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1. 发明申请

WO2007103800B1 INTERNALLY LOCATED RETURN ELECTRODE ELECTROSURGICAL APPARATUS, SYSTEM AND METHOD 审中-公开
标题翻译：内置返回电极静电设备，系统和方法
公开(公告)号：WO2007103800B1
公开(公告)日：2008-09-25
申请号：PCT/US2007063198
申请日：2007-03-02
申请人： ARTHROCARE CORP , WOLOSZKO JEAN , MORRISON GEORGE , JENKINS THOMAS
发明人： WOLOSZKO JEAN , MORRISON GEORGE , JENKINS THOMAS
IPC分类号： A61B18/18
CPC分类号： A61B18/148 , A61B2018/00053 , A61B2018/0044 , A61B2018/00583 , A61B2018/1472 , A61B2218/002 , A61B2218/007 , A61B2218/008
摘要： A bipolar, plasma-generating electrosurgical apparatus and system wherein the return electrode is enclosed within an electrosurgical shaft, and the active electrode is located on the outside surface of the shaft such that in treating the tissue, the tissue is exposed to plasma generated on the active electrode, but is minimally exposed to electric fields generated between the active and return electrodes. Due to the configuration of the electrodes, electric fields generated between the electrodes are directed away from the target tissue and inwardly towards the return electrode within the shaft, thereby electrical stimulation of neuromuscular structures in the tissue by the electric fields is minimized.
摘要翻译：一种双极等离子体产生的电外科设备和系统，其中返回电极被包围在电外科轴内，并且有源电极位于轴的外表面上，使得在处理组织时，组织暴露于在活性电极，但是最低限度地暴露于在有源电极和返回电极之间产生的电场。由于电极的结构，在电极之间产生的电场被引导离开目标组织并向内朝向轴内的返回电极，由此电场中组织中的神经肌肉结构的电刺激最小化。

2. 发明申请

WO2006125007A3 CONDUCTIVE FLUID BRIDGE ELECTROSURGICAL APPARATUS 审中-公开
标题翻译：导电流体电磁装置
公开(公告)号：WO2006125007A3
公开(公告)日：2007-12-13
申请号：PCT/US2006019095
申请日：2006-05-16
申请人： ARTHROCARE CORP , DAHLA ROBERT H
发明人： DAHLA ROBERT H
IPC分类号： A61B18/18
CPC分类号： A61B18/1485 , A61B2018/1213 , A61B2018/1472 , A61B2218/002 , A61B2218/003 , A61B2218/007
摘要： An electrosurgical apparatus for treating body tissue, comprising an active and a return electrode, a vacuum inlet located near the active electrode, and at least one pinhole defined on the apparatus near the return electrode that is adapted to provide a conductive fluid bridge between the active and return electrodes during use regardless of the orientation of the electrodes relative to the tissue, without flooding the electrodes or the tissue. Also, a method and system of performing a dry field surgical procedure comprising applying ablative energy to a target tissue wherein the target tissue is not flooded or submerged in electrically conductive fluid; and maintaining a fluid bridge between the electrodes regardless of the orientation of the shaft. Advantageously, since the conductive fluid bridge is maintained for any orientation of the electrodes relative to the tissue without flooding, the instrument can be used to treat tissue from any orientation without breaking the fluid bridge.
摘要翻译：一种用于治疗身体组织的电外科设备，包括活性和返回电极，位于有源电极附近的真空入口和限定在靠近返回电极的设备上的至少一个针孔，其适于在活性物质之间提供导电流体桥梁并且在使用期间返回电极，而不管电极相对于组织的取向如何，而不会使电极或组织淹没。而且，执行干场外科手术的方法和系统包括向目标组织施加烧蚀能量，其中靶组织不被淹没或浸没在导电流体中; 并且维持电极之间的流体桥梁，而与轴的取向无关。有利地，由于导电流体桥保持电极相对于组织的任何取向而没有淹没，所以该仪器可用于从任何方向处理组织而不破坏流体桥。

3. 发明申请

WO2006128092A3 THREADED KNOTLESS SUTURE ANCHORING DEVICE AND METHOD 审中-公开
标题翻译：无线无绳锚固装置和方法
公开(公告)号：WO2006128092A3
公开(公告)日：2007-12-06
申请号：PCT/US2006020657
申请日：2006-05-26
申请人： ARTHROCARE CORP , GORDON NORMAN S
发明人： GORDON NORMAN S
IPC分类号： A61B17/04 , A61B17/58
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/044 , A61B2017/045 , A61B2017/0496
摘要： A bone anchor and methods for securing soft tissue, such as tendons, to bone, permits a suture attachment that lies entirely beneath the cortical bone surface. The suturing material between the soft tissue and the bone anchor is secured without the need for tying a knot, thus avoiding what is, for arthroscopic procedures, an extremely demanding and difficult task. A knotless anchor for fixation of soft tissues to bone includes a bone lock in the form of a screw, and a suture lock in the form of a plug which is movable into a lumen.
摘要翻译：骨锚和用于将软组织（例如肌腱）固定到骨上的方法允许完全位于皮层骨表面下方的缝线附件。固定软组织和骨锚之间的缝合材料，而不需要捆绑结，从而避免了关节镜手术是一项非常苛刻和困难的工作。用于将软组织固定到骨头上的无节点锚固件包括螺钉形式的骨锁和可移动到内腔中的塞子形式的缝合线锁。

4. 发明申请

WO2005039390A3 ELECTROSURGICAL METHOD AND APPARATUS FOR REMOVING TISSUE WITHIN A BONE BODY 审中-公开
标题翻译：用于去除骨骼内的组织的电磁学方法和装置
公开(公告)号：WO2005039390A3
公开(公告)日：2006-05-11
申请号：PCT/US2004034949
申请日：2004-10-20
申请人： ARTHROCARE CORP , SANDERS NORMAN R , WOLOSZKO JEAN , HOVDA DAVID C , CRAWFORD DARREN
发明人： SANDERS NORMAN R , WOLOSZKO JEAN , HOVDA DAVID C , CRAWFORD DARREN
IPC分类号： A61B20060101 , A61B18/14 , A61B18/18
CPC分类号： A61B18/148 , A61B18/14 , A61B18/1402 , A61B18/1482 , A61B2018/0016 , A61B2018/00178 , A61B2018/00565 , A61B2018/00577 , A61B2018/00583 , A61B2218/007
摘要： A method for treating a bone body comprises inserting a probe having at least one active electrode into the target tissue and applying a voltage difference between an active electrode and return electrode to ablate the tissue. The method is particularly directed to removing tumors in a bone body and or removing cancellous bone in a bone body. The bone body may be a vertebral body. An apparatus includes a plurality of active electrodes and a distal section including two bends. The bends serve to prevent the active electrodes from impinging upon the shaft of an introducer needle. Also, a kit includes an electrosurgical probe, an electrosurgical generator, an introducer needle, and a fluid connector to connect the introducer needle to a fluid source such that liquid may be supplied to the target site during an application.
摘要翻译：一种用于治疗骨体的方法包括将具有至少一个活性电极的探针插入目标组织中，并在活性电极和返回电极之间施加电压差以烧蚀组织。该方法特别涉及去除骨体中的肿瘤和/或去除骨体中的松质骨。骨骼体可以是椎体。一种装置包括多个有源电极和包括两个弯曲部的远端部分。弯曲用于防止有源电极撞击导引针的轴。而且，套件包括电外科探针，电外科发生器，导引针和流体连接器，以将导引针连接到流体源，使得液体可以在施用期间被供应到目标部位。

5. 发明申请

WO2004002293A3 SYSTEMS AND METHODS FOR ELECTROSURGICAL TISSUE TREATMENT 审中-公开
标题翻译：静电组织治疗系统与方法
公开(公告)号：WO2004002293A3
公开(公告)日：2005-07-28
申请号：PCT/US0320574
申请日：2003-06-27
申请人： ARTHROCARE CORP , WOLOSZKO JEAN , BAKER MICHAEL A , DAHLA ROBERT H , KAHLON HARDEV , VILLARUEL ADELINA , NGUYEN CINDY TRUC , GUTIERREZ IRMA
发明人： WOLOSZKO JEAN , BAKER MICHAEL A , DAHLA ROBERT H , KAHLON HARDEV , VILLARUEL ADELINA , NGUYEN CINDY TRUC , GUTIERREZ IRMA
IPC分类号： A61B20060101 , A61B1/00 , A61B18/04 , A61B18/14 , A61B18/18
CPC分类号： A61B18/148 , A61B18/14 , A61B2018/00577 , A61B2018/00583 , A61B2018/1213 , A61B2018/1472
摘要： Systems and methods are provided for applying a high frequency voltage in the presence of an electrically conductive fluid to create a relatively low-temperature plasma for ablation of tissue adjacent to, or in contact with, the plasma. In one embodiment, an electrosurgical probe or catheter is positioned adjacent the target site so that one or more active electrode(s) are brought into contact with, or close proximity to, a target tissue in the presence of electrically conductive fluid. High frequency voltage is then applied between the active electrode(s) and one or more return electrode(s) to non-thermally generate a plasma adjacent to the active electrode(s), and to volumetrically remove or ablate at least a portion of the target tissue. The high frequency voltage generates electric fields around the active electrode(s) with sufficient energy to ionize the conductive fluid adjacent to the active electrode(s). Within the ionized gas or plasma, free electrons are accelerated, and electronatoms collisions liberate more electrons, and the process cascades until the plasma contains sufficient energy to break apart the tissue molecules, causing molecular dissociation and ablation of the target tissue.
摘要翻译：提供的系统和方法用于在存在导电流体的情况下施加高频电压以产生相对低温的等离子体，以消除与等离子体相邻或与其接触的组织。在一个实施例中，电外科探针或导管邻近靶位置定位，使得在存在导电流体的情况下使一个或多个有效电极与目标组织接触或接近。然后将高频电压施加在有源电极和一个或多个返回电极之间以非热产生邻近有源电极的等离子体，并且对体积上去除或消除至少一部分目标组织。高频电压以足够的能量产生有源电极周围的电场，以使邻近有源电极的导电流体离子化。在电离气体或等离子体中，自由电子被加速，并且电子原子碰撞释放出更多的电子，并且该过程直到等离子体含有足够的能量来分解组织分子，导致靶组织的分子解离和消融。

6. 发明申请

WO2004050171A3 DEVICES AND METHODS FOR SELECTIVE ORIENTATION OF ELECTROSURGICAL DEVICES 审中-公开
标题翻译：用于选择性定向的静电装置的装置和方法
公开(公告)号：WO2004050171A3
公开(公告)日：2005-04-14
申请号：PCT/US0338782
申请日：2003-12-03
申请人： ARTHROCARE CORP , DAVISON TERRY S , YATES MATTHEW L , ORMSBY THEODORE C , WOLOSZKO JEAN
发明人： DAVISON TERRY S , YATES MATTHEW L , ORMSBY THEODORE C , WOLOSZKO JEAN
IPC分类号： A61B18/14 , A61B18/18 , A61N20060101
CPC分类号： A61B18/1482 , A61B2017/003
摘要： Devices and methods for the selective orientation of electrodes for effecting the controlled ablation, coagulation, or other modification of a target tissue in vivo with no or minimal collateral tissue damage. The subject devices are electrosurgical wands configured to only bend in a single plane. The subject methods involve use of the subject devices to prepare for the treatment of a target tissue site.
摘要翻译：用于选择性取向电极的装置和方法，用于在没有或最小侧支组织损伤的情况下对体内靶组织进行受控消融，凝固或其它修饰。主体装置是构造成仅在单个平面中弯曲的电外科手杖。本发明方法涉及使用受试装置来准备治疗靶组织部位。

7. 发明申请

WO03068055A2 ELECTROSURGICAL APPARATUS AND METHODS FOR LAPAROSCOPY 审中-公开
标题翻译：电生理设备和方法
公开(公告)号：WO03068055A2
公开(公告)日：2003-08-21
申请号：PCT/US0307223
申请日：2003-02-11
申请人： ARTHROCARE CORP
发明人： WOLOSZKO JEAN , ELLSBERRY MARIA B
IPC分类号： A61B20060101 , A61B18/14 , A61B
CPC分类号： A61B18/1482 , A61B18/1402 , A61B18/148 , A61B18/1485 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/1213 , A61B2018/1407 , A61B2018/144 , A61B2018/1467 , A61B2018/1472 , A61B2218/002 , A61B2218/007
摘要： Electrosurgical methods and apparatus for treating tissue at a target site of a patient. An electrosurgical instrument includes a shaft, having a shaft distal end and a shaft proximal end, and an electrode assembly disposed at the shaft distal end. The electrode assembly includes at least one active electrode disposed on an electrode support. The instrument is adapted for coupling to a high frequency power supply or electrosurgical generator. Each active electrode is adapted for removing tissue from a target site and/or for localized coagulation of the target tissue. In one embodiment, the instrument is adapted for laparoscopic procedures.
摘要翻译：用于在患者的靶位置处理组织的电外科手术方法和装置。电外科器械包括具有轴远端和轴近端的轴，以及设置在轴远端的电极组件。电极组件包括设置在电极支撑件上的至少一个有源电极。该仪器适用于耦合到高频电源或电外科发生器。每个活性电极适于从目标部位去除组织和/或用于靶组织的局部凝固。在一个实施例中，该仪器适用于腹腔镜手术。

8. 发明申请

WO03028540A2 ELECTROSURGICAL APPARATUS AND METHODS FOR CUTTING TISSUE 审中-公开
标题翻译：静电装置和切割组织的方法
公开(公告)号：WO03028540A2
公开(公告)日：2003-04-10
申请号：PCT/US0231409
申请日：2002-10-02
申请人： ARTHROCARE CORP
发明人： CIARROCCA SCOTT A , ANTOUNIAN FRANCOIS , WOLOSZKO JEAN , DAHLA ROBERT H
IPC分类号： A61B20060101 , A61B17/00 , A61B18/00 , A61B18/14 , A61F2/02 , A61M3/02 , A61B
CPC分类号： A61B18/1402 , A61B18/1206 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/00083 , A61B2018/00119 , A61B2018/00148 , A61B2018/0016 , A61B2018/00178 , A61B2018/00327 , A61B2018/00392 , A61B2018/00404 , A61B2018/0047 , A61B2018/00476 , A61B2018/00505 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/00625 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821 , A61B2018/00827 , A61B2018/00875 , A61B2018/1213 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/1412 , A61B2018/1422 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2018/165 , A61B2218/002 , A61B2218/003 , A61B2218/007 , A61F2/2493 , A61M3/0283
摘要： The present invention provides systems, apparatus, and methods for dissecting, resecting, severing, cutting, contracting, coagulating, or otherwise modifying a tissue or organ of a patient. An apparatus of the invention includes an electrosurgical probe configurable between an open configuration and a closed configuration, the probe including an active electrode terminal, a fixed return electrode disposed proximal to the active electrode terminal, and a movable return electrode configured to move linearly with respect to the active electrode terminal between the open configuration and the closed configuration. A method of the present invention comprises clamping a blood vessel between the active electrode terminal and the movable return electrode, coagulating the clamped blood vessel by application of a first high frequency voltage, and severing the coagulated blood vessel by application of a second high frequency voltage.
摘要翻译：本发明提供用于解剖，切除，切断，切割，收缩，凝结或以其它方式改变患者的组织或器官的系统，装置和方法。本发明的装置包括可在打开结构和闭合配置之间配置的电外科探头，所述探针包括有源电极端子，靠近有源电极端子设置的固定返回电极和可移动的返回电极，其被配置为相对于到打开配置和关闭配置之间的有源电极端子。本发明的方法包括：在有源电极端子和可动返回电极之间夹持血管，通过施加第一高频电压凝固夹持的血管，并通过施加第二高频电压来切断凝血血管。

9. 发明申请

WO03024305A2 ELECTROSURGICAL APPARATUS AND METHODS FOR TISSUE TREATMENT & REMOVAL 审中-公开
标题翻译：静电设备和组织治疗和移除方法
公开(公告)号：WO03024305A2
公开(公告)日：2003-03-27
申请号：PCT/US0229476
申请日：2002-09-16
申请人： ARTHROCARE CORP , DAHLA ROBERT H , WOLOZCO JEAN
发明人： DAHLA ROBERT H , WOLOZCO JEAN
IPC分类号： A61B20060101 , A61B17/20 , A61B18/14 , A61B18/18 , A61B
CPC分类号： A61B18/148 , A61B18/042 , A61B2018/00577 , A61B2018/00583 , A61B2018/1213 , A61B2018/1467 , A61B2018/1472 , A61B2218/007
摘要： Systems, apparatus, and methods for ablating, sculpting, severing, shrinking, coagulating, or otherwise modifying a target tissue to be treated. In a method for treating a target tissue, an active electrode terminal of an electrosurgical probe is positioned in at least close proximity to the target tissue. A high frequency voltage is then applied between the active electrode and a return electrode, wherein, the high frequency voltage is sufficient to volumetrically remove (ablate), sever, or modify at least a portion of the target tissue. The probe comprises an electrode assembly including an electrode support and at least one active electrode terminal arranged within the electrode support, the electrode support having a suction cavity, and each active electrode terminal having an electrode lumen therein, the electrode lumen in communication with the suction cavity. Unwanted materials may be aspirated from a surgical site via the electrode lumen.
摘要翻译：用于烧蚀，雕刻，切割，收缩，凝结或以其他方式修饰待治疗的靶组织的系统，装置和方法。在用于治疗靶组织的方法中，电外科探针的活性电极端子位于至少紧邻靶组织的位置。然后在有源电极和返回电极之间施加高频电压，其中，高频电压足以体积地去除（消融），切断或修改目标组织的至少一部分。该探针包括电极组件，该电极组件包括电极支撑件和布置在电极支架内的至少一个有源电极端子，电极支架具有吸入腔，并且每个有源电极端子在其中具有电极腔，电极腔与抽吸腔。不需要的材料可以通过电极腔从手术部位吸出。

10. 发明申请

WO2006079106A3 MULTI-CHAMBER INTEGRATED MIXING AND DELIVERY SYSTEM 审中-公开
标题翻译：多室综合混合输送系统
公开(公告)号：WO2006079106A3
公开(公告)日：2008-10-02
申请号：PCT/US2006002625
申请日：2006-01-23
申请人： ARTHROCARE CORP , ARRAMON YVES P
发明人： ARRAMON YVES P
IPC分类号： B01F13/06
CPC分类号： B01F13/002 , A61F2002/30601 , A61F2002/30616 , B01F3/1228 , B01F15/00506 , B01F15/00512 , B01F15/0205 , B01F15/0215 , B01F15/0225 , B01F15/0279 , B01F2215/0029
摘要： Systems and methods are provided for the mixing of materials to form a homogenous mixture and for delivering the mixture to a target site. In one embodiment a vial containing a liquid monomer is detachably engaged with a mixing chamber. The liquid monomer flows into the mixing chamber and combines with a powder to form a flowable composition such as bone cement. The bone cement may then be injected from the device to a target location.
摘要翻译：提供了用于混合材料以形成均匀混合物并将混合物输送到靶位点的系统和方法。在一个实施方案中，含有液体单体的小瓶可与混合室可分离地接合。液体单体流入混合室并与粉末组合以形成可流动的组合物如骨粘固剂。骨粘固剂然后可以从装置注射到目标位置。

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