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    Cardiac Mapping Instrument with Shapeable Electrode
    22.
    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 。

    Electrosurgical methods and apparatus for making precise incisions in body vessels
    25.
    发明授权
    Electrosurgical methods and apparatus for making precise incisions in body vessels 有权
    电动手术方法和装置，用于精确切开体内血管

    公开(公告)号：US06960209B2

    公开(公告)日：2005-11-01

    申请号：US10278966

    申请日：2002-10-23

    申请人： Cynthia T. Clague ,  Philip J. Haarstad ,  Scott E. Jahns ,  James R. Keogh ,  Christopher P. Olig ,  Raymond W. Usher

    发明人： Cynthia T. Clague ,  Philip J. Haarstad ,  Scott E. Jahns ,  James R. Keogh ,  Christopher P. Olig ,  Raymond W. Usher

    IPC分类号： A61B18/14 ,  A61B19/00 ,  A61B18/18

    CPC分类号： A61B18/14 ,  A61B18/1482 ,  A61B2018/00386 ,  A61B2018/1407 ,  A61B2090/034 ,  A61B2090/036

    摘要： Methods and apparatus employed in surgery involving making precise incisions in vessels of the body, particularly cardiac blood vessels in coronary revascularization procedures conducted on the stopped or beating heart are disclosed. Such incisions are created by applying an elongated electrosurgical cutting electrode to the outer surface of the vessel wall in substantially parallel alignment with the body vessel axis, the elongated electrosurgical cutting electrode having a predetermined cutting electrode length exceeding the cutting electrode width. RF energy is applied between the electrosurgical cutting electrode and the ground electrode at an energy level and for a duration sufficient to cut an elongated slit through the vessel wall where the elongated electrosurgical cutting electrode is applied to the surface of the vessel wall.

    摘要翻译： 公开了涉及在停止或跳动的心脏进行的冠状动脉血运重建手术中精确切开身体血管，特别是心脏血管的手术方法和装置。 这种切口是通过将细长的电外科切割电极以与体血管轴线基本平行对准的方式将细长的电外科切割电极施加到血管壁的外表面而形成的，细长的电外切割电极具有超过切割电极宽度的预定切割电极长度。 RF能量在电外科切割电极和接地电极之间以能量水平施加，持续时间足以切割通过血管壁的细长狭缝，其中细长的电外科切割电极被施加到血管壁的表面。

    Method and system for treatment of atrial tachyarrhythmias
    26.
    发明授权
    Method and system for treatment of atrial tachyarrhythmias 有权
    治疗房性快速性心律失常的方法和系统

    公开(公告)号：US06656175B2

    公开(公告)日：2003-12-02

    申请号：US10016299

    申请日：2001-12-11

    申请人： David E. Francischelli ,  Scott E. Jahns

    发明人： David E. Francischelli ,  Scott E. Jahns

    IPC分类号： A61B1704

    CPC分类号： A61B18/1442 ,  A61B18/1402 ,  A61B2017/2945 ,  A61B2018/00357 ,  A61B2018/00577 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/1432 ,  A61B2018/146 ,  A61B2218/002

    摘要： A method and system for ablating tissue to provide a desired set of lesions. The system includes an ablation apparatus having an elongated shapeable section carrying a mechanism such as an electrode for applying ablation energy along the shapeable section. The shapeable section includes a member of shape memory material having a memorized configuration. The shapeable section is shaped manually or using fixtures to display a configuration corresponding to one of the desired lesions and is then employed to create the desired lesion. Thereafter the shapeable section is heated to cause it to resume its memorized configuration. Shaping, heating and ablating to create lesions are continued as necessary provide the desired set of lesions. In some embodiments of the invention, heating may be accomplished using heating elements built into the shapeable section.

    摘要翻译： 一种用于烧蚀组织以提供期望的病变组的方法和系统。 该系统包括具有细长可成形部分的消融装置，该部分承载诸如用于沿着可塑部分施加消融能量的电极的机构。 可成形部分包括具有记忆结构的形状记忆材料的构件。 可成型部分手动地或使用夹具来显示对应于所需病变之一的构造，然后用于产生所需的损伤。 此后，加热可塑部分使其恢复其记忆结构。 根据需要继续整形，加热和消融以产生损伤以提供所需的病变组。 在本发明的一些实施例中，可以使用内置于可塑部分中的加热元件来实现加热。

    Suture sleeve with lead locking device
    28.
    发明授权
    Suture sleeve with lead locking device 失效
    带导线锁定装置的缝合套管

    公开(公告)号：US5957968A

    公开(公告)日：1999-09-28

    申请号：US938216

    申请日：1997-09-26

    申请人： Elisabeth L. Belden ,  Dale A. Wahlstrom ,  Mark Marshall ,  Scott E. Jahns

    发明人： Elisabeth L. Belden ,  Dale A. Wahlstrom ,  Mark Marshall ,  Scott E. Jahns

    IPC分类号： A61N1/05

    CPC分类号： A61N1/057 ,  A61N2001/0582

    摘要： An anchoring sleeve for retaining an electrical lead including a sleeve base and a locking member latchable to the sleeve base to lock the locking member to the sleeve base encircling the lead and engaging it around its full circumference. The locking member may be an arcuate member joined to said sleeve base by a hinge and pivotable to latch said locking member to the sleeve base. Alternatively the locking member may be a member formed separately from the sleeve base. The base may be provided with one or more C-shaped members to temporarily retain the lead prior to latching.

    摘要翻译： 一种用于保持电引线的固定套筒，其包括套筒基座和可锁定到套筒底座上的锁定构件，以将锁定构件锁定到环绕引线的套筒底座上并将其接合在其整个圆周周围。 锁定构件可以是通过铰链连接到所述套筒底座的弓形构件，并且可枢转以将所述锁定构件锁定到套筒基座。 或者，锁定构件可以是与套筒基部分开形成的构件。 基座可以设置有一个或多个C形构件，以在闩锁之前临时保持引线。

    Cardiac mapping instrument with shapeable electrode
    29.
    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 。

    Method and system for nerve stimulation and cardiac sensing prior to and during a medical procedure
    30.
    发明授权
    Method and system for nerve stimulation and cardiac sensing prior to and during a medical procedure 有权
    在医疗过程之前和期间神经刺激和心脏感知的方法和系统

    公开(公告)号：US08036741B2

    公开(公告)日：2011-10-11

    申请号：US12557950

    申请日：2009-09-11

    申请人： Scott E. Jahns ,  Michael R. S. Hill ,  James R. Keogh

    发明人： Scott E. Jahns ,  Michael R. S. Hill ,  James R. Keogh

    IPC分类号： A61N1/362

    CPC分类号： A61N1/056 ,  A61N1/36114 ,  A61N1/362 ,  A61N1/36514 ,  A61N1/385 ,  A61N1/39

    摘要： A method of performing a medical procedure, such as surgery, is provided. A nerve is stimulated in order to adjust the beating of the heart to a first condition, such as a stopped or slowed condition. The medical procedure is performed on the heart or another organ. The stimulation of the nerve is stopped in order to adjust the beating of the heart to a second condition, such as a beating condition. The heart itself may also be stimulated to a beating condition, such as by pacing. The stimulation of the nerve may be continued in order to allow the medical procedure to be continued. A sensor to sense a characteristic of a fluid or tissue, such as an impending contraction, may be also used during the medical procedure. Systems and devices for performing the medical procedure are also provided.

    摘要翻译： 提供了一种执行诸如手术的医疗程序的方法。 刺激神经以将心脏的跳动调节到第一状态，例如停止或减缓的状态。 医疗程序在心脏或另一个器官上进行。 停止对神经的刺激，以便将心脏的跳动调节到第二状态，例如打浆状态。 心脏本身也可能被刺激到跳动状态，例如通过起搏。 可以继续刺激神经以允许继续医疗程序。 也可以在医疗过程中使用用于感测流体或组织的特征的传感器，例如即将收缩的收缩。 还提供用于执行医疗程序的系统和设备。