公开(公告)号：US20130172866A1

公开(公告)日：2013-07-04

申请号：US13749795

申请日：2013-01-25

申请人： MEDTRONIC CRYOCATH LP

发明人： Marwan ABBOUD ,  Rachid MAHROUCHE ,  Chadi HARMOUCHE ,  Teresa Ann MIHALIK ,  Giles DESROCHERS

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B18/1492 ,  A61B2017/22051 ,  A61B2018/0022 ,  A61B2018/00994 ,  A61B2018/0212 ,  A61B2018/0262 ,  A61M25/1011 ,  A61M25/1018 ,  A61M25/10185

摘要： A system and method for controlling the inflation, ablation, and deflation of a balloon catheter. The system includes a balloon catheter, a console, a pressurized gas or liquid inflation source, and an umbilical system to deliver pressurized coolant to the balloon catheter. The system may include controller that monitors the amount of pressure and volume within the balloon catheter. During inflation, the pressure and/or volume of fluid within the balloon is maintained at a target amount in order to provide sufficient mechanized pressure against the desired target region. The system limits the inflation pressure such that a safe quantity of gas would be released should a leak occur. If the amount falls below a certain threshold level, gas or fluid egress is presumed and the inflation process is halted.

公开(公告)号：US20130165927A1

公开(公告)日：2013-06-27

申请号：US13771314

申请日：2013-02-20

申请人： Medtronic Cryocath LP

发明人： Daniel NAHON ,  Sean CARROLL ,  Dan WITTENBERGER ,  Cristian PETRE ,  Allan SKANES ,  Alan H. MENKIS ,  Réal STE-MARIE

IPC分类号： A61B18/08

CPC分类号： A61B18/02 ,  A61B2017/00026 ,  A61B2018/00791 ,  A61B2018/00839 ,  A61B2018/00875 ,  A61B2018/0212 ,  A61B2018/0225 ,  A61B2018/0262 ,  A61B2018/1465

摘要： A medical device is provided having a means for actuating a pair of opposing jaw members. The jaw members are movable relative to one another from a first position, wherein the jaw members are disposed in a spaced apart relation relative to one another, to a second position, wherein the jaw members cooperate to grasp tissue therebetween. An ablation tool is connected to at least one of the jaws members, such that the jaw members are capable of conducting ablation energy through the tissue grasped therebetween.

摘要翻译： 提供了具有用于致动一对相对的钳口构件的装置的医疗装置。 钳口构件可从第一位置相对于彼此移动，其中钳口构件相对于彼此以间隔开的关系设置到第二位置，其中钳口构件协作以在其间抓握组织。 消融工具连接到至少一个夹爪构件，使得钳口构件能够通过夹在其间夹持的组织进行消融能量。

公开(公告)号：US20130110148A1

公开(公告)日：2013-05-02

申请号：US13281927

申请日：2011-10-26

申请人： Jean-Pierre LALONDE

发明人： Jean-Pierre LALONDE

IPC分类号： A61B17/34

CPC分类号： A61B17/00234 ,  A61B18/02 ,  A61B2017/00084 ,  A61B2017/00247 ,  A61B2018/00357 ,  A61B2018/00601 ,  A61B2018/0066 ,  A61B2018/00714 ,  A61B2018/00744 ,  A61B2018/00791 ,  A61B2018/00863 ,  A61B2018/00875 ,  A61B2090/065

摘要： A cryogenic medical system and method of use thereof for transseptal puncturing is disclosed, including a medical device having an elongate body with a fluid flow path therein, a thermally-transmissive region coupled to the elongate body in thermal communication with the fluid flow path, and a puncturing element movably coupled to the elongate body; and a cryogenic coolant source in fluid communication with the fluid flow path. The medical device may alternatively include an elongate body, a thermally-transmissive region coupled to the elongate body, a thermo-electric cooler in thermal communication with the thermally-transmissive region, and a puncturing element movably coupled to the elongate body.

摘要翻译： 公开了一种低温医疗系统及其用于经血管穿刺的方法，包括具有其中具有流体流动通道的细长体的医疗装置，与流体流动路径热连通的细长体结合的热传导区域，以及 可移动地联接到细长主体的穿刺元件; 以及与流体流动路径流体连通的低温冷却剂源。 医疗装置可以可选地包括细长体，耦合到细长体的热传递区域，与热传导区域热连通的热电冷却器，以及可移动地联接到细长体上的穿刺元件。

公开(公告)号：US08361059B2

公开(公告)日：2013-01-29

申请号：US11581185

申请日：2006-10-13

申请人： Marwan Abboud ,  Rachid Mahrouche ,  Jean-Pierre Lalonde ,  Dan Wittenberger

发明人： Marwan Abboud ,  Rachid Mahrouche ,  Jean-Pierre Lalonde ,  Dan Wittenberger

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2017/00084 ,  A61B2017/00199 ,  A61B2018/0212 ,  A61B2018/0262 ,  A61B2018/0268

摘要： A cryogenic medical system includes a medical device and a console connectable to the medical device at a connection point. The console controls the temperature of the medical device. The console includes a first cooling system directing coolant to the medical device at a first temperature along a coolant supply line and a second cooling system chilling the coolant within the coolant supply line to a temperature below the first temperature before the coolant reaches the connection point.

公开(公告)号：US20120271291A1

公开(公告)日：2012-10-25

申请号：US13526620

申请日：2012-06-19

申请人： Marwan ABBOUD ,  Rachid MAHROUCHE ,  Teresa Ann MIHALIK ,  Chadi HARMOUCHE ,  Jean-Luc PAGEARD ,  John W. LEHMANN

发明人： Marwan ABBOUD ,  Rachid MAHROUCHE ,  Teresa Ann MIHALIK ,  Chadi HARMOUCHE ,  Jean-Luc PAGEARD ,  John W. LEHMANN

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2017/00084 ,  A61B2018/0022 ,  A61B2018/00577 ,  A61B2018/00744 ,  A61B2018/00863 ,  A61B2018/00898 ,  A61B2018/0212 ,  A61B2018/0262 ,  A61B2018/0268 ,  G01M3/02 ,  G01M3/2846

摘要： The present invention provides a medical device having an elongate body with both a proximal end and a distal end, wherein the elongate body defines an intake lumen and an exhaust lumen. The medical device also has a first pliable element defining a cooling chamber disposed at a point along the elongate body, with the cooling chamber being in fluid communication with the intake lumen and the exhaust lumen. A second pliable element is provided which at least partially encloses the first pliable element, thereby defining a junction between the first and second pliable element. A check valve is included which is in fluid communication with the junction between the first pliable element and second pliable element, the valve further being in fluid communication with the exhaust lumen. Additionally, the medical device may include sensors or other monitoring means in fluid communication with the junction and the cooling chamber.

摘要翻译： 本发明提供一种医疗装置，其具有具有近端和远端两者的细长主体，其中细长主体限定进气腔和排气腔。 医疗装置还具有限定设置在沿着细长体的点处的冷却室的第一柔性元件，其中冷却室与进气腔和排气腔流体连通。 提供了第二柔韧元件，其至少部分地包围第一柔韧元件，从而限定第一和第二柔韧元件之间的接合部。 包括止回阀，其与第一柔韧元件和第二柔韧元件之间的接合部流体连通，所述阀还与排气腔流体连通。 此外，医疗装置可以包括与接头和冷却室流体连通的传感器或其它监测装置。

公开(公告)号：US20120165802A1

公开(公告)日：2012-06-28

申请号：US12978701

申请日：2010-12-27

申请人： Jean-Pierre LALONDE

发明人： Jean-Pierre LALONDE

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2018/00166 ,  A61B2018/00214 ,  A61B2018/00255 ,  A61B2018/00791 ,  A61B2018/0212 ,  A61B2018/0262 ,  A61M2025/0059

摘要： A medical device comprising a shaft having a kink radius; a tube disposed within the shaft; a fluid source in fluid communication with the tube; an elongate member disposed within the tube, and the elongate member imparting a kink radius on the tube, the imparted kink radius of the tube being larger than the kink radius of the shaft.

摘要翻译： 一种医疗装置，包括具有扭结半径的轴; 设置在所述轴内的管; 与管流体连通的流体源; 设置在管内的细长构件，并且细长构件在管上赋予扭结半径，管的赋予扭结半径大于轴的扭结半径。

公开(公告)号：US20120109119A1

公开(公告)日：2012-05-03

申请号：US12913281

申请日：2010-10-27

申请人： Jean-Pierre LALONDE

发明人： Jean-Pierre LALONDE

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2018/00214 ,  A61B2018/00577 ,  A61B2018/0212 ,  A61B2018/0237 ,  A61B2018/0262

摘要： A method of operating a medical system, including coupling a medical system to an outlet of a fluid distribution network having a plurality of fluid outlets in a patient treatment center; delivering fluid from the outlet to the medical system; compressing the delivered fluid with the medical system; decreasing the moisture content of the delivered fluid with the medical system; cooling the fluid with the medical system; delivering the fluid from the medical system to a medical device; and removing the fluid from medical device with the medical system.

摘要翻译： 一种操作医疗系统的方法，包括将医疗系统耦合到患者治疗中心中具有多个流体出口的流体分配网络的出口; 将流体从出口输送到医疗系统; 用医疗系统压缩输送的液体; 降低与医疗系统输送的流体的含水量; 用医疗系统冷却流体; 将流体从医疗系统输送到医疗装置; 并用医疗系统从医疗设备中取出流体。

公开(公告)号：US20120035601A1

公开(公告)日：2012-02-09

申请号：US12849468

申请日：2010-08-03

申请人： Dan WITTENBERGER

发明人： Dan WITTENBERGER

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B18/1492 ,  A61B2018/0022 ,  A61B2018/00375 ,  A61B2018/00839 ,  A61B2018/0212 ,  A61B2018/1497

摘要： A medical device and method are provided for mapping and therapeutic treatment, which may include a source of cryogenic fluid, a balloon or other expandable member in fluid communication with the source of cryogenic fluid, and a plurality of electrodes on the expandable member. The medical device may include a catheter or elongate body, and the electrodes may take the form of longitudinal strips. The expandable member may take the form of an inner and outer balloon, and the electrodes may be on the outer balloon. The electrodes may be on a proximal or distal conical portion of the expandable member, or both. An electrical insulator may be provided covering a portion of the electrodes.

摘要翻译： 提供了用于映射和治疗治疗的医疗装置和方法，其可以包括与低温流体源流体连通的低温流体，球囊或其它可膨胀构件的源，以及可扩张构件上的多个电极。 医疗装置可以包括导管或细长体，并且电极可以采取纵向条的形式。 可膨胀构件可以采取内部和外部气球的形式，并且电极可以在外部气球上。 电极可以在可扩张构件的近端或远端圆锥形部分上，或两者。 可以提供覆盖一部分电极的电绝缘体。

公开(公告)号：US20120010605A1

公开(公告)日：2012-01-12

申请号：US13238607

申请日：2011-09-21

申请人： John W. Lehmann ,  Dan Wittenberger ,  Claudia Lückge ,  Jean-Pierre Lalonde ,  Cristian Petre ,  Domenic Santoianni

发明人： John W. Lehmann ,  Dan Wittenberger ,  Claudia Lückge ,  Jean-Pierre Lalonde ,  Cristian Petre ,  Domenic Santoianni

IPC分类号： A61B18/02

CPC分类号： A61B18/02 ,  A61B2017/00243 ,  A61B2017/00292 ,  A61B2017/00973 ,  A61B2018/00095 ,  A61B2018/0212 ,  A61F2007/0298 ,  A61M25/0029 ,  A61M2025/0039 ,  Y10S977/906

摘要： A cryogenic catheter includes an outer flexible member having at least one cryogenic fluid path through the flexible member. The at least one fluid path is defined by a plurality of flexible members disposed within the outer flexible member.

摘要翻译： 低温导管包括具有穿过柔性构件的至少一个低温流体路径的外部柔性构件。 至少一个流体路径由设置在外部柔性构件内的多个柔性构件限定。

公开(公告)号：US08083732B2

公开(公告)日：2011-12-27

申请号：US13088709

申请日：2011-04-18

申请人： Steven G. Arless ,  Fredric L. Milder ,  Marwan Abboud ,  Dan Wittenberger ,  Sean Carroll

发明人： Steven G. Arless ,  Fredric L. Milder ,  Marwan Abboud ,  Dan Wittenberger ,  Sean Carroll

IPC分类号： A61B18/02 ,  A61B18/04

CPC分类号： A61B18/02 ,  A61B18/1492 ,  A61B18/18 ,  A61B2017/00243 ,  A61B2018/0212 ,  A61B2018/0268

摘要： A catheter includes a cryoablation tip with an electrically-driven ablation assembly for heating tissue. The cryoablation tip may be implemented with a cooling chamber through which a controllably injected coolant circulates to lower the tip temperature, and having an RF electrode at its distal end. The RF electrode may be operated to warm cryogenically-cooled tissue, or the coolant may be controlled to conductively cool the tissue in coordination with an RF treatment regimen.

摘要翻译： 导管包括具有用于加热组织的电驱动消融组件的冷冻消融尖端。 冷冻消融尖端可以用冷却室来实现，通过该冷却室可控制地注入的冷却剂循环以降低尖端温度，并且在其远端具有RF电极。 可以操作RF电极以温热低温冷却的组织，或者可以控制冷却剂以与RF治疗方案协调地导电地冷却组织。