JP6130905B2 - 温度監視による組織焼灼体積の制御における使用のための方法およびシステム - Google Patents

温度監視による組織焼灼体積の制御における使用のための方法およびシステム Download PDF

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JP6130905B2
JP6130905B2 JP2015503200A JP2015503200A JP6130905B2 JP 6130905 B2 JP6130905 B2 JP 6130905B2 JP 2015503200 A JP2015503200 A JP 2015503200A JP 2015503200 A JP2015503200 A JP 2015503200A JP 6130905 B2 JP6130905 B2 JP 6130905B2
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temperature
sleeve
temperature sensing
shaft
energy
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JP2015512712A5 (https=
JP2015512712A (ja
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スティーブ カラマー，
スティーブ カラマー，
キルティー ピー． カムダー，
キルティー ピー． カムダー，
アンドリュー コーム，
アンドリュー コーム，
ロバート ポーザー，
ロバート ポーザー，
アーロン ジャーメイン，
アーロン ジャーメイン，
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ディファイン， インコーポレイテッド
ディファイン， インコーポレイテッド
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    • 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
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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
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  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Cardiology (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
JP2015503200A 2012-03-27 2013-01-31 温度監視による組織焼灼体積の制御における使用のための方法およびシステム Active JP6130905B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201261616359P 2012-03-27 2012-03-27
US61/616,359 2012-03-27
US201261659604P 2012-06-14 2012-06-14
US61/659,604 2012-06-14
PCT/US2013/024019 WO2013147990A1 (en) 2012-03-27 2013-01-31 Methods and systems for use in controlling tissue ablation volume by temperature monitoring

Publications (3)

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JP2015512712A JP2015512712A (ja) 2015-04-30
JP2015512712A5 JP2015512712A5 (https=) 2016-03-17
JP6130905B2 true JP6130905B2 (ja) 2017-05-17

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US (3) US8591507B2 (https=)
EP (1) EP2830523B1 (https=)
JP (1) JP6130905B2 (https=)
KR (1) KR102091891B1 (https=)
CN (2) CN104470453A (https=)
AU (1) AU2013240565B2 (https=)
BR (1) BR112014024028B1 (https=)
CA (1) CA2868869C (https=)
IL (1) IL234847B (https=)
WO (1) WO2013147990A1 (https=)

Families Citing this family (58)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7258690B2 (en) 2003-03-28 2007-08-21 Relievant Medsystems, Inc. Windowed thermal ablation probe
US6907884B2 (en) 2002-09-30 2005-06-21 Depay Acromed, Inc. Method of straddling an intraosseous nerve
US8361067B2 (en) 2002-09-30 2013-01-29 Relievant Medsystems, Inc. Methods of therapeutically heating a vertebral body to treat back pain
AU2009296474B2 (en) 2008-09-26 2015-07-02 Relievant Medsystems, Inc. Systems and methods for navigating an instrument through bone
US10028753B2 (en) 2008-09-26 2018-07-24 Relievant Medsystems, Inc. Spine treatment kits
WO2010039894A1 (en) 2008-09-30 2010-04-08 Dfine, Inc. System for use in treatment of vertebral fractures
US8758349B2 (en) 2008-10-13 2014-06-24 Dfine, Inc. Systems for treating a vertebral body
US20100298832A1 (en) 2009-05-20 2010-11-25 Osseon Therapeutics, Inc. Steerable curvable vertebroplasty drill
US10058336B2 (en) 2010-04-08 2018-08-28 Dfine, Inc. System for use in treatment of vertebral fractures
US9173700B2 (en) 2010-04-26 2015-11-03 9234438 Canada Inc. Electrosurgical device and methods
US12076074B2 (en) 2010-04-26 2024-09-03 Medtronic Holding Company Sàrl Electrosurgical device and methods
US9526507B2 (en) 2010-04-29 2016-12-27 Dfine, Inc. System for use in treatment of vertebral fractures
CN106108972B (zh) 2010-04-29 2019-08-02 Dfine有限公司 用于治疗椎骨骨折的系统
WO2011137377A1 (en) 2010-04-29 2011-11-03 Dfine, Inc. System for use in treatment of vertebral fractures
ES2626256T3 (es) 2010-11-22 2017-07-24 Dfine, Inc. Sistema para usar en el tratamiento de fracturas vertebrales
AU2012242739A1 (en) 2011-04-12 2013-10-17 Thermedical, Inc. Devices and methods for shaping therapy in fluid enhanced ablation
WO2013101772A1 (en) 2011-12-30 2013-07-04 Relievant Medsystems, Inc. Systems and methods for treating back pain
BR112014024028B1 (pt) 2012-03-27 2022-05-31 Dfine, Inc Dispositivo médico para criação de regiões de tecido aquecido utilizando temperatura para monitorar um perfil desejado das regiões
US10022176B2 (en) 2012-08-15 2018-07-17 Thermedical, Inc. Low profile fluid enhanced ablation therapy devices and methods
US10588691B2 (en) 2012-09-12 2020-03-17 Relievant Medsystems, Inc. Radiofrequency ablation of tissue within a vertebral body
EP2914186B1 (en) 2012-11-05 2019-03-13 Relievant Medsystems, Inc. Systems for creating curved paths through bone and modulating nerves within the bone
US9918766B2 (en) 2012-12-12 2018-03-20 Dfine, Inc. Devices, methods and systems for affixing an access device to a vertebral body for the insertion of bone cement
US9877707B2 (en) 2013-03-07 2018-01-30 Kyphon SÀRL Systems and methods for track coagulation
US9033972B2 (en) 2013-03-15 2015-05-19 Thermedical, Inc. Methods and devices for fluid enhanced microwave ablation therapy
US9610396B2 (en) 2013-03-15 2017-04-04 Thermedical, Inc. Systems and methods for visualizing fluid enhanced ablation therapy
AU2014229253B2 (en) 2013-03-15 2018-10-04 Medtronic Holding Company Sàrl Electrosurgical mapping tools and methods
US9724151B2 (en) 2013-08-08 2017-08-08 Relievant Medsystems, Inc. Modulating nerves within bone using bone fasteners
US10098685B2 (en) * 2013-10-30 2018-10-16 Medtronic Cryocath Lp Feedback system for cryoablation of cardiac tissue
EP3232941B1 (en) * 2014-12-19 2023-11-08 Meacor, Inc. Surgical system
CN104739504B (zh) * 2015-02-28 2017-03-22 上海凯利泰医疗科技股份有限公司 用于脊椎肿瘤治疗术的射频消融装置
US9901392B2 (en) 2015-05-11 2018-02-27 Dfine, Inc. System for use in treatment of vertebral fractures
US10441339B2 (en) 2015-11-17 2019-10-15 Medtronic Holding Company Sárl Spinal tissue ablation apparatus, system, and method
US11445911B2 (en) * 2016-05-25 2022-09-20 Ikomed Technologies Inc. System for treating unwanted tissue
US9743984B1 (en) 2016-08-11 2017-08-29 Thermedical, Inc. Devices and methods for delivering fluid to tissue during ablation therapy
CN109862834B (zh) 2016-10-27 2022-05-24 Dfine有限公司 具有接合剂递送通道的可弯曲的骨凿
EP3544669A4 (en) 2016-11-22 2020-05-06 Dfine, Inc. SWIVELING HUB
JP7256119B2 (ja) 2016-11-28 2023-04-11 ディファイン インコーポレイテッド 腫瘍切除装置及び関連する方法
US10463380B2 (en) 2016-12-09 2019-11-05 Dfine, Inc. Medical devices for treating hard tissues and related methods
WO2018129180A1 (en) 2017-01-06 2018-07-12 Dfine, Inc. Osteotome with a distal portion for simultaneous advancement and articulation
EP3600107B1 (en) * 2017-03-23 2022-03-23 Medlogical Innovations Pty Ltd Device for interstitial laser therapy
US11433220B2 (en) * 2017-07-07 2022-09-06 St. Jude Medical, Cardiology Division, Inc. Layered high density electrode mapping catheter
CN109953814A (zh) * 2017-12-25 2019-07-02 四川锦江电子科技有限公司 一种组合式消融穿刺装置
US12329442B2 (en) 2018-04-25 2025-06-17 Boston Scientific Scimed, Inc. Multifunctional electrosurgical instruments with dynamic electrode assemblies
US11083871B2 (en) 2018-05-03 2021-08-10 Thermedical, Inc. Selectively deployable catheter ablation devices
US11918277B2 (en) 2018-07-16 2024-03-05 Thermedical, Inc. Inferred maximum temperature monitoring for irrigated ablation therapy
CN110074856A (zh) * 2018-09-14 2019-08-02 杭州堃博生物科技有限公司 射频消融的控制方法、控制装置、计算机可读存储介质、射频消融导管和肺部射频消融系统
EP3876856A4 (en) * 2018-11-08 2022-10-12 Dfine, Inc. TUMORABLATION DEVICE AND RELATED SYSTEMS AND METHODS
DE102019100016A1 (de) * 2019-01-02 2020-07-02 Aesculap Ag Fügeverfahren für eine medizintechnische Vorrichtung
US20220240981A1 (en) * 2019-05-24 2022-08-04 Becton, Dickinson And Company Articulated Stiffening Cannulas, Access Sets, and Methods Thereof
US12193735B2 (en) 2019-07-24 2025-01-14 Medlogical Innovations Pty Ltd System with cooling fluid for interstitial laser therapy
AU2020346827B2 (en) 2019-09-12 2026-03-12 Relievant Medsystems, Inc. Systems and methods for tissue modulation
EP4031040B1 (en) 2019-09-18 2025-04-09 Merit Medical Systems, Inc. Osteotome with inflatable portion and multiwire articulation
CN111374760A (zh) * 2020-01-08 2020-07-07 北京航空航天大学 一种基于温度在线监测的高质量激光骨加工方法
AU2021306313A1 (en) 2020-07-10 2023-03-02 Relievant Medsystems, Inc. Vertebral denervation in conjunction with vertebral fusion
US12082876B1 (en) 2020-09-28 2024-09-10 Relievant Medsystems, Inc. Introducer drill
EP4268150A4 (en) 2020-12-22 2024-12-18 Relievant Medsystems, Inc. PREDICTION OF CANDIDATES FOR SPINAL CORD NEUROMODULATION
US12433668B1 (en) 2021-11-08 2025-10-07 Relievant Medsystems, Inc. Impedance stoppage mitigation during radiofrequency tissue ablation procedures
EP4654908A1 (en) * 2023-01-26 2025-12-03 Relievant Medsystems, Inc. Integrated radiofrequency device for intraosseous nerve ablation

Family Cites Families (100)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3140623A (en) 1961-08-29 1964-07-14 Pendleton Tool Ind Inc Predetermined torque release wrench
DE2944710A1 (de) 1979-11-06 1981-05-07 Christos Dr. Dimakos Vorrichtung zum entfernen einer knochenzementroehre bei einer reimplantation eines kuenstlichen oberschenkelhalskopfes
US4411266A (en) 1980-09-24 1983-10-25 Cosman Eric R Thermocouple radio frequency lesion electrode
US4595006A (en) 1982-08-16 1986-06-17 Burke Dennis W Apparatus for cemented implantation of prostheses
US4456017A (en) 1982-11-22 1984-06-26 Cordis Corporation Coil spring guide with deflectable tip
US7431722B1 (en) 1995-02-27 2008-10-07 Warsaw Orthopedic, Inc. Apparatus including a guard member having a passage with a non-circular cross section for providing protected access to the spine
US5152744A (en) 1990-02-07 1992-10-06 Smith & Nephew Dyonics Surgical instrument
US5285795A (en) 1991-09-12 1994-02-15 Surgical Dynamics, Inc. Percutaneous discectomy system having a bendable discectomy probe and a steerable cannula
US5697281A (en) 1991-10-09 1997-12-16 Arthrocare Corporation System and method for electrosurgical cutting and ablation
US5662680A (en) 1991-10-18 1997-09-02 Desai; Ashvin H. Endoscopic surgical instrument
US5284128A (en) 1992-01-24 1994-02-08 Applied Medical Resources Corporation Surgical manipulator
US5282821A (en) 1993-01-26 1994-02-01 Donahue John R Adjustable surgical instrument
US5620447A (en) 1993-01-29 1997-04-15 Smith & Nephew Dyonics Inc. Surgical instrument
US5628771A (en) * 1993-05-12 1997-05-13 Olympus Optical Co., Ltd. Electromagnetic-wave thermatological device
US5449351A (en) 1993-09-09 1995-09-12 Zohmann; Walter A. Atraumatic needle for lumbar puncture
US6001093A (en) 1993-10-15 1999-12-14 Ep Technologies, Inc. Systems and methods for creating long, thin lesions in body tissue
US5458597A (en) * 1993-11-08 1995-10-17 Zomed International Device for treating cancer and non-malignant tumors and methods
US5599345A (en) 1993-11-08 1997-02-04 Zomed International, Inc. RF treatment apparatus
US6716216B1 (en) 1998-08-14 2004-04-06 Kyphon Inc. Systems and methods for treating vertebral bodies
US6409722B1 (en) * 1998-07-07 2002-06-25 Medtronic, Inc. Apparatus and method for creating, maintaining, and controlling a virtual electrode used for the ablation of tissue
US6106524A (en) 1995-03-03 2000-08-22 Neothermia Corporation Methods and apparatus for therapeutic cauterization of predetermined volumes of biological tissue
US6602248B1 (en) 1995-06-07 2003-08-05 Arthro Care Corp. Methods for repairing damaged intervertebral discs
AU6499596A (en) 1995-07-18 1997-02-18 Edwards, Garland U. Flexible shaft
US5810804A (en) * 1995-08-15 1998-09-22 Rita Medical Systems Multiple antenna ablation apparatus and method with cooling element
US6122549A (en) 1996-08-13 2000-09-19 Oratec Interventions, Inc. Apparatus for treating intervertebral discs with resistive energy
US7186234B2 (en) 1995-11-22 2007-03-06 Arthrocare Corporation Electrosurgical apparatus and methods for treatment and removal of tissue
US5833632A (en) 1995-12-07 1998-11-10 Sarcos, Inc. Hollow guide wire apparatus catheters
US5695513A (en) 1996-03-01 1997-12-09 Metagen, Llc Flexible cutting tool and methods for its use
WO1997041924A1 (en) * 1996-05-06 1997-11-13 Thermal Therapeutics, Inc. Transcervical intrauterine applicator for intrauterine hyperthermia
GB2314274A (en) 1996-06-20 1997-12-24 Gyrus Medical Ltd Electrode construction for an electrosurgical instrument
US6726684B1 (en) 1996-07-16 2004-04-27 Arthrocare Corporation Methods for electrosurgical spine surgery
US6135999A (en) * 1997-02-12 2000-10-24 Oratec Internationals, Inc. Concave probe for arthroscopic surgery
US6126682A (en) 1996-08-13 2000-10-03 Oratec Interventions, Inc. Method for treating annular fissures in intervertebral discs
US6165166A (en) 1997-04-25 2000-12-26 Schneider (Usa) Inc. Trilayer, extruded medical tubing and medical devices incorporating such tubing
US5849028A (en) * 1997-05-16 1998-12-15 Irvine Biomedical, Inc. Catheter and method for radiofrequency ablation of cardiac tissue
US5851212A (en) 1997-06-11 1998-12-22 Endius Incorporated Surgical instrument
US5921956A (en) 1997-09-24 1999-07-13 Smith & Nephew, Inc. Surgical instrument
US6309420B1 (en) 1997-10-14 2001-10-30 Parallax Medical, Inc. Enhanced visibility materials for implantation in hard tissue
EP1039864B1 (en) 1997-11-14 2006-12-27 Boston Scientific Limited Multi-sheath delivery catheter
US6280441B1 (en) 1997-12-15 2001-08-28 Sherwood Services Ag Apparatus and method for RF lesioning
US5928239A (en) 1998-03-16 1999-07-27 University Of Washington Percutaneous surgical cavitation device and method
US6440138B1 (en) 1998-04-06 2002-08-27 Kyphon Inc. Structures and methods for creating cavities in interior body regions
US6123702A (en) * 1998-09-10 2000-09-26 Scimed Life Systems, Inc. Systems and methods for controlling power in an electrosurgical probe
US6478793B1 (en) 1999-06-11 2002-11-12 Sherwood Services Ag Ablation treatment of bone metastases
JP4584526B2 (ja) 2000-04-05 2010-11-24 カイフォン・ソシエテ・ア・レスポンサビリテ・リミテ 骨折した骨および／または病変した骨を処置するためのデバイスおよび方法
US7815649B2 (en) 2000-04-07 2010-10-19 Kyphon SÀRL Insertion devices and method of use
US6676665B2 (en) 2000-08-11 2004-01-13 Sdgi Holdings, Inc. Surgical instrumentation and method for treatment of the spine
US6669692B1 (en) * 2000-08-21 2003-12-30 Biosense Webster, Inc. Ablation catheter with cooled linear electrode
US20040087936A1 (en) 2000-11-16 2004-05-06 Barrx, Inc. System and method for treating abnormal tissue in an organ having a layered tissue structure
JP4111829B2 (ja) 2001-01-11 2008-07-02 リタ メディカル システムズ インコーポレイテッド 骨処置器具
CA2445392C (en) 2001-05-10 2011-04-26 Rita Medical Systems, Inc. Rf tissue ablation apparatus and method
US6679906B2 (en) * 2001-07-13 2004-01-20 Radiant Medical, Inc. Catheter system with on-board temperature probe
US7294127B2 (en) * 2002-03-05 2007-11-13 Baylis Medical Company Inc. Electrosurgical tissue treatment method
US8882755B2 (en) * 2002-03-05 2014-11-11 Kimberly-Clark Inc. Electrosurgical device for treatment of tissue
WO2003101308A1 (en) 2002-06-04 2003-12-11 Office Of Technology Licensing Stanford University Device and method for rapid aspiration and collection of body tissue from within an enclosed body space
US8613744B2 (en) 2002-09-30 2013-12-24 Relievant Medsystems, Inc. Systems and methods for navigating an instrument through bone
US8808284B2 (en) 2008-09-26 2014-08-19 Relievant Medsystems, Inc. Systems for navigating an instrument through bone
JP2004242936A (ja) 2003-02-14 2004-09-02 Terumo Corp 穿刺針
US7625364B2 (en) 2003-05-27 2009-12-01 Cardia, Inc. Flexible center connection for occlusion device
WO2006011152A2 (en) 2004-06-17 2006-02-02 Disc-O-Tech Medical Technologies, Ltd. Methods for treating bone and other tissue
US8415407B2 (en) 2004-03-21 2013-04-09 Depuy Spine, Inc. Methods, materials, and apparatus for treating bone and other tissue
US7824412B2 (en) 2003-09-05 2010-11-02 Medical Design Instruments LLC Cement/biologics inserter and method for bone-fastener fixation augmentation
US7156843B2 (en) 2003-09-08 2007-01-02 Medtronic, Inc. Irrigated focal ablation tip
US7727232B1 (en) 2004-02-04 2010-06-01 Salient Surgical Technologies, Inc. Fluid-assisted medical devices and methods
US7959634B2 (en) 2004-03-29 2011-06-14 Soteira Inc. Orthopedic surgery access devices
US7909873B2 (en) 2006-12-15 2011-03-22 Soteira, Inc. Delivery apparatus and methods for vertebrostenting
US20060085009A1 (en) 2004-08-09 2006-04-20 Csaba Truckai Implants and methods for treating bone
US7503920B2 (en) 2004-08-11 2009-03-17 Tzony Siegal Spinal surgery system and method
DE102005025946A1 (de) * 2005-01-26 2006-08-03 Erbe Elektromedizin Gmbh HF-Chirurgieeinrichtung
US7497853B2 (en) * 2005-05-05 2009-03-03 Enpath Medical Inc. Deflectable catheter steering and locking system
WO2006127970A2 (en) * 2005-05-26 2006-11-30 Smith & Nephew, Inc. Electrothermal intervertebral disc treatment
CN2841051Y (zh) 2005-08-24 2006-11-29 汤枧根 伞形治疗电极
WO2007055521A1 (en) 2005-11-09 2007-05-18 Korea University Industrial & Academic Collaboration Foundation Radio frequency ablation electrode for selected tissue removal
US7993334B2 (en) 2005-12-29 2011-08-09 Boston Scientific Scimed, Inc. Low-profile, expanding single needle ablation probe
FR2899967B1 (fr) 2006-04-12 2008-06-20 Valeo Vision Sa Procede de determination de la position angulaire d'un projecteur au moyen de plusieurs moyens de mesure d'un champ magnetique
US7905884B2 (en) 2006-04-27 2011-03-15 Warsaw Orthopedic, Inc. Method for use of dilating stylet and cannula
US20080033422A1 (en) * 2006-08-04 2008-02-07 Turner Paul F Microwave applicator with margin temperature sensing element
EP2099390A2 (en) 2007-01-09 2009-09-16 Nonlinear Technologies Ltd. Devices for forming curved or closed-loop structures
US8211099B2 (en) 2007-01-31 2012-07-03 Tyco Healthcare Group Lp Thermal feedback systems and methods of using the same
EP2211981A1 (en) * 2007-10-09 2010-08-04 Boston Scientific Limited Electrophysiology electrodes and apparatus including the same
KR20100096124A (ko) * 2007-10-31 2010-09-01 프리마바 메디컬, 아이엔씨. 카트리지 전극 장치
US20090299282A1 (en) 2007-11-16 2009-12-03 Osseon Therapeutics, Inc. Steerable vertebroplasty system with a plurality of cavity creation elements
US20090131886A1 (en) 2007-11-16 2009-05-21 Liu Y King Steerable vertebroplasty system
EP2307075B1 (en) 2008-07-15 2015-11-11 Thomas Steffen Bone cement injection device
US8246627B2 (en) 2008-08-07 2012-08-21 Stryker Corporation Cement delivery device for introducing cement into tissue, the device having a cavity creator
US9101734B2 (en) * 2008-09-09 2015-08-11 Biosense Webster, Inc. Force-sensing catheter with bonded center strut
US8758349B2 (en) 2008-10-13 2014-06-24 Dfine, Inc. Systems for treating a vertebral body
WO2010039894A1 (en) 2008-09-30 2010-04-08 Dfine, Inc. System for use in treatment of vertebral fractures
US8355799B2 (en) * 2008-12-12 2013-01-15 Arthrocare Corporation Systems and methods for limiting joint temperature
EP2387433A4 (en) 2009-01-15 2012-07-18 Cathrx Ltd ORIENTABLE PEN
US20110160726A1 (en) * 2009-12-30 2011-06-30 Frank Ingle Apparatus and methods for fluid cooled electrophysiology procedures
US8465488B2 (en) * 2010-03-16 2013-06-18 Olympus Medical Systems Corporation Endoscopic surgical instrument
US10058336B2 (en) 2010-04-08 2018-08-28 Dfine, Inc. System for use in treatment of vertebral fractures
US9526507B2 (en) 2010-04-29 2016-12-27 Dfine, Inc. System for use in treatment of vertebral fractures
CN106108972B (zh) 2010-04-29 2019-08-02 Dfine有限公司 用于治疗椎骨骨折的系统
WO2011137377A1 (en) 2010-04-29 2011-11-03 Dfine, Inc. System for use in treatment of vertebral fractures
US9241762B2 (en) * 2010-06-03 2016-01-26 Covidien Lp Specific absorption rate measurement and energy-delivery device characterization using image analysis
ES2626256T3 (es) 2010-11-22 2017-07-24 Dfine, Inc. Sistema para usar en el tratamiento de fracturas vertebrales
BR112014024028B1 (pt) 2012-03-27 2022-05-31 Dfine, Inc Dispositivo médico para criação de regiões de tecido aquecido utilizando temperatura para monitorar um perfil desejado das regiões
US9918766B2 (en) 2012-12-12 2018-03-20 Dfine, Inc. Devices, methods and systems for affixing an access device to a vertebral body for the insertion of bone cement

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US20130261621A1 (en) 2013-10-03
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US8864760B2 (en) 2014-10-21
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