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1. 发明申请

WO2008051411A2 METHOD AND APPARATUS FOR CARRYING OUT THE CONTROLLED HEATING OF TISSUE IN THE REGION OF DERMIS 审中-公开
标题翻译：在德米尔斯地区实施组织控制加热的方法和装置
公开(公告)号：WO2008051411A2
公开(公告)日：2008-05-02
申请号：PCT/US2007022130
申请日：2007-10-16
申请人： APSARA MEDICAL CORP , EGGERS PHILIP E , EGGERS ANDREW R , EGGERS ERIC A
发明人： EGGERS PHILIP E , EGGERS ANDREW R , EGGERS ERIC A
IPC分类号： A61F7/12
CPC分类号： A61B18/082 , A61B2017/00747 , A61F2007/126
摘要： Implant apparatus and method for effecting a controlled heating of tissue within the region of dermis of skin. The heater implants are configured with a thermally insulative generally flat support functioning as a thermal barrier. One surface of this thermal barrier carries one or more polymerically encapsulated heater resistor segments with a lead assemblage exhibiting a 4-point topology. Each of the encapsulated heater segments may be thermally associated with a metal thermal spreader dimensioned in correspondence with and aligned with the heater segments. The implants are located within heating channels at the interface between skin dermis and the next adjacent subcutaneous tissue layer such that the heat spreaders are contactable with the lower region of dermis. During therapy a conformal heat sink is positioned against the skin above the implants and a slight tamponade is applied through the heat sink to assure a proper form of conduction heat transfer. An adjuvant may be employed to infiltrate dermis to significantly lower the thermal threshold transition temperature for dermis or dermis component shrinkage. The method and apparatus also may be employed in the treatment of capillary malformation (port wine stain).
摘要翻译：用于在皮肤真皮区域内进行组织受控加热的植入装置和方法。加热器植入物配置有用作热障的热绝缘的大体平坦的支撑。该热障的一个表面承载一个或多个聚合物密封的加热电阻器段，其具有呈现4点拓扑的引线组合。每个封装的加热器段可以与金属散热器热关联，金属散热器的尺寸与加热器段对应并对齐。植入物位于皮肤真皮和下一个相邻的皮下组织层之间的界面处的加热通道内，使得散热器可与真皮的下部区域接触。在治疗期间，保形散热器抵靠植入物上方的皮肤定位，并且通过散热器施加轻微的填塞以确保适当形式的传导热传递。可以使用佐剂来渗透真皮以显着降低真皮或真皮成分收缩的热阈值转变温度。该方法和装置也可用于治疗毛细血管畸形（葡萄酒葡萄酒渍）。

2. 发明申请

WO2008051402A2 METHOD AND APPARATUS FOR CARRYING OUT THE CONTROLLED HEATING OF TISSUE IN THE REGION OF DERMIS 审中-公开
标题翻译：在德米尔斯地区实施组织控制加热的方法和装置
公开(公告)号：WO2008051402A2
公开(公告)日：2008-05-02
申请号：PCT/US2007/022069
申请日：2007-10-16
申请人： APSARA MEDICAL CORPORATION , EGGERS, Philip, E. , EGGERS, Andrew, R. , EGGERS, Eric, A.
发明人： EGGERS, Philip, E. , EGGERS, Andrew, R. , EGGERS, Eric, A.
IPC分类号： A61F7/00 , A61F7/12
CPC分类号： A61B18/1477 , A61B18/082 , A61B2018/00452 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/00809 , A61B2018/00815
摘要： Implant apparatus and method for effecting a controlled heating of tissue within the region of dermis of skin. The heater implants are configured with a thermally insulative generally flat support functioning as a thermal barrier. One surface of this thermal barrier carries one or more electrodes within a radiofrequency excitable circuit as well as an associated temperature sensing circuit. The implants are located within heating channels at the interface between skin dermis and the next adjacent subcutaneous tissue layer such that the electrodes are contactable with the lower region of dermis. During therapy a conformal heat sink is positioned against the skin above the implants and a slight tamponade is applied through the heat sink to assure uniform dermis contact with electrode surfaces. An adjuvant may be employed to infiltrate dermis to significantly lower the thermal threshold transition temperature for dermis or dermis component shrinkage.
摘要翻译：用于在皮肤真皮区域内进行组织受控加热的植入装置和方法。加热器植入物配置有用作热障的热绝缘的大体平坦的支撑。该热障的一个表面承载射频可激励电路内的一个或多个电极以及相关联的温度感测电路。植入物位于皮肤真皮和下一个相邻皮下组织层之间界面处的加热通道内，使得电极可与真皮的下部区域接触。在治疗期间，将适形散热器放置在植入物上方的皮肤上，并通过散热器施加轻微的填塞，以确保与电极表面均匀的真皮接触。可以使用佐剂来渗透真皮以显着降低真皮或真皮成分收缩的热阈值转变温度。

3. 发明申请

WO2005060398A3 ELECTROSURGICAL SYSTEM WITH IMPROVED TISSUE CAPTURE COMPONENT 审中-公开
标题翻译：具有改进的组织捕获组分的电磁系统
公开(公告)号：WO2005060398A3
公开(公告)日：2007-01-18
申请号：PCT/US2004029898
申请日：2004-09-10
申请人： INTACT MEDICAL CORP , EGGERS PHILIP E , EGGERS ANDREW R , EGGERS ERIC A
发明人： EGGERS PHILIP E , EGGERS ANDREW R , EGGERS ERIC A
IPC分类号： A61B18/18 , A61B10/00 , A61B10/02 , A61B18/04 , A61B18/14 , A61B19/00
CPC分类号： A61B10/0233 , A61B10/02 , A61B10/0266 , A61B18/148 , A61B90/40 , A61B2018/144 , A61B2090/3908
摘要： Electrosurgical tissue specimen recovery apparatus and system employing a multi-leaf capture component configured with pursing cables which are electrosurgically excited to define a cutting leading edge. To complete a capture, the cables are loaded in tension to purse and thus converge the tips of the capture component leafs together. The forward regions of the leafs are configured with a combination of a thin flat stainless steel region over which a polymeric cable guide is positioned. The polymeric cable guide and stainless steel leaf driving combination improves frictional aspects as well as the resulting aspect ratio of a recovered tissue specimen.
摘要翻译：电外科组织标本回收装置和系统，其采用多叶捕获部件，该多叶捕获部件配置有电刺激以限定切割前缘的电缆。为了完成捕获，电缆被紧张地装载到钱包中，从而将捕获部件叶片的尖端收敛在一起。叶片的前部区域由薄的扁平不锈钢区域组合，聚合物电缆引导件定位在该平坦的不锈钢区域上。聚合物电缆引导件和不锈钢叶片驱动组合改善了摩擦方面以及所获得的组织样本的纵横比。

4. 发明申请

WO2004097356A3 SYSTEM, METHOD AND APPARATUS FOR EVALUATING TISSUE TEMPERATURE 审中-公开
标题翻译：用于评估组织温度的系统，方法和装置
公开(公告)号：WO2004097356A3
公开(公告)日：2006-02-23
申请号：PCT/US2004012190
申请日：2004-04-20
申请人： APSARA MEDICAL CORP , EGGERS PHILIP E , RIDIHALGH JOHN L , MAYERCHAK MARK , ALTMAN GARY
发明人： EGGERS PHILIP E , RIDIHALGH JOHN L , MAYERCHAK MARK , ALTMAN GARY
IPC分类号： A61F2/00 , A61F2/02 , A61F2/82 , G01K7/38
CPC分类号： G01K7/38 , A61B18/04 , A61B18/18 , A61B2017/00084 , A61F2/82 , A61F7/12 , A61F2250/0001
摘要： Method, system and apparatus for monitoring target tissue temperatures wherein temperature sensors are configured as passive resonant circuits each with a unique resonating signature at monitoring temperatures extending below a select temperature setpoint. The resonant circuits (90) are configured with an inductor component formed of winding (94) about a ferrite core (92) having a Curie temperature characteristic corresponding with a desired temperature setpoint. By selecting inductor winding turns and capacitance values, unique resonant center frequencies are detectable. Temperature monitoring can be carried out with implants at lower threshold and upper limit temperature responses. Additionally, the lower threshold sensors may be combined with auto-regulated heater implants (730) having Curie transitions at upper temperature limits.
摘要翻译：用于监测目标组织温度的方法，系统和装置，其中温度传感器被配置为无源谐振电路，每个无源谐振电路在监测温度延伸低于选定温度设定点的情况下具有独特的谐振特征。谐振电路（90）配置有电感器部件，该电感器部件围绕具有对应于期望温度设定点的居里温度特性的铁氧体磁芯（92）绕绕（94）。通过选择电感器绕组匝数和电容值，可以检测到独特的谐振中心频率。温度监测可以用较低阈值和上限温度响应的植入物进行。此外，较低阈值传感器可与在较高温度极限下具有居里转变的自动调节加热器植入物（730）组合。

5. 发明申请

WO2005011466A3 ELECTROSURGICAL METHOD AND APPARATUS WITH DENSE TISSUE RECOVERY CAPABILITY 审中-公开
标题翻译：电磁学方法和装置与DENSE TISSUE恢复能力
公开(公告)号：WO2005011466A3
公开(公告)日：2005-07-14
申请号：PCT/US2004022177
申请日：2004-07-12
申请人： NEOTHERMIA CORP , EGGERS PHILIP E
发明人： EGGERS PHILIP E
IPC分类号： A61B10/00 , A61B10/02 , A61B18/14
CPC分类号： A61B10/0266 , A61B10/0041 , A61B10/0283 , A61B18/1402 , A61B2010/0208
摘要： Samples are recoverable from very dense tissue utilizing an instrument (10) incorporating a capture component (220) formed with leafs (228-232) extending to leaf tip regions supporting a stainless steel pursing cable assembly (278-282). The cables of this assembly are electrosurgically excited to define a confronting leading edge and extend rearwardly to a terminator component (348). Motor drive is imparted to the capture component to deploy the leafs at a substantially constant initial angle of attack. During this procedure the terminator component is drawn forwardly by the cable until encountering a cable stop (360) whereupon continued motor operation loads the cables in tension. By applying a preliminary loading tension to the cables before encountering the pursing cable stop, the angle of attack of the leaf tip region is gradually altered to lessen the development of lateral tissue induced forces against the leaf structures.
摘要翻译：采用结合有延伸到支撑不锈钢追索电缆组件（278-282）的叶尖区域的叶片（228-232）的捕获部件（220）的仪器（10）可从非常密集的组织中回收样品。该组件的电缆被电动式激发以限定相对的前缘并向后延伸到终端组件（348）。将电机驱动器赋予捕获部件以以基本恒定的初始迎角来部署叶片。在此过程中，终端组件被电缆向前拉，直到遇到电缆停止（360），于是持续的电动机操作使电缆处于紧张状态。通过在遇到电缆停止之前对电缆施加预加载张力，逐渐改变叶尖区域的迎角，以减少横向组织对叶结构的力的产生。

6. 发明申请

WO2005011466A2 ELECTROSURGICAL METHOD AND APPARATUS WITH DENSE TISSUE RECOVERY CAPABILITY 审中-公开
标题翻译：电磁学方法和设备具有渗透组织恢复能力
公开(公告)号：WO2005011466A2
公开(公告)日：2005-02-10
申请号：PCT/US2004/022177
申请日：2004-07-12
申请人： NEOTHERMIA CORPORATION , EGGERS, Philip, E.
发明人： EGGERS, Philip, E.
IPC分类号： A61B
CPC分类号： A61B10/0266 , A61B10/0041 , A61B10/0283 , A61B18/1402 , A61B2010/0208
摘要： Samples are recoverable from very dense tissue utilizing an instrument incorporating a capture component formed with leafs extending to leaf tip regions supporting a stainless steel pursing cable assembly. The cables of this assembly are electrosurgically excited to define a confronting leading edge and extend rearwardly to a terminator component. Motor drive is imparted to the capture component to deploy the leafs at a substantially constant initial angle of attack. During this procedure the terminator component is drawn forwardly by the cable until encountering a cable stop whereupon continued motor operation loads the cables in tension. By applying a preliminary loading tension to the cables before encountering the pursing cable stop, the angle of attack of the leaf tip region is gradually altered to lessen the development of lateral tissue induced forces against the leaf structures.
摘要翻译：样品可以从非常密集的组织中回收，该仪器结合了形成有叶片的捕获部件，叶片延伸到支撑不锈钢追索线组件的叶尖区域。该组件的电缆是电动式激励的，以限定相对的前缘并向后延伸到终端元件。电机驱动器被赋予捕获部件以以基本恒定的初始迎角来部署叶片。在此过程中，终端组件由电缆向前拉，直到遇到电缆停止，继续电动机操作使电缆处于张紧状态。通过在遇到牵引电缆停止之前对电缆施加预加载张力，叶尖区域的迎角逐渐改变，以减少横向组织对叶结构的力的发展。

7. 发明申请

WO2005011464A2 MINIMALLY INVASIVE INSTRUMENTATION FOR RECOVERING TISSUE 审中-公开
标题翻译：用于恢复组织的微型入侵仪器
公开(公告)号：WO2005011464A2
公开(公告)日：2005-02-10
申请号：PCT/US2004021537
申请日：2004-07-01
申请人： NEOTHERMIA CORP , EGGERS PHILIP E , EGGERS ANDREW R , EGGERS ERIC A , JACOBS DAVID
发明人： EGGERS PHILIP E , EGGERS ANDREW R , EGGERS ERIC A , JACOBS DAVID
IPC分类号： A61B20060101 , A61B10/02 , A61B18/14 , A61B18/18 , A61B
CPC分类号： A61B18/148 , A61B10/02 , A61B2018/1407 , A61B2018/144
摘要： The capture component of tissue retrieval apparatus is strengthened to improve its structural integrity when utilized within very dense tissue. Eyelet structures carrying pursing cable are improved through the utilization of slightly expanded constant widths with diminished lengths to avoid fold back phenomena. The pursing cables employed with the capture component exhibit more than a 100 % improvement in tensile strength at high electrosurgical cutting temperatures through the utilization of strands having about a 1.4 mil diameter formed with a type 316 stainless steel.
摘要翻译：组织检索装置的捕获组分被加强以在非常密集的组织中使用时提高其结构完整性。通过利用稍微扩大的恒定宽度减小长度来改善携带追索的孔眼结构，以避免折回现象。与捕获组分一起使用的牵引电缆通过利用由316不锈钢形成的具有约1.4密耳直径的绞线在高电切割温度下显示出超过100％的拉伸强度提高。

8. 发明申请

WO1994026228A1 METHODS AND APPARATUS FOR SURGICAL CUTTING 审中-公开
标题翻译：手术切割的方法和装置
公开(公告)号：WO1994026228A1
公开(公告)日：1994-11-24
申请号：PCT/US1994005168
申请日：1994-05-10
申请人： THAPLIYAL AND EGGERS PARTNERS , EGGERS, Philip, E. , THAPLIYAL, Hira, V.
发明人： THAPLIYAL AND EGGERS PARTNERS
IPC分类号： A61G17/36
CPC分类号： A61B18/1482 , A61B18/12 , A61B18/1206 , A61B18/1402 , A61B18/148 , A61B18/1485 , A61B18/149 , A61B18/1492 , A61B2017/00026 , A61B2017/00084 , A61B2017/00101 , A61B2017/00247 , A61B2018/00029 , A61B2018/0016 , A61B2018/00392 , A61B2018/00577 , A61B2018/00583 , A61B2018/00601 , A61B2018/0066 , A61B2018/00791 , A61B2018/00827 , A61B2018/00875 , A61B2018/1213 , A61B2018/124 , A61B2018/1273 , A61B2018/1407 , A61B2018/1467 , A61B2018/1472 , A61B2018/162 , A61B2218/002 , A61B2218/007 , A61F2/2493
摘要： An electrosurgical probe comprises a shaft having an electrode array (12) at its distal end and a connector at its proximal end. The array (12) includes a plurality of isolated electrode terminals, and an electrosurgical power supply (28) is provided with a multiplicity of independently limited or controlled current sources and a connector. The electrosurgical probe and the power supply may be connected through their respective connectors so that the independent current sources are connected to individual electrode terminals. By applying very high frequency electrical energy to the electrode array, target tissue may be cut or ablated while heat dissipation through low impedance paths, such as blood and normal saline, will be minimized.
摘要翻译：电外科探头包括在其远端具有电极阵列（12）的轴和在其近端的连接器。阵列（12）包括多个隔离电极端子，并且电外科电源（28）设置有多个独立的受限或受控的电流源和连接器。电外科探头和电源可以通过它们各自的连接器连接，使得独立电流源连接到各个电极端子。通过对电极阵列施加非常高频的电能，可以切割或消融靶组织，同时通过诸如血液和生理盐水的低阻抗路径的散热将被最小化。

9. 发明申请

WO1993021845A1 BIPOLAR SURGICAL SNARE AND METHODS OF USE 审中-公开
标题翻译：双极外科手术和使用方法
公开(公告)号：WO1993021845A1
公开(公告)日：1993-11-11
申请号：PCT/US1993004065
申请日：1993-04-30
申请人： HEMOSTATIC SURGERY CORPORATION , EGGERS, Philip, E.
发明人： HEMOSTATIC SURGERY CORPORATION
IPC分类号： A61B17/36
CPC分类号： A61B18/14 , A61B18/1233 , A61B18/1402 , A61B2018/0091 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/141 , A61B2018/1861 , A61B2218/008
摘要： A bipolar snare instrument (10) for use in surgery is provided. The snare instrument (10) has a snaring loop (12) comprising a flexible continuous electrically-insulating loop (20) to provide localized selected necrosis and hemostasis of a patient's protruding tissue. Methods of performing surgery with such devices are also described.
摘要翻译：提供了一种用于手术的双极圈套器械（10）。圈套仪器（10）具有包括柔性连续电绝缘环（20）的卷绕环（12），以提供局部选择的患者突出组织的坏死和止血。还描述了用这种装置进行手术的方法。

10. 发明申请

WO2007106208A2 APPARATUS FOR RETRIEVING A TISSUE VOLUME WITH IMPROVED POSITIONING PRECURSOR ASSEMBLY 审中-公开
标题翻译：用改进的定位前体组件检索组织体积的装置
公开(公告)号：WO2007106208A2
公开(公告)日：2007-09-20
申请号：PCT/US2007/001038
申请日：2007-01-16
申请人： INTACT MEDICAL CORPORATION , EGGERS, Philip, E. , JACOBS, David
发明人： EGGERS, Philip, E. , JACOBS, David
IPC分类号： A61B18/18 , A61B18/14
CPC分类号： A61B18/1402 , A61B10/0233 , A61B10/0283 , A61B18/148 , A61B2018/1407 , A61B2018/1412 , A61B2018/144
摘要： Apparatus for retrieving a tissue volume of a variety utilizing an electrosurgically excited cable implemented capture component which performs in combination with an improved precursor assembly. Where that assembly is electrosurgically excited, then it is located and dimensioned to avoid arc-over with the capture component cables. A precursor assembly also is implemented with electrically insulative ceramic blade and trocar configurations.
摘要翻译：用于利用电外科激励电缆实现的捕获部件来取回各种组织体积的装置，所述捕获部件与改进的前体组件一起执行。如果该组件被电外科激励，那么它的位置和尺寸应能避免捕获组件电缆发生电弧。前体组件也用电绝缘陶瓷刀片和套管针配置来实现。

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