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1. 发明申请

WO1994026186A1 MEDICAL PROBE WITH STYLETS 审中-公开
标题翻译：医疗探针与STYLETS
公开(公告)号：WO1994026186A1
公开(公告)日：1994-11-24
申请号：PCT/US1994004550
申请日：1994-05-03
申请人： VIDAMED, INC.
发明人： VIDAMED, INC. , EDWARDS, Stuart, D. , SHARKEY, Hugh, R. , LUNDQUIST, Ingemar, H. , LAX, Ronald, G. , BAKER, James, Allen, Jr.
IPC分类号： A61B17/39
CPC分类号： A61B10/0233 , A61B1/00188 , A61B10/02 , A61B10/0241 , A61B10/0275 , A61B10/06 , A61B18/00 , A61B18/14 , A61B18/1477 , A61B18/148 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61B18/24 , A61B2017/00084 , A61B2017/00092 , A61B2017/00106 , A61B2017/00274 , A61B2017/00292 , A61B2017/003 , A61B2017/00867 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00083 , A61B2018/00095 , A61B2018/00196 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/0075 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00869 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1425 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/3782 , A61B2090/3925 , A61B2217/005 , A61B2217/007 , A61K31/465 , A61M3/0279 , A61M25/0032 , A61M25/0045 , A61M25/008 , A61M2025/0086 , A61M2025/0087 , A61M2025/0089 , A61M2025/009 , A61M2025/0096 , A61M2025/018 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/02 , A61N5/04 , A61N5/045
摘要： A medical probe device of this invention comprising a catheter (2) having a control end and a probe end. The probe end includes a stylet guide housing (6) having at least one stylet port and stylet guide means for directing a flexible stylet (8) outward through at least one stylet port and through intervening tissue to targeted tissues. A stylet (8) is positioned in at least one of said stylet guide means, the stylet comprising a nonconductive sleeve (30) having an RF electrode lumen (50) and an optional fluid supply lumen (60) and a temperature sensor lumen (58) therein. At least one portion of an opposed surface of the electrode lumen and the electrode (32) can be spaced apart to define a liquid supply passageway for delivery of medicament liquid. The RF electrode enclosed within the nonconductive sleeve has a distal length optionally having at least one current focusing groove (70) means thereon and a distal tip shaped to focus current crowding on its terminal end.
摘要翻译：本发明的医疗探针装置包括具有控制端和探针端的导管（2）。探针端部包括具有至少一个探针端口的探针引导壳体（6）和用于将柔性探针（8）向外引导穿过至少一个通管孔并且通过介入组织引导到靶组织的探针引导装置。探针（8）位于所述探针引导装置中的至少一个中，所述探针包括具有RF电极腔（50）和可选的流体供应内腔（60）的不导电套筒（30）和温度传感器内腔）。电极腔和电极（32）的相对表面的至少一部分可以间隔开以限定用于输送药液的液体供应通道。封闭在非导电套筒内的RF电极具有可选地在其上具有至少一个电流聚焦槽（70）装置的远端长度，以及形成为将电流拥挤聚焦在其末端上的远端尖端。

2. 发明申请

WO1994026187A1 MEDICAL PROBE DEVICE WITH OPTIC VIEWING CAPABILITY 审中-公开
标题翻译：具有视觉能力的医疗探针设备
公开(公告)号：WO1994026187A1
公开(公告)日：1994-11-24
申请号：PCT/US1994004818
申请日：1994-05-12
申请人： VIDAMED, INC.
发明人： VIDAMED, INC. , EDWARDS, Stuart, D. , SHARKEY, Hugh, R. , LUNDQUIST, Ingemar, H. , LAX, Ronald, G. , BAKER, James, Allen, Jr.
IPC分类号： A61B17/39
CPC分类号： A61B10/0233 , A61B10/02 , A61B10/0241 , A61B10/0275 , A61B10/06 , A61B18/00 , A61B18/14 , A61B18/1477 , A61B18/148 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61B18/24 , A61B2017/00084 , A61B2017/00092 , A61B2017/00101 , A61B2017/00106 , A61B2017/00123 , A61B2017/00181 , A61B2017/00194 , A61B2017/00274 , A61B2017/00292 , A61B2017/00296 , A61B2017/003 , A61B2017/00867 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00023 , A61B2018/00083 , A61B2018/00095 , A61B2018/00101 , A61B2018/00196 , A61B2018/0022 , A61B2018/00291 , A61B2018/00327 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00875 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1412 , A61B2018/1425 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/378 , A61B2090/3782 , A61B2090/3786 , A61B2090/3925 , A61B2217/005 , A61B2217/007 , A61B2218/003 , A61F2007/0054 , A61M3/0279 , A61M25/0068 , A61M25/0069 , A61M25/0082 , A61M2025/0086 , A61M2025/0087 , A61M2025/0089 , A61M2025/009 , A61M2025/0096 , A61M2025/018 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/04 , A61N5/045
摘要： A medical probe device comprising a catheter (2) having a stylet guide housing (6) and a stylet guide means for directing a flexible stylet (8) outward through intervening tissue to targeted tissues. The stylet guide housing has an optical viewing means (14) positioned for viewing the stylet and adjacent structure which includes a fiber optic channel means. The fiber optic channel means can include a guide port means for directing longitudinal movement of a fiber optic device with respect to the stylet guide means in a viewing zone and a flushing liquid channel (64) in the stylet guide housing having an exit port positioned to direct flushing liquid issuing therefrom across the end of a fiber optic device when positioned in the viewing zone. The optical viewing means can comprise a viewing window (84) positioned in the stylet guide housing. The optical viewing means can include a fiber optic channel in the stylet guide housing for receiving the fiber optic viewing device, and aligning the viewing end thereof with the viewing window.
摘要翻译：一种医疗探针装置，包括具有探针引导壳体（6）的导管（2）和用于通过介入组织向外导向柔性探针（8）的探针引导装置。探针引导壳体具有定位用于观察包括光纤通道装置的探针和相邻结构的光学观察装置（14）。光纤通道装置可以包括引导端口装置，用于在观察区域中引导光纤装置相对于探针引导装置的纵向移动，以及引导引导壳体中的冲洗液体通道（64），其具有位于当定位在观察区域时，从光纤装置的端部直接冲洗液体。光学观察装置可以包括定位在探针引导壳体中的观察窗口（84）。光学观察装置可以包括用于接收光纤观察装置的探针引导壳体中的光纤通道，并将其观察端与观察窗对准。

3. 发明申请

WO1996022742A1 TRANSURETHRAL NEEDLE ABLATION DEVICE AND METHOD FOR THE TREATMENT OF THE PROSTATE 审中-公开
标题翻译：用于治疗前列腺的收缩针脱位装置及方法
公开(公告)号：WO1996022742A1
公开(公告)日：1996-08-01
申请号：PCT/US1996000912
申请日：1996-01-24
申请人： VIDAMED, INC.
发明人： VIDAMED, INC. , LUNDQUIST, Ingemar, H. , EDWARDS, Stuart, D. , BAKER, James, Allen, Jr. , JONES, Christopher, S. , SOMMER, Phillip, R. , LEE, Kee, S.
IPC分类号： A61B17/39
CPC分类号： A61B18/00 , A61B10/0233 , A61B10/0241 , A61B10/0275 , A61B10/06 , A61B18/1477 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/18 , A61B18/1815 , A61B18/24 , A61B2017/00084 , A61B2017/00092 , A61B2017/00101 , A61B2017/00106 , A61B2017/00274 , A61B2017/00292 , A61B2017/003 , A61B2017/00867 , A61B2017/22072 , A61B2017/22077 , A61B2017/22082 , A61B2017/248 , A61B2017/2939 , A61B2017/3488 , A61B2018/00005 , A61B2018/00011 , A61B2018/00041 , A61B2018/00083 , A61B2018/00095 , A61B2018/00196 , A61B2018/0022 , A61B2018/00547 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00726 , A61B2018/00744 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00821 , A61B2018/00886 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00982 , A61B2018/1253 , A61B2018/126 , A61B2018/1273 , A61B2018/128 , A61B2018/1425 , A61B2018/2238 , A61B2090/0814 , A61B2090/3614 , A61B2090/3782 , A61B2090/3925 , A61B2217/005 , A61F2007/0054 , A61M3/0279 , A61M25/0136 , A61M2025/0089 , A61M2025/0096 , A61M2025/018 , A61N1/06 , A61N1/40 , A61N1/403 , A61N5/02 , A61N5/04 , A61N5/045
摘要： A transurethral needle ablation device (21) comprising a bridge (22) having proximal and distal extremities and having a passage (236) therein extending from the proximal extremity to the distal extremity. A sheath (23) having proximal and distal extremities (42, 43) is secured to the bridge (22) and has a passageway (44) therein in communication with the passage (236) in the bridge. The sheath (23) is sized so that it can enter the urethra and has a length so that when its distal extremity (43) is in the vicinity of the prostate, the proximal extremity (42) is outside the urethra. A disposable needle assembly (26) having proximal and distal extremities is removably mounted in the passage (236) in the bridge (22) and extends through the passageway (44) in the sheath (23). The needle assembly (26) includes at least one needle electrode (101) and an insulating sleeve (91) coaxially disposed on the needle electrode. The proximal extremity of the needle assembly (26) is caused to be moved sideways at an angle with respect to the the longitudinal axis to face the urethral wall. A mechanism is carried by the proximal extremity of the needle assembly (26) and the bridge (22) for causing advancement of the needle electrode (101) and the insulation sleeve (91) thereon through the urethral wall and into the target volume in the tissue of the prostate.
摘要翻译：一种经尿道针消融装置（21），其包括具有近端和远端的桥（22），并且具有从所述近端延伸到所述远端的通道（236）。具有近端和远端（42,43）的护套（23）固定到桥（22）上并且在其中具有与桥中的通道（236）连通的通道（44）。护套（23）的尺寸使得其可以进入尿道并且具有长度，使得当其远端（43）在前列腺附近时，近端（42）在尿道外。具有近端和远端的一次性针组件（26）可移除地安装在桥（22）中的通道（236）中并且延伸穿过护套（23）中的通道（44）。针组件（26）包括至少一个针电极（101）和同轴地设置在针电极上的绝缘套筒（91）。针组件（26）的近端被相对于纵向轴线以一定角度侧向移动以面向尿道壁。针组件（26）和桥（22）的近端被承载机构，用于使针电极（101）和绝缘套（91）在其上通过尿道壁进入并进入目标体积前列腺组织。

4. 发明申请

WO1997000049A1 ELECTROSURGICAL DEVICE WITH TRIGGER ACTUATION ASSEMBLY AND METHOD 审中-公开
标题翻译：具有触发器组件和方法的静电装置
公开(公告)号：WO1997000049A1
公开(公告)日：1997-01-03
申请号：PCT/US1996010461
申请日：1996-06-17
申请人： VIDAMED, INC.
发明人： VIDAMED, INC. , JONES, Christopher, S. , SOMMER, Phillip, R. , BAKER, James, Allen, Jr.
IPC分类号： A61B17/36
CPC分类号： A61B18/1485 , A61B18/1477 , A61B18/1482
摘要： An electrosurgical device (451) for medical treatment of tissue at a treatment site through a body opening. The device includes a sheath (452) having proximal and distal extremities and having a passageway (457) extending from the proximal extremity to the distal extremity. A guide tube (507) is slidably mounted in the passageway of the sheath and has proximal and distal extremities and a lumen (518) extending from the proximal extremity to the distal extremity. A needle electrode (633) is slidably mounted in the lumen of the guide tube and has proximal and distal extremities. Insulation (641) is coaxially disposed on the needle electrode. A handle (511) adapted to be gripped by the human hand is provided and the proximal extremity of the guide tube is mounted on the handle. An assembly (569) is carried by the handle for bending the distal extremity of the guide tube at an angle with respect to the longitudinal axis. The needle electrode is adapted to be coupled to an energy source (807). A single actuation element (669) is carried by the handle and coupled to the needle electrode and the insulation. The actuation element is movable in a single stroke from a first position in which the needle electrode and the insulation are disposed within the guide tube and a second position in which the needle electrode and the insulation are disposed in the tissue at the treatment site. A method for using the device is provided.
摘要翻译：一种用于通过身体开口在治疗部位处理组织的电外科装置（451）。该装置包括具有近端和远端的护套（452），并且具有从近端延伸到远端的通道（457）。引导管（507）可滑动地安装在护套的通道中并且具有近端和远端以及从近端延伸到远端的内腔（518）。针状电极（633）可滑动地安装在导管的内腔中并具有近端和远端。绝缘（641）同轴地设置在针电极上。提供适于被人的手抓住的把手（511），并且将引导管的近端安装在手柄上。组件（569）由手柄承载，以相对于纵向轴线成一定角度弯曲导向管的远端。针电极适于耦合到能量源（807）。单个致动元件（669）由手柄承载并联接到针电极和绝缘体。致动元件可以从其中针状电极和绝缘体设置在引导管内的第一位置和第二位置在单个行程中移动，其中针状电极和绝缘体设置在处理部位的组织中。提供了一种使用该装置的方法。

5. 发明申请

WO1996022739A1 MEDICAL PROBE DEVICE WITH SCOPE AND PROXIMAL ASPIRATON OPENINGS AND METHOD FOR TREATMENT OF THE PROSTATE WITH SAME 审中-公开
标题翻译：具有范围的医疗探针装置和接近的ASPIRATON开口以及用于治疗前列腺癌的方法
公开(公告)号：WO1996022739A1
公开(公告)日：1996-08-01
申请号：PCT/US1996000498
申请日：1996-01-11
申请人： VIDAMED, INC.
发明人： VIDAMED, INC. , BAKER, James, Allen, Jr. , SOMMER, Phillip, R.
IPC分类号： A61B17/36
CPC分类号： A61B18/1477 , A61B18/1485 , A61B2017/00274 , A61B2018/00547
摘要： A medical probe device (21) comprising an elongate member (22) having proximal and distal extremities (22a, 22b) and first and second lumens (148, 28) extending from the proximal extremity (22a) to the distal extremity (22b). An opening (153) is provided in the distal extremity (22b) of the elongate member (22) in communication with the first lumen (148). A handle (29) is mounted on the proximal extremity (22a) of the elongate member (22a) for introducing the distal extremity (22b) of the elongate member (22) through the natural body opening into the canal. A scope (86) is positioned in the elongate member (22) and has a field of view which extends forwardly of the elongate member (22). A fitting (166) is coupled to the elongate member (22) for permitting a liquid to be suplied to the first lumen (148) and out the opening (153) to provide a clear field of view for the scope (86). The elongate member (22) is provided with at least one additional opening (182) proximal of the first named opening (153) in the elongate member (22) and in communication with the second lumen (28) for permitting aspiration of the liquid while liquid is being introduced through the first named opening (153) in the elongate member (22).
摘要翻译：一种包括具有近端和远端（22a，22b）的细长构件（22）和从近端（22a）延伸到远端（22b）的第一和第二腔（148,28）的医用探针装置（21）。在细长构件（22）的远端（22b）中设置有与第一管腔（148）连通的开口（153）。手柄（29）安装在细长构件（22a）的近端末端（22a）上，用于将细长构件（22）的远端（22b）穿过天然体开口进入管道。范围（86）定位在细长构件（22）中并且具有在细长构件（22）的前方延伸的视场。配件（166）联接到细长构件（22），用于允许液体被填充到第一内腔（148）并离开开口（153），以为范围（86）提供清晰的视场。细长构件（22）在细长构件（22）中设置有位于第一命名开口（153）的近侧的至少一个另外的开口（182）并且与第二腔（28）连通以允许液体抽吸，而通过细长构件（22）中的第一命名开口（153）引入液体。

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