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公开(公告)号:US5465716A
公开(公告)日:1995-11-14
申请号:US156284
申请日:1993-11-22
申请人: Boaz Avitall
发明人: Boaz Avitall
CPC分类号: A61M25/0133 , A61M25/0136 , A61B2017/00039 , A61B2017/00243 , A61B2017/00292
摘要: A catheter control handle for precise spatial placement of a working catheter tip in an organ or vessel of interest is presented that is readily operable with one hand and uses a single operating knob in conjunction with a single control wire connected in the distal working catheter tip area in a manner such that longitudinal translation of the knob produces distal catheter tip deflection and rotation of the knob produces rotation of the deflected tip. The longitudinal translation of the control knob deflects the catheter tip by displacing the proximal portion of the catheter relative to the control wire and the rotation of the control knob applies rotational torque to the control wire.
摘要翻译: 提供了用于将工作导管末端精确空间放置在感兴趣的器官或容器中的导管控制手柄,其可以用一只手容易地操作,并且使用单个操作旋钮与连接在远端工作导管尖端区域中的单个控制线 以使得旋钮的纵向平移产生远端导管尖端偏转并且旋钮的旋转产生偏转尖端的旋转。 控制旋钮的纵向平移通过相对于控制线移位导管的近端部分而使导管尖端偏转,并且控制旋钮的旋转将旋转扭矩施加到控制线。
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公开(公告)号:US5555883A
公开(公告)日:1996-09-17
申请号:US380204
申请日:1995-01-30
申请人: Boaz Avitall
发明人: Boaz Avitall
IPC分类号: A61B1/012 , A61B5/0408 , A61B5/042 , A61B17/00 , A61B18/00 , A61B18/14 , A61M25/01 , A61N1/05 , A61B5/04
CPC分类号: A61M25/0136 , A61B18/1492 , A61B5/04085 , A61B5/042 , A61B5/0422 , A61B5/6856 , A61M25/0147 , A61B18/1815 , A61B2017/00292 , A61B2017/003 , A61B2017/00738 , A61B2018/0016 , A61B2018/00357 , A61B2018/00839 , A61B2018/1407 , A61B2562/0209 , A61B2562/043 , A61M2025/0161 , A61M2025/0163 , A61M2025/09191
摘要: A cardiac arrhythmia mapping and ablation catheter has a main catheter that is provided with a loop-shaped mapping and ablation system attached to its distal end in which the loop is optionally adjustable or of relatively fixed shape resumable upon deployment. The loop carries an electrode array including a plurality of separately operable recording (mapping)/ablation electrodes in conductive relation to the external environment and arranged in spaced serial relation along the loop. Insulated conductors connect the electrodes electrically with input/output devices outside the catheter for mapping the electrical activity of the chamber wall contacted and ablating tissue as indicated. A distal extension or guide member may optionally be provided to adapt the loop specifically to addressing the tricuspid annulus or other desired location.
摘要翻译: 心律失常测绘和消融导管具有主导管,其具有附接到其远端的环形映射和消融系统,其中环路可选地可调节或者在部署时可恢复相对固定的形状。 环路具有电极阵列,该电极阵列包括与外部环境导电关系的多个单独可操作的记录(映射)/消融电极,并沿着环路以间隔的串联关系布置。 绝缘导体将电极与导管外部的输入/输出装置电连接,用于映射所示的室壁接触和消融组织的电活动。 可以可选地提供远侧延伸部或引导部件以使环路具体地适应于寻址三尖瓣环或其它期望的位置。
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公开(公告)号:US5730127A
公开(公告)日:1998-03-24
申请号:US593660
申请日:1996-01-29
申请人: Boaz Avitall
发明人: Boaz Avitall
CPC分类号: A61B5/0422 , A61B18/1492 , A61B5/6855 , A61B5/6856 , A61B5/6859 , A61N1/06 , A61B18/14 , A61B18/1815 , A61B2017/22038 , A61B2018/00011 , A61B2018/00023 , A61B2018/00029 , A61B2018/00077 , A61B2018/00148 , A61B2018/0016 , A61B2018/00196 , A61B2018/00273 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61B2018/00839 , A61B2018/1407 , A61B2018/1475 , A61B2218/002 , A61B2218/005 , A61B2562/0209 , A61B2562/043 , A61B90/39
摘要: A recording and ablation catheter method and system for creating linear lesions in an atrial or other chamber of a heart which includes an array of readily controlled electroded arcuate distal working catheter shapes that are easily deployed to contact the inner wall surface of the right atrial cardiac chamber in a manner that enables easy recording and mapping of impulses and thereafter facilitates sustained contact so that linear lesions can be produced from an array of mapping and ablation electrode devices serially spaced along the working catheter shape.
摘要翻译: 一种记录和消融导管方法和系统,用于在心房或其他心脏室中产生线性损伤,其包括容易控制的电弧弓形远端工作导管形状的阵列,其易于部署以接触右心房心室的内壁表面 以使得能够容易地记录和映射脉冲,然后便于持续接触,使得可以从沿着工作导管形状串联间隔的映射和消融电极器件的阵列产生线性损伤。
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公开(公告)号:US5702438A
公开(公告)日:1997-12-30
申请号:US482675
申请日:1995-06-08
申请人: Boaz Avitall
发明人: Boaz Avitall
CPC分类号: A61N1/05 , A61B18/1492 , A61N1/056 , A61B2018/0016 , A61B2018/00357 , A61B2018/00577 , A61B2018/00839 , A61B2018/1407 , A61B2018/1467
摘要: A recording/ablation system includes an inner working catheter for deployment from a distal port in an outer sheath or catheter in a heart chamber, or the like, which has a plurality of divergent electroded spines each constrained at the proximal end with a substantially free distal end for controlled separation. The divergent electroded spines are collapsible to a substantially parallel configuration for transport and stowage. A single deflecting spine version is also disclosed.
摘要翻译: 记录/消融系统包括内部工作导管,用于从心室中的外护套或导管中的远端口部署等,其具有多个发散的电刺,每个限制在近端具有基本上自由的远端 结束控制分离。 发散的电刺棘可折叠成基本上平行的配置,用于运输和装载。 还公开了单个偏转脊柱版本。
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公开(公告)号:US5687723A
公开(公告)日:1997-11-18
申请号:US487492
申请日:1995-06-08
申请人: Boaz Avitall
发明人: Boaz Avitall
IPC分类号: A61B5/0408 , A61B5/0402 , A61B5/042 , A61B5/0478 , A61B5/0492 , A61B18/12 , A61B18/14 , A61N1/06 , A61N1/05 , A61B5/04
CPC分类号: A61B5/6855 , A61B18/1492 , A61B5/0422 , A61B5/6856 , A61B5/6859 , A61N1/06 , A61B18/14 , A61B18/1815 , A61B2017/22038 , A61B2018/00011 , A61B2018/00029 , A61B2018/00148 , A61B2018/0016 , A61B2018/00196 , A61B2018/00273 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61B2018/00839 , A61B2018/1407 , A61B2018/1475 , A61B2218/002 , A61B2562/0209 , A61B2562/043
摘要: A recording and ablation catheter method and system for creating linear lesions in an atrial or other cardiac chamber of interest is described which includes an array of readily controlled electroded arcuate distal working catheter shapes that are easily deployed to contact the desired inner wall surface of a cardiac chamber in a manner that enables easy recording and mapping of impulses and thereafter facilitates sustained contact so that linear lesions can be produced from an array of mapping and ablation electrode devices serially spaced along the working catheter shape. Auxiliary cooling may also be provided.
摘要翻译: 描述了一种记录和消融导管方法和系统,用于在心房或其他心脏感兴趣腔室中产生线性损伤,其包括容易控制的电弧弓形远端工作导管形状的阵列,其易于展开以接触心脏的期望的内壁表面 以使得能够容易地记录和映射脉冲的方式,并且此后促进持续接触,从而可以沿着沿着工作导管形状串联间隔的映射和消融电极装置的阵列产生线性损伤。 还可以提供辅助冷却。
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公开(公告)号:US5454370A
公开(公告)日:1995-10-03
申请号:US161916
申请日:1993-12-03
申请人: Boaz Avitall
发明人: Boaz Avitall
IPC分类号: A61B5/042 , A61B5/0428 , A61N1/06 , A61N1/40 , A61B5/04
CPC分类号: A61B5/6856 , A61B5/0422 , A61B5/6857 , A61N1/06 , A61N1/40 , A61B2562/0209 , A61B2562/043 , A61B5/04288
摘要: A mapping and ablation distal vascular catheter arrangement is disclosed which is suitable for association with a vascular catheter system and which includes a segmented mapping/ablation electrode system in which the lesion size including length, width and depth is made flexible and the ability to discretely map localized electrical activity using the same is preserved. The electrode system includes a plurality of serially spaced individual electrodes on the surface of a distal working catheter area which can be utilized together to produce the effect of an elongated segmented ablation electrode or individually utilized to map local electrical activity. A control system or device is provided that allows the individual electrodes to be connected to one or more receiving/recording/display devices in any desired pattern. That is, recording or mapping may be conducted using any configuration of electrodes for receiving signals. This allows signals or propagated wavefronts to be detected between the most likely electrodes, i.e., the tissue of interest to be used. The control system further permits ganging of the electrodes in any manner when connected to a source of RF ablation energy.
摘要翻译: 公开了映射和消融远端血管导管装置,其适用于与血管导管系统相关联并且其包括分段映射/消融电极系统,其中包括长度,宽度和深度的损伤尺寸变得柔性并且离散映射的能力 保留了使用其的局部电活动。 电极系统包括在远端工作导管区域的表面上的多个串联间隔的单独电极,其可以一起用于产生细长的分段消融电极的效果或单独用于映射局部电活动。 提供一种控制系统或装置,其允许各个电极以任何期望的模式连接到一个或多个接收/记录/显示装置。 也就是说,可以使用用于接收信号的电极的任何配置进行记录或映射。 这允许在最可能的电极,即要使用的感兴趣的组织之间检测信号或传播的波前。 当连接到RF消融能源时,控制系统进一步允许电极以任何方式组合。
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公开(公告)号:US5842984A
公开(公告)日:1998-12-01
申请号:US968159
申请日:1997-11-12
申请人: Boaz Avitall
发明人: Boaz Avitall
CPC分类号: A61B5/0422 , A61B18/1492 , A61B5/6855 , A61B5/6856 , A61B5/6859 , A61N1/06 , A61B18/14 , A61B18/1815 , A61B2017/22038 , A61B2018/00011 , A61B2018/00023 , A61B2018/00029 , A61B2018/00077 , A61B2018/00148 , A61B2018/0016 , A61B2018/00196 , A61B2018/00273 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61B2018/00839 , A61B2018/1407 , A61B2018/1475 , A61B2218/002 , A61B2218/005 , A61B2562/0209 , A61B2562/043 , A61B90/39
摘要: A recording and ablation catheter method and system for creating linear lesions in an atrial or other chamber of a heart is disclosed which includes an array of readily controlled electroded arcuate distal working catheter shapes that are easily deployed to contact the inner wall surface of the right atrial cardiac chamber in a manner that enables easy recording and mapping of impulses and thereafter facilitates sustained contact so that linear lesions can be produced from an array of mapping and ablation electrode devices serially spaced along the working catheter shape.
摘要翻译: 公开了一种记录和消融导管方法和系统,用于在心房或心房的其他腔室中产生线性损伤,其包括容易控制的电弧弓形远端工作导管形状的阵列,其易于部署以接触右心房的内壁表面 心室以能够容易地记录和映射脉冲的方式,然后促进持续接触,使得可以从沿着工作导管形状串联间隔的映射和消融电极装置的阵列产生线性损伤。
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公开(公告)号:US5730704A
公开(公告)日:1998-03-24
申请号:US646684
申请日:1996-05-06
申请人: Boaz Avitall
发明人: Boaz Avitall
IPC分类号: A61B1/012 , A61B5/0408 , A61B5/042 , A61B17/00 , A61B18/00 , A61B18/14 , A61M25/01 , A61B5/04
CPC分类号: A61M25/0136 , A61B18/1492 , A61B5/04085 , A61B5/042 , A61B5/0422 , A61B5/6856 , A61M25/0147 , A61B18/1815 , A61B2017/00292 , A61B2017/003 , A61B2017/00738 , A61B2018/0016 , A61B2018/00357 , A61B2018/00839 , A61B2018/1407 , A61B2562/0209 , A61B2562/043 , A61M2025/0161 , A61M2025/0163 , A61M2025/09191
摘要: A cardiac arrhythmia mapping and ablation catheter has a main catheter that is provided with a loop-shaped mapping and ablation system attached to its distal end in which the loop is optionally adjustable or of relatively fixed shape resumable upon deployment. The loop carries an electrode array including a plurality of separately operable recording (mapping)/ablation electrodes in conductive relation to the external environment and arranged in spaced serial relation along the loop. Insulated conductors connect the electrodes electrically with input/output devices outside the catheter for mapping the electrical activity of the chamber wall contacted and ablating tissue as indicated. A distal extension or guide member may optionally be provided to adapt the loop specifically to addressing the tricuspid annulus or other desired location.
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公开(公告)号:US5441483A
公开(公告)日:1995-08-15
申请号:US148598
申请日:1993-11-08
申请人: Boaz Avitall
发明人: Boaz Avitall
CPC分类号: A61M25/0105 , A61B1/0052 , A61B18/1492 , A61M25/0136 , A61M25/0138 , A61M25/0147 , A61B2018/00916 , A61B2018/00946 , A61M2025/0161
摘要: A vascular catheter with a distal working tip is provided with precise shape control. The tip section optionally includes a plurality of weakened segments of preferred deflection spaced from the distal end. Reciprocally operable control wires are attached distal each deflection segment and extend to a proximal control handle where they are attached to manual controls for adjusting longitudinal tension to the distal section of the catheter from just beyond the deflection segments in a manner that encourages bending or collapse of the deflection segments in the direction of the weakened or cutout areas. An additional reciprocating adjustable deflection shape control element, preferably a rod or tubular member which itself optionally may have areas of preferred deflection slidably reciprocates slidably within the main internal lumen of the working catheter section, and may be axially adjusted in relation to the working catheter segment to precisely modify the deflection characteristics of the catheter section sought to be controlled as produced by the control wires.
摘要翻译: 具有远端工作尖端的血管导管具有精确的形状控制。 尖端部分可选地包括与远端间隔开的优选偏转的多个弱化部分。 相互可操作的控制线被连接在每个偏转段上,并且延伸到近侧控制手柄,在那里它们被附接到手动控制器上,以便以一种鼓励弯曲或塌缩的方式调节纵向张力到导管的远端部分 偏转段在弱化或切断区域的方向上。 附加的可往复运动的可变形的变形形状控制元件,优选地,杆或管状构件本身可选地具有优选偏转区域,其可滑动地在工作导管部分的主内腔内可滑动地往复运动,并且可以相对于工作导管段 以精确地修改由控制线产生的试图控制的导管部分的偏转特性。
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公开(公告)号:US6138043A
公开(公告)日:2000-10-24
申请号:US154854
申请日:1998-09-17
申请人: Boaz Avitall
发明人: Boaz Avitall
CPC分类号: A61B5/0422 , A61B18/1492 , A61B5/6855 , A61B5/6856 , A61B5/6859 , A61N1/06 , A61B18/14 , A61B18/1815 , A61B2017/22038 , A61B2018/00011 , A61B2018/00023 , A61B2018/00029 , A61B2018/00077 , A61B2018/00148 , A61B2018/0016 , A61B2018/00196 , A61B2018/00273 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61B2018/00839 , A61B2018/1407 , A61B2018/1475 , A61B2218/002 , A61B2218/005 , A61B2562/0209 , A61B2562/043 , A61B90/39
摘要: A recording and ablation catheter method and system for creating linear lesions in an atrial or other chamber of a heart is disclosed which includes an array of readily controlled electroded arcuate distal working catheter shapes that are easily deployed to contact the inner wall surface of the right atrial cardiac chamber in a manner that enables easy recording and mapping of impulses and thereafter facilitates sustained contact so that linear lesions can be produced from an array of mapping and ablation electrode devices serially spaced along the working catheter shape.
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