公开(公告)号：US08348939B2

公开(公告)日：2013-01-08

申请号：US13221503

申请日：2011-08-30

申请人： Keith Edward Martin ,  Salvatore Privitera ,  Christopher J. Park

发明人： Keith Edward Martin ,  Salvatore Privitera ,  Christopher J. Park

IPC分类号： A61B18/14

CPC分类号： A61B18/1402 ,  A61B5/042 ,  A61B2017/00026 ,  A61B2017/00044 ,  A61B2017/00296 ,  A61B2018/0016 ,  A61B2018/00577 ,  A61B2018/00648 ,  A61B2018/00702 ,  A61B2018/1467 ,  A61B2018/1475 ,  A61B2018/1495 ,  A61N1/3622

摘要： An electrosurgical device having a distal tip for creating a lesion on tissue includes a first electrode and a second electrode that are parallel for the delivery of RF energy to tissue. A sensor electrode is provided parallel to and spaced away from the first electrode a different distance than the second electrode. When the sensor electrode and at least one of the first and second electrodes are in contact with tissue. The electrosurgical device can perform at least one of the following: ablating tissue, and sensing at least one selected from the group of voltage, tissue impedance, electrical conduction, conduction time, conduction velocity, and signal phase angle.

摘要翻译： 具有用于在组织上产生损伤的远侧末端的电外科装置包括平行于将RF能量递送至组织的第一电极和第二电极。 传感器电极平行于第一电极并与第二电极间隔开距离与第二电极不同的距离。 当传感器电极和第一和第二电极中的至少一个与组织接触时。 电外科装置可以执行以下中的至少一个：消融组织，并感测从电压，组织阻抗，导电时间，传导速度和信号相位角组中选出的至少一个。

公开(公告)号：US20120059400A1

公开(公告)日：2012-03-08

申请号：US13194152

申请日：2011-07-29

申请人： Warren P. Williamson, IV ,  Jason I. Glithero ,  Michael W. Goldenbogen ,  Chadd R. Tyler ,  Todd A. Hall ,  Delos M. Cosgrove

发明人： Warren P. Williamson, IV ,  Jason I. Glithero ,  Michael W. Goldenbogen ,  Chadd R. Tyler ,  Todd A. Hall ,  Delos M. Cosgrove

IPC分类号： A61B17/08

CPC分类号： A61B17/083 ,  A61B17/10 ,  A61B17/1227 ,  A61B17/1285 ,  A61B2017/00004

摘要： A clamp having at least first and second elongate clamping portions adapted to be placed on opposite sides of the hollow anatomical structure. The first and second elongate clamping portions respectively include ends coupled together with respective resilient urging members configured to urge at least one of the first and second elongate clamping portions toward the other of the first and second elongate clamping portions from an open position into a clamping position to occlude the hollow anatomical structure. The clamp includes tissue ingrowth structure on the clamping portions.

摘要翻译： 具有至少第一和第二细长夹持部分的夹具，其适于放置在中空解剖结构的相对侧上。 第一和第二细长夹紧部分别分别包括端部，其端部与相应的弹性推动构件相连接，所述弹性推动构件构造成将第一和第二细长夹紧部分中的至少一个朝向第一和第二细长夹紧部分中的另一个从打开位置推入夹紧位置 闭塞中空解剖结构。 夹具包括夹紧部分上的组织向内生长结构。

公开(公告)号：US08114075B2

公开(公告)日：2012-02-14

申请号：US11841146

申请日：2007-08-20

申请人： Michael D. Hooven

发明人： Michael D. Hooven

IPC分类号： A61B18/14

CPC分类号： A61B17/00234 ,  A61B18/1445 ,  A61B18/1492 ,  A61B90/11 ,  A61B2017/00243 ,  A61B2017/00278 ,  A61B2017/2945 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/1432 ,  A61M2025/09175

摘要： A method and apparatus for ablation of cardiac tissue at a selected cardiac location is achieved by providing at least one flexible elongated guide facility having a first end, a second end, and an intermediate portion extending between the first and second ends and by providing an ablation instrument which includes at least a pair of relatively moveable clamping jaws being disposed to engage and ablate the selected cardiac location. Each guide facility is adapted for introduction into a patient's chest through an opening and for advancement to the selected cardiac location such that the intermediate portion engages the selected cardiac location and the guide facility is withdrawn through the instrument receiving passage. At least one jaw of the ablation instrument engages with the guide facility and is guided to the selected cardiac location with the aid of the guide facility to ablate the selected cardiac location.

摘要翻译： 通过提供至少一个具有第一端，第二端和第二端以及在第一和第二端之间延伸的中间部分的柔性细长引导装置，并且通过提供消融来实现在选定心脏位置处消融心脏组织的方法和装置 所述仪器包括至少一对可相对移动的夹爪，所述夹钳设置成啮合并消融所选择的心脏位置。 每个引导装置适于通过开口引入病人的胸部并且进入所选择的心脏位置，使得中间部分接合所选择的心脏位置，并且引导装置通过器械接收通道被抽出。 消融器具的至少一个钳口与引导设备接合并且借助于引导设备被引导到选定的心脏位置以消融所选择的心脏位置。

公开(公告)号：US08057471B2

公开(公告)日：2011-11-15

申请号：US12902851

申请日：2010-10-12

申请人： Salvatore Privitera ,  Keith Edward Martin ,  Michael Dawson Hooven

发明人： Salvatore Privitera ,  Keith Edward Martin ,  Michael Dawson Hooven

IPC分类号： A61B18/18

CPC分类号： A61B18/1402 ,  A61B5/042 ,  A61B2017/00026 ,  A61B2017/00044 ,  A61B2017/00296 ,  A61B2018/00375 ,  A61B2018/00577 ,  A61B2018/1495 ,  A61N1/05

摘要： A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.

摘要翻译： 手术装置具有整体的第一末端，其具有一对电极，其被配置为使用电能来消融组织。 第二尖端具有一对电极，其被配置为向心脏提供起搏信号和/或感测通过心脏组织的电信号。 第二尖端构造成卡扣到第一尖端上，使得相同的装置可用于消融，起搏和感测。 或者，第二末端可以与装置成一体，并且第一末端被配置成卡扣到第二末端。 或者，手术装置的单个整体尖端可用于消融，起搏和感测。 这种多功能尖端可以包括多个电极对或电极阵列。 设备或其他地方的用户界面可以是可操作的，以提供可选择的模式，用于选择性地改变传递到电极的信号的特性。

公开(公告)号：US07543589B2

公开(公告)日：2009-06-09

申请号：US11675195

申请日：2007-02-15

申请人： Michael D. Hooven

发明人： Michael D. Hooven

IPC分类号： A61B18/18 ,  A61B18/14

CPC分类号： A61B18/1445 ,  A61B18/14 ,  A61B2017/00026 ,  A61B2017/00243 ,  A61B2017/2945 ,  A61B2018/00023 ,  A61B2018/00363 ,  A61B2018/00642 ,  A61B2018/00738 ,  A61B2018/00755 ,  A61B2018/00875 ,  A61B2018/0212 ,  A61B2018/0225 ,  A61B2018/0262 ,  A61B2018/1432 ,  A61B2018/145

摘要： A method and apparatus for transmural ablation using an instrument containing two electrodes or cryogenic probes. A clamping force is exerted on the two electrodes or probes such that the tissue of the hollow organ is clamped therebetween. Bipolar RF energy is then applied between the two electrodes, or the probes are cryogenically cooled, thus ablating the tissue therebetween. The method provides for ablating cardiac tissue of a patient utilizing a sub-xyphoid approach and identifying cardiac tissue prior to ablation.

摘要翻译： 使用包含两个电极或低温探针的仪器进行透壁消融的方法和装置。 夹紧力施加在两个电极或探针上，使得中空器官的组织夹在其间。 然后将双极RF能量施加在两个电极之间，或者探针被低温冷却，从而烧蚀它们之间的组织。 该方法提供了消融患者的心脏组织，利用次级假体方法并在消融前识别心脏组织。

公开(公告)号：US07530980B2

公开(公告)日：2009-05-12

申请号：US11104725

申请日：2005-04-13

申请人： Michael D. Hooven

发明人： Michael D. Hooven

IPC分类号： A61B18/04

CPC分类号： A61B18/1492 ,  A61B18/1482 ,  A61B2018/00351 ,  A61B2018/00839 ,  A61B2018/1435

摘要： A method and apparatus for creating transmural ablations in heart tissue, for example, may include two or more electrodes adapted to be connected to opposite poles of a bipolar RF generator so as to energize the electrodes to ablate cardiac tissue between the electrodes. A first electrode may be inserted into cardiac tissue at a first location and a second electrode may be inserted into cardiac tissue at a second location which is spaced from the first location. At least one of the electrodes may be adapted to provide a sufficiently low current density in the vicinity of the electrode to avoid substantial tissue desiccation when energized. Alternatively, the apparatus may include at least one bipolar ablation electrode which comprises an elongated conductive member of spiral shape having a pitch sufficiently small to provide sufficient surface area to avoid substantial desiccation of tissue when energized by a bipolar RF generator.

摘要翻译： 例如，用于在心脏组织中产生透壁性消融的方法和装置可以包括适于连接到双极RF发生器的相反极的两个或更多个电极，以激励电极以消除电极之间的心脏组织。 第一电极可以在第一位置处插入心脏组织中，并且第二电极可以在与第一位置间隔开的第二位置处插入心脏组织中。 电极中的至少一个可以适于在电极附近提供足够低的电流密度，以在通电时避免实质的组织干燥。 或者，该装置可以包括至少一个双极消融电极，其包括具有足够小间距的螺旋形状的细长导电构件，以提供足够的表面积，以避免由双极RF发生器激励时组织的实质性干燥。

公开(公告)号：US07288092B2

公开(公告)日：2007-10-30

申请号：US10829701

申请日：2004-04-22

申请人： Michael D. Hooven

发明人： Michael D. Hooven

IPC分类号： A61B18/14 ,  A61B18/18

CPC分类号： A61B17/00234 ,  A61B18/1445 ,  A61B18/1492 ,  A61B90/11 ,  A61B2017/00243 ,  A61B2017/00278 ,  A61B2017/2945 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/1432 ,  A61M2025/09175

摘要： A method and apparatus for ablation of cardiac tissue at a selected cardiac location is achieved by providing at least one flexible elongated guide facility having a first end, a second end, and an intermediate portion extending between the first and second ends and by providing an ablation instrument which includes at least a pair of relatively moveable clamping jaws being disposed to engage and ablate the selected cardiac location. Each guide facility is adapted for introduction into a patient's chest through an opening and for advancement to the selected cardiac location such that the intermediate portion engages the selected cardiac location and the guide facility is withdrawn through the instrument receiving passage. At least one jaw of the ablation instrument engages with the guide facility and is guided to the selected cardiac location with the aid of the guide facility to ablate the selected cardiac location.

摘要翻译： 通过提供至少一个具有第一端，第二端和第二端以及在第一和第二端之间延伸的中间部分的柔性细长引导装置，并且通过提供消融来实现在选定心脏位置处消融心脏组织的方法和装置 所述仪器包括至少一对可相对移动的夹爪，所述夹钳设置成啮合并消融所选择的心脏位置。 每个引导装置适于通过开口引入病人的胸部并且进入所选择的心脏位置，使得中间部分接合所选择的心脏位置，并且引导装置通过器械接收通道被抽出。 消融器具的至少一个钳口与引导设备接合并且借助于引导设备被引导到选定的心脏位置以消融所选择的心脏位置。

公开(公告)号：US06905498B2

公开(公告)日：2005-06-14

申请号：US10158985

申请日：2002-05-31

申请人： Michael D. Hooven

发明人： Michael D. Hooven

IPC分类号： A61B17/00 ,  A61B18/14 ,  A61B18/18

CPC分类号： A61B18/1445 ,  A61B2017/00026 ,  A61B2017/00243 ,  A61B2017/2945 ,  A61B2018/00363 ,  A61B2018/00642 ,  A61B2018/00755 ,  A61B2018/00875 ,  A61B2018/1432 ,  A61B2018/145

摘要： An apparatus for transmural ablation using an instrument containing two electrodes. The electrodes extend along the surfaces of mating jaw members which are moveable between open and clamped positions. The electrodes are connected to an RF energy source so that, when activated, they are of opposite polarity. An EKG sensor is located on one of the jaw members and spaced from the electrode so that, when the electrodes are activated to form a line of ablation, the EKG sensor contacts the tissue outside the line of ablation. A pacing electrode is located on one of the jaw members so as to be on the opposite side of the line of ablation from the EKG sensor. Thus, if the line of ablation is not transmural, the EKG sensor will be able to detect signals generated by the pacing electrode.

摘要翻译： 一种使用包含两个电极的仪器进行透壁消融的装置。 电极沿着可在打开位置和夹紧位置之间移动的配合钳口构件的表面延伸。 电极连接到RF能量源，使得当被激活时，它们具有相反的极性。 EKG传感器位于一个钳口构件上并与电极间隔开，使得当电极被激活以形成消融线时，EKG传感器接触消融线以外的组织。 起搏电极位于一个钳口构件上，以便与EKG传感器在消融线的相反侧。 因此，如果消融线不是透壁的，则EKG传感器将能够检测由起搏电极产生的信号。

公开(公告)号：US06896673B2

公开(公告)日：2005-05-24

申请号：US10327831

申请日：2002-12-23

申请人： Michael D. Hooven

发明人： Michael D. Hooven

IPC分类号： A61B18/12 ,  A61B17/00 ,  A61B18/14 ,  A61B18/18

CPC分类号： A61B18/1445 ,  A61B5/01 ,  A61B5/053 ,  A61B2017/00026 ,  A61B2017/00243 ,  A61B2017/2945 ,  A61B2018/00363 ,  A61B2018/00642 ,  A61B2018/00755 ,  A61B2018/00875 ,  A61B2018/1432 ,  A61B2018/145

摘要： A method for transmural ablation using an instrument containing two electrodes or cryogenic probes. A clamping force is exerted on the two electrodes or probes such that the tissue of the hollow organ is clamped therebetween. Bipolar RF energy is then applied between the two electrodes, or the probes are cryogenically cooled, thus ablating the tissue therebetween. A monitoring device measures a suitable parameter, such as impedance or temperature, and indicates when the tissue between the electrodes has been fully ablated.

摘要翻译： 一种使用包含两个电极或低温探针的仪器进行透壁消融的方法。 夹紧力施加在两个电极或探针上，使得中空器官的组织夹在其间。 然后将双极RF能量施加在两个电极之间，或者探针被低温冷却，从而烧蚀它们之间的组织。 监测装置测量合适的参数，例如阻抗或温度，并指示电极之间的组织何时完全消融。

公开(公告)号：US11998212B2

公开(公告)日：2024-06-04

申请号：US18342566

申请日：2023-06-27

申请人： AtriCure, Inc.

发明人： Matthew J. Winkler ,  Kenneth Lance Miller ,  Matthew Monti ,  Todd Frangolis ,  Nicholas Bailey ,  Robert M. Trusty

IPC分类号： A61B17/12 ,  A61B17/122

CPC分类号： A61B17/12031 ,  A61B17/12099 ,  A61B17/1227

摘要： An occlusion clip comprising: (a) a spring; (b) a first runner including a first open top and a first open end adjacent the first open top, the first runner including a first interior camming surface partially delineating a first interior cavity that is open by way of the first open top and the first open end; (c) a second runner including a second open top and a second open end adjacent the second open top, the second runner including a second interior camming surface partially delineating a second interior cavity that is open by way of the second open top and the second open end, where the spring is configured to be coupled to the first runner and the second runner, where the first interior cavity is configured to receive a first portion of the spring, where the second interior cavity is configured to receive a second portion of the spring, where the first camming surface is configured to engage a first cam of the spring, and where the second camming surface is configured to engage a second cam of the spring.