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    Cardiac ablation system with pulsed aiming light
    14.
    发明授权
    Cardiac ablation system with pulsed aiming light 有权
    具有脉冲瞄准光的心脏消融系统

    公开(公告)号：US08696653B2

    公开(公告)日：2014-04-15

    申请号：US12895969

    申请日：2010-10-01

    申请人： Gerald Melsky ,  Susan Ostrowski

    发明人： Gerald Melsky ,  Susan Ostrowski

    IPC分类号： A61B18/18 ,  A61B1/06

    CPC分类号： A61B18/24 ,  A61B90/361 ,  A61B2017/22051 ,  A61B2017/22059 ,  A61B2018/2025 ,  A61B2090/3618

    摘要： An apparatus and method for treating a cardiac condition with visual inspection of a tissue treatment site includes the step of delivering an expanding member formed on a distal end of a catheter to a position adjacent a tissue treatment area within a patient's heart. The expandable member has an elastic portion configured to conform to the tissue treatment area. The method further includes the steps of expanding the expandable member thereby allowing the elastic portion of the expandable member to conform to the tissue treatment area and positioning an energy emitter at a first location within an inner lumen of the catheter. A visible aiming beam is projected during positioning of the energy emitter and ablative energy is delivered from the energy emitter to the tissue treatment area thereby resulting in a first spot lesion. The ablative energy is coincident with the aiming beam and the aiming beam is in the form of pulsed visible light to allow intermittent visual inspection of the first spot lesion at times when the aiming beam is not projected onto the tissue treatment area, thereby allowing visual inspection of the ablative characteristics and sufficiency of the first spot lesion.

    摘要翻译： 用于通过目视检查组织治疗部位来治疗心脏病状的装置和方法包括将形成在导管的远端上的扩张构件递送到患者心脏内的组织治疗区域附近的位置的步骤。 可扩张构件具有构造成符合组织处理区域的弹性部分。 该方法还包括以下步骤：使可膨胀构件膨胀，从而允许可膨胀构件的弹性部分与组织处理区域一致，并将能量发射器定位在导管的内腔内的第一位置处。 在能量发射器的定位期间投射可见的瞄准光束，并且消融能量从能量发射器传送到组织处理区域，从而导致第一斑点损伤。 烧焦能量与瞄准光束重合，瞄准光束呈脉冲可见光的形式，以允许在瞄准光束未投射到组织治疗区域时对第一斑点病变进行间歇视觉检查，从而允许视觉检查 的烧蚀特征和充足的第一斑点病变。

    DUAL CYCLE THERMAL SYSTEM AND METHOD OF USE
    16.
    发明申请
    DUAL CYCLE THERMAL SYSTEM AND METHOD OF USE 审中-公开
    双循环热系统及其使用方法

    公开(公告)号：US20080097561A1

    公开(公告)日：2008-04-24

    申请号：US11870447

    申请日：2007-10-11

    申请人： Gerald Melsky ,  Charles Lennox

    发明人： Gerald Melsky ,  Charles Lennox

    IPC分类号： A61B18/00

    CPC分类号： A61F7/02 ,  A61F2007/0008 ,  A61F2007/0056 ,  A61F2007/0059 ,  A61F2007/0069

    摘要： Various types of body heating or cooling devices are described in the present disclosure. Such devices, and associated methods, can utilize two separated thermal transfer fluids to promote heating or cooling of a body part. For example, a cooling cap can include a rigid shell and a flexible seal that form a fluid containment space with a patient's head. The rigid shell can include a fluid circulation apparatus disposed within the fluid containment space, and be coupled to a console pump to form a closed loop circulation system. A volume of fluid can be introduced into the fluid containment space to contact the patient's scalp. The console pump can then circulate a thermal transfer fluid through the fluid circulation apparatus to reduce the temperature of a fluid held within the fluid containment space.

    摘要翻译： 在本公开中描述了各种类型的身体加热或冷却装置。 这样的装置和相关联的方法可以利用两个分离的热传递流体来促进身体部分的加热或冷却。 例如，冷却帽可以包括刚性壳体和与病人头部形成流体容纳空间的柔性密封件。 刚性壳可以包括设置在流体容纳空间内的流体循环装置，并且连接到控制台泵以形成闭环循环系统。 可以将流体的体积引入流体容纳空间以接触患者的头皮。 然后，控制台泵可以将热传递流体循环通过流体循环装置以降低保持在流体容纳空间内的流体的温度。

    Irrigation and aspiration device
    18.
    发明申请
    Irrigation and aspiration device 审中-公开
    灌溉和抽吸装置

    公开(公告)号：US20050119614A1

    公开(公告)日：2005-06-02

    申请号：US10967654

    申请日：2004-10-18

    申请人： Gerald Melsky

    发明人： Gerald Melsky

    IPC分类号： A61M25/01 ,  A61M25/16 ,  A61M37/00

    CPC分类号： A61M25/0138 ,  A61M25/0144 ,  A61M25/0147 ,  A61M2025/09066

    摘要： An elongate tubular body is disclosed, such as for use in medical applications. The body comprises a spring coil having at least one central lumen extending axially therethrough, for receiving medical implements, fiber optics, suction or transmission of fluids such as for irrigation or drug delivery. An elastomeric outer layer on the spring coil provides a substantially water impermeable seal. A distal tip may be integrally formed with the elastomeric outer layer.

    摘要翻译： 公开了一种细长管状体，例如用于医疗应用。 主体包括具有至少一个轴向穿过其中延伸的中心腔的弹簧圈，用于接收医疗器具，光纤，诸如用于灌注或药物递送的流体的抽吸或传播。 弹簧线圈上的弹性体外层提供基本不透水的密封。 远侧末端可以与弹性体外层一体地形成。

    Guided cardiac ablation catheters
    19.
    发明申请
    Guided cardiac ablation catheters 有权
    引导心脏消融导管

    公开(公告)号：US20050065504A1

    公开(公告)日：2005-03-24

    申请号：US10865558

    申请日：2004-06-10

    申请人： Gerald Melsky ,  Jeffrey Arnold ,  Edward Sinofsky ,  Norman Farr

    发明人： Gerald Melsky ,  Jeffrey Arnold ,  Edward Sinofsky ,  Norman Farr

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1492 ,  A61B1/00045 ,  A61B1/00135 ,  A61B1/00165 ,  A61B1/00195 ,  A61B1/05 ,  A61B1/3137 ,  A61B18/1482 ,  A61B18/1815 ,  A61B18/22 ,  A61B18/24 ,  A61B2018/0022 ,  A61B2018/00351 ,  A61B2018/00375 ,  A61B2018/00577 ,  A61B2018/00982 ,  A61B2018/0212 ,  A61B2018/0262 ,  A61B2018/2261 ,  A61B2090/065 ,  A61B2090/3966 ,  A61N7/022 ,  A61N2005/1003

    摘要： Guided ablation instruments are disclosed for creating lesions in tissue, especially cardiac tissue for treatment of arrhythmias, including atrial fibrillation. In one aspect of the invention, a percutaneous catheter is disclosed with an endoscope positionable in the instrument's distal end region to obtain an image. The image allows the clinician to determine whether contact has been achieved (or blood has been cleared from an ablative energy transmission path) before ablation begins or while ablation is occurring. In one embodiment, percutaneous ablation catheters are disclosed having at least one central lumen and one or more balloon structures at the distal end region of the instrument. Also disposed in the distal end region are an illuminating light source and an endoscope capable of collecting sufficient light to relay an image to the user. The instruments can further include an ablation element. The ablation element can be a contact ablation element, or a radiant energy emitter, which is preferably independently positionable within the lumen of the instrument and adapted to project ablative energy through a transmissive region of the instrument body (and/or balloon) to a target tissue site proximate to the pulmonary veins. The energy can delivered without the need for contact between the energy emitter and the target tissue so long as a clear transmission pathway is established. The endoscope element of the instrument allows the clinician to determine the position of the instrument and, if radiant energy is to be employed, see if such a pathway is clear. Moreover, because the position of the radiant energy emitter can be varied, endoscopic guidance permits the clinician to select a desired location and dose for the lesion.

    摘要翻译： 公开了引导消融器械用于在组织中产生损伤，特别是用于治疗心律失常的心脏组织，包括房颤。 在本发明的一个方面，公开了一种经皮导管，其具有可置于仪器的远端区域中的内窥镜，以获得图像。 图像允许临床医生确定在消融开始之前还是在消融期间已经实现了接触（或者从消融能量传递路径中清除血液）。 在一个实施例中，公开了经皮消融导管，其在器械的远端区域具有至少一个中心腔和一个或多个气囊结构。 还设置在远端区域中的是能够收集足够的光以将图像中继给用户的照明光源和内窥镜。 仪器还可以包括消融元件。 消融元件可以是接触消融元件或辐射能发射器，其优选地可独立地定位在器械的内腔内并且适于将烧蚀能量穿过器械主体（和/或气囊）的透射区域投射到靶 靠近肺静脉的组织部位。 只要建立清晰的传输路径，能量可以传送而不需要能量发射器和目标组织之间的接触。 仪器的内窥镜元件允许临床医生确定仪器的位置，并且如果要使用辐射能量，看看这样的通路是否清晰。 此外，由于辐射能发射器的位置可以改变，所以内窥镜引导允许临床医生选择病变的期望位置和剂量。