Transformer for RF voltage sensing

Information

  • Patent Grant
  • 7794457
  • Patent Number
    7,794,457
  • Date Filed
    Thursday, September 28, 2006
    18 years ago
  • Date Issued
    Tuesday, September 14, 2010
    14 years ago
Abstract
An electrosurgical system is disclosed. The electrosurgical system includes a multiple-secondary transformer configured for sensing voltage. The multiple-secondary transformer includes a primary winding coupled to an active terminal and a return terminal of the electrosurgical system and a plurality of secondary windings. Each of the secondary windings is configured to transform the radio frequency voltage into a sensed voltage. Each of the secondary windings includes an output coupled to a sensor circuit and configured to transmit the sensed voltage to the sensor circuit.
Description
BACKGROUND

1. Technical Field


The present disclosure relates to electrosurgical apparatuses, systems and methods. More particularly, the present disclosure is directed to electrosurgical generators including a transformer configured for sensing voltage.


2. Background of Related Art


Energy-based tissue treatment is well known in the art. Various types of energy (e.g., electrical, ultrasonic, microwave, cryo, heat, laser, etc.) are applied to tissue to achieve a desired result. Electrosurgery involves application of high radio frequency electrical current to a surgical site to cut, ablate, coagulate or seal tissue. In monopolar electrosurgery, a source or active electrode delivers radio frequency energy from the electrosurgical generator to the tissue and a return electrode carries the current back to the generator. In monopolar electrosurgery, the source electrode is typically part of the surgical instrument held by the surgeon and applied to the tissue to be treated. A patient return electrode is placed remotely from the active electrode to carry the current back to the generator.


Ablation is most commonly a monopolar procedure that is particularly useful in the field of cancer treatment, where one or more RF ablation needle electrodes (usually of elongated cylindrical geometry) are inserted into a living body. A typical form of such needle electrodes incorporates an insulated sheath from which an exposed (uninsulated) tip extends. When an RF energy is provided between the return electrode and the inserted ablation electrode, RF current flows from the needle electrode through the body. Typically, the current density is very high near the tip of the needle electrode, which tends to heat and destroy surrounding issue.


In bipolar electrosurgery, one of the electrodes of the hand-held instrument functions as the active electrode and the other as the return electrode. The return electrode is placed in close proximity to the active electrode such that an electrical circuit is formed between the two electrodes (e.g., electrosurgical forceps). In this manner, the applied electrical current is limited to the body tissue positioned between the electrodes. When the electrodes are sufficiently separated from one another, the electrical circuit is open and thus inadvertent contact with body tissue with either of the separated electrodes does not cause current to flow.


It is known in the art that electrosurgical generators utilize transformers to sense voltage. However, conventional generators generally include one or more transformers performing redundant functions.


SUMMARY

The present disclosure relates to a multiple-secondary transformer for use in electrosurgical generators. The transformer includes one or more secondary windings allowing the transformer to output a corresponding number of sensed voltage signals to a sensor circuit for subsequent analysis.


According to one aspect of the present disclosure, an electrosurgical system is disclosed. The electrosurgical system includes a multiple-secondary transformer configured for sensing voltage. The multiple-secondary transformer includes a primary winding coupled to an active terminal and a return terminal of the electrosurgical system and a plurality of secondary windings. Each of the secondary windings is configured to transform the radio frequency voltage into a sensed voltage. Each of the secondary windings includes an output coupled to a sensor circuit and configured to transmit the sensed voltage to the sensor circuit.


According to another aspect of the present disclosure an electrosurgical generator is disclosed. The generator includes a radio frequency output stage having an active terminal and a return terminal and configured to generate a radio frequency voltage and a sensor circuit that measures at least one of a tissue property and a radio frequency voltage property. The generator also includes a multiple-secondary transformer having a primary winding coupled to an active terminal and a return terminal of the electrosurgical system and a plurality of secondary windings. Each of the secondary windings is configured to transform the radio frequency voltage into a sensed voltage. Each of the secondary windings includes an output coupled to a sensor circuit and configured to transmit the sensed voltage to the sensor circuit.


A method for is also contemplated by the present disclosure. The method includes the steps of providing a multiple-secondary transformer configured for sensing voltage. The multiple-secondary transformer includes a primary winding coupled to an active terminal and a return terminal of the electrosurgical system and a plurality of secondary windings. Each of the secondary windings includes an output coupled to a sensor circuit. The method also includes the steps of generating a radio frequency voltage at a radio frequency output stage including an active terminal and a return terminal and transforming the radio frequency voltage into a sensed voltage at each of the secondary windings and transmitting the sensed voltage to the sensor circuit via the output.





BRIEF DESCRIPTION OF THE DRAWINGS

Various embodiments of the present disclosure are described herein with reference to the drawings wherein:



FIGS. 1A-1B are schematic block diagrams of an electrosurgical system according to the present disclosure;



FIG. 2 is a schematic block diagram of a generator according to one embodiment of the present disclosure; and



FIG. 3 is an electrical schematic diagram of a multiple-secondary transformer according to the present disclosure.





DETAILED DESCRIPTION

Particular embodiments of the present disclosure are described hereinbelow with reference to the accompanying drawings. In the following description, well-known functions or constructions are not described in detail to avoid obscuring the present disclosure in unnecessary detail.


The generator according to the present disclosure can perform monopolar and bipolar electrosurgical procedures, including vessel sealing procedures. The generator may include a plurality of outputs for interfacing with various electrosurgical instruments (e.g., a monopolar active electrode, return electrode, bipolar electrosurgical forceps, footswitch, etc.). Further, the generator includes electronic circuitry configured for generating radio frequency power specifically suited for various electrosurgical modes (e.g., cutting, blending, division, etc.) and procedures (e.g., monopolar, bipolar, vessel sealing).



FIG. 1A is a schematic illustration of a monopolar electrosurgical system according to one embodiment of the present disclosure. The system includes an electrosurgical instrument 2 having one or more electrodes for treating tissue of a patient P. The instrument 2 is a monopolar type instrument including one or more active electrodes (e.g., electrosurgical cutting probe, ablation electrode(s), etc.). Electrosurgical RF energy is supplied to the instrument 2 by a generator 20 via an supply line 4, which is connected to an active terminal 30 (FIG. 2) of the generator 20, allowing the instrument 2 to coagulate, seal, ablate and/or otherwise treat tissue. The energy is returned to the generator 20 through a return electrode 6 via a return line 8 at a return terminal 32 (FIG. 2) of the generator 20. The active terminal 30 and the return terminal 32 are connectors configured to interface with plugs (not explicitly shown) of the instrument 2 and the return electrode 6, which are disposed at the ends of the supply line 4 and the return line 8 respectively.


The system may include a plurality of return electrodes 6 that are arranged to minimize the chances of tissue damage by maximizing the overall contact area with the patient P. In addition, the generator 20 and the return electrode 6 may be configured for monitoring so-called “tissue-to-patient” contact to insure that sufficient contact exists therebetween to further minimize chances of tissue damage.



FIG. 1B is a schematic illustration of a bipolar electrosurgical system according to the present disclosure. The system includes a bipolar electrosurgical forceps 10 having one or more electrodes for treating tissue of a patient P. The electrosurgical forceps 10 include opposing jaw members having an active electrode 14 and a return electrode 16 disposed therein. The active electrode 14 and the return electrode 16 are connected to the generator 20 through cable 18, which includes the supply and return lines 4, 8 coupled to the active and return terminals 30, 32, respectively (FIG. 2). The electrosurgical forceps 10 are coupled to the generator 20 at a connector 21 having connections to the active and return terminals 30 and 32 (e.g., pins) via a plug disposed at the end of the cable 18, wherein the plug includes contacts from the supply and return lines 4, 8.


The generator 20 includes suitable input controls (e.g., buttons, activators, switches, touch screen, etc.) for controlling the generator 20. In addition, the generator 20 may include one or more display screens for providing the user with variety of output information (e.g., intensity settings, treatment complete indicators, etc.). The controls allow the user to adjust power of the RF energy, waveform, and other parameters to achieve the desired waveform suitable for a particular task (e.g., coagulating, tissue sealing, intensity setting, etc.). The instrument 2 may also include a plurality of input controls that may be redundant with certain input controls of the generator 20. Placing the input controls at the instrument 2 allows for easier and faster modification of RF energy parameters during the surgical procedure without requiring interaction with the generator 20.



FIG. 2 shows a schematic block diagram of the generator 20 having a controller 24, a high voltage DC power supply 27 (“HVPS”) and an RF output stage 28. The HVPS 27 is connected to a conventional AC source (e.g., electrical wall outlet) and provides high voltage DC power to an RF output stage 28, which then converts high voltage DC power into RF energy and delivers the RF energy to the active terminal 30. The energy is returned thereto via the return terminal 32.


In particular, the RF output stage 28 generates sinusoidal waveforms of high RF energy. The RF output stage 28 is configured to generate a plurality of waveforms having various duty cycles, peak voltages, crest factors, and other suitable parameters. Certain types of waveforms are suitable for specific electrosurgical modes. For instance, the RF output stage 28 generates a 100% duty cycle sinusoidal waveform in cut mode, which is best suited for ablating, fusing and dissecting tissue and a 1-25% duty cycle waveform in coagulation mode, which is best used for cauterizing tissue to stop bleeding.


The generator 20 may include a plurality of connectors to accommodate various types of electrosurgical instruments (e.g., instrument 2, electrosurgical forceps 10, etc.). Further, the generator 20 is configured to operate in a variety of modes such as ablation, monopolar and bipolar cutting coagulation, etc. It is envisioned that the generator 20 may include a switching mechanism (e.g., relays) to switch the supply of RF energy between the connectors, such that, for instance, when the instrument 2 is connected to the generator 20, only the monopolar plug receives RF energy.


The controller 24 includes a microprocessor 25 operably connected to a memory 26, which may be volatile type memory (e.g., RAM) and/or non-volatile type memory (e.g., flash media, disk media, etc.). The microprocessor 25 includes an output port that is operably connected to the HVPS 27 and/or RF output stage 28 allowing the microprocessor 25 to control the output of the generator 20 according to either open and/or closed control loop schemes. Those skilled in the art will appreciate that the microprocessor 25 may be substituted by any logic processor (e.g., control circuit) adapted to perform the calculations discussed herein.


A closed loop control scheme is a feedback control loop wherein sensor circuit 22, which may include a plurality of sensors measuring a variety of tissue and energy properties (e.g., tissue impedance, tissue temperature, output current and/or voltage, etc.), provides feedback to the controller 24. Such sensors are within the purview of those skilled in the art. The controller 24 then signals the HVPS 27 and/or RF output stage 28, which then adjust DC and/or RF power supply, respectively. The controller 24 also receives input signals from the input controls of the generator 20 or the instrument 2. The controller 24 utilizes the input signals to adjust power outputted by the generator 20 and/or performs other control functions thereon.


In various types of control loops it may be desirable to measure certain properties of RF energy being delivered by the RF output stage 28. In particular, voltage is continuously measured and delivered to the sensor circuit 22 (e.g., calculating impedance at the surgical site). A multiple-secondary transformer 40 is coupled between the RF output stage 28 and the active and return terminals 30, 32. The transformer 40 provides voltage signals to the sensor circuit 22. In conventional generators, multiple sense transformers are used to serve as voltage sensors for multiple purposes, such as primary voltage sense (e.g., calculating tissue and RF energy properties) and secondary voltage sense (e.g. dosage error calculation, single fault protection). In contrast, the transformer 40, according to the teachings of one embodiment of the present disclosure, is configured to output multiple sense voltages obviating the need for multiple sense transformers.



FIG. 3 shows an electrical schematic diagram of the transformer 40 coupled to the active and return terminals 30 and 32 of the RF output stage 28. The RF output stage 28 generates a radio frequency voltage (VRF) suitable for performing electrosurgical procedures (e.g., coagulation, ablation, etc.). The transformer 40 transforms the VRF to desired sensed voltage, in particular, the sensed voltages VSEN1 and VSEN2. The transformer 40 includes a primary winding 42, which is in circuit with the output of the RF output stage 28, and a plurality of secondary windings 44 and 46 in circuit with sensor circuit outputs 50 and 52 respectively. The transformer 40 is also connected to a sensor circuit return 48, which serves as a ground connection. The transformer 40 may be also configured for differential measurement thereby obviating the need for a ground connection. Having multiple secondary windings allows the transformer 40 to output multiple VSEN voltages to the sensor circuit 22. Thus, VSEN1 may be used as primary sensed voltage for determining impedance of the tissue and VSEN2 may be used as secondary sensed voltage for monitoring various error conditions.


The primary winding 42 includes a predetermined number of primary turns NP and the secondary windings 44 and 46 include a number of secondary turns NS. If NS is the same for each of the secondary windings 44 and 46, the turns ratio (NP/NS), which determines the step-down ratio of the transformer 40, is also the same. This allows the transformer 40 to output equivalent VSEN1 and VSEN2 for a uniform VRF. NS may be different for each of the secondary circuits 44 and 46 allowing for different step-down ratios and, hence, different VSEN.


The transformer 40 may include multiple secondary windings (e.g., three or four) depending on the number of sensed voltages to be monitored by the sensor circuit 22. The secondary circuits of the transformer 40 may be modular, such that the secondary winding can be switched “in” and “out” to adjust the step down ration. This will accommodate large variation in RF voltages related to different generator modes.


The transformer 40 provides for many improvements over conventional electrosurgical transformers, such as better coupling due to a single transformer core. Single core configuration also improves accuracy related to dosage errors and provide for a more compact. This in turn reduces the foot print of the circuit as well as the overall mass of the generator 20. A more simplified design also provides for cheaper construction of the generator 20 since a single transformer can perform the same function which was previously performed by multiple transformers.


While several embodiments of the disclosure have been shown in the drawings and/or discussed herein, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope and spirit of the claims appended hereto.

Claims
  • 1. An electrosurgical system for producing a radio frequency voltage, comprising: a multiple-secondary transformer configured for sensing voltage, the multiple-secondary transformer including: a primary winding having a first lead and a second lead, the first lead is coupled to an active terminal and the second lead is coupled to a return terminal of the electrosurgical system, wherein the active terminal and the return terminal are coupled to a load; anda plurality of secondary windings, each of the secondary windings being configured to transform the radio frequency voltage into a sensed voltage, each of the secondary windings including an output coupled to a sensor circuit and configured to transmit the sensed voltage to the sensor circuit.
  • 2. An electrosurgical system according to claim 1, wherein at least one of the secondary windings steps down the radio frequency voltage.
  • 3. An electrosurgical system according to claim 1, wherein each of the secondary windings includes the same number of turns.
  • 4. An electrosurgical system according to claim 1, wherein at least one of secondary windings is modular and is configured to be selectively engageable with the multiple-secondary transformer.
  • 5. A method for performing electrosurgery, the method comprising the steps of: providing a multiple-secondary transformer configured for sensing voltage, the multiple-secondary transformer including a primary winding, the primary winding having a first lead and a second lead, the first lead is coupled to an active terminal and the second lead is coupled to a return terminal of the electrosurgical system and a plurality of secondary windings, each of the secondary windings including an output coupled to a sensor circuit, wherein the active terminal and the return terminal are coupled to a load;generating a radio frequency voltage at a radio frequency output stage including an active terminal and a return terminal; andtransforming the radio frequency voltage into a sensed voltage at each of the secondary windings and transmitting the sensed voltage to the sensor circuit via the output.
  • 6. A method according to claim 5, wherein at least one of the secondary windings steps down the radio frequency voltage.
  • 7. A method according to claim 5, wherein each of the secondary windings includes the same number of turns.
  • 8. A method according to claim 5, wherein at least one of secondary windings is modular and is configured to be selectively engageable with the multiple-secondary transformer.
  • 9. A method according to claim 5, further comprising the step of delivering the radio frequency voltage to tissue through an electrosurgical instrument coupled to the active terminal.
US Referenced Citations (588)
Number Name Date Kind
1787709 Wappler Jun 1931 A
1813902 Bovie Jul 1931 A
1841968 Lowry Jan 1932 A
1863118 Liebel Jun 1932 A
1945867 Rawls Feb 1934 A
2827056 Degelman Mar 1958 A
2849611 Adams Aug 1958 A
3058470 Seeliger et al. Oct 1962 A
3089496 Degelman May 1963 A
3163165 Islikawa Dec 1964 A
3252052 Nash May 1966 A
3391351 Trent Jul 1968 A
3413480 Biard et al. Nov 1968 A
3436563 Regitz Apr 1969 A
3439253 Piteo Apr 1969 A
3439680 Thomas, Jr. Apr 1969 A
3461874 Martinez Aug 1969 A
3471770 Haire Oct 1969 A
3478744 Leiter Nov 1969 A
3486115 Anderson Dec 1969 A
3495584 Schwalm Feb 1970 A
3513353 Lansch May 1970 A
3514689 Giannamore May 1970 A
3515943 Warrington Jun 1970 A
3551786 Van Gulik Dec 1970 A
3562623 Farnsworth Feb 1971 A
3571644 Kakoubovitch Mar 1971 A
3589363 Banko Jun 1971 A
3595221 Blackett Jul 1971 A
3601126 Estes Aug 1971 A
3611053 Rowell Oct 1971 A
3641422 Farnsworth et al. Feb 1972 A
3642008 Bolduc Feb 1972 A
3662151 Haffey May 1972 A
3675655 Sittner Jul 1972 A
3683923 Anderson Aug 1972 A
3693613 Kelman Sep 1972 A
3697808 Lee Oct 1972 A
3699967 Anderson Oct 1972 A
3720896 Bierlein Mar 1973 A
3743918 Maitre Jul 1973 A
3766434 Sherman Oct 1973 A
3768482 Shaw Oct 1973 A
3801766 Morrison, Jr. Apr 1974 A
3801800 Newton Apr 1974 A
3812858 Oringer May 1974 A
3815015 Swin et al. Jun 1974 A
3826263 Cage et al. Jul 1974 A
3848600 Patrick, Jr. et al. Nov 1974 A
3870047 Gonser Mar 1975 A
3875945 Friedman Apr 1975 A
3885569 Judson May 1975 A
3897787 Ikuno et al. Aug 1975 A
3897788 Newton Aug 1975 A
3905373 Gonser Sep 1975 A
3913583 Bross Oct 1975 A
3923063 Andrews et al. Dec 1975 A
3933157 Bjurwill et al. Jan 1976 A
3946738 Newton et al. Mar 1976 A
3952748 Kaliher et al. Apr 1976 A
3963030 Newton Jun 1976 A
3964487 Judson Jun 1976 A
3971365 Smith Jul 1976 A
3978393 Wisner et al. Aug 1976 A
3980085 Ikuno Sep 1976 A
4005714 Hiltebrandt Feb 1977 A
4024467 Andrews et al. May 1977 A
4041952 Morrison, Jr. et al. Aug 1977 A
4051855 Schneiderman Oct 1977 A
4074719 Semm Feb 1978 A
4092986 Schneiderman Jun 1978 A
4094320 Newton et al. Jun 1978 A
4097773 Lindmark Jun 1978 A
4102341 Ikuno et al. Jul 1978 A
4114623 Meinke et al. Sep 1978 A
4121590 Gonser Oct 1978 A
4123673 Gonser Oct 1978 A
4126137 Archibald Nov 1978 A
4171700 Farin Oct 1979 A
4188927 Harris Feb 1980 A
4191188 Belt et al. Mar 1980 A
4196734 Harris Apr 1980 A
4200104 Harris Apr 1980 A
4200105 Gonser Apr 1980 A
4209018 Meinke et al. Jun 1980 A
4231372 Newton Nov 1980 A
4232676 Herczog Nov 1980 A
4237887 Gonser Dec 1980 A
4281373 Mabille Jul 1981 A
4287557 Brehse Sep 1981 A
4303073 Archibald Dec 1981 A
4311154 Sterzer et al. Jan 1982 A
4314559 Allen Feb 1982 A
4321926 Roge Mar 1982 A
4334539 Childs et al. Jun 1982 A
4343308 Gross Aug 1982 A
4359626 Potter Nov 1982 A
4372315 Shapiro et al. Feb 1983 A
4376263 Pittroff et al. Mar 1983 A
4378801 Oosten Apr 1983 A
4384582 Watt May 1983 A
4397314 Vaguine Aug 1983 A
4411266 Cosman Oct 1983 A
4416276 Newton et al. Nov 1983 A
4416277 Newton et al. Nov 1983 A
4429694 McGreevy Feb 1984 A
4436091 Banko Mar 1984 A
4437464 Crow Mar 1984 A
4438766 Bowers Mar 1984 A
4463759 Garito et al. Aug 1984 A
4472661 Culver Sep 1984 A
4474179 Koch Oct 1984 A
4492231 Auth Jan 1985 A
4492832 Taylor Jan 1985 A
4494541 Archibald Jan 1985 A
4514619 Kugelman Apr 1985 A
4520818 Mickiewicz Jun 1985 A
4559496 Harnden, Jr. et al. Dec 1985 A
4559943 Bowers Dec 1985 A
4565200 Cosman Jan 1986 A
4566454 Mehl et al. Jan 1986 A
4569345 Manes Feb 1986 A
4582057 Auth et al. Apr 1986 A
4586120 Malik et al. Apr 1986 A
4590934 Malis et al. May 1986 A
4608977 Brown Sep 1986 A
4615330 Nagasaki et al. Oct 1986 A
4630218 Hurley Dec 1986 A
4632109 Paterson Dec 1986 A
4644955 Mioduski Feb 1987 A
4651264 Hu Mar 1987 A
4651280 Chang et al. Mar 1987 A
4657015 Irnich Apr 1987 A
4658815 Farin et al. Apr 1987 A
4658819 Harris et al. Apr 1987 A
4658820 Klicek Apr 1987 A
4662383 Sogawa et al. May 1987 A
4691703 Auth et al. Sep 1987 A
4727874 Bowers et al. Mar 1988 A
4735204 Sussman et al. Apr 1988 A
4739759 Rexroth et al. Apr 1988 A
4741334 Irnich May 1988 A
4754757 Feucht Jul 1988 A
4788634 Schlecht et al. Nov 1988 A
4805621 Heinze et al. Feb 1989 A
4818954 Flachenecker et al. Apr 1989 A
4827927 Newton May 1989 A
4848335 Manes Jul 1989 A
4860745 Farin et al. Aug 1989 A
4862889 Feucht Sep 1989 A
4887199 Whittle Dec 1989 A
4890610 Kirwan et al. Jan 1990 A
4903696 Stasz et al. Feb 1990 A
4907589 Cosman Mar 1990 A
4922210 Flachenecker et al. May 1990 A
4931047 Broadwin et al. Jun 1990 A
4931717 Gray et al. Jun 1990 A
4938761 Ensslin Jul 1990 A
4942313 Kinzel Jul 1990 A
4959606 Forge Sep 1990 A
4961047 Carder Oct 1990 A
4961435 Kitagawa et al. Oct 1990 A
4966597 Cosman Oct 1990 A
4969885 Farin Nov 1990 A
4992719 Harvey Feb 1991 A
4993430 Shimoyama et al. Feb 1991 A
4995877 Ams et al. Feb 1991 A
5015227 Broadwin et al. May 1991 A
5024668 Peters et al. Jun 1991 A
5075839 Fisher et al. Dec 1991 A
5087257 Farin Feb 1992 A
5099840 Goble et al. Mar 1992 A
5103804 Abele et al. Apr 1992 A
5108389 Cosmescu Apr 1992 A
5108391 Flachenecker Apr 1992 A
5119284 Fisher et al. Jun 1992 A
5122137 Lennox Jun 1992 A
5133711 Hagen Jul 1992 A
5151102 Kamiyama et al. Sep 1992 A
5152762 McElhenney Oct 1992 A
5157603 Scheller et al. Oct 1992 A
5160334 Billings et al. Nov 1992 A
5167658 Ensslin Dec 1992 A
5190517 Zieve et al. Mar 1993 A
5196008 Kuenecke Mar 1993 A
5196009 Kirwan, Jr. Mar 1993 A
5201900 Nardella Apr 1993 A
5207691 Nardella May 1993 A
5230623 Guthrie et al. Jul 1993 A
5233515 Cosman Aug 1993 A
5249121 Baum et al. Sep 1993 A
5254117 Rigby et al. Oct 1993 A
RE34432 Bertrand Nov 1993 E
5267994 Gentelia et al. Dec 1993 A
5267997 Farin Dec 1993 A
5281213 Milder et al. Jan 1994 A
5300068 Rosar et al. Apr 1994 A
5300070 Gentelia Apr 1994 A
5318563 Malis et al. Jun 1994 A
5323778 Kandarpa et al. Jun 1994 A
5324283 Heckele Jun 1994 A
5330518 Neilson et al. Jul 1994 A
5334183 Wuchinich Aug 1994 A
5334193 Nardella Aug 1994 A
5341807 Nardella Aug 1994 A
5342356 Ellman et al. Aug 1994 A
5342357 Nardella Aug 1994 A
5342409 Mullett Aug 1994 A
5348554 Imran et al. Sep 1994 A
5370645 Klicek et al. Dec 1994 A
5370672 Fowler et al. Dec 1994 A
5370675 Edwards et al. Dec 1994 A
5372596 Klicek et al. Dec 1994 A
5383874 Jackson Jan 1995 A
5383876 Nardella Jan 1995 A
5383917 Desai et al. Jan 1995 A
5385148 Lesh et al. Jan 1995 A
5400267 Denen et al. Mar 1995 A
5403311 Abele et al. Apr 1995 A
5403312 Yates et al. Apr 1995 A
5409000 Imran Apr 1995 A
5409485 Suda Apr 1995 A
5413573 Koivukangas May 1995 A
5414238 Steigerwald et al. May 1995 A
5417719 Hull et al. May 1995 A
5422567 Matsunaga Jun 1995 A
5423808 Edwards et al. Jun 1995 A
5423809 Klicek Jun 1995 A
5423810 Goble et al. Jun 1995 A
5425704 Sakurai et al. Jun 1995 A
5430434 Lederer et al. Jul 1995 A
5432459 Thompson et al. Jul 1995 A
5433739 Sluijter et al. Jul 1995 A
5436566 Thompson Jul 1995 A
5438302 Goble Aug 1995 A
5443463 Stern et al. Aug 1995 A
5445635 Denen Aug 1995 A
5451224 Goble et al. Sep 1995 A
5458597 Edwards et al. Oct 1995 A
5462521 Brucker et al. Oct 1995 A
5472441 Edwards et al. Dec 1995 A
5472443 Cordis et al. Dec 1995 A
5480399 Hebborn Jan 1996 A
5483952 Aranyi Jan 1996 A
5485312 Klicek Mar 1996 A
5496312 Klicek Mar 1996 A
5496313 Gentelia et al. Mar 1996 A
5500012 Brucker et al. Mar 1996 A
5500616 Ochi Mar 1996 A
5514129 Smith May 1996 A
5520684 Imran May 1996 A
5531774 Schulman et al. Jul 1996 A
5534018 Wahlstrand et al. Jul 1996 A
5536267 Edwards et al. Jul 1996 A
5540681 Strul et al. Jul 1996 A
5540683 Ichikawa Jul 1996 A
5540684 Hassler, Jr. Jul 1996 A
5556396 Cohen et al. Sep 1996 A
5558671 Yates Sep 1996 A
5569242 Lax et al. Oct 1996 A
5571147 Sluijter et al. Nov 1996 A
5573533 Strul Nov 1996 A
5584830 Ladd et al. Dec 1996 A
5588432 Crowley Dec 1996 A
5596466 Ochi Jan 1997 A
5599344 Paterson Feb 1997 A
5599345 Edwards et al. Feb 1997 A
5599348 Gentelia et al. Feb 1997 A
5605150 Radons et al. Feb 1997 A
5613966 Makower et al. Mar 1997 A
5626575 Crenner May 1997 A
5628745 Bek May 1997 A
5643330 Holsheimer et al. Jul 1997 A
5647869 Goble et al. Jul 1997 A
5647871 Levine et al. Jul 1997 A
5651780 Jackson et al. Jul 1997 A
5658322 Fleming Aug 1997 A
5660567 Nierlich et al. Aug 1997 A
5674217 Wahlstrom et al. Oct 1997 A
5685840 Schechter et al. Nov 1997 A
5688267 Panescu et al. Nov 1997 A
5693042 Boiarski et al. Dec 1997 A
5694304 Telefus et al. Dec 1997 A
5695494 Becker Dec 1997 A
5696441 Mak et al. Dec 1997 A
5702386 Stern et al. Dec 1997 A
5702429 King Dec 1997 A
5707369 Vaitekunas et al. Jan 1998 A
5712772 Telefus et al. Jan 1998 A
5713896 Nardella Feb 1998 A
5718246 Vona Feb 1998 A
5720744 Eggleston et al. Feb 1998 A
5722975 Edwards et al. Mar 1998 A
5729448 Haynie et al. Mar 1998 A
5733281 Nardella Mar 1998 A
5749869 Lindenmeier et al. May 1998 A
5749871 Hood et al. May 1998 A
5755715 Stern May 1998 A
5766165 Gentelia et al. Jun 1998 A
5769847 Panescu Jun 1998 A
5772659 Becker et al. Jun 1998 A
5792138 Shipp Aug 1998 A
5797902 Netherly Aug 1998 A
5814092 King Sep 1998 A
5817093 Williamson, IV et al. Oct 1998 A
5820568 Willis Oct 1998 A
5827271 Buysse et al. Oct 1998 A
5830212 Cartmell Nov 1998 A
5836909 Cosmescu Nov 1998 A
5836943 Miller, III Nov 1998 A
5836990 Li Nov 1998 A
5846236 Lindenmeier et al. Dec 1998 A
5868737 Taylor et al. Feb 1999 A
5868739 Lindenmeier et al. Feb 1999 A
5868740 LeVeen et al. Feb 1999 A
5871481 Kannenberg et al. Feb 1999 A
5897552 Edwards et al. Apr 1999 A
5908444 Azure Jun 1999 A
5913882 King Jun 1999 A
5921982 Lesh et al. Jul 1999 A
5925070 King et al. Jul 1999 A
5931836 Hatta et al. Aug 1999 A
5938690 Law et al. Aug 1999 A
5948007 Starkebaum et al. Sep 1999 A
5951545 Schilling Sep 1999 A
5951546 Lorentzen Sep 1999 A
5954686 Garito et al. Sep 1999 A
5954717 Behl et al. Sep 1999 A
5954719 Chen et al. Sep 1999 A
5961344 Rosales et al. Oct 1999 A
5971980 Sherman Oct 1999 A
5976128 Schilling et al. Nov 1999 A
5983141 Sluijter et al. Nov 1999 A
6010499 Cobb Jan 2000 A
6014581 Whayne et al. Jan 2000 A
6033399 Gines Mar 2000 A
6039732 Ichikawa et al. Mar 2000 A
6044283 Fein et al. Mar 2000 A
6053910 Fleenor Apr 2000 A
6053912 Panescu et al. Apr 2000 A
6055458 Cochran et al. Apr 2000 A
6056745 Panescu et al. May 2000 A
6056746 Goble et al. May 2000 A
6063075 Mihori May 2000 A
6063078 Wittkampf May 2000 A
6068627 Orszulak et al. May 2000 A
6074386 Goble et al. Jun 2000 A
6074388 Tockweiler et al. Jun 2000 A
6080149 Huang et al. Jun 2000 A
6093186 Goble Jul 2000 A
6102497 Ehr et al. Aug 2000 A
6113591 Whayne et al. Sep 2000 A
6113596 Hooven Sep 2000 A
6123702 Swanson et al. Sep 2000 A
6132429 Baker Oct 2000 A
6142992 Cheng et al. Nov 2000 A
6155975 Urich et al. Dec 2000 A
6162217 Kannenberg et al. Dec 2000 A
6171304 Netherly et al. Jan 2001 B1
6188211 Rincon-Mora et al. Feb 2001 B1
6203541 Keppel Mar 2001 B1
6210403 Klicek Apr 2001 B1
6222356 Taghizadeh-Kaschani Apr 2001 B1
6228080 Gines May 2001 B1
6228081 Goble May 2001 B1
6231569 Bek May 2001 B1
6235020 Cheng et al. May 2001 B1
6238387 Miller, III May 2001 B1
6238388 Ellman May 2001 B1
6241725 Cosman Jun 2001 B1
6245065 Panescu et al. Jun 2001 B1
6246912 Sluijter et al. Jun 2001 B1
6251106 Becker et al. Jun 2001 B1
6258085 Eggleston Jul 2001 B1
6261285 Novak Jul 2001 B1
6261286 Goble et al. Jul 2001 B1
6273886 Edwards Aug 2001 B1
6275786 Daners Aug 2001 B1
6293941 Strul Sep 2001 B1
6293942 Goble et al. Sep 2001 B1
6296636 Cheng et al. Oct 2001 B1
6306131 Hareyama et al. Oct 2001 B1
6306134 Goble et al. Oct 2001 B1
6309386 Bek Oct 2001 B1
6325799 Goble Dec 2001 B1
6337998 Behl et al. Jan 2002 B1
6338657 Harper et al. Jan 2002 B1
6350262 Ashley Feb 2002 B1
6358245 Edwards Mar 2002 B1
6364877 Goble et al. Apr 2002 B1
6383183 Sekino et al. May 2002 B1
6391024 Sun et al. May 2002 B1
6398779 Buysse et al. Jun 2002 B1
6398781 Goble et al. Jun 2002 B1
6402741 Keppel et al. Jun 2002 B1
6402743 Orszulak et al. Jun 2002 B1
6416509 Goble et al. Jul 2002 B1
6426886 Goder Jul 2002 B1
6436096 Hareyama Aug 2002 B1
6451015 Rittman, III et al. Sep 2002 B1
6458121 Rosenstock Oct 2002 B1
6464689 Qin Oct 2002 B1
6464696 Oyama Oct 2002 B1
6498466 Edwards Dec 2002 B1
6506189 Rittman, III et al. Jan 2003 B1
6508815 Strul Jan 2003 B1
6511476 Hareyama Jan 2003 B2
6511478 Burnside et al. Jan 2003 B1
6517538 Jacob et al. Feb 2003 B1
6524308 Muller et al. Feb 2003 B1
6547786 Goble Apr 2003 B1
6558376 Bishop May 2003 B2
6560470 Pologe May 2003 B1
6562037 Paton et al. May 2003 B2
6565559 Eggleston May 2003 B2
6575969 Rittman, III et al. Jun 2003 B1
6582427 Goble et al. Jun 2003 B1
6620157 Dabney et al. Sep 2003 B1
6623423 Sakurai et al. Sep 2003 B2
6629973 Wardell et al. Oct 2003 B1
6635057 Harano Oct 2003 B2
6645198 Bommannan et al. Nov 2003 B1
6648883 Francischelli Nov 2003 B2
6652514 Ellman Nov 2003 B2
6663623 Oyama et al. Dec 2003 B1
6663624 Edwards Dec 2003 B2
6666860 Takahashi Dec 2003 B1
6679875 Honda Jan 2004 B2
6682527 Strul Jan 2004 B2
6685700 Behl Feb 2004 B2
6685701 Orszulak et al. Feb 2004 B2
6685703 Pearson et al. Feb 2004 B2
6689131 McClurken Feb 2004 B2
6692489 Heim Feb 2004 B1
6693782 Lash Feb 2004 B1
6712813 Ellman Mar 2004 B2
6730080 Harano May 2004 B2
6733495 Bek May 2004 B1
6733498 Paton May 2004 B2
6740079 Eggers May 2004 B1
6740085 Hareyama May 2004 B2
6755825 Shoenman et al. Jun 2004 B2
6758846 Goble et al. Jul 2004 B2
6783523 Qin Aug 2004 B2
6786905 Swanson et al. Sep 2004 B2
6790206 Panescu Sep 2004 B2
6796981 Wham Sep 2004 B2
6824539 Novak Nov 2004 B2
6830569 Thompson Dec 2004 B2
6843789 Goble Jan 2005 B2
6849073 Hoey Feb 2005 B2
6855141 Lovewell Feb 2005 B2
6855142 Harano Feb 2005 B2
6860881 Sturm Mar 2005 B2
6864686 Novak Mar 2005 B2
6875210 Refior Apr 2005 B2
6893435 Roane May 2005 B2
6923804 Eggers et al. Aug 2005 B2
6929641 Goble et al. Aug 2005 B2
6939346 Kannenberg et al. Sep 2005 B2
6939347 Thompson Sep 2005 B2
6942660 Pantera et al. Sep 2005 B2
6948503 Refior et al. Sep 2005 B2
6966907 Goble Nov 2005 B2
6989010 Francischelli et al. Jan 2006 B2
6994704 Qin et al. Feb 2006 B2
6994707 Ellman et al. Feb 2006 B2
7001381 Harano et al. Feb 2006 B2
7004174 Eggers et al. Feb 2006 B2
7041096 Malis et al. May 2006 B2
7044948 Keppel May 2006 B2
7044949 Orszulak et al. May 2006 B2
7060063 Marion et al. Jun 2006 B2
7062331 Zarinetchi et al. Jun 2006 B2
7063692 Sakurai et al. Jun 2006 B2
7066933 Hagg Jun 2006 B2
7122031 Edwards et al. Oct 2006 B2
7131860 Sartor et al. Nov 2006 B2
7137980 Buysse et al. Nov 2006 B2
7147638 Chapman et al. Dec 2006 B2
7160293 Sturm et al. Jan 2007 B2
7172591 Harano et al. Feb 2007 B2
7175618 Dabney et al. Feb 2007 B2
7175621 Heim et al. Feb 2007 B2
7211081 Goble May 2007 B2
7214224 Goble May 2007 B2
7220260 Fleming et al. May 2007 B2
7247155 Hoey et al. Jul 2007 B2
7250746 Oswald et al. Jul 2007 B2
7255694 Keppel Aug 2007 B2
7282048 Goble et al. Oct 2007 B2
7300435 Wham et al. Nov 2007 B2
7303557 Wham et al. Dec 2007 B2
7364577 Wham et al. Apr 2008 B2
7367972 Francischelli et al. May 2008 B2
RE40388 Gines Jun 2008 E
7396336 Orszulak et al. Jul 2008 B2
20010014804 Goble et al. Aug 2001 A1
20010029315 Sakurai et al. Oct 2001 A1
20010031962 Eggleston Oct 2001 A1
20020035363 Edwards et al. Mar 2002 A1
20020035364 Schoenman et al. Mar 2002 A1
20020052599 Goble May 2002 A1
20020068932 Edwards Jun 2002 A1
20020107517 Witt et al. Aug 2002 A1
20020111624 Witt et al. Aug 2002 A1
20020151889 Swanson et al. Oct 2002 A1
20020193787 Qin Dec 2002 A1
20030004510 Wham et al. Jan 2003 A1
20030060818 Kannenberg Mar 2003 A1
20030078572 Pearson et al. Apr 2003 A1
20030139741 Goble et al. Jul 2003 A1
20030153908 Goble Aug 2003 A1
20030163123 Goble Aug 2003 A1
20030163124 Goble Aug 2003 A1
20030171745 Francischelli Sep 2003 A1
20030181898 Bowers Sep 2003 A1
20030199863 Swanson Oct 2003 A1
20030225401 Eggers et al. Dec 2003 A1
20040002745 Fleming Jan 2004 A1
20040015159 Slater et al. Jan 2004 A1
20040015163 Buysse et al. Jan 2004 A1
20040015216 DeSisto Jan 2004 A1
20040019347 Sakurai Jan 2004 A1
20040024395 Ellman Feb 2004 A1
20040030328 Eggers Feb 2004 A1
20040030330 Brassell et al. Feb 2004 A1
20040044339 Beller Mar 2004 A1
20040049179 Francischelli Mar 2004 A1
20040054365 Goble Mar 2004 A1
20040059323 Sturm et al. Mar 2004 A1
20040068304 Paton Apr 2004 A1
20040082946 Malis Apr 2004 A1
20040095100 Thompson May 2004 A1
20040097912 Gonnering May 2004 A1
20040097914 Pantera May 2004 A1
20040097915 Refior May 2004 A1
20040116919 Heim Jun 2004 A1
20040133189 Sakurai Jul 2004 A1
20040138653 Dabney et al. Jul 2004 A1
20040138654 Goble Jul 2004 A1
20040143263 Schechter et al. Jul 2004 A1
20040147918 Keppel Jul 2004 A1
20040167508 Wham et al. Aug 2004 A1
20040172016 Bek Sep 2004 A1
20040193148 Wham et al. Sep 2004 A1
20040230189 Keppel Nov 2004 A1
20040243120 Orszulak et al. Dec 2004 A1
20040260279 Goble Dec 2004 A1
20050004564 Wham Jan 2005 A1
20050004569 Witt et al. Jan 2005 A1
20050021020 Blaha et al. Jan 2005 A1
20050021022 Sturm et al. Jan 2005 A1
20050101949 Harano et al. May 2005 A1
20050101951 Wham May 2005 A1
20050113818 Sartor May 2005 A1
20050113819 Wham May 2005 A1
20050149151 Orszulak Jul 2005 A1
20050182398 Paterson Aug 2005 A1
20050197659 Bahney Sep 2005 A1
20050203504 Wham et al. Sep 2005 A1
20060025760 Podhajsky Feb 2006 A1
20060079871 Plaven et al. Apr 2006 A1
20060161148 Behnke Jul 2006 A1
20060178664 Keppel Aug 2006 A1
20060224152 Behnke et al. Oct 2006 A1
20060281360 Sartor et al. Dec 2006 A1
20070038209 Buysse et al. Feb 2007 A1
20070093800 Wham et al. Apr 2007 A1
20070093801 Behnke Apr 2007 A1
20070135812 Sartor Jun 2007 A1
20070173802 Keppel Jul 2007 A1
20070173803 Wham et al. Jul 2007 A1
20070173804 Wham et al. Jul 2007 A1
20070173805 Weinberg et al. Jul 2007 A1
20070173806 Orszulak et al. Jul 2007 A1
20070173810 Orszulak Jul 2007 A1
20070173813 Odom Jul 2007 A1
20070208339 Arts et al. Sep 2007 A1
20070225698 Orszulak et al. Sep 2007 A1
20070250052 Wham Oct 2007 A1
20070265612 Behnke et al. Nov 2007 A1
20070282320 Buysse et al. Dec 2007 A1
20080015564 Wham et al. Jan 2008 A1
20080039831 Odom et al. Feb 2008 A1
20080039836 Odom et al. Feb 2008 A1
20080082094 McPherson et al. Apr 2008 A1
20080125767 Blaha May 2008 A1
Foreign Referenced Citations (100)
Number Date Country
179607 Mar 1905 DE
1099658 Feb 1961 DE
1139927 Nov 1962 DE
1149832 Jun 1963 DE
1439302 Jan 1969 DE
2439587 Feb 1975 DE
2455174 May 1975 DE
2407559 Aug 1975 DE
2602517 Jul 1976 DE
2504280 Aug 1976 DE
2540968 Mar 1977 DE
2820908 Nov 1978 DE
2803275 Aug 1979 DE
2823291 Nov 1979 DE
2946728 May 1981 DE
3143421 May 1982 DE
3045996 Jul 1982 DE
3120102 Dec 1982 DE
3510586 Oct 1986 DE
3604823 Aug 1987 DE
390937 Apr 1989 DE
3904558 Aug 1990 DE
3942998 Jul 1991 DE
4339049 May 1995 DE
19717411 Nov 1998 DE
19848540 May 2000 DE
246350 Nov 1987 EP
310431 Apr 1989 EP
325456 Jul 1989 EP
336742 Oct 1989 EP
390937 Oct 1990 EP
556705 Aug 1993 EP
569130 Nov 1993 EP
608609 Aug 1994 EP
0694291 Jan 1996 EP
836868 Apr 1998 EP
878169 Nov 1998 EP
1051948 Nov 2000 EP
1053720 Nov 2000 EP
1151725 Nov 2001 EP
1293171 Mar 2003 EP
1472984 Nov 2004 EP
1495712 Jan 2005 EP
1500378 Jan 2005 EP
1535581 Jun 2005 EP
1609430 Dec 2005 EP
1645235 Apr 2006 EP
880220 Jun 2006 EP
1707143 Oct 2006 EP
1 810630 Jul 2007 EP
1810628 Jul 2007 EP
1810633 Jul 2007 EP
1275415 Oct 1961 FR
1347865 Nov 1963 FR
2313708 Dec 1976 FR
2502935 Oct 1982 FR
2517953 Jun 1983 FR
2573301 May 1986 FR
607850 Sep 1948 GB
855459 Nov 1960 GB
902775 Aug 1962 GB
2164473 Mar 1986 GB
2214430 Sep 1989 GB
2358934 Aug 2001 GB
166452 Jan 1965 SU
727201 Apr 1980 SU
WO9206642 Apr 1992 WO
WO9324066 Dec 1993 WO
WO9424949 Nov 1994 WO
WO9428809 Dec 1994 WO
WO9509577 Apr 1995 WO
WO9519148 Jul 1995 WO
WO9602180 Feb 1996 WO
WO9604860 Feb 1996 WO
WO9608794 Mar 1996 WO
WO9618349 Jun 1996 WO
WO9629946 Oct 1996 WO
WO9639086 Dec 1996 WO
WO9639914 Dec 1996 WO
WO9706739 Feb 1997 WO
WO9706740 Feb 1997 WO
WO9706855 Feb 1997 WO
WO9711648 Apr 1997 WO
WO9717029 May 1997 WO
WO02011634 Feb 2002 WO
WO0245589 Feb 2002 WO
WO0247565 Jun 2002 WO
WO02053048 Jul 2002 WO
WO02088128 Jul 2002 WO
WO03090630 Nov 2003 WO
WO03090635 Nov 2003 WO
WO03092520 Nov 2003 WO
WO2005060365 Nov 2003 WO
WO2004028385 Apr 2004 WO
WO2004098385 Apr 2004 WO
WO2004103156 Dec 2004 WO
WO2005046496 May 2005 WO
WO2005048809 Jun 2005 WO
WO2005050151 Jun 2005 WO
WO2005060849 Jul 2005 WO
Related Publications (1)
Number Date Country
20080082094 A1 Apr 2008 US