Hybrid magnetic-based and impedance-based position sensing
    22.
    发明授权
    Hybrid magnetic-based and impedance-based position sensing 有权
    基于混合磁性和基于阻抗的位置检测

    公开(公告)号:US07536218B2

    公开(公告)日:2009-05-19

    申请号:US11182272

    申请日:2005-07-15

    CPC classification number: A61B5/063 A61B5/0035 A61B5/0538

    Abstract: A position sensing system includes a probe adapted to be introduced into a body cavity of a subject. The probe includes a magnetic field transducer and at least one probe electrodes. A control unit is configured to measure position coordinates of the probe using the magnetic field transducer. The control unit also measures an impedance between the at least one probe electrodes and one or more points on a body surface of the subject. Using the measured position coordinates, the control unit calibrates the measured impedance.

    Abstract translation: 位置感测系统包括适于被引入被检体体腔的探头。 探头包括磁场换能器和至少一个探针电极。 控制单元被配置为使用磁场换能器来测量探头的位置坐标。 控制单元还测量至少一个探针电极与被检体的身体表面上的一个或多个点之间的阻抗。 使用测量的位置坐标,控制单元校准测量的阻抗。

    Externally applied RF for pulmonary vein isolation
    23.
    发明授权
    Externally applied RF for pulmonary vein isolation 有权
    外部应用RF用于肺静脉隔离

    公开(公告)号:US07367970B2

    公开(公告)日:2008-05-06

    申请号:US10706299

    申请日:2003-11-11

    CPC classification number: A61B18/14 A61B2017/00004 A61B2018/00375

    Abstract: A resonant circuit is incorporated in a stent, which implantable in a pulmonary vein using known cardiac catheterization techniques. When an external RF field is generated at the resonant frequency of the stent, RF energy is re-radiated by the stent toward electroconductive tissue in the wall of the pulmonary vein, and produces a circumferential conduction block. The stent can be made of biodegradable materials, so that it eventually is resorbed. Following an ablation procedure, the stent may be left in situ. Repeated ablation can be performed using the inserted stent until it has been determined that the desired lesions have been formed. Furthermore, the same stent can potentially be used even years after being inserted should the treated arrhythmia reoccur or a new arrhythmia develop, thereby possibly obviating the need for an invasive procedure at that future time.

    Abstract translation: 谐振电路并入支架中,其可以使用已知的心脏导管插入技术植入肺静脉。 当在支架的共振频率处产生外部RF场时,RF能量被支架重新辐射到肺静脉壁中的导电组织,并产生周向传导阻滞。 支架可以由可生物降解的材料制成,使其最终被吸收。 在消融手术之后,支架可以留在原位。 可以使用插入的支架进行重复消融,直到确定已经形成所需的损伤为止。 此外,如果治疗的心律失常复发或新的心律失常发展,则在插入后几年可以使用相同的支架,从而可能消除在未来时间对侵入性手术的需要。

    Guided procedures for treating atrial fibrillation
    24.
    发明申请
    Guided procedures for treating atrial fibrillation 有权
    治疗房颤的指导手术

    公开(公告)号:US20070043296A1

    公开(公告)日:2007-02-22

    申请号:US11195123

    申请日:2005-08-02

    CPC classification number: A61B8/12 A61B6/503 A61B6/504 A61B8/0891

    Abstract: A method for treating atrial fibrillation in a heart of a patient includes placing an ultrasonic catheter in a first chamber of the heart; acquiring two-dimensional ultrasonic images of a second chamber of the heart and at least a portion of surrounding structures of the second chamber using the ultrasonic catheter placed in the first chamber; reconstructing a three-dimensional ultrasonic image based on the two-dimensional ultrasonic images; displaying the reconstructed three-dimensional ultrasonic image; identifying at least one key landmark on the reconstructed three-dimensional ultrasonic image; marking the least one key landmark on the reconstructed three-dimensional ultrasonic image; penetrating the septum for accessing the second chamber of the heart while using the marked at least one key landmark for guidance; positioning a sheath through the penetrated septum and within the second chamber of the heart; inserting an ablation catheter through the sheath and into the second chamber of the heart; and ablating a portion of the second chamber of the heart using the ablation catheter while under observation with the ultrasound catheter located in the first chamber of the heart.

    Abstract translation: 用于治疗患者心脏中的心房颤动的方法包括将超声导管放置在心脏的第一腔室中; 使用放置在所述第一腔室中的超声波导管获取心脏的第二腔室的二维超声图像和所述第二腔室的至少一部分周围结构; 基于二维超声图像重建三维超声图像; 显示重建的三维超声图像; 识别所述重建的三维超声图像上的至少一个键标记; 标记重建的三维超声图像上的至少一个关键标记; 在使用标记的至少一个关键地标进行引导时穿透隔膜以进入心脏的第二腔室; 将鞘穿过穿透的隔膜并在心脏的第二腔内; 将消融导管穿过所述护套插入心脏的第二腔中; 以及在使用位于心脏的第一腔室内的超声导管进行观察的同时,使用消融导管消融心脏的第二腔室的一部分。

    Laser pulmonary vein isolation
    25.
    发明授权
    Laser pulmonary vein isolation 有权
    激光肺静脉隔离

    公开(公告)号:US06997924B2

    公开(公告)日:2006-02-14

    申请号:US10245613

    申请日:2002-09-17

    CPC classification number: A61B18/24 A61B2017/22051 A61B2018/2272

    Abstract: A catheter introduction apparatus provides an optical assembly for emission of laser light energy. In one application, the catheter and the optical assembly are introduced percutaneously, and transseptally advanced to the ostium of a pulmonary vein. An anchoring balloon is expanded to position a mirror near the ostium of the pulmonary vein, such that light energy is reflected and directed circumferentially around the ostium of the pulmonary vein when a laser light source is energized. A circumferential ablation lesion is thereby produced, which effectively blocks electrical propagation between the pulmonary vein and the left atrium.

    Abstract translation: 导管引入装置提供用于发射激光能量的光学组件。 在一个应用中,导管和光学组件经皮引入,经皮递送到肺静脉的口。 锚固气囊被扩张以在靠近肺静脉的口处定位镜子,使得当激光源被激发时,光能被反射并周向地环绕肺静脉的口引导。 从而产生圆周消融损伤,其有效阻止肺静脉与左心房之间的电传播。

    Intracardiac pressure monitoring method

    公开(公告)号:US06652464B2

    公开(公告)日:2003-11-25

    申请号:US09739062

    申请日:2000-12-18

    Abstract: A method for telemetrically measuring a parameter in a patient's heart comprises the steps of imaging the heart and identifying an implantation site in the heart. An opening is created in the tissue at the implantation site. A sensor comprising a housing, a membrane at one end of the housing wherein the membrane is deformable in response to the parameter, and a microchip positioned within the housing and operatively communicating with the membrane for transmitting a signal indicative of the parameter is provided. The sensor is placed in the opening and the parameter is telemetrically measured from outside of the patient's body based on the transmitted signal by the sensor. The sensor is also telemetrically powered from outside of the patient's body. A signal charging and reading device is placed outside of the patient's body for telemetric powering and signal reading with respect to the sensor. In an alternative embodiment, the sensor has a tapered distal end and a tissue piercing tip for direct implantation into tissue. Alternative embodiments of this sensor include helical threads on the tapered distal end for threading the sensor into tissue and a plurality of tissue barbs for direct and firm anchoring of the sensor in tissue.

    Simulation of an invasive procedure
    30.
    发明授权
    Simulation of an invasive procedure 有权
    有创程序的模拟

    公开(公告)号:US08636519B2

    公开(公告)日:2014-01-28

    申请号:US12897828

    申请日:2010-10-05

    CPC classification number: G09B23/285

    Abstract: Apparatus, including: a mockup probe, having a distal end and a proximal end adapted to be held by a human operator. The apparatus further includes a mockup patient, simulating an actual patient, the mockup patient having an aperture allowing penetration of the distal end of the mockup probe into the mockup patient. The apparatus includes a force generator, coupled to the mockup probe so as to apply a force to the proximal end that can be felt by the human operator, and a system controller. The controller is configured to: track a location of the distal end during the penetration thereof into the mockup patient, access an indication of a value of contractility of a region of an organ of the actual patient corresponding to the location, and activate the force generator so that the force applied to the proximal end corresponds to the indication.

    Abstract translation: 装置,包括:模型探针,其具有适于由人操作者保持的远端和近端。 该装置还包括模拟患者的模拟患者,模拟患者具有允许模型探针的远端穿透到模型患者体内的孔。 该装置包括耦合到模型探针的力发生器,以便向可由人操作者感知的近端施加力,以及系统控制器。 所述控制器被配置为:在所述远端穿过所述模型患者期间跟踪所述远端的位置,访问对应于所述位置的所述实际患者的器官的区域的收缩值的指示,并激活所述力发生器 使得施加到近端的力对应于指示。

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