CN1217639A - 悬雍垂、扁挑体、腺样体和鼻窦组织治疗装置和方法 - Google Patents

悬雍垂、扁挑体、腺样体和鼻窦组织治疗装置和方法 Download PDF

Info

Publication number
CN1217639A
CN1217639A CN97194406A CN97194406A CN1217639A CN 1217639 A CN1217639 A CN 1217639A CN 97194406 A CN97194406 A CN 97194406A CN 97194406 A CN97194406 A CN 97194406A CN 1217639 A CN1217639 A CN 1217639A
Authority
CN
China
Prior art keywords
electrode
uvula
coupled
electrode assembly
described electrode
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN97194406A
Other languages
English (en)
Inventor
斯图尔特·D·爱德华兹
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Somnus Medical Technologies Inc
Original Assignee
Somnus Medical Technologies Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Somnus Medical Technologies Inc filed Critical Somnus Medical Technologies Inc
Publication of CN1217639A publication Critical patent/CN1217639A/zh
Pending legal-status Critical Current

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02—Instruments for taking cell samples or for biopsy
    • A61B10/0233—Pointed or sharp biopsy instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1442—Probes having pivoting end effectors, e.g. forceps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1477—Needle-like probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1485—Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/04—Electrodes
    • A61N1/06—Electrodes for high-frequency therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/40—Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/40—Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals
    • A61N1/403—Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals for thermotherapy, e.g. hyperthermia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/02—Radiation therapy using microwaves
    • A61N5/04—Radiators for near-field treatment
    • A61N5/045—Radiators for near-field treatment specially adapted for treatment inside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/148—Probes or electrodes therefor having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B18/24—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00092—Temperature using thermocouples
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A61B2017/00101—Temperature using an array of thermosensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00106—Sensing or detecting at the treatment site ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • A61B2017/00123—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation and automatic shutdown
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00137—Details of operation mode
    • A61B2017/00154—Details of operation mode pulsed
    • A61B2017/00181—Means for setting or varying the pulse energy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00137—Details of operation mode
    • A61B2017/00154—Details of operation mode pulsed
    • A61B2017/00194—Means for setting or varying the repetition rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831—Material properties
    • A61B2017/00867—Material properties shape memory effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22072—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other
    • A61B2017/22074—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel
    • A61B2017/22077—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with an instrument channel, e.g. for replacing one instrument by the other the instrument being only slidable in a channel, e.g. advancing optical fibre through a channel with a part piercing the tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22082—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for after introduction of a substance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24—Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • A61B2017/248—Operations for treatment of snoring, e.g. uvulopalatoplasty
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3488—Fixation to inner organ or inner body tissue
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00005—Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023—Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00071—Electrical conductivity
    • A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00089—Thermal conductivity
    • A61B2018/00095—Thermal conductivity high, i.e. heat conducting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00059—Material properties
    • A61B2018/00089—Thermal conductivity
    • A61B2018/00101—Thermal conductivity low, i.e. thermally insulating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00184—Moving parts
    • A61B2018/00196—Moving parts reciprocating lengthwise
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022—Balloons
    • A61B2018/0025—Multiple balloons
    • A61B2018/00261—Multiple balloons arranged in a line
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053—Mechanical features of the instrument of device
    • A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
    • A61B2018/00291—Anchoring means for temporary attachment of a device to tissue using suction
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00321—Head or parts thereof
    • A61B2018/00327—Ear, nose or throat
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00547—Prostate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00666—Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678—Sensing and controlling the application of energy using a threshold value upper
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00702—Power or energy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00726—Duty cycle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00744—Fluid flow
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00761—Duration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • A61B2018/00797—Temperature measured by multiple temperature sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00791—Temperature
    • A61B2018/00821—Temperature measured by a thermocouple
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00875—Resistance or impedance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00886—Duration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091—Handpieces of the surgical instrument or device
    • A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/0094—Types of switches or controllers
    • A61B2018/00946—Types of switches or controllers slidable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/1253—Generators therefor characterised by the output polarity monopolar
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/126—Generators therefor characterised by the output polarity bipolar
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1273—Generators therefor including multiple generators in one device
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/128—Generators therefor generating two or more frequencies
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B2018/1405—Electrodes having a specific shape
    • A61B2018/1425—Needle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A61B2018/2238—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor with means for selectively laterally deflecting the tip of the fibre
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0814—Preventing re-use
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A61B2090/3614—Image-producing devices, e.g. surgical cameras using optical fibre
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37—Surgical systems with images on a monitor during operation
    • A61B2090/378—Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
    • A61B2090/3786—Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument receiver only
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
    • A61B2090/3925—Markers, e.g. radio-opaque or breast lesions markers ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/005—Auxiliary appliance with suction drainage system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A61B2217/007—Auxiliary appliance with irrigation system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A61B2218/003—Irrigation using a spray or a foam
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0054—Heating or cooling appliances for medical or therapeutic treatment of the human body with a closed fluid circuit, e.g. hot water
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082—Catheter tip comprising a tool
    • A61M25/0084—Catheter tip comprising a tool being one or more injection needles
    • A61M2025/0089—Single injection needle protruding axially, i.e. along the longitudinal axis of the catheter, from the distal tip
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082—Catheter tip comprising a tool
    • A61M2025/0096—Catheter tip comprising a tool being laterally outward extensions or tools, e.g. hooks or fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M2025/018—Catheters having a lateral opening for guiding elongated means lateral to the catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/02—Radiation therapy using microwaves
    • A61N5/04—Radiators for near-field treatment

Abstract

一种摘除至少一部分悬雍垂的装置,它包括一电极装置,该电极装置有一近端,以及尖锐得足以刺破悬雍垂的外表的电极远端,而不必有支承悬雍垂的固定装置。与电极装置耦合的进入和退出装置使电极装置远端通过悬雍垂的外表面进入悬雍垂的内部区域。进入和退出装置使电极装置远端从悬雍垂内部退出。手柄装置与电极装置近端耦合。电缆装置与电极装置耦合。治疗中采用RF能量。还具有抽吸和输注装置。

Description

悬雍垂、扁桃体、腺样体和鼻窦组织治疗装置和方法             与共同待批的专利申请的关系
本发明是申请日为1995年9月23日的专利申请08/311,097的续展申请，该申请08/311,097又是下述共同待批专利申请的续展申请：申请日1992年8月12日的专利申请07/929,638；申请日为1993年2月2日的专利申请08/012,370(专利号5,370,675)；申请日为1993年5月13日的专利申请08/062,364；申请日为1993年5月13日的专利申请08/061,647；申请日为1993年5月14日的专利申请08/061,072(专利号5,385,544)以及申请日为1994年5月9日的专利申请08/239,658。上述专利申请在此引述供参考。
                  发明领域
本发明一般涉及悬雍垂、扁桃体、腺样体和鼻窦组织的治疗方法和装置。本发明尤其涉及悬雍垂、扁桃体、腺样体和鼻窦组织的射频(RF)摘除装置和治疗方法。
                  发明背景
细胞组织的治疗通常需要应用医学仪器直接接触目标组织，通常的外科手术使目标组织和介入组织受到损伤。通常，很难准确地放置治疗探测器，这是因为人体内的目标组织的位置或目标组织的周围有易受损伤的人体重要器官、神经或其他的组元。
原地破坏细胞组织通常用在许多疾病的治疗和医疗情况下，或者作为外科摘除手术的辅助治疗。与外科手术相比，这通常创伤较小，并且在没有其他更安全的手术的情况下也许是唯一的一种方法。摘除治疗装置的优点是采用破坏性能量，这种能量由于循环液体和其他自然人体过程(natural body processes)的传导和对流而快速耗散并减小到非破坏性水平。
微波、射频、声学(超声波)和光能(激光)装置以及组织破坏物质已被用来破坏各解剖部位和器官中的恶性、良性和其他类型的细胞和组织。所治疗的组织包括孤立的癌组织，特别是前列腺、肤腺和作为良性前列腺增生特征的间质状小结(stromal nodule)。这些装置通常包括一个导管或插管，用来通过一个管道将射频电极或微波天线送人治疗区，并通过该管道壁将能量沿所有方向扩散作用于周围组织。
共同待批的专利申请揭示了一种通常用于医疗目的而刺人人体组织以及采用光学观察进行射频医学治疗的摘除治疗探测器。
目前，这种RF摘除技术可以扩大到悬雍垂、扁桃体、腺样体和鼻窦的治疗。许多人都经历过扁桃体红肿和腺样体红肿的病痛。也有许多人生过鼻窦病(sinusproblem)。过去，所有这些病痛都是采用外科手术来治疗的。但是，外科手术会引起病人的不适以及出血。另外，外科手术要求病人住院，这需要花许多钱。
                发明目的和概述
所以，本发明的目的是提供一种治疗悬雍垂、扁桃体和鼻窦的方法，并且这种方法使出血最少、对周围组织的损伤最小。
本发明的另一个目的是提供一种治疗悬雍垂、扁桃体、腺样体和鼻窦组织的装置，这种装置具有一种一次性电极。
本发明的再一个目的是提供一种治疗悬雍垂、扁桃体、腺样体和鼻窦组织的方法，这种方法中采用治疗装置通过鼻腔进入对组织进行治疗。
本发明的上述目的及其他目的是通过一种组织摘除以减小所述组织的大小和减少所述组织的物质的方法来实现的，该方法包括下述步骤：a)通过人体开口部位插入一个探测器，并使该探测器移动接近该组织，探测器外面带有可在探测器上轴向移动并随之弯曲的绝缘套；b)将所述绝缘套和所述电极伸出所述探测器并刺入所述组织；c)从电极的远端退出所述绝缘套，以暴露预定的电极区域进行摘除手术；以及d)将RF能量作用于所暴露的电极区域周围的组织，实施所述组织的摘除。本文还揭示了一种对组织进行治疗的装置。
                    附图简述
图1绘出的是悬雍垂、扁桃体、腺样体和鼻窦组织位置的人体头部的矢状位图(sagittal view)。
图2是嘴的正视图示出悬雍垂和扁桃体的位置。
图3是本发明的管心针摘除装置的平面图。
图4是图3所述管心针摘除装置的手柄顶板的俯视图(top view)。
图5是沿图3中A-A线方向截取的图3所示管心针摘除装置的手柄的手动控制部分的局部截面图。
图6是如图3所示管心针摘除装置尖端部分的局部截面图，其中，管心针缩回到尖端部分内。
图7是图3所示管心针摘除装置尖端部分的局部截面图，其中，电极和绝缘套从尖端部分伸出。
图8是病人最的正视图，其中，病人的悬雍垂由于采用本发明的摘除方法而缩小。
图9是本发明治疗悬雍垂、扁桃体、腺样体和鼻窦组织的装置的等距图(isometric view)。
图10是图9所示装置的探测器端部的放大局部侧视图(expanded fragmentarycut-away side view)，该装置具有可退缩光纤、可退缩电极以及操作机构。
图11是图9所示装置的探测器端部的放大局部侧视图(expanded fragmentarycut-away side view)，该装置具有伸展光纤、伸展电极以及操作机构。
图12是图9所示装置的探测器端部的放大局部侧视图(expanded fragmentarycut-away side view)，该装置具有双极电极和光纤。
图13是图9所示装置的探测器端部的放大局部侧视图(expanded fragmentarycut-away side view)，该装置具有空心电极以及罩在电极内的光纤。
图14是本发明中使用的一个单极电极实施例的放大局部侧视图。
图15是另一个单极电极实施例的放大局部侧视图。
图16是另一个单极电极实施例的放大局部侧视图。
图17是图9所示装置沿A-A线截取的局部放大截面图。
图18是本发明的装置具有用于治疗扁桃体的单极钳状电极的装置用于人头部时的矢状位图。
图19是本发明的装置采用一个单极电极治疗一对扁桃体的装置时人嘴的正视图。
图20是本发明的装置用于治疗巨大腺样体时人头部的矢状位图。
图21是本发明的装置用于治疗后鼻窦组织时人头部的矢状位图。
图22是本发明的装置用于治疗前鼻窦(frontal sinus)组织时人头部的矢状位图。
图23是本发明的装置用于治疗悬雍垂时人头部的矢状位图。
                发明的详细描述
为了理解本发明的装置和方法，需要先粗略地看一下人头部的解剖图。图1是人头部1的矢状位图。鼻3具有对鼻腔13进行外科手术的通道。图中还示出了嘴2。通过嘴2，可以看到腭4所在的位置。在腭4的端部是悬雍垂6。悬雍垂6可以通过嘴2或鼻3触及。嘴2内舌10后面是扁桃体8。图中只示出了一个扁桃体。鼻腔13具有开口16和18，它们分别通向前鼻窦15和蝶窦17。另外，腺样体组织也可以通过鼻腔触及。
嘴和鼻内会发生许多疾病。例如，会发生人们熟知的扁桃体炎(即扁桃体红肿)。也会出现鼻窦炎(即鼻窦组织红肿)。另外，人们还会出现腺样体红肿。有人还会出现悬雍垂红肿，或者需要施行悬雍垂缩小术以防止打鼾。
过去，对这些疾病采用外科手术进行治疗。但外科手术有许多风险，并且会出血。本发明的装置和方法可以治疗上术疾病，并减少复发和出血。
本发明的第一个实施例用来缩小悬雍垂组织以防止打鼾。
图2绘出的是病人的嘴。嘴2中后面从腭垂下的圆锥形组织称为悬雍垂6。此外，还绘出了与悬雍垂6相关的舌10和一对扁桃体8，作为对照。
某些病人睡眠时喜欢仰面而睡，并且有时通过嘴呼吸。空气通过嘴向肺的运动会使悬雍垂振动而产生猛烈、刺耳的声响，并且有时声音很响。通常将这种声音称为打鼾。除非由别人告知，否则睡着的病人听不到自己的打鼾声。在其他一些病人中，悬雍垂6可能大到足以盖住喉部，而阻塞流向肺的空气。这样会出现喘气，并且可能会惊醒并翻滚。因此，打鼾对病人来说是不舒服的，并且在某种程度上说使病人的同床就寝者无法安宁。
除了用唤醒病人的身体的、外部的装置外或者至少使打鼾者翻身以外，可以进行的就是外科手术了。可以施行悬雍垂摘除术或局部悬雍垂摘除术，摘除全部或局部悬雍垂。然而，无论病人如何健壮或健康，任何手术都有其固有的风险。同时，由于手术时会出血并且必须缝合，所以康复时间较长。此外，会引起病人的疼痛和不适。传统的悬雍垂摘除术可以用普通的手术刀或采用强激光来施行，用以破坏部分或全部悬雍垂手术。
为了减少病人的病痛、不适和康复时间，可以采用射频(RF)或微波摘除技术。采用RF摘除术，放置在悬雍垂组织内电极产生的RF信号使组织加热。细胞被加热到坏死的程度。事实上，RF摘除术使得在悬雍垂内部引起小损伤，并由人体吸收。因此，不会引起外出血，并且无需缝合。同时使悬雍垂缩小。
本发明中所采用的医学摘除方法对于去除悬雍垂中不需要的组织以减小打鼾的局部治疗摘除具有独特的优越性。为了完整地理解采用摘除减小打鼾的方法，下面描述共同待批专利申请中的摘除装置。
下面参照图3和图4描述摘除装置的特定结构。图3是摘除装置的平面图。该装置通常具有手柄部分20和输送管部分22。管心针套手动控制组件(styletsleeve manual control tab)26和管心针电极手动控制组件24装在手柄顶板(handletop plate)23的槽52和54中用滑动啮合(图4)。刻度标记28表示管心针相对于管心针角度指示器30的相对角度。角度指示器30可以是弯曲透明管中的气泡、称重枢式刻度盘或电子角度指示器。滑动组件24和26端面32和34关于其行程参照刻度(gauge reference strip)36和38的位置给出图5和图6中管心针58和套管38的相对位置。下面对滑动组件和参照量规作更详细的描述。
光纤连接器42、RF源连接器44和欧姆电阻连接器46的连接器从手柄部分20的近端延伸。连接器将本发明的摘除装置与光源、电源和检测器分别相连。
图4是图3中摘除装置手柄顶板23的俯视图。如上所述，槽52和54中容纳各组件24和26，并且相互间是滑动啮合。槽50容纳管心针角度指示器30。图中还示出有参照行程刻度36、38。
下面描述手动组件24、26的结构。图5是图3中沿A-A线截取的管心针装置手柄的手动控制部分的局部截面图。
图5是侧视图，由于套管手动控制组件26位于电极手动控制组件24的正后方，所以图中只画出电极手动控制组件24。电极手动控制组件24与一个电极连接器56相连。电极连接器56接着与电极58相连。尽管图中未示出，但电极58还与RF源连接器44和欧姆阻抗连接器46相连。电极58在套管62中滑动。套管62与套管连接器60相连，而该套管连接器60接着与套管手动控制组件26相连。所以，电极58和套管62可以相对滑动。
电极58最好用柔软的成形记忆金属(shape memory metal)如镍-钛合金或回火钢制成，也可以是传导RF能量的任何一种材料。套管62最好用适应性较好的绝缘塑料材料如聚酰胺制成。下面描述组件24、26的操作。
手动控制组件24和26的同时前向运动或后向运动使得电极58和套管62可以同时前进和后退。如果仅移动电极手动控制组件24，那么电极58在套管62中滑动，或者退入套管62、或者从套管62中伸出。类似地，如果仅移动套管手动控制组件26，则套管在电极外滑动。参照刻度36和38提供电极手动控制组件24和套管手动控制组件26的受控定位的基准点，使得可以象下文中更详细说明的那样可以精确地、独立地对电极58和套管62进行定位，从而控制对悬雍垂的摘除。
图6是如图3所示摘除装置的截面图，图中，管心针退人针74的尖端部，而一开始插入到直针可以进入的位置上。电极尖端70位于针74的前沿尖锐尖端72的后面。绝缘套尖端76正好位于电极针70前面边缘的后面。
当电极58是空心管时，它可以是治疗时用于呼吸、液体传送的管道，或者在本实施例中，是一个用于光纤束78的罩壳。经抛光的光纤尖端80位于电极尖端70的后面，使得的插入时可以观看电极周围的组织。
图7是图6所示管心摘除装置尖端的截面图，其中，电极和套管从针74中伸出。该实施例中，针74呈笔直形状。针74也可以是弯曲的。套管62一开始位于图中罩住电极的虚线位置84处。在针74插入到人体内要摘除的特定部位以后，套管62从电极58的选择部分退出，而暴露要求的特定电极区，形成要求大小的组织坏死。套管的退出如上所述受套管手动控制组件26的控制。
图8是按照本发明的方法用RF摘除装置治疗悬雍垂6时病人嘴的正视图。病人张开嘴2，并压下舌。使带有手柄部分20的RF摘除装置定位，使针74靠近悬雍垂6。套管62和电极58接着从针74中伸出而刺人悬雍垂6。随后，根据要摘除的悬雍垂的大小，使电极58露出一定的距离。接着，通过电极58送人RF能量或微波能量，使得在悬雍垂6内形成内部损伤。一旦内部损伤由人体吸收，则悬雍垂6变小，从而使打鼾得到根治。
下面描述可以用来治疗扁桃体组织、腺样体组织、鼻窦组织甚至是悬雍垂组织的本发明的另一个实施例。下面既描述治疗这些组织的装置，也描述治疗这些组织的方法。
图9是用来治疗悬雍垂、扁桃体、腺样体和鼻窦组织的另一个实施例装置的平面图。本实施例具有与第一个实施例许多相似的部件，因而相似的部件用相同的标号标注。手柄部分90与探头90相连，该探头92具有手柄端94和探头端96。该装置具有相同的组件24和26，用来控制电极124和套管122。所以，这里不描述组件24、26的操作。本实施例的一个不同点是电极124是一次性的，从而组件24、26和其他的控制器安装在铰链110上打开的表面109上。控制器将在下文中参照图17来描述。
本实施例的装置还具有电阻计112和温度计114，它们可以安装在手柄90内。两个表计112和114与RF电源头44电相连，提供反馈数据。两个表计使得在术中可以精确地对治疗进行控制。发器防护装置108，控制RF电源的通电。手柄90还具有观察镜98，该观察镜98由铰链100与手柄90相连，从而观察镜98是可调的。观察镜98与光纤78相连，使得手术医生可以随时观察治疗过程。手柄90还具有水平操纵控制轮102和垂直操纵控制轮104。两轮的操纵将在下面参照图10描述。
图10是图9所示装置探头端96的放大侧视图。本实施例中探头端部96是不尖锐的，从而它可以通过窦腔进入，而不会刺破任何组织。本实施例中，需要进行的组织刺破是由电极124的尖锐尖端126来完成的。在探头端96内，有一个带尖锐尖端126的电极124、围绕电极的套管122和光纤78。与电极相比，套管122较薄，并且位于电极的尖锐尖端126的后面。所以，电极124和套管122一起可以刺破组织。然后，套管122可以退回，而露出电极124。而且，套管122也可以在组织刺破之前退出。另外，套管122可以牢靠地固定在电极124上，从而总露出一预定量的电极124。套管122防止治疗时损伤健康的组织。例如，套管122将在腺样体组织的治疗时保护鼻腔。还具有由操纵线与两个操纵轮102和104相连的操纵构件。图中只示出垂直控制线118和120以及垂直操纵构件116。应当理解，水平操纵构件和操纵线是以相同的方式工作的。垂直操纵构件116安装在靠近手柄端部94的地方。为了向上操纵探头端部96，转动垂直操纵轮102，拉回上操纵线，使得软操纵构件116向上弯曲，而使得探头端部96也弯曲。类似地，探头端部96也可以向下调节。应当指出，探头端部96、电极124和套管122以及光纤78都具有一定的柔软性，因而可以弯曲。操纵构件的更详细的描述可以参见美国专利5,195,968和5,254,088。
图11是图10中的探头端部96带有光纤78、套管122和电极124从探头端部伸出的情况。图12是本实施例的装置在单个的套管132中具有双极电极128和130、并且具有光纤78和操纵结构的情况。与需要外部接地板的单极电极124不同的是，双极电极为第一电极128和第二电极130。RF电流从在电压V1下从第一电极128流出，通过要治疗的组织，通过第二电极130在低于V1的电压V2下返回。双极电极在本发明中可以与单极电极一样使用。
图13是本发明的另一个实施例，它具有一个空心的单极电极134。与以前一样，空心单极电极134罩在套管135内。但是，光纤78位于空心单极电极内。与以前一样，操纵机构位于探头端部96内。
图14、15和16是三个单极电极的不同实施例。图14是用来治疗悬雍垂或扁桃体组织的钳状电极138。当钳状电极138在套管内时，它呈闭合状。而当套管退出时，钳状电极138呈图示的形状。类似地，图15绘出钳状电极140的另一种实施例。图16是在一次治疗过程中用来治疗两个扁桃体时具有两个分叉的情况。
图17是图9所示装置沿B-B线截取时的放大截面图，图中还示出手柄具有组件24、26时铰链链接的表面109。与前面一样，由于套管26位于另一组件的正后方，所以图中只示出电极组件24的情况。电极组件24与电极连接器150相连。电极连接器150有一个将一次性电极124与连接器150电连接的电触头146。连接器150有一个将一次性电极124与RF连接器44(未示出)电连接的电轨(trace)144。连接器150还将一次性电极124与电极组件24机械相连。类似地，套管组件由与套管122相连的套管触头148与套管连接器152相连。
在手术中将探头端部96指向靠近目标组织的地方以后，一次性电极124和套管122通过铰链链接面109而处于装置内。一旦电极和套管到位以后，铰链链接面109闭合并锁住。当铰链链接面109闭合并锁住以后，活动电极124和套管122与装置机械地、电气地相连。完成采用特定电极进行的治疗以后，打开铰链链接面109，并去掉一次性电极124和套管122。随后可以插入另一电极，也可以去掉该装置。
下面参照图18-23描述治疗扁桃体组织、腺样体组织、蝶窦组织、前鼻窦组织和悬雍垂组织的方法。图18是通过嘴插入探头92对扁桃体8进行治疗时头的矢状位图。手术时使探头端部96靠近扁桃体8，从探头端部96中伸出光纤78、电极124和套管122。随后，从套管122中伸出钳状电极138，包围扁桃体8。随后，RF电流流过电极124，在扁桃体8中引起内部损伤。如果向扁桃体8提供足够的能量，则可以去除所有的扁桃体组织。在两种情况下，必须使组织的温度在足够的时间内上升到47℃以上，使组织细胞坏死。不会出现明显的出血就能使扁桃体8得到治疗。
类似地，在图19中，探头是通过嘴2插入的，并且用分叉的电极142同时治疗两个扁桃体。分叉电极142具有尖锐的尖端，使得电极可以刺破扁桃体，并在扁桃体内产生RF电流。同样，RF电流在扁桃体内产生损伤。
图20是通过鼻3和鼻腔13插入探头治疗腺样体14时的情况。治疗时，如果必要，光纤78用来帮助手术医生将探头端部96引导到靠近腺样体14的地方，必要时使用操纵轮。靠近腺样体14以后，医生朝腺样体14的方向伸出光纤78和套管122。随后，电极124伸出套管122，直到电极尖锐尖端126刺入腺样体14达到所要求的深度。接着，由电极向该组织提供RF电流，在腺样体内形成损伤。人体吸收损伤以后，腺样体收缩或根除。
图21是通过鼻3和鼻腔13插入探头治疗蝶窦组织17时的情况。与前面一样，医生用操纵轮102和104调节探头96的方向，并引导探头端部接近蝶窦17的开口18处。随后，带有电极的光纤78和套管122通过开口18伸入到蝶窦内。接着，电极124的尖锐尖端伸入到鼻窦组织内，并完成治疗。类似地，图22绘出通过鼻3和鼻腔13插入装置治疗前鼻窦时的情况。同样，用操纵轮102调节探头端部96，从而将其校正定位在靠近前鼻窦15的开口16处。与以前一样，光纤78和套管122通过开口16伸出，鼻腔电极124的尖锐尖端126到刺入组织内，提供RF能量对该组织进行治疗。
图23是通过嘴2插入探头对悬雍垂6进行治疗时的情景。使探头端部96接近悬雍垂6，并伸出光纤78和套管122。随后，从套管中伸出电极124，用电极尖锐尖端126刺破悬雍垂，实施治疗。
在参照特定实施例对本发明作了描述以后，应当指出，本领域的技术人员在不偏离本发明的精神和范围的情况下，可以进行各种变更和元件替换。另外，在不偏离发明原理的情况下，还可以作许多的修改。
为进行描述和说明，上文中给出了本发明较佳实施例的描述。但这些实施例是没有穷尽的，本发明并非仅限于所揭示的形式。很明显，本领域的技术人员还可以进行各种修改和变化。本发明的保护范围以权利要求书中的限定或其等效为准。

Claims (16)

1．一种摘除至少一部分悬雍垂的装置，其特征在于，
电极装置，包括近端(proximal)、足够尖锐而能刺破悬雍垂外部的电极装置远端以及电极装置能量传送面，其中，当位于悬雍垂内部在悬雍垂内部产生一摘除体积但保留悬雍垂的外粘膜表面时，所述电极装置能量传送面具有足够的长度；
进入和退出装置，它与所述电极装置耦合，并使所述电极装置远端通过悬雍垂的外表面进入所述悬雍垂，所述进入和退出装置还使所述电极装置远端从所述悬雍垂内部退出；
手柄装置，它与所述电极装置近端耦合；以及
电缆装置，它与所述电极装置耦合。
2．如权利要求1所述的装置，其特征在于，它还包含：
输注介质装置，它与所述电极装置耦合，用来向电极装置远端提供输注介质。
3．如权利要求1所述的装置，其特征在于，它还包含：
观察装置，它与所述电极装置耦合，用来观察至少一部分所述悬雍垂。
4．如权利要求1所述的装置，其特征在于，它还包含：
与所述电缆装置耦合的能源装置。
5．如权利要求1所述的装置，其特征在于，所述电极装置是与一个RF能源装置耦合的RF电极装置。
6．如权利要求1所述的装置，其特征在于，所述电极装置是与RF能源装置耦合的双极RF电极装置。
7．如权利要求1所述的装置，其特征在于，所述电极装置是与一RF能源装置耦合的单极RF电极，所述装置还包括接地电极(groundpad electrode)装置。
8．如权利要求5所述的装置，其特征在于，它还包含：
与所述RF电极装置耦合并用来从所述悬雍垂去除一抽吸介质(aspirationmedium)的抽吸装置。
9．如权利要求1所述的装置，其特征在于，它还包含：
与所述电极装置耦合的绝缘装置。
10．如权利要求1所述的装置，其特征在于，它还包含：
组件控制装置，它与所述电极装置耦合，并用来指示所述电极装置进入和退出所述悬雍垂的进入距离和退出距离。
11．一种摘除至少一部分悬雍垂的装置，其特征在于，它包含：
RF电极，它包括一近端，和足够尖锐而能够刺破所述悬雍垂的外表的远端，以及电极能量传送面，其中，当位于所述悬雍垂的内部而在所述悬雍垂内部产生一个摘除体积但保留所述悬雍垂的外粘膜表面时，所述电极能量传送面具有充分的长度；
进入和退出装置，它与所述电极耦合，用来使所述电极远端进入和退出所述悬雍垂的内部区域，其中，所述进入和退出装置用来使所述电极远端进入所述悬雍垂的内部，而不会穿过所述悬雍垂；
与所述电极耦合的手柄；以及
与所述电极耦合的电缆。
12．如权利要求11所述的装置，其特征在于，它还包含：
输注介质源，它与所述电极耦合，并向所述电极远端提供输注介质。
13．如权利要求11所述的装置，其特征在于，它还包含：
观察装置，它与所述电极耦合，并用来提供至少一部分所述悬雍垂的观察。
14．如权利要求11所述的装置，其特征在于，它还包含：
与所述电极耦合的RF能源。
15．如权利要求11所述的装置，其特征在于，它还包含：
与所述RF电极耦合的抽吸源(asperation source)。
16．如权利要求11所述的装置，其特征在于，所述手柄包含：与至少一部分电极外部呈包围关系的绝缘物。
CN97194406A 1996-05-06 1997-03-06 悬雍垂、扁挑体、腺样体和鼻窦组织治疗装置和方法 Pending CN1217639A (zh)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/643,203 1996-05-06
US08/643,203 US5718702A (en) 1992-08-12 1996-05-06 Uvula, tonsil, adenoid and sinus tissue treatment device and method

Publications (1)

Publication Number Publication Date
CN1217639A true CN1217639A (zh) 1999-05-26

Family

ID=24579794

Family Applications (1)

Application Number Title Priority Date Filing Date
CN97194406A Pending CN1217639A (zh) 1996-05-06 1997-03-06 悬雍垂、扁挑体、腺样体和鼻窦组织治疗装置和方法

Country Status (8)

Country Link
US (2) US5514131A (zh)
EP (1) EP0904025A2 (zh)
JP (1) JP2000509619A (zh)
KR (1) KR20000010815A (zh)
CN (1) CN1217639A (zh)
AU (1) AU2070897A (zh)
CA (1) CA2253705A1 (zh)
WO (1) WO1997041786A2 (zh)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102458272A (zh) * 2009-04-27 2012-05-16 因特尔赛克特耳鼻喉公司 治疗与扁桃体切除术相关的疼痛的装置和方法
CN104161567A (zh) * 2014-05-09 2014-11-26 殷敏 一种腺样体切除钳
CN110891512A (zh) * 2017-07-06 2020-03-17 波士顿科学医学有限公司 窥镜设备
CN112261913A (zh) * 2018-06-08 2021-01-22 波士顿科学医学有限公司 用于组织凝结的系统和方法
CN113692258A (zh) * 2019-04-04 2021-11-23 阿克拉伦特公司 用于鼻后神经消融的针器械

Families Citing this family (392)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6053172A (en) 1995-06-07 2000-04-25 Arthrocare Corporation Systems and methods for electrosurgical sinus surgery
US6086585A (en) * 1995-06-07 2000-07-11 Arthrocare Corporation System and methods for electrosurgical treatment of sleep obstructive disorders
US6063079A (en) 1995-06-07 2000-05-16 Arthrocare Corporation Methods for electrosurgical treatment of turbinates
US6109268A (en) 1995-06-07 2000-08-29 Arthrocare Corporation Systems and methods for electrosurgical endoscopic sinus surgery
US5514131A (en) * 1992-08-12 1996-05-07 Stuart D. Edwards Method for the ablation treatment of the uvula
US5728143A (en) * 1995-08-15 1998-03-17 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US5683384A (en) 1993-11-08 1997-11-04 Zomed Multiple antenna ablation apparatus
US6071280A (en) 1993-11-08 2000-06-06 Rita Medical Systems, Inc. Multiple electrode ablation apparatus
US5928229A (en) 1993-11-08 1999-07-27 Rita Medical Systems, Inc. Tumor ablation apparatus
US20050187599A1 (en) * 1994-05-06 2005-08-25 Hugh Sharkey Method and apparatus for controlled contraction of soft tissue
US5458596A (en) 1994-05-06 1995-10-17 Dorsal Orthopedic Corporation Method and apparatus for controlled contraction of soft tissue
US5707349A (en) * 1994-05-09 1998-01-13 Somnus Medical Technologies, Inc. Method for treatment of air way obstructions
US5743870A (en) * 1994-05-09 1998-04-28 Somnus Medical Technologies, Inc. Ablation apparatus and system for removal of soft palate tissue
US5843021A (en) 1994-05-09 1998-12-01 Somnus Medical Technologies, Inc. Cell necrosis apparatus
US5730719A (en) * 1994-05-09 1998-03-24 Somnus Medical Technologies, Inc. Method and apparatus for cosmetically remodeling a body structure
US6152143A (en) * 1994-05-09 2000-11-28 Somnus Medical Technologies, Inc. Method for treatment of air way obstructions
US5817049A (en) * 1994-05-09 1998-10-06 Somnus Medical Technologies, Inc. Method for treatment of airway obstructions
US5807308A (en) * 1996-02-23 1998-09-15 Somnus Medical Technologies, Inc. Method and apparatus for treatment of air way obstructions
US6044846A (en) * 1994-06-24 2000-04-04 Edwards; Stuart D. Method to treat esophageal sphincters
US6056744A (en) * 1994-06-24 2000-05-02 Conway Stuart Medical, Inc. Sphincter treatment apparatus
US6405732B1 (en) * 1994-06-24 2002-06-18 Curon Medical, Inc. Method to treat gastric reflux via the detection and ablation of gastro-esophageal nerves and receptors
US5800429A (en) 1994-06-24 1998-09-01 Somnus Medical Technologies, Inc. Noninvasive apparatus for ablating turbinates
US6009877A (en) 1994-06-24 2000-01-04 Edwards; Stuart D. Method for treating a sphincter
US5827277A (en) * 1994-06-24 1998-10-27 Somnus Medical Technologies, Inc. Minimally invasive apparatus for internal ablation of turbinates
US6092528A (en) * 1994-06-24 2000-07-25 Edwards; Stuart D. Method to treat esophageal sphincters
US5823197A (en) * 1994-06-24 1998-10-20 Somnus Medical Technologies, Inc. Method for internal ablation of turbinates
US6461353B1 (en) 1995-02-17 2002-10-08 Oratec Interventions, Inc. Orthopedic apparatus for controlled contraction of collagen tissue
US6203542B1 (en) 1995-06-07 2001-03-20 Arthrocare Corporation Method for electrosurgical treatment of submucosal tissue
US6159208A (en) 1995-06-07 2000-12-12 Arthocare Corporation System and methods for electrosurgical treatment of obstructive sleep disorders
US6363937B1 (en) 1995-06-07 2002-04-02 Arthrocare Corporation System and methods for electrosurgical treatment of the digestive system
US6780180B1 (en) 1995-06-23 2004-08-24 Gyrus Medical Limited Electrosurgical instrument
US6015406A (en) 1996-01-09 2000-01-18 Gyrus Medical Limited Electrosurgical instrument
US6293942B1 (en) 1995-06-23 2001-09-25 Gyrus Medical Limited Electrosurgical generator method
EP0833593B2 (en) 1995-06-23 2004-07-28 Gyrus Medical Limited An electrosurgical instrument
CN1095641C (zh) 1995-06-23 2002-12-11 盖拉斯医疗有限公司 电手术器械
US5980517A (en) 1995-08-15 1999-11-09 Rita Medical Systems, Inc. Cell necrosis apparatus
US6689127B1 (en) * 1995-08-15 2004-02-10 Rita Medical Systems Multiple antenna ablation apparatus and method with multiple sensor feedback
US5951547A (en) 1995-08-15 1999-09-14 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US5672174A (en) 1995-08-15 1997-09-30 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US5782827A (en) 1995-08-15 1998-07-21 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method with multiple sensor feedback
US5913855A (en) 1995-08-15 1999-06-22 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US6080150A (en) 1995-08-15 2000-06-27 Rita Medical Systems, Inc. Cell necrosis apparatus
US6090105A (en) 1995-08-15 2000-07-18 Rita Medical Systems, Inc. Multiple electrode ablation apparatus and method
US5810804A (en) 1995-08-15 1998-09-22 Rita Medical Systems Multiple antenna ablation apparatus and method with cooling element
US6132425A (en) 1995-08-15 2000-10-17 Gough; Edward J. Cell necrosis apparatus
US5735847A (en) 1995-08-15 1998-04-07 Zomed International, Inc. Multiple antenna ablation apparatus and method with cooling element
US6059780A (en) 1995-08-15 2000-05-09 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method with cooling element
US5672173A (en) 1995-08-15 1997-09-30 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US5863290A (en) 1995-08-15 1999-01-26 Rita Medical Systems Multiple antenna ablation apparatus and method
US5925042A (en) 1995-08-15 1999-07-20 Rita Medical Systems, Inc. Multiple antenna ablation apparatus and method
US6283960B1 (en) 1995-10-24 2001-09-04 Oratec Interventions, Inc. Apparatus for delivery of energy to a surgical site
US5980504A (en) 1996-08-13 1999-11-09 Oratec Interventions, Inc. Method for manipulating tissue of an intervertebral disc
US6090106A (en) 1996-01-09 2000-07-18 Gyrus Medical Limited Electrosurgical instrument
US6013076A (en) 1996-01-09 2000-01-11 Gyrus Medical Limited Electrosurgical instrument
US6682501B1 (en) 1996-02-23 2004-01-27 Gyrus Ent, L.L.C. Submucosal tonsillectomy apparatus and method
US6126657A (en) * 1996-02-23 2000-10-03 Somnus Medical Technologies, Inc. Apparatus for treatment of air way obstructions
US5879349A (en) * 1996-02-23 1999-03-09 Somnus Medical Technologies, Inc. Apparatus for treatment of air way obstructions
US5820580A (en) * 1996-02-23 1998-10-13 Somnus Medical Technologies, Inc. Method for ablating interior sections of the tongue
US5738114A (en) * 1996-02-23 1998-04-14 Somnus Medical Technologies, Inc. Method and apparatus for treatment of air way obstructions
US5800379A (en) * 1996-02-23 1998-09-01 Sommus Medical Technologies, Inc. Method for ablating interior sections of the tongue
US5743904A (en) * 1996-05-06 1998-04-28 Somnus Medical Technologies, Inc. Precision placement of ablation apparatus
US7022105B1 (en) * 1996-05-06 2006-04-04 Novasys Medical Inc. Treatment of tissue in sphincters, sinuses and orifices
US5921954A (en) * 1996-07-10 1999-07-13 Mohr, Jr.; Lawrence G. Treating aneurysms by applying hardening/softening agents to hardenable/softenable substances
GB2314274A (en) 1996-06-20 1997-12-24 Gyrus Medical Ltd Electrode construction for an electrosurgical instrument
GB9612993D0 (en) 1996-06-20 1996-08-21 Gyrus Medical Ltd Electrosurgical instrument
US6565561B1 (en) 1996-06-20 2003-05-20 Cyrus Medical Limited Electrosurgical instrument
US6726685B2 (en) * 2001-06-06 2004-04-27 Oratec Interventions, Inc. Intervertebral disc device employing looped probe
US6126682A (en) * 1996-08-13 2000-10-03 Oratec Interventions, Inc. Method for treating annular fissures in intervertebral discs
US6135999A (en) 1997-02-12 2000-10-24 Oratec Internationals, Inc. Concave probe for arthroscopic surgery
US6733496B2 (en) 2001-06-06 2004-05-11 Oratec Interventions, Inc. Intervertebral disc device employing flexible probe
US6832997B2 (en) 2001-06-06 2004-12-21 Oratec Interventions, Inc. Electromagnetic energy delivery intervertebral disc treatment devices
US6645203B2 (en) 1997-02-12 2003-11-11 Oratec Interventions, Inc. Surgical instrument with off-axis electrode
US5993447A (en) * 1996-08-16 1999-11-30 United States Surgical Apparatus for thermal treatment of tissue
US6068628A (en) 1996-08-20 2000-05-30 Oratec Interventions, Inc. Apparatus for treating chondromalacia
US8353908B2 (en) 1996-09-20 2013-01-15 Novasys Medical, Inc. Treatment of tissue in sphincters, sinuses, and orifices
US6464697B1 (en) 1998-02-19 2002-10-15 Curon Medical, Inc. Stomach and adjoining tissue regions in the esophagus
GB9626512D0 (en) 1996-12-20 1997-02-05 Gyrus Medical Ltd An improved electrosurgical generator and system
US6338726B1 (en) 1997-02-06 2002-01-15 Vidacare, Inc. Treating urinary and other body strictures
US6699244B2 (en) 1997-02-12 2004-03-02 Oratec Interventions, Inc. Electrosurgical instrument having a chamber to volatize a liquid
FR2761589B1 (fr) * 1997-04-03 1999-09-24 Cordis Sa Catheter, notamment pour neurochirurgie
AUPO716597A0 (en) * 1997-06-04 1997-07-03 Nathan Surgicals Pty Ltd Procedure for removal of highly vascularised tissue
US7799337B2 (en) 1997-07-21 2010-09-21 Levin Bruce H Method for directed intranasal administration of a composition
US6216034B1 (en) 1997-08-01 2001-04-10 Genetronics, Inc. Method of programming an array of needle electrodes for electroporation therapy of tissue
US6241701B1 (en) 1997-08-01 2001-06-05 Genetronics, Inc. Apparatus for electroporation mediated delivery of drugs and genes
US6055453A (en) 1997-08-01 2000-04-25 Genetronics, Inc. Apparatus for addressing needle array electrodes for electroporation therapy
US9023031B2 (en) 1997-08-13 2015-05-05 Verathon Inc. Noninvasive devices, methods, and systems for modifying tissues
US6102907A (en) * 1997-08-15 2000-08-15 Somnus Medical Technologies, Inc. Apparatus and device for use therein and method for ablation of tissue
US6004320A (en) 1997-09-19 1999-12-21 Oratec Interventions, Inc. Clip on electrocauterizing sheath for orthopedic shave devices
US6007533A (en) 1997-09-19 1999-12-28 Oratec Interventions, Inc. Electrocauterizing tip for orthopedic shave devices
US6214001B1 (en) 1997-09-19 2001-04-10 Oratec Interventions, Inc. Electrocauterizing tool for orthopedic shave devices
US6293941B1 (en) 1997-10-06 2001-09-25 Somnus Medical Technologies, Inc. Method and apparatus for impedance measurement in a multi-channel electro-surgical generator
US6176857B1 (en) 1997-10-22 2001-01-23 Oratec Interventions, Inc. Method and apparatus for applying thermal energy to tissue asymmetrically
US5938658A (en) * 1997-12-02 1999-08-17 Tu; Hosheng Device and methods for treating canker sores by RF ablation
DE69839526D1 (de) * 1997-12-15 2008-07-03 Arthrocare Corp Systeme zur elektrochirurgischen behandlung von kopf und nacken
US6440128B1 (en) 1998-01-14 2002-08-27 Curon Medical, Inc. Actively cooled electrode assemblies for forming lesions to treat dysfunction in sphincters and adjoining tissue regions
WO1999035988A1 (en) * 1998-01-14 1999-07-22 Conway-Stuart Medical, Inc. Electrosurgical device for sphincter treatment
AU2317899A (en) * 1998-01-14 1999-08-02 Conway-Stuart Medical, Inc. Gerd treatment apparatus and method
US6378525B1 (en) * 1998-01-29 2002-04-30 American Medical Systems, Inc. Combined cryotherapy and hyperthermia method for the treatment of airway obstruction or prostrate enlargement
US7165551B2 (en) * 1998-02-19 2007-01-23 Curon Medical, Inc. Apparatus to detect and treat aberrant myoelectric activity
US6790207B2 (en) 1998-06-04 2004-09-14 Curon Medical, Inc. Systems and methods for applying a selected treatment agent into contact with tissue to treat disorders of the gastrointestinal tract
US6325798B1 (en) 1998-02-19 2001-12-04 Curon Medical, Inc. Vacuum-assisted systems and methods for treating sphincters and adjoining tissue regions
US8906010B2 (en) * 1998-02-19 2014-12-09 Mederi Therapeutics, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US6258087B1 (en) 1998-02-19 2001-07-10 Curon Medical, Inc. Expandable electrode assemblies for forming lesions to treat dysfunction in sphincters and adjoining tissue regions
US6402744B2 (en) 1998-02-19 2002-06-11 Curon Medical, Inc. Systems and methods for forming composite lesions to treat dysfunction in sphincters and adjoining tissue regions
US6273886B1 (en) 1998-02-19 2001-08-14 Curon Medical, Inc. Integrated tissue heating and cooling apparatus
US6355031B1 (en) 1998-02-19 2002-03-12 Curon Medical, Inc. Control systems for multiple electrode arrays to create lesions in tissue regions at or near a sphincter
US6423058B1 (en) 1998-02-19 2002-07-23 Curon Medical, Inc. Assemblies to visualize and treat sphincters and adjoining tissue regions
US6358245B1 (en) 1998-02-19 2002-03-19 Curon Medical, Inc. Graphical user interface for association with an electrode structure deployed in contact with a tissue region
US20100114087A1 (en) * 1998-02-19 2010-05-06 Edwards Stuart D Methods and devices for treating urinary incontinence
EP1056403B1 (en) 1998-02-19 2005-01-19 Curon Medical, Inc. Electrosurgical sphincter treatment apparatus
US20030135206A1 (en) * 1998-02-27 2003-07-17 Curon Medical, Inc. Method for treating a sphincter
AU754424B2 (en) 1998-02-27 2002-11-14 Curon Medical, Inc. Apparatus to electrosurgically treat esophageal sphincters
CA2320109A1 (en) * 1998-03-06 1999-09-10 Curon Medical, Inc. Apparatus to electrosurgically treat esophageal sphincters
AU3104999A (en) 1998-03-19 1999-10-11 Oratec Interventions, Inc. Catheter for delivery of energy to a surgical site
GB9807303D0 (en) 1998-04-03 1998-06-03 Gyrus Medical Ltd An electrode assembly for an electrosurgical instrument
US6131579A (en) 1998-04-21 2000-10-17 Somnus Medical Technologies, Inc. Wire based temperature sensing electrode
WO1999055245A1 (en) * 1998-04-30 1999-11-04 Edwards Stuart D Electrosurgical sphincter treatment apparatus
US20110071468A1 (en) * 1998-06-04 2011-03-24 Mederi Therapeutics, Inc. Systems and methods for applying a selected treatment agent into contact with tissue to treat sphincter dysfunction
US6802841B2 (en) * 1998-06-04 2004-10-12 Curon Medical, Inc. Systems and methods for applying a selected treatment agent into contact with tissue to treat sphincter dysfunction
AU760619B2 (en) * 1998-06-26 2003-05-22 Genetronics, Inc. Synergism of photodynamic and electropermeation effects on cell vitality as a novel cytotoxic agent
EP1102608A4 (en) 1998-07-13 2008-09-17 Genetronics Inc METHOD AND APPARATUS FOR THE ELECTRICALLY SUPPORTED SURFACE APPLICATION OF COSMETIC MEANS
US6678556B1 (en) * 1998-07-13 2004-01-13 Genetronics, Inc. Electrical field therapy with reduced histopathological change in muscle
US7922709B2 (en) 1998-07-13 2011-04-12 Genetronics, Inc. Enhanced delivery of naked DNA to skin by non-invasive in vivo electroporation
EP1100579B1 (en) 1998-07-13 2015-09-02 Inovio Pharmaceuticals, Inc. Skin and muscle-targeted gene therapy by pulsed electrical field
CN1154446C (zh) * 1998-09-18 2004-06-23 山本英博 内窥镜通电器具
AU6503799A (en) * 1998-09-30 2000-04-17 Hearten Medical Device for producing reversible damage to heart tissue
US6245062B1 (en) * 1998-10-23 2001-06-12 Afx, Inc. Directional reflector shield assembly for a microwave ablation instrument
US7449019B2 (en) * 1999-01-25 2008-11-11 Smith & Nephew, Inc. Intervertebral decompression
JP2002542876A (ja) * 1999-04-29 2002-12-17 ソムナス メディカル テクノロジーズ インコーポレイテッド 組織の切断のための装置
US7226446B1 (en) * 1999-05-04 2007-06-05 Dinesh Mody Surgical microwave ablation assembly
WO2000066017A1 (en) 1999-05-04 2000-11-09 Curon Medical, Inc. Electrodes for creating lesions in tissue regions at or near a sphincter
EP1189543A1 (en) * 1999-06-18 2002-03-27 Somnus Medical Technologies, Inc. Submucosal radiofrequency tonsils ablation device
US6607528B1 (en) * 1999-06-22 2003-08-19 Senorx, Inc. Shapeable electrosurgical scalpel
WO2001017452A1 (en) * 1999-09-08 2001-03-15 Curon Medical, Inc. System for controlling a family of treatment devices
CA2384273A1 (en) 1999-09-08 2001-03-15 Curon Medical, Inc. Systems and methods for monitoring and controlling use of medical devices
CA2388376A1 (en) 1999-09-08 2001-03-15 Curon Medical, Inc. Systems and methods for monitoring and controlling use of medical devices
US6513530B2 (en) 1999-09-17 2003-02-04 Pi Medical, Inc. Braided palatal implant for snoring treatment
US6523541B2 (en) 1999-09-17 2003-02-25 Pi Medical, Inc. Delivery system for snoring treatment implant and method
US6415796B1 (en) 1999-09-17 2002-07-09 Pi Medical, Inc. Placement tool for snoring treatment
US6513531B2 (en) 1999-09-17 2003-02-04 Pi Medical, Inc. Proximal placement of snoring treatment implant
US6601584B2 (en) 1999-09-17 2003-08-05 Pi Medical, Inc. Contracting snoring treatment implant
US6250307B1 (en) * 1999-09-17 2001-06-26 Pi Medical, Inc. Snoring treatment
US6453905B1 (en) 1999-09-17 2002-09-24 Pi Medical, Inc. Multi-component snoring treatment
US6431174B1 (en) 2000-08-10 2002-08-13 Pi Medical, Inc. Method and apparatus to treat conditions of the naso-pharyngeal area
US6450169B1 (en) 1999-09-17 2002-09-17 Pi Medical, Inc. Braided implant for snoring treatment
US6502574B2 (en) 1999-09-17 2003-01-07 Pi Medical, Inc. Lateral stiffening snoring treatment
US6516806B2 (en) 1999-09-17 2003-02-11 Pi Medical, Inc. Compliant snoring treatment implant
US6390096B1 (en) 1999-09-17 2002-05-21 Pi Medical, Inc. Needle with pre-loaded implant for snoring treatment
US6636767B1 (en) 1999-09-29 2003-10-21 Restore Medical, Inc. Implanatable stimulation device for snoring treatment
US6287304B1 (en) 1999-10-15 2001-09-11 Neothermia Corporation Interstitial cauterization of tissue volumes with electrosurgically deployed electrodes
US6514248B1 (en) 1999-10-15 2003-02-04 Neothermia Corporation Accurate cutting about and into tissue volumes with electrosurgically deployed electrodes
AU780278B2 (en) 1999-11-16 2005-03-10 Covidien Lp System and method of treating abnormal tissue in the human esophagus
US20040215235A1 (en) 1999-11-16 2004-10-28 Barrx, Inc. Methods and systems for determining physiologic characteristics for treatment of the esophagus
US20060095032A1 (en) 1999-11-16 2006-05-04 Jerome Jackson Methods and systems for determining physiologic characteristics for treatment of the esophagus
US6699237B2 (en) * 1999-12-30 2004-03-02 Pearl Technology Holdings, Llc Tissue-lifting device
US6547776B1 (en) 2000-01-03 2003-04-15 Curon Medical, Inc. Systems and methods for treating tissue in the crura
US8241274B2 (en) 2000-01-19 2012-08-14 Medtronic, Inc. Method for guiding a medical device
US6595934B1 (en) * 2000-01-19 2003-07-22 Medtronic Xomed, Inc. Methods of skin rejuvenation using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
US6692450B1 (en) 2000-01-19 2004-02-17 Medtronic Xomed, Inc. Focused ultrasound ablation devices having selectively actuatable ultrasound emitting elements and methods of using the same
US6409720B1 (en) 2000-01-19 2002-06-25 Medtronic Xomed, Inc. Methods of tongue reduction using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions
US6413254B1 (en) 2000-01-19 2002-07-02 Medtronic Xomed, Inc. Method of tongue reduction by thermal ablation using high intensity focused ultrasound
US6361531B1 (en) 2000-01-21 2002-03-26 Medtronic Xomed, Inc. Focused ultrasound ablation devices having malleable handle shafts and methods of using the same
US6312392B1 (en) * 2000-04-06 2001-11-06 Garrett D. Herzon Bipolar handheld nerve locator and evaluator
US8845632B2 (en) * 2000-05-18 2014-09-30 Mederi Therapeutics, Inc. Graphical user interface for monitoring and controlling use of medical devices
US6526318B1 (en) 2000-06-16 2003-02-25 Mehdi M. Ansarinia Stimulation method for the sphenopalatine ganglia, sphenopalatine nerve, or vidian nerve for treatment of medical conditions
US6439238B1 (en) 2000-06-30 2002-08-27 Pi Medical, Inc. Snoring diagnostic and treatment
US6695836B1 (en) * 2000-07-03 2004-02-24 Radius Medical Technologies, Inc. Device and method for myocardial revascularization
US6840935B2 (en) * 2000-08-09 2005-01-11 Bekl Corporation Gynecological ablation procedure and system using an ablation needle
US7678106B2 (en) * 2000-08-09 2010-03-16 Halt Medical, Inc. Gynecological ablation procedure and system
US7306591B2 (en) 2000-10-02 2007-12-11 Novasys Medical, Inc. Apparatus and methods for treating female urinary incontinence
US6530924B1 (en) * 2000-11-03 2003-03-11 Alan G. Ellman Electrosurgical tonsilar and adenoid electrode
US20030163128A1 (en) * 2000-12-29 2003-08-28 Afx, Inc. Tissue ablation system with a sliding ablating device and method
DE10105592A1 (de) 2001-02-06 2002-08-08 Achim Goepferich Platzhalter zur Arzneistofffreigabe in der Stirnhöhle
US6695839B2 (en) 2001-02-08 2004-02-24 Oratec Interventions, Inc. Method and apparatus for treatment of disrupted articular cartilage
US6638276B2 (en) 2001-06-06 2003-10-28 Oratec Interventions, Inc. Intervertebral disc device employing prebent sheath
US20040204669A1 (en) * 2001-07-05 2004-10-14 Hofmann Gunter A. Apparatus for electroporation mediated delivery for drugs and genes
US7017582B2 (en) * 2002-02-04 2006-03-28 Restore Medical Inc. Stiffening pharyngeal wall treatment
US7146981B2 (en) * 2002-02-04 2006-12-12 Restore Medical, Inc. Pharyngeal wall treatment
US20040106937A1 (en) * 2002-06-21 2004-06-03 Afx, Inc. Clamp accessory and method for an ablation instrument
US20040194266A1 (en) * 2002-08-19 2004-10-07 Carter Linda A. Burn, sunburn, and cellulite treatment system
US8317816B2 (en) 2002-09-30 2012-11-27 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
AU2003283786A1 (en) * 2002-11-14 2004-06-03 Brainsgate Ltd. Surgical tools and techniques for stimulation
AU2003297691A1 (en) * 2002-12-03 2004-06-23 Arthrocare Corporation Devices and methods for selective orientation of electrosurgical devices
US7381222B2 (en) * 2002-12-30 2008-06-03 Quiescence Medical, Inc. Stent for maintaining patency of a body region
US7647931B2 (en) 2002-12-30 2010-01-19 Quiescence Medical, Inc. Stent for maintaining patency of a body region
US7992566B2 (en) 2002-12-30 2011-08-09 Quiescence Medical, Inc. Apparatus and methods for treating sleep apnea
US8512290B2 (en) * 2003-03-20 2013-08-20 Boston Scientific Scimed, Inc. Devices and methods for delivering therapeutic or diagnostic agents
US20050020965A1 (en) * 2003-03-20 2005-01-27 Scimed Life Systems, Inc. Devices and methods for delivering agents to tissue region while preventing leakage
US7481798B2 (en) 2003-03-20 2009-01-27 Boston Scientific Scimed, Inc. Devices and methods for delivering therapeutic or diagnostic agents
AU2004237760B2 (en) * 2003-05-01 2010-06-10 Covidien Ag Suction coagulator with dissecting probe
DE10327237A1 (de) * 2003-06-17 2005-01-13 Trumpf Medizin Systeme Gmbh + Co. Kg Elektrochirurgisches Instrument für ein Endoskop
US20050154412A1 (en) * 2003-09-19 2005-07-14 Restore Medical, Inc. Airway implant and delivery tool
US6899105B2 (en) * 2003-09-19 2005-05-31 Restore Medical, Inc. Airway implant cartridge and kit
US20050065615A1 (en) * 2003-09-19 2005-03-24 Restore Medical, Inc. Airway implant and delivery tool and kit
US7229437B2 (en) * 2003-09-22 2007-06-12 St. Jude Medical, Atrial Fibrillation Division, Inc. Medical device having integral traces and formed electrodes
US8064978B2 (en) * 2003-11-25 2011-11-22 Cathrx Ltd Modular catheter
US7150745B2 (en) 2004-01-09 2006-12-19 Barrx Medical, Inc. Devices and methods for treatment of luminal tissue
US9233245B2 (en) 2004-02-20 2016-01-12 Brainsgate Ltd. SPG stimulation
US8055347B2 (en) 2005-08-19 2011-11-08 Brainsgate Ltd. Stimulation for treating brain events and other conditions
US8010189B2 (en) * 2004-02-20 2011-08-30 Brainsgate Ltd. SPG stimulation for treating complications of subarachnoid hemorrhage
US7491200B2 (en) * 2004-03-26 2009-02-17 Arthrocare Corporation Method for treating obstructive sleep disorder includes removing tissue from base of tongue
JP4845344B2 (ja) * 2004-04-14 2011-12-28 ユニ・チャーム株式会社 使い捨ておむつ
US9399121B2 (en) 2004-04-21 2016-07-26 Acclarent, Inc. Systems and methods for transnasal dilation of passageways in the ear, nose or throat
US7462175B2 (en) 2004-04-21 2008-12-09 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US7803150B2 (en) 2004-04-21 2010-09-28 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US20070167682A1 (en) * 2004-04-21 2007-07-19 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US20060004323A1 (en) 2004-04-21 2006-01-05 Exploramed Nc1, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US9089258B2 (en) 2004-04-21 2015-07-28 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US20110004057A1 (en) * 2004-04-21 2011-01-06 Acclarent, Inc. Systems and methods for transnasal dilation of passageways in the ear, nose or throat
US8702626B1 (en) 2004-04-21 2014-04-22 Acclarent, Inc. Guidewires for performing image guided procedures
US8747389B2 (en) 2004-04-21 2014-06-10 Acclarent, Inc. Systems for treating disorders of the ear, nose and throat
US9351750B2 (en) 2004-04-21 2016-05-31 Acclarent, Inc. Devices and methods for treating maxillary sinus disease
US7559925B2 (en) 2006-09-15 2009-07-14 Acclarent Inc. Methods and devices for facilitating visualization in a surgical environment
US7361168B2 (en) * 2004-04-21 2008-04-22 Acclarent, Inc. Implantable device and methods for delivering drugs and other substances to treat sinusitis and other disorders
US8894614B2 (en) * 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8864787B2 (en) 2004-04-21 2014-10-21 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
US20060063973A1 (en) 2004-04-21 2006-03-23 Acclarent, Inc. Methods and apparatus for treating disorders of the ear, nose and throat
US8764729B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Frontal sinus spacer
US9554691B2 (en) 2004-04-21 2017-01-31 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9101384B2 (en) 2004-04-21 2015-08-11 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat
US7654997B2 (en) 2004-04-21 2010-02-02 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitus and other disorders of the ears, nose and/or throat
US20190314620A1 (en) 2004-04-21 2019-10-17 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US7419497B2 (en) 2004-04-21 2008-09-02 Acclarent, Inc. Methods for treating ethmoid disease
US8932276B1 (en) 2004-04-21 2015-01-13 Acclarent, Inc. Shapeable guide catheters and related methods
US7410480B2 (en) * 2004-04-21 2008-08-12 Acclarent, Inc. Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders
US20070208252A1 (en) 2004-04-21 2007-09-06 Acclarent, Inc. Systems and methods for performing image guided procedures within the ear, nose, throat and paranasal sinuses
US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US7720521B2 (en) * 2004-04-21 2010-05-18 Acclarent, Inc. Methods and devices for performing procedures within the ear, nose, throat and paranasal sinuses
US10188413B1 (en) 2004-04-21 2019-01-29 Acclarent, Inc. Deflectable guide catheters and related methods
US8932233B2 (en) 2004-05-21 2015-01-13 Devicor Medical Products, Inc. MRI biopsy device
US9638770B2 (en) * 2004-05-21 2017-05-02 Devicor Medical Products, Inc. MRI biopsy apparatus incorporating an imageable penetrating portion
US7708751B2 (en) * 2004-05-21 2010-05-04 Ethicon Endo-Surgery, Inc. MRI biopsy device
WO2006002337A2 (en) * 2004-06-24 2006-01-05 Arthrocare Corporation Electrosurgical device having planar vertical electrode and related methods
US20060047281A1 (en) * 2004-09-01 2006-03-02 Syneron Medical Ltd. Method and system for invasive skin treatment
DE102004042998A1 (de) * 2004-09-01 2006-03-02 Celon Ag Medical Instruments Elektrochirurgische Sonde
EP1827281A1 (en) * 2004-11-17 2007-09-05 Biosense Webster, Inc. Apparatus for real time evaluation of tissue ablation
US10413188B2 (en) 2004-11-17 2019-09-17 Lawrence Livermore National Security, Llc Assessment of tissue or lesion depth using temporally resolved light scattering spectroscopy
US20060229515A1 (en) * 2004-11-17 2006-10-12 The Regents Of The University Of California Fiber optic evaluation of tissue modification
US20060241385A1 (en) * 2005-04-12 2006-10-26 Ethicon Endo-Surgery, Inc. Guided disposable fiducial for breast biopsy localization fixture
US20060259025A1 (en) * 2005-05-16 2006-11-16 Arthrocare Corporation Conductive fluid bridge electrosurgical apparatus
US8951225B2 (en) 2005-06-10 2015-02-10 Acclarent, Inc. Catheters with non-removable guide members useable for treatment of sinusitis
US7988735B2 (en) * 2005-06-15 2011-08-02 Matthew Yurek Mechanical apparatus and method for delivering materials into the inter-vertebral body space for nucleus replacement
US8080009B2 (en) 2005-07-01 2011-12-20 Halt Medical Inc. Radio frequency ablation device for the destruction of tissue masses
US8512333B2 (en) * 2005-07-01 2013-08-20 Halt Medical Inc. Anchored RF ablation device for the destruction of tissue masses
US8114113B2 (en) 2005-09-23 2012-02-14 Acclarent, Inc. Multi-conduit balloon catheter
US8702694B2 (en) 2005-11-23 2014-04-22 Covidien Lp Auto-aligning ablating device and method of use
US7959627B2 (en) 2005-11-23 2011-06-14 Barrx Medical, Inc. Precision ablating device
US7997278B2 (en) 2005-11-23 2011-08-16 Barrx Medical, Inc. Precision ablating method
US20070179518A1 (en) * 2006-02-02 2007-08-02 Becker Bruce B Balloon Catheters and Methods for Treating Paranasal Sinuses
US8190389B2 (en) 2006-05-17 2012-05-29 Acclarent, Inc. Adapter for attaching electromagnetic image guidance components to a medical device
JP5406025B2 (ja) * 2006-07-06 2014-02-05 クワイエセンス メディカル インコーポレイテッド 睡眠時無呼吸症処置用の装置及びシステム
US8666479B2 (en) * 2006-07-10 2014-03-04 Boston Scientific Scimed, Inc. Optical spectroscopic injection needle
US9820688B2 (en) 2006-09-15 2017-11-21 Acclarent, Inc. Sinus illumination lightwire device
US8439687B1 (en) 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
US20090138011A1 (en) * 2007-03-13 2009-05-28 Gordon Epstein Intermittent ablation rf driving for moderating return electrode temperature
US20090187183A1 (en) * 2007-03-13 2009-07-23 Gordon Epstein Temperature responsive ablation rf driving for moderating return electrode temperature
US8118757B2 (en) 2007-04-30 2012-02-21 Acclarent, Inc. Methods and devices for ostium measurement
US8641711B2 (en) 2007-05-04 2014-02-04 Covidien Lp Method and apparatus for gastrointestinal tract ablation for treatment of obesity
US8485199B2 (en) 2007-05-08 2013-07-16 Acclarent, Inc. Methods and devices for protecting nasal turbinate during surgery
US8784338B2 (en) 2007-06-22 2014-07-22 Covidien Lp Electrical means to normalize ablational energy transmission to a luminal tissue surface of varying size
AU2008275316B2 (en) 2007-07-06 2013-11-14 Covidien Lp Ablation in the gastrointestinal tract to achieve hemostasis and eradicate lesions with a propensity for bleeding
US8251992B2 (en) 2007-07-06 2012-08-28 Tyco Healthcare Group Lp Method and apparatus for gastrointestinal tract ablation to achieve loss of persistent and/or recurrent excess body weight following a weight-loss operation
US8646460B2 (en) 2007-07-30 2014-02-11 Covidien Lp Cleaning device and methods
US8273012B2 (en) 2007-07-30 2012-09-25 Tyco Healthcare Group, Lp Cleaning device and methods
US20090082722A1 (en) * 2007-08-21 2009-03-26 Munger Gareth T Remote navigation advancer devices and methods of use
WO2009048786A2 (en) * 2007-10-08 2009-04-16 Melder Patrick C Palatal surgical apparatus and method of using same
US8251991B2 (en) 2007-11-14 2012-08-28 Halt Medical Inc. Anchored RF ablation device for the destruction of tissue masses
US8241276B2 (en) * 2007-11-14 2012-08-14 Halt Medical Inc. RF ablation device with jam-preventing electrical coupling member
US10206821B2 (en) 2007-12-20 2019-02-19 Acclarent, Inc. Eustachian tube dilation balloon with ventilation path
DE202009017814U1 (de) * 2008-01-17 2010-07-01 Syneron Medical Ltd. Haarentfernungsgerät für die persönliche Anwendung
AU2008348611A1 (en) 2008-01-24 2009-07-30 Syneron Medical Ltd. A device, apparatus, and method of adipose tissue treatment
US8182432B2 (en) 2008-03-10 2012-05-22 Acclarent, Inc. Corewire design and construction for medical devices
US8473062B2 (en) * 2008-05-01 2013-06-25 Autonomic Technologies, Inc. Method and device for the treatment of headache
GB0809361D0 (en) * 2008-05-22 2008-07-02 Cellerix Sa Injection device
US8328804B2 (en) 2008-07-24 2012-12-11 Covidien Lp Suction coagulator
CN102112040B (zh) 2008-07-30 2015-04-01 阿克拉伦特公司 鼻旁孔口探示器器件和方法
AU2009293312B2 (en) 2008-09-18 2015-07-09 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
MX2011002987A (es) * 2008-09-21 2011-07-20 Syneron Medical Ltd Un metodo y aparato para el tratamiento personal de la piel.
US20100114184A1 (en) * 2008-10-07 2010-05-06 Brainsgate Ltd. Flexible tools for preparing bony canals
US8355799B2 (en) 2008-12-12 2013-01-15 Arthrocare Corporation Systems and methods for limiting joint temperature
US8412336B2 (en) 2008-12-29 2013-04-02 Autonomic Technologies, Inc. Integrated delivery and visualization tool for a neuromodulation system
US9320908B2 (en) * 2009-01-15 2016-04-26 Autonomic Technologies, Inc. Approval per use implanted neurostimulator
US8494641B2 (en) 2009-04-22 2013-07-23 Autonomic Technologies, Inc. Implantable neurostimulator with integral hermetic electronic enclosure, circuit substrate, monolithic feed-through, lead assembly and anchoring mechanism
US20100185249A1 (en) * 2009-01-22 2010-07-22 Wingeier Brett M Method and Devices for Adrenal Stimulation
US20100211055A1 (en) * 2009-02-18 2010-08-19 Shimon Eckhouse Method for body toning and an integrated data management system for the same
CA2747767A1 (en) 2009-02-25 2010-09-02 Transpharma Medical Ltd. Electrical skin rejuvenation
US20100241155A1 (en) 2009-03-20 2010-09-23 Acclarent, Inc. Guide system with suction
US8435290B2 (en) 2009-03-31 2013-05-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US7978742B1 (en) 2010-03-24 2011-07-12 Corning Incorporated Methods for operating diode lasers
JP5764564B2 (ja) 2009-09-22 2015-08-19 メデリ セラピューティクス インコーポレイテッド 種々の治療デバイス群の使用および動作を制御するためのシステムおよび方法
US10386990B2 (en) 2009-09-22 2019-08-20 Mederi Rf, Llc Systems and methods for treating tissue with radiofrequency energy
US9474565B2 (en) 2009-09-22 2016-10-25 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
US9775664B2 (en) 2009-09-22 2017-10-03 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
US9750563B2 (en) 2009-09-22 2017-09-05 Mederi Therapeutics, Inc. Systems and methods for treating tissue with radiofrequency energy
US9549842B2 (en) 2011-02-04 2017-01-24 Joseph E. Kovarik Buccal bioadhesive strip and method of treating snoring and sleep apnea
US8701671B2 (en) 2011-02-04 2014-04-22 Joseph E. Kovarik Non-surgical method and system for reducing snoring
US9044232B2 (en) * 2010-01-05 2015-06-02 Curo Medical, Inc. Medical heating device and method with self-limiting electrical heating element
US8512335B2 (en) 2010-05-20 2013-08-20 Curo Medical, Inc. High frequency alternating current medical device with self-limiting conductive material and method
CN102342852B (zh) * 2010-08-03 2013-01-16 鱼敏 腺样体切除止血器
US9155492B2 (en) 2010-09-24 2015-10-13 Acclarent, Inc. Sinus illumination lightwire device
US10448992B2 (en) 2010-10-22 2019-10-22 Arthrocare Corporation Electrosurgical system with device specific operational parameters
CN103313754B (zh) 2010-11-16 2015-09-30 小利兰·斯坦福大学理事会 用于治疗干眼的系统和方法
US9821159B2 (en) 2010-11-16 2017-11-21 The Board Of Trustees Of The Leland Stanford Junior University Stimulation devices and methods
WO2012082791A2 (en) 2010-12-13 2012-06-21 Quiescence Medical, Inc. Apparatus and methods for treating sleep apnea
US8747401B2 (en) 2011-01-20 2014-06-10 Arthrocare Corporation Systems and methods for turbinate reduction
US11951140B2 (en) 2011-02-04 2024-04-09 Seed Health, Inc. Modulation of an individual's gut microbiome to address osteoporosis and bone disease
US11844720B2 (en) 2011-02-04 2023-12-19 Seed Health, Inc. Method and system to reduce the likelihood of dental caries and halitosis
US11951139B2 (en) 2015-11-30 2024-04-09 Seed Health, Inc. Method and system for reducing the likelihood of osteoporosis
US9271784B2 (en) 2011-02-09 2016-03-01 Arthrocare Corporation Fine dissection electrosurgical device
US9168082B2 (en) 2011-02-09 2015-10-27 Arthrocare Corporation Fine dissection electrosurgical device
US9011428B2 (en) 2011-03-02 2015-04-21 Arthrocare Corporation Electrosurgical device with internal digestor electrode
US10278774B2 (en) 2011-03-18 2019-05-07 Covidien Lp Selectively expandable operative element support structure and methods of use
US8986301B2 (en) 2012-06-13 2015-03-24 Aerin Medical Inc. Methods and devices to treat nasal airways
US11033318B2 (en) 2011-06-14 2021-06-15 Aerin Medical, Inc. Methods and devices to treat nasal airways
US11304746B2 (en) 2011-06-14 2022-04-19 Aerin Medical Inc. Method of treating airway tissue to reduce mucus secretion
SG10201607576PA (en) 2011-06-14 2016-11-29 Aerin Medical Inc Devices for treating nasal airways
US10456185B2 (en) 2011-06-14 2019-10-29 Aerin Medical, Inc. Methods and devices to treat nasal airways
US11241271B2 (en) 2011-06-14 2022-02-08 Aerin Medical Inc. Methods of treating nasal airways
US9415194B2 (en) 2011-06-14 2016-08-16 Aerin Medical Inc. Post nasal drip treatment
US10722282B2 (en) 2011-06-14 2020-07-28 Aerin Medical, Inc. Methods and devices to treat nasal airways
WO2013028381A1 (en) 2011-08-19 2013-02-28 Cook Medical Technologies Llc Cap for attachment to an endoscope
CN103732170B (zh) 2011-08-19 2016-09-21 库克医学技术有限责任公司 烧蚀帽
US9788882B2 (en) 2011-09-08 2017-10-17 Arthrocare Corporation Plasma bipolar forceps
US20130178845A1 (en) * 2012-01-05 2013-07-11 Boston Scientific Scimed, Inc. Devices and methods for bipolar and monopolar procedures
US10213187B1 (en) 2012-01-25 2019-02-26 Mubin I. Syed Method and apparatus for percutaneous superficial temporal artery access for carotid artery stenting
US8403927B1 (en) 2012-04-05 2013-03-26 William Bruce Shingleton Vasectomy devices and methods
US20140073907A1 (en) 2012-09-12 2014-03-13 Convergent Life Sciences, Inc. System and method for image guided medical procedures
US9526570B2 (en) 2012-10-04 2016-12-27 Cook Medical Technologies Llc Tissue cutting cap
US10639179B2 (en) 2012-11-21 2020-05-05 Ram Medical Innovations, Llc System for the intravascular placement of a medical device
US9254166B2 (en) 2013-01-17 2016-02-09 Arthrocare Corporation Systems and methods for turbinate reduction
US9717627B2 (en) 2013-03-12 2017-08-01 Oculeve, Inc. Implant delivery devices, systems, and methods
EP2968925B1 (en) 2013-03-14 2020-02-19 Cynosure, LLC Electrosurgical systems
US10499980B2 (en) * 2013-03-14 2019-12-10 Spiration, Inc. Flexible RF ablation needle
US9629684B2 (en) 2013-03-15 2017-04-25 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US9433437B2 (en) 2013-03-15 2016-09-06 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
EP2967711B1 (en) 2013-03-15 2020-05-06 Cynosure, LLC Electrosurgical instruments with multimodes of operation
US10155108B2 (en) 2013-04-19 2018-12-18 Oculeve, Inc. Nasal stimulation devices and methods
US10603059B2 (en) 2013-09-13 2020-03-31 Aerin Medical Inc. Hyaline cartilage shaping
WO2015048806A2 (en) 2013-09-30 2015-04-02 Nidus Medical, Llc Apparatus and methods for treating rhinitis
EP2878335B1 (en) 2013-11-10 2018-01-03 Brainsgate Ltd. Implant and delivery system for neural stimulator
EP3046494A1 (en) 2013-11-13 2016-07-27 Gyrus ACMI, Inc., d.b.a. Olympus Surgical Technologies America Fibroid ablation positioning device and methods
US11833177B2 (en) 2013-12-20 2023-12-05 Seed Health, Inc. Probiotic to enhance an individual's skin microbiome
US11826388B2 (en) 2013-12-20 2023-11-28 Seed Health, Inc. Topical application of Lactobacillus crispatus to ameliorate barrier damage and inflammation
US11839632B2 (en) 2013-12-20 2023-12-12 Seed Health, Inc. Topical application of CRISPR-modified bacteria to treat acne vulgaris
JP6604963B2 (ja) 2014-02-25 2019-11-20 オキュリーブ， インコーポレイテッド 鼻涙腺刺激のためのポリマー配合物
US9526556B2 (en) 2014-02-28 2016-12-27 Arthrocare Corporation Systems and methods systems related to electrosurgical wands with screen electrodes
US9597142B2 (en) 2014-07-24 2017-03-21 Arthrocare Corporation Method and system related to electrosurgical procedures
US9649148B2 (en) 2014-07-24 2017-05-16 Arthrocare Corporation Electrosurgical system and method having enhanced arc prevention
US9763743B2 (en) 2014-07-25 2017-09-19 Arrinex, Inc. Apparatus and method for treating rhinitis
DK3171928T3 (da) 2014-07-25 2020-05-18 Oculeve Inc Stimulationsmønstre til behandling af tørt øje
JP2015016346A (ja) * 2014-08-14 2015-01-29 ティジェニクス エス．エー．ユー． 注射器具
EP3721938A1 (en) 2014-10-22 2020-10-14 Oculeve, Inc. Stimulation devices and methods for treating dry eye
EP3209371A4 (en) 2014-10-22 2018-10-24 Oculeve, Inc. Implantable nasal stimulator systems and methods
US9764150B2 (en) 2014-10-22 2017-09-19 Oculeve, Inc. Contact lens for increasing tear production
US9636244B2 (en) 2015-04-09 2017-05-02 Mubin I. Syed Apparatus and method for proximal to distal stent deployment
EP3093043B1 (en) 2015-05-13 2018-11-14 Brainsgate Ltd. Implant and delivery system for neural stimulator
US11039879B2 (en) * 2015-10-20 2021-06-22 Gyrus Acmi, Inc. Ablation device
US10779976B2 (en) 2015-10-30 2020-09-22 Ram Medical Innovations, Llc Apparatus and method for stabilization of procedural catheter in tortuous vessels
US10327929B2 (en) 2015-10-30 2019-06-25 Ram Medical Innovations, Llc Apparatus and method for stabilization of procedural catheter in tortuous vessels
US9980838B2 (en) 2015-10-30 2018-05-29 Ram Medical Innovations Llc Apparatus and method for a bifurcated catheter for use in hostile aortic arches
US11020256B2 (en) 2015-10-30 2021-06-01 Ram Medical Innovations, Inc. Bifurcated “Y” anchor support for coronary interventions
US10492936B2 (en) 2015-10-30 2019-12-03 Ram Medical Innovations, Llc Apparatus and method for improved access of procedural catheter in tortuous vessels
US10426958B2 (en) 2015-12-04 2019-10-01 Oculeve, Inc. Intranasal stimulation for enhanced release of ocular mucins and other tear proteins
KR200482235Y1 (ko) 2015-12-28 2017-01-02 이성완 부비동 확장 치료기
US10053693B2 (en) 2016-01-19 2018-08-21 Mubin I. Syed Method for controlling obesity using minimally invasive means
US10252048B2 (en) 2016-02-19 2019-04-09 Oculeve, Inc. Nasal stimulation for rhinitis, nasal congestion, and ocular allergies
US10864035B2 (en) 2016-03-04 2020-12-15 Aerin Medical, Inc. Eustachian tube modification
US10603101B2 (en) 2016-03-26 2020-03-31 Paul Joseph Weber Apparatus, systems and methods for minimally invasive dissection of tissues
US10893899B2 (en) 2016-03-26 2021-01-19 Paul Weber Apparatus and systems for minimally invasive dissection of tissues
US11510730B2 (en) 2016-03-26 2022-11-29 Paul Joseph Weber Apparatus and methods for minimally invasive dissection and modification of tissues
EP3452166A4 (en) 2016-05-02 2019-12-18 Oculeve, Inc. INTRANASAL STIMULATION FOR THE TREATMENT OF DISEASES OF MEIBOM'S GLANDS AND BLEPHARITIS
EP3471638A4 (en) 2016-06-15 2020-03-11 Arrinex, Inc. DEVICES AND METHOD FOR TREATING A SIDE SURFACE OF A NASAL CAVE
US10173031B2 (en) 2016-06-20 2019-01-08 Mubin I. Syed Interchangeable flush/selective catheter
RU2019118600A (ru) 2016-12-02 2021-01-11 Окулив, Инк. Аппарат и способ составления прогноза синдрома сухого глаза и рекомендаций по лечению
CN110290767A (zh) 2016-12-22 2019-09-27 艾琳医药股份有限公司 软腭治疗
US11806071B2 (en) 2016-12-22 2023-11-07 Aerin Medical Inc. Soft palate treatment
CA3051852A1 (en) * 2017-01-27 2018-08-02 Southern Research Institute Sustained intratonsillar drug delivery with needle array
US11896823B2 (en) 2017-04-04 2024-02-13 Btl Healthcare Technologies A.S. Method and device for pelvic floor tissue treatment
AU2018256964B2 (en) 2017-04-28 2023-11-30 Arrinex, Inc. Systems and methods for locating blood vessels in the treatment of rhinitis
USD880694S1 (en) 2017-05-01 2020-04-07 Aerin Medical, Inc. Nasal airway medical instrument
US11096738B2 (en) 2017-05-05 2021-08-24 Aerin Medical, Inc. Treatment of spinal tissue
WO2019071269A2 (en) 2017-10-06 2019-04-11 Powell Charles Lee SYSTEM AND METHOD FOR TREATING AN OBSTRUCTIVE SLEEP APNEA
WO2019157076A1 (en) 2018-02-07 2019-08-15 Cynosure, Inc. Methods and apparatus for controlled rf treatments and rf generator system
US10857014B2 (en) 2018-02-18 2020-12-08 Ram Medical Innovations, Llc Modified fixed flat wire bifurcated catheter and its application in lower extremity interventions
USD881904S1 (en) 2018-10-31 2020-04-21 Aerin Medical Inc. Display screen with animated graphical user interface
USD902412S1 (en) 2018-10-31 2020-11-17 Aerin Medical, Inc. Electrosurgery console
CN109528270B (zh) * 2018-12-25 2020-12-01 南通市第一人民医院 一种多功能扁桃体炎治疗器
USD1005484S1 (en) 2019-07-19 2023-11-21 Cynosure, Llc Handheld medical instrument and docking base
US11937882B2 (en) * 2019-08-27 2024-03-26 Biosense Webster (Israel) Ltd. ENT tools
US20210161589A1 (en) * 2019-12-03 2021-06-03 Acclarent, Inc. Turbinate reduction instrument
WO2023130069A2 (en) * 2021-12-30 2023-07-06 Cryosa, Inc. Systems and methods for treatment of obstructive sleep apnea
CN117679148A (zh) * 2024-02-02 2024-03-12 浙江伽奈维医疗科技有限公司 适用于影像引导下手术的长度可伸缩式消融针及电极针

Family Cites Families (258)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US32066A (en) 1861-04-16 Apparatus for supplying steam-boilers with water
US1562460A (en) * 1922-04-26 1925-11-24 William D Mcfee Fulgurator
US1741461A (en) * 1927-06-29 1929-12-31 Herman Florentine Peter Surgical instrument
US1919543A (en) * 1930-03-29 1933-07-25 Mcintosh Electrical Corp Means for effecting the bloodless removal of diseased tissue
US1950788A (en) * 1930-10-10 1934-03-13 Gen Electric X Ray Corp Therapeutic electrode
US1879249A (en) * 1931-04-07 1932-09-27 Honsaker Charles Coy Colonic tube
US1968997A (en) * 1932-05-21 1934-08-07 Kenneth G Drucker Device for the treatment of certain ailments
US1943543A (en) * 1932-06-21 1934-01-16 William J Mcfadden Surgical instrument
US2022065A (en) * 1932-07-07 1935-11-26 Frederick C Wappler Therapeutic applicator device
US2047535A (en) * 1932-10-07 1936-07-14 Frederick C Wappler Surgical electrodes
US2008526A (en) * 1932-11-03 1935-07-16 Wappler Frederick Charles Method and means for treating living tissue
US2118631A (en) * 1935-04-03 1938-05-24 Wappler Frederick Charles Catheter stylet
US2710000A (en) * 1952-02-19 1955-06-07 Cromer Jeremiah Keith Cutting instrument
DE1163993B (de) * 1960-03-23 1964-02-27 Philips Patentverwaltung Dezimeterwellen-Stielstrahler fuer medizinsche Behandlung
US3339542A (en) * 1964-02-03 1967-09-05 William L Howell Apparatus for use in differential clinical thermometry
US3556079A (en) * 1967-05-16 1971-01-19 Haruo Omizo Method of puncturing a medical instrument under guidance of ultrasound
US3682162A (en) * 1968-12-13 1972-08-08 Wellcome Found Combined electrode and hypodermic syringe needle
US3598108A (en) * 1969-02-28 1971-08-10 Khosrow Jamshidi Biopsy technique and biopsy device
US3595239A (en) * 1969-04-04 1971-07-27 Roy A Petersen Catheter with electrical cutting means
US3840016A (en) * 1972-03-10 1974-10-08 H Lindemann Electrocoagulation-bougie for the intrauterine tube sterilization
US3884237A (en) * 1972-06-19 1975-05-20 Malley Conor C O Apparatus for intraocular surgery
US3835842A (en) * 1972-07-03 1974-09-17 J Iglesias Endoscope with continuous irrigation
US3850175A (en) * 1972-07-03 1974-11-26 J Lglesias Resectoscope with continuous irrigation
US3924628A (en) * 1972-12-01 1975-12-09 William Droegemueller Cyrogenic bladder for necrosing tissue cells
US3828780A (en) * 1973-03-26 1974-08-13 Valleylab Inc Combined electrocoagulator-suction instrument
US3901241A (en) * 1973-05-31 1975-08-26 Al Corp Du Disposable cryosurgical instrument
DE7327364U (de) * 1973-07-26 1974-01-17 Storz K Operations-endoskop mit einem elektrotom
DK131541B (da) * 1973-09-03 1975-08-04 Akad Tekn Videnskaber Prostataresectoskop.
US3991770A (en) * 1974-01-24 1976-11-16 Leveen Harry H Method for treating benign and malignant tumors utilizing radio frequency, electromagnetic radiation
DE2513868C2 (de) * 1974-04-01 1982-11-04 Olympus Optical Co., Ltd., Tokyo Bipolare Elektrodiathermiefaßzange
US3858577A (en) * 1974-04-05 1975-01-07 Univ Southern California Fiber optic laser light delivery system
US3948270A (en) * 1974-10-15 1976-04-06 Hasson Harrith M Uterine cannula
US3941121A (en) * 1974-12-20 1976-03-02 The University Of Cincinnati Focusing fiber-optic needle endoscope
US4119102A (en) * 1975-07-11 1978-10-10 Leveen Harry H Radio frequency treatment of tumors while inducing hypotension
US4121592A (en) * 1975-08-04 1978-10-24 Critical Systems, Inc. Apparatus for heating tissue
DE2601802C3 (de) * 1976-01-20 1979-02-08 Richard Wolf Gmbh, 7134 Knittlingen Instrumentarium zur Behandlung von Harnröhrenstrikturen
FR2421628A1 (fr) * 1977-04-08 1979-11-02 Cgr Mev Dispositif de chauffage localise utilisant des ondes electromagnetiques de tres haute frequence, pour applications medicales
US4136566A (en) * 1977-06-24 1979-01-30 University Of Utah Semiconductor temperature sensor
US4154246A (en) * 1977-07-25 1979-05-15 Leveen Harry H Field intensification in radio frequency thermotherapy
US4228809A (en) * 1977-10-06 1980-10-21 Rca Corporation Temperature controller for a microwave heating system
US4224929A (en) 1977-11-08 1980-09-30 Olympus Optical Co., Ltd. Endoscope with expansible cuff member and operation section
US4204549A (en) * 1977-12-12 1980-05-27 Rca Corporation Coaxial applicator for microwave hyperthermia
US4237898A (en) * 1978-03-27 1980-12-09 Critical Systems, Inc. Apparatus for heating tissue and employing protection against transients
US4295467A (en) * 1979-05-24 1981-10-20 Inverness International Corp. Electrolysis apparatus with retractable probe
US4311154A (en) * 1979-03-23 1982-01-19 Rca Corporation Nonsymmetrical bulb applicator for hyperthermic treatment of the body
JPS55130640A (en) * 1979-03-30 1980-10-09 Olympus Optical Co Endoscope
US4448198A (en) * 1979-06-19 1984-05-15 Bsd Medical Corporation Invasive hyperthermia apparatus and method
US4267828A (en) * 1979-06-22 1981-05-19 Olympus Optical Co., Ltd. Endoscope having an extension guide for observation
US4311145A (en) * 1979-07-16 1982-01-19 Neomed, Inc. Disposable electrosurgical instrument
US4307720A (en) * 1979-07-26 1981-12-29 Weber Jr Jaroy Electrocautery apparatus and method and means for cleaning the same
US4336809A (en) * 1980-03-17 1982-06-29 Burleigh Instruments, Inc. Human and animal tissue photoradiation system and method
US4798215A (en) * 1984-03-15 1989-01-17 Bsd Medical Corporation Hyperthermia apparatus
US4375220A (en) * 1980-05-09 1983-03-01 Matvias Fredrick M Microwave applicator with cooling mechanism for intracavitary treatment of cancer
WO1981003271A1 (en) * 1980-05-13 1981-11-26 American Hospital Supply Corp A multipolar electrosurgical device
JPS5755573A (en) * 1980-09-18 1982-04-02 Olympus Optical Co Ltd Cassette storing device
US4565200A (en) * 1980-09-24 1986-01-21 Cosman Eric R Universal lesion and recording electrode system
US4411266A (en) * 1980-09-24 1983-10-25 Cosman Eric R Thermocouple radio frequency lesion electrode
US4805616A (en) * 1980-12-08 1989-02-21 Pao David S C Bipolar probes for ophthalmic surgery and methods of performing anterior capsulotomy
US4562838A (en) * 1981-01-23 1986-01-07 Walker William S Electrosurgery instrument
JPS57188231A (en) * 1981-05-14 1982-11-19 Olympus Optical Co Treating tool guide apparatus of endoscope
US4397314A (en) * 1981-08-03 1983-08-09 Clini-Therm Corporation Method and apparatus for controlling and optimizing the heating pattern for a hyperthermia system
US4568329A (en) * 1982-03-08 1986-02-04 Mahurkar Sakharam D Double lumen catheter
US4470407A (en) * 1982-03-11 1984-09-11 Laserscope, Inc. Endoscopic device
JPS58173540A (ja) * 1982-04-03 1983-10-12 銭谷　利男 マイクロ波手術装置
US4405314A (en) * 1982-04-19 1983-09-20 Cook Incorporated Apparatus and method for catheterization permitting use of a smaller gage needle
US5385544A (en) * 1992-08-12 1995-01-31 Vidamed, Inc. BPH ablation method and apparatus
US5370675A (en) * 1992-08-12 1994-12-06 Vidamed, Inc. Medical probe device and method
US5435805A (en) * 1992-08-12 1995-07-25 Vidamed, Inc. Medical probe device with optical viewing capability
US5421819A (en) * 1992-08-12 1995-06-06 Vidamed, Inc. Medical probe device
US5542915A (en) * 1992-08-12 1996-08-06 Vidamed, Inc. Thermal mapping catheter with ultrasound probe
CA1244889A (en) * 1983-01-24 1988-11-15 Kureha Chemical Ind Co Ltd HYPERTHERMIA DEVICE
US4524770A (en) * 1983-01-25 1985-06-25 Ahmad Orandi Endoscope injection needle
US4774949A (en) * 1983-06-14 1988-10-04 Fogarty Thomas J Deflector guiding catheter
US4672962A (en) * 1983-09-28 1987-06-16 Cordis Corporation Plaque softening method
US4601296A (en) * 1983-10-07 1986-07-22 Yeda Research And Development Co., Ltd. Hyperthermia apparatus
US4612940A (en) * 1984-05-09 1986-09-23 Scd Incorporated Microwave dipole probe for in vivo localized hyperthermia
US4682596A (en) * 1984-05-22 1987-07-28 Cordis Corporation Electrosurgical catheter and method for vascular applications
US4781186A (en) * 1984-05-30 1988-11-01 Devices For Vascular Intervention, Inc. Atherectomy device having a flexible housing
US4552554A (en) * 1984-06-25 1985-11-12 Medi-Tech Incorporated Introducing catheter
US4697595A (en) * 1984-07-24 1987-10-06 Telectronics N.V. Ultrasonically marked cardiac catheters
YU132884A (en) * 1984-07-26 1987-12-31 Branko Breyer Electrode cateter with ultrasonic marking
US4800899A (en) * 1984-10-22 1989-01-31 Microthermia Technology, Inc. Apparatus for destroying cells in tumors and the like
US4580551A (en) * 1984-11-02 1986-04-08 Warner-Lambert Technologies, Inc. Flexible plastic tube for endoscopes and the like
US4817601A (en) * 1985-03-06 1989-04-04 C. R. Bard, Inc. Catheter system for controlled removal by radiant energy of biological obstructions
US4594074A (en) * 1985-05-06 1986-06-10 Viridian, Inc. Non-occluding high flow enteral feeding tube
US4660560A (en) * 1985-05-30 1987-04-28 The Beth Israel Hospital Association Method for treating obstructive prostatism
US4658836A (en) * 1985-06-28 1987-04-21 Bsd Medical Corporation Body passage insertable applicator apparatus for electromagnetic
US4669475A (en) * 1985-06-28 1987-06-02 Bsd Medical Corporation Apparatus and method for hyperthermia treatment
US4681122A (en) * 1985-09-23 1987-07-21 Victory Engineering Corp. Stereotaxic catheter for microwave thermotherapy
FR2591116B1 (fr) * 1985-12-10 1990-08-03 Cgr Mev Appareil de traitement par hyperthermie.
DE3604823C2 (de) * 1986-02-15 1995-06-01 Lindenmeier Heinz Hochfrequenzgenerator mit automatischer Leistungsregelung für die Hochfrequenzchirurgie
US4700716A (en) * 1986-02-27 1987-10-20 Kasevich Associates, Inc. Collinear antenna array applicator
FR2595564A1 (fr) * 1986-03-11 1987-09-18 Lavarenne Vincent Endoprothese uretrale
IL78755A0 (en) * 1986-05-12 1986-08-31 Biodan Medical Systems Ltd Applicator for insertion into a body opening for medical purposes
IL78756A0 (en) * 1986-05-12 1986-08-31 Biodan Medical Systems Ltd Catheter and probe
US4709698A (en) * 1986-05-14 1987-12-01 Thomas J. Fogarty Heatable dilation catheter
DE3621509A1 (de) 1986-06-27 1988-03-03 Wolf Gmbh Richard Seitenblick-endoskop
US4872458A (en) * 1986-09-16 1989-10-10 Olympus Optical Co., Ltd. Thermotherapy apparatus
US4753223A (en) * 1986-11-07 1988-06-28 Bremer Paul W System for controlling shape and direction of a catheter, cannula, electrode, endoscope or similar article
US5231995A (en) * 1986-11-14 1993-08-03 Desai Jawahar M Method for catheter mapping and ablation
US5215103A (en) * 1986-11-14 1993-06-01 Desai Jawahar M Catheter for mapping and ablation and method therefor
US4940064A (en) 1986-11-14 1990-07-10 Desai Jawahar M Catheter for mapping and ablation and method therefor
US5365926A (en) * 1986-11-14 1994-11-22 Desai Jawahar M Catheter for mapping and ablation and method therefor
US5030227A (en) 1988-06-02 1991-07-09 Advanced Surgical Intervention, Inc. Balloon dilation catheter
US4893623A (en) * 1986-12-09 1990-01-16 Advanced Surgical Intervention, Inc. Method and apparatus for treating hypertrophy of the prostate gland
US4946449A (en) 1986-12-18 1990-08-07 Davis Jr Richard C Indwelling urethral catheter system and method
US4719914A (en) * 1986-12-24 1988-01-19 Johnson Gerald W Electrosurgical instrument
JPH0753493Y2 (ja) 1987-01-22 1995-12-13 ダイワ精工株式会社 魚釣用スピニングリール
US4765331A (en) * 1987-02-10 1988-08-23 Circon Corporation Electrosurgical device with treatment arc of less than 360 degrees
US5003991A (en) 1987-03-31 1991-04-02 Olympus Optical Co., Ltd. Hyperthermia apparatus
US4901737A (en) * 1987-04-13 1990-02-20 Toone Kent J Method and therapeutic apparatus for reducing snoring
US4823791A (en) * 1987-05-08 1989-04-25 Circon Acmi Division Of Circon Corporation Electrosurgical probe apparatus
DE3715699A1 (de) 1987-05-12 1988-12-01 Foerster Ernst Katheter und endoskop zur transpapillaeren darstellung der gallenblase
US4943290A (en) 1987-06-23 1990-07-24 Concept Inc. Electrolyte purging electrode tip
US4906230A (en) 1987-06-30 1990-03-06 Baxter Travenol Laboratories, Inc. Steerable catheter tip
US4769005A (en) * 1987-08-06 1988-09-06 Robert Ginsburg Selective catheter guide
US4784638A (en) * 1987-09-17 1988-11-15 Neurodynamics, Inc. Angled hole ventricular catheter and method of making same
JPH0636834Y2 (ja) 1987-10-28 1994-09-28 オリンパス光学工業株式会社 高周波誘電加温用電極
US4860744A (en) * 1987-11-02 1989-08-29 Raj K. Anand Thermoelectrically controlled heat medical catheter
US4911173A (en) 1987-11-13 1990-03-27 Diasonics, Inc. Biopsy attachment for ultrasound probe
JPH01139081A (ja) 1987-11-27 1989-05-31 Olympus Optical Co Ltd レーザ光照射装置
US4919129A (en) 1987-11-30 1990-04-24 Celebration Medical Products, Inc. Extendable electrocautery surgery apparatus and method
US5035695A (en) 1987-11-30 1991-07-30 Jaroy Weber, Jr. Extendable electrocautery surgery apparatus and method
US4982724A (en) 1987-12-28 1991-01-08 Olympus Opicals Co. Endoscope apparatus
US4907589A (en) * 1988-04-29 1990-03-13 Cosman Eric R Automatic over-temperature control apparatus for a therapeutic heating device
US4932958A (en) 1988-05-10 1990-06-12 American Medical Systems, Inc. Prostate balloon dilator
WO1989011311A1 (en) 1988-05-18 1989-11-30 Kasevich Associates, Inc. Microwave balloon angioplasty
US5178620A (en) 1988-06-10 1993-01-12 Advanced Angioplasty Products, Inc. Thermal dilatation catheter and method
US4998933A (en) 1988-06-10 1991-03-12 Advanced Angioplasty Products, Inc. Thermal angioplasty catheter and method
US4865047A (en) * 1988-06-30 1989-09-12 City Of Hope Hyperthermia applicator
US5220927A (en) 1988-07-28 1993-06-22 Bsd Medical Corporation Urethral inserted applicator for prostate hyperthermia
US4967765A (en) 1988-07-28 1990-11-06 Bsd Medical Corporation Urethral inserted applicator for prostate hyperthermia
US5249585A (en) 1988-07-28 1993-10-05 Bsd Medical Corporation Urethral inserted applicator for prostate hyperthermia
US4896671A (en) * 1988-08-01 1990-01-30 C. R. Bard, Inc. Catheter with contoured ablation electrode
US4920978A (en) 1988-08-31 1990-05-01 Triangle Research And Development Corporation Method and apparatus for the endoscopic treatment of deep tumors using RF hyperthermia
JP2644000B2 (ja) 1988-09-16 1997-08-25 オリンパス光学工業株式会社 レゼクトスコープ装置
US4947842A (en) * 1988-09-22 1990-08-14 Medical Engineering And Development Institute, Inc. Method and apparatus for treating tissue with first and second modalities
US4898577A (en) 1988-09-28 1990-02-06 Advanced Cardiovascular Systems, Inc. Guiding cathether with controllable distal tip
US5108415A (en) 1988-10-04 1992-04-28 Cordis Corporation Balloons for medical devices and fabrication thereof
US4906203A (en) * 1988-10-24 1990-03-06 General Motors Corporation Electrical connector with shorting clip
US4955377A (en) 1988-10-28 1990-09-11 Lennox Charles D Device and method for heating tissue in a patient's body
US4966597A (en) 1988-11-04 1990-10-30 Cosman Eric R Thermometric cardiac tissue ablation electrode with ultra-sensitive temperature detection
US5150717A (en) 1988-11-10 1992-09-29 Arye Rosen Microwave aided balloon angioplasty with guide filament
US5026959A (en) 1988-11-16 1991-06-25 Tokyo Keiki Co. Ltd. Microwave radiator for warming therapy
DE3838840C2 (de) 1988-11-17 1997-02-20 Leibinger Gmbh Hochfrequenzkoagulationsvorrichtung für chirurgische Zwecke
FR2639238B1 (fr) 1988-11-21 1991-02-22 Technomed Int Sa Appareil de traitement chirurgical de tissus par hyperthermie, de preference la prostate, comprenant des moyens de protection thermique comprenant de preference des moyens formant ecran radioreflechissant
US4887615A (en) * 1988-12-28 1989-12-19 Microtek Medical Inc. Sterile drape for ultrasound probe
US5116615A (en) 1989-01-27 1992-05-26 Immunolytics, Inc. Method for treating benign prostatic hypertrophy
CA1332905C (en) * 1989-03-10 1994-11-08 John A. Murchie Method and apparatus for treatment of snoring
US4911148A (en) 1989-03-14 1990-03-27 Intramed Laboratories, Inc. Deflectable-end endoscope with detachable flexible shaft assembly
US5057107A (en) 1989-04-13 1991-10-15 Everest Medical Corporation Ablation catheter with selectively deployable electrodes
US4936281A (en) 1989-04-13 1990-06-26 Everest Medical Corporation Ultrasonically enhanced RF ablation catheter
US5078717A (en) * 1989-04-13 1992-01-07 Everest Medical Corporation Ablation catheter with selectively deployable electrodes
US4976711A (en) * 1989-04-13 1990-12-11 Everest Medical Corporation Ablation catheter with selectively deployable electrodes
US5125928A (en) * 1989-04-13 1992-06-30 Everest Medical Corporation Ablation catheter with selectively deployable electrodes
JP2722132B2 (ja) 1989-05-03 1998-03-04 日機装株式会社 狭窄症を管腔内から緩和させる器具及び方法
US4998932A (en) 1989-05-03 1991-03-12 Amt Inc. Catheter with distally located integrated circuit radiation generator
DE3918431C1 (zh) 1989-06-06 1990-07-26 B. Braun Melsungen Ag, 3508 Melsungen, De
US5045072A (en) 1989-06-13 1991-09-03 Cordis Corporation Catheter having highly radiopaque, flexible tip
US5029588A (en) 1989-06-15 1991-07-09 Cardiovascular Imaging Systems, Inc. Laser catheter with imaging capability
US5007437A (en) 1989-06-16 1991-04-16 Mmtc, Inc. Catheters for treating prostate disease
US5084044A (en) 1989-07-14 1992-01-28 Ciron Corporation Apparatus for endometrial ablation and method of using same
US5010886A (en) 1989-08-18 1991-04-30 Intertherapy, Inc. Medical probe assembly having combined ultrasonic imaging and laser ablation capabilities
US5002558A (en) 1989-08-23 1991-03-26 The Beth Israel Hospital Association Adjustable urethral catheter and method for treating obstructive prostatism
US5057105A (en) 1989-08-28 1991-10-15 The University Of Kansas Med Center Hot tip catheter assembly
US5045056A (en) 1989-09-15 1991-09-03 Behl Robert S Method and device for thermal ablation of hollow body organs
US5007908A (en) 1989-09-29 1991-04-16 Everest Medical Corporation Electrosurgical instrument having needle cutting electrode and spot-coag electrode
US5109859A (en) 1989-10-04 1992-05-05 Beth Israel Hospital Association Ultrasound guided laser angioplasty
US5055109A (en) 1989-10-05 1991-10-08 Advanced Cardiovascular Systems, Inc. Torque transmitting assembly for intravascular devices
US5195968A (en) 1990-02-02 1993-03-23 Ingemar Lundquist Catheter steering mechanism
US5254088A (en) 1990-02-02 1993-10-19 Ep Technologies, Inc. Catheter steering mechanism
US5273535A (en) 1991-11-08 1993-12-28 Ep Technologies, Inc. Catheter with electrode tip having asymmetric left and right curve configurations
US5035696A (en) 1990-02-02 1991-07-30 Everest Medical Corporation Electrosurgical instrument for conducting endoscopic retrograde sphincterotomy
US5060660A (en) 1990-02-28 1991-10-29 C. R. Bard, Inc. Steerable extendable guidewire with adjustable tip
US5013312A (en) 1990-03-19 1991-05-07 Everest Medical Corporation Bipolar scalpel for harvesting internal mammary artery
EP0450181B1 (en) 1990-03-30 1995-05-17 Pacesetter AB Device for positioning an electrode
US5122137A (en) 1990-04-27 1992-06-16 Boston Scientific Corporation Temperature controlled rf coagulation
US5080660A (en) 1990-05-11 1992-01-14 Applied Urology, Inc. Electrosurgical electrode
US5071418A (en) 1990-05-16 1991-12-10 Joseph Rosenbaum Electrocautery surgical scalpel
US5190539A (en) 1990-07-10 1993-03-02 Texas A & M University System Micro-heat-pipe catheter
US5083565A (en) 1990-08-03 1992-01-28 Everest Medical Corporation Electrosurgical instrument for ablating endocardial tissue
US5100423A (en) 1990-08-21 1992-03-31 Medical Engineering & Development Institute, Inc. Ablation catheter
US5059851A (en) 1990-09-06 1991-10-22 Cardiometrics, Inc. Miniature ultrasound high efficiency transducer assembly, guidewire using the same and method
US5120316A (en) 1990-09-28 1992-06-09 Akzo N.V. Urethral catheter and catheterization process
US5190541A (en) * 1990-10-17 1993-03-02 Boston Scientific Corporation Surgical instrument and method
WO1992010142A1 (en) * 1990-12-10 1992-06-25 Howmedica Inc. A device and method for interstitial laser energy delivery
US5094233A (en) * 1991-01-11 1992-03-10 Brennan Louis G Turbinate sheath device
CN1018429B (zh) 1991-01-14 1992-09-30 大连波姆仪器设备有限公司 光治疗器
DE4101472C2 (de) 1991-01-19 1995-07-13 Winter & Ibe Olympus Endoskop zur transurethralen Resektion
US5228441A (en) 1991-02-15 1993-07-20 Lundquist Ingemar H Torquable catheter and method
US5409453A (en) * 1992-08-12 1995-04-25 Vidamed, Inc. Steerable medical probe with stylets
US5195965A (en) 1991-03-07 1993-03-23 Shantha Totada R Method and apparatus for localized treatment of human viral infections and cancers
AU1899292A (en) * 1991-05-24 1993-01-08 Ep Technologies Inc Combination monophasic action potential/ablation catheter and high-performance filter system
US5301687A (en) 1991-06-06 1994-04-12 Trustees Of Dartmouth College Microwave applicator for transurethral hyperthermia
US5179962A (en) 1991-06-20 1993-01-19 Possis Medical, Inc. Cardiac lead with retractible fixators
US5383917A (en) * 1991-07-05 1995-01-24 Jawahar M. Desai Device and method for multi-phase radio-frequency ablation
US5222953A (en) 1991-10-02 1993-06-29 Kambiz Dowlatshahi Apparatus for interstitial laser therapy having an improved temperature sensor for tissue being treated
US5273524A (en) 1991-10-09 1993-12-28 Ethicon, Inc. Electrosurgical device
US5322503A (en) * 1991-10-18 1994-06-21 Desai Ashvin H Endoscopic surgical instrument
EP0566731A4 (en) * 1991-11-08 1995-02-22 Ep Technologies HIGH FREQUENCY ABLATION SYSTEM WITH PHASE SENSITIVE POWER DETECTION.
US5257451A (en) 1991-11-08 1993-11-02 Ep Technologies, Inc. Method of making durable sleeve for enclosing a bendable electrode tip assembly
US5363861A (en) * 1991-11-08 1994-11-15 Ep Technologies, Inc. Electrode tip assembly with variable resistance to bending
ATE241938T1 (de) * 1991-11-08 2003-06-15 Boston Scient Ltd Ablationselektrode mit isoliertem temperaturmesselement
US5328467A (en) * 1991-11-08 1994-07-12 Ep Technologies, Inc. Catheter having a torque transmitting sleeve
US5275162A (en) 1991-11-08 1994-01-04 Ep Technologies, Inc. Valve mapping catheter
US5197964A (en) 1991-11-12 1993-03-30 Everest Medical Corporation Bipolar instrument utilizing one stationary electrode and one movable electrode
US5197963A (en) 1991-12-02 1993-03-30 Everest Medical Corporation Electrosurgical instrument with extendable sheath for irrigation and aspiration
US5235964A (en) 1991-12-05 1993-08-17 Analogic Corporation Flexible probe apparatus
US5304134A (en) 1992-01-17 1994-04-19 Danforth Biomedical, Inc. Lubricious yet bondable catheter channel sleeve for over-the-wire catheters
US5304214A (en) 1992-01-21 1994-04-19 Med Institute, Inc. Transurethral ablation catheter
US5300099A (en) 1992-03-06 1994-04-05 Urologix, Inc. Gamma matched, helical dipole microwave antenna
US5299559A (en) 1992-03-13 1994-04-05 Acuson Corporation Endoscope with overload protective device
US5300070A (en) 1992-03-17 1994-04-05 Conmed Corporation Electrosurgical trocar assembly with bi-polar electrode
US5201732A (en) 1992-04-09 1993-04-13 Everest Medical Corporation Bipolar sphincterotomy utilizing side-by-side parallel wires
WO1993020886A1 (en) * 1992-04-13 1993-10-28 Ep Technologies, Inc. Articulated systems for cardiac ablation
US5314466A (en) * 1992-04-13 1994-05-24 Ep Technologies, Inc. Articulated unidirectional microwave antenna systems for cardiac ablation
WO1993020768A1 (en) * 1992-04-13 1993-10-28 Ep Technologies, Inc. Steerable microwave antenna systems for cardiac ablation
US5281217A (en) 1992-04-13 1994-01-25 Ep Technologies, Inc. Steerable antenna systems for cardiac ablation that minimize tissue damage and blood coagulation due to conductive heating patterns
US5281213A (en) 1992-04-16 1994-01-25 Implemed, Inc. Catheter for ice mapping and ablation
US5300068A (en) 1992-04-21 1994-04-05 St. Jude Medical, Inc. Electrosurgical apparatus
US5277201A (en) * 1992-05-01 1994-01-11 Vesta Medical, Inc. Endometrial ablation apparatus and method
US5281218A (en) 1992-06-05 1994-01-25 Cardiac Pathways Corporation Catheter having needle electrode for radiofrequency ablation
US5293868A (en) 1992-06-30 1994-03-15 American Cardiac Ablation Co., Inc. Cardiac ablation catheter having resistive mapping electrodes
US5300069A (en) 1992-08-12 1994-04-05 Daniel Hunsberger Electrosurgical apparatus for laparoscopic procedures and method of use
US5556377A (en) * 1992-08-12 1996-09-17 Vidamed, Inc. Medical probe apparatus with laser and/or microwave monolithic integrated circuit probe
US5542916A (en) * 1992-08-12 1996-08-06 Vidamed, Inc. Dual-channel RF power delivery system
US5456662A (en) * 1993-02-02 1995-10-10 Edwards; Stuart D. Method for reducing snoring by RF ablation of the uvula
US5484400A (en) * 1992-08-12 1996-01-16 Vidamed, Inc. Dual channel RF delivery system
US5514131A (en) * 1992-08-12 1996-05-07 Stuart D. Edwards Method for the ablation treatment of the uvula
US5470308A (en) * 1992-08-12 1995-11-28 Vidamed, Inc. Medical probe with biopsy stylet
US5549644A (en) * 1992-08-12 1996-08-27 Vidamed, Inc. Transurethral needle ablation device with cystoscope and method for treatment of the prostate
US5486161A (en) * 1993-02-02 1996-01-23 Zomed International Medical probe device and method
US5312392A (en) 1992-08-31 1994-05-17 Messerschmitt-Boelkow-Blohm Ag Interstitial laser coagulation treatment for benign prostatic hyperplasia
US5309910A (en) * 1992-09-25 1994-05-10 Ep Technologies, Inc. Cardiac mapping and ablation systems
US5293869A (en) 1992-09-25 1994-03-15 Ep Technologies, Inc. Cardiac probe with dynamic support for maintaining constant surface contact during heart systole and diastole
US5313943A (en) 1992-09-25 1994-05-24 Ep Technologies, Inc. Catheters and methods for performing cardiac diagnosis and treatment
US5549108A (en) * 1992-09-25 1996-08-27 Ep Technologies, Inc. Cardiac mapping and ablation systems
US5401272A (en) * 1992-09-25 1995-03-28 Envision Surgical Systems, Inc. Multimodality probe with extendable bipolar electrodes
US5471982A (en) * 1992-09-29 1995-12-05 Ep Technologies, Inc. Cardiac mapping and ablation systems
WO1994010924A1 (en) * 1992-11-13 1994-05-26 American Cardiac Ablation Co., Inc. Fluid cooled electrosurgical probe
US5348554A (en) * 1992-12-01 1994-09-20 Cardiac Pathways Corporation Catheter for RF ablation with cooled electrode
US5545161A (en) * 1992-12-01 1996-08-13 Cardiac Pathways Corporation Catheter for RF ablation having cooled electrode with electrically insulated sleeve
US5336222A (en) * 1993-03-29 1994-08-09 Boston Scientific Corporation Integrated catheter for diverse in situ tissue therapy
US5403311A (en) 1993-03-29 1995-04-04 Boston Scientific Corporation Electro-coagulation and ablation and other electrotherapeutic treatments of body tissue
ATE284650T1 (de) * 1993-06-10 2005-01-15 Mir A Imran Urethrales gerät zur ablation mittels hochfrequenz
US5545193A (en) * 1993-10-15 1996-08-13 Ep Technologies, Inc. Helically wound radio-frequency emitting electrodes for creating lesions in body tissue
US5433739A (en) * 1993-11-02 1995-07-18 Sluijter; Menno E. Method and apparatus for heating an intervertebral disc for relief of back pain
US5458597A (en) * 1993-11-08 1995-10-17 Zomed International Device for treating cancer and non-malignant tumors and methods
US5472441A (en) * 1993-11-08 1995-12-05 Zomed International Device for treating cancer and non-malignant tumors and methods
US5536267A (en) * 1993-11-08 1996-07-16 Zomed International Multiple electrode ablation apparatus
US5507743A (en) * 1993-11-08 1996-04-16 Zomed International Coiled RF electrode treatment apparatus
US5423812A (en) 1994-01-31 1995-06-13 Ellman; Alan G. Electrosurgical stripping electrode for palatopharynx tissue
US5458596A (en) * 1994-05-06 1995-10-17 Dorsal Orthopedic Corporation Method and apparatus for controlled contraction of soft tissue
US5505730A (en) * 1994-06-24 1996-04-09 Stuart D. Edwards Thin layer ablation apparatus
US5545171A (en) * 1994-09-22 1996-08-13 Vidamed, Inc. Anastomosis catheter
US5558673A (en) * 1994-09-30 1996-09-24 Vidamed, Inc. Medical probe device and method having a flexible resilient tape stylet
US5514130A (en) * 1994-10-11 1996-05-07 Dorsal Med International RF apparatus for controlled depth ablation of soft tissue
US5868740A (en) * 1995-03-24 1999-02-09 Board Of Regents-Univ Of Nebraska Method for volumetric tissue ablation

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102458272A (zh) * 2009-04-27 2012-05-16 因特尔赛克特耳鼻喉公司 治疗与扁桃体切除术相关的疼痛的装置和方法
US8663192B2 (en) 2009-04-27 2014-03-04 Intersect Ent, Inc. Devices and methods for treating pain associated with tonsillectomies
CN102458272B (zh) * 2009-04-27 2014-09-17 因特尔赛克特耳鼻喉公司 治疗与扁桃体切除术相关的疼痛的装置
CN104161567A (zh) * 2014-05-09 2014-11-26 殷敏 一种腺样体切除钳
CN110891512A (zh) * 2017-07-06 2020-03-17 波士顿科学医学有限公司 窥镜设备
CN110891512B (zh) * 2017-07-06 2023-09-29 波士顿科学医学有限公司 窥镜设备
CN112261913A (zh) * 2018-06-08 2021-01-22 波士顿科学医学有限公司 用于组织凝结的系统和方法
CN113692258A (zh) * 2019-04-04 2021-11-23 阿克拉伦特公司 用于鼻后神经消融的针器械

Also Published As

Publication number Publication date
JP2000509619A (ja) 2000-08-02
KR20000010815A (ko) 2000-02-25
CA2253705A1 (en) 1997-11-13
EP0904025A2 (en) 1999-03-31
WO1997041786A3 (en) 1997-12-11
AU2070897A (en) 1997-11-26
US5718702A (en) 1998-02-17
US5514131A (en) 1996-05-07
WO1997041786A2 (en) 1997-11-13

Similar Documents

Publication Publication Date Title
CN1217639A (zh) 悬雍垂、扁挑体、腺样体和鼻窦组织治疗装置和方法
US10864035B2 (en) Eustachian tube modification
JP5336377B2 (ja) 内視鏡と共に使用するフード部材
US5456662A (en) Method for reducing snoring by RF ablation of the uvula
JPH08510148A (ja) スタイレット付き医療用プローブ
EP2526993A2 (en) Treatment tool
CN103932656B (zh) 一种内窥镜组件及医疗设备
JP2010502381A5 (zh)
JP2013046820A (ja) 体内の所望の位置に案内される電場による癌の治療
CN1216911A (zh) 用于治疗气道阻塞的方法和装置
WO2020015692A1 (zh) 一种牵引装置以及用于牵引装置的牵拉环
KR102113648B1 (ko) 의료용 광역학 치료 장치
EP1768591B1 (en) Flexible endoscope for endo luminal access radio frequency tumor ablation
KR101876807B1 (ko) 의료용 광역학 치료 장치
US11298205B2 (en) Devices for guiding tissue treatment and/or tissue removal procedures
CN207253372U (zh) 一种消融范围可控的消融针
CN203873724U (zh) 一种内窥镜组件及医疗设备
CN113749694A (zh) 穿刺取活检及消融系统
CN216167750U (zh) 一种基于超声内镜的光声动力治疗穿刺针
CN2167727Y (zh) 消融-注射导管
US11969200B2 (en) Eustachian tube modification
JP2002238918A (ja) 治療針及び治療用装置
JPS631065B2 (zh)
Croitoru et al. Flexible waveguides for transmission of IR radiation and surgical applications
UA116434U (uk) Електрохірургічний біполярний пристрій для сфінктеротомії

Legal Events

Date Code Title Description
C06 Publication
PB01 Publication
C01 Deemed withdrawal of patent application (patent law 1993)
WD01 Invention patent application deemed withdrawn after publication