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Небесная энциклопедия

Космические корабли и станции, автоматические КА и методы их проектирования, бортовые комплексы управления, системы и средства жизнеобеспечения, особенности технологии производства ракетно-космических систем

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Мониторинг СМИ

Мониторинг СМИ и социальных сетей. Сканирование интернета, новостных сайтов, специализированных контентных площадок на базе мессенджеров. Гибкие настройки фильтров и первоначальных источников.

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Форма поиска

Поддерживает ввод нескольких поисковых фраз (по одной на строку). При поиске обеспечивает поддержку морфологии русского и английского языка
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Применить Всего найдено 3479. Отображено 100.
19-01-2012 дата публикации

Method for transurethral delivery of thermal therapy to tissue

Номер: US20120016273A1
Автор: Chris J. Diederich
Принадлежит: UNIVERSITY OF CALIFORNIA

An apparatus for applying thermal energy to a prostate gland, comprising a support tube having a longitudinal passageway, a power lead channeled through the longitudinal central passageway and an ultrasound crystal disposed around at least part of the support tube. The ultrasound crystal is coupled to the power lead which provides the power to energize the ultrasound crystal and generate ultrasound energy providing thermal therapy to the prostate gland. The ultrasound crystal further includes inactivated portions for reducing ultrasound energy directed to the rectal wall of the patient. A sealant is disposed in contact with the ultrasound crystal allowing vibration necessary for efficient ultrasound energy radiation for the thermal therapy of the prostate gland.

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02-02-2012 дата публикации

Laser Assembly With Shock Absorber

Номер: US20120027351A1
Принадлежит: Boston Scientific Scimed Inc

Embodiments of the invention include an apparatus including an optical fiber having a distal end configured to emit a beam of energy. The apparatus also includes a tube including a tube channel. The distal end of the optical fiber is disposed in the tube channel. The apparatus further includes a shock absorber disposed on the tube and a cap disposed on the shock absorber.

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29-03-2012 дата публикации

Minimally Invasive Rectal Balloon Apparatus

Номер: US20120078177A1
Автор: John ISHAM
Принадлежит: RadiaDyne LLC

A rectal balloon apparatus has a shaft with a fluid passageway extending therethrough. A balloon is affixed over an end of the shaft such that the fluid passageway communicates with an interior of the balloon. The balloon has a laterally flat surface thereon when inflated. The laterally flat surface of the balloon has a longitudinal groove formed thereon. The balloon having a pair of bulges formed thereon when the balloon is inflated. A ring is affixed to the shaft adjacent the balloon. The shaft has a plurality of holes formed thereon opening to an interior of the balloon.

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05-04-2012 дата публикации

Guided procedural treatment device and method

Номер: US20120083653A1
Автор: Daniel P. Sperling
Принадлежит: Sperling Daniel P

A medical device for minimally invasive surgical procedures. The medical device includes an ablative probe for removing malignant tissues from a body. A guidance sleeve encapsulates the ablative probe and facilitates its advancement through an opening in the body. In addition, the device includes an imaging device for monitoring the position of the guidance sleeve and the ablative probe within the body.

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12-04-2012 дата публикации

Biopsy planning and display apparatus

Номер: US20120087557A1
Принадлежит: Eigen Inc

Systems are provided for managing, planning and displaying the location of biopsy core sites across multiple same-patient visits or other stored biopsy plans to increase the confidence and accuracy of biopsy results. The systems may allow the operator to fuse multiple predefined and/or automatically generated biopsy core site plans in addition to previous biopsy sites with a current prostate image to assist in creating a final new biopsy core site plan. Further, the system may allow the operator to selectively view singular parts of the final plan to simplify the planning process. Further, the systems may assist the operator during the navigation phase of the biopsy by hiding biopsy core sites from the final plan that are not of immediate interest during the biopsy phase and thereby reducing clutter and distraction during biopsy sample acquisition.

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14-06-2012 дата публикации

Bipolar medical devices for extracting tissue and methods therefor

Номер: US20120150179A1
Принадлежит: Ethicon Inc

A bipolar medical device for extracting tissue including a handle, and an outer tube projecting from the handle, the outer tube extending along a longitudinal axis and including a proximal end connected with the housing and a distal end spaced from the proximal end. The medical device includes a split tube disposed within the outer tube, the split tube having a distal end including a first cutting element and an opposing second cutting element, a motor coupled with the split tube for selectively rotating the split tube and the first and second cutting elements about the longitudinal axis, and an electrosurgical generator coupled with the split tube, whereby the first cutting element is connectable with a first pole of the electrosurgical generator and the second element is connectable with a second pole of the electrosurgical generator for passing electrical current between the first and second cutting elements.

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09-08-2012 дата публикации

Systems, assemblies, and methods for treating a bronchial tree

Номер: US20120203216A1
Принадлежит: Innovative Pulmonary Solutions Inc

Systems, assemblies, and methods to treat pulmonary diseases are used to decrease nervous system input to distal regions of the bronchial tree within the lungs. Treatment systems damage nerve tissue to temporarily or permanently decrease nervous system input. The treatment systems are capable of heating nerve tissue, cooling the nerve tissue, delivering a flowable substance that cause trauma to the nerve tissue, puncturing the nerve tissue, tearing the nerve tissue, cutting the nerve tissue, applying pressure to the nerve tissue, applying ultrasound to the nerve tissue, applying ionizing radiation to the nerve tissue, disrupting cell membranes of nerve tissue with electrical energy, or delivering long acting nerve blocking chemicals to the nerve tissue.

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30-08-2012 дата публикации

Electrical ablation devices and methods

Номер: US20120221002A1
Принадлежит: Ethicon Endo Surgery Inc

An ablation apparatus may generally comprise an elongated body having a proximal end and a distal end and a non-conductive tip at the distal end, a conductive sheath at least partially surrounding a portion of the elongated body intermediate the proximal end and the tip, and an electrical conductor electrically connected to the conductive sheath. The ablation apparatus may comprise a first electrode having a first diameter and a plurality of second electrodes each having a second diameter, wherein the first diameter is greater than the second diameter. Methods of using the ablation apparatus are also described.

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27-09-2012 дата публикации

Control System and Method for Precisely Guiding a Percutaneous Needle Toward the Prostate

Номер: US20120245455A1
Принадлежит: KOELIS, Universite Joseph Fourier Grenoble 1

A needle holder device for treating the prostate, involving a series of steps of inserting a needle into the prostate, has a rectal probe for ultrasonic 3D imaging and a computer for processing the image acquired by the probe and for computing the position of the needle relative to the prostate. The computer is controlled so as to periodically output information on the movement of the prostate after each of the insertion steps in order to validate the insertion parameters relative to a treatment schedule and, if need be, modifying the insertion parameters relative to the schedule in the event the movement is greater than a threshold value.

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27-09-2012 дата публикации

Anchor delivery system with replaceable cartridge

Номер: US20120245600A1
Принадлежит: Neotract Inc

A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for such purposes.

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11-10-2012 дата публикации

Delivery systems for brachytherapy, and associated methods

Номер: US20120259153A1

Delivery systems adapted for implementation during a brachytherapy procedure are provided. The delivery system includes a plurality of brachytherapy seeds and a plurality of spacers. Each spacer is formed of a matrix material carrying a plurality of microparticles and/or nanoparticles. The microparticles and/or nanoparticles carry an agent and are biodegradable and/or biocompatible. The brachytherapy seeds and the spacers are configured to be delivered to a target site. Associated methods are also provided.

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01-11-2012 дата публикации

Surgical instrument for injecting a drug into prostate tissue

Номер: US20120277721A1

A needleless injector including a body at a proximal end, a shaft extending distally from the body, at least one injection orifice at a distal end of the shaft in fluid communication with a fluid chamber at the proximal end, a pressure source in communication with the fluid chamber, and a tissue tensioner located at the distal end of the shaft proximal to the injection orifice, wherein the distal end including the tissue tensioner and injection orifice is positionable within a urethral lumen so that when the tissue tensioner is deployed, tissue of the urethra is tensioned at a location for injection of fluid from the injection orifice into the tissue of the urethra.

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06-06-2013 дата публикации

Surgical instrument for injecting a drug into prostate tissue

Номер: US20130144265A1
Принадлежит: AMS Research LLC

Method and surgical instrument for treating prostate tissue including a surgical instrument having a main body, a needle deployment port, a needle, first and second handles and a lockout release mechanism to limit needle extension. Additionally, a kit includes the surgical instrument, together with a cystoscope, and optionally a syringe and reservoir of ethanol. The method includes needle-less injection and visualizing the ethanol injection by delivering both an echogenic agent and ethanol either by needle or needle-less injection or by providing an ultrasonically visible marker near the tip of the ethanol delivery cannula. The method also includes extending the needle transversely of the instrument housing using a link assembly.

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26-09-2013 дата публикации

Minimally Invasive Devices for Multi-Fluid Tissue Ablation

Номер: US20130253488A1
Принадлежит: AQUABEAM LLC

Prostate treatment using fluid stream to resect prostate tissue, thereby relieving symptoms of conditions such as BPH, prostatitis, and prostatic carcinoma. A device having a fluid delivery element is positioned within a lumen of the urethra within the prostate. A fluid stream is directed outwardly from the fluid delivery element toward a wall of the urethral lumen. The fluid delivery element is moved to scan the fluid stream over the wall to remove a volume of tissue surrounding the lumen. The fluid may be combined with therapeutically active substances or with substances that increase resection efficiency. Fluid force may be adjusted to provide selective tissue resection such that soft tissue is removed while harder tissue is left undamaged. In order to gain a working space within the urethra, another fluid may be introduced to insufflate the urethra in the region of treatment.

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10-10-2013 дата публикации

Methods and Apparatus for Ablating Lung Nodules with Vapor

Номер: US20130267939A1
Принадлежит: Uptake Medical Corp

Devices and systems are described for lung nodules with heated condensable vapor. The device can have an elongated shaft coupled to a vapor generator. High temperature vapor can be directed through the shaft into the lung to treat the lung nodule. In some embodiments, the device comprises a needle configured to deliver the vapor to the lung nodules. An expandable member, such as a balloon, can be provided on a distal portion of the shaft to prevent proximal flow of the high temperature vapor upon discharge from the device. Methods of use are also provided.

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31-10-2013 дата публикации

Median lobe retraction apparatus and method

Номер: US20130289342A1
Принадлежит: Neotract Inc

A system and associated method for manipulating tissues and anatomical or other structures in medical applications for the purpose of treating diseases or disorders or other purposes. In one aspect, the system includes a delivery device configured to deploy and implant anchor devices for comprising, distracting and/or retracting the lobes of a prostate.

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07-11-2013 дата публикации

Delivery devices with coolable energy emitting assemblies

Номер: US20130296647A1
Принадлежит: Holaira Inc

Systems, delivery devices, and methods to treat to ablate, damage, or otherwise affect tissue. The treatment systems are capable of delivering a coolable ablation assembly that ablates targeted tissue without damaging non-targeted tissue. The coolable ablation assembly damages nerve tissue to temporarily or permanently decrease nervous system input.

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19-12-2013 дата публикации

Body lumen junction localization

Номер: US20130338530A1
Автор: Ghassan S. Kassab
Принадлежит: Individual

Devices, systems, and methods for the localization of body lumen junctions and other intraluminal structure are disclosed. Various embodiments permit clinicians to identify the locations of intraluminal structures and medical devices during non-surgical medical techniques, such as cardiac ablation, by determining the intralumen conductance and/or cross-sectional area at a plurality of locations within the body lumen

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19-12-2013 дата публикации

Resection loop for tissue resection and related method of use

Номер: US20130338667A1
Принадлежит: Boston Scientific Scimed Inc

A medical device includes a sheath extending from a proximal end to a distal end and having a lumen extending therethrough and an end-effector disposed at the distal end of the sheath including a first resection loop configured to resect tissue and a secondary tool including one of a second resection loop and a tissue-vaporizing structure mounted distally to the first resection loop.

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20-02-2014 дата публикации

Rectal balloon with sensor cable

Номер: US20140051968A1
Автор: John ISHAM, Tamsen Valoir
Принадлежит: RadiaDyne LLC

An endorectal balloon having a pocket thereon for holding a sensor cable that can be used for radiation dosimetry or to detect motion of the prostate or balloon.

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27-02-2014 дата публикации

Cryosurgical probe with adjustable sliding apparatus

Номер: US20140058370A1
Автор: Jay J. Eum, Thach Duong
Принадлежит: Endocare Inc

A cryosurgical probe assembly including a cryosurgical probe having a shaft, an insulation element housed within the cryosurgical probe and being slideably repositionable relative to the shaft, and a fluid supply line having an inlet portion for connection to a cryogenic fluid source.

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06-03-2014 дата публикации

Cool rf electrode

Номер: US20140066917A1
Принадлежит: Chenes LLC

Systems and methods for ablating tissue in the living body can include a cool electrode.

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07-01-2016 дата публикации

Methods and devices for urethral treatment

Номер: US20160000455A1
Принадлежит: PROARC MEDICAL Ltd

A system and method for treating a constricted bodily lumen, for example, a urethra constricted due to BPH. The method includes a planning stage, during which an area requiring treatment is visually identified, and an execution stage during which the lumen is expanded, a cut is formed in the inner surface of the tissue defining the lumen, and an implant is deployed in the cut. The implant can be an open C-shaped ring, and can be formed of a biodegradable material, or can be removed at a selected time after implantation. The system is formed of a planning device anchorable in the lumen and constructed to facilitate location of an area to be treated, and execution device constructed to deliver an implant, to expand the lumen, to form a cut in the inner surface of tissue defining the lumen, and to release the implant for deployment into the cut.

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01-01-2015 дата публикации

System for Monitoring Thermal Ablation Using Radiofrequency Echoes

Номер: US20150005757A1
Принадлежит: WISCONSIN ALUMNI RESEARCH FOUNDATION

Radiofrequency energy emitted from and reflected back toward a thermal ablation probe may be used to detect a gradual dissolution of a reflective interface between a tumor and surrounding healthy tissue as the ablation zone passes through this interface providing a real-time guidance with respect to the progress of ablation.

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20-01-2022 дата публикации

Visualization and recordation system interface with virtual ground for biomedical system and methods

Номер: US20220015658A1
Принадлежит: Biosense Webster Israel Ltd

Methods, apparatus, and systems for medical procedures are disclosed herein. For example, a plurality of analog sensor signals and an analog reference signal are received by an analog-to-digital converter to produce respective digitized versions of the analog sensor signals. The respective digitized versions of the analog sensor signals are digital filtered to produce respective filtered digitized versions of the analog sensor signals. The filtered digitized versions of the analog sensor signals are output to a visualization system to provide real time display thereof. The filtered digitized versions of the analog sensor signals are communicated to a digital-to-analog converter to produce an analog version of the filtered digitized versions of the analog sensor signals. The analog version of the filtered digitized versions of the analog sensor signals along with the analog reference signal are output to a recordation system to provide supplemental processing and storage thereof.

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11-01-2018 дата публикации

METHOD AND APPARATUS FOR DETERMINING THE POSITION OF A SURGICAL TOOL RELATIVE TO A TARGET VOLUME INSIDE AN ANIMAL BODY

Номер: US20180008163A1
Принадлежит:

The invention relates to a method for determining the position of a surgical tool relative to a target volume inside an animal body according to a pre-plan comprising the steps of i) obtaining a plurality of two-dimensional images of said target volume using imaging means, each 2D-image being represented by an image data slice I(x,y,z); ii) reconstructing from said plurality of image data slices I(x,y,z) a three-dimensional image of said target volume using transformation means, said 3D-image being represented by a volumetric image data array V(x,y,z); iii) displaying said three-dimensional image of said target volume to an user using displaying means. 115.-. (canceled)16. A surgical imaging method for determining and displaying , within a computer-generated display of a display device , a current position of a surgical tool relative to a planned position of the surgical tool within a patient , the surgical imaging method comprising:obtaining, via an imaging device, a three-dimensional image of a target volume within the patient;generating a first display signal causing the display device to display the three-dimensional image of the target volume on the display device, wherein the displayed three-dimensional image includes a three-dimensional representation of the surgical tool inserted in the target volume at a position corresponding to at least one planned position of the surgical tool;receiving a user selection, based on user interaction with the three-dimensional image on the display device, that identifies a selected location in the displayed three-dimensional image;generating, responsive to receiving the user selection that identifies the selected location in the displayed three-dimensional image, a control signal causing the imaging device to capture a corresponding location on the patient that corresponds to the selected location in the displayed three-dimensional image;obtaining, via the imaging device, a two-dimensional image of the corresponding location ...

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09-01-2020 дата публикации

SYSTEMS AND METHODS FOR DELIVERING ENERGY TO PASSAGEWAYS IN A PATIENT

Номер: US20200008868A1
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

Systems and methods for delivering energy to passageways in a patient, such as airways in the lung of a patient for treating asthma. One embodiment of a method for delivering energy to a passageway comprises positioning an access device in a lung airway of a patient and advancing an elongated body of a treatment device along the access device until an energy delivery unit at a distal portion of the elongated body projects from the access device. The method can further include expanding the energy delivery unit such that energy delivery elements contact a sidewall of the airway and activating an energy supply coupled to the treatment device such that energy is delivered to the sidewall of the airway. A single person physically operates both the access device and the treatment device while expanding the energy delivery unit and activating the energy supply. 132-. (canceled)33. A medical device , comprising:a body having a proximal portion, a distal portion, and a lumen extending from the proximal portion toward the distal portion;a member extending through the lumen;an expandable unit at the distal portion of the body, wherein the member is coupled to the expandable unit; the member is configured to move reciprocally relative to the body via actuation of the handle;', 'reciprocal movement of the member is configured to transition the expandable unit between a first, radially-collapsed configuration and a second, radially-expanded configuration; and', 'the expandable unit is transitioned from the first, radially-collapsed configuration to the second, radially-expanded configuration by pulling the member in a proximal direction; and, 'a handle coupled to the member, whereina resilient member or a spring disposed proximally of the expandable unit, wherein the member is biased in a distal direction, by the resilient member or the spring, to bias expandable unit in the first, radially-collapsed configuration.34. The medical device of claim 33 , wherein:the handle includes ...

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09-01-2020 дата публикации

APPARATUS AND METHODS FOR SIDE-FIRE OPTICAL FIBER ASSEMBLY SUITABLE FOR MEDICAL APPLICATONS

Номер: US20200008873A1
Автор: Pinnow Douglas Arthur
Принадлежит:

This invention relates to an advance in the delivery of laser beams to internal surgical sites using optical fibers with a novel distal tip design made using a fusion assembly procedure suitable for directing laser beams out of the side of an optical fiber. This side-fire fiber delivery tip assembly is fabricated by fusing a transparent tube onto the distal ends of a laser beam delivery fiber and an associated coaxial stub fiber that have beveled and parallel end faces that meet inside of the transparent tube. The result is a rugged fiber delivery tip assembly that is almost entirely solid, except for a very narrow gap between the beveled end surfaces of the two fibers. A loose fitting transparent capsule is placed over this fiber tip to contain a transparent perfluorocarbon lubricating oil or a perfluorocarbon heat-transfer agent that serves as a cooling agent for the fiber tip assembly. 1. A side-fire fiber optical tip assembly comprised of a side-fire fiber optical tip which is located inside of a loosely fitting transparent capsule that is filled with a transparent heat transfer liquid that is either a perfluorocarbon lubricating oil or a perfluorocarbon heat-transfer agent.2. The side-fire fiber optical tip assembly as in in which the said side-fire fiber optical tip is fabricated by joining together the following three components: (1) a laser beam delivery fiber with a distal end that is beveled at an angle to the fiber's axis to support total internal reflection of a laser beam transmitted in the fiber claim 1 , (2) a short stub fiber of the same outside diameter as the delivery fiber and that is beveled at one end with the same angle as the delivery fiber claim 1 , and (3) a short transparent tube having an inside diameter slightly larger than the outside diameters of the two fibers claim 1 , that are assembled together by inserting the beveled ends of the delivery fiber and stub fiber fully into the transparent tube so that the two beveled surfaces are ...

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18-01-2018 дата публикации

SYSTEMS AND METHODS TO BLOCK OR INHIBIT GAS PROGRESSION DURING SPRAY CRYOTHERAPY

Номер: US20180014868A1
Принадлежит:

The present disclosure relates generally to the field of cryoablation. In particular, the present disclosure relates to cryoablation systems (e.g., cryospray systems, cryogenic ablation, cryosurgery systems etc.) that prevent or significantly inhibit cryospray gases from accumulating and progression distally beyond a specific region within a body lumen. 1. A cryoablation system , comprising: a proximal portion,', 'a distal portion, and', 'at least one working channel extending therebetween;, 'an endoscope comprising a proximal end,', 'a distal end configured for the output of cryogen spray, and', 'a lumen extending therebetween;, 'a cryogen delivery catheter disposable within a working channel of the endo scope, the cryogen delivery catheter comprisingan expandable member moveable between a deflated configuration and an inflated configuration and including a conduit comprising a proximal inlet and a distal outlet, wherein the distal outlet is fluidly connected to an interior of the expandable member; anda vent tube configured for passive or active venting of a gas therethrough that extends distally beyond the distal portion of the endoscope and through the expandable member.2. The cryoablation system of claim 1 , wherein the expandable member is configured to extend distally beyond the distal portion of the endoscope.3. The cryoablation system of claim 1 , wherein the expandable member moves from the deflated configuration to the inflated configuration by flowing a fluid into the interior of the expandable member.4. The cryoablation system of claim 1 , wherein the expandable member comprises a compliant material selected from the group consisting of silicone rubbers claim 1 , polyurethanes claim 1 , butyl rubbers claim 1 , latexes claim 1 , styrene-isobutylene-styrene block copolymers and EPDM.5. The cryoablation system of claim 1 , wherein the expandable member conforms to the shape of a body lumen when in the inflated configuration and prevents or substantially ...

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17-01-2019 дата публикации

APPARATUS FOR EFFECTIVE ABLATION AND NERVE SENSING ASSOCIATED WITH DENERVATION

Номер: US20190015002A1
Принадлежит:

An intravascular catheter for nerve activity ablation and/or sensing includes one or more needles advanced through supported guide tubes (needle guiding elements) which expand to contact the interior surface of the wall of the renal artery or other vessel of a human body allowing the needles to be advanced though the vessel wall into the extra-luminal tissue including the media, adventitia and periadvential space. The catheter also includes structures which provide radial and lateral support to the guide tubes so that the guide tubes open uniformly and maintain their position against the interior surface of the vessel wall as the sharpened needles are advanced to penetrate into the vessel wall. Electrodes near the distal ends of the needles allow sensing of nerve activity before and after attempted renal denervation. In a combination embodiment ablative energy or fluid is delivered from the needles in or near the adventitia to ablate nerves outside of the media while sparing nerves within the media. 1. A catheter for sensing the activity from nerves outside of the lumen of a target vessel of a human body comprising:a catheter body having a distal end for insertion into a patient, a proximal end for controlling the movement of at least one needle, and a central axis extending in a longitudinal direction;a connector configured to connect to external electronic equipment outside of a proximal end of the catheter, said equipment having a sensing subsystem configured for sensing local nerve activity within a patient, and configured to be connected to at least one additional electrode in electrical contact with the patient;at least one needle guiding element adapted to expand outwardly from the catheter body toward the interior wall of the target vessel;at least one needle, the needle having at least one distal electrode, the needle adapted to be advanced outwardly, guided by the at least one needle guiding element to penetrate and advance through the interior wall of the ...

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18-01-2018 дата публикации

APPARATUS FOR MANUALLY MANIPULATING HOLLOW ORGANS

Номер: US20180015268A1
Автор: Fojtik Shawn P.
Принадлежит:

An apparatus for mechanically manipulating hollow organs within the body of a subject, or an organ manipulation apparatus, includes a manipulation section. The manipulation section may include a substantially two-dimensional element, which may have a width that exceeds a distance across a portion of the interior of a hollow organ within which the manipulation section is to be positioned. The manipulation section is configured to manipulate at least a portion of a hollow organ from within, which may modify at least one of a shape, orientation, or location of at least part of the hollow organ. Methods for manipulating hollow organs are also disclosed, as are operating techniques, such as left atrial ablation, in which the shapes, orientations, and/or locations of hollow organs are manipulated to move the hollow organs away from the site of the medical procedure, reducing the potential for damage to the hollow organs. 1. An apparatus for manipulating an esophagus , comprising: a distal end;', 'a proximal end opposite from the distal end;', 'a proximal portion adjacent to the proximal end, the proximal portion being substantially linear or substantially curvilinear; and', 'a distal portion adjacent to the distal end, a manipulation section of the distal portion having a substantially two-dimensional configuration defined by a series of bends, the substantially two-dimensional configuration having a width of more than 14 mm., 'an elongate element consisting of2. The apparatus of claim 1 , wherein the elongate element has a substantially solid structure.3. The apparatus of claim 1 , wherein the elongate element is radiopaque.4. The apparatus of claim 1 , wherein the elongate element is a wire.5. The apparatus of claim 1 , wherein the elongate element has a diameter of about 0.035 inch to about 0.038 inch.6. The apparatus of claim 1 , wherein the manipulation section is made of a shape memory alloy.7. The apparatus of claim 1 , wherein the series of bends in the distal ...

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28-01-2016 дата публикации

Transperineal Prostate Biopsy Device, Systems, and Methods of Use

Номер: US20160022309A1
Автор: Matthew J. Allaway
Принадлежит: Corbin Clinical Resources LLC

A transperineal biopsy guide including a guide member and a displacement member supported by the guide member. The guide member may be configured to operably couple with the transrectal probe and may include a distal end, a proximal end opposite the distal end, and a length extending along a longitudinal axis between the distal and proximal ends. The displacement member may be configured to support the access needle and displace the access needle along at least a portion of the length of the guide member between the distal and proximal ends. The access needle may extend into the subcutaneous tissue when the access needle is displaced to the distal end.

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25-01-2018 дата публикации

Preferential volume reduction of diseased segments of a heterogeneous lobe

Номер: US20180021078A1
Принадлежит: Uptake Medical Technology Inc

Methods and apparatus for diagnosing and treating disorders of the lung are provided, which may include any number of features. In one embodiment, a method comprises obtaining diagnostic information relating to a patient's lungs, compiling a list of potential treatment plans for lung volume reduction in the first and second lungs, excluding treatment plans from the list of potential treatment plans that propose treatment of a lung segment that falls within a segment exclusion rule, and identifying at least one preferred treatment plan from the list of potential treatment plans that targets sufficiently diseased lung segments while also targeting a preferred combined volume of the first and second lungs.

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24-01-2019 дата публикации

ELECTROSURGICAL ELECTRODES

Номер: US20190021786A1
Автор: Ward Arlen K.
Принадлежит:

An electrode assembly is provided. The electrode assembly includes a proximal end that is adapted to connect to an electrosurgical instrument including a housing defining a longitudinal axis therethrough and an electrosurgical energy source. A distal end includes a cutting electrode having a loop configuration configured to cut tissue. The distal end includes a return electrode operably disposed adjacent the cutting electrode. A dielectric shield is operably disposed between the cutting electrode and return electrode. The dielectric shield extending distally past the cutting electrode to hinder current flow to the return electrode when the dielectric shield, cutting electrode and return electrode are submersed in a conductive solution and the cutting electrode is energized, thereby concentrating current density at the cutting electrode. 1. An electrode assembly , comprising:a proximal end adapted to connect to an electrosurgical instrument including a housing defining a longitudinal axis therethrough and an electrosurgical energy source;a distal end including a cutting electrode having a loop configuration configured to cut tissue, the distal end including a return electrode operably disposed adjacent the cutting electrode; anda dielectric shield operably disposed between the cutting electrode and return electrode, the dielectric shield extending distally past the cutting electrode to hinder current flow to the return electrode when the dielectric shield, cutting electrode and return electrode are submersed in a conductive solution and the cutting electrode is energized, thereby concentrating current density at the cutting electrode.2. An electrode assembly according to claim 1 , wherein the dielectric shield is disposed parallel to the longitudinal axis defined by the housing claim 1 , and above the cutting electrode.3. An electrode assembly according to claim 1 , wherein the dielectric shield includes a generally arcuate configuration and extends laterally across ...

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22-01-2015 дата публикации

INDUCTION COIL VAPOR GENERATOR

Номер: US20150025515A1
Принадлежит:

An induction coil vapor generator is provided that may include any of a number of features. One feature of the vapor generator is that it can inductively generate high quality condensable vapor. The vapor generator can comprise an outer assembly that supports a coil wire, and an inner assembly disposed in the outer assembly. The inner assembly can house a plurality of micro-tubes configured to be inductively heated by the coil wire to convert a fluid to condensable vapor. The generator can be disposed in a medical device to treat tissue with vapor. One feature of the medical device is that it can apply condensable vapor energy to tissue, such as a prostrate, to shrink, damage, denaturate the prostate. Methods associated with use of the vapor generator are also covered. 1. An inductive vapor generator , comprising:an outer support assembly;a coil disposed around the outer support assembly;an inner assembly disposed within the outer support assembly;a plurality of microtubes disposed within the inner assembly, the microtubes being configured to receive a fluid from a fluid source; anda RF generator electrically coupled to the coil, the RF generator being configured to apply a current to the coil to inductively heat fluid in the plurality of microtubes to convert the fluid into a heated condensable vapor.2. The generator of wherein the outer support assembly comprises a thermally insulating and electrically insulating tube.3. The generator of wherein the inner assembly comprises a thermally conductive and electrically insulating tube.4. The generator of further comprising an air gap between the outer support assembly and the inner assembly.5. The generator of wherein the plurality of microtubes comprises stainless steel microtubes.6. The generator of wherein the inner assembly comprises a solid metal rod and the plurality of microtubes comprises an array of channels drilled through the solid metal rod.7. The generator of wherein the outer support assembly has a length ...

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22-01-2015 дата публикации

SYSTEMS AND METHODS FOR TREATMENT OF BPH

Номер: US20150025516A1
Принадлежит:

A prostate therapy system is provided that may include any of a number of features. One feature of the prostate therapy system is that it can access a prostate lobe from the urethra. Another feature of the prostate therapy system is that it can deliver condensable vapor into the prostate to ablate the prostate tissue. Another feature of the prostate therapy system is that it can aspirate tissue from the prostate. Yet another feature of the prostate therapy system is that it can rotate during delivery of vapor and aspiration of tissue. Methods associated with use of the prostate therapy system are also covered. 1. A method of treating a patient's prostate comprising:introducing a vapor energy delivery system into a urethra of the patient;rotating the vapor energy delivery system within the urethra;delivering a flow of fluid through at least one hypotube of the vapor energy delivery system;inductively heating the at least one hypotube to generate a condensable vapor from the flow of fluid; anddelivering the condensable vapor from the vapor energy delivery system to the patient's prostate.2. The method of further comprising injecting high pressure liquid from the tissue extraction member into the urethra.3. The method of wherein the step of injecting high pressure liquid comprises injecting high pressure liquid in pulses between 1 pulse/second and 100 pulses/second.4. The method of wherein the step of injecting high pressure liquid comprises injecting high pressure liquid radially outward from a longitudinal axis of the tissue extraction member.5. The method of wherein the step of injecting high pressure liquid comprises injecting high pressure liquid at an angle of between 10 degrees and 90 degrees from a longitudinal axis of the tissue extraction member.6. The method of further comprising expanding an occlusion member within the urethra distal to a tissue extraction member vapor exit port prior to the delivering step.7. The method of further comprising expanding an ...

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22-01-2015 дата публикации

ENERGY DELIVERY DEVICES AND METHODS

Номер: US20150025605A1
Принадлежит:

This relates to methods and devices for achieving contact between the wall of a cavity or passageway and a medical device when used in tortuous anatomy. 125-. (canceled)26. A medical device , comprising:a catheter extending from a proximal end toward a distal end, the catheter including an inflow lumen and an outflow lumen separate from the inflow lumen;an expandable member at the distal end of the catheter, the expandable member being reciprocally movable between a collapsed configuration and an expanded configuration; andan energy delivery element disposed on an outer surface of the expandable member, the energy delivery element being configured to contact tissues defining a body lumen when the expandable member is in the expanded configuration, wherein the inflow lumen is configured to deliver a fluid to the expandable member, and the outflow lumen is configured to simultaneously convey the fluid from the expandable member.27. The medical device of claim 26 , wherein the catheter further includes an energizing lumen separate from the inflow and outflow lumens claim 26 , wherein an energizing member is configured to extend through the energizing lumen.28. The medical device of claim 27 , further including an RF source claim 27 , wherein the energizing member is configured to deliver RF energy from the RF source to the energy delivery element.29. The medical device of claim 26 , wherein the expandable member is a balloon claim 26 , and the delivery of fluid from the inflow lumen to the balloon is configured to inflate the balloon from the collapsed configuration to the expanded configuration.30. The medical device of claim 26 , wherein the fluid is configured to absorb heat from the contacted tissues or the energy delivery element.31. The medical device of claim 26 , wherein the fluid is saline or water.32. The medical device of claim 26 , wherein the energy delivery element is one of a plurality of electrodes extending from a proximal end of the expandable member ...

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23-01-2020 дата публикации

ELECTROSURGICAL APPARATUS AND ELECTROSURGICAL INSTRUMENT

Номер: US20200022755A1
Принадлежит:

An electrosurgical instrument capable of supporting resonance of microwave energy at multiple frequencies. The instrument comprises a coaxial cable and a radiating distal tip portion arranged to receive microwave energy from the coaxial cable. The radiating tip portion consists of a dielectric material having an electrical length selected in conjunction with its dielectric properties at three or more frequencies of microwave energy to support resonance at each frequency. By providing a single device that can effectively couple microwave energy into biological tissue at three or more frequencies, tissue ablation can be performed rapidly with accuracy. The instrument may be used in an apparatus that includes a generator arranged to supply microwave energy at three or more different frequencies 122-. (canceled)23. An electrosurgical instrument for delivering microwave electromagnetic (EM) energy into biological tissue , the instrument comprising:a coaxial cable for conveying microwave EM energy, the coaxial cable having an inner conductor, an outer conductor, and a first dielectric material separating the inner conductor and the outer conductor; anda radiating tip portion disposed at a distal end of the coaxial cable to receive microwave EM energy from the coaxial cable, the radiating tip portion comprising a second dielectric material different from the first dielectric material,wherein the radiating tip portion has an electrical length selected in conjunction with its dielectric properties, at three or more frequencies of microwave EM energy to support resonance at the three or more frequencies of microwave EM energy.24. An electrosurgical instrument according to claim 23 , wherein the three of more frequencies of microwave EM energy include one or more of 2.45 GHz claim 23 , 5.8 GHz claim 23 , and 14.5 GHz.25. An electrosurgical instrument according to claim 23 , wherein a physical length L of the second dielectric material substantially satisfies{'br': None, 'i': ' ...

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04-02-2016 дата публикации

Large surface area temperature sensing device

Номер: US20160029897A1
Автор: Shawn P. Fojtik
Принадлежит: Circa Scientific Inc

A temperature probe for monitoring temperatures of a surface of a tissue or organ within the body of a subject includes a section with a substantially two-dimensional arrangement and a plurality of temperature sensors positioned across an area defined by the substantially two-dimensional arrangement. Such an apparatus may be used in conjunction with procedures in which thermal techniques are used to diagnose a disease state or treat diseased tissue. Specifically, a temperature probe may be used to monitor temperatures across an area of a surface of a tissue or organ located close to the treated tissue to prevent subjection of the monitored tissue or organ to potentially damaging temperatures.

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01-02-2018 дата публикации

RADIAL CUTTER IMPLANT

Номер: US20180028222A1
Автор: KILEMNIK IDO
Принадлежит:

An implant for creating incisions in the tissues surrounding the bladder neck and the urethra of a patient, for relaxing the opening of the bladder, the implant includes a central connector and at least one wire, the wires extend radially outwardly from the center of the central connector, the wires apply continuous pressure on the surrounding tissues, the wires are foldable within an implant sheath for enabling delivery and extraction thereof, the implant is implanted within a restricted location of the urethra for a period of time for creating incisions at the locations where the wires apply pressure on the surrounding tissues. 1. A removable implant for extending a urinal passage by inducing infarction via application of continuous radial pressure on at least one of a urethral wall and tissue surrounding the urethral wall; the implant comprising:at least two wires, each of the wires having a wider portion, a narrower portion, a distal end and a proximal end, and each of the wires extending radially outwardly from and at least partially along a longitudinal axis of said removable implant, said at least two wires configured to apply said continuous radial pressure, said narrower portion located between said proximal end and said distal end, configured for implanting within a bladder neck, and a bladder portion configured for positioning within a bladder, said wider portion being configured to extend further along said urinal passage than said narrower portion, such that said wider portion is configured to prevent said removable implant from moving away from said bladder along said urethra; andat least one anchor coupled to at least one of said distal end and said proximal end where said at least two wires converge, said at least one anchor configured to extend from at least one of said distal end and said proximal end where said at least two wires converge, radially outwardly to be positioned intermediate said at least two wires, said at least one anchor being ...

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31-01-2019 дата публикации

ELECTROSURGICAL PROBE FOR DELIVERING RF AND MICROWAVE ENERGY

Номер: US20190029751A1
Принадлежит:

An energy delivery system for performing tissue ablation at the distal end of an Electromagnetic Navigation Bronchoscopy (ENB) instrument. The system is insertable through an instrument channel of a steerable instrument cord in an ENB instrument, and comprise a coaxial cable with a radiating tip portion. The tip portion comprises a first conductive element electrically connected to the coaxial cable's inner conductor and a second conductive element electrically isolated from the inner conductor. The conductive elements are arranged to act as: an active electrode and a return electrode for delivering the RF energy into tissue surrounding the radiating tip portion, and an antenna for radiating the microwave energy as a localized microwave field. The system may be arranged to delivery energy according to a predetermined profile comprising interleaving periods of RF and microwave energy or a combination thereof, or a dynamic profile based on detected tissue impedance. 1. An electrosurgical apparatus for delivering radiofrequency (RF) energy and microwave energy into lung tissue , the electrosurgical apparatus comprising:a generator for generating RF energy and microwave energy separately or simultaneously;an electromagnetic navigation bronchoscope having a steerable instrument cord for non-percutaneous insertion into a patient's lungs, the instrument cord having an instrument channel running along its length; a coaxial cable connected to the generator and arranged to convey RF energy and microwave energy, the coaxial cable having an inner conductor, an outer conductor, and a dielectric material separating the inner conductor and outer conductor; and', 'a radiating tip portion disposed at a distal end of the coaxial cable to receive the RF energy and microwave energy from the coaxial cable,, 'an electrosurgical instrument comprisingwherein the radiating tip portion comprise a first conductive element electrically connected to the inner conductor and a second conductive ...

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30-01-2020 дата публикации

ABLATION NEEDLE WITH A SEMIPERMEABLE RING

Номер: US20200030023A1
Принадлежит:

An ablation needle apparatus () for delivering ablation energy () to a subject () comprising a hypotube with a proximal and distal end and having a hollow lumen, including a puncture member and a first electrode disposed at the distal end of the hypotube; a second electrode disposed within the hollow lumen; and a first ring member disposed about the second electrode and slidably holding the second electrode apart from the first electrode; wherein the first ring member comprises a semipermeable structure that allows for the passage of a gas and resists the passage of a liquid from the distal end to the proximal end of the hypotube. 1. An ablation needle apparatus for delivering ablation energy to a subject comprising:a hypotube with a proximal and distal end and having a hollow lumen, including a puncture portion and a first electrode disposed at the distal end of the hypotube;a second electrode disposed within the hollow lumen; anda first ring member disposed about the second electrode and slidably holding the second electrode apart from the first electrode;wherein the first ring member comprises a semipermeable structure that allows for the passage of a gas and resists the passage of a liquid from the distal end to the proximal end of the hypotube.2. The ablation needle apparatus of further comprising:a second ring member disposed proximal the first ring member and a third ring member disposed proximal the second ring member, creating a first and second chamber.3. The ablation needle apparatus of further wherein:the first ring member acts as a tissue stop when the second electrode is slidably deployed into the subject and forces the puncturing member in a proximal direction creating a gap G between a distal end of the puncturing member and a proximal side of the first ring.4. The ablation needle apparatus of further comprising:the hollow lumen and the first ring member include a key feature that interlocks them in a fixed axial and radial relationship.5. The ...

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05-02-2015 дата публикации

Treatment Planning and Delivery Using Temperature Uncertainty Maps

Номер: US20150038883A1
Принадлежит:

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. 1. A method for delivering thermal therapy to a target volume within a patient , comprising:collecting and storing data corresponding to a plurality of phase images using a magnetic resonance imaging (MRI) device;calculating a temperature uncertainty map in a region of said target volume; anddelivering a thermal therapy dose to said target volume determined at least in part by said temperature uncertainty map.2. The method of claim 1 , further comprising generating a reference phase image from said collected plurality of phase images.3. The method of claim 1 , further comprising calculating a temperature map in a region of said target volume that is uncorrected for phase drift.4. The method of claim 1 , further comprising determining a plurality of reference points in said temperature uncertainty map.5. The method of claim 1 , further comprising correcting for drift in said temperature map.6. The method of claim 1 , further comprising generating an output image corresponding to said temperature uncertainty map and displaying said output image of said temperature uncertainty.7. The method of claim 1 , further comprising determining a threshold temperature uncertainty and indicating any portions of said temperature uncertainty map that exceed said threshold.8. The method of claim 7 , further comprising generating an output signal depending at least in part on whether a portion of the target volume being treated is at a location where said temperature uncertainty threshold has been exceeded.9. The method of claim 1 , further comprising calculating a weighted sum of phase differences across all channels and ...

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05-02-2015 дата публикации

CONTROL SYSTEM AND PROCESS FOR APPLICATION OF ENERGY TO AIRWAY WALLS AND OTHER MEDIUMS

Номер: US20150038959A1
Принадлежит:

The present disclosure may include a system for delivering energy to an airway wall of a lung comprising an energy delivering apparatus and a PID controller having one or more variable gain factors. The energy delivering apparatus may include a flexible elongated member and a distal expandable basket having at least one electrode for transferring energy to the airway wall and at least one temperature sensor for measuring temperature. 1102-. (canceled)103. A system for delivering energy to a medium , comprising:an energy delivery element for delivering energy to the medium;{'sub': 'M', 'at least one temperature sensor for measuring a temperature (T) of the medium or the energy delivery element when energy is delivered to the medium; and'}{'sub': i+1', 'i', 'S', 'M', 'i−1', 'S', 'M, 'a PID controller for determining a new power set point (P) based on an error at a present time step (e) between a preset temperature (T) and the measured temperature (T), and an error at a previous time step (e) between the preset temperature (T) and the measured temperature (T).'}104. The system of claim 103 , wherein the PID controller also determines the new power set point (P) based on an error at two previous time steps (e).105. The system of claim 104 , wherein the PID controller also determines the new power set point (P) based on a previous power set point (P).106. The system of claim 105 , wherein the PID controller applies an algorithm having a variable gain factor (G).107. The system of claim 106 , wherein the algorithm is P=P+G(e+□e+□e) claim 106 , wherein claim 106 , □ and □ are preset values.1081. The system of claim 107 , wherein is from 1 to 2 claim 107 , □ is from □ to □2 claim 107 , and □ is from □0.5 to 0.5.109. The system of claim 107 , wherein the controller is configured such that G is reset 0.1 to 2 seconds after energy delivery has begun claim 107 , to 0.9 to 1.0 if a temperature rise in ° C. per Joule is less than or equal to 2.5 claim 107 , to 0.4 to 0.5 if a ...

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08-02-2018 дата публикации

ENERGY DELIVERY DEVICES AND METHODS

Номер: US20180036073A1
Принадлежит:

This relates to methods and devices for achieving contact between the wall of a cavity or passageway and a medical device when used in tortuous anatomy. 125-. (canceled)26. A method of treating a lung , the method comprising:stimulating tissue surrounding an airway of the lung to constrict the airway by contacting the tissue with a pharmacological agent;after stimulating the tissue, measuring a parameter of the airway;identifying a treatment site based on the measured parameter by selecting the contacted tissue to receive energy from an electrode;delivering a liquid to the airway and exterior of the medical device to electrically couple the electrode to the contacted tissue;applying energy to the contacted tissue from the electrode, through the liquid, to damage nerve tissue while simultaneously delivering the liquid to and withdrawing the liquid from the airway to absorb heat from the contacted tissue, andafter applying energy to the contacted tissue, determining an effectiveness of the applying energy to the contacted tissue by determining whether the contacted tissue has a reduced ability to respond to a stimulus as compared to an ability to respond to the stimulus prior to the applying energy.27. The method of claim 26 , further including damaging the contacted tissue.28. The method of claim 27 , wherein the contacted tissue includes mucosal tissue.29. The method of claim 26 , wherein applying energy includes applying RF energy.30. The method of claim 26 , wherein the pharmacological agent is a bronchoconstricting agent.31. The method of claim 30 , wherein the bronchoconstricting agent is histamine or methacholine.32. A method of treating a lung claim 30 , the method comprising:circulating a liquid between an interior of a medical device, and exterior of the medical device within an airway of the lung, the medical device including a catheter and an electrode, to electrically couple the electrode to tissue surrounding the airway; andwhile circulating the liquid, ...

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24-02-2022 дата публикации

Variable pitch flexible needle

Номер: US20220054763A1
Принадлежит: Gyrus ACMI Inc

Disclosed embodiments include flexible tube assemblies, flexible needle assemblies, systems, methods of fabricating a flexible tube, and methods of fabricating a flexible needle. In an illustrative, non-limiting embodiment, a flexible tube assembly includes: a flexible tube having a proximal end with a proximal strain relief section and a distal end with a distal strain relief section, the proximal strain relief section being located between the proximal end and the distal strain relief section and the distal strain relief section being located between the distal end and the proximal strain relief section, the distal end defining an opening therein, at least a portion of at least one of the proximal strain relief section and the distal strain relief section defining therein a spiral cut with a continuously variable pitch; and tubing disposed in an airtight manner over an exterior surface of the flexible tube at least the portion of the at least one of the proximal strain relief section and the distal strain relief section defining therein the spiral cut with a continuously variable pitch.

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07-02-2019 дата публикации

COOLED MICROWAVE DENERVATION

Номер: US20190038351A1
Автор: Rudie Eric N.
Принадлежит:

A device and method is disclosed for creating a lesion in adventitia tissue of a renal artery and/or a region of tissue surrounding the adventitia tissue while protecting intima and media tissue of the renal artery from injury. A catheter carrying a microwave antenna is positioned within the renal artery. Cooling fluid is circulated around the microwave antenna in thermal contact with the intima of the renal artery. Power is supplied to the microwave antenna to cause microwave energy to be emitted omnidirectionally from the microwave antenna. The power supplied to the microwave antenna and the cooling fluid circulated around the microwave antenna are controlled to cause the adventitia tissue and/or the region of tissue surrounding the adventitia tissue to be heated to a temperature sufficient to cause thermal damage while the intima and media tissue are maintained at a temperature where thermal damage does not occur. 1. A catheter configured to create a lesion in adventitia tissue of a renal artery and/or tissue surrounding the adventitia tissue while protecting intima and media tissue of the renal artery from injury , the catheter comprising:a catheter body having at least one fluid passage therein;a balloon in communication with the at least one fluid passage to receive cooling fluid for inflating the balloon into a shape that surrounds the catheter body and contacts the intima tissue when the catheter body is positioned in the renal artery so that the catheter body is surrounded by the balloon when inflated at both a proximal end and a distal end of the balloon and the renal artery is occluded, the cooling fluid having a temperature that is less than basal body temperature; anda microwave antenna carried by the catheter, spaced from an outer wall of the balloon, the microwave antenna being connectable to a microwave generator to supply power to the microwave antenna to cause microwave energy to be emitted omnidirectionally from the microwave antenna,thereby ...

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07-02-2019 дата публикации

MICROWAVE ENERGY-DELIVERY DEVICE AND SYSTEM

Номер: US20190038352A1
Принадлежит:

An ablation system including an image database storing a plurality of computed tomography (CT) images of a luminal network and a navigation system enabling, in combination with an endoscope and the CT images, navigation of a locatable guide and an extended working channel to a point of interest. The system further includes one or more fiducial markers, placed in proximity to the point of interest and a percutaneous microwave ablation device for applying energy to the point of interest. 120-. (canceled)21. An ablation system , comprising: a feedline including an outer conductor;', 'a balun operably coupled to the outer conductor of the feedline; and, 'a microwave ablation device includinga temperature sensor disposed in proximity to the balun and configured to sense a temperature of a portion of the feedline;a fluid delivery system configured to operably couple to the microwave ablation device and provide a fluid to the microwave ablation device; andan energy source configured to operably couple to the microwave ablation device and provide microwave energy to the microwave ablation device.22. The ablation system according to claim 21 , wherein the fluid delivery system includes a cooling unit configured to operably couple to the microwave ablation device and cool the fluid provided to the microwave ablation device.23. The ablation system according to claim 21 , wherein the balun is electrically shorted to the outer conductor.24. The ablation system according to claim 21 , wherein the energy source is configured to provide microwave energy to the microwave ablation device in response to the temperature of the portion of the feedline.25. The ablation system according to claim 21 , wherein the microwave ablation device further includes an outer tubular member disposed around the feedline and an inner tubular member disposed adjacent the feedline.26. The ablation system according to claim 25 , wherein the feedline claim 25 , the inner tubular member claim 25 , and the ...

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16-02-2017 дата публикации

DISPOSABLE SLEEVE FOR PROTECTING SURGICAL LASER DELIVERY FIBER ASSEMBLY, AND LASER DELIVERY FIBER WITH METAL TIP

Номер: US20170042618A1
Автор: Brown Joe Denton
Принадлежит:

A disposable sleeve is fitted over a surgical optical fiber assembly before carrying out a treatment procedure. The optical fiber assembly includes an optical fiber, a laser-transparent protective cap that surrounds the fiber tip, and any additional components assembled to the optical fiber and protective cap, such as a coolant jacket. The disposable sleeve includes a transparent end portion corresponding to the transparent protective cap to permit passage of laser light, the sleeve protecting the surgical optical fiber and the protective cap in order to enable re-use of the surgical optical fiber. After the surgical procedure is performed, the sleeve is removed from the optical fiber assembly and the fiber is sterilized. Another sleeve is then placed over the optical fiber assembly so that the optical fiber assembly may be re-used to carry out a second treatment procedure. The disposable sleeve may optionally be preloaded with an index matching and/or cooling material to modulate the laser output, in which case a pressure-relief mechanism such as a spring-biased sealing gasket may be provided to accommodate expansion of the index matching and/or cooling material upon heating during a treatment procedure. The optical fiber assembly may include a side-firing fiber tip, and the fiber tip may optionally be reflectively coated or provided with a metal reflector. 1. A disposable sleeve for an optical fiber assembly including a surgical optical fiber and a laser-transparent protective cap at a distal end of the optical fiber , comprising a sleeve-shaped protective structure that removably fits over optical fiber assembly at least at a distal end of the optical fiber assembly , the sleeve-shaped protective structure including a transparent end portion corresponding to the laser-transparent protective cap to permit passage of laser light , wherein said disposable sleeve is arranged to be protect the surgical optical fiber and the protective cap in order to enable re-use of ...

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15-02-2018 дата публикации

SYSTEMS, APPARATUSES, AND METHODS FOR TREATING TISSUE AND CONTROLLING STENOSIS

Номер: US20180042668A1
Принадлежит:

Systems, delivery devices, and methods to treat to ablate, damage, or otherwise affect tissue. The treatment systems are capable of delivering a coolable ablation assembly that ablates targeted tissue without damaging non-targeted tissue. The coolable ablation assembly damages nerve tissue to temporarily or permanently decrease nervous system input. The system, delivery devices, and methods can damage tissue and manage scarring and stenosis. 1. An energy delivery device , comprising:a catheter shaft; a cooling element movable from a collapsed state to an expanded state, and', 'an intercartilaginous energy emitter including a plurality of electrodes circumferentially offset from one another about a longitudinal axis of the ablation assembly, the electrodes being configured to delivery energy to a plurality of target regions of an airway that are spaced apart from one another with respect to a longitudinal axis of the ablation assembly, and wherein the energy emitter and the cooling element are configured to cooperate to form intercartilaginous lesions which are spaced apart from surface tissue of the airway and positioned between cartilaginous rings of the airway., 'and an ablation assembly coupled to the catheter shaft and including'}251-. (canceled) This application is a continuation of application Ser. No. 14/872,212 filed Oct. 1, 2015, which in turn is a continuation of application Ser. No. 13/509,581 filed Aug. 14, 2012, now U.S. Pat. No. 9,149,328 issued Oct. 6, 2015, which is a 371 of PCT/US10/56424 filed Nov. 11, 2010 which claims the benefit of U.S. Provisional Application No. 61/260,349 filed Nov. 11, 2009, each of which is hereby fully incorporated herein by reference.The present invention generally relates to systems, apparatuses, and methods for treating tissue, and more particularly, the invention relates to systems, apparatuses, and methods for eliciting a desired response while controlling stenosis.Pulmonary diseases may cause a wide range of problems ...

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14-02-2019 дата публикации

APPARATUSES, METHODS, AND SYSTEMS FOR THE IDENTIFICATION AND TREATMENT OF PULMONARY TISSUE

Номер: US20190046289A1
Принадлежит:

Devices, systems, and methods for implanting and locating traceable markers in a region of a patient's body such as a lung, and in particular lung nodules which may be difficult to locate using traditional means. Further embodiments describe devices, systems, and methods that may be used to treat regions in the lung such as lung nodules with various treatment modalities including heating, microwave irradiation, chemical treatment, and which may be used in conjunction with embodiments of the traceable markers described herein. 1. A system for the treatment of a region of tissue , the system comprising:a catheter configured to be inserted within a patient's airway, wherein the catheter comprises an antenna tip at a distal end of the catheter; anda microwave generator configured to be connected to the catheter so as to emit microwave radiation from the antenna tip.2. The system of claim 1 , further comprising a bronchoscope claim 1 , wherein the catheter is configured for insertion into a working channel of the bronchoscope.3. The system of claim 1 , wherein the antenna tip is configured to circumscribe an exterior perimeter of a lung nodule.4. The system of claim 1 , wherein the antenna tip is configured to be inserted into a lung nodule.5. The system of claim 1 , further comprising a second antenna tip at the distal end of the catheter.6. A method of repeatedly locating a position in a lung claim 1 , the method comprising:navigating to the position within the lung;implanting a traceable marker into the position, wherein the traceable marker comprises at least one localization attribute;locating the traceable marker based on the at least one localization attribute.7. The method of claim 6 , further comprising implanting a second traceable marker near the position within the lung.8. The method of claim 6 , wherein the step of navigating comprises using a bronchoscope.9. The method of claim 6 , wherein the traceable marker is implanted via a catheter or needle inserted ...

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25-02-2016 дата публикации

Method and apparatus for remodeling/profiling a tissue lumen, particularly in the urethral lumen in the prostate gland

Номер: US20160051325A1
Автор: Michael D. Hooven
Принадлежит: ENABLE UROLOGY LLC

Apparatus for tissue lumen (such as urethra) remodeling includes an elongated shaft and at least one expandable structure on a distal end of the shaft. At least one desiccator or energy emitter is carried by the structure and operable to define a support structure in lumen tissue that resists lumen closure. Apparatus is also disclosed for identifying tissue or developing a profile of tissue along the lumen based at least in part on an electrical characteristic of the tissue. Methods of remodeling and profiling are also disclosed.

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13-02-2020 дата публикации

SYSTEMS, METHODS, AND COMPUTER-READABLE MEDIA FOR CONTROLLING ABLATION ENERGY DELIVERY

Номер: US20200046414A1
Автор: Brannan Joseph D.
Принадлежит:

A method for controlling microwave ablation energy delivery includes receiving a setting entered via a user interface. An energy delivery profile is generated based on the setting, with the energy delivery profile defining an energy delivery amount adjustment to be made based at least in part on an elapsing of an amount of time relative to a reference point. Energy is delivered according to the energy delivery profile, with an amount of energy being delivered being adjusted based on the energy delivery amount adjustment when the amount of time relative to the reference point has elapsed. 1. A method for controlling ablation energy delivery , comprising:receiving a setting entered via a user interface;generating an energy delivery profile based on the setting, the energy delivery profile defining an energy delivery amount adjustment to be made based at least in part on an elapsing of an amount of time relative to a reference point; anddelivering energy according to the energy delivery profile, wherein an amount of energy being delivered is adjusted based on the energy delivery amount adjustment when the amount of time relative to the reference point has elapsed.2. The method of claim 1 , wherein the setting includes an ablation zone size setting.3. The method of claim 1 , wherein the setting includes a tissue type setting.4. The method of claim 1 , wherein the setting includes an aggressiveness setting.5. The method of claim 4 , wherein the generating the energy delivery profile includes setting a step time based on the aggressiveness setting.6. The method of claim 4 , wherein the generating the energy delivery profile includes setting a step magnitude based on the aggressiveness setting.7. The method of claim 6 , wherein the step magnitude is set so as to have an inversely proportional relationship with the aggressiveness setting.8. The method of claim 4 , wherein the setting includes an ablation speed setting.9. The method of claim 1 , wherein the generating of the ...

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23-02-2017 дата публикации

Methods for deflecting catheters

Номер: US20170049516A1
Принадлежит: EXIMO MEDICAL LTD

New devices and methods for deflecting a catheter progressing within a lumen, into a preferred direction, typically in order to accomplish ablative removal of obstructive material within that lumen without the danger of uncontrolled catheter deflection risking perforation of the lumen. The catheter may ride on a guide wire, or it may be free riding down the lumen, limited by the passages available in the obstructive material, and generating its own passage by debulking the material within the lumen. The types of deflection required may be radial or lateral. A number of novel configurations are described, including improvements to the slotted wall catheter, by selection of the shape, spacing and location of the slots. Other implementations include a catheter with a novel spring configuration, which can release itself from a situation in which the catheter becomes stuck when widening an initial narrow bore in an obstructed vessel.

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26-02-2015 дата публикации

Automated image-guided tissue resection and treatment

Номер: US20150057646A1
Принадлежит: Procept Biorobotics Corp

A system to treat a patient comprises a user interface that allows a physician to view an image of tissue to be treated in order to develop a treatment plan to resect tissue with a predefined removal profile. The image may comprise a plurality of images, and the planned treatment is shown on the images. The treatment probe may comprise an anchor, and the image shown on the screen may have a reference image marker shown on the screen corresponding to the anchor. The planned tissue removal profile can be displayed and scaled to the image of the target tissue of an organ such as the prostate, and the physician can adjust the treatment profile based on the scaled images to provide a treatment profile in three dimensions. The images shown on the display may comprise segmented images of the patient with treatment plan overlaid on the images.

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10-03-2022 дата публикации

ABLATION SYSTEM WITH DISPLAY FOR REAL-TIME ABLATION GROWTH PROJECTION, AND METHOD THEREFOR

Номер: US20220071706A1
Принадлежит:

A method for displaying real-time ablation growth projections is provided. The method includes applying, by a processor, an ablation model to image data of a patient. The ablation model is based on a position of an ablation probe, and the ablation probe is coupled to the processor. The method also includes displaying, on a display coupled to the processor, a projected ablation zone on the image data. The projected ablation zone is based on ablation parameters and the position of the ablation probe. The projected ablation zone includes a margin showing a confidence level. The method further includes ablating by the ablation probe. The ablating is based on an evaluation of the projected ablation zone with respect to a target. A system for performing a microwave ablation procedure is provided. A non-transitory computer-readable storage medium storing instructions is provided. 1. A method comprising:generating, by a processor, a projected ablation zone of an ablation probe based on ablation parameters; anddisplaying, on a display coupled to the processor, a representation of the ablation probe and the projected ablation zone on image data of a patient, the projected ablation zone being displayed with a confidence interval associated with a margin of the projected ablation zone;2. The method according to claim 1 , further comprising:adjusting the ablation parameters to generate adjusted ablation parameters;generating an adjusted projected ablation zone based on the adjusted ablation parameters; anddisplaying the adjusted projected ablation zone on the image data, the adjusted projected ablation zone being displayed with an adjusted confidence interval associated with an adjusted margin of the adjusted projected ablation zone.3. The method according to claim 1 ,further comprising ablating a target based on the ablation parameters.4. The method according to claim 1 , further comprising:determining the ablation parameters based on at least one of a target position, a target ...

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10-03-2022 дата публикации

Medical device with cmut array and solid state cooling, and associated methods and systems

Номер: US20220072338A1
Принадлежит: Ultra Hom LLC

A medical device includes a capacitive micromachined ultrasonic transducer (CMUT) array configured to emit ultrasound to target tissue, and at least one thermoelectric cooler mechanically coupled with the CMUT array and configured to cool non-target tissue heated by the ultrasound. The medical device may be implemented in a catheter together with a solid thermal conductor coupled to the thermoelectric cooler and extending along the catheter, to conduct heat away from the thermoelectric cooler. A catheter or catheter sleeve includes a tubular wall for insertion into a body channel, and at least one thermoelectric cooler coupled to the tubular wall for cooling the body channel wall. A catheter sleeve includes tubular casing for insertion into a body channel and capable of encasing a catheter, and at least one sensor coupled to the tubular casing for sensing one or more properties of the body channel wall, such as temperature and pressure.

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03-03-2016 дата публикации

Microwave ablation system

Номер: US20160058507A1
Автор: William J. Dickhans
Принадлежит: COVIDIEN LP

A microwave ablation catheter assembly is provided. A coaxial cable configured to connect to a microwave energy source at its proximal end and at its distal end to a distal radiating section. The coaxial cable includes inner and outer conductors and a dielectric positioned therebetween. An extended working channel is configured to receive the coaxial cable for positioning the coaxial cable adjacent target tissue. At least a portion of an inner surface of the extended working channel is electrically conductive. The electrically conductive inner surface of the extended working channel may function as a balun to maintain a balanced signal between the inner and outer conductors of the coaxial cable when the distal radiating section of the coaxial cable is energized.

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21-02-2019 дата публикации

WATER ENUCLEATION OF THE PROSTATE

Номер: US20190053820A1
Принадлежит: PROCEPT BioRobotics Corporation

Embodiments of the present invention provide improved methods and apparatus of treating the prostate. In many embodiments, at least a portion of the prostate is enucleated with a water jet, in order to decrease the invasiveness of the surgery. The access to the prostate can be provided with one or more of open surgical access, percutaneous access, or urethral access. The prostate can be enucleated such that an inner portion of the prostate comprising adenomatous tissue of the prostate is separated from a portion an outer the prostate comprising the capsule. In many embodiments, the patient is treated with energy of the water jet configured to separate the capsule from the inner tissue of the prostate and to inhibit cutting of blood vessels. 1. A method of enucleating at least a portion of a prostate , the prostate comprising a capsule and an inner layer of prostate tissue , the method comprising:advancing a first probe at least partially into the patient;resecting a first location and a second location with a first water jet provided by a first orifice of the first probe; andseparately enucleating a plurality of lobes of the prostate by separating the capsule from the inner layer of prostate tissue with a second water jet provided by a second orifice of a second probe.2. The method of claim 1 , wherein the probe is advanced into the patient with one or more of open surgical access claim 1 , percutaneous access or urethral access.3. The method of claim 1 , the first location is situated near a bladder neck of a urethra and the second location is situated near a verumontanum and toward the bladder neck from the verumontanum.4. The method of claim 1 , wherein the resecting comprises a plurality of resections extending between the first location and the second location and wherein the plurality of resections extend from a urethra to the capsule.5. The method of claim 1 , wherein an energy of the second water jet is adjusted to separate the capsule from the inner tissue ...

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04-03-2021 дата публикации

Systems and Methods for Ablating Prostate Tissue

Номер: US20210059749A1
Принадлежит:

Ablation catheters and systems include catheter tips with at least one hollow needle that is extendable at an angle from the catheter body to ablate a target prostate tissue while avoiding structures in regions near the prostate tissue, including the urethra, the ejaculatory duct, and the rectum wall. The vapor ablation system has a pump, a catheter that includes a connection port positioned on a proximal end of the catheter, a lumen in fluid communication with the connection port and configured to receive, via the connection port, saline from the pump, at least one electrode positioned within the lumen, and at least one thermally conductive, elongated element having a lumen and configured to be coupled to the distal tip of the catheter such that a proximal end of the at least one thermally conductive, elongated element is positioned at least 0.1 mm and no more than 60 mm from a distal most electrode of the at least one electrode and such that the lumen of the at least one thermally conductive, elongated element is in fluid communication with the first lumen. 1. A vapor ablation system for ablating prostate tissue of a patient , wherein the system comprises:at least one pump; a connection port positioned on the proximal end of the catheter, wherein, through the connection port, the catheter is in fluid communication with the at least one pump;', 'a first lumen in fluid communication with the connection port and configured to receive, via the connection port, saline from the at least one pump;', 'at least one electrode positioned within the first lumen; and', 'at least one thermally conductive, elongated element having a lumen and configured to be coupled to the distal tip of the catheter such that a proximal end of the at least one thermally conductive, elongated element is positioned at least 0.1 mm and no more than 60 mm from a distal most electrode of the at least one electrode and such that the lumen of the at least one thermally conductive, elongated element is ...

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10-03-2016 дата публикации

Energy delivery devices and methods

Номер: US20160066990A1
Принадлежит: Asthmatx Inc

This relates to methods and devices for achieving contact between the wall of a cavity or passageway and a medical device when used in tortuous anatomy.

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11-03-2021 дата публикации

Electrode for prostate surgery and using method thereof

Номер: US20210068884A1
Автор: Lin Min, XIE Liping
Принадлежит:

The invention provides an electrode for a prostate surgery and a using method thereof, and belongs to the technical field of medical apparatus and instruments. The electrode includes an electrode body, and the electrode body is provided with a concave arc surface and a convex arc surface; the electrode body includes a base body, an anterior resecting portion and a posterior resecting portion. The electrode has functions of being enucleatable and resectable, and also has a function of enlarging a hemostatic area, and is capable of improving the hemostatic effect and improving the hemostatic efficiency, thereby the efficiency of the surgery may be improved, the operation difficulty and risk of the surgery are reduced, the bleeding and injury of a patient during the prostate surgery are also reduced at the same time, the safety and success rate of the prostate surgery are improved, and the patients are benefited. 110. An electrode for a prostate surgery , wherein the electrode comprises an electrode body () , wherein ,{'b': 10', '10', '11', '12', '10', '13', '14', '15, 'the electrode body () is an arc-shaped sheet structure and can be matched with the surface of a prostate tissue layer, and the electrode body () is provided with a concave arc surface () and a convex arc surface (); the electrode body () comprises a base body (), an anterior resecting portion () and a posterior resecting portion ();'}{'b': 14', '13', '14, 'the anterior resecting portion () is forwards protruded from the base body (), and the anterior resecting portion () is arc-shaped;'}{'b': 15', '13', '15, 'the posterior resecting portion () is backwards protruded from the base body (), and the posterior resecting portion () is arc-shaped; and'}{'b': '12', 'the convex arc surface () is an electrocoagulation hemostasis part.'}2151314. The electrode for the prostate surgery as claimed in claim 1 , wherein the posterior resecting portion () is backwards extended from the base body () and is opposite to ...

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12-03-2015 дата публикации

MICROWAVE ABLATION CATHETER, HANDLE, AND SYSTEM

Номер: US20150073211A1
Принадлежит:

A support system including a rail, a lower support, and an instrument support. The lower support is configured to receive a portion of a bronchoscope and to selectively fix the bronchoscope relative to the rail. The instrument support is slidably disposed on the rail and is selectively lockable to the rail. The instrument support is configured to releasably couple to a surgical instrument inserted through the bronchoscope to fix the position of a portion of the surgical instrument relative to the bronchoscope. 1. A support system comprising:a rail having upper and lower ends defining a longitudinal axis therebetween;a lower support configured to receive a portion of a bronchoscope and to selectively fix the bronchoscope relative to the rail; andan instrument support slidably disposed on the rail and selectively lockable to the rail, the instrument support configured to releasably couple to a surgical instrument inserted through the bronchoscope to fix the position of a portion of the surgical instrument relative to the bronchoscope.2. The support system of claim 1 , wherein the instrument support includes a clamp arm and a clamp arm collar claim 1 , the clamp arm collar slidably disposed over the rail claim 1 , the clamp arm including instrument fingers extending from the clamp arm collar claim 1 , the instrument fingers defining an instrument passage configured to releasably couple to the surgical instrument.3. The support system of claim 2 , wherein the instrument support includes a locking arm having a locking cam claim 2 , and wherein the clamp arm collar includes a camming surface claim 2 , the locking cam configured to compress the camming surface of the clamp arm collar against the rail when the locking arm is in a locked position to lock the instrument support to the rail.4. The support system of claim 3 , wherein in the locked position the instrument support is radially locked relative to the rail.5. The support system of claim 1 , wherein the lower support ...

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24-03-2022 дата публикации

Cryoprotective Compositions and Methods for Protection of a Surgical Site During Cryosurgery

Номер: US20220087250A1
Принадлежит:

A cryoprotective composition configured to be applied during cryotreatment of a patient includes at least one biodegradable and/or bioerodible fluid agent and at least one non-toxic cryoprotectant agent. A therapeutically effective amount of the cryoprotective composition deposited in a body space of the patient in proximity to the cryotreatment remains within at least a portion of the body space for a duration of the cryotreatment. At least a portion of a body tissue proximate to the body space is viable after the cryotreatment. A method of protecting a surgical site during prostate cryosurgery is also provided. The method includes injecting a therapeutically effective amount of the cryoprotective composition into the body space, wherein the body space is a periprostatic space of a patient. 1. A cryoprotective composition configured to be applied during cryotreatment of a patient , the composition comprising:at least one biodegradable and/or bioerodible fluid agent; andat least one non-toxic cryoprotectant agent,wherein a therapeutically effective amount of the cryoprotective composition deposited in a body space of the patient in proximity to the cryotreatment remains within at least a portion of the body space for a duration of the cryotreatment, andwherein at least a portion of a body tissue proximate to the body space is viable after the cryotreatment.2. The cryoprotective composition of claim 1 , wherein the cryotreatment of the patient comprises a cryosurgical procedure.3. The cryoprotective composition of claim 1 , wherein the at least one fluid agent comprises a gel claim 1 , the gel comprising from about 1 weight percent to about 10 weight percent of the cryoprotective composition.4. The cryoprotective composition of claim 1 , wherein the at least one non-toxic cryoprotectant agent comprises from about 1 weight percent to about 10 weight percent of the cryoprotective composition.5. The cryoprotective composition of claim 1 , wherein the at least one non- ...

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05-03-2020 дата публикации

Flexible Microwave Ablation Antenna and Microwave Ablation Needle Employing Same

Номер: US20200069368A1
Принадлежит:

A flexible microwave ablation antenna and a microwave ablation needle including the same are disclosed. The flexible microwave ablation antenna including: a radiator for transmitting microwave for ablation; a coaxial cable for propagating the microwave for ablation generated by a microwave generator to the radiator; wherein the flexible microwave ablation antenna is bendable. Preferably, an annular composite structure is disposed around a periphery of the coaxial cable to suppress the electromagnetic wave from propagating along the coaxial cable in a reverse direction. The annular composite structure includes an annular non-metallic layer and an annular metallic layer surrounding the annular non-metallic layer. The annular metallic layer is electrically insulated from the coaxial cable. 2. The flexible microwave ablation antenna of claim 1 , wherein said minimum curvature radius is between 40 mm to 60 mm.3. The flexible microwave ablation antenna of claim 1 , wherein said minimum curvature radius is 50 mm.4. The flexible microwave ablation antenna of claim 1 , wherein an annular composite structure is disposed around a periphery of said coaxial cable to suppress electromagnetic waves from propagating along said coaxial cable in a reverse direction claim 1 , andwherein said annular composite structure comprises an annular non-metallic layer and an annular metallic layer surrounding said annular non-metallic layer, said annular metallic layer being electrically insulated from said coaxial cable.5. The flexible microwave ablation antenna of claim 4 , wherein a material of said annular metallic layer is copper claim 4 , iron claim 4 , aluminum claim 4 , gold claim 4 , silver claim 4 , palladium claim 4 , platinum claim 4 , tin claim 4 , nickel claim 4 , zinc or an alloy thereof.6. The flexible microwave ablation antenna of claim 4 , wherein said annular metallic layer has a thickness in a range of 0.001 mm to 0.1 mm.7. The flexible microwave ablation antenna of claim 4 ...

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14-03-2019 дата публикации

BRONCHOSCOPIC MULTIMODALITY LUNG TUMOR TREATMENT

Номер: US20190076189A1
Принадлежит:

A minimally invasive medical technique for treating lung tumors includes use of multiple ablation modalities in a single procedure. Condensable vapor ablation and electrosurgical ablation are applied to treat the surface of the tumor and to debulk inner regions of the tumor, respectively. 1. A method of treating a suspect tissue mass in a lung , the suspect tissue mass comprising a periphery and an interior , the method comprising:distributing heat across the periphery of the suspect tissue mass; anddirectly applying heat from a point source to the interior of the suspect tissue mass and wherein the steps of distributing heat and directing heat are performed in a first treatment procedure.2. The method of wherein the step of distributing heat across the periphery of the suspect tissue mass comprises delivering a condensable vapor around the suspect tissue mass.3. The method of wherein the step of directly applying heat to the interior of the suspect tissue mass comprises advancing an electrosurgical instrument into direct contact with the suspect tissue mass claim 1 , and activating the instrument.4. The method of wherein the electrosurgical instrument is an RF energy catheter.5. A method of treating a suspect tissue mass in a lung claim 3 , the suspect tissue mass comprising an exterior and an interior claim 3 , the method comprising:heating by a first modality the suspect tissue mass from the exterior inwards; andheating by a second modality different than the first modality the suspect tissue mass from the interior outwards.6. The method of wherein the heating by first modality comprises delivering a condensable vapor to the suspect tissue mass.7. The method of wherein the heating by second modality comprises applying electrosurgical energy to the suspect tissue mass.8. The method of wherein the first modality is performed prior to the second modality.9. The method of wherein the second modality is bronchoscopic radio frequency ablation.10. A method of treating ...

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22-03-2018 дата публикации

Screen sphere tissue ablation devices and methods

Номер: US20180078305A1
Принадлежит: Innoblative Designs Inc

The present invention is an ablation device having a screen sphere configuration for the ablation of marginal tissue surrounding a tissue cavity. The device includes a probe having a nonconductive elongated shaft including at least one lumen therethrough and a nonconductive distal portion extending from the shaft. The nonconductive distal portion includes a plurality distal ports and a plurality of proximal ports in communication with the at least one lumen of the shaft. The device further includes an electrode array including a plurality of independent conductive wires extending through the lumen and positioned along an external surface of the nonconductive distal portion, each of the plurality of wires passes through at least an associated one of the proximal ports and through at least a corresponding one of the distal ports.

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22-03-2018 дата публикации

ENERGY DELIVERY SYSTEMS AND USES THEREOF

Номер: US20180078309A1
Принадлежит:

The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for delivering energy to difficult to access tissue regions (e.g. peripheral lung tissues), and/or reducing the amount of undesired heat given off during energy delivery. 113-. (canceled)14. A microwave energy delivery device ,wherein the microwave energy delivery device is of sufficient length to extend from the mouth of a human subject, through the trachea of the human subject, into the lung of the human subject and to the peripheral lung of the human subject,wherein the diameter of the microwave energy delivery device is approximately 2 mm or less;wherein the microwave energy delivery device is flexible;wherein the microwave energy delivery device comprises an inner conductor, an outer conductor, and a stylet tip,the inner conductor is a conductor of microwave energy,the outer conductor is a conductor of microwave energy,the inner conductor having a proximal end and a distal end,the outer conductor having a proximal end and a distal end,the stylet tip having a proximal end and a distal end,the stylet tip attached at the distal end of the microwave energy delivery device;15. The microwave energy delivery device of claim 14 ,wherein the microwave energy delivery device has therein one or more coolant channels for circulating and recirculating coolant, wherein the one or more coolant channels does not extend to the distal end of the stylet tip.16. The microwave energy delivery device of claim 14 ,wherein the microwave energy delivery device has thereon a temperature sensor.17. The microwave energy delivery device of claim 14 , wherein said primary catheter comprises a ...

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22-03-2018 дата публикации

Method and apparatus for dual-wavelength laser treatment

Номер: US20180078310A1
Принадлежит: BOSTON SCIENTIFIC SCIMED, INC.

A laser system may include a first laser source configured to output a first laser energy at a first wavelength, a second laser source configured to output a second laser energy at a second wavelength, and a combiner configured to receive the first and second laser energies and output a dual-wavelength laser energy. The first and second wavelengths are different, and first and second laser energies are output simultaneously. Related systems and methods are also disclosed. 1. A laser system comprising:a first laser source configured to output a first laser energy at a first wavelength;a second laser source configured to output a second laser energy at a second wavelength; anda combiner configured to receive the first and second laser energies and output a dual-wavelength laser energy, wherein the first and second wavelengths are different, and first and second laser energies are output simultaneously.2. The laser system of claim 1 , wherein the first wavelength occurs within a vaporization wavelength range claim 1 , and the second wavelength occurs within a coagulation wavelength range.3. The laser system of claim 2 , wherein the first wavelength is selected from a vaporization wavelength range of 400 nm-600 nm claim 2 , and the second wavelength is selected from a coagulation range of 780 nm-3.0 μm.4. The laser system of claim 2 , wherein the first wavelength is 532 nm claim 2 , and the second wavelength is 980 nm.5. The laser system of claim 2 , wherein the first laser energy is output from the first laser source at a first power level claim 2 , and the second laser energy is output from the second laser source at a second power level.6. The laser system of claim 5 , wherein the first power level is 20 W claim 5 , and the second power level is 40 W.7. The laser system of claim 5 , wherein the first power level is identical to the second power level.8. The laser system of claim 2 , wherein the first laser energy is output as a pulsed waveform claim 2 , and the ...

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31-03-2022 дата публикации

Visualization-Enabled Ablation Catheters, Systems, and Methods

Номер: US20220096149A1
Принадлежит:

Ablation catheters and systems include catheter tips with at least one hollow needle that is extendable at an angle from the catheter body to ablate a target prostate tissue while avoiding structures in regions near the prostate tissue, including the urethra, the ejaculatory duct, and the rectum wall. The vapor ablation system has a pump, a catheter that includes a connection port positioned on a proximal end of the catheter, a lumen in fluid communication with the connection port and configured to receive, via the connection port, saline from the pump, at least one electrode positioned within the lumen, and at least two positioning elements, having a lumen with vapor ports between them and configured to be coupled to the distal tip of the catheter. Embodiments of catheter handle mechanisms are described that provide ergonomic methods for handling and using the catheter. 1. An ablation catheter configured to deliver an ablation fluid to at least one of a volume of prostate tissue or a volume of fibroid tissue , comprising:a sheath having at least one lumen, wherein the lumen is configured to receive a volume of fluid;at least one needle positioned within a distal tip of the catheter and configured to be deployed from a surface of the distal tip;at least one port positioned in the at least one needle;at least one heating component positioned within the lumen and proximate the distal tip, wherein the at least one heating component is configured to receive the volume of fluid;a handle coupled to a proximal end of the sheath;a camera positioned proximate the distal tip and configured to visually capture a movement and location of the at least one needle when the at least one needle is extended out from the surface of the distal tip;a light source positioned proximate the camera, wherein the camera and the light source are physically coupled into the sheath; andoptical data transmission circuitry coupled to the camera, wherein a value defining a maximum diameter of the ...

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26-03-2015 дата публикации

AUTOMATED IMAGE-GUIDED TISSUE RESECTION AND TREATMENT

Номер: US20150088107A1
Принадлежит:

A system to treat a patient comprises a user interface that allows a physician to view an image of tissue to be treated in order to develop a treatment plan to resect tissue with a predefined removal profile. The image may comprise a plurality of images, and the planned treatment is shown on the images. The treatment probe may comprise an anchor, and the image shown on the screen may have a reference image marker shown on the screen corresponding to the anchor. The planned tissue removal profile can be displayed and scaled to the image of the target tissue of an organ such as the prostate, and the physician can adjust the treatment profile based on the scaled images to provide a treatment profile in three dimensions. The images shown on the display may comprise segmented images of the patient with treatment plan overlaid on the images. 1. An apparatus to treat tissue of a patient , comprising:an elongate treatment probe to treat a patient, the elongate treatment probe extending along an axis, the elongate treatment probe comprising an outer elongate structure having a working channel and an inner carrier rotatable and translatable within the working channel to position and orient an energy source to release energy toward a target tissue;an elongate imaging probe, the elongate imaging probe extending along an axis;a coupling to couple the elongate treatment probe to the elongate imaging probe when the elongate treatment probe and the elongate imaging probe have been inserted into the patient;a first linkage connected to the inner carrier; anda second linkage connected to the imaging probe;wherein one or more controllers is configured to move the first linkage together with the second linkage to move the inner carrier along a treatment axis and move the imaging probe along an imaging probe axis in order to view interaction of the carrier with tissue as the carrier moves along the axis.2. An apparatus as in claim 1 , wherein the coupling comprises:a base;a first arm ...

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30-03-2017 дата публикации

CONTACT LASER ABLATION OF TISSUE

Номер: US20170086923A1
Принадлежит:

Apparatus and methods are described for laser ablation of tissue. The apparatus and methods utilize a laser source coupled to a fiberoptic laser delivery device and a laser driver and control system with features for protection of the laser delivery device, the patient, the operator and other components of the laser treatment system. Advantageously, the laser source may utilize laser diodes operating at approximately 975 nm, 1470 nm, 1535 nm or 1870 nm wavelengths with a laser power output of at least 60 watts, preferably greater than 80 watts and most preferably 120-150 watts or higher. The invention, which has broad medical and industrial applications, is described in relation to a method for treatment of benign prostatic hyperplasia (BPH) by contact laser ablation of the prostate (C-LAP). 1. Apparatus for laser treatment of tissue , comprising:a laser configured to produce an output beam;an optical fiber having a proximal end and a distal end;a connector configured to couple the output beam of the laser into the proximal end of the optical fiber;a beam-emitting distal tip located proximate the distal end of the optical fiber;an optical fiber protection system including an infrared detector configured to detect a magnitude of an infrared signal emitted from the proximal end of the optical fiber;and means for determining a rate of rise of the infrared signal emitted from the proximal end of the optical fiber.2. An endoscope protection system for use with a laser system of the type having:a laser configured to produce an output beam;an optical fiber having a proximal end and a distal end;a connector configured to couple the output beam of the laser into the proximal end of the optical fiber;the distal end of the optical fiber being configured for insertion through a working channel of an endoscope;wherein the endoscope protection system comprises:a photodetector configured to detect visible light emitted from the proximal end of the optical fiber;and means for ...

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02-04-2015 дата публикации

LARGE SURFACE AREA TEMPERATURE SENSING

Номер: US20150094570A1
Автор: Fojtik Shawn P.
Принадлежит:

A temperature probe for monitoring temperatures of a surface of a tissue or organ within the body of a subject includes a section with a substantially two-dimensional arrangement and a plurality of temperature sensors positioned across an area defined by the substantially two-dimensional arrangement. Such an apparatus may be used in conjunction with procedures in which thermal techniques are used to diagnose a disease state or treat diseased tissue. Specifically, a temperature probe may be used to monitor temperatures across an area of a surface of a tissue or organ located close to the treated tissue to prevent subjection of the monitored tissue or organ to potentially damaging temperatures. 1. A left atrial ablation method , comprising:introducing a temperature probe into an esophagus of an individual;placing a temperature-sensing portion of the temperature probe against an interior surface of a portion of the esophagus located adjacent to a left atrium of a heart of the individual, the act of placing the temperature-sensing portion including positioning a plurality of temperature sensors arranged in an area array against the interior surface of the portion of the esophagus;with the plurality of temperature sensors positioned against the interior surface of the esophagus, ablating abnormal tissue of a wall of the left atrium of the heart of the individual from an interior of the left atrium; andmonitoring a temperature of the interior surface of the portion of the esophagus with the plurality of temperature sensors while ablating the abnormal tissue.2. The left atrial ablation method of claim 1 , wherein placing the temperature-sensing portion of the temperature probe occurs while visualizing a location of the temperature-sensing portion of the temperature probe.3. The left atrial ablation method of claim 2 , wherein visualizing the location of the temperature-sensing portion of the temperature probe comprises fluoroscopy.4. The left atrial ablation method of ...

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02-04-2015 дата публикации

PREFERENTIAL VOLUME REDUCTION OF DISEASED SEGMENTS OF A HETEROGENEOUS LOBE

Номер: US20150094607A1
Принадлежит:

Methods and apparatus for diagnosing and treating disorders of the lung are provided, which may include any number of features. In one embodiment, a method comprises obtaining diagnostic information relating to a patient's lungs, compiling a list of potential treatment plans for lung volume reduction in the first and second lungs, excluding treatment plans from the list of potential treatment plans that propose treatment of a lung segment that falls within a segment exclusion rule, and identifying at least one preferred treatment plan from the list of potential treatment plans that targets sufficiently diseased lung segments while also targeting a preferred combined volume of the first and second lungs. 1. A method of treatment planning for lung volume reduction , comprising:obtaining diagnostic information relating to a patient's first and second lungs;compiling a list of potential treatment plans for lung volume reduction in the first and second lungs;excluding treatment plans from the list of potential treatment plans that propose treatment of a lung segment that falls within a segment exclusion rule; andidentifying at least one preferred treatment plan from the list of potential treatment plans that targets sufficiently diseased lung segments while also targeting a preferred combined volume of the first and second lungs.2. The method of wherein diagnostic information comprises a tissue-to-air ratio claim 1 , a heterogeneity index claim 1 , an air volume claim 1 , a mass claim 1 , or a percentage of a lobe of each segment of the first and second lungs.3. The method of wherein compiling a list comprises compiling a list of potential treatments that include a first treatment that targets a first segment of a first lobe of the first lung claim 1 , and a second treatment that targets a second segment of a second lobe of the second lung.4. The method of wherein the second treatment also targets a third segment of the second lobe of the second lung.5. The method of ...

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05-05-2022 дата публикации

DEVICES AND METHODS FOR ABLATING TISSUE

Номер: US20220133397A1
Принадлежит: ABLATION GEN 2 PTY LTD

Disclosed herein are tissue ablation devices and methods. The device comprises a sheath comprising a distal end that is positionable at an ablation site in the tissue, a proximal end and a lumen extending therebetween. The device also comprises one or more electrodes that are advanceable and retractable through the lumen, wherein a distal portion of the one or more electrodes is deployable into a tissue ablating configuration from the distal end of the sheath upon advancement, and the one or more electrodes are removable from the lumen via the proximal end of the sheath upon retraction, whereupon the lumen becomes vacated. The sheath is configured for a surgical material to traverse the vacated lumen for delivery from the distal end of the sheath into the tissue.

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05-05-2022 дата публикации

Method and apparatus for rapid and selective transurethral tissue ablation

Номер: US20220133405A1
Автор: Steven R. MICKELSEN
Принадлежит: Boston Scientific Scimed Inc, Farapulse Inc

Catheter systems, tools and methods are disclosed for the selective and rapid application of DC voltage pulses to drive irreversible electroporation for minimally invasive transurethral prostate ablation. In one embodiment, a switch unit is used to modulate and apply voltage pulses from a cardiac defibrillator, while in another, the system controller can be configured to apply voltages to an independently selected multiplicity or subsets of electrodes. Devices are disclosed for more effective DC voltage application including the infusion of cooled fluid to elevate the irreversible electroporation threshold of urethral wall tissue and to selectively ablate regions of prostate tissue alone.

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01-04-2021 дата публикации

Apparatuses, systems, and methods for conveying implements through a narrow passage in a body

Номер: US20210093290A1
Автор: Clinton L. Finger
Принадлежит: Gyrus ACMI Inc

Disclosed embodiments include apparatuses, systems, and methods for conveying implements through a narrow passage in a body. In an illustrative embodiment, an insertion tube defines therein lumens and is configured to slide through an orifice and into a passageway to a target tissue. A first probe is connectable to a power source, is slidably receivable through one of the lumens, and has a distal end insertable into the target tissue. An imaging probe is connectable to an imaging device configured to collect imaging data at a distal end, is slidable through one of the lumens not receiving the first probe, and is positionable to collect imaging data at a distal end of the insertion tube. A second probe is connectable to the power source, is slidably receivable through one of the lumens not receiving the first probe, and has a distal end insertable into the target tissue.

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07-04-2016 дата публикации

Surgical device and method of use

Номер: US20160095615A1
Принадлежит: Hermes Innovations LLC

A tissue resecting device includes a handle coupled to an elongated sleeve assembly. The elongated sleeve assembly includes a windowed outer sleeve and an inner sleeve adapted to reciprocate and/or rotate relative to the window to resect tissue intruding into the window, where the resected tissue is captured in a channel in the sleeve assembly. One or more motors in the handle both move the inner sleeve relative to the window and operate a pump which causes a fluid to flow through the channel in the sleeve assembly to remove resected tissue therefrom.

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08-04-2021 дата публикации

Method and Apparatus for Tissue Ablation

Номер: US20210100600A1
Принадлежит: Santa Anna Tech LLC

The present application discloses devices that ablate human tissue. The device comprises a catheter with a shaft through which an ablative agent can travel, a liquid reservoir and a heating component, which may comprise a length of coiled tubing contained within a heating element, wherein activation of said heating element causes said coiled tubing to increase from a first temperature to a second temperature and wherein the increase causes a conversion of liquid within the coiled tubing to vapor, a reusable cord connecting the outlet of the reservoir to the inlet of the heating component, and a single use cord connecting a pressure-resistant inlet port of a vapor based ablation device to the outlet of the heating component.

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20-04-2017 дата публикации

Catheter device including flow sensing

Номер: US20170105795A1
Принадлежит: MC10 Inc

Devices and methods are provided for performing an ablation procedure on tissue with flow monitoring using flow sensors. The devices include a catheter, and at least one flow sensor disposed on the catheter, and a component for applying the ablation procedure. An assessment module provides an indication of the efficacy of the ablation procedure based on the flow measurement from the flow sensor.

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11-04-2019 дата публикации

SYSTEMS, ASSEMBLIES, AND METHODS FOR TREATING A BRONCHIAL TREE

Номер: US20190105102A1
Принадлежит:

Systems, assemblies, and methods to treat pulmonary diseases are used to decrease nervous system input to distal regions of the bronchial tree within the lungs. Treatment systems damage nerve tissue to temporarily or permanently decrease nervous system input. The treatment systems are capable of heating nerve tissue, cooling the nerve tissue, delivering a flowable substance that cause trauma to the nerve tissue, puncturing the nerve tissue, tearing the nerve tissue, cutting the nerve tissue, applying pressure to the nerve tissue, applying ultrasound to the nerve tissue, applying ionizing radiation to the nerve tissue, disrupting cell membranes of nerve tissue with electrical energy, or delivering long acting nerve blocking chemicals to the nerve tissue. 1. A method of treating at least partial obstruction of an airway caused by excessive intraluminal mucus , mucous glands hypertrophy , or both , the method comprising:damaging nerve tissue at a first location along the airway so as to attenuate transmission of signals to and/or from mucous producing cells at a second location along the airway so as to reduce a production of mucous from the mucous producing cells.2. The method of claim 1 , wherein damaging nerve tissue comprises damaging efferent nerve tissue to inhibit signals from being transmitted from the brain to airway to mucous producing cells.3. The method of claim 1 , wherein damaging nerve tissue disrupts a baseline level of mucous secretion.4. The method of claim 1 , wherein damaging nerve tissue attentuates transmission of signals traveling along vagus nerves that cause mucus production.5. The method of claim 1 , wherein attenuation of the transmission of signals comprises hindering claim 1 , limiting claim 1 , blocking claim 1 , and/or interrupting transmission of signals.6. The method of claim 1 , wherein attenuation of the transmission of signals comprises decreasing signal amplitude claim 1 , weakening transmission of signals claim 1 , or both.7. The ...

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28-04-2016 дата публикации

METHODS FOR TREATING AIRWAYS

Номер: US20160113703A1
Принадлежит:

This relates to treating airways in a lung to decrease asthmatic symptoms. The also includes steps of measuring a parameter of an airway at a plurality of locations in a lung, identifying at least one treatment site from at least one of the plurality of locations based on the parameter, and applying energy to the treatment site to reduce the ability of the site to narrow. 140-. (canceled)41. A method of treating a lung , the method comprising:inserting a medical device into an airway of the lung, the medical device including a catheter and a balloon disposed at a distal end of the catheter, wherein a distalmost portion of the catheter extends distally of a distalmost portion of the balloon;stimulating an airway in the lung by introducing, via a port of the catheter, a pharmacological agent into the airway to constrict the airway;after stimulating the airway, measuring a constriction of the airway via the balloon;delivering a fluid to the airway to electrically couple an electrode to tissue surrounding the airway;applying energy to the tissue, via the electrode and the fluid, to damage nerves disposed radially outward of the airway to reduce the ability of the lung to constrict in response to a stimulus;conveying the fluid from the airway; andafter applying energy, determining an effectiveness of applying energy by determining whether the lung has a reduced ability to produce at least one symptom of reversible obstructive pulmonary disease.42. The method of claim 41 , wherein delivering the fluid to the airway and applying energy to the tissue occur only if the measured constriction is greater than a threshold value.43. The method of claim 41 , further including monitoring electrical impedance of the tissue.44. The method of claim 41 , wherein applying energy to the tissue includes applying RF energy to the tissue.45. A method of treating a lung claim 41 , the method comprising:inserting a medical device into an airway of the lung, the medical device including a ...

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26-04-2018 дата публикации

METHOD AND SYSTEM FOR CONSISTENT, REPEATABLE, AND SAFE CRYOSPRAY TREATMENT OF AIRWAY TISSUE

Номер: US20180110556A1
Принадлежит:

A method and system for automated and semi-automated predictable, consistent, safe, effective, and lumen-specific and patient-specific cryospray treatment of airway tissue in which treatment duration is automatically set by the system following entry of patient information and treatment location information into the system by the user, and treatment spray is automatically stopped by the system when the automatically selected treatment duration has been achieved as determined by the system. 1. A system comprising:a source of cryogen in fluid communication with a delivery device for the cryogen;one or more valves configured to adjust a flow of the cryogen from the source through the delivery device in response to a control signal;a temperature sensor disposed on the delivery device; and receive temperature information from the temperature sensor;', 'determine a quantity of the flow of the cryogen based on the temperature information; and', 'adjust the control signal to the valves based on the determined quantity., 'a controller configured to2. The system of claim 1 , wherein the temperature information is a rate of change of temperature of the temperature sensor measured in real time during the flow of the cryogen.3. The system of claim 2 , wherein the controller is further configured to determine if the rate of change of temperature is within a threshold safety range.4. The system of claim 3 , wherein the controller is further configured to adjust the control signal to terminate the flow of cryogen when the rate of change is not within the threshold safety range.5. The system of claim 1 , wherein the controller is further configured to receive a user input of at least one location for treatment and to compare the temperature information received from the temperature sensor to a threshold temperature that is based upon the treatment location.6. The system of claim 1 , wherein the controller is further configured to measure an elapsed time of the flow of the cryogen ...

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30-04-2015 дата публикации

Cooled microwave denervation catheter with insertion feature

Номер: US20150119870A1
Автор: Eric N. Rudie
Принадлежит: Denervx LLC

A catheter is disclosed for creating a lesion in nerve-containing tissue spaced from a body lumen while protecting tissue forming and adjacent to a wall of the body lumen from injury. The catheter includes a catheter body having at least one fluid passage therein, a balloon in communication with the at least one fluid passage to receive cooling fluid for inflating the balloon, a microwave antenna carried by the catheter that emits microwave energy omnidirectionally, thereby heating the tissue spaced from the body lumen to a temperature sufficient to cause thermal damage while the tissue forming and adjacent to the wall of the body lumen are maintained at a temperature where thermal damage does not occur, and a tip structure located at an end of the catheter body, configured to receive a guide wire extending through the at least one fluid passage in the catheter body.

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09-04-2020 дата публикации

System and method for prostate treatment under local anesthesia

Номер: US20200108222A1
Автор: Fernando J. BIANCO
Принадлежит: Smartblate LLC

A system and method for prostate cancer treatment under local anesthesia includes creating a superficial skin and subcutaneous block in a perineal area of a patient by administering a first anesthetizing agent; creating a deep nerve block under ultrasound guidance by administering a second anesthetizing agent, the second anesthetizing agent infiltrating cavernosal nerve bundle tissue and periprostatic space; and ablating prostate tissue. The office-based method, statistical models and computer generated treatment plans identify and ablate prostate tissue containing cancer through or via the perineum while preserving prostate function, and critical anatomical structures. Multiple technologies are integrated and processed to deliver a safe treatment procedure, under local anesthesia by integrating the information of magnetic resonance imaging and planning the ablative treatment using algorithms that ensure maximal precision in both killing cancerous tissue and preserving healthy tissue along with its corresponding function.

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03-05-2018 дата публикации

BLADDER TISSUE MODIFICATION FOR OVERACTIVE BLADDER DISORDERS

Номер: US20180116707A1
Принадлежит:

Regions of tissue having reduced electrical propagation are created in a bladder to affect its electrical or mechanical properties. To create these tissue regions, a tubular device is advanced through the urethra leading to the interior of the bladder, a distal expandable structure of the device is expanded to contact the inner wall of the bladder, and electrodes or other active energy delivery elements of the device are activated to deliver ablation energy. The electrodes or other active energy delivery elements are disposed over the expandable structure which is shaped to conform to the interior of the bladder. The inner wall of the organ is ablated in a predetermined pattern. The same or other electrodes disposed over the expandable structure can used to electrically map the bladder. This map of electrical activity can be used to create the predetermined pattern. 1. A device for treating a disorder in a hollow bodily organ , the device comprising:a shaft advanceable through a bodily channel of a subject to reach a cavity of the organ;an ablation member having a collapsed configuration for advancement through the bodily channel and an expanded configuration adapted to create a predetermined pattern of electrically isolated tissue regions in an inner wall of the hollow bodily organ, with each electrically isolated tissue region being defined by at least one continuous ablation line and being no larger than half of a total inner surface area of the bodily organ.2. The device of claim 1 , further comprising an expandable member coupled to a distal end of the shaft claim 1 , the expandable member having a collapsed configuration advanceable through the bodily passage to reach the cavity of the organ and an expanded configuration configured to contact an inner wall of the organ when the expandable member is advanced therein.3. The device of claim 2 , wherein the ablation member is disposed over the expandable member.4. The device of claim 2 , wherein the expandable ...

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04-05-2017 дата публикации

Screen sphere tissue ablation devices and methods

Номер: US20170119454A1
Принадлежит: Innoblative Designs Inc

The present invention is an ablation device having a screen sphere configuration for the ablation of marginal tissue surrounding a tissue cavity. The device includes a probe having a nonconductive elongated shaft including at least one lumen therethrough and a nonconductive distal portion extending from the shaft. The nonconductive distal portion includes a plurality distal ports and a plurality of proximal ports in communication with the at least one lumen of the shaft. The device further includes an electrode array including a plurality of independent conductive wires extending through the lumen and positioned along an external surface of the nonconductive distal portion, each of the plurality of wires passes through at least an associated one of the proximal ports and through at least a corresponding one of the distal ports.

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25-04-2019 дата публикации

Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues or anatomical structures

Номер: US20190117211A1
Принадлежит: Exploramed Nc2 Inc, Neotract Inc

Devices, systems and methods for retracting, lifting, compressing, supporting or repositioning tissues, organs, anatomical structures, grafts or other structures within the body of human or animal subjects for the purpose of treating a diseases or disorders and/or for cosmetic or reconstructive purposes and/or for research and development purposes or other purposes.

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12-05-2016 дата публикации

HIGH-FREQUENCY PROSTATE TREATMENT MACHINE

Номер: US20160128764A1
Автор: KIM Hyobum, KIM Mokyung
Принадлежит:

The present invention relates to a high-frequency prostate treatment device, wherein an insertion unit, a high-frequency output unit, and an electrode unit, which are used for treating prostate, may be combined as one product, and the patient's prostate tissue may be treated more efficiently through a small number of components. 1. A high-frequency prostate treatment device comprising:{'b': '10', 'an insertion unit () inserted into a prostate tissue through an anus;'}{'b': 20', '10', '5, 'a high-frequency output unit () inserted into the insertion unit to receive high-frequency current from a main body () that generates the high-frequency current, thereby generating high-frequency deep heat;'}{'b': 30', '10', '20', '30', '20, 'an electrode unit () disposed on the insertion unit () while being spaced a predetermined distance from the high-frequency output unit (), the electrode unit () having a potential opposite to that of the high-frequency output unit ().'}210. The high-frequency prostate treatment device of claim 1 , wherein the insertion unit () comprises:{'b': 110', '20, 'a coupling jig () of which an upper portion is screw-coupled to the high-frequency output unit ();'}{'b': 120', '121', '110', '122', '121', '122', '121', '120', '30, 'a probe support () in which an accommodation groove () accommodating a lower portion of the coupling jig () is defined in an upper portion thereof, and a through hole () communicating with the accommodation groove () vertically extends by a predetermined length so that the through hole () is defined below the accommodation groove (), the probe support () being accommodated in the electrode unit () having a tubular shape; and'}{'b': 130', '120, 'a fixing cap () screw-coupled to a lower portion of the probe support ().'}3402040110. The high-frequency prostate treatment device of claim 2 , wherein a temperature sensor () is disposed in the high-frequency output unit () so that the temperature sensor () is disposed above the coupling ...

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10-05-2018 дата публикации

Energy delivery systems and uses thereof

Номер: US20180125579A1
Принадлежит: NeuWave Medical Inc

The present invention relates to comprehensive systems, devices and methods for delivering energy to tissue for a wide variety of applications, including medical procedures (e.g., tissue ablation, resection, cautery, vascular thrombosis, treatment of cardiac arrhythmias and dysrhythmias, electrosurgery, tissue harvest, etc.). In certain embodiments, systems, devices, and methods are provided for delivering energy to difficult to access tissue regions (e.g. peripheral lung tissues), and/or reducing the amount of undesired heat given off during energy delivery.

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02-05-2019 дата публикации

ADD-ON CAP AND SYSTEM FOR ELECTROPORATION

Номер: US20190125165A1
Принадлежит:

An add-on cap for electroporation of tissue including: at least one closed sidewall, such as a cylindrical sidewall; a proximal open end; a distal open end; the at least one closed sidewall and the proximal and distal open ends defining a hollow body having an internal volume; two electrodes on opposite sides of the internal volume, the electrodes configured to apply an electric field for electroporation of tissue inside the internal volume, wherein the proximal open end is sealingly engaged to a tip of an instrument, such as an endoscope. A system for electroporation of tissue including the add-on cap and an endoscope. 142.-. (canceled)44. The add-on cap according to claim 43 , wherein the at least one closed sidewall and the open ends form a combined receiver for the instrument and internal volume for electroporation of tissue.45. The add-on cap according to claim 43 , wherein the add-on cap is adapted to be mounted on the tip of an oblong instrument claim 43 , such as an endoscope claim 43 , the add-on cap extending in an axial direction of the instrument claim 43 , optionally a longitudinal axis of the add-on cap is an extension of a longitudinal axis of the instrument.46. The add-on cap according to claim 45 , wherein the add-on cap provides direct visibility from the proximal open end to the distal open end.47. The add-on cap according to claim 45 , wherein the distal open end is an opening substantially perpendicular to an axial extension of the instrument.48. The add-on cap according to claim 43 , wherein the two electrodes are configured to measure an impedance between the two electrodes.49. The add-on cap according to claim 43 , wherein the two electrodes are planar electrodes mounted on the inside of the at least one closed sidewall.50. The add-on cap according to claim 43 , further comprising at least one temperature sensor and wherein the at least one temperature sensor is mounted on the inside of the at least one closed sidewall between the two ...

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02-05-2019 дата публикации

DEVICES, SYSTEMS AND METHODS FOR TREATING BENIGN PROSTATIC HYPERPLASIA AND OTHER CONDITIONS

Номер: US20190125516A1
Принадлежит:

Extra-urethral implants and methods of use are disclosed. Implants can treat disorders or diseases of the prostate by, for example, enlarging the lumen of the prostatic urethra. 122-. (canceled)23. A system for implantation in a lumen of a urethra , comprising:a delivery device configured to carry and deliver an implant; andan implant having a non-circular cross-sectional shape such that the cross-sectional shape substantially conforms to the cross-sectional shape of the urethra.24. The system of wherein the non-circular cross-sectional shape of the implant is a triangular shape.25. The system of wherein the implant is configured to have a first configuration to a second configuration.26. The system of wherein the first configuration is a constrained configuration and the second configuration is an expanded configuration.27. The system of wherein the implant self-expands from the first configuration to the second configuration.28. The system of wherein the delivery device causes the implant to change from the first configuration to the second configuration.29. The system of wherein the implant is configured to provide an outward radial force on the urethra.30. The system of wherein the implant is configured to provide an outward radial force on the urethra in the second configuration.31. The system of wherein the implant is configured to provide an outward radial force on the urethra in the expanded configuration.32. An implant for treating a urethral lumen claim 26 , comprising a plurality of legs arranged in triangular shape claim 26 , wherein the implant has a delivery configuration and a deployed configuration.33. The implant of wherein the delivery configuration has a smaller cross-section than the deployed configuration.34. The implant of wherein the implant self-expands from the delivery configuration to the deployed configuration.35. The implant of wherein the implant is expanded from the delivery configuration to the deployed configuration using a delivery ...

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02-05-2019 дата публикации

A ROTATING SHIELD BRACHYTHERAPY SYSTEM

Номер: US20190126064A1
Принадлежит:

An apparatus and method for using rotating shield brachytherapy (RSBT). In an aspect, the RSBT system and method can be used to maintain or increase tumor dose relative to conventional techniques with a dramatic reduction in radiation dose to the urethra, rectum, and bladder in the treatment of prostate cancer through placing partially shielded radiation sources away from sensitive tissues. In an aspect, the invention is an apparatus and method for the precise angular and linear positioning of multiple partially-shielded radiation sources in interstitial needles. In a further aspect, the invention comprises a monitoring and control apparatus for the precise and simultaneous angular positioning of multiple shield-containing catheters in the RBST system by measuring and correcting deviations between actual and desired catheter angular positions and depth in real time before and during treatment delivery. 1. A rotating shield brachytherapy (RSBT) system comprising: 'i. a catheter comprising a radiation source, a shield, and an emissions window;', 'a. a plurality of RSBT delivery devices, each RSBT delivery device comprisingb. a plurality of needles configured to be placed within a subject, each of the needles configured to receive a portion of the at least RSBT delivery device;c. a delivery system configured to translate and rotate the plurality of RSBT delivery devices; andd. a catheter position verification and correction system configured to verify the position of the plurality of catheters during and before a RSBT session.2. The RSBT system of claim 1 , wherein the delivery system comprises:a plurality of rotating shafts, wherein each of the plurality of rotating shafts is configured to be coupled to one of the plurality of RSBT delivery devices;a first fixed template;a second fixed template;a moving template between the first fixed template and the second fixed template,wherein each of the templates comprises a plurality of apertures configured to receive and ...

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03-06-2021 дата публикации

Variable Cryosurgical Probe Planning System

Номер: US20210161580A1
Автор: Bao Shenghao, Eum Jay J.
Принадлежит:

A cryosurgical system including a computer system programmed with software configured to perform the following steps: a) capturing at least one first view of a region of interest in a human body; b) capturing at least one second view of the region of interest; c) outlining the region of interest and at least one area outside the region of interest with the assistance of an operator; d) constructing a 3-dimensional model of the region of interest and the at least one area outside the region of interest utilizing the at least one first view and the at least one second view of the region of interest; and e) utilizing the 3-dimensional model of the region of interest and the at least one area outside the region of interest to determine at least one cryosurgical probe placement location. 1. A cryosurgical guide system for directing probe placement during a cryosurgical procedure comprising:a computer configured to perform the following steps: receive at least one captured view of a region of interest in a patient; receive indicators to identify the region of interest and an area outside the region of interest based on the captured first view; determine cryosurgical probe placement locations and cryosurgical probe settings for a plurality of cryosurgical probes to be used during the cryosurgical procedure; and verify the cryosurgical probe placement locations and the cryosurgical probe settings based on the indicators that identify the region of interest and the area outside the region of interest, and one or more criterion of verification.2. The cryosurgical guide system of claim 1 , wherein the region of interest is located within an organ selected from the group consisting of a prostate claim 1 , kidney claim 1 , liver claim 1 , and lung.3. The cryosurgical guide system of claim 1 , wherein the at least one captured view comprises a transverse view of the region of interest.4. The cryosurgical guide system of claim 1 , wherein the at least one captured view comprises a ...

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19-05-2016 дата публикации

MEDICAL DEVICE FOR TREATING AIRWAYS AND RELATED METHODS OF USE

Номер: US20160135867A1
Принадлежит:

A medical device for treating an airway of a patient. The medical device may include an elongate tubular member having a proximal end, a distal end, and a lumen extending therebetween. The medical device may also include a plurality of conductive elements disposed on a surface of the elongate tubular member. In some embodiments, at least one of the plurality of conductive elements may be disposed distally of another of the plurality of conductive elements. In addition, each of the plurality of conductive elements may be electrically coupled to a surface of the lumen. The medical device may also include a piston movably disposed within the lumen. The piston may include a distal portion configured to make electrical contact with one or more of the plurality of conductive elements. 120-. (canceled)21. A medical device for treating tissue , the device comprising:an expandable member movable between a collapsed configuration and one or more expanded configurations, the expandable member including a plurality of energy delivery elements, wherein at least some of the energy delivery elements are configured to be activated separately from a remainder of the energy delivery elements; anda control unit configured to receive a measurement from a sensor unit or from at least one of the plurality of energy delivery elements, wherein the measurement is indicative of a size of a body lumen in which the expandable member is disposed, and the control unit is configured to selectively activate the plurality of energy delivery elements based on the measurement.22. The medical device of claim 21 , wherein the control unit is configured to determine a degree of expansion of the expandable member based on the measurement claim 21 , and wherein the control unit is configured to selectively activate the plurality of energy delivery elements based on the determined degree of expansion.23. The medical device of claim 21 , wherein the control unit is configured to activate a first number of ...

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17-05-2018 дата публикации

DEVICE FOR SUPPLY OF HEAT TO BODY TISSUE

Номер: US20180132932A1
Принадлежит:

A device for supply of heat to body tissue, comprising heating means and a first temperature transducer which is insertable in the body tissue, the heating means being connected with an energy supply unit governed by a control unit via a catheter for treatment which is insertable in a body cavity and said first temperature transducer being operatively connected to the control unit. The control unit is operatively connected with memory means for storage of data corresponding to the survival of cells as a function of cell temperature. An input/output means is operatively connected to control unit to enter data such as desired volume/weight of body tissue to which heat is to be supplied to such an extent that the cells of the tissue die, and the control unit being operatively connected to calculation means for determining volume and weight of such body tissue whose cells have died as a function of temperature and time in the tissue at a certain distance from heating means. 1. A device for supply of heat to body tissue , comprising a catheter having a tip insertable into a human bladder and supporting heating means , an elongated carrier supporting spaced apart a first temperature transducer , a second temperature transducer and a third temperature transducer , said elongated carrier being extendable from the catheter in the vicinity of said heating means into body tissue , wherein a control unit is operatively connected to memory means for storage of heating data corresponding to the survival of cells as a function of cell temperature and time , and also operatively connected to said first temperature transducer , said second temperature transducer and said third temperature transducer , wherein said control unit is configured to obtain a first set of temperature data from said first temperature transducer , said second temperature transducer and said third temperature transducer , and wherein said control unit is configured to indicate differences between temperatures ...

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21-05-2015 дата публикации

MULTI-WAVELENGTH LASER AND METHOD FOR CONTACT ABLATION OF TISSUE

Номер: US20150141969A1
Принадлежит:

A multi-wavelength laser apparatus and methods for laser ablation of tissue are described. The apparatus and methods utilize a laser source emitting at two or more wavelengths coupled to a fiberoptic laser delivery device and a laser driver and control system with features for protection of the laser delivery device, the patient, the operator and other components of the laser treatment system. A fiber tip protection system limits damage to the fiberoptic laser delivery device, thereby allowing the multi-wavelength laser to be operated in a tissue contact mode. The invention, which has broad medical and industrial applications, is described in relation to a method for treatment of benign prostatic hyperplasia (BPH) by contact laser ablation of the prostate (C-LAP) using a technique of touch and pullback laser ablation of the prostate (TapLAP). 1. A method of medical treatment , comprising:conditioning a target tissue by exposing the target tissue to a first laser output beam at a first wavelength that is highly absorbed by the target tissue; andvaporizing the target tissue by exposing the preconditioned target tissue to a second laser output beam at a second wavelength that is less highly absorbed by the target tissue than the first wavelength, but is highly absorbed by the preconditioned target tissue.2. The method of claim 1 , wherein the first laser output beam conditions the target tissue by charring or carbonizing the target tissue.3. The method of claim 1 , wherein the first laser output beam is applied as a first laser pulse and the second laser output beam is applied as a second laser pulse that starts at a predetermined delay after a start of the first laser pulse.4. The method of claim 3 , wherein the delay between the start of the first laser pulse and the start of the second laser pulse is approximately 2-3 milliseconds.5. The method of claim 3 , wherein the second laser pulse overlaps with the first laser pulse.6. The method of claim 5 , wherein the ...

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21-05-2015 дата публикации

Delivery devices with coolable energy emitting assemblies

Номер: US20150141985A1
Принадлежит: Holaira Inc

Systems, delivery devices, and methods to treat to ablate, damage, or otherwise affect tissue. The treatment systems are capable of delivering a coolable ablation assembly that ablates targeted tissue without damaging non-targeted tissue. The coolable ablation assembly damages nerve tissue to temporarily or permanently decrease nervous system input.

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17-05-2018 дата публикации

SYSTEM AND METHOD FOR BRONCHIAL DILATION

Номер: US20180133475A1
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A method of reducing bronchial constriction in a subject includes delivering energy to create one or more lesions on a main bronchus so as to transect pulmonary nerves sufficiently to reduce bronchial constriction in a lung of the patient distal to the main bronchus. 1delivering energy so as to damage pulmonary nerves located along an airway in the subject sufficiently to reduce bronchial constriction in a lung of the patient; andpreventing re-innervation of the pulmonary nerves.. A method of reducing bronchial constriction in a subject, comprising: This application is a continuation of application Ser. No. 15/401,825 filed Jan. 9, 2017, which in turn is a continuation of application Ser. No. 14/841,836 filed Sep. 1, 2015, now U.S. Pat. No. 9,539,048 issued Jan. 10, 2017, which in turn is a continuation of application Ser. No. 14/265,443 filed Apr. 30, 2014, now U.S. Pat. No. 9,125,643 issued Sep. 8, 2015, which in turn is a continuation of application Ser. No. 13/920,801 filed Jun. 18, 2013, now U.S. Pat. No. 8,731,672 issued May 20, 2014, which in turn is a continuation of U.S. patent application Ser. No. 13/523,223 filed Jun. 14, 2012, now U.S. Pat. No. 8,489,192 issued Jul. 16, 2013, which in turn is a continuation of U.S. patent application Ser. No. 12/372,607 filed Feb. 17, 2009, now U.S. Pat. No. 8,483,831 issued Jul. 9, 2013, which in turn claims the benefit of U.S. Provisional Application No. 61/066,026 filed Feb. 15, 2008, and U.S. Provisional Application No. 61/049,605 filed May 1, 2008, each of which is hereby fully incorporated herein.This document pertains generally to medical devices, and more particularly, but not by way of limitation, to systems and methods for bronchial stimulation.Obstructive pulmonary disease, including asthma, emphysema, or chronic bronchitis, afflicts more than 25 million individuals in the United States and accounted for over 17 million physician office visits in the mid 1990's. Current estimates for the total cost of these ...

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09-05-2019 дата публикации

Body Lumen Junction Localization

Номер: US20190133489A1
Автор: Kassab Ghassan S.
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Devices, systems, and methods for the localization of body lumen junctions and other intraluminal structure are disclosed. Various embodiments permit clinicians to identify the locations of intraluminal structures and medical devices during non-surgical medical techniques, by determining the conductance and/or cross-sectional area at a plurality of locations within the body lumen. 1. A medical method , comprising:obtaining a system including a catheter coupled to a processor; each electrode of the pair of electrodes serves an excitation function and a detection function, and', 'a delay occurs between performance of the excitation function and performance of the detection function;, 'introducing the catheter into a body lumen, the catheter including a pair of electrodes designed to collect relative conductance values, wherein a first relative conductance at a first location in the body lumen based on first relative conductance values of collected relative conductance values;', 'a second relative conductance at a second location in the body lumen based on second relative conductance values of the collected relative conductance values; and', 'a junction of the body lumen when a change in relative conductance between the first location and the second location is detected by the pair of electrodes., 'constructing a profile via the processor, the profile illustrating2. The method according to claim 1 , wherein constructing the profile comprises providing an electrical current flow to the body lumen through the catheter.3. The method according to claim 1 , wherein introducing the catheter into the body lumen comprises immersing the pair of electrodes in blood.4. The method according to claim 1 , wherein a proximal end of each of the pair of electrodes is communicatively coupled to the processor.5. The method according to claim 1 , wherein the pair of electrodes are designed to collect the first relative conductance values at a first time and the second relative conductance ...

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