的系统和方法
公开(公告)号：WO2012174532A1
公开(公告)日：2012-12-20
申请号：PCT/US2012/042957
申请日：2012-06-18
申请人： HIGH PLAINS TECHNOLOGY GROUP, LLC , HARMS, Steven, E. , LEWIS, David, H. , HEINRICH, John, P.
发明人： HARMS, Steven, E. , LEWIS, David, H. , HEINRICH, John, P.
IPC分类号： A61B10/02
CPC分类号： A61B10/0283 , A61B10/0233 , A61B17/3476 , A61B2010/0208 , A61B2017/00553
摘要： The inventive technology describes to a novel surgical device having a high-speed rotating hollow cutting needle capable of longitudinally cutting, sampling, removing and/or coring targeted tissue pathologies as well as the efficient collection and/or disposal of said tissue pathologies. In particular, the inventive technology may be suitable for application on lesions near the skin, and/or pathologies internal to the body, and perhaps even especially for procedures performed in conjunction with image guidance, particularly active X-ray, computerized tomography (CT), magnetic resonance imaging (MRI), and/or ultrasound scans, where the presence of a large electro-magnetic field may impose significant constraints on the design and operation of mechanical mechanisms. Additionally, the inventive technology encompasses a system of device assisted targeted delivery of a variety of therapeutic treatments to specific tissue pathologies, through, for example, adaptable therapeutic introducers coordinated with a rotating hollow cutting needle.
摘要翻译：本发明技术描述了一种具有高速旋转中空切割针的新型手术装置，其能够纵向切割，取样，移除和/或取芯靶向组织病变，以及有效收集和/或处置所述组织病变。特别地，本发明的技术可适用于皮肤附近的病变和/或身体内部的病变，甚至可能尤其适用于与图像引导，尤其是活动的X射线，计算机断层摄影（CT），磁共振成像（MRI）和/或超声扫描，其中存在大的电磁场可能对机械机构的设计和操作施加显着的约束。另外，本发明的技术包括通过例如与旋转的中空切割针配合的适应性治疗导引器，将特定组织病理学的各种治疗性治疗的器械辅助定向递送系统。

42. 发明申请

WO2010151250A8 MINIATURE SHREDDING TOOL FOR MEDICAL APPLICATIONS 审中-公开
标题翻译：微型工具用于医疗应用
公开(公告)号：WO2010151250A8
公开(公告)日：2011-05-05
申请号：PCT/US2009048346
申请日：2009-06-23
申请人： MICROFABRICA INC , LOCKHARD MICHAEL S , FRODIS URI , COHEN ADAM , CHEN RICHARD T
发明人： LOCKHARD MICHAEL S , FRODIS URI , COHEN ADAM , CHEN RICHARD T
IPC分类号： A61B17/3207
CPC分类号： A61B17/32002 , A61B10/02 , A61B17/14 , A61B17/1659 , A61B17/1671 , A61B17/221 , A61B17/320725 , A61B17/320758 , A61B90/361 , A61B2017/00261 , A61B2017/003 , A61B2017/00327 , A61B2017/00526 , A61B2017/00539 , A61B2017/00553 , A61B2017/2212 , A61B2017/2215 , A61B2017/320048 , A61B2017/320064 , A61B2017/320775 , B33Y80/00 , F16H55/06 , F16H55/18 , Y10T74/19623
摘要： The present invention relates generally to the field of micro-scale or millimeter scale devices and to the use of multi-layer multi-material electrochemical fabrication methods for producing such devices with particular embodiments relate to shredding devices and more particularly to shredding devices for use in medical applications. In some embodiments, tissue removal devices are used in procedures to removal spinal tissue and in other embodiments, similar devices are used to remove thrombus from blood vessel.
摘要翻译：本发明一般涉及微尺度或毫米级装置的领域，以及使用多层多材料电化学制造方法来制造这种装置，具体实施方案涉及粉碎装置，更具体地说涉及用于医疗应用。在一些实施例中，在去除脊髓组织的过程中使用组织去除装置，并且在其他实施例中，类似的装置用于从血管中去除血栓。

43. 发明申请

WO2008088929A2 LITHOTRIPSY BASKET DRILL 审中-公开
标题翻译： LITHOTRIPSY篮子钻
公开(公告)号：WO2008088929A2
公开(公告)日：2008-07-24
申请号：PCT/US2008/050074
申请日：2008-01-03
申请人： WILSON-COOK MEDICAL INC. , DUCHARME, Richard, W.
发明人： DUCHARME, Richard, W.
IPC分类号： A61B17/22
CPC分类号： A61B17/320758 , A61B17/221 , A61B2017/00424 , A61B2017/00553 , A61B2017/320775
摘要： A lithotriptor device embodiment is provided including a lithotriptor that has a proximal handle, an elongate shaft extending distally from the handle with a lumen extending through a major length of the elongate shaft, and a wire basket distally attached to a drive wire. The drive wire extends through the lumen of the elongate shaft and is operatively connected to the handle. The device includes a drill mechanism assembly with a drill bit disposed near the distal end of the elongate shaft.
摘要翻译：提供了一种碎石装置实施例，其包括具有近侧手柄的碎石机，从手柄向远侧延伸的细长轴，其中延伸穿过细长轴的主要长度的内腔和远离连接到驱动线的线篮。驱动线延伸穿过细长轴的内腔并且可操作地连接到手柄。该装置包括钻头机构组件，其具有设置在细长轴的远端附近的钻头。

44. 发明申请

WO2007130948A1 RECYCLED HELIUM GAS SURGICAL INSTRUMENT 审中-公开
标题翻译：循环呼吸气管仪
公开(公告)号：WO2007130948A1
公开(公告)日：2007-11-15
申请号：PCT/US2007/067892
申请日：2007-05-01
申请人： MEDTRONIC PS MEDICAL, INC. , SHORES, Rex W. , JOHNSTON, Gabriel A. , WOODS, Robert L.
发明人： SHORES, Rex W. , JOHNSTON, Gabriel A. , WOODS, Robert L.
IPC分类号： A61B17/16 , A61C1/00 , A61B17/00
CPC分类号： A61C1/0038 , A61B17/1628 , A61B2017/00544 , A61B2017/00553
摘要： A system for use in a surgical procedure comprising a pneumatic instrument having an inlet and an outlet, a tank fluidly coupled to the inlet of the pneumatic instrument, wherein the tank provides pressurized helium gas to power the pneumatic instrument, and a compressor fluidly coupled to the outlet of the pneumatic instrument. The compressor receives the helium gas exhausted from the pneumatic instrument and compresses the exhausted helium gas to supply the tank with pressurized helium gas.
摘要翻译：一种用于手术过程的系统，包括具有入口和出口的气动仪器，与所述气动仪器的入口流体耦合的罐，其中所述罐提供加压氦气以对所述气动仪器供电;以及压缩机，其流体耦合到气动仪表的出口。压缩机接收从气动仪器排出的氦气，并压缩排出的氦气，以向罐提供加压氦气。

45. 发明申请

WO2003034898A2 CONTROL SYSTEM FOR ROTATIONAL ANGIOPLASTY DEVICE 审中-公开
标题翻译：旋转放射治疗装置的控制系统
公开(公告)号：WO2003034898A2
公开(公告)日：2003-05-01
申请号：PCT/US2002/033124
申请日：2002-10-17
申请人： SHTURMAN CARDIOLOGY SYSTEMS, INC.
发明人： SHTURMAN, Leonid , MOROV, Georgy, Vasilevich , MALGICHEV, Vladimir, Alekseevich
IPC分类号： A61B
CPC分类号： A61B17/320758 , A61B2017/00119 , A61B2017/00123 , A61B2017/00137 , A61B2017/00553 , A61B2017/00973 , A61M3/0258 , Y10T137/7793
摘要： A method for controlling fluid flow in a rotational atherectomy device. A source of fluid is provided through a pump to the rotational atherectomy device, wherein the pump maintains the fluid flow at a minimal rate during a time period when a drive shaft of the device is not rotating. A first control is activated to increase a rate of the fluid flow and second control is activated to initiate a rotation of the drive shaft during another time period when the fluid flow is at the increased rate.
摘要翻译：一种用于控制旋转粥样斑块切除装置中的流体流动的方法。流体源通过泵提供到旋转粥样斑块切除装置，其中在装置的驱动轴不旋转的时间段期间，泵以最小的速率维持流体流动。激活第一控制以增加流体流量的速率，并且当流体流量处于增加的速率的另一时间段期间，第二控制被激活以启动驱动轴的旋转。

46. 发明申请

WO0150965A2 SURGICAL INSTRUMENTS WITH INTEGRATED ELECTROCAUTERY 审中-公开
标题翻译：具有综合电机的外科手术器械
公开(公告)号：WO0150965A2
公开(公告)日：2001-07-19
申请号：PCT/US0100766
申请日：2001-01-10
申请人： HYDROCISION INC
发明人： MOUTAFIS TIMOTHY E , FREEMAN DONALD C JR , STAID KEVIN , LEVINE ANDY H
IPC分类号： A61B17/00 , A61B17/22 , A61B17/56 , A61B18/12 , A61B18/14
CPC分类号： A61B17/32037 , A61B17/320758 , A61B18/1485 , A61B2017/00553 , A61B2017/32032 , A61B2017/320775 , A61B2018/00202 , A61B2018/00607
摘要： The invention includes a series of surgical instruments (1000) providing at least one electrode (1002) for performing electrocautery, and provides a method for cutting and cauterizing tissue with a surgical instrument. The invention involves a method for detecting the location of a bleeding vessel in a liquid-filled, visually monitored surgical field of a patient and for electrocauterizing the vessel to stop the bleeding before visualization of the surgical field is compromised. Surgical instruments according to the invention also include operable components (118) for forming a liquid cutting jet for cutting or ablating tissue of a patient and/or for providing a rotating, tissue contacting component (122) for cutting, grinding, ablating, etc. tissue during a surgical procedure. Some surgical instruments include one or more liquid conducting lumen (118, 120) therein for transporting and/or removing a liquid from a surgical operating field, which lumen, in some cases, are selectively coated with a layer of an electrically insulating material so that certain, selected, uncoated regions of an external surface of the lumen can act as an electrocautery electrode of the instrument.
摘要翻译：本发明包括提供用于进行电烙术的至少一个电极（1002）的一系列手术器械（1000），并且提供了用外科器械切割和烧灼组织的方法。本发明涉及一种用于在液体填充的，视觉上监视的患者手术区域中检测出血血管的位置的方法，并且用于在手术视野的可视化受损之前使血管电灼以停止出血。根据本发明的手术器械还包括用于形成用于切割或消除患者组织的液体切割射流和/或用于提供用于切割，研磨，消融等的旋转的组织接触部件（122）的可操作部件（118）组织在手术过程中。一些手术器械包括一个或多个液体导管腔（118,120），用于从手术操作区输送和/或去除液体，该腔在一些情况下选择性地涂覆有一层电绝缘材料，使得腔的外表面的某些，选定的，未涂覆的区域可以用作仪器的电灼电极。

47. 发明申请

WO1999008609A1 ECCENTRIC ROTATIONAL ATHERECTOMY DEVICE 审中-公开
标题翻译：偏心旋转自适应装置
公开(公告)号：WO1999008609A1
公开(公告)日：1999-02-25
申请号：PCT/US1997020239
申请日：1997-11-05
申请人： SHTURMAN CARDIOLOGY SYSTEMS, INC. , SHTURMAN, Leonid , NEVZOROV, Andrei
发明人： SHTURMAN CARDIOLOGY SYSTEMS, INC.
IPC分类号： A61B17/22
CPC分类号： A61B17/320758 , A61B17/320725 , A61B2017/00553 , A61B2017/00853 , A61B2017/22039 , A61B2017/320004 , A61B2017/320766
摘要： A rotational atherectomy device having a flexible, elongated, rotatable drive shaft with an eccentric enlarged diameter section. At least part of the eccentric enlarged diameter section has a tissue removing surface. The eccentric enlarged diameter section of the drive shaft has a center of mass and/or geometric center spaced radially from the rotational axis of the drive shaft, facilitating the ability of the device to open the stenotic lesion to a diameter substantially larger than the outer diameter of the enlarged diameter section.
摘要翻译：一种具有柔性，细长的，可旋转的驱动轴的旋转粥样斑块切除装置，其具有偏心的扩大直径部分。偏心扩大直径部分的至少一部分具有组织去除表面。驱动轴的偏心扩大直径部分具有与驱动轴的旋转轴线径向间隔的质心和/或几何中心，有助于该装置将狭窄病变打开的直径基本上大于外径的直径增大。

48. 发明申请

WO1997036649A1 ACOUSTICAL THERAPY DEVICE WITH A SOURCE OF THERAPEUTIC ACOUSTICAL WAVES AND AN ULTRASOUND DETECTION DEVICE WITH A SECTOR SCANNER 审中-公开
标题翻译： ACOUSTIC治疗设备，包括具有超声扫描仪行业疗效声波源和跟踪装置
公开(公告)号：WO1997036649A1
公开(公告)日：1997-10-09
申请号：PCT/DE1997000631
申请日：1997-03-27
申请人： SIEMENS AKTIENGESELLSCHAFT , SCHÄTZLE, Ulrich , SCHMIDT, Erhard , THUM, Bernhard
发明人： SIEMENS AKTIENGESELLSCHAFT
IPC分类号： A61N07/02
CPC分类号： A61B8/12 , A61B8/445 , A61B8/4461 , A61B17/22004 , A61B2017/00274 , A61B2017/00553 , A61B2017/00973 , A61B2017/22028 , A61B2018/00023 , A61B2018/00547 , A61N7/022
摘要： The invention concerns an acoustical therapy device with a source (1) of therapeutic acoustical waves and an ultrasound detection device with a mechanical sector scanner (2) with a rotatably mounted rotor (14) on which at least one ultrasound transducer (15) is mounted and a rotor drive. The rotor drive has a motor which drives the rotor (14). The pressure medium also serves to cool the source (1) of acoustic waves.
摘要翻译：本发明涉及一种声学治疗设备，其包括治疗声波的光源（1）和超声定位系统有机械扇形扫描仪（2）与在其上的至少一个超声换能器（15），连接到可旋转地安装的转子（14）和转子驱动。转子驱动器包含其驱动，其中在治疗的声波的同时（1）中的压力介质用于冷却源的转子（14）的马达。

49. 发明申请

WO1994013217A1 ABRASIVE DRIVE SHAFT DEVICE FOR DIRECTIONAL ROTATIONAL ATHERECTOMY 审中-公开
标题翻译：用于方向旋转自适应的磨料驱动轴装置
公开(公告)号：WO1994013217A1
公开(公告)日：1994-06-23
申请号：PCT/US1993012364
申请日：1993-12-17
申请人： SHTURMAN CARDIOLOGY SYSTEMS, INC.
发明人： SHTURMAN CARDIOLOGY SYSTEMS, INC. , SHTURMAN, Leonid
IPC分类号： A61B17/32
CPC分类号： A61B17/320758 , A61B2017/00553 , A61B2017/00853 , A61B2017/00924 , A61B2017/22038 , A61B2017/320004 , A61B2017/320733 , A61B2090/3782 , A61F2002/30092 , A61F2210/0014 , A61M25/01 , A61M25/09
摘要： An abrasive drive shaft atherectomy device for removing stenotic tissue from an artery. The device includes a rotational atherectomy apparatus having a flexible, elongated drive shaft (50) having a central lumen and a segment near its distal end, coated with an abrasive material to define an abrasive segment (40). In one embodiment the device includes a special guide wire (70) having a generally straight proximal portion, a distal end portion, and a flexible intermediate positioning segment (72). The positioning segment (72) has a predetermined curved shape such that when the abrasive segment (40) of the drive shaft is advanced over the guide wire to a position along the curved positioning segment, such curved segment positions the abrasive segment laterally away from the longitudinal axis of the proximal portion of the drive shaft.
摘要翻译：一种用于从动脉中移除狭窄组织的研磨驱动轴动脉粥样硬化切除装置。所述装置包括具有旋转的粥样斑块切除装置，其具有柔性细长的驱动轴（50），所述驱动轴具有中心内腔和靠近其远端的部分，涂覆有研磨材料以限定研磨部分（40）。在一个实施例中，该装置包括具有大致直的近端部分，远端部分和柔性中间定位部分（72）的特殊导丝（70）。所述定位段（72）具有预定的弯曲形状，使得当所述驱动轴的研磨段（40）在所述导丝上前进到沿着所述弯曲定位段的位置时，所述弯曲段将所述磨料段横向远离所述驱动轴的近端部分的纵向轴线。

50. 发明申请

WO1993001849A1 EXPANDABLE TIP ATHERECTOMY METHOD AND APPARATUS 审中-公开
标题翻译：可扩展提示方法和设备
公开(公告)号：WO1993001849A1
公开(公告)日：1993-02-04
申请号：PCT/US1991006381
申请日：1991-09-05
申请人： ZACCA, Nadim, M. , JASSO, Martin
IPC分类号： A61M05/178
CPC分类号： A61B17/320725 , A61B17/22 , A61B2017/00553 , A61B2017/22062 , A61B2017/22082 , A61B2017/22092 , A61B2017/320004
摘要： A device (10) for removing obstructions from vessels or small openings in the body, comprising a rotatable ablator tip (16) which is guided to the obstruction in a reduced diameter configuration, expanded and rotated to remove the obstruction, and contracted to remove the device from the body. The variably expandable abrasive tip coil (16) in one embodiment of the invention is actuated by a piston means (62) disposed within the coil. A pair of collars is attached to the ends of the coil, and the piston effects relative longitudinal axial movement of the collars and, hence, the respective ends of the coil tip. When the ends of the coil tip are so moved with respect to one another, expansion and contraction of the diameter of the coil tip results. In another embodiment of the invention, the expansion tip coil (16) is actuated by an expandable and contractible bellows means (128) disposed within the coil, instead of the piston means. In another embodiment of the invention, the expansion and contraction of the coil tip are effected by longitudinal axial movement of an internal coil attached to one end of the coil tip, within an outer coil attached to the other end of the coil tip. In another embodiment of the invention, expansion and contraction of the coil tip are effected by an inflatable balloon (80) disposed within the coil tip (16). The balloon expansion means (80) enlarges preferably at the central portion of the coil (16) to make a bulge.
摘要翻译：一种用于从身体中的容器或小开口移除障碍物的装置（10），包括可旋转的消音器尖端（16），其以直径减小的形式被引导到障碍物，并被扩展和旋转以移除阻塞物，并收缩以消除装置从身体。本发明的一个实施例中的可变膨胀的研磨尖端线圈（16）由设置在线圈内的活塞装置（62）致动。一对轴环附接到线圈的端部，并且活塞影响轴环的相对纵向轴向运动，并且因此影响线圈末端的相应端部。当线圈末端的端部相对于彼此移动时，导致线圈尖端的直径的膨胀和收缩。在本发明的另一个实施例中，膨胀尖端线圈（16）由设置在线圈内的可膨胀和可收缩的波纹管装置（128）来驱动，而不是活塞装置。在本发明的另一个实施例中，线圈尖端的膨胀和收缩是通过连接到线圈末端的一端的内部线圈在连接到线圈尖端的另一端的外部线圈内的纵向轴向运动来实现的。在本发明的另一个实施例中，线圈尖端的膨胀和收缩由设置在线圈尖端（16）内的可膨胀球囊（80）来实现。球囊膨胀装置（80）优选地在线圈（16）的中心部分扩大以形成凸起。

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