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1. 发明申请

WO2017205373A1 METHOD AND SYSTEM FOR lMAGE-GUIDED PROCEDURES 审中-公开
标题翻译：用于指导程序的方法和系统
公开(公告)号：WO2017205373A1
公开(公告)日：2017-11-30
申请号：PCT/US2017/034002
申请日：2017-05-23
申请人： LX MEDICAL CORPORATION
发明人： VERTIKOV, Andrei
IPC分类号： A61B5/00 , A61B5/06 , A61B1/00 , A61B1/005 , A61B1/07 , A61B5/107 , A61B8/12
CPC分类号： A61B34/20 , A61B1/00172 , A61B1/018 , A61B5/06 , A61B5/107 , A61B8/0841 , A61B8/12 , A61B8/488 , A61B2034/2048 , A61B2034/2051 , A61B2034/2063 , A61B2034/2065 , A61B2090/3784
摘要： Image-guided systems and methods for enhanced medical tool tracking and guidance, virtual three-dimensional imaging, and enhanced fields of view. The system includes an imaging probe configured for side-view imaging. The guide sheath includes elongated flexible body and a channel configured to accept the imaging probe and a medical tool. The image console is configured to process imaging energy acquired by the image probe during side-view imaging to generate image data and calculate a global position of a distal end of the imaging probe or a distal end of the medical tool relative to a target in a tissue during imaging of the tissue using any one of ID, 2D, and 3D sub-sets of the image data despite the target being located outside of fields of view of the imaging probe and not directly visualized by the imaging probe.
摘要翻译：用于增强医疗工具跟踪和指导，虚拟三维成像和增强视野的图像引导系统和方法。该系统包括配置用于侧视成像的成像探头。引导护套包括细长柔性主体和配置成接受成像探针和医疗工具的通道。图像控制台被配置为处理在侧视图成像期间由图像探测器获取的成像能量以生成图像数据并且计算成像探针的远端或医学工具的远端相对于目标中的目标的全局位置尽管目标位于成像探头的视场的外部并且不被成像探头直接可视化，但是在使用图像数据的ID，2D和3D子集中的任何一个对组织进行成像期间的组织。

2. 发明申请

WO2017132153A1 DISPOSABLE SHEATH FOR ULTRASOUND PROBE MOUNTED ON REUSABLE NEEDLE STRUCTURE 审中-公开
标题翻译：一次性探针安装在可重复使用的针头结构上的一次性护套
公开(公告)号：WO2017132153A1
公开(公告)日：2017-08-03
申请号：PCT/US2017/014753
申请日：2017-01-24
申请人： GYNESONICS, INC.
发明人： PLACEK, Brian
IPC分类号： A61B8/00 , A61B8/08 , A61B8/12 , A61B17/00 , A61B17/34 , A61B18/00 , A61B18/18
CPC分类号： A61B46/10 , A61B8/0841 , A61B8/12 , A61B8/4411 , A61B8/445 , A61B8/4466 , A61B17/00 , A61B17/3421 , A61B18/18 , A61B2017/3409 , A61B2017/3413 , A61B2017/3445 , A61B2090/3784 , A61N7/00
摘要： A disposable sheath is provided for a radiofrequency ablation device which includes both an ultrasonic imaging probe and a detachable needle advancement assembly. The sheath includes a distal region which conforms closely to a shaft of the ultrasonic imaging probe but drapes more loosely over a handle of the ultrasonic imaging probe. The disposable sheath allows attachment features on both the ultrasonic imaging probe and the needle advancement assembly to be easily visualized and easily connected together.
摘要翻译：提供用于射频消融装置的一次性护套，所述射频消融装置包括超声成像探针和可拆卸的针推进组件。护套包括远端区域，该远端区域与超声波成像探头的轴紧密贴合，但是在超声波成像探头的手柄上更松散地布置。一次性护套允许超声成像探针和针推进组件上的附接特征易于可视化并且容易地连接在一起。

3. 发明申请

WO2017079510A1 SYSTEMS AND METHODS FOR IMAGING AND ABLATING TISSUE 审中-公开
标题翻译：用于成像和清除组织的系统和方法
公开(公告)号：WO2017079510A1
公开(公告)日：2017-05-11
申请号：PCT/US2016/060452
申请日：2016-11-04
申请人： VYTRONUS, INC.
发明人： PHILLIPS, Patrick , PIAZZA, Danielo B.
IPC分类号： A61N7/02 , A61B18/00 , A61B8/12 , A61B34/00 , A61B18/14 , A61B34/20
CPC分类号： A61N7/022 , A61B5/0033 , A61B5/0064 , A61B5/02125 , A61B8/12 , A61B8/445 , A61B8/466 , A61B8/5253 , A61B18/00 , A61B18/1492 , A61B34/10 , A61B34/20 , A61B34/25 , A61B2018/00357 , A61B2018/00363 , A61B2018/00577 , A61B2018/00642 , A61B2034/105 , A61B2034/107 , A61B2034/2051 , A61B2034/2074 , A61B2034/258 , A61B2090/3784 , A61B2505/05 , A61B2576/023 , A61N2007/0052
摘要： Systems and methods for a graphical user interface for an ablation procedure include a display, a controller in electronic communication with the display, a catheter coupled to the controller, and a graphical user interface generated by the controller and shown on the display. The catheter has a distal tip comprising an ultrasound transducer. The ultrasound transducer is configured to emit an ultrasound beam. The graphical user interface includes a three-dimensional anatomical reference map of a chamber of body tissue to be ablated, where a lesion path is superimposed on the anatomical reference map; a catheter position relative to the chamber; and a window showing data. The data includes at least one of a) a distance between the ultrasound transducer and a surface of the body tissue, b) a dosing plan, c) a tissue thickness, and d) a tissue property.
摘要翻译：用于消融过程的图形用户界面的系统和方法包括显示器，与显示器电子通信的控制器，耦合到控制器的导管以及由控制器产生的图形用户界面，以及显示在显示器上。导管具有包括超声换能器的远侧末端。超声波换能器被配置为发射超声波束。图形用户界面包括待消融的身体组织腔室的三维解剖参考图，其中病灶路径叠加在解剖参考图上; 导管相对于腔室的位置; 和一个显示数据的窗口。数据包括a）超声换能器与身体组织表面之间的距离，b）剂量计划，c）组织厚度，和d）组织性质中的至少一个。

4. 发明申请

WO2016115031A2 METHOD AND APPARATUS FOR TISSUE ABLATION 审中-公开
标题翻译：组织消融的方法和装置
公开(公告)号：WO2016115031A2
公开(公告)日：2016-07-21
申请号：PCT/US2016/012840
申请日：2016-01-11
申请人： SHARMA, Virender, K.
发明人： SHARMA, Virender, K. , JABS, Harry
IPC分类号： A61B18/04 , A61B18/08
CPC分类号： A61B17/3203 , A61B17/3415 , A61B18/082 , A61B18/1492 , A61B90/04 , A61B90/30 , A61B2017/00269 , A61B2017/32035 , A61B2018/00029 , A61B2018/0022 , A61B2018/00285 , A61B2018/00488 , A61B2018/00494 , A61B2018/00541 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/00642 , A61B2018/00744 , A61B2018/00821 , A61B2018/00982 , A61B2018/048 , A61B2018/141 , A61B2018/1861 , A61B2090/061 , A61B2090/065 , A61B2090/3784 , A61B2218/002 , A61B2218/007
摘要： Ablation catheters and systems include multiple inline chambers for containing and heating an ablative agent. The heating chamber includes one or more channels to increase the contact surface area of the ablative agent with the walls of the heating chamber to provide more efficient heating. Induction heating is used to heat a chamber and vaporize a fluid within by wrapping a coil about a ferromagnetic chamber and providing an alternating current to the coil. A magnetic field is created in the area surrounding the chamber which induces electric current flow in the chamber, heating the chamber and vaporizing the fluid inside. Positioning elements help maintain the device in the proper position with respect to the target tissue and also prevent the passage of ablative agent to normal tissues.
摘要翻译：消融导管和系统包括用于容纳和加热消融剂的多个在线室。加热室包括一个或多个通道，以增加烧蚀剂与加热室的壁的接触表面积，以提供更有效的加热。感应加热用于加热室并通过围绕铁磁室缠绕线圈并且向线圈提供交流电流来蒸发流体。在室周围的区域产生磁场，该区域在腔室中引起电流流动，加热室并使流体内部蒸发。定位元件有助于将装置保持在相对于目标组织的适当位置，并且还防止消融剂通过正常组织。

5. 发明申请

WO2016097926A1 REMOTE ROBOTIC ACTUATION OF A TRANSEOPAGEL ECHOCARDIOGRAPHCY PROBE 审中-公开
标题翻译：血管内皮生长因子探针的远程机械运动
公开(公告)号：WO2016097926A1
公开(公告)日：2016-06-23
申请号：PCT/IB2015/059426
申请日：2015-12-08
申请人： KONINKLIJKE PHILIPS N.V.
发明人： REINSTEIN, Aryeh Leib , POPOVIC, Aleksandra , NOONAN, David Paul
IPC分类号： A61B34/00 , A61B34/37 , A61B8/12 , B25J13/02 , B25J3/00 , A61B34/30 , A61B90/00 , A61B18/00
CPC分类号： A61B34/37 , A61B8/12 , A61B8/467 , A61B34/74 , A61B2018/00303 , A61B2034/301 , A61B2090/3784 , B25J13/02
摘要： A replica control tool (70) for remotely controlling a control handle (71) of an interventional tool (e.g., a probe, a catheter and a flexible scope) robotically controlled by a robotic actuator (50). The replica control tool (70) employs a replica control handle (71) substantially being a replica of a structural configuration of the control handle (71) of the interventional tool, and a control input device (72) (e.g., a joystick or a trackball) movable relative to the replica control handle (71). The replica control tool (70) further employs a robotic actuator controller (75) for remotely controlling the robotic actuator (50) in response to any movement of the control input device (72) relative to the replica control handle. The replica control tool (70) may further employ an electromechanical device (73) (e.g., an accelerometer) co-rotatable with the replica control handle (71) whereby the controller (75) remotely controls the robotic actuator (50) in response to a rotation of the electromechanical device (73).
摘要翻译：一种用于远程控制由机器人致动器（50）机器人控制的介入工具（例如，探针，导管和柔性镜架）的控制手柄（71）的复制控制工具（70）。复制控制工具（70）采用基本上是介入工具的控制手柄（71）的结构配置的副本的复制控制手柄（71），以及控制输入装置（72）（例如，操纵杆或轨迹球）可相对于复制控制手柄（71）移动。复制控制工具（70）还采用机器人致动器控制器（75），用于响应于控制输入装置（72）相对于副本控制手柄的任何移动而远程控制机器人致动器（50）。复制控制工具（70）还可以使用与复制控制手柄（71）共同旋转的机电装置（73）（例如，加速度计），由此控制器（75）响应于机电装置（73）的旋转。

6. 发明申请

WO2016073492A1 SYSTEMS AND METHODS FOR ASSESSMENT OF CONTACT QUALITY 审中-公开
标题翻译：用于评估接触质量的系统和方法
公开(公告)号：WO2016073492A1
公开(公告)日：2016-05-12
申请号：PCT/US2015/058851
申请日：2015-11-03
申请人： LUXCATH, LLC.
发明人： RANSBURY, Terrance, J. , ARMSTRONG, Kenneth, C. , AMIRANA, Omar , LARSON, Cinnamon , BOWEN, James
IPC分类号： A61B5/00
CPC分类号： A61B18/1492 , A61B18/18 , A61B18/22 , A61B2017/00057 , A61B2018/00577 , A61B2018/0212 , A61B2090/065 , A61B2090/3784 , A61B2218/002
摘要： Ablation and visualization systems and methods to access quality of contact between a catheter and tissue are provided. In some embodiments, a method for monitoring tissue ablation of the present disclosure comprises advancing a distal tip of an ablation catheter to a tissue in need of ablation; illuminating the tissue with UV light to excite NADH in the tissue, wherein the tissue is illuminated in a radial direction, an axial direction, or both; determining from a level of NADH fluorescence in the illuminated tissue when the distal tip of the catheter is in contact with the tissue; and delivering ablation energy to the tissue to form a lesion in the tissue.
摘要翻译：提供消融和可视化系统以及访问导管和组织之间接触质量的方法。在一些实施例中，本公开的用于监测组织消融的方法包括将消融导管的远侧末端推进到需要消融的组织; 用UV光照射组织以激发组织中的NADH，其中组织沿径向，轴向或两者照射; 当导管的远端与组织接触时，从照射组织中的NADH荧光水平确定; 并将消融能量递送到组织以在组织中形成病变。

7. 发明申请

WO2015074036A3 METHODS AND DEVICES FOR THROMBUS DISPERSAL 审中-公开
标题翻译：用于血栓分布的方法和装置
公开(公告)号：WO2015074036A3
公开(公告)日：2015-11-12
申请号：PCT/US2014066112
申请日：2014-11-18
申请人： STIGALL JEREMY , LAUINGER JOE
发明人： STIGALL JEREMY , LAUINGER JOE
IPC分类号： A61B17/22 , A61B18/12 , A61M25/00 , A61N7/00
CPC分类号： A61B17/2202 , A61B17/3203 , A61B18/1492 , A61B18/245 , A61B2017/00084 , A61B2017/00115 , A61B2017/22021 , A61B2017/22051 , A61B2017/22061 , A61B2017/22084 , A61B2017/32035 , A61B2018/00011 , A61B2018/00029 , A61B2018/0022 , A61B2018/00386 , A61B2018/0041 , A61B2018/00577 , A61B2018/00666 , A61B2018/00791 , A61B2018/00797 , A61B2018/00809 , A61B2018/00815 , A61B2018/00821 , A61B2018/00863 , A61B2018/00904 , A61B2018/00982 , A61B2018/1467 , A61B2018/1861 , A61B2018/2211 , A61B2018/2238 , A61B2090/3784 , A61M25/104 , A61M37/0092 , A61N7/00 , A61N2007/0043 , A61N2007/0078
摘要： Catheter systems of the invention are directed to the removal of occlusions, such as thrombi and plaque, within blood vessels. In certain aspects, catheter systems of the invention include an elongate body defining a first lumen and comprising a distal portion, an inner member configured for insertion into the first lumen, the inner member comprising an energy source configured to deliver therapeutic energy to a treatment site; and a dissolution element coupled to the distal portion of the elongate body. The dissolution element may include a heating element, steam, and a balloon.
摘要翻译：本发明的导管系统涉及去除血管内的闭塞，如血栓和斑块。在某些方面，本发明的导管系统包括限定第一内腔并包括远端部分的细长主体，构造成用于插入第一内腔的内部构件，内部构件包括被配置成将治疗能量递送到治疗部位的能量源 ; 以及耦合到细长主体的远端部分的溶解元件。溶解元件可以包括加热元件，蒸汽和气球。

8. 发明申请

WO2015074032A1 GUIDED THROMBUS DISPERSAL CATHETER 审中-公开
标题翻译：引导型分布式导管
公开(公告)号：WO2015074032A1
公开(公告)日：2015-05-21
申请号：PCT/US2014/066102
申请日：2014-11-18
申请人： STIGALL, Jeremy , LAUINGER, Joe , RYAN, Eric
发明人： STIGALL, Jeremy , LAUINGER, Joe , RYAN, Eric
IPC分类号： A61B17/22 , A61B18/12 , A61M25/00 , A61N7/00
CPC分类号： A61B17/2202 , A61B5/0084 , A61B5/0095 , A61B5/0215 , A61B5/027 , A61B8/12 , A61B8/445 , A61B17/22 , A61B17/320016 , A61B18/1492 , A61B18/245 , A61B2017/00022 , A61B2017/22084 , A61B2017/22088 , A61B2018/00011 , A61B2018/00029 , A61B2018/0022 , A61B2018/00404 , A61B2018/0041 , A61B2018/00577 , A61B2018/00797 , A61B2018/00809 , A61B2018/00815 , A61B2018/00821 , A61B2018/00863 , A61B2018/00982 , A61B2018/00994 , A61B2018/1467 , A61B2090/3784 , A61M25/0032 , A61M25/0054 , A61M25/007 , A61M25/104 , A61M37/0092 , A61N7/00 , A61N2007/0043 , A61N2007/0052 , A61N2007/0078
摘要： Catheter systems of the invention involve guided and informed dissolution of occlusions in blood vessels. According to certain aspects, a catheter system of the invention includes an elongate body defining a first lumen and comprising a distal portion, an inner member configured for insertion into the first lumen, the inner member comprising an energy source configured to deliver therapeutic energy to a treatment site, and an imaging assembly located at the distal portion of the elongate body. In some embodiments, the catheter system includes a functional flow sensor in addition to or as an alternative to the imaging assembly.
摘要翻译：本发明的导管系统涉及引导和知情的血管闭塞溶解。根据某些方面，本发明的导管系统包括限定第一内腔并包括远侧部分的细长主体，构造成用于插入第一内腔的内部构件，内部构件包括被配置为将治疗能量递送到处理部位，以及位于细长主体的远端部分处的成像组件。在一些实施例中，除了成像组件之外或作为替代成像组件，导管系统还包括功能流量传感器。

9. 发明申请

WO2015015307A2 TREATMENT PLANNING AND DELIVERY USING TEMPERATURE UNCERTAINTY MAPS 审中-公开
标题翻译：治疗计划和使用温度不确定性的交付
公开(公告)号：WO2015015307A2
公开(公告)日：2015-02-05
申请号：PCT/IB2014/002321
申请日：2014-08-04
申请人： PROFOUND MEDICAL INC.
发明人： KURTZ, Ron , TANG, Kee , BURTNYK, Mathieu
IPC分类号： A61B18/04
CPC分类号： G01R33/4804 , A61B5/015 , A61B5/055 , A61B5/4381 , A61B2018/00547 , A61B2018/00636 , A61B2018/00702 , A61B2018/00791 , A61B2090/374 , A61B2090/3784 , A61N7/02 , A61N7/022 , A61N2007/0004 , A61N2007/0052 , A61N2007/0078 , G01R33/285 , G01R33/443 , G01R33/4814 , G01R33/5608 , G06F3/0484
摘要： A method and programmable computer system calculates and displays the regions where the temperature can be reliably measured in a thermal therapy procedure. The clinician or automated control system then can make an informed decision to treat these regions or plan a treatment to avoid them based on the sensitivity of surrounding structures to unintended heating.
摘要翻译：一种方法和可编程计算机系统计算并显示在热疗过程中可以可靠地测量温度的区域。临床医生或自动化控制系统然后可以做出明智的决定来治疗这些区域或计划治疗，以避免它们基于周围结构对非预期加热的敏感性。

10. 发明申请

WO2014164643A1 CLAMP ULTRASOUND PROBE FOR LUNG SURGERY 审中-公开
标题翻译：钳术超声检查肺活检
公开(公告)号：WO2014164643A1
公开(公告)日：2014-10-09
申请号：PCT/US2014/023087
申请日：2014-03-11
申请人： COVIDIEN LP
发明人： DURVASULA, Ravi , TAN, Wei , LIU, Haiying , CHENG, Jiqi
IPC分类号： A61B18/00 , A61B18/04 , A61B17/29
CPC分类号： A61B17/320092 , A61B8/12 , A61B8/4209 , A61B8/445 , A61B17/29 , A61B17/2909 , A61B17/295 , A61B90/30 , A61B2017/00026 , A61B2017/00084 , A61B2017/00106 , A61B2017/00199 , A61B2017/2947 , A61B2018/00577 , A61B2018/00589 , A61B2018/00595 , A61B2018/0063 , A61B2090/3784
摘要： An ultrasonic surgical instrument is disclosed, and includes a handle assembly, an elongate tubular member, and an end effector. The elongate tubular member extends from the handle assembly and defines a channel therethrough. The end effector is coupled with a distal end of the elongate tubular member and includes a first jaw member pivotably attached to the tubular member, and a second jaw member longitudinally movable within the channel of the elongate tubular member. One of the first jaw member and the second jaw member includes at least one ultrasonic transducer.
摘要翻译：公开了一种超声波手术器械，并且包括手柄组件，细长管状构件和端部执行器。细长管状构件从手柄组件延伸并且限定穿过其中的通道。末端执行器与细长管状构件的远端联接并且包括可枢转地连接到管状构件的第一钳口构件和可在细长管状构件的通道内纵向移动的第二钳口构件。第一钳口构件和第二钳口构件中的一个包括至少一个超声换能器。

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