JP5369336B2 - 前立腺の疾患を治療するための侵襲性が最小である方法及びデバイス - Google Patents

前立腺の疾患を治療するための侵襲性が最小である方法及びデバイス Download PDF

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JP5369336B2
JP5369336B2 JP2009544962A JP2009544962A JP5369336B2 JP 5369336 B2 JP5369336 B2 JP 5369336B2 JP 2009544962 A JP2009544962 A JP 2009544962A JP 2009544962 A JP2009544962 A JP 2009544962A JP 5369336 B2 JP5369336 B2 JP 5369336B2
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energy
prostate
urethra
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JP2010514541A (ja
JP2010514541A5 (cg-RX-API-DMAC7.html
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ニコライ アルジュリ
ロドニー シー パーキンズ
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アクアビーム エルエルシー
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  • Plasma & Fusion (AREA)
  • Optics & Photonics (AREA)
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JP2009544962A 2007-01-02 2008-01-02 前立腺の疾患を治療するための侵襲性が最小である方法及びデバイス Active JP5369336B2 (ja)

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Application Number Priority Date Filing Date Title
US88309707P 2007-01-02 2007-01-02
US60/883,097 2007-01-02
PCT/US2008/050051 WO2008083407A1 (en) 2007-01-02 2008-01-02 Minimally invasive methods and devices for the treatment of prostate diseases

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JP2013088817A Division JP6140512B2 (ja) 2007-01-02 2013-04-03 前立腺の疾患を治療するための侵襲性が最小である方法及びデバイス

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JP2010514541A JP2010514541A (ja) 2010-05-06
JP2010514541A5 JP2010514541A5 (cg-RX-API-DMAC7.html) 2013-06-06
JP5369336B2 true JP5369336B2 (ja) 2013-12-18

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JP2009544962A Active JP5369336B2 (ja) 2007-01-02 2008-01-02 前立腺の疾患を治療するための侵襲性が最小である方法及びデバイス
JP2013088817A Active JP6140512B2 (ja) 2007-01-02 2013-04-03 前立腺の疾患を治療するための侵襲性が最小である方法及びデバイス
JP2015111893A Active JP6268125B2 (ja) 2007-01-02 2015-06-02 前立腺の疾患を治療するための侵襲性が最小である方法及びデバイス

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JP2015111893A Active JP6268125B2 (ja) 2007-01-02 2015-06-02 前立腺の疾患を治療するための侵襲性が最小である方法及びデバイス

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US (1) US7882841B2 (cg-RX-API-DMAC7.html)
EP (6) EP4566557A3 (cg-RX-API-DMAC7.html)
JP (3) JP5369336B2 (cg-RX-API-DMAC7.html)
ES (4) ES2858596T3 (cg-RX-API-DMAC7.html)
WO (1) WO2008083407A1 (cg-RX-API-DMAC7.html)

Families Citing this family (105)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7412285B2 (en) 1999-04-09 2008-08-12 Oncostim, Inc. Method and device for treating cancer with electrical therapy in conjunction with chemotherapeutic agents and radiation therapy
US9232959B2 (en) 2007-01-02 2016-01-12 Aquabeam, Llc Multi fluid tissue resection methods and devices
US12290277B2 (en) 2007-01-02 2025-05-06 Aquabeam, Llc Tissue resection with pressure sensing
EP3622910B1 (en) 2008-03-06 2024-07-10 AquaBeam LLC Tissue ablation and cautery with optical energy carried in fluid stream
US10736689B2 (en) 2008-08-20 2020-08-11 Prostacare Pty Ltd Low-corrosion electrode for treating tissue
EP2326274B8 (en) * 2008-08-20 2019-11-27 Prostacare Pty Ltd Catheter for treating tissue with non-thermal ablation
US20110208022A1 (en) * 2008-09-16 2011-08-25 Intersect Partners ,LLC a Limited Liability Corporation Device and methods for sampling prostate fluid
US8540708B2 (en) 2008-10-21 2013-09-24 Hermes Innovations Llc Endometrial ablation method
US9662163B2 (en) 2008-10-21 2017-05-30 Hermes Innovations Llc Endometrial ablation devices and systems
US8372068B2 (en) * 2008-10-21 2013-02-12 Hermes Innovations, LLC Tissue ablation systems
US8821486B2 (en) 2009-11-13 2014-09-02 Hermes Innovations, LLC Tissue ablation systems and methods
JP2012508067A (ja) 2008-11-06 2012-04-05 エヌエックスセラ インコーポレイテッド 前立腺組織の治療のためのシステム及び方法
JP2012508069A (ja) 2008-11-06 2012-04-05 エヌエックスセラ インコーポレイテッド 前立腺肥大症の治療のためのシステムおよび方法
WO2014127242A2 (en) 2013-02-14 2014-08-21 Procept Biorobotics Corporation Aquablation aquabeam eye surgery methods and apparatus
US9848904B2 (en) 2009-03-06 2017-12-26 Procept Biorobotics Corporation Tissue resection and treatment with shedding pulses
US9833277B2 (en) 2009-04-27 2017-12-05 Nxthera, Inc. Systems and methods for prostate treatment
US11896282B2 (en) 2009-11-13 2024-02-13 Hermes Innovations Llc Tissue ablation systems and method
US10016620B2 (en) 2010-02-04 2018-07-10 Procept Biorobotics Incorporation Tissue sampling and cancer treatment apparatus
WO2016004071A1 (en) 2014-06-30 2016-01-07 Procept Biorobotics Corporation Fluid jet tissue resection and cold coagulation (aquablation) methods and apparatus
US10588609B2 (en) 2010-02-04 2020-03-17 Procept Biorobotics Corporation Gene analysis and generation of stem cell methods and apparatus
ES3035852T3 (en) 2010-03-25 2025-09-10 Boston Scient Scimed Inc Systems for prostate treatment
US9510897B2 (en) 2010-11-05 2016-12-06 Hermes Innovations Llc RF-electrode surface and method of fabrication
CN108392263A (zh) 2011-01-19 2018-08-14 弗拉克泰尔实验室公司 用于组织处理的装置与方法
US9486625B2 (en) 2011-08-08 2016-11-08 Medamp Electronics, Llc Method for treating benign prostate hyperplasia
US8706258B2 (en) 2011-08-08 2014-04-22 Medamp Electronics, Llc Method and apparatus for treating cancer
EP4613223A3 (en) 2011-09-13 2025-11-05 Boston Scientific Scimed, Inc. Systems and methods for prostate treatment
CA2865567C (en) 2012-02-27 2022-10-11 Fractyl Laboratories, Inc. Heat ablation systems, devices and methods for the treatment of tissue
JP6080872B2 (ja) 2012-02-29 2017-02-15 プロセプト バイオロボティクス コーポレイション 自動化された画像誘導組織切除および治療
WO2013152119A1 (en) 2012-04-03 2013-10-10 Nxthera, Inc. Induction coil vapor generator
CA2869904C (en) 2012-04-19 2020-04-21 Fractyl Laboratories, Inc. Systems for expanding tissue prior to energy ablation
US9883906B2 (en) 2012-04-22 2018-02-06 Newuro, B.V. Bladder tissue modification for overactive bladder disorders
CN104379212B (zh) 2012-04-22 2016-08-31 纽乌罗有限公司 针对膀胱过度活动症的膀胱组织改变
US10610294B2 (en) 2012-04-22 2020-04-07 Newuro, B.V. Devices and methods for transurethral bladder partitioning
US9192426B2 (en) 2012-06-26 2015-11-24 Covidien Lp Ablation device having an expandable chamber for anchoring the ablation device to tissue
KR101415069B1 (ko) 2012-08-07 2014-07-04 경희대학교 산학협력단 하지 정맥류 열 치료 장치 및 열 치료 방법
EP2882362B1 (en) * 2012-08-09 2024-01-03 Fractyl Health, Inc. Ablation systems, devices and methods for the treatment of tissue
JP5620611B2 (ja) * 2012-09-21 2014-11-05 オリンパスメディカルシステムズ株式会社 手術装置
EP2903626A4 (en) 2012-10-05 2016-10-19 Fractyl Lab Inc METHODS, SYSTEMS AND DEVICES FOR CARRYING OUT MULTIPLE TREATMENTS OF A PATIENT
WO2014066085A1 (en) 2012-10-26 2014-05-01 Lixiao Wang Drug coated balloon catheters for nonvascular strictures
US10806830B2 (en) * 2012-10-26 2020-10-20 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US10850076B2 (en) 2012-10-26 2020-12-01 Urotronic, Inc. Balloon catheters for body lumens
US11504450B2 (en) * 2012-10-26 2022-11-22 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US10898700B2 (en) * 2012-10-26 2021-01-26 Urotronic, Inc. Balloon catheters for body lumens
US11938287B2 (en) 2012-10-26 2024-03-26 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US10881839B2 (en) 2012-10-26 2021-01-05 Urotronic, Inc. Drug-coated balloon catheters for body lumens
US10231867B2 (en) * 2013-01-18 2019-03-19 Auris Health, Inc. Method, apparatus and system for a water jet
CN105208939A (zh) 2013-03-14 2015-12-30 恩克斯特拉公司 治疗前列腺癌的系统和方法
JP6741573B2 (ja) * 2013-04-03 2020-08-19 プロセプト バイオロボティクス コーポレイション 前立腺の水摘出
US9901394B2 (en) 2013-04-04 2018-02-27 Hermes Innovations Llc Medical ablation system and method of making
EP3041422A4 (en) 2013-09-06 2017-04-12 Procept Biorobotics Corporation Automated image-guided tissue resection and treatment
US11986235B2 (en) 2013-09-12 2024-05-21 Fractyl Health, Inc. Systems, methods and devices for treatment of target tissue
US9649125B2 (en) 2013-10-15 2017-05-16 Hermes Innovations Llc Laparoscopic device
JP6603660B2 (ja) 2013-11-22 2019-11-06 フラクティル ラボラトリーズ インコーポレイテッド 消化管における治療制約の生成のためのシステム、デバイスおよび方法
US9968395B2 (en) 2013-12-10 2018-05-15 Nxthera, Inc. Systems and methods for treating the prostate
US10194970B2 (en) 2013-12-10 2019-02-05 Nxthera, Inc. Vapor ablation systems and methods
US10959774B2 (en) 2014-03-24 2021-03-30 Fractyl Laboratories, Inc. Injectate delivery devices, systems and methods
US9750574B2 (en) * 2014-05-28 2017-09-05 Coloplast A/S Surgical system for and a method of identifying an incision site
JP6657125B2 (ja) 2014-06-24 2020-03-04 プロセプト バイオロボティクス コーポレイション 組織サンプリングおよび癌処置方法および装置
WO2016011269A1 (en) 2014-07-16 2016-01-21 Fractyl Laboratories, Inc. Methods and systems for treating diabetes and related diseases and disorders
US11185367B2 (en) 2014-07-16 2021-11-30 Fractyl Health, Inc. Methods and systems for treating diabetes and related diseases and disorders
US9844641B2 (en) 2014-07-16 2017-12-19 Fractyl Laboratories, Inc. Systems, devices and methods for performing medical procedures in the intestine
CN107072591B (zh) 2014-09-05 2021-10-26 普罗赛普特生物机器人公司 与靶器官图像的治疗映射结合的医师控制的组织切除
CN107148245B (zh) 2014-09-05 2021-03-09 普罗赛普特生物机器人公司 干细胞的基因分析和生成的方法及装置
US10492856B2 (en) 2015-01-26 2019-12-03 Hermes Innovations Llc Surgical fluid management system and method of use
EP4606335A3 (en) 2015-01-29 2025-10-15 Nxthera, Inc. Vapor ablation systems
US11904072B2 (en) * 2015-04-24 2024-02-20 Urotronic, Inc. Drug coated balloon catheters for nonvascular strictures
EP4233927A3 (en) * 2015-04-24 2023-09-27 Urotronic, Inc. Drug coated balloon catheters for nonvascular strictures
WO2016175980A1 (en) 2015-04-29 2016-11-03 Csaba Truckai Medical ablation device and method of use
EP3294171B1 (en) 2015-05-13 2020-07-29 Nxthera, Inc. System for treating the bladder with condensable vapor
US9955986B2 (en) 2015-10-30 2018-05-01 Auris Surgical Robotics, Inc. Basket apparatus
US9949749B2 (en) 2015-10-30 2018-04-24 Auris Surgical Robotics, Inc. Object capture with a basket
US10639108B2 (en) 2015-10-30 2020-05-05 Auris Health, Inc. Process for percutaneous operations
US10052149B2 (en) 2016-01-20 2018-08-21 RELIGN Corporation Arthroscopic devices and methods
EP3429513A4 (en) 2016-03-18 2020-03-18 Procept Biorobotics Corporation MINIMALLY INVASIVE METHODS AND SYSTEMS FOR HEMOSTASIS OF CLOSED HEMORRHAGIC TISSUE VOLUME
JP2019514481A (ja) 2016-04-22 2019-06-06 リライン コーポレーション 関節鏡デバイスおよび方法
US20180000534A1 (en) 2016-07-01 2018-01-04 RELIGN Corporation Arthroscopic devices and methods
AU2017371223B2 (en) 2016-12-09 2023-04-27 Zenflow, Inc. Systems, devices, and methods for the accurate deployment of an implant in the prostatic urethra
EP3558139A4 (en) 2016-12-21 2020-08-12 Nxthera, Inc. STEAM ABLATION SYSTEMS AND METHODS
JP7193463B2 (ja) 2017-01-06 2022-12-20 ボストン サイエンティフィック サイムド，インコーポレイテッド 経腹膜蒸気焼灼システム及び方法
US11457975B2 (en) 2017-11-27 2022-10-04 Prostacare Pty Ltd Apparatus and a method for the treatment of a prostatic disease
WO2019168949A1 (en) 2018-02-28 2019-09-06 Prostacare Pty Ltd System for managing high impedance changes in a non-thermal ablation system for bph
WO2019246580A1 (en) 2018-06-21 2019-12-26 Procept Biorobotics Corporation Artificial intelligence for robotic surgery
CN113727750B (zh) * 2019-02-22 2024-09-17 优敦力公司 用于体腔的药物涂布的球囊导管
EP3931445B1 (en) 2019-03-01 2024-10-02 PROCEPT BioRobotics Corporation Pump cartridge and console
JP7607574B2 (ja) 2019-03-07 2024-12-27 プロセプト バイオロボティクス コーポレイション 組織切除および撮像のためのロボットアームおよび方法
CN113795205B (zh) 2019-03-07 2024-10-11 普罗赛普特生物机器人公司 从手术部位的材料移除
CN113795186A (zh) 2019-03-07 2021-12-14 普罗赛普特生物机器人公司 成像探头的刚性护套
US11554214B2 (en) 2019-06-26 2023-01-17 Meditrina, Inc. Fluid management system
EP3989863A4 (en) 2019-06-28 2023-10-11 Auris Health, Inc. Medical instruments including wrists with hybrid redirect surfaces
US11896330B2 (en) 2019-08-15 2024-02-13 Auris Health, Inc. Robotic medical system having multiple medical instruments
US11737845B2 (en) 2019-09-30 2023-08-29 Auris Inc. Medical instrument with a capstan
CN112641544B (zh) * 2019-10-09 2024-09-17 奥林巴斯株式会社 支架装置
US11071601B2 (en) 2019-11-11 2021-07-27 Procept Biorobotics Corporation Surgical probes for tissue resection with robotic arms
AU2020387396B2 (en) 2019-11-19 2025-10-30 Zenflow, Inc. Systems, devices, and methods for the accurate deployment and imaging of an implant in the prostatic urethra
EP4084717A4 (en) 2019-12-31 2024-02-14 Auris Health, Inc. DYNAMIC PULLEY SYSTEM
CN114901200A (zh) 2019-12-31 2022-08-12 奥瑞斯健康公司 高级篮式驱动模式
WO2021146535A1 (en) 2020-01-15 2021-07-22 Fractyl Laboratories, Inc. Automated tissue treatment devices, systems, and methods
US11096753B1 (en) 2020-06-26 2021-08-24 Procept Biorobotics Corporation Systems and methods for defining and modifying range of motion of probe used in patient treatment
US11877818B2 (en) 2020-06-26 2024-01-23 Procept Biorobotics Corporation Integration of robotic arms with surgical probes
US20230225586A1 (en) * 2020-07-08 2023-07-20 Procept Biorobotics Corporation Hemostasis methods and apparatuses
AU2022239357A1 (en) * 2021-03-16 2023-09-21 Atricure, Inc. Delivery devices and related methods
JP2024515193A (ja) 2021-04-20 2024-04-05 プロセプト バイオロボティクス コーポレイション 独立エネルギー源を伴う外科手術用プローブ
JP2023051235A (ja) 2021-09-30 2023-04-11 富士フイルム株式会社 画像処理装置、画像処理方法、及びプログラム
US12329582B2 (en) 2022-02-17 2025-06-17 Procept Biorobotics Corporation Apparatus to detect tissue stretching during insertion of probes
US12329574B2 (en) 2022-10-31 2025-06-17 Procept Biorobotics Corporation Fiducial systems for probe tracking and identification

Family Cites Families (70)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3847988A (en) 1971-12-23 1974-11-12 Schering Corp Substituted imidates
US3875229A (en) 1972-11-24 1975-04-01 Schering Corp Substituted carboxanilides
FR2329276A1 (fr) 1975-10-29 1977-05-27 Roussel Uclaf Nouvelles imidazolidines substituees, procede de preparation, application comme medicament et compositions les renfermant
DE2862100D1 (en) 1977-10-12 1983-01-05 Ici Plc Acylanilides, process for their manufacture and pharmaceutical and veterinary compositions containing them
US4377584A (en) 1978-04-13 1983-03-22 Merck & Co., Inc. 4-Aza-17β-substituted-5α-androstan-3-one-reductase inhibitors
US4220735A (en) 1978-12-18 1980-09-02 General Electric Company Modified polyester compositions
NZ197008A (en) 1980-05-22 1984-10-19 Ici Ltd Acylanilide derivatives and pharmaceutical compositions
JPS57168656A (en) 1981-04-10 1982-10-18 Medos Kenkyusho Kk Endoscope laser coagulator
LU88769I2 (fr) 1982-07-23 1996-11-05 Zeneca Ltd Bicalutamide et ses sels et esters pharmaceutiquement acceptables (Casodex (R))
US4760071A (en) 1984-02-27 1988-07-26 Merck & Co., Inc. 17β-N-monosubstituted carbamoyl-4-aza-5α-androst-1-en-3-ones which are active as testosterone 5α-reductase inhibitors
AT385894B (de) * 1985-10-04 1988-05-25 Basem Dr Nashef Schlauchfoermige sonde
US5116615A (en) 1989-01-27 1992-05-26 Immunolytics, Inc. Method for treating benign prostatic hypertrophy
EP0857487A3 (en) 1989-07-07 1999-12-08 Endorecherche Inc. Combinations for prophylaxsis and/or treatment of benign prostatic hyperplasia containing a 17 beta-hydroxy steroid dehydrogenase (17bHSD) inhibitor and at least one further active ingredient
US5496267A (en) * 1990-11-08 1996-03-05 Possis Medical, Inc. Asymmetric water jet atherectomy
CA2094250A1 (en) 1990-12-10 1992-06-11 Joshua Makower Device and method for interstitial laser energy delivery
NZ241979A (en) 1991-03-20 1996-01-26 Merck & Co Inc Treatment of benign prostatic hyperplasia using 5alpha-reductase inhibitor and an alpha1-adrenergic recepter blocker
US6231591B1 (en) 1991-10-18 2001-05-15 2000 Injectx, Inc. Method of localized fluid therapy
US5861002A (en) 1991-10-18 1999-01-19 Desai; Ashvin H. Endoscopic surgical instrument
US5322503A (en) 1991-10-18 1994-06-21 Desai Ashvin H Endoscopic surgical instrument
US5562703A (en) 1994-06-14 1996-10-08 Desai; Ashvin H. Endoscopic surgical instrument
MX9300607A (es) 1992-02-06 1993-10-01 American Med Syst Aparato y metodo para tratamiento intersticial.
US5994362A (en) 1992-03-11 1999-11-30 Merck & Co., Inc. Method of treatment for prostatic cancer
US5292320A (en) * 1992-07-06 1994-03-08 Ceramoptec, Inc. Radial medical laser delivery device
US5672153A (en) * 1992-08-12 1997-09-30 Vidamed, Inc. Medical probe device and method
US5630794A (en) 1992-08-12 1997-05-20 Vidamed, Inc. Catheter tip and method of manufacturing
US5631236A (en) 1993-08-26 1997-05-20 Baylor College Of Medicine Gene therapy for solid tumors, using a DNA sequence encoding HSV-Tk or VZV-Tk
US5672171A (en) 1994-06-30 1997-09-30 American Medical Systems, Inc. Apparatus and method for interstitial laser treatment
US5454782A (en) * 1994-08-11 1995-10-03 Perkins; Rodney C. Translumenal circumferential energy delivery device
WO2003024506A2 (en) * 2001-09-14 2003-03-27 Arthrocare Corporation Methods and apparatus for treating intervertebral discs
US5769843A (en) * 1996-02-20 1998-06-23 Cormedica Percutaneous endomyocardial revascularization
US5872150A (en) 1996-03-01 1999-02-16 Merck & Co., Inc. Treatment of prostate disease with a nonsteroidal anti-androgenic compound
GB9607729D0 (en) 1996-04-13 1996-06-19 Zeneca Ltd Quinazoline derivatives
US6419673B1 (en) * 1996-05-06 2002-07-16 Stuart Edwards Ablation of rectal and other internal body structures
US5752518A (en) * 1996-10-28 1998-05-19 Ep Technologies, Inc. Systems and methods for visualizing interior regions of the body
DE19712718C2 (de) 1997-03-26 1999-09-23 Asta Medica Ag Immobilisierte und aktivitätsstabilisierte Komplexe von LHRH-Antagonisten und Verfahren zu deren Herstellung
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
US6893430B2 (en) * 1998-02-04 2005-05-17 Wit Ip Corporation Urethral catheter and guide
US6517534B1 (en) * 1998-02-11 2003-02-11 Cosman Company, Inc. Peri-urethral ablation
US6440127B2 (en) * 1998-02-11 2002-08-27 Cosman Company, Inc. Method for performing intraurethral radio-frequency urethral enlargement
US6142991A (en) 1998-03-31 2000-11-07 Galil Medical, Ltd. High resolution cryosurgical method and apparatus
US20020010502A1 (en) * 1998-04-01 2002-01-24 Trachtenberg John R. Thermotherapy method
JPH11332880A (ja) * 1998-05-22 1999-12-07 Olympus Optical Co Ltd 穿刺治療装置
US6296639B1 (en) 1999-02-12 2001-10-02 Novacept Apparatuses and methods for interstitial tissue removal
US6425877B1 (en) * 1999-04-02 2002-07-30 Novasys Medical, Inc. Treatment of tissue in the digestive circulatory respiratory urinary and reproductive systems
US6179831B1 (en) 1999-04-29 2001-01-30 Galil Medical Ltd. Method of cryoablating benign prostate hyperplasia
US6890332B2 (en) 1999-05-24 2005-05-10 Csaba Truckai Electrical discharge devices and techniques for medical procedures
US6709427B1 (en) * 1999-08-05 2004-03-23 Kensey Nash Corporation Systems and methods for delivering agents into targeted tissue of a living being
US6200573B1 (en) 1999-12-03 2001-03-13 Starcor Pharmaceuticals, Inc. Method of medical management for lower urinary tract symptoms and benign prostatic hyperplasia
SE515932C2 (sv) * 1999-12-23 2001-10-29 Prostalund Operations Ab Sätt och anordning vid behandling av prostata
US6630164B2 (en) 2000-05-09 2003-10-07 Kenneth Weisman Dutasteride to prevent and treat atherosclerosis
US6905492B2 (en) 2000-07-31 2005-06-14 Galil Medical Ltd. Planning and facilitation systems and methods for cryosurgery
US6413256B1 (en) 2000-08-01 2002-07-02 Csaba Truckai Voltage threshold ablation method and apparatus
US6743226B2 (en) * 2001-02-09 2004-06-01 Cosman Company, Inc. Adjustable trans-urethral radio-frequency ablation
JP2003000713A (ja) * 2001-06-21 2003-01-07 Nippon Clean Engine Lab Co Ltd 液体噴射手術方法とその装置
AU2002322493A1 (en) 2001-07-10 2003-01-29 Ams Research Corporation Surgical kit for treating prostate tissue
US20030060813A1 (en) * 2001-09-22 2003-03-27 Loeb Marvin P. Devices and methods for safely shrinking tissues surrounding a duct, hollow organ or body cavity
US7166103B2 (en) * 2001-10-01 2007-01-23 Electrosurgery Associates, Llc High efficiency electrosurgical ablator with electrode subjected to oscillatory or other repetitive motion
US6905475B2 (en) * 2001-10-12 2005-06-14 Ams Reseach Corporation Method of injecting a drug and echogenic bubbles into prostate tissue
US6620100B2 (en) 2001-10-17 2003-09-16 Natus Medical Inc. Hearing evaluation device with noise-weighting capabilities
US6814731B2 (en) * 2002-05-20 2004-11-09 Scimed Life Systems, Inc. Methods for RF ablation using jet injection of conductive fluid
US20050054994A1 (en) * 2002-09-25 2005-03-10 Iulian Cioanta Catheters with suction capability and related methods and systems for obtaining biosamples in vivo
US6847848B2 (en) * 2003-01-07 2005-01-25 Mmtc, Inc Inflatable balloon catheter structural designs and methods for treating diseased tissue of a patient
US8012153B2 (en) * 2003-07-16 2011-09-06 Arthrocare Corporation Rotary electrosurgical apparatus and methods thereof
US7892230B2 (en) 2004-06-24 2011-02-22 Arthrocare Corporation Electrosurgical device having planar vertical electrode and related methods
US20050288639A1 (en) 2004-06-25 2005-12-29 Hibner Michael C Instrument used in treatment of the urinary incontinence in women
US9125639B2 (en) * 2004-11-23 2015-09-08 Pneumrx, Inc. Steerable device for accessing a target site and methods
US8262605B2 (en) * 2004-12-09 2012-09-11 Ams Research Corporation Needleless delivery systems
US20090254075A1 (en) * 2005-07-26 2009-10-08 Ultrasurge Technologies Ltd. Surgical Instrument
CN100574719C (zh) * 2006-12-26 2009-12-30 上海导向医疗系统有限公司 气体节流冷却式射频消融电极
CA2742560A1 (en) * 2008-11-06 2010-05-14 Nxthera, Inc. Systems and methods for treatment of prostatic tissue

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