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1. 发明申请

WO2007056729A3 ELECTROSURGICAL APPARATUS WITH FLUID FLOW REGULATOR 审中-公开
标题翻译：具有流体流量调节器的静电设备
公开(公告)号：WO2007056729A3
公开(公告)日：2008-01-03
申请号：PCT/US2006060618
申请日：2006-11-07
申请人： ARTHROCARE CORP , WOLOSZKO JEAN , DAHLA ROBERT H
发明人： WOLOSZKO JEAN , DAHLA ROBERT H
IPC分类号： A61B18/18
CPC分类号： A61B18/148 , A61B2018/1213 , A61B2218/007
摘要： An electrosurgical instrument comprising a shaft that includes a distal end section and a distal tip. Near the distal tip is an active electrode and a fluid collection chamber. The fluid collection chamber comprises an ingress port for suctioning a fluid flow over the active electrode and into the fluid collection chamber; a regulator adapted to adjust the fluid flow through the ingress port; and an aspiration port for exhausting the fluid from the fluid collection chamber, and a method thereof.
摘要翻译：一种电外科器械，包括包括远端部分和远侧末端的轴。远侧末端附近是活性电极和流体收集室。流体收集室包括用于抽吸有源电极上的流体流并进入流体收集室的入口端口; 适于调节通过入口的流体流量的调节器; 以及用于从流体收集室排出流体的抽吸口及其方法。

2. 发明申请

WO2005009213A2 ROTARY ELECTROSURGICAL APPARATUS AND METHODS THEREOF 审中-公开
标题翻译：旋转静电设备及其方法
公开(公告)号：WO2005009213A2
公开(公告)日：2005-02-03
申请号：PCT/US2004/022803
申请日：2004-07-16
申请人： ARTHROCARE CORPORATION , WOLOSZKO, Jean , DAHLA, Robert, H.
发明人： WOLOSZKO, Jean , DAHLA, Robert, H.
IPC分类号： A61B
CPC分类号： A61B18/148 , A61B17/32002 , A61B18/1402 , A61B18/1482 , A61B2018/00208 , A61B2018/00601 , A61B2018/00982 , A61B2018/122 , A61B2018/1472 , A61B2018/1861 , A61B2218/002 , A61B2218/007
摘要： Electrosurgical systems, apparatus, and methods for the controlled removal and treatment of a target tissue. An instrument of the invention includes a rotating member housed longitudinally within a shaft, a tissue removal port disposed at the shaft distal end portion, and an active electrode disposed at the instrument distal end. The active electrode is adapted to electrosurgically remove at least a portion of the target tissue as the rotating member rotates within the shaft. According to alternative embodiments, the active electrode may be disposed on the rotating member or on the shaft.
摘要翻译：用于受控去除和治疗靶组织的电外科系统，装置和方法。本发明的仪器包括纵向容纳在轴内的旋转构件，设置在轴远端部处的组织移除端口和设置在器械远端的有源电极。当旋转构件在轴内转动时，活性电极适于电动去除目标组织的至少一部分。根据替代实施例，有源电极可以设置在旋转构件上或者轴上。

3. 发明申请

WO2004071278A2 TEMPERATURE INDICATING ELECTROSURGICAL APPARATUS AND METHODS 审中-公开
标题翻译：温度指示静电设备和方法
公开(公告)号：WO2004071278A2
公开(公告)日：2004-08-26
申请号：PCT/US2004/003614
申请日：2004-02-05
申请人： ARTHROCARE CORPORATION , WOLOSZKO, Jean , DAHLA, Robert, H. , BAKER, Michael, A. , PACEK, James, L.
发明人： WOLOSZKO, Jean , DAHLA, Robert, H. , BAKER, Michael, A. , PACEK, James, L.
IPC分类号： A61B
CPC分类号： A61B18/1492 , A61B5/01 , A61B5/015 , A61B5/4528 , A61B18/04 , A61B18/042 , A61B18/148 , A61B18/18 , A61B2018/00791 , A61B2018/00809 , A61B2562/0276
摘要： Systems, apparatus, and methods for monitoring temperature at a region near a surgical site during a procedure. A temperature-indicating element of an electrosurgical device comprises an indicator composition adapted to undergo a change in appearance in response to a pre-defined temperature range. The change in appearance of the temperature-indicating element indicates to the operator of the device a temperature condition at the working end of the device.
摘要翻译：在手术过程中，用于监测手术部位附近区域的温度的系统，装置和方法。电外科装置的温度指示元件包括适于经受预定温度范围的外观变化的指示剂组合物。温度指示元件的外观变化表示设备的操作者在设备的工作端处的温度状况。

4. 发明申请

WO2002102255A1 ELECTROSURGICAL APPARATUS AND METHODS FOR TREATMENT AND REMOVAL OF TISSUE 审中-公开
标题翻译：静电设备及组织的处理和去除方法
公开(公告)号：WO2002102255A1
公开(公告)日：2002-12-27
申请号：PCT/US2002/019261
申请日：2002-06-18
申请人： ARTHROCARE CORPORATION , DAHLA, Robert, H. , WOLOSZKO, Jean
发明人： DAHLA, Robert, H. , WOLOSZKO, Jean
IPC分类号： A61B17/20
CPC分类号： A61B18/148 , A61B18/1492 , A61B2018/00577 , A61B2018/00583 , A61B2018/1213 , A61B2018/1437 , A61B2018/1472
摘要： Apparatus and methods for ablating, severing, cutting, shrinking, coagulating, or otherwise modifying a target tissue to be treated. In a method for treating a target tissue, an active electrode of an electrosurgical probe (20) is positioned in at least close proximity to the target tissue in the presence of an electrically conductive fluid. A high frequency voltage is then applied between the active electrode (203) and a return electrode (112), wherein, the high frequency voltage is sufficient to volumetrically remove (ablate), sever, or modify at least a portion of the target tissue. The probe (20) comprises a multi-lumen shaft having a plurality of internal lumens, and a return electrode coil oriented substantially parallel to the shaft distal end. The active electrode (203) may be in the form of a metal disc, a hook, or an active electrode coil. In the latter embodiment, the active electrode coil (203) is typically arranged substantially orthogonal to the return electrode coil. Methods of making an active electrode coil, a return electrode coil, and an electrosurgical probe are also disclosed.
摘要翻译：用于烧蚀，切断，切割，收缩，凝结或以其它方式修饰待治疗的靶组织的装置和方法。在用于治疗靶组织的方法中，在存在导电流体的情况下，电外科探针（20）的活性电极至少紧邻靶组织。然后在有源电极（203）和返回电极（112）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。探针（20）包括具有多个内腔的多腔轴和基本上平行于轴远端取向的返回电极线圈。有源电极（203）可以是金属盘，钩或有源电极线圈的形式。在后一实施例中，有源电极线圈（203）通常布置成基本上垂直于返回电极线圈。还公开了制造有源电极线圈，返回电极线圈和电外科探头的方法。

5. 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。

6. 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。

7. 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。

8. 发明申请

WO2011071482A1 SINGLE APERTURE ELECTRODE ASSEMBLY 审中-公开
标题翻译：单孔电极组件
公开(公告)号：WO2011071482A1
公开(公告)日：2011-06-16
申请号：PCT/US2009/067001
申请日：2009-12-07
申请人： ARTHROCARE CORPORATION , MARION, Duane, W. , FULVIO, Alana , WOLOSZKO, Jean , DAHLA, Robert, H.
发明人： MARION, Duane, W. , WOLOSZKO, Jean , DAHLA, Robert, H.
IPC分类号： A61B18/14
CPC分类号： A61B18/148 , A61B2018/00577 , A61B2018/00589 , A61B2018/00601 , A61B2018/0063 , A61B2218/002
摘要： Systems and methods for securing a screen-type active electrode to the distal tip of an electrosurgical device used for selectively applying electrical energy to a target location within or on a patient's body. A securing electrode is disposed through the screen electrode and mechanically joined to an insulative support body while also creating an electrical connection and mechanical enagement with the screen electrode. The electrosurgical device and related methods are provided for resecting, cutting, partially ablating, aspirating or otherwise removing tissue from a target site, and ablating the tissue in situ. The present methods and systems are particularly useful for removing tissue within joints, e.g., synovial tissue, meniscus, articular cartilage and the like.
摘要翻译：用于将屏幕型有源电极固定到用于选择性地将电能施加到患者体内或身体上的目标位置的电外科手术装置的远端的系统和方法。固定电极穿过屏幕电极设置并机械地连接到绝缘支撑体，同时还与屏幕电极形成电连接和机械接合。提供电外科装置和相关方法用于切割，切割，部分消融，吸出或以其他方式从目标部位移除组织，以及原位烧蚀组织。本发明的方法和系统特别可用于去除关节内的组织，例如滑膜组织，半月板，关节软骨等。

9. 发明申请

WO2005086683A2 TIP REINFORCED ELECTROSURGICAL DEVICE 审中-公开
标题翻译： TIP增强电磁装置
公开(公告)号：WO2005086683A2
公开(公告)日：2005-09-22
申请号：PCT/US2005/007038
申请日：2005-03-04
申请人： ARTHROCARE CORPORATION , 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：用于从患者身体内或身体上的目标部位去除组织的尖端增强电外科装置包括具有近端部分和远端部分上的主动屏蔽电极的轴。返回电极包括与轴远端部分互锁的臂。联锁特征可以包括凹坑，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的强度。电外科探头还包括延伸穿过轴的至少一个电连接器，其将有源电极与高频电源连接。至少一个电耦合构件例如球线将活性屏蔽电极固定到轴远端，并将屏幕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。

10. 发明申请

WO2003024305A3 ELECTROSURGICAL APPARATUS AND METHODS FOR TISSUE TREATMENT & REMOVAL 审中-公开
公开(公告)号：WO2003024305A3
公开(公告)日：2003-03-27
申请号：PCT/US2002/029476
申请日：2002-09-16
申请人： ARTHROCARE CORPORATION , DAHLA, Robert, H. , WOLOZCO, Jean
发明人： DAHLA, Robert, H. , WOLOZCO, Jean
IPC分类号： A61B17/20
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 (42) of an electrosurgical probe (20) is positioned in at least close proximity to the target tissue. A high frequency voltage is then applied between the active electrode (42) and a return electrode (112), wherein, the high frequency voltage is sufficient to volumetrically (ablate), sever, or modify at least a portion of the target tissue. The probe (20) comprises an electrode assembly including an electrode support (44) and at least one active electrode terminal (42) arranged within the electrode support (44), the electrode support (44) having a suction cavity, and each active electrode terminal (42) 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.

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