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公开(公告)号:US07083620B2
公开(公告)日:2006-08-01
申请号:US10621893
申请日:2003-07-17
申请人: Scott E. Jahns , David E. Francischelli , Alison A. Lutterman , James R. Keogh , Roderick E. Briscoe , William G. O'Neill , Jack Goodman , Tom P. Daigle , Paul T. Rothstein , Adam A. Podbelski , Stephen J Roddy , David J. S. Kim , Mark R. Bilitz
发明人: Scott E. Jahns , David E. Francischelli , Alison A. Lutterman , James R. Keogh , Roderick E. Briscoe , William G. O'Neill , Jack Goodman , Tom P. Daigle , Paul T. Rothstein , Adam A. Podbelski , Stephen J Roddy , David J. S. Kim , Mark R. Bilitz
CPC分类号: A61B18/1445 , A61B2018/1861
摘要: A hemostat-type device for ablative treatment of tissue, particularly for treatment of atrial fibrillation, is constructed with features that provide easy and effective treatment. A swiveling head assembly can allow the jaws to be adjusted in pitch and roll. Malleable jaws can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. An illuminated indicator provides confirmation that the device is operating. A fluid delivery system simplifies irrigated ablation procedures.
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公开(公告)号:US20100292749A1
公开(公告)日:2010-11-18
申请号:US12769345
申请日:2010-04-28
申请人: Mark T. Stewart , Tom P. Daigle , David E. Francischelli , John R. Liddicoat , Paul T. Rothstein , Steven F. Bolling
发明人: Mark T. Stewart , Tom P. Daigle , David E. Francischelli , John R. Liddicoat , Paul T. Rothstein , Steven F. Bolling
CPC分类号: A61B18/1445 , A61B1/00087 , A61B1/05 , A61B1/06 , A61B34/20 , A61B2017/00057 , A61B2017/2945 , A61B2018/00107 , A61B2018/00142 , A61B2018/0022 , A61B2018/00375 , A61B2018/00982 , A61B2018/1432 , A61N1/362
摘要: Device and method for sub-xiphoid ablation of patient tissue. A sub-xiphoid access clamp has a handle, an elongate neck coupled to the handle and first and second opposing jaws. The first and second opposing jaws have first and second opposing relief segments being generally co-planar and concave with respect to one another to form a void therebetween, and first and second opposing elongate ablation elements positioned along the first and second opposing jaws and distal of the first and second opposing relief segments relative to the handle. The first and second opposing jaws are articulate between a closed position and an open position to admit, at least in part, a second portion of tissue of the patient within the void created by the first and second opposing relief segments while the first portion of tissue is positioned between the first and second ablation elements in the closed position.
摘要翻译: 患者组织亚硬膜切除术的装置及方法。 副剑杆通道夹具具有手柄,连接到手柄的细长颈部以及第一和第二相对的夹爪。 第一和第二相对的钳口具有第一和第二相对的浮雕段,它们大致共面并相对于彼此凹入以在它们之间形成空隙,并且第一和第二相对的细长消融元件沿着第一和第二相对的夹爪定位, 第一和第二相对的释放段相对于把手。 第一和第二相对的夹爪在关闭位置和打开位置之间铰接,以至少部分地允许患者在由第一和第二相对的浮雕段产生的空隙内的组织的第二部分,同时组织的第一部分 位于第一和第二消融元件之间处于关闭位置。
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公开(公告)号:US08162941B2
公开(公告)日:2012-04-24
申请号:US12973185
申请日:2010-12-20
IPC分类号: A61B18/18
CPC分类号: A61B18/1442 , A61B18/1492 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577
摘要: System, device and method for ablating target tissue adjacent pulmonary veins of a patient through an incision. An ablation device can include a hinge including a cam assembly, a moving arm, a floating jaw, and a lower jaw. Fingers can engage the floating jaw to hold the floating jaw in a first position with respect to the moving arm. Some embodiments of the invention can provide an ablation device including a central support, an upper four-bar linkage coupled to the central support, an upper jaw coupled to the upper linkage, a lower four-bar linkage coupled to the central support, and a lower jaw coupled to the lower linkage. Some embodiments of the invention can provide an ablation device having an upper jaw including a first cannula connection and a lower jaw including a second cannula connection. The system can include a first catheter coupled to the first cannula connection and a second catheter coupled to the second cannula connection. The first and second catheters can be inserted through the incision and can move the upper and lower jaws adjacent the pulmonary veins.
摘要翻译: 用于通过切口消融患者的肺静脉附近的靶组织的系统,装置和方法。 消融装置可以包括铰链,其包括凸轮组件,移动臂,浮动夹爪和下颚。 手指可以接合浮动的颚板将浮动颚部相对于移动臂保持在第一位置。 本发明的一些实施例可以提供消融装置,其包括中央支撑件,联接到中心支撑件的上部四杆连接件,联接到上部连接件的上部钳口,联接到中心支撑件的下部四杆连杆,以及 下颚连接到下连杆。 本发明的一些实施例可以提供一种消融装置,其具有包括第一插管连接的上颚和包括第二插管连接的下颚。 该系统可以包括耦合到第一插管连接的第一导管和耦合到第二插管连接的第二导管。 第一和第二导管可以穿过切口插入并且能够移动邻近肺静脉的上下爪。
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公开(公告)号:US20090270857A1
公开(公告)日:2009-10-29
申请号:US12499356
申请日:2009-07-08
CPC分类号: A61B18/1442 , A61B18/1492 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577
摘要: System, device and method for ablating target tissue adjacent pulmonary veins of a patient through an incision. An ablation device can include a hinge including a cam assembly, a moving arm, a floating jaw, and a lower jaw. Fingers can engage the floating jaw to hold the floating jaw in a first position with respect to the moving arm. Some embodiments of the invention can provide an ablation device including a central support, an upper four-bar linkage coupled to the central support, an upper jaw coupled to the upper linkage, a lower four-bar linkage coupled to the central support, and a lower jaw coupled to the lower linkage. Some embodiments of the invention can provide an ablation device having an upper jaw including a first cannula connection and a lower jaw including a second cannula connection. The system can include a first catheter coupled to the first cannula connection and a second catheter coupled to the second cannula connection. The first and second catheters can be inserted through the incision and can move the upper and lower jaws adjacent the pulmonary veins.
摘要翻译: 用于通过切口消融患者的肺静脉附近的靶组织的系统,装置和方法。 消融装置可以包括铰链,其包括凸轮组件,移动臂,浮动夹爪和下颚。 手指可以接合浮动的颚板将浮动颚部相对于移动臂保持在第一位置。 本发明的一些实施例可以提供消融装置,其包括中央支撑件,联接到中心支撑件的上部四杆连接件,联接到上部连接件的上部钳口,联接到中心支撑件的下部四杆连杆,以及 下颚连接到下连杆。 本发明的一些实施例可以提供一种消融装置,其具有包括第一插管连接的上颚和包括第二插管连接的下颚。 该系统可以包括耦合到第一插管连接的第一导管和耦合到第二插管连接的第二导管。 第一和第二导管可以穿过切口插入并且能够移动邻近肺静脉的上下爪。
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公开(公告)号:US08702703B2
公开(公告)日:2014-04-22
申请号:US12769345
申请日:2010-04-28
申请人: Mark T. Stewart , Tom P. Daigle , David E. Francischelli , John R. Liddicoat , Paul T. Rothstein , Steven F. Bolling
发明人: Mark T. Stewart , Tom P. Daigle , David E. Francischelli , John R. Liddicoat , Paul T. Rothstein , Steven F. Bolling
IPC分类号: A61B18/18
CPC分类号: A61B18/1445 , A61B1/00087 , A61B1/05 , A61B1/06 , A61B34/20 , A61B2017/00057 , A61B2017/2945 , A61B2018/00107 , A61B2018/00142 , A61B2018/0022 , A61B2018/00375 , A61B2018/00982 , A61B2018/1432 , A61N1/362
摘要: Device and method for sub-xiphoid ablation of patient tissue. A sub-xiphoid access clamp has a handle, an elongate neck coupled to the handle and first and second opposing jaws. The first and second opposing jaws have first and second opposing relief segments being generally co-planar and concave with respect to one another to form a void therebetween, and first and second opposing elongate ablation elements positioned along the first and second opposing jaws and distal of the first and second opposing relief segments relative to the handle. The first and second opposing jaws are articulate between a closed position and an open position to admit, at least in part, a second portion of tissue of the patient within the void created by the first and second opposing relief segments while the first portion of tissue is positioned between the first and second ablation elements in the closed position.
摘要翻译: 患者组织亚硬膜切除术的装置及方法。 副剑杆通道夹具具有手柄,连接到手柄的细长颈部以及第一和第二相对的夹爪。 第一和第二相对的钳口具有第一和第二相对的浮雕段,它们大致共面并相对于彼此凹入以在它们之间形成空隙,并且第一和第二相对的细长消融元件沿着第一和第二相对的夹爪定位, 第一和第二相对的释放段相对于把手。 第一和第二相对的夹爪在关闭位置和打开位置之间铰接,以至少部分地允许患者在由第一和第二相对的浮雕段产生的空隙内的组织的第二部分,同时组织的第一部分 位于第一和第二消融元件之间处于关闭位置。
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公开(公告)号:US20110087205A1
公开(公告)日:2011-04-14
申请号:US12973185
申请日:2010-12-20
CPC分类号: A61B18/1442 , A61B18/1492 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577
摘要: System, device and method for ablating target tissue adjacent pulmonary veins of a patient through an incision. An ablation device can include a hinge including a cam assembly, a moving arm, a floating jaw, and a lower jaw. Fingers can engage the floating jaw to hold the floating jaw in a first position with respect to the moving arm. Some embodiments of the invention can provide an ablation device including a central support, an upper four-bar linkage coupled to the central support, an upper jaw coupled to the upper linkage, a lower four-bar linkage coupled to the central support, and a lower jaw coupled to the lower linkage. Some embodiments of the invention can provide an ablation device having an upper jaw including a first cannula connection and a lower jaw including a second cannula connection. The system can include a first catheter coupled to the first cannula connection and a second catheter coupled to the second cannula connection. The first and second catheters can be inserted through the incision and can move the upper and lower jaws adjacent the pulmonary veins.
摘要翻译: 用于通过切口消融患者的肺静脉附近的靶组织的系统,装置和方法。 消融装置可以包括铰链,其包括凸轮组件,移动臂,浮动夹爪和下颚。 手指可以接合浮动的颚板将浮动颚部相对于移动臂保持在第一位置。 本发明的一些实施例可以提供消融装置,其包括中央支撑件,联接到中心支撑件的上部四杆连接件,联接到上部连接件的上部钳口,联接到中心支撑件的下部四杆连杆,以及 下颚连接到下连杆。 本发明的一些实施例可以提供一种消融装置,其具有包括第一插管连接的上颚和包括第二插管连接的下颚。 该系统可以包括耦合到第一插管连接的第一导管和耦合到第二插管连接的第二导管。 第一和第二导管可以穿过切口插入并且能够移动邻近肺静脉的上下爪。
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公开(公告)号:US07678108B2
公开(公告)日:2010-03-16
申请号:US11143128
申请日:2005-06-02
申请人: Steven C. Chrisitian , David E. Francischelli , Adam A. Podbeliski , Daniel Charles Haeg , Marie T. Steinbrink , Roderick E. Briscoe , Tom P. Daigle
发明人: Steven C. Chrisitian , David E. Francischelli , Adam A. Podbeliski , Daniel Charles Haeg , Marie T. Steinbrink , Roderick E. Briscoe , Tom P. Daigle
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B2018/00291 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577 , A61B2018/1407 , A61B2018/1472
摘要: Embodiments of the invention provide an ablation apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation apparatus can include a tube capable of being advanced around the pulmonary veins to form a loop. The tube can receive or include electrodes to ablate target tissue. Some embodiments provide a loop ablation device, which may include a cannula and two or more electrode rods carrying two or more bipolar electrodes. The electrode rods can be advanced through the distal ends toward the proximal ends of the loop and toward the target tissue. The bipolar electrodes can receive energy to ablate the target tissue. The bipolar electrodes may be surrounded by the liquid within the cannula while ablating the target tissue. The loop ablation device can further include a rotating grasping mechanism coupled to the electrode rods.
摘要翻译: 本发明的实施例提供了一种用于消融患者的肺静脉附近的靶组织的消融装置。 消融装置可以包括能够围绕肺静脉前进以形成环的管。 管可以接收或包括用于烧蚀靶组织的电极。 一些实施例提供一种环路消融装置,其可以包括套管和两个或更多个承载两个或更多个双极电极的电极棒。 电极棒可以通过远端朝向环的近端并朝向目标组织前进。 双极电极可以接收能量以消融靶组织。 当消融靶组织时,双极电极可被插管内的液体包围。 环切除装置还可包括与电极棒连接的旋转夹持机构。
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公开(公告)号:US08480696B2
公开(公告)日:2013-07-09
申请号:US11155533
申请日:2005-06-16
申请人: Cynthia T. Clague , Michael J. Hobday , Raymond W. Usher , Roderick E. Briscoe , Katherine S. Jolly , Ana R. Buhr , Christopher P. Olig , Eric A. Meyer , Steven C. Christian , Tom P. Daigle , Robert H. Reetz , Jeffrey D. Sandstrom , James R. Keogh , Matthew D. Bonner , Scott E. Jahns
发明人: Cynthia T. Clague , Michael J. Hobday , Raymond W. Usher , Roderick E. Briscoe , Katherine S. Jolly , Ana R. Buhr , Christopher P. Olig , Eric A. Meyer , Steven C. Christian , Tom P. Daigle , Robert H. Reetz , Jeffrey D. Sandstrom , James R. Keogh , Matthew D. Bonner , Scott E. Jahns
IPC分类号: A61B17/22
CPC分类号: A61B17/22 , A61B17/00008 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B2017/00557 , A61B2017/00778 , A61B2017/22062 , A61B2017/22068
摘要: The invention provides a system and method for harvesting a vessel section. The system comprises a vessel support member, a handle, and a tubular cutting device. The vessel support member is introduced into the vessel section to be harvested. The tubular cutting device may comprise an outer tubular member or an outer and an inner tubular member. The outer tubular member carries at least one cutting element. The tubular member or members are advanced over the vessel section and vessel support member to core out the vessel section and tissue adjoining the vessel section.
摘要翻译: 本发明提供了一种收集血管部分的系统和方法。 该系统包括容器支撑构件,手柄和管状切割装置。 将容器支撑构件引入待收获的容器部分。 管状切割装置可以包括外部管状构件或外部管状构件和内部管状构件。 外部管状构件承载至少一个切割元件。 管状构件在容器部分和容器支撑构件上前进,以将与容器部分相邻的容器部分和组织芯出。
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公开(公告)号:US20100305398A1
公开(公告)日:2010-12-02
申请号:US12849353
申请日:2010-08-03
申请人: Andrew L. Olson , Michael J. Hobday , Steven C. Christian , Tom P. Daigle , Robert H. Reetz , Douglas H. Gubbin , Roderick E. Briscoe , William A. Steinberg , Adam A. Podbelski , Christopher J. Plott , Patrick J. Cloutier , Gerard C. Forest , Christopher P. Olig
发明人: Andrew L. Olson , Michael J. Hobday , Steven C. Christian , Tom P. Daigle , Robert H. Reetz , Douglas H. Gubbin , Roderick E. Briscoe , William A. Steinberg , Adam A. Podbelski , Christopher J. Plott , Patrick J. Cloutier , Gerard C. Forest , Christopher P. Olig
IPC分类号: A61B19/00
CPC分类号: A61B17/02 , A61B17/0293 , A61B90/50 , A61B2017/0243
摘要: Tissue stabilizers including a clamp assembly, a turret assembly, an articulating arm having a tension element extending therethrough, a collet assembly and a head-link assembly are disclosed. Methods of stabilizing tissue are also disclosed.
摘要翻译: 公开了一种组织稳定器,包括夹具组件,转塔组件,具有穿过其延伸的张紧元件的铰接臂,夹头组件和头部连接组件。 还公开了稳定组织的方法。
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公开(公告)号:US08025620B2
公开(公告)日:2011-09-27
申请号:US12849353
申请日:2010-08-03
申请人: Andrew L. Olson , Michael J. Hobday , Steven C. Christian , Tom P. Daigle , Robert H. Reetz , Douglas H. Gubbin , Roderick E. Briscoe , William A. Steinberg , Adam A. Podbelski , Christopher J. Plott , Patrick J. Cloutier , Gerard C. Forest , Christopher P. Olig
发明人: Andrew L. Olson , Michael J. Hobday , Steven C. Christian , Tom P. Daigle , Robert H. Reetz , Douglas H. Gubbin , Roderick E. Briscoe , William A. Steinberg , Adam A. Podbelski , Christopher J. Plott , Patrick J. Cloutier , Gerard C. Forest , Christopher P. Olig
IPC分类号: A61F2/00
CPC分类号: A61B17/02 , A61B17/0293 , A61B90/50 , A61B2017/0243
摘要: Tissue stabilizers including a clamp assembly, a turret assembly, an articulating arm having a tension element extending therethrough, a collet assembly and a head-link assembly are disclosed. Methods of stabilizing tissue are also disclosed.
摘要翻译: 公开了一种组织稳定器,包括夹具组件,转塔组件,具有穿过其延伸的张紧元件的铰接臂,夹头组件和头部连接组件。 还公开了稳定组织的方法。
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