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    Preshaped ablation catheter for ablating pulmonary vein ostia within the heart
    11.
    发明授权
    Preshaped ablation catheter for ablating pulmonary vein ostia within the heart 有权
    用于消融心脏内肺静脉口的消融消融导管

    公开(公告)号：US09186481B2

    公开(公告)日：2015-11-17

    申请号：US13833046

    申请日：2013-03-15

    Applicant: BOSTON SCIENTIFIC SCIMED, INC.

    Inventor： Boaz Avitall ,  Josef V. Koblish

    IPC: A61B18/14 ,  A61M25/01 ,  A61B17/00 ,  A61B18/00

    CPC classification number: A61B18/1492 ,  A61B5/6852 ,  A61B2017/00318 ,  A61B2017/00323 ,  A61B2017/00331 ,  A61B2017/00867 ,  A61B2018/00375 ,  A61M25/0041 ,  A61M25/0144 ,  A61M25/0147 ,  A61M25/0152 ,  A61M2025/0161 ,  C08L2201/12

    Abstract: Catheters and methods are provided for performing medical procedures, such as tissue ablation, adjacent the ostia of anatomical vessels, such as pulmonary veins. The catheter comprises an elongated flexible integrated catheter body having proximal and distal shaft portions and at least one operative element carried by the distal shaft portion. The distal shaft portion has a proximal section configured to be internally actuated (e.g., using a steering mechanism or pre-shaping the proximal section) to form a simple curve with an apex that can be inserted into the vessel ostium, an intermediate section pre-shaped to form a curve that bends opposite the simple curve, and a distal section configured to be placed into a non-radial relationship (tangential or oblique) with the vessel ostium when the apex of the simple curve is inserted into the vessel ostium. By this arrangement, the operative element is configured to be placed firmly in contact with tissue at a predefined radial location relative to the vessel ostium when the apex of the simple curve is inserted into the vessel ostium.

    Abstract translation: 提供导管和方法用于执行诸如组织消融的医学程序，邻近解剖血管的口，例如肺静脉。 导管包括细长的柔性整体导管主体，其具有近端和远端轴部分以及由远侧轴部分承载的至少一个操作元件。 远侧轴部具有构造成内部致动的近端部分（例如，使用转向机构或预成形近端部分）以形成具有可插入血管口的顶点的简单曲线， 成形为形成与简单曲线相对弯曲的曲线，并且远端部分构造成当简单曲线的顶点插入血管口时被放置成与血管口非径向关系（切向或倾斜）。 通过这种布置，操作元件构造成当简单曲线的顶点插入容器口中时相对于容器口在预定的径向位置处牢固地与组织接触。

    ABLATION PROBE WITH FLUID-BASED ACOUSTIC COUPLING FOR ULTRASONIC TISSUE IMAGING
    12.
    发明申请
    ABLATION PROBE WITH FLUID-BASED ACOUSTIC COUPLING FOR ULTRASONIC TISSUE IMAGING 有权
    用于超声组织成像的基于流体的声学耦合的抽取探针

    公开(公告)号：US20150133920A1

    公开(公告)日：2015-05-14

    申请号：US14603173

    申请日：2015-01-22

    Applicant: Koninklijke Philips N.V. ,  Boston Scientific Scimed Inc.

    Inventor： Darrell L. Rankin ,  Josef V. Koblish ,  Szabolcs Deladi

    IPC: A61B18/14 ,  A61B5/00 ,  A61B8/00 ,  A61B8/08 ,  A61B18/12 ,  A61B8/12

    Abstract: Devices and systems for ultrasonically imaging tissue and performing ablation therapy are disclosed. An ablation probe for treating and imaging body tissue includes an ablation electrode tip with a number of acoustic openings and a plurality of ultrasonic imaging sensors disposed within an interior lumen of the tip. The ultrasonic imaging sensors are supported within the interior lumen via an insert equipped with a number of recesses that receive the ultrasonic imaging sensors. An acoustically transparent shell disposed between the ultrasonic imaging sensors and the acoustic openings forms a fluid channel in the acoustic pathway of the sensors. During an ablation procedure, cooling fluid from an external fluid source is delivered through the fluid channel, providing an acoustic coupling effect between the ultrasonic imaging sensors and the surrounding body tissue.

    Abstract translation: 公开了用于组织超声成像和进行消融治疗的装置和系统。 用于治疗和成像身体组织的消融探针包括具有多个声学开口的消融电极末端和设置在尖端的内腔内的多个超声成像传感器。 超声波成像传感器经由插入件配备有多个容纳超声波成像传感器的凹部的内腔内支撑。 设置在超声波成像传感器和声学开口之间的声透明壳体在传感器的声学通路中形成流体通道。 在消融过程中，来自外部流体源的冷却流体通过流体通道输送，从而在超声波成像传感器和周围的身体组织之间提供声学耦合效应。

    Mapping and ablation irrigated hybrid catheter
    13.
    发明授权
    Mapping and ablation irrigated hybrid catheter 有权
    映射和消融冲洗杂交导管

    公开(公告)号：US08740900B2

    公开(公告)日：2014-06-03

    申请号：US13859523

    申请日：2013-04-09

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Isaac J. Kim ,  Josef V. Koblish ,  Simplicio A. Velilla ,  Mark D. Mirigian

    IPC: A61B18/18 ,  A61B18/04 ,  A61N1/00

    CPC classification number: A61B18/18 ,  A61B5/0422 ,  A61B5/7217 ,  A61B18/1492 ,  A61B2017/00044 ,  A61B2017/00084 ,  A61B2018/00029 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/00589 ,  A61B2018/00773 ,  A61B2018/00839 ,  A61B2018/1467 ,  A61B2218/002 ,  Y10T29/49002 ,  Y10T29/49826

    Abstract: An embodiment of an open-irrigated catheter system comprises a tip section, a distal insert, and mapping electrodes. The tip section has an exterior wall that defines an open interior region within the tip section. The exterior wall includes mapping electrode openings and irrigation ports. The exterior wall is conductive for delivering radio frequency (RF) energy for an RF ablation procedure. The irrigation ports are in fluid communication with the open interior region to allow fluid to flow from the open interior region through the irrigation ports. The distal insert is positioned within the tip section to separate the open region into a distal fluid reservoir and a proximal fluid reservoir. The mapping electrodes are positioned in the mapping electrode openings in the tip section.

    Abstract translation: 开放灌溉导管系统的一个实施例包括尖端部分，远侧插入物和映射电极。 尖端部分具有限定尖端部分内的开放内部区域的外壁。 外墙包括映射电极开口和冲洗口。 外墙是导电的，用于为RF消融程序提供射频（RF）能量。 灌溉口与敞开的内部区域流体连通，以允许流体从开放的内部区域流过冲洗口。 远侧插入物定位在尖端部分内，以将开放区域分离成远端流体储存器和近端流体储存器。 映射电极位于尖端部分的映射电极开口中。

    MAP AND ABLATE CLOSED-LOOP COOLED ABLATION CATHETER WITH FLAT TIP
    14.
    发明申请
    MAP AND ABLATE CLOSED-LOOP COOLED ABLATION CATHETER WITH FLAT TIP 有权
    地平面和垂直封闭式冷却式抽吸式导管

    公开(公告)号：US20140081112A1

    公开(公告)日：2014-03-20

    申请号：US14029562

    申请日：2013-09-17

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Isaac J. Kim ,  Zaya Tun ,  Josef V. Koblish ,  Minhchau N. Cao

    IPC: A61B18/14 ,  A61B5/04 ,  A61B18/18 ,  A61B18/12 ,  A61B5/042 ,  A61B5/00

    CPC classification number: A61B18/1492 ,  A61B5/04012 ,  A61B5/0422 ,  A61B5/4836 ,  A61B18/1206 ,  A61B18/18 ,  A61B2018/00005 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00839

    Abstract: A system for performing mapping and ablation functions includes a catheter sized and shaped for vascular access. The catheter includes an elongate body extending between a proximal end and a distal end and having at least one inner fluid lumen. The catheter further includes a tip section positioned proximate to the distal end of the body. The tip section includes a proximal portion and a distal portion. The distal portion can have a distal end that can be substantially planar. The system also includes one or more electrode structures exposed at the tip section such that the one or more electrode structures disposed proximate the substantially planar distal end of the tip section

    Abstract translation: 用于执行测绘和消融功能的系统包括尺寸和形状用于血管通路的导管。 导管包括在近端和远端之间延伸并具有至少一个内部流体内腔的细长体。 导管还包括靠近身体的远端设置的尖端部分。 尖端部分包括近端部分和远端部分。 远侧部分可以具有可以是基本上平面的远端。 该系统还包括暴露在尖端部分处的一个或多个电极结构，使得设置在尖端部分的基本平坦的远端附近的一个或多个电极结构

    Preshaped localization catheter, system, and method for graphically reconstructing pulmonary vein ostia
    18.
    发明授权
    Preshaped localization catheter, system, and method for graphically reconstructing pulmonary vein ostia 有权
    定位导管，系统，图像重建肺静脉口腔的方法

    公开(公告)号：US08784414B2

    公开(公告)日：2014-07-22

    申请号：US14029438

    申请日：2013-09-17

    Applicant: Boston Scientific Scimed, Inc.

    Inventor： Boaz Avitall ,  Josef V. Koblish

    IPC: A61B18/14

    CPC classification number: A61B18/1492 ,  A61B6/06 ,  A61B2017/003 ,  A61B2018/00375 ,  A61B2034/2051 ,  A61M25/0144 ,  A61M25/0147 ,  A61M25/0152 ,  A61M2025/0161

    Abstract: Catheters, systems, and methods are provided for performing medical procedures, such as tissue ablation, adjacent the ostia of anatomical vessels, such as pulmonary veins. The catheter comprises an elongated flexible catheter body, which includes a proximal shaft portion and a distal shaft portion, and a tracking element carried by the distal shaft portion. The proximal section is pre-shaped to form a curve having an apex sized to be inserted into the vessel ostium, and a distal section configured to contact the adjacent tissue when the curve apex is inserted within the vessel ostium. The method may comprise inserting the curve apex into the vessel ostium to place the distal section in contact with a first tissue site adjacent the vessel ostium, and determining a location of the tracking element(s) within a coordinate system while the distal section is in contact with the first tissue site.

    Abstract translation: 提供导管，系统和方法用于执行诸如组织消融的医学程序，邻近解剖血管的口，例如肺静脉。 导管包括细长的柔性导管主体，其包括近侧轴部分和远侧轴部分，以及由远端轴部分承载的跟踪元件。 近端部分被预成形以形成具有顶点尺寸设置成插入容器口中的曲线，以及当曲线顶点插入血管口内时构造成接触相邻组织的远侧部分。 该方法可以包括将曲线顶点插入血管口中以将远侧部分与邻近血管口的第一组织部位接触，并且在远侧部位处于坐标系中时确定跟踪元件在坐标系内的位置 与第一个组织部位接触。

    NEARFIELD ULTRASOUND ECHOGRAPHY MAPPING
    19.
    发明申请
    NEARFIELD ULTRASOUND ECHOGRAPHY MAPPING 审中-公开
    近景超声图像映射

    公开(公告)号：US20140081262A1

    公开(公告)日：2014-03-20

    申请号：US14031518

    申请日：2013-09-19

    Applicant: Boston Scientific Scimed Inc.

    Inventor： Josef V. Koblish ,  David L. McGee

    IPC: A61B18/14

    CPC classification number: A61B18/1492 ,  A61B8/12 ,  A61B2018/00351 ,  A61B2018/00839 ,  A61B2018/0088 ,  A61B2090/3784

    Abstract: Various embodiments concern delivering an ablation therapy to different areas of the cardiac tissue and, for each of the areas, sensing an ultrasound signal with at least one ultrasound sensor, the ultrasound signal responsive to the ultrasound energy reflected from the area of cardiac tissue. Such embodiments can further include for each of the plurality of different areas of the cardiac tissue, associating with each area an indication of the degree to which the area of cardiac tissue was lesioned by the delivery of the ablation therapy based on the ultrasound signal and representing a map of the different areas on a display. A user input can select one of the different areas and the indication associated with the selected one area can be represented on the map.

    Abstract translation: 各种实施例涉及将消融治疗递送到心脏组织的不同区域，并且对于每个区域，用至少一个超声传感器感测超声信号，所述超声信号响应于从心脏组织区域反射的超声能量。 这样的实施例可以进一步包括对于心脏组织的多个不同区域中的每一个，与每个区域相关联的是通过基于超声波信号传递消融治疗而使心脏组织区域损伤的程度的指示，并表示 显示屏上不同区域的地图。 用户输入可以选择不同区域之一，并且可以在地图上表示与所选择的一个区域相关联的指示。

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