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    Compound bipolar ablation device and method
    12.
    发明授权
    Compound bipolar ablation device and method 失效
    复合双极消融装置及方法

    公开(公告)号：US07758580B2

    公开(公告)日：2010-07-20

    申请号：US11143400

    申请日：2005-06-02

    申请人： Paul T. Rothstein ,  Roderick E. Briscoe ,  David E. Francischelli ,  David J. S. Kim ,  Alison Lutterman

    发明人： Paul T. Rothstein ,  Roderick E. Briscoe ,  David E. Francischelli ,  David J. S. Kim ,  Alison Lutterman

    IPC分类号： A61B18/12

    CPC分类号： A61B18/1442 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00577

    摘要： Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation device can include a lower jaw assembly including a proximal jaw having a proximal electrode and a distal jaw having a distal electrode, and an upper jaw assembly including an upper jaw having an upper electrode. A proximal actuator can be movable between a first position in which the proximal jaw is open and a second position in which the proximal jaw is clamped with respect to the upper jaw. A distal actuator can be movable between a third position in which the distal jaw is open and a fourth position in which the distal jaw is clamped with respect to the upper jaw.

    摘要翻译： 用于消融患者的肺静脉附近的靶组织的方法和装置。 消融装置可以包括下钳口组件，其包括具有近端电极的近端钳口和具有远端电极的远端钳口，以及包括具有上电极的上钳口的上钳口组件。 近侧致动器可以在其中近端颚打开的第一位置和相对于上颚夹紧近端颌的第二位置之间移动。 远端致动器可以在其中远侧钳口打开的第三位置和第二位置之间移动，在第四位置，远端钳口相对于上钳夹紧。

    Cardiac mapping instrument with shapeable electrode
    13.
    发明授权
    Cardiac mapping instrument with shapeable electrode 有权
    具有可塑电极的心脏测绘仪

    公开(公告)号：US08623010B2

    公开(公告)日：2014-01-07

    申请号：US12480926

    申请日：2009-06-09

    申请人： Jon M. Ocel ,  Roderick E. Briscoe ,  David E. Francischelli ,  Scott E. Jahns ,  James R. Keogh ,  Katherine S. Jolly ,  Matthew D. Bonner

    发明人： Jon M. Ocel ,  Roderick E. Briscoe ,  David E. Francischelli ,  Scott E. Jahns ,  James R. Keogh ,  Katherine S. Jolly ,  Matthew D. Bonner

    IPC分类号： A61B18/14

    CPC分类号： A61B5/042 ,  A61B5/7475 ,  A61B18/14 ,  A61B2017/2927 ,  A61B2018/1472 ,  A61N1/056

    摘要： An instrument including an elongated shaft and a non-conductive handle is disclosed. The shaft defines a proximal section and a distal section. The distal section forms an electrically conductive tip. Further, the shaft is adapted to be transitionable from a straight state to a first bent state. The shaft is capable of independently maintaining the distinct shapes associated with the straight state and the first bent state. The handle is rigidly coupled to the proximal section of the shaft. The instrument is useful for epicardial pacing and/or mapping of the heart for temporary pacing on a beating heart, for optimizing the placement of ventricular leads for the treatment of patients with congestive heart failure and ventricular dysynchrony and/or for use in surgical ablation procedures.

    摘要翻译： 公开了一种包括细长轴和非导电手柄的仪器。 轴限定近端部分和远端部分。 远侧部分形成导电尖端。 此外，轴适于从直状态转变到第一弯曲状态。 轴能够独立地保持与直线状态和第一弯曲状态相关联的不同形状。 手柄刚性地联接到轴的近端部分。 该仪器可用于心脏起搏和/或心脏在心脏跳动中临时起搏的作用，以优化用于治疗患有充血性心力衰竭和心室异常不适和/或用于外科手术切除手术的患者的心室导线的放置 。

    Compound Bipolar Ablation Device and Method
    14.
    发明申请
    Compound Bipolar Ablation Device and Method 审中-公开
    复合双极烧蚀装置及方法

    公开(公告)号：US20100262132A1

    公开(公告)日：2010-10-14

    申请号：US12815093

    申请日：2010-06-14

    申请人： Paul T. Rothstein ,  Roderick E. Briscoe ,  David E. Francischelli ,  David J.S. Kim ,  Alison Lutterman

    发明人： Paul T. Rothstein ,  Roderick E. Briscoe ,  David E. Francischelli ,  David J.S. Kim ,  Alison Lutterman

    IPC分类号： A61B18/18 ,  A61B18/04 ,  A61B18/02

    CPC分类号： A61B18/1442 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00577

    摘要： Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation device can include a lower jaw assembly including a proximal jaw having a proximal electrode and a distal jaw having a distal electrode, and an upper jaw assembly including an upper jaw having an upper electrode. A proximal actuator can be movable between a first position in which the proximal jaw is open and a second position in which the proximal jaw is clamped with respect to the upper jaw. A distal actuator can be movable between a third position in which the distal jaw is open and a fourth position in which the distal jaw is clamped with respect to the upper jaw.

    摘要翻译： 用于消融患者的肺静脉附近的靶组织的方法和装置。 消融装置可以包括下钳口组件，其包括具有近端电极的近端钳口和具有远端电极的远端钳口，以及包括具有上电极的上钳口的上钳口组件。 近侧致动器可以在其中近端颚打开的第一位置和相对于上颚夹紧近端颌的第二位置之间移动。 远端致动器可以在其中远侧钳口打开的第三位置和第二位置之间移动，在第四位置，远端钳口相对于上钳夹紧。

    Cardiac Mapping Instrument with Shapeable Electrode
    15.
    发明申请
    Cardiac Mapping Instrument with Shapeable Electrode 有权
    具有可塑性电极的心脏测绘仪器

    公开(公告)号：US20090326527A1

    公开(公告)日：2009-12-31

    申请号：US12480926

    申请日：2009-06-09

    申请人： Jon M. Ocel ,  Roderick E. Briscoe ,  David E. Francischelli ,  Scott E. Jahns ,  James R. Keogh ,  Katherine S. Jolly ,  Matthew D. Bonner

    发明人： Jon M. Ocel ,  Roderick E. Briscoe ,  David E. Francischelli ,  Scott E. Jahns ,  James R. Keogh ,  Katherine S. Jolly ,  Matthew D. Bonner

    IPC分类号： A61B18/14 ,  A61B18/18 ,  A61N1/362

    CPC分类号： A61B5/042 ,  A61B5/7475 ,  A61B18/14 ,  A61B2017/2927 ,  A61B2018/1472 ,  A61N1/056

    摘要： An instrument including an elongated shaft and a non-conductive handle is disclosed. The shaft defines a proximal section and a distal section. The distal section forms an electrically conductive tip. Further, the shaft is adapted to be transitionable from a straight state to a first bent state. The shaft is capable of independently maintaining the distinct shapes associated with the straight state and the first bent state. The handle is rigidly coupled to the proximal section of the shaft. The instrument is useful for epicardial pacing and/or mapping of the heart for temporary pacing on a beating heart, for optimizing the placement of ventricular leads for the treatment of patients with congestive heart failure and ventricular dysynchrony and/or for use in surgical ablation procedures.

    摘要翻译： 公开了一种包括细长轴和非导电手柄的仪器。 轴限定近端部分和远端部分。 远侧部分形成导电尖端。 此外，轴适于从直状态转变到第一弯曲状态。 轴能够独立地保持与直线状态和第一弯曲状态相关联的不同形状。 手柄刚性地联接到轴的近端部分。 该仪器可用于心脏起搏和/或心脏在心脏跳动中临时起搏的作用，以优化用于治疗患有充血性心力衰竭和心室异常不适和/或用于外科手术切除手术的患者的心室导线的放置 。

    Sub-xiphoid ablation clamp and method of sub-xiphoid ablation
    16.
    发明授权
    Sub-xiphoid ablation clamp and method of sub-xiphoid ablation 有权
    亚剑突消融钳和亚剑下消融法

    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。

    Device and method for ablation of cardiac tissue
    18.
    发明授权
    Device and method for ablation of cardiac tissue 失效
    心脏组织消融的装置和方法

    公开(公告)号：US08414573B2

    公开(公告)日：2013-04-09

    申请号：US11545829

    申请日：2006-10-11

    申请人： David E. Francischelli

    发明人： David E. Francischelli

    IPC分类号： A61B18/18 ,  A61F7/00

    CPC分类号： A61B18/1402 ,  A61B2018/00809 ,  A61B2018/1472

    摘要： Methods for delivering precise amounts of fluid into cardiac tissue for the purpose of facilitating ablation of the tissue along a desired lesion line. One method injects fluid through a hollow needle. The injected fluid can be a highly conductive fluid injected in conjunction with radiofrequency ablation to create an ablative virtual electrode. The injected conductive fluid can provide deeper and narrower conduction paths and resulting lesions. Radiofrequency ablation can be performed at the same time as the fluid injection, using the injection device as an electrode, or subsequent to the fluid injection, using a separate device. In some methods, the injected fluid is a protective fluid, injected to protect tissue adjacent to the desired lesion line. Fluid delivery can be endocardial, epicardial, and epicardial on a beating heart. The present methods find one use in performing maze procedures to treat atrial fibrillation.

    摘要翻译： 用于将精确量的流体输送到心脏组织中以便于沿着期望的损伤线消融组织的方法。 一种方法通过中空针头注入流体。 注射的流体可以是与射频消融一起注入的高导电流体，以产生消融的虚拟电极。 注射的导电流体可以提供更深和更窄的传导路径和所导致的损伤。 射频消融可以在使用注射装置作为电极或在流体注射之后使用单独的装置与流体注射同时进行。 在一些方法中，注射的流体是保护性流体，被注射以保护邻近所需病变线的组织。 流体输送可以是搏动心脏的心内膜，心外膜和心外膜。 本方法可用于进行迷宫手术来治疗房颤。

    Method and Apparatus for Tissue Ablation
    19.
    发明申请
    Method and Apparatus for Tissue Ablation 审中-公开
    组织消融的方法和装置

    公开(公告)号：US20120277736A1

    公开(公告)日：2012-11-01

    申请号：US13492466

    申请日：2012-06-08

    申请人： David E. Francischelli

    发明人： David E. Francischelli

    IPC分类号： A61B18/14 ,  A61B18/02 ,  A61B18/18

    CPC分类号： A61B18/1445 ,  A61B18/1402 ,  A61B18/1442 ,  A61B2018/00994 ,  A61B2018/126 ,  A61B2018/1472

    摘要： A method for ablation in which a portion of atrial tissue around the pulmonary veins of the heart is ablated by a first elongated ablation component and a second elongated ablation component movable relative to the first ablation component and having means for magnetically attracting the first and second components toward one another. The magnetic means draw the first and second components toward one another to compress the atrial tissue therebetween, along the length of the first and second components and thereby position the device for ablation of the tissue.

    摘要翻译： 一种消融方法，其中通过第一细长消融部件消除心脏周围的肺静脉周围的一部分心房组织，并且第二细长消融部件可相对于第一消融部件移动并且具有用于磁吸引第一和第二部件的装置 朝向彼此 磁性装置沿着第一和第二部件的长度将第一和第二部件彼此拉伸以压缩其间的心房组织，从而定位用于组织消融的装置。

    ABLATION DEVICE AND METHOD FOR CREATING AN ELONGATE LESION USING SELECTIVELY ACTUATED TRANSDUCER CONTROLLED BY LESION COMPLETION SENSOR
    20.
    发明申请
    ABLATION DEVICE AND METHOD FOR CREATING AN ELONGATE LESION USING SELECTIVELY ACTUATED TRANSDUCER CONTROLLED BY LESION COMPLETION SENSOR 审中-公开
    使用通过LESION完成传感器控制的选择性致动传感器创建一个ELENATE LESION的消除装置和方法

    公开(公告)号：US20110208054A1

    公开(公告)日：2011-08-25

    申请号：US12712613

    申请日：2010-02-25

    申请人： Mark T. Stewart ,  David E. Francischelli

    发明人： Mark T. Stewart ,  David E. Francischelli

    IPC分类号： A61B18/14 ,  A61B8/00

    CPC分类号： A61N7/02 ,  A61B8/485 ,  A61B8/5223 ,  A61B2017/00106 ,  A61B2018/00577 ,  A61B2018/00839 ,  A61N2007/0065 ,  A61N2007/0095 ,  A61N2007/027

    摘要： Device, system and method for evaluating the effectiveness of tissue ablations of a heart of a patient. The tissue is clamped between a pair of opposing jaws. A portion of the tissue is ablated at a first generally linear position on the tissue by applying ablative energy to two of a plurality of elongate electrodes, each of the two of the plurality of elongate electrodes being coupled in opposing relationship to each other and the pair of opposing jaws, respectively. An effectiveness of the ablation is sensed at a second generally linear position on the tissue with at least one of the plurality of elongate electrodes positioned on one of the pair of opposing jaws. The second linear position on the tissue is laterally distal to the first linear position on the tissue with respect to the atrium of the heart.

    摘要翻译： 用于评估患者心脏组织消融有效性的装置，系统和方法。 将组织夹在一对相对的夹爪之间。 通过向多个细长电极中的两个施加烧蚀能量，组织的一部分在组织上的第一大致线性位置被消融，多个细长电极中的每一个彼此相对地相互耦合，并且该对 的对颚分别。 在组织上的第二大致直线位置处感测消融的有效性，其中多个细长电极中的至少一个位于一对相对的夹爪中的一个上。 组织上的第二线性位置相对于心脏的心房横向远离组织上的第一线性位置。