-
公开(公告)号：US07566334B2
公开(公告)日：2009-07-28
申请号：US11142954
申请日：2005-06-02
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。
-
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。
-
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。
-
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。
-
公开(公告)号：US09788891B2
公开(公告)日：2017-10-17
申请号：US12979803
申请日：2010-12-28
CPC分类号： A61B18/1492 , A61B2018/00101 , A61B2018/00714 , A61B2018/00791 , A61B2218/002
摘要： Ablation electrode assemblies include an inner core member and an outer shell surrounding the inner core member. The inner core member and the outer shell define a space or separation region therebetween. The inner core member is constructed from a thermally insulative material having a reduced thermal conductivity. In an embodiment, the space is a sealed or evacuated region. In other embodiments, irrigation fluid flows within the space. The ablation electrode assembly further includes at least one thermal sensor in some embodiments. Methods for providing irrigation fluid during cardiac ablation of targeted tissue are disclosed that include calculating the energy delivered to irrigation fluid as it flows within the ablation electrode assembly through temperature measurement of the irrigation fluid. Pulsatile flow of irrigation fluid can be utilized in some embodiments of the disclosure.
-
公开(公告)号：US09066725B2
公开(公告)日：2015-06-30
申请号：US13706657
申请日：2012-12-06
申请人： Steven C. Christian
发明人： Steven C. Christian
CPC分类号： A61B18/1492 , A61B18/12 , A61B2018/00029 , A61B2018/00077 , A61B2018/00083 , A61B2018/00101 , A61B2018/00107 , A61B2018/00577 , A61B2218/002
摘要： An ablation electrode assembly is provided with improved irrigation cooling of the assembly and ablation site. The assembly includes a proximal end configured to be coupled to a catheter shaft and a distal end configured to deliver ablation energy to tissue. The assembly further includes a fluid manifold extending from the proximal end to the distal end and configured to fluidly communicate with a fluid lumen in the catheter shaft. The fluid manifold defines an axial passageway centered about a longitudinal axis extending in the longitudinal direction of the assembly. The axial passageway has a distal end terminating prior to the distal end of the electrode assembly. The assembly further includes means for creating turbulence in fluid exiting the first axial passageway.
摘要翻译： 消融电极组件具有改进的组装和消融部位的冲洗冷却。 组件包括构造成联接到导管轴的近端和构造成将消融能量递送至组织的远端。 组件还包括从近端延伸到远端并被配置为与导管轴中的流体腔流体连通的流体歧管。 流体歧管限定以围绕组件的纵向方向延伸的纵向轴线为中心的轴向通道。 轴向通道具有在电极组件的远端之前终止的远端。 组件还包括用于在离开第一轴向通道的流体中产生湍流的装置。
-
公开(公告)号：US08814856B2
公开(公告)日：2014-08-26
申请号：US11799115
申请日：2007-04-30
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B17/2841 , A61B18/1477 , A61B2017/00371 , A61B2017/2912 , A61B2017/2924 , A61B2018/00916 , A61B2018/1425 , A61B2018/1475
摘要： The disclosure describes a hand-held device that utilizes a mechanical lever system to operate the device with a single hand. The mechanical lever system is coupled to a sliding element within the housing of the hand-held device that slides linearly. The sliding element may be attached to another element that is extended, retracted, or rotated in or out of the device. For example, the hand-held device may be used for prostate ablation therapy. The hand-held device may include an ablation needle electrode that is extended out of a catheter and into a tissue of a patient by depressing an extension lever of the mechanical lever system to deliver ablation therapy. Depressing a retraction lever of the mechanical lever system may retract the needle electrode back into the catheter of the hand-held device. Other variations of the mechanical system and applications of the hand-held device are also described.
摘要翻译： 本公开描述了一种手持装置，其利用机械杠杆系统用单手操作装置。 机械杠杆系统联接到手持装置的壳体内的滑动元件，其滑动线性。 滑动元件可以附接到延伸，缩回或旋转进入或离开装置的另一元件。 例如，手持装置可用于前列腺消融治疗。 手持式装置可以包括消融针电极，其通过按压机械杆系统的延伸杆延伸出导管并进入患者的组织以递送消融治疗。 按压机械杠杆系统的收回杆可以将针电极缩回到手持式装置的导管中。 还描述了手持装置的机械系统和应用的其它变型。
-
公开(公告)号：US20140163548A1
公开(公告)日：2014-06-12
申请号：US13706657
申请日：2012-12-06
申请人： Steven C. Christian
发明人： Steven C. Christian
IPC分类号： A61B18/08
CPC分类号： A61B18/1492 , A61B18/12 , A61B2018/00029 , A61B2018/00077 , A61B2018/00083 , A61B2018/00101 , A61B2018/00107 , A61B2018/00577 , A61B2218/002
摘要： An ablation electrode assembly is provided with improved irrigation cooling of the assembly and ablation site. The assembly includes a proximal end configured to be coupled to a catheter shaft and a distal end configured to deliver ablation energy to tissue. The assembly further includes a fluid manifold extending from the proximal end to the distal end and configured to fluidly communicate with a fluid lumen in the catheter shaft. The fluid manifold defines an axial passageway centered about a longitudinal axis extending in the longitudinal direction of the assembly. The axial passageway has a distal end terminating prior to the distal end of the electrode assembly. The assembly further includes means for creating turbulence in fluid exiting the first axial passageway.
摘要翻译： 消融电极组件具有改进的组装和消融部位的冲洗冷却。 组件包括构造成联接到导管轴的近端和构造成将消融能量递送至组织的远端。 组件还包括从近端延伸到远端并被配置为与导管轴中的流体腔流体连通的流体歧管。 流体歧管限定以围绕组件的纵向方向延伸的纵向轴线为中心的轴向通道。 轴向通道具有在电极组件的远端之前终止的远端。 组件还包括用于在离开第一轴向通道的流体中产生湍流的装置。
-
29.发明申请Methods and systems for occluding vessels during cardiac ablation incuding optional electroanatomical guidance 有权心脏消融期间封堵血管的方法和系统包括可选的电解剖指导公开(公告)号：US20100324552A1
公开(公告)日：2010-12-23
申请号：US12785227
申请日：2010-05-21
申请人： James V. Kauphusman , Andre d'Avila , Vivek Y. Reddy , William M. Sutton , Steven C. Christian , Harry A. Puryear
发明人： James V. Kauphusman , Andre d'Avila , Vivek Y. Reddy , William M. Sutton , Steven C. Christian , Harry A. Puryear
CPC分类号： A61B17/12036 , A61B17/1204 , A61B17/12109 , A61B17/12122 , A61B17/12136 , A61B18/1492 , A61B2018/00214 , A61B2018/00285 , A61B2018/00577 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821
摘要： A method is provided for ablating a portion of the myocardium. The method includes inserting an occlusion catheter into a vessel on a heart, occluding the vessel using the occlusion catheter, inserting an ablation catheter into a chamber of the heart, positioning the ablation catheter against the myocardium, and ablating a portion of the myocardium while the vessel is occluded. The system includes an occlusion catheter having a catheter body including a tubular member having a distal portion and a bend located in the distal portion, a balloon located proximal of the bend and configured to contact an inner surface of the CS when positioned therewithin, a plurality of marker bands positioned on the catheter body, and a plurality of electrodes positioned on the catheter body. One or more electrodes or coils can be used as a reference for an electroanatomical system and can be disposed on the occlusion catheter.
摘要翻译： 提供了一种用于烧蚀心肌的一部分的方法。 该方法包括将闭塞导管插入心脏上的容器中，使用闭塞导管封闭血管，将消融导管插入心脏的腔室中，将消融导管定位在心肌上，以及消融心肌的一部分，同时 血管闭塞 所述系统包括具有导管主体的阻塞导管，所述导管主体包括管状构件，所述管状构件具有位于所述远侧部分中的远端部分和弯曲部分，位于所述弯曲部的近侧的球囊，并且构造成在所述弯曲部的内侧面与所述CS的内表面接触时，多个 定位在导管主体上的标记带，以及定位在导管主体上的多个电极。 一个或多个电极或线圈可以用作电解剖系统的参考，并且可以设置在闭塞导管上。
-
公开(公告)号：US09717501B2
公开(公告)日：2017-08-01
申请号：US12785227
申请日：2010-05-21
申请人： James V. Kauphusman , Andre d'Avila , Vivek Y. Reddy , William M. Sutton , Steven C. Christian , Harry A. Puryear
发明人： James V. Kauphusman , Andre d'Avila , Vivek Y. Reddy , William M. Sutton , Steven C. Christian , Harry A. Puryear
CPC分类号： A61B17/12036 , A61B17/1204 , A61B17/12109 , A61B17/12122 , A61B17/12136 , A61B18/1492 , A61B2018/00214 , A61B2018/00285 , A61B2018/00577 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821
摘要： A method is provided for ablating a portion of the myocardium. The method includes inserting an occlusion catheter into a vessel on a heart, occluding the vessel using the occlusion catheter, inserting an ablation catheter into a chamber of the heart, positioning the ablation catheter against the myocardium, and ablating a portion of the myocardium while the vessel is occluded. The system includes an occlusion catheter having a catheter body including a tubular member having a distal portion and a bend located in the distal portion, a balloon located proximal of the bend and configured to contact an inner surface of the CS when positioned therewithin, a plurality of marker bands positioned on the catheter body, and a plurality of electrodes positioned on the catheter body. One or more electrodes or coils can be used as a reference for an electroanatomical system and can be disposed on the occlusion catheter.
-
-
-
-
-
-
-
-
-
搜索结果
51 条记录 (耗时 0.064 秒)
